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 No ratings yet.

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 No ratings yet.

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 No ratings yet.

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 No ratings yet.

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 No ratings yet.

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 No ratings yet.

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

The Use of a Social Media Based Curriculum for Newly Matched Interns Transitioning into Emergency Medicine Residency

Joel C Park, MD^*, Miriam Kulkarni, MD^* and Mary McLean, MD^*

DOI: https://doi.org/10.21980/J8F92GIssue 3:2 No ratings yet.

This curriculum is designed to bridge this gap by fostering an environment in which incoming interns can communicate, collaborate, and practice clinical reasoning with each other and faculty prior to their arrival in residency. The goals and objectives were tailored to the Accreditation Council for Graduate Medical Education (ACGME) level 1 milestones in patient care. 1) Interpret basic ECGs; 2) Demonstrate ability to interpret basic radiographs; 3) Identify common visual diagnoses; 4) Identify common neurological emergencies on head imaging; 5) Recognize basic airway anatomy; 6) Demonstrate successful application of FOAMed resources to clinical cases; 7) Interpret common ultrasound images; 8) Describe common ED procedures; 9) Demonstrate fundamental knowledge of evidence-based medicine and biostatistics

Miscellaneous (stats, etc)Innovations

Hosting an eConference: Interactive video conference grand rounds between two institutions

Jeffrey Rixe, MD^*, Kiersten Carter, MD^{^}, Alexander Y Sheng, MD^*, Jordan Spector, MD^*, Katie Doering, MD^{^}, Jeffrey Chien, MD^{^} and Nikita Joshi, MD^{^}

DOI: https://doi.org/10.21980/J88P80Issue 3:1 No ratings yet.

Our objectives were to create and implement a novel virtual conference format through the integration of social media tools which allows for interdisciplinary and multi-site participation to enhance EM resident education. We wish to outline the steps required to reproduce this innovative session and share lessons learned.

Innovations Lectures

A Simulation Model for Extensor Tendon Repair

Elizabeth Aronstam, DO^* and David T Overton, MD^*

DOI: https://doi.org/10.21980/J8VS7X Issue 2:3 No ratings yet.

By the end of this educational session, the learner will be able to: 1) List the indications for extensor tendon repair in the emergency department, 2) recognize the indications for referral to orthopedic or hand surgery, 3) list the risks and benefits of emergency department extensor tendon repair, 4) perform an appropriate physical examination for a patient with a potential extensor tendon laceration, 5) list the maximum time limit of tourniquet application for this procedure, 6) list the materials needed for extensor tendon repair in the emergency department, 7) successfully repair a completely severed extensor tendon using four different techniques: horizontal mattress, figure of eight, modified Kessler and modified Bunnell, and 8) describe the appropriate splinting of a repaired extensor tendon.

Procedures Innovations Orthopedics

Realistic Chest Tube Simulator Using Pork Belly with Skin

Donald Patrick Mebust, MD^* and Jonathan Kei, MD^*

DOI: https://doi.org/10.21980/J8R03J Issue 2:3 No ratings yet.

By the end of this instructional session learners will be able to: 1) discuss the indications, contraindications, and complications associated with chest tube thoracostomy, 2) competently perform chest tube insertion on a simulator, and 3) properly secure chest tube.

Procedures Innovations Respiratory Trauma