Medical malpractice: utilization of layered simulation for resident education.

Objectives: The authors present a novel approach to the use of simulation in medical education with a two-event layered simulation. A patient care simulation with an adverse outcome was followed by a simulated deposition.

Methods: Senior residents in an academic emergency medicine (EM) program were solicited as simulation research volunteers.

Balloon compression as treatment for refractory vaginal hemorrhage.

Severe vaginal hemorrhage is a rare presenting condition but serious life threat in the emergency department (ED). Initial management has historically been limited to vaginal packing, fluid resuscitation, and emergency surgical intervention. An alternative approach to therapy is presented that can be effectively deployed in the ED.