Comparative Analysis of the Impact of Training through Simulation Using the Crisis Resource Management Tool for Primary Care Professionals.

This was a prospective observational study based on clinical simulation courses taught in 2017 at the IDEhA Simulation Center of Alcorcón Foundation University Hospital. Two courses in metabolic emergencies (MEs) and respiratory emergencies (REs) were offered to primary care physicians all over Spain. The main objective was to teach nontechnical skills (crisis resource management).

Postoperative bilateral adrenal hemorrhage: correlation between clinical and radiological signs.

The case of a patient who developed progressive hemodynamic instability during the late postoperative period following oncologic abdominal surgery is presented. Suspecting the onset of intraabdominal infection, we ordered a computed tomographic scan of the area, on which bilateral adrenal hemorrhage was observed. Adrenal function tests confirmed the presence of adrenal insufficiency.