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Pediatric Toxidrome Simulation Curriculum: Jimson Weed Toxicity
Emma Larson1, Brian Lim Park2, Anita Thomas3
1Clinical Assistant Professor, Division of General Pediatrics, Department of Pediatrics, University of Washington School of Medicine.
Mededportal : the Journal of Teaching and Learning Resources
|August 7, 2023
Summary
This simulation effectively trained pediatric emergency medicine fellows to recognize and manage anticholinergic toxicity from jimson weed ingestion, improving critical resuscitation skills for severe poisoning cases.
Area of Science:
- Medical Education
- Toxicology
- Emergency Medicine
Background:
- Jimson weed ingestion can cause severe anticholinergic toxicity, presenting as agitation and hallucinations.
- Prompt recognition and management of anticholinergic toxidrome are crucial for preventing life-threatening complications like seizures and dysrhythmias.
Observation:
- A simulation was developed for pediatric emergency medicine (PEM) fellows focusing on a case of jimson weed intoxication.
- The simulation involved primary survey, toxidrome recognition, and management of severe complications including seizures and cardiac dysrhythmias.
- Both in-person and virtual formats were utilized to accommodate training needs.
Findings:
- Seventeen PEM fellows participated in the simulation across three institutions.
- Participants rated the simulation highly for relevance (M=4.8) and effectiveness in teaching resuscitation skills (M=4.7), seizure management (M=4.8), and ventricular tachycardia treatment (M=4.6).
Implications:
- This simulation provides a valuable tool for training pediatric medicine trainees in managing anticholinergic toxicity.
- It enhances preparedness for critical resuscitation scenarios involving jimson weed poisoning in the emergency department.
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