This resource is a simulation case featuring a patient who recently underwent a bone marrow transplant for acute leukemia and then developed neutropenic fever and rapidly evolving sepsis. The module is designed to instruct learners on how to identify the presenting signs of neutropenic fever, the initial management of neutropenic fever, the management of sepsis and septic shock, and the management of pulseless electrical activity arrest. Due to time constraints, the case progresses rapidly from a relatively stable patient to a code. However, this emphasizes the severity of sepsis, particularly in an immunocompromised patient. If personnel resources are available, the learner can also practice delivering bad news to a family member. Mannequin-based simulation cases are becoming much more common in the training of medical residents. Many of these focus on critical care or procedure-based scenarios. While this case is similar in that regard, it has the added element of having the learner deliver bad news to a family member. This communication training can be an additional piece of a curriculum on end-of-life care.
By the end of this simulation, learners will be able to:
- Identify the early presenting signs of neutropenic fever.
- Appropriately manage neutropenic fever and sepsis/septic shock, particularly in regard to antibiotics, fluid management, and vasopressor use.
- Provide advanced cardiac life support for pulseless electrical activity.
- Deliver bad news to a patient’s family.
© 2011 Lee and Napolitano.
This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike license.
Lee E, Napolitano J. Simulation of neutropenic fever/sepsis. MedEdPORTAL. 2011;7:8490. https:/
doi. org/ 10. 15766/ mep_ 2374- 8265. 8490