Pediatric Sedation for Forearm Fracture
Emergency medicine residents.
Pediatric patients who present to the emergency department (ED) may sometimes require sedation for appropriate examination or treatment. Safely sedating a pediatric patient requires detailed training and knowledge about pediatric patients and their special needs, indications and contraindications for sedation, levels of sedation, medications used for sedation, pediatric airway management, adverse events with sedation, and discharge criteria after sedation.1,2,3 Physicians in the ED who will be performing sedations should have a systematic approach to sedation.1 This simulation scenario allows learners to evaluate and manage a pediatric sedation, discuss risks and benefits as well as indications and contraindications of a sedation, get consent for sedation, and respond to adverse events during the sedation in a controlled environment, allowing them to make mistakes and correct behaviors without patient harm.
At the end of this simulation, participants will: 1) review options for pain control in pediatric patients, 2) perform a pre-sedation history and physical exam, 3) review the indications and contraindications for pediatric moderate sedation, 4) understand components of consent, and get consent from the patient’s parent, 5) list medication options for moderate sedation in a pediatric patient and review their appropriate doses, indications, contraindications, and side effects, 6) discuss management of moderate sedation complications, and 7) review criteria for discharging a patient after sedation.
This is a high-fidelity simulation, followed by a debriefing session. It could be also run with moderate- or low-fidelity simulation or as an oral boards case.
Pain control, pediatrics, sedation, moderate sedation, pharmacology.