dka simulation scenario

Collectblood testsafter cannulating the patient including: An ECG should be performed to screen for cardiac pathology such as arrhythmias which may be precipitated by electrolyte abnormalities (e.g. 2. Review the patients drug chart for medications which may cause a reduced level of consciousness (e.g. Data is temporarily unavailable. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Capillary refill timemay be prolonged if the patient is hypovolaemic. DOI 10.7759/cureus.1286. A hyperglycemic patient may present with tachypnea, which often presents as Kussmauls respirations, tachycardia, orthostatic blood pressure changes and other signs of dehydration and diabetic ketoacidosis (DKA). In this section, we have to help the trainee to institute definitive therapy based on the underlying biochemical abnormalities. Data Description All the product records are stored at /user/spark/dataset/retail_db/products All the category records are stored at /user/spark/dataset /ret. The students are in their basic science course. x]o ]?9kgq~:)?hE )R6!up}\<8||\]}Y~;xp~yQ$#4~djX&{n_m-]^K1/~/AD Hv 99evs,;8}8zwnhFxV.kf-V^? #geekymedics #fyp #fypviral #studytok #medicalstudentuk #medtok #studytips #studytipsforstudents #medstudentuk #premed #medschoolfinals #shorts, Cardiovascular Exam Tips - DON'T FORGET these 3 things , Watch this video to find out the most COMMONLY FORGOTTEN components of the cardiovascular history! Save this video to help prepare for your upcoming OSCEs and dont forget to follow Geeky Medics! Another example: At one minute into the scenario, the patient becomes unresponsive and their breathing becomes shallow. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Hypothermia may be present if the patient has been unconscious and exposed for some time. DKA can develop within 24 hours and is potentially life threatening, requiring prompt recognition and therapeutic intervention. This allows the learner group to make a psychological break from the patient and environment while beginning the reflection process. The students worked on the underlying physiology during a week long PBL session and are therefore familiar with the theoretical aspects of DKA. A fixed-rate intravenous insulin infusion should be commenced initially to suppress ketogenesis, reduce blood glucose levels and address electrolyte disturbances. Animated Lecture Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario 2 The evaluation of potassium deficits is complicated by potassium exit from . Stage 2: Emergency management of DKA and consideration of abnormal CTG. unilateral coarse crackles may be present if the patient has pneumonia which may have been the precipitant for DKA). Trigger 4, Pathway 1l of saline required over 1hour and insulin infusion need prescribing and making up in 50ml syringe. - Onset 01:48 Place one hand on the patients forehead and the other under the chin. In the meantime, you can perform some basic airway manoeuvres to help maintain the airway whilst awaiting senior input. Environment & Manikin Circulating nurse in the emergency room (ER). The faculty member/course coordinator of Simulation Design LYqC+pJ&6X4onfBT#?=R}.p8N3+Dk,P4tIgWB}-L'=8;_G >,K#.e89XnG'B~NtR Urinary tract infections are a common DKA precipitant. We believe it is important to have active, participatory learning by having conversations with the trainees in the form of questions and answers. - Over 3000 Free MCQs: https://geekyquiz.com/ The simulation experience serves to give substance to the theoretical words and concepts that the students encountered during the PBL sessions. Consider active re-warming techniques in patients with severe hypothermia. The consequences (low blood pressure, high heart rate, central nervous system status, etc.) The optimal number of simulation participants is four to seven individuals, depending on the case study objectives. Using your thumbs, slightly open the mouth by downward displacement of the chin. Administer oxygen to all critically unwell patients during yourinitialassessment. If the provider starts an IV and gives dextrose, then the patients alertness will increase, respirations will normalize and repeated blood glucose will read 210 mg/dL over a two-minute interval. 1 Potassium losses occurring both before and during treatment of DKA must be replaced. Conclusion: Our DKA simulator is a new tool whose objective is the training in a severe, frequent and complex situation, and can be used to improve the approach made by the junior physicians to the real diabetic . This environment doesnt allow the student to identify presentation cues, be active in their own learning or apply their skills without endangering the lives of patients.(2). Categories: Emergency Medicine, Medical Education Keywords: diabetic ketoacidosis, simulation, expertise, emergency medicine . It involves working through the following steps: Each stage of the ABCDE approach involvesclinicalassessment,investigationsandinterventions. can be reemphasized, and the effects of fluid therapy demonstrated. Re-assessthe patient using theABCDE approachto identify any changes in their clinical condition and assess the effectiveness of your previous interventions. Paediatric DKA | Simulation Education Diabetic Ketoacidosis (DKA) | Acute Management | ABCDE Recognize the signs and symptoms of a patient presenting with diabetic ketoacidosis. 