Archives
Dangerous Dysrhythmias in the ED: An Interactive EKG Workshop for Emergency Medicine Clerkship Learners
DOI: https://doi.org/10.5070/M5.52195By the end of this session, learners will be able to: 1) identify common tachyarrhythmias and pulseless rhythms using EKGs, 2) differentiate stable from unstable tachyarrhythmias based on hemodynamics, symptoms, and EKG findings in acutely ill ED patients, 3) apply appropriate critical resuscitative actions to manage stable tachyarrhythmias, unstable tachyarrhythmias, and pulseless rhythms during emergency department resuscitations, in accordance with ACLS (Advanced Cardiopulmonary Life Support) principles, and 4) construct a rapid, ED-focused decision-making algorithm to guide the identification and management of tachyarrhythmias and pulseless rhythms.
ECG Bootcamp – A Novel Emergency Medicine Small Group Session
DOI: https://doi.org/10.5070/M5.52155By the end of this group exercise, learners will be able to: 1) Recognize an emergent ECG that needs action immediately, 2) Demonstrate an understanding of normal vs abnormal pediatric ECGs, 3) Identify ECG manifestations of toxicologic conditions, 4) Describe the key characteristics of an ECG in a patient with a pacemaker and problems thereof, 5) Compare and contrast common ECG findings in patients with certain congenital/hereditary cardiac conditions, 6) Manage a patient presenting in extremis with torsades de pointes in the emergency department.
Procedurepalooza: A Reproducible Workshop to Teach Core Procedures to Preclinical Learners
DOI: https://doi.org/10.5070/M5.53107By the end of the Procedurepalooza instructional session, learners will be able to: 1) recognize appropriate clinical indications for six foundational procedural skills commonly performed in emergency and acute care medicine, including intravenous (IV) placement, suturing, splinting, point-of-care ultrasound, airway management, and electrocardiogram (ECG) interpretation, 2) demonstrate proper technique in each procedure under guided supervision, emphasizing safety and ergonomics, and 3) perform core procedural steps through repeated hands-on practice in a structured small-group environment.
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.