Clinicians treating patients with COVID-19 are working under immense pressure to think clearly and perform while navigating uncharted waters. It’s more important now, than ever, to practice hands-on and just-in-time training to prepare.
Increase the confidence and competence of your staff with this collection of COVID-19 simulation scenarios to be used by current RespiSim® and ASL 5000™ Lung Solution users. The scenarios cover the full scope of care from patient assessment and diagnosis to treatment including advanced mechanical ventilation techniques.
Managing COVID-19 in Volume or Pressure Control Ventilation
Publishing Organization: IngMar Medical
Simulation Type: RespiSim
Simulation Time: 20 minutes each
Target Learners: COVID Response Team
Patient and Scenario Information
Patient is a 45-year-old female (5’5” 57Kg IBW) originally admitted to the ED complaining of shortness of breath. Patient is now in the ICU in airborne isolation for COVID-19. Patient has a 3-day history of being febrile to 102.5 without any resolution from over the counter medications. Patient has a dry cough and some cold like symptoms. Patient recently returned from vacationing in Italy last week. Patient has a history of COPD and is on long term inhaled steroid medication. The case will begin with the patient being in respiratory distress on oxygen. As the patient begins to decompensate, the patient will need to be placed on increased respiratory support. The patient will need to be intubated and placed on mechanical ventilation. The patient then presents with a patient ventilator dysynchrony. The learner must properly diagnose the ventilatory dysynchrony and suggest paralyzing and sedating the patient due to their high drive to breath. As the case continues, the patient continues to have oxygenation issues requiring the learner to suggest ECMO.
Learning Objectives
- Identify hypercapnic respiratory failure
- Identify patient ventilator dysynchrony
- Identify continued hypoxemia
- Recognize the need for ECMO support
Downloads
- Managing a COVID-19 Patient in Volume Control Ventilation (Scenario Files)
- Managing a COVID-19 Patient in Pressure Control Ventilation (Scenario Files)
Instructions for Installing and Loading RespiSim Curriculum Modules
- Extract the zip file provided by IngMar to this directory: C:\Program Files (x86)\ASL Software 3.6\RespiSim_Modules (in Windows 10, right-click the file, then select Extract All…)
- To load, open RespiSim Software (v3.6)
- Navigate to the Instructor Dashboard window within the RespiSim tab
- Click ‘Load Scenario/Patient’ and select the .xml file from the directory above
- Recommendation: Review the Instructor Guide prior to running the simulation with your learners by selecting ‘Display Instructor Guide’ or by opening the PDF in the support files folder
- Full instructions for running a RespiSim Curriculum Module can be found on page 114 of the RespiSim User’s Manual
COVID-19 Part 1: Respiratory Stabilization on Ventilator
Publishing Organization: Laerdal Medical and IngMar Medical
Simulation Type: SimMan 3G (Adult)
Simulation Time: 25 minutes
Target Learners: Health Care Providers in Emergency Department
Why This Scenario?
This scenario is designed for health care providers in the emergency department to train intubation and ventilator support of a patient in respiratory distress with a potential Covid-19 infection which require contact precautions.
Patient and Scenario Information
This scenario presents a 71-years-old male with suspected COVID-19 already admitted to the Emergency Department. The patient was admitted 1 hour ago and is waiting for an Intensive Care bed.
The participants are expected to assess and recognize a deterioration in the patient’s respiratory condition. They should appropriately increase ventilatory support while maintaining appropriate respiratory precautions and recognize the need for intubation and ventilator support.
Learning Objectives
• Perform a primary assessment of a patient with severe acute respiratory infection (SARI)
• Change the non-invasive support to maximize the patient’s effort
• Express the need for intubation of the patient to stabilize respirations
• Perform intubation of the patient the patient in a timely manner
• Connect the patient to a ventilator
• Reassess patient for response to treatment
• Contact Intensive Care Unit to discuss possible transfer using patient advocacy
COVID-19 Part 2: Inspiratory Dysynchrony on Ventilator
Publishing Organization: Laerdal Medical and IngMar Medical
Simulation Type: SimMan 3G (Adult)
Simulation Time: 25 minutes
Target Learners: Health Care Providers in Intensive Care Unit
Why This Scenario?
This scenario is designed for health care providers in the Intensive Care intensive care unit to train care for a patient with COVID-19 under contact precautions. The learning objectives provide possibility to train assessment and interventions for a patient on ventilator with a high respiratory drive secondary to COVID-19. The scenario is designed according to the World Health Organization’s recommendations for treatment of COVID-19 Ultimo March 2020.
Patient and Scenario Information
This scenario presents with a 71-years-old male with suspected COVID-19 who was admitted from Emergency Department with Severe Acute Respiratory Infection (SARI). Over 4 hours ago he was transferred to the Intensive Care Unit in an isolation bay.
The participants are expected to assess the patients work of breathing, identify respiratory dysynchrony, perform respiratory interventions and recognize the need for sedation to maximize the ventilation for the patient. The participants should communicate with the patient and follow isolation protocols including donning and doffing PPE for contact precaution.
Learning Objectives
• Apply standard precautions according to presumed diagnosis including appropriate PPE
• Perform a primary assessment of a patient with severe acute respiratory infection (SARI)
• Improve ventilation by changing ventilator settings
• Discuss concerns with team in relation to increased respiratory dyssynchrony
• Provide sedation to patient
• Reassess patient to evaluate the effect of treatment
• Doff PPE according to procedure
COVID-19 Part 3: Proning Procedure of Patient on a Ventilator
Publishing Organization: Laerdal Medical and IngMar Medical
Simulation Type: SimMan 3G (Adult)
Simulation Time: 25 minutes
Target Learners: Health Care Providers in Intensive Care Unit
Why This Scenario?
Various publications of the CoVid-19 guidelines suggest prone positioning could be a successful advanced ventilation technique for patient with CoVid-19. The scenario was designed to ensure all team could practice proning of a simulator that is ventilated, prior to completing this with a real Covid-19 patients in their Intensive Care Unit.
Patient and Scenario Information
This scenario presents with a 71-years-old male with suspected COVID-19 who was admitted from Emergency Department with Severe Acute Respiratory Infection (SARI). Over 4 hours ago he was transferred to the Intensive Care Unit in an isolation bay.
The participants are expected to assess the patients work of breathing, identify respiratory dysynchrony, perform respiratory interventions and recognize the need for sedation to maximize the ventilation for the patient. The participants should communicate with the patient and follow isolation protocols including donning and doffing PPE for contact precaution.
Learning Objectives
- Apply standard precautions according to presumed diagnosis including appropriate PPE
- Perform a primary assessment of a patient with severe acute respiratory infection (SARI)
- Improve ventilation by changing ventilator settings
- Discuss concerns with team in relation to increased respiratory dyssynchrony
- Provide sedation to patient
- Reassess patient to evaluate the effect of treatment
- Doff PPE according to procedure