Westin Savannah Gift Shop, Articles D

There are actually two sets of educational objectives: the first set is for the theoretical PBL sessions, and the 2nd set is for the Simulation Session. Research Watch Box:Sleep, Fatigue & SafetyBy David Page, MS, NREMT-P Instead, instructors should combine case- and simulation-based techniques when teaching diabetic assessment. Forty percent of respondents reported excessive daytime sleepiness. Immersive Simulations Instagram: https://instagram.com/geekymedics Effectiveness of simulation on health profession students knowledge, skills, confidence and satisfaction. We do have a wig that we place on the patient, but we do not try for full realism. For instance, if we mimicked the noise and traffic of a real emergency department, this would constitute excessive realism, and become a distraction to beginner medical students. may email you for journal alerts and information, but is committed Could we not just do this as a large group session to all 160 students (versus 20 1-hour sessions to groups of eight students)? Some error has occurred while processing your request. A nasopharyngeal airway is a soft plastic tube with a bevel at one end and a flange at the other. DIABETIC KETOACIDOSIS MODULE: ENDOCRINOLOGY / METABOLIC TARGET: ALL PAEDIATRIC TRAINEES;NURSING STAFF BACKGROUND: DKA occurs when a relative or absolute lack of insulin leads to the inability to metabolise glucose. *=NdL/c2XSJn8:I Jb8'.8>N*[L .hxw6afq40DX3c~>abt'Q,8y(BZu(vKBTufIR. Intubation lubricants can mimic drooling. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Introduction: Diabetic ketoacidosis (DKA) is a life-threatening illness which classically presents with polyuria, polydipsia, and polyphagia that can rapidly progress to severe dehydration and altered mental status from cerebral edema. The instructors role is to facilitate active learning through a combination of learning styles. Facebook: http://www.facebook.com/geekymedics If an obstruction is visible within the airway, use afingersweeporsuctionto remove it. (1), The assessment of a diabetic patient is best taught as a case-based simulation. This allows us to get in touch for more details if required. Simulation Scenario. Please try after some time. Another example: At one minute into the scenario, the patient becomes unresponsive and their breathing becomes shallow. If the patient isunconsciousorunresponsive, start thebasic life support(BLS)algorithmas per resuscitation guidelines. Deteriorationshould be recognised quickly and acted upon immediately. Insert the airway bevel-end first, vertically along the floor of the nose with a slight twisting action. This simulation session therefore aims to make the case come alive, and show this known case in a clinical context. Development of simulation scenarios for an adolescent patient with diabetic ketoacidosis. 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. Typically potassium levels should be maintained between 4.0 5.5 mmol/L and close monitoring is required. Trainee will recognize and interpret the clinical signs and symptoms and the typical history of a patient with DKA, as well as understand the major causative factors of DKA. Simulation in Healthcare4(4):232-236, Winter 2009. Glycosuria leads to urinary losses of potassium through osmotic diuresis. They have had no clinical exposure or any clinical experience. 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. The Simulation Laboratory session follows after a completed PBL session, and is aimed at making the case come alive, while providing a clinical perspective to preclinical students. If the patient loses consciousness and there are no signs of life on assessment, put out a crash call and commence CPR. It was Trainee will increase knowledge of professional behaviors during the simulation. Discuss the patients current clinical condition with aseniorclinicianusing anSBARR style handover. We have been presenting Simulation Laboratory sessions to our preclinical medical students (first and second years). (1) According to Centers for Disease Control and Prevention (CDC), 223,619 deaths were attributed to diabetes in 2005. On arrival to the ER, standard monitors (electrocardiogram [ECG] and pulse oximetry [SpO2]) and end-tidal carbon dioxide (ETCO2) concentration were placed, and the patient was given oxygen by nasal cannulae. unilateral coarse crackles may be present if the patient has pneumonia which may have been the precipitant for DKA). The students worked on the underlying physiology during a week long PBL session and are therefore familiar with the theoretical aspects of DKA. 3. The debriefing environment should be removed from the location where the simulation took place. Other details are also important, including descriptions regarding patient language skill, social history, socioeconomic history, family history, religious practices or beliefs pertinent to treatment, and descriptive signs and symptoms. 6. