ED Education Resources

Scenario:

Paediatric Resuscitation.

Expectations of the team:

Medical & Nursing: Technical

• Know where to locate, and how to use, NETs calculator
• Prioritise hypoxia as a reversible cause
• Practice effective CPR
• Practice safe rhythm checks

Medical & Nursing: Non-technical

• Role allocation and role clarity.
• Call for more experienced and mobilises resources early.
• Anticipate and plan.
• Sets priorities dynamically and is diligent with timing.
• Locate and utilise available cognitive aids to offset cognitive load and generate a shared mental model across smaller and larger teams.
• Use closed loop communication with task delegation.
• S.M.A.R.T* delivery with task delegations
• Avoid fixation error and allocate attention wisely.

Resources which will assist with your preparation for the scenario:

• Australian Resuscitation Council (2016). ‘ANZCOR Guideline 12.1 – Introduction to Paediatric Life Support
• ANZCOR Guideline 12.2 – Advanced Life Support for Infants and Children: Diagnosis and Initial Management.’ 

Welcome to this weeks scenario which centres around Adult Resuscitation.

During the scenario, our expectations of the resus team, will be to:

Medical:

• Practice safe rhythm checks using COACHED
• Practice effective CPR by minimising interruptions with procedures
• Know where to locate the LUCAS and apply it
• Know how to detect and correct reversible causes of PEA

Nursing:

• As for medical above and,
• Perform effective chest compressions
• Perform correct pad placement
• Prepare adrenaline correctly and administer at correct timing
• Scribe scenario effectively

The following pre-reading will assist you in preparing for the scenario.

• Australian Resuscitation Council Guidelines

• Management of PEA: A Simplified & Structured Approach.

This week’s scenario is based on contrast reaction in adults.

Expectations include:

• Know how to support patients with contrast reactions in the radiology department
• Know how to assess and manage patients who present with anaphylaxis using the ASCIA Anaphylaxis Management Pathway
• Improve communication between team members when assessing and managing patient’s during a high-stakes medical resuscitation scenario.

The following resource will assist with your preparation for this scenario.

Australasian Society of Clinical Immunology and Allergy Management Pathways

The micro-sim running from 15.06 .20 to 19.06.20 will focus on adult trauma.

The aims of the scenario, for both doctors and nurses, will be:

• Practice performing primary & secondary surveys to detect & treat life / limb / sight-threatening injuries
• Understand how to order, obtain and administer blood products, including MTP activation and components, at Campbelltown ED
• Practice applying c-spine and external pelvic immobilisation devices
• Know the admission, and transfer processes, for trauma patients presenting to Campbelltown ED

The following resources will help you prepare for the scenario:

• Primary & Secondary Surveys (Trauma Victoria, 2019)
• Cervical spine immobilisation application
• External pelvic immobilisation application 
• T-POD application video
• Management of Haemodynamically Unstable Pelvic Fractures (ACI, 2007)

The upcoming micro-sim scenario centre’s around emergency resuscitative airway management.

The following resources will provide you with information to prepare you for the scenario:

• Emergency Protocols (2018). ‘Airway Management, pp. 1 – 11.’
• Natt et al. (2016). ‘Strategies to improve first pass success at intubation in critically ill patients.’ BJA 117:60-68.
• Greater Sydney HEMS (2018). ‘Emergency Anaesthesia Manual – Concept of 30s Drills.’ 

We look forward to seeing you in sim, as always be prepared.

Next week’s micro-sim scenario centres around assessment and management of acute life-threatening asthma in children.

The pre-readings for the scenario can be found below, (at the very least please refer to the first resource):

• NSW Emergency Care Institute (ECI) (2018). ‘The crashing asthmatic.’
• National Asthma Council Australia Australian Asthma Handbook (2019). ‘Acute Asthma – Clinical Management; Acute Asthma – Add on treatment.’Salim Rezaie, “REBEL Cast Episode 11: The Crashing Asthmatic”, REBEL EM blog, June 1, 2015.

As always, we look forward to seeing you in micro-sim, and remember read ahead and be prepared …

Next week’s micro-sim scenario centres around assessment and management of shock in infants.

