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Improving Emergency Department Airway Preparedness in the Era of COVID-19: An Interprofessional, In Situ Simulation

Keiran J Warner, MD^*, Ashley C Rider, MD^*, James Marvel, MD^*, Michael A Gisondi, MD^*, Kimberly Schertzer, MD^* and Kelly N Roszczynialski, MD, MS^*

DOI: https://doi.org/10.21980/J8V06M Issue 5:3 No ratings yet.

At the conclusion of the simulation session, learners will be able to: 1) Understand the need to notify team members of a planned COVID intubation including: physician, respiratory therapist, pharmacist, nurse(s), and ED technician. 2) Distinguish between in-room and out-of-room personnel during high-risk aerosolizing procedures. 3) Distinguish between in-room and out-of-room equipment during high-risk aerosolizing procedures to minimize contamination. 4) Appropriately select oxygenation therapies and avoid high-risk aerosolizing procedures. 5) Manage high risk scenarios such as hypotension or failed intubation and be prepared to give push-dose vasoactive medications or place a rescue device such as an I-gel®.

Low Fidelity Trainer for Fiberoptic Scope Use in the Emergency Department

Garren Giles, DO^*, Dominic Diprinzio, DO^* and Jordana Haber, MD^*

DOI: https://doi.org/10.21980/J8764B Issue 5:3 No ratings yet.

By the end of this training session, learners will be able to 1) list indications, contraindication, and complications in performing fiberoptic intubations, 2) know how to use and maneuver a fiberoptic scope, and 3) be able to successfully intubate the trainer model.

Procedures Innovations Respiratory

An Innovative Inexpensive Portable Pulmonary Edema Intubation Simulator

Joshua D Mastenbrook, MD^*, Neil C Hughes, MD^{^}, William D Fales, MD^* and David T Overton, MD^*

DOI: https://doi.org/10.21980/J8MM1R Issue 5:2 No ratings yet.

By the end of the session, learners will be able to: 1. Discuss the pathophysiology of, and immediate stabilization management steps for, acute cardiogenic pulmonary edema. 2. List the indications, contraindications, and risks associated with intubating a patient with acute cardiogenic pulmonary edema. 3. Demonstrate effective communication and teamwork skills to manage the airway of a simulated patient in respiratory distress due to acute cardiogenic pulmonary edema. 4. Successfully and safely intubate a simulated patient with a difficult airway due to visual obstruction from frothy pulmonary edema secretions.

Procedures Innovations Respiratory

Innovations in Airway Education: 3D Printed Neonatal and Pediatric Needle Cricothyrotomy Trainers

Zachary Hampton, DO^*, Alex Davis, DO^* and Andrew Kalnow, DO^*

DOI: https://doi.org/10.21980/J8R928 Issue 5:2 No ratings yet.

By the end of this educational session, participants should be able to: 1) discuss indications and contraindications for needle cricothyrotomy in the pediatric population; 2) assemble the equipment needed to complete a needle cricothyrotomy; 3) describe and perform the steps of neonatal and pediatric needle cricothyrotomy; 4) discuss post-procedure ventilation options.

Procedures Innovations Pediatrics

Peritonsillar Abscess Model for Ultrasound Diagnosis Using Inexpensive Materials

Mustafa N Rasheed, BS^*, Keel E Coleman, MD^* and Timothy J Fortuna, MD^*

DOI: https://doi.org/10.21980/J86G9P Issue 5:1 No ratings yet.

By the end of this instructional session learners should be able to: 1) identify and discuss the indications, contraindications, and complications associated with peritonsillar abscesses, 2) properly identify and measure a PTA through ultrasound, and 3) competently perform ultrasound-guided peritonsillar abscess drainage on a simulator and remove fluid.

ENT Infectious Disease Innovations Procedures

The Eyes Have It: A Low-Cost Model for Corneal Foreign Body Removal Training

Tabitha Ford, MD^*, Megan L Fix, MD^*, Troy E Madsen, MD^* and Susan Stroud, MD^*

DOI: https://doi.org/10.21980/J82S85 Issue 5:1 No ratings yet.

