Course SyllabusEmergency Medicine

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This course is an introduction to Emergency Medicine (EM), intended to provide the knowledge needed for a month-long EM rotation for clinically-prepared medical students, residents, or practicing physicians.

To take this course for credit and a certificate, you must be in one of these categories (so that you have the needed prerequisites to understand the materials deeply), and complete a brief registration here. All components of this training (like all NextGenU.org trainings) are free, including registration, learning, testing, and a certificate of completion.

There are 6 modules to complete, providing a basic diagnostic and treatment approach to common emergency department presentations through online study and peer-to-peer activities, and local observation and supervised practice with a physician EM mentor that you or your institution identify. There is a practice quiz in each lesson, and at the end of the course you’ll have a final exam. Also, your mentor will be asked to assess you, and you and your mentor will be asked to assess the training. We will give you all the results of your assessments, and we can report this information to anyone (your school, employer, etc.) that you request. We hope this is a wonderful learning experience for you, and the assessment that you provide at the course’s conclusion will help us improve the training for future students.

This course is co-sponsored by: the Emory University Center for Injury Control (a WHO Collaborating Center), the International Federation for Emergency Medicine (the global federation of national EM organizations) and the Society for Academic Emergency Medicine (the global association of academic EM physicians). This course uses competencies recommended by Clerkship Directors in Emergency Medicine published in Academic Emergency Medicine, and resources from accredited, world-class organizations such as American Academy of Family PhysiciansAmerican Heart Association, Clerkship Directors in Emergency Medicine,  and the World Health Organization. The course developer is Jennifer Chu, MD, and our Advisory Group is: Glen Bandiera, MD, MEd; Deborah Diercks, MD, MSc; Jim Ducharme; Laura Hans, MD; Cherri Hobgood; Debra Houry, MD, MPH; Alan Jones, MD; Niranjan “Tex” Kissoon, MD Steve Lin, MD; and Rahim Valani, MD.

Module 1: Basics of Emergency Medicine Patient Care

The patient is always the focus of medical care. This first module will guide you through the process of emergency care, from initial assessment to patient management, concluding with a lesson on health promotion. 

Lesson 1

Initial Assessments

Lesson 2

Immediate Life-Threatening Conditions

Lesson 3

Patient Management Skills

Lesson 4

Health Promotion

Lesson 1: Initial Assessments

Competency 1.1: Understand medical history taking and physical examination



Learning Objectives:

  • Obtain an accurate, focused history based on the patient’s chief complaint
  • Perform a focused physical examination based on the patient’s chief complaint

 

 

Required readingsOptional readings
    Peer ActivitiesQuizzesAssignmentsDiscussions

    Lesson 2: Immediate Life-Threatening Conditions

    Competency 1.2: Recognize immediate life-threatening conditions

    Learning Objectives:

    • Identify sick patients that need immediate management in the ED
    • Understand the initial management steps in any critically ill patient
    Required readingsOptional readings
      Peer Activities
        QuizzesAssignmentsDiscussions

        Lesson 3: Patient Management Skills

        Competency 1.3: Know patient management skills

        Learning Objectives:

        • Develop an evaluation and treatment plan
        • Monitor the response to therapeutic interventions
        • Develop appropriate disposition and follow-up plans

        Required readingsOptional readings
          Peer Activities
            QuizzesAssignments
              Discussions

                Lesson 4: Health Promotion

                Competency 1.4: Understand health promotion for the patient

                Learning Objectives:

                • Educate patients on safety and provide anticipatory guidance as necessary related to the patient’s chief complaint
                • Educate patients to ensure comprehension of discharge plan
                Required readingsOptional readings
                  Peer Activities
                    QuizzesAssignments
                      Discussions

                      Module 2: Communication and Ethics

                      Good communication skills are a key component in the medical profession. As an emergency practitioner, you will have daily contact with patients, families, consultants, and many other health care providers. It is important to develop excellent oral and written communication skills. This module will guide you through some of the principles of good communication. 

                      Lesson 1

                      Interpersonal and Communication Skills

                      Lesson 2

                      Practice-Based Learning and Improvement

                      Lesson 3

                      Professionalism

                      Lesson 1: Interpersonal and Communication Skills

                      Required readings
                        Optional readings
                          Peer Activities
                            Quizzes
                              Assignments
                                Discussions

                                  Humanistic Qualities

                                  Competency 2.1: Learn humanistic qualities

                                  Learning Objectives:

                                  • Effectively communicate with patients, family members, and other members of the health care team
                                  • Demonstrate a compassionate and nonjudgmental approach when caring for patients

                                  Required readingsOptional readings
                                    Peer ActivitiesQuizzesAssignments
                                      Discussions

                                      Presentation Skills

                                      Competency 2.2: Know presentation skills

                                      Learning Objectives:

                                      • Be able to present cases in a complete, concise, and organized fashion
                                      • Effectively communicate with consultants and admitting services

                                      Required readingsOptional readings
                                        Peer Activities
                                          QuizzesAssignments
                                            Discussions

                                            Medical Record Documentation

                                            Competency 2.3: Understand medical record documentation

                                            Learning Objective:

                                            • Be able to provide accurate and organized documentation in the medical record where appropriate





                                            Required readingsOptional readings
                                              Peer Activities
                                                QuizzesAssignments
                                                  Discussions

                                                  Lesson 2: Practice-Based Learning and Improvement

                                                  Required readings
                                                    Optional readings
                                                      Peer Activities
                                                        Quizzes
                                                          Assignments
                                                            Discussions

                                                              Information Technology

                                                              Competency 2.4: Effectively use information technology

                                                              Learning Objectives

                                                              • Understand how to use medical record retrieval systems
                                                              • Understand how to use information technology educational resources to optimize patient care and to improve your knowledge base



