House Fire Victim Simulation Case

Weinberger, Lauren; Besser, Kiera von

doi:10.15766/mep_2374-8265.9047

Cited by 4 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 5 - 9 Medical simulation for the training of trauma management has proven to be an effective method of gaining and maintaining clinical competency. 10 In a review of current MedEdPORTAL publications, we found cases involving cyanide (CN) toxicity, carbon monoxide (CO) toxicity, and smoke inhalation with thermal injury, 11 , 12 but none in combination with mechanical trauma. 13 , 14 …”

Section: Introductionmentioning

confidence: 99%

Pediatric Polytrauma Fire Victim Simulation

Vrablik,

Wing

2024

MedEdPORTAL

View full text Add to dashboard Cite

Introduction Pediatric trauma has long been one of the primary contributors to pediatric mortality. There are multiple cases in the literature involving cyanide (CN) toxicity, carbon monoxide (CO) toxicity, and smoke inhalation with thermal injury, but none in combination with mechanical trauma. Methods In this 45-minute simulation case, emergency medicine residents and fellows were asked to manage a pediatric patient with multiple life-threatening traumatic and metabolic concerns after being extracted from a van accident with a resulting fire. Providers were expected to identify and manage the patient's airway, burns, hemoperitoneum, and CO and CN toxicities. Results Forty learners participated in this simulation, the majority of whom had little prior clinical experience managing the concepts highlighted in it. All agreed or strongly agreed that the case was relevant to their work. After participation, learner confidence in the ability to manage each of the learning objectives was high. One hundred percent of learners felt confident or very confident in managing CO toxicity and completing primary and secondary surveys, while 97% were similarly confident in identifying smoke inhalation injury, preparing for a difficult airway, and managing CN toxicity. Discussion This case was a well-received teaching tool for the management of pediatric trauma and metabolic derangements related to fire injuries. While this specific case represents a rare clinical experience, it is within the scope of expected knowledge for emergency medicine providers and offers the opportunity to practice managing multisystem trauma.

show abstract

Section: Introductionmentioning

confidence: 99%

Pediatric Polytrauma Fire Victim Simulation

Vrablik,

Wing

2024

MedEdPORTAL

View full text Add to dashboard Cite

show abstract

“…5–7 The case's format is similar to others published at our institution, which all can be used to develop and/or enhance simulation courses for other programs. 8–13…”

Section: Introductionmentioning

confidence: 99%

Rodenticide Causing Lower Gastrointestinal Bleeding: Resident Simulation

Sangal

Conlon

2018

MedEdPORTAL

View full text Add to dashboard Cite

Introduction: Gastrointestinal (GI) bleeding is becoming more common with an aging population. Lower GI bleeding is less common than its upper GI bleed counterpart. Incidence of bleeding is increasing because more patients are on anticoagulation medication. Abnormal coagulation can lead to this life-threatening condition requiring rapid diagnosis and treatment by a skilled medical provider. Simulation can be used to practice recognition of this disease process and work through treatment algorithms. Methods: This simulation case used a high-fidelity simulator to teach emergency medicine providers how to manage lower GI bleeding in a patient with abnormal coagulation secondary to intentional ingestion of rodenticide. The case simulated a 58-year-old female with history of bipolar disorder presenting with brisk rectal bleeding. Residents were expected to identify the type of GI bleed, leading to recognition that the patient was in hemorrhagic shock; they then had to appropriately reverse the anticoagulation and resuscitate with blood products. Afterward, learners were given a short survey to evaluate the case and debriefing process. Results: The case was performed at the University of Pennsylvania Simulation Center as part of the Emergency Medicine Resident Simulation Curriculum. Twenty-eight learners took part; of these, 20 (71%) found the simulation realistic, and 24 (86%) agreed or strongly agreed that the simulation was useful. Discussion: Main learning points include management of lower GI bleeding and reversal of abnormal anticoagulation. This simulation case is straightforward to run, requires minimal resources, and has been well received by learners at our institution.

show abstract