ABSTRACT: Audience: This corneal foreign body simulator is designed to instruct junior emergency medicine (EM) residents and medical students with an interest in emergency medicine. Introduction: Eye complaints are common in the emergency department (ED), accounting for approximately 2 million ED visits each year.1 Corneal foreign bodies (CFB) account for approximately 7.5% of these presentations, and many EM providers are

Ophthalmology Innovations Procedures

A Comprehensive Course for Teaching Emergency Cricothyrotomy

Brandon Backlund, MD^*, Richard Utarnachitt, MD^*, Joshua Jauregui, MD^* and Taketo Watase, MD^*

DOI: https://doi.org/10.21980/J8JS9W Issue 5:1 No ratings yet.

After completing this activity, the learner will be able to: 1) correctly describe the indications for and contraindications to emergency cricothyrotomy; 2) correctly describe and identify on the simulator the anatomic landmarks involved in emergency cricothyrotomy; 3) correctly list the required equipment and the sequence of the steps for the “standard” and “minimalist” variations of the procedure; 4) demonstrate proper technique when performing a cricothyrotomy on the simulator without prompts or pauses.

Procedures Respiratory Small Group Learning

A Low-Cost, Reusable Ultrasound Pericardiocentesis Simulation Model

Jonathan dela Cruz, MD^*, Tyler Fulks, MD^*, Mark Baker, MD^*, Jason Kegg, MD^*, Richard Austin, MD^*, Jimmy Jain, MD^*, Michael Boehler, MS^*, Sharon Kim, PhD^{^}, and Cassie Jaeger, PhD^{^}

DOI: https://doi.org/10.21980/J8TD1J Issue 4:4 No ratings yet.

Through the use of this model and skill session, learners will be able to: 1) discuss the indications, contraindications, and complications associated with ultrasound guided pericardiocentesis; 2) demonstrate an ability to obtain subxiphoid and parasternal long views of the heart; 3) demonstrate an ability to identify pericardial fluid in these two views; and 4) demonstrate proper probe and needle placement to successfully perform an ultrasound guided pericardiocentesis in these two views.

Procedures Cardiology/Vascular Innovations

Low-Cost Portable Suction-Assisted Laryngoscopy Airway Decontamination (SALAD) Simulator for Dynamic Emesis

Christopher Scott Sampson, MD^*, Joseph D Pauly,^* and Jordan D Horner, NRP^*

DOI: https://doi.org/10.21980/J8362BIssue 4:2 No ratings yet.

The economic and dynamic SALAD innovation recreates an actively vomiting patient and replicates visual obstruction from fluid contents during airway management.By the end of the session, learners are expected to: 1) discuss the risks, benefits, indications and contraindications associated with intubation of a vomiting or hemorrhaging patient. 2) Work with colleagues to effectively stabilize a patient who is actively vomiting or bleeding during airway management. 3) Competently perform intubation in the acute setting of visual obstruction from active emesis, hemorrhage, or massive regurgitation. 4) Increase speed and dexterity of intubation by applying the SALAD method when fluid obstructs visualization of the larynx.

Procedures Innovations

Pediatric Sedation for Forearm Fracture

Nichole Niknafs, DO^* and Alisa Wray, MD, MAEd^{^}

DOI: https://doi.org/10.21980/J8CS7K Issue 4:1 No ratings yet.

At the end of this simulation, participants will: 1) review options for pain control in pediatric patients, 2) perform a pre-sedation history and physical exam, 3) review the indications and contraindications for pediatric moderate sedation, 4) understand components of consent, and get consent from the patient’s parent, 5) list medication options for moderate sedation in a pediatric patient and review their appropriate doses, indications, contraindications, and side effects, 6) discuss management of moderate sedation complications, and 7) review criteria for discharging a patient after sedation.

Pediatrics Orthopedics Procedures

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