- Medical Finals Question Pack: https://geekymedics.com/medical-student-finals-questions/ COVID-19 Screening in the Pediatric Emergency Department. Please try after some time. After the initial treatment is initiated, by showing a simulated urine and blood, and by getting them to smell ketones, we can enable the trainee to confirm the diagnosis of DKA. 3 0 obj Airway adjuncts are often helpful and in some cases essential to maintain a patients airway. These are not learning objectives in this program. The Theory You may be asked to review a patient with DKA due to confusion, reduced level of consciousness, tachycardia, hypotension and/or vomiting. 2008;6:278302. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. Environment & Manikin Indeed, it is the only thing that ever has.". Finally, we summarize the course and give them time for questions. The faculty member/course coordinator of Simulation Design Often, the learner group will be unaware of these behaviors, but the instructor can key into the first few comments made during the transition between rooms. % Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD *Corresponding author: clark-obr@uiowa.edu Abstract Introduction: This simulation on diabetic ketoacidosis (DKA) in . reduced air entry, coarse crackles) to screen for evidence of pneumonia. The Theory Simulation Scenario. We combined both to indicate the continuity of the curriculum, and the building on prior knowledge. The relationship between sleep, fatigue and patient and provider safety. angioedema, rash) commence appropriate treatment as discussed in ouranaphylaxis guide. We used the Medical Education Technologies Inc. (METI) Human Patient Stimulator (HPS, METI Sarasoto, Fl). SimMan offers you the ability to provide simulation education to challenge and test your students clinical and decision-making skills during realistic patient care scenarios. An integral part of a PBL session is for trainees to be able to navigate through huge literature bases. Inspect theairwayfor obviousobstruction. Trainee will recognize and interpret the clinical signs and symptoms and the typical history of a patient with DKA, as well as understand the major causative factors of DKA. Antibiotics should be prescribed in keeping with local guidelines. The learning environment should closely mimic real-world applications. 4. oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. Trainee will recognize the need for therapy and suggest an appropriate therapy in a simulated environment. The instructors never expect the trainees to exhibit full understanding of pathophysiology and skills in the treatment but do give them a few important points to understand the diagnosis and initial treatment of the patients with DKA. Feel the slow and tardy pulse, we consider these PBL sessions as an example of a Look here, see this use of a full human simulator in the hierarchy of learning strategies with a full human simulator (Table 1). At the end of the previous section, the trainee can make the diagnosis of DKA but has not confirmed it yet. There are several causes of DKA, which we remember by the "five I's". If you'd like to support us and get something great in return, check out our awesome products: You don't need to tell us which article this feedback relates to, as we automatically capture that information for you. In the final 10 minutes, we show how the patient has a good recovery after fluid replacement. Scenario in a Nutshell Diabetic ketoacidosis (DKA) in pregnancy. The HFS-DKA simulation teaching consisted of pre-briefing (an hour), running simulation (30 minutes) and debriefing (an hour) for the high-fidelity simulator using the Lardeal SIM man . Capillary refill timemay be prolonged if the patient is hypovolaemic. Check out our NEW & IMPROVED quiz platform at geekyquiz.com, To be the first to know about our latest videos, subscribe to our YouTube channel . Trainee will describe the changes in vital signs, the major metabolic, fluid, and electrolyte. - Geeky Medics OSCE App: https://geekymedics.com/geeky-medics-app/ DO NOT perform any examination or procedure on patients based purely on the content of these videos. Because of this consciousness status, it is very difficult to obtain information of cardiovascular, pulmonary, renal, hepatic, endocrine, hematology, or coagulation status other than uncontrolled diabetes. Askhow the patient is feeling as this may provide some useful information about their current symptoms. Many of the preclinical students have never seen a real life clinical monitor or even an intravenous (IV) setup. As this is an interactive discussion session, any needed debriefing and/or explanation is given during the sessions. The simulation experience serves to give substance to the theoretical words and concepts that the students encountered during the PBL sessions. A patient with Type I diabetes will often have symptoms related to blood sugar imbalances that appear abruptly with polydipsia, polyuria, polyphagia and rapid weight loss. Clinical Simulation in Nursing, Volume 39, 2020, pp. Animated Lecture A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Are any further assessments or interventions required? 