Medical Case simulator 2

Facial Injury

Start

Clerking Task:Manage this patient with facial injury. They are about to breach the 4 hour target!

15:00

SECONDARY OBJECTIVE

PRIMARY OBJECTIVE

All cases are ficitonal and not to be used as medical advice

DO NO HARM

AVOID THE BREACH

Get your students thinking! In this decision tree, you'll find a 'Choose Your Own Adventure' style question and answer itinerary that’s perfect for encouraging decision making and critical thinking.Each page includes a question and several answer options. Depending on the answer chosen, one route or another is followed. Your choice for a given question will affect the rest of the activity.In the end, they’ll make it to a final page, according to the choices they have made throughout the genially. Customizing it is easier than you think! Thanks to a simple structure and these editing tips, your decision tree will be ready in no time.

Explanation

Click PREVIEW to interact with the buttons and learn more about the structure and tips.

How is it structured?

Tips for customization

xr safeguard

CTH >10

ecg LS

ecg LS xr

xr

XR

case summary

Detailed hx

ex -isolated nasal

>6

8

12

7

4

5

6

10

9

13

11

>17

SADS

>8

refused >15

Success

>15

miss xr >14

>15

19

15

21

17

16

20

18

14

A hx

C ix

B ex

A ecg ls xr

B xr safeg

A xr

B ecg LS

A examine

B CTH/face

Map legend

X

Slidenumber

Option-Answer

Slide with question

Slide with recapitulation/ Final reflection

A ref car

B dis

A dis

B ref max

A dis

B ref max

A dis

B ref max

hop to another slide > slide number

Booking notes:22 year old male with facial injuryRapid assessment notes: bicycle accident ?intoxicated. isolated facial injury. xr facial bones rq'd, aim home

Case

Take history

A

Pick your next step

3

Examine

B

Check XR

C

audience partipication

Take history

request ECG, Lying & Standing BP, review facial XR

a

send safeguarding referral,review facial xr

b

What's your next step?

Examination

review facial XR

a

request ECG, Lying & Standing BP

b

What's your next step

isolated nasal swelling & bruising

Facial XR

decide on treatment

a

order CTH and facial bones

b

What's your next step?

Investigations

ECG

outpatient follow up

a

discharge with safety net

b

How do you manage the patient?

LSBP

XR AP, lateral

130/90 lying 120/85 standing 120/85 after 1 min 130/90 after 3 min

Investigations

Discharge with safety net

a

Refer to ENT on call

b

Next management?

XR AP, lateral

thanks your referral, this will be actioned within 2 working days

Investigations

Discharge with safety net

a

Refer to ENT on call

b

Next management?

XR AP, lateral

ECG

LSBP

Discharge with safety net

a

review facial XR

b

Next step?

Investigations

130/90 lying 120/85 standing 120/85 after 1 min 130/90 after 3 min

Go to page

Cross sectional imaging

00:03

CT head and facial bones: isolated nasal fracture with no ICH

PRIMARY OBJECTIVE Success!

HOCM

Restart

info

The patient undergoes urgent OP echo and is started on Beta Blockers

00:03

CHECK EMAIL

Restart

00:03

Dear DrWe are conducting a Situational Judgement Report regarding the death of a patient who attended the department recentlyThe patient has experienced another collapse a week after discharge whilst commuting to work on his bicycle. An autopsy is being arrangedPlease meet with your Educational Supervisor to write a statement

ENT

Restart

An awesome title

B.a.a

Restart

When giving a presentation, you need to go after two main objectives: to convey information and avoid yawns. To do this, it can be good practice to make an outline and use words that will be imprinted in the memories of your audience.If you want to add additional information or develop the content in detail, you can do this with your verbal presentation. We recommend training your voice and rehearsing; the best improvisation happens when you’re prepared!Showing enthusiasm, smiling, and maintaining eye contact with your audience can be your best allies when it comes to telling stories that excite and capture the audience's interest: 'The eyes, chico. They never lie'. This will help you connect with your audience. Knock their socks off!

An awesome title

B.a.b

Restart

When giving a presentation, you need to go after two main objectives: to convey information and avoid yawns. To do this, it can be good practice to make an outline and use words that will be imprinted in the memories of your audience.If you want to add additional information or develop the content in detail, you can do this with your verbal presentation. We recommend training your voice and rehearsing; the best improvisation happens when you’re prepared!Showing enthusiasm, smiling, and maintaining eye contact with your audience can be your best allies when it comes to telling stories that excite and capture the audience's interest: 'The eyes, chico. They never lie'. This will help you connect with your audience. Knock their socks off!

PRIMARY OBJECTIVE Success!

HOCM

Restart

info

The patient undergoes urgent OP echo and is started on Beta Blockers

00:03

NEAR MISS You did not review the patient's XR - nasal fracture is a clinical diagnosis but be careful not to miss further pathology that may have been present on XR

An awesome title

B.b.b

Restart

When giving a presentation, you need to go after two main objectives: to convey information and avoid yawns. To do this, it can be good practice to make an outline and use words that will be imprinted in the memories of your audience.If you want to add additional information or develop the content in detail, you can do this with your verbal presentation. We recommend training your voice and rehearsing; the best improvisation happens when you’re prepared!Showing enthusiasm, smiling, and maintaining eye contact with your audience can be your best allies when it comes to telling stories that excite and capture the audience's interest: 'The eyes, chico. They never lie'. This will help you connect with your audience. Knock their socks off!

Do you want to customize your branching scenario? Here are some tips:

• Before editing the branching scenario itself, edit in the outline first. This way you’ll get an overview and know which questions and answers go on each page.
• When editing, follow the order of the pages, from the first page or question until you reach the final pages.

Take a look at the structure of this branching scenario. Each page has a number associated with it, contains a question, and leads to several answer options.If on page 4 they choose option A, they go to page 5.But if they choose option B, they go to page 6, which contains a different question.This branching scenario is set up so that if you keep the structure the way it is, there’s no need to edit the interactivity or connections between pages. But you can also modify them. For example, imagine you want to add an option C to the question on page 5, and if they choose this option, they skip to the question on page 10. You’ll just need to set up the 'Go to page' interactivity from option C so that it jumps directly to page 10.As you can see, the most important thing when creating your branching scenario will be planning it well and assigning a number to each page before beginning to edit it. This way, you’ll be able to modify the connections very easily.

SECONDARY OBJECTIVEFAILED

PRIMARY OBJECTIVESUCCESS

IInherited or aquired ventricular hypertrophy with diastollic dysfunctionexertional syncopeleading cause of sudden arrhythmogenic death syndrome

PRIMARY OBJECTIVEFAILED

Why are you referring this to the on call team? You know these injuries can be followed up in the ENT clinic in 7-10 days time.

IInherited or aquired ventricular hypertrophy with diastollic dysfunctionexertional syncopeleading cause of sudden arrhythmogenic death syndrome

PRIMARY OBJECTIVESUCCESS