Issue 3:1

An OSCE Evaluation Tool for the Assessment of Emergency Medicine Resident Progression Performance of ACGME Patient Case and Interpersonal Communication Milestones

Miriam Kulkarni, MD*, Tiffany Murano, MD*, Harsh Sule, MD^, Jill Ripper, MD^ and Gregory Suglaski, MD^

DOI: https://doi.org/10.21980/J8J63RIssue 3:1 No ratings yet.
Our goal was to create a standardized OSCE based formative assessment tool that could be deployed with minimal resource utilization. The purpose of our tool is to provide data regarding Emergency Medicine Residents’ performance in ACGME patient care milestones as they progress longitudinally through their residency.
CurriculaMiscellaneous (stats, etc)

A Model Curriculum for an Emergency Medical Services (EMS) Rotation for Emergency Medicine Residents

Michael Mancera, MD*, Aaron Kraut, MD*, Megan Gussick, MD* and Michael Lohmeier, MD*

DOI: https://doi.org/10.21980/J8DD0FIssue 3:1 No ratings yet.
The aim of this curriculum is to provide a robust learning experience for EM residents around prehospital care and EMS that fulfills the ACGME requirements and which can be easily replicated and implemented in a variety of EM residency training programs.
CurriculaEMSSmall Group Learning

Hosting an eConference: Interactive video conference grand rounds between two institutions

Jeffrey Rixe, MD*, Kiersten Carter, MD^, Alexander Y Sheng, MD*, Jordan Spector, MD*, Katie Doering, MD^, Jeffrey Chien, MD^ and Nikita Joshi, MD^

DOI: https://doi.org/10.21980/J88P80Issue 3:1 No ratings yet.
Our objectives were to create and implement a novel virtual conference format through the integration of social media tools which allows for interdisciplinary and multi-site participation to enhance EM resident education. We wish to outline the steps required to reproduce this innovative session and share lessons learned.
InnovationsLectures

A Brief Didactic Intervention to Improve Multiple-Choice Item-Writing Quality

Jonathan S Jones, MD*, Andrew W Phillips, MD, MEd^, Andrew M King, MD†, Molly K Estes, MD**, Lauren W Conlon, MD^^ and Kevin R Scott, MD, MSEd^^

DOI: https://doi.org/10.21980/J81633Issue 3:1 No ratings yet.
The primary objective of this training module is to provide emergency medicine residents and faculty the basic knowledge necessary to write high quality structured single-best answer examination items through a brief, independent study format.
Faculty DevelopmentLectures

Utilizing the Flipped Classroom, Simulation-Based Mastery Learning and Group Learning to Teach and Evaluate Lumbar Puncture Skills

Amanda Crichlow, MD, MSMS*, Jessica Parsons, MD, MSMS*, Varsha Goswami, MD*, Srikala Ponnuru MD* and Sharon Griswold MD, MPH*

DOI: https://doi.org/10.21980/J8RW58 Issue 3:1 No ratings yet.
The goal of the curriculum is to teach and evaluate senior medical students / emergency medicine residents on the performance of a lumbar puncture using a group learning protocol. At the completion of the training session, learners should be able to: 1) Demonstrate how to perform a LP on an adult patient by achieving the minimum passing standard on the checklist, 2) state the indications and contraindications of performing a LP, and 3) state the potential complications that can occur after performing a LP.
ProceduresSimulationSmall Group Learning

The Toxiscape Hunt: An Escape Room-Scavenger Hunt for Toxicology Education

Megan Boysen-Osborn, MD, MHPE*, Sara Paradise, MD* and Jeffrey R Suchard, MD, FACMT*

DOI: https://doi.org/10.21980/J8NW58 Issue 3:1 No ratings yet.
By the end of the activity, learners should be able to: 1) Calculate an anion and osmolal gap. 2) Recognize poisonings amenable to hemodialysis. 3) Interpret EKG changes related to a variety of ingestions, including beta-blockers and calcium channel blockers, digitalis, and tricyclic antidepressants. 4) Recognize poisonous plants and their clinical toxidromes. 5) Calculate loading dose of N-acetylcysteine as antidote for acute acetaminophen ingestion. 6) Collaborate as a team to arrive at solutions of problems. 7) Recognize poisons that have available antidotes 8) Know the clinical effect of various types of snake envenomations. 9) Recognize the toxicity associated with at least four household chemicals. 10) Know the antidotes for six common poisonings.
Small Group LearningToxicology

Severe Sepsis Manifesting as A-Fib with Rapid Ventricular Rate

Paul Nicholson, MD* and Jennifer Yee, DO*

DOI: https://doi.org/10.21980/J8WG9W Issue 3:1 No ratings yet.
By the end of this simulation session, the learner will be able to: 1) Recognize severe sepsis (please note – Centers for Medicare and Medicaid Services (CMS) Sepsis-I and II definitions are used throughout the case, as Sepsis-III has not been adopted by any emergency medicine organizations), 2) recognize atrial fibrillation, 3) review the importance of a thorough history and physical exam, 4) discuss the sepsis spectrum, 5) discuss the acute management of severe sepsis, 6) discuss common and uncommon sources of sepsis, 7) discuss appropriate empiric antibiotic options, 8) discuss common causes of newly-diagnosed atrial fibrillation, 9) review the different emergency medicine-based treatment modalities for uncomplicated atrial fibrillation, specifically atrial fibrillation with rapid ventricular rate.
Infectious DiseaseSimulation

Biceps Tendon Rupture

Daniel M Polvino, MD* and Grant Wei, MD*

DOI: https://doi.org/10.21980/J8RP8B Issue 3:1 No ratings yet.
Physical exam was significant for ecchymosis and mild swelling of the right bicep. When the right arm was flexed at the elbow, a prominent mass was visible and palpable over the right bicep. Right upper extremity strength was 4/5 with flexion at the elbow.
OrthopedicsVisual EM

Hutchinson’s Sign

Lawrence Lau, MD*, Hannah Mirzakhani, BA^ and Nicholas Governatori, MD*

DOI: https://doi.org/10.21980/J8N040 Issue 3:1 No ratings yet.
The unilateral distribution of vesicular lesions over the patient's left naris, cheek, and upper lip are consistent with Herpes zoster reactivation with Hutchinson's sign.  Hutchinson's sign is a herpes zoster vesicle present on the tip or side of the nose.1 It reflects zoster involvement of the 1st branch of the trigeminal nerve, and is concerning for herpes zoster ophthalmicus.1 Herpes zoster vesicles may present as papular lesions or macular vesicles on an erythematous base.2,3 Emergent diagnosis must be made to prevent long-term visual sequelae.4
DermatologyInfectious DiseaseVisual EM

Viridans streptococci Intracranial Abscess Masquerading as Metastatic Disease

Brandon Ruderman, MD*, Traci Thoureen, MD* and Joshua Broder, MD*

DOI: https://doi.org/10.21980/J8CH05 Issue 3:1 No ratings yet.
A non-contrast CT (Figure 1) revealed a large hypoattenuating left parietal lesion. When the CT was enhanced with intravenous contrast (Figure 2), the same lesion showed peripheral rim enhancement, suggestive of a brain abscess.
Infectious DiseaseNeurologyVisual EM