Section I: Scenario Demographics Scenario Title: CCB OD Date of Development: 24/05/2015 (DD/MM/YYYY) Target Learning Group: Juniors (PGY 1 2) Seniors (PGY 3) All Groups – ≥ Section II: Scenario Developers Scenario Developer(s): Kyla Caners Affiliations/Institution(s): McMaster University Contact E-mail (optional): kcaners@gmail.com Section III: Curriculum Integration References Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2013). St. Louis: Mosby. Rosen's emergency medicine: Concepts and clinical practice. Case Summary: Brief Learning Summary Goals of Case & Objectives Progression and Major Events Section IV: Scenario Script A 48-year-old Educational female Goal: presents To expose with learners a possible to a multi-drug overdose overdose including and the management glyburide, clonazepam of a severe and CCB nifedipine. She will remain OD. hypotensive throughout the case, despite treatment with calcium, high dose insulin, CRM and Objectives: other vasopressors. Maintain She will calm also leadership have progressive throughout respiratory complex depression case. and will eventually require intubation. She will then proceed to arrest. The team will be expected to give intralipid once the Demonstrate situational awareness as patient status changes patient has arrested. Medical Objectives: Recognize a possible CCB overdose Administer appropriate early treatments for a CCB overdose Recognize hypercapneic respiratory failure and manage appropriately. Consider intralipid as treatment in an arrested CCB overdose
Section I: Scenario Demographics Scenario Title: CCB OD Date of Development: 24/05/2015 (DD/MM/YYYY) Target Learning Group: Juniors (PGY 1 – 2) Seniors (PGY ≥ 3) All Groups Section II: Scenario Developers Scenario Developer(s): Kyla Caners Affiliations/Institution(s): McMaster University Contact E-mail (optional): kcaners@gmail.com Section III: Curriculum Integration Learning Goals & Objectives Educational Goal: To expose learners to a multi-drug overdose and the management of a severe CCB OD. CRM Objectives: Maintain calm leadership throughout complex case. Demonstrate situational awareness as patient status changes Medical Objectives: Recognize a possible CCB overdose Administer appropriate early treatments for a CCB overdose Recognize hypercapneic respiratory failure and manage appropriately. Consider intralipid as treatment in an arrested CCB overdose Case Summary: Brief Summary of Case Progression and Major Events A 48-year-old female presents with a possible overdose including glyburide, clonazepam and nifedipine. She will remain hypotensive throughout the case, despite treatment with calcium, high dose insulin, and other vasopressors. She will also have progressive respiratory depression and will eventually require intubation. She will then proceed to arrest. The team will be expected to give intralipid once the patient has arrested. References Marx, J. A., Hockberger, R. S., Walls, R. M., & Adams, J. (2013). Rosen's emergency medicine: Concepts and clinical practice. St. Louis: Mosby. Section IV: Scenario Script
ccb-od.docx