Innovations

A Low-Cost, Reusable Ultrasound Pericardiocentesis Simulation Model

Jonathan dela Cruz, MD^*, Tyler Fulks, MD^*, Mark Baker, MD^*, Jason Kegg, MD^*, Richard Austin, MD^*, Jimmy Jain, MD^*, Michael Boehler, MS^*, Sharon Kim, PhD^{^}, and Cassie Jaeger, PhD^{^}

DOI: https://doi.org/10.21980/J8TD1J Issue 4:4[mrp_rating_result]

Through the use of this model and skill session, learners will be able to: 1) discuss the indications, contraindications, and complications associated with ultrasound guided pericardiocentesis; 2) demonstrate an ability to obtain subxiphoid and parasternal long views of the heart; 3) demonstrate an ability to identify pericardial fluid in these two views; and 4) demonstrate proper probe and needle placement to successfully perform an ultrasound guided pericardiocentesis in these two views.

ECG Stampede

Benjamin L Cooper, MD^*, Jonathan A Giordano, DO^*, Catherine E Reynolds, MD^*, and Tom T Fadial, MD^*

DOI: https://doi.org/10.21980/J8PP93 Issue 4:4[mrp_rating_result]

ECG Stampede is a unique educational program comprised of a comprehensive, video-based curriculum with accompanying student and instructor guides. ECG Stampede also features an engaging game accessible via modern browsers and dedicated mobile applications for iOS and Android devices. The gamified model presents learners with a batch of ECGs for which they must assign one of four triage acuities.

Cardiology/Vascular Innovations

Google Forms – A Novel Solution to Blended Learning

Andrew Kalnow, DO^*, Christopher Lloyd, DO^*, John Casey, DO^* and Andrew Little, DO^*

DOI: https://doi.org/10.21980/J8BP77 Issue 4:2[mrp_rating_result]

By the end of the session, the learner should be able to create a didactic session utilizing Google Forms (or similar web-based application). Specific learning objectives for the didactic session will vary based on application. Our institution has used Google Forms to create case-based small group discussion sessions, “create your own adventure” individual learning cases, asynchronous learning opportunities, and interactive intra-lecture surveys.

Faculty Development Innovations Small Group Learning

The Gravid Watermelon: An Inexpensive Perimortem Caesarean Section Model

Paul Valencia, MD^* and Danielle Turner-Lawrence, MD^*

DOI: https://doi.org/10.21980/J8705NIssue 4:2[mrp_rating_result]

The gravid watermelon is a cost-effective model that uses common materials from the supermarket and emergency department (ED), using a carved-out watermelon as a base, representing the peritoneal cavity. Inexpensive respiratory tubing is used to represent intestine; watered down gelatin and a small doll in a deflated rubber/plastic ball is used to represent a gravid uterus. The bladder is represented by an unused, water-filled exam glove, and watermelon pulp represents blood clots and mesentery. The gravid watermelon is covered with an elastic bandage to represent tough muscle and fascia, and topped with a shower curtain for skin.

Ob/Gyn Innovations

Low-Cost Portable Suction-Assisted Laryngoscopy Airway Decontamination (SALAD) Simulator for Dynamic Emesis

Christopher Scott Sampson, MD^*, Joseph D Pauly,^* and Jordan D Horner, NRP^*

DOI: https://doi.org/10.21980/J8362BIssue 4:2[mrp_rating_result]

The economic and dynamic SALAD innovation recreates an actively vomiting patient and replicates visual obstruction from fluid contents during airway management.By the end of the session, learners are expected to: 1) discuss the risks, benefits, indications and contraindications associated with intubation of a vomiting or hemorrhaging patient. 2) Work with colleagues to effectively stabilize a patient who is actively vomiting or bleeding during airway management. 3) Competently perform intubation in the acute setting of visual obstruction from active emesis, hemorrhage, or massive regurgitation. 4) Increase speed and dexterity of intubation by applying the SALAD method when fluid obstructs visualization of the larynx.

Procedures Innovations

Low-Cost, Low Fidelity Meat Model to Teach Ultrasound Guided Nerve Blocks

Morgan Oakland, MD^*, Shruti Chandra, MD^* and Carl Alsup, MD^*

DOI: https://doi.org/10.21980/J83G9RIssue 3:4[mrp_rating_result]

Upon completion of this workshop, learners will be able to: 1) Describe the risks and benefits of ultrasound guided nerve blocks. 2) Choose the appropriate nerve to block based on the area that needs anesthesia. 3) Display proficiency in performing an ultrasound guided nerve block on meat models. 4) Verbalize confidence in successfully performing ultrasound guided regional anesthesia. By successfully meeting these objectives, we aim to improve learner confidence and clinical ability in performing ultrasound guided nerve blocks.

Ultrasound Innovations

The Continuous Residency Improvement Committee (CRIC) – A Novel Twist for Program Evaluation in an Academic Emergency Medicine Residency Program

Aaron S Kraut, MD^*, David S Tillman, MD^*, Ciara Barclay-Buchanan, MD^*, Jamie M Hess, MD^*, Azita G Hamedani, MD, MPH, MBA^{^}, Brian Jennett, MD^*, Saby Cordoba, MS^* and Mary Westergaard, MD^*

DOI: https://doi.org/10.21980/J8SD17Issue 3:3[mrp_rating_result]

The purpose of this innovation was to develop a novel approach to continuous program evaluation and improvement using a multisource feedback design to improve resident satisfaction with the program’s responsiveness to feedback while addressing the ACGME mandate for self-study.

Innovations Administration

Realistic and Inexpensive Ultrasound Guided Paracentesis Simulator Using Pork Belly with Skin

Jonathan Kei, MD, MPH^* and Donald P Mebust, MD^*

DOI: https://doi.org/10.21980/J8NK9RIssue 3:3[mrp_rating_result]

By the end of this instructional session learners should be able to: 1) Discuss the indications, contraindications, and complications associated with abdominal paracentesis; and 2) competently perform an ultrasound-guided abdominal paracentesis on a simulator and remove fluid.

Abdominal/Gastroenterology Innovations Procedures

Low Cost Task Trainer for Neonatal Umbilical Catheterization

Caitlin Walsh Feeks, DO^* and Linda Fan, MD^*

DOI: https://doi.org/10.21980/J8HW6GIssue 3:3[mrp_rating_result]

By the end of this instructional session learners should: 1) Discuss the indications, contraindications, and complications associated with umbilical catheterization. 2) Competently perform umbilical catheterization on the task trainer. 3) Demonstrate proper securement of the catheter.

Procedures Innovations Pediatrics

A Low Cost Escharotomy Simulation Model for Residency Education

Christopher Sampson, MD^*, Catherine D Parker, MD^*, Edward Burns, MD^{^}, Marty Ruyan, BSN, RN^†, Dena Higbee, EdS^† and Timothy Koboldt, MD^*

DOI: https://doi.org/10.21980/J8D34V Issue 3:3[mrp_rating_result]

By the end of this educational session, the learner will be able to: 1) Understand the indications for an escharotomy. 2) List equipment needed to perform an escharotomy. 3) Demonstrate how to perform an escharotomy. 4) Perform an escharotomy and experience the sensation of cutting through simulated burned tissue. 5) Understand post-escharotomy management and referral to specialist.

Procedures Innovations Trauma