For more information, please refer to our Privacy Policy. For example, if a student is to run a diabetic emergency in an extended living facility, the room should be staged with the appropriate bed, linens and medical equipment, and include personal artifacts and memorabilia normally found in such environments. Classroom Dynamics You can check out our guide to using SOCRATES here: https://geekymedics.com/the-socrates-acronym-in-history-taking/ Review the patientsoxygen saturation(SpO2): Auscultate the chest to screen for evidence of respiratory pathology (e.g. Int J Evid Based Healthc. The lecture allows for understanding of concepts prior to action, and instructor feedback is immediate. Advance the airway until it lies within the pharynx. 2009;13:505511. We found it more important to have the students full attention so that they could concentrate on concepts and not on menial tasks such as recording data. Problems are addressed as they are identified and the patient is re-assessed regularly to monitor their response to treatment. Trainee will practice or observe good teamwork skills, both as a leader and a team player. Please enable scripts and reload this page. An arterial blood gas (ABG) can provide lots of useful information to guide management including: A chest X-ray may be indicated if abnormalities are noted on auscultation (e.g. Keyword Highlighting 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). 2011;15:108109. During an immersive simulation, its imperative the group uses critical-thinking skills and group collaboration independently. This typically involves the use of anon-rebreathe maskwith an oxygen flow rate of15L. 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. Properly interpret a venous blood gas (VBG) and basic metabolic panel in a patient presenting with diabetic ketoacidosis. They have had no clinical exposure or any clinical experience. A collection of surgery revision notes covering key surgical topics. doi: 10.7759/cureus.1286. Simulation of Diabetic Ketoacidosis for Cellular and Molecul A chest X-ray should not delay the emergency management of DKA. Research Watch Box:Sleep, Fatigue & SafetyBy David Page, MS, NREMT-P 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. If the patient loses consciousness and there are no signs of life on assessment, put out a crash call and commence CPR. 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. Emergency medical services workLife characteristics contribute to clinically significant excessive daytime sleepiness. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Despite this increased calorie intake, she noticed an unexplained 20 lbs weight loss. We do not use passive visualizing materials such as videotapes or DVD other than vital signs shown on the monitors. This article originally appeared in March 2011 JEMS as Diabetes Demonstration: Simulation-based learning works best., Simulation Training Ideal for Diabetic Patients, CMS Begins Reprocessing Retroactive Payments, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, All Paramedic Recruits in New Castle County (DE) Obtain NRP Certification, International Prehospital Medicine Institute Literature Review, March 2023. 3. - Onset 01:48 Therefore, the same file is also sent to the participants before the session. PA EMT Said COVID Patient Didnt Need to Go to the Hospital. A strong emphasis is placed on the focused, methodical examination of a specific medical problem and the decision-based treatment options available. KDCA, Ronald Reagan Washington National Airport, DC. At the end of the previous section, the trainee can make the diagnosis of DKA but has not confirmed it yet. Prehosp Emerg Care. 3. 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 required potassium replacement varies greatly. Groups of more than seven may struggle with meeting objectives due to insufficient functional rolls. The simulation session is also hosted as an interactive session. 2017 May 29;9(5):e1286. 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! modify the keyword list to augment your search. Evenly balancing performance measures will ensure the student has the opportunity to critically think through patient treatment and to practice new or support previously learned behaviors and technical skills. Trainee will be respectful to others and their views during the PBL session. - Exacerbating & relieving factors 05:12 Immersive Simulations A GCS of 8 or below warrants urgent expert help from an anaesthetist. Each performance measure is separated into cognitive, behavioral or technical categories. The Theory Does the patient need reviewing by a specialist? When a group treatment decision is made that would be contraindicated or harmful to the patient, the instructor can redirect the learner group while maintaining an atmosphere inclined toward independent thinking. During the debriefing process that follows the simulation, well-balanced performance measures will guide feedback toward accomplished tasks and may illustrate existing decision-making, behavioral or technical skill deficits. Medical simulation technology is a powerful tool for training physicians but papers dealing with DKA simulators are scarce. Inspect for evidence of self-injection sites (e.g. stream Seek senior helpif the patient shows no signs of improvement or if you have any concerns. - Character 02:14 diagnosis of DKA Trigger 3, ABG show acidosis and high BM and normal potassium. If the patient is conscious, sit themuprightas this can also help with oxygenation. Stage 3: Ongoing management and monitoring of DKA 1 hour after initiation of treatment. Simulation student Scenario- DKA-Peds.docx - DIABETIC 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.. She began experiencing progressively worsening thirst, increased appetite, and excessively increased urination. 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. Catheterisethe patient to closelymonitor urine outputto guide fluid resuscitation and need for escalation. 