Sunday, 30 June 2013

New STAT case- Closed Head Injury

A couple days late but got a new one for you here: Closed Head Injury.  This STAT case was written by Wes Theurer, DO, MPH, and Sara Pope, MD as part of a simulation trauma curriculum that I'm helping write for the Society of Teachers of Family Medicine.  The couple of STAT trauma cases on this blog already will be part of it and you'll see a few more in the next few months.  

Monday, 17 June 2013

STAT - Coumadin and Subdural Hematoma

This STAT is a 72-year-old anticoagulated patient who falls and has large SDH. The case primarily focuses on management of head trauma and reversal of anticoagulation.

Tuesday, 11 June 2013

Friday, 31 May 2013

New STAT case- Penetrating Neck Injury

OK, got a new one here for ya'll-- penetrating neck injury.  I haven't taught this one yet but I'm excited to do so in the new academic year.  My tech, Phil, at our hospital's Just In Time Training sim area came up with the idea simulate blood and debris in the oropharynx with red-colored gauze.  It will also make it impossible to intubate, which is perfect.  Let me know how it goes if anyone beats me to teaching this case.

Aaron and I added an extra slide behind the one-pager with case synopsis, debriefing notes, and some other details to hopefully help you pull this off in your center with your learners.  The intent remains the same, however-- we want to create a place where you can find a case  easily, print it off, and pull off a successful simulation experience with minimal preparation.  

Thursday, 16 May 2013

New Case: Tetanus STAT

We gave this case at our resident simulation day last month.  It is predominantly a  diagnosis and treatment case and does not rely heavily on procedures.  It works best as an EM1 or early EM2 case, though could be used at all levels if desired.  The actor we used was great, and his portrayal of the physical findings of tetanus definitely added to the quality of the case.

Google Drive link:

Tetanus STAT

Monday, 13 May 2013

About and Disclaimers

As part of turning over new leaves and all that, we're posting a revised About and Disclaimer right off the bat. We're biting straight off EM Basic, but that's the reason for his post that laid it all out here.  So here it is- 
Simming It Up is created for medical teaching faculty and residents to provide ready-to-use simulation STAT cases for resident and medical student teaching through high-credibility simulation.  We developed the Simulation Training Assessment Tool (STAT) and have taught successfully with it.  Others have adopted the STAT and use it exclusively to teach medical simulation cases because it’s so good.  We think even more will want to use it when they discover the STAT’s power to teach successfully due to its simple format and method.  Thus, the purpose of this blog is to share our STATS and the STAT method.  
About us
Jay Baker is a board-certified US Army emergency physician and Simulation Director for the Madigan Army Medical Center emergency medicine residency.  He graduated with a Doctor of Medicine degree from the University of Southern California Keck School of Medicine in 2000 and subsequently from the Los Angeles County+University of Southern California emergency medicine residency in 2004.  He fell into simulation and in love with it in 2011 when he found himself in academic medicine after seven years of “real Army” adventures in Iraq, Korea, Italy and Afghanistan variously with the 3d Armored Cavalry Regiment, 121st Combat Support Hospital, and 173RD Airborne Brigade Combat Team.  He likes jumping out of airplanes and running in the woods.
Aaron Matlock is an US Army emergency physician and assistant residency director at Madigan Army Medical Center in Tacoma, WA.  He was raised on the Texas Coast and graduated from the University of Texas Medical Branch in 2008.  Aaron is a 2011 graduate of the Madigan emergency medicine residency and is currently serving as teaching faculty at Madigan.  He deployed to Afghanistan in 2012-2013 as a battalion surgeon for an infantry unit.  Now back stateside, Aaron has been fostering his strong interest in medical education as well as pursuing his other interests, namely running, cooking and playing music.  

BLOG DISCLAIMER: We make every effort to present correct information but, alas, we are imperfect.  We peer review each other’s STATS but medicine is a constantly changing science and art.  Many doctors do things differently from each others and teachers have different ways of instructing.  We are presenting a format for medical instruction with simulation that works for us. We welcome any comments, suggestions, or correction of errors.  We take no money from drug or device companies.  By reading this blog, using our published STATS or the general STAT format for instruction, you agree not to use this or blog as medical advice to treat any medical condition in either yourself or others, including but not limited to patients that you are treating.  Consult your own physician for any medical issues that you may be having.
ADDITIONAL LEGAL DISCLAIMER: This blog or podcast should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony.  No guarantee is given regarding the accuracy of any statements or opinions made on the podcast or blog.
GENERAL DISCLAIMER: This blog presents our opinions only and does not represent the views or opinions of the Department of Defense, the US army, the Madigan Army Medical Center EM residency, or the Joint Base Lewis-McChord post command.
PRIVACY NOTICE: This website, blog, and podcast are all HIPPA compliant.  While you may give your email address to subscribe to the website posts or to post information on the website/blog, I will never share your email address or contact information with any third parties without your explicit permission.
ADVERTISING POLICY:  At the present time, the Simming It Up blog, website, and podcast does not accept any advertising money.  If this changes, this will be spelled out directly via a post to the blog/website and the podcast.
COPYRIGHT AND DISTRIBUTION INFO: The contents of the Simming It Up blog including but not limited to the Simulation Training Assessment Tool (STAT) and each STAT case, are copyrighted.  All blog posts and STATS that are distributed to the public for free can be re-distributed via hard copy or electronic copy for free ONLY if “Simming It Up” is included as the acknowledged author within the actual media that is re-distributed.
DEDICATION: This blog and podcast is dedicated to EM teachers, residents and medical students the whole world over.  In the words of the master EM educator, “What you do matters.” (Mel Herbert)