ECMO_Cannulation_20150630

I modified the groin parts of my original ECMO training circuit to make US guiding cannulation possible.

I actually gave it try, and found that the level of reality might be acceptable :p

I finished ECMO sim and Acute Heart Failure sim.

Those two are my favorite simulation seminars.

I need some sort of extra energy to get through these simulation.

SimNight 20150609

Today, 4 medical students participated in this simulation.

All of them are in the 5th grade and they have done their clinical clerkship for just 2 months.

That means that they have little clinical experiences and their large amount of knowledge is not connected to true patient’s management, especially in emergency medicine.

I believe that simulation is supposed to be the effective bridge between their knowledge and patient management.

Case 1 :  50M
CC: chest pain lasting for one hour
PH: HT,DM,HL
Walk-in
Condition: anteroseptal AMI, acute pulmonary edema → VF　→　ROSC after 2 shocks

Case 2 :  35M
CC: orthopnea, coughing, sweating, cyanosis
PH: asthma
By ambulance
Condition:status asthmatics→β2 inhalation, steroid div → admission