SimKit

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

01/19/2026

“Just do what I do” is risky — especially in high-acuity or complex procedures. It’s like telling someone: “I’m Michael Jordan… just dunk like me.”
Links: https://linktr.ee/simkit
Full episode: https://youtu.be/O84OjpqFSic?si=IwGxcbfhkPtbKFv_
Educational only — not medical advice.

01/18/2026

Teaching procedures isn’t just for “medical educators.” If you onboard new attendings, teach residents/med students, coach APPs, or train colleagues — this matters. When we don’t prepare, we default to “watch me… just do what I do.” That only works when conditions are perfect. Frameworks help make it safer and more reliable.
Links: https://linktr.ee/simkit
Full episode: https://youtu.be/O84OjpqFSic?si=IwGxcbfhkPtbKFv_
Educational only — not medical advice.

01/05/2026

At 5 min, both groups were ~7/10 pain. After that, PENG improved pain more at 15/30/60 min. SPID: 63% vs 38%.

Responder rates: ≥33% drop = 28/32 vs 19/32 | ≥50% drop = 24/32 vs 7/32 (PENG vs FIB).

Links: https://linktr.ee/simkit

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

Educational only — not medical advice.

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.

12/28/2025

Figure 2 is wild: at 5 minutes, both groups were ~7/10 pain. Then PENG dropped pain more than fascia iliaca at 15/30/60 min. SPID favored PENG too: 63% vs 38%.
Links: https://linktr.ee/simkit
Full episode: https://youtu.be/Z1Nfm956TNo?si=hfrHj_-IIW1ghUlu
Educational only — not medical advice.

12/27/2025

Study details: 0.375% levobupivacaine + 4 mg dexamethasone for both blocks. Volume differed — PENG 20 mL vs Fascia Iliaca 30 mL. Pain checks were done at 5 / 15 / 30 / 60 minutes post-block.
Links: https://linktr.ee/simkit
Full episode: https://youtu.be/Z1Nfm956TNo?si=hfrHj_-IIW1ghUlu
Educational only — not medical advice.

12/26/2025

Fresh RCT: PENG block vs Fascia Iliaca for acute hip fracture pain (D Pietro et al., Dec 2025, single-center Italy).
Simkit links here: https://linktr.ee/simkit
Full episode link: 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.

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Portland, ME
04074

Website

http://www.simkit.co/

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