Chest Pain on the Ward: A Simulation Scenario for Rural Family and Emergency Medicine Trainees.

cardiogenic shock emergency medicine myocardial infarction rural medicine simulation-based medical education

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
28 Jun 2020
Historique:
entrez: 4 8 2020
pubmed: 4 8 2020
medline: 4 8 2020
Statut: epublish

Résumé

Chest pain is a frequently encountered emergency room presentation, of which about 15% of cases are due to acute coronary syndromes. Cardiogenic shock is a relatively uncommon complication with associated high morbidity and mortality. Emergency medicine practitioners frequently encounter critically ill patients that require quick, definitive treatment to optimize patient outcomes. These high acuity presentations often are of relatively low occurrence which makes training residents and learners challenging. Simulation-based medical education has been shown to enhance patient outcomes by teaching these high acuity low occurrence (HALO) presentations in a safe environment. Herein we describe a simulation scenario of a patient with cardiogenic shock secondary to acute coronary syndrome. It consists of a step-wise, detailed summary of the case, along with modifiers to adjust the case for repeated use, learning objectives, and a suggested evaluation.

Identifiants

pubmed: 32742854
doi: 10.7759/cureus.8887
pmc: PMC7388803
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e8887

Informations de copyright

Copyright © 2020, Williams et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

NCHS Data Brief. 2012 Aug;(103):1-8
pubmed: 23101933
N Engl J Med. 2017 Dec 21;377(25):2419-2432
pubmed: 29083953
Semin Perinatol. 2013 Jun;37(3):166-74
pubmed: 23721773
Med Teach. 2013 Oct;35(10):e1511-30
pubmed: 23941678
Health Rep. 2019 May 15;30(5):3-15
pubmed: 31091331
Circulation. 2019 Mar 5;139(10):e56-e528
pubmed: 30700139
Eur Heart J. 2012 Oct;33(20):2535-43
pubmed: 22927559
Healthc Policy. 2013 Feb;8(3):27-41
pubmed: 23968625
Simul Healthc. 2013 Feb;8(1):8-12
pubmed: 22960702
Ann Intensive Care. 2015 Dec;5(1):52
pubmed: 26152849
Acad Emerg Med. 2010 Dec;17(12):1374-82
pubmed: 21091822
J Am Heart Assoc. 2016 Jun 30;5(7):
pubmed: 27364990
J Rural Health. 2016 Winter;32(1):25-34
pubmed: 26174410

Auteurs

Kerry-Lynn Williams (KL)

Family Medicine, Memorial University of Newfoundland, Happy Valley-Goose Bay, CAN.

Paul Crocker (P)

Family Medicine, Memorial University, St. John's, CAN.

Adam Dubrowski (A)

Health Sciences, Ontario Tech University, Oshawa, CAN.

Classifications MeSH