Simulation

Cyanide Poisoning

Ghadeer Doman, MD^*, Jihad Aoun, MS^{^}, Joshua Truscinski, MS^{^}, Mariah Truscinski, MD^{^} and Shaza Aouthmany, MD^{^}

DOI: https://doi.org/10.21980/J80W76 Issue 7:3[mrp_rating_result]

After the completion of this simulation, participants will have learned how to: 1) identify clues of smoke inhalation based on a physical examination; 2) identify smoke inhalation-induced airway compromise and perform definitive management; 3) create a differential diagnosis for victims of fire cyanide poisoning, carbon monoxide, and carbon dioxide; 4) appropriately treat cyanide poisoning; 5) demonstrate the importance of preemptively treating for cyanide poisoning; 6) perform an initial physical examination and identify physical marks suggesting the patient is a fire and smoke inhalation victim; and 7) familiarize themselves with the Cyanokit and treatment with hydroxocobalamin.

Toxicology Simulation

Aortic Dissection Presenting as a STEMI

Jennifer Yee, DO^* and Andrew P Kendle, MD^*

DOI: https://doi.org/10.21980/J8W647 Issue 7:3[mrp_rating_result]

At the conclusion of the simulation session or during the debriefing session, learners will be able to: 1) Verbalize the anatomical differences and management of Stanford type A and type B aortic dissections, 2) Describe physical exam findings that may be found with ascending aortic dissections, 3) Describe the various clinical manifestations of the propagation of aortic dissections, 4) Discuss the management of aortic dissection, including treatment and disposition.

Cardiology/Vascular Simulation

Breaking Bad News in the Emergency Department

Susan Siraco, BA^*, Cindy Bitter, MD, MPH, MA^{^} and Tina Chen, MD^{^}

DOI: https://doi.org/10.21980/J81W7H Issue 7:2[mrp_rating_result]

At the conclusion of these two simulation cases, learners will be able to 1) recognize signs of poor prognosis requiring emergent family notification, 2) take practical steps to contact family using available resources and personnel, 3) establish goals of care through effective family discussion, 4) use a structured approach, such as GRIEV_ING, to deliver bad news to patients’ families, and 5) name the advantages of family-witnessed resuscitation.

Miscellaneous (stats, etc)Simulation

Infant Botulism

Victoria Morris, MD^*, Robert Wians, MD, MPH^*, Jessica Wilson, MD^* and Gowri Stevens, MD^*

DOI: https://doi.org/10.21980/J8X35W Issue 7:2[mrp_rating_result]

After this simulation learners should be able to: 1) develop a differential diagnosis for the hypotonic infant, 2) recognize signs and symptoms of infant botulism, 3) recognize respiratory failure and secure the airway with appropriate rapid sequence intubation (RSI) medications, 4) initiate definitive treatment of infant botulism by mobilizing resources to obtain antitoxin, 5) continue supportive management and admit the patient to the pediatric intensive care unit (PICU), 6) understand the pathophysiology and epidemiology of infant botulism, 7) develop communication and leadership skills when evaluating and managing critically ill infants.

Pediatrics Simulation Toxicology

Lightning Strike

Thomas Powell, MD^*, Aubri Charnigo, MD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8SD2M Issue 7:2[mrp_rating_result]

At the conclusion of the simulation session, learners will be able to: 1) Describe how to evaluate for scene safety in an outdoor space during a thunderstorm, 2) Obtain a relevant focused physical examination of the lightning strike patient, 3) Describe the various manifestations of thermo-electric injury, 4) Discuss the management of the lightning strike patient, including treatment and disposition, 5) Outline the principles of reverse triage for lightning strike patients, and 6) Describe long-term complications of lightning strike injuries.

Wilderness Simulation

Syncope Due to a Ruptured Ectopic Pregnancy

Derek JC Hunt, DO^*, Kevin McLendon, DO^* and Jodi Conrad, DO^*

DOI: https://doi.org/10.21980/J86M0N Issue 7:1[mrp_rating_result]

At the conclusion of this simulation, the learner will be able to: 1) review the initial management of syncope; 2) utilize laboratory and imaging techniques to diagnose a ruptured ectopic pregnancy; and 3) demonstrate the ability to resuscitate and disposition an unstable ruptured ectopic pregnancy.

Ob/Gyn Simulation

Small-Scale High-Fidelity Simulation for Mass Casualty Incident Readiness

Seanne Facho, MD^*, Andrea Weiers, MD^*, Amber Jones, MD^*, Sage Wexner, MD^* and Jessie Nelson, MD^{^}

DOI: https://doi.org/10.21980/J84S8S Issue 6:4[mrp_rating_result]

The learners will (1) recognize state of mass casualty exercise as evidenced by verbalization or triaging by START (Simple Triage and Rapid Treatment) criteria, (2) triage several patients, including critically ill or peri-arrest acuities, according to START criteria, (3) recognize the need to limit care based on available resources, as evidenced by verbal orders or communication of priorities to team, and (4) limit emergency resuscitation, given limited resources, by only providing treatments and employing diagnostics that do not deplete limited time, staffing, and space inappropriately.

EMS Simulation

Cardiac Arrest in an Adolescent with Pulmonary Embolism

Matthew Myers, DO^* and Courtney Devlin, MD^*

DOI: https://doi.org/10.21980/J8135T Issue 6:4[mrp_rating_result]

ABSTRACT: Audience: The target audience of this simulation is emergency medicine residents and medical students. The simulation is based on a real case of a 13-year-old female who presented with seizures and hypoxia and was ultimately diagnosed with pulmonary embolism. The case highlights diagnosis and management of an adolescent with new onset seizures, deterioration in status, and treatment options in

Cardiology/Vascular Pediatrics Simulation

Pediatric Simulation-Based Prehospital Training Course in Botswana

Nicolaus W Glomb, MD, MPH^*, Marideth C Rus, MD^{^}, Adeola Adekunbi Kosoko, MD^‡, Sharmistha Saha, MD^**, Kristen Murphy, MD^{^}, Cara B Doughty, MD^{^}, Cafen Galapi, RN^{^^}, Bushe Laba, EMT-P^{^^}, and Manish I Shah, MD^{^}

DOI: https://doi.org/10.21980/J8306S Issue 6:3[mrp_rating_result]

The objective of this educational project was to design, implement, and evaluate a curriculum relevant to an EMS system based in a LMIC, so that it could be a basis for curricula for use in similar contexts. The educational goal is to improve prehospital providers performance in common pediatric resuscitations.

Curricula Pediatrics Simulation

Meningococcal Meningitis with Waterhouse-Friderichsen Syndrome

Jonathan Kelley, DO^* and Amrita Vempati, MD^*

DOI: https://doi.org/10.21980/J8TH1K Issue 6:3[mrp_rating_result]

By the end of this simulation session, learners will be able to: (1) manage a patient with altered mental status (AMS) with fever while maintaining a broad differential diagnosis, (2) recognize the risk factors for meningococcal meningitis, (3) manage a patient with worsening shock and perform appropriate resuscitation, (4) develop a differential diagnosis for thrombocytopenia and elevated international normalized ratio (INR) in an altered febrile hypotensive patient with rash, (5) manage the bleeding complications from WFS, (6) discuss the complications of meningococcal meningitis including WFS, and (7) review when meningitis prophylaxis is given.

Infectious Disease Neurology Simulation