Posts by JETem

The Bubble-Wrap Peritonsillar Abscess Model

Nur-Ain Nadir, MD*, Clint B LeClair, MD^, Matthew Fischer, MD * and Michael Craddick, DO*

DOI: https://doi.org/10.21980/J87G6VIssue 2:1[mrp_rating_result]
This model uses bubble wrap, zip ties, chicken broth and liquid latex to simulate a peritonsillar abscess. Learners are then able to perform a needle aspiration of the simulated abscess from start to the end with no risk to a live patient.
ProceduresInnovations

Ventilator TBL

Alisa Wray, MD* and Shannon Toohey, MD, MAEd*

DOI: https://doi.org/10.21980/J8H01MIssue 2:1[mrp_rating_result]
At completion of this TBL the learner should be able to: 1. Choose appropriate ventilator settings and adjustments for a patient with lung injury or obstructive lung pattern 2. Troubleshoot an alarming ventilator 3. Set up the most common ventilator in their ED 4. Set up the equipment needed for transtracheal jet ventilation.
RespiratoryTeam Based Learning (TBL)

Anaphylaxis Simulation

Christopher Eric McCoy, MD, MPH*

DOI: https://doi.org/10.21980/J84S3W Issue 2:1[mrp_rating_result]
By the end of this simulation-based session, the learner will be able to: 1) Recognize and diagnose anaphylaxis according to the criteria set forth by the NIAID and FAAN symposium 2) discuss the appropriate dose, concentration, and delivery route of epinephrine for anaphylaxis 3) list and discuss the rationale for the second-line therapeutic options used to treat anaphylaxis, and 4) develop an appropriate disposition algorithm to be used when managing anaphylaxis in the clinical setting.
DermatologySimulation

Febrile Seizure Simulation

Victor Cisneros* and Alisa Wray, MD*

DOI: https://doi.org/10.21980/J81018 Issue 2:1[mrp_rating_result]
At the end of this simulation session, the learner will be able to: 1) discuss the management of febrile seizures 2) discuss when placement of an advanced airway is indicated in the management of a febrile seizure 3) list the risk factors for febrile seizures 4) prepare a differential diagnosis for the causes of febrile seizures 5) educate family members on febrile seizures.
PediatricsSimulation
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An Elderly Female with Dyspnea and Abdominal Pain

Jon Van Heukelom, MD*

DOI: https://doi.org/10.21980/J83S3KIssue 2:1[mrp_rating_result]
Radiography shows a dilated, gas-filled structure that fills nearly the entire left hemi-thorax. Lung markings are visible in the uppermost portion of the left hemi-thorax. There is mediastinal shift to the right. In the visualized portion of the abdomen, dilated loops of bowel are also visualized. This constellation of findings is consistent with a tension gastrothorax.
RespiratoryVisual EM
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Pulmonary Embolism: Diagnosis by Computerized Tomography without Intravenous Contrast

James Roy Waymack, MD*

DOI: https://doi.org/10.21980/J8001ZIssue 2:1[mrp_rating_result]
Non-contrast CT of the chest demonstrates hyper-densities within both central and sub-segmental pulmonary arteries bilaterally (see yellow arrows). The right ventricle is dilated.
RespiratoryVisual EM
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Irreducible Traumatic Posterior Shoulder Dislocation

Blake Collier, DO* and Christopher Trigger, MD*

DOI: https://doi.org/10.21980/J8V884Issue 2:1[mrp_rating_result]
Radiographs demonstrated posterior displacement of the humeral head on the “Y” view (see white arrow) and widening of the glenohumeral joint space on anterior-posterior view (see red arrow). The findings were consistent with posterior dislocation and a Hill-Sachs type deformity. Sedation was performed and reduction was attempted using external rotation, traction counter-traction. An immediate “pop” was felt during the procedure. Post-procedure radiographs revealed a persistent posterior subluxation with interlocking at posterior glenoid. CT revealed posterior dislocation with acute depressed impaction deformity medial to the biceps groove with the humeral head perched on the posterior glenoid, interlocked at reverse Hill-Sachs deformity (see blue arrow).
OrthopedicsVisual EM
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Pseudogout and Calcium Pyrophosphate Disease

Andrew Williamson, MD*

DOI: https://doi.org/10.21980/J8QG66Issue 2:1[mrp_rating_result]
Radiographs of the knee showed multiple radio-dense lines paralleling the articular surface (see red arrows) consistent with calcium pyrophosphate crystal deposition within the joint often seen in calcium pyrophosphate disease (CPPD) also known as pseudogout.
OrthopedicsVisual EM