Original Publication
Open Access

Neurogenic Shock Simulation Case

Published: December 6, 2011 | 10.15766/mep_2374-8265.9054

Included in this publication:

  • Neurogenic Shock v3 0.ppt
  • Neurogenic Shock v3 Instructor's Guide.doc
  • neurogenic shock.sce

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.


Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.

Abstract

This module contains a simulation case designed for use with a high-fidelity manikin (Laerdal SimMan) that is mainly geared for residents. The goal is for the learners to appropriately manage the major trauma victim with spinal cord injury and neurogenic shock. The case is typically run with three to four emergency medicine residents who assume the role of airway doctor, exam performer, and team leader. Residents range from PGYI to PGYIII years. After the completion of the simulation, the participants are debriefed using the included guide. This case has now been run multiple times without any new issues or programming troubles. Evaluation data from participants revealed positive satisfaction with the case and realism, positive satisfaction with the debriefing and PowerPoint presentation, and subjective notes about confirmation of their knowledge of spine injury/neurogenic shock management and new knowledge obtained. No pre-and posttest are available for this case. Residents do comment verbally and on their evaluation forms that their confidence to manage a case similar to this is enhanced through this session.

Educational Objectives

By the end of the module, the learner will be able to:

  1. Demonstrate understanding and appropriate management of cervical spine injury through appropriate spinal precautions, radiograph ordering, and interpretation.
  2. Demonstrate understanding and appropriate management of neurogenic shock through use of pressors after ruling out other causes of shock and using standard intravenous fluid amount.
  3. Demonstrate the ability to obtain neurosurgical consultation for an acute spinal cord injury.

Author Information

  • Cullen Hegarty, MD: Regions Hospital
  • Emily Binstadt, MD: Regions Hospital

Disclosures
None to report.

Funding/Support
None to report.



Citation

Hegarty C, Binstadt E. Neurogenic shock simulation case. MedEdPORTAL. 2011;7:9054. https://doi.org/10.15766/mep_2374-8265.9054