Abstract
Chest pain is a frequently encountered emergency room presentation, of which about 15% of cases are due to acute coronary syndromes. Cardiogenic shock is a relatively uncommon complication with associated high morbidity and mortality. Emergency medicine practitioners frequently encounter critically ill patients that require quick, definitive treatment to optimize patient outcomes. These high acuity presentations often are of relatively low occurrence which makes training residents and learners challenging.Simulation-based medical education has been shown to enhance patient outcomes by teaching these high acuity low occurrence (HALO) presentations in a safe environment. Herein we describe a simulation scenario of a patient with cardiogenic shock secondary to acute coronary syndrome. It consists of a step-wise, detailed summary of the case, along with modifiers to adjust the case for repeated use, learning objectives, and a suggested evaluation.
Highlights
Ischemic heart disease (IHD) is the leading cause of death among adults in Canada, with more than 600,000 people dying annually [1]
This simulation scenario was designed for the training of rural family or emergency medicine residents
The management of acute myocardial infarction (MI) with or without cardiogenic shock is crucial for anyone practicing acute care medicine - both in rural and urban centres
Summary
Ischemic heart disease (IHD) is the leading cause of death among adults in Canada, with more than 600,000 people dying annually [1]. How to cite this article Williams K, Crocker P, Dubrowski A (June 28, 2020) Chest Pain on the Ward: A Simulation Scenario for Rural Family and Emergency Medicine Trainees. This technical report is designed to train rural family and emergency medicine trainees in recognizing cardiogenic shock and quickly initiating the appropriate management steps. The objectives of this simulation scenario are: 1. This report will be presented according to the Context-Inputs-Process-Product model [11] This simulation scenario was designed for the training of rural family or emergency medicine residents. Investigations that may be ordered, including EKG (Figure 1) and a chest radiograph (Figure 2) are provided upon learner request
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