dka simulation scenario

Therefore, we have to emphasize the importance of airway, breathing, and circulation in the very sick patient in any clinical setting. Indeed, it is the only thing that ever has.". 2011;15:108109. DKA can develop within 24 hours and is potentially life threatening, requiring prompt recognition and therapeutic intervention. Trainee will increase knowledge of professional behaviors during the simulation. A collection of surgery revision notes covering key surgical topics. If the patient loses consciousness and there are no signs of life on assessment, put out a crash call and commence CPR. A nasopharyngeal airway is a soft plastic tube with a bevel at one end and a flange at the other. Creating a Simulation Experience to Promote Clinical Judgment Diabetic ketoacidosis; Simulation training; Medical students. Trainee will appropriately request assistance and use available resources. Glycosuria leads to urinary losses of potassium through osmotic diuresis. - Over 3000 Free MCQs: https://geekyquiz.com/ (1) The assessment of a diabetic patient is best taught as a. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. See ourdocumentation guidesfor more details. Forty percent of respondents reported excessive daytime sleepiness. Laschinger S, Medves J, Pulling C, et al. If an infection is suspected, IV antibioticsshould be administered as soon as possible. Your message has been successfully sent to your colleague. - 2500+ OSCE Flashcards: https://geekymedics.com/osce-flashcards/ For example, you could develop a diabetic scenario in which the prehospital provider encounters an altered patient with incomprehensible speech. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Calculate the patients current fluid balance using their fluid balance chart (e.g. This is particularly important for core cases and low-frequency, high-stakes procedures and encounters. 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. The DKA simulation incorporates cue recognition, analysis of cues, generation of solutions, nursing interventions, and evaluation of outcomes, including effective communication and psychosocial concerns. 2007. The Theory Check out our other awesome clinical skills resources including: These simulation sessions seem to work because the medical students do have prior knowledge. Another example: At one minute into the scenario, the patient becomes unresponsive and their breathing becomes shallow. 2. Assessment & Treatment of Five Diabetic Emergencies - JEMS A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Centers for Disease Control and Prevention. Environment & Manikin 2) Complete the assigned suggested readings 3) Complete the presimulation preparation virtual simulation game (Instructor will provide link) 4) Once you have completed reading this document and prepared for your simulation, please: a. 1 0 obj Yes: if the patient can talk, their airway is patent and you can move on to the assessment of breathing. After entering the environment, the student doesnt have the option of leaving the simulation until the learning objectives and performance measures are achieved. 1. 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). 4. An individual student can get an immediate answer to a question, the facilitator can see puzzled expressions on faces, and the PBL group could get answers that they could not get during their prior PBL group discussions. 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. PDF DKA Sim Scenario - ABCD (Diabetes Care) Ltd Makeup may be used to depict gender, hollow eyes and cheeks, produce pallor or display bruises and scars. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. To read Pages full Research Review column, visit www.jems.com/patient-care. Categories: Emergency Medicine, Medical Education Keywords: diabetic ketoacidosis, simulation, expertise, emergency medicine . Diabetes mellitus affects nearly 7.8% of the U.S. population, with approximately 510% of this group affected by Type I and 9095% by Type II.1 Diabetes is the most common type of endocrine disease and was the seventh leading underlying cause of death listed on death certificates in 2006. insulin-dependent type 2 diabetes) Symptoms Typical symptoms of DKA include: Palpitations Nausea Vomiting Sweating Thirst Weight loss Leg cramps Clinical signs Typical clinical signs of DKA include: Tachycardia Hypotension A comprehensive collection of medical revision notes that cover a broad range of clinical topics. 2010;49:578586. The simulation experience serves to give substance to the theoretical words and concepts that the students encountered during the PBL sessions. The reason for inserting the airway upside down initially is to reduce the risk of pushing the tongue backwards and worsening airway obstruction. Respiratory Failure in the Course of Treatment of Diabetic Ketoacidosis Abstract Introduction: This simulation on diabetic ketoacidosis (DKA) in the obstetric population presents learners with one of the more commonly encountered etiologies of critical illness in the pregnant patient. Catheterisethe patient to closelymonitor urine outputto guide fluid resuscitation and need for escalation. Are any further assessments or interventions required? 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. On arrival to the ER, standard monitors (electrocardiogram [ECG] and pulse oximetry [SpO2]) and end-tidal carbon dioxide (ETCO2) concentration were placed, and the patient was given oxygen by nasal cannulae. This typically involves the use of anon-rebreathe maskwith an oxygen flow rate of15L. You can check out our guide to using SOCRATES here: https://geekymedics.com/the-socrates-acronym-in-history-taking/ The instructors have to appreciate that the trainees participating in this simulation have not seen a diabetic patient in either a ward or ER, but that they have knowledge of the underlying physiology. cloudy urine may indicate urinary tract infection). Seek senior helpif the patient shows no signs of improvement or if you have any concerns. - Introduction 00:00 - Medical Finals Question Pack: https://geekymedics.com/medical-student-finals-questions/ Use washable, non-toxic paints to imitate various body emissions. - Character 02:14 type 1 diabetes), Complete insulin insensitivity (e.g. Revisit history taking to explore relevant medical history and identify any precipitating factors for DKA. Int J Evid Based Healthc. PDF Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Well done, youve now stabilised the patient and theyre doing much better. Diabetes UK with the Joint British Diabetes Societies Inpatient Care Group. Problems are addressed as they are identified and the patient is re-assessed regularly to monitor their response to treatment. This article originally appeared in March 2011 JEMS as Diabetes Demonstration: Simulation-based learning works best., Simulation Training Ideal for Diabetic Patients, CMS Begins Reprocessing Retroactive Payments, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, All Paramedic Recruits in New Castle County (DE) Obtain NRP Certification, International Prehospital Medicine Institute Literature Review, March 2023. Diabetic Ketoacidosis (DKA) Clinical Pathway Emergency Department She was taken to the Emergency Department from her soccer game because she complained of nausea, extreme fatigue, mild disorientation, and blurred vision toward the end of the soccer match. If you'd like to support us and get something great in return, check out our awesome products: You don't need to tell us which article this feedback relates to, as we automatically capture that information for you. Much time was wasted explaining why it did not matter. Check the patency of the patients right nostril and if required (depending on the model of NPA) insert a safety pin through the flange of the NPA. Review the patientscurrent medicationsand check any regular medications areprescribed appropriately. The 60 minutes training time consists of four 15-minute sections divided as follows. - Associated symptoms 03:04 You may be trying to access this site from a secured browser on the server. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS We combined both to indicate the continuity of the curriculum, and the building on prior knowledge. The lecture allows for understanding of concepts prior to action, and instructor feedback is immediate. Wolters Kluwer Health The students are in their first year. Debriefing This is particularly important for core . Several environments may be suitable for your classroom. Review thepatients notes,chartsandrecent investigation results. % An hour was . Twitter: http://www.twitter.com/geekymedics (1) According to Centers for Disease Control and Prevention (CDC), 223,619 deaths were attributed to diabetes in 2005. 2008;6:278302. Outcomes Educating Nursing Students Using an Evolving, Simulated Case

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