<> Therefore, we have to emphasize the importance of airway, breathing, and circulation in the very sick patient in any clinical setting. Open the patients mouth to ensure there is no foreign material that may be pushed into the larynx. Askhow the patient is feeling as this may provide some useful information about their current symptoms. Antibiotics should be prescribed in keeping with local guidelines. She Died the Next Day. Perform urinalysis and send the urine for culture if urinary tract infection is suspected. Make sure thepatientsnotes,observationchartandprescriptionchartare easily accessible. Instead, instructors should combine case- and simulation-based techniques when teaching diabetic assessment. We believe it is important to have active, participatory learning by having conversations with the trainees in the form of questions and answers. Using SOCRATES in History Taking | OSCE | Communication Skills, Diabetic Ketoacidosis (DKA) | Acute Management | ABCDE. Weight, Height: Not given, normal appearing (as per simulator) but has lost 20 lbs recently. Before trainees arrival into the simulation area, the simulator is already preprogrammed for DKA. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. 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. The choice of fluid type, rate of administration and volume should be tailored to the individual patient based upon their vital signs and electrolytes. J Nurs Educ. The instructor can also gauge the direction the debriefing session should follow or be alerted to possible problems or conflicts in treatment opinions. Its absolutely necessary to follow all immersive simulations with a positive, emotionally safe and nonjudgmental debriefing environment. Target Learner Groups Stage 2: Emergency management of DKA and consideration of abnormal CTG. The scenario would include an if-then algorithm. Stage 3: Ongoing management and monitoring of DKA 1 hour after initiation of treatment. The students have acquired all the applicable theoretical knowledge of the case during the previous multiday PBL sessions. Diabetic ketoacidosis (DKA) is a common, potentially lethal disease. Simulation of Diabetic Ketoacidosis for Cellular and Molecul 2007. 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. Refer to your local guidelines for further details. 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. The trainees have had background knowledge of biochemistry because they had completed the PBL case. 3. Reprints: Koichiro Nandate, MD, PhD, Department of Anesthesiology, Milton S. Hershey Medical Center, Pennsylvania State University College of Medicine, 500 University Drive Box 850, Hershey, PA 17033 (e-mail: [emailprotected]). If an infection is suspected, IV antibioticsshould be administered as soon as possible. The researchers found that long shift hours (24hrs), working overtime and marital/relationship stress were strongly correlated. Prehosp Emerg Care. Case-based simulation should include two to three broad-focus objectives, as well as 1020 specific performance measures that the student should accomplish. Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. 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. diagnosis of DKA Trigger 3, ABG show acidosis and high BM and normal potassium. 1-6. JEMS. Classroom Dynamics In other words, they do not have clinical experience, but they have clinical knowledge. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Cureus. KDCA, Ronald Reagan Washington National Airport, DC. The debriefing environment should be removed from the location where the simulation took place. Ziv A, Wolpe PR, Small SD, et al. These simulation sessions seem to work because the medical students do have prior knowledge. When erroneous treatment is delivered, the instructor can end the simulation. We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. tall tented T waves in hyperkalaemia). We then start the DKA state. See Appendix D, Supplemental Digital Content 4, https://links.lww.com/SIH/A4. 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). We combined both to indicate the continuity of the curriculum, and the building on prior knowledge. 3. Prehosp Emerg Care. 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. Lets discuss your options. 5. insulin-dependent type 2 diabetes) Symptoms Typical symptoms of DKA include: Palpitations Nausea Vomiting Sweating Thirst Weight loss Leg cramps Clinical signs Typical clinical signs of DKA include: Tachycardia Hypotension Open the patients airwayusing ahead-tiltchin-lift manoeuvre: 1. PBL was introduced at our institution in 1995. An animated lecture may be described as a pseudo-simulation environment. Abstract 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. It involves a facilitating instructor, a small learner group and conceptual aspects of environmental and manikin staging to provide sensory cues. Available from: [. Regardless of the underlying cause of airway obstruction, seekimmediate expert supportfrom an anaesthetist and the emergency medical team (often referred to as the crash team). oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. On the basis of the feedback from the students, they indicated that they believed the small group sessions are better. - Geeky Medics OSCE App: https://geekymedics.com/geeky-medics-app/ After entering the environment, the student doesnt have the option of leaving the simulation until the learning objectives and performance measures are achieved. . If you have any scenarios you would be willing to share with the simulation community, please forward them to me. Laschinger S, Medves J, Pulling C, et al. Tilt the forehead back whilst lifting the chin forwards to extend the neck. 2009;13:505511. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, Get new journal Tables of Contents sent right to your email inbox, SIH_13_4_2018_08_03_KOBAYASHI_17-00153_SDC5.tif; [Other] (3.04 MB), SIH_4_4_2009_10_29_NANDATE_200199_SDC2.doc; [Word] (68 KB), SIH_4_4_2009_10_29_NANDATE_200199_SDC3.doc; [Word] (29 KB), SIH_4_4_2009_10_29_NANDATE_200199_SDC4.doc; [Word] (40 KB), Simulation of Diabetic Ketoacidosis for Cellular and Molecular Basics of Medical Practice, Articles in PubMed by Koichiro Nandate, MD, PhD, Articles in Google Scholar by Koichiro Nandate, MD, PhD, Other articles in this journal by Koichiro Nandate, MD, PhD, Privacy Policy (Updated December 15, 2022). Animated Lecture 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. Blood sugar issues in the Type II diabetic will have a gradual onset, with diagnosis generally resulting from routine laboratory exams.(1). Conclusion A chest X-ray should not delay the emergency management of DKA. An oxygen mask is also demonstrated as an alternative device, as these early trainees had mostly not yet seen any of these devices. 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. 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 guide the group to suggest fluid. Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD . The main goal is to establish a safe learning environment for the learner [9, 13 . Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. 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. Performing an ECG should not delay the emergency management of DKA. Intubation lubricants can mimic drooling. Catheterisethe patient to closelymonitor urine outputto guide fluid resuscitation and need for escalation. 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. Should any changes be made to the current management of their underlying condition(s)? Circulating nurse in the emergency room (ER). 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. These are not learning objectives in this program. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. 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. There are just a few more things to do. 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. 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. 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. %PDF-1.5 The student group is given a short introduction into a closed simulation environment. PDF DKA Sim Scenario - ABCD (Diabetes Care) Ltd PA EMT Said COVID Patient Didnt Need to Go to the Hospital. You may be trying to access this site from a secured browser on the server. <>>> KDCA for FSX - Fly Away Simulation This typically involves the use of anon-rebreathe maskwith an oxygen flow rate of15L. "Never doubt that a small group of thoughtful, committed citizens can change the world. Marx JA, Hockberger RS, Walls RM. 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. your express consent. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS 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 . Works with Traffic 2005, but . It may be necessary toexposethe patient during your assessment: remember to prioritise patient dignity and conservation of body heat. Indeed, it is the only thing that ever has.". Interactive lecture/discussion with use of monitors that show the vital signs of the simulated patient on manikin. Capillary refill timemay be prolonged if the patient is hypovolaemic. 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. Much time was wasted explaining why it did not matter. This is particularly important for core cases and low-frequency, high-stakes procedures and encounters. In the simulated environment, trainees will ask questions on how to interpret the data that they observe on the monitors and interpretation of clinical signs and symptoms on the manikin. - Timing 03:23 A number of key modifiers are described that allow for the adjustment of case . Please note that by doing so you agree to be added to our monthly email newsletter distribution list. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Competency-based medical education has seen widespread adoption in the field along with ongoing work in the areas of . Patients with DKA require fluid resuscitation to restore circulatory volume, clear ketones, correct electrolyte abnormalities and increase renal perfusion. Her medical, social, and family histories are not clear at the time of admission to the emergency department. Mosby:Philadelphia. We do not use passive visualizing materials such as videotapes or DVD other than vital signs shown on the monitors. This session provides additional clinical support material for the theoretical PBL session. TikTok: https://www.tiktok.com/@geekymedics Scenarios thesimtech Join the Geeky Medics community: Forty percent of respondents reported excessive daytime sleepiness. Often, the learner group will be unaware of these behaviors, but the instructor can key into the first few comments made during the transition between rooms. Please try after some time. The learning objectives follow the American College of Graduate Medical Education (ACGME) Core Compentencies. 