Issue 5:4

Vomiting in Pediatric Patients

Alisa Wray, MD, MAEd^*, Daryn Towle, MD^*, Alexa Lucas, BS^*, Sean Thompson, BS^*, Katie Rebillot, DO^{^} and Nichole Niknafs, DO^†

DOI: https://doi.org/10.21980/J8P363Issue 5:4 No ratings yet.

By the end of this TBL session, learners should be able to: 1) Identify red flag symptoms that should prompt referral for urgent intervention by GI or surgical specialists; 2) recognize how chronicity of the vomiting can alter the differential diagnosis; 3) describe the varying pathways that can cause nausea and vomiting; 4) determine the necessity of imaging tests to confirm and possibly treat various causes of vomiting; 5) interpret imaging studies associated with specific causes of vomiting.

Febrile Seizure Team-based Learning

Mary Jane Piroutek, MD^*

DOI: https://doi.org/10.21980/J8JD12 Issue 5:4 No ratings yet.

By the end of this educational session, the learner will: 1) list the characteristics of a simple febrile seizure; 2) discuss the management of a child with a simple vs. complex febrile seizure; 3) discuss the risk factors that correlate with an increased risk of a subsequent febrile seizure; 4) determine when a lumbar puncture should be considered in a febrile child with a seizure; 5) identify when to give anti-epileptics and construct an algorithm for their use; 6) discuss with parents, provide education and return precautions.

Neurology Team Based Learning (TBL)

What do you do if your relief comes to work intoxicated: An Impaired Provider Scenario

David A Gay, MD^*, Anthony F Steratore, MD^*, Adam Hoffman, CHSE^{^}, Jessica M Neidhardt, MD^*, Courtney A Cundiff, MD^*, Erica B Shaver, MD^*, Autumn Starn Kiefer MD^† and Christopher Stephen Kiefer, MD^*

DOI: https://doi.org/10.21980/J8DM0H Issue 5:4 No ratings yet.

By the end of this simulation, learners will be able to: 1) Identify potential impairment in the form of alcohol intoxication in a physician colleague; 2) demonstrate the ability to communicate effectively with the colleague and remove them from the patient care environment; 3) discuss the appropriate next steps in identifying long-term wellness resources for the impaired colleague; and 4) demonstrate understanding of the need to continue to provide care for the patients by moving the case forward.

Administration Simulation

Extracorporeal Membrane Oxygenation (ECMO) for Refractory Cardiac Arrest

Kevin Hanneken, MD^*, David Gaieski, MD,^*Amrita Vempati, MD^*and Ronald Hall, MD^*

DOI: https://doi.org/10.21980/J88W69 Issue 5:4 No ratings yet.

ABSTRACT: Audience: Our target audience includes emergency medicine residents/physicians. Introduction: Treating cardiac arrest is a common theme during simulated emergency medicine training; however, less time is focused on treating refractory cases of cardiac arrest. There are varying definitions of refractory cardiac arrest, but it is most commonly defined as the inability to obtain return of spontaneous circulation (ROSC) after 10-30

Cardiology/Vascular Simulation

Agitated Psychiatric Patient

Brooke M Pabst, MD^*, Cynthia Leung, MD, PhD^*, Jennifer A Frey, PhD^*and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J85352 Issue 5:4 No ratings yet.

At the conclusion of the simulation session, learners will be able to: 1) Obtain a relevant focused history and physical examination on the agitated psychiatric patient. 2) Develop a differential for the agitated psychiatric patient, including primary psychiatric conditions and other organic pathologies. 3) Discuss the management of the agitated psychiatric patient, including the different options available for chemical sedation. 4) Prioritize safety of self and staff when caring for an agitated psychiatric patient.

Psychiatry Simulation

Cardiac Tamponade

Alan Chu MD^*and Jennifer Yee, DO^*

DOI: https://doi.org/10.21980/J81D1D Issue 5:4 No ratings yet.

By the end of this simulation session, the learner will be able to: (1) describe a diagnostic differential for dizziness (2) describe the pathophysiology of cardiac tamponade (3) describe the acute management of cardiac tamponade, including fluid bolus and pericardiocentesis (4) describe the electrocardiogram (ECG) findings of pericardial effusion (5) describe the ultrasound findings of cardiac tamponade (6) describe the indications for emergent bedside pericardiocentesis versus medical stabilization and delayed pericardiocentesis for cardiac tamponade (7) describe the procedural steps for pericardiocentesis, and (8) describe your state’s laws regarding disclosure for sentinel events.

Cardiology/Vascular Simulation

Owning the Trauma Bay: Teaching Trauma Resuscitation to Emergency Medicine Residents and Nurses through In-situ Simulation

Andrew Bellino, MD^*, Alexandra June Gordon, MD^{^}, Al’ai Alvarez, MD^*and Kimberly Schertzer, MD^*

DOI: https://doi.org/10.21980/J8WK9X Issue 5:4 No ratings yet.

ABSTRACT: Audience: The following two cases were designed to address learning objectives specific to interns, junior residents, and senior residents in emergency medicine, as well as trauma-certified emergency nurses. Introduction: Traumatic and unintentional injuries account for 5.8 million deaths across the globe each year, with a high proportion of those deaths occurring within the initial hour from the time of

Simulation Trauma

Simulated Mass Casualty Incident Triage Exercise for Training Medical Personnel

Alaina Brinley Rajagopal, MD, PhD^*, Nathan Jasperse, BS^* and Megan Boysen Osborn, MD, MHPE^*

DOI: https://doi.org/10.21980/J82H1R Issue 5:4 No ratings yet.

By the end of this exercise, learners should be able to (1) recite the basic START patient categories (2) discuss the physical exam signs associated with each START category, (3) assign roles to medical providers in a mass casualty scenario, (4) accurately categorize patients into triage categories: green, yellow, red, and black, and (5) manage limited resources when demand exceeds availability.

EMS Small Group Learning Trauma

Thyroid Storm

Kathryn Ritter, MD^* and Carmen Wolfe, MD^*

DOI: https://doi.org/10.21980/J8RW71 Issue 5:4 No ratings yet.

At the end of this practice oral boards case, the learner will: 1) assess a patient with altered mental status in an oral boards format; 2) review appropriate laboratory testing and diagnostic imaging; 3) identify signs and symptoms of thyroid storm and 4) review appropriate pharmacologic therapies with the proper sequence and timing.

Endocrine Oral Boards

Necrotizing Fasciitis and Mediastinitis after Wisdom Tooth Extraction: A Case Report

Jennifer Edwards, MD^*, Ryan Fisher, MD^* and Amrita Vempati, MD^*

DOI: https://doi.org/10.21980/J8XW7KIssue 5:4 No ratings yet.

Computer tomography (CT) imaging of soft tissues of the neck and of the chest/abdomen/pelvis revealed extensive swelling and subcutaneous air (see red arrows) on the left side of the face and neck extending to the left shoulder, as well as parapharyngeal/retropharyngeal spaces and posterior/superior mediastinum.

Infectious Disease Visual EM