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Josh Corman ♘ @joshcorman
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Thread: ER Hacking Simulation 2 w/ unwitting Dr. Rachel : #CyberMed2018

Buckle up.
Yay. My favorite actor from last time. Shocking heart defibrillator ... same Sim? New twist? #CyberMed2018
Has a pacemaker defibrillator it keeps Shocking ⚡️ him #CyberMed2018

Screams from a shock again
She tries a magnet on chest to reset to factory default (standard training). It doesn’t work. Suggests Ketamine #CyberMed2018
He passes out. Heart stopped. Coded. // break // wheel in surgical dummy #CyberMed2018
The firing is like Russian Roulette - wrong heart cucle will stop heart ❤️ #CyberMed2018
“Nurse” @jefftullymd gets shocked during chest compressions #CyberMed2018
Doctor calls for cracking the chest to cut the lead wires to the heart shocker ❤️ ⚡️ #CyberMed2018
Prepping to cut. “I’ve never done this before. I’ve never had to!” #CyberMed2018
Cutting into surgical field #CyberMed2018
Found the wire... NOTE: surgical dummies bleed and have realistic anatomy. Sparing viewers. #CyberMed2018
Patient now has disconnected pacemaker. Needs it. Now adding extra pacing lead wire. Patient wakes over speaker #CyberMed2018
Weak pulse. Adding special IV into neck, guide it down to heart to stimulate/fire as pacemaker had been. #CyberMed2018
Rhythm changed. Calling cardiology #CyberMed2018
Malfunctioning shocker. Magnet didn’t work. Cut in, cut leads. External pacing thru neck. Transfer to ICU. #CyberMed2018
Heading to hot wash to discuss what happened. #CyberMed2018
Dr @CDameffMD explains pacemaker/defibrillator ICD was hacked & shocking, causes RonT & shocked to cause arrhythmia #CyberMed2018
Did the magnet work? No
Does the text book say what to do when magnet doesn’t work? No

So she cut it out

#CyberMed2018
Why didn’t magnet work? Factory default safe mode code was replaced. #CyberMed2018
Q: What would happen had this been a small medium rural hospital?
A: Patient would be dead.
#CyberMed2018
Q: would you have reported this case?
A: I ~may have mentioned to device rep, but wouldn’t have asked for forensics #CyberMed2018
This is KEY. We don’t even think to capture, study, learn from these... as Dan Geer seeks: No Silent Failure #CyberMed2018
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Exciting! 1st ER hacking Simulation about to start w/ @TeresaWuMD #CyberMed2018
Patient arrives. All staff know what will happen except for doctor in white coat
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