Читать книгу Emergency Medicine Simulation Workbook - Группа авторов - Страница 46

Environment:	ED treatment room.
Mannequin:	Adult, male, simulator mannequin moulaged to appear disheveled (e.g. clothes may be slightly dirty and/or torn or used in appearance).

Props:

 Images (see online component for sigmoid volvulus, Scenario 1.3 at https://www.wiley.com/go/thoureen/simulation/workbook2e):Abdominal x‐ray showing evidence of distended sigmoid colon (Figure 1.16).Radiology report of abdominal x‐ray (Figure 1.17).CT abdomen/pelvis with IV contrast (static image 1‐cut) (Figure 1.18).Radiology report of sigmoid volvulus (Figure 1.19).ECG showing sinus tachycardia (Figure 1.20).

 Laboratory tests (see online component as above):Complete blood count (Table 1.22).Basic metabolic panel (Table 1.23).Liver function panel (Table 1.24).Lipase (Table 1.25).Lactic acid (Table 1.26).Troponin (Table 1.27).Coagulation panel (Table 1.28).Urinalysis (Table 1.29).Urine microscopy (Table 1.30).

Available supplies:

 Adult code cart with basic airway supplies.

 Medications:0.9% saline/LR IV bags.Pre‐labeled IV bags:Broad‐spectrum antibiotics.Pre‐labeled syringes:Analgesic medications (e.g. morphine, fentanyl, hydromorphone)Antiemetics (e.g. metoclopramide, ondansetron)Antipsychotics (typical of your institution examples include haloperidol, risperidone, etc.)Benzodiazepines (lorazepam, diazepam, midazolam).Optional: emesis basin.

Distractor:The patient's behavior is a distractor and the learner must demonstrate de‐escalation and redirection techniques to obtain history and physical exam.