Acute severe asthma: worsening after initial treatment
Educational use only. Not clinically reviewed38-year-old woman for Acute severe-asthma respiratory-failure reassessment after documented initial therapy. About 8 simulated minutes.
What you will practise
- Reconcile the verified initial therapy, earlier severity, and current whole-patient trajectory without mistaking a falling respiratory rate for improvement.
- Recognize the authored life-threatening asthma and evolving respiratory-failure pattern after poor response.
- Activate immediate critical-care and airway-capable support before completing alternative-cause review.
- Review dangerous alternatives, reversible contributors, and expert ventilation risks without selecting a device, procedure, or setting.
- After elapsed time, hand off active respiratory-failure care, current evidence, unresolved causes, deterioration triggers, and named ownership.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2026 update. Boxes 9-4 and 9-6; pp. 180-188.
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.