Simulation #3 Pediatric MHP: activation in a community hospital setting

Sponsored by the Ontario Regional Blood Coordinating Network, MHP Education Working Group and MHP Steering Committee Members: Kimmo Murto, Suzanne Beno, Katerina Pavenski and Jeannie Callum.
Pediatric specific objectives:
After watching this video the viewer will be able to:
• Demonstrate how to transfuse blood products and administer medications including tranexamic acid and calcium on a per kg basis;
• Organize and initiate a timely patient transfer procedure to a tertiary care pediatric center; and
• Recognize and treat key complications (hyperkalemia and hypothermia).
Case Presentation:
7-year-old male being brought in by EMS. Found lying on ground 10 feet from an ATV moaning in pain. EMS patches in GCS of 13 and extreme tachycardia and pallor. ETA to resuscitation room is 10 minutes. Parents not available to provide remaining information.
EMS arrival and handover: IO access (distal tibia) x1 established. One 20 ml/kg normal saline bolus pushing currently. GCS 12. Vital signs HR 150-160 bpm, BP 90/68 mmHg, RR 28, SpO2 92% on 100% O2 via facemask.
Starring:
Michelle Paradis - Repiratory Therapist, as a Paramedic
Dr. Heather O'Reilly - Anesthesiologist, as the Team Leader
Lauren Smith - Registered Nurse, as a Nurse
Christina Toppozini - Registered Nurse, as a Nurse
Dr. Laurent Renesme - Fellow, as a Pediatrician
Michael Roche - Respiratory Therapist, as the RT
Dr. Teresa Skelton - Anesthesiologist, as a Nurse
Lisa Kearney, Lab Technician, as the Blood Bank Technician
Fathima Mubarak, as the Blood Bank Porter
Dr. Elaine Leung - Haematopathologist, as the Haematopathologist/Porter
Dr. Glenn Posner - Ob/Gyn, as the Anesthesiologist
Behind the scenes:
Dr. Anna-Teresa Lobos, Medical Director, SimCHEO
Christina Toppozini, Simulation Nurse Educator, SimCHEO
Dr. Heather O'Reilly, SimCHEO Faculty, Perioperative Simulation Lead
Roxanne Labelle, Senior Technologist Transfusion Medicine, Director of Bloodbank footage
Dr. Kimmo Murto - Anesthesiologist, CHEO
Wendy Owens ORBCoN Program Manager
Scenario designed by Dr. Heather O'Reilly, Suzanne Beno and Teresa Skelton, based on a scenario developed by Drs. D Singh, J Pirie, and N Collia.
Directed and Edited by Dr. Glenn Posner
Medical Director, University of Ottawa Skills & Simulation Centre
Link to documents:
transfusionont...
Our latest whiteboard style video on Blood Transfusion: • Video

[@ORBCoN1]

Thank you for watching! Checkout our other MHP simulation videos!
Simulation #1 Trauma Massive Hemorrhage Protocol => ua-cam.com/video/FIQoMOcWa8s/v-deo.html
Simulation #2 GI Bleed Massive Hemorrhage Protocol=> ua-cam.com/video/ya6YG6ZrE28/v-deo.html

[@catholiclife9304]

Very impressive work.