Prehosp Emerg Care. Patients with DKA require fluid resuscitation to restore circulatory volume, clear ketones, correct electrolyte abnormalities and increase renal perfusion. This allows us to get in touch for more details if required. Available from: [. Standardized patient as the voice of the simulator (or the simulation operator may play this role). Published August 2015. See ourintravenous cannulation guidefor more details. If the patient is conscious, sit themuprightas this can also help with oxygenation. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario For example, if a student is to run a diabetic emergency in an extended living facility, the room should be staged with the appropriate bed, linens and medical equipment, and include personal artifacts and memorabilia normally found in such environments. to below 12 mmol/L) an infusion containing normal saline and 5% dextrose is typically commenced to prevent the development of hypoglycaemia, whilst allowing insulin therapy to continue to suppress ketogenesis and reduce serum electrolyte concentrations. PDF Diabetic Ketoacidosis in the Obstetric Population: A Simulation - PSA Question Pack: https://geekymedics.com/psa-question-bank/ 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. As with the animated lecture, the simulation is strongly dependent on a focused case study. SimMan Nursing Scenarios Software. To read Pages full Research Review column, visit www.jems.com/patient-care. Deteriorationshould be recognised quickly and acted upon immediately. CCA 175 Real Time Exam Scenario 17 | JOIN Multiple DataFrames | Save as Consider active re-warming techniques in patients with severe hypothermia. Medical Simulation Scenarios are text documents outlining the various details of a simulation - everything from patient simulator settings to debriefing notes.Below is a collection of donated scenarios for you to use or modify. type 1 diabetes), Complete insulin insensitivity (e.g. Observe and discuss the effects of therapy in a mathematically modeled physiological simulator. Schneider Sarver PA, Senczakowicz EA, Slovensky BM. PBL in our institution is implemented as a small group (n 68 students) self study session with a facilitator, who incrementally discloses further information about the patient. If you have any scenarios you would be willing to share with the simulation community, please forward them to me. modify the keyword list to augment your search. Review thepatients notes,chartsandrecent investigation results. Rosens Emergency Medicine: Concepts and Clinical Practice. Please enable scripts and reload this page. endobj Instructors should write a case study for the simulation before the session. Open the patients mouth to ensure there is no foreign material that may be pushed into the larynx. It involves working through the following steps: Each stage of the ABCDE approach involvesclinicalassessment,investigationsandinterventions. The DKA simulation incorporates cue recognition, analysis of cues, generation of solutions, nursing interventions, and evaluation of outcomes, including effective communication and psychosocial concerns. We demonstrate to the trainees the significant changes on the monitors by asking them to point out any changes on the simulator (clinical examination) and the vital signs (monitor parameters). 3 0 obj Cureus 9(5): e1286. Supplemental digital content is available for this article. This style also doesnt mimic an actual scene, and a student may feel that treatment modalities and skills are performed at a slower rate than real-world applications. In the meantime, you can perform some basic airway manoeuvres to help maintain the airway whilst awaiting senior input. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. The optimal number of simulation participants is four to seven individuals, depending on the case study objectives. The debriefing environment should be removed from the location where the simulation took place. It involves a facilitating instructor, a small learner group and conceptual aspects of environmental and manikin staging to provide sensory cues. 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. The researchers found that long shift hours (24hrs), working overtime and marital/relationship stress were strongly correlated. 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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. areas of lipohypertrophy) if it is unclear if the patient is diabetic. and This is a 25-year-old woman with a medical history of diabetes medicated with 40 units insulin per day. As this is a PBL session, the trainees are not given any references. Many of the preclinical students have never seen a real life clinical monitor or even an intravenous (IV) setup. We do point out the blood pressure (BP) cuff, but these medical students in their first year do not really need to know how the BP values are generated, they need to understand the origin and therapy for the low blood pressure. tall tented T waves in hyperkalaemia). The trainees have had background knowledge of biochemistry because they had completed the PBL case. PDF Medicine Simulation Scenario Diabetic Ketoacidosis: An Emergency - Cureus Trainee will improve their understanding of clinical practice through reflective assessment of actual cases during the prior PBL sessions. In the final 10 minutes, we show how the patient has a good recovery after fluid replacement. The normal reference range for fasting plasma glucose is 4.0 5.8 mmol/l. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Margolis GS, Romer GA, Fernandez AR, et al. Refer to your local guidelines which should provide a clear protocol for the management of DKA. If the patient has COPD and a history of CO2retention you should switch to aventuri maskas soon as possible andtitrate oxygen appropriately. - 2500+ OSCE Flashcards: https://geekymedics.com/osce-flashcards/ Categories: Emergency Medicine, Medical Education Keywords: diabetic ketoacidosis, simulation, expertise, emergency medicine . >> Fernandez AR, Mac Crawford J, Pennell ML, et al. 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. Case-based education adds a real-world aspect to the learning environment. Intubation lubricants can mimic drooling. 1 Potassium losses occurring both before and during treatment of DKA must be replaced. endobj Assessment & Treatment of Five Diabetic Emergencies - JEMS Lets discuss your options. Diabetic ketoacidosis (DKA) is a common, potentially lethal disease. 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. It should only be inserted in unconscious patients as it is otherwise poorly tolerated and may induce gagging and aspiration. The impetus for creating and implementing the high-fidelity diabetic ketoacidosis (DKA) simulation was based on a needs assessment and reviewing of undergraduate nursing students' examination statistics in a second semester medical-surgical course. 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. Scenarios thesimtech 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. 4 0 obj Both external and internal potassium balances are disturbed during the development and treatment of DKA. Re-assessthe patient using theABCDE approachto identify any changes in their clinical condition and assess the effectiveness of your previous interventions. The facilitator guides the group only when necessary. An events progression section should include patient status changes, as well as a time/treatment continuum that incorporates if-then event progressions. When a group treatment decision is made that would be contraindicated or harmful to the patient, the instructor can redirect the learner group while maintaining an atmosphere inclined toward independent thinking. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! The learning environment should closely mimic real-world applications. The 60 minutes training time consists of four 15-minute sections divided as follows. Subscribe to our newsletter to be the first to know about our latest content: https://geekymedics.com/newsletter/ SimMan Nursing Scenarios Software - laerdal.com She does not take this regularly. In this section, we have to guide them as to what they should do first for the patient in this critical condition (ie, treat the A, B, Cs of airway, breathing, and circulation) before we can confirm the diagnosis. The relationship between sleep, fatigue and patient and provider safety. By joining Cureus, you agree to our DOI 10.7759/cureus.1286. Ziv A, Wolpe PR, Small SD, et al. The objective is to give as many visual and tactile cues concerning the patient condition and background as possible. Diabetic ketoacidosis; Simulation training; Medical students. You can check out our guide to using SOCRATES here: https://geekymedics.com/the-socrates-acronym-in-history-taking/ 6. 2003;78:783788. Research Watch Box:Sleep, Fatigue & SafetyBy David Page, MS, NREMT-P Trainee will practice or observe good teamwork skills, both as a leader and a team player. Clinical Simulation in Nursing, Volume 39, 2020, pp. A strong emphasis is placed on the focused, methodical examination of a specific medical problem and the decision-based treatment options available. Glycosuria leads to urinary losses of potassium through osmotic diuresis. Review the patients drug chart for medications which may cause a reduced level of consciousness (e.g. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Just place the BR2_KDCA file into your addons scenery folder: C:\\Program Files\\Microsoft Games\\Microsoft Flight Simulator X\\Addon Scenery\\Scenery. In this case scenario, dehydration is one of the most serious immediate issues. 1 0 obj Keywords: diabetic ketoacidosis, simulation, expertise, emergency medicine Introduction Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus, most commonly occurring in patients with type I diabetes. can be reemphasized, and the effects of fluid therapy demonstrated. Trainee will recognize and interpret the clinical signs and symptoms and the typical history of a patient with DKA, as well as understand the major causative factors of DKA. Available from: [, NICE guidelines. 