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. This allows the learner group to make a psychological break from the patient and environment while beginning the reflection process. - Site 01:12 You may search for similar articles that contain these same keywords or you may This guide provides an overview of the recognition and immediate management of diabetic ketoacidosis (DKA)using an ABCDE approach. 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. Highlight selected keywords in the article text. 4 0 obj However, this turned out to be too slow, took too much time, and could not continuously demonstrate the direction of changes. 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. 4. This is a 25-year-old woman with a medical history of diabetes medicated with 40 units insulin per day. This leads to hyperglycaemia, osmotic diuresis, and dehydration. A strong emphasis is placed on the focused, methodical examination of a specific medical problem and the decision-based treatment options available. insulin-dependent type 2 diabetes), Altered consciousness (e.g. Inspect for evidence of self-injection sites (e.g. This field is for validation purposes and should be left unchanged. Re-assessthe patient using theABCDE approachto identify any changes in their clinical condition and assess the effectiveness of your previous interventions. We also show them IV bags containing saline and Ringers lactate, as well as show them IV infusion sets. If fever is present, make sure to consider co-existing infection. As the name says, this screen is used to graph and plot any parameter. 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). PBL was introduced at our institution in 1995. 2. A chest X-ray should not delay the emergency management of DKA. Stage 3: Ongoing management and monitoring of DKA 1 hour after initiation of treatment. Its absolutely necessary to follow all immersive simulations with a positive, emotionally safe and nonjudgmental debriefing environment. Check out our NEW & IMPROVED quiz platform at geekyquiz.com, To be the first to know about our latest videos, subscribe to our YouTube channel . You might also be interested in our awesome bank of 700+ OSCE Stations. The relationship between sleep, fatigue and patient and provider safety. Two abstracts related to sleepiness in the EMS workforce were presented at the National Association of EMS Physicians symposium in January. As this is a value-added session that demonstrates new concepts, such as the vital signs on a clinical monitor, there are no assessment instruments to measure gaining of understanding. The instructors have to appreciate that the trainees participating in this simulation have not seen a diabetic patient in either a ward or ER, but that they have knowledge of the underlying physiology. Ask for anotherclinicalmemberofstafftoassistyou if possible. cellulitis). Keyword Highlighting Each performance measure is separated into cognitive, behavioral or technical categories. Prehosp Emerg Care. An oxygen mask is also demonstrated as an alternative device, as these early trainees had mostly not yet seen any of these devices. The objective is to give as many visual and tactile cues concerning the patient condition and background as possible. This may produce better retention of the subject matter and help students adapt to emergency scenes before going into the field. We do point out the blood pressure (BP) cuff, but these medical students in their first year do not really need to know how the BP values are generated, they need to understand the origin and therapy for the low blood pressure. 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. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. The validity of the HFS-DKA scenario was verified by a certified diabetes nurse educator, a registered nurse, and a clinical nurse educator. Airway adjuncts are often helpful and in some cases essential to maintain a patients airway. Trainee will correlate the underlying pathophysiology with symptoms and signs as exhibited by the simulation session. She is lethargic and slightly confused but can intermittently respond to questions. Section snippets . The reason for inserting the airway upside down initially is to reduce the risk of pushing the tongue backwards and worsening airway obstruction. 2003;78:783788. Inspect the urine currently in the catheter bag and note its appearance (e.g. 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. 2007. Diabetic ketoacidosis (DKA) is a common, potentially lethal disease. Use blankets to re-warm patients who are mild to moderately hypothermic. 