This simulation-based learning activity presents a critically ill pediatric patient who arrives via EMS with decreased consciousness and respiratory compromise following a suspected episode of non-accidental trauma (NAT). Learners are expected to perform an organized primary assessment using Advanced Trauma Life Support (ATLS) principles and identify life-threatening conditions including hypothermia and tension pneumothorax. The scenario requires timely airway management, chest decompression, and rewarming to prevent progression to pulseless electrical activity (PEA) arrest. In addition to clinical stabilization, participants must recognize indicators of abuse and initiate appropriate multidisciplinary consultation, including pediatric surgery, PICU, and social services. The case emphasizes clinical decision-making guided primarily by physical examination findings, with laboratory and imaging data used as adjuncts.
Target Learners
- Emergency Medicine residents
- Pediatric residents
- Medical students in clinical training
- Prehospital providers (e.g., paramedics)
- Nursing staff involved in pediatric emergency or trauma care
- Interprofessional trauma team members
This activity is most appropriate for learners with foundational knowledge of pediatric resuscitation and trauma assessment.
Equipment Needed
- Pediatric simulation mannequin
- Bag-valve-mask (BVM) ventilation setup
- Intubation equipment (laryngoscope, endotracheal tubes, suction)
- Cervical collar
- Chest tube insertion kit
- Needle decompression supplies
- Cardiac monitor/defibrillator
- Temperature monitoring device
- Patient warming equipment (e.g., warming blankets)
- Broselow tape or equivalent pediatric dosing aid
- Simulated imaging studies (e.g., chest X-ray)
- Simulated laboratory results
- Access to consultant roles (e.g., radiology, pharmacology)
- Standard emergency department resuscitation supplies
Estimated Time to Complete the Activity
- Pre-briefing: 10–15 minutes
- Simulation scenario: 20–30 minutes
- Debriefing session: 20–30 minutes
Total estimated time: 50–75 minutes