This scenario uses a physician confederate, who becomes fixated on intubation while the patient deteriorates, and offers the nursing and RT staff an opportunity to recognize and manage a critical deterioration as well as a fixation error.
Learning Objectives:
Knowledge & Skills:
Recognize a patient in respiratory distress based clinical exam and arterial blood gas
Monitor and interpret changes in EKG during intubation
Initiate rhythm stabilization during intubation
Attitudes and Judgment:
Recognize an emergency situation based on cardiac rhythm changes
Call for help early and rapidly develop a team
Patient Safety:
Recognize and respond to a fixation error
Equipment:
Adult simulator, High flow nasal cannula
Evalution/Validation:
Piloted tested twice and used in ICU with unit staff.
Citation:
Fingland R. Difficult Intubation – ICU. Simulation resource published by Simulation Canada; 2016. Available from https://simulationcanada.ca/scenario/difficult-intubation-icu/.
Copy Citation
License:
The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Target Learners
Interprofessional:
Yes
Profession:
Medicine
Nursing
Respiratory Therapy
Levels:
Continuing professional development
Fields / Disciplines:
Critical care