Simulation

Pulseless Electrical Activity Cardiac Arrest

Erik Sembroski, MD^*, Christopher M McDowell, MD^{^} and Matthew M Mannion, BA^{^}

DOI: https://doi.org/10.21980/J8Z055 Issue 5:1 No ratings yet.

After competing this simulation-based session, the learner will be able to: 1) Identify PEA arrest; 2) review the ACLS commonly recognized PEA arrest etiologies via the H &T mnemonic; 3) review and discuss the risks and benefits of tissue plasminogen activator (tPA) for massive PE.

Spinal Epidural Abscess

Christine T Luo, MD, PhD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8T938 Issue 5:1 No ratings yet.

After this simulation case, learners will be able to diagnose and manage patients with spinal epidural abscesses. Specifically, learners will be able to: 1) Obtain a detailed history, including past infectious, surgical, procedural and social history to evaluate for epidural abscess risk factors; 2) describe clinical signs and symptoms of spinal epidural abscesses and understand that initial clinical presentations can be variable; 3) perform a focused neurological exam including evaluation of motor, sensory, reflexes, and rectal tone; 4) order appropriate laboratory testing and imaging modalities for spinal epidural abscess diagnosis, including a post-void bladder residual volume; 5) select appropriate antibiotics for empiric treatment of spinal epidural abscess depending on patient presentation; 6) disposition the patient to appropriate inpatient care.

Infectious Disease Orthopedics Simulation

Status Asthmaticus

Reid Honda, MD^* and C Eric McCoy, MD, MPH^*

DOI: https://doi.org/10.21980/J8JW6S Issue 4:4 No ratings yet.

At the end of this case, the learners should be able to diagnose an asthma exacerbation, provide the appropriate medications, determine when intubation is necessary, and describe the general principles of ventilator management in an asthmatic patient.

Respiratory Simulation

A Simulation-Based Course for Prehospital Providers in a Developing Emergency Medical Response System

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

DOI: https://doi.org/10.21980/J82053Issue 4:4 No ratings yet.

This curriculum presents a refresher course in recognizing and stabilizing an acutely ill patient for prehospital providers practicing in a low/middle-income developing EMS system.

EMS Curriculum Simulation

Thyroid Storm

Natalie Ferretti, MD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8XD03Issue 4:3 No ratings yet.

By the end of this simulation session, the learner will be able to: 1) understand the essential physical exam components necessary to evaluate for etiologies of acute encephalopathy, 2) review laboratory and imaging studies to obtain for evaluation of acute encephalopathy and/or suspected thyroid storm, as well as the rationale behind ordering each study, 3) identify underlying etiologies or pathologies for developing thyroid storm, 4) discuss treatment for thyroid storm.

Endocrine Simulation

A Simulated Scenario to Improve Communication Skills of Residents Providing Online Medical Command of Emergency Medical Service Providers

Anthony Steratore, MD^*, Erica B Shaver, MD^*, Melinda J Sharon, MPH^*, Adam Hoffman, MCCP^{^}, Peter S Martin, MD^* and Christopher S Kiefer, MD^*

DOI: https://doi.org/10.21980/J8SK8MIssue 4:3 No ratings yet.

By the end of this simulation, learners will be able to: 1) discuss appropriate medical command instructions for pediatric cardiac arrest; 2) describe alternative methods to obtain weight-based dosing of pediatric critical care medications, if Broselow tape is unavailable; 3) identify need for a definitive airway in a pulseless patient without interruption of chest compressions. Identify need for rapid intraosseous access in a pulseless pediatric patient; 4) describe the indications for helicopter transfer in a critically ill child.

EMS Simulation

Post-Termination Hemorrhage

Nichole Niknafs, DO^* and Alisa Wray, MD^{^}

DOI: https://doi.org/10.21980/J8NW6Q Issue 4:3 No ratings yet.

By the end of this simulation, participants will be able to: 1) recognize post-termination hemorrhage and hemorrhagic shock; 2) demonstrate appropriate acute resuscitation for a patient with hemorrhagic shock; 3) review the differential diagnosis for a patient with post-termination hemorrhage; 4) identify the indications for massive transfusion protocol.

Ob/Gyn Simulation

Thyroid Storm in the Emergency Department

Christopher Eric McCoy, MD, MPH^* and Reid Honda, MD^*

DOI: https://doi.org/10.21980/J8234RIssue 4:3 No ratings yet.

By the end of this simulation-based session, the learner will be able to: 1) Recognize the signs and symptoms of thyroid storm and appropriately diagnose a patient with thyroid storm. 2) Choose appropriate medications for the treatment of thyroid storm. 3) Determine the appropriate disposition for a patient presenting in thyroid storm. 4) Discuss the rationale behind each drug used to treat thyroid storm. 5) List at least three precipitants of thyroid storm.

Endocrine Simulation

Acute Ischemic Stroke

Rohit Sangal, MD^*, Gregory Siegel, MD^*, Lauren Conlon, MD^*and Kevin Scott, MD^*

DOI: https://doi.org/10.21980/J8R04XIssue 4:2 No ratings yet.

By the end of this simulation session, learners will be able to: 1) recognize a CVA using the National Institutes of Health Stroke Scale (NIHSS), 2) understand and properly utilize the NIHSS, 3) list appropriate imaging and laboratory orders for a CVA work-up, 4) determine appropriate subspecialty consultation, 5) discuss common stroke syndromes and associated cerebral locations, 6) review indications and contraindications for tissue plasminogen activator (tPA), 7) review hospital specific stroke protocol.

Neurology Simulation

Ethylene Glycol Ingestion

Matthew Schwab, MD^* and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J8M620Issue 4:2 No ratings yet.

By the conclusion of the simulation session, learners will be able to: 1) obtain a thorough toxicologic history, including intent, timing, volume/amount, and assessment for co-ingestions, 2) distinguish the variable clinical signs and symptoms associated with toxic alcohol ingestions, 3) identify metabolic derangements associated with toxic alcohol ingestions, 4) discuss the management of toxic alcohol ingestion, 5) appropriately disposition the patient for admission to intensive care unit (ICU).

Simulation Toxicology