2. Development of simulation scenarios for an adolescent patient with diabetic ketoacidosis. Typically potassium levels should be maintained between 4.0 5.5 mmol/L and close monitoring is required. Trainee will get to know how professionals behave during management of a critically ill patient. Inspect for evidence of infection on the skin (e.g. A strong emphasis is placed on the focused, methodical examination of a specific medical problem and the decision-based treatment options available. Assess the patients level of consciousness using the AVPU scale: If a more detailed assessment of the patients level of consciousness is required, use the Glasgow Coma Scale (GCS). Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Cureus. The patient was placed in the supine position and was a little confused as well as drowsy but at times had a good verbal response (Glasgow Coma Scale 15/15). She does not take this regularly. Introduction: Diabetic ketoacidosis (DKA) is a life-threatening illness which classically presents with polyuria, polydipsia, and polyphagia that can rapidly progress to severe dehydration and altered mental status from cerebral edema. We have been presenting Simulation Laboratory sessions to our preclinical medical students (first and second years). We also show them IV bags containing saline and Ringers lactate, as well as show them IV infusion sets. In this manner, the students have to apply their knowledge at the appropriate points during the progression of the scenario. The use of simulation-based instruction enables a student to learn at their own pace and allows them to repeat sequential steps to gain confidence and proficiency. Trainee will increase knowledge of professional behaviors during the simulation. - Timing 03:23 She Died the Next Day. Introduceyourselfto whoever has requested a review of the patient andlistencarefullyto their handover. We do not use passive visualizing materials such as videotapes or DVD other than vital signs shown on the monitors. Measure the patients capillary blood glucose and ketone levels to confirm the diagnosis and guide the management of DKA. 2 0 obj Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department | Children's Hospital of Philadelphia Our simulated patient is a 25-year-old woman, Tiffany, who has been taken to the Emergency Department from her soccer game by her boyfriend, Adam. It may be necessary toexposethe patient during your assessment: remember to prioritise patient dignity and conservation of body heat. To read Pages full Research Review column, visit www.jems.com/patient-care. Circulating nurse in the emergency room (ER). The student group should be encouraged to collaborate on management options and to perform skills. This simulation session therefore aims to make the case come alive, and show this known case in a clinical context. - Examples 05:45 The validity of the HFS-DKA scenario was verified by a certified diabetes nurse educator, a registered nurse, and a clinical nurse educator. This leads to hyperglycaemia, osmotic diuresis, and dehydration. A nasopharyngeal airway is a soft plastic tube with a bevel at one end and a flange at the other. Search for Similar Articles Using the arterial line, the scenario becomes much more dynamic. It was For similar reasons, we do not believe a videotaped session will keep the students attention as much as these live simulator sessions. . Clearlydocument your ABCDE assessment, including history, examination, observations, investigations, interventions, and the patients response. 1. You may need further help or advice from a senior staff member and you shouldnot delay seeking help if you have concerns about your patient. Blood sugar issues in the Type II diabetic will have a gradual onset, with diagnosis generally resulting from routine laboratory exams.(1). Trainee will be able to apply skills of communication with the simulated patient in a semiacute crisis to get sufficient important information for a final diagnosis. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Instead, instructors should combine case- and simulation-based techniques when teaching diabetic assessment. A fixed-rate intravenous insulin infusion should be commenced initially to suppress ketogenesis, reduce blood glucose levels and address electrolyte disturbances. These simulation sessions seem to work because the medical students do have prior knowledge. Published August 2015. Consider active re-warming techniques in patients with severe hypothermia. An oropharyngeal airway is a curved plastic tube with a flange on one end that sits between the tongue and hard palate to relieve soft palate obstruction. Check the patency of the patients right nostril and if required (depending on the model of NPA) insert a safety pin through the flange of the NPA. This article originally appeared in March 2011 JEMS as Diabetes Demonstration: Simulation-based learning works best., Simulation Training Ideal for Diabetic Patients, CMS Begins Reprocessing Retroactive Payments, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, All Paramedic Recruits in New Castle County (DE) Obtain NRP Certification, International Prehospital Medicine Institute Literature Review, March 2023. A list of the requirements (monitors, props, and others) is given in Tables 2 and 3, as well as in the web supplement (Appendix C, Supplemental Digital Content 3, https://links.lww.com/SIH/A3). Inspect for evidence of self-injection sites (e.g. After initial insulin therapy has reduced plasma blood glucose levels (e.g. Abstract Introduction: This simulation on diabetic ketoacidosis (DKA) in the obstetric population presents learners with one of the more commonly encountered etiologies of critical illness in the pregnant patient. The students