Date Submitted:
Apr 27, 2007
Peer Review:
Peer Reviewed
"A Pain in the Neck" v. 1
Ernest Wang, MD, John Vozenilek, MD
ernestwangmd@yahoo.com
Evanston Northwestern Healthcare
Topic:
|
Difficult airway
|
|
|
Target Audience:
|
|
Case Description:
|
64 year-old female who presents via EMS with a chief complaint of “trouble breathing” and swelling in the neck.
Initial vital signs stable
Progresses to acute respiratory distress secondary to progressive expansion of neck mass shortly after arrival.
Anesthesia/ENT consultants unavailable
Learner must proceed to intubation of the difficult airway
|
|
|
|
|
|
Simulator Details
|
|
|
Age:
|
64 |
Gender:
|
Female |
Chief Complaint:
|
Trouble breathing and neck swelling |
Diagnosis:
|
Ruptured inferior thyroid artery aneurysm |
Setting:
|
Emergency Department |
Equipment:
|
A. Lab Set Up
· Simulated ED
B. Manikin Set Up
· METI ECS LAERDAL
· IV bags, tubing, catheters
· Sim Blood Products
· Induction and Paralytic agents
C. Props - Lab stimuli, radiographs Basic airway and code blue cart is assumed
|
Actors:
|
RN - obedient, new grad
ENT/Anesthesia consultant
Tech, family optional
|
Timeline:
|
Yes
|
Usage Details:
|
|
Evaluation Tool:
|
Yes
|
Case Designed For:
|
Evaluation and Education |
|
|
|
|
|
|
|
Keywords:
|
Difficult airway
Neck mass
|
|
|
(File Size:
366939
bytes)
|