SimWars Simulation Case Book: Emergency Medicine

The SimWars Simulation Case Book: Emergency Medicine enables novice simulation operators to quickly and effectively run simulation cases, which have been established at national SimWars events, for their respective programs and departments. The use of simulation to gain and maintain skills in healthcare has become critical to the delivery of the curricula in medical schools, nursing schools, residency programs, and hospital-based practice. Specialty boards, such as the American Board of Anesthesiology, now require simulation training as part of the Maintenance of Certification. Studies have shown that one of the main barriers to implementing simulation is the lack of trained simulation instructors and instructor time. Developed by leading emergency medicine simulation experts, this definitive collection of 46 cases includes topics intended to supplement UME and GME training, meet ACGME core competency requirements, and challenge the expert emergency physician in critical decision-making, procedural skills, ethical issues, teamwork and communication skills.

Preface; Part I. SimWars 101: 1. Why SimWars?; 2. What is SimWars?; 3. SimWars – how to succeed; 4. SimWars debriefing: the art of the show; 5. SimWars judging: maximizing the educational value of a popular educational modality; 6. Troubleshooting technology; Part II. SimWars Cases: Section 1. Airway: Case 1. Terminal extubation; Case 2. Industrial fire victim: burns and cyanide toxicity; Case 3. Pool diving accident; Case 4. Difficult airway – house fire; Case 5. 'Is there a doctor on the plane?': Airplane anaphylaxis; Case 6. Hyperthermia on a cruise ship; Section 2. AMS: Case 7. Hypertensive emergency; Case 8. Adrenal insufficiency; Case 9. 'Raving' altered mental status; Case 10. Two patients with altered mental status and cyanosis; Section 3. Cardiopulmonary: Case 11. Severe asthma; Case 12. High-altitude pulmonary edema with high-altitude cerebral edema; Case 13. SCUBA – air embolism; Case 14. LVAD; Case 15. Aortic dissection mimicking as STEMI; Case 16. Procedural sedation gone wrong in patient with upper GI hemorrhage; Case 17. Transfer gone wrong – NG tube in the trachea; Section 4. Infectious Disease: Case 18. Septic shock secondary to pneumonia; Case 19. AMS/hemorrhagic fever; Case 20. Tetany in a home-body piercer; Case 21. Pediatric myocarditis; Case 22. Neonatal HSV meningo/encephalitis; Section 5. Neurocritical Care: Case 23. Traumatic brain injury; Case 24. Status epilepticus; Case 25. Intracranial hemorrhage; Case 26. Stroke/health information technology case; Case 27. Football injury – cervical spine fracture with neurogenic shock; Case 28. Floppy newborn resuscitation; Case 29. Post mortem C-section with seizing neonate at delivery; Case 30. Shoulder dystocia with postpartum hemorrhage; Case 31. Pediatric status epilepticus; Case 32. Neonatal cardiac arrest; Case 33. Anaphylaxis/boarding patient; Case 34. Zofran and long QTc syndrome; Case 35. Pediatric death debrief; Case 36. Infant abuse and the angry team member; Case 37. Intoxicated father with child neglect; Case 38. Body packer; Case 39. Multiple altered patients with carbon monoxide (CO) poisoning; Case 40. HazMat/decontamination response with complicated communication; Case 41. Migraines and beta blocker overdose; Case 42. Blast injury; Case 43. Multi-victim trauma case; Case 44. Traumatic head bleed/trephination; Case 45. Trapped in the elevator; Case 46. I'm never riding rollercoasters again; Part III. Appendices: Appendix A. Thinking about the cases with ACGME milestones in mind; Appendix B. Moulage in minutes; Appendix C. Case images; Index.

Lisa Jacobson is Assistant Professor of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA.
Yasuharu Okuda is Associate Professor of Emergency Medicine, University of Central Florida College of Medicine, and National Medical Director, SimLEARN, Veterans Health Administration, Jacksonville, FL, USA.
Steven Godwin is Professor, Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, FL, USA.