Emergency Medicine Simulation Case: Septic Shock in the Geriatric Patient

MedEdPORTAL

Mark Collins¹  Dylan Cooper² 

[1] 1 Indiana University School of Medicine;2 Indiana University;

关键词: Septic Shock;    Hypoglycemia;    Altered Mental Status;    Urinary Tract Infection;    Hypotension;    Respiratory Failure;   

DOI  :  10.15766/mep_2374-8265.8372

来源: DOAJ

【 摘 要 】

Abstract This is a simulation case intended to be utilized by emergency medicine interns and residents. The case is of a 75-year-old African American female who presents to the emergency department via EMS from a nursing home for altered mental status. Extensive past medical history and multiple medications are noted (but only if her nursing home paper work is carefully reviewed by participants), and she is critically ill with impending respiratory failure and hypotension from septic shock due to a urinary tract infection. In this case, she will not improve without proper management of airway, blood glucose, and fluid status. Eventually, central access, antibiotics, vasopressors, and ICU consultation will be mandated. Emphasis is placed on communication with EMS providers, exposure of the patient, review of the nursing home paperwork, and obtaining code status early. This simulation case is an effective teaching tool for interns and residents. It provides a framework for the simulation using an “if– then” premise that allows a more realistic simulation experience. The case is effective as a clinical instructional tool because it describes a patient population very commonly seen in the emergency department: the septic geriatric patient. The case is meant to be utilized in a simulation setting and comes with a short synoptic presentation highlighting the key learning points.

【 授权许可】

Unknown