Emergency Medicine Simulation Workbook

Emergency Medicine Simulation Workbook
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Emergency Medicine Simulation Workbook provides medical educators with clear and systematic guidance on incorporating medical simulation into their curriculum. Now in its second edition, this invaluable workbook helps those tasked with training emergency physicians, nurses, and technicians deliver the highest quality training and achieve optimal results. Chapters written by a team of expert authors explain how to use advanced simulation technology to realistically portray clinical scenarios without any risk to real patients. Fully annotated cases cover key topics including cardiovascular, thoracic and respiratory emergencies, trauma, toxicologic and infectious emergencies, and more. Throughout the text, practical “tips and tricks" accompany case images and patient data to help educators easily deploy simulation-based learning and tailor their curriculum for novice and advanced students alike. This workbook also: Helps medical educators train students in diverse settings where it is impractical to work directly with patients Highlights the unique benefits of integrating medical simulation in diverse, acute, and emergency care training scenarios Features numerous clinical cases that cover the full spectrum of emergency medicine pathology Includes access to a companion website with patient histories, video clips, downloadable imaging and laboratory results in PowerPoint format, and additional resourcesAn indispensable tool designed to make simulation more accessible, Emergency Medicine Simulation Workbook remains a must-have guide for all medical educators in the field.

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Группа авторов. Emergency Medicine Simulation Workbook

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

Emergency Medicine Simulation Workbook. A Tool for Bringing the Curriculum to Life

Contributors

Abbreviations. CLINICAL COMPETENCIES

About the Companion Website

Introduction

REFERENCES

CHAPTER 1 Abdominal/Gastroenterology Emergencies

NECROTIZING ENTEROCOLITIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Epidemiology

Pathophysiology

Clinical Features

Differential Diagnosis for Vomiting Neonate

Diagnosis

Management [2–5]

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR NECROTIZING ENTEROCOLITIS

ACUTE ASCENDING CHOLANGITIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR SEPSIS

SIGMOID VOLVULUS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes

Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR SIGMOID VOLVULUS

SELECTED READING FOR SIGMOID VOLVULUS

APPENDIX

CHAPTER 2 Cardiovascular Emergencies

STABLE MONOMORPHIC VENTRICULAR TACHYCARDIA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial scenario conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Diagnosis

Management for Sustained Monomorphic Ventricular Tachycardia

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR VENTRICULAR TACHYCARDIA

ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial scenario conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE

SELECTED READING FOR ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE

PEDIATRIC PERICARDITIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial scenario conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR PEDIATRIC PERICARDITIS

SELECTED READING FOR PEDIATRIC PERICARDITIS

APPENDIX

CHAPTER 3 Cutaneous Emergencies

HENOCH–SCHÖNLEIN PURPURA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology of Henoch–Schönlein Purpura

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR HENOCH–SCHÖNLEIN PURPURA

SELECTED READING FOR HENOCH–SCHÖNLEIN PURPURA

NECROTIZING FASCIITIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial scenario conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Risk Factors

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR NECROTIZING FASCIITIS

TOXIC EPIDERMAL NECROLYSIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial scenario conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology of Toxic Epidermal Necrolysis

Risk Factors

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR TOXIC EPIDERMAL NECROLYSIS

APPENDIX

CHAPTER 4 Environmental Emergencies

HEAT INJURY. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR HEAT INJURY

JELLYFISH ENVENOMATION. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Background

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR JELLYFISH ENVENOMATION

SELECTED READING FOR JELLYFISH ENVENOMATION

HIGH‐ALTITUDE PULMONARY EDEMA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR HIGH‐ALTITUDE PULMONARY EDEMA

APPENDIX

CHAPTER 5 Hematologic and Oncologic Emergencies

INTRACRANIAL HEMORRHAGE IN A PATIENT WITH HEMOPHILIA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial scenario conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR INTRACRANIAL HEMORRHAGE IN A PATIENT WITH HEMOPHILIA

THROMBOTIC THROMBOCYTOPENIC PURPURA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

CASE NARRATIVE. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR THROMBOTIC THROMBOCYTOPENIC PURPURA

TUMOR LYSIS SYNDROME. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR TUMOR LYSIS SYNDROME

APPENDIX

CHAPTER 6 Immune System Emergencies

ANGIOEDEMA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case narrative, continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR ANGIOEDEMA

SELECTED READINGS FOR ANGIOEDEMA

PEDIATRIC ANAPHYLAXIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR PEDIATRIC ANAPHYLAXIS

REACTIVE ARTHRITIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial scenario conditions

Case narrative, continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR REACTIVE ARTHRITIS

