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Posts by JETem

E-FAST Ultrasound Training Curriculum for Prehospital Emergency Medical Service (EMS) Clinicians

Clever M. Nguyen, BS*, Krista Hartmann, BS, EMT-A*, Craig Goodmurphy, PhD^ and Avram Flamm, DO, EMT-P, FACEP, FAEMS*†**

DOI: https://doi.org/10.21980/J8S060 Issue 9:1 No ratings yet.
By the end of these training activities, prehospital EMS learners will be able to demonstrate foundational ultrasound skills in scanning, interpretation, and artifact recognition by identifying pertinent organs and anatomically relevant structures for an E-FAST examination. Learners will differentiate between normal and pathologic E-FAST ultrasound images by identifying the presence of free fluid and lung sliding. Learners will also explain the clinical significance and application of detecting free fluid during an E-FAST scan.
CurriculumEMSTraumaUltrasound

A Guide to the Medical School Curriculum Vitae

Konnor Davis, BS*, Megan Boysen-Osborn, MD, MHPE*^, Alisa Wray, MD, MAEd*^ and Lauren Stokes, EdD, MS*

DOI: https://doi.org/10.21980/J8HH1S Issue 9:1 No ratings yet.
After this lecture, learners should be able to: 1) elaborate on the significance of a CV for medical students and discuss its purpose, 2) outline the elements that should and should not be included on a CV, 3) integrate knowledge gleaned from basic principles with provided examples to establish the foundation of their own CV.
LecturesMiscellaneous (stats, etc)

Calcium Channel Blocker Overdose

Jessica G Andrusaitis, MD, MS* and Alan Givertz, MD^

DOI: https://doi.org/10.21980/J8CQ07Issue 9:1 No ratings yet.
At the end of this oral board session, examinees will: (1) demonstrate ability to evaluate a patient with undifferentiated shock with bradycardia and discuss the differential diagnosis, (2) recognize the signs and symptoms of calcium channel blocker overdose, (3) demonstrate ability to manage treatment of a patient with calcium channel overdose.
Cardiology/VascularOral BoardsToxicology

An Appy That Needs Epi: An Atypical Presentation of Anaphylaxis

Ryan O’Neill, MD*, Cyrus Adeli, BA, CHSE^, and  Christopher E San Miguel, MD, MEd* 

DOI: https://doi.org/10.21980/J80H14 Issue 9:1 No ratings yet.
At the conclusion of the simulation, learners will be able to: 1) demonstrate ability to efficiently review patient records to optimize patient care and identify relevant details to current presentation, 2) rapidly assess a patient when there is a change in clinical status, 3) recognize the need to start resuscitative fluids for undifferentiated hypotension, 4) identify anaphylaxis, 5) demonstrate the medical management of anaphylaxis, 6) utilize the I-PASS framework to communicate with the inpatient team during the transition of care.
Abdominal/GastroenterologyDermatologySimulation
Internuclear Ophthalmoplegia. Eyes Right Unannotated. JETem 2024

The Clue is in the Eyes. A Case Report of Internuclear Ophthalmoplegia

Cooper Nickels, DO*, Christy Keyes, MD*, Caroline Astemborski, MD, MEHP* and Haley Fulton, BS^

DOI: https://doi.org/10.21980/J8DP9M Issue 9:1 No ratings yet.
There was no appreciable esotropia or exotropia noted on straight gaze (yellow arrows). On extraocular muscle examination, patient was noted to have a complete left medial rectus palsy consistent with a left internuclear ophthalmoplegia (red arrow). This was evidence by both eyes easily gazing left (green arrows); however, with rightward gaze, her left eye failed to gaze past midline (red arrow).
Visual EMNeurologyOphthalmology
Septic Arthritis of AC Joint. Shoulder Photo Far. JETem 2024

Septic Arthritis of the Acromioclavicular Joint: A Case Report

Serena Tally, BS*, Michael Head, MA,* and Kerri Kraft, MD*

DOI: https://doi.org/10.21980/J8VP9N Issue 9:1 No ratings yet.
Magnetic resonance imaging (MRI) with contrast was obtained of the shoulder and ankle, and results from both scans showed findings consistent with septic arthritis complicated by intraarticular abscesses. The MRI of the patient’s left acromioclavicular joint is shown as both a T1-weighted sequence in sagittal view and T2-weighted sequence in coronal view. The images show effusion (the dark fluid denoted by the red arrow) with an adjacent fluid collection (blue arrow). A T2-weighted MRI in coronal view of the patient’s right ankle showing multiple effusions (green arrows) and a fluid collection along the medial tibial cortex and subcutaneous tissues (yellow arrow).
Visual EMInfectious DiseaseOrthopedics
Colocolic Intussusception. Abdominal Ultrasound Unannotated. JETem 2024

Case Report of a Child with Colocolic Intussusception with a Primary Lead Point

Ethan Lee, BS*, Jeremy Lins, MD^, Chelsea Cosand, MD^, Mary Jane Piroutek, MD† and Tommy Y Kim, MD*^

DOI: https://doi.org/10.21980/J8564Q Issue 9:1 No ratings yet.
On the initial ED visit, an abdominal ultrasound (US) was ordered which showed the classic intussusception finding of a target sign (yellow arrow), or concentric rings of telescoped bowel, on the transverse view of the left lower quadrant (LLQ).
Visual EMAbdominal/GastroenterologyPediatrics

Low-Cost Fishhook Removal Simulation

David Mitchell Baskin, MS* and Christopher Ashby Davis, MD*

DOI: https://doi.org/10.21980/J8Q64P Issue 8:4 No ratings yet.
The goal of this small group session is to fill the gap in training on fishhook injuries. At the end of the session participants should be able to describe the parts of a fishhook, as well as demonstrate and have increased confidence in performing multiple fishhook removal techniques.
ProceduresInnovations

Enneagram in EM

Megan Cifuni, MD, MHPE*, Cami Pfennig, MD, MHPE* and Caroline Astemborski, MD, MEHP*

DOI: https://doi.org/10.21980/J8ZM0G Issue 8:4 No ratings yet.
By the end of this session, the learner will be able to: 1) Self-identify with a primary enneagram personality type.  2) List the fears, desires, and motivations of the enneagram type.  3) Describe struggles in interacting with other disparate enneagram types. 4) Discuss strategies for success in facing conflict and interacting with other team members.
Faculty DevelopmentLecturesMiscellaneous (stats, etc)

Adolescent with Diabetic Ketoacidosis, Hypothermia and Pneumomediastinum

Steven Millner, MD* and Courtney Devlin, MD* 

DOI: https://doi.org/10.21980/J8FP8J Issue 8:4 No ratings yet.
By the end of the simulation, learners will be able to: 1) develop a differential diagnosis for an adolescent who presents obtunded with shortness of breath; 2) discuss the management of diabetic ketoacidosis; 3) discuss management of hypothermia in a pediatric patient; 4) discuss appropriate ventilator settings in a patient with diabetic ketoacidosis; and 5) demonstrate interpersonal communication with family, nursing, and consultants during high stress situations.
EndocrinePediatricsProceduresRespiratorySimulation
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