Hypovolemic Shock in a Child: A Pediatric Simulation Case.

ABSTRACT:

Introduction

Volume depletion is a common problem in pediatrics. Interns need to be able to recognize critical illness such as hypovolemic shock, obtain access, and manage complications. This simulation case involves a child with hypovolemic shock who requires intraosseous (IO) needle placement. While designed for subinterns in pediatrics, it is relevant for clerkship students and interns in family medicine and emergency medicine.

Methods

In this case, a 3-year-old child presents with vomiting, diarrhea, and lethargy, and is in hypovolemic shock. As IV access cannot be obtained, he requires IO access. Laboratory results reveal hypoglycemia, hypernatremia, and acute kidney injury. Required equipment includes an IV arm task trainer and a child mannequin with IO capacity (or a

SUBMITTER: Rideout M 

PROVIDER: S-EPMC6342355 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature