Experience has shown that the more experienced the provider, the more detailed the environmental and manikin staging should be, because providers are trained to take in and interpret visual cues as indicators of patient status. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. <> Tilt the forehead back whilst lifting the chin forwards to extend the neck. Makeup may be used to depict gender, hollow eyes and cheeks, produce pallor or display bruises and scars. your express consent. A debriefing section with pre-established questions allows the instructor to review the main focus and performance measures with the student group. We ask the trainee why the blood pressure is so low or heart rate is so high, and how we should treat it. A pre-briefing session is conducted prior to the start of the simulation scenario. An animated lecture may be described as a pseudo-simulation environment. Simulation in Healthcare4(4):232-236, Winter 2009. Introduceyourselfto thepatientincluding yournameandrole. Initially, we required the students to write down the vital signs. Search for Similar Articles They have had no clinical exposure or any clinical experience. Available from: [, NICE guidelines. Advance the airway until it lies within the pharynx. 4. Marx JA, Hockberger RS, Walls RM. DO NOT perform any examination or procedure on patients based purely on the content of these videos. 3. Check out our other awesome clinical skills resources including: 1) Please read through this document as it will help you prepare for your upcoming simulation on DKA. Given such a small group, the students indicated that they feel more involved than they would with a larger group (eg, the whole class.) You may be trying to access this site from a secured browser on the server. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. J Nurs Educ. Alert a senior immediately if you have any concerns about the consciousness level of a patient. % If the patient is suspected to have sufferedsignificanttraumawith potential spinal involvement, perform ajaw-thrustrather than a head-tilt chin-lift manoeuvre: 2. Another example: At one minute into the scenario, the patient becomes unresponsive and their breathing becomes shallow. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. The DKA simulation incorporates cue recognition, analysis of cues, generation of solutions, nursing interventions, and evaluation of outcomes, including effective communication and psychosocial concerns. Maintain head-tilt chin-lift or jaw thrust and assess the patency of the patients airway by looking, listening and feeling for signs of breathing. >> Fernandez AR, Mac Crawford J, Pennell ML, et al. Make sure tore-assessthe patient after anyintervention. This is particularly important for core . Moses Lake (WA) Fire Department Gets $3.3M Grant for more Firefighters, Woman Who Crashed into Responders, Killing PA Firefighter, Gets Prison, Three Apparent Gas Explosions at San Bernardino (CA) Mountain Homes, Enid (OK) Fire Department Begins SWAT Medic Program to Assist Police, FDNY EMS Providers Win COVID-19-Linked Free Speech Lawsuit, Coronavirus Origins Still a Mystery Three Years into Pandemic. They should be used in conjunction with the maneuvres mentioned above as the position of the head and neck need to be maintained to keep the airway aligned. - Severity 05:32 During an immersive simulation, its imperative the group uses critical-thinking skills and group collaboration independently. For example, you could develop a diabetic scenario in which the prehospital provider encounters an altered patient with incomprehensible speech. unilateral coarse crackles may be present if the patient has pneumonia which may have been the precipitant for DKA). Antibiotics should be prescribed in keeping with local guidelines. The Theory Using SOCRATES in History Taking | OSCE | Communication Skills, Diabetic Ketoacidosis (DKA) | Acute Management | ABCDE. 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. Cureus 9(5): e1286. Similar to a ward round, where the instructor would say: Come and listen to this patient with an aortic stenosis. The use of a simulated, evolving case scenario was an effective method of exposing nursing students to complex patient care. In this manner, the students have to apply their knowledge at the appropriate points during the progression of the scenario. <> "Never doubt that a small group of thoughtful, committed citizens can change the world. 2011;15:108109. The Theory 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. #geekymedics #fyp #fypviral #studytok #medicalstudentuk #medtok #studytips #studytipsforstudents #medstudentuk #premed #medschoolfinals, Cardiovascular History Tips - DON'T FORGET these 3 things . Data is temporarily unavailable. Highlight selected keywords in the article text. 