The following articles will help you prepare for the scenario:

• Intraosseous access
• Practical management of the shocked neonate
• Clinical Excellence Commission – Newborn Antibiotic Guidelines for Severe Sepsis and Septic Shock
• Approach to paediatric sepsis
• NSW Health Clinical Guideline – Fever in Infants and Children

As always we look forward to seeing you in sim, and remember to read ahead, and be prepared.

Scenario centres around newborn resuscitation.

Please be sure to familiarise yourself with the following pre-reading before the scenario:

• Orientation to PANDA Warmer-Resuscitaire Video (to access use general password for website)ANZCOR Guideline 13.1 (2016). ‘Introduction to the resuscitation of the newborn infant.’
• ANZCOR Guideline 13.3. (2016). ‘Assessment of newborn infant.’
• ANZCOR Guideline 13.9 (2016). ‘After the resuscitation of a newborn infant.’
• European Resuscitation Council Guidelines for Resuscitation – Section 7 (2015). ‘Resuscitation and support of transition of babies at birth.’

As always, we look forward to seeing you in micro-sim, and remember to read ahead and be prepared.

This week’s scenario centres around pelvic trauma.

Pre-reading for the scenario can be found below.

Trauma assessment and communication

• Trauma Victoria (2018). ‘Early Trauma Care.’ 
• Trauma Victoria (2018). ‘Teamwork and Communication.’ 

Femoral shaft fractures

• Queensland Ambulance Service (2013). ‘CT-6 Splint Application Video.’

C-spine immobilization

• ANZCOR Guideline 9.1.6 (2016). ‘Management of suspected spinal injuries.’ 

Pelvic immobilization

• NSW Agency for clinical innovation (2007). ‘Management of haemodynamically unstable patients with a pelvic fracture.’ 
• The Royal Melbourne Hospital – Trauma Service (2018). ‘Guideline TRM06.02 Pelvic Binder.’

As always we look forward to seeing you in next week’s sim, and always be prepared.

This week’s micro-sim scenario centres around chest injury in trauma.

The following resources will assist you in preparing for the scenario:

• Trauma Victoria (2018). ‘Thoracic Trauma.’ 
• Trauma.org (2004). ‘Chest trauma: Initial Evaluation.’  
• ECI (2018). ‘Chest Drains and Decompression.’ 
• NEJM (2007). ‘Large-bore ICC Insertion Video.’
• NEJM (2014). ‘US Guided ICC insertion for Pleural Effusion.’

As always we look forward to seeing you in sim. Read ahead and come prepared.

Next week’s scenario centres around Management of the Patient with suspected COVID-19.

The following resources will assist you with preparing for the scenario. Please pay particular attention to those marked with **:

Airway Management in CoVID-19

ANZICS (2020) – ‘COVID-19 Guideline’ **

MJA Safe Airway Society Article (2020) – Airway Management & Tracheal Intubation specific to Adult COVID Group.’ **

NSW Health Guideline – Airway Management in CoVID-19 **

The Lancet Respiratory Medicine

Applying PPE

Campbelltown ED – ‘Donning & Doffing Video.’ **

CEC & NSW Health – ‘Standard and Transmission Based Precautions incl. PPE.’**

CEC & NSW Health – ‘PPE Donning & Doffing Guideline’ **

NHS UK – ‘Donning PPE Video’

NHS UK – ‘Doffing PPE Video’

Australian Government Department of Health – PPE Recommendations

Australian Government Department of Health – Novel Coronavirus 2019 Publications

Information for clinicians

Information for patients with suspected COVID-19

National Health Plan Resources

Coronavirus 2019 – What you need to know

NSW Health – Coronavirus Information

Information for healthcare professionals

WHO Guidance

Coronavirus 2019

This week’s micro-sim scenario centres around chest injury in trauma.

The following resources will assist you in preparing for the scenario:

• Trauma Victoria (2018). ‘Thoracic Trauma.’ 
• Trauma.org (2004). ‘Chest trauma: Initial Evaluation.’  
• ECI (2018). ‘Chest Drains and Decompression.’ 
• NEJM (2007). ‘Large-bore ICC Insertion Video.’
• NEJM (2014). ‘US Guided ICC insertion for Pleural Effusion.’

