Introduction A rare but serious condition often requiring intensive care, multisystem inflammatory syndrome in children (MIS-C) is characterized by hyperinflammatory shock related to the SARS-CoV-2 pandemic. This resource teaches residents, pediatric emergency medicine fellows, and advanced practice providers who care for children to recognize and manage MIS-C and associated sequelae while applying the basic principles of pediatric resuscitation. Methods The simulation case was based on a real patient who presented to the emergency department with fever, rash, and cardiogenic shock. We designed the scenario to be used with a high-fidelity school-age mannequin in an emergency center resuscitation room or simulation lab. The case took 25 minutes to run, followed by a 15- to 20-minute debrief session. Personnel required for the case included a simulation technician, case instructor, emergency department nurse, parent, and consultant. Learners had to recognize the syndrome and treat the resultant shock and arrhythmia with a combination of vasopressors, antiarrhythmics, and defibrillation. Afterward, learners participated in a formal debriefing session and completed a written evaluation. Results Twenty-five learners (six pediatric emergency medicine fellows, 12 residents, and seven advanced practice providers) participated in the scenario over a 3-month period. The written evaluation was completed by 20 of the 25 participants; all 20 felt their confidence, comfort, and knowledge regarding the topic had increased, with an average score of 5 ( strongly agree ) on a 5-point Likert scale. Discussion This simulation case offers an effective experience for learners to become comfortable and confident in recognizing and managing MIS-C.
【저자키워드】 COVID-19, multisystem inflammatory syndrome in children, pediatrics, Shock, Simulation, case-based learning, Pediatric Emergency Medicine, Clinical/Procedural Skills Training, 【초록키워드】 pandemic, intensive care, knowledge, pediatric, children, MIS-C, Defibrillation, arrhythmia, Fever, Patient, resource, Care, Rash, Combination, Inflammatory, Topic, average, syndrome, vasopressors, treat, offer, Hyperinflammatory, lab, effective, 5-point Likert scale, Seven, Result, required, characterized, recognize, recognizing, participated, the SARS-CoV-2, 【제목키워드】 Practice,