Setting the Foundation for an In Situ Simulation Program Through the Development of a Malignant Hyperthermia Simulation in the Operating Room.

This article reviews the VA Manchester Healthcare System's journey to develop a robust simulation program and how an in situ simulation for malignant hyperthermia (MH) laid the foundation. Nurse educators collaborated with a certified registered nurse anesthetist to develop a simulation in the operating room using our MH protocol, which included the support of the Malignant Hyperthermia Association of the United States. The positive reaction from this in situ training led to additional simulation requests for the education department.

[Acute abdomen secondary to autoimmune vasculitis in systemic lupus erythematosus. Case report].

The authors report the case of a female patient suffering from systemic lupus erythematosus who was referred to their attention with symptoms of acute abdomen due to gangrenous appendicitis following autoimmune vasculitis.