are in their basic science course. Please try again soon. Could we not just do this as a large group session to all 160 students (versus 20 1-hour sessions to groups of eight students)? Refer to your local guidelines for further details. The DKA simulation incorporates cue recognition, analysis of cues, generation of solutions, nursing interventions, and evaluation of outcomes, including effective communication and psychosocial concerns. The students have acquired all the applicable theoretical knowledge of the case during the previous multiday PBL sessions. A GCS of 8 or below warrants urgent expert help from an anaesthetist. The following scenarios are available for download and are designed to meet your multi-disciplinary nursing needs. Much time was wasted explaining why it did not matter. - PSA Question Pack: https://geekymedics.com/psa-question-bank/ NPAs are typically better tolerated in patients who are partly or fully conscious compared to oropharyngeal airways. However, this turned out to be too slow, took too much time, and could not continuously demonstrate the direction of changes. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. endobj An individual student can get an immediate answer to a question, the facilitator can see puzzled expressions on faces, and the PBL group could get answers that they could not get during their prior PBL group discussions. Her medical, social, and family histories are not clear at the time of admission to the emergency department. VbQuX#R M21 Prehosp Emerg Care. Terms of Use. Conclusions This technical report describes the design and implementation of a simulation scenario on DKA for emergency medicine trainees. Trainee will correlate the underlying pathophysiology with symptoms and signs as exhibited by the simulation session. - Introduction 00:00 We do have a wig that we place on the patient, but we do not try for full realism. For instance, if we mimicked the noise and traffic of a real emergency department, this would constitute excessive realism, and become a distraction to beginner medical students. The simulation session is also hosted as an interactive session. Diabetes UK with the Joint British Diabetes Societies Inpatient Care Group. His Wife Gave Him CPR. Similar to a ward round, where the instructor would say: Come and listen to this patient with an aortic stenosis. If fever is present, make sure to consider co-existing infection. Revisit history taking to explore relevant medical history and identify any precipitating factors for DKA. areas of lipohypertrophy) if it is unclear if the patient is diabetic. insulin-dependent type 2 diabetes) Symptoms Typical symptoms of DKA include: Palpitations Nausea Vomiting Sweating Thirst Weight loss Leg cramps Clinical signs Typical clinical signs of DKA include: Tachycardia Hypotension 3. 3. Classroom Dynamics 2007. This is a combination of the modified traditional lecture within scenario-based learning. Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus, most common in patients with type 1 diabetes in particular due to a deficiency or absence of insulin [1].. 2017 May 29;9(5):e1286. The 60 minutes training time consists of four 15-minute sections divided as follows. Place one hand on the patients forehead and the other under the chin. Introduction: This simulation on diabetic ketoacidosis (DKA) in the obstetric population presents learners with one of the more commonly encountered etiologies of critical illness in the pregnant patient. Yes: if the patient can talk, their airway is patent and you can move on to the assessment of breathing. An arterial blood gas (ABG) can provide lots of useful information to guide management including: A chest X-ray may be indicated if abnormalities are noted on auscultation (e.g. We are adding to their theoretical knowledge by introducing them to physical objects, dynamic moving vital sign signals, and a moving, breathing simulated patient to make the case come alive. If an infection is suspected, IV antibioticsshould be administered as soon as possible. Highlight selected keywords in the article text. From the Department of Anesthesiology, Pennsylvania State University College of Medicine, Hershey, PA. Dr. Murray is on the Speakers Bureau of METI, Sarasota, FL. }HyEf,#$/JSRU9+CF6k\'/z+i`[ 5JudK*Zly^g%[jCK)H[)Y=Qp0/r9o9HW_zF}pTzI~'|q.~:=Y T 9w! The reason for inserting the airway upside down initially is to reduce the risk of pushing the tongue backwards and worsening airway obstruction. The students are in their first year. 3. - Associated symptoms 03:04 The students mentioned that they did not obtain the maximum value from the simulation session under these circumstances. - Radiation 02:45 In this case scenario, dehydration is one of the most serious immediate issues. Simulation in Healthcare4(4):232-236, Winter 2009. In the meantime, you should re-assess and maintain the patients airway. See Table 4 for a suggested standardized script. On arrival to the ER, standard monitors (electrocardiogram [ECG] and pulse oximetry [SpO2]) and end-tidal carbon dioxide (ETCO2) concentration were placed, and the patient was given oxygen by nasal cannulae. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario If the patient has clinical signs ofanaphylaxis(e.g. We do point out the blood pressure (BP) cuff, but these medical students in their first year do not really need to know how the BP values are generated, they need to understand the origin and therapy for the low blood pressure. The main purpose of the simulation is to draw a line from the theoretical, boring biochemistry to the clinical manifestations. Wolters Kluwer Health She had developed nausea, extreme fatigue, mild disorientation, and blurred vision toward the end of the soccer match. 