Archives

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.  
Current IssueInnovationsProceduresRenal/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.
Current IssueInnovationsOphthalmologyProcedures

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.
Current IssueInnovationsOrthopedicsProcedures

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.
Current IssueInnovationsProceduresUltrasound

A Multimodal Approach to Lateral Canthotomy and Cantholysis Training for Emergency Medicine Trainees: A Simulation Training Package

Haris Shoaib, BSc (Hons), MBBS1*, Yunus K Hussain, BSc (Hons), MBBS2*, Shiza Shoaib3, Sulaiman Hussain, BSc (Hons), MBBS4, Haider A Chaudhary, BDS5, Muhammad Subed Ali, MBBS6, Cara Jennings, MBBS7, Tara Smith,MBBS7 

DOI: https://doi.org/10.5070/M5.52351 Issue 11:1[mrp_rating_result]
By the end of this session, learners should be able to: 1) recognize the clinical features of OCS, 2) describe the indications and steps of performing LCC, 3) perform a lateral canthotomy and cantholysis procedure on a low-fidelity model, and 4) demonstrate improved confidence in recognizing and managing OCS.
OphthalmologyProceduresSimulation

A Low-Cost Task Trainer Constructed from Silicone Nipple Covers

Aubrey Bethel, MD* and Vivienne Ng, MD, MPH^

DOI: https://doi.org/10.21980/J8.52244 Issue 10:4[mrp_rating_result]
Educational Objectives: By the end of this training session, learners will be able to anesthetize an abscess, perform incision and drainage, develop manual dexterity maneuvering instruments to break up the abscess, and place packing using both the linear incision and loop techniques.
Infectious DiseaseInnovationsProcedures

Pizza and Paintballs: A Cost-Effective Model for Incision and Drainage Simulation Training

Patrick McNeal, DMSc, PA-C*, Andrea D Boan, PhD, MSCR, MSPAS, PA-C* and Emily Douglas, DMSc, MSPAS, MSc (PH), PA-C*

DOI: https://doi.org/10.21980/J8.52047 Issue 10:4[mrp_rating_result]
Upon completing this lab session, the participant should have the capability to: 1) describe the indications, contraindications, and reasons for performing I&D of an abscess, 2) select the necessary equipment for performing I&D of an abscess, 3) demonstrate the necessary steps for performing an I&D procedure on a simulated abscess.
Infectious DiseaseInnovationsProcedures

Innovative Ultrasound-Guided Erector Spinae Plane Nerve Block Model for Training Emergency Medicine Physicians

Jose Correa Ibarra, MS*, Amelia Crowley, PA-C*, Sydney Hughes Lindros, MS^, Kevin B Walker, MD, FASA*, Caroline Astemborski, MD* and Phillip Moschella, MD, PhD*

DOI: https://doi.org/10.21980/J8PW7DIssue 10:2[mrp_rating_result]
This innovation model is designed to facilitate hands-on training of the ultrasound-guided ESP nerve block using a practical, realistic, and cost-effective ballistics gel model. By the end of this training session, learners should be able to: 1) identify relevant sonoanatomy on the created simulation model; 2) demonstrate proper in-plane technique; and 3) successfully replicate the procedure on a different target on the created training model.
InnovationsProceduresUltrasound