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Emergency Medicine

Competencies
  • General


    General
    • Course Registration Questionnaire
    • Pre-Test Quiz
    • Peer Corner Forum
  • How to create an account and enroll in the course?

       

       

    • 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: 

      1. A basic diagnostic and treatment approach to common emergency department presentations,
      2. Skills on patient management and communication,
      3. 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.

      • Module 1: Basics of Emergency Medicine Patient Care

        Competencies covered in this module:
        5874
        • Understand medical history taking and physical examination.
        • Recognize immediate life-threatening conditions .
        • Know patient management skills.
        • Understand health promotion for the patient.

        Click here for the brief module introduction
        • 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. 



      • 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
        2 URLs, 2 Forums, 2 Games
        • Required Learning Resources and Activities
        • Foundations of Physical Examination and History Taking URL

          Review the entire text

        • A Practical Guide to Clinical Medicine URL

          Read all the sections on history taking and the physical exam

        • Discussion: Describe the Emergency Medical System in your country Forum

          This is an informal assignment. Please discuss the Emergency Medical System in your country.

        • Quiz: Module 1: Lesson 1
          Restricted Not available unless:
          • The activity Course Registration is marked complete
          • The activity Pre-Test is marked complete

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Peer Activity: Focused Physical Assessment Forum

          Instructions: The purpose of this activity is for you to practice a focused assessment based on a patient’s chief complaint. You will perform 3 roles: 

          1. the learner who will act as the healthcare provider 
          2. the patient and 
          3. the peer evaluator. 

          Please follow the steps listed below to complete this assignment. 

          Step 1: Form groups of 2 and determine who will act as the healthcare provider for the first simulation event. Later in the simulation, you will switch roles so that both learners have the opportunity to practice as the healthcare provider. 

          Step 2: Review this video:  

           

           

          Step 3: 

          Practitioner: Acting as if you are the healthcare provider and your peer is the patient presented in the simulation video, conduct a focused physical assessment based on the patient’s chief complaint.

          Patient: Allow your peer to perform the focused physical assessment as if you are the patient.

          Step 4: Switch roles and complete the simulation a second time. 

          Step 5: Complete the Peer Activity Completion Quiz below.

          Step 6: Review the key provided and complete the Key Quiz in the following item.

        • Additional Learning Options
        • NextGenU.org Emergency Medicine Word Game
        • Crossword Game
        • Focused Physical Assessment Key and Quiz
          Restricted Not available unless: The activity Peer Activity: Focused Physical Assessment is marked complete
      • 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
        2 URLs, 1 Quiz, 1 Forum, 3 Games
        • Required Learning Resources and Activities
        • Recognizing life-threatening emergencies URL

          Read the entire text.

        • The recognition of a sick patient URL

          Read the entire text.

        • Quiz: Module 1: Lesson 2

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Additional Learning Options
        • Emergency Medicine Experience Forum

          Briefly describe an experience you have had with a patient who was difficult to diagnose.

        • NextGenU.org Emergency Medicine Word Game
        • Crossword Game
        • Cryptex Game
      • 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

        1 URL, 1 Quiz
        • Required Learning Resources and Activities
        • A Practical Guide to Clinical Medicine: Clinical Decision Making URL

          Read the entire text

        • Quiz: Module 1: Lesson 3

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      • 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
        2 URLs, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Ottawa Charter for Health Promotion URL

          Read the entire text

        • 5 Tips for Generating Patient Satisfaction and Compliance URL

          Read the entire text

        • Quiz: Module 1: Lesson 4

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Health Promotion in Your Community (260 minutes) Forum

          In this activity, you will explore health promotion initiatives in your community and write a discussion forum to describe them.

          Step 1. Explore (30 minutes)

          Look for existing health promotion initiatives in your community. It can be a television commercial, radio or newspaper advertisement, or a social media post. Select one health promotion initiative of your interest.

          Step 2. Analyze (30 minutes)

          Analyze how the selected health promotion initiative is able to address the following questions:

          • What particular health behavior does it aim to address?
          • How does it educate people to adapt to healthy behaviors without compromising safety?
          • How does it provide anticipatory guidance to patients suffering from health behavior?
          • Can the health promotion initiative be adapted to address addiction-related behavior such as habitual cannabis and alcohol consumption? How?

          Step 3. Respond (180 minutes)

          Respond by writing a 300-600 word discussion forum that describes the selected health promotion, including the four questions in Step 2. 

          Step 4: Share (10 minutes)

          To share your work, click on the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

          Step 5: Interact (10 minutes)

          To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”

      • Module 2: Communication and Ethics

        Competencies covered in this module:
        4725
        • 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

        Click here for the brief module introduction
        • 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. 

      • 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
        3 URLs, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Interprofessional Education URL

          Go through the entire module

        • Being Patient-Centred URL

          Read this section only

        • Patient-Doctor Communication URL

          Read the entire text

        • Quiz: Module 2: Lesson 1

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - A Compassionate Approach Forum

          Do you think it is important to have a compassionate approach in treating patients? Why or why not?

      • 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.

          Click here to start this lesson
        1 URL, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • A Practical Guide to Clinical Medicine: Overview and General Information about Oral Presentation URL

          Read the entire text

        • Quiz: Module 2: Lesson 2

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Presentation Skills Forum

          Many people are uncomfortable giving oral presentations. Describe your level of comfort in giving oral presentations.

        • Additional Learning Options
      • 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
        3 URLs, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Case Write-Ups URL

          Read the entire text

        • Good Practices Guide: Documentation URL

          Read this web page and then the content of all the sections found under the heading titled "Documentation" located on the left side of the web page.  Then, review the two eLearning activities found at the bottom of the section titled "Importance of medical records" if you are interested.

        • Documentation Review Addiction Counselor Exam URL

          Watch the entire video. (78 minutes)

        • Quiz: Module 2: Lesson 3

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Documentation Forum

          Discuss a time when inaccurate or disorganized documentation hindered your ability to care for a patient appropriately.

      • 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

        4 URLs, 1 Quiz, 1 Forum, 1 Game
        • Required Learning Resources and Activities
        • Making Information Technology a Team Player URL

          Read this article about using information technology in clinical practice

        • Can Electronic Clinical Documentation Help Prevent Diagnostic Errors? URL

          Read this article to learn more about whether and how electronic documentation can prevent diagnostic errors

        • Can Emergency Medicine Residents Reliably Use the Internet to Answer Clinical Questions? URL

          Read this article to learn about whether clinicians should rely on Internet to answer clinical questions in the emergency department

        • Quiz: Module 2: Lesson 4

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Information Technology Forum

          How could your country's use of information technology be improved in order to optimize patient care?

