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ISSN 2683-2348 (Electronic)
Federación Latinoamericana de Simulación Clínica y Seguridad del Paciente

2021, Number 3

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Simulación Clínica 2021; 3 (3)

Unconscious patient with adipsic hypernatremia: A remote simulation scenario with cognitive aids to promote clinical reasoning in medical students

Valenzuela-Bodenburg P, Datwani-Datwani J, Vrsalovic-Santibañez J, Armijo-Rivera S, Labarca-Solar C, Reyes EP, Canals-Lambarri C

Language: Spanish
References: 12
Page: 104-109
PDF size: 250.52 Kb.


ABSTRACT

Introduction: An impaired consciousness patient telesimulation scenario allows students to face a challenging clinical situation for medical practice, using a systematic approach proposed by experts to guide the diagnosis and treatment of the patient. Material and methods: The scenario was designed based on a real clinical case of adipsic hypernatremia, and implemented through an online platform. Student performance was evaluated with a guideline of expected clinical reasoning actions, and debriefing was conducted supported by cognitive aids designed for the initial approach and etiological diagnosis of the compromise of consciousness. Results: Of the 19 actions expected for the case, the active participants spontaneously approached 14 during the scenario, two appeared after instructor inquiries during debriefing, and three were omitted. 71% of the actions planned in the scenario were carried out by the doctor in charge of the case, 30% were carried out following the recommendations of other members of the team. The cognitive aids were well appreciated by the students and guided reflection on the etiology of the case. Conclusions: The design of this scenario and its cognitive aids allows learners to practice and reflect on the value of a systematic approach to impaired consciousness patients. This simulation can be easily performed in person or remotely, encouraging the clinical reasoning of the participants.


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