                                                              Required readingsOptional readingsPeer Activities
                                                                QuizzesAssignments
                                                                  Discussions

                                                                  Lesson 3: Professionalism

                                                                  Required readings
                                                                    Optional readings
                                                                      Peer Activities
                                                                        Quizzes
                                                                          Assignments
                                                                            Discussions

                                                                              Work Ethic

                                                                              Competency 2.5: Establish a work ethic

                                                                              Learning objective:

                                                                              • Learn the importance of conscientious behavior, honesty, and integrity

                                                                              Required readingsOptional readings
                                                                                Peer Activities
                                                                                  QuizzesAssignments
                                                                                    Discussions

                                                                                    Ethical Decision-making

                                                                                    Competency 2.6: Practice ethical decision-making

                                                                                    Learning Objectives:

                                                                                    • Understand the basic principles of medical ethics
                                                                                    • The required activities will help you to understand the competency and achieve the learning objectives
                                                                                    Required readingsOptional readings
                                                                                      Peer ActivitiesQuizzesAssignments
                                                                                        Discussions

                                                                                        Professional Behavior

                                                                                        Competency 2.7: Practice professional behavior

                                                                                        Learning Objectives:

                                                                                        • Exercise accountability
                                                                                        • Maintain a professional appearance
                                                                                        • Be sensitive to cultural issues (age, sex, culture, disability, etc.)
                                                                                        • Work in a collegial manner with other members of the health care team



                                                                                        Required readingsOptional readings
                                                                                          Peer Activities
                                                                                            QuizzesAssignments
                                                                                              Discussions

                                                                                              Module 3: Common Emergency Presentations

                                                                                              This module focuses on core presentations seen in the emergency department. As an emergency health care provider, you will often see undifferentiated patients, and it is important to develop an approach to common presenting complaints. By the end of this module, you should be able to take a focused history, perform a focused physical exam, develop a differential diagnosis for common complaints, and understand the initial investigations and management principles. 

                                                                                              Along with the specific learning objectives listed in each lesson, the following learning objectives should be met for each presentation:

                                                                                              1. Develop a differential diagnosis when evaluating an undifferentiated patient: prioritize likelihood of diagnoses based on patient presentation and acuity, and list worst-case scenarios.
                                                                                              2. Create a diagnostic plan based on differential diagnoses.
                                                                                              3. Develop a management plan for the patient with both an undifferentiated complaint and specific disease processes.

                                                                                              Lesson 1

                                                                                              Cardiovascular Related Presentations

                                                                                              Lesson 2

                                                                                              Gastrointestinal Related Presentations

                                                                                              Lesson 3

                                                                                              Toxicological Related Presentations

                                                                                              Lesson 4

                                                                                              Psychiatric Related Presentations

                                                                                              Lesson 5

                                                                                              Headache

                                                                                              Lesson 6

                                                                                              Respiratory Related Presentations

                                                                                              Lesson 7

                                                                                              Shock and Trauma Presentations

                                                                                              Lesson 1: Cardiovascular Related Presentations

                                                                                              Required readings
                                                                                                Optional readings
                                                                                                  Peer Activities
                                                                                                    Quizzes
                                                                                                      Assignments
                                                                                                        Discussions

                                                                                                          Cardiac Arrest

                                                                                                          Competency 3.1: Understand the approach to cardiac arrest

                                                                                                          Learning Objectives:

                                                                                                          • Identify asystole, ventricular tachycardia and ventricular fibrillation on ECG/monitor
                                                                                                          • Describe the initial treatment of asystole, pulseless ventricular tachycardia / ventricular fibrillation, and pulseless electrical activity
                                                                                                          • List the most common causes of pulseless electrical activity and their treatment
                                                                                                          • Discuss the role of adequate chest compressions
                                                                                                          Required readingsOptional readings
                                                                                                            Peer Activities
                                                                                                              QuizzesAssignments
                                                                                                                Discussions

                                                                                                                  Chest Pain

                                                                                                                  Competency 3.2: Understand the approach to chest pain

                                                                                                                  Learning Objectives:

                                                                                                                  • Be able to interpret classic acute coronary syndrome findings on electrocardiogram
                                                                                                                  • List important initial management options (aspirin, nitroglycerin, oxygen, pain relief)
                                                                                                                  Required readingsOptional readings
                                                                                                                    Peer Activities
                                                                                                                      QuizzesAssignments
                                                                                                                        Discussions

                                                                                                                        Lesson 2: Gastrointestinal Related Presentations

                                                                                                                        Required readings
                                                                                                                          Optional readings
                                                                                                                            Peer Activities
                                                                                                                              Quizzes
                                                                                                                                Assignments
                                                                                                                                  Discussions

                                                                                                                                    Abdominal Pain

                                                                                                                                    Competency 3.3: Understand the approach to abdominal pain

                                                                                                                                    Learning Objectives:

                                                                                                                                    • Demonstrate the ability to identify a surgical abdomen
                                                                                                                                    • Discuss/explain the role of analgesia in patient management
                                                                                                                                    Required readingsOptional readings
                                                                                                                                      Peer Activities
                                                                                                                                        QuizzesAssignments
                                                                                                                                          Discussions

                                                                                                                                          Gastrointestinal Bleeding

                                                                                                                                          Competency 3.4: Understand the approach to gastrointestinal bleeding

                                                                                                                                          Learning Objectives:

                                                                                                                                          • Recognize hemodynamic instability
                                                                                                                                          • Identify the probable source of bleeding and recognize how this influences initial management (gastroenterology vs. surgery)
                                                                                                                                          Required readingsOptional readings
                                                                                                                                            Peer Activities
                                                                                                                                              QuizzesAssignments
                                                                                                                                                Discussions