As always we look forward to seeing you in sim. Read ahead and come prepared.

Next week’s micro-sim scenario centres around assessment and management of shock in infants.

The following articles will help you prepare for the scenario:

• Intraosseous access
• Practical management of the shocked neonate
• Clinical Excellence Commission – Newborn Antibiotic Guidelines for Severe Sepsis and Septic Shock
• Approach to paediatric sepsis
• NSW Health Clinical Guideline – Fever in Infants and Children

As always we look forward to seeing you in sim, and remember to read ahead, and be prepared.

This week’s micro-sim scenario centres around management of unstable brady-arrhythmias.

The following articles will help you prepare for the scenario:

• Australian Resuscitation Council Guideline 11.9 (2016). ‘Managing Dysrhythmias.’
• Liverpool Hospital ICU Guideline (2015). ‘Transcutaneous Pacing.’

As always we look forward to seeing you in sim. Please read ahead and be prepared.

This week’s micro-sim scenario centres around airway management in the critically ill patient.

The following articles will help you prepare for the scenario:

• Campbelltown & Camden ED Airway Management Package
• Emergency Protocols (2018). ‘Airway Management, pp. 1 – 11.’
• Natt et al. (2016). ‘Strategies to improve first pass success at intubation in critically ill patients.’ BJA 117:60-68.
• Greater Sydney HEMS (2018). ‘Emergency Anaesthesia Manual – Concept of 30s Drills.’ 

As always we look forward to seeing you in sim, and remember to read ahead, and be prepared.

This week’s micro-sim centres around newborn resuscitation.

Please be sure to familiarise yourself with the following pre-reading before the scenario:

• ANZCOR Guideline 13.1 (2016). ‘Introduction to the resuscitation of the newbown infant.’
• ANZCOR Guideline 13.3. (2016). ‘Assessment of newborn infant.’
• ANZCOR Guideline 13.9 (2016). ‘After the resuscitation of a newborn infant.’
• European Resuscitation Council Guidelines for Resuscitation – Section 7 (2015). ‘Resuscitation and support of transition of babies at birth.’
• Orientation to PANDA Warmer-Resuscitaire Video (to access use general password for website)

As always, we look forward to seeing you in micro-sim, and remember to read ahead and be prepared.

Welcome to next weeks micro-sim scenario pre-reading.

Next week’s scenario centres around Adult Advanced Life Support.

Please be sure to familiarise yourselves with the following resources:

• ANZCOR Guidelines (2016). ‘Advanced adult life support guidelines.’
• Life in the Fast-lane (2019). ‘Mechanical CPR.’

As always, we look forward to seeing you in micro-sim, and remember to read ahead and be prepared.

This weeks micro-sim scenario centres around adult resuscitation.

The following pre-reading will assist you with preparing for the scenario.

• Littman et al. (2014). ‘A simplified and structured teaching tool for the evaluation and management of pulseless electrical activity.’
• ANZCOR Guidelines (2016). ‘ALS Algorithms’
• ANZCOR Guidelines (2016). ‘In-hospital cardiac arrest’
• ANZCOR Guidelines (2016). ‘CPR’
• ANZCOR Guidelines (2016). ‘ALS Medications’
• ANZCOR Guidelines (2016). ‘ALS Techniques and Equipment’
• ANZCOR Guidelines (2016). ‘Post resuscitation management.’

We look forward to seeing you in sim, and as always be prepared.

This weeks micro-sim scenario centres around seizure management in children.

The following pre-reading will assist you with preparing for the scenario.

• NSW Health Guideline (2018). ‘Infants and children – Acute management of seizures.’
• RCH Guidelines (2011). ‘Afebrile seizures.’
• ECI (2019). ‘Child Abuse and Neglect Guideline.’
• Emergency medicine cases (2018). ‘Pedatric Physical Abuse.’ 
• RACGP (2011). ‘Non-accidental injury in childhood.’ Although this article is targeted at GPs, it is relevant to all primary care providers.

