Increased Intracranial Pressure Secondary to External Ventricular Drain Obstruction in a Teenager

Abstract

Abstract The occurrence of high-risk, low frequency pediatric emergencies requires an adequate volume of training to ensure favorable outcomes. However, relying on such dire situations is an inefficient and potentially hazardous method of teaching how to manage crisis events. In so far, pediatric simulation has become one of the latest tools of providing real-time, hands-on training for the pediatric resident and fellows to improve both their confidence and their performance in actual emergencies. This is a human patient simulation using a high-fidelity simulation scenario illustrating intracranial hypertension in a teenage patient. Primary educational goals include recognition and management of intracranial hypertension, including medical management strategies and manipulation of an external ventricular drain. Set up, instructor's guide, simulation scenario, and debriefing instructions are included. This scenario has been tested and run in the Pediatric Residency Program at our institution. Residents have been educated on recognition of intracranial hypertension and have learned management strategies in caring for such patients.

Keywords

• Simulation
• Intracranial Hypertension
• Pediatrics