Mayan Escape Room
Emily Jerome
Created on September 20, 2024
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Transcript
start
ER
escape room
ER Room Arrival
You're working Friday night and a patient is brought by ambulance. Start your escape by meeting the patient in their ER room! Good Luck:)
route map
Continue!
A 65 year old man with fever and cough presents by ambulance with no interventions in place. He is alert but anxious.
ArrivAL
01
His VS Are: HR 110 (Sinus tach), RR 28, BP 142/70, SpO2 90% RA, T 102.3 FWhat is the appropriate ESI?
01/03
2
3
4
Continue!
He has altered vital signs and a complaint of fever with cough making him high risk or ESI 2
Correct!
Urine sample and tylenol
BVM, NPA, prepare for intubation
Nasal Cannula and warm blanket
While placing an IV, THe patient reports SOB.You look up at the monitor and note his spo2 drops to 80% with a RR of 8.He then becomes lethargic.Your Clinician is bedside what do you predict they will request?
02/03
Continue!
Patient is rapidly decompensating. He is in Respiratory Failure and his airway needs to be managed.
Correct!
Complete!
Find the 10 Intubation Supplies
Continue!
You've gathered all the supplies for intubating a patient!!
Great Job!
the ER gods bless you with this offering
You failed...Go back and try again.
RSI Med Game
Your clinician is preparing his supplies and wants you to draw up the RSI Medications, LETS PLAY A GAME!
route map
Pharmacy is not availble to help, please answer the next questions about your RSI meds!!
RSI Med Game
02
Continue!
10-20 sec
60 secs
The onset of Etomidate is:
5-10 mins
25-30 mins
The Duration of Etomidate is:
10-20 secs
60-90 secs
The onset of Rocuronium is:
5-10 mins
30-45 mins
The Duration of Rocuronium is:
10-60 secs
3-5 mins
The onset of Propofol is:
30 mins
3-10 mins
The Duration of propofol is:
the ER gods bless you with this offering
Please administer 30mg etomidate and 120 mg Rocuronium and I will Intubate this patientoNCE YOU'VE GIVEN THE ETOMIDATE START THE TIMER TO SIGNIFY WHEN YOU NEED TO START CONTINUED SEDATION
Oops, it's not correct!
Uncoverthe mask
You're patient has received etomidate and rocuronium and is now intubated. Placement is confirmed and his SpO2 is 94% and climbing with assisted ventilations. Start the timer now! and then uncover the mask!
route map
Your patient is now intubated but their care doesn't stop here! Uncover the mask to see the whole patient picture!
look for the mask
03
keep going!
30 mins
20 mins
5-10 mins
Question 1
1/5
How long do you have before the etomidate wears off?
10-20 mg
1-2 mcg/min
5-20 mcg/kg/min
Question 2
2/5
Your clinician orders Propofol for sedation. What's the dose for continued sedation?
^ by 10 mcg/kg/min and 10 mg bolus
Bolus 10mg no rate change
^ by 5 mch/kg/min
Question 3
3/5
The Propofol order says to titrate to RASS of -3. Your patient is at 10 mcg/kg/min but is agitated. How do you titrate the Propofol?
0.02 mcg/min
0.02 mcg/kg/min
1.0 mcg/kg/min
Question 4
4/5
Your patient is now calm with eyes closed. Their blood pressure has dropped to 70/46 (MAP 54). How much Levophed should you start with?
No Titration
Titrate up 0.01 mcg/kg/min
Titrate down 0.01 mcg/kg/min
Question 5
5/5
At 2 mins, patients BP is 78/48 (MAP 57). What's your next step?
You've found all the artwork!
WELL DONE!
5/5
Here you can include a text to congratulate and wish luck to your audience at the end of the quiz.
Congratulations!
Unconquered ground
Backup or Difficult Airways- King, Igel, LMA, Crich, Trach
You have lost a piece of the museum!
ET Tube- Correct size plus one up and down
Monitor-Rhythm/Rate, RR, BP, SpO2, ETCo2
You have lost a piece of the museum!
You have lost a piece of the museum!
You have lost a piece of the museum!
Working IV or IO
You have lost a piece of the museum!
BVM or Ventilator
You have lost a piece of the museum!
You have lost a piece of the museum!
10 cc syringe
Stylet-Correct size or bougie
RSI Meds
Unconquered territory
You have lost a piece of the museum!
You have lost a piece of the museum!
Suction- hooked up and turned on
Unconquered ground
You have lost a piece of the museum!