Approach to Trauma

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


Headache, Infectious Diease, Neurology

Worked example in the Emergency Department

Part 1 – Pathophysiology and Presentations

Part 2 – Treatment and investigations


Other resources:

Discussion from (with photo of petechiael rash in meningococcemia)

How to interpret CSF results from Life in the Fast Lane blog

Anatomy of lumbar puncture by Raeburn Forbes on YouTube

Lumbar puncture by theedexitvideo on YouTube

Approach to Shortness of Breath

Approach to, Cardiology, Cardiovascular, Pulmonary, Respiratory

A brief approach to shortness of breath:

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

Allergic reaction/Anaphylaxis




Pulmonary Embolus



Respiratory Distress – Flipped Classroom Summary

Acute Coronary Syndrome

Cardiology, Cardiovascular, Chest pain

Part 1: Presentations of ACS

Part 2: ECG changes in ACS

(Note: This is not a comprehensive approach to ECG.  For ECG approach, please see ECG approach on the skills page)

Part 3: Non-ECG modalities for diagnosis

Part 4: Treatment for ACS


Other resources:

Reading the ST segment on ECG on Life in the Fast Lane blog (includes discussion on non-ischemic causes of ST elevation/depression)

Ultrasound images for Pericardial effusion on Life in the Fast Lane blog

Pulmonary Embolus

Chest pain, Pulmonary, Respiratory, Uncategorized

Worked example

Part 1 – We discuss the causes and presentations of PE.

Part 2 – We discuss the available diagnostic tests for PE.

Part 3 – We discuss how to put it together for diagnosis


Other resources:

ECG changes in PE on Life in the Fast Lane blog

PE case on

CXR signs on

Well’s criteria for PE on MD Calc

Pulmonary Embolism Severity Index score on MD Calc

How to present in the Emergency Department

Non-clinical, Presentation

The way we like learners to present can be very different from other specialities.  This post is meant for learners new to the Emergency Department.

Part 1: How Emerg Docs think

Part 2: The EM Presentation


Other resources:

Pocket card with common presenting complaints (courtesy of Dr. Adam Jones-Delcorde): Rules Outs 3.1

Discussion at Academic Life in Emergency Medicine blog

Discussion at Life in the Fast Lane

Supplement to The 3-minute emergency medicine medical student presentation: variation on a theme by Davenport C, Honigman B and Druck J: ACEM_145_sm_DataSupplementS1


Infectious Diease, Pulmonary, Respiratory

Worked example:

Part 1 – Classification, signs and symptoms

Part 2 – Diagnosis and Management


Other resources

Pneumonia severity index by MD Calc

CURB 65 score by MD Calc

PV cards for risk stratification tools at Academic Life in Emergency Medicine

Pediatric pneumonia management at Pediatric EM Morsels

Pediatric pneumonia management at Life in the Fast Lane

How to read a chest x-ray by Learning Radiology

RML pneumonia case via

RUL pneumonia case via

Approach to Abdo pain

Abdo pain, Approach to, GI

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