[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-364256-105":59,"doc-detail-364256-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","critical-coarctation-of-the-aorta-10-day-old-neonate-scenario-team-simulation","Critical Coarctation of the Aorta - 10-day old Neonate Scenario - Team Simulation","","Scenario-based clinical simulation for emergency providers managing a 10-day old neonate with critical coarctation of the aorta presenting with decompensated shock. The module emphasizes rapid recognition of ductal-dependent congenital heart disease, prioritization of ABCs with continuous reassessment, shock differential diagnosis, timely IV/IO or UVC access, and glucose treatment. Learners practice RSI in cardiogenic shock, initiation of PGE infusion, and administration of empiric antibiotics, supported by high-fidelity simulation and structured debriefing.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/critical-coarctation-of-the-aorta-10-day-old-neonate-scenario-team-simulation/364256/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/critical-coarctation-of-the-aorta-10-day-old-neonate-scenario-team-simulation/364256.png","ImageObject",300,407,{"name":92,"@type":93},"Ivy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What should emergency providers focus on first in this neonate scenario?","Question",{"text":112,"@type":113},"They review and practice recognition of ductal-dependent congenital heart disease and identify cardiogenic shock, while prioritizing ABCs with continued reassessment.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is IV/IO or UVC access handled when standard access fails?",{"text":117,"@type":113},"The scenario limits PIV attempts, prepares an approach for IO (including EZ-IO), or places a UVC/IO access to deliver rapid boluses and medications.",{"name":119,"@type":110,"acceptedAnswer":120},"What key treatments are included for shock and suspected ductal-dependent disease?",{"text":121,"@type":113},"They administer high-flow oxygen, give fluid boluses and dextrose for hypoglycemia, start empiric antibiotics, and request PGE infusion (PGE drip) as part of shock management.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},364256,1790534145,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","Scenario: 10-day old Neonate with Critical Coarctation of the Aorta  \n\n| Learners | Goals | Objectives | Strategy | Assessment |\n| --- | --- | --- | --- | --- |\n| Emergency\u003Cbr>Providers | Review and practice recognition of:\u003Cbr>1. Ductal-dependent congenital heart disease | 1. Identify cardiogenic shock in the neonate\u003Cbr>2. Demonstrate prioritization ofABCs with continued reassessment\u003Cbr>3. Verbalize the differential diagnosis of shock in the newborn period\u003Cbr>4. Obtain rapid IV/IO or UV access\u003Cbr>5. Perform RSI in the context of cardiogenic shock in an infant\u003Cbr>6. Recognize and treat hypoglycemia in the infant in shock\u003Cbr>7. CCEMTP: Administer PGE to the infant with shock\u003Cbr>8. CCEMTP: Administer empiric antibiotics to the infant in shock. | 1. High fidelity simulation\u003Cbr>2. Structured debriefing | 1. Critical action checklist\u003Cbr>2. Global Assessment Scale |\n\nDefined Team Roles:  \n• Team leader:  \n• Airway /Breathing:  \n• Circulation/IV Access/Monitor/Fluids:  \n• Medications  \n• Family member (parent):  \n• Debriefing:  \n• Simulator:  \nScenario Flow  \n• Medical Setting: Home •  \n• EMS Call: Parents noted that the baby had been feeding poorly for 3-4 days, decreased urination, and today has been “breathing fast” and has become “lethargic.”Fire arrives and describes pale, limp infant with cold extremities, tachypnea, and tachycardia. Unable to obtain a BP, unable to obtain IV access. VS: HR 180, RR 40s, Pox – not picking up.  \n• Preparation: Roles and expectations verbalized, including potential need for: IV/IO access, RSI Estimates weight at 3 kg, Consider call for additional transport/flight depending on where you are  \n▪ Critical Actions: Anticipates airway equipment, RSI meds, IO, umbilical line equipment  \n• Patient eval: Pale, intermittent grunting with rapid respiratory rate, poor tone.  \n• VS: HR 180, RR 48, BP unable to obtain, POX unable to obtain, if obtains temp = 36oC  \n• Physical Exam:  \n▪ Critical Actions: Applies high-flow oxygen via non-rebreather, attaches monitors, calls for IV access with 10cc/kg NS bolus. Closed loop communication: 10cc/kg = 30cc NS bolus; repeats back. Exposes infant  \no Airway: Patent  \no Breathing: Intermittent grunting, clear BS bilaterally, tachypneic  \no Circulation: Palpable brachial pulses, very weak femoral pulses, unable to appreciate distal pulses in feet.  \n▪ Critical Actions: Limits attempts at PIV to 3 attempts or 90 seconds (CCEMTP Prepares umbilical stump with wet saline), or calls for EZ-IO drill. Recognition of shock. Verbalizes differential diagnosis: “We have a critically ill 10-day old infant in decompensated shock with poor perfusion. This could be overwhelming sepsis or congenital heart  \ndisease.” Calls for glucose. Places UVC or IO. Administers IVF bolus: 10cc/kg = 30cc.  \n▪ Disability (GCS): Eyes closed at rest, grunting,  \n▪ Head: Atraumatic, sunken fontanelle. {PERRL: 4mm to 2mm, if checked} Nares patent, dry lips/tongue, normal TMs.  \n▪ Thorax: Tachycardic with possible gallop, harsh murmur.  \n▪ Abdomen: Non-distended, non-tender, no organomegally  \n▪ Critical Actions: IF team is CCEMTP, they can begin empiric  \nantibiotics: Ampicillin 50mg/kg = 150 mg UV/IO and Gentamicin 4mg/kg = 12mg. Requests STAT PGE drip from pharmacy at 0.05mcg/kg/min (0.1mcg/kg/min OK) .  \n▪ Pelvis / Extremities: Cold extremities, mottled, 10sec capillary refill.  \n▪ Includes parent in resuscitation room.  \n• Frightened teenage parent reveals uncomplicated pregnancy with no pre-natal care, uncomplicated NSVD, discharged DOL 2, bottle feeding well until 3-days ago. Has not checked temperature, noted “fast breathing” and “hard to wake up to feed.”  \n• Explains critical condition of infant, need for intubation  \n• Reassess VS, ABCs: HR 185, RR 46, BP unable to obtain, POX unable to obtain. Patent airway, clear BS, occasional grunting, cold extremities with extremely delayed capillary refill.  \no Bedside glucose: 32  \no Critical Actions: Orders D10 bolus: 4cc/kg (2-5 acceptable) = 12cc UV/IO ","cbCaiodxDo8hqjU6","https://ap.wps.com/l/cbCaiodxDo8hqjU6","pdf",202356,"English","# Emergency Providers Goals and Objectives\n## Learner Strategy and Assessment\n# Scenario Flow and Preparation\n## Medical Setting and EMS Call\n## Preparation and Critical Actions\n# Patient Evaluation and Critical Actions\n## Airway, Breathing, Circulation\n## Glucose Management and Fluid Boluses\n## Antibiotics and PGE Infusion\n# RSI, Access, and Confirmation Steps\n## Intubation and ETCO2 Confirmation\n## NG Tube Placement\n# Team Roles and Debriefing\n## Team Leader Prompts\n## Other Team Members Prompts","[{\"question\":\"What should emergency providers focus on first in this neonate scenario?\",\"answer\":\"They review and practice recognition of ductal-dependent congenital heart disease and identify cardiogenic shock, while prioritizing ABCs with continued reassessment.\"},{\"question\":\"How is IV/IO or UVC access handled when standard access fails?\",\"answer\":\"The scenario limits PIV attempts, prepares an approach for IO (including EZ-IO), or places a UVC/IO access to deliver rapid boluses and medications.\"},{\"question\":\"What key treatments are included for shock and suspected ductal-dependent disease?\",\"answer\":\"They administer high-flow oxygen, give fluid boluses and dextrose for hypoglycemia, start empiric antibiotics, and request PGE infusion (PGE drip) as part of shock management.\"}]","Critical Coarctation of the Aorta - 10-day old Neonate Scenario - Team Simulation | PDF",1790156611,13]