Should any changes be made to the current management of their underlying condition(s)? The patient synopsis should include such standard aspects as age, sex, ethnicity, medical history, medications and allergies. Introduceyourselfto whoever has requested a review of the patient andlistencarefullyto their handover. Trainee will improve their understanding of clinical practice through reflective assessment of actual cases during the prior PBL sessions. The students are in their first year. *=NdL/c2XSJn8:I Jb8'.8>N*[L .hxw6afq40DX3c~>abt'Q,8y(BZu(vKBTufIR. Join the Geeky Medics community: Refer to your local guidelines for further details. Trainee will increase knowledge of professional behaviors during the simulation. DKA can develop within 24 hours and is potentially life threatening, requiring prompt recognition and therapeutic intervention. Just place the BR2_KDCA file into your addons scenery folder: C:\\Program Files\\Microsoft Games\\Microsoft Flight Simulator X\\Addon Scenery\\Scenery. 3. This field is for validation purposes and should be left unchanged. Recognize the signs and symptoms of a patient presenting with diabetic ketoacidosis. We are looking for declaration of DKA and request for pathway. Inspect theairwayfor obviousobstruction. Trainee will be respectful to others and their views during the PBL session. An integral part of a PBL session is for trainees to be able to navigate through huge literature bases. Case-based education adds a real-world aspect to the learning environment. . Before trainees arrival into the simulation area, the simulator is already preprogrammed for DKA. In other words, they do not have clinical experience, but they have clinical knowledge. oral fluids, intravenous fluids, urine output, drain output, stool output, vomiting) to inform resuscitation efforts. We combined both to indicate the continuity of the curriculum, and the building on prior knowledge. In the meantime, you should re-assess and maintain the patients airway. The optimal number of simulation participants is four to seven individuals, depending on the case study objectives. We ask the trainee why the blood pressure is so low or heart rate is so high, and how we should treat it. Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Competency-based medical education has seen widespread adoption in the field along with ongoing work in the areas of . Given 6 to 8 back-to-back sessions, it is critical that every session starts and ends on time! After initial insulin therapy has reduced plasma blood glucose levels (e.g. This is particularly important for core . - Timing 03:23 Revisit history taking to explore relevant medical history and identify any precipitating factors for DKA. Acad Med. The Pratcice NPAs should not be used in patients who may have sustained a skull base fracture, due to the small but life-threatening risk of entering the cranial vault with the NPA. Make sure tore-assessthe patient after anyintervention. Heart: S1 and S2 within normal limits; no S3/S4 or murmurs, normal rate and rhythm. NPAs are typically better tolerated in patients who are partly or fully conscious compared to oropharyngeal airways. Twitter: http://www.twitter.com/geekymedics The choice of fluid type, rate of administration and volume should be tailored to the individual patient based upon their vital signs and electrolytes. Urinary tract infections are a common DKA precipitant. Check out our other awesome clinical skills resources including: We demonstrate to the trainees the significant changes on the monitors by asking them to point out any changes on the simulator (clinical examination) and the vital signs (monitor parameters). Emergency medical services workLife characteristics contribute to clinically significant excessive daytime sleepiness. Similar to a ward round, where the instructor would say: Come and listen to this patient with an aortic stenosis. It may be necessary toexposethe patient during your assessment: remember to prioritise patient dignity and conservation of body heat. #geekymedics #fyp #fypviral #studytok #medicalstudentuk #medtok #studytips #studytipsforstudents #medstudentuk #premed #medschoolfinals, Cardiovascular History Tips - DON'T FORGET these 3 things . If the patient has COPD and a history of CO2retention you should switch to aventuri maskas soon as possible andtitrate oxygen appropriately. The objective is to give as many visual and tactile cues concerning the patient condition and background as possible. A hyperglycemic patient may present with tachypnea, which often presents as Kussmauls respirations, tachycardia, orthostatic blood pressure changes and other signs of dehydration and diabetic ketoacidosis (DKA). If the patient is conscious, sit themuprightas this can also help with oxygenation. 2011;15:108109. Assess the patients level of consciousness using the AVPU scale: If a more detailed assessment of the patients level of consciousness is required, use the Glasgow Coma Scale (GCS). Collectblood testsafter cannulating the patient including: An ECG should be performed to screen for cardiac pathology such as arrhythmias which may be precipitated by electrolyte abnormalities (e.g. Several environments may be suitable for your classroom. Development of simulation scenarios for an adolescent patient with diabetic ketoacidosis. 