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; and 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.