Check out SIMLab HERE! This post comes to us from Dr. Tristan Jones who is an Emergency Physician working in Victoria, BC, Canada. He completed medical school in Calgary, and EM residency in Victoria through the University of British Columbia Island Program. Prior to medicine, he studied electrical engineering, and has been programming and developing … Continue reading Introducing SimLab
Category: Uncategorized
Tracheoinnominate Artery Fistula
This case was written by Dr. Brandon Evtushevski. Dr. Evtushevski is an Emergency Medicine resident at the University of British Columbia, Vancouver Island Site. Prior to this, he completed a BSc in Neuroscience at McGill University followed by his MD at the University of British Columbia. He has interests in neurologic emergencies, critical care and … Continue reading Tracheoinnominate Artery Fistula
Pediatric Polytrauma
A 2.5 year old child falls from the 3rd floor balcony and presents to a community hospital. The team is expected to coordinate a thorough trauma survey. The patient will initially demonstrate compensated shock requiring aggressive resuscitation. After this initial phase, findings of severe head injury will become apparent. The team must optimize the patient for transfer to definitive care.
Beta Blocker Toxicity
A 44-year-old male presents to the emergency department following the ingestion of an entire bottle of metoprolol. Decontamination strategies should be utilized alongside consultation with poison control. Patient clinically deteriorates as the drug reaches peak effects, requiring IV fluids, atropine, calcium, glucagon, multi-dose vasopressors, high dose insulin, and a discussion around potential salvage therapies.
COVID-19: Pediatric Multisystem Inflammatory Syndrome
Elliot, a seven-year old boy, is brought to the emergency department after six days of fever and lethargy. He has a rash, diarrhea and decreased urine output. Both his parents are healthcare workers with possible COVID-19 exposures.
Hypercalcemia of Malignancy
This case was written by Dr. Skye Crawford and Dr. Nathan Ashmead, academic emergency physicians at the University of British Columbia. Why it Matters Oncology patients often present a challenge to healthcare providers in the emergency department. They have complex medical needs, both from their underlying illness and from the surgical, medical and radiologic treatments … Continue reading Hypercalcemia of Malignancy
Simulation Literature
This week's post is a bit different. It's not a sim case but rather a chance to delve into some of the amazing academic work that has been done in the simulation world over the years as a foundation to how and why we sim. I recently found myself wondering, what would be the top … Continue reading Simulation Literature
Unstable Atrial Fib
This case was written by Drs. Pittman and Bridges, emergency physicians at Prisma Health-Upstate in Greenville, SC. They both teach in the University of South Carolina School of Medicine-Greenville and in the emergency medicine residency program. Dr. Pittman is the residency Director of Academic Success, completed residency at the Georgetown / Washington Hospital Center Emergency … Continue reading Unstable Atrial Fib
Virtual Resus Room
Physical distancing restrictions during the COVID-19 pandemic have dramatically impacted medical education, challenging educators around the world to create interesting, novel ways to engage learners remotely. Virtual alternatives to in-person simulation sessions have been of particular interest. From discussion with other educators, it seems like many programs have shifted to a model of sim that involves talking through challenging cases. This strategy is excellent for medical content review but misses the hands-on, interactive, nervous energy of simulation that makes it so valuable. This is why we set out to create the Virtual Resus Room.
PEA Arrest and Breaking Bad News
A 70 year old man who had an unwitnessed cardiac arrest is brought to the ED via EMS from his local Tennis Club. Despite multiple rounds of appropriate resuscitative measures, the patient does not gain return of spontaneous circulation (ROSC). Learners will need to discuss the termination of resuscitation with team members and communicate with the patient’s wife.
EM Sim Cases 