Tachycardia and Hypotension in a Febrile Child

This virtual simulation, led by Dr. Nick Slamon, involves tachycardia and hypotension in a febrile pediatric patient.  

Included in this live, 1-hour simulation:  

  • Support for up to 5 participants, with one designated as code leader.
  • Two mock code styles tailored to your site’s capability:
    • Zoom style Mock code leader view for multiple remote learners without VR headsets OR
    • VR headset style mock code where every learner in a headset is part of the action in the VR setting
  • An extensive “pre-brief” session where the capabilities of Acadicus and introduction to VR landscape is given prior to the start of the mock code to familiarize those new to VR.
  • Learner opportunities to drive the care of the virtual patient.
  • Dynamic patient vital signs and exam findings that are manipulated by the instructor in real time to react to choices made by the learners.
  • Use of realistic VR manikins who can breathe, seize, have rhythm disturbances, change vital signs, show alterations in perfusion and level of consciousness.
  • Use of realistic, interactable and fully functional equipment is available to the learner including bag and mask, central and peripheral IV’s, chest tubes, laryngoscopes, endotracheal tubes and advanced monitoring just to name a few.
  • Ability to display patient information including radiographs, CT scans, MRI, Ultrasound, Echocardiograms and lab studies when requested by the learners at key transition points in the code exercise.
  • A comprehensive “debrief” session where adjunctive learning tools such as posters, algorithms, photos and learning mnemonics will be revealed to help the learners maximize their understanding of the code scenario and their retention of the salient physiologic learning points.
  • A screen recording so that you and your team can review your mock code repeatedly together to learn where improvements in care and opportunities for improved closed loop communication can occur.
pediatric virtual simulation
VR mode or Zoom
virtual pediatric patient seizure

Participant Testimonials

“I really liked today’s session and think it has a lot of value. I think this not only helps during the pandemic, but also eventually with reaching people on all shifts. This could also help build an educational curriculum that doesn’t necessarily require physical resources if unable.   I also think by really forcing the leader to be hands off the closed loop communication is enforced which is a different strength for people and harder to teach sometimes.

I think the role of this is potentially enormous. Ultimately some may end up in careers where we are informally doing this on our way in at a smaller hospital or with less people available at baseline. For residents going into other disciplines, the same.  I think this is outstanding.”
– Dr. Jennifer Cifuni

“I really liked it! I thought it was really helpful!”
– Dr. Anuradha Setlur

“Training via zoom with VR was awesome. It was clear and quality of video superb. Great job.”
– Jeff Barnello Director of Telehealth at Cohens Veterans Network

“Great experience. Real time change in vitals made it realistic. Maybe the patient history and labs could pop up as text in the sim. Image quality for radiograph and echocardiogram were very good. Looking forward to participating in more sessions with different scenarios.”
– Dr. Nisha Agasthya

“I think it actually might have been better than actual sim in that as a remote mock code leader they were forced to give instructions and lead seeing the entire room.  There is an urge when in person and things aren’t going well to want to take over and do the intubation or pericardiocentesis yourself.  Here they had to direct the players that were in VR and give them strict clear closed loop communication and instructions.”

“It also allowed for mock code simulation with 9 fellows who were all socially distanced in the COVID 19 era when every simulation center is closed.”

– Dr. Nick Slamon

Schedule a Simulation

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About the Instructor

Dr. Nick Slamon

Dr. Slamon completed medical school in 2001 at Temple University School of Medicine in Philadelphia PA. He then completed a residency in pediatrics and a fellowship in Pediatric Critical Care Medicine at the Nemours/duPont Hospital for Children in Wilmington Delaware. In addition he serves an Associate Professor of Pediatrics in the Clinical track at Thomas Jefferson University Hospital. From 2007 until June 2011 Dr. Slamon worked at the University of Florida as an attending in the 24 bed mixed cardiac and pediatric intensive care unit. He also served as the fellowship program director for his final two years in Gainesville, overseeing 2 fellows per class. He then returned to duPont in July of 2011 serving as the fellowship director and overseeing the expansion from a one fellow per year program to the current 3 fellow per year, 9 fellow program.

Dr. Slamon is an active member of SCCM and the AAP. His research interests are varied but include a strong track record of education and partnership with fellows and junior faculty. Analysis of innovative ways to deliver care are of particular interest. Recent projects include a study of physician biometric parameters using wearables during live critical care activities, a similar biometric project in simulation, use of a digital stethoscope to diagnose pediatric murmurs remotely, review of rapid response activations using telemedicine technology, parameters needed to create a viable pediatric eICU, and he is currently working with a new device to help diagnose pediatric heart failure using an artificial intelligence analysis of ECG/Phonocardiograms. His most recent undertaking involves his partnership with Acadicus to improve immersive medical training through the use of virtual reality simulation.

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