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. Chapters: In this section, we have to help the trainee to institute definitive therapy based on the underlying biochemical abnormalities. Tilt the forehead back whilst lifting the chin forwards to extend the neck. Use an effectiveSBARR handoverto communicate the key information effectively to other medical staff. We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. 2003;78:783788. 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). She Died the Next Day. We try to provide sufficient realism.. To read Pages full Research Review column, visit www.jems.com/patient-care. Use washable, non-toxic paints to imitate various body emissions. They should introduce the student group to the environment, assign roles for each learner and guide the decision-making process. . A simulation training session is described designed to acquaint emergency medicine residents with the presentation and management of diabetic ketoacidosis through the use of simulation. Animated lectures, however, must work within the framework of a focused case study, which requires increased preparation time. Centers for Disease Control and Prevention. Causes: Any situation arising in a diabetic that requires increased insulin without that demand being met can result in DKA. (1) According to Centers for Disease Control and Prevention (CDC), 223,619 deaths were attributed to diabetes in 2005. endobj Simulation-based medical education: An ethical imperative. %PDF-1.5 Introduction: This simulation on diabetic ketoacidosis (DKA) in the obstetric population presents learners with one of the more commonly encountered etiologies of critical illness in the pregnant patient. 3. Askhow the patient is feeling as this may provide some useful information about their current symptoms. Finally, we summarize the course and give them time for questions. The student group is given a short introduction into a closed simulation environment. Many of the preclinical students have never seen a real life clinical monitor or even an intravenous (IV) setup. Facebook: http://www.facebook.com/geekymedics You may search for similar articles that contain these same keywords or you may - Introduction 00:00 3. Diabetes (type 1 and type 2) in children and young people: diagnosis and management. Groups of fewer than four students dont allow for optimal collaboration. TikTok: https://www.tiktok.com/@geekymedics If the patient isunconsciousorunresponsive, start thebasic life support(BLS)algorithmas per resuscitation guidelines. The use of a simulated, evolving case scenario was an effective method of exposing nursing students to complex patient care. - Site 01:12 A debriefing section with pre-established questions allows the instructor to review the main focus and performance measures with the student group. #geekymedics #fyp #fypviral #studytok #medicalstudentuk #medtok #studytips #studytipsforstudents #medstudentuk #premed #medschoolfinals #shorts, Cardiovascular Exam Tips - DON'T FORGET these 3 things , Watch this video to find out the most COMMONLY FORGOTTEN components of the cardiovascular history! Save this video to help prepare for your upcoming OSCEs and dont forget to follow Geeky Medics! The students worked on the underlying physiology during a week long PBL session and are therefore familiar with the theoretical aspects of DKA. In some cases, normal saline with additional potassium is required to prevent overcorrection of serum potassium levels which would otherwise result in hypokalaemia. Refer to your local guidelines for further details. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Subscribe to our newsletter to be the first to know about our latest content: https://geekymedics.com/newsletter/ In other words, they do not have clinical experience, but they have clinical knowledge. YouTube Video VVVram5yRUhROGJRUW1sZk5kQVFDXzV3LjMxakdNallNcng0, YouTube Video VVVram5yRUhROGJRUW1sZk5kQVFDXzV3LkJPVjVZMzBKczY4, YouTube Video VVVram5yRUhROGJRUW1sZk5kQVFDXzV3LkxEM2VkQzB2NTBr, Start typing to see results or hit ESC to close, Deep Vein Thrombosis (DVT) Examination OSCE Guide, Pre-hospital Advanced Life Support (ALS) OSCE Guide, Adult Choking (Basic Life Support) OSCE Guide, Paediatric Intravenous Cannulation OSCE Guide, Intrauterine System (Mirena) Counselling OSCE guide, Geeky Medics OSCE Book | Clinical Examination, Paediatric Gastro-oesophageal Reflux Disease, A Career as a GP with Special Interest with Dr Fiona Mosgrove, Absolute insulin deficiency (e.g. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario 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. 4. Immersive simulations are mentally exhausting because they create an intense and stressful atmosphere requiring the learner to work outside their comfort zone. The 60 minutes training time consists of four 15-minute sections divided as follows. 2 The evaluation of potassium deficits is complicated by potassium exit from . Healthcare Students' Psychological Well-Being in a Diabetic Ketoacidosis Simulation. may email you for journal alerts and information, but is committed Observe and discuss the effects of therapy in a mathematically modeled physiological simulator. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario If fever is present, make sure to consider co-existing infection. An individual student can get an immediate answer to a question, the facilitator can see puzzled expressions on faces, and the PBL group could get answers that they could not get during their prior PBL group discussions. Therefore, we have to emphasize the importance of airway, breathing, and circulation in the very sick patient in any clinical setting. MassBay EMS Program Integrates Training for Dogs, Heat Waves Are Killing More LA Homeless People. <> reduced air entry, coarse crackles) to screen for evidence of pneumonia. In keeping with the case study, as a treatment marker is reached, the instructor should place emphasis on physiological, pharmacological, environmental and psychosocial issues. - Timing 03:23 Trainee will increase knowledge of professional behaviors during the simulation. GRAPH. Circulating nurse in the emergency room (ER). Forty percent of respondents reported excessive daytime sleepiness. A number of key modifiers are described that allow for the adjustment of case . The diabetes with DKA clinical pathway is a detailed plan of the course of care for pediatric patients seen in the emergency department with diabetic ketoacidosis. Section snippets . 