Date Submitted:
May 19, 2009
Peer Review:
Requested
Ice, Ice Baby v. 1
Michael D. Smith MD, Thomas P. Noeller, MD
msmith2@metrohealth.org
MetroHealth Medical Center
Topic:
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Critically Ill Hypothermia
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Target Audience:
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Case Description:
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A 42 year old obtunded, disheveled man is brought into your emergency department. Past medical history, medications, allergies, and social history are unknown and unobtainable. He is unable to give you a clear history. EMS states they were called by a concerned bystander. He was found on the side walk. Case takes the learner through aggressive re-warming in a critically ill patient, using invasive actions.
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Simulator Details
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Age:
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42 |
Gender:
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Male |
Chief Complaint:
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Brought in by EMS, called by bystander |
Diagnosis:
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Hypothermia |
Setting:
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Resuscitation bay of emergency department. |
Equipment:
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iStan |
Actors:
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Timeline:
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Yes
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Usage Details:
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Objectives:
1. Demonstrate recognition of critical hypothermia
2. Perform a resuscitation including treatment of severe hypothermia
3. Organize hospital resources to resuscitate patient effectively
Target Audience:
EM Residents (PGY I-III) at a large urban county hospital that will work together as part of a resuscitation team. Challenges would include extremes of patient care aggressiveness (high to low) based on year training.
Materials:
1. Rapid infuser
2. Bear hugger
3. Chest tube tray
4. DPL equipment
5. Foley equipment (OPTIONAL: temperature sensing foley)
6. ECG w/ bradycardia / Osborn waves
7. ECG w/ bradycardia / no Osborn waves
8. Intubation box
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Evaluation Tool:
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Yes
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Case Designed For:
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Evaluation and Education |
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Keywords:
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hypothermia, active, passive, re-warming, osborn waves |
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(File Size:
28160
bytes)
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