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| Emergency Medicine Homepage
This Emergency Medicine introductory course provides the foundational knowledge needed for an Emergency Medicine rotation for clinically-prepared medical students, residents, or practicing physicians. All parts of this training are free, including registration, learning, testing, and a certificate of completion.
This Emergency Medicine course was developed in partnership with the Emory University Center for Injury Control (a WHO Collaborating Center), the International Federation for Emergency Medicine (the global federation of national EM organizations), 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 the American Academy of Family Physicians, the American 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.
For a publication on this course’s efficacy, see “A Test of the First Course (Emergency Medicine) That Is Globally Available for Credit and for Free,” (2016), Healthcare, https://doi.org/10.1016/j.hjdsi.2016.02.003;
see also “Building Public Health Capacity through Online Global Learning,” (2018), Open Praxis, to see more research related to NextGenU.org’s educational model, check out NextGenU.org’s publication page. Subscribe to our newsletter to be notified of future updates, new courses, and to be part of our community.
There are two components to this course. The first component involves completing the modules which provide:
- A basic diagnostic and treatment approach to common emergency department presentations,
- Skills on patient management and communication,
- An overview of common emergency diseases.
Approximate time for completion of this course is 70 hours at an average reading rate of 144 words/minute.
In order to receive a certificate of completion, you will need to also complete the second, skills-based component of the course, which requires you to identify an Emergency Medicine physician as a mentor, for local observation and supervised
practice.
The results of your assessments will be provided to you, and we can report your testing information and share your work with anyone you request (school, employer, etc.). The evaluation you provide at the course’s conclusion will help us improve the
training for future students. We hope you find this Emergency Medicine course a wonderful learning experience!
The course requires the completion of mentored activities. At the end of each lesson, there is a practice quiz. At the end of the course, after you’ve completed each lesson, quiz, and activity, you’ll have access to a final exam, and a chance to assess
the training. Once you’ve passed that last test, you will be able to download a certificate of completion from NextGenU.org and our course’s co-sponsoring organizations (listed above). We keep all of your personal information confidential, never
sell any of your information, and only use anonymized data for research purposes, and we are also happy to report your testing information and share your work with anyone (your school, employer, etc.) at your request. We hope that you will find
this a rewarding learning experience, and we count on your feedback to help us improve this training for future students.
Engaging with this Course
You may browse this course for free to learn for your personal enrichment; there are no requirements. To obtain a certificate
- Show in the registration fields that you have the appropriate prerequisites to be certified. This course requires the learner to have already obtained a college-level degree.
- Take the brief pre-test.
- Complete all the reading requirements.
- Complete all quizzes and pass with a 70% with unlimited attempts..
- Complete 1 peer activity and associated certification quizzes.
- Find a mentor and complete the 13 required mentor activities.
- Successfully complete the final exam with a minimum of 70% and a maximum of 3 attempts.
- Complete the self and course evaluation forms.
To obtain credit
- Complete all requirements listed above for the certificate.
- Your learning institution or workplace should approve the partner-university-sponsored NextGenU.org course for educational credit, as they would for their learner taking a course anywhere.
- NextGenU.org is happy to provide your institution with:
- a link to and description of the course training, so they can see all its components, including the cosponsoring universities and other professional organization cosponsors;
- your grade on the final exam;
- your work products (e.g. peer and mentored activities), and any other required or optional shared materials that you produce and authorize to share with them;
- your evaluations - course, self, peer, and mentor assessments;
- a copy of your certificate of completion, with the co-sponsoring universities and other organizations listed.
To obtain a degree co-sponsored with NextGenU.org, registrants must be enrolled in a degree program as a student of a NextGenU.org institutional partner. If you think that your institution might be interested in offering a degree with NextGenU.org
contact us.
We hope that you will find this a rewarding learning experience, and we count on your assessment and feedback to help us improve this training for future students.
Next Steps
- Complete the registration form.
- Begin the course with Module 1: Basics of Emergency Medicine Patient Care. In each lesson, read the description, complete all required readings and any required activity, and take the corresponding quizzes.
Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 1: Basics of Emergency Medicine Patient Care
Competencies covered in this module:
- Understand medical history taking and physical examination.
- Recognize immediate life-threatening conditions .
- Know patient management skills.
- Understand health promotion for the patient.
Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 1: Lesson 1: Initial Assessments
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.
Approximate time required for the readings for this lesson (at 144 words/minute): 38 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 1: Lesson 2: 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 50 mins.
Click here to start this lesson
| Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
Module 1: Lesson 3: Patient Management Skills
Learning Objectives
- Develop an evaluation and treatment plan.
- Monitor the response to therapeutic interventions.
- Develop appropriate disposition and follow-up plans.
Approximate time required for the readings for this lesson (at 144 words/minute): 29 mins.
Click here to start this lesson |
| Module 1: Lesson 4: Health Promotion
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.
Approximate time required for the readings for this lesson (at 144 words/minute): 298 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Communication and Ethics
Competencies covered in this module:
- Learn humanistic qualities
- Know presentation skills
- Understand medical record documentation
- Effectively use information technology
- Establish a work ethic
- Practice ethical decision-making
- Practice professional behavior
Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Lesson 1: Humanistic Qualities
Learning Objectives:
- Effectively communicate with patients, family members, and other members of the health care team.
- Demonstrate a compassionate and non-judgmental approach when caring for patients.
Approximate time required for the readings for this lesson (at 144 words/minute): 50 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Lesson 2: Presentation Skills
Learning Objectives:
- Be able to present cases in a complete, concise, and organized fashion.
- Effectively communicate with consultants and admitting services.
Approximate time required for the readings for this lesson (at 144 words/minute): 54 mins.
| Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Lesson 3: Medical Record Documentation
Learning Objective:
- Be able to provide accurate and organized documentation in the medical record where appropriate.
Approximate time required for the readings for this lesson (at 144 words/minute): 190 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Lesson 4: 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 81 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Lesson 5: Work Ethic
Learning Objective:
- Learn the importance of conscientious behavior, honesty, and integrity.
Approximate time required for the readings for this lesson (at 144 words/minute): 165 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Lesson 6: 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 48 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 2: Lesson 7: 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 111 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Common Emergency Presentations and Diseases
Competencies covered in this module:
- Students should develop a differential diagnosis that is prioritized on potential life-threatening conditions and the likelihood of disease. Students should demonstrate a knowledge (or understanding) of basic diagnostic modalities and interpretation
of results. Most importantly, students should cultivate an appreciation of risk stratification and pretest probabilities for selected conditions.
Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
Module 3: Lesson 1: Cardiovascular Diseases and Presentations
Learning objectives
- Identify cardiac arrest on ECG/monitor, describe its initial treatment, and list its most common causes.
- Discuss the role of adequate chest compressions.
- Interpret electrocardiogram findings and the initial management of acute coronary syndrome.
- Describe common symptoms, diagnostic tests, and ED management of abdominal aortic aneurysm.
- Describe the presentation, diagnostic tests, and management of acute coronary syndrome.
- Describe the pathophysiology, presentation, and ED management of acute heart failure.
- Describe the presentation, ED management, and diagnostic tests of aortic dissection.
- Describe the presentation, diagnostic procedures, and ED management of DVT/PE.
Approximate time required for the readings for this lesson (at 144 words/minute): 720 mins.
Click here to start this lesson |
| Module 3: Lesson 2: Gastrointestinal Diseases and Presentations
Learning objectives
- Demonstrate the ability to identify a surgical abdomen.
- Discuss/explain the role of analgesia in patient management.
- Recognize hemodynamic instability and identify the probable source of bleeding.
- Understand the presentation, diagnostic tests, and ED management of appendicitis.
- Describe the presentation, diagnostic procedures, and ED management of common biliary diseases.
- Understand the pathophysiology, presentation, diagnostic tests, and ED management of bowel obstruction.
- Describe the presentation, causes, and ED management of massive GI bleeding.
- Describe the causes, presentation, diagnostic tests, and ED management of mesenteric ischemia.
- Describe the presentation, diagnostic tests, and ED management of a perforated viscus.
Approximate time required for the readings for this lesson (at 144 words/minute): 176 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 3: Environmental Diseases and Presentations
Learning objectives
- Describe common toxidromes and commonly available antidotes or treatments.
- Understand the pathophysiology of burns.
