dka simulation scenario
Scenarios. Open the patients mouth to ensure there is no foreign material that may be pushed into the larynx. 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. 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 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. 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].. Effectiveness of simulation on health profession students knowledge, skills, confidence and satisfaction. x]o ]?9kgq~:)?hE )R6!up}\<8||\]}Y~;xp~yQ$#4~djX&{n_m-]^K1/~/AD Hv 99evs,;8}8zwnhFxV.kf-V^? 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. The main purpose of the simulation is to draw a line from the theoretical, boring biochemistry to the clinical manifestations. The Theory 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. 1. 2. Problems are addressed as they are identified and the patient is re-assessed regularly to monitor their response to treatment. Simulation provides a safe environment where learning is enhanced through the deliberate practice of skills and controlled management of a variety of clinical encounters. Refer to your local guidelines for further details. Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department | Children's Hospital of Philadelphia 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 simulator: a new learning tool for a life Section snippets . A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Over the years, some groups happened to have the simulation session before the completion of the theoretical PBL session. 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. If the patientloses consciousnessand there areno signs of lifeon assessment, put out acrash callandcommence CPR. Ketones show 5.5. . type 1 diabetes) Complete insulin insensitivity (e.g. We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. If the patient is suspected to have sufferedsignificanttraumawith potential spinal involvement, perform ajaw-thrustrather than a head-tilt chin-lift manoeuvre: 2. I assigned true to life parking codes, and added some extra parking for the superfluous US Express AI. Could we not just do this as a large group session to all 160 students (versus 20 1-hour sessions to groups of eight students)? Classroom Dynamics PDF Adult Type I Diabetic Ketoacidosis Pre-simulation Preparation Student However, this leads to confusion. Introduceyourselfto whoever has requested a review of the patient andlistencarefullyto their handover. Discuss the patients current clinical condition with aseniorclinicianusing anSBARR style handover. Deteriorationshould be recognised quickly and acted upon immediately. Simulation-based medical education: An ethical imperative. We believe it is important to have active, participatory learning by having conversations with the trainees in the form of questions and answers. The use of case-based simulation, although more complicated and time consuming for the instructor, immerses the students in the subject matter. PA EMT Said COVID Patient Didnt Need to Go to the NYC Unions Demand Reinstatement, Back Pay for Workers Fired for Refusing President Biden to End COVID-19 Emergencies on May 11. If the patient is conscious, sit themuprightas this can also help with oxygenation. Maintain head-tilt chin-lift or jaw thrust and assess the patency of the patients airway by looking, listening and feeling for signs of breathing. 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. Diabetic Ketoacidosis in the Obstetric Population: A Simulation 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. 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. We do point out the blood pressure (BP) cuff, but these medical students in their first year do not really need to know how the BP values are generated, they need to understand the origin and therapy for the low blood pressure. Immersive simulations are mentally exhausting because they create an intense and stressful atmosphere requiring the learner to work outside their comfort zone. % 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. JEMS. In other words, they do not have clinical experience, but they have clinical knowledge. We do have a wig that we place on the patient, but we do not try for full realism. For instance, if we mimicked the noise and traffic of a real emergency department, this would constitute excessive realism, and become a distraction to beginner medical students. We try to provide sufficient realism.. The required potassium replacement varies greatly. As with the animated lecture, the simulation is strongly dependent on a focused case study. 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. Stage 1: Initial assessment of acutely unwell pregnant woman and diagnosis of DKA. PBL was introduced at our institution in 1995. Published August 2015. This session provides additional clinical support material for the theoretical PBL session. Glycosuria leads to urinary losses of potassium through osmotic diuresis. In this section, we have to guide them as to what they should do first for the patient in this critical condition (ie, treat the A, B, Cs of airway, breathing, and circulation) before we can confirm the diagnosis. Subscribe to our newsletter to be the first to know about our latest content: https://geekymedics.com/newsletter/ to maintaining your privacy and will not share your personal information without Case-based education adds a real-world aspect to the learning environment. Please enable scripts and reload this page. 