Wipprecht Steven, Wagner Jake, Bona Anna, Falvo Lauren, Ahmed Rami A
Emergency Department, Indiana University School of Medicine, Indianapolis, USA.
Emergency Medicine, Indiana University School of Medicine, Indianapolis, USA.
Cureus. 2020 May 21;12(5):e8223. doi: 10.7759/cureus.8223.
Pulmonary hypertension (PH) is a progressive disease that causes high patient mortality. With limited hemodynamic reserve, many PH patients require maintenance IV infusion medications to maintain their activities of daily living. One common delivery method for this targeted therapy is through a Remodulin® (treprostinil) pump. When presenting for emergent evaluation, decompensating PH patients have a broad differential diagnosis including pump failure. PH patients are at a high risk of poor patient outcomes given the difficulty in recognizing PH-specific symptoms and unique aspects of their management. Therefore, learners will benefit from participating in an immersive simulation-based PH patient scenario in a safe learning environment. Here, we present a simulated scenario of a decompensating PH patient on a Remodulin® pump.
肺动脉高压（PH）是一种导致患者高死亡率的进行性疾病。由于血流动力学储备有限，许多PH患者需要静脉输注维持药物来维持日常生活活动。这种靶向治疗的一种常见给药方法是通过Remodulin®（曲前列尼尔）泵。在进行紧急评估时，失代偿性PH患者的鉴别诊断范围广泛，包括泵衰竭。鉴于难以识别PH特异性症状及其管理的独特方面，PH患者出现不良预后的风险很高。因此，学习者将受益于在安全的学习环境中参与基于模拟的沉浸式PH患者场景。在此，我们展示了一名使用Remodulin®泵的失代偿性PH患者的模拟场景。
