Two Human Patient Simulations of Patients Having Acute Uncal Herniations

Abstract

Abstract These human-patient simulation scenarios give participants the opportunity to experience, treat, and receive feedback on their care of patients who are experiencing an acute uncal herniation. The scenarios allow participants to apply elements of effective teamwork such as sound communication style, workload distribution, and patient assessment and reassessment, in caring for these unstable simulated patients. This resource contains two simulation scenarios. One scenario occurs in the operating room when the patient is about to be anesthetized for a craniotomy. The second scenario occurs in the post-anesthesia care unit 2 hours postcraniotomy. In both scenarios all machinery, airway devices, and medications are made available to learners. The scenarios have been used for MS4 students, anesthesiology residents, and board-certified anesthesiologists for CME for maintenance of certification in anesthesiology. They have been very effective in generating discussion and understanding in the debriefing phase among the residents and faculty. MS4 come to understand that anesthesiology involves critical care medicine.

Keywords

• Uncal Herniation
• Intracranial Hypertension
• Hypnotics and Sedatives
• Diuretics
• Trachea
• Central Muscle Relaxants