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Chronic Salicylate Toxicity Simulation
Mary Wittler1, David A Masneri1,2, Jennifer Hannum1
1Assistant Professor, Department of Emergency Medicine, Wake Forest Baptist Medical Center.
Mededportal : the Journal of Teaching and Learning Resources
|February 26, 2019
Summary
This study developed a simulation for medical trainees to diagnose and manage chronic salicylate toxicity, an uncommon but serious poisoning. The simulation effectively improved learners' confidence in recognizing and treating this condition, closing an educational gap.
Area of Science:
- Medical Education
- Toxicology
- Emergency Medicine
Background:
- Chronic salicylate toxicity is rare and difficult to diagnose, often requiring high clinical suspicion.
- An elevated anion gap metabolic acidosis with respiratory alkalosis can indicate salicylate poisoning.
Purpose of the Study:
- To create and evaluate a simulation case for medical residents and fellows to improve diagnosis and management of chronic salicylate toxicity.
- To assess the effectiveness of the simulation in addressing an educational gap regarding this uncommon toxicity.
Main Methods:
- A simulation case was designed for emergency medicine residents and pediatric emergency medicine fellows.
- Learners had 15 minutes for assessment and treatment initiation, followed by a 15-minute facilitated debrief.
- Participant satisfaction and educational objective achievement were evaluated via a post-participation questionnaire.
Main Results:
- Residents reported high satisfaction with the simulation experience.
- The simulation case and debrief were effective in meeting educational objectives.
- Learners reported increased confidence in recognizing and managing chronic salicylate toxicity.
Conclusions:
- The simulation exercise effectively demonstrated the uncommon presentation of chronic salicylate toxicity.
- The simulation provided an experiential learning opportunity that successfully closed an identified educational gap.
- This modality enhanced learners' ability to recognize and manage salicylate poisoning.
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