• Emergency Medicine

  • Topic outline

  • Course Home Page

    Red Cross

    This course is an introduction to Emergency Medicine (EM), Enrolintended 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.

  • This topic

    Module 1: Basics of Emergency Medicine Patient Care

    doctor with patient

    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

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  • Lesson 1: Initial Assessments

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    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

     

     

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  • Lesson 2: Immediate Life-Threatening Conditions

    stethoscope

    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
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  • Lesson 3: Patient Management Skills

    Patient History

    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

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  • Lesson 4: Health Promotion

    heart

    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
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  • Module 2: Communication and Ethics

    LinksGood 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

    Presentation Skills

    Lesson 3

    Medical Record Documentation

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  • Lesson 1: Interpersonal and Communication Skills

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  • Humanistic Qualities

    asian woman

    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

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  • Presentation Skills

    2 docs

    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

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  • Medical Record Documentation

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    Competency 2.3: Understand medical record documentation

    Learning Objective:

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





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  • Lesson 2: Practice-Based Learning and Improvement

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  • Information Technology

    Competency 2.4: Effectively use information technology

    Medical Record

    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



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  • Lesson 3: Professionalism

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  • Work Ethic

    pediatrician

    Competency 2.5: Establish a work ethic

    Learning objective:

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

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  • Ethical Decision-making

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    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
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  • Professional Behavior

    med students

    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



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  • Module 3: Common Emergency Presentations

    Ambulance

    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

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    Lesson 5

    Headache

    Lesson 6

    Respiratory Related Presentations

    Lesson 7

    Shock and Trauma Presentations

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  • Lesson 1: Cardiovascular Related Presentations

    Cardiovascular System

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  • Cardiac Arrest

    chest pain

    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
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  • Chest Pain

    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)
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  • Lesson 2: Gastrointestinal Related Presentations

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  • Abdominal Pain

    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
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  • Gastrointestinal Bleeding

    nurse

    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)
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  • Lesson 3: Toxicological Related Presentations

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  • Poisoning

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    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) 

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  • Lesson 4: Psychiatric Related Presentations

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  • Altered Mental Status

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    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)




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  • Lesson 5: Headache

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  • Headache

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    Competency 3.7 Understand the approach to headache

    Learning Objective:

    • Recognize emergent causes and identify diagnostic modalities and management





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  • Lesson 6: Respiratory Related Presentations

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  • Respiratory Distress

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    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



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  • Lesson 7: Shock and Trauma Presentations

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  • Shock

    woman

    Competency 3.9: Understand the approach to shock

    Learning Objectives

    • Describe the clinical manifestations that indicate shock
    • List potential causes (classifications) of shock 
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  • Trauma

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    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
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  • Module 4: Common Emergency Diseases


    Emergency Ambulance, Liverpool EnglandThis 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

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    Lesson 4

    Gastrointestinal Diseases

    Lesson 5

    Genitourinary Diseases

    Lesson 6

    Neurologic Diseases

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    Lesson 7

    Psychiatric Diseases

    Lesson 8

    Pulmonary Diseases

    Lesson 9

    Sepsis

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  • Lesson 1: Cardiovascular Diseases

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  • Abdominal Aortic Aneurysm

    abdominal

    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.

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  • Acute Coronary Syndrome

    Competency 4.2: Understand acute coronary syndrome



    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

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  • Acute Heart Failure

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    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

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  • Aortic Dissection

    chest pain

    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
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  • DVT/Pulmonary Embolism

    pulmonary

    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

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  • Lesson 2: Endocrine and Electrolyte Diseases

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  • Hyperglycemia

    checking blood sugar

    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

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  • Hyperkalemia

    potassium

    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

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  • Hypoglycemia

    blood sugar

    Competency 4.8: Understand hypoglycemia

    Learning Objectives:

    • Describe the common presentation of hypoglycemia
    • Describe the Emergency Department management of hypoglycemia
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  • Thyroid Storm

    man with thyroid

    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

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  • Lesson 3: Environmental Diseases

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  • Burns and Inhalation

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    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

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  • Envenomation

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    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

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  • Heat Illness

    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

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  • Hypothermia

    radiator

    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.

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  • Drowning

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    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

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  • Lesson 4: Gastrointestinal Diseases

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  • Appendicitis

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    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

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  • Biliary Disease

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    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
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  • Bowel Obstruction

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    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

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  • GI Bleed

    Competency 4.18: Understand massive GI bleed

    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

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  • Mesenteric Ischemia

    old woman

    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

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  • Perforated Viscus

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    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
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  • Lesson 5: Genito-urinary Diseases

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  • Ectopic Pregnancy

    ovarian pain

    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

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  • Pelvic Inflammatory Disease

    pelvic

    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

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  • Ovarian Torsion

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    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

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  • Testicular Torsion

    male

    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

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  • Lesson 6: Neurologic Diseases

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  • Acute Stroke

    wheelchair

    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
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  • Intracranial Hemorrhage

    ct scan

    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.
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  • Meningitis

    ICU

    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

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  • Epilepticus

    grinding teeth

    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

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  • Lesson 7: Psychiatric Diseases

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  • The Agitated Patient

    violence

    Competency 4.29: Understand the agitated patient

    Learning Objectives:

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

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  • Suicidal Ideation

    pills

    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
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  • Lesson 8: Pulmonary Diseases

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  • Asthma

    inhaler

    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
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  • COPD

    smoking

    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
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  • Pneumonia

    coughing man

    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

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  • Pneumothorax

    xray

    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

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  • Lesson 9: Sepsis

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  • Sepsis

    mrsa

    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

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  • Module 5: Common Emergency Procedures



    Patient, IV DripEmergency 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

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    Lesson 4

    Gastroenterology

    Lesson 5

    Genitourinary

    Lesson 6

    Orthopedic

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    Lesson 7

    Infection

    Lesson 8

    Trauma Management

    Lesson 9

    Wound Care

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  • Lesson 1: Access

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  • Peripheral Access

    cannula

    Competency 5.1: Demonstrate placement of an intravenous line

    Learning Objectives:

    • Demonstrate placement of an intravenous line

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  • Intraosseous Access

    shin2

    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 

    vein

    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



    Emergent airway

    Learning Objectives:

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

    bag-valve-mask

    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

    head and neck

    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
    • Required Learning Resources and Activities

    • Required Learning Resources and Activities

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  • Intubation

    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

    EKG

    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)

    AED

    Competency 5.10: Demonstrate appropriate use of an AED

    Learning Objectives:

    • Demonstrate appropriate use of an AED
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  • Defibrillation

    defibrillator

    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)

    heart massage

    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

    NG tube

    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

    foley

    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

    shoulder

    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

    broken arm

    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

    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

    victim

    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

    trauma victim

    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

    docs and nurses

    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

    doc scrubbing

    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

    needle and syringe

    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

    nurses cleaning a wound

    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

    stiches

    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

    meeting at table

    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

    Haze from space

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  • Lesson 1: The Role of the Emergency Department

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  • Referrals

    med team

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

    Learning Objectives
    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

    busy clinic

    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

    bedside manner

    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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