JETem - Journal of Education and Teaching Emergency Medicine

Latest Articles

Teaching about the Wild: A Survival Course as a Novel Resident Educational Experience

Geoffrey Comp, DO^*, Rachel Munn, DO^{^}, Renee Moffitt, DO^† and Eric Cortez, MD^{^^}

DOI: https://doi.org/10.21980/J8N06RIssue 6:2 No ratings yet.

By the end of the session the learner will be able to: 1) differentiate at least three different methods for water purification 2) describe how to erect a temporary survival shelter 3) construct a survival pack for personal use emphasizing multi-use items 4) demonstrate how to make a fire without a direct flame supply.

Small Group Learning Wilderness

Escape the EM Boards: Interactive Virtual Escape Room for GI Board Review

Megan Gillespie, DO^*

DOI: https://doi.org/10.21980/J8H63FIssue 6:2 No ratings yet.

By the end of this didactic activity, learners will be able to: 1) identify causes of upper gastrointestinal bleeding; 2) recall test-taking buzzwords for infectious causes of diarrhea; 2) acknowledge the correct hepatitis B titers that correspond with various clinical scenarios; 3) describe the management for alkali caustic ingestions; 4) determine the components of Maddrey Discriminant Function Score, Charcot’s triad, Ranson’s Criteria for Pancreatitis, and Glasgow-Blatchford Score; 5) diagnose specific gastrointestinal diseases from a clinical description; 6) choose the correct gastrointestinal diagnosis based on clinical image findings; 7) demonstrate teamwork in solving problems.

Abdominal/Gastroenterology Small Group Learning

Let’s Escape Didactics: Virtual Escape Room as a Didactic Modality in Residency

Anisha Turner, MD^*, Aleksandr M Tichter, MD, MS^* and M Tyson Pillow, MD, MEd^*

DOI: https://doi.org/10.21980/J8CH2X Issue 6:2 No ratings yet.

By the end of the activity, learners should be able to: 1) identify the hazardous chemicals associated with house fires; 2) classify burn injury according to depth, extent and severity based on established standards; 3) recall the actions to take in response to fire emergencies (R.A.C.E. and P.A.S.S. acronyms); 4) recall key laboratory features of cyanide and carbon monoxide poisonings; 5) identify appropriate management strategies for smoke inhalation injuries; 6) recite the treatment for cyanide and carbon monoxide poisonings; 7) describe the management of the burn injuries; 8) communicate and collaborate as a team to arrive at solutions of problems; 9) display task-switching and leadership skills during exercise; and 10) evaluate virtual escape room experience.

Small Group Learning Toxicology

An Observation Medicine Curriculum for Emergency Medicine Education

Danie Ty, MD^*, Marney Gruber, MD^*, Noah Klein, BS^*, Jeremy Branzetti, MD^*, Matthew Brown, MD^*, Matthew McCarty, MD^*, Tracy Svetcov, MD^*, Barie Miller, MD^*, Maurice Hinson, MD^*, Raj Machhar, MD^*, Sharon Uralil, MD^*, Catherine Capo, MD^*, Yitzchak Weinberger, MD^*, Melanie Raffoul, MD^*, Robert Femia, MD^*, Christopher Caspers, MD^*

DOI: https://doi.org/10.21980/J87P92 Issue 6:2 No ratings yet.

The primary goal of this observation medicine curriculum is to train current EM residents in short-term acute care beyond the initial ED visit. This entails caring for patients from the time of their arrival to the OU to the point when a final disposition from the OU is determined, be it inpatient admission or discharge to home.

Administration Curricula

A Pediatric Emergency Medicine Refresher Course for Generalist Healthcare Providers in Belize: Respiratory Emergencies

Adeola Adekunbi Kosoko, MD^*, Alicia E Genisca, MD^{^}, Marideth Rus, MD^†, Shreya Ramayya^**, Lisa Johnson, MD^{^^} and Joy Mackey, MD^††

DOI: https://doi.org/10.21980/J84063 Issue 6:2 No ratings yet.

This curriculum presents a refresher course in recognizing and stabilizing pediatric acute respiratory complaints for generalist healthcare providers practicing in LMICs. Our goal is to implement this curriculum in the small LMIC of Belize. This module focuses on common respiratory complaints, including asthma, bronchiolitis, pneumonia and acute airway management.

Curricula Respiratory

Point of Care Ultrasound as a Diagnostic Tool to Detect Small Bowel Obstruction in the Emergency Department: A Case Report

Rebecca Nadelman, MD^* and Jesper Aurup, MD^*

DOI: https://doi.org/10.21980/J8XD1G Issue 6:2 No ratings yet.

The ultrasound findings suggestive of small bowel obstruction (SBO) are typically visualized in video; however, certain still images can also demonstrate SBO including greater than three dilated loops of small bowel (>2.5 cm), thickened-walled bowel (>3 mm), visualization of plicae circulares, and extraluminal fluid caused by inflammatory changes along the bowel wall, which are all highly suggestive of SBO.3 In this patient’s case, we were able to visualize several dilated loops of small bowel (red arrow) with oscillating intraluminal contents known as “Whirl Sign.” Additionally, we were able to visualize extraluminal fluid, demonstrated as an anechoic triangular-shaped collection. The characteristic shape of this triangular shaped collection of fluid is known as a “Tanga Sign,” given its name due to way it looks similar to the lower half of a bikini (blue arrow). Tanga sign can occur when the loops of dilated bowel appear prominent in contrast to the inflammatory extraluminal fluid in an SBO. These ultrasound findings were highly concerning for SBO which was later confirmed on CT imaging of the abdomen, which demonstrated SBO with a transition point in the left lower quadrant.

Abdominal/Gastroenterology Visual EM