SIMULATION CASEBOOK - MyCourses

More documents

Recommendations

Info

Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 History and physical examination Appropriate lab workup: CBC, Chemistry, Tox, Coags, Type and Cross Appropriate imaging: Portable chest and pelvis xray, FAST, leg xray, Head CT Pelvis stabilization Airway management Transfer to Level 1 trauma center 2. Potential complications/errors path(s): Failure to administer fluids Failure to stabilize pelvis Failure to transfer 3. Program debugging: N/A VII. VIII. Debriefing Plan A. Method of debriefing: Group with multimedia teaching materials B. Debriefing materials C. Potential debriefing topics 1. Team dynamics a. Leadership b. Collaboration c. Communication d. Professionalism 2. Didactic material a. Presentation: General approach to trauma (primary/secondary survey) b. Pathophysiology: Pelvis fracture classification, Intracranial injuries c. Treatment: Indications for transfer, RSI medication selection in head trauma patients Development and Deployment This case has broadly been developed for medical students and residents. IX. Authors and their affiliations Case drafted by Jeffrey Siegelman, M.D., and Zoë Howard, M.D. with the Gilbert Simulation Team. Compiled and formatted by Elan Guterman. Reviewed and edited with references by Jeffrey Siegelman, M.D. and Zoë Howard X. References a) Burgess AR, Eastridge BJ, Young JW, et al. Pelvic ring disruptions: effective classification system and treatment protocols. J Trauma. Jul 1990;30(7):848-56. b) DeAngelis NA, Wixted JJ, Drew J, Eskander MS, Eskander JP, French BG. Use of the trauma pelvic orthotic device (T-POD) for provisional stabilisation of anterior-posterior compression type pelvic fractures: a cadaveric study. Injury. Aug 2008;39(8):903-6. 176
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 c) Smits M, et al. External validation of the Canadian CT Head Rule and the New Orleans Criteria for CT scanning in patients with minor head injury. JAMA Sept 28 2005; 294 (12): 1519 – 1525. XI. Appendix A: Lab Values: none available during case XII. Appendix B: Diagnostic Studies Chest X-Ray: Normal http://www.rctradiology.com/icons/normalchest.jpg AP pelvis: http://www.itim.nsw.gov.au/images/Compound_Open_book_pelvic_fracture_2.jpg FAST exam: negative Right LE xray http://orthopedics.about.com/library/xrayimages/fxaptibfib.jpg Head CT: Subdural hematoma and midline shift Image courtesy of Dr Jeffrey Siegelman, Massachusetts General Hospital 177
Page 1 and 2:
THE G. S. BECKWITH GILBERT AND KATH
Page 3 and 4:
Gilbert Program in Medical Simulati
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126: Gilbert Program in Medical Simulati
Page 175: Gilbert Program in Medical Simulati
show all

SIMULATION CASEBOOK - MyCourses

Create successful ePaper yourself

Delete template?

Save as template?