APPENDIX

CHAPTER 7 Systemic Infectious Emergencies

SEPTIC SHOCK. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR SEPTIC SHOCK

SELECTED READINGS FOR SEPTIC SHOCK

BACTERIAL MENINGITIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR BACTERIAL MENINGITIS

SELECTED READINGS FOR BACTERIAL MENINGITIS

EBOLA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR EBOLA

SELECTED READINGS FOR EBOLA

APPENDIX

CHAPTER 8 Nontraumatic Musculoskeletal Emergencies

RHABDOMYOLYSIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Etiologies

Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCE FOR RHABDOMYOLYSIS

SELECTED READINGS FOR RHABDOMYOLYSIS

SLIPPED CAPITAL FEMORAL EPIPHYSIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Epidemiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR SLIPPED CAPITAL FEMORAL EPIPHYSIS

CAUDA EQUINA SYNDROME. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR CAUDA EQUINA SYNDROME

APPENDIX

CHAPTER 9 Obstetric/Gynecologic Emergencies

BREECH DELIVERY. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCE FOR BREECH DELIVERY

SELECTED READINGS FOR BREECH DELIVERY

SHOULDER DYSTOCIA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCE FOR SHOULDER DYSTOCIA

SELECTED READINGS FOR SHOULDER DYSTOCIA

POSTPARTUM HEMORRHAGE AFTER PRECIPITOUS DELIVERY WITH OR WITHOUT NEONATAL RESUSCITATION. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Diagnosis

Management

Neonatal Resuscitation [1]

Debriefing Plan

Potential Questions for Discussion

REFERENCE FOR POSTPARTUM HEMORRHAGE

SELECTED READINGS FOR POSTPARTUM HEMORRHAGE

APPENDIX

CHAPTER 10 Nervous System Emergencies

ACUTE ISCHEMIC STROKE. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR ACUTE ISCHEMIC STROKE

INTRACEREBRAL HEMORRHAGE. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR INTRACEREBRAL HEMORRHAGE

SELECTED READINGS FOR INTRACEREBRAL HEMORRHAGE

PEDIATRIC STATUS EPILEPTICUS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR STATUS EPILEPTICUS

SELECTED READINGS FOR STATUS EPILEPTICUS

APPENDIX

CHAPTER 11 Psychobehavioral Emergencies

SEXUAL ASSAULT. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Definitions and Epidemiology

Clinical Features

Diagnosis

Management

Disposition and Follow‐Up

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR SEXUAL ASSAULT

SELECTED READINGS FOR SEXUAL ASSAULT

NON‐ACCIDENTAL TRAUMA WITH AGGRESSIVE FAMILY MEMBER. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Epidemiology

Management of a Violent Person

Debriefing Plan

Potential Questions for Discussion

REFERENCES

ALCOHOL WITHDRAWAL. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology [1]

Clinical Features

Diagnosis

Management

Disposition

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR ALCOHOL WITHDRAWAL

SELECTED READINGS FOR ALCOHOL WITHDRAWAL

APPENDIX

CHAPTER 12 Renal and Urogenital Emergencies

ACUTE KIDNEY INJURY. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READING FOR ACUTE KIDNEY INJURY

FOURNIER'S GANGRENE. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Epidemiology and Risk Factors

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCE FOR FOURNIER'S GANGRENE

SELECTED READINGS FOR FOURNIER'S GANGRENE

PEDIATRIC PRIAPISM. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Available Supplies

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR PEDIATRIC PRIAPISM

SELECTED READING FOR PEDIATRIC PRIAPISM

APPENDIX

CHAPTER 13 Thoracic and Respiratory Emergencies

CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE

SELECTED READING FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE

ACUTE RESPIRATORY DISTRESS SYNDROME. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Available Supplies

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR ACUTE RESPIRATORY DISTRESS SYNDROME

EPIGLOTTITIS. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

REFERENCES FOR EPIGLOTTITIS

SELECTED READING FOR EPIGLOTTITIS

APPENDIX

CHAPTER 14 Toxicologic Emergencies

ASPIRIN OVERDOSE. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR ASPIRIN OVERDOSE

LITHIUM TOXICITY. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS FOR LITHIUM TOXICITY

ETHYLENE GLYCOL TOXICITY. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐Up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READINGS ETHYLENE GLYCOL TOXICITY

APPENDIX

CHAPTER 15 Traumatic Emergencies

HEMORRHAGIC SHOCK. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management of Hemorrhagic Shock

Management of Open Femur Fracture with Active Hemorrhage

Airway Management in Setting of Hemorrhagic Shock

Debriefing Plan

SELECTED READING FOR HEMORRHAGIC SHOCK

Potential Questions for Discussion

NON‐ACCIDENTAL TRAUMA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READING FOR NON‐ACCIDENTAL TRAUMA

PENETRATING CHEST TRAUMA. Educational Goals. Learning Objectives

Critical Actions Checklist

Simulation Set‐up

Actors

Case Narrative. Scenario Background

Initial Scenario Conditions

Case Narrative, Continued

Instructor Notes. Pathophysiology

Clinical Features

Diagnosis

Management

Debriefing Plan

Potential Questions for Discussion

SELECTED READING FOR PENETRATING CHEST TRAUMA

APPENDIX

Index

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

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FIGURE 1.6 Chest x‐ray showing no active pulmonary disease.

FIGURE 1.7 Radiological reading of chest x‐ray (normal).

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