        • Additional Learning Options
        • Evidence Search and Rescue URL

          Review the different sections in this module on using information technology to complete literature searches.  Use the links if your institution provides access to the search engines; otherwise, just review the concepts.

        • NextGenU.org Emergency Medicine Word Game
      • 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
        1 URL, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Medical Professionalism in the New Millennium: A Physician's Charter URL

          Read the entire text

        • Quiz: Module 2: Lesson 5

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Topic: Being On Time (140 minutes) Forum

          In this activity, you will write a discussion forum to address a hypothetical question that displays the importance of conscientious behavior, honesty, and integrity.

          Step 1. Analyze (30 minutes)

          Study this question below:

          “What would you do if you knew that your co-worker was late for work and consumes an unusual amount of opioids in your office habitually?

          Step 2. Respond (105 minutes)

          Prepare a 200-400 word response to address the question in Step 1 with the following inclusions:

          • Initial actions/steps that you will take to address the following:
            • Observed habitual tardiness
            • Observed improper drug consumption at work
          • Strategies on how to instill the value of conscientious behavior, honesty, and integrity in your workplace

          Step 3: Share (10 minutes)

          To share your work, click on the “Add a new discussion topic” button under this post and paste your work into the “Message” box. Make sure to reference others’ intellectual property when necessary. All references should follow 7th Edition APA formatting. For further instructions, see the resource on the Himmelfarb Health Sciences Library: APA citation resource (N.B. references are excluded from word counts).

          Step 4: Interact (10 minutes)

          To complete the activity, you will need to reply to at least two posts made by your peers in a respectful and professional manner. Ensure that your post engages your peers' ideas by including a reflection on their comments, sharing ideas of other potential difficulties and parties involved, or asking thought-provoking questions. If a peer comments on your posting, please reply. To post a reply, click “Reply” on a particular discussion, write your feedback and then click on “Post to forum.”

      • 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
        1 URL, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Clinical Ethics and Law URL

          Read all the sections on law and ethics, and review cases 1 and 2

        • Quiz: Module 2: Lesson 6

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Ethics Forum

          Describe the ways in which medical ethics and the law can overlap in your country (for example, on issues of access to care or informed consent).

      • 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
        2 URLs, 1 Quiz, 2 Forums
        • Required Learning Resources and Activities
        • The Practice Guide URL

          Read the text.

        • Medical Professionalism in the New Millennium: A Physician's Charter URL

          Read the entire text

        • Quiz: Module 2: Lesson 7

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Peer Activity: Professional Behavior in Healthcare Forum

          Instructions: In this activity, you will perform 2 roles: 1) the learner who will respond to the prompt below (steps 1-2) and 2) the peer evaluator (steps 3-4). Please review and complete each step of the assignment listed below

          Step 1: Read the scenario provided below.

          In a recent visit to the primary care provider, Amy confided in the nurse about a personal difficulty, unrelated to her medical condition, that she is experiencing. After Amy left the office the nurse shared this private information with other employees in the practice who are not involved in Amy’s care. The patients in the waiting room also overheard the nurse share this personal information with other office staff.

          Step 2: Compose a 200-400 word essay responding to this interchange within the office. Please review the reflection questions below and provide your answers to them in your response.  

          Reflection questions:

          • How could the nurse have expressed compassion, service, and trustworthiness in this situation?
          • What principles of practice and duties could the nurse have implemented to ensure that her behaviors were professional?

          Step 3: Review one of your peer’s responses and provide an evaluation based on the following questions.

          Evaluation questions:

          • Did your peer describe how the nurse could have expressed compassion, service, and trustworthiness in this situation?
          • Did your peer discuss what principles of practice and duties the nurse could have implemented to ensure that her behaviors were professional?
        • Discussion Question - Fundamental Principles Forum

          Which of the following principles do you think is most important to medical professionalism, and why?

          a) Primacy of patient welfare
          b) Patient autonomy
          c) Social justice

      • Module 3: Common Emergency Presentations and Diseases

        Competencies covered in this module:
        3399
        • 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.

        Click here for the brief module introduction
        • This module focuses on core presentations and disease entities that are commonly encountered 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.  You also should have an understanding of the basic pathophysiology of these diseases, and understand the workup and management of such cases.

          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 the 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.

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



      • 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
        8 URLs, 7 Quizzes, 5 Forums, 2 Games
        • Required Learning Resources and Activities
        • CDEM - Cardiac Arrest URL

          Read the entire text

        • Quiz: Module 3: Lesson 1: Cardiac Arrest
          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
        • Chest Pain URL

          Read the entire text.

        • Chest Pain - Merck Manual URL

          Read the entire text

        • Quiz: Module 3: Lesson 1: Chest Pain

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Chest Pain Forum

          What are some of the most common differential diagnoses for cardiac arrest in your country or region?

        • Abdominal Aortic Aneurysm. URL

          Read the entire web page.

        • Quiz: Module 3: Lesson 1: Abdominal Aortic Aneurysm

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Abdominal Aortic Aneurysm Forum

          If you had a patient with AAA who had been safely discharged, what kind of changes to their diet or lifestyle would you advise them to make in order to attempt to minimize future risk?

        • Acute Coronary Syndromes URL

          Read the entire text

        • Quiz: Module 3: Lesson 1: Acute Coronary Syndromes
          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
        • Congestive Heart Failure URL

          Read the entire text

        • Quiz: Module 3: Lesson 1: Congestive Heart Failure

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Congestive Heart Failure Forum

          Why do you think congestive heart failure is so common in North America? Is it as common in the country/region where you live?

        • Thoracic Aortic Dissection URL

          Read the entire text

        • Quiz: Module 3: Lesson 1: Thoracic Aortic Dissection

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion question: Thoracic Aortic Dissection Forum

          Several methods of diagnostic testing for thoracic aortic dissection are described in the reading for this competency. Which methods of diagnostic testing do you have access to in your ED? Which ones do you use most often?

        • Pulmonary Embolus URL

          Read the entire text

        • Quiz: Module 3: Lesson 1: Pulmonary Embolus

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Pulmonary Embolus Forum

          What are some typical characteristics of patients diagnosed with a pulmonary embolus?

        • Additional Learning Options
        • NextGenU.org Emergency Medicine Word Game (Cardiac Arrest)
        • Crossword(Acute coronary syndrome) Game
      • 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
        9 URLs, 8 Quizzes, 8 Forums, 1 Game
        • Required Learning Resources and Activities
        • Abdominal Pain URL

          Read the entire text

        • Acute Abdomen URL

          Please read the entire text.

        • Quiz: Module 3: Lesson 2: Abdominal Pain

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Abdominal Pain Forum

          What are some of the most common sources of abdominal pain in your country or region?