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. <>>> - Timing 03:23 oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. Stage 2: Emergency management of DKA and consideration of abnormal CTG. DKA can develop within 24 hours and is potentially life threatening, requiring prompt recognition and therapeutic intervention. . If the patient loses consciousness and there are no signs of life on assessment, put out a crash call and commence CPR. See our blood glucose measurement guide for more details. The following scenarios are available for download and are designed to meet your multi-disciplinary nursing needs. We guide the group to suggest fluid. Askhow the patient is feeling as this may provide some useful information about their current symptoms. You can plot as many parameters as you want and can choose to display either Historical data or have the graphs update as often as new data comes in and view them in Real-time. Using the arterial line, the scenario becomes much more dynamic. Other details are also important, including descriptions regarding patient language skill, social history, socioeconomic history, family history, religious practices or beliefs pertinent to treatment, and descriptive signs and symptoms. The students worked on the underlying physiology during a week long PBL session and are therefore familiar with the theoretical aspects of DKA. 5. 3. See ourCXR interpretation guidefor more details. Given 6 to 8 back-to-back sessions, it is critical that every session starts and ends on time! Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS Introduceyourselfto whoever has requested a review of the patient andlistencarefullyto their handover. See ourfluid prescribing guidefor more details onresuscitation fluids. PDF Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario type 1 diabetes) Complete insulin insensitivity (e.g. When erroneous treatment is delivered, the instructor can end the simulation. This field is for validation purposes and should be left unchanged. to maintaining your privacy and will not share your personal information without DY{Qb"(EgN$QI*%XN1F""0a5 Simulation Training Ideal for Diabetic Patients - JEMS Initially, we had a white board available, but the temptation (and habits) were just too strong, and the simulator sessions tended to become one way lectures, rather than an interactive, 2 way discussion.. 3. We introduce the Simulation Laboratory and the Simulator, and demonstrate: pulses, eyes blinking, pupil constriction, gas moves in and out of mouth (place hand over mouth), chest moves up and down. If the patientloses consciousnessand there areno signs of lifeon assessment, put out acrash callandcommence CPR. Consider any precipitating factors for the development of DKA and involve the diabetes team in the patients care. Assess the patients pulse and blood pressure: Inspect the patient from the end of the bed: they may appear drowsy, confused and/or clammy/pale. She began experiencing progressively worsening thirst, increased appetite, and excessively increased urination. GRAPH. PA EMT Said COVID Patient Didnt Need to Go to the NYC Unions Demand Reinstatement, Back Pay for Workers Fired for Refusing President Biden to End COVID-19 Emergencies on May 11. Introduction: Diabetic ketoacidosis (DKA) is a life-threatening illness which classically presents with polyuria, polydipsia, and polyphagia that can rapidly progress to severe dehydration and altered mental status from cerebral edema. The students are in their first year. This typically involves the use of anon-rebreathe maskwith an oxygen flow rate of15L. dq-]gX4 `L'u7myx) rpjf0z,.y`VMyx-&Ju`U0 As a next step, we will let one of the trainees talk to the patient, and prompt to ask medical questions such as previous medical issues or recent drug use for them to practice asking questions to generate a differential diagnosis (in this case, other causes for confusion). - Radiation 02:45 The simulation experience serves to give substance to the theoretical words and concepts that the students encountered during the PBL sessions. If the patient is confused you might be able to get a collateral history from staff or family members as appropriate. Terms of Use. Perform urinalysis and send the urine for culture if urinary tract infection is suspected. PDF Adult Type I Diabetic Ketoacidosis Pre-simulation Preparation Student Diabetic ketoacidosis simulator: a new learning tool for a life (1) The assessment of a diabetic patient is best taught as a. Reduced urine output (oliguria) is typically defined as less than 0.5ml/kg/hour in an adult. Topic: Abdominal TraumaTitle: Motorcycle CrashTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Adrenal CrisisTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: AnaphylaxisTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: AnaphylaxisTitle: Anaphylaxis In An InpatientTarget: PGY1Author / Institution: Alison Rodger, Babar Haroon / Dalhousie Universityclick here to download, Topic: AnaphylaxisTitle: Bee Sting In An 8 Month OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: ApneaTitle: Drowning In A 3 Year OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Asthmatic Protocol for EDTitle: Branching Scenario: 3 Treatment Routine ER - Pediatric PatientTargets: Emergency Department Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: Atrial FibrillationTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Bidirectional Ventricular Tachycardia from Digoxin ToxicityTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: BradicadiaTitle: Bradycardic Arrest - Carotid Sinus MassTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: BurnTitle: Cigarette FireTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: BurnTitle: Meth Lab Explosion Target: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Cardiac ArrestTarget: Inter-professional Team TrainingAuthor / Institution: Alim Nagji, Krista Dowhos / Joseph Brant Hospitalclick here to download, Topic: Chest and Abdominal TraumaTitle: Auto AccidentTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: CHF (Congestive Heart Failure)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Communication, Interpersonal Skills, Mediating Conflict Title: Managing Family Members with Different Views Target: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Crohns FlareTitle: Complicated CrohnsTarget: PGY1Author / Institution:Allen Tran / Dalhousie Universityclick here to download, Topic: Delirious, Combative / Violent Patient Management Title: DeliriumTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Delivering Bad NewsTitle: Delivering Bad News after a StrokeTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Difficult AirwayTitle: Ace Inhibitor AngioedemaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Difficult AirwayTitle: Difficult / Failed AirwayTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Disclosure of an Adverse EventTitle: Retained Guidewire from a Central LineTarget: ICU FellowsAuthor / Institution: Ryan Fink / OHSUclick here to download, Topic: DKA (Diabetic Ketoacidosis)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: DKATarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Acute Pulmonary Edema requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Severe Asthma requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Electrical StormTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Emergent Med-Surg ResponseTitle: MET/RRT ResponseTargets: Response Teams, House Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: EtOH WithdrawalTitle: EtOH Withdrawal SiezureTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Febrile NeutropeniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Head TraumaTitle: Four Storey FallTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Head TraumaTitle: Hit by MotorboatTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: HypertensionTitle: Aortic DissectionTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: HypertensionTitle: Autonomic DysreflexiaTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Hypertensive EmergencyTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Hypertensive EmergencyTitle: Diastolic Danger Hypertensive Urgency / EmergencyTarget: PGY1Author / Institution: Hailey Hobbs, Babar Haroon / Dalhousie Universityclick here to download, Topic: HypoxiaTarget: Inter-professional Team TrainingAuthor / Institution: Devin Sydorclick here to download, Topic: Inferior StemiTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Labor and delivery, postpartum hemorrhageTitle: Normal Delivery with PPHTarget: Maternal - Child Course - Nursing EducationAuthor / Institution: Kelly McMunnclick here to download, Topic: PEA Arrest (pulseless electrical activity)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Pelvic FractureTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Penetrating Thoracic TraumaTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: PneumoniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: PneumoniaTitle: Community Acquired PneumoniaTarget: PGY1Author / Institution: Iain Arseneau, Babar Haroon / Dalhousie Universityclick here to download, Topic: Pulmonary EmbolismTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Ruptured Ectopic PregnancyTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: SepsisTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: SepsisTitle: Sepsis - Crohn's IntraabdominalTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - DKA and PneumoniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - Febrile NeutropeniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: ShockTitle: Blunt Trauma Causing a High Spinal Cord Injury with Neurogenic ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Hemorrhagic Shock in an Elderly Pedestrian stuck by a VehicleTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Penetrating Chest Trauma Causing Obstructive ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Snake BiteTarget: ER residentsAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Status AsthmaticusTarget: PGY1Author / Institution: Unknownclick here to download, Topic: Status Epilepticus - Apnea Post-BenzodiazepinesTitle: Seven month old with Status EpilepticusTarget: Pediatric ResidentsAuthor / Institution: Keith Gregoireclick here to download, Topic: StrokeTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Subdural Hemorrhage Title: SDH and DOACTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Syncope / TorsadesTitle: Syncope / Torsades in the setting of acquired prolonged QTTarget: PGY1Author / Institution:Tasha Kulai, Babar Haroon / Dalhousie Universityclick here to download, Topic: Tachycardia Rapid AFTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Toxic Shock SyndromeTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Toxicology - Bupivicaine OverdoseTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - Hydrofluoric Acid BurnsTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - OrganophosphatesTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Upper GastrointestinalI BleedTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Upper Gastrointestinal BleedingTitle: GI BleedTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: Viral bronchiolitis in infants requiring intubationTitle: Apnea in the infant with RSV bronchiolitisTarget: Pediatric ResidentsAuthor / Institution: Mike Storrclick here to download.
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