                                                                                                                                                Lesson 3: Toxicological Related Presentations

                                                                                                                                                Required readings
                                                                                                                                                  Optional readings
                                                                                                                                                    Peer Activities
                                                                                                                                                      Quizzes
                                                                                                                                                        Assignments
                                                                                                                                                          Discussions

                                                                                                                                                            Poisoning

                                                                                                                                                            Competency 3.5: Understand the approach to poisoning

                                                                                                                                                            Learning Objectives:

                                                                                                                                                            • Describe common toxidromes
                                                                                                                                                            • List commonly available antidotes or treatments (for acetaminophen, aspirin, tricyclic antidepressants, carbon monoxide, toxic alcohols, narcotics) 

                                                                                                                                                            Required readingsOptional readings
                                                                                                                                                              Peer Activities
                                                                                                                                                                QuizzesAssignments
                                                                                                                                                                  Discussions

                                                                                                                                                                  Lesson 4: Psychiatric Related Presentations

                                                                                                                                                                  Required readings
                                                                                                                                                                    Optional readings
                                                                                                                                                                      Peer Activities
                                                                                                                                                                        Quizzes
                                                                                                                                                                          Assignments
                                                                                                                                                                            Discussions

                                                                                                                                                                              Altered Mental Status

                                                                                                                                                                              Competency 3.6: Understand the approach to altered mental status

                                                                                                                                                                              Learning Objectives:

                                                                                                                                                                              • Recognize the breadth of the differential for altered mental status
                                                                                                                                                                              • List emergent causes for altered mental status (hypoglycemia, hypoxia)




                                                                                                                                                                              Required readingsOptional readings
                                                                                                                                                                                Peer Activities
                                                                                                                                                                                  QuizzesAssignments
                                                                                                                                                                                    Discussions

                                                                                                                                                                                    Lesson 5: Headache

                                                                                                                                                                                    Required readings
                                                                                                                                                                                      Optional readings
                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                          Quizzes
                                                                                                                                                                                            Assignments
                                                                                                                                                                                              Discussions

                                                                                                                                                                                                Headache

                                                                                                                                                                                                Competency 3.7 Understand the approach to headache

                                                                                                                                                                                                Learning Objective:

                                                                                                                                                                                                • Recognize emergent causes and identify diagnostic modalities and management





                                                                                                                                                                                                Required readingsOptional readings
                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                      Lesson 6: Respiratory Related Presentations

                                                                                                                                                                                                      Required readings
                                                                                                                                                                                                        Optional readings
                                                                                                                                                                                                          Peer Activities
                                                                                                                                                                                                            Quizzes
                                                                                                                                                                                                              Assignments
                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                  Respiratory Distress

                                                                                                                                                                                                                  Competency 3.8: Understand the approach to respiratory distress

                                                                                                                                                                                                                  Learning Objectives

                                                                                                                                                                                                                  • Describe clinical manifestations of respiratory distress
                                                                                                                                                                                                                  • List life threatening causes of respiratory distress
                                                                                                                                                                                                                  • Describe the role of arterial blood gas in assessing respiratory status



                                                                                                                                                                                                                  Required readingsOptional readings
                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                      QuizzesAssignments
                                                                                                                                                                                                                        Discussions

                                                                                                                                                                                                                        Lesson 7: Shock and Trauma Presentations

                                                                                                                                                                                                                        Required readings
                                                                                                                                                                                                                          Optional readings
                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                              Quizzes
                                                                                                                                                                                                                                Assignments
                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                    Shock

                                                                                                                                                                                                                                    Competency 3.9: Understand the approach to shock

                                                                                                                                                                                                                                    Learning Objectives

                                                                                                                                                                                                                                    • Describe the clinical manifestations that indicate shock
                                                                                                                                                                                                                                    • List potential causes (classifications) of shock 
                                                                                                                                                                                                                                    Required readingsOptional readings
                                                                                                                                                                                                                                      Peer Activities
                                                                                                                                                                                                                                        QuizzesAssignments
                                                                                                                                                                                                                                          Discussions

                                                                                                                                                                                                                                          Trauma

                                                                                                                                                                                                                                          Competency 3.10: Understand the approach to trauma

                                                                                                                                                                                                                                          Learning Objectives

                                                                                                                                                                                                                                          • Describe the initial evaluation of a trauma patient (primary and secondary survey)
                                                                                                                                                                                                                                          • Promote injury control and prevention
                                                                                                                                                                                                                                          • Describe the screening for intimate partner violence
                                                                                                                                                                                                                                          Required readingsOptional readings
                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                              QuizzesAssignments
                                                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                                                Module 4: Common Emergency Diseases


                                                                                                                                                                                                                                                This module provides an overview of specific disease entities that are commonly encountered in the Emergency Department. You should have an understanding of the basic pathophysiology of these diseases, and understand the workup and management of such cases.

                                                                                                                                                                                                                                                Each student should be exposed to the following specific disease entities by either patient exposure or by simulation, reading, or web-based learning.

