Procedures

Improving Emergency Department Airway Preparedness in the Era of COVID-19: An Interprofessional, In Situ Simulation

Keiran J Warner, MD*, Ashley C Rider, MD*, James Marvel, MD*, Michael A Gisondi, MD*, Kimberly Schertzer, MD* and Kelly N Roszczynialski, MD, MS*

DOI: https://doi.org/10.21980/J8V06M Issue 5:3[mrp_rating_result]
At the conclusion of the simulation session, learners will be able to: 1) Understand the need to notify team members of a planned COVID intubation including: physician, respiratory therapist, pharmacist, nurse(s), and ED technician. 2) Distinguish between in-room and out-of-room personnel during high-risk aerosolizing procedures. 3) Distinguish between in-room and out-of-room equipment during high-risk aerosolizing procedures to minimize contamination. 4) Appropriately select oxygenation therapies and avoid high-risk aerosolizing procedures. 5) Manage high risk scenarios such as hypotension or failed intubation and be prepared to give push-dose vasoactive medications or place a rescue device such as an I-gel®.
Infectious DiseaseProceduresRespiratorySimulation

Low Fidelity Trainer for Fiberoptic Scope Use in the Emergency Department

Garren Giles, DO*, Dominic Diprinzio, DO* and Jordana Haber, MD*

DOI: https://doi.org/10.21980/J8764B Issue 5:3[mrp_rating_result]
By the end of this training session, learners will be able to 1) list indications, contraindication, and complications in performing fiberoptic intubations, 2) know how to use and maneuver a fiberoptic scope, and 3) be able to successfully intubate the trainer model.
ProceduresInnovationsRespiratory

An Innovative Inexpensive Portable Pulmonary Edema Intubation Simulator

Joshua D Mastenbrook, MD*, Neil C Hughes, MD^, William D Fales, MD* and David T Overton, MD*

DOI: https://doi.org/10.21980/J8MM1R Issue 5:2[mrp_rating_result]
By the end of the session, learners will be able to: 1. Discuss the pathophysiology of, and immediate stabilization management steps for, acute cardiogenic pulmonary edema. 2. List the indications, contraindications, and risks associated with intubating a patient with acute cardiogenic pulmonary edema. 3. Demonstrate effective communication and teamwork skills to manage the airway of a simulated patient in respiratory distress due to acute cardiogenic pulmonary edema. 4. Successfully and safely intubate a simulated patient with a difficult airway due to visual obstruction from frothy pulmonary edema secretions.
ProceduresInnovationsRespiratory

Innovations in Airway Education: 3D Printed Neonatal and Pediatric Needle Cricothyrotomy Trainers

Zachary Hampton, DO*, Alex Davis, DO* and Andrew Kalnow, DO*

DOI: https://doi.org/10.21980/J8R928 Issue 5:2[mrp_rating_result]
By the end of this educational session, participants should be able to: 1) discuss indications and contraindications for needle cricothyrotomy in the pediatric population; 2) assemble the equipment needed to complete a needle cricothyrotomy; 3) describe and perform the steps of neonatal and pediatric needle cricothyrotomy; 4) discuss post-procedure ventilation options.     
ProceduresInnovationsPediatrics

Peritonsillar Abscess Model for Ultrasound Diagnosis Using Inexpensive Materials

Mustafa N Rasheed, BS*, Keel E Coleman, MD* and Timothy J Fortuna, MD*

DOI: https://doi.org/10.21980/J86G9P Issue 5:1[mrp_rating_result]
By the end of this instructional session learners should be able to: 1) identify and discuss the indications, contraindications, and complications associated with peritonsillar abscesses, 2) properly identify and measure a PTA through ultrasound, and 3) competently perform ultrasound-guided peritonsillar abscess drainage on a simulator and remove fluid.
ENTInfectious DiseaseInnovationsProcedures
Creative Commons images

The Eyes Have It: A Low-Cost Model for Corneal Foreign Body Removal Training

Tabitha Ford, MD*, Megan L Fix, MD*, Troy E Madsen, MD* and Susan Stroud, MD*

DOI: https://doi.org/10.21980/J82S85 Issue 5:1[mrp_rating_result]
ABSTRACT: Audience: This corneal foreign body simulator is designed to instruct junior emergency medicine (EM) residents and medical students with an interest in emergency medicine. Introduction: Eye complaints are common in the emergency department (ED), accounting for approximately 2 million ED visits each year.1 Corneal foreign bodies (CFB) account for approximately 7.5% of these presentations, and many EM providers are
OphthalmologyInnovationsProcedures

A Comprehensive Course for Teaching Emergency Cricothyrotomy

Brandon Backlund, MD*, Richard Utarnachitt, MD*, Joshua Jauregui, MD* and Taketo Watase, MD*

DOI: https://doi.org/10.21980/J8JS9W Issue 5:1[mrp_rating_result]
After completing this activity, the learner will be able to: 1) correctly describe the indications for and contraindications to emergency cricothyrotomy; 2) correctly describe and identify on the simulator the anatomic landmarks involved in emergency cricothyrotomy; 3) correctly list the required equipment and the sequence of the steps for the “standard” and “minimalist” variations of the procedure; 4) demonstrate proper technique when performing a cricothyrotomy on the simulator without prompts or pauses.
ProceduresRespiratorySmall Group Learning
Creative Commons images

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.
ProceduresCardiology/VascularInnovations