Key result
High-fidelity simulation equips EM residents with vital skills to manage Remodulin pump failure in PH.
Why the study?
Decompensating pulmonary hypertension patients have high mortality and complex management, making recognizing specific issues like Remodulin pump failure challenging for clinicians.
Presents an immersive simulation-based scenario for emergency medicine learners to manage a decompensating pulmonary hypertension patient with treprostinil pump failure.
Simulation may enhance emergency preparedness for treprostinil pump failure; leaves open translation to clinical outcomes.
Pulmonary hypertension (PH) is a progressive disease that causes high patient mortality. With limited hemodynamic reserve, many PH patients require maintenance IV infusion medications to maintain their activities of daily living. One common delivery method for this targeted therapy is through a Remodulin® (treprostinil) pump. When presenting for emergent evaluation, decompensating PH patients have a broad differential diagnosis including pump failure. PH patients are at a high risk of poor patient outcomes given the difficulty in recognizing PH-specific symptoms and unique aspects of their management. Therefore, learners will benefit from participating in an immersive simulation-based PH patient scenario in a safe learning environment. Here, we present a simulated scenario of a decompensating PH patient on a Remodulin® pump.
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Wipprecht et al. (2020) studied Pulmonary Hypertension. Remodulin pump failure simulation scenario was evaluated. A high-fidelity simulation scenario provided emergency medicine residents with vital skills for the acute management and resuscitation of pulmonary hypertension patients experiencing Remodulin pump failure.
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