                                                                                                                                                                                                                                                Lesson 1

                                                                                                                                                                                                                                                Cardiovascular Diseases

                                                                                                                                                                                                                                                Lesson 2

                                                                                                                                                                                                                                                Endocrine and Electrolyte Diseases

                                                                                                                                                                                                                                                Lesson 3

                                                                                                                                                                                                                                                Environmental Diseases

                                                                                                                                                                                                                                                Lesson 4

                                                                                                                                                                                                                                                Gastrointestinal Diseases

                                                                                                                                                                                                                                                Lesson 5

                                                                                                                                                                                                                                                Genitourinary Diseases

                                                                                                                                                                                                                                                Lesson 6

                                                                                                                                                                                                                                                Neurologic Diseases

                                                                                                                                                                                                                                                Lesson 7

                                                                                                                                                                                                                                                Psychiatric Diseases

                                                                                                                                                                                                                                                Lesson 8

                                                                                                                                                                                                                                                Pulmonary Diseases

                                                                                                                                                                                                                                                Lesson 9

                                                                                                                                                                                                                                                Sepsis

                                                                                                                                                                                                                                                Lesson 1: Cardiovascular Diseases

                                                                                                                                                                                                                                                Required readings
                                                                                                                                                                                                                                                  Optional readings
                                                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                                                      Quizzes
                                                                                                                                                                                                                                                        Assignments
                                                                                                                                                                                                                                                          Discussions

                                                                                                                                                                                                                                                            Abdominal Aortic Aneurysm

                                                                                                                                                                                                                                                            Competency 4.1: Understand abdominal aortic aneurysm

                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                            • Describe the common presenting symptoms of a ruptured AAA.
                                                                                                                                                                                                                                                            • Understand the tests used to diagnose AAA
                                                                                                                                                                                                                                                            • Describe the ED management of a ruptured AAA.

                                                                                                                                                                                                                                                            Required readingsOptional readings
                                                                                                                                                                                                                                                              Peer Activities
                                                                                                                                                                                                                                                                QuizzesAssignments
                                                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                                                  Acute Coronary Syndrome

                                                                                                                                                                                                                                                                  Competency 4.2: Understand acute coronary syndrome



                                                                                                                                                                                                                                                                  Learning Objectives:

                                                                                                                                                                                                                                                                  • Describe the classic presentation of ACS
                                                                                                                                                                                                                                                                  • Understand the tests used to aid in the diagnosis of ACS
                                                                                                                                                                                                                                                                  • Describe ECG findings consistent with ACS
                                                                                                                                                                                                                                                                  • Describe the ED management of ACS

                                                                                                                                                                                                                                                                  Required readingsOptional readings
                                                                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                                                                      QuizzesAssignments
                                                                                                                                                                                                                                                                        Discussions

                                                                                                                                                                                                                                                                          Acute Heart Failure

                                                                                                                                                                                                                                                                          Competency 4.3: Understand acute heart failure

                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                          • Describe the basic pathophysiology of acute heart failure
                                                                                                                                                                                                                                                                          • Describe the common presentation of decompensated heart failure
                                                                                                                                                                                                                                                                          • Describe the ED management of acute heart failure

                                                                                                                                                                                                                                                                          Required readingsOptional readings
                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                              QuizzesAssignments
                                                                                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                                                                                Aortic Dissection

                                                                                                                                                                                                                                                                                Competency 4.4: Understand aortic dissection

                                                                                                                                                                                                                                                                                Learning Objectives:

                                                                                                                                                                                                                                                                                • Describe the classic presentation of thoracic aortic dissection
                                                                                                                                                                                                                                                                                • Describe the initial ED management of a patient with suspected aortic dissection
                                                                                                                                                                                                                                                                                • Understand the different tests used to diagnosis thoracic aortic dissection
                                                                                                                                                                                                                                                                                • Describe the definitive management of thoracic aortic dissection
                                                                                                                                                                                                                                                                                Required readingsOptional readings
                                                                                                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                      DVT/Pulmonary Embolism

                                                                                                                                                                                                                                                                                      Competency 4.5: Understand DVT/pulmonary embolism

                                                                                                                                                                                                                                                                                      Learning Objectives:

                                                                                                                                                                                                                                                                                      • Describe the classic presentation of DVT and PE
                                                                                                                                                                                                                                                                                      • Understand the use of the Well’s scoring system for risk stratifying patients with suspected DVT/PE
                                                                                                                                                                                                                                                                                      • Understand the utility of the D-dimer in diagnosing DVT/PE
                                                                                                                                                                                                                                                                                      • Understand the different imaging tests used to diagnose DVT/PE
                                                                                                                                                                                                                                                                                      • Describe the ED management of DVT/PE

                                                                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                                                                          QuizzesAssignments
                                                                                                                                                                                                                                                                                            Discussions

                                                                                                                                                                                                                                                                                            Lesson 2: Endocrine and Electrolyte Diseases

                                                                                                                                                                                                                                                                                            Required readings
                                                                                                                                                                                                                                                                                              Optional readings
                                                                                                                                                                                                                                                                                                Peer Activities
                                                                                                                                                                                                                                                                                                  Quizzes
                                                                                                                                                                                                                                                                                                    Assignments
                                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                                        Hyperglycemia

                                                                                                                                                                                                                                                                                                        Competency 4.6: Understand hyperglycemia

                                                                                                                                                                                                                                                                                                        Learning Objectives:

                                                                                                                                                                                                                                                                                                        • Describe the classic presentation of diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)
                                                                                                                                                                                                                                                                                                        • Describe the ED investigations for suspected DKA and HHS
                                                                                                                                                                                                                                                                                                        • Describe the ED management of DKA and HHS

                                                                                                                                                                                                                                                                                                        Required readingsOptional readings
                                                                                                                                                                                                                                                                                                          Peer Activities
                                                                                                                                                                                                                                                                                                            QuizzesAssignments
                                                                                                                                                                                                                                                                                                              Discussions

                                                                                                                                                                                                                                                                                                              Hyperkalemia

                                                                                                                                                                                                                                                                                                              Competency 4.7: Understand hyperkalemia

                                                                                                                                                                                                                                                                                                              Learning Objectives:

                                                                                                                                                                                                                                                                                                              • Describe the common presentation of hyperkalemia
                                                                                                                                                                                                                                                                                                              • Describe the ECG changes associated with hyperkalemia
                                                                                                                                                                                                                                                                                                              • Describe the ED management of hyperkalemia

