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The following scenarios are available for download and are designed to meet your multi-disciplinary nursing needs. Target Learner Groups The instructors role is to facilitate active learning through a combination of learning styles. 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. After entering the environment, the student doesnt have the option of leaving the simulation until the learning objectives and performance measures are achieved. Introduceyourselfto whoever has requested a review of the patient andlistencarefullyto their handover. Refer to your local guidelines for further details. DOWNLOAD Diabetic Ketoacidosis By the end of this scenario, the learner will be able to: 1. 4. Perform urinalysis and send the urine for culture if urinary tract infection is suspected. Scenarios thesimtech Animated lectures, however, must work within the framework of a focused case study, which requires increased preparation time. Make sure thepatientsnotes,observationchartandprescriptionchartare easily accessible. Creating a Simulation Experience to Promote Clinical Judgment - Radiation 02:45 Keyword Highlighting Wolters Kluwer Health Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. In some cases, normal saline with additional potassium is required to prevent overcorrection of serum potassium levels which would otherwise result in hypokalaemia. At the end of the previous section, the trainee can make the diagnosis of DKA but has not confirmed it yet. 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. This environment doesnt allow the student to identify presentation cues, be active in their own learning or apply their skills without endangering the lives of patients.(2). One advantage to the animated lecture style is the ability to introduce treatment options in a methodically guided approach thats in conjunction with simultaneous environmental stimulus. You may search for similar articles that contain these same keywords or you may 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. Inspect for evidence of infection on the skin (e.g. (1), The assessment of a diabetic patient is best taught as a case-based simulation. The teaching of diabetic assessment and management, like many other medical emergencies, lends itself well to case-based simulation. Properly interpret a venous blood gas (VBG) and basic metabolic panel in a patient presenting with diabetic ketoacidosis. If the patientloses consciousnessand there areno signs of lifeon assessment, put out acrash callandcommence CPR. The faculty member/course coordinator of Simulation Design Reduced urine output (oliguria) is typically defined as less than 0.5ml/kg/hour in an adult. Works with Traffic 2005, but . 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). 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. stream Use washable, non-toxic paints to imitate various body emissions. The facilitator guides the group only when necessary. Given 6 to 8 back-to-back sessions, it is critical that every session starts and ends on time! If you'd like to support us and get something great in return, check out our awesome products: You don't need to tell us which article this feedback relates to, as we automatically capture that information for you. Trainee will practice or observe good teamwork skills, both as a leader and a team player. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Trainee will get to know how professionals behave during management of a critically ill patient. Yes: if the patient can talk, their airway is patent and you can move on to the assessment of breathing. This guide has been created to assist students in preparing for emergencysimulationsessionsas part of their training,it is not intended to be relied upon for patient care. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario. - PDF Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department | Children's Hospital of Philadelphia It should only be inserted in unconscious patients as it is otherwise poorly tolerated and may induce gagging and aspiration. 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. - PSA Question Pack: https://geekymedics.com/psa-question-bank/ A fixed-rate intravenous insulin infusion should be commenced initially to suppress ketogenesis, reduce blood glucose levels and address electrolyte disturbances. Assess the patients level of consciousness using the AVPU scale: If a more detailed assessment of the patients level of consciousness is required, use the Glasgow Coma Scale (GCS). - Over 3000 Free MCQs: https://geekyquiz.com/ 1. % As this is an interactive discussion session, any needed debriefing and/or explanation is given during the sessions. PDF Medicine Simulation Scenario Diabetic Ketoacidosis: An Emergency - Cureus 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. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario For more information, please refer to our Privacy Policy. 2. - Site 01:12 Search for Similar Articles 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 . As with the animated lecture, the simulation is strongly dependent on a focused case study. If the patient has clinical signs ofanaphylaxis(e.g. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. The file explaining the session is sent to instructors 1 week before the sessions. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! . This is a combination of the modified traditional lecture within scenario-based learning. Note that if-thens must also include negative patient outcomes for when the provider doesnt take appropriate action. Its best, however, to allow the student group to continue so theyre able to evaluate their decision-making processes during debriefing. endobj Two abstracts related to sleepiness in the EMS workforce were presented at the National Association of EMS Physicians symposium in January. can be reemphasized, and the effects of fluid therapy demonstrated. To read Pages full Research Review column, visit www.jems.com/patient-care. Using your thumbs, slightly open the mouth by downward displacement of the chin. SimMan Nursing Scenarios Software - laerdal.com Download: http://teamworkmatters.ocbmedia.com/media/DKA-Simulation-Scenario.docx Categories: 5th Year MBChB paeds scenario, Emergency Department, Human Factors, Interprofessional / multidisciplinary, Non-technical skills, Paediatrics, Postgraduate / newly qualified, Undergraduate / pre-registration Rating When erroneous treatment is delivered, the instructor can end the simulation. reduced air entry, coarse crackles) to screen for evidence of pneumonia. 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. Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. Effectiveness of simulation on health profession students knowledge, skills, confidence and satisfaction. Use blankets to re-warm patients who are mild to moderately hypothermic. The students are in their basic science course. Classroom Dynamics Research Watch Box:Sleep, Fatigue & SafetyBy David Page, MS, NREMT-P Consider active re-warming techniques in patients with severe hypothermia. You can plot as many parameters as you want and can choose to display either Historical data or have the graphs update as often as new data comes in and view them in Real-time. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. This video demonstrates how to use the SOCRATES acronym when taking a history of pain or other symptoms. In the final 10 minutes, we show how the patient has a good recovery after fluid replacement. J Nurs Educ. - 150+ PDF OSCE Checklists: https://geekymedics.com/pdf-osce-checklists/ Extremities: mild cyanosis, no clubbing or edema (verbalized by instructors); pulses equal, and symmetrical (elucidated by trainees). 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. Manikin staging can provide strong cues. Makeup may be used to depict gender, hollow eyes and cheeks, produce pallor or display bruises and scars. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. The students are in their first year. If the patient has COPD and a history of CO2retention you should switch to aventuri maskas soon as possible andtitrate oxygen appropriately. Schneider Sarver PA, Senczakowicz EA, Slovensky BM. In this section, we have to help the trainee to institute definitive therapy based on the underlying biochemical abnormalities.