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! In the meantime, you should re-assess and maintain the patients airway. Clinical Simulation in Nursing, Volume 39, 2020, pp. Outcomes Educating Nursing Students Using an Evolving, Simulated Case This leads to hyperglycaemia, osmotic diuresis, and dehydration. 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Simulation student Scenario- DKA-Peds.docx - DIABETIC 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). A traditional classroom lecture format allows for student participation but limits the instructors ability to create realistic situations. 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. Trainee will describe the changes in vital signs, the major metabolic, fluid, and electrolyte. Invasive monitors, including a left radial intraarterial and a right subclavian IV catheter, were placed. Instagram: https://instagram.com/geekymedics A fixed-rate intravenous insulin infusion should be commenced initially to suppress ketogenesis, reduce blood glucose levels and address electrolyte disturbances. - Associated symptoms 03:04 angioedema, rash) commence appropriate treatment as discussed in ouranaphylaxis guide. Re-assessthe patient using theABCDE approachto identify any changes in their clinical condition and assess the effectiveness of your previous interventions. 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. #geekymedics #fyp #fypviral #studytok #medicalstudentuk #medtok #studytips #studytipsforstudents #medstudentuk #premed #medschoolfinals, Cardiovascular History Tips - DON'T FORGET these 3 things . 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. 4. The instructor should have visual access via one-way windows or cameras. - Radiation 02:45 stream Strategies of high-performing paramedic educational programs. Discuss the patients current clinical condition with aseniorclinicianusing anSBARR style handover. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. However, this leads to confusion. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. The students mentioned that they did not obtain the maximum value from the simulation session under these circumstances. and It was developed for anesthesiology resident physicians with some background knowledge and experience caring for critically ill patients. DKA can develop within 24 hours and is potentially life threatening, requiring prompt recognition and therapeutic intervention. cloudy urine may indicate urinary tract infection). Management of diabetic ketoacidosis in adults. We have spent many hours debating whether the small group format was a waste of time. The Theory Review thepatients notes,chartsandrecent investigation results. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS Testing a diabetes keotacidosis simulation in critical care nursing: A His Heart Stopped On a Treadmill. 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. 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). I assigned true to life parking codes, and added some extra parking for the superfluous US Express AI. Therefore, the same file is also sent to the participants before the session. PDF Diabetic Ketoacidosis in the Obstetric Population: A Simulation 2 0 obj Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department | Children's Hospital of Philadelphia Observe and discuss the effects of therapy in a mathematically modeled physiological simulator. Respiratory Failure in the Course of Treatment of Diabetic Ketoacidosis This guide provides an overview of the recognition and immediate management of diabetic ketoacidosis (DKA)using an ABCDE approach. They have had no clinical exposure or any clinical experience. x]o ]?9kgq~:)?hE )R6!up}\<8||\]}Y~;xp~yQ$#4~djX&{n_m-]^K1/~/AD Hv 99evs,;8}8zwnhFxV.kf-V^? The simulation experience serves to give substance to the theoretical words and concepts that the students encountered during the PBL sessions. Glycosuria leads to urinary losses of potassium through osmotic diuresis. This allows the learner group to make a psychological break from the patient and environment while beginning the reflection process. PDF Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario In the context of DKA, a patients consciousness level may be reduced. 2017 May 29;9(5):e1286. Keyword Highlighting Facilitator to ask how often to measure BMs Generaltipsfor applying anABCDEapproachin an emergency setting include: Acute scenarios typically begin with abriefhandoverfrom a member of thenursing staffincluding thepatients name,age,backgroundand thereasonthereviewhas been requested. 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.