2011;15:108109. Depending on scenario complexity, team dynamic and treatment modalities, this simulation may take 1020 minutes. In the meantime, you can perform some basic airway manoeuvres to help maintain the airway whilst awaiting senior input. Over the years, some groups happened to have the simulation session before the completion of the theoretical PBL session. PBL was introduced at our institution in 1995. Furthermore, we demonstrate and explain the basic parameters (ECG, SpO2, BP, capnography), using an interactive format of questions and answers, and encourage the group to observe the normal values. It involves working through the following steps: Each stage of the ABCDE approach involvesclinicalassessment,investigationsandinterventions. The students are in their first year. <> The purpose of this simulation is to demonstrate the specific clinical signs of the patients with DKA, and the keys by which we recognize DKA in the early stages. 3. DOI 10.7759/cureus.1286. Supplemental digital content is available for this article. We ask the trainee why the blood pressure is so low or heart rate is so high, and how we should treat it. Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD . Animated lectures, however, must work within the framework of a focused case study, which requires increased preparation time. 2. The authors of the second study reported that poor sleep quality (60% of respondents) and extreme fatigue (55% of respondents) are independently associated with safety risks on the job. Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. This is particularly important for core cases and low-frequency, high-stakes procedures and encounters. Please write a single word answer in lowercase (this is an anti-spam measure). Emergency medical services workLife characteristics contribute to clinically significant excessive daytime sleepiness. The file explaining the session is sent to instructors 1 week before the sessions. Trainee will practice or observe good teamwork skills, both as a leader and a team player. For diabetic assessment involving DKA, staging may include the use of a container with a small amount of acetone placed near the manikin because many students may not know what acetone smells like but will expect to smell something. to below 12 mmol/L) an infusion containing normal saline and 5% dextrose is typically commenced to prevent the development of hypoglycaemia, whilst allowing insulin therapy to continue to suppress ketogenesis and reduce serum electrolyte concentrations. The optimal number of simulation participants is four to seven individuals, depending on the case study objectives. Questionswhich may need to be considered include: The next team of doctors on shift should bemade awareof any patient in their department who hasrecently deteriorated. Seek senior helpif the patient shows no signs of improvement or if you have any concerns. PA EMT Said COVID Patient Didnt Need to Go to the NYC Unions Demand Reinstatement, Back Pay for Workers Fired for Refusing President Biden to End COVID-19 Emergencies on May 11. If the provider starts an IV and gives dextrose, then the patients alertness will increase, respirations will normalize and repeated blood glucose will read 210 mg/dL over a two-minute interval. The patient synopsis should include such standard aspects as age, sex, ethnicity, medical history, medications and allergies. His Heart Stopped On a Treadmill. Generaltipsfor applying anABCDEapproachin an emergency setting include: Acute scenarios typically begin with abriefhandoverfrom a member of thenursing staffincluding thepatients name,age,backgroundand thereasonthereviewhas been requested. Its absolutely necessary to follow all immersive simulations with a positive, emotionally safe and nonjudgmental debriefing environment. Stage 3: Ongoing management and monitoring of DKA 1 hour after initiation of treatment. Marx JA, Hockberger RS, Walls RM. The Simulation Laboratory session follows after a completed PBL session, and is aimed at making the case come alive, while providing a clinical perspective to preclinical students. Instructors should write a case study for the simulation before the session. If the patient has COPD and a history of CO2retention you should switch to aventuri maskas soon as possible andtitrate oxygen appropriately. Does the patient need a referral toHDU/ICU? A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. The impetus for creating and implementing the high-fidelity diabetic ketoacidosis (DKA) simulation was based on a needs assessment and reviewing of undergraduate nursing students' examination statistics in a second semester medical-surgical course. tall tented T waves in hyperkalaemia). Prehosp Emerg Care. See ourhistory taking guidesfor more details. The Pratcice Despite this increased calorie intake, she noticed an unexplained 20 lbs weight loss. You can plot as many parameters as you want and can choose to display either Historical data or have the graphs update as often as new data comes in and view them in Real-time. When a group treatment decision is made that would be contraindicated or harmful to the patient, the instructor can redirect the learner group while maintaining an atmosphere inclined toward independent thinking. As the name says, this screen is used to graph and plot any parameter. PBL in our institution is implemented as a small group (n 68 students) self study session with a facilitator, who incrementally discloses further information about the patient. Immersive simulations are mentally exhausting because they create an intense and stressful atmosphere requiring the learner to work outside their comfort zone. Weight, Height: Not given, normal appearing (as per simulator) but has lost 20 lbs recently. If the patient is confused you might be able to get a collateral history from staff or family members as appropriate. 