Respiratory Software
Pediatric Self-Evaluation Clinical Simulations
Pediatric Self-Evaluation Clinical Simulations

Each Pediatric Self-Evaluation Clinical Simulation features the following:
  • Format closely follows the actual credentialing simulations in content and difficulty. For teaching purposes, each simulation is slightly longer in length (7 – 10 sections on the optimal path).
  • New for 2020 – Responses are presented in a random order.
  • New for 2020 – Each simulation may be set for timed mode (15 minutes) or untimed mode (no time limit).
  • The score report section is fashioned in a similar manner as the actual credentialing examination and presents the IG score, DM score, and IG + DM score. Additionally, the total, proficiency, efficiency, errors of omission, errors of commission, and overall competence scores are reported.
  • While viewing responses, the user is provided an explanation that identifies the rationale behind the correct response(s).
  • Use the Respiratory Administrator to set teach/test mode, timed/untimed mode, passwords, student assignments, and view users' scores.

Note: The Respiratory Software Programs are for institutional purchase only.


ISF-01: Acute Epiglottitis - This clinical simulation evolves around the management of a 4-year-old male admitted for respiratory distress. Decisions relative to clinical and laboratory assessment, diagnosis of epiglottitis, emergency endotracheal intubation, initiating mechanical ventilation, patient/ventilator assessment, troubleshooting the patient/ventilator system, ventilator parameter adjustment, initiation of end-tidal CO2 monitoring, capnography waveform interpretation, and extubation are required.

ISF-02: Acute Laryngotracheobronchitis - This clinical simulation evolves around the management of a 22-month-old female admitted with a chief complaint of cough who is subsequently treated for laryngotracheobronchitis. Following treatment, she is discharged and then three days later is re-admitted with bacterial pneumonia. Decisions relative to clinical and laboratory assessment, diagnosis of laryngotracheobronchitis, recommending therapeutic interventions and supportive care relative to the treatment of laryngotracheobronchitis, administering racemic epinephrine therapy, initiating oxygen therapy and adjustment of the FIO2, initiating IV antibiotic therapy and systemic hydration are required.

ISF-03: Asthma/Noninvasive - This clinical simulation evolves around the management of a 5-year-old male admitted for an acute asthma attack. Decisions relative to clinical and laboratory assessment, assessing severity, assigning a Pulmonary Score and interpreting its significance, initiating oxygen and levalbuterol treatments, obtaining a history of the child's current exacerbation as well as a history of past exacerbations, recommending a treatment and supportive care plan, adjusting the FIO2 and transferring to the pediatric floor are required.

ISF-04: RSV Positive Bronchiolitis - This clinical simulation evolves around the management of a 3-year-old female admitted for RSV positive bronchiolitis. Decisions relative to clinical and laboratory assessment, manual ventilation, intubation, selection of an appropriately sized endotracheal tube, initiation of mechanical ventilation, adjustment of ventilator parameters, bronchodilator administration, endotracheal suctioning, recommending discontinuing sedation and initiating weaning from mechanical ventilation when the child’s condition improves are required.

ISF-05: Cardiopulmonary Resuscitation (CPR) - This clinical simulation evolves around the management of a 23-month-old male admitted for CHF and respiratory infection who subsequently experiences a cardiac arrest. Decisions relative to determining unresponsiveness, determining breathlessness, determining pulselessness, initiating manual ventilation and chest compressions, determining the factors pertaining to delivering high-quality compressions, interpreting an ECG rhythm (ventricular fibrillation) and corrective intervention for the ECG rhythm, interpreting the ECG rhythm after defibrillation (sinus bradycardia) and corrective intervention for the ECG rhythm, transferring the child to the PICU post CPR, and initiating mechanical ventilation are required.

ISF-06: Chest Trauma / Independent Lung Ventilation - This clinical simulation evolves around the management of an 8-year-old male who sustains chest injuries after being struck by an automobile. Decisions relative to clinical and laboratory assessment following the initiation of mechanical ventilation, adjusting ventilator parameters, placement of a left-sided thoracostomy tube, chest x-ray interpretation and placement of a second left-sided thoracostomy tube, inserting a double-lumen tube, initiating independent lung ventilation, confirming correct placement of the double-lumen tube, performing a patient/ventilator system check following the initiation of independent lung ventilation, performing tracheal suctioning and administering a bronchodilator, initiating dual capnography, and interpreting the dual capnograms are required.

ISF-07: Chest Trauma / Flail Chest - This clinical simulation evolves around the management of a 7-year-old trauma patient following a bicycle accident. Decisions relative to chest x-ray interpretation and diagnosis of flail chest, clinical and laboratory assessment, adjustment of endotracheal CPAP parameters, clinical assessment for respiratory distress, initiating mechanical ventilation secondary to ventilatory failure, setting initial ventilator parameters, and ventilator waveform interpretation are required.