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. An animated lecture may be described as a pseudo-simulation environment. PDF Medicine Simulation Scenario Diabetic Ketoacidosis: An Emergency - Cureus Prehosp Emerg Care. An integral part of a PBL session is for trainees to be able to navigate through huge literature bases. Use washable, non-toxic paints to imitate various body emissions. They should be used in conjunction with the maneuvres mentioned above as the position of the head and neck need to be maintained to keep the airway aligned. 2007. The learning objectives follow the American College of Graduate Medical Education (ACGME) Core Compentencies. Invasive monitors, including a left radial intraarterial and a right subclavian IV catheter, were placed. PDF Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Clinical Simulation in Nursing, Volume 39, 2020, pp. 34 - Diabetic Ketoacidosis in Pregnancy | Obgyn Key Trainee will improve their understanding of clinical practice through reflective assessment of actual cases during the prior PBL sessions. Note that if-thens must also include negative patient outcomes for when the provider doesnt take appropriate action. Chapters: - Onset 01:48 If the patient is confused you might be able to get a collateral history from staff or family members as appropriate. Some error has occurred while processing your request. 2. After entering the environment, the student doesnt have the option of leaving the simulation until the learning objectives and performance measures are achieved. Data Description All the product records are stored at /user/spark/dataset/retail_db/products All the category records are stored at /user/spark/dataset /ret. SimMan Nursing Scenarios Software - laerdal.com 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). From the Department of Anesthesiology, Pennsylvania State University College of Medicine, Hershey, PA. Dr. Murray is on the Speakers Bureau of METI, Sarasota, FL. The files are given in full in the web supplement (Appendix B, Supplemental Digital Content 2, https://links.lww.com/SIH/A2). If the patient isunconsciousorunresponsive, start thebasic life support(BLS)algorithmas per resuscitation guidelines. angioedema, rash) commence appropriate treatment as discussed in ouranaphylaxis guide. Kymera Systems Inc | SCADA Online Demo Ignition Advance the airway until it lies within the pharynx. Twitter: http://www.twitter.com/geekymedics This leads to hyperglycaemia, osmotic diuresis, and dehydration. Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. The students are in their first year. In the final 10 minutes, we show how the patient has a good recovery after fluid replacement. Keywords: diabetic ketoacidosis, simulation, expertise, emergency medicine Introduction Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus, most commonly occurring in patients with type I diabetes. The addition of a fluid infusion containing some potassium allows insulin therapy to continue to suppress ketogenesis and normalise plasma pH whilst preventing the development of hypokalaemia. Using the arterial line, the scenario becomes much more dynamic. The objective is to give as many visual and tactile cues concerning the patient condition and background as possible. 2011;15:108109. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. Simulation Training Ideal for Diabetic Patients - JEMS A patient presenting with altered level of consciousness and a blood sugar level below 80 mg/dL should be considered hypoglycemic, and treatment modalities should be consistent with those for a diabetic patient. Int J Evid Based Healthc. opioids, sedatives, anxiolytics, insulin, oral hypoglycaemic medications). Many of the preclinical students have never seen a real life clinical monitor or even an intravenous (IV) setup. Diabetic Ketoacidosis (DKA) | Acute Management | ABCDE - Timing 03:23 GRAPH. Airway adjuncts are often helpful and in some cases essential to maintain a patients airway. Testing a diabetes keotacidosis simulation in critical care nursing: A Physician working in the emergency department. The consequences (low blood pressure, high heart rate, central nervous system status, etc.) Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario. - PDF You should have another member of the clinical team aiding you in your ABCDE assessment, such a nurse, who can perform observations, take samples to the lab and catheterise if appropriate. Privacy Policy Below is a collection of donated scenarios for you to use or modify. Trainee will describe the changes in vital signs, the major metabolic, fluid, and electrolyte. oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. Inspect for evidence of self-injection sites (e.g. 1 0 obj Should any changes be made to the current management of their underlying condition(s)? Review thepatients notes,chartsandrecent investigation results. - 700+ OSCE Stations: https://geekymedics.com/osce-stations/
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