        • GI Bleed URL

          Read the entire text

        • Quiz: Module 3: Lesson 2: GI Bleed

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Gastrointestinal Bleeding Forum

          What are some of the most rare causes of gastrointestinal bleeding in your country or region?

        • Appendicitis. URL

          Read the entire text

        • Quiz: Module 3: Lesson 2: Appendicitis

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Appendicitis Forum

          If a woman presented to the ED with symptoms of appendicitis, how would you approach their case differently, compared to a male presenting with symptoms of appendicitis?

        • Biliary Disease URL

          Read the entire text

        • Quiz: Module 3: Lesson 2: Biliary Disease

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Biliary Disease Forum

          Which tools of diagnostic testing for biliary disease do you have access to in your ED? Which ones do you use most often?

        • Small Bowel Obstruction URL

          Read the entire text

        • Quiz: Module 3: Lesson 2: Small Bowel Obstruction

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Small Bowel Obstruction Forum

          Explain briefly why strangulation is the most lethal complication of small bowel obstruction.

        • Massive Gastrointestinal Bleeding URL

          Read the entire text

        • Quiz: Module 3: Lesson 2: Massive Gastrointestinal Bleeding

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Massive Gastrointestinal Bleeding Forum

          Is any one cause of massive gastrointestinal bleeding more common than the others in your country/region? If so, what population tends to be most affected by this?

        • Mesenteric Ischemia URL

          Read the entire text

        • Quiz: Module 3: Lesson 2: Mesenteric Ischemia

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Mesenteric Ischemia Forum

          Imagine you had to describe mesenteric ischemia to someone with no medical knowledge. How would you explain this disease in simple terms?

        • Perforated Viscus URL

          Read the entire text

        • Quiz: Module 3: Lesson 2: Perforated Viscus

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Perforated Viscus Forum

          Describe why cases of perforated viscus have a mortality rate of 30-50%, even with appropriate surgical and post-surgical care.

        • Additional Learning Options
        • Crossword(Small Bowel Obstruction) Game
      • 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
        6 URLs, 6 Quizzes, 6 Forums
        • Required Learning Resources and Activities
        • Poisonings URL

          Read the entire text

        • Quiz: Module 3: Lesson 3: Poisonings

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Poisonings Forum

          Think about the cases of poisonings you have seen in the ED. Are the majority of them intentional or accidental poisonings? Does your answer surprise you in any way?

        • Burns and Smoke Inhalation URL

          Read the entire text

        • Quiz: Module 3: Lesson 3: Burns and Smoke Inhalation

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Burns and Smoke Inhalation Forum

          What are some of the most difficult or challenging aspects about treating patients for burns and/or smoke inhalation?

        • Envenomation URL

          Read the entire text

        • Quiz: Module 3: Lesson 3: Envenomation

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Envenomation Forum

          How often do patients present to your ED with envenomation? What are the most typical causes of envenomation in your country/region?

        • Heat Related Illness URL

          Read the entire text

        • Quiz: Module 3: Lesson 3: Heat Related Illnes

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Heat Illness Forum

          In simple terms, describe the differences between classic heatstroke and exertional heatstroke. Which is more common in your country/region?

        • Hypothermia. URL

          Read the entire text

        • Quiz: Module 3: Lesson 3: Hypothermia

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Hypothermia Forum

          Outline the reasons why shivering is present in patients with mild hypothermia, but not in patients with moderate or severe hypothermia.

        • Drowning. URL

          Read the entire text

        • Quiz: Module 3: Lesson 3: Drownin

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Drowning Forum

          Give an example of secondary drowning. If you describe a case you have actually witnessed, do not use any identifying information about the patient or the case.

      • 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
        3 URLs, 3 Quizzes, 3 Forums, 1 Game, 1 SCORM package
        • Required Learning Resources and Activities
        • Altered Mental Status. URL

          Read the entire text

        • Quiz: Module 3: Lesson 4: Altered Mental Status

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Altered Mental status Forum

          Discuss some of your preferred methods of gathering information about a patient presenting to the ED with altered mental status.

        • The Agitated Patient URL

          Read the entire text

        • Quiz: Module 3: Lesson 4: The Agitated Patient

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - The Agitated Patient Forum

          Have you ever encountered a patient in the ED who made you fear for your safety? How did you handle the situation? Do not use any identifying information.

        • Suicidal Patient URL

          Read the entire text

        • Quiz: Module 3: Lesson 4: Suicidal Patient

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - The Suicidal Patient Forum

          What are the most challenging aspects of evaluating and treating a suicidal patient?

        • Additional Learning Options
        • Cryptex(Altered Mental Status) Game
        • Quiz : Addiction in Emergency Medicine SCORM package
          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.
      • 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
        2 URLs, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Headache URL

          Read the entire text.

        • Approach to the Patient With Headache URL

          Read the entire text

        • Quiz: Module 3: Lesson 5: Headache

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Headache Forum

          What are some of the most severe symptoms you have seen in a patient presenting with headache? Make sure not to use any identifying details.

      • 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

        5 URLs, 5 Quizzes, 5 Forums, 2 Games
        • Required Learning Resources and Activities
        • The Approach to Respiratory Distress URL

          Read the entire text

        • Quiz: Module 3: Lesson 6: Respiratory Distress
        • Discussion Question - Respiratory Distress Forum

          What is the average age of patients presenting with respiratory distress in your ED? What are some reasons that might explain this average age?

        • Asthma. URL

          Read the entire text

        • Quiz: Module 3: Lesson 6: Asthma
          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
        • Discussion Question - Asthma Forum

          How would you explain asthma in simple terms to the parent of a newly-diagnosed child? What kind of questions do you think they might have about asthma?

        • COPD. URL

          Read the entire text

        • Quiz: Module 3: Lesson 6: COPD

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - COPD Forum

          The vast majority of COPD cases are due to smoking. Comment on the ethical debate about treating a patient suffering from COPD who continues to smoke.

        • Pneumonia . URL

          Read the entire text

        • Quiz: Module 3: Lesson 6: Pneumonia

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Pneumonia Forum

          What should you do differently when treating an immune-compromised patient for pneumonia?

        • Pneumothorax . URL

          Read the entire text

        • Quiz: Module 3: Lesson 6: Pneumothorax

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Pneumothorax Forum

          What are some of the greatest dangers related to mis-diagnosing a pneumothorax or leaving it untreated?