- Describe the initial assessment, classification, and ED management principles for burns.
- Describe the presentation and potential complications of inhalation injuries.
- Describe the presentation and ED management for envenomations.
- Understand the indications for antivenom.
- Describe the presentation and differences in diagnosis and ED management of classic and exertional heatstroke.
- Understand the difference between hypothermia, frostbite, and trench foot.
- Describe the clinical and ECG findings associated with hypothermia, and its ED management.
- Describe the presentation and ED management of a drowning incident.
- Understand investigations that may be used in drowning incidents.
Approximate time required for the readings for this lesson (at 144words/minute): 141 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 4: Psychiatric Related Diseases and Presentations
Learning objectives
- Recognize the breadth of the differential for altered mental status.
- List emergent causes for altered mental status.
- Describe the initial assessment and management options for an agitated patient.
- Describe the risk factors, psychiatric evaluation, and ED management of patients with suicidal ideation.
Approximate time required for the readings for this lesson (at 144 words/minute): 69 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 5: Headache
Learning Objectives:
- Recognize emergent causes and identify diagnostic modalities and management.
Approximate time required for the readings for this lesson (at 144 words/minute): 22 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 6: Respiratory Diseases and Presentations
Learning objectives
- Describe life-threatening causes, clinical manifestations, and the role of arterial blood gas in respiratory distress.
- Understand the presentation, diagnostic tests, and ED management for an acute asthma exacerbation.
- Describe the presentation and ED management of a COPD exacerbation.
- Understand the use of non-invasive positive pressure ventilation and intubation in severe COPD exacerbation.
- Describe the presentation, microbiology, diagnostic tests, and ED management of pneumonia.
- Describe the presentation, imaging tests, and ED management of pneumothorax.
Approximate time required for the readings for this lesson (at 144 words/minute): 116 mins.
Click here to start this lesson
| Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 7: Shock, Sepsis and Trauma
Learning objectives
- Describe the causes(classifications) and clinical manifestations of shock.
- Describe the initial evaluation of a trauma patient (primary and secondary survey).
- Promote injury control and prevention.
- Describe the screening for intimate partner violence.
- Describe the spectrum of sepsis syndromes and the use of Early Goal Directed Therapy in treating sepsis.
Approximate time required for the readings for this lesson (at 144 words/minute): 75 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 8: Endocrine and Electrolyte Diseases
Learning objectives
- Describe the classic presentation, ED investigations, and ED management of diabetic ketoacidosis and hyperosmolar hyperglycemic state.
- Describe the presentation, ECG changes, and ED management of hyperkalemia.
- Describe the presentation and ED management of hypoglycemia.
- Understand the pathophysiology, presentation, diagnostic tests, and ED management of thyroid storm.
Approximate time required for the readings for this lesson (at 144 words/minute): 76 mins.
Click here to start this lesson
| Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 9: Genitourinary Diseases
Learning objectives
- Describe the risk factors, diagnostic tests, and management options for ectopic pregnancy.
- Describe the risk factors, presentation, complications, diagnostic tests, and ED management of pelvic inflammatory disease/tubo-ovarian abscess.
- Describe the presentation, diagnostic tests, and ED management of ovarian torsion.
- Describe the presentation and initial ED management of testicular torsion.
Approximate time required for the readings for this lesson (at 144 words/minute): 75 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 3: Lesson 10: Neurologic Diseases
Learning objectives
- Describe the clinical presentation, initial ED investigations, and ED management of acute ischemic stroke.
- Describe the indications and contraindications for the use of thrombolytic therapy.
- Describe the presentation and diagnostic tests for intracranial hemorrhage.
- Understand the differences between types of intracranial hemorrhage and the interpretation of lumbar puncture in its diagnosis.
- Describe the presentation, diagnostic tests, and ED management of meningitis and encephalitis.
- Describe the work-up and management of first time and recurrent seizures.
- Understand the definition and ED management of status epilepticus.
Approximate time required for the readings for this lesson (at 144 words/minute): 111 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Common Emergency Procedures
Competencies covered in this module:
- Perform the procedures listed in the Data supplement S2 of the Emergency Medicine Clerkship Curriculum. In addition to proper technique, the focus should be given to recognizing the indications, contraindications, and complications associated with each. The student should be able to discuss aftercare and reasons to return for further evaluation with the patient.
Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Lesson 1: Access
Learning objectives
- Demonstrate placement of an intravenous line.
- Demonstrate basic phlebotomy technique.
- List the indications for an intraosseous line.
- Describe intraosseous insertion technique.
- 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 163 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Lesson 2: Airway Management
Learning objectives
- List the indications for emergency airway management.
- Demonstrate effective ventilation.
- List the factors that can make BVM difficult or impossible.
- Describe the roles and indications for various airway adjuncts.
- Demonstrate correct placement of a nasal and oral pharyngeal airway.
- 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 163 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Lesson 3: Arrhythmia Management
Learning objectives
- Correctly place the patient on a cardiac monitor.
- Demonstrate the ability to apply leads and obtain a 12-lead electrocardiogram.
- Demonstrate appropriate use of an AED.
- Recognize ventricular fibrillation and pulseless ventricular tachycardia.
- Demonstrate appropriate use of a defibrillator.
- Demonstrate effective chest compressions.
Approximate time required for the readings for this lesson (at 144 words/minute): 274 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Lesson 4: Nasogastric Intubation
Learning Objectives:
- 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 10 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Lesson 5: GU Catheterization
Learning Objectives:
- Demonstrate the correct placement of a Foley (male and female) catheter.
Approximate time required for the readings for this lesson (at 144 words/minute): 78 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Lesson 6: Orthopedic
Learning objectives
- List the indications for emergency joint reduction.
- Describe the initial assessment of a suspected dislocated joint.
- List several types of extremity splints and their indications.
- Demonstrate the correct application of a splint.
- Describe complications associated with splints.
Approximate time required for the readings for this lesson (at 144 words/minute): 94 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 4: Lesson 7: Infection: 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 20 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
Module 4: Lesson 8: Trauma Management
Learning objectives
- List the steps of primary survey in trauma.
- Demonstrate maintenance of C-spine stabilization.
- List the components of a FAST ultrasound examination.
- Recognize an abnormal FAST ultrasound examination.
Approximate time required for the readings for this lesson (at 144 words/minute): 145 mins.
Click here to start this lesson |
| Module 4: Lesson 9: Wound Care
Learning objectives
- List the factors that go into the decision to close a wound primarily.
- Describe the difference between a clean and dirty wound.
- Explain local and regional (digital) anesthetic techniques.
- Describe the maximum doses of lidocaine.
- Demonstrate the application of local anesthesia.
- Describe the role or sterility in wound irrigation and repair.
- Explain proper irrigation technique.
- Describe how to detect a retained foreign body.
- 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.
Approximate time required for the readings for this lesson (at 144 words/minute): 144 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 5: Systems-Based Practice
Competencies covered in this module:
- Recognize when patients should be appropriately referred to the emergency department.
- Recognize the role of the emergency department in the community, including access to care and its impact on patient care
- Understand the indications, costs, risks, and evidence behind commonly performed emergency department diagnostic procedures
- Recognize the importance of arranging appropriate follow-up plans for patients being discharged from the emergency department
Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 5: Lesson 1: Referrals
Learning Objectives:
- Recognize the importance of appropriate referrals to the Emergency Department.
Approximate time required for the readings for this lesson (at 144 words/minute): 57 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 5: Lesson 2: Community Awareness
Learning Objectives:
- Be aware of the resources available in your community.
Approximate time required for the readings for this lesson (at 144 words/minute): 45 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 5: Lesson 3: Costs in the Emergency Department
Learning Objectives:
- Develop a basic understanding of the cost of diagnostic tests in the emergency department.
Approximate time required for the readings for this lesson (at 144 words/minute): 38 mins.
Click here to start this lesson | Required readingsOptional readingsPeer ActivitiesQuizzesAssignmentsDiscussionsQuestionnare |
| Module 5: Lesson 4: Follow-Up Plans
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.
Approximate time required for the readings for this lesson (at 144 words/minute): 8 mins.
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| Final Exam
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| Course and Self Evaluation & Certificate
In this section, you can provide feedback about this course to help us make NextGenU.org better. Once evaluations are completed, you will be able to download your certificate of completion.
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