Disseminated Intravascular Coagulation in a High-Risk Pediatric Oncology Patient: A Pediatric Simulation Case for Residents and Fellows.

ABSTRACT:

Introduction

Disseminated intravascular coagulation (DIC) is an acquired life-threatening condition defined by systemic coagulation imbalance. Due to the high mortality associated with this condition, it is paramount that providers quickly recognize key clinical signs and laboratory value changes.

Methods

This simulation was designed for pediatric residents, fellows, or other providers who treat patients at risk for DIC. The case was a 6-year-old boy with newly diagnosed leukemia admitted to the oncology service for induction chemotherapy who presents with a nosebleed, then develops profuse, multisite bleeding consistent with a diagnosis of DIC. The goals for the team were to treat the epistaxis, verbalize DIC as the diagnosis, and address hemodynamic instability due to DIC.

SUBMITTER: Walter K 

PROVIDER: S-EPMC12698868 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature