Leukemia Blast Crisis: A Simulation Case for Residents
Lauren Conlon1, Elizabeth Gillenwater2
1Assistant Professor of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania; Simulation Course Director, Perelman School of Medicine at the University of Pennsylvania.
Mededportal : the Journal of Teaching and Learning Resources
|April 16, 2019
Summary
This study highlights a realistic simulation for oncologic emergencies, specifically acute myeloid leukemia blast crisis, enhancing emergency medicine resident training. The simulation proved highly effective and useful for improving team management skills in critical care scenarios.
Area of Science:
- Medical Education
- Emergency Medicine
- Oncology
Background:
- Oncologic emergencies pose significant threats, demanding advanced team management and clinical expertise.
- Simulation offers a safe and effective platform for practicing skills related to oncologic emergencies.
- This case study details a simulated oncologic emergency for Emergency Medicine (EM) resident training.
Purpose of the Study:
- To develop and evaluate a simulated oncologic emergency case for EM residents.
- To assess the realism and utility of the simulation in an educational setting.
- To improve team dynamics and didactic learning in critical care scenarios.
Main Methods:
- A simulated case of acute myeloid leukemia in blast crisis was created using a SimMan or SimMan3G manikin.
- The simulation involved a 40-year-old female patient presenting with fatigue, tachycardia, and respiratory distress.
- Post-simulation surveys assessed resident perceptions of realism and usefulness.
Main Results:
- 90% of participating EM residents responded to the post-session survey.
- 83% of respondents found the simulation case to be realistic.
- 89% of respondents agreed that the simulation case was useful for their training.
Conclusions:
- Simulation provides a valuable venue for practicing and debriefing critical oncologic emergency cases.
- This simulation effectively addresses team dynamics and offers a forum for didactic learning.
- The simulation is a practical tool for enhancing resident preparedness in managing life-threatening oncologic emergencies.
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