Abdomen: The abdominal examination reveals diffuse mild epigastric tenderness to deep palpitation but neither rebound tenderness nor guarding (result of examination given by patient or by instructor). 1) Please read through this document as it will help you prepare for your upcoming simulation on DKA. x]o ]?9kgq~:)?hE )R6!up}\<8||\]}Y~;xp~yQ$#4~djX&{n_m-]^K1/~/AD Hv 99evs,;8}8zwnhFxV.kf-V^? See ourCXR interpretation guidefor more details. endobj Research Watch Box:Sleep, Fatigue & SafetyBy David Page, MS, NREMT-P 3. As a next step, we will let one of the trainees talk to the patient, and prompt to ask medical questions such as previous medical issues or recent drug use for them to practice asking questions to generate a differential diagnosis (in this case, other causes for confusion). Available from: [, NICE guidelines. Inspect for evidence of self-injection sites (e.g. GRAPH. Ketones show 5.5. Strategies of high-performing paramedic educational programs. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. As this is an interactive discussion session, any needed debriefing and/or explanation is given during the sessions. This allows us to get in touch for more details if required. A list of the requirements (monitors, props, and others) is given in Tables 2 and 3, as well as in the web supplement (Appendix C, Supplemental Digital Content 3, https://links.lww.com/SIH/A3). Instagram: https://instagram.com/geekymedics Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Assess the patients pulse and blood pressure: Inspect the patient from the end of the bed: they may appear drowsy, confused and/or clammy/pale. - Radiation 02:45 Immersive simulations are mentally exhausting because they create an intense and stressful atmosphere requiring the learner to work outside their comfort zone. 3. Furthermore, we demonstrate and explain the basic parameters (ECG, SpO2, BP, capnography), using an interactive format of questions and answers, and encourage the group to observe the normal values. Therefore, the same file is also sent to the participants before the session. angioedema, rash) commence appropriate treatment as discussed in ouranaphylaxis guide. Target Learner Groups J Nurs Educ. The trainees have had background knowledge of biochemistry because they had completed the PBL case. Please try after some time. Prehosp Emerg Care. His Wife Gave Him CPR. The students mentioned that they did not obtain the maximum value from the simulation session under these circumstances. Available if the trainee asks: arterial blood gas, glucose, electrolytes, BUN and plasma osmolality (please see last section of Appendix B, Supplemental Digital Content 2, https://links.lww.com/SIH/A2, for values). After entering the environment, the student doesnt have the option of leaving the simulation until the learning objectives and performance measures are achieved. Insert the airway bevel-end first, vertically along the floor of the nose with a slight twisting action. DONT FORGET these 3 key components of the cardiovascular exam for your upcoming OSCEs Save this video to watch later and dont forget to follow Geeky Medics! cellulitis). In this section, we have to guide them as to what they should do first for the patient in this critical condition (ie, treat the A, B, Cs of airway, breathing, and circulation) before we can confirm the diagnosis. Privacy Policy - 150+ PDF OSCE Checklists: https://geekymedics.com/pdf-osce-checklists/ 2) Complete the assigned suggested readings 3) Complete the presimulation preparation virtual simulation game (Instructor will provide link) 4) Once you have completed reading this document and prepared for your simulation, please: a. - Timing 03:23 Lets discuss your options. Chapters: Introduceyourselfto thepatientincluding yournameandrole. 1 0 obj The patient synopsis should include such standard aspects as age, sex, ethnicity, medical history, medications and allergies. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. - Onset 01:48 NPAs should not be used in patients who may have sustained a skull base fracture, due to the small but life-threatening risk of entering the cranial vault with the NPA. We try to provide sufficient realism.. During an immersive simulation, its imperative the group uses critical-thinking skills and group collaboration independently. Use blankets to re-warm patients who are mild to moderately hypothermic. This session provides additional clinical support material for the theoretical PBL session. This is a 25-year-old woman with a medical history of diabetes medicated with 40 units insulin per day. Highlight selected keywords in the article text. 3. The students are in their basic science course. 5. . Simulation Scenario. The instructor can also gauge the direction the debriefing session should follow or be alerted to possible problems or conflicts in treatment opinions. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. A patient with Type I diabetes will often have symptoms related to blood sugar imbalances that appear abruptly with polydipsia, polyuria, polyphagia and rapid weight loss. 2008;6:278302. 