dka simulation scenario
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.. There are just a few more things to do. Scenarios. Initially, we required the students to write down the vital signs. 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). Alert a senior immediately if you have any concerns about the consciousness level of a patient. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. See ourCXR interpretation guidefor more details. #geekymedics #fyp #fypviral #studytok #medicalstudentuk #medtok #studytips #studytipsforstudents #medstudentuk #premed #medschoolfinals, Cardiovascular History Tips - DON'T FORGET these 3 things . You might also be interested in our awesome bank of 700+ OSCE Stations. Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department | Children's Hospital of Philadelphia Subscribe to our newsletter to be the first to know about our latest content: https://geekymedics.com/newsletter/ PDF Medicine Simulation Scenario Diabetic Ketoacidosis: An Emergency Prehosp Emerg Care. The researchers found that long shift hours (24hrs), working overtime and marital/relationship stress were strongly correlated. Manikin staging can provide strong cues. 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. Assessment & Treatment of Five Diabetic Emergencies - JEMS Discuss the patients current clinical condition with aseniorclinicianusing anSBARR style handover. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Cureus. can be reemphasized, and the effects of fluid therapy demonstrated. 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. - Site 01:12 Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Use blankets to re-warm patients who are mild to moderately hypothermic. You could also ask a student to smear a small amount of acetone on a piece of glass to see how volatile it is, helping them understand why its being exhaled by the DKA patient. 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. 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. - 700+ OSCE Stations: https://geekymedics.com/osce-stations/ Wolters Kluwer Health 5. In this case scenario, dehydration is one of the most serious immediate issues. Case-based simulation should include two to three broad-focus objectives, as well as 1020 specific performance measures that the student should accomplish. Paediatric DKA | Simulation Education From the Department of Anesthesiology, Pennsylvania State University College of Medicine, Hershey, PA. Dr. Murray is on the Speakers Bureau of METI, Sarasota, FL. Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus, most common in patients with type 1 diabetes in particular due to a deficiency or absence of insulin [1].. 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. Does the patient need reviewing by a specialist? A chest X-ray should not delay the emergency management of DKA. She is lethargic and slightly confused but can intermittently respond to questions. One of the key differences with the immersive simulation is that the instructor is absent from the simulation environment. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS Please try after some time. An animated lecture may be described as a pseudo-simulation environment. Acad Med. She had developed nausea, extreme fatigue, mild disorientation, and blurred vision toward the end of the soccer match. As this is a PBL session, the trainees are not given any references. 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Inspect theairwayfor obviousobstruction. Refer to your local guidelines for further details. Are any further assessments or interventions required? 1. Deteriorationshould be recognised quickly and acted upon immediately. The Pratcice #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! Recognize the signs and symptoms of a patient presenting with diabetic ketoacidosis. Conclusions This technical report describes the design and implementation of a simulation scenario on DKA for emergency medicine trainees. % Make sure tore-assessthe patient after anyintervention. Diabetes (type 1 and type 2) in children and young people: diagnosis and management. This leads to hyperglycaemia, osmotic diuresis, and dehydration. The students are in their first year. Laschinger S, Medves J, Pulling C, et al. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario. - PDF Data is temporarily unavailable. 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. Check out our other awesome clinical skills resources including: diagnosis of DKA Trigger 3, ABG show acidosis and high BM and normal potassium. 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. DO NOT perform any examination or procedure on patients based purely on the content of these videos. This is a 25-year-old woman with a medical history of diabetes medicated with 40 units insulin per day. The facilitator guides the group only when necessary. Urinary tract infections are a common DKA precipitant. Therefore, the session is divided into four sections of 15 minutes each, so that the facilitator is constantly aware of being on time (or not), even after the first 15 minutes period. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Search for Similar Articles 2. 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. Facebook: http://www.facebook.com/geekymedics Please write a single word answer in lowercase (this is an anti-spam measure). Collectblood testsafter cannulating the patient including: An ECG should be performed to screen for cardiac pathology such as arrhythmias which may be precipitated by electrolyte abnormalities (e.g. 1-6. Section snippets . If an obstruction is visible within the airway, use afingersweeporsuctionto remove it. Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. Supplemental digital content is available for this article. - PSA Question Pack: https://geekymedics.com/psa-question-bank/ DOWNLOAD Diabetic Ketoacidosis By the end of this scenario, the learner will be able to: 1. 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 The consequences (low blood pressure, high heart rate, central nervous system status, etc.) 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. oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. We used the Medical Education Technologies Inc. (METI) Human Patient Stimulator (HPS, METI Sarasoto, Fl). It involves a facilitating instructor, a small learner group and conceptual aspects of environmental and manikin staging to provide sensory cues. Open the patients airwayusing ahead-tiltchin-lift manoeuvre: 1. The students worked on the underlying physiology during a week long PBL session and are therefore familiar with the theoretical aspects of DKA. See ourfluid prescribing guidefor more details onresuscitation fluids. Another example: At one minute into the scenario, the patient becomes unresponsive and their breathing becomes shallow. Inspect for evidence of self-injection sites (e.g.
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