This is the twelfth and final case in a series we are publishing that make up “The Nightmares Course” – a Sim Bootcamp for new residents. It is 3:00 am, you are called to the floor to assess a 73-year old man experiencing confusion, shortness of breath, and chest heaviness.
Tag: nightmares
Nightmares Case 11: Opioid Overdose
This is the eleventh case in a series we are publishing that make up “The Nightmares Course” – a Sim Bootcamp for new residents. It’s 23:00 and you’re called to assess a 42-year old man who is difficult to rouse on evening rounds.
Nightmares Case 10: Anaphylaxis
This is the tenth case in a series we are publishing that make up “The Nightmares Course” - a Sim Bootcamp for new residents. The Nightmares Course at Queen’s University (Kingston, Ontario) was developed in 2011 by Drs. Dan Howes and Mike O’Connor. The course emerged organically in response to requests from first year residents … Continue reading Nightmares Case 10: Anaphylaxis
NIGHTMARES CASE 9: STEMI
We are returning to a case series that we published two years ago! This is the ninth case in a series we are publishing that make up “The Nightmares Course” - a Sim Bootcamp for new residents. It’s 5:00 am and you’ve been called to see a patient complaining of “chest discomfort”.
Nightmares Case 5: Pulmonary Edema
This case involves the approach to the patient with acute dyspnea. The patient is tachypneic, hypoxic, and hypertensive. The team should consider multiple possibilities but recognize pulmonary edema as the most likely cause.
Nightmares Case 3: Seizure
The resident is called to the ward to manage a patient who may have had a seizure. The patient is somnolent when the resident arrives. Shortly afterward, the patient seizes again. Two doses of anti-epileptic will be required to terminate the seizure. Finally, when the patient has been stabilized, the resident will be required to discuss the case with their staff on call.