        • Additional Learning Options
        • Crossword(Respiratory Distress) Game
        • Cryptex(Asthma) Game
      • 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
        3 URLs, 3 Quizzes, 3 Forums, 1 File, 1 Game
        • Required Learning Resources and Activities
        • Shock . URL

          Read the entire text

        • Quiz: Module 3: Lesson 7: Shock

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Shock Forum

          Describe the most typical treatments for hypovolemic shock in your country/region.

        • Trauma . URL

          Read the entire text.

        • Stanford Trauma Service Housestaff Manual (copy) File

          Read pages 3 to 10

        • Quiz: Module 3: Lesson 7: Trauma

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Trauma Forum

          How are you affected emotionally when you are exposed to a trauma patient in the ED?

        • Sepsis . URL

          Read the entire text

        • Quiz: Module 3: Lesson 7: Sepsis

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Sepsis Forum

          What is the most typical presentation of sepsis in your ED?

        • Additional Learning Options

        • Cryptex(Trauma) Game
      • 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

        4 URLs, 4 Quizzes, 4 Forums
        • Required Learning Resources and Activities
        • Hyperglycemia URL

          Read the entire text

        • Quiz: Module 3: Lesson 8: Hyperglycemia

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Hyperglycemia Forum

          What are some co-existing illnesses that may precipitate diabetic ketoacidosis or hyperosmolar hyperglycemic state? How common are these illnesses in your country/region, and what populations do they typically affect?

        • Hyperkalemia . URL

          Read the entire text

        • Quiz: Module 3: Lesson 8: Hyperkalemia

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Hyperkalemia Forum

          What are some of the most common differential diagnoses of hyperkalemia in your country/region?

        • Hypoglycemia . URL

          Read the entire text

        • Quiz: Module 3: Lesson 8: Hypoglycemia

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Hypoglycemia Forum

          Describe why it is important to consider hypoglycemia in a patient presenting to the ED with altered mental status, and how the patient could be affected.

        • Thyroid Storm URL

          Read the entire text

        • Quiz: Module 3: Lesson 8: Thyroid Storm

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Thyroid Storm Forum

          Thyroid storm is a rare condition. If you have encountered this disease in your practice, describe (without using any identifying information) the patient's condition when they first presented to the ED, and how you diagnosed and treated the disease.

      • 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
        4 URLs, 4 Quizzes, 4 Forums, 2 Games
        • Required Learning Resources and Activities
        • Ectopic Pregnancy URL

          Read the entire text

        • Quiz: Module 3: Lesson 9: Ectopic Pregnancy

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Ectopic Pregnancy Forum

          Explore the reasons why smoking is a risk factor for ectopic pregnancy.

        • Pelvic Inflammatory Disease and Tubo-ovarian Abscess URL

          Read the entire text

        • Quiz: Module 3: Lesson 9: Pelvic Inflammatory Disease and Tubo-ovarian Abscess

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - PID and TOA Forum

          Are there any cultural issues in your country/region surrounding male doctors treating female patients for gynecologic diseases like PID and TOA?

        • Ovarian Torsion URL

          Read the entire text

        • Quiz: Module 3: Lesson 9: Ovarian Torsion

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Ovarian Torsion Forum

          What is the most difficult or challenging aspect of diagnosing ovarian torsion in the ED?

        • Testicular Torsion URL

          Read the entire text

        • Quiz: Module 3: Lesson 9: Testicular Torsion

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Testicular Torsion Forum

          Explain why different age groups are differently affected by testicular torsion, torsion of testicular appendage, and epididymitis.

        • Additional Learning Options
        • NextGenU.org Emergency Medicine Word Game(Ovarian Torsion)
        • Crossword(Ectopic pregnancy) Game
      • 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
        4 URLs, 4 Quizzes, 4 Forums
        • Required Learning Resources and Activities
        • Ischemic Stroke URL

          Read the entire text

        • Quiz: Module 3: Lesson 10: Ischemic Stroke

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Ischemic Stroke Forum

          Outline some reasons why it is so important to meet the time limit of three hours between symptom onset and delivery of thrombolytics. What could happen to the patient after this time limit?

        • Intracranial Hemorrhage URL

          Read the entire text

        • Quiz: Module 3: Lesson 10: Intracranial Hemorrhage

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Intracranial Hemorrhage Forum

          Imagine that two parents bring their infant to your ED with symptoms of subdural hematoma. Upon examination, you suspect that this is due to physical abuse ('Shaken Baby Syndrome').

          Who would you need to inform of this situation (e.g., your supervisor, a social worker, etc.)?

        • Meningitis & Encephalitis URL

          Read the entire text

        • Quiz: Module 3: Lesson 10: Meningitis & Encephalitis

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Meningitis Forum

          What is the mortality rate of bacterial meningitis in your country/region?

        • Seizure & Status Epilepticus URL

          Read the entire text

        • Quiz: Module 3: Lesson 10: Seizure & Status Epilepticus

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

        • Discussion Question - Status Epilepticus Forum

          Imagine that a patient has been treated for recurring seizures in your ED, and you have determined that medication non-compliance is the primary factor behind the patient's seizure. What could you do in order to increase the patient's medication compliance, both immediately and in the long-term?

      • Module 4: Common Emergency Procedures

        Competencies covered in this module:
        /884
        • 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.

        Click here for the brief module introduction
        • 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.

      • 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
        7 URLs, 2 Assignments, 3 Quizzes, 2 Forums
        • Required Learning Resources and Activities
        • IV access URL

          Go through this entire module

        • Blood Collection: Routine Ventipuncture and Specimen Handling URL
        • Mentored Activity: Perform IV insertions under supervision. Assignment

          Ask your supervisor to review the materials related to the insertion of an intravenous catheter along with any institutional specific policies and procedures with you and guide you in the practice of establishing intravenous access. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity pass/fail.

        • Quiz: Module 4: Lesson 1: IV Access

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - IV Access Forum

          Have you ever had a patient become frustrated with an unsuccessful attempt to insert an IV? Describe this experience. Do not use any identifying information.

        • Intraosseous Access URL

          Review only the sections regarding intraosseous access. 

        • Pediatric intraosseous access URL
        • Intraosseous Access with EZ IO Drill URL
        • Quiz: Module 4: Lesson 1: Intraosseous Access

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Central Line Insertion URL

          Read the checklist

        • Indications for Central Line Placement URL

          Read the entire text

        • Quiz: Module 4: Lesson 1: Central Line Insertion

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Mentored Activity: Central line insertion Assignment

          Ask your supervisor to review the materials related to the insertion of a central venous catheter along with any institutional specific policies and procedures with you and guide you in the practice of the insertion of a central venous line. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Central Line Insertion Forum

          If you had to give three pieces of advice to a student about central line insertion, what would you say?

