Respiratory

Pediatric Difficult Airway Simulation Day

Sarah Chen, MD*, Abha Athale, DO* and Anne Runkle, MD*^

DOI: https://doi.org/10.5070/M5.52208 Issue 11:1[mrp_rating_result]
The objective of this one-day simulation workshop is to increase learner confidence and skills necessary to perform critical pediatric airway procedures. PEM fellows of all training levels at our institution completed a three-hour “PEM Difficult Airway Day,” which consisted of six 30-minute stations focusing on airway scenarios critical for PEM fellow training: five high- and low-fidelity simulations (premature neonate, inhalational injury, contaminated airway, obese patient, and failed airway) and one discussion-based station on the physiologically difficult intubation. By the end of this workshop, learners will be able to: 1) identify various clinical situations in which a pediatric patient may have a difficult airway, 2) successfully intubate mannequins with simulated difficult airways using direct laryngoscopy (DL), video laryngoscopy (VL), laryngeal mask airway (LMA) placement, bougie-assisted intubation, and a hyper-angulated VL blade, and 3) recognize and describe the management of physiologically difficult airways and failed airways.
Current IssuePediatricsProceduresRespiratory

Cards Against Pulmonology

Lauren Lamparter, MD* and Alisa Wray, MD, MAEd*

DOI: https://doi.org/10.5070/M5.52358Issue 11:1[mrp_rating_result]
By the end of this card game, learners will 1) understand the methods of clinical assessment in thoracic-respiratory related diseases, 2) implement escalating levels of respiratory support for thoracic-respiratory pathology in pediatric and adult patients, 3) review and utilize important medications in the management of thoracic-respiratory diseases, and 4) choose appropriate dispositions of patients with various thoracic-respiratory related complaints.
Current IssueRespiratorySmall Group Learning

Troubleshooting the Trach: Emergent Tracheostomy & Laryngectomies Modified Team-Based Learning Activity

Caroline Astemborski, MD, MEHP* and Emily Grass, MD, MEHP^

DOI: https://doi.org/10.21980/J8.52033Issue 10:4[mrp_rating_result]
By the end of the session, participants will be able to: identify the major anatomy of tracheostomies and laryngectomies, 2) demonstrate step-by-step management of emergent tracheostomy airways, 3) describe common complications of tracheostomies, 4) understand the management of tracheal innominate artery complication.
ProceduresRespiratoryTeam Based Learning (TBL)

Modification of an Airway Training Mannequin to Teach Engagement of the Hyoepiglottic Ligament

Richard Tumminello, DO* and Daniel Patino-Calle, MD*

DOI: https://doi.org/10.21980/J8R06P Issue 9:2[mrp_rating_result]
By the end of this education session, participants should be able to: 1) identify relevant airway anatomy during intubation, including base of the tongue, epiglottis, midline vallecular fold, anterior arytenoids; 2) appreciate the value of a stepwise anatomically guided approach to intubation; 3) become familiar with the midline vallecular fold and underlying anatomy, including the hyoepiglottic ligament, and how proper placement of the laryngoscope can result in improved glottic visualization.
InnovationsProceduresRespiratory

Adolescent with Diabetic Ketoacidosis, Hypothermia and Pneumomediastinum

Steven Millner, MD* and Courtney Devlin, MD* 

DOI: https://doi.org/10.21980/J8FP8J Issue 8:4[mrp_rating_result]
By the end of the simulation, learners will be able to: 1) develop a differential diagnosis for an adolescent who presents obtunded with shortness of breath; 2) discuss the management of diabetic ketoacidosis; 3) discuss management of hypothermia in a pediatric patient; 4) discuss appropriate ventilator settings in a patient with diabetic ketoacidosis; and 5) demonstrate interpersonal communication with family, nursing, and consultants during high stress situations.
EndocrinePediatricsProceduresRespiratorySimulation

Inhalational Injury Secondary to House Fire

Ryan O’Neill, MD*, Benjamin M Ostro, MD* and Jennifer Yee, DO*

DOI: https://doi.org/10.21980/J8TW7N Issue 8:4[mrp_rating_result]
At the conclusion of the simulation session, learners will be able to: 1) recognize the indications for intubation in a thermal burn/inhalation injury patient; 2) develop a systematic approach to an inhalational injury airway; and 3) recognize indications for transfer to burn center.
RespiratoryProceduresSimulation

How to Build a Low-Cost Video-Assisted Laryngoscopy Suite for Airway Management Training

Erin Falk, MD* and Adam Blumenberg, MD, MA*^

DOI: https://doi.org/10.21980/J8C068 Issue 8:2[mrp_rating_result]
Using an anatomically accurate airway simulator, by the end of a 20–30-minute instructional session, learners should be able to: 1) Understand proper positioning and use the video laryngoscope with dexterity, 2) identify airway landmarks via the video screen, and 3) demonstrate ability to intubate a simulated airway.
InnovationsProceduresRespiratory

Acute Exacerbation of COPD

Dominic Pappas, MD* and Amrita Vempati, MD*

DOI: https://doi.org/10.21980/J8V070 Issue 8:2[mrp_rating_result]
By the end of this simulation, learners will be able to (1) assess for causes of severe shortness of breath, (2) manage severe COPD exacerbation by administering appropriate medications, (3) identify worsening clinical status and initiate NIPPV, (4) assess the causes of hypoxia after establishing endotracheal intubation and, (5) identify indication for needle decompression and perform chest tube thoracostomy.
RespiratorySimulation