Antibiotics should be prescribed in keeping with local guidelines. - PSA Question Pack: https://geekymedics.com/psa-question-bank/ Invasive monitors, including a left radial intraarterial and a right subclavian IV catheter, were placed. Research Watch Box:Sleep, Fatigue & SafetyBy David Page, MS, NREMT-P The objective is to give as many visual and tactile cues concerning the patient condition and background as possible. The consequences (low blood pressure, high heart rate, central nervous system status, etc.) We do not use passive visualizing materials such as videotapes or DVD other than vital signs shown on the monitors. Are any further assessments or interventions required? Conclusion - 2500+ OSCE Flashcards: https://geekymedics.com/osce-flashcards/ Surgical dressings and imitation blood can support medical history. Discuss the patients current clinical condition with aseniorclinicianusing anSBARR style handover. There are just a few more things to do. Simulation of Diabetic Ketoacidosis for Cellular and Molecul - Geeky Medics OSCE App: https://geekymedics.com/geeky-medics-app/ DOWNLOAD Diabetic Ketoacidosis By the end of this scenario, the learner will be able to: 1. Similar to a ward round, where the instructor would say: Come and listen to this patient with an aortic stenosis. 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). Keywords: diabetic ketoacidosis, simulation, expertise, emergency medicine Introduction Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus, most . In this manner, the students have to apply their knowledge at the appropriate points during the progression of the scenario. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Before trainees arrival into the simulation area, the simulator is already preprogrammed for DKA. 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. Blood sugar issues in the Type II diabetic will have a gradual onset, with diagnosis generally resulting from routine laboratory exams.(1). It should only be inserted in unconscious patients as it is otherwise poorly tolerated and may induce gagging and aspiration. Inspect theairwayfor obviousobstruction. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Ask for anotherclinicalmemberofstafftoassistyou if possible. Its important to train and educate students of prehospital care on key indicators of a diabetic emergency. Simulation student Scenario- DKA-Peds.docx - DIABETIC With your index and other fingers placed behind the angle of the mandible, apply steady upwards and forward pressure to lift the mandible. Diabetic ketoacidosis simulator: a new learning tool for a life Questionswhich may need to be considered include: The next team of doctors on shift should bemade awareof any patient in their department who hasrecently deteriorated. The instructor can also gauge the direction the debriefing session should follow or be alerted to possible problems or conflicts in treatment opinions. KDCA for FSX - Fly Away Simulation The students are in their first year. 1 0 obj - Introduction 00:00 4. unilateral coarse crackles may be present if the patient has pneumonia which may have been the precipitant for DKA). LYqC+pJ&6X4onfBT#?=R}.p8N3+Dk,P4tIgWB}-L'=8;_G >,K#.e89XnG'B~NtR vD0 x@FFJ{m[ 3//Oh|JR7! 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. stream Advance the airway until it lies within the pharynx. 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. You may be trying to access this site from a secured browser on the server. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. 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. Medical simulation technology is a powerful tool for training physicians but papers dealing with DKA simulators are scarce. The authors of the second study reported that poor sleep quality (60% of respondents) and extreme fatigue (55% of respondents) are independently associated with safety risks on the job. - Timing 03:23 Does the patient need a referral toHDU/ICU? Inspect for evidence of self-injection sites (e.g. She Died the Next Day. The students have acquired all the applicable theoretical knowledge of the case during the previous multiday PBL sessions. This allows the learner group to make a psychological break from the patient and environment while beginning the reflection process. 1. 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. Diabetic Ketoacidosis in the Obstetric Population: A Simulation Two abstracts related to sleepiness in the EMS workforce were presented at the National Association of EMS Physicians symposium in January. 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. NPAs should not be used in patients who may have sustained a skull base fracture, due to the small but life-threatening risk of entering the cranial vault with the NPA. 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. It involves working through the following steps: Each stage of the ABCDE approach involvesclinicalassessment,investigationsandinterventions. J Nurs Educ. 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. However, we should not spend too much time on (not become distracted with) explaining unfamiliar monitors for the present trainees, such as central venous pressure or ETCO2 concentration. can be reemphasized, and the effects of fluid therapy demonstrated. Use washable, non-toxic paints to imitate various body emissions. We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. NPAs are typically better tolerated in patients who are partly or fully conscious compared to oropharyngeal airways. Askhow the patient is feeling as this may provide some useful information about their current symptoms. Your message has been successfully sent to your colleague. You may search for similar articles that contain these same keywords or you may 2003;78:783788. Please note that by doing so you agree to be added to our monthly email newsletter distribution list. Refer to your local guidelines which should provide a clear protocol for the management of DKA. Case-based simulation should include two to three broad-focus objectives, as well as 1020 specific performance measures that the student should accomplish. 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/ Int J Evid Based Healthc. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario 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. Causes: Any situation arising in a diabetic that requires increased insulin without that demand being met can result in DKA. As the name says, this screen is used to graph and plot any parameter. I assigned true to life parking codes, and added some extra parking for the superfluous US Express AI. Trainee will be respectful to others and their views during the PBL session. Make sure thepatientsnotes,observationchartandprescriptionchartare easily accessible. The instructors never expect the trainees to exhibit full understanding of pathophysiology and skills in the treatment but do give them a few important points to understand the diagnosis and initial treatment of the patients with DKA. Acad Med. Her medical, social, and family histories are not clear at the time of admission to the emergency department. - Character 02:14 The required potassium replacement varies greatly. 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. We try to provide sufficient realism.. DKA can be caused by either: Absolute insulin deficiency (e.g. and An oropharyngeal airway is a curved plastic tube with a flange on one end that sits between the tongue and hard palate to relieve soft palate obstruction. Animated Lecture Urinary tract infections are a common DKA precipitant. Case-based education adds a real-world aspect to the learning environment. 1 Potassium losses occurring both before and during treatment of DKA must be replaced. Respiratory Failure in the Course of Treatment of Diabetic Ketoacidosis 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). The files are given in full in the web supplement (Appendix B, Supplemental Digital Content 2, https://links.lww.com/SIH/A2). 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. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. 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). DO NOT perform any examination or procedure on patients based purely on the content of these videos. Heart: S1 and S2 within normal limits; no S3/S4 or murmurs, normal rate and rhythm. Target Learner Groups GRAPH. - Medical Finals Question Pack: https://geekymedics.com/medical-student-finals-questions/ type 1 diabetes) Complete insulin insensitivity (e.g. Ketones show 5.5. This field is for validation purposes and should be left unchanged. The use of case-based simulation, although more complicated and time consuming for the instructor, immerses the students in the subject matter. As this is a PBL session, the trainees are not given any references. cloudy urine may indicate urinary tract infection). A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. 2017 May 29;9(5):e1286. The scenario would include an if-then algorithm. Note that if-thens must also include negative patient outcomes for when the provider doesnt take appropriate action. If the patient is conscious, sit themuprightas this can also help with oxygenation. Insert the airway bevel-end first, vertically along the floor of the nose with a slight twisting action. www.cdc.gov/diabetes/statistics/prev/national/. Laschinger S, Medves J, Pulling C, et al. Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. A chest X-ray should not delay the emergency management of DKA. Nandate, Koichiro MD, PhD; Abola, Ramon MD; Murray, W Bosseau MB; Whitfield, Carol PhD; Lang, Charles PhD; Sinz, Elizabeth MD. Prior to starting the scenario, the instructor should introduce a short summary of the case study and ask open-ended questions regarding the management direction. Testing a diabetes keotacidosis simulation in critical care nursing: A Because of this consciousness status, it is very difficult to obtain information of cardiovascular, pulmonary, renal, hepatic, endocrine, hematology, or coagulation status other than uncontrolled diabetes. Strategies of high-performing paramedic educational programs. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. The debriefing environment should be removed from the location where the simulation took place. 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). Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD . The relationship between sleep, fatigue and patient and provider safety. It was developed for anesthesiology resident physicians with some background knowledge and experience caring for critically ill patients. This typically involves the use of anon-rebreathe maskwith an oxygen flow rate of15L. PDF DKA Sim Scenario - ABCD (Diabetes Care) Ltd This is particularly important for core . Several environments may be suitable for your classroom. Please try after some time. 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. Highlight selected keywords in the article text. 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). Paediatric DKA | Simulation Education #geekymedics #fyp #fypviral #studytok #medicalstudentuk #medtok #studytips #studytipsforstudents #medstudentuk #premed #medschoolfinals, Cardiovascular History Tips - DON'T FORGET these 3 things . 1. Marx JA, Hockberger RS, Walls RM. Trainee will increase knowledge of professional behaviors during the simulation. For similar reasons, we do not believe a videotaped session will keep the students attention as much as these live simulator sessions. Its absolutely necessary to follow all immersive simulations with a positive, emotionally safe and nonjudgmental debriefing environment. They should introduce the student group to the environment, assign roles for each learner and guide the decision-making process. 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. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario cellulitis). Simulation-based medical education: An ethical imperative. If the patient is confused you might be able to get a collateral history from staff or family members as appropriate. The students are in their basic science course. 2 The evaluation of potassium deficits is complicated by potassium exit from . Available from: [. PBL in our institution is implemented as a small group (n 68 students) self study session with a facilitator, who incrementally discloses further information about the patient. Observe and discuss the effects of therapy in a mathematically modeled physiological simulator. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Published August 2015. The instructions to the facilitators suggest a series of structured, sequential questions to the students (starting at one end, involving each student in turn, and repeatedly cycling around the group.) 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). This is a 25-year-old woman with a medical history of diabetes medicated with 40 units insulin per day. 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. your express consent. - Site 01:12 For example, you could develop a diabetic scenario in which the prehospital provider encounters an altered patient with incomprehensible speech. Diabetic ketoacidosis; Simulation training; Medical students. Capillary refill timemay be prolonged if the patient is hypovolaemic. Both external and internal potassium balances are disturbed during the development and treatment of DKA. a simulation training session designed to acquaint emergency medicine residents with the presentation and management of diabetic ketoacidosis (DKA) through the use of simulation. Check out our other awesome clinical skills resources including: See ourintravenous cannulation guidefor more details. The faculty member/course coordinator of Simulation Design For more information, please refer to our Privacy Policy. Facilitator to ask how often to measure BMs Review the patientscurrent medicationsand check any regular medications areprescribed appropriately. Physician working in the emergency department. This may produce better retention of the subject matter and help students adapt to emergency scenes before going into the field. Clearlydocument your ABCDE assessment, including history, examination, observations, investigations, interventions, and the patients response. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Typically potassium levels should be maintained between 4.0 5.5 mmol/L and close monitoring is required. We demonstrate to the trainees the significant changes on the monitors by asking them to point out any changes on the simulator (clinical examination) and the vital signs (monitor parameters). In this case scenario, dehydration is one of the most serious immediate issues. SimMan Nursing Scenarios Software - laerdal.com
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