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. 2002 Jul 10;6(5):439–446. doi: 10.1186/cc1538

Table 1.

Simulation scenarios and key therapeutic maneuvers used to compare the Life Support for Trauma and Transport (LSTAT™) with conventional monitoring equipment

Simulation scenarios Key therapeutic maneuvers
For the anesthesia faculty and residents
 Scenario 1: Tension pneumothorax Needle thoracostomy or a chest tube
 Scenario 2: Adult respiratory distress syndrome Positive end expiration pressure (PEEP), increase the FiO2, consider a diuretic (furosemide), consider adjustment of ventilator settings
 Scenario 3: Cardiac tamponade Pericardiocentesis
 Scenario 4: Pulseless ventricular tachycardia Cardioversion with 360 joules
For the recovery room nursing staff
 Scenario 1: Improper ventilator settings Adjust ventilator settings until the end tidal CO2 is 35 mmHg
 Scenario 2: Pulmonary edema Increase the FiO2, administer a diuretic, consider intubating
 Scenario 3: Myocardial ischemia Support airway, provide supplemental oxygen and ventilate if needed, check pulses and vital signs, call for a 12-lead ECG, consider sublingual nitroglycerin
 Scenario 4: Symptomatic hypotension with occult hemorrhage Administer intravenous fluids, send for an immediate hematocrit level, consider a blood transfusion, place the patient in the Trendelenburg position