                                                                                                                                                                                                                                                                                                              Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                Peer Activities
                                                                                                                                                                                                                                                                                                                  QuizzesAssignments
                                                                                                                                                                                                                                                                                                                    Discussions

                                                                                                                                                                                                                                                                                                                    Hypoglycemia

                                                                                                                                                                                                                                                                                                                    Competency 4.8: Understand hypoglycemia

                                                                                                                                                                                                                                                                                                                    Learning Objectives:

                                                                                                                                                                                                                                                                                                                    • Describe the common presentation of hypoglycemia
                                                                                                                                                                                                                                                                                                                    • Describe the Emergency Department management of hypoglycemia
                                                                                                                                                                                                                                                                                                                    Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                      Peer Activities
                                                                                                                                                                                                                                                                                                                        QuizzesAssignmentsDiscussions

                                                                                                                                                                                                                                                                                                                        Thyroid Storm

                                                                                                                                                                                                                                                                                                                        Competency 4.9: Understand thyroid storm

                                                                                                                                                                                                                                                                                                                        Learning Objectives:

                                                                                                                                                                                                                                                                                                                        • Understand the basic physiology of the thyroid gland
                                                                                                                                                                                                                                                                                                                        • Describe the classic presentation of thyroid storm
                                                                                                                                                                                                                                                                                                                        • Describe the tests used to aid diagnosis of thyroid storm
                                                                                                                                                                                                                                                                                                                        • Describe the ED management of thyroid storm

                                                                                                                                                                                                                                                                                                                        Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                          Peer Activities
                                                                                                                                                                                                                                                                                                                            QuizzesAssignments
                                                                                                                                                                                                                                                                                                                              Discussions

                                                                                                                                                                                                                                                                                                                              Lesson 3: Environmental Diseases

                                                                                                                                                                                                                                                                                                                              Required readings
                                                                                                                                                                                                                                                                                                                                Optional readings
                                                                                                                                                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                                                                                                                                                    Quizzes
                                                                                                                                                                                                                                                                                                                                      Assignments
                                                                                                                                                                                                                                                                                                                                        Discussions

                                                                                                                                                                                                                                                                                                                                          Burns and Inhalation

                                                                                                                                                                                                                                                                                                                                          Competency 4.10: Understand burns and smoke inhalation

                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                          • Understand the basic pathophysiology of burns
                                                                                                                                                                                                                                                                                                                                          • Describe the initial assessment and management of burn patients
                                                                                                                                                                                                                                                                                                                                          • Describe the classification of burn severity
                                                                                                                                                                                                                                                                                                                                          • Describe the ED management principles for minor and severe burns
                                                                                                                                                                                                                                                                                                                                          • Describe the classic presentation of inhalation injuries
                                                                                                                                                                                                                                                                                                                                          • Describe the potential complications associated with inhalation injuries

                                                                                                                                                                                                                                                                                                                                          Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                              QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                                                                                                                                                Envenomation

                                                                                                                                                                                                                                                                                                                                                Competency 4.11: Understand envenomation

                                                                                                                                                                                                                                                                                                                                                Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                • Describe the presentation of dangerous envenomations
                                                                                                                                                                                                                                                                                                                                                • Describe the initial ED management of envenomations
                                                                                                                                                                                                                                                                                                                                                • Understand the indications for antivenom

                                                                                                                                                                                                                                                                                                                                                Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                                                                                      Heat Illness

                                                                                                                                                                                                                                                                                                                                                      Competency 4.12: Understand heat illness

                                                                                                                                                                                                                                                                                                                                                      Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                      • Describe the common presentation of heatstroke
                                                                                                                                                                                                                                                                                                                                                      • Understand the difference between classic and exertional heatstroke
                                                                                                                                                                                                                                                                                                                                                      • Describe the ED management of heatstroke

                                                                                                                                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                                                                                                                                          QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                            Discussions

                                                                                                                                                                                                                                                                                                                                                            Hypothermia

                                                                                                                                                                                                                                                                                                                                                            Competency 4.13: Understand hypothermia

                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                            • Understand the difference between hypothermia, frostbite and trench foot
                                                                                                                                                                                                                                                                                                                                                            • Describe the clinical findings associated with different degrees of hypothermia
                                                                                                                                                                                                                                                                                                                                                            • Describe the ECG findings associated with hypothermia
                                                                                                                                                                                                                                                                                                                                                            • Describe the ED management of hypothermia, frostbite and trench foot

                                                                                                                                                                                                                                                                                                                                                            Understand the diagnosis and management of this disease.

                                                                                                                                                                                                                                                                                                                                                            The required activities will help you to understand the competency and achieve the learning objective.

                                                                                                                                                                                                                                                                                                                                                            Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                              Peer Activities
                                                                                                                                                                                                                                                                                                                                                                QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                                                                                                                                                  Drowning

                                                                                                                                                                                                                                                                                                                                                                  Competency 4.14: Understand near drowning

                                                                                                                                                                                                                                                                                                                                                                  Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                  • Describe the different presentations associated with drowning incidents
                                                                                                                                                                                                                                                                                                                                                                  • Describe the initial ED management of a drowning incident
                                                                                                                                                                                                                                                                                                                                                                  • Understand investigations that may be used in drowning incidents

                                                                                                                                                                                                                                                                                                                                                                  Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                                                                                                                                                                      QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                        Discussions

                                                                                                                                                                                                                                                                                                                                                                        Lesson 4: Gastrointestinal Diseases

                                                                                                                                                                                                                                                                                                                                                                        Required readings
                                                                                                                                                                                                                                                                                                                                                                          Optional readings
                                                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                                                              Quizzes
                                                                                                                                                                                                                                                                                                                                                                                Assignments
                                                                                                                                                                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                                                                                                                                                                    Appendicitis

