Posts by JETem

First Aid Curriculum for Second Year Medical Students

Megan Stodola^*, Megan Lantz^*, Tina Chen, MD^{*^}, Alexander Marelich, MD,^{^} and Isaac Philip, MD^{^}

DOI: https://doi.org/10.21980/J8FH2J Issue 9:3 No ratings yet.

Small group activities were performed with a focus on case-based scenarios combined with hands-on instruction. The four scenarios were choking, seizure, anaphylaxis, and bleeding which were taught by an educator who was either faculty, an emergency medicine resident, or an upper-level medical student. Facilitators were provided an educational handout specific to their station to guide them through the teaching session. A PowerPoint presentation was also provided complete with supporting images and videos to share with the students each session.

Miscellaneous (stats, etc)Small Group Learning

Identification of a Human Trafficking Victim: A Simulation

Claire A Grosgogeat, BS^*, Kelly Medwid, MD^{^}, Rami H Mahmoud, BS^* and Brooke Hensley, MD^{^}

DOI: https://doi.org/10.21980/J8293F Issue 9:3 No ratings yet.

By the end of this simulation, participants will be able to: (1) Identify signs of human trafficking. (2) Demonstrate the ability to perform a primary and secondary assessment of a patient when there is concern for human trafficking. (3) Demonstrate the ability to appropriately separate an at-risk patient from a potential trafficker. (4) Identify resources and a reliable course of action to permanently remove the patient from the harmful situation.

Miscellaneous (stats, etc)Simulation

Subarachnoid Hemorrhage Causing a Seizure: An Assessment Simulation for Medical Students

Robert Rainer, MD^*, Blair Creedle Reynolds, MD^*, Cyrus Adeli^{^} and Christopher E San Miguel, MD, MEd^*

DOI: https://doi.org/10.21980/J8XH1H Issue 9:3 No ratings yet.

At the conclusion of the simulation leaners will be able to: 1) efficiently take a history from the patient and perform a physical exam (including a complete neurological exam); 2) identify red flag symptoms in a patient complaining of a headache; 3) order and interpret the results of a CT of the head and either a CT angiogram of the brain or a lumbar puncture to make the diagnosis of subarachnoid hemorrhage; 4) demonstrate appropriate management of a seizure; and 5) utilize the I-PASS framework to communicate with the inpatient team during the transition of care.

Neurology Simulation

High-Fidelity Simulation with Transvaginal Ultrasound in the Emergency Department

Levi Filler, DO^* and Katrina Lettang, MD^*

DOI: https://doi.org/10.21980/J8606Q Issue 9:3 No ratings yet.

By the end of the session, learners should be able to 1) recognize the clinical indications for transvaginal ultrasound in the ED, 2) practice the insertion, orientation, and sweeping motions used to perform a TVPOCUS study, 3) interpret transvaginal ultrasound images showing an IUP or alternative pathologies, and 4) understand proper barrier, disinfection, and storage techniques for endocavitary probes.

Ob/Gyn Procedures Simulation

Chest wall abscess. Photograph unannotated. JETem 2024

A Man With Chest Pain After An Assault – A Case Report

Mi Song Kim, MD^*, Francis Gan, MD^*, Karl Nimtz, MD^*, Daniel Ng, MD^{*^} and John Costumbrado, MD, MPH^{*^}

DOI: https://doi.org/10.21980/J8J93S Issue 9:3 No ratings yet.

On exam, we found a suspected chest wall abscess with surrounding erythema (blue arrow). The patient underwent CT of the chest which showed a comminuted displaced midsternal fracture (yellow arrow) with moderate fluid and air anteriorly (red arrow), consistent with an abscess. His laboratory results had no significant abnormalities.

Visual EM Infectious Disease Trauma

Subtalar Dislocation. sp manipulation unannotated. JETem 2024

A Case Report of Lateral Subtalar Dislocation: Emergency Medicine Assessment, Management and Disposition

Alexander Maybury, MD^* and Taylor Isenberg, DO^*

DOI: https://doi.org/10.21980/J8SS8P Issue 9:3 No ratings yet.

In a lateral subtalar dislocation, the navicular bone (red bone in 3D anatomy image) and the calcaneus (yellow bone in 3D anatomy image) dislocate laterally in relation to the talus (lavender bone in 3D anatomy image). Plain film oblique and lateral X-rays demonstrate the initial dislocation (talus in red, navicular in blue). It is clear in the initial lateral view that there is loss of the talar/navicular articulation (noted by red arrow). The anterior-posterior x-ray is more challenging to discern the anatomy; however, the talus (red dot) is laterally displaced in comparison to the navicular (blue dot).

Visual EM Orthopedics Procedures

A Case Report of Dermatographia

Mahika Patlola^*, Aanchal A Shah, BA^{^}, Thor S. Stead, ScB^† and Latha Ganti, MD, MS, MBA^†^**

DOI: https://doi.org/10.21980/J8P05P Issue 9:3 No ratings yet.

Physical examination was unremarkable except for the urticaria on the right aside of her abdomen (white arrow) with overlying excoriations (stars). Of note, there were no burrows, papules or vesicles in the typical locations including the webs of the fingers, wrists, axillae, areolae, or genitalia. Examination of the linear dermatographia clearly revealed superficial wheals, versus underlying serpiginous lesions.

Visual EM Dermatology

Modification of an Airway Training Mannequin to Teach Engagement of the Hyoepiglottic Ligament

Richard Tumminello, DO^* and Daniel Patino-Calle, MD^*

DOI: https://doi.org/10.21980/J8R06P Issue 9:2 No ratings yet.

By the end of this education session, participants should be able to: 1) identify relevant airway anatomy during intubation, including base of the tongue, epiglottis, midline vallecular fold, anterior arytenoids; 2) appreciate the value of a stepwise anatomically guided approach to intubation; 3) become familiar with the midline vallecular fold and underlying anatomy, including the hyoepiglottic ligament, and how proper placement of the laryngoscope can result in improved glottic visualization.

Innovations Procedures Respiratory

A Realistic, Low-Cost Simulated Automated Chest Compression Device

Jessica Joyce, BS^*, Elyse Fults, MD^{^}, Julia Rajan, BS^†, Alexandra Plezia, MA^**, Carolyn Clayton, MD^{^} and Sara M Hock, MD^{^}

DOI: https://doi.org/10.21980/J8M63C Issue 9:2 No ratings yet.

By the end of this educational session using a resuscitation trainer or high-fidelity manikin, learners should be able to: 1) recognize appropriate application of simulated ACCD to an ongoing resuscitation case; 2) demonstrate proper positioning of simulated ACCD in manikin model and 3) integrate simulated ACCD to provide compressions appropriately throughout cardiac arrest scenario.

Cardiology/Vascular Innovations Procedures

Septic Abortion Complicated by Disseminated Intravascular Coagulation

Lauren Moore, MD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8GH1G Issue 9:2 No ratings yet.

At the conclusion of the simulation session, learners will be able to: 1) Obtain a relevant focused history including pregnancy history, medication use, and past medical history. 2) Develop a differential for fever and vaginal bleeding in a pregnant patient. 3) Discuss management of septic abortion, including empiric broad-spectrum antibiotics and obstetric consultation for source control with dilation and curettage (D&C). 4) Discuss expected laboratory findings of disseminated intravascular coagulation (DIC). 5) Discuss management of DIC, including identification of underlying etiology and supportive resuscitation with blood products. 6) Review the components of blood products. 7) Identify appropriate disposition of the patient to the intensive care unit (ICU).

Hematology/Oncology Infectious Disease Ob/Gyn Simulation