SimWars Simulation Case Book: Emergency Medicine

Description:

The SimWars Simulation Case Book: Emergency Medicine enables novice simulation operators to quickly and effectively run simulation cases, which have been established at national SimWars events, for their respective programs and departments. The use of simulation to gain and maintain skills in healthcare has become critical to the delivery of the curricula in medical schools, nursing schools, residency programs, and hospital-based practice. Specialty boards, such as the American Board of Anesthesiology, now require simulation training as part of the Maintenance of Certification. Studies have shown that one of the main barriers to implementing simulation is the lack of trained simulation instructors and instructor time. Developed by leading emergency medicine simulation experts, this definitive collection of 46 cases includes topics intended to supplement UME and GME training, meet ACGME core competency requirements, and challenge the expert emergency physician in critical decision-making, procedural skills, ethical issues, teamwork and communication skills.

Table of Contents:

Part I SimWars 101

1 Why SimWars?

2 What is SimWars

3 SimWars: how to succeed

4 SimWars debriefing: the art of the show

5 SimWars judging: maximizing the educational value of a popular modality

6 Troubleshooting technology

Part II SimWars cases

Section 1 Airway management

Case 1 Terminal extubation

Case 2 Industrial fire victim: burns and cyanide toxicity

Case 3 Pool diving accident

Case 4 Difficult airway: house fire

Case 5 “Is there a doctor on the plane?”: airplane anaphylaxis

Section 2 Altered mental status

Case 6 Hyperthermia on a cruise ship

Case 7 Hypertensive emergency

Case 8 Adrenal insufficiency

Case 9 “Raving” altered mental status

Case 10 Two patients with altered mental status and cyanosis

Section 3 Cardiopulmonary

Case 11 Severe asthma

Case 12 High-altitude pulmonary edema with high-altitude cerebral edema

Case 13 SCUBA: air embolism

Case 14 Left ventricular assist device

Case 15 Aortic dissection mimicking ST segment elevation myocardial infarction

Case 16 Procedural sedation gone wrong in patient with upper gastrointestinal hemorrhage

Case 17 Transfer gone wrong: nasogastric tube in the trachea

Section 4 Infectious disease

Case 18 Septic shock secondary to pneumonia

Case 19 Altered mental status with hemorrhagic fever

Case 20 Tetany in a home body piercer

Case 21 Pediatric myocarditis

Case 22 Neonatal herpes simplex viral meningo/encephalitis

Section 5 Neurocritical care

Case 23 Traumatic brain injury

Case 24 Status epilepticus

Case 25 Intracranial hemorrhage

Case 26 Stroke/health information technology

Case 27 Football injury: cervical spine fracture with neurogenic shock

Section 6 Obstetrics/gynecology

Case 28 Floppy newborn resuscitation

Case 29 Postmortem cesarean section with seizing neonate at delivery

Case 30 Shoulder dystocia with postpartum hemorrhage

Section 7 Pediatrics

Case 31 Pediatric status epilepticus

Case 32 Neonatal cardiac arrest

Case 33 Anaphylaxis in a patient boarding in the emergency department

Case 34 Ondansetron and long QTc syndrome

Case 35 Pediatric death debrief

Case 36 Infant abuse and the angry team member

Case 37 Intoxicated father with child neglect

Section 8 Toxicology

Case 38 Body packer

Case 39 Multiple altered patients with carbon monoxide poisoning

Case 40 HazMat/decontamination response with complicated communication

Case 41 Migraines and beta-blocker overdose

Section 9 Trauma

Case 42 Blast injury

Case 43 Multivictim trauma

Case 44 Traumatic head bleed/trephination

Case 45 Trapped in the elevator

Case 46 Mass casualty incident: “I'm never riding rollercoasters again”

Part III Appendices

Appendix A Thinking about the cases with American Council for Graduate Medical Education milestones in mind

Appendix B Moulage in minutes

Appendix C Case images

Index