Issue 4:4

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.

ECG Stampede

Benjamin L Cooper, MD^*, Jonathan A Giordano, DO^*, Catherine E Reynolds, MD^*, and Tom T Fadial, MD^*

DOI: https://doi.org/10.21980/J8PP93 Issue 4:4 No ratings yet.

ECG Stampede is a unique educational program comprised of a comprehensive, video-based curriculum with accompanying student and instructor guides. ECG Stampede also features an engaging game accessible via modern browsers and dedicated mobile applications for iOS and Android devices. The gamified model presents learners with a batch of ECGs for which they must assign one of four triage acuities.

Cardiology/Vascular Innovations

Status Asthmaticus

Reid Honda, MD^* and C Eric McCoy, MD, MPH^*

DOI: https://doi.org/10.21980/J8JW6S Issue 4:4 No ratings yet.

At the end of this case, the learners should be able to diagnose an asthma exacerbation, provide the appropriate medications, determine when intubation is necessary, and describe the general principles of ventilator management in an asthmatic patient.

Respiratory Simulation

Emergency Medicine Curriculum Utilizing the Flipped Classroom Method: Pulmonary Emergencies

Lauren D Branditz, MD^*, Andrew King, MD^*, Colin Kaide, MD^*, Jennifer Mitzman, MD^{*^}, Benjamin Ostro, MD^*, Daniel R Martin, MD, MBA^*, Nicholas Kman, MD^*, David Bahner, MD^*, Howard Werman, MD^*, Tatiana Thema, MD^* and Michael Barrie, MD^*

DOI: https://doi.org/10.21980/J8F646Issue 4:4 No ratings yet.

The educational strategies used in this curriculum include small group case-based modules authored by education faculty and content experts based on the core emergency medicine content outlined in the ABEM Model EM curriculum. The Socratic method, used during small group sessions, encourages active participation; small groups also focus on the synthesis and application of knowledge through the discussion of clinical experiences. The use of free open access medical education (FOAM) resources allows learners to work at their own pace and maximize autonomy. Learners are encouraged to use such resources for preparation prior to small group sessions, and also to review and help solidify important points after the conclusion of in-person discussions.

Respiratory Curriculum

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

Cynthia G Leung, MD, PhD^*, Michael G Barrie, MD^*, Jillian McGrath, MD^*, Andrew King, MD^*, Daniel Bachmann, MD^*, Colin Kaide, MD^*, Alan Chu, MD^* and Matthew Malone, MD^*

DOI: https://doi.org/10.21980/J89H0JIssue 4:4 No ratings yet.

We aim to teach the presentation and management of cardiovascular 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.

Neurology Curriculum

Resuscitation Rotation: A Novel Emergency Medicine Rotation to Augment Resuscitative Training

Michael J Burla, DO^{*^}, Kelly N Sawyer, MD^†, MSc, Robert A Swor, DO^{*^} and David A Berger, MD^{*^}

DOI: https://doi.org/10.21980/J85P9FIssue 4:4 No ratings yet.

Our goal is to augment resuscitative education in the ED in order to improve resident skill, confidence, and knowledge of resuscitative treatments.

Curriculum

A Simulation-Based Course for Prehospital Providers in a Developing Emergency Medical Response System

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

DOI: https://doi.org/10.21980/J82053Issue 4:4 No ratings yet.

This curriculum presents a refresher course in recognizing and stabilizing an acutely ill patient for prehospital providers practicing in a low/middle-income developing EMS system.

EMS Curriculum Simulation

Open Subtalar Dislocation

Devan Pandya, MD^* and Joseph Fargusson, MD^*

DOI: https://doi.org/10.21980/J87P8PIssue 4:4 No ratings yet.

X-ray of the left ankle revealed a complete dislocation of the subtalar joint with medial dislocation of the calcaneus (outlined in orange) relative to the talus (outlined in red) with subcutaneous air noted in the lateral soft tissues (blue arrows in Figure 1). The talonavicular joint has also been disrupted (navicular outlined in blue). There was no evidence of fracture. Post-reduction computed tomography of the left lower extremity confirmed no evidence of associated fracture.

Orthopedics Visual EM

Atypical Presentation of Abdominal Aortic Aneurysm

Michael Rohinton Mirza, MD^* and Christopher Bryczkowski, MD^*

DOI: https://doi.org/10.21980/J82W6F Issue 4:4 No ratings yet.

Bedside ultrasound revealed an abdominal aortic aneurysm (AAA) with concern for dissection vs thrombus/hematoma due to an area of echogenicity within the lumen of the vessel, since normal blood vessels (including the aorta) have lumens that are uniformly anechoic. An intimal flap concerning for dissection appears as a hyperechoic stripe within the lumen of the vessel on ultrasound, often with a hypoechoic and/or anechoic area appreciated underneath the flap, indicating a separate area of blood flow. If this visualized area is of significant size, color doppler can be used to confirm blood flow on both sides of the flap. Given his bedside ultrasound findings, the patient underwent emergent computed tomography scan and was found to have an enlarged infrarenal abdominal aortic aneurysm, with acute intramural hematoma, extending into bilateral common iliac arteries.

Cardiology/Vascular Visual EM

Thoracic Aortic Aneurysm Measured by Point of Care Ultrasound Suprasternal Notch View

Hamid Ehsani-Nia, DO^* and Christopher Bryczkowski, MD^*

DOI: https://doi.org/10.21980/J8Z64V Issue 4:4 No ratings yet.

Point-of-care cardiac echocardiogram demonstrated a dilated ascending aorta (illustrated in red) measuring approximately 4 cm in the parasternal long axis (PLAX). A dilated aortic arch (illustrated in green) also measuring approximately 4 cm was appreciated using the suprasternal notch view (SSNV). A follow-up computed tomography angiogram (CTA) was performed, validating bedside ultrasound measurements.

Uncategorized Cardiology/Vascular Visual EM