Curriculum Block

Objectives

• Cardiac monitor lead placement and the use of a cardiac defibrillator for pacing / cardioversion / defibrillation.
• Employ the use of clinical decision rules and distinguish between patients who would be excluded from these rules and who could benefit from their use. Examples of these rules include: Risk stratification of PE (PERC, Wells, YEARS, Geneva); Head injury (Canada CT Head Rules, PECARN); C-Spine (Canada C-Spine Rules, Nexus criteria); MSK (Ottawa ankle, knee rules).
• 12 lead EKG (15 lead optional)
• Cardiorespiratory arrest
• Abdominal pain
• Demonstrate an understanding of the concepts of evidence-based medicine and best practice guidelines and how they relate to patient care in the ED.
• Shock - Recognize shock and predict underlying etiology (distributive, cardiogenic, hypovolemic, obstructive).
• Perform basic airway maneuvers (head tilt, chin lift, jaw thrust, oral/nasal airway insertion, BMV)

• Participate in a discussion, or prepare a written analysis, in regards to an ethical dilemma.
• Wound cleansing / dressing
• Participate in a discussion in which "bad news" is communicated to a patient or family.
• Communicate with a patient or family when there is a language or cultural barrier (not necessarily using an interpreter).
• Communicate information about diagnosis, prognosis or therapy using lay language.
• Collaborate with the interprofessional team around the care of a patient.
• Participate in a discussion in which aspects or limits of confidentiality are explored.
• Obtain informed consent for a procedure or treatment.
• Participate in a discussion regarding decisional capacity.
• Access evidence-based information/resources relevant to a clinical problem and discuss with supervisor or team.
• Apply evidence-based information to inform decision making and share with patient or family.
• Basic airway manoeuvre
• CPR
• Local anesthetic infiltration
• Place patient on oxygen
• Place patient on pulse oximeter
• Neck/Back Pain (Incl. Disease)
• Abdominal pain, acute (< 48 hrs)
• Abnormal behaviour (agitated patient, psychosis, intoxication, delirium, violence)
• Cardiac arrest
• Chest Pain
• Dyspnea
• Headache
• Injury, lower extremity
• Injury, upper extremity
• Splint/Cast extremity
• Pregnancy Problems - SA, ectopic
• Shock (hemodynamic compromise)
• Loss of Consciousness (Syncope/seizure)
• Toxic ingestion
• 12 Lead EKG (15 Lead optional)
• Cardiac monitor lead placement
• Closure of wound (skin)
• IV start, Peripheral

Activities

• Abdominal pain, acute (< 48 hrs)
• Abnormal behaviour (agitated patient, psychosis, intoxication, delirium, violence)
• Cardiac arrest
• Chest Pain
• Dyspnea
• Headache
• Injury, lower extremity
• Injury, upper extremity
• Neck/Back Pain (Incl. Disease)
• Pregnancy Problems - SA, ectopic
• Shock (hemodynamic compromise)
• Loss of Consciousness (Syncope/seizure)
• Toxic ingestion
• 12 Lead EKG (15 Lead optional)
• Cardiac monitor lead placement
• Closure of wound (skin)
• IV start, Peripheral
• Splint/Cast extremity
• Wound cleansing / dressing
• Participate in a discussion in which "bad news" is communicated to a patient or family.
• Communicate with a patient or family when there is a language or cultural barrier (not necessarily using an interpreter).
• Communicate information about diagnosis, prognosis or therapy using lay language.
• Collaborate with the interprofessional team around the care of a patient.
• Participate in a discussion in which aspects or limits of confidentiality are explored.
• Obtain informed consent for a procedure or treatment.
• Participate in a discussion regarding decisional capacity.
• Participate in a discussion, or prepare a written analysis, in regards to an ethical dilemma.
• Access evidence-based information/resources relevant to a clinical problem and discuss with supervisor or team.
• Apply evidence-based information to inform decision making and share with patient or family.
• Basic airway manoeuvre
• CPR
• Local anesthetic infiltration
• Place patient on oxygen
• Place patient on pulse oximeter
• Primary Presentation

Tags

Emergency Medicine Rotation Emergency Medicine 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare