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