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. Available from: [. In the final 10 minutes, we show how the patient has a good recovery after fluid replacement. If the provider starts an IV and gives dextrose, then the patients alertness will increase, respirations will normalize and repeated blood glucose will read 210 mg/dL over a two-minute interval. If the patientloses consciousnessand there areno signs of lifeon assessment, put out acrash callandcommence CPR. We used the Medical Education Technologies Inc. (METI) Human Patient Stimulator (HPS, METI Sarasoto, Fl). General: Moaning, asking what has happening to her. The students have acquired all the applicable theoretical knowledge of the case during the previous multiday PBL sessions. The instructors never expect the trainees to exhibit full understanding of pathophysiology and skills in the treatment but do give them a few important points to understand the diagnosis and initial treatment of the patients with DKA. Over the years, some groups happened to have the simulation session before the completion of the theoretical PBL session. Competency-based medical education has seen widespread adoption in the field along with ongoing work in the areas of . Debriefing Scenario in a Nutshell Diabetic ketoacidosis (DKA) in pregnancy. The researchers found that long shift hours (24hrs), working overtime and marital/relationship stress were strongly correlated. I assigned true to life parking codes, and added some extra parking for the superfluous US Express AI. Conclusion Revisit history taking to explore relevant medical history and identify any precipitating factors for DKA. As this is a PBL session, the trainees are not given any references. Clearlydocument your ABCDE assessment, including history, examination, observations, investigations, interventions, and the patients response. www.cdc.gov/diabetes/statistics/prev/national/. Urinary tract infections are a common DKA precipitant. 1. We introduce the Simulation Laboratory and the Simulator, and demonstrate: pulses, eyes blinking, pupil constriction, gas moves in and out of mouth (place hand over mouth), chest moves up and down. In the context of DKA, a patients consciousness level may be reduced. A fixed-rate intravenous insulin infusion should be commenced initially to suppress ketogenesis, reduce blood glucose levels and address electrolyte disturbances. If you have any scenarios you would be willing to share with the simulation community, please forward them . Keywords: diabetic ketoacidosis, simulation, expertise, emergency medicine Introduction Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus, most . His Heart Stopped On a Treadmill. 2011;15:108109. Case-based education adds a real-world aspect to the learning environment. Weight, Height: Not given, normal appearing (as per simulator) but has lost 20 lbs recently. This style also doesnt mimic an actual scene, and a student may feel that treatment modalities and skills are performed at a slower rate than real-world applications. Using the arterial line, the scenario becomes much more dynamic. In some cases, normal saline with additional potassium is required to prevent overcorrection of serum potassium levels which would otherwise result in hypokalaemia. 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. The normal reference range for fasting plasma glucose is 4.0 5.8 mmol/l. Review the patients drug chart for medications which may cause a reduced level of consciousness (e.g. Acad Med. Insert at least onewide-bore intravenous cannula(14G or 16G) and take blood tests as discussed below. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. ABG, venepuncture). . At the end of the previous section, the trainee can make the diagnosis of DKA but has not confirmed it yet. Extremities: mild cyanosis, no clubbing or edema (verbalized by instructors); pulses equal, and symmetrical (elucidated by trainees). Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. <> type 1 diabetes), Complete insulin insensitivity (e.g. 2017 May 29;9(5):e1286. Initially, we used a blood pressure cuff to generate the blood pressure values. She had developed nausea, extreme fatigue, mild disorientation, and blurred vision toward the end of the soccer match. Inspect for evidence of infection on the skin (e.g. Lets discuss your options. DO NOT perform any examination or procedure on patients based purely on the content of these videos. It involves a facilitating instructor, a small learner group and conceptual aspects of environmental and manikin staging to provide sensory cues. COVID-19 Screening in the Pediatric Emergency Department. The use of case-based simulation, although more complicated and time consuming for the instructor, immerses the students in the subject matter. For instance, one of the questions is: Why is Tiffany dehydrated? There are several possible reasons and mechanisms (as outlined in Appendix B, fourth 15 minutes, Supplemental Digital Content 2, https://links.lww.com/SIH/A2), which the students can mention. The simulation session is also hosted as an interactive session. - Over 3000 Free MCQs: https://geekyquiz.com/ The questionnaire for the assessment of the session is given in full in the web-based supplement (Appendix A, Supplemental Digital Content 1, https://links.lww.com/SIH/A1). Below is a collection of donated scenarios for you to use or modify. The students are in their first year. 4. Despite this increased calorie intake, she noticed an unexplained 20 lbs weight loss. Check the patency of the patients right nostril and if required (depending on the model of NPA) insert a safety pin through the flange of the NPA. Feel the slow and tardy pulse, we consider these PBL sessions as an example of a Look here, see this use of a full