Selected work · 01 · Stridor
Stridor case walkthrough
Stridor runs patient cases live in class. The instructor projects the case, the class decides what to do, and the monitor responds to each order. This page follows one case: Julio Mendoza, 21, in the emergency department with an acute asthma exacerbation.
Case
Emergency Department, RM 31
Presentation
Acute asthma exacerbation
Course outcomes
6, listed on the case brief
Shown here
Two runs: oxygen only, then treated
01 · Case brief
Emergency Department, RM 31
Each case opens with a brief and the course outcomes it covers. The case clock starts when the instructor selects Start case.
02 · Bedside view
Patient, orders and monitor on one screen
The projected view shows the patient, the case narrative, the case log and every available order. The monitor updates as orders are given, and each order is written to the case log.
- On arrival
- HR 108 · SpO₂ 90% on room air · RR 24
- Bedside
- Talk to patient · Auscultate · Peak flow · 12-lead ECG
- Labs and imaging
- Arterial blood gas · Portable chest X-ray
- Intervene
- Nasal cannula O₂ · Albuterol nebulizer · Systemic corticosteroid
03 · Assessment
Results post as they are ordered
Exam findings, peak flow and lab results appear in the results panel, each with a short interpretation the instructor can expand.
- Exam
- Diffuse expiratory wheeze in all lung fields, prolonged expiration, speaking in short phrases
- Peak flow
- 333 L/min, 54% of personal best
04 · Two runs of the case
Oxygen only, then bronchodilator and steroid
The same case played twice from the same starting point. Monitor clips play at 2× speed.
Path A
Oxygen only
- Orders
- Nasal cannula O₂ at 2 L/min, no bronchodilator
- Course
- SpO₂ stays in the low 90s while he tires
- Outcome
- Respiratory failure, followed by the debrief
Path B
Albuterol and a systemic corticosteroid
- Orders
- Albuterol 2.5 mg by nebulizer, then a systemic corticosteroid
- Course
- Two minutes into the nebulizer he is breathing easily and speaking in full sentences
- Outcome
- Case resolved on room air
05 · Debrief
A timeline of the class's decisions
Each run ends with a debrief built from the case log: the key actions, the time each was given and, after a failure, the teaching point.
06 · Also in Stridor
Other parts of the platform
Julio is one of thirteen branching patient cases. The same instructor console also runs:
- Lecture decks mapped to 13 course outcomes
- Live polls on students' phones
- ABG Blitz
- Breath Sounds Blitz
- ECG module
- StridorVENT ventilator trainer
- Oxygen Journey in 3D
- Student progress
- Reports by NBRC content area