Original Publication
Open Access

Pediatric Acute Care Simulator Cases - Shock (Sepsis)

Published: March 18, 2008 | 10.15766/mep_2374-8265.821

Included in this publication:

  • Septic Shock Evaluation Form.doc
  • Septic Shock Scenario.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


This module is one of a series of four pediatric simulation cases developed as part of a performance evaluation research project. The case consists of a case scenario in which a 5-year-old male presents with a 2-day history of fever and malaise. This material would be useful for formative evaluation of pediatric residents or as part of a larger set of cases for medium-stakes summative evaluation (e.g., end-of-year performance assessment in a residency program).

The publication reviews the validation data. The instruments proved both reliable and valid for our subject audience of pediatric residents. Checklist rating instruments are a commonly used approach for simulation-based assessment, in part because they can produce highly reliable ratings if the raters are well trained and the instrument is fine-tuned. However, checklists are time-insensitive and may not match a more general/global assessment of a subject's performance. For example, a very slow, methodical subject would achieve and identical checklist score to a highly efficient performance using these tools.


Educational Objectives

By the end of the module, the learner will be able to:

  1. Recognize the presentation of septic shock.
  2. Manage relative hypovolemia secondary to shock.
  3. Recognize which patients are at particular risk for sepsis.

Author Information

  • Mark Adler, MD: Northwestern University The Feinberg School of Medicine
  • Jennifer Trainor, MD: Northwestern University: The Feinberg School of Medicine
  • Viva Siddall, RT: American Academy of Chest Physicians
  • William McGaghie, PhD: Northwestern University: The Feinberg School of Medicine

None to report.

None to report. 

Prior Presentations
Abstract presented at: 7th Annual International Meeting on Simulation in Healthcare; January 14-17, 2007; Lake Buena Vista, Florida. http://dx.doi.org/10.1097/01266021-200700210-00010


Adler M, Trainor J, Siddall V, McGaghie W. Pediatric acute care simulator cases - shock (sepsis). MedEdPORTAL. 2008;4:821. https://doi.org/10.15766/mep_2374-8265.821