The Toxiscape Hunt: An Escape Room-Scavenger Hunt for Toxicology Education
The Toxiscape Hunt: An Escape Room-Scavenger Hunt for Toxicology Education
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Toxiscape Hunt：毒理学教育的密室逃脱寻宝游戏
DOI：
10.21980/j8zd0d
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
J. Suchard
中科院分区：
文献类型：
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作者：
Megan Boysen;S. Paradise;J. Suchard
观众：这个寻宝游戏/逃生室是急诊医学居民或四年级医学生在急诊医学旋转的教学活动。简介：在2008年至2011年期间，每年有110万名患者因中毒而到美国急诊室就诊，包括急性摄入，毒液，职业暴露和过量。毒理学暴露被认为是急诊医学（EM）住院医师核心课程的一部分，他们必须了解此类患者的表现和治疗。以一种独特的、引人入胜的形式（如“逃生室”活动）教育居民，提供了一种替代教授这种材料的教学形式的方法，这可能会在居民中建立医学知识和团队关系。目标：在活动结束时，学习者应该能够：1。计算阴离子和渗透压间隙。2.认识到中毒可进行血液透析。3.解释与各种药物相关的心电图（ECG）变化，包括β受体阻滞剂和钙通道阻滞剂，洋地黄和三环类抗抑郁药。4.认识有毒植物及其临床毒组。5.计算N-乙酰半胱氨酸作为急性对乙酰氨基酚摄入解毒剂的负荷剂量。6.作为一个团队合作，以解决问题。7.识别有解毒剂的毒药8.了解各种毒蛇咬伤的临床效果。9.认识到至少四种家用化学品的毒性。10.知道六种常见中毒的解毒剂。方法：本教学练习为小组活动，利用智力游戏应用毒理学知识。
Audience: This scavenger hunt/escape room is a didactic activity for emergency medicine residents or fourth-year medical students rotating in emergency medicine. Introduction: Between 2008-2011, 1.1 million patients presented to U.S. emergency departments each year for poisonings, including acute ingestions, envenomations, occupational exposures, and overdoses. Toxicologic exposures are considered part of the core curriculum for emergency medicine (EM) residents, who must understand the presentation and treatment of such patients. Educating residents in a unique, engaging format such as an “escape room” activity provides an alternative to the didactic format of teaching this material, which may build medical knowledge and team rapport amongst residents. Objectives: By the end of the activity, learners should be able to: 1. Calculate an anion and osmolal gap. 2. Recognize poisonings amenable to hemodialysis. 3. Interpret electrocardiogram (ECG) changes related to a variety of ingestions, including beta-blockers and calcium channel blockers, digitalis, and tricyclic antidepressants. 4. Recognize poisonous plants and their clinical toxidromes. 5. Calculate loading dose of N-acetylcysteine as antidote for acute acetaminophen ingestion. 6. Collaborate as a team to arrive at solutions of problems. 7. Recognize poisons that have available antidotes 8. Know the clinical effect of various types of snake envenomations. 9. Recognize the toxicity associated with at least four household chemicals. 10. Know the antidotes for six common poisonings. Methods: This didactic exercise is a small group activity, utilizing puzzles to apply toxicology knowledge.