We’ve all had to get a bit creative over the past few weeks. COVID-19 has ushered in an era of not only pushing healthcare workers and hospitals into uncharted territory, but also challenging the structure and delivery of medical education. Simulation education is one of many teaching modalities that is affected by this change given its case-based, in-person structure with a team of learners. These characteristics unfortunately violate the 6-foot rule of social distancing. While traditional simulation is not typically conceptualized as a virtual modality, many of its principals can be successfully adapted for remote learning.
Emergency Medicine (EM) physicians care for anyone, with anything, at any time. This includes pediatric patients as well as adults. For those without advanced pediatric training, “sick kids” can be quite intimidating. Rashes in the pediatric population are often benign, but in rare cases they portend significant illness. Rashes are also frequent chief complaints; In 2015, there were 1,452,300 pediatric ED visits for “skin and subcutaneous tissue disorders” . We sought to improve the teaching of pediatric rashes in our residency curriculum.
Life recently has been, to say the least, a hair stressful. The global pandemic, with all the resultant lifestyle upheaval, has seized a commanding presence in every minute of every day, personal and professional, and many of us are feeling the heat. There’s never been a more appropriate time then to cultivate effective coping strategies as a community, and ALiEM is here to help, with the third installment of The Leader’s Library, covering The Coffee Bean: A Simple Lesson to Create Positive Change by Jon Gordon and Damon West.
Education in emergency response to trauma is a global health priority . Mortality rates are nearly twice as high in patients with trauma in low-income as compared to high-income countries . With uncontrolled bleeding as the number one cause of death from trauma, tourniquet application has been the focus of training programs, like the “Stop the Bleed” campaign in the United States . Although understanding how to apply a tourniquet is a life-saving intervention, use of a windlass tourniquet may not be intuitive . The windlass tourniquet in its simplest form is the “stick-and-rope.” Winding the stick in the tourniquet creates a mechanical advantage for providing compression. Simulation of the windlass technique can be used to teach management of uncontrolled bleeding. Here we describe a low-cost simulation model that combines low- and high-fidelity techniques to train healthcare personnel on windlass tourniquet application.
Are you a medical student, pursuing a career in Emergency Medicine (EM)? You are navigating your third and fourth years of medical school during an unprecedented time of the COVID-19 era. What if you can not get a visiting EM clerkship rotation? Are you automatically out of luck when it comes to residency applications? How do you keep apprised of timely, relevant information for residency application season? In an effort to support you and get ultra-prepared for the near future and EM internship, we are launching a monthly free email newsletter. Led by editor Dr. Sree Natesan (Assistant EM Residency Director, Duke University) and featuring an all-star, growing team of contributors, we announce the EM Bound newsletter.
“In every crisis, there is an opportunity.” This famous quote by Albert Einstein illustrates the opportunity to reinvent our Chief Resident Incubator (“CRincubator”) year-long experience. We had planned to retire the CRincubator as of a month ago. However, given the relative void in Chief Resident professional development opportunities this year because of physical distancing rules, we wanted to share our lessons learned and resources developed over the past 5 years. We thus announce a half-day, online, professional development learning lab opportunity to all EM Chief Residents. Come join us on May 6, 2020. Read more about the unique curriculum and our all-star speaker line-up on our CRincubator Live homepage.
With so much appropriate attention focused on getting frontline emergency providers with personal protective equipment in the COVID-19 era, one major overshadowed storyline is the uncertainty of the 2020-21 interview season for medical students applying into Emergency Medicine (EM). COVID-19 has thrown a wrench in the entire application season not only for medical students, but also medical schools, residency programs, and hospitals. The downstream effects of potentially canceling visiting (away) EM rotations and possibly even home EM rotations in the near term are dizzying. How does one obtain enough letters of recommendation? Should I even apply for visiting EM rotations? Fortunately, an experienced panel of EM program directors joins Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF) in discussing the thought processes, ongoing nuanced discussions, early available resources, and general mindset for the 2020-11 season.