Archives

A Low-Cost Rectal Foreign Body Removal Simulator

Joshua Ginsburg, MD, MHPE*, Vivek Medepalli, MD^, Monique Graf, MD† and Jason Fuller, MD**

DOI: https://doi.org/10.5070/M5.56950 Issue 11:4[mrp_rating_result]
This task trainer is intended to facilitate hands-on training in rectal foreign body removal. By the end of this training session, learners should be able to: 1) describe the indications and contraindications for rectal foreign body removal in the emergency department, and 2) demonstrate the ability to remove rectal foreign bodies of varying sizes, shapes, and depths of insertion using multiple techniques.
Visual EMAbdominal/GastroenterologyCurrent IssueInnovationsProcedures

Priapism got you down? A novel method to build your own moderate fidelity task trainer

Malia J Moore, MD*, Rachell Laughlin, BA, CHSOS^ and Dylan D Cooper, MD^

DOI: https://doi.org/10.5070/M5.52240 Issue 11:4[mrp_rating_result]
By the end of this educational session, participants should be able to: 1) identify indications, contraindications, and potential complications of priapism management, 2) gather appropriate supplies and describe relevant landmarks, anatomy, and patient positioning for management of priapism, 3) demonstrate a dorsal penile nerve block, aspiration of corpus cavernosum, and intracavernosal phenylephrine administration to treat priapism, and 4) develop an approach to manage common pitfalls of priapism care.
Current IssueInnovationsProceduresUrology

Cadaveric Model of Pneumothorax (the GASP model): A Realistic, Reusable and Cost-Effective Simulator for Chest Drainage Training

Thibault Planchamp, MD1,2,3, Audrey Soulet4, Pierre Brouchet, MD5, Romain Vergé, MD4, Axel Rouch, MD4, Juliette Edme, MD6, Amaury de Barros, MD1,7, Mathieu Moré2, Nathalie Galaup2, Vanessa Danevoy1, Fatima-Zohra Mokrane, MD, PhD3,5, Nicolas Guibert, MD, PhD6, Fanny Vardon, MD, PhD8, Élodie Chantalat, MD, PhD1,9, Thomas Geeraerts, MD, PhD8,10, Guillaume de Bonnecaze, MD, PhD1,3,11, Olivier Abbo, MD, PhD2,10, Charles-Henri Houzé-Cerfon, MD, PhD10,12, Patrick Chaynes, MD, PhD1,7, Luana Carfagna, MD,PhD1,2

DOI: https://doi.org/10.5070/M5.52367 Issue 11:4[mrp_rating_result]
By the end of this educational session using the GASP model, learners should be able to: 1) identify the two main thoracic anatomical landmarks commonly used in clinical practice for CD: the second intercostal space at the midclavicular line, and the fifth intercostal space at the midaxillary line, 2) become familiar with the tactile sensation of palpating the superior border of the rib, a key landmark for directing the chest tube safely and with the correct angulation, 3) mastering the three main techniques of CD: needle decompression, chest tube insertion, and finger thoracostomy, and 4) demonstrate proficiency while performing the procedure within a complex simulation scenario.
Current IssueInnovationsProcedures

Simple Auricular Hematoma (“Cauliflower Ear”) Task Trainer

Laura Bailey, MSN-Ed*, William Shaffer, MS^†, Byron Thatcher, PhD, MSN* and Aubrey Bethel-Schmitz, MD^

DOI: https://doi.org/10.5070/M5.52387 Issue 11:3[mrp_rating_result]
By the end of this session, learners will be able to: 1) identify the landmarks used to drain auricular hematomas, 2) demonstrate the ability to numb, incise, and drain an auricular hematoma, and 3) review methods for applying dressings to auricular hematomas.
ENTInnovations

Stopping Fistula Hemorrhage without Bleeding Time and Money – A Low Cost, Low Resource Hemodialysis Fistula Model for Emergency Medicine Residents

Mary Jordan, MD*, Thomas Yang, MD, MBA, Med, MS^, Michael Collier, CHSOS** and Lacie Bailey, MD, MHPE, MS*

DOI: https://doi.org/10.5070/M5.52204 Issue 11:2[mrp_rating_result]
After using the task trainer bleeding fistula model, learners will be able to: 1) identify vascular access hemorrhage as an emergency presentation in dialysis patients; 2) execute a stepwise approach to manage a bleeding fistula; 3) demonstrate effective hemorrhage control for a patient with uncontrolled bleeding from their fistula, including choice of appropriate suture material and suturing technique; and 4) discuss pitfalls of hemorrhage control in patients with fistulas, including risks of tourniquet use and complications related to clot formation at the fistula site.  
InnovationsProceduresRenal/Electrolytes

OptimEYEzing Emergency Skills: A Novel Model for Ocular Procedural Education for Emergency Medicine Residents

Carrie Maupin, MD, MHPE*, Ambika Anand, MD, MEHP*, Grace Hickam, MD, MEHP*and Stephen Miller, DO*

DOI: https://doi.org/10.5070/M5.52212Issue 11:2[mrp_rating_result]
By the end of this session, learners will be able to: 1) identify signs and symptoms of ocular emergencies, 2) appraise for indications to perform ocular procedures, 3) demonstrate procedural competence in ocular foreign body removal, fluorescein staining, lateral canthotomy, and intraocular pressure (IOP) measurements, 4) relate increased procedural confidence with ocular procedures.
InnovationsOphthalmologyProcedures

Low-Cost, Reusable Fracture Reduction Task Trainer for Distal Radius Fractures

Gabriela Guez, MD * and Stephanie Stapleton, MD*

DOI: https://doi.org/10.5070/M5.52357 Issue 11:2[mrp_rating_result]
Utilizing this task trainer, learners will be able to 1) identify key anatomic structures, 2) distinguish a Colles from a Smith fracture of the radius, 3) understand fracture reduction technique using traction, translation and angulation, 4) appreciate the amount of force required for manipulation of the distal fracture fragment, and 5) gain hands-on practice using a model with similar haptics to bone and soft tissue.
InnovationsOrthopedicsProcedures

A Novel Low-Cost Phantom for Ultrasound-Guided Fascia Iliaca Nerve Blocks

Laura Nolting, MD* and Heather A Brown, MD, MPH*

DOI: https://doi.org/10.5070/M5.52321 Issue 11:2[mrp_rating_result]
By the end of the training session using the FI phantom and bedside ultrasound, learners should be able to: 1) discuss indications, contraindications, and complications of FI blocks; 2) identify anatomy relevant to performing an FI block on ultrasound; and 3) independently perform an FI block or demonstrate proper needle position for FI block on ultrasound of the phantom.
InnovationsProceduresUltrasound