We're taking a short break this week for the holiday season. We'll be back to our regular schedule on January 17th with a special treat: a multi-patient trauma case!!
Category: Uncategorized
Thyroid Storm
A 31 year-old-female presents by EMS with altered LOC and fever due to thyroid storm precipitated by recent parturition. The patient is tachycardic and hypoxic on arrival. Her level of consciousness will continue to deteriorate despite IV fluids and antibiotics and will require intubation. The husband will be at the bedside, and the team will need to discuss the need for intubation with him. After intubation, lab results will come back indicating possible thyrotoxicosis. The patient's rhythm will change to atrial fibrillation at this time. The team will be expected to manage the thyroid storm in consultation with Endocrinology and ICU.
Gearing up to restart!
After an exam-writing hiatus, we're gearing up to restart our regular case publications. Have a case you'd love to see featured on the site? Send it to us at cases@emsimcases.com. We're always happy to collaborate and feature the great work of our peers. Stay tuned for new cases coming soon - we've got great things … Continue reading Gearing up to restart!
Short Break
We're going to be taking a short break here at EMSimCases. Our editors-in-chief have decided to pause until after their board exams in May. But don't worry, we'll be right back at it with new and interesting cases shortly thereafter. Thanks for reading! We look forward to bringing you new content in May.
Digoxin Overdose
This case is written by Dr. Kyla Caners. She is a PGY5 Emergency Medicine resident at McMaster University and is also one of the Editors-in-Chief here at EMSimCases. Why it Matters Digoxin toxicity is of critical importance to recognize. There are many subtleties to its management, which means that the concepts of digoxin toxicity are important … Continue reading Digoxin Overdose
Happy Holidays!
We're taking a short break this week to celebrate the holidays. Look for our next case to publish on January 5th. The next two are extra challenging and we think you'll enjoy.
Dysrhythmia Secondary to Hyperkalemia
A 52 year-old male with end-stage renal disease (requiring dialysis) is brought in by EMS feeling weak and dizzy. He missed dialysis for the first time over the weekend to attend his niece’s wedding. On presentation, his heart rate is 50 and his ECG demonstrates a wide complex rhythm with peaked T waves that EMS interprets as a STEMI. If the team recognizes the possibility of hyperkalemia and treats it appropriately, the patient’s QRS will narrow. If the hyperkalemia is not recognized, the patient will arrest.
How to develop targeted simulation learning objectives – Part 2: The Practice
In part 1 of this two part series (https://emsimcases.com/2015/04/21/how-to-develop-targeted-simulation-learning-objectives-part-1-the-theory/), we used the revised Bloom’s taxonomy to describe an approach to developing simulation-based learning objectives by targeting a specific, complex knowledge domain and a higher level cognitive process. Now that we know the theory behind making targeted simulation learning objectives, what kind of learning objectives should … Continue reading How to develop targeted simulation learning objectives – Part 2: The Practice
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!
EM Sim Cases 