Pediatric status asthmaticus after initial care
Educational use only. Not clinically reviewed10-year-old girl for first-hour treatment reconciliation, severe-nonresponse escalation, and serial reassessment. About 8 simulated minutes.
What you will practise
- Reconcile the established asthma history, risk, verified first-hour care, and current whole-child trajectory.
- Recognize persistent severe lower-airway obstruction after the verified initial-care bundle.
- Activate immediate pediatric critical-care and airway-capable ownership with continuous reassessment.
- Record experienced-team ownership of the supplied second-line care plan and qualified monitoring.
- After elapsed time, review the fixed whole-child partial response without declaring durable recovery.
- Hand off active obstruction, oxygen need, reported medication exposure, toxicity surveillance, failure triggers, open causes, and named owners.
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.
- Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. 2026 update.
- Canadian Paediatric Society, Acute Care Committee. Managing an acute asthma exacerbation in children. 2021.
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.