We look forward to seeing you in sim, and as always be prepared.

Welcome everyone to the new year. Micro-sim will kick off for 2020 on Monday 13th January.

Next weeks scenario centres on unstable bradyarrhythmias.

Please refer to the following pre-reading:

• Australian Resuscitation Council Guideline 11.9 (2016). ‘Managing Dysrhythmias.’
• Liverpool Hospital ICU Guideline (2015). ‘Transcutaneous Pacing.’

As always we look forward to seeing you in sim. Please read ahead and be prepared.

Next week’s scenario centres around hyperkalaemia.

Be sure to familiarise yourselves with the following resources prior to attending the scenario.

• Palmer, B.F. & Clegg, D.J. (2017). ‘Diagnosis and Treatment of Hyperkalemia.’
• Therapeutic guidelines (2018). ‘Electrolyte disturbances – Hyperkalaemia.’

We look forward to seeing you in sim, and as always be prepared.

Next week’s micro-sim scenario centres around airway management in the critically ill patient.

The following articles will help you prepare for the scenario:

• Campbelltown & Camden ED Airway Management Package
• Emergency Protocols (2018). ‘Airway Management, pp. 1 – 11.’
• Natt et al. (2016). ‘Strategies to improve first pass success at intubation in critically ill patients.’ BJA 117:60-68.
• Greater Sydney HEMS (2018). ‘Emergency Anaesthesia Manual – Concept of 30s Drills.’ 

As always we look forward to seeing you in sim, and remember to read ahead, and be prepared.

Next week’s micro-sim scenario centres around assessment and management of shock in infants.

The following articles will help you prepare for the scenario:

• Practical management of the shocked neonate
• Clinical Excellence Commission – Newborn Antibiotic Guidelines for Severe Sepsis and Septic Shock
• EZ-IO
• Approach to paediatric sepsis
• NSW Health Clinical Guideline – Fever in Infants and Children

As always we look forward to seeing you in sim, and remember to read ahead, and be prepared.

Welcome to next weeks micro-sim scenario pre-reading.

This week’s scenario centres around Adult Advanced Life Support.

Please be sure to familiarise yourselves with the following resources:

• ANZCOR Guidelines (2016). ‘Advanced adult life support guidelines.’

• Life in the Fast-lane (2019). ‘Mechanical CPR.’

As always, we look forward to seeing you in micro-sim, and remember to read ahead and be prepared.

This weeks micro-sim centres around newborn resuscitation.

Please be sure to read the following before participating in next weeks scenario.

ANZCOR Guideline 13.1 (2016). ‘Introduction to the resuscitation of the newbown infant.’

ANZCOR Guideline 13.3. (2016). ‘Assessment of newborn infant.’

ANZCOR Guideline 13.9 (2016). ‘After the resuscitation of a newborn infant.’

European Resuscitation Council Guidelines for Resuscitation – Section 7 (2015). ‘Resuscitation and support of transition of babies at birth.’

Orientation to PANDA Warmer-Resuscitaire Video (to access use general password for website)

As always, we look forward to seeing you in micro-sim, and remember to read ahead and be prepared.

Next week’s micro-sim scenario centres around assessment and management of acute asthma.

The pre-readings for the scenario can be found below, (at the very least please refer to the first resource):

• NSW Emergency Care Institute (ECI) (2018). ‘The crashing asthmatic.’
• Salim Rezaie, “REBEL Cast Episode 11: The Crashing Asthmatic”, REBEL EM blog, June 1, 2015.
• National Asthma Council Australia Australian Asthma Handbook (2019). ‘Acute Asthma – Clinical Management; Acute Asthma – Add on treatment.’

As always, we look forward to seeing you in micro-sim, and remember read ahead and be prepared …

This weeks micro sim centres around paediatric resuscitation.

ANZCOR Advanced Life Support in Infants & Children Flow-chart

ANZCOR Guideline 12.1 – Advanced Life Support for Infants & Children: Introduction

ANZCOR Guideline 12.2 – Advanced Life Support for Infants & Children: Diagnosis and Management