2011;15:108109. DO NOT perform any examination or procedure on patients based purely on the content of these videos. A blood glucose level may already be available from earlier investigations (e.g. Trainee will be respectful to others and their views during the PBL session. Properly interpret a venous blood gas (VBG) and basic metabolic panel in a patient presenting with diabetic ketoacidosis. Review the patientscurrent medicationsand check any regular medications areprescribed appropriately. We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. This field is for validation purposes and should be left unchanged. 2 0 obj The scenario would include an if-then algorithm. Use washable, non-toxic paints to imitate various body emissions. may email you for journal alerts and information, but is committed The use of a simulated, evolving case scenario was an effective method of exposing nursing students to complex patient care. As this is a PBL session, the trainees are not given any references. Search for Similar Articles A GCS of 8 or below warrants urgent expert help from an anaesthetist. An events progression section should include patient status changes, as well as a time/treatment continuum that incorporates if-then event progressions. Moses Lake (WA) Fire Department Gets $3.3M Grant for more Firefighters, Woman Who Crashed into Responders, Killing PA Firefighter, Gets Prison, Three Apparent Gas Explosions at San Bernardino (CA) Mountain Homes, Enid (OK) Fire Department Begins SWAT Medic Program to Assist Police, FDNY EMS Providers Win COVID-19-Linked Free Speech Lawsuit, Coronavirus Origins Still a Mystery Three Years into Pandemic. Performing an ECG should not delay the emergency management of DKA. Catheterisethe patient to closelymonitor urine outputto guide fluid resuscitation and need for escalation. This typically involves the use of anon-rebreathe maskwith an oxygen flow rate of15L. With your index and other fingers placed behind the angle of the mandible, apply steady upwards and forward pressure to lift the mandible. Patients with DKA require fluid resuscitation to restore circulatory volume, clear ketones, correct electrolyte abnormalities and increase renal perfusion. YouTube Video VVVram5yRUhROGJRUW1sZk5kQVFDXzV3LjMxakdNallNcng0, YouTube Video VVVram5yRUhROGJRUW1sZk5kQVFDXzV3LkJPVjVZMzBKczY4, YouTube Video VVVram5yRUhROGJRUW1sZk5kQVFDXzV3LkxEM2VkQzB2NTBr, Start typing to see results or hit ESC to close, Deep Vein Thrombosis (DVT) Examination OSCE Guide, Pre-hospital Advanced Life Support (ALS) OSCE Guide, Adult Choking (Basic Life Support) OSCE Guide, Paediatric Intravenous Cannulation OSCE Guide, Intrauterine System (Mirena) Counselling OSCE guide, Geeky Medics OSCE Book | Clinical Examination, Paediatric Gastro-oesophageal Reflux Disease, A Career as a GP with Special Interest with Dr Fiona Mosgrove, Absolute insulin deficiency (e.g. Effectiveness of simulation on health profession students knowledge, skills, confidence and satisfaction. - 2500+ OSCE Flashcards: https://geekymedics.com/osce-flashcards/ Maintain head-tilt chin-lift or jaw thrust and assess the patency of the patients airway by looking, listening and feeling for signs of breathing. This video demonstrates how to use the SOCRATES acronym when taking a history of pain or other symptoms. Conclusions This technical report describes the design and implementation of a simulation scenario on DKA for emergency medicine trainees. KDCA, Ronald Reagan Washington National Airport, DC. Below is a collection of donated scenarios for you to use or modify. Extremities: mild cyanosis, no clubbing or edema (verbalized by instructors); pulses equal, and symmetrical (elucidated by trainees). Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes. type 1 diabetes), Complete insulin insensitivity (e.g. VbQuX#R M21 Abdomen: The abdominal examination reveals diffuse mild epigastric tenderness to deep palpitation but neither rebound tenderness nor guarding (result of examination given by patient or by instructor). modify the keyword list to augment your search. Outcomes Educating Nursing Students Using an Evolving, Simulated Case You might also be interested in our awesome bank of 700+ OSCE Stations. In the final 10 minutes, we show how the patient has a good recovery after fluid replacement. Published August 2015. Note that if-thens must also include negative patient outcomes for when the provider doesnt take appropriate action. It involves a facilitating instructor, a small learner group and conceptual aspects of environmental and manikin staging to provide sensory cues. A pre-briefing session is conducted prior to the start of the simulation scenario. Ask for anotherclinicalmemberofstafftoassistyou if possible. Interactive lecture/discussion with use of monitors that show the vital signs of the simulated patient on manikin. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario. - PDF Heart: S1 and S2 within normal limits; no S3/S4 or murmurs, normal rate and rhythm. A nasopharyngeal airway is a soft plastic tube with a bevel at one end and a flange at the other. 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. Available from: [. 1. KDCA for FSX - Fly Away Simulation TikTok: https://www.tiktok.com/@geekymedics Assessment & Treatment of Five Diabetic Emergencies - JEMS Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Simulation student Scenario- DKA-Peds.docx - DIABETIC

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