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. oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. The instructor can also gauge the direction the debriefing session should follow or be alerted to possible problems or conflicts in treatment opinions. opioids, sedatives, anxiolytics, insulin, oral hypoglycaemic medications). 1 Potassium losses occurring both before and during treatment of DKA must be replaced. His Heart Stopped On a Treadmill. Highlight selected keywords in the article text. Conclusions This technical report describes the design and implementation of a simulation scenario on DKA for emergency medicine trainees. By joining Cureus, you agree to our If the patient has COPD and a history of CO2retention you should switch to aventuri maskas soon as possible andtitrate oxygen appropriately. It was to maintaining your privacy and will not share your personal information without We believe it is important to have active, participatory learning by having conversations with the trainees in the form of questions and answers. 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. Strategies of high-performing paramedic educational programs. After the initial treatment is initiated, by showing a simulated urine and blood, and by getting them to smell ketones, we can enable the trainee to confirm the diagnosis of DKA. Urinary tract infections are a common DKA precipitant. Some error has occurred while processing your request. DO NOT perform any examination or procedure on patients based purely on the content of these videos. - Medical Finals Question Pack: https://geekymedics.com/medical-student-finals-questions/ Diabetic Ketoacidosis in the Obstetric Population: A Simulation 34 - Diabetic Ketoacidosis in Pregnancy | Obgyn Key TheABCDEapproach can be used to perform a systematic assessment of a critically unwell patient. See ourfluid prescribing guidefor more details onresuscitation fluids. We used the Medical Education Technologies Inc. (METI) Human Patient Stimulator (HPS, METI Sarasoto, Fl). 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. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS The students are in their basic science course. Stage 2: Emergency management of DKA and consideration of abnormal CTG. Introduceyourselfto whoever has requested a review of the patient andlistencarefullyto their handover. 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. <> Heart: S1 and S2 within normal limits; no S3/S4 or murmurs, normal rate and rhythm. Initially, we required the students to write down the vital signs. She was taken to the Emergency Department from her soccer game because she complained of nausea, extreme fatigue, mild disorientation, and blurred vision toward the end of the soccer match. . 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 . If the patientloses consciousnessand there areno signs of lifeon assessment, put out acrash callandcommence CPR. DY{Qb"(EgN$QI*%XN1F""0a5 This may produce better retention of the subject matter and help students adapt to emergency scenes before going into the field. The immersive simulation is performed when the instructor feels comfortable with the acquired knowledge and skill base presented in the animated lecture or when the student group has sufficient practical experience to apply the cognitive, behavioral and technical skills outlined in the case scenario. Calculate the patients current fluid balance using their fluid balance chart (e.g. They have had no clinical exposure or any clinical experience. Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. Privacy Policy We then start the DKA state. See Appendix D, Supplemental Digital Content 4, https://links.lww.com/SIH/A4. areas of lipohypertrophy) if it is unclear if the patient is diabetic. PBL was introduced at our institution in 1995. 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. VbQuX#R M21 2. See ourdocumentation guidesfor more details. In this case scenario, dehydration is one of the most serious immediate issues. The learning objectives follow the American College of Graduate Medical Education (ACGME) Core Compentencies. SimMan Nursing Scenarios Software - laerdal.com Makeup may be used to depict gender, hollow eyes and cheeks, produce pallor or display bruises and scars. Trainee will describe the changes in vital signs, the major metabolic, fluid, and electrolyte. Data is temporarily unavailable. Target Learner Groups If the patient is suspected to have sufferedsignificanttraumawith potential spinal involvement, perform ajaw-thrustrather than a head-tilt chin-lift manoeuvre: 2. This is a combination of the modified traditional lecture within scenario-based learning. Case-based education adds a real-world aspect to the learning environment. 4 0 obj Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario General: Moaning, asking what has happening to her. The consequences (low blood pressure, high heart rate, central nervous system status, etc.) This is particularly important for core . DKA can develop within 24 hours and is potentially life threatening, requiring prompt recognition and therapeutic intervention. Environment & Manikin 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. Revisit history taking to explore relevant medical history and identify any precipitating factors for DKA. The students mentioned that they did not obtain the maximum value from the simulation session under these circumstances. Diabetic ketoacidosis; Simulation training; Medical students. Perform urinalysis and send the urine for culture if urinary tract infection is suspected. The Theory Instagram: https://instagram.com/geekymedics She tends to drink sugar containing fluids (soda) when she is thirsty, and she eats fast foods (cream-filled muffins) when she is hungry. 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.