Posts by JETem

Priapism Team-based Learning

Michael Louthan, BS*, Mark Jordan, MD^, Faysal Yafi, MD^ and Megan Boysen-Osborn, MD, MHPE*

DOI: https://doi.org/10.21980/J80K9VIssue 4:1[mrp_rating_result]
The primary goal of this curriculum is to teach EM interns critical thinking; clinical decision making; and presentation, communication, documentation and procedural skills. The secondary goal is to identify interns who might not be performing at the expected level for potential early intervention. In addition, we wanted to ensure that all interns have achieved Level 1 milestones in the patient care, systems-based practices, and interpersonal and communication competencies.
GenitourinaryTeam Based Learning (TBL)
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Pediatric Sedation for Forearm Fracture

Nichole Niknafs, DO* and Alisa Wray, MD, MAEd^

DOI: https://doi.org/10.21980/J8CS7K Issue 4:1[mrp_rating_result]
At the end of this simulation, participants will: 1) review options for pain control in pediatric patients, 2) perform a pre-sedation history and physical exam, 3) review the indications and contraindications for pediatric moderate sedation, 4) understand components of consent, and get consent from the patient’s parent, 5) list medication options for moderate sedation in a pediatric patient and review their appropriate doses, indications, contraindications, and side effects, 6) discuss management of moderate sedation complications, and 7) review criteria for discharging a patient after sedation. 
PediatricsOrthopedicsProcedures

Out-of-Hospital Delivery of a Live Newborn Requiring Resuscitation

Paul Nicholson, MD* and Jennifer Yee, DO

DOI: https://doi.org/10.21980/J8834M Issue 4:1[mrp_rating_result]
By the end of this simulation session, the learner will be able to: 1) perform a neonatal assessment, 2) identify which neonates require resuscitation, 3) understand the principles of neonatal resuscitation, 4) describe proper airway management in neonatal resuscitation, 5) discuss underlying etiologies or pathologies that may lead to a neonate to require resuscitation, and 6) communicate effectively with team members and nursing staff during the resuscitation of a critically ill neonate.
PediatricsSimulation
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Wellens’ Syndrome

Brittany Perry Hoffstatter, DO* and Brian Walsh, MD*

DOI: https://doi.org/10.21980/J8FS8KIssue 4:1[mrp_rating_result]
Initial electrocardiogram (ECG) revealed the classic biphasic T waves in V2 and V3 of Wellen’s syndrome (see red outlines). A second EKG demonstrated an evolving deeply inverted T wave (see blue outlines).
Visual EMCardiology/Vascular
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Arteriovenous Graft Pseudoaneurysm

Erik Madsen, MD*, Lauren Sylwanowicz, MD^ and Alisa Wray, MD, MAEd^

DOI: https://doi.org/10.21980/J8B06ZIssue 4:1[mrp_rating_result]
A bedside ultrasound of the mass demonstrated a large compressible hypoechoic structure (see purple outline) above the arteriovenous graft (see red outline). The contents demonstrated movement of fluid within the structure. This was confirmed with Doppler mode, which allowed for visualization of flow communicating between the structure and the underlying vessel, which is diagnostic for a pseudoaneurysm.
Visual EMCardiology/Vascular
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Bilateral Shoulder Dislocation after Ski Injury

Alaina Rajagopal, PhD, MD*, Brian Knight, BS* and Lance Orr, MD^

DOI: https://doi.org/10.21980/J86929Issue 4:1[mrp_rating_result]
An anteroposterior chest X-ray demonstrates bilateral shoulder dislocations. Both the right and left humeral heads (blue lines) are displaced medially, anteriorly, and inferiorly from their normal positions in the glenoid fossae (red lines), thus signifying bilateral anterior dislocations. There is also a fracture of the left humeral head at the greater tubercle (green arrow).
OrthopedicsTraumaVisual EM
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Abdominal Pain with Black Tongue

David A Adler, MD* and Isabel M Algaze Gonzalez, MD^

DOI: https://doi.org/10.21980/J8XS7JIssue 4:1[mrp_rating_result]
Patient’s tongue had a black discoloration, without elongated filiform papillae. We could not appreciate lymphadenopathy. His abdomen was tender to palpation.
ENTVisual EM
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Beware the Devastating Outcome of a Common Procedure

Ellsworth J Wright IV, MBS*, James F Martin MD^ and Kevin Sirchio, DO^

DOI: https://doi.org/10.21980/J8T336Issue 4:1[mrp_rating_result]
Non-contrast head computed tomography (CT) demonstrates multifocal bilateral hypodense lesions (white arrows) representing air emboli. Note the lesions are located in the intra-axial distribution which indicates an underlying vascular origin.
NeurologyProceduresVisual EM