JETem - Journal of Education and Teaching Emergency Medicine

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Pediatric Simulation-Based Prehospital Training Course in Botswana

Nicolaus W Glomb, MD, MPH^*, Marideth C Rus, MD^{^}, Adeola Adekunbi Kosoko, MD^‡, Sharmistha Saha, MD^**, Kristen Murphy, MD^{^}, Cara B Doughty, MD^{^}, Cafen Galapi, RN^{^^}, Bushe Laba, EMT-P^{^^}, and Manish I Shah, MD^{^}

DOI: https://doi.org/10.21980/J8306S Issue 6:3 No ratings yet.

The objective of this educational project was to design, implement, and evaluate a curriculum relevant to an EMS system based in a LMIC, so that it could be a basis for curricula for use in similar contexts. The educational goal is to improve prehospital providers performance in common pediatric resuscitations.

Modified Manikin for Tracheoinnominate Artery Fistula

Emily M Tarver, MD^*, Gina D Jefferson, MD, MPH^{^}, Patrick Parker^‡, Kristina Readman^‡, Susana M Salazar Marocho, BDS, PhD^** and Anna A Lerant, MD, CHSE^‡^{^^}

DOI: https://doi.org/10.21980/J8Z93H Issue 6:3 No ratings yet.

By the end of this educational session, learners will be able to: 1) perform a focused history and physical exam on any patient who presents with bleeding from the tracheostomy site; 2) describe the differential diagnosis of bleeding from a tracheostomy site, including a TIAF; 3) demonstrate the stepwise management of bleeding from a suspected TIAF, including cuff hyperinflation and the Utley Maneuver; 4) verify that definitive airway control via endotracheal intubation is only feasible in the tracheostomy patient when it is clear, upon history and exam, that the patient can be intubated from above; and 5) demonstrate additional critical actions in the management of a patient with a TIAF, including early consultation with otolaryngology and cardiothoracic surgery as well as emergent blood transfusion and activation of a massive transfusion protocol.

Innovations Procedures Respiratory

Meningococcal Meningitis with Waterhouse-Friderichsen Syndrome

Jonathan Kelley, DO^* and Amrita Vempati, MD^*

DOI: https://doi.org/10.21980/J8TH1K Issue 6:3 No ratings yet.

By the end of this simulation session, learners will be able to: (1) manage a patient with altered mental status (AMS) with fever while maintaining a broad differential diagnosis, (2) recognize the risk factors for meningococcal meningitis, (3) manage a patient with worsening shock and perform appropriate resuscitation, (4) develop a differential diagnosis for thrombocytopenia and elevated international normalized ratio (INR) in an altered febrile hypotensive patient with rash, (5) manage the bleeding complications from WFS, (6) discuss the complications of meningococcal meningitis including WFS, and (7) review when meningitis prophylaxis is given.

Infectious Disease Neurology Simulation

Eclampsia

Thomas J Yang, MD^*, Rohit B Sangal, MD, MBA^* and Lauren W Conlon, MD^{^}

DOI: https://doi.org/10.21980/J8PS8R Issue 6:3 No ratings yet.

By the end of this simulation session, learners will be able to: 1) demonstrate care of a gravid patient with altered mental status; 2) demonstrate care of a gravid patient with seizures; 3) recognize care involved in assessment of fetal status; 4) execute appropriate subspecialty consultation; 5) recognize the clinical signs and symptoms of eclampsia; 6) distinguish different treatment options for eclampsia; 7) identify magnesium toxicity and reversal agent; and 8) differentiate the spectrum of preeclampsia.

Ob/Gyn Simulation

Tracheoinnominate Artery Fistula

Emily M Tarver, MD^*, Anna A Lerant, MD, CHSE^{^}, Jeffrey D Orledge, MD^*, Benjamin P Stevens, MD^‡, and Gina D Jefferson, MD, MPH, FACS^‡

DOI: https://doi.org/10.21980/J8K05R Issue 6:3 No ratings yet.

By the end of this simulation, learners will be able to: 1) perform a focused history and physical exam on any patient who presents with bleeding from the tracheostomy site, 2) describe the differential diagnosis of bleeding from a tracheostomy site, including a TIAF, 3) demonstrate the stepwise management of bleeding from a suspected TIAF, including cuff hyperinflation and the Utley Maneuver, 4) verify that definitive airway control via endotracheal intubation is only feasible in the tracheostomy patient when it is clear, upon history and exam, that the patient can be intubated from above, 5) demonstrate additional critical actions in the management of a patient with a TIAF, including early consultation with otolaryngology and cardiothoracic surgery as well as emergent blood transfusion and activation of a massive transfusion protocol.

Procedures Respiratory Simulation

A Case Report of Glycogenic Hepatopathy

Dane Brown, MD^* and Theresa Mead, DO, RDMS^*

DOI: https://doi.org/10.21980/J8SQ0Z Issue 6:3 No ratings yet.

The ultrasound images reveal hepatomegaly and an increased echogenicity of the liver parenchyma that is diffuse. The increased echogenicity can be best appreciated by a comparison to surrounding structures. It is important to note that the increased echogenicity is non-focal and consistent throughout the entire liver in multiple views. These findings can be consistent with nonalcoholic steatohepatitis as well as glycogenic hepatopathy.

Endocrine Visual EM