Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers

Introduction Thyroid storm is a rare but life-threatening disease process that may be difficult to recognize and mimics other disease processes. It is critical for the emergency medicine clinician to be able to recognize thyroid storm in patients in order to effectively stabilize and treat them. Met...

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Autores principales:	Julie I. Leviter, Sakina Sojar, Nina K. Ayala, Robyn Wing
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Thyrotoxicosis Emergency Medicine Thyroid Storm Atrial Fibrillation Altered Mental Status Pulmonary Edema Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/4ee01b202c5a4704afe735653816a0b6
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spelling	oai:doaj.org-article:4ee01b202c5a4704afe735653816a0b62021-11-19T14:46:15ZThyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers10.15766/mep_2374-8265.109672374-8265https://doaj.org/article/4ee01b202c5a4704afe735653816a0b62020-09-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10967https://doaj.org/toc/2374-8265Introduction Thyroid storm is a rare but life-threatening disease process that may be difficult to recognize and mimics other disease processes. It is critical for the emergency medicine clinician to be able to recognize thyroid storm in patients in order to effectively stabilize and treat them. Methods In this standardized patient case, learners were faced with a 17-year-old postpartum woman presenting to the emergency department with respiratory distress and altered mental status secondary to thyroid storm. The target learners were emergency department providers, including residents, medical students, and advanced practice practitioners. Providers were expected to identify signs and symptoms of thyroid storm and to initiate appropriate diagnostic workup and management of this complex patient. Debriefing followed the simulation using a debriefing guide and PowerPoint presentation. Results Thirty-four learners participated in this simulation. All learners agreed or strongly agreed that the simulation case was relevant to their work, and 97% agreed or strongly agreed that it was effective in teaching thyroid storm management skills. Eighty-five percent felt that following the simulation, they would be confident in their ability to recognize thyroid storm in a postpartum patient and to recognize and manage respiratory distress and altered mental status in a postpartum patient. Discussion Learners felt that this case was effective in teaching the skills necessary for caring for postpartum patients with respiratory distress and altered mental status. Future directions include conducting the simulation in situ to include multidisciplinary teams and increasing the learner pool to include OB/GYN residents.Julie I. LeviterSakina SojarNina K. AyalaRobyn WingAssociation of American Medical CollegesarticleThyrotoxicosisEmergency MedicineThyroid StormAtrial FibrillationAltered Mental StatusPulmonary EdemaMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Thyrotoxicosis Emergency Medicine Thyroid Storm Atrial Fibrillation Altered Mental Status Pulmonary Edema Medicine (General) R5-920 Education L
spellingShingle	Thyrotoxicosis Emergency Medicine Thyroid Storm Atrial Fibrillation Altered Mental Status Pulmonary Edema Medicine (General) R5-920 Education L Julie I. Leviter Sakina Sojar Nina K. Ayala Robyn Wing Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers
description	Introduction Thyroid storm is a rare but life-threatening disease process that may be difficult to recognize and mimics other disease processes. It is critical for the emergency medicine clinician to be able to recognize thyroid storm in patients in order to effectively stabilize and treat them. Methods In this standardized patient case, learners were faced with a 17-year-old postpartum woman presenting to the emergency department with respiratory distress and altered mental status secondary to thyroid storm. The target learners were emergency department providers, including residents, medical students, and advanced practice practitioners. Providers were expected to identify signs and symptoms of thyroid storm and to initiate appropriate diagnostic workup and management of this complex patient. Debriefing followed the simulation using a debriefing guide and PowerPoint presentation. Results Thirty-four learners participated in this simulation. All learners agreed or strongly agreed that the simulation case was relevant to their work, and 97% agreed or strongly agreed that it was effective in teaching thyroid storm management skills. Eighty-five percent felt that following the simulation, they would be confident in their ability to recognize thyroid storm in a postpartum patient and to recognize and manage respiratory distress and altered mental status in a postpartum patient. Discussion Learners felt that this case was effective in teaching the skills necessary for caring for postpartum patients with respiratory distress and altered mental status. Future directions include conducting the simulation in situ to include multidisciplinary teams and increasing the learner pool to include OB/GYN residents.
format	article
author	Julie I. Leviter Sakina Sojar Nina K. Ayala Robyn Wing
author_facet	Julie I. Leviter Sakina Sojar Nina K. Ayala Robyn Wing
author_sort	Julie I. Leviter
title	Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers
title_short	Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers
title_full	Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers
title_fullStr	Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers
title_full_unstemmed	Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers
title_sort	thyrotoxicosis in a postpartum adolescent: a simulation case for emergency medicine providers
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/4ee01b202c5a4704afe735653816a0b6
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Thyrotoxicosis in a Postpartum Adolescent: A Simulation Case for Emergency Medicine Providers

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