ISF-08: Cystic Fibrosis - This clinical simulation evolves around the management of a 2-year-old female brought to the ED by her mother for respiratory distress. Decisions relative to clinical and laboratory assessment, diagnosis of cystic fibrosis, aerosol therapy, IPV therapy, oxygen therapy, correct sequence of administering respiratory treatments, assessment for acute respiratory distress, manual ventilation and intubation, and corrective action for a mal-positioned endotracheal tube are required.

ISF-09: Foreign Body Aspiration - This clinical simulation evolves around the management of a 4-year-old male admitted for respiratory distress after aspirating pieces of a fruit gel snack. Decisions relative to clinical and laboratory assessment, diagnosis of foreign body aspiration, initiating supplemental oxygen, performing bronchoscopic visualization and removal of the foreign body, assessing the cardiopulmonary system following nasal intubation, endotracheal suctioning, and diagnosing aspiration pneumonitis as complicating the child’s condition are required.

ISF-10: Muscular Dystrophy - This clinical simulation evolves around the management of a 7-year-old female with congenital muscular dystrophy who exhibits respiratory distress secondary to pneumonia. Decisions relative to clinical and laboratory assessment, initiating supplemental oxygen, transferring to the PICU for treatment and monitoring, initiating NPPV and adjusting NPPV parameters, administering an aerosol bronchodilator, initiating postural drainage with manually assisted coughing, correctly placing the patient in the appropriate postural drainage position, correctly performing the manually assisted coughing technique, and discontinuing NPPV are required.

ISF-11: Near Drowning - This clinical simulation evolves around the management of a 9-year-old male who is brought to the ED after being rescued from the water while learning to water ski. Decisions relative to clinical and laboratory assessment, initiating nasal CPAP (N-CPAP), assessing for respiratory distress, diagnosis of pulmonary edema, initiating manual ventilation, endotracheal intubation with selection of an appropriately sized endotracheal tube, chest x-ray interpretation, selecting initial ventilator support parameters, determining the source for a leak in the patient/ventilator system, and performing endotracheal suctioning are required.

ISF-12: Pediatric Transport - This clinical simulation evolves around the management of a 7-year-old male during transport to an acute care facility. Decisions relative to clinical and laboratory assessment, selecting transport equipment and supplies, endotracheal intubation and repositioning the endotracheal tube, initiation and adjustment of mechanical ventilation, initiation of manual ventilation and performing emergent needle decompression in response to a tension pneumothorax are required.

ISF-13: Respiratory Distress Syndrome - This clinical simulation evolves around the management of a 16-month-old female who develops respiratory failure secondary to an acute aspiration event. Decisions relative to clinical and laboratory assessment, patient/ventilator assessment, diagnosis of respiratory distress syndrome, performing endotracheal suctioning, x-ray interpretation of a left-sided pneumothorax with subsequent insertion of a left-side thoracostomy tube, adjusting ventilator support parameters, interpreting the significance of the PaO2/FIO2 and the OI values, initiating and administering inhaled nitric oxide therapy, and initiating and administering surfactant-replacement therapy are required.

ISF-14: Asthma/Invasive - This clinical simulation evolves around the management of an 8-year-old male with a history of steroid dependent asthma who has been admitted to the ED for wheezing and difficulty breathing. Decisions relative to clinical and laboratory assessment, administering continuous nebulizer therapy, assessing for increasing respiratory distress, manually ventilating, evaluating the resuscitator bag for proper function, troubleshooting the colorimetric end-tidal CO2 detector, intubating and initiating mechanical ventilation, selecting initial ventilator parameters, maintaining hypercapnic low volume ventilation, assessing the patient/ventilator system, and evaluating the ventilator for loose connections are required.

ISF-15: Toxic Substance Ingestion - This clinical simulation evolves around the management of a 2-year-old male admitted for respiratory distress secondary to toxic substance ingestion. Decisions relative to assessment and stabilization of the vital signs, obtaining diagnostic studies and laboratory data, initiating supplemental oxygen, adjustment of oxygen therapy, initiating bronchodilator therapy and PEP therapy, and instructing the child in how to perform effective PEP therapy are required.


Software Title:
Respiratory Administrator
Self-Evaluation Therapist Multiple-Choice TMC Examinations
Self-Evaluation Clinical Simulation Examinations
Adult Self-Evaluation Clinical Simulations
Pediatric Self-Evaluation Clinical Simulations
Neonatal Self-Evaluation Clinical Simulations
TMC Calculations Companion Software

Copyright © 1995 - 2020, C&S Solutions. All rights reserved.
All software is copyright and protected under U.S. Copyright Law. Text, graphics, animations, audio, and video content of each software program may not be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without specific permission in writing from C&S Solutions.