Bronchiolitis
Educational use only. Not clinically reviewed1-year-old boy for whole-infant severity review, supportive-care prioritization, serial reassessment, and escalation. About 8 simulated minutes.
What you will practise
- Reconcile young age, illness day, the supplied first-wheeze history, work of breathing, feeding, hydration, circulation, and pulse-coherent oxygenation as one severity trajectory.
- Recognize the supplied clinical bronchiolitis pattern and need for hospital support without routine imaging, etiologic testing, or low-value medicines.
- Activate experienced-team standard oxygenation and monitoring without selecting a device, flow, fraction, or target.
- After elapsed time, review feeding and hydration risk when oxygen saturation improves but respiratory effort and safe oral intake do not.
- Review a strictly later fixed panel for mentation, breathing, circulation, oxygenation, and hydration trajectory.
- Hand off the authored trajectory, current support, feeding and hydration risk, apnea and fatigue triggers, and named ownership.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- World Health Organization. WHO consolidated guidelines for the management of common childhood illness: management of asthma in children and adolescents and bronchiolitis in infants and young children. 2026. ISBN 978-92-4-012268-0.
- National Institute for Health and Care Excellence. Bronchiolitis in children: diagnosis and management. NICE guideline NG9. Updated 2021; minor update 2025.
- Ralston SL, et al. Clinical Practice Guideline: The Diagnosis, Management, and Prevention of Bronchiolitis. Pediatrics. 2014;134:e1474-e1502. doi:10.1542/peds.2014-2742.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.