Simulation
Awaiting Stress: An Interprofessional In-situ Simulation to Optimize Team Management of Cardiac Arrest in an Emergency Department Observation Unit
DOI: https://doi.org/10.5070/M5.52393By the end of this simulation session, learners will be able to: 1) prioritize and coordinate team-based tasks within the CDU environment upon recognizing patient decompensation and cardiac arrest, 2) optimize clinical decision unit (CDU) team member roles and interprofessional communication, 3) adapt resuscitation principles in the resource-variable setting of a CDU to manage a critically ill patient.
Simulation-Based Interprofessional Didactic for Emergency Management of Snakebites
DOI: https://doi.org/10.5070/M5.61957By the end of the simulation, participants will be able to recognize and appropriately manage neurotoxic snakebite envenomation, including initiating first-line management and toxicology consultation, coordinating antivenom administration, recognizing and treating antivenom-associated anaphylaxis, assessing and managing progressive respiratory failure, demonstrating effective interprofessional communication using TeamSTEPPS principles,4 and coordinating timely consultation, handoff, and disposition with toxicology, pharmacy, and the critical care team.
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.
Car Accident and Respiratory Distress: A Trauma-Based Pneumothorax Simulation Case for Medical Students
DOI: https://doi.org/10.5070/M5.52287By the end of this simulation, learners will be able to: 1) obtain a focused history in the setting of recent motor vehicle accident and respiratory difficulty, 2) identify abnormal respiratory findings consistent with pneumothorax on physical exam, 3) interpret chest x-ray and point-of-care ultrasound to identify the progression of a life-threatening tension pneumothorax,4) assess for potential internal bleeding and hypovolemic shock by integrating imaging findings, vital signs, mental status, and additional components of physical examination, 5) interpret imaging and clinical findings to guide appropriate management decisions, including need for urgent procedural intervention and escalation of care, and 6) deliver a concise oral presentation to an attending physician, including key findings and management plan.
Managing Spontaneous Abortion Hemorrhage: An Adult Simulation Case for Emergency Medicine Residents
DOI: https://doi.org/10.5070/M5.52263By the end of this simulation, learners should be able to: 1) recognize signs of post-abortion hemorrhage, 2) manage hemorrhage using appropriate physical maneuvers, uterotonic medications, and specialist consultation, 3) demonstrate proper placement of a Bakri balloon
Opioid Overdose Simulation in Medical Student Education
DOI: https://doi.org/10.5070/M5.52230By the end of the simulation session, learners will be able to: 1) accurately identify the three key clinical signs of opioid overdose (respiratory depression, pinpoint pupils, unresponsiveness), 2) identify and administer the correct dose and route of Naloxone within five minutes of recognizing an opioid overdose, 3) perform at least two basic life support (BLS) interventions, such as airway management and bag-valve mask ventilation, 4) communicate effectively with team members by providing clear instructions and patient status updates at least three times during the simulation.
A Multimodal Approach to Lateral Canthotomy and Cantholysis Training for Emergency Medicine Trainees: A Simulation Training Package
DOI: https://doi.org/10.5070/M5.52351By the end of this session, learners should be able to: 1) recognize the clinical features of OCS, 2) describe the indications and steps of performing LCC, 3) perform a lateral canthotomy and cantholysis procedure on a low-fidelity model, and 4) demonstrate improved confidence in recognizing and managing OCS.
Abdominal Pain and Vaginal Discharge: An Eye-Opening Simulation Case about Human Trafficking
DOI: https://doi.org/10.21980/J8.52150At the conclusion of this case, learners should be able to: 1) review red flags of identifying victims of human trafficking in healthcare settings, 2) identify common indicators and injuries associated with human trafficking, 3) demonstrate a trauma-informed care approach when interviewing potential victims, 4) list and provide patients with national resources for human trafficking,5) understand federal and state mandatory reporting laws and the role of the healthcare provider, 6) determine best treatment options in patients with limited healthcare access, including counseling on empiric treatment of sexually transmitted infection (STI), 7) review management options for an undesired pregnancy according to local institutional policies and state laws for the senior case.