Archives
VP Shunt Malfunction Simulation Case for Emergency Medicine Residents
DOI: https://doi.org/10.5070/M5.52255The objective of this simulated case is to increase learner knowledge and develop the skills necessary to troubleshoot VP shunt malfunction. By the end of this simulation, learners should be able to: 1) review pertinent historical and physical exam points for a shunt patient, 2) recognize the signs and symptoms of VP shunt malfunction, 3) review an algorithm for diagnosing VP shunt malfunction, 4) discuss treatment for common complications of VP shunt dysfunction, and 5) recall the indications for an emergent VP shunt tap.
Car Accident and Respiratory Distress: A Trauma-Based Pneumothorax Simulation Case for Medical Students
DOI: https://doi.org/10.5070/M5.52287By the end of this simulation, learners will be able to: 1) obtain a focused history in the setting of recent motor vehicle accident and respiratory difficulty, 2) identify abnormal respiratory findings consistent with pneumothorax on physical exam, 3) interpret chest x-ray and point-of-care ultrasound to identify the progression of a life-threatening tension pneumothorax,4) assess for potential internal bleeding and hypovolemic shock by integrating imaging findings, vital signs, mental status, and additional components of physical examination, 5) interpret imaging and clinical findings to guide appropriate management decisions, including need for urgent procedural intervention and escalation of care, and 6) deliver a concise oral presentation to an attending physician, including key findings and management plan.
Managing Spontaneous Abortion Hemorrhage: An Adult Simulation Case for Emergency Medicine Residents
DOI: https://doi.org/10.5070/M5.52263By the end of this simulation, learners should be able to: 1) recognize signs of post-abortion hemorrhage, 2) manage hemorrhage using appropriate physical maneuvers, uterotonic medications, and specialist consultation, 3) demonstrate proper placement of a Bakri balloon
Pediatric Difficult Airway Simulation Day
DOI: https://doi.org/10.5070/M5.52208The 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.
Opioid Overdose Simulation in Medical Student Education
DOI: https://doi.org/10.5070/M5.52230By 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.
Abdominal Pain and Vaginal Discharge: An Eye-Opening Simulation Case about Human Trafficking
DOI: https://doi.org/10.21980/J8.52150At 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.
Trauma and Hyperthermia
DOI: https://doi.org/10.21980/J8.52308By 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.
Critical Care Transport: Blunt Polytrauma in Pregnancy
DOI: https://doi.org/10.21980/J81366At 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.