No abstract

Implication statement With recent shifts in medical education to the virtual setting during the COVID-19 pandemic, previous methods of teaching anatomy have been challenged. As such, we created the Medical Students’ Society Anatomy Club (MAC), a student-led near-peer tutoring initiative providing virtual anatomy learning opportunities through interactive large and small group sessions using cadaveric prosection images and models. Sessions had high attendance rates and satisfaction among students. This pilot project demonstrated that near-peer teaching in a virtual learning environment can be an effective adjunct to traditional medical anatomy curricula.

It results from supratherapeutic levels of local anesthetic in the blood stream. Most cases occur in hospitals (61%), while fewer occur in out patient settings (14%), primarily following upper or lower extremity nerve blocks (19%), nasooropharyngeal infiltration (17%) or spinal and epidural blocks (11%). 1 Lidocaine is most commonly implicated in LAST events (44%); however, bupivacaine has a lower safety margin and greater car diac toxicity. 1,2 Ropivacaine has a decreased potential for toxicity. 3 2 Signs and symptoms of LAST typically appear within 1-5 minutes of local anesthetic administration and include oral numbness, metallic taste, dizziness, drowsiness and disorientation 2Severe manifestations may appear up to 6 hours after initial symptom onset, and include seizures, arrhythmias, cardiac arrest and death. 1 3 Extremes of age, pregnancy, renal disease, cardiac disease and hepatic dysfunction may increase risk of LAST 1,2