SimKit

SimKit A Medical Education company focused on bringing procedural training to the clinician.

12/29/2025

Jason Hine’s bottom line: regional anesthesia should be standard for elderly hip fracture patients. Longtime fascia iliaca user, but he’s shifted toward PENG — and with this study, it may be his preferred approach. Caveats: body habitus, above–inguinal ligament approach, and consider anticoagulation risk. If both are options, he’s reaching for PENG.

Links: https://linktr.ee/simkit

Full episode: https://youtu.be/Z1Nfm956TNo?si=hfrHj_-IIW1ghUlu

Educational only — not medical advice.

12/11/2025

Big airway dataset, practical takeaways:
• 2,839 intubations with known operator experience (median 56 prior)
• 65.6% critical care, 26% emergency, remainder anesthesia/other
• Adjusted for BMI, APACHE II, setting, and device type
• First-pass success came in at 81.5%, consistent with reports when learners are involved
Clip from the SimKit podcast—more at simkit.co.

12/07/2025

Same learning curve, different subgroups: ED trends higher than ICU early on, and video laryngoscopy outperforms direct. Most of the lift happens between 0 and 100 prior intubations, with a 35–50 “sweet spot” where skills consolidate, a small dip as confidence builds, and then gradual improvement.
Clip from Piece of Cake. More at simkit.co.

12/06/2025

Airway learning curve in one graphic:
• ~60% first-pass success at near-zero experience
• Rapid rise to 80%+ by ~20 tubes
• 35–50: brief leveling off and a small dip
• Then slight gains out to 300 prior intubations
Self-reported numbers, so keep that caveat in mind.

11/27/2025

Learning curves come with mile markers. For airway, many learners hit a plateau around 35–50 intubations, which works as a practical competence threshold. It’s a guide—not a rule—so adjust to the person you’re teaching and build goals around it.

11/04/2025

Oct 2024 Annals study: acute stroke admits, single urban center.
Outcome: total cost per patient for med-surg and ICU, borders vs inpatients.
Why stroke: early ED recognition, high admit rate.
Caveats: one ICU + one floor → consistent staff/overhead, easier buy-in; single-center limits generalizability.

11/03/2025

What does care really cost? Not just the line item. It’s the time to perform each task and the dollars per minute for the people and space involved. In this article, theyteamed up with finance to pull salary and overhead data, then divided annual totals by exact working minutes for each role and care area. The result is a clearer per-minute rate and a more honest view of cost.

11/03/2025

Pediatric DKA: keep cerebral edema on your radar.
Red flags: mental status changes, new or worsening headache, vomiting that returns after getting better.
Clip from Piece of Cake: DKA/HHS Update Part II with Dr. George Willis. Full episode in bio.

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Portland, ME
04074

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