                                                                                                                                                                                                                                                                                                                                                                                    Competency 4.15: Understand appendicitis

                                                                                                                                                                                                                                                                                                                                                                                    Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                    • Describe the classic presentation of appendicitis
                                                                                                                                                                                                                                                                                                                                                                                    • Understand the different tests used to diagnose appendicitis
                                                                                                                                                                                                                                                                                                                                                                                    • Describe the ED management of appendicitis

                                                                                                                                                                                                                                                                                                                                                                                    Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                      Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                        QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                          Discussions

                                                                                                                                                                                                                                                                                                                                                                                          Biliary Disease

                                                                                                                                                                                                                                                                                                                                                                                          Competency 4.16: Understand biliary disease

                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                          • Understand the spectrum of biliary tract diseases including cholelithiasis, choledocholithiasis, acute cholecystitis and cholangitis
                                                                                                                                                                                                                                                                                                                                                                                          • Describe the classic presentation of biliary tract diseases
                                                                                                                                                                                                                                                                                                                                                                                          • Understand the different tests used to diagnose biliary tract diseases
                                                                                                                                                                                                                                                                                                                                                                                          • Describe the ED management of biliary tract diseases
                                                                                                                                                                                                                                                                                                                                                                                          Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                              QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                                                                                                                                                                                                Bowel Obstruction

                                                                                                                                                                                                                                                                                                                                                                                                Competency 4.17: Understand bowel obstruction

                                                                                                                                                                                                                                                                                                                                                                                                Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                • Understand the basic pathophysiology of bowel obstruction
                                                                                                                                                                                                                                                                                                                                                                                                • Describe the classic presentation of bowel obstruction
                                                                                                                                                                                                                                                                                                                                                                                                • Understand the different tests used to diagnose bowel obstruction
                                                                                                                                                                                                                                                                                                                                                                                                • Describe the ED management of bowel obstruction

                                                                                                                                                                                                                                                                                                                                                                                                Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                                                                                                                                      GI Bleed

                                                                                                                                                                                                                                                                                                                                                                                                      Competency 4.18: Understand massive GI bleed

                                                                                                                                                                                                                                                                                                                                                                                                      Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                      • Describe the classic presentation of massive GI bleeding
                                                                                                                                                                                                                                                                                                                                                                                                      • Understand the different causes of massive GI bleeding
                                                                                                                                                                                                                                                                                                                                                                                                      • Describe the ED management of massive GI bleeding

                                                                                                                                                                                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                          QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                            Discussions

                                                                                                                                                                                                                                                                                                                                                                                                            Mesenteric Ischemia

                                                                                                                                                                                                                                                                                                                                                                                                            Competency 4.19: Understand mesenteric ischemia

                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                            • Describe the 4 different mechanisms that cause mesenteric ischemia
                                                                                                                                                                                                                                                                                                                                                                                                            • Describe the classic presentation of mesenteric ischemia
                                                                                                                                                                                                                                                                                                                                                                                                            • Understand the different tests that are used to diagnose mesenteric ischemia
                                                                                                                                                                                                                                                                                                                                                                                                            • Describe the ED management of mesenteric ischemia based on the mechanism of disease

                                                                                                                                                                                                                                                                                                                                                                                                            Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                              Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                  Perforated Viscus

                                                                                                                                                                                                                                                                                                                                                                                                                  Competency 4.20: Understand perforated viscus

                                                                                                                                                                                                                                                                                                                                                                                                                  Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe the classic presentation of a perforated viscus
                                                                                                                                                                                                                                                                                                                                                                                                                  • Understand the tests used to diagnose a perforated viscus
                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe the ED management of a perforated viscus
                                                                                                                                                                                                                                                                                                                                                                                                                  Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                      QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                        Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                        Lesson 5: Genitourinary Diseases

                                                                                                                                                                                                                                                                                                                                                                                                                        Required readings
                                                                                                                                                                                                                                                                                                                                                                                                                          Optional readings
                                                                                                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                              Quizzes
                                                                                                                                                                                                                                                                                                                                                                                                                                Assignments
                                                                                                                                                                                                                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                    Ectopic Pregnancy

                                                                                                                                                                                                                                                                                                                                                                                                                                    Competency 4.21: Understand ectopic pregnancy

                                                                                                                                                                                                                                                                                                                                                                                                                                    Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe the risk factors for ectopic pregnancy
                                                                                                                                                                                                                                                                                                                                                                                                                                    • Understand the tests used to diagnose ectopic pregnancy
                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe the different management options for ectopic pregnancy

                                                                                                                                                                                                                                                                                                                                                                                                                                    Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                      Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                        QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                          Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                          Pelvic inflammatory disease/Tubo-ovarian abscess

                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 4.22: Understand pelvic inflammatory disease (PID)/tubo-ovarian abscess (TOA)

                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the risk factors for PID/TOA
                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the common presentation of PID/TOA
                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the complications associated with PID/TOA
                                                                                                                                                                                                                                                                                                                                                                                                                                          • Understand the tests used to diagnose PID/TOA
                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the ED management of PID/TOA and indications for admission to hospital

                                                                                                                                                                                                                                                                                                                                                                                                                                          Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                              QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                Ovarian Torsion

                                                                                                                                                                                                                                                                                                                                                                                                                                                Competency 4.23: Understand ovarian torsion

                                                                                                                                                                                                                                                                                                                                                                                                                                                Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                • Describe the presentation of ovarian torsion
                                                                                                                                                                                                                                                                                                                                                                                                                                                • Understand the tests used in diagnosing ovarian torsion
                                                                                                                                                                                                                                                                                                                                                                                                                                                • Describe the ED management of ovarian torsion