      • 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
        7 URLs, 4 Quizzes, 3 Forums, 2 Assignments
        • Required Learning Resources and Activities
        • Airway Establishment and Control URL

          Review Table 1

        • Quiz: Module 4: Lesson 2: Airway Establishment and Control

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Airway Management Forum

          What are three key pieces of advice that you wish the general public would know about the Heimlich maneuver?

        • Basic Airway Management URL

          Go through this entire module

        • Quiz: Module 4: Lesson 2: Basic Airway Management

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Basic Airway Management Forum

          Name three possible negative consequences the patient may face if airway management fails to precede all other treatments.

        • Mentored Activity: Bag-mask ventilation Assignment

          Ask your supervisor to review the institutional specific policies and procedures for bag-mask ventilation with you along with the proper positioning of the patient. Ask him/ her to guide you in the practice of ventilating a patient using this method and practice this skill until you are comfortable. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Airway . URL

          Please click the link provided and review the entire page.

        • Oropharyngeal Airway URL

          Please watch the entire video.

        • Nasopharyngeal Airway URL

          Please watch the entire video.

        • Supraglottic Airway Devices URL

          Read the 4 sections labeled:


          • Clinical Use of Supraglottic Airway Devices
          • Complications of Supraglottic Airway Devices
          • Contraindications for Use of Supraglottic Airway Devices
          • Tips and Tricks for Successful Use of Supraglottic Airway Devices

        • Quiz: Module 4: Lesson 2: Airway Management

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Mentored Activity: Airway Adjunct Insertion Assignment

          Ask your supervisor to review the materials related to the insertion of airway adjuncts along with any institutional specific policies and procedures with you and guide you in the practice of the insertion of airway adjuncts.

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Advanced Airway Management URL

          Go through this entire module

        • Quiz: Module 4: Lesson 2: Advanced Airway Management

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Advanced Airway Management Forum

          Describe the correct head and neck position for airway management, and why this position is important.

      • 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
        8 URLs, 3 Quizzes, 4 Assignments, 4 Forums, 1 Game
        • Required Learning Resources and Activities
        • Cardiac Monitoring URL

          Review the chart for cardiac monitoring lead placement

        • ECG Interpretation: How to Obtain a Good Quality ECG URL

          Read the entire text

        • Analysis and Interpretation of the Electrocardiogram URL

          Go through this entire module

        • Quiz: Module 4: Lesson 3: Cardiac Monitoring

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Mentored Activity: Cardiac Monitor Placement Assignment

          Ask your supervisor review and demonstrate the application of a 12 lead cardiac monitor to obtain an EKG with you, including institutional policy and procedure. Ask him/ her to guide you in the application of the monitor. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Cardiac Monitoring Forum

          Describe two ways in which supraventricular tachycardia can be distinguished from ventricular tachycardia.

        • Discussion Question - ECG Interpretation Forum

          What are the biggest challenges or difficulties you've had in learning to interpret ECGs?

        • Part 6: Electrical Therapies: Automated External Defibrillators, Defibrillation, Cardioversion, and Pacing URL

          Review section on AEDs

        • Mentored Activity: AED application and use Assignment

          Ask your supervisor to review and demonstrate the application and use of an AED with you, including institutional policy and procedure. Ask him/ her to guide you in the application and use of an AED.

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Automated External Difibrillators Forum

          How common are AEDs outside of your hospital (e.g., are they commonly available in airports, casinos, or in private residences)?

        • Ventricular Tachycardia URL

          Read the entire text

        • Ventricular Fibrillation URL

          Read the entire text

        • Part 6: Electrical Therapies: Automated external defibrillators, Defibrillation, Cardioversion and Pacing URL

          Review the section on defibrillation

        • Mentored Activity: Defibrillator Assignment

          Ask your mentor to review the operation of the defibrillator available at your institution with you along with along any relevant institutional specific policies and procedures. Ask him/ her to guide you in the use of the defibrillator.

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Quiz: Module 4: Lesson 3: Defibrillator

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • How To Do CPR - Adult URL

          Read the webpage to learn how to perform chest compressions.

          For supplemental learning, view the image.


        • Quiz: Module 4: Lesson 3: CPR

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Mentored Activity: Chest Compressions Assignment

          Ask your supervisor to review, demonstrate and guide you in the performance of chest compressions.

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Chest Compressions Forum

          Have you ever had to perform CPR in a situation outside of your ED or other medical setting? If so, describe this experience without using any identifying information.

        • Additional Learning Options

        • NextGenU.org Emergency Medicine Word Game(Cardiac Monitoring)
      • 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
        1 URL, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Nasogastric Tube Insertion URL

          Read the entire text

        • Quiz: Module 4: Lesson 4:

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Nasogastric Tube Insertion Forum

          What can you do to relieve a patient's discomfort when inserting a nasogastric tube?

      • 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
        1 URL, 1 Assignment, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Urinary Catheterization URL

          Go through the entire module

        • Mentored Activity: Catheterization Assignment

          Ask your supervisor to review the materials related to the insertion of urinary catheters along with any institutional specific policies and procedures with you and guide you in the practice of the insertion of a urinary catheter.

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Quiz: Module 4: Lesson 5:

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Catheterization Forum

          What can the physician do to reduce some of the risks associated with catheterization?

      • 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
        3 URLs, 1 Quiz, 1 Assignment, 1 Forum, 1 Game
        • Required Learning Resources and Activities
        • Overview of Musculoskeletal Injuries URL

          Read the entire text

        • Overview of Dislocations URL

          Read the entire text

        • Quiz: Module 4: Lesson 6: Dislocations

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Cast Application URL

          Go through the module up to Step 10

        • Mentored Activity: Casting and splinting principles Assignment

          Ask your supervisor to review and demonstrate casting/splinting principles with you, including institutional policies and procedures. Ask him/ her to guide you in the application of a splint. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Cast Application Forum

          What are some of the greatest challenges about applying a cast on young children?

        • Additional Learning Options

        • Crossword(Joint Reduction) Game
      • 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
        1 URL, 1 Quiz
        • Required Learning Resources and Activities
        • Abscess Incision and Drainage URL

          Read the entire text

        • Quiz: Module 4: Lesson 7:

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

      • 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
        3 URLs, 2 Quizzes, 3 Forums, 1 Assignment
        • Required Learning Resources and Activities

        • Trauma . URL

          Read the section on primary survey

        • Quiz: Module 4: Lesson 8: Trauma

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Primary Survey in Trauma Forum

          Describe why the pelvis is an important area to assess during a primary survey in trauma.

