The case introduces a patient in pulmonary edema due to moderate congestive heart failure. The case has been developed to train healthcare professionals and students at different levels, as well as physicians, nurses, paramedics, respiratory therapists, and others with responsibilities in critical care.
The main rationale of the case is to recognize signs and symptoms of pulmonary edema and institute strategies for airway management following the ABC principles, including start of CPAP (or BiPAP) ventilation and administration of diuretics and analgesics. In case of advanced learners, the complexity of the case may be altered by adjusting the degree of cardiogenic shock, requiring more rapid aggressive vasopressor therapy. The success of the case depends on effective team communication as well as employment of critical thinking skills.
The case is developed for Laerdal SimMan Essential, SimMan Essential Bleeding, and SimMan 3G AutoMode. The simulators respond to clinical interventions and this patient case is based on actual physiological models providing the instructor with an easy access to adjust the level of complexity, thereby making the case suitable for both experienced and less experienced learners.