A 30 year-old female, G1P0 at 32 weeks, presents to the ED with headache, blurred vision, nausea, and vomiting. Her arrival BP is 175/115. As the team coordinates her initial workup, the patient will begin to seize. She will not stop seizing until magnesium sulfate is given. The patient will then require intubation for respiratory depression. The patient will also remain hypertensive, requiring administration of an appropriate antihypertensive agent. The case will end post intubation when the patient has been referred to OB.
Author: kcaners
Simulation olympics: innovations that showcase EM resident resuscitation skills
This post is written by Dr. Damon Dagnone. Dr. Dagnone is an Assistant Professor in the Department of Emergency Medicine and the Faculty Lead of CBME for Postgraduate MedEd at Queen's University. He is the Director of the Queen's Simulation Olympics and is also the Co-Chair of the CAEP Simulation Olympiad. When not in the sim … Continue reading Simulation olympics: innovations that showcase EM resident resuscitation skills
Massive Upper GI Bleed
A 58-year-old male known for alcoholism presents to the emergency department with an active, massive upper GI bleed due to esophageal varices. The patient deteriorates into hypovolemic shock requiring medical management, massive transfusion, intubation for airway protection, and insertion of a Blakemore tube.
Realism
What is it? Realism is the degree to which your simulation environment recreates or mimics the patient environment for your learners. A word on fidelity. The terms realism and fidelity are essentially interchangeable. However, many often associate the term fidelity with the amount of technology used to recreate the patient environment. For example, when educators … Continue reading Realism
CAH with adrenal crisis
A lethargic 1 week old presents from home after recurrent emesis and progressive sleepiness. He is hypovolemic, hypothermic, and hypoglycemic. If his hypoglycemia is not quickly corrected, he begins to seize and will continue to do so until the team gives glucose. If they do not, the patient will go on to have a VF arrest. If the team identifies and treats the hypoglycemia, orders blood work, and fluid resuscitates the child, they receive blood results demonstrating hyperkalemia and hyponatremia. If they correctly identify and treat the patient as a possible adrenal crisis, the neonate is safely transferred to the PICU. If they fail to treat the hyperkalemia or fail to administer steroids, the patient will have a VF arrest.
Crisis Resource Management
What is CRM? Crisis Resource Management refers to the extremely important but sometimes difficult to define “soft skills” that can make or break the function of a team. The concept was originally developed by the airline industry in response to research demonstrating that the large majority of airplane crashes occurred due to failures of the crew … Continue reading Crisis Resource Management
Subarachnoid Hemorrhage with Increased Intracranial Pressure
A 45-year-old male who suffered an aneurysmal subarachnoid hemorrhage while weightlifting presents to the emergency department requiring intubation for airway protection and develops acute hydrocephalus requiring ICP lowering maneuvers before definitive surgical management.
Let the FOAMed cases begin!
We're up and running! Before you know it, EM Sim Cases will be regularly publishing simulation cases. These will be open for you to use as part of your Emergency Medicine simulation education. Our goal here is to make the lives of EM simulation educators easier. We welcome your suggestions and case submissions. And we … Continue reading Let the FOAMed cases begin!
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