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 may email you for journal alerts and information, but is committed The student group should be encouraged to collaborate on management options and to perform skills. Its best, however, to allow the student group to continue so theyre able to evaluate their decision-making processes during debriefing. If the patient has COPD and a history of CO2retention you should switch to aventuri maskas soon as possible andtitrate oxygen appropriately. COVID-19 Screening in the Pediatric Emergency Department. Calculate the patients current fluid balance using their fluid balance chart (e.g. Trainee will learn to collaborate with peers to decide on appropriate interventions, tests, and therapy. 2. A fixed-rate intravenous insulin infusion should be commenced initially to suppress ketogenesis, reduce blood glucose levels and address electrolyte disturbances. Urinary tract infections are a common DKA precipitant. Instagram: https://instagram.com/geekymedics Acad Med. MassBay EMS Program Integrates Training for Dogs, Heat Waves Are Killing More LA Homeless People. 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. endobj and This is a combination of the modified traditional lecture within scenario-based learning. 5. We also show them IV bags containing saline and Ringers lactate, as well as show them IV infusion sets. Diabetes mellitus affects nearly 7.8% of the U.S. population, with approximately 510% of this group affected by Type I and 9095% by Type II.1 Diabetes is the most common type of endocrine disease and was the seventh leading underlying cause of death listed on death certificates in 2006. Hypothermia may be present if the patient has been unconscious and exposed for some time. DIABETIC KETOACIDOSIS MODULE: ENDOCRINOLOGY / METABOLIC TARGET: ALL PAEDIATRIC TRAINEES;NURSING STAFF BACKGROUND: DKA occurs when a relative or absolute lack of insulin leads to the inability to metabolise glucose. Classroom Dynamics Use washable, non-toxic paints to imitate various body emissions. Development of simulation scenarios for an adolescent patient with diabetic ketoacidosis. We combined both to indicate the continuity of the curriculum, and the building on prior knowledge. A well-staged environment allows for greater student buy-in. Inspect for evidence of infection on the skin (e.g. The files are given in full in the web supplement (Appendix B, Supplemental Digital Content 2, https://links.lww.com/SIH/A2). Manikin staging can provide strong cues. Seek senior helpif the patient shows no signs of improvement or if you have any concerns. 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. You may search for similar articles that contain these same keywords or you may 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. The student group is given a short introduction into a closed simulation environment. Trainee will practice or observe good teamwork skills, both as a leader and a team player. The students are in their basic science course. In other words, they do not have clinical experience, but they have clinical knowledge. Review thepatients notes,chartsandrecent investigation results. The required potassium replacement varies greatly. 1. Finally, we summarize the course and give them time for questions. See our blood glucose measurement guide for more details. Invasive monitors, including a left radial intraarterial and a right subclavian IV catheter, were placed. Prehosp Emerg Care. 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. Weight, Height: Not given, normal appearing (as per simulator) but has lost 20 lbs recently. Airway adjuncts are often helpful and in some cases essential to maintain a patients airway. LYqC+pJ&6X4onfBT#?=R}.p8N3+Dk,P4tIgWB}-L'=8;_G >,K#.e89XnG'B~NtR A chest X-ray should not delay the emergency management of DKA. - Radiation 02:45 Two abstracts related to sleepiness in the EMS workforce were presented at the National Association of EMS Physicians symposium in January. 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. Initially, we had a white board available, but the temptation (and habits) were just too strong, and the simulator sessions tended to become one way lectures, rather than an interactive, 2 way discussion.. Use an effectiveSBARR handoverto communicate the key information effectively to other medical staff. - Exacerbating & relieving factors 05:12 Trainee will increase knowledge of professional behaviors during the simulation. However, this leads to confusion. Management of diabetic ketoacidosis in adults. areas of lipohypertrophy) if it is unclear if the patient is diabetic. NPAs should not be used in patients who may have sustained a skull base fracture, due to the small but life-threatening risk of entering the cranial vault with the NPA. Problems are addressed as they are identified and the patient is re-assessed regularly to monitor their response to treatment. Observe and discuss the effects of therapy in a mathematically modeled physiological simulator. Available if the trainee asks: arterial blood gas, glucose, electrolytes, BUN and plasma osmolality (please see last section of Appendix B, Supplemental Digital Content 2, https://links.lww.com/SIH/A2, for values). 