Curriculum Block

Objectives

• Seizure
• 12-lead ECG — myocardial infarction.
• Shock - Recognize shock and predict underlying etiology (distributive, cardiogenic, hypovolemic, obstructive).
• Demonstrate a basic understanding of the way the ED works (basic functioning, referrals, role of other health professionals).
• Demonstrate the ability to rapidly recognize and initiate basic management of acute life- or limb-threatening illness or injury
• Describe a basic differential diagnosis including the significant worst-case diagnosis for every patient assessed.
• Demonstrate a basic systematic, prioritized approach to resuscitation and stabilization of emergencies.
• Demonstrate a basic ability to distinguish seriously ill or injured patients from those with minor conditions.
• Demonstrate a focused history and physical examination.
• Distinguish which conditions are life-threatening or emergent from those that are less urgent.
• Demonstrate the ability to evaluate and initiate treatment of the undifferentiated patient.
• Describe the concept of triage and prioritization of care, including paraphrasing the use of Canadian Triage and Acuity Scale (CTAS). Recognize that certain groups of patients require a high index of suspicion for serious illness (e.g.,immunocompromised, chronic renal failure, transplant, extremes of age, intoxicated, and diabetes).
• Loss of consciousness (syncope)
• Anaphylaxis / severe allergic reaction
• Altered level of consciousness - including the recognition and management of acute stroke
• Perform basic airway maneuvers (head tilt, chin lift, jaw thrust, oral/nasal airway insertion, BMV)
• Cardiorespiratory arrest
• Head injury - minor
• Fever
• Demonstrate a basic ability to self-guide professional development, including identifying and addressing learning needs.
• Demonstrate compassion and nonjudgmental approach to all patients.
• Cardiac monitor rhythm analysis.
• Chest radiograph interpretation.
• Extremity radiograph interpretation.
• C- spine radiograph interpretation.
• Pulse oximetry.
• Urinalysis.
• Perform wound cleansing and simple dressing.
• 12 lead EKG (15 lead optional)
• Demonstrate the ability to present a patient case in a clear, concise, and complete manner.
• Recognize and accept one’s limitations and know when to ask for help.
• Protect information provided by or about patients, keeping it confidential, and divulge it only with the patient’s permission except when otherwise required by law.
• Demonstrate sensitivity to cultural issues (e.g., age, sex, culture, disability).
• Be reliable and responsible in fulfilling obligations.
• Maintain a professional appearance.
• Demonstrate honesty and integrity in patient care.
• Take the appropriate measures to protect oneself from illness and injury.
• Chest pain
• Shortness of breath
• Abdominal pain
• Headache
• Abnormal behavior (psychosis, delirium, intoxication, violence).
• Minor trauma / MSK injuries (including fracture / dislocation/ sprain). Explain the ABCDE approach to major and minor trauma, identify resuscitative priorities and recognize injuries which require acute management.
• Dizziness / vertigo
• Demonstrate ethical decision making.
• Practice effective communication including the use of empathy, non-verbal communication and respectful counseling with patients and their families.
• Provide clear discharge instructions for patients, including return to care instructions and ensure appropriate follow-up care.
• Demonstrate thorough, clear, and concise documentation and charting.
• Establish and maintain effective working relationships with colleagues and other health care professionals.
• Describe the role of other health professionals in the management of the patient in the ED.
• Cardiac monitor lead placement and the use of a cardiac defibrillator for pacing / cardioversion / defibrillation.
• Peripheral IV start
• Place patient on oxygen (nasal prongs, non rebreather mask)
• Local anesthetic infiltration
• Place patient on pulse oximeter
• Apply an extremity plaster splint
• Suturing simple laceration
• CPR (Cardiopulmonary resuscitation)

Activities

• EM Medical Expert (presenting problems)
• Diagnosis in the ER
• Procedural Skills in the ER
• Interpretive skills in the ER
• Communication Skills in the ER
• Managing Acute Illness in the ER

Tags

Clerkship Emergency Medicine Rotation Emergency Medicine 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. 1.2 Organize and prioritize responsibilities to provide care that is safe, effective, and efficient 1.3 Interpret laboratory data, imaging studies, and other tests required for the area of practice 1.4 Make informed decision about diagnostic and therapeutic interventions based on patient information and preferences, up-to-date scientific evidence, and clinical judgment 1.5 Develop and carry out patient management plans 1.6 Perform or assist with medical, diagnostic, and surgical procedures considered essential for the area of practice. 2.3 Apply principles of clinical sciences to diagnostic and therapeutic decision-making, clinical problem-solving, and other aspects of evidence-based healthcare 2.4 Apply principles of epidemiological sciences to the identification of health problems, risk factors, treatment strategies, resource allocation, and disease prevention/health promotion efforts for patients and populations 3.1 Solicit and respond to feedback from peers, teachers, supervisors, patients, families, and members of health care teams regarding one’s knowledge, skills, attitudes and professional behaviours 3.2 Integrate feedback, external measures of performance and reflective practices to identify strengths, deficiencies, and limits in one’s knowledge, skills, attitudes and professional behaviours 3.3 Set learning and improvement goals 3.4 Identify and perform learning activities that address one’s gaps in knowledge, skills, and/or attitudes 4.1 Communicate effectively with patients, families, and the public, as appropriate, across a broad range of socioeconomic and sociocultural backgrounds 4.5 Maintain comprehensive, timely, and legible medical records 5.1 Demonstrate accountability to patients, society, and the profession 5.2 Demonstrate compassion, integrity, and respect for others 5.3 Demonstrate altruism, appropriately balancing patient needs and self-interest/self-care 5.4 Demonstrate respect for patient confidentiality, privacy and autonomy 6.3 Advocate for quality patient care and optimal patient care systems that support patient- and population-centred care that is safe, timely, efficient, effective, and equitable 6.5 Work effectively in various health care delivery settings and systems relevant to a variety of clinical specialties 7.1 Work with other health professionals to establish and maintain a climate of mutual respect, dignity, inclusion, ethical integrity, and trust 7.3 Communicate with other health professionals in a responsive and responsible manner that supports the maintenance of health and the provision of healthcare in individual patients and populations 7.4 Demonstrate the ability to consult with and to other health professionals 8.3 Develop the ability to use self-awareness of knowledge, skills, and emotional limitation to seek help appropriately 8.4 Demonstrate awareness and acceptance of different points of view