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Pediatric Difficult Airway Simulation Day

Sarah Chen, MD*, Abha Athale, DO* and Anne Runkle, MD*^

DOI: https://doi.org/10.5070/M5.52208 Issue 11:1[mrp_rating_result]
The objective of this one-day simulation workshop is to increase learner confidence and skills necessary to perform critical pediatric airway procedures. PEM fellows of all training levels at our institution completed a three-hour “PEM Difficult Airway Day,” which consisted of six 30-minute stations focusing on airway scenarios critical for PEM fellow training: five high- and low-fidelity simulations (premature neonate, inhalational injury, contaminated airway, obese patient, and failed airway) and one discussion-based station on the physiologically difficult intubation. By the end of this workshop, learners will be able to: 1) identify various clinical situations in which a pediatric patient may have a difficult airway, 2) successfully intubate mannequins with simulated difficult airways using direct laryngoscopy (DL), video laryngoscopy (VL), laryngeal mask airway (LMA) placement, bougie-assisted intubation, and a hyper-angulated VL blade, and 3) recognize and describe the management of physiologically difficult airways and failed airways.
Current IssuePediatricsProceduresRespiratory

Opioid Overdose Simulation in Medical Student Education

James Mangano, DO*, Matthew J Sarsfield, MD*, Hannah Charland, MD*, Jennifer Campoli, DO*, Martin Kim, MD* and Amber Gray*

DOI: https://doi.org/10.5070/M5.52230 Issue 11:1[mrp_rating_result]
By the end of the simulation session, learners will be able to: 1) accurately identify the three key clinical signs of opioid overdose (respiratory depression, pinpoint pupils, unresponsiveness), 2) identify and administer the correct dose and route of Naloxone within five minutes of recognizing an opioid overdose, 3) perform at least two basic life support (BLS) interventions, such as airway management and bag-valve mask ventilation, 4) communicate effectively with team members by providing clear instructions and patient status updates at least three times during the simulation.
Current IssueSimulationToxicology

Abdominal Pain and Vaginal Discharge: An Eye-Opening Simulation Case about Human Trafficking

Nicole E Exeni McAmis, MD*^†, Richard S Feinn, PhD**, Monica R Saxena, MD, JD†and Kelly N Roszczynialski, MD, MS†

DOI: https://doi.org/10.21980/J8.52150 Issue 10:4[mrp_rating_result]
At the conclusion of this case, learners should be able to: 1) review red flags of identifying victims of human trafficking in healthcare settings, 2) identify common indicators and injuries associated with human trafficking, 3) demonstrate a trauma-informed care approach when interviewing potential victims, 4) list and provide patients with national resources for human trafficking,5) understand federal and state mandatory reporting laws and the role of the healthcare provider, 6) determine best treatment options in patients with limited healthcare access, including counseling on empiric treatment of sexually transmitted infection (STI), 7) review management options for an undesired pregnancy according to local institutional policies and state laws for the senior case.
Abdominal/GastroenterologySimulationSocial Determinants of Health

Trauma and Hyperthermia

William Webster, MD *, Dallas Beaird, MD^ and Linda L Herman, MD *

DOI: https://doi.org/10.21980/J8.52308 Issue 10:4[mrp_rating_result]
By the end of this oral board session, examinees will be able to:  1) construct a differential to evaluate a patient with undifferentiated altered mental status and trauma, 2) recognize the signs and symptoms of heat stroke, 3) complete an evaluation of a patient with both hyperthermia and trauma, and 4) demonstrate efficient and correct treatment of a patient with hyperthermia. 
SimulationTrauma

Critical Care Transport: Blunt Polytrauma in Pregnancy

Emma Rolf*, Samuel Kefer, MD^, Jennifer Quinn, BSN, RN†, Ryan Newberry, DO^†, Andrew Cathers, MD^†, Craig Tschautscher, MD^ and Brittney Bernardoni, MD^†

DOI: https://doi.org/10.21980/J81366 Issue 10:3[mrp_rating_result]
At the completion of this simulation participants will be able to 1) perform primary and secondary trauma surveys, 2) assess the neurovascular status of a tibia/fibula fracture, 3) appreciate anatomic and physiologic differences in pregnancy, 4) appropriately order analgesia and imaging, 5) recognize and treat hemorrhagic shock, 6) perform an extended focused assessment with sonography in trauma exam (eFAST) in undifferentiated hemorrhage, 7) identify a displaced pelvic fracture and properly apply a pelvic binder, and 8) obtain and interpret fetal heart rate using ultrasound.
EMSOb/GynSimulationTrauma

Beta-Blocker Toxicity

Amrita Vempati, MD *and PJ Greene, MD*

DOI: https://doi.org/10.21980/J8WD3X Issue 10:3[mrp_rating_result]
By the end of the session, learners will be able to: 1) manage a patient with hypotension, and bradycardia while maintaining a broad differential, 2) evaluate the causes of hypotension by utilizing ultrasound, 3) review when to initiate vasopressors and first-line agents for beta-blocker toxicity, 4) discuss treatment algorithm for BB toxicity including high-dose insulin and, 5) discuss the risk factors for suicide
SimulationToxicology

My Broken Heart

Kelly N Roszczynialski, MD, MS*, Alana E Harp, MD^, Cameron A Fisk, MD*,Kristen M Ng, MD, MEHP† and Ashley C Rider, MD, MEHP*

DOI: https://doi.org/10.21980/J85W7RIssue 10:2[mrp_rating_result]
By the end of this simulation session, learners will be able to: 1) assess the hemodynamics of an LVAD patient by using a Doppler to determine mean arterial pressure, 2) Manage an arrhythmia in an LVAD patient with a suction event by addressing preload, 3) Identify and treat the source of hypovolemia (a massive lower gastrointestinal hemorrhage), 4) Perform clear closed-loop communication with other team members.
Cardiology/VascularSimulation

Stabilization of Cardiogenic Shock for Critical Care Transport, a Simulation

Matthew Heffernan, MD*^, Jennifer Quinn, MSN*^, Craig Tschautscher, MD*^, Ryan Newberry, DO*^, Andrew Cathers, MD*^ and Brittney Bernardoni, MD*^

DOI: https://doi.org/10.21980/J82354 Issue 10:2[mrp_rating_result]
ABSTRACT: Audience: This simulation is designed for critical care transport providers but can be easily adapted for the inpatient setting. It is applicable to an interdisciplinary team including nurses, respiratory therapists, medical students, emergency medicine residents, and emergency medicine attendings. Introduction: Cardiogenic shock carries an incredibly high burden of morbidity and mortality.  Acute myocardial infarction accounts for 81% of cardiogenic
Cardiology/VascularEMSSimulation