2. Initially, we used a blood pressure cuff to generate the blood pressure values. The files are given in full in the web supplement (Appendix B, Supplemental Digital Content 2, https://links.lww.com/SIH/A2). This article originally appeared in March 2011 JEMS as Diabetes Demonstration: Simulation-based learning works best., Simulation Training Ideal for Diabetic Patients, CMS Begins Reprocessing Retroactive Payments, Documents Detail EMTs Failure to Aid Tyre Nichols, New Course Lets Bystanders Be the Help Until Help Arrives, All Paramedic Recruits in New Castle County (DE) Obtain NRP Certification, International Prehospital Medicine Institute Literature Review, March 2023. As this is a PBL session, the trainees are not given any references. Maintain head-tilt chin-lift or jaw thrust and assess the patency of the patients airway by looking, listening and feeling for signs of breathing. Forty percent of respondents reported excessive daytime sleepiness. Ketones show 5.5. Search for Similar Articles Causes: Any situation arising in a diabetic that requires increased insulin without that demand being met can result in DKA. If you'd like to support us and get something great in return, check out our awesome products: You don't need to tell us which article this feedback relates to, as we automatically capture that information for you. Using SOCRATES in History Taking | OSCE | Communication Skills, Diabetic Ketoacidosis (DKA) | Acute Management | ABCDE. Trainee will learn to collaborate with peers to decide on appropriate interventions, tests, and therapy. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! However, this turned out to be too slow, took too much time, and could not continuously demonstrate the direction of changes. This is an important period, as this is where the students see the theoretical concept (metabolic acidosis), come to life as for instance large tidal volumes. Feel the slow and tardy pulse, we consider these PBL sessions as an example of a Look here, see this use of a full human simulator in the hierarchy of learning strategies with a full human simulator (Table 1). Schneider Sarver PA, Senczakowicz EA, Slovensky BM. The immersive simulation is performed when the instructor feels comfortable with the acquired knowledge and skill base presented in the animated lecture or when the student group has sufficient practical experience to apply the cognitive, behavioral and technical skills outlined in the case scenario. Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD *Corresponding author: clark-obr@uiowa.edu Abstract Introduction: This simulation on diabetic ketoacidosis (DKA) in . stream Experience has shown that the more experienced the provider, the more detailed the environmental and manikin staging should be, because providers are trained to take in and interpret visual cues as indicators of patient status. Privacy Policy 5. Data is temporarily unavailable. An events progression section should include patient status changes, as well as a time/treatment continuum that incorporates if-then event progressions. In this manner, the students have to apply their knowledge at the appropriate points during the progression of the scenario. The facilitator guides the group only when necessary. - 700+ OSCE Stations: https://geekymedics.com/osce-stations/ Her medical, social, and family histories are not clear at the time of admission to the emergency department. Despite this increased calorie intake, she noticed an unexplained 20 lbs weight loss. insulin-dependent type 2 diabetes), Altered consciousness (e.g. Simulation Scenario for Anesthesia Providers Clark Obr, MD*, Anthony Mueller, MD . For diabetic assessment involving DKA, staging may include the use of a container with a small amount of acetone placed near the manikin because many students may not know what acetone smells like but will expect to smell something. GRAPH. We have 18 to 20 PBL groups for an hour each in the week after their PBL DKA session. your express consent. The Theory The simulation session is also hosted as an interactive session. We guide the group to suggest fluid. Prehosp Emerg Care. . Topic: Abdominal TraumaTitle: Motorcycle CrashTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Adrenal CrisisTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: AnaphylaxisTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: AnaphylaxisTitle: Anaphylaxis In An InpatientTarget: PGY1Author / Institution: Alison Rodger, Babar Haroon / Dalhousie Universityclick here to download, Topic: AnaphylaxisTitle: Bee Sting In An 8 Month OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: ApneaTitle: Drowning In A 3 Year OldAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Asthmatic Protocol for EDTitle: Branching Scenario: 3 Treatment Routine ER - Pediatric PatientTargets: Emergency Department Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: Atrial FibrillationTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Bidirectional Ventricular Tachycardia from Digoxin ToxicityTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: BradicadiaTitle: Bradycardic Arrest - Carotid Sinus MassTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: BurnTitle: Cigarette FireTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: BurnTitle: Meth Lab Explosion Target: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Cardiac ArrestTarget: Inter-professional Team TrainingAuthor / Institution: Alim Nagji, Krista Dowhos / Joseph Brant Hospitalclick here to download, Topic: Chest and Abdominal TraumaTitle: Auto AccidentTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: CHF (Congestive Heart Failure)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Communication, Interpersonal Skills, Mediating Conflict Title: Managing Family Members with Different Views Target: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Crohns FlareTitle: Complicated CrohnsTarget: PGY1Author / Institution:Allen Tran / Dalhousie Universityclick here to download, Topic: Delirious, Combative / Violent Patient Management Title: DeliriumTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Delivering Bad NewsTitle: Delivering Bad News after a StrokeTarget: ICU FellowsAuthor / Institution: Ryan Fink, Miko Enomoto / OHSUclick here to download, Topic: Difficult AirwayTitle: Ace Inhibitor AngioedemaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Difficult AirwayTitle: Difficult / Failed AirwayTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Disclosure of an Adverse EventTitle: Retained Guidewire from a Central LineTarget: ICU FellowsAuthor / Institution: Ryan Fink / OHSUclick here to download, Topic: DKA (Diabetic Ketoacidosis)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: DKATarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Acute Pulmonary Edema requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Dyspnea (Shortness of Breath)Title: Severe Asthma requiring intubationTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Electrical StormTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download plus chart documents here, Topic: Emergent Med-Surg ResponseTitle: MET/RRT ResponseTargets: Response Teams, House Staff and Respiratory Therapy StudentsAuthor / Instituation: Carl Rod, MS, RRT, RCP, Rose State College RT Clinical Simulation Labclick here to download, Topic: EtOH WithdrawalTitle: EtOH Withdrawal SiezureTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Febrile NeutropeniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Head TraumaTitle: Four Storey FallTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Head TraumaTitle: Hit by MotorboatTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: HypertensionTitle: Aortic DissectionTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: HypertensionTitle: Autonomic DysreflexiaTarget: Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: Hypertensive EmergencyTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Hypertensive EmergencyTitle: Diastolic Danger Hypertensive Urgency / EmergencyTarget: PGY1Author / Institution: Hailey Hobbs, Babar Haroon / Dalhousie Universityclick here to download, Topic: HypoxiaTarget: Inter-professional Team TrainingAuthor / Institution: Devin Sydorclick here to download, Topic: Inferior StemiTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Labor and delivery, postpartum hemorrhageTitle: Normal Delivery with PPHTarget: Maternal - Child Course - Nursing EducationAuthor / Institution: Kelly McMunnclick here to download, Topic: PEA Arrest (pulseless electrical activity)Target: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Pelvic FractureTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Penetrating Thoracic TraumaTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: PneumoniaTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: PneumoniaTitle: Community Acquired PneumoniaTarget: PGY1Author / Institution: Iain Arseneau, Babar Haroon / Dalhousie Universityclick here to download, Topic: Pulmonary EmbolismTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Ruptured Ectopic PregnancyTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: SepsisTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: SepsisTitle: Sepsis - Crohn's IntraabdominalTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - DKA and PneumoniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: SepsisTitle: Sepsis - Febrile NeutropeniaTarget: Mid - Senior Emergency ResidentsAuthor / Institution: Anonclick here to download, Topic: ShockTitle: Blunt Trauma Causing a High Spinal Cord Injury with Neurogenic ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Hemorrhagic Shock in an Elderly Pedestrian stuck by a VehicleTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: ShockTitle: Penetrating Chest Trauma Causing Obstructive ShockTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Tim Chaplin, Alison Archibaldclick here to download, Topic: Snake BiteTarget: ER residentsAuthor / Institution: Katie Gordon / University of Maryland School of Medicineclick here to download, Topic: Status AsthmaticusTarget: PGY1Author / Institution: Unknownclick here to download, Topic: Status Epilepticus - Apnea Post-BenzodiazepinesTitle: Seven month old with Status EpilepticusTarget: Pediatric ResidentsAuthor / Institution: Keith Gregoireclick here to download, Topic: StrokeTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Subdural Hemorrhage Title: SDH and DOACTarget: PGY1Author / Institution: Allen Tran / Dalhousie Universityclick here to download, Topic: Syncope / TorsadesTitle: Syncope / Torsades in the setting of acquired prolonged QTTarget: PGY1Author / Institution:Tasha Kulai, Babar Haroon / Dalhousie Universityclick here to download, Topic: Tachycardia Rapid AFTarget: PGY1Author / Institution: Allen Tran, Babar Haroon / Dalhousie Universityclick here to download, Topic: Toxic Shock SyndromeTarget: Senior Emergency Residents / Trauma TeamAuthor / Institution: Anonclick here to download, Topic: Toxicology - Bupivicaine OverdoseTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - Hydrofluoric Acid BurnsTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Toxicology - OrganophosphatesTarget: Senior Emergency ResidentsAuthor / Institution: Queens Universityclick here to download, Topic: Upper GastrointestinalI BleedTarget: Internal MedicineAuthor / Institute: Jim Boseovski / Queen's Universityclick here to download, Topic: Upper Gastrointestinal BleedingTitle: GI BleedTarget: PGY1Author / Institution: Babar Haroon / Dalhousie Universityclick here to download, Topic: Viral bronchiolitis in infants requiring intubationTitle: Apnea in the infant with RSV bronchiolitisTarget: Pediatric ResidentsAuthor / Institution: Mike Storrclick here to download. Lets discuss your options. - Over 3000 Free MCQs: https://geekyquiz.com/ Prehosp Emerg Care. She is lethargic and slightly confused but can intermittently respond to questions. 1 Potassium losses occurring both before and during treatment of DKA must be replaced. The patient was placed in the supine position and was a little confused as well as drowsy but at times had a good verbal response (Glasgow Coma Scale 15/15). Geeky Medics accepts no liability for loss of any kind incurred as a result of reliance upon the information provided in this video. Patients with DKA require fluid resuscitation to restore circulatory volume, clear ketones, correct electrolyte abnormalities and increase renal perfusion. A debriefing section with pre-established questions allows the instructor to review the main focus and performance measures with the student group. The main goal is to establish a safe learning environment for the learner [9, 13 . Diabetes UK with the Joint British Diabetes Societies Inpatient Care Group. modify the keyword list to augment your search. A fixed-rate intravenous insulin infusion should be commenced initially to suppress ketogenesis, reduce blood glucose levels and address electrolyte disturbances. Your message has been successfully sent to your colleague. The authors of the second study reported that poor sleep quality (60% of respondents) and extreme fatigue (55% of respondents) are independently associated with safety risks on the job. There are just a few more things to do. We now provide the students with handouts of the data to save time and provide consistency. Depending on scenario complexity, team dynamic and treatment modalities, this simulation may take 1020 minutes. Review the patientscurrent medicationsand check any regular medications areprescribed appropriately. Deteriorationshould be recognised quickly and acted upon immediately. They have had no clinical exposure or any clinical experience. Diabetic ketoacidosis (DKA) is a common, potentially lethal disease. A traditional classroom lecture format allows for student participation but limits the instructors ability to create realistic situations. Supplemental digital content is available for this article. As the name says, this screen is used to graph and plot any parameter. - 150+ PDF OSCE Checklists: https://geekymedics.com/pdf-osce-checklists/ His Heart Stopped On a Treadmill. Standardized patient as the voice of the simulator (or the simulation operator may play this role). We also show them IV bags containing saline and Ringers lactate, as well as show them IV infusion sets. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. They should be used in conjunction with the maneuvres mentioned above as the position of the head and neck need to be maintained to keep the airway aligned. We have been presenting Simulation Laboratory sessions to our preclinical medical students (first and second years). DO NOT perform any examination or procedure on patients based purely on the content of these videos. A number of key modifiers are described that allow for the adjustment of case . - Onset 01:48 A patient presenting with altered level of consciousness and a blood sugar level below 80 mg/dL should be considered hypoglycemic, and treatment modalities should be consistent with those for a diabetic patient. If the patientloses consciousnessand there areno signs of lifeon assessment, put out acrash callandcommence CPR. Anesthetic Management Using the Oxygen Reserve Index for Tracheal Resection and