Abstract
Simulation-based medical education is continually expanding and evolving to foster a better and more comprehensive learning environment. With particular regard to emergency medicine, the use of simulation in training has been shown to increase learners’ knowledge and skills [1]. To a lesser extent, this has also improved patient outcomes [1]. Despite this evidence, the development of emergency medicine simulation training in a majority of residency programs is either not formalized or is still in its initial phases [2]. In this report, a simulation training session used to familiarize emergency medicine residents with the presentation, management, and treatment of a beta-blocker overdose, specifically propranolol, using a human patient simulator is described.
Highlights
Propranolol is a sympatholytic non-selective beta-blocker used in the treatment of hypertension; it can be used in the treatment of anxiety and panic disorder
It is important for emergency medicine residents to familiarize themselves with the presentation and management of a beta-blocker overdose
Hypotension and history and consolidate all factors together to solidify the diagnosis of propranolol overdose
Summary
Propranolol is a sympatholytic non-selective beta-blocker used in the treatment of hypertension; it can be used in the treatment of anxiety and panic disorder. More than one-third of overdoses using antihypertensive medications have been attributed to beta-blocker intoxication with 1.5% of those cases being fatal if left untreated [5]. It is important for emergency medicine residents to familiarize themselves with the presentation and management of a beta-blocker overdose. This technical report outlines a simulation teaching session developed for a group of postgraduate emergency residency trainees in the third and final year of their training program. The objectives of this report are to familiarize learners with the clinical presentation, investigation, and management of a patient with suspected propranolol overdose, and complications that may arise
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