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Critical Care Case Series 3: Spinal Cord Injury with Respiratory FailureSection 1: Case Summary Scenario Title: Spinal Cord Injury with Respiratory Failure Keywords: Respiratory Failure, Spinal Cord Injury, Flail Chest Brief Description of Case: A 46- year-old female pedestrian struck by a truck...

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  • November 8, 2024
  • 13
  • 2024/2025
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Crit care 3 spinal cord injury


Nursing Concepts (Arizona State University)




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Critical Care Case Series 3: Spinal Cord Injury with Respiratory Failure


Section 1: Case Summary

Scenario Title: Spinal Cord Injury with Respiratory Failure
Keywords: Respiratory Failure, Spinal Cord Injury, Flail Chest
Brief Description of Case: A 46- year-old female pedestrian struck by a truck is admitted to ICU with multiple
injuries, including a thoracic spinal cord injury, a right flail chest and
pneumothorax, and a liver laceration. While awaiting OR for spinal stabilization, she
decompensates into mixed respiratory failure and hemodynamic instability. She will
require ventilatory support, escalation of vasopressors, and will develop a tension
pneumothorax post-intubation.

Goals and Objectives
Educational Goal: Manage respiratory failure in a patient with Spinal Cord Injury.
Objectives: 1. Manage mixed respiratory failure in a trauma patient with multiple injuries.
(Medical and CRM) 2. Identify and manage neurogenic shock in a trauma patient.
3. Consider a differential for hypoxia and shock post-intubation.
4. Optimize resource utilization during medical crises.
5. Resuscitate a patient in a challenging, unfamiliar environment.
6. Seek help from consultants when faced with a deteriorating patient
requiring definitive management.

EPAs Assessed: Core EPA: C1 Resuscitating and coordinating care for critically ill patients.

Learners, Setting and Personnel
☐ Junior Learners ☒ Senior Learners ☐ Staff
Target Learners: ☒ Physicians ☒ Nurses ☒ RTs ☒ Inter-professional
☐ Other Learners:
Location: ☒ Sim Lab ☒ In Situ ☐ Other:
Instructors: 1
Recommended Number
Sim Actors: 2
of Facilitators:
Sim Techs: 1

Scenario Development
Date of Development: May 21, 2022
Scenario Developer(s): D. Piquette
Affiliations/Institutions(s): University of Toronto
Contact E-mail of Editors: ;
Last Revision Date: June 20, 2022
Revised By: S. Ramsden, S. Sharif
Version Number: 2




© 2019 EMSIMCASES.COM and the Emergency Medicine Simulation Education Researchers of Canada (EM-SERC) Page 1
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Downloaded by DANIEL NDAMBIRI ()

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