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/GynSimulation

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.
EMSSimulation

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/VascularPediatricsSimulation

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. 
CurriculaPediatricsSimulation

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 DiseaseNeurologySimulation

Eclampsia

Thomas J Yang, MD*, Rohit B Sangal, MD, MBA* and Lauren W Conlon, MD^

DOI: https://doi.org/10.21980/J8PS8R Issue 6:3[mrp_rating_result]
By the end of this simulation session, learners will be able to: 1) demonstrate care of a gravid patient with altered mental status; 2) demonstrate care of a gravid patient with seizures; 3) recognize care involved in assessment of fetal status; 4) execute appropriate subspecialty consultation; 5) recognize the clinical signs and symptoms of eclampsia; 6) distinguish different treatment options for eclampsia; 7) identify magnesium toxicity and reversal agent; and 8) differentiate the spectrum of preeclampsia.
Ob/GynSimulation

Tracheoinnominate Artery Fistula

Emily M Tarver, MD*, Anna A Lerant, MD, CHSE^, Jeffrey D Orledge, MD*, Benjamin P Stevens, MD‡, and Gina D Jefferson, MD, MPH, FACS‡

DOI: https://doi.org/10.21980/J8K05R Issue 6:3[mrp_rating_result]
By the end of this simulation, learners will be able to: 1) perform a focused history and physical exam on any patient who presents with bleeding from the tracheostomy site, 2) describe the differential diagnosis of bleeding from a tracheostomy site, including a TIAF, 3) demonstrate the stepwise management of bleeding from a suspected TIAF, including cuff hyperinflation and the Utley Maneuver, 4) verify that definitive airway control via endotracheal intubation is only feasible in the tracheostomy patient when it is clear, upon history and exam, that the patient can be intubated from above, 5) demonstrate additional critical actions in the management of a patient with a TIAF, including early consultation with otolaryngology and cardiothoracic surgery as well as emergent blood transfusion and activation of a massive transfusion protocol.
ProceduresRespiratorySimulation

Botulism

John Thompson, MD*, Zane Horowitz, MD* and Adam Blumenberg, MD*^

DOI: https://doi.org/10.21980/J8FD0R Issue 6:1[mrp_rating_result]
By the end of this simulation learners will be able to: 1) develop a differential for descending paralysis and recognize the signs and symptoms of botulism; 2) understand the importance of consulting public health authorities to obtain botulinum antitoxin in a timely fashion; 3) recognize that botulism will progress during the time period antitoxin is obtained. Early indications of respiratory compromise are expected to worsen during this time window. Secondary learning objectives include: 4) employ advanced evaluation for neurogenic respiratory failure such as physical examination, negative inspiratory force (NIF), forced vital capacity (FVC), and partial pressure of carbon dioxide (pCO2), 5) discuss and review the pathophysiology of botulism, 6) discuss the epidemiology of botulism.
ToxicologyNeurologySimulation