Emergency Medicine Simulation Workbook

1 Cover

2 Title Page Emergency Medicine Simulation Workbook A Tool for Bringing the Curriculum to Life SECOND EDITION Edited by Traci L. Thoureen MD, MHS‐CL, MMCi, FACEP Associate Professor Division of Emergency Medicine Duke University Medical Center Durham, NC Sara B. Scott MD, FACEP Assistant Professor Division of Emergency Medicine Department of Surgery and Perioperative Care University of Texas at Austin, Dell Medical School Austin, TX A Tool for Bringing the Curriculum to Life

3 Copyright Page

4 Contributors

5 Abbreviations

6 About the Companion Website

7 Introduction REFERENCES

8 CHAPTER 1: Abdominal/Gastroenterology Emergencies NECROTIZING ENTEROCOLITIS REFERENCES FOR NECROTIZING ENTEROCOLITIS ACUTE ASCENDING CHOLANGITIS REFERENCES FOR SEPSIS SIGMOID VOLVULUS REFERENCES FOR SIGMOID VOLVULUS SELECTED READING FOR SIGMOID VOLVULUS APPENDIX

9 CHAPTER 2: Cardiovascular Emergencies STABLE MONOMORPHIC VENTRICULAR TACHYCARDIA REFERENCES FOR VENTRICULAR TACHYCARDIA ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE REFERENCES FOR ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE SELECTED READING FOR ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE PEDIATRIC PERICARDITIS REFERENCES FOR PEDIATRIC PERICARDITIS SELECTED READING FOR PEDIATRIC PERICARDITIS APPENDIX

10 CHAPTER 3: Cutaneous Emergencies HENOCH–SCHÖNLEIN PURPURA REFERENCES FOR HENOCH–SCHÖNLEIN PURPURA SELECTED READING FOR HENOCH–SCHÖNLEIN PURPURA NECROTIZING FASCIITIS REFERENCES FOR NECROTIZING FASCIITIS TOXIC EPIDERMAL NECROLYSIS REFERENCES FOR TOXIC EPIDERMAL NECROLYSIS APPENDIX

11 CHAPTER 4: Environmental Emergencies HEAT INJURY SELECTED READINGS FOR HEAT INJURY JELLYFISH ENVENOMATION REFERENCES FOR JELLYFISH ENVENOMATION SELECTED READING FOR JELLYFISH ENVENOMATION HIGH‐ALTITUDE PULMONARY EDEMA SELECTED READINGS FOR HIGH‐ALTITUDE PULMONARY EDEMA APPENDIX

12 CHAPTER 5: Hematologic and Oncologic Emergencies INTRACRANIAL HEMORRHAGE IN A PATIENT WITH HEMOPHILIA SELECTED READINGS FOR INTRACRANIAL HEMORRHAGE IN A PATIENT WITH HEMOPHILIA THROMBOTIC THROMBOCYTOPENIC PURPURA CASE NARRATIVE SELECTED READINGS FOR THROMBOTIC THROMBOCYTOPENIC PURPURA TUMOR LYSIS SYNDROME SELECTED READINGS FOR TUMOR LYSIS SYNDROME APPENDIX

13 CHAPTER 6: Immune System Emergencies ANGIOEDEMA REFERENCES FOR ANGIOEDEMA SELECTED READINGS FOR ANGIOEDEMA PEDIATRIC ANAPHYLAXIS REFERENCES FOR PEDIATRIC ANAPHYLAXIS REACTIVE ARTHRITIS REFERENCES FOR REACTIVE ARTHRITIS APPENDIX

14 CHAPTER 7: Systemic Infectious Emergencies SEPTIC SHOCK REFERENCES FOR SEPTIC SHOCK SELECTED READINGS FOR SEPTIC SHOCK BACTERIAL MENINGITIS REFERENCES FOR BACTERIAL MENINGITIS SELECTED READINGS FOR BACTERIAL MENINGITIS EBOLA REFERENCES FOR EBOLA SELECTED READINGS FOR EBOLA APPENDIX

