Psychobehavioral Disorders—3%
ABUSE Elder Abuse and Neglect BASICS Neglect or failure of the individual responsible to provide needs and protection to a vulnerable person Considered elder abuse in patients >60 years old…
EMERGENCY MEDICINE
Musculoskeletal Disorders—5%
BACK PAIN Cauda Equina BASICS Compression of lumbar and sacral nerve ETIOLOGY Most commonly from tumor or disc herniation SIGNS AND SYMPTOMS Back pain Bowel or bladder dysfunction (urinary retention,…
Obstetrics and Gynecology—5%
ECTOPIC PREGNANCY BASICS Pregnancy located outside the uterus • Fallopian tube ectopic (outer one-third most common) • Cervical and extrauterine ectopic (rare) ETIOLOGY Conditions that block the fallopian tube • History of sexually…
Renal and Urogenital Disorders—3%
ACUTE RENAL FAILURE BASICS A rapid increase in blood urea nitrogen (BUN) and creatinine ETIOLOGY Prerenal • Volume depletion, heart failure, liver failure, sepsis, burns, bilateral renal artery stenosis, drugs (nonsteroidal…
Procedures and Skills—7%
AIRWAY MANAGEMENT Indications for Intubation BASICS Failure to oxygenate or ventilate Failure to protect airway Anticipated clinical course Rapid Sequence Intubation BASICS Preoxygenate Pretreat • Lidocaine if reactive airway disease or…
Toxicologic Disorders—4%
ACETAMINOPHEN TOXICITY, SALICYLATES, NONSTEROIDAL ANTI-INFLAMMATORY DRUGS Acetaminophen BASICS Common drugs: Tylenol Acetaminophen poisoning has become the most common cause of acute liver failure in the United States Pediatric toxicity >250…
Other Components—3%
POSTEXPOSURE PROPHYLAXIS BASICS Infectious bodily fluids • Blood • Cerebrospinal fluid • Semen • Vaginal fluid • Amniotic fluid • Pericardial, peritoneal, pleural, synovial fluids Noninfectious bodily fluids (unless contaminated with blood) • Tears, saliva, sweat, feces,…
Questions and Answers
1. A 72-year-old female presents to the emergency department (ED) with 4 hours of substernal crushing chest pain, that radiates to the back. She reports associated shortness of breath, diaphoresis, and…
The Context of Communication in Emergency Departments
Triage level Description Should be seen by provider within (min) 1 Resuscitation 0 2 Emergency 10 3 Urgent 30 4 Semi-urgent 60 5 Nonurgent 120 Nationally, most patient presentations fall…
Action Strategies for Implementing Change
© Springer-Verlag Berlin Heidelberg 2015Diana Slade, Marie Manidis, Jeannette McGregor, Hermine Scheeres, Eloise Chandler, Jane Stein-Parbury, Roger Dunston, Maria Herke and Christian M.I.M. MatthiessenCommunicating in Hospital Emergency Departments10.1007/978-3-662-46021-4_7 7. Action Strategies for Implementing Change Diana Slade1 , Marie Manidis1 , Jeannette McGregor1 , Hermine Scheeres1 , Eloise Chandler1 , Jane Stein-Parbury1 , Roger Dunston1 , Maria Herke2 …
