#project/pain | #on/simulation | #centerformedicalsimulation #project/done ## What is the modern specialty of pain managment? - Acute and Chronic - Multimodal (medications, procedures, psychiatric, PT) - Invasive ## What are emergencies in pain management leveraged for learning? - Accidental error during stellate ganglion block - Accidental overdose of sedating medication of a terminally ill patient having an MRI - Anaphylaxis in the pain clinic - Inadvertant Pneumothorax - Medication Error ## What are the common ethical issues inherent in pain management? - Terminal illness management -> goal is to have a team-based approach ## What are the translatable skills? - Crisis Resource Management (-> [[Name Claim Aim - Leading with Good Judgment]]?) ## How would we further research this? - evaluation of learning - mastery learning - translation to practice ## Other ideas to bring? - Caring for patients with SUD, Opioid free anesthesia? (Brown, 2021) - Is there an IPE/interdepartmental angle to bring to the program? (Babl, 2020) - - Integrating two teams together during the emergency (Regional Anesthesiologists consulting, but not attending of record) - LAST (Torcher, 2009) - Equipment failures - Supervisory issues, learning, feedback - Globe Injury (Ruskin, 2015 p. 304) - Brainstem anesthesia/total spinal anesthesia - Necrotising Fasciitis or compartment syndrome in a patient with SUD with severe pain after treatment/surgery ## Literature Review - extensive literature in the nursing world on pain management with simulation, very little in medicine, I cannot find any for interprofessional learning with residents, fellows and attendings of various specialties ## Sources: Babl, R. M., Young, K. M., Lirette, S. T., Adcock, K. G., Rogers, P., Taylor, T., Tipnis, S. M., & Reneker, J. C. (2020). Changes in student perceptions and beliefs, self-efficacy, role identification, and behavioral intentions after participation in longitudinal interprofessional pain management simulation. _Health, Interprofessional Practice and Education_, _4_(1), 2136. [https://doi.org/10.7710/2641-1148.2136](https://doi.org/10.7710/2641-1148.2136) Brenner, G. J., Nemark, J. L., & Raemer, D. (2013). Curriculum and Cases for Pain Medicine Crisis Resource Management Education. _Anesthesia & Analgesia_, _116_(1), 107–110. [https://doi.org/10.1213/ANE.0b013e31826f0ae0](https://doi.org/10.1213/ANE.0b013e31826f0ae0) Brown, M., Baribeault, T., Bland, R., Wofford, K., & Maye, J. (2021). Perioperative Pain Management for Surgical Patients with Opioid Use Disorder: A Program Development Initiative. _Journal of PeriAnesthesia Nursing_, _36_(6), 622–628. [https://doi.org/10.1016/j.jopan.2021.04.006](https://doi.org/10.1016/j.jopan.2021.04.006) Ruskin, K. J., & Rosenbaum, S. H. (2015). _Anesthesia emergencies_. Oxford University Press. Torsher, L. C., Craigo, P., Lynch, J. J., & Smith, H. M. (2009). Regional Anesthesia Emergencies. _Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare_, _4_(2), 109–113. [https://doi.org/10.1097/SIH.0b013e3181925219](https://doi.org/10.1097/SIH.0b013e3181925219)