15 CHAPTER 8: Nontraumatic Musculoskeletal Emergencies RHABDOMYOLYSIS REFERENCE FOR RHABDOMYOLYSIS SELECTED READINGS FOR RHABDOMYOLYSIS SLIPPED CAPITAL FEMORAL EPIPHYSIS SELECTED READINGS FOR SLIPPED CAPITAL FEMORAL EPIPHYSIS CAUDA EQUINA SYNDROME SELECTED READINGS FOR CAUDA EQUINA SYNDROME APPENDIX

16 CHAPTER 9: Obstetric/Gynecologic Emergencies BREECH DELIVERY REFERENCE FOR BREECH DELIVERY SELECTED READINGS FOR BREECH DELIVERY SHOULDER DYSTOCIA REFERENCE FOR SHOULDER DYSTOCIA SELECTED READINGS FOR SHOULDER DYSTOCIA POSTPARTUM HEMORRHAGE AFTER PRECIPITOUS DELIVERY WITH OR WITHOUT NEONATAL RESUSCITATION REFERENCE FOR POSTPARTUM HEMORRHAGE SELECTED READINGS FOR POSTPARTUM HEMORRHAGE APPENDIX

17 CHAPTER 10: Nervous System Emergencies ACUTE ISCHEMIC STROKE REFERENCES FOR ACUTE ISCHEMIC STROKE INTRACEREBRAL HEMORRHAGE REFERENCES FOR INTRACEREBRAL HEMORRHAGE SELECTED READINGS FOR INTRACEREBRAL HEMORRHAGE PEDIATRIC STATUS EPILEPTICUS REFERENCES FOR STATUS EPILEPTICUS SELECTED READINGS FOR STATUS EPILEPTICUS APPENDIX

18 CHAPTER 11: Psychobehavioral Emergencies SEXUAL ASSAULT REFERENCES FOR SEXUAL ASSAULT SELECTED READINGS FOR SEXUAL ASSAULT NON‐ACCIDENTAL TRAUMA WITH AGGRESSIVE FAMILY MEMBER REFERENCES ALCOHOL WITHDRAWAL REFERENCES FOR ALCOHOL WITHDRAWAL SELECTED READINGS FOR ALCOHOL WITHDRAWAL APPENDIX

19 CHAPTER 12: Renal and Urogenital Emergencies ACUTE KIDNEY INJURY SELECTED READING FOR ACUTE KIDNEY INJURY FOURNIER'S GANGRENE REFERENCE FOR FOURNIER'S GANGRENE SELECTED READINGS FOR FOURNIER'S GANGRENE PEDIATRIC PRIAPISM REFERENCES FOR PEDIATRIC PRIAPISM SELECTED READING FOR PEDIATRIC PRIAPISM APPENDIX

20 CHAPTER 13: Thoracic and Respiratory Emergencies CHRONIC OBSTRUCTIVE PULMONARY DISEASE REFERENCES FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE SELECTED READING FOR CHRONIC OBSTRUCTIVE PULMONARY DISEASE ACUTE RESPIRATORY DISTRESS SYNDROME REFERENCES FOR ACUTE RESPIRATORY DISTRESS SYNDROME EPIGLOTTITIS REFERENCES FOR EPIGLOTTITIS SELECTED READING FOR EPIGLOTTITIS APPENDIX

21 CHAPTER 14: Toxicologic Emergencies ASPIRIN OVERDOSE SELECTED READINGS FOR ASPIRIN OVERDOSE LITHIUM TOXICITY SELECTED READINGS FOR LITHIUM TOXICITY ETHYLENE GLYCOL TOXICITY SELECTED READINGS ETHYLENE GLYCOL TOXICITY APPENDIX

22 CHAPTER 15: Traumatic Emergencies HEMORRHAGIC SHOCK SELECTED READING FOR HEMORRHAGIC SHOCK NON‐ACCIDENTAL TRAUMA SELECTED READING FOR NON‐ACCIDENTAL TRAUMA PENETRATING CHEST TRAUMA SELECTED READING FOR PENETRATING CHEST TRAUMA APPENDIX

