SIMULATION CASEBOOK - MyCourses

Gilbert Program in Medical Simulation
Simulation Casebook
Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12
iv. RSI medication selection in asthma (consider use of ketamine)
v. Ventilator settings in the intubated asthma patient
1. high FiO2
2. “Permissive hypercapnia” to minimize airway pressures
(decreased tidal volumes and/or respiratory rate) and avoid
pneumothorax
VIII.
Development and Deployment
This case, along with it precursors (reference Gordon, below) and variants have been used over several
years for a wide range of students, including high school, college, masters/PhD candidates, medical
students (preclinical and clinical) and resident trainees. The presentation and progression is tailored to the
level of the learner; often the Asthma case is paired with the COPD case to allow students to compare and
contrast diagnosis, anatomy, physiology, and management. It is commonly used as part of a “train the
trainer” curriculum for faculty development in the use of simulation.
IX.
Authors/Contributors
Case drafted by the Gilbert Simulation Team with group updates and contributions.
Compiled and formatted by Elan Guterman.
Reviewed and edited with references by Jeffrey Siegelman, M.D. and Zoë Howard, M.D.
X. References
a) US Department of Health and Human Services, National Institute of Health, National Heart,
Lung, and Blood Institute, Expert Panel Report 3: guidelines for the diagnosis and management
of asthma. Accessed February 25, 2010.
http://www.nhlbi.nih.gov.ezp-prod1.hul.harvard.edu/guidelines/asthma/asthgdln.pdf
b) Gordon, JA. Macy Cases for Realistic Patient Simulation in Critical Care and Emergency
Medicine. Harvard Medical School, Boston: President and Fellows of Harvard College, 2002
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