                                                                                                                                                                                                                                                                                                                                                                                                                                                Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                      Testicular Torsion

                                                                                                                                                                                                                                                                                                                                                                                                                                                      Competency 4.24: Understand testicular torsion

                                                                                                                                                                                                                                                                                                                                                                                                                                                      Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Describe the classic presentation of testicular torsion
                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Describe the initial ED management and definitive management of testicular torsion

                                                                                                                                                                                                                                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                          QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                            Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 6: Neurologic Diseases

                                                                                                                                                                                                                                                                                                                                                                                                                                                            Required readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                              Optional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Quizzes
                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Assignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Acute Stroke

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Competency 4.25: Understand acute stroke

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Learning Objective

                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Describe the clinical presentation of ischemic stroke based on vascular territory
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Describe the initial ED investigations and management of acute ischemic stroke
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Describe the indications and contraindications for the use of thrombolytic therapy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Intracranial Hemorrhage

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Competency 4.26: Understand intracranial hemorrhage

                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Describe the classic presentation of intracranial hemorrhage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Understand the difference between subdural hematoma, epidural hematoma, subarachnoid hemorrhage and intracerebral hemorrhage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Understand the different tests used to diagnosis intracranial hemorrhage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Understand how to interpret lumbar puncture results in the diagnosis of intracranial hemorrhage.
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Meningitis

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Competency 4.27: Understand meningitis

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe the classic presentation of meningitis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe the presentation of encephalitis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Understand the tests used to diagnose meningitis and encephalitis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe the ED management of meningitis and encephalitis

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Epilepticus

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 4.28: Understand status epilepticus

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Understand the definition of status epilepticus
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the work-up and management of a first time seizure
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the work-up and management of recurrent seizures
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the ED management of status epilepticus

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Lesson 7: Psychiatric Diseases

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Required readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Optional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Quizzes
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Assignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            The Agitated Patient

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 4.29: Understand the agitated patient

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Describe the initial assessment of an agitated patient
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Describe management options for an agitated patient

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Suicidal Ideation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Competency 4.30: Understand suicidal thought/ideation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe the components of a psychiatric evaluation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe risk factors associated with suicide
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe the ED management of patients with suicidal ideation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Lesson 8: Pulmonary Diseases

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Required readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Optional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Quizzes
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Assignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Asthma

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Competency 4.31: Understand asthma

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe the presentation of acute asthma
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Understand the diagnostic tests used in an acute asthma exacerbation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe the ED management of an acute asthma exacerbation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          COPD

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 4.32: Understand COPD

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the common presentation of a COPD exacerbation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe the ED management of a COPD exacerbation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Understand the use of non-invasive positive pressure ventilation and intubation in severe COPD exacerbation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Pneumonia

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Competency 4.33: Understand pneumonia

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                • Describe the common presentation of pneumonia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                • Understand the microbiology associated with different types of pneumonia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                • Understand the tests used to diagnose pneumonia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                • Describe the ED management of pneumonia

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Pneumothorax

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Competency 4.34: Understand pneumothorax

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Describe the common presentation of pneumothorax
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Understand the different imaging tests used to diagnose pneumothorax
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Describe the ED management of pneumothorax

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          QuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 9: Sepsis

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Required readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Optional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Peer Activities
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Quizzes
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Assignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Sepsis

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Competency 4.35: Understand sepsis

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Describe the criteria for the spectrum of sepsis syndromes including systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis and septic shock
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Describe the use of Early Goal Directed Therapy in treating sepsis

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Required readingsOptional readings
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Peer ActivitiesQuizzesAssignments
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Discussions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Module 5: Common Emergency Procedures



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Emergency medicine is a very hands-on specialty and practitioners must be competent in a variety of procedures. As a medical student, you are not expected to be able to perform all of these procedures, but should be familiar with the indications and understand how each procedure is performed. The material here will guide you through common procedures, but you should gain as much hands-on experience as possible with your supervisor.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Access

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 2

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Airway Management

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 3

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Arrhythmia Management

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 4

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Gastroenterology

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 5

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Genitourinary

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 6

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Orthopedic

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 7

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Infection

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 8

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Trauma Management

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 9

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Wound Care

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Lesson 1: Access

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Peripheral Access

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Competency 5.1: Demonstrate placement of an intravenous line

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • Demonstrate placement of an intravenous line

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Intraosseous Access

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 5.2: Demonstrate basic phlebotomy technique

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • List the indications for an intraosseous line
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Describe intraosseous insertion technique 
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Central Venous Access 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Competency 5.3: Demonstrate central line insertion

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • List the indications and complications of a central line
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • List the steps for the Seldinger technique
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Describe relative advantages and disadvantages of different kinds of lines 

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Lesson 2: Airway Management

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Basic Airway Management 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Competency 5.4:  List the indications for emergency airway management

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • List the indications for emergency airway management
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Bag-Valve-Mask (BVM)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 5.5: Know basic airway management

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Demonstrate effective ventilation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • List the factors that can make BVM difficult or impossible 
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Airway Adjuncts

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Competency 5.6: Understand how and when to use airway adjuncts

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Describe the roles and indications for various airway adjuncts
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Demonstrate correct placement of a nasal and oral pharyngeal airway
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Intubation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 5.7: Understand advanced airway management

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • List the indications for endotracheal intubation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • List the steps in orotracheal intubation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe possible complications of intubation
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe situations when rescue techniques may be used in a failed airway
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Lesson 3: Arrhythmia Management

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Cardiac Monitoring

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 5.8: Demonstrate how to correctly place a patient on a cardiac monitor

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 5.9: Demonstrate the ability to apply leads and obtain a 12-lead electrocardiogram

