MH Escape Room

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Malignant Hyperthermia Escape Room

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Escape Room Introduction

The Malignant Hyperthermia (MH) Escape Room is designed to engage the participant through a series of challenges. Each challenge will focus on a specific component of MH. The participant must successfully complete each challenge to proceed and eventually escape. The challenges are designed to reinforce the participants knowledge on how to appropriately respond to an MH crisis. An MH crisis can occur anywhere within the hospital setting. The Emergency Department, the Operating Room, Post Anesthesia Care, and Labor and Delivery are considered HIGH RISK areas. Rapid recognition and appropriate treatment is the best way to protect our patients and ensure favorable outcomes.

Malignant Hyperthermia

Complete each challenge to beat the game: there is no other way to escape!

MH Challenges

Final Challenge

Challenge 5

Challenge 4

Challenge 3

Challenge 2

Challenge 1

Have you, or anyone in your family, experienced a high fever while under anesthesia?

Have you had any problems with anesthesia in the past?

You are interviewing your patient prior to a procedure requiring anesthesia. Select the best question to ask your patient when assessing for MH.

1/3

Ketamine, Nitous Oxide, Propofol, Hydromorphone, and Vecuronium

Midazolam, Sevoflurane, Propofol, Fentanyl, and Succinylcholine

Midazolam, Nitrous Oxide, Propofol, Fentanyl, and Rocuronium

2/3

You're doing great!Select the combination that includes triggering agents for a suspected MH patient

Left sided heart failure, Renal failure, DIC

Tachycardia, Increased ETCO2, Rapidly rising core temperature, localized muscle rigidity

Dysrhythmias, Hyperglycemia, Skeletal muscle swelling

Acidosis, Hypercarbia, Hyperkalemia, Rhabdomyolsis, Myogobinuria

3/3

You're almost there.Select the EARLY signs and symptoms of an MH crisis

Complete each challenge to beat the game: there is no other way to escape!

MH Challenges

Final Challenge

Challenge 5

Challenge 4

Challenge 3

Challenge 2

Challenge 1

Continue to monitor the patient and discuss with the anesthesia provider and surgeon

Communicate the need to stop anesthesia administraion and the surgical procedure, call CODE MH, retrieve MH cart, and call the MHAUS hotline

Call the Charge Nurse or House Supervisor for assistance

You have observed an increase in your patients ETCO2, heart rate and body temp.Select the first action you would take as the RN in the procedure room

1/3

Notify the family of the complication associated with anesthesia and provide a detailed update

• Hyperventilate with 100% O2 (8-10L/min)
• Insert Vapor-Clean filters (replace q1hr)
• Prepare and admininister Dantrolen or Ryanodex

2/3

Select the interventions that should be initiated IMMEDIATELY

• Dantrolene 2.5mg/kg mixed with 60mL injectable sterile water
• Ryanodex 2.5mg/kg mixed with 5mL injectable sterile water

• Dantrolene 2.5mg/kg mixed with 50mL injectable sterile water
• Ryanodex 2.5mg/kg mixed with 50mL injectable sterile water

• Dantrolene 3.5mg/kg mixed with 60mL injectable saline

• Ryanodex 3.5mg/kg mixed with 10mL injectable saline

3/3

Select the correct medication dosage and medicaiton administraion process for Dantrolene and Ryanodex

Complete each challenge to beat the game: there is no other way to escape!

MH Challenges

Final Challenge

Challenge 5

Challenge 4

Challenge 3

Challenge 2

Challenge 1

Complete each test to beat the game: there is no other way to escape!

Tests

Final Test

Test 5

Test 4

Test 3

Test 2

Test 1

Test 4

E. Lorem ipsum dolor sit amet consectetur adipiscing

D. Lorem ipsum dolor sit amet consectetur adipiscing

C. Lorem ipsum dolor sit amet consectetur adipiscing

B. Lorem ipsum dolor sit amet consectetur adipiscing

A. Lorem ipsum dolor sit amet consectetur adipiscing

Solution

Solución

continue

1/3

Drag and sort correctlylorem ipsum dolor sit amet consectetuer adipiscing elit

Test 4

6. Dapibus imperdiet dui

SOLUTION

5. Pharetra eros augue

4. Risus id proin

Solución

3. Adipiscing elit facilisis

2. Sit amet consectetur

1. Lorem ipsum dolor

Group B lorem ipsum

Group A lorem ipsum

Drag concepts to the corresponding grouplorem ipsum dolor sit amet consectetuer adipiscing elit, sed diam

continuE

2/3

Test 4

Serie 2

Serie 1

Drag and complete the series correctlylorem ipsum dolor sit amet consectetuer adipiscing elit

SOLUTION

Solución

continuE

3/3

Complete each test to beat the game: there is no other way to escape!

Tests

Final Test

Test 5

Test 4

Test 3

Test 2

Test 1

Test 5

Wrong answer

Correct answer

Turn up the volume:lorem ipsum dolor sit amet consectetuer adipiscing elit?

1/3

Test 5

Wrong answer

Wrong answer

Correct answer

Well done!Lorem ipsum dolor sit amet consectetuer adipiscing elit?

2/3

Test 5

Wrong answer

Wrong answer

Wrong answer

Correct answer

Respuesta incorrecta

Respuesta incorrecta

Respuesta incorrecta

Respuesta correcta

You're almost there, press play!Lorem ipsum dolor sit amet consectetuer adipiscing elit?

3/3

3/3

3/3

3/3

Complete each test to beat the game: there is no other way to escape!

Tests

Final Test

Test 5

Test 4

Test 3

Test 2

Test 1

Test 6

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

Write the correct option hereLorem ipsum dolor sit amet consectetur adipiscing

Write the wrong option hereLorem ipsum dolor sit amet consectetur adipiscing

1/5

Surely you know the answer to this question:Lorem ipsum dolor sit amet consectetuer adipiscing elit?

Test 6

Pay attention to this image:Lorem ipsum dolor sit amet consectetuer adipiscing elit?

False ✓

True

2/5

Test 6

Drag and sort correctlylorem ipsum dolor sit amet consectetuer adipiscing elit

E. Lorem ipsum dolor sit amet consectetur adipiscing

D. Lorem ipsum dolor sit amet consectetur adipiscing

C. Lorem ipsum dolor sit amet consectetur adipiscing

SOLUTION

B. Lorem ipsum dolor sit amet consectetur adipiscing

A. Lorem ipsum dolor sit amet consectetur adipiscing

continuE

3/5

Test 6

You're almost there!Lorem ipsum dolor sit amet consectetuer adipiscing elit?

4/5

Test 6

Wrong answer

Wrong answer

Wrong answer

Right answer

Respuesta incorrecta

Respuesta incorrecta

Respuesta incorrecta

Respuesta correcta

Trust your ear for the final question:Lorem ipsum dolor sit amet?

5/5

Start over?

Congratulations, you have successfully completed the escape room!

Completed

Oh oh!

But don't lose your balance, continue on your way and try again!

That answer is not correct...

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