Bienvenido
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Titulo Artículo : | Pediatric Toxidrome Simulation Curriculum: Bupropion Overdose | |||
| Titulo Revista: | MedEdPORTAL : the journal of teaching and learning resources |
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ISBN | 2374-8265 | ||||
| Autores | Anita Thomas Ashley Keilman Kimberly Stone Jennifer Reid Rebekah Burns Neil Uspal Emily Hartford |
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| Año de publicacion | 2019 | ||||
Suplemento |
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| Numero | Volumen | 15 | |||
| Pagina Inicial | 1 | Pagina Final | 6 | ||
| Idioma: | Inglés | Base de datos bibliográfica: | Medline-PubMed |
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| Resumen : | Introduction: Bupropion is a commonly used antidepressant, and overdose can lead to both neurologic and cardiovascular toxicity, including agitation, seizure, tachycardia, QT and QRS prolongation, and rhythm disturbances. Methods: We developed this simulation case for attendings, fellows, nurse practitioners, and nurses in the pediatric emergency department (ED). The scenario involved a 13-year-old male presenting to the ED with altered mental status and a generalized tonic-clonic seizure shortly after arrival. The team needed to quickly perform primary and secondary surveys, manage his airway and breathing, and initiate treatment for seizure. The team had to obtain an abbreviated history and include ingestion in the differential. The patient then developed pulseless ventricular tachycardia, and the team needed to respond with high-quality CPR, defibrillation, and advanced airway management. Preparatory materials, a debriefing guide, and scenario evaluation forms assisted with facilitation. Results: Twenty-eight physicians, 56 nurses, 10 nurse practitioners, four pharmacists, two students, and one respiratory therapist completed this simulation in 13 sessions. On a 5-point Likert scale, participants agreed with the stated objective of ability to manage a patient with a bupropion overdose (M = 4.09; range, 2-5). The scenario was rated as highly relevant (M = 4.93) and the debriefing as very effective (M = 4.85). Discussion: This scenario is a complete educational resource for setting up, implementing, and debriefing in an interprofessional setting. It was well received by learners from diverse professional backgrounds working together in actual care teams in the pediatric ED. | ||||
| Palabras Claves : | Bupropion Overdose Emergency Medicine Medical Toxicology Seizure; Simulation |
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Tipo de acceso: |
libre | Disponibilidad | Link Externo |  |
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| Publico Objetivo: | Posgrado , Docentes , Medicos , Investigadores , Educadores Medicos , | ||||