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. The instructors have to appreciate that the trainees participating in this simulation have not seen a diabetic patient in either a ward or ER, but that they have knowledge of the underlying physiology. She does not take this regularly. NPAs are typically better tolerated in patients who are partly or fully conscious compared to oropharyngeal airways. The 60 minutes training time consists of four 15-minute sections divided as follows. Typically potassium levels should be maintained between 4.0 5.5 mmol/L and close monitoring is required. Mosby:Philadelphia. See ourhistory taking guidesfor more details. 2007. Instead, instructors should combine case- and simulation-based techniques when teaching diabetic assessment. Case-based education adds a real-world aspect to the learning environment. Note that if-thens must also include negative patient outcomes for when the provider doesnt take appropriate action. - Associated symptoms 03:04 Strategies of high-performing paramedic educational programs. Review the patients drug chart for medications which may cause a reduced level of consciousness (e.g. KDCA, Ronald Reagan Washington National Airport, DC. Adds true to life parking codes and extra parking for AI. His Wife Gave Him CPR. Some error has occurred while processing your request. After entering the environment, the student doesnt have the option of leaving the simulation until the learning objectives and performance measures are achieved. If fever is present, make sure to consider co-existing infection. Reprints: Koichiro Nandate, MD, PhD, Department of Anesthesiology, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 500 University Drive Box 850, Hershey, PA 17033 (e-mail: [emailprotected]). Please write a single word answer in lowercase (this is an anti-spam measure). It was developed for anesthesiology resident physicians with some background knowledge and experience caring for critically ill patients. 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. Int J Evid Based Healthc. The learning objectives follow the American College of Graduate Medical Education (ACGME) Core Compentencies. The simulators do not have rock steady vital sign values, and the students were unsure as to write down 121 or 122 mm Hg as the systolic blood pressure. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. In the meantime, you can perform some basic airway manoeuvres to help maintain the airway whilst awaiting senior input. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. Standardized patient as the voice of the simulator (or the simulation operator may play this role). Clinical Simulation in Nursing, Volume 39, 2020, pp. The simulation session is also hosted as an interactive session. In the final 10 minutes, we show how the patient has a good recovery after fluid replacement. 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. Trainee will describe the changes in vital signs, the major metabolic, fluid, and electrolyte. We try to provide sufficient realism.. See ourintravenous cannulation guidefor more details. As a next step, we will let one of the trainees talk to the patient, and prompt to ask medical questions such as previous medical issues or recent drug use for them to practice asking questions to generate a differential diagnosis (in this case, other causes for confusion). In some cases, normal saline with additional potassium is required to prevent overcorrection of serum potassium levels which would otherwise result in hypokalaemia. Clearly communicate how often would you like the patients observations relayed to you by other staff members. Re-assessthe patient using theABCDE approachto identify any changes in their clinical condition and assess the effectiveness of your previous interventions. The consequences (low blood pressure, high heart rate, central nervous system status, etc.) Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department | Children's Hospital of Philadelphia Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, Get new journal Tables of Contents sent right to your email inbox, SIH_13_4_2018_08_03_KOBAYASHI_17-00153_SDC5.tif; [Other] (3.04 MB), SIH_4_4_2009_10_29_NANDATE_200199_SDC2.doc; [Word] (68 KB), SIH_4_4_2009_10_29_NANDATE_200199_SDC3.doc; [Word] (29 KB), SIH_4_4_2009_10_29_NANDATE_200199_SDC4.doc; [Word] (40 KB), Simulation of Diabetic Ketoacidosis for Cellular and Molecular Basics of Medical Practice, Articles in PubMed by Koichiro Nandate, MD, PhD, Articles in Google Scholar by Koichiro Nandate, MD, PhD, Other articles in this journal by Koichiro Nandate, MD, PhD, Privacy Policy (Updated December 15, 2022). Using the arterial