Procedures

Troubleshooting the Trach: Emergent Tracheostomy & Laryngectomies Modified Team-Based Learning Activity

Caroline Astemborski, MD, MEHP* and Emily Grass, MD, MEHP^

DOI: https://doi.org/10.21980/J8.52033Issue 10:4[mrp_rating_result]
By the end of the session, participants will be able to: identify the major anatomy of tracheostomies and laryngectomies, 2) demonstrate step-by-step management of emergent tracheostomy airways, 3) describe common complications of tracheostomies, 4) understand the management of tracheal innominate artery complication.
ProceduresRespiratoryTeam Based Learning (TBL)

Innovative Ultrasound-Guided Erector Spinae Plane Nerve Block Model for Training Emergency Medicine Physicians

Jose Correa Ibarra, MS*, Amelia Crowley, PA-C*, Sydney Hughes Lindros, MS^, Kevin B Walker, MD, FASA*, Caroline Astemborski, MD* and Phillip Moschella, MD, PhD*

DOI: https://doi.org/10.21980/J8PW7DIssue 10:2[mrp_rating_result]
This innovation model is designed to facilitate hands-on training of the ultrasound-guided ESP nerve block using a practical, realistic, and cost-effective ballistics gel model. By the end of this training session, learners should be able to: 1) identify relevant sonoanatomy on the created simulation model; 2) demonstrate proper in-plane technique; and 3) successfully replicate the procedure on a different target on the created training model.
InnovationsProceduresUltrasound

Orthopaedic Surgery Didactic Session Improves Confidence in Distal Radius Fracture Management by Emergency Medicine Residents

Ian T Watkins, MD*, Jessica L Duggan, MD*, Aron Lechtig, MD*, Andrew Bauder, MD^, Luke He, BS†, Alexy Ilchuk, BS^, Amanda Doodlesack, MD†**, Carl Harper, MD^† and Tamara D Rozental, MD^†

DOI: https://doi.org/10.21980/J8K365 Issue 10:2[mrp_rating_result]
By the end of this didactic session, learners should be able to: 1) assess DRF displacement on pre-reduction radiography and formulate reduction strategies, 2) perform a closed reduction of a DRF, 3) apply a safe and appropriate plaster splint to patient with a DRF and assess the patient’s neurovascular status, 4) assess DRF post-reduction radiography for relative fracture alignment, and 5) understand appropriate follow-up and necessary return precautions. 
OrthopedicsProceduresSmall Group Learning
Screenshot 2025 01 31 at 12.36.15 PM

The Advantage of Using Video Laryngoscope in Puncture and Incisional Drainage of Peritonsillar Abscess: A Case Report

Daisuke Goto, MD*, Jin Takahashi, MD, MPH, PhD* and Hiraku Funakoshi, MD, MPH, PhD*

DOI: https://doi.org/10.21980/J8G935 Issue 10:1[mrp_rating_result]
Incision of the peritonsillar abscess was performed with the assistance of the C-MAC video laryngoscope which provided a clear, illuminated, and unobstructed view of the incision site. Local anesthesia with 1% xylocaine was administered, and the abscess was incised with a scalpel and drained with a forceps.
Visual EMENTProcedures

High-Fidelity Simulation with Transvaginal Ultrasound in the Emergency Department

Levi Filler, DO* and Katrina Lettang, MD*

DOI: https://doi.org/10.21980/J8606Q Issue 9:3[mrp_rating_result]
By the end of the session, learners should be able to 1) recognize the clinical indications for transvaginal ultrasound in the ED, 2) practice the insertion, orientation, and sweeping motions used to perform a TVPOCUS study, 3) interpret transvaginal ultrasound images showing an IUP or alternative pathologies, and 4) understand proper barrier, disinfection, and storage techniques for endocavitary probes.
Ob/GynProceduresSimulation
Subtalar Dislocation. sp manipulation unannotated. JETem 2024

A Case Report of Lateral Subtalar Dislocation: Emergency Medicine Assessment, Management and Disposition

Alexander Maybury, MD* and Taylor Isenberg, DO*

DOI: https://doi.org/10.21980/J8SS8P Issue 9:3[mrp_rating_result]
In a lateral subtalar dislocation, the navicular bone (red bone in 3D anatomy image) and the calcaneus (yellow bone in 3D anatomy image) dislocate laterally in relation to the talus (lavender bone in 3D anatomy image). Plain film oblique and lateral X-rays demonstrate the initial dislocation (talus in red, navicular in blue). It is clear in the initial lateral view that there is loss of the talar/navicular articulation (noted by red arrow). The anterior-posterior x-ray is more challenging to discern the anatomy; however, the talus (red dot) is laterally displaced in comparison to the navicular (blue dot).
Visual EMOrthopedicsProcedures

Modification of an Airway Training Mannequin to Teach Engagement of the Hyoepiglottic Ligament

Richard Tumminello, DO* and Daniel Patino-Calle, MD*

DOI: https://doi.org/10.21980/J8R06P Issue 9:2[mrp_rating_result]
By the end of this education session, participants should be able to: 1) identify relevant airway anatomy during intubation, including base of the tongue, epiglottis, midline vallecular fold, anterior arytenoids; 2) appreciate the value of a stepwise anatomically guided approach to intubation; 3) become familiar with the midline vallecular fold and underlying anatomy, including the hyoepiglottic ligament, and how proper placement of the laryngoscope can result in improved glottic visualization.
InnovationsProceduresRespiratory

A Realistic, Low-Cost Simulated Automated Chest Compression Device

Jessica Joyce, BS*, Elyse Fults, MD^, Julia Rajan, BS†, Alexandra Plezia, MA**,  Carolyn Clayton, MD^ and Sara M Hock, MD^

DOI: https://doi.org/10.21980/J8M63C Issue 9:2[mrp_rating_result]
By the end of this educational session using a resuscitation trainer or high-fidelity manikin, learners should be able to: 1) recognize appropriate application of simulated ACCD to an ongoing resuscitation case; 2) demonstrate proper positioning of simulated ACCD in manikin model and 3) integrate simulated ACCD to provide compressions appropriately throughout cardiac arrest scenario.
Cardiology/VascularInnovationsProcedures