2) Complete the assigned suggested readings 3) Complete the presimulation preparation virtual simulation game (Instructor will provide link) 4) Once you have completed reading this document and prepared for your simulation, please: a. cloudy urine may indicate urinary tract infection). Insert the airway bevel-end first, vertically along the floor of the nose with a slight twisting action. Check out our other awesome clinical skills resources including: We then start the DKA state. See Appendix D, Supplemental Digital Content 4, https://links.lww.com/SIH/A4. Groups of more than seven may struggle with meeting objectives due to insufficient functional rolls. Hypothermia may be present if the patient has been unconscious and exposed for some time. This is a 25-year-old woman with a medical history of diabetes medicated with 40 units insulin per day. Because of the early stage (first year) of their medical careers, they have not yet seen vital sign monitoring, or patients, so these clinical aspects are introduced and emphasized. >> Fernandez AR, Mac Crawford J, Pennell ML, et al. If you have any scenarios you would be willing to share with the simulation community, please forward them . Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journals Web site (www.simulationinhealthcare.com). Surgical dressings and imitation blood can support medical history. You could also ask a student to smear a small amount of acetone on a piece of glass to see how volatile it is, helping them understand why its being exhaled by the DKA patient. Each PBL case typically goes over 23 days, affording the students periods to find information for the case. Several environments may be suitable for your classroom. In the first, the authors expanded the National Registrys Longitudinal EMT Attributes and Demographic (LEADS) study by resurveying 1,600 EMS workers about their sleepiness while at work. The main goal is to establish a safe learning environment for the learner [9, 13 . The questionnaire for the assessment of the session is given in full in the web-based supplement (Appendix A, Supplemental Digital Content 1, https://links.lww.com/SIH/A1). Use an effectiveSBARR handoverto communicate the key information effectively to other medical staff. Assess the patients pulse and blood pressure: Inspect the patient from the end of the bed: they may appear drowsy, confused and/or clammy/pale. The consequences (low blood pressure, high heart rate, central nervous system status, etc.) Extremities: mild cyanosis, no clubbing or edema (verbalized by instructors); pulses equal, and symmetrical (elucidated by trainees). Case-based education adds a real-world aspect to the learning environment. dq-]gX4 `L'u7myx) rpjf0z,.y`VMyx-&Ju`U0 Download: http://teamworkmatters.ocbmedia.com/media/DKA-Simulation-Scenario.docx Categories: 5th Year MBChB paeds scenario, Emergency Department, Human Factors, Interprofessional / multidisciplinary, Non-technical skills, Paediatrics, Postgraduate / newly qualified, Undergraduate / pre-registration Rating Invasive monitors, including a left radial intraarterial and a right subclavian IV catheter, were placed. Chapters: The addition of a fluid infusion containing some potassium allows insulin therapy to continue to suppress ketogenesis and normalise plasma pH whilst preventing the development of hypokalaemia. - 2500+ OSCE Flashcards: https://geekymedics.com/osce-flashcards/ Topic: Abdominal TraumaTitle: Motorcycle CrashTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Adrenal CrisisTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: AnaphylaxisTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: AnaphylaxisTitle: Anaphylaxis In An InpatientTarget: PGY1Author / Institution: Alison Rodger, Babar Haroon / Dalhousie Universityclick here to download, Topic: AnaphylaxisTitle: Bee Sting In An 8 Month OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: ApneaTitle: Drowning In A 3 Year OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Asthmatic Protocol for EDTitle: Branching Scenario: 3 Treatment Routine ER - Pediatric PatientTargets: Emergency Department Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: Atrial FibrillationTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Bidirectional Ventricular Tachycardia from Digoxin ToxicityTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: BradicadiaTitle: Bradycardic Arrest - Carotid Sinus MassTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: BurnTitle: Cigarette FireTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: BurnTitle: Meth Lab Explosion Target: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Cardiac ArrestTarget: Inter-professional Team TrainingAuthor / Institution: Alim Nagji, Krista Dowhos / Joseph Brant Hospitalclick here to download, Topic: Chest and