2011;15:108109. The HFS-DKA simulation teaching consisted of pre-briefing (an hour), running simulation (30 minutes) and debriefing (an hour) for the high-fidelity simulator using the Lardeal SIM man . Simulation in Healthcare4(4):232-236, Winter 2009. Supplemental digital content is available for this article. <> Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Its best, however, to allow the student group to continue so theyre able to evaluate their decision-making processes during debriefing. COVID-19 Screening in the Pediatric Emergency Department. (1) According to Centers for Disease Control and Prevention (CDC), 223,619 deaths were attributed to diabetes in 2005. 2011;15:108109. DKA can be caused by either: Absolute insulin deficiency (e.g. Does the patient need a referral toHDU/ICU? If any obstruction is encountered, remove the tube and try the left nostril. may email you for journal alerts and information, but is committed We combined both to indicate the continuity of the curriculum, and the building on prior knowledge. TikTok: https://www.tiktok.com/@geekymedics The simulation experience serves to give substance to the theoretical words and concepts that the students encountered during the PBL sessions. 6. Trainee will be able to apply skills of communication with the simulated patient in a semiacute crisis to get sufficient important information for a final diagnosis. The file explaining the session is sent to instructors 1 week before the sessions. This is a combination of the modified traditional lecture within scenario-based learning. - 2500+ OSCE Flashcards: https://geekymedics.com/osce-flashcards/ In keeping with the case study, as a treatment marker is reached, the instructor should place emphasis on physiological, pharmacological, environmental and psychosocial issues. Refer to your local guidelines for further details. A blood glucose level may already be available from earlier investigations (e.g. KDCA, Ronald Reagan Washington National Airport, DC. The Theory Groups of more than seven may struggle with meeting objectives due to insufficient functional rolls. A strong emphasis is placed on the focused, methodical examination of a specific medical problem and the decision-based treatment options available. Refer to your local guidelines for further details. We believe it is important to have active, participatory learning by having conversations with the trainees in the form of questions and answers. You might also be interested in our awesome bank of 700+ OSCE Stations. 2. 1 Potassium losses occurring both before and during treatment of DKA must be replaced. The use of simulation-based instruction enables a student to learn at their own pace and allows them to repeat sequential steps to gain confidence and proficiency. The learning environment should closely mimic real-world applications. Below is a collection of donated scenarios for you to use or modify. As individuals with uncontrolled type I . You should have another member of the clinical team aiding you in your ABCDE assessment, such a nurse, who can perform observations, take samples to the lab and catheterise if appropriate. Cureus 9(5): e1286. When erroneous treatment is delivered, the instructor can end the simulation. 4. To read Pages full Research Review column, visit www.jems.com/patient-care. Please write a single word answer in lowercase (this is an anti-spam measure). Prehosp Emerg Care. 1. Open the patients airwayusing ahead-tiltchin-lift manoeuvre: 1. Therefore, we should not have to take much time on this issue, but we have to focus on the relationship between the biochemistry and clinical signs and symptoms by asking why the patient is dehydrated, why acidosis develops, why respiration is rapid and deep (Kussmaul) respirations, and what the rationale for inpatient treatment is. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The purpose of this simulation is to demonstrate the specific clinical signs of the patients with DKA, and the keys by which we recognize DKA in the early stages. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. One advantage to the animated lecture style is the ability to introduce treatment options in a methodically guided approach thats in conjunction with simultaneous environmental stimulus. Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes.Below is a collection of donated scenarios for you to use or modify. Performing an ECG should not delay the emergency management of DKA. The student group should be encouraged to collaborate on management options and to perform skills. Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. The required potassium replacement varies greatly. Please enable scripts and reload this page. Each performance measure is separated into cognitive, behavioral or technical categories. In this manner, the students have to apply their knowledge at the appropriate points during the progression of the scenario. If the patient loses consciousness and there are no signs of life on assessment, put out a crash call and commence CPR. We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. If an infection is suspected, IV antibioticsshould be administered as soon as possible. Medical simulation technology is a powerful tool for training physicians but papers dealing with DKA simulators are scarce. You may search for similar articles that contain these same keywords or you may Trainee will correlate the underlying pathophysiology with symptoms and signs as exhibited by the simulation session. Please try again soon. A nasopharyngeal airway is a soft plastic tube with a bevel at one end and a flange at the other. This environment doesnt allow the student to identify presentation cues, be active in their own learning or apply their skills without endangering the lives of patients.(2). A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. See our blood glucose measurement guide for more details. Vital Signs: BP, 90/30 mm Hg (ECG shows normal sinus rhythm); central venous pressure, 0 to 2 cm H. Lungs: All lung fields are clear to auscultation without wheeze or rhonchi, and the respiratory pattern is typical of Kussmaul breathing, ie, large deep tidal volumes and increased respiratory rate. We used the Medical Education Technologies Inc. (METI) Human Patient Stimulator (HPS, METI Sarasoto, Fl). If foreign material is present, attempt removal using suction. We ask the trainee why the blood pressure is so low or heart rate is so high, and how we should treat it. Invasive monitors, including a left radial intraarterial and a right subclavian IV catheter, were placed. Int J Evid Based Healthc. This is particularly important for core . The researchers found that long shift hours (24hrs), working overtime and marital/relationship stress were strongly correlated. 4. Experience has shown that the more experienced the provider, the more detailed the environmental and manikin staging should be, because providers are trained to take in and interpret visual cues as indicators of patient status. As with the animated lecture, the simulation is strongly dependent on a focused case study. Animated lectures, however, must work within the framework of a focused case study, which requires increased preparation time. Published August 2015. unilateral coarse crackles may be present if the patient has pneumonia which may have been the precipitant for DKA). A debriefing section with pre-established questions allows the instructor to review the main focus and performance measures with the student group. Administer oxygen to all critically unwell patients during yourinitialassessment. A pre-briefing session is conducted prior to the start of the simulation scenario. The consequences (low blood pressure, high heart rate, central nervous system status, etc.) An hour was . Margolis GS, Romer GA, Fernandez AR, et al. Marx JA, Hockberger RS, Walls RM. PBL was introduced at our institution in 1995. Moses Lake (WA) Fire Department Gets $3.3M Grant for more Firefighters, Woman Who Crashed into Responders, Killing PA Firefighter, Gets Prison, Three Apparent Gas Explosions at San Bernardino (CA) Mountain Homes, Enid (OK) Fire Department Begins SWAT Medic Program to Assist Police, FDNY EMS Providers Win COVID-19-Linked Free Speech Lawsuit, Coronavirus Origins Still a Mystery Three Years into Pandemic. Seek senior helpif the patient shows no signs of improvement or if you have any concerns. Groups of fewer than four students dont allow for optimal collaboration. In the first, the authors expanded the National Registrys Longitudinal EMT Attributes and Demographic (LEADS) study by resurveying 1,600 EMS workers about their sleepiness while at work. Review the patientsoxygen saturation(SpO2): Auscultate the chest to screen for evidence of respiratory pathology (e.g. Our simulated patient is a 25-year-old woman, Tiffany, who has been taken to the Emergency Department from her soccer game by her boyfriend, Adam. An oropharyngeal airway is a curved plastic tube with a flange on one end that sits between the tongue and hard palate to relieve soft palate obstruction. It should only be inserted in unconscious patients as it is otherwise poorly tolerated and may induce gagging and aspiration. Initially, we required the students to write down the vital signs. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Make sure thepatientsnotes,observationchartandprescriptionchartare easily accessible. She had developed nausea, extreme fatigue, mild disorientation, and blurred vision toward the end of the soccer match. Facebook: http://www.facebook.com/geekymedics Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD . ABG, venepuncture). Use an effectiveSBARR handoverto communicate the key information effectively to other medical staff. A GCS of 8 or below warrants urgent expert help from an anaesthetist. As this is a PBL session, the trainees are not given any references. Insert the oropharyngeal airway in the upside-down position until you reach the junction of the hard and soft palate, at which point you should rotate it 180. If you have any scenarios you would be willing to share with the simulation community, please