human simulator in the hierarchy of learning strategies with a full human simulator (Table 1). We then start the DKA state. See Appendix D, Supplemental Digital Content 4, https://links.lww.com/SIH/A4. Its important to train and educate students of prehospital care on key indicators of a diabetic emergency. We now provide the students with handouts of the data to save time and provide consistency. TikTok: https://www.tiktok.com/@geekymedics Manikin staging can provide strong cues. Use washable, non-toxic paints to imitate various body emissions. A pre-briefing session is conducted prior to the start of the simulation scenario. to below 12 mmol/L) an infusion containing normal saline and 5% dextrose is typically commenced to prevent the development of hypoglycaemia, whilst allowing insulin therapy to continue to suppress ketogenesis and reduce serum electrolyte concentrations. and In this section, we have to help the trainee to institute definitive therapy based on the underlying biochemical abnormalities. Therefore, we have to emphasize the importance of airway, breathing, and circulation in the very sick patient in any clinical setting. reduced air entry, coarse crackles) to screen for evidence of pneumonia. As this is an interactive discussion session, any needed debriefing and/or explanation is given during the sessions. In the meantime, you can perform some basic airway manoeuvres to help maintain the airway whilst awaiting senior input. The main goal is to establish a safe learning environment for the learner [9, 13 . 2 The evaluation of potassium deficits is complicated by potassium exit from . His Wife Gave Him CPR. Introduction: Diabetic ketoacidosis (DKA) is a life-threatening illness which classically presents with polyuria, polydipsia, and polyphagia that can rapidly progress to severe dehydration and altered mental status from cerebral edema. Check out our other awesome clinical skills resources including: You can check out our guide to using SOCRATES here: https://geekymedics.com/the-socrates-acronym-in-history-taking/ The main purpose of the simulation is to draw a line from the theoretical, boring biochemistry to the clinical manifestations. One of the key differences with the immersive simulation is that the instructor is absent from the simulation environment. - Medical Finals Question Pack: https://geekymedics.com/medical-student-finals-questions/ Trainee will recognize the need for therapy and suggest an appropriate therapy in a simulated environment. The impetus for creating and implementing the high-fidelity diabetic ketoacidosis (DKA) simulation was based on a needs assessment and reviewing of undergraduate nursing students' examination statistics in a second semester medical-surgical course. cloudy urine may indicate urinary tract infection). We ask the trainee why the blood pressure is so low or heart rate is so high, and how we should treat it. Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD *Corresponding author: clark-obr@uiowa.edu Abstract Introduction: This simulation on diabetic ketoacidosis (DKA) in . For similar reasons, we do not believe a videotaped session will keep the students attention as much as these live simulator sessions. The simulators do not have rock steady vital sign values, and the students were unsure as to write down 121 or 122 mm Hg as the systolic blood pressure. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario 1) Please read through this document as it will help you prepare for your upcoming simulation on DKA. Review the patientsoxygen saturation(SpO2): Auscultate the chest to screen for evidence of respiratory pathology (e.g. Properly interpret a venous blood gas (VBG) and basic metabolic panel in a patient presenting with diabetic ketoacidosis. Use an effectiveSBARR handoverto communicate the key information effectively to other medical staff. They have had no clinical exposure or any clinical experience. Seek senior helpif the patient shows no signs of improvement or if you have any concerns. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. Simulation-based medical education: An ethical imperative. Make sure thepatientsnotes,observationchartandprescriptionchartare easily accessible. A hyperglycemic patient may present with tachypnea, which often presents as Kussmauls respirations, tachycardia, orthostatic blood pressure changes and other signs of dehydration and diabetic ketoacidosis (DKA). Rosens Emergency Medicine: Concepts and Clinical Practice. We demonstrate to the trainees the significant changes on the monitors by asking them to point out any changes on the simulator (clinical examination) and the vital signs (monitor parameters). a simulation training session designed to acquaint emergency medicine residents with the presentation and management of diabetic ketoacidosis (DKA) through the use of simulation. 5. The lecture allows for understanding of concepts prior to action, and instructor feedback is immediate. stream Are any further assessments or interventions required? Inspect theairwayfor obviousobstruction. 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.