Monthly Archives: May 2015

SimNight 20150526

Medical Simulation

Today, three doctors and seven nurses attended this seminar.

It took 2hours from 7pm to 9pm.

I provided 3 scenarios and did a tiny lecture about ARDS.
This time I had to mention about interprofessional communication skills and attitudes.

Case1

50M in general ward of surgery
CC:abdominal pain, cold sweating
Dx at admission: splenic injury, rib fracture etc
Condition: hemorrhagic shock from splenic injury → fluid resuscitation/CECT/TAE

 

Case2

60M in general ward of surgery
CC: dyspnea
Condition before deterioration: 2nd postoperative day of pancreatoduodenectomy for pancreatic tumor
After deterioration : acute pulmonary edema due to fluid refilling and afterload mismatch → NTG, lasix etc

 

Case3

50M in HCU
CC: chest pain & dyspnea
Dx at admission: severe stenosis of LMT, before CABG with heparin and nicorandil
Condition: cardiogenic shock from new onset of large MI → intubation, coronary reperfusion therapy

SimNight 20150519

Medical Simulation

SimNight 20150519

Today there were three participants.
They were a senior resident, a general physician and a nurse.
I let them deal with two shock patients.
I emphasized the use of ultrasound for shock patients which now is called “RUSH exam” and an arterial line wave form(see attached photo) to evaluate patient’s stroke volume.

36M with obesity
CC: altered consciousness & convulsion while working under extremely hot weather
PH: n.p.
By ambulance
Condition: heat stroke 41.7℃→internal & external cooling(massive cold fluid infusion etc)

45F
CC: nausea, bradycardia, hypotension
PH: CKD, DM, HT
by ambulance
Condition: hyperkalemia caused by CKD and drugs(ACE-i etc)→Ca, GI etc

First Aid for Sendai City Half Marathon Race

Aid Activity

IMG_2007

Yesterday I participated Sendai Half Marathon as a first aid staff leader.

More than 10,000 runners from the professional to normal citizen ran this race.

It was sunny, a little bit hot and windy, therefore many runners got sick from dehydration.

Our first aid team consisted of about 50 voluntary healthcare providers and all of them have AHA BLS license.

They were divided into small groups and allocated to several points along the entire course.

There were 3-4  staff at each point and thus they took care of runners who got sick or injured around their points.

We treated about 50 sick or injured runners during and after the race.

Obviously most of all were dehydrated and had some clamps of their leg muscles.

Unfortunately several runners were actually transferred to hospital by ambulance car.

On the other hand, luckily there was no cardiac arrest victim.

We realized that LINE which is a kind of APP for smartphone was so helpful to share our conditions timely.

I appreciate to all of our dedicated volunteer members so much.