        • Prehospital Use of Cervical Collars in Trauma Patients: A Critical Review URL

          Read the entire article

        • Mentored Activity: C-spine Immobilization Assignment

          Ask your supervisor to demonstrate and guide you through proper C-spine immobilization, including institutional policy and procedure. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Cervical Collars Forum

          There is a misconception that applying a cervical collar protects the patient's entire spinal cord. Explain where this misconception comes from, and whether it persists in your ED today.

        • Ultrasound in Abdominal Trauma URL

          Read pages 1 to 5 only

        • Quiz: Module 4: Lesson 8: Abdominal Trauma

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Abdominal Trauma Forum

          Is ultrasound available in your ED?

          If so, in what ways does it help you to evaluate abdominal trauma?

          If not, how does it hinder your ability to evaluate abdominal trauma?

      • 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
        6 URLs, 3 Quizzes, 5 Forums, 2 Assignments
        • Required Learning Resources and Activities
        • Basic Suturing and Wound Management: Wound considerations URL

          Read this section only

        • Quiz: Module 4: Lesson 9: Preparation

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Wound Considerations Forum

          How common is tetanus prophylaxis in your country/region? What is the impact of tetanus in your area of the world?

        • Regional Anesthesia for Office Procedures: Part I. Head and Neck Surgeries URL

          Read the section on local anesthetics and local infiltration

        • Quiz: Module 4: Lesson 9: Anesthesia

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Mentored Activity: Anesthetic Infiltration Assignment

          Ask your supervisor to review, demonstrate and guide you in the performance of local anesthetic infiltration administration, including institutional policy and procedure. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Anesthesia Forum

          What are some of the greatest challenges in learning how to properly perform local anesthetic infiltration?

        • Basic Suturing and Wound Management: Wound antisepsis and sterile technique URL

          Read this section only

        • Management of Foreign Bodies in the Skin URL

          Read the section Investigating for Possible Foreign Body

        • Quiz: Module 4: Lesson 9: Wound Management

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Wound Antisepsis Forum

          Describe sterile technique, and what could happen if the physician fails to follow sterile technique.

        • Discussion Question - Foreign Bodies Forum

          What are some of the risks associated with not examining a wound due to a foreign body within 24 hrs?

        • Basic Suturing and Wound Management URL

          Go through the rest of this module, reading the text and watching the videos.  Note:  Parts of this module were already read ("Wound considerations" and "Wound antisepsis and sterile technique").

        • Wound Treatment URL

          Read the section on suture removal

        • Mentored Activity: Suturing Technique Assignment

          Ask your supervisor to review, demonstrate and guide you in the practice of suture placement, including institutional policy and procedure. 

          Click on the submit button and write one sentence that indicates you have performed this activity. If for some reason you cannot perform the activity, please indicate that and the reason why you were unable to perform the activity. Your mentor will grade your activity on a pass/fail basis.

        • Discussion Question - Wound Management Forum

          How can a co-existing illness like diabetes affect healing times?

      • Module 5: Systems-Based Practice

        Competencies covered in this module:
        5866
        • 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

        Click here for the brief module introduction
        • 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. 

      • 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
        2 URLs
        • Required Learning Resources and Activities
        • Evaluation of Patients’ Referral Causes to the Emergency Department URL

          Read the entire document

        • Recommendations for Emergency Departments Caring for Persons with Opioid Use and Opioid Use Disorders: An Integrative Review URL

          Read the following sections: (15 minutes)
          - Introduction
          - Discussion

      • 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
        1 Forum, 1 Game
        • Required Learning Resources and Activities
        • Peer Activity: Community Resource Awareness Forum

          Step 1: Review the 3 case studies from the University of Edinburgh Social Work and select one for the completion of this assignment. 

          Step 2: Imagine that the individual from your chosen case study resides in your area. 

          Step 3: Identify 2 community resources that could benefit this individual.

          Step 4: Create a discussion post that describes how these resources will promote the health of the patient and improve their quality of life. Give your post the title of your chosen case study ( ex: Case Study 1, Case Study 2 or Case Study 3)

          Step 5: Review the post of one of your peers who selected a different case study and suggest one additional resource and how it can be incorporated into the patient's plan of care.

        • Additional Learning Options
        • NextGenU.org Emergency Medicine Word Game
      • 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
        1 URL, 1 Assignment, 1 Quiz, 1 Forum
        • Required Learning Resources and Activities
        • Do emergency physicians know the costs of medical care? URL

          Download the PDF version of the article by clicking on the appropriate link.  Then, review the tables on pages 3 and 4.  Note that these are estimates in Canadian hospitals.

        • Mentored Activity: Costs of Test Assignment

          Ask your supervisor to review the costs of various diagnostics tests with you.

          Click on the submit button and write a review of what you have learned. Your mentor will grade your activity on a pass/fail basis.

        • Quiz: Module 5: Lesson 3

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

        • Discussion Question - Cost of Medical Services Forum

          How important is it for physicians to know about the cost of medical services in their country?

      • 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.

        Click here to start this lesson
        1 URL, 1 Quiz
        • Required Learning Resources and Activities
        • Components of Re-Engineered Discharge (RED) URL