forward them . Some manikin models support a variety of human functions, such as capillary and facial cyanosis, facial sweating, foley catheter and IV placement, blood pressure generation, cardiac rhythms and abnormalities, defibrillation, cardioversion, external pacing and vital sign generation. The Pratcice Initially, we had a white board available, but the temptation (and habits) were just too strong, and the simulator sessions tended to become one way lectures, rather than an interactive, 2 way discussion.. Diabetic ketoacidosis; Simulation training; Medical students. She Died the Next Day. Alert a senior immediately if you have any concerns about the consciousness level of a patient. An oxygen mask is also demonstrated as an alternative device, as these early trainees had mostly not yet seen any of these devices. For diabetic assessment involving DKA, staging may include the use of a container with a small amount of acetone placed near the manikin because many students may not know what acetone smells like but will expect to smell something. Because of the early stage (first year) of their medical careers, they have not yet seen vital sign monitoring, or patients, so these clinical aspects are introduced and emphasized. It was Trainee will improve their understanding of clinical practice through reflective assessment of actual cases during the prior PBL sessions. 3. <>>> JEMS. Discuss the patients current clinical condition with aseniorclinicianusing anSBARR style handover. Refer to your local guidelines which should provide a clear protocol for the management of DKA. Debriefing Prehosp Emerg Care. Weight, Height: Not given, normal appearing (as per simulator) but has lost 20 lbs recently. The addition of a fluid infusion containing some potassium allows insulin therapy to continue to suppress ketogenesis and normalise plasma pH whilst preventing the development of hypokalaemia. 4. Using the arterial line, the scenario becomes much more dynamic. The instructions to the facilitators suggest a series of structured, sequential questions to the students (starting at one end, involving each student in turn, and repeatedly cycling around the group.) If the patient is confused you might be able to get a collateral history from staff or family members as appropriate. The patient was placed in the supine position and was a little confused as well as drowsy but at times had a good verbal response (Glasgow Coma Scale 15/15). See ourfluid prescribing guidefor more details onresuscitation fluids. The objective is to give as many visual and tactile cues concerning the patient condition and background as possible. This is an important period, as this is where the students see the theoretical concept (metabolic acidosis), come to life as for instance large tidal volumes. A collection of surgery revision notes covering key surgical topics. Trainee will increase knowledge of professional behaviors during the simulation. It involves working through the following steps: Each stage of the ABCDE approach involvesclinicalassessment,investigationsandinterventions. The optimal number of simulation participants is four to seven individuals, depending on the case study objectives. Ask for anotherclinicalmemberofstafftoassistyou if possible. Topic: Abdominal TraumaTitle: Motorcycle CrashTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Adrenal CrisisTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: AnaphylaxisTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: AnaphylaxisTitle: Anaphylaxis In An InpatientTarget: PGY1Author / Institution: Alison Rodger, Babar Haroon / Dalhousie Universityclick here to download, Topic: AnaphylaxisTitle: Bee Sting In An 8 Month OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: ApneaTitle: Drowning In A 3 Year OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Asthmatic Protocol for EDTitle: Branching Scenario: 3 Treatment Routine ER - Pediatric PatientTargets: Emergency Department Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: Atrial FibrillationTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Bidirectional Ventricular Tachycardia from Digoxin ToxicityTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: BradicadiaTitle: Bradycardic Arrest - Carotid Sinus MassTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: BurnTitle: Cigarette FireTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: BurnTitle: Meth Lab Explosion Target: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Cardiac ArrestTarget: Inter-professional Team TrainingAuthor / Institution: Alim Nagji, Krista Dowhos / Joseph Brant Hospitalclick here to download, Topic: Chest and Abdominal TraumaTitle: Auto AccidentTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: CHF (Congestive Heart Failure)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Communication, Interpersonal Skills, Mediating Conflict Title: Managing Family Members with Different Views Target: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Crohns FlareTitle: Complicated CrohnsTarget: PGY1Author / Institution:Allen Tran / Dalhousie Universityclick here to download, Topic: Delirious, Combative / Violent Patient Management Title: DeliriumTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Delivering Bad NewsTitle: Delivering Bad News after a StrokeTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Difficult AirwayTitle: Ace Inhibitor AngioedemaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Difficult AirwayTitle: Difficult / Failed AirwayTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Disclosure of an Adverse EventTitle: Retained Guidewire from a Central LineTarget: ICU FellowsAuthor / Institution: Ryan Fink / OHSUclick here to download, Topic: DKA (Diabetic Ketoacidosis)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: DKATarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Acute Pulmonary Edema requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Severe Asthma requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Electrical StormTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Emergent Med-Surg ResponseTitle: MET/RRT ResponseTargets: Response Teams, House Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: EtOH WithdrawalTitle: EtOH Withdrawal SiezureTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Febrile NeutropeniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Head TraumaTitle: Four Storey FallTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Head TraumaTitle: Hit by MotorboatTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: HypertensionTitle: Aortic DissectionTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: HypertensionTitle: Autonomic DysreflexiaTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Hypertensive EmergencyTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Hypertensive EmergencyTitle: Diastolic Danger Hypertensive Urgency / EmergencyTarget: PGY1Author / Institution: Hailey Hobbs, Babar Haroon / Dalhousie Universityclick here to download, Topic: HypoxiaTarget: Inter-professional Team TrainingAuthor / Institution: Devin Sydorclick here to download, Topic: Inferior StemiTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Labor and delivery, postpartum hemorrhageTitle: Normal Delivery with PPHTarget: Maternal - Child Course - Nursing EducationAuthor / Institution: Kelly McMunnclick here to download, Topic: PEA Arrest (pulseless electrical activity)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Pelvic FractureTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Penetrating Thoracic TraumaTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: PneumoniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: PneumoniaTitle: Community Acquired PneumoniaTarget: PGY1Author / Institution: Iain Arseneau, Babar Haroon / Dalhousie Universityclick here to download, Topic: Pulmonary EmbolismTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Ruptured Ectopic PregnancyTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: SepsisTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: SepsisTitle: Sepsis - Crohn's IntraabdominalTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - DKA and PneumoniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - Febrile NeutropeniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: ShockTitle: Blunt Trauma Causing a High Spinal Cord Injury with Neurogenic ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Hemorrhagic Shock in an Elderly Pedestrian stuck by a VehicleTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Penetrating Chest Trauma Causing Obstructive ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Snake BiteTarget: ER residentsAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Status AsthmaticusTarget: PGY1Author / Institution: Unknownclick here to download, Topic: Status Epilepticus - Apnea Post-BenzodiazepinesTitle: Seven month old with Status EpilepticusTarget: Pediatric ResidentsAuthor / Institution: Keith Gregoireclick here to download, Topic: StrokeTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Subdural Hemorrhage Title: SDH and DOACTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Syncope / TorsadesTitle: Syncope / Torsades in the setting of acquired prolonged QTTarget: PGY1Author / Institution:Tasha Kulai, Babar Haroon / Dalhousie Universityclick here to download, Topic: Tachycardia Rapid AFTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Toxic Shock SyndromeTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Toxicology - Bupivicaine OverdoseTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - Hydrofluoric Acid BurnsTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - OrganophosphatesTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Upper GastrointestinalI BleedTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Upper Gastrointestinal BleedingTitle: GI BleedTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: Viral bronchiolitis in infants requiring intubationTitle: Apnea in the infant with RSV bronchiolitisTarget: Pediatric ResidentsAuthor / Institution: Mike Storrclick here to download.
Ojr School Board Candidates 2021, Brandon Roux Michigan, Articles D