The ASPiH Paediatric Special Interest Group have developed a Paediatric 6-Year-Old Sepsis Management Scenario which is freely available to all. It has been developed so that it can be used in a variety of simulation environments.

“Our vision for the Paediatric SIG this year was to create simulation content which could be used across different settings, with varying resources, and would have potential to enhance the care of a large number of paediatric patients. We needed to find a way to ensure that the views and practice of a wide range of healthcare professionals across the UK and Ireland were reflected, in order to maximise transferability and uptake. iRIS helped us to achieve this.” Lydia Lofton, ASPiH Paediatric SIG Chair

The team of specialists from across the UK used the iRIS Simulation Authoring Platform to collaborate and co-develop the simulation, and all the required resources in a standardised way.

The scenario details a 6 year-old presenting generally unwell when brought to the ED by a parent. He has been back and forward to the GP and Walk in Centre over the last week. He is now tachycardic and hypovolaemic with pyrexia of 39 and appears septic. The patient will continue to deteriorate, needing advanced airway management and intubation due to reducing GCS and fluid requirements. The patient has fluid resistant shock, so will need inotropic support following initial fluid resuscitation.

The scenario is aimed at a range of ED and paediatric staff and focuses on initial assessment and management through to escalation and effective handover to PICU. The Emergency Department team should escalate treatment early, both within the hospital to anaesthetics/ITU and to their local PICU/paediatric retrieval service.

iRIS provided the Paediatric SIG with a collaborative platform where they could work together and separately to develop the simulation.

It guided the team through a robust and standardised simulation development process. It enabled the team to manage their work together, and gave them the tools to thoroughly gather and organise all the resources needed to run the Simulation.

Using iRIS helped the SIG Team to:

  • Co-author far more efficiently than emailing scenario templates and resources to each other
  • Develop a high quality resource in six short sessions
  • Stay aligned and productive - not all the team were present at each session, but those who weren’t immediately saw the updates, their actions, and contributed accordingly
  • Work on one single version at all times
  • Create and provide one-click access to all the resources used to  setup and run the simulation such as ScenarioSetup and Directors scripts , blood gas results, ECG’s and X-Rays
  • Create mature materials that can be immediately shared across the wider community

The full scenario file including resources are freely accessible and can be downloaded here

Separate documents are also available -

Directors script 

Scenario set-up

Access the full case study

Further information on iRIS can be found on the ASPiH iRIS page including a link to an introductory video, or