          Read the entire text

        • Quiz: Module 5: Lesson 4

          To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

      • Final Exam

        Click here to start Final Examination

        • Final Exam Quiz
          Restricted Not available unless any of:
          • You belong to a group in Previous Final attempts
          • All of:
            • You belong to EVMS
            • The activity Course Registration is marked complete
            • The activity Pre-Test is marked complete
          • All of:
            • You belong to Miami Med
            • The activity Course Registration is marked complete
            • The activity Pre-Test is marked complete
          • All of:
            • All of:
              • The activity Course Registration is marked complete
              • The activity Pre-Test is marked complete
              • The activity Quiz: Module 1: Lesson 1 is marked complete
              • The activity Peer Activity: Focused Physical Assessment is marked complete
              • The activity Quiz: Module 1: Lesson 2 is marked complete
              • The activity Quiz: Module 1: Lesson 3 is marked complete
              • The activity Quiz: Module 1: Lesson 4 is marked complete
              • The activity Quiz: Module 2: Lesson 1 is marked complete
              • The activity Quiz: Module 2: Lesson 2 is marked complete
              • The activity Quiz: Module 2: Lesson 3 is marked complete
              • The activity Quiz: Module 2: Lesson 4 is marked complete
              • The activity Quiz: Module 2: Lesson 5 is marked complete
              • The activity Quiz: Module 2: Lesson 6 is marked complete
              • The activity Quiz: Module 2: Lesson 7 is marked complete
              • The activity Quiz: Module 3: Lesson 1: Cardiac Arrest is marked complete
              • The activity Quiz: Module 3: Lesson 1: Chest Pain is marked complete
              • The activity Quiz: Module 3: Lesson 1: Abdominal Aortic Aneurysm is marked complete
              • The activity Quiz: Module 3: Lesson 1: Acute Coronary Syndromes is marked complete
              • The activity Quiz: Module 3: Lesson 1: Congestive Heart Failure is marked complete
              • The activity Quiz: Module 3: Lesson 1: Thoracic Aortic Dissection is marked complete
              • The activity Quiz: Module 3: Lesson 1: Pulmonary Embolus is marked complete
              • The activity Quiz: Module 3: Lesson 2: Abdominal Pain is marked complete
              • The activity Quiz: Module 3: Lesson 2: GI Bleed is marked complete
              • The activity Quiz: Module 3: Lesson 2: Appendicitis is marked complete
              • The activity Quiz: Module 3: Lesson 2: Biliary Disease is marked complete
              • The activity Quiz: Module 3: Lesson 2: Small Bowel Obstruction is marked complete
              • The activity Quiz: Module 3: Lesson 2: Massive Gastrointestinal Bleeding is marked complete
              • The activity Quiz: Module 3: Lesson 2: Mesenteric Ischemia is marked complete
              • The activity Quiz: Module 3: Lesson 2: Perforated Viscus is marked complete
              • The activity Quiz: Module 3: Lesson 3: Poisonings is marked complete
              • The activity Quiz: Module 3: Lesson 3: Burns and Smoke Inhalation is marked complete
              • The activity Quiz: Module 3: Lesson 3: Envenomation is marked complete
              • The activity Quiz: Module 3: Lesson 3: Heat Related Illnes is marked complete
              • The activity Quiz: Module 3: Lesson 3: Hypothermia is marked complete
              • The activity Quiz: Module 3: Lesson 3: Drownin is marked complete
              • The activity Quiz: Module 3: Lesson 4: Altered Mental Status is marked complete
              • The activity Quiz: Module 3: Lesson 4: The Agitated Patient is marked complete
              • The activity Quiz: Module 3: Lesson 4: Suicidal Patient is marked complete
              • The activity Quiz: Module 3: Lesson 5: Headache is marked complete
              • The activity Quiz: Module 3: Lesson 6: Respiratory Distress is marked complete
              • The activity Quiz: Module 3: Lesson 6: Asthma is marked complete
              • The activity Quiz: Module 3: Lesson 6: COPD is marked complete
              • The activity Quiz: Module 3: Lesson 6: Pneumonia is marked complete
              • The activity Quiz: Module 3: Lesson 6: Pneumothorax is marked complete
              • The activity Quiz: Module 3: Lesson 7: Shock is marked complete
              • The activity Quiz: Module 3: Lesson 7: Trauma is marked complete
              • The activity Quiz: Module 3: Lesson 7: Sepsis is marked complete
              • The activity Quiz: Module 3: Lesson 8: Hyperglycemia is marked complete
              • The activity Quiz: Module 3: Lesson 8: Hyperkalemia is marked complete
              • The activity Quiz: Module 3: Lesson 8: Hypoglycemia is marked complete
              • The activity Quiz: Module 3: Lesson 8: Thyroid Storm is marked complete
              • The activity Quiz: Module 3: Lesson 9: Ectopic Pregnancy is marked complete
              • The activity Quiz: Module 3: Lesson 9: Pelvic Inflammatory Disease and Tubo-ovarian Abscess is marked complete
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              • The activity Quiz: Module 3: Lesson 9: Testicular Torsion is marked complete
              • The activity Quiz: Module 3: Lesson 10: Ischemic Stroke is marked complete
              • The activity Quiz: Module 3: Lesson 10: Intracranial Hemorrhage is marked complete
              • The activity Quiz: Module 3: Lesson 10: Meningitis & Encephalitis is marked complete
              • The activity Quiz: Module 3: Lesson 10: Seizure & Status Epilepticus is marked complete
              • The activity Quiz: Module 4: Lesson 1: IV Access is marked complete
              • The activity Quiz: Module 4: Lesson 1: Intraosseous Access is marked complete
              • The activity Quiz: Module 4: Lesson 1: Central Line Insertion is marked complete
              • The activity Quiz: Module 4: Lesson 2: Airway Establishment and Control is marked complete
              • The activity Quiz: Module 4: Lesson 2: Basic Airway Management is marked complete
              • The activity Quiz: Module 4: Lesson 2: Airway Management is marked complete
              • The activity Quiz: Module 4: Lesson 2: Advanced Airway Management is marked complete
              • The activity Quiz: Module 4: Lesson 3: Cardiac Monitoring is marked complete
              • The activity Quiz: Module 4: Lesson 3: Defibrillator is marked complete
              • The activity Quiz: Module 4: Lesson 3: CPR is marked complete
              • The activity Quiz: Module 4: Lesson 4: is marked complete
              • The activity Quiz: Module 4: Lesson 5: is marked complete
              • The activity Quiz: Module 4: Lesson 6: Dislocations is marked complete
              • The activity Quiz: Module 4: Lesson 7: is marked complete
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              • The activity Quiz: Module 4: Lesson 8: Abdominal Trauma is marked complete
              • The activity Quiz: Module 4: Lesson 9: Preparation is marked complete
              • The activity Quiz: Module 4: Lesson 9: Anesthesia is marked complete
              • The activity Quiz: Module 4: Lesson 9: Wound Management is marked complete
              • The activity Quiz: Module 5: Lesson 3 is marked complete
              • The activity Quiz: Module 5: Lesson 4 is marked complete
            • All of:
              • The activity Discussion: Describe the Emergency Medical System in your country is marked complete
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              • The activity Discussion Question - Health Promotion in Your Community (260 minutes) is marked complete
              • The activity Discussion Question - A Compassionate Approach is marked complete
              • The activity Discussion Question - Presentation Skills is marked complete
              • The activity Discussion Question - Documentation is marked complete
              • The activity Discussion Question - Information Technology is marked complete
              • The activity Discussion Topic: Being On Time (140 minutes) is marked complete
              • The activity Discussion Question - Ethics is marked complete
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              • The activity Discussion Question - Fundamental Principles is marked complete
              • The activity Discussion Question - Chest Pain is marked complete
              • The activity Discussion Question - Abdominal Aortic Aneurysm is marked complete
              • The activity Discussion Question - Congestive Heart Failure is marked complete
              • The activity Discussion question: Thoracic Aortic Dissection is marked complete
              • The activity Discussion Question - Pulmonary Embolus is marked complete
              • The activity Discussion Question - Abdominal Pain is marked complete
              • The activity Discussion Question - Gastrointestinal Bleeding is marked complete
              • The activity Discussion Question - Appendicitis is marked complete
              • The activity Discussion Question - Biliary Disease is marked complete
              • The activity Discussion Question - Small Bowel Obstruction is marked complete
              • The activity Discussion Question - Massive Gastrointestinal Bleeding is marked complete
              • The activity Discussion Question - Mesenteric Ischemia is marked complete
              • The activity Discussion Question - Perforated Viscus is marked complete
              • The activity Discussion Question - Poisonings is marked complete
              • The activity Discussion Question - Burns and Smoke Inhalation is marked complete
              • The activity Discussion Question - Envenomation is marked complete
              • The activity Discussion Question - Heat Illness is marked complete
              • The activity Discussion Question - Hypothermia is marked complete
              • The activity Discussion Question - Drowning is marked complete
              • The activity Discussion Question - Altered Mental status is marked complete
              • The activity Discussion Question - The Agitated Patient is marked complete
              • The activity Discussion Question - The Suicidal Patient is marked complete
              • The activity Discussion Question - Headache is marked complete
              • The activity Discussion Question - Respiratory Distress is marked complete
              • The activity Discussion Question - Asthma is marked complete
              • The activity Discussion Question - COPD is marked complete
              • The activity Discussion Question - Pneumonia is marked complete
              • The activity Discussion Question - Pneumothorax is marked complete
              • The activity Discussion Question - Shock is marked complete
              • The activity Discussion Question - Trauma is marked complete
              • The activity Discussion Question - Sepsis is marked complete
              • The activity Discussion Question - Hyperglycemia is marked complete
              • The activity Discussion Question - Hyperkalemia is marked complete
              • The activity Discussion Question - Hypoglycemia is marked complete
              • The activity Discussion Question - Thyroid Storm is marked complete
              • The activity Discussion Question - Ectopic Pregnancy is marked complete
              • The activity Discussion Question - PID and TOA is marked complete
              • The activity Discussion Question - Ovarian Torsion is marked complete
              • The activity Discussion Question - Testicular Torsion is marked complete
              • The activity Discussion Question - Ischemic Stroke is marked complete
              • The activity Discussion Question - Intracranial Hemorrhage is marked complete
              • The activity Discussion Question - Meningitis is marked complete
              • The activity Discussion Question - Status Epilepticus is marked complete
              • The activity Mentored Activity: Perform IV insertions under supervision. is marked complete
              • The activity Discussion Question - IV Access is marked complete
              • The activity Mentored Activity: Central line insertion is marked complete
              • The activity Discussion Question - Central Line Insertion is marked complete
              • The activity Discussion Question - Airway Management is marked complete
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              • The activity Discussion Question - Chest Compressions is marked complete
              • The activity Discussion Question - Nasogastric Tube Insertion is marked complete
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              • The activity Discussion Question - Catheterization is marked complete
              • The activity Mentored Activity: Casting and splinting principles is marked complete
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              • The activity Discussion Question - Primary Survey in Trauma is marked complete
              • The activity Mentored Activity: C-spine Immobilization is marked complete
              • The activity Discussion Question - Cervical Collars is marked complete
              • The activity Discussion Question - Abdominal Trauma is marked complete
              • The activity Discussion Question - Wound Considerations is marked complete
              • The activity Mentored Activity: Anesthetic Infiltration is marked complete
              • The activity Discussion Question - Anesthesia is marked complete
              • The activity Discussion Question - Wound Antisepsis is marked complete
              • The activity Discussion Question - Foreign Bodies is marked complete
              • The activity Mentored Activity: Suturing Technique is marked complete
              • The activity Discussion Question - Wound Management is marked complete
              • The activity Peer Activity: Community Resource Awareness is marked complete
              • The activity Mentored Activity: Costs of Test is marked complete
              • The activity Discussion Question - Cost of Medical Services is marked complete
              • The activity Mentored Activity: Perform IV insertions under supervision. is marked complete

