First Exposure: Emergency Medicine

Richard A. Walker, MD, Associate Professor, Section of Emergency Medicine, Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska
A contributor to several Emergency Medicine texts, Dr. Walker frequently teaches at ACEP and SAEM programs.

Michael C. Wadman, MD, Director of Undergraduate and Graduate Medical Education, Section of Emergency Medicine, Department of Surgery, University of Nebraska College of Medicine, Omaha, Nebraska
Dr. Wadman is responsible for all EM resident and medical student education programs at University of Nebraska. He is also a contributor to our forthcoming Geriatric Emergency Medicine book.

Christopher C. Caudill, II, MD, Assistant Professor, Section of Emergency Medicine, Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska
In addition to teaching at ACLS and PACLS courses, Dr. Caudill serves as a Medical Student Mentor at the University of Nebraska.

I. Introductory Information

A. Purpose of Book

B. Characteristics of EM

C. Patient Presentations

D. Emergency Medical System

II. Procedures

A. Likely to Perform

1. Suturing

2. Splinting

3. Arthrocentesis

4. Lumbar Puncture

B. Likely to Observe

1. Tube Thoracostomy

2. Central Venous Access

3. Rapid Sequence Induction

III. Chief Complaints

A. Chest Pain

B. Dyspnea

C. Abdominal Pain

D. Altered Mental Status

E. Headache

F. Syncope/Weakness

G. Vaginal Bleeding

H. Back Pain

I. Sore Throat

J. Pediatric Fever

K. Geriatric Fever

L. Multiple Trauma

M. Advanced Life Support

1. Adult

2. Pediatric

M. Toxic Ingestion

IV. Specific Disease Entities

A. Cardiovascular Disorders

1. Unstable Angina/Acute Myocardial Infarction

2. Aortic Dissection

3. Abdominal Aortic Aneurysm

4. Congestive Heart Failure

B. Pulmonary Disorders

1. Asthma

2. COPD

3. Pneumonia

4. DVT/PE

C. Genitourinary Disorders

1. Urinary Tract Infection

2. Sexually Transmitted Diseasesurethritis, epidydimitis, PID/TOA

3. Testicular Torsion

4. Ectopic Pregnancy

D. Neurologic Disorders

1. Elevated Intracranial Pressure

2. Meningitis

3. Stroke

4. Status Epilepticus

5. Spinal Cord Compression

6. Intracranial Hemorrhage

E. Metabolic Disorders

1. DKA/HONKS

2. Hypoglycemia

3. Acute Adrenal Insufficiency

4. Hyperkalemia

5. Rhabdomyolysis

F. Gastrointestinal Disorders

1. Appendicitis

2. Cholecystitis

3. Pancreatitis

4. Diverticulitis

5. Perforated Viscus

6. Bowel Obstructionadhesion, hernia, carcinoma, intussusception, malrotation, pyloric stenosis

7. GI BleedingPUD, esophageal varices, diverticulosis, carcinoma, AVM

G. Musculockeletal Disorders

1. Open Fracture

2. Compartment Syndrome

3. Septic Arthritis

H. Ophthalmologic Disorders

1. Acute Narrow Angle Glaucoma

2. Globe Rupture

3. Iritis

4. Acid/Alkali Burns

5. Pre-/Post-Septal Cellulitis

6. Corneal Foreign Body

7. Corneal Ulcer

I. Toxicologic Disorders

1. Ethanol Intoxication

2. TCA

3. APAP

4. ASA

5. CO

6. Organophosphate

J. Environmental Injuries

1. Hyperthermia

2. Hypothermia

3. Anaphylaxis

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