Archives
Escape Intern Orientation! — A Capstone and Team Building Activity for New EM Interns
DOI: https://doi.org/10.5070/M5.52158By the end of this small group exercise, learners will be able to:
1. Identify first, second, and third-degree heart block on a 12-lead ECG.
2. Recognize STEMI pattern on a 12-lead ECG.
3. Categorize appropriate images that make up an EFAST exam for a trauma patient.
4. Recall the proper management of a tension pneumothorax.
5. Identify an organized approach to emergency department rapid-sequence intubation (RSI).
6. Recognize acute otitis media (AOM).
7. Locate the appropriate antibiotic and pediatric dose to treat acute otitis media via the Harriet Lane Handbook.
8. Demonstrate how to apply evidence-based guidelines to a clinical case of neonatal pediatric fever.
9. Recall common clinical findings of basilar skull fracture.
10. Identify important concepts in the management of stroke syndromes.
11. Recognize vital sign abnormalities that could indicate sepsis.
12. Review important concepts related to the management of septic patients.
Enhancing Relationship-Centered Communication and Feedback in Emergency Medicine Through Applied Improvisation (EM-PROV)
DOI: https://doi.org/10.5070/M5.52345By the end of this session, learners will be able to improve relationship-centered communication (RCC): 1) define “yes, and” and its role in RCC, and 2) demonstrate active listening and responsiveness using improvisational techniques such as “yes, and,” gift-giving, establishing scene, and callbacks. They will also be able to improve learner feedback: 1) define “yes, and” and its role in learner feedback, 2) review three evidence-based feedback models through a “yes, and” lens, and 3) practice improv techniques and deliver structured feedback in real-time peer scenarios using improvisational techniques such as “yes, and,” gift-giving, establishing scenes, and callbacks.
Development and Design of a Pediatric Case-Based Virtual Escape Room on Acute Iron Toxicity
DOI: https://doi.org/10.5070/M5.52192By the end of the activity, learners should be able to: 1)recognize the history and clinical presentation of acute iron toxicity; 2) demonstrate knowledge of the necessary workup in suspected iron toxicity; 3) identify the stages of acute iron toxicity; 4) identify management of iron toxicity and its complications; 5) perform appropriate management in the setting of decompensated hemorrhagic shock and hypovolemia; and 6) demonstrate teamwork through communication and collaboration.
Pre-Clinical Case Competition to Assess Confidence in Responding to Select Out-Of-Hospital Medical Emergencies
DOI: https://doi.org/10.5070/M5.52198By the end of this activity, learners will be able to: 1) demonstrate the application of skills in real-life first responder scenarios, including suspected opioid overdose, cardiac arrest, and anaphylaxis; 2) apply knowledge of scene safety and the role of the first responder in various situations; and 3) assess the challenges while applying the skills necessary for collaborative work within a medical team.
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.
Cards Against Pulmonology
DOI: https://doi.org/10.5070/M5.52358By the end of this card game, learners will 1) understand the methods of clinical assessment in thoracic-respiratory related diseases, 2) implement escalating levels of respiratory support for thoracic-respiratory pathology in pediatric and adult patients, 3) review and utilize important medications in the management of thoracic-respiratory diseases, and 4) choose appropriate dispositions of patients with various thoracic-respiratory related complaints.
The EMazing Race: A Novel Gamified Board and Clinical Practice Review for Emergency Medicine Residents
DOI: https://doi.org/10.21980/J8.52075By the end of this 2-hour session, learners will demonstrate their knowledge on the following board-related emergency medicine topics: Ob/GYN – links to 13.7 Complications of Delivery in Core Model of EM 2022, Renal/GU – links to 15.0 Renal and Urogenital Disorders in Core Model of EM 2022 and Splinting – links to 18.1.8.2 Extremity bony trauma, fracture in Core Model of EM 2022.
In Too Deep: A Point-of-Care Ultrasound (POCUS) Escape Room
DOI: https://doi.org/10.21980/J8.52100By the end of this session, the participant will be able to: 1) evaluate and identify the nature of metallic foreign bodies using POCUS; 2) identify common emergency department fractures on X-Ray and identify relevant sonoanatomy for ultrasound-guided regional anesthesia applications relevant to those fractures; and 3) identify normal lower extremity venous POCUS sonoanatomy and demonstrate understanding of proximal versus distal anatomical location within the lower extremity venous system.