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[mrp_rating_result]
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.
EMSCurriculumSimulation

Thyroid Storm

Natalie Ferretti, MD* and Jennifer Yee, DO*

DOI: https://doi.org/10.21980/J8XD03Issue 4:3[mrp_rating_result]
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.
EndocrineSimulation

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[mrp_rating_result]
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.
EMSSimulation

Post-Termination Hemorrhage

Nichole Niknafs, DO* and Alisa Wray, MD^

DOI: https://doi.org/10.21980/J8NW6Q Issue 4:3[mrp_rating_result]
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/GynSimulation

Thyroid Storm in the Emergency Department

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

DOI: https://doi.org/10.21980/J8234RIssue 4:3[mrp_rating_result]
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.
EndocrineSimulation

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[mrp_rating_result]
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.
NeurologySimulation

Ethylene Glycol Ingestion

Matthew Schwab, MD* and Jennifer Yee, DO*

DOI: https://doi.org/10.21980/J8M620Issue 4:2[mrp_rating_result]
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).
SimulationToxicology

A Simulation-Based Curriculum for the Development of Leadership and Communication Skills for Emergency Medicine Residents

Rachel Thorpe, MD*, Renee H Connolly, PhD^ and Christopher Gainey, MD*

DOI: https://doi.org/10.21980/J8R33KIssue 4:1[mrp_rating_result]
This educational intervention was developed to provide physician learners a safe learning environment to practice critical leadership skills, including overcoming team member limitations, navigating power struggles, addressing team morale, and managing disruptive team members.
Miscellaneous (stats, etc)CurriculaSimulation