A 47 year old male presents with acute respiratory failure via EMS. He rapidly decompensates upon arrival. His travel history is missed on initial screening by EMS due his severity so he is transferred to the trauma bay without appropriate precautions. Part-way through the case his travel history is revealed (if not already asked for) and the team must appropriately don /doff PPE and build a plan for safe intubation.
Recognize relevance of travel history during an outbreak
Use appropriate PPE and have a minimum number of staff exposed
Intubate the patient using appropriate guidelines for a suspected PUI with coronavirus
Call public health to discuss appropriateness for novel coronavirus testing
Initiate isolation procedures including negative pressure room
Communicate an appropriate resuscitative plan in a high exposure patient using closed loop communication and effective delegation by team leader
Run several times
Nagji A, Bana R. Respiratory failure in a patient with coronavirus. Simulation resource published by Simulation Canada; 2020. Available from https://simulationcanada.ca/scenario/respiratory-failure-in-a-patient-with-coronavirus/.Copy Citation
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Fields / Disciplines:
Emergency / trauma