Pediatric Polytrauma Fire Victim Simulation
- PMID: 38414645
- PMCID: PMC10897059
- DOI: 10.15766/mep_2374-8265.11383
Pediatric Polytrauma Fire Victim Simulation
Abstract
Introduction: Pediatric trauma has long been one of the primary contributors to pediatric mortality. There are multiple cases in the literature involving cyanide (CN) toxicity, carbon monoxide (CO) toxicity, and smoke inhalation with thermal injury, but none in combination with mechanical trauma.
Methods: In this 45-minute simulation case, emergency medicine residents and fellows were asked to manage a pediatric patient with multiple life-threatening traumatic and metabolic concerns after being extracted from a van accident with a resulting fire. Providers were expected to identify and manage the patient's airway, burns, hemoperitoneum, and CO and CN toxicities.
Results: Forty learners participated in this simulation, the majority of whom had little prior clinical experience managing the concepts highlighted in it. All agreed or strongly agreed that the case was relevant to their work. After participation, learner confidence in the ability to manage each of the learning objectives was high. One hundred percent of learners felt confident or very confident in managing CO toxicity and completing primary and secondary surveys, while 97% were similarly confident in identifying smoke inhalation injury, preparing for a difficult airway, and managing CN toxicity.
Discussion: This case was a well-received teaching tool for the management of pediatric trauma and metabolic derangements related to fire injuries. While this specific case represents a rare clinical experience, it is within the scope of expected knowledge for emergency medicine providers and offers the opportunity to practice managing multisystem trauma.
Keywords: Carbon Monoxide; Cyanide; Emergency Medicine; Medical Toxicology; Pediatric Emergency Medicine; Polytrauma; Simulation; Thermal Injury; Trauma Triage.
© 2024 Vrablik and Wing.
Similar articles
-
Inhalational Injury Secondary to House Fire.J Educ Teach Emerg Med. 2023 Oct 31;8(4):S49-S79. doi: 10.21980/J8TW7N. eCollection 2023 Oct. J Educ Teach Emerg Med. 2023. PMID: 37969154 Free PMC article.
-
Cyanide Poisoning.J Educ Teach Emerg Med. 2022 Jul 15;7(3):S1-S25. doi: 10.21980/J80W76. eCollection 2022 Jul. J Educ Teach Emerg Med. 2022. PMID: 37465777 Free PMC article.
-
Management of Poisoned Patients: Implementing a Blended Toxicology Curriculum for Emergency Medicine Residents.J Educ Teach Emerg Med. 2022 Apr 15;7(2):C1-C32. doi: 10.21980/J8C937. eCollection 2022 Apr. J Educ Teach Emerg Med. 2022. PMID: 37465448 Free PMC article.
-
Pediatric cyanide poisoning by fire smoke inhalation: a European expert consensus. Toxicology Surveillance System of the Intoxications Working Group of the Spanish Society of Paediatric Emergencies.Pediatr Emerg Care. 2013 Nov;29(11):1234-40. doi: 10.1097/PEC.0b013e3182aa4ee1. Pediatr Emerg Care. 2013. PMID: 24196100
-
Smoke inhalation injury in a pregnant patient: a literature review of the evidence and current best practices in the setting of a classic case.J Burn Care Res. 2012 Sep-Oct;33(5):624-33. doi: 10.1097/BCR.0b013e31824799d2. J Burn Care Res. 2012. PMID: 22293595 Review.
References
-
- WISQARS injury data. Centers for Disease Control and Prevention. Accessed January 4, 2024. https://www.cdc.gov/injury/wisqars/index.html
-
- Rui P, Kang K. National Hospital Ambulatory Medical Care Survey: 2017 Emergency Department Summary Tables. National Center for Health Statistics; 2017. Accessed January 4, 2024. https://www.cdc.gov/nchs/data/nhamcs/web_tables/2017_ed_web_tables-508.pdf
-
- Chang MC. National Trauma Data Bank 2016: Annual Report. American College of Surgeons; 2016. Accessed January 4, 2024. https://www.facs.org/media/ez1hpdcu/ntdb-annual-report-2016.pdf
MeSH terms
LinkOut - more resources
Full Text Sources