line, the scenario becomes much more dynamic. You can check out our guide to using SOCRATES here: https://geekymedics.com/the-socrates-acronym-in-history-taking/ General: Moaning, asking what has happening to her. Laschinger S, Medves J, Pulling C, et al. In the context of DKA, a patients consciousness level may be reduced. To read Pages full Research Review column, visit www.jems.com/patient-care. The instructor should have visual access via one-way windows or cameras. Conclusion: Our DKA simulator is a new tool whose objective is the training in a severe, frequent and complex situation, and can be used to improve the approach made by the junior physicians to the real diabetic . The researchers found that long shift hours (24hrs), working overtime and marital/relationship stress were strongly correlated. This allows the learner group to make a psychological break from the patient and environment while beginning the reflection process. As this is a PBL session, the trainees are not given any references. 2009;13:505511. Consider active re-warming techniques in patients with severe hypothermia. 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. Many of the preclinical students have never seen a real life clinical monitor or even an intravenous (IV) setup. There are actually two sets of educational objectives: the first set is for the theoretical PBL sessions, and the 2nd set is for the Simulation Session. ABG, venepuncture). diagnosis of DKA Trigger 3, ABG show acidosis and high BM and normal potassium. PBL was introduced at our institution in 1995. GRAPH. Interactive lecture/discussion with use of monitors that show the vital signs of the simulated patient on manikin. 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. 4 0 obj Insert at least onewide-bore intravenous cannula(14G or 16G) and take blood tests as discussed below. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. 2. Introduceyourselfto whoever has requested a review of the patient andlistencarefullyto their handover. Perform urinalysis and send the urine for culture if urinary tract infection is suspected. Diabetic ketoacidosis (DKA) is a common, potentially lethal disease. Please enable scripts and reload this page. Performing an ECG should not delay the emergency management of DKA. The main goal is to establish a safe learning environment for the learner [9, 13 . Emergency medical services workLife characteristics contribute to clinically significant excessive daytime sleepiness. angioedema, rash) commence appropriate treatment as discussed in ouranaphylaxis guide. Just place the BR2_KDCA file into your addons scenery folder: C:\\Program Files\\Microsoft Games\\Microsoft Flight Simulator X\\Addon Scenery\\Scenery. Review the patientscurrent medicationsand check any regular medications areprescribed appropriately. She was taken to the Emergency Department from her soccer game because she complained of nausea, extreme fatigue, mild disorientation, and blurred vision toward the end of the soccer match. A collection of surgery revision notes covering key surgical topics. 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. 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. endobj Forty percent of respondents reported excessive daytime sleepiness. Discuss the patients current clinical condition with aseniorclinicianusing anSBARR style handover. 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].. 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)? The validity of the HFS-DKA scenario was verified by a certified diabetes nurse educator, a registered nurse, and a clinical nurse educator. His Heart Stopped On a Treadmill. Ziv A, Wolpe PR, Small SD, et al. We believe it is important to have active, participatory learning by having conversations with the trainees in the form of questions and answers. Depending on scenario complexity, team dynamic and treatment modalities, this simulation may take 1020 minutes. Each performance measure is separated into cognitive, behavioral or technical categories. 3. The students have acquired all the applicable theoretical knowledge of the case during the previous multiday PBL sessions. 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. The scenario would include an if-then algorithm. Make sure thepatientsnotes,observationchartandprescriptionchartare easily accessible. If any obstruction is encountered, remove the tube and try the left nostril. Refer to your local guidelines for further details. In this section, we have to help the trainee to institute definitive therapy based on the underlying biochemical abnormalities. By joining Cureus, you agree to our *=NdL/c2XSJn8:I Jb8'.8>N*[L .hxw6afq40DX3c~>abt'Q,8y(BZu(vKBTufIR. stream This session provides additional clinical support material for the theoretical PBL session. 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.
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