What are you anticipating you will need to do next?
(each team member to answer)

What tasks would you be doing with this patient? (each team member to answer)

Response Discussion ( ~3 min)

Niles - 15 year old male - PMH two brain surgeries for h/o hydrocephalus. Had annual MRI 2 days ago ... in ED not feeling well ... flu-like symptoms: fever, deep cough, dark mucus, headache, shortness of breath, and fatigue.

What are you anticipating you will need to do next?
(each team member to answer)

What tasks would you be doing with this patient? (each team member to answer)

Response Discussion ( ~3 min)

Discharged yesterday, sent home with antibiotics to cover strep even though strep test negative

Patient back ... much worse ... fever, difficulty breathing, CXR: showed pneumonia, pale, diaphoretic, listless, deteriorating

O2 Mask on
Team (Who/How)
- What were everyone's roles and responsibilities?
- How was the leader established?
- What communication tools did your team use?
- What additional communication tools could you have used?
Clinical Debrief (What)
- What was going on with this patient, what were you treating in this case?
- What did the team do well?
- What could have been done better?
Questions to discuss at end of simulation (~5 min)
Did you have the necessary support resources?
- enough personnel with the appropriate skills?
- support services (lab, radiology, blood bank)?
Were there any issues with any given process or procedure?
Were there any medication or equipment issues?
Discuss as a Team any System's Issues (5 min)
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