Tracheal End-to-E A Scoping Review of the Impact of COVID-19 on Kidney Transplant Patients in the United States, Alabama College of Osteopathic Medicine Research, Baylor Scott & White Medical Center Department of Neurosurgery, California Institute of Behavioral Neurosciences & Psychology, Contemporary Reviews in Neurology and Neurosurgery, DMIMS School of Epidemiology and Public Health, Simulation, Biodesign, & Innovation In Medical Education, The Florida Medical Student Research Publications, University of Florida-Jacksonville Neurosurgery, VCOM Clinical, Biomedical, and Educational Research, American Red Cross Scientific Advisory Council, Canadian Association of Radiation Oncology, International Liaison Committee on Resuscitation, International Pediatric Simulation Society, Medical Society of Delaware Academic Channel, Society for Healthcare & Research Development, Surgically Targeted Radiation Therapy for Brain Tumors: Clinical Case Review, Clinical and Economic Benefits of Autologous Epidermal Grafting, Defining Health in the Era of Value-Based Care, Optimization Strategies for Organ Donation and Utilization, MR-Guided Radiation Therapy: Clinical Applications & Experiences, Multiple Brain Metastases: Exceptional Outcomes from Stereotactic Radiosurgery, Proton Therapy: Advanced Applications for the Most Challenging Cases, Radiation Therapy as a Modality to Create Abscopal Effects: Current and Future Practices, Clinical Applications and Benefits Using Closed-Incision Negative Pressure Therapy for Incision and Surrounding Soft Tissue Management, Negative Pressure Wound Therapy with Instillation, NPWT with Instillation and Dwell: Clinical Results in Cleansing and Removal of Infectious Material with Novel Dressings. Effectiveness of simulation on health profession students knowledge, skills, confidence and satisfaction. The student group should be encouraged to collaborate on management options and to perform skills. Diabetes (type 1 and type 2) in children and young people: diagnosis and management. - PSA Question Pack: https://geekymedics.com/psa-question-bank/ An hour was . Consider active re-warming techniques in patients with severe hypothermia. Does the patient need a referral toHDU/ICU? You could also ask a student to smear a small amount of acetone on a piece of glass to see how volatile it is, helping them understand why its being exhaled by the DKA patient. Trainee will be able to apply skills of communication with the simulated patient in a semiacute crisis to get sufficient important information for a final diagnosis. Diabetic Ketoacidosis: An Emergency Medicine Simulation Scenario Cureus. DO NOT perform any examination or procedure on patients based purely on the content of these videos. Could we not just do this as a large group session to all 160 students (versus 20 1-hour sessions to groups of eight students)? If foreign material is present, attempt removal using suction. Debriefing Often, the learner group will be unaware of these behaviors, but the instructor can key into the first few comments made during the transition between rooms. A nasopharyngeal airway is a soft plastic tube with a bevel at one end and a flange at the other. As this is a value-added session that demonstrates new concepts, such as the vital signs on a clinical monitor, there are no assessment instruments to measure gaining of understanding. As this is an interactive discussion session, any needed debriefing and/or explanation is given during the sessions. "Never doubt that a small group of thoughtful, committed citizens can change the world. Please try after some time. The normal reference range for fasting plasma glucose is 4.0 5.8 mmol/l. Alert a senior immediately if you have any concerns about the consciousness level of a patient. This guide has been created to assist students in preparing for emergencysimulationsessionsas part of their training,it is not intended to be relied upon for patient care. This is a 25-year-old woman with a medical history of diabetes medicated with 40 units insulin per day. Instructors should write a case study for the simulation before the session. Clinical Simulation in Nursing, Volume 39, 2020, pp. You may be trying to access this site from a secured browser on the server. We give the history of the patient to the trainees. These are not learning objectives in this program. The questionnaire for the assessment of the session is given in full in the web-based supplement (Appendix A, Supplemental Digital Content 1, https://links.lww.com/SIH/A1). Cureus is on a mission to change the long-standing paradigm of medical publishing, where submitting research can be costly, complex and time-consuming. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journals Web site (www.simulationinhealthcare.com). The students are in their basic science course. Please write a single word answer in lowercase (this is an anti-spam measure). Always adhere to medical school/local hospital guidelines when performing examinations or clinical procedures. Refer to your local guidelines for further details. Therefore, the same file is also sent to the participants before the session.