Electronic Supplementary Material (case scenarios)
Case scenario 1: A 21-yr-old female with no significant past medical history presents with acute appendicitis for a laparoscopic appendectomy. She has a 24G iv in situ in her left AC. You place an additional 18G iv in her right hand. You induce anesthesia with propofol 200 mg, fentanyl 150 µg, and succinylcholine 100 mg. You perform a rapid sequence intubation with cricoid pressure. You place a #7 oral ETT using direct laryngoscopy with a Mac 3 blade. A grade 1 view is achieved in an atraumatic fashion. Placement is confirmed with EtCO2. Lungs are clear and equal bilaterally. In addition to standard monitors, you place a temp probe, apply an upper body Bair Hugger®, and place an OG tube. After induction, the patient's position is supine, her eyes are covered with tape, her right arm is tucked at the side, her left arm is abducted and ulnar nerve is free. Her head is on blankets
Case scenario 2: A 24-yr-old male with no significant past medical history presents with a left index finger amputation s/p table saw trauma for what promises to be a prolonged reimplantation. He has a 22G iv in situ in his right AC. You place an additional 18G iv in his right hand. You induce anesthesia with propofol 300 mg, fentanyl 150 µg, and succinylcholine 100 mg. You perform a rapid sequence intubation with cricoid pressure. You place a #7 oral endotracheal tube using direct laryngoscopy with a Mac 3 blade. A grade 1 view is achieved in an atraumatic fashion. Placement is confirmed with EtCO2. Lungs are clear and equal bilaterally. In addition to standard monitors, you place a temp probe, apply an upper body Bair Hugger®, and place an OG tube. After induction, the patient's position is supine, his eyes are covered with tape, his right arm is abducted and ulnar nerve is free, and his left hand is free on blankets. His head is on blankets.
Training scenario: No clinical scenario was provided. A video was played that demonstrated documentation of two intravenous lines and an arterial line, an anesthetic induction (with propofol, fentanyl and succinylcholine), tracheal intubation using direct laryngoscopy, monitor documentation, and patient positioning.
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