Procedures
A Low-Cost Rectal Foreign Body Removal Simulator
DOI: https://doi.org/10.5070/M5.56950This task trainer is intended to facilitate hands-on training in rectal foreign body removal. By the end of this training session, learners should be able to: 1) describe the indications and contraindications for rectal foreign body removal in the emergency department, and 2) demonstrate the ability to remove rectal foreign bodies of varying sizes, shapes, and depths of insertion using multiple techniques.
Priapism got you down? A novel method to build your own moderate fidelity task trainer
DOI: https://doi.org/10.5070/M5.52240By the end of this educational session, participants should be able to: 1) identify indications, contraindications, and potential complications of priapism management, 2) gather appropriate supplies and describe relevant landmarks, anatomy, and patient positioning for management of priapism, 3) demonstrate a dorsal penile nerve block, aspiration of corpus cavernosum, and intracavernosal phenylephrine administration to treat priapism, and 4) develop an approach to manage common pitfalls of priapism care.
Cadaveric Model of Pneumothorax (the GASP model): A Realistic, Reusable and Cost-Effective Simulator for Chest Drainage Training
DOI: https://doi.org/10.5070/M5.52367By the end of this educational session using the GASP model, learners should be able to: 1) identify the two main thoracic anatomical landmarks commonly used in clinical practice for CD: the second intercostal space at the midclavicular line, and the fifth intercostal space at the midaxillary line, 2) become familiar with the tactile sensation of palpating the superior border of the rib, a key landmark for directing the chest tube safely and with the correct angulation, 3) mastering the three main techniques of CD: needle decompression, chest tube insertion, and finger thoracostomy, and 4) demonstrate proficiency while performing the procedure within a complex simulation scenario.
How to Place a Central Line: Preparing Your Kit & Performing the Procedure
DOI: https://doi.org/10.5070/M5.54074By the end of these videos, learners will be able to:
1. Identify and gather all necessary materials for internal jugular (IJ) CVC placement.
2. Describe the appropriate positioning of the patient, ultrasound machine, and proceduralist for CVC placement.
3. List common complications of IJ CVC placement.
4. Demonstrate sterile field preparation, including donning personal protective equipment (PPE), placing a sterile drape, and placement of a sterile ultrasound probe cover.
5. Perform a proper pre-procedural time-out including at least two patient identifiers and site verification.
6. Prepare and organize CVC kit components for efficient procedural flow.
7. Identify key anatomical landmarks and optimal patient positioning for right IJ CVC placement using ultrasound guidance.
8. Demonstrate stepwise needle insertion with real-time ultrasound visualization to safely cannulate the
internal jugular vein.
9. Verify proper guidewire placement using both short- and long-axis ultrasound views before vessel dilation.
10. Perform safe dilation and catheter advancement using standard procedural technique.
11. Exhibit best-practice behaviors, including port flushing, line securement, and sterile dressing application.
12. Document the procedure and identify post-placement safety steps such as confirmatory chest imaging.
A Rapidly Expanding Neck Mass with Risk of Airway Compromise: A Case Report
DOI: https://doi.org/10.5070/M5.52999Computed tomography (CT) scan of the neck soft tissue with contrast 15 days prior to current presentation demonstrated a centrally necrotic left thyroid mass measuring 10.1 cm and adjacent tumor thrombus within the adjacent left internal jugular vein extending superiorly to level of C1 without intracranial extension. There was regional mass effect with associated mild narrowing of the left common carotid artery and multiple additional lesions in right thyroid lobe, largest 2.9 cm. There was a necrotic left lower cervical lymph node of 1.1 cm with concern for nodal metastasis.
Shockingly Unreliable: A Case Report of Failure of Synchronized Cardioversion Device to Capture, Resulting in Ventricular Fibrillation and Cardiac Arrest
DOI: https://doi.org/10.5070/M5.53094The initial electrocardiogram (ECG) demonstrated wide-complex tachycardia (WCT) at 150 BPM (Pre-Cardioversion ECG).
Procedurepalooza: A Reproducible Workshop to Teach Core Procedures to Preclinical Learners
DOI: https://doi.org/10.5070/M5.53107By the end of the Procedurepalooza instructional session, learners will be able to: 1) recognize appropriate clinical indications for six foundational procedural skills commonly performed in emergency and acute care medicine, including intravenous (IV) placement, suturing, splinting, point-of-care ultrasound, airway management, and electrocardiogram (ECG) interpretation, 2) demonstrate proper technique in each procedure under guided supervision, emphasizing safety and ergonomics, and 3) perform core procedural steps through repeated hands-on practice in a structured small-group environment.
VP Shunt Malfunction Simulation Case for Emergency Medicine Residents
DOI: https://doi.org/10.5070/M5.52255The objective of this simulated case is to increase learner knowledge and develop the skills necessary to troubleshoot VP shunt malfunction. By the end of this simulation, learners should be able to: 1) review pertinent historical and physical exam points for a shunt patient, 2) recognize the signs and symptoms of VP shunt malfunction, 3) review an algorithm for diagnosing VP shunt malfunction, 4) discuss treatment for common complications of VP shunt dysfunction, and 5) recall the indications for an emergent VP shunt tap.