Abdominal TraumaTitle: Auto AccidentTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: CHF (Congestive Heart Failure)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Communication, Interpersonal Skills, Mediating Conflict Title: Managing Family Members with Different Views Target: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Crohns FlareTitle: Complicated CrohnsTarget: PGY1Author / Institution:Allen Tran / Dalhousie Universityclick here to download, Topic: Delirious, Combative / Violent Patient Management Title: DeliriumTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Delivering Bad NewsTitle: Delivering Bad News after a StrokeTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Difficult AirwayTitle: Ace Inhibitor AngioedemaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Difficult AirwayTitle: Difficult / Failed AirwayTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Disclosure of an Adverse EventTitle: Retained Guidewire from a Central LineTarget: ICU FellowsAuthor / Institution: Ryan Fink / OHSUclick here to download, Topic: DKA (Diabetic Ketoacidosis)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: DKATarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Acute Pulmonary Edema requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Severe Asthma requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Electrical StormTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Emergent Med-Surg ResponseTitle: MET/RRT ResponseTargets: Response Teams, House Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: EtOH WithdrawalTitle: EtOH Withdrawal SiezureTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Febrile NeutropeniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Head TraumaTitle: Four Storey FallTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Head TraumaTitle: Hit by MotorboatTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: HypertensionTitle: Aortic DissectionTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: HypertensionTitle: Autonomic DysreflexiaTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Hypertensive EmergencyTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Hypertensive EmergencyTitle: Diastolic Danger Hypertensive Urgency / EmergencyTarget: PGY1Author / Institution: Hailey Hobbs, Babar Haroon / Dalhousie Universityclick here to download, Topic: HypoxiaTarget: Inter-professional Team TrainingAuthor / Institution: Devin Sydorclick here to download, Topic: Inferior StemiTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Labor and delivery, postpartum hemorrhageTitle: Normal Delivery with PPHTarget: Maternal - Child Course - Nursing EducationAuthor / Institution: Kelly McMunnclick here to download, Topic: PEA Arrest (pulseless electrical activity)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Pelvic FractureTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Penetrating Thoracic TraumaTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: PneumoniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: PneumoniaTitle: Community Acquired PneumoniaTarget: PGY1Author / Institution: Iain Arseneau, Babar Haroon / Dalhousie Universityclick here to download, Topic: Pulmonary EmbolismTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Ruptured Ectopic PregnancyTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: SepsisTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: SepsisTitle: Sepsis - Crohn's IntraabdominalTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - DKA and PneumoniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - Febrile NeutropeniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: ShockTitle: Blunt Trauma Causing a High Spinal Cord Injury with Neurogenic ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Hemorrhagic Shock in an Elderly Pedestrian stuck by a VehicleTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Penetrating Chest Trauma Causing Obstructive ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Snake BiteTarget: ER residentsAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Status AsthmaticusTarget: PGY1Author / Institution: Unknownclick here to download, Topic: Status Epilepticus - Apnea Post-BenzodiazepinesTitle: Seven month old with Status EpilepticusTarget: Pediatric ResidentsAuthor / Institution: Keith Gregoireclick here to download, Topic: StrokeTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Subdural Hemorrhage Title: SDH and DOACTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Syncope / TorsadesTitle: Syncope / Torsades in the setting of acquired prolonged QTTarget: PGY1Author / Institution:Tasha Kulai, Babar Haroon / Dalhousie Universityclick here to download, Topic: Tachycardia Rapid AFTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Toxic Shock SyndromeTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Toxicology - Bupivicaine OverdoseTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - Hydrofluoric Acid BurnsTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - OrganophosphatesTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Upper GastrointestinalI BleedTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Upper Gastrointestinal BleedingTitle: GI BleedTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: Viral bronchiolitis in infants requiring intubationTitle: Apnea in the infant with RSV bronchiolitisTarget: Pediatric ResidentsAuthor / Institution: Mike Storrclick here to download.

Jennifer Kesse Documentary, Articles D