23 Index

24 End User License Agreement

1 Chapter 1 TABLE 1.1 Heelstick glucose. TABLE 1.2 Complete blood count. TABLE 1.3 Basic metabolic panel. TABLE 1.4 Liver function panel. TABLE 1.5 Lipase. TABLE 1.6 Coagulation panel. TABLE 1.7 Lactic acid. TABLE 1.8 C‐reactive protein. TABLE 1.9 Troponin. TABLE 1.10 Urinalysis. TABLE 1.11 Urine microscopy. TABLE 1.12 Complete blood count. TABLE 1.13 Basic metabolic panel. TABLE 1.14 Liver function panel. TABLE 1.15 Lipase. TABLE 1.16 Lactate. TABLE 1.17 Coagulation panel. TABLE 1.18 Troponin. TABLE 1.19 Type and screen. TABLE 1.20 Urinalysis. TABLE 1.21 Urine microscopy. TABLE 1.22 Complete blood count. TABLE 1.23 Basic metabolic panel. TABLE 1.24 Liver function panel. TABLE 1.25 Lipase. TABLE 1.26 Troponin. TABLE 1.27 Lactic acid. TABLE 1.28 Coagulation panel. TABLE 1.29 Urinalysis. TABLE 1.30 Urine microscopy.

2 Chapter 2TABLE 2.1 Complete blood count.TABLE 2.2 Chemistry.TABLE 2.3 Magnesium level.TABLE 2.4 Troponin.TABLE 2.5 Coagulation panel.TABLE 2.6 Chemistry.TABLE 2.7 Complete blood count.TABLE 2.8 Troponin.TABLE 2.9 Cardiac B‐type natriuretic peptide.TABLE 2.10 Coagulation panel.TABLE 2.11 Lactate.TABLE 2.12 D‐dimer.TABLE 2.13 Liver function tests.TABLE 2.14 Thyroid function test.TABLE 2.15 Fingerstick glucose.TABLE 2.16 Urinalysis.TABLE 2.17 Chemistry.TABLE 2.18 Complete blood count.TABLE 2.19 Troponin.TABLE 2.20 Lactate.TABLE 2.21 D‐dimer.TABLE 2.22 Coagulation panel.TABLE 2.23 Inflammatory markers.

3 Chapter 3TABLE 3.1 Complete blood count.TABLE 3.2 Comprehensive metabolic panel.TABLE 3.3 Lactate.TABLE 3.4 Coagulation studies.TABLE 3.5 Urinalysis.TABLE 3.6 Erythrocyte sedimentation rate.TABLE 3.7 C‐reactive protein.TABLE 3.8 Complete blood count.TABLE 3.9 Comprehensive metabolic panel.TABLE 3.10 Lactate level.TABLE 3.11 Coagulation panel.TABLE 3.12 Type and screen.TABLE 3.13 Urinalysis.TABLE 3.14 Arterial blood gas.TABLE 3.15 Serum ketones.TABLE 3.16 C‐reactive protein.TABLE 3.17 Complete blood count.TABLE 3.18 Comprehensive metabolic panel.TABLE 3.19 Lactate level.TABLE 3.20 Urinalysis.TABLE 3.21 Pregnancy test.

4 Chapter 4TABLE 4.1 Point‐of‐care chem 7 blood panel.TABLE 4.2 Point‐of‐care hemoglobin and hematocrit.TABLE 4.3 Point‐of‐care chem 8 basic metabolic panel.TABLE 4.4 Point‐of‐care troponin.TABLE 4.5 Point‐of‐care hemoglobin.TABLE 4.6 Point‐of‐care pregnancy test.

5 Chapter 5TABLE 5.1 Complete blood count.TABLE 5.2 Complete metabolic panel.TABLE 5.3 Coagulation panel.Table 5.4 Complete blood count.Table 5.5 Complete metabolic panel.Table 5.6 Lactate.Table 5.7 Lactate dehydrogenase.Table 5.8 Coagulation panel.Table 5.9 Manual differential/peripheral smear.Table 5.10 Complete blood count.Table 5.11 Complete metabolic panel.TABLE 5.12 Lactate.TABLE 5.13 Magnesium.TABLE 5.14 Phosphate.TABLE 5.15 Uric acid.TABLE 5.16 Lactate dehydrogenase.TABLE 5.17 Cairo and bishop definition of tumor lysis syndrome.