Issue 4:1

Novel Emergency Medicine Curriculum Utilizing Self-Directed Learning and the Flipped Classroom Method: Hematologic/Oncologic Emergencies Small Group Module

Michael G Barrie, MD^*, Chad L Mayer, MD^*, Colin Kaide, MD^*, Emily Kauffman, DO^*, Jennifer Mitzman, MD^*, Matthew Malone, MD^*, Daniel Bachmann, MD^*, Ashish Panchal, MD^*, Howard Werman, MD^*, Benjamin Ostro, MD^* and Andrew King, MD^*

DOI: https://doi.org/10.21980/J8VW56Issue 4:1 No ratings yet.

We aim to teach the presentation and management of psychiatric emergencies through the creation of a flipped classroom design. This unique, innovative curriculum utilizes resources chosen by education faculty and resident learners, study questions, real-life experiences, and small group discussions in place of traditional lectures. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, and improve the educational experience of our residents.

Hematology/Oncology Curricula

A Simulation-Based Curriculum for the Development of Leadership and Communication Skills for Emergency Medicine Residents

Rachel Thorpe, MD^*, Renee H Connolly, PhD^{^} and Christopher Gainey, MD^*

DOI: https://doi.org/10.21980/J8R33KIssue 4:1 No ratings yet.

This educational intervention was developed to provide physician learners a safe learning environment to practice critical leadership skills, including overcoming team member limitations, navigating power struggles, addressing team morale, and managing disruptive team members.

Miscellaneous (stats, etc)Curricula Simulation

Iron Overdose

James Roy Waymack, MD^*, Marit Tweet, MD^* and Richard Austin, MD^*

DOI: https://doi.org/10.21980/J8MD1P Issue 4:1 No ratings yet.

By the end of this oral boards case, learners will: 1) demonstrate evaluation of a patient presenting with toxic ingestion, including obtaining pertinent history, 2) review the signs and symptoms of the different presenting phases of acute iron ingestion, and 3) demonstrate appropriate treatment of iron overdose, namely, iron chelation therapy with deferoxamine.

Toxicology Oral Boards

Implementing the Stop the Bleed Campaign in a University Community

Robert A Katzer, MD, MBA^*, David A Beshai, BS^{^}, Ajeet Pal Bayo Bhatia, BA^{^} and Andre Serop Ksajikian, BA^{^}

DOI: https://doi.org/10.21980/J84D0ZIssue 4:1 No ratings yet.

The main objective is to implement a system to use available resources of the Stop the Bleed campaign to widely educate members of the university community in the utilization of multiple compression techniques including direct pressure, tourniquet application, and wound packing. Additional course objectives include using the Stop the Bleedsm campaign to teach participants how to fit into the emergency response team as the immediate responder and the identification of life-threatening bleeding.

EMS Small Group Learning Trauma

Priapism Team-based Learning

Michael Louthan, BS^*, Mark Jordan, MD^{^}, Faysal Yafi, MD^{^} and Megan Boysen-Osborn, MD, MHPE^*

DOI: https://doi.org/10.21980/J80K9VIssue 4:1 No ratings yet.

The primary goal of this curriculum is to teach EM interns critical thinking; clinical decision making; and presentation, communication, documentation and procedural skills. The secondary goal is to identify interns who might not be performing at the expected level for potential early intervention. In addition, we wanted to ensure that all interns have achieved Level 1 milestones in the patient care, systems-based practices, and interpersonal and communication competencies.

Genitourinary Team Based Learning (TBL)

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

Out-of-Hospital Delivery of a Live Newborn Requiring Resuscitation

Paul Nicholson, MD^* and Jennifer Yee, DO

DOI: https://doi.org/10.21980/J8834M Issue 4:1 No ratings yet.

By the end of this simulation session, the learner will be able to: 1) perform a neonatal assessment, 2) identify which neonates require resuscitation, 3) understand the principles of neonatal resuscitation, 4) describe proper airway management in neonatal resuscitation, 5) discuss underlying etiologies or pathologies that may lead to a neonate to require resuscitation, and 6) communicate effectively with team members and nursing staff during the resuscitation of a critically ill neonate.

Pediatrics Simulation

Wellens’ Syndrome

Brittany Perry Hoffstatter, DO^* and Brian Walsh, MD^*

DOI: https://doi.org/10.21980/J8FS8KIssue 4:1 No ratings yet.

Initial electrocardiogram (ECG) revealed the classic biphasic T waves in V2 and V3 of Wellen’s syndrome (see red outlines). A second EKG demonstrated an evolving deeply inverted T wave (see blue outlines).

Visual EM Cardiology/Vascular

Arteriovenous Graft Pseudoaneurysm

Erik Madsen, MD^*, Lauren Sylwanowicz, MD^{^} and Alisa Wray, MD, MAEd^{^}

DOI: https://doi.org/10.21980/J8B06ZIssue 4:1 No ratings yet.

A bedside ultrasound of the mass demonstrated a large compressible hypoechoic structure (see purple outline) above the arteriovenous graft (see red outline). The contents demonstrated movement of fluid within the structure. This was confirmed with Doppler mode, which allowed for visualization of flow communicating between the structure and the underlying vessel, which is diagnostic for a pseudoaneurysm.

Visual EM Cardiology/Vascular

Bilateral Shoulder Dislocation after Ski Injury

Alaina Rajagopal, PhD, MD^*, Brian Knight, BS^* and Lance Orr, MD^{^}

DOI: https://doi.org/10.21980/J86929Issue 4:1 No ratings yet.

An anteroposterior chest X-ray demonstrates bilateral shoulder dislocations. Both the right and left humeral heads (blue lines) are displaced medially, anteriorly, and inferiorly from their normal positions in the glenoid fossae (red lines), thus signifying bilateral anterior dislocations. There is also a fracture of the left humeral head at the greater tubercle (green arrow).

Orthopedics Trauma Visual EM