SIM Scenario Exchange

Pediatric Respiratory Distress

Contributed on July 4, 2022, last updated July 21, 2022.



Allyson M Cooper, Red River College

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You are enacting the role of a nurse at a Children’s Hospital Emergency Department. the patient is a 4-month-old born at term with no complications. The patient is up to date with all immunizations. The patient’s mom reports an increased respiratory rate, wet sounding cough, runny nose, and decreased oral intake over the last 3 days. The patients’ mother is concerned as the patient is lethargic and their mother does not know what to do. Throughout the simulation, you will be asked to select the correct response to various questions posed.

Learning Objectives:

Conduct a focused respiratory assessment on a pediatric client experiencing respiratory distress on arrival to the Children’s Hospital Emergency Department (CHED) to determine appropriate level of care and interventions.

Interact with the pediatric client in a developmentally appropriate manner during assessment and interventions to provide a positive healthcare experience.

Deliver essential data to the Health Care provider (HCP) about the client to convey the need for timely assistance to effectively diagnose and treat the client’s deteriorating condition.

Prioritize and implement appropriate interventions for pediatric client experiencing respiratory distress to prevent further deterioration.

Communicate openly with the pediatric client’s family during an urgent situation enabling the family to support treatment and ensuring family centered care.

Simulation Modality:

Virtual gaming simulation / virtual patient


This simulation’s scenario and script were formally peer-reviewed by two external institutions, then the final simulation was pilot tested by several students on a student testing committee then as part of the Virtu-WIL Student Program’s rollout.


113, Affinity Learning


Cooper AM. Pediatric Respiratory Distress. Simulation resource published by Simulation Canada; 2022. Available from

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Target Learners






Undergraduate / post-secondary

Fields / Disciplines:

Pediatrics / child & family

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