Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency Medicine

Abstract This high-fidelity patient simulation case involves a patient presenting with an unstable atrial tachycardia. There are two options for this case (option #1 is atrial flutter; option #2 is atrial fibrillation). Evaluation in the emergency department demonstrates a narrow-complex tachycardia...

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Main Authors: Michael Fitch, James ONeill, Bret Nicks
Format: Article
Language:English
Published: Association of American Medical Colleges 2010-01-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.7748
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author Michael Fitch
James ONeill
Bret Nicks
author_facet Michael Fitch
James ONeill
Bret Nicks
author_sort Michael Fitch
collection DOAJ
description Abstract This high-fidelity patient simulation case involves a patient presenting with an unstable atrial tachycardia. There are two options for this case (option #1 is atrial flutter; option #2 is atrial fibrillation). Evaluation in the emergency department demonstrates a narrow-complex tachycardia and low blood pressure. Appropriate treatment with synchronized cardioversion will allow stabilization of the patient. Debriefing materials are provided to illustrate and stimulate discussion of the important concepts for diagnosing and treating patients with atrial tachycardias. This case is currently in use at our institution for emergency medicine residents completing required educational time in our Emergency Department Simulation Program. This scenario has been presented for small groups of three to four participants each, and has been field tested approximately 15 times over the past 4 years. All participants have been PGY1, PGY2, and PGY3 emergency medicine residents.
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spelling doaj.art-99d87f89dfb240c697f61098356e16302022-12-21T16:35:07ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652010-01-01610.15766/mep_2374-8265.7748Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency MedicineMichael Fitch0James ONeill1Bret Nicks21 Wake Forest School of Medicine of Wake Forest Baptist Medical Center2 Wake Forest University School of Medicine3 Wake Forest University School of MedicineAbstract This high-fidelity patient simulation case involves a patient presenting with an unstable atrial tachycardia. There are two options for this case (option #1 is atrial flutter; option #2 is atrial fibrillation). Evaluation in the emergency department demonstrates a narrow-complex tachycardia and low blood pressure. Appropriate treatment with synchronized cardioversion will allow stabilization of the patient. Debriefing materials are provided to illustrate and stimulate discussion of the important concepts for diagnosing and treating patients with atrial tachycardias. This case is currently in use at our institution for emergency medicine residents completing required educational time in our Emergency Department Simulation Program. This scenario has been presented for small groups of three to four participants each, and has been field tested approximately 15 times over the past 4 years. All participants have been PGY1, PGY2, and PGY3 emergency medicine residents.http://www.mededportal.org/doi/10.15766/mep_2374-8265.7748Atrial FibrillationChest PainUnstable TachycardiaAtrial TachycardiaAtrial FlutterHeart Disease
spellingShingle Michael Fitch
James ONeill
Bret Nicks
Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency Medicine
MedEdPORTAL
Atrial Fibrillation
Chest Pain
Unstable Tachycardia
Atrial Tachycardia
Atrial Flutter
Heart Disease
title Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency Medicine
title_full Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency Medicine
title_fullStr Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency Medicine
title_full_unstemmed Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency Medicine
title_short Unstable Atrial Tachycardia: A Case for High-Fidelity Simulation in Emergency Medicine
title_sort unstable atrial tachycardia a case for high fidelity simulation in emergency medicine
topic Atrial Fibrillation
Chest Pain
Unstable Tachycardia
Atrial Tachycardia
Atrial Flutter
Heart Disease
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.7748
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