Approach to Trauma

Part 1: We discuss the primary survey and approach to airway

Managing the obstructed airway:

Part 2: We discuss the approach to breathing assessment in trauma

Needle thoracostomy for tension pneumothorax:

Managing the open pneumothorax

Part 3: We discuss circulation, disability and exposure in trauma

Delivering a painful stimulus

How to log roll

Part 4: We discuss the secondary survey in trauma

Part 5: We discuss the Canadian CT head rule and the Canadian c-spine rule in trauma

Trauma – Flipped Classroom Summary

Approach to Shortness of Breath

A brief approach to shortness of breath:

For more details, please see post for each clinical topic:

Allergic reaction/Anaphylaxis

Pneumonia

Pneumothorax

ACS

Pulmonary Embolus

Asthma

COPD

Respiratory Distress – Flipped Classroom Summary

Approach to Abdo pain

Part 1 – Using history elements

Part 2 – Using physical exam to approach abdo pain

Part 3 – Using lab tests and imaging tests to approach abdo pain

Part 4 – Putting it together

Notes from abdo pain videos (PDF)

Other resources:

Abdo pain in the elderly from the Academic Life in Emergency Medicine blog

Cases for classroom exercises

PALS (Pediatric Advanced Life Support) 2010

Introduction

Airway

Monitoring and Access (or IV O2 Monitor)

PALS Drugs

Pulseless Arrest

Symptomatic Bradycardias

Tachycardias

Approach to Headache

For specific conditions in details, please refer to their own page.

Part 1 – Causes of headache

Part 2 – Focused history and physical exam of patients with headache

Other resources:

NEJM interactive headache case

Headaches – Flipped Classroom Summary

Aortic Dissection

Worked example:

Part 1 – We discuss the presentations of aortic dissection

Part 2 – We discuss the investigations and treatment of aortic dissection (Note we use the Stanford classification for discussing treatment)

Other resources:

Case discussion from Life in the fast lane – with CT images (courtesy of Peter Allely)

Perforated Viscus

Worked Example:

Part 1 – Causes and presentations of viscus perforation

Part 2 – Diagnosis and treatment of viscus perforation

GI Bleed

Part 1 – We discuss the causes and presentations of upper GI bleed.

Part 2 – We discuss the causes and presentations of lower GI bleed.

Part 3 – We discuss the investigations of upper and lower GI bleed.

Part 4 – We discuss the treatment of upper GI bleed.

Part 5 – We discuss the treatment of lower GI bleed

GI Bleed- Flipped Classroom Summary

Other resources

PV card on upper GI bleed by Academic Life in Emergency Medicine – discuss evidence for medications

Small Bowel Obstruction

We discuss the presentation, diagnosis and management of small bowel obstruction.

(Note: Blue arrow at 6:01 points to the distended large bowel – as pointed out by an astute viewer)

Other resources:

Differentiating between stomach, small bowel and large bowel on x-ray on wikiradiography

Early Goal Directed Therapy in Sepsis

Management of the sepsis patient begins with early recognition (this means in the ER). Survival of the septic patient requires the initiation of certain therapies early (this means in the ER). This early goal directed therapy for sepsis is covered in the following video.

Other resources:

Sepsis Guide app (free)