Perioperative Patient Simulation - Acute Care Management (P.O.P.S. - ACM) was developed to assist in learning post-operative care of cardiac patients under three different circumstances - Cardiogenic Shock, Excessive Bleeding and Septic Shock. Your task is to return the patients heart rate, arterial blood pressure, left atrial pressure, cardiac index and temperature to acceptable clinical levels and maintain patient stability within these levels for one hour of simulated patient time. In this simulation, time is speeded up by a factor of 60: one minute of real time is equivalent to an hour of time for the simulated patient. However, time stops while you are selecting your treatment options, so you have a chance to think about the intervention without further deterioration of the patient.You may treat the patient with the following interventions:Infusion medicationsBolus medicationsFluid replacementWarming or cooling the patientCardiac pacingReturn patient to OR for re-exploration for bleeding or relief of tamponadeYou may diagnose the patient using the following tools:Edwards EV1000 hemodynamic monitorVital signs from the patient monitorVisual indication of peripheral vasoconstrictionFluid intake and outputCardiac indexChest X-ray to check for tamponade.The application is intended to be used by individuals with some medical training and understanding of appropriate drug and fluid doses.
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