How to use scenarios to simulate invasive care and the management of a ventilated patient due to COVID-19 Webinar
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COVID-19 Respiratory Care Training
During the COVID-19 pandemic we have seen an increasing need for training in respiratory care, as 2-5 % of all infected patients will be admitted to the ICU department. There are not only shortage of ventilators globally, but also shortage of staff with the knowledge to treat ventilated patients.
Simulation training in respiratory care can help prepare healthcare providers in developing clinical knowledge, competence, and confidence on how to manage severe cases of patients suffering from COVID-19.
Respiratory Care Solution
Our ASL 5000 Lung Solution is developed to simulate a spontaneously breathing patient simulator supported on a ventilator. In addition, we are providing training scenarios that specifically focus on key decisions regarding invasive care and patient management related to COVID-19.
The next best thing to a human lung
- Achieve a highly realistic ventilator response.
- Holds PEEP at any clinical level.
- It can simulate a patient who is breathing spontaneously while being ventilated.
- Has the ability to simulate any respiratory condition, without any compromise.
- Supports clinicians in all respiratory treatment modalities, including bag-valve-mask ventilation, non- invasive ventilation, airway management, mechanical ventilation, and anesthesiology.
- Shows evidence of ready-to-wean patients.
Free COVID-19 Training Scenarios
To help prepare your team to develop clinical knowledge to manage severe cases of a patient suffering from COVID-19 using the ASL 5000™ Lung Solution, we developed 3 free scenarios in collaboration with IngMar Medical.
Each can be run as an individual scenario or back to back in series. The scenarios focus on key decisions regarding invasive care and paitent management.
Respiratory Stabilization on Ventilator - Advanced Respiratory Care
Made in partnership with IngMar Medical.
This scenario presents a 71-years-old male with suspected COVID-19 already admitted to the Emergency Department. The patient was admitted to 1 hour ago and is waiting for an Intensive care bed.
The participants are expected to assess and recognize deterioration in the patient's respiratory condition. They should appropriately increase ventilatory support while maintaining appropriate respiratory precautions., and recognize the need for intubation and ventilator support.
Learning objectives - After the simulation, the participants should be able to:
- Perform a primary assessment of a patient with severe acute respiratory infection (SARI)
- Change the non-invasive support to maximize the patient’s effort
- Express the need for intubation of the patient to stabilize respiration
- Perform intubation of the patient in a timely manner
- Connect the patient to a ventilator
- Contact the Intensive Care Unit to discuss possible transfer using patient advocacy
- Doff PPE according to procedure
Inspiratory Dyssynchrony on Ventilator - Advanced Respiratory Care
Made in partnership with IngMar Medical.
This scenario presents with a 71-years-old male with suspected COVID-19 who was admitted from the Emergency Department with Severe Acute Respiratory Infection (SARI). Over 4 hours ago he was transferred to the Intensive Care Unit in an isolation bay.
The participants are expected to assess the patient's work of breathing, identify respiratory dyssynchrony, perform respiratory interventions and recognize the need for sedation to maximize the ventilation for the patient. The participants should communicate with the patient and follow isolation protocols including donning and doffing PPE for contact precaution.
Learning objectives:
- Apply standard precautions according to presumed diagnosis including appropriate PPE
- Perform a primary assessment of a patient with severe acute respiratory infection (SARI)
- Improve ventilation by changing ventilator settings
- Discuss concerns with the team in relation to increased respiratory dyssynchrony
- Provide sedation to the patient
- Reassess patient to evaluate the effect of treatment
- Doff PPE according to procedure
Proning Procedure of Patient on a Ventilator - Advanced Respiratory Care
Made in partnership with IngMar Medical.
This scenario presents a 71-years-old male with diagnosed COVID-19, who was triaged from the Emergency Department and transferred to the Intensive Care Unit in an isolation bay two days ago.
The participants are expected follow isolation protocols, including PPE for contact precaution. They should assess the patient’s saturation status, discuss proper respiratory treatment and recognize the need for turning the patient into a prone position. The participants should delegate roles, utilize closed-loop communication and successfully turn the sedated and paralyzed patient in one movement.
NOTE: This scenario contains an optional alternative partway with accidental extubation of the patient while turning him to prone position. The participants should then recognize the unintentional emergency incident and act immediately by reversing the patient to supine position, apply cricoid pressure, reintubate the patient and reconnect to a ventilator.
Learning objectives:
- Apply standard precautions according to presumed diagnosis including appropriate PPE
- Perform a primary assessment of a patient with COVID-19 respiratory infection (SARI).
- Realize the need to turn a patient into prone position
- Verify sedation and paralysis prior to changing the position of a patient
- Delegate roles and communicate with team members to move a patient in one movement
- Perform turning of a sedated and paralyzed patient while on a ventilator
- Doff PPE according to procedure
In addition, the scenarios are available from:
ASL 5000 Compatibility
ASL 5000 can be used for team training, when connected to either SimMan, SimMan ALS, Nursing Anne Simulator or SimBaby, and be used for skills training when connected directly to a ventilator.
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Made with IngMar Medical
The ASL 5000 Lung Solution is developed by IngMar
for Laerdal simulators exclusively.
Simulation as a Service
Additional Resources
As the COVID-19 pandemic impacts those around the world, the respiratory community is banding together to share knowledge. Here is some we have picked out:
