SIMULATION CASEBOOK - MyCourses
SIMULATION CASEBOOK - MyCourses
SIMULATION CASEBOOK - MyCourses
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Gilbert Program in Medical Simulation<br />
Simulation Casebook<br />
Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12<br />
Ecstasy Intoxication: MDMA-Induced Seizure<br />
I. Target Audience - Medical Students, Residents<br />
II.<br />
Learning and Assessment Objectives<br />
Participants are expected to understand the scientific and humanistic issues underlying the disease<br />
assessment and treatment plan, and to critically consider and deploy the therapeutic options described<br />
Participants should provide a concise presentation of the patient to each physician consultant who<br />
participates in the exercise. Debriefing sessions by on-site clinical faculty is essential to discuss critical<br />
thinking and knowledge pathways, and to provide a forum for individual and team reflection on learning<br />
and practice goals. While the case descriptions are written with medical terminology, it is important that<br />
the provider and patient (i.e. the simulator) engage in authentic dialogue with lay terminology to reflect<br />
an actual patient encounter<br />
Critical Actions Checklist:<br />
DONE CRITICAL ACTION<br />
Telemetry monitoring<br />
Patient history<br />
Physical examination<br />
Supplemental O 2<br />
Active cooling<br />
Labs: Fingerstick, CBC, CMP, UA, Toxicology Screen: Urine/Serum,<br />
Cardiac Markers, Coagulation Profile<br />
Imaging: CXR, ECG<br />
Treat agitation/hypertension with benzodiazepines<br />
Administer charcoal for GI decontamination, ONLY to be performed if <<br />
1 hour has elapsed, patient is NOT sedated and intubated<br />
III.<br />
IV.<br />
Environment<br />
A. Simulation room set up: Emergency Department<br />
B. Manikin set up:<br />
1. High fidelity patient simulator<br />
2. No moulage necessary<br />
3. Lines needed<br />
C. Props:<br />
1. IV line<br />
2. Supplemental O 2 equipment<br />
3. Lab values<br />
4. Images<br />
D. Distracters: Friend of patient may be used as source of background distraction during<br />
scenario. Level of distraction at the discretion of instructor (less distractions for novice<br />
learners).<br />
Actors<br />
A. Nurse: facilitate scenario<br />
B. Consultants: Poison control/ Toxicology recommends treatment plan<br />
C. Friend: distracts participants from patient care, able to provide initial history<br />
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