A case of bacterial meningitis complicated by status epilepticus written by Dr. Evan Merrick. Required investigations are located within the case file.
Pancreatitis with ARDS
A patient presents with pancreatitis and develops ARDS with fluid resuscitation, requiring intubation. This case was originally posted on www.emsimcases.com, and is written by Dr. Kyla Caners. The original upload can be found here.
References for the relevant ECG and X rays can be found within the case.
Hyponatremic seizure
This is a case of an elderly patient presenting with delirium, who seizes in the emergency department. She is found to have hyponatremia, which must be corrected to stop her seizures. This case was written by Dr. Kyla Caners, and originally posted at www.emsimcases.com. The original upload can be found here.
References for the ECG and CXR are contained within the case.
Sotalol toxicity
An elderly patient presenting with falls and delirium is found to have hypotension, bradycardia, and an acute kidney injury, attributable to Sotalol toxicity. The patient is also on dabigatran and has new anemia, concerning for blood loss. This case is written by Dr. Evan Merrick, and the case file contains relevant labs and ECGs.
Cholangitis
This is a case of intra-abdominal sepsis caused by cholangitis.
This case was originally uploaded to http://www.emsimcases.com, and was written by Dr. Martin Kuuskne. The original upload can be found here. References for the cardiogram X ray provided can be found within the case upload.
STEMI with reperfusion complicated by ICH
In this case, a patient presents to a community hospital with an anterior STEMI and receives TNK. This results in an ICH leading to a PEA arrest. This case was written by Dr. Evan Merrick. Relevant investigations are included within the document.
Septic arthritis
In this case a patient presents septic, and too confused to provide a history. An appropriate exam, or a good collateral history elicited from his wife, who arrives later in the scenario, reveals his right knee as the obvious source. This case was written by Dr. Iain Arseneau, and is aimed at junior residents. Key learning points in this case include:
- The importance of a history and physical. This is often omitted or minimized in simulation when learners get focused on the acute resuscitation.
- Good communication with consultants.
- Appropriate initial work-up and management of a septic patient.
- Appropriate empiric antimicrobial coverage for a septic arthritis.
TTP
A case of thrombotic thrombocytopenic purpura requiring plasmapheresis, by Dr. Allen Tran.
Bradycardia
A patient presents after a syncopal episode and is found to have sinus bradycardia requiring a pacemaker. Case written by Drs. Hailey Hobbs and Babar Haroon.
Community Acquired Pneumonia
A patient with community acquired pneumonia and hypoxemic respiratory failure written by Dr. Allen Tran. In this scenario, the patient is initially admitted to the medicine floor but deteriorates requiring intubation.
Internal Medicine Simulation 