EMS

Stabilization of Cardiogenic Shock for Critical Care Transport, a Simulation

Matthew Heffernan, MD^{*^}, Jennifer Quinn, MSN^{*^}, Craig Tschautscher, MD^{*^}, Ryan Newberry, DO^{*^}, Andrew Cathers, MD^{*^} and Brittney Bernardoni, MD^{*^}

DOI: https://doi.org/10.21980/J82354 Issue 10:2 No ratings yet.

ABSTRACT: Audience: This simulation is designed for critical care transport providers but can be easily adapted for the inpatient setting. It is applicable to an interdisciplinary team including nurses, respiratory therapists, medical students, emergency medicine residents, and emergency medicine attendings. Introduction: Cardiogenic shock carries an incredibly high burden of morbidity and mortality. Acute myocardial infarction accounts for 81% of cardiogenic

Utilization of an Asynchronous Online Learning Module Followed by Simulated Scenario to Train Emergency Medicine Residents in Mass-Casualty Triage

Justin P Delgado, DO^*, Douglas Spencer, DO^* and Leah M Bralow, MD^{*^}

DOI: https://doi.org/10.21980/J89S7Z Issue 9:3 No ratings yet.

The purpose of this session is to train EM residents in the use of the Simple Triage and Rapid Treatment (START) and pediatric JumpSTART algorithms for triage in mass casualty incidents (MCIs) using an asynchronous model. By the end of this small group session, learners will be able to: 1) describe START triage for adult MCI victims; 2) describe JumpSTART triage for pediatric MCI victims; 3) demonstrate the ability to apply the START and JumpSTART triage algorithms in a self-directed learning environment; 4) demonstrate the ability to apply the START and JumpSTART triage algorithms in a simulated mass casualty scenario under time constraints; and 5) demonstrate appropriate use of acute life-saving interventions as dictated by the START and JumpSTART triage algorithms in a high-pressure simulated environment.

EMS Small Group Learning

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.

Curriculum EMS Trauma Ultrasound

Small-Scale High-Fidelity Simulation for Mass Casualty Incident Readiness

Seanne Facho, MD^*, Andrea Weiers, MD^*, Amber Jones, MD^*, Sage Wexner, MD^* and Jessie Nelson, MD^{^}

DOI: https://doi.org/10.21980/J84S8S Issue 6:4 No ratings yet.

The learners will (1) recognize state of mass casualty exercise as evidenced by verbalization or triaging by START (Simple Triage and Rapid Treatment) criteria, (2) triage several patients, including critically ill or peri-arrest acuities, according to START criteria, (3) recognize the need to limit care based on available resources, as evidenced by verbal orders or communication of priorities to team, and (4) limit emergency resuscitation, given limited resources, by only providing treatments and employing diagnostics that do not deplete limited time, staffing, and space inappropriately.

EMS Simulation

Simulated Mass Casualty Incident Triage Exercise for Training Medical Personnel

Alaina Brinley Rajagopal, MD, PhD^*, Nathan Jasperse, BS^* and Megan Boysen Osborn, MD, MHPE^*

DOI: https://doi.org/10.21980/J82H1R Issue 5:4 No ratings yet.

By the end of this exercise, learners should be able to (1) recite the basic START patient categories (2) discuss the physical exam signs associated with each START category, (3) assign roles to medical providers in a mass casualty scenario, (4) accurately categorize patients into triage categories: green, yellow, red, and black, and (5) manage limited resources when demand exceeds availability.

EMS Small Group Learning Trauma

Periodic Refresher Emails for Emergency Department Mass Casualty Incident Plans

Jessie G Nelson, MD^{*^}, Sara Hevesi, MD^†, Robert Welborn, MD^†, Krista R Carlson, MD, MS^**, Benjamin Eide, MPH^{^^}, Merideth Winkler, RN, BSN^†, Marissa K Peterson, MS^††, Elizabeth Ramey, MS^¶

DOI: https://doi.org/10.21980/J8C05WIssue 5:3 No ratings yet.

This curriculum is intended to maintain a knowledge base of MCI processes to mitigate degradation of necessary knowledge between hands-on MCI training.

EMS Administration Curricula

A Model Curriculum for a Helicopter Emergency Medicine Services (HEMS) Rotation for Resident Physicians

Jordan Imoehl, MD^{*^}, Michael T Steuerwald, MD^{*^} and Andrew D Cathers, MD^{*^}

DOI: https://doi.org/10.21980/J8GP97 Issue 5:3 No ratings yet.

The primary objective of this course is to present a standardized curriculum which allows learners to gain understanding of HEMS systems and retrieval medicine while practicing safety in the aviation environment.

EMS Curricula

A Simulation-Based Course for Prehospital Providers in a Developing Emergency Medical Response System

Adeola Adekunbi Kosoko, MD^*, Nicolaus W Glomb, MD^{^}, Sharmistha Saha, MD^‡, Marideth C Rus, MD^‡, Manish I Shah, MD^‡, Cafen Galapi, RN^**, Bushe Laba, EMT-P^** and Cara B Doughty, MD^*

DOI: https://doi.org/10.21980/J82053Issue 4:4 No ratings yet.

This curriculum presents a refresher course in recognizing and stabilizing an acutely ill patient for prehospital providers practicing in a low/middle-income developing EMS system.

EMS Curriculum Simulation

A Simulated Scenario to Improve Communication Skills of Residents Providing Online Medical Command of Emergency Medical Service Providers

Anthony Steratore, MD^*, Erica B Shaver, MD^*, Melinda J Sharon, MPH^*, Adam Hoffman, MCCP^{^}, Peter S Martin, MD^* and Christopher S Kiefer, MD^*

DOI: https://doi.org/10.21980/J8SK8MIssue 4:3 No ratings yet.

By the end of this simulation, learners will be able to: 1) discuss appropriate medical command instructions for pediatric cardiac arrest; 2) describe alternative methods to obtain weight-based dosing of pediatric critical care medications, if Broselow tape is unavailable; 3) identify need for a definitive airway in a pulseless patient without interruption of chest compressions. Identify need for rapid intraosseous access in a pulseless pediatric patient; 4) describe the indications for helicopter transfer in a critically ill child.

EMS Simulation

Implementing the Stop the Bleed Campaign in a University Community

Robert A Katzer, MD, MBA^*, David A Beshai, BS^{^}, Ajeet Pal Bayo Bhatia, BA^{^} and Andre Serop Ksajikian, BA^{^}

DOI: https://doi.org/10.21980/J84D0ZIssue 4:1 No ratings yet.

The main objective is to implement a system to use available resources of the Stop the Bleed campaign to widely educate members of the university community in the utilization of multiple compression techniques including direct pressure, tourniquet application, and wound packing. Additional course objectives include using the Stop the Bleedsm campaign to teach participants how to fit into the emergency response team as the immediate responder and the identification of life-threatening bleeding.

EMS Small Group Learning Trauma