SimLIFE-EM Challenge: Add to the conversation

simLIFE-EM

Debriefings in medical simulation are meant to be the bow on top of the gift that is medical simulation. It is the ultimate delicious dessert, served after a grueling dinner course. All analogies aside, debriefings are meant to drive home the teaching points, to gain a deeper understanding of medical resuscitation as a group, and create mental frameworks of the approach to various patients. But this is often easier described than actually done. We here at ALiEM paired with Dr. Henry Curtis to come up with a creative way of developing debriefing skills and gain deeper understanding of mental frameworks.

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ALiEM Bookclub: How We Die

518buQWOFZLDNR/DNI, Code Blue, Cardiac Arrest, Traumatic Brain Injury, Exsanguination, Septic Shock, Respiratory Arrest…  and the list goes on. As healthcare providers, we are well versed in the medical and emergency resuscitations that can spiral into these dangerous arenas. Even if we don’t always know the exact cause, we know the mantra of ABCs and we stick to it until the end. The very last end… But the end of what? Where is the dignity in resuscitating a body that has already died? Ultimately the question becomes, are we as practitioners as well versed in letting go, in letting the body die, and then ultimately explaining that process to the family?

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By |2016-11-07T09:37:40-08:00May 16, 2014|Book Club|

P-Video: Rule of 15 in anion gap metabolic acidosis

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You have a patient with an anion gap of 30 and bicarbonate of 10 mEq/L. You also determine on VBG that the patient’s pCO2 is 25 mmHg. What trick of the trade can you use to quickly determine whether this low pCO2 is an appropriate compensation of the primary metabolic acidosis? Dr. Jeremy Faust and Dr. Corey Slovis explains the quick “Rule of 15”.

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By |2019-01-28T21:53:37-08:00Oct 22, 2013|Endocrine-Metabolic, Tricks of the Trade|

ALiEM Book Club: Reflecting on a Happy Coincidence

Happiness-Advantage_ARTCoincidence can be very fortuitous. How exciting was it to have Shawn Achor deliver his keynote address about the Happiness Advantage at ACEP this past week? Three days after our Book Club Review was released? Best part of it all – none of it was planned. That definitely was a ‘happy coincidence’. :D

Though I was not there, my Twitter feed lit up with Happiness resounding from ACEP on that first day. It seems his message resounded with many in the audience.

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By |2016-11-11T19:04:16-08:00Oct 19, 2013|Book Club|
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