          To take the final exam, you must complete all quizzes and complete all the required activities. The final exam consists of 50 questions, and you will have 50 minutes to complete it. When the time is over, you will have two minutes to submit your attempt before it expires, and your progress is discarded. You will not be able to answer additional questions in the grace period.

          To access the exam, click on the name of the exam provided above. On the following screen, click the "Preview quiz now"  button to respond to the questions.



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      • Course Activities

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      Course Activities and Resources
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      • Emergency Medicine
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      • Emergency Medicine Homepage
      • Module 1: Basics of Emergency Medicine Patient Care
      • Module 1: Lesson 1: Initial Assessments
      • Module 1: Lesson 2: Immediate Life-Threatening Conditions
      • Module 1: Lesson 3: Patient Management Skills
      • Module 1: Lesson 4: Health Promotion
      • Module 2: Communication and Ethics
      • Module 2: Lesson 1: Humanistic Qualities
      • Module 2: Lesson 2: Presentation Skills
      • Module 2: Lesson 3: Medical Record Documentation
      • Module 2: Lesson 4: Information Technology
      • Module 2: Lesson 5: Work Ethic
      • Module 2: Lesson 6: Ethical Decision-making
      • Module 2: Lesson 7: Professional Behavior
      • Module 3: Common Emergency Presentations and Diseases
      • Module 3: Lesson 1: Cardiovascular Diseases and Presentations
      • Module 3: Lesson 2: Gastrointestinal Diseases and Presentations
      • Module 3: Lesson 3: Environmental Diseases and Presentations
      • Module 3: Lesson 4: Psychiatric Related Diseases and Presentations
      • Module 3: Lesson 5: Headache
      • Module 3: Lesson 6: Respiratory Diseases and Presentations
      • Module 3: Lesson 7: Shock, Sepsis and Trauma
      • Module 3: Lesson 8: Endocrine and Electrolyte Diseases
      • Module 3: Lesson 9: Genitourinary Diseases
      • Module 3: Lesson 10: Neurologic Diseases
      • Module 4: Common Emergency Procedures
      • Module 4: Lesson 1: Access
      • Module 4: Lesson 2: Airway Management
      • Module 4: Lesson 3: Arrhythmia Management
      • Module 4: Lesson 4: Nasogastric Intubation
      • Module 4: Lesson 5: GU Catheterization
      • Module 4: Lesson 6: Orthopedic
      • Module 4: Lesson 7: Infection: Incision and Drainage
      • Module 4: Lesson 8: Trauma Management
      • Module 4: Lesson 9: Wound Care
      • Module 5: Systems-Based Practice
      • Module 5: Lesson 1: Referrals
      • Module 5: Lesson 2: Community Awareness
      • Module 5: Lesson 3: Costs in the Emergency Department
      • Module 5: Lesson 4: Follow-Up Plans
      • Final Exam
      • Course and Self Evaluation & Certificate
      • Course Activities
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