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Correctly place patient on a cardiac monitor
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Demonstrate the ability to apply leads and obtain a 12-lead electrocardiogram
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Automated External Defibrillator (AED)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Competency 5.10: Demonstrate appropriate use of an AED

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Demonstrate appropriate use of an AED
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Defibrillation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 5.11: Recognize ventricular fibrillation and pulseless ventricular tachycardia

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 5.12: Demonstrate appropriate use of a defibrillator

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Recognize ventricular fibrillation and pulseless ventricular tachycardia
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Demonstrate appropriate use of a defibrillator
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Cardiopulmonary Resuscitation (CPR)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Competency 5.13: Demonstrate effective chest compressions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                • Demonstrate effective chest compressions
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Lesson 4: Gastroenterology

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Nasogastric Intubation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Competency 5.14: List the indications for placement of a nasogastric tube, describe the proper technique for insertion of a nasogastric tube, and describe complications

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Learning Objective

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • List the indications for placement of a nasogastric tube
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe the proper technique for insertion of a nasogastric tube
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe complications of nasogastric tube placement
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Lesson 5: Genitourinary

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  GU Catheterization

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Competency 5.15: Demonstrate correct placement of a Foley catheter

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Demonstrate the correct placement of a Foley (male and female) catheter

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Lesson 6: Orthopedic

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Joint reduction

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Competency 5.16: List the indications for emergency joint reduction and describe the initial assessment of a suspected dislocated joint

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Learning Objective

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • List the indications for emergency joint reduction
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe the initial assessment of a suspected dislocated joint
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Splinting

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 5.17: List several types of extremity splints and their indications. Demonstrate correct application of a splint. Describe complications associated with splints.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • List several types of extremity splints and their indications
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Demonstrate correct application of a splint
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Describe complications associated with splints 

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Lesson 7: Infection

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Incision and Drainage

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 5.18: List the indications for an incision and drainage. Discuss the technique for incision and drainage. List the indications for antibiotic therapy for an abscess/cellulitis. Describe complications of incision and drainage.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • List the indications for an incision and drainage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Discuss the technique for an incision and drainage
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • List the indications for antibiotic therapy for an abscess/cellulitis
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Describe complications of incision and drainage
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Lesson 8: Trauma Management

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Initial trauma management

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Competency 5.19: List the steps of a primary survey in trauma

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                • List the steps of primary survey in trauma
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Cervical spine precautions

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Competency 5.20: Demonstrate maintenance of C-spine stabilization

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Demonstrate maintenance of C-spine stabilization
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Basics of FAST Examination

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 5.21: List the components of a FAST ultrasound examination and recognize an abnormal FAST ultrasound examination

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • List the components of a FAST ultrasound examination
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Recognize an abnormal FAST ultrasound examination

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Lesson 9: Wound Care

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Preparation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 5.22: List the factors that go into the decision to close a wound primarily. Describe the difference between a clean and dirty wound

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • List the factors that go into the decision to close a wound primarily
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Describe the difference between a clean and dirty wound
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Anesthesia

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Competency 5.23: Explain local and regional anesthetic techniques. Describe the maximum dose of lidocaine. Demonstrate application of local anesthesia

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Explain local and regional (digital) anesthetic techniques
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Describe the maximum doses of lidocaine
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • Demonstrate application of local anesthesia

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Irrigation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Competency 5.24: Describe the role of sterility in wound irrigation and repair. Explain proper irrigation technique.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Competency 5.25: Describe how to detect a retained foreign body

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Describe the role or sterility in wound irrigation and repair
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Explain proper irrigation technique
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      • Describe how to detect a retained foreign body
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Closure and follow-up care

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Competency 5.26: Describe different wound closure techniques. List the various suture material and their appropriate uses. Demonstrate proper closure of a wound (simple interrupted technique). Describe the number of days for suture removal. List the indications for tetanus prophylaxis.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Describe different closure techniques (Steri-strips, Dermabond, suturing)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • List the various suture materials and their appropriate uses
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Demonstrate proper closure of a wound (simple interrupted technique)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • Describe the number of days for suture removal
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • List the indications for tetanus prophylaxis
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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Module 6: Systems-Based Practice

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    The emergency department is a part of a health care system within your community that involves out-of-hospital emergency care, primary care, outpatient care, and inpatient care. The function of your emergency department will depend on what type of setting you work in. With your supervisor, you should review what the role of the emergency department is in your health care setting, and what resources you have available to you for ongoing management and follow-up on patients. 

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Lesson 1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    The Role of the Emergency Department

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Lesson 1: The Role of the Emergency Department

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Referrals

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Competency 6.1: Recognize when patients should be appropriately referred to the emergency department

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Review the specific disease entities in Modules 4 and 5 and recognize critical diagnoses/presentations that would mandate referral to the emergency department

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Community Awareness

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Competency 6.2: Recognize the role of the emergency department in the community, including access to care and its impact on patient care

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            • Be aware of the resources available in your community

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            There are no resources to review for this competency. Instead, do the Mentored Activity with your mentor, which will help you to understand the competency.

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Costs in the Emergency Department

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Competency 6.3: Understand the indications, costs, risks, and evidence behind commonly performed emergency department diagnostic procedures

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Learning Objective:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Develop a basic understanding of the cost of diagnostic tests in the emergency department

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Follow-Up Plans

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Competency 6.4: Recognize the importance of arranging appropriate follow-up plans for patients being discharged from the emergency department

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Learning Objectives:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Develop appropriate disposition and follow-up plans
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Educate patients on safety and provide anticipatory guidance as necessary related to the patient’s chief complaint
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • Educate patients to ensure comprehension of discharge plan

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Final Exam

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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Course Evaluation:



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