Emergency Medicine

Rotation: EMD 401-1

Length: 4 weeks

Goals: To learn the approach to patient management in the ED, including ABCs, triage, diagnosis, and disposition. To learn the principles and techniques of basic wound management. To learn the basic principles and rationale for the initial management of patients with trauma. To become familiar with the evaluation of patients presenting to the ED with common complaints, including: chest pain, dyspnea, abdominal pain, headache, fever, and altered mental status.

Objectives:  To understand the history and development of emergency medicine as a specialty. Six integral parts of the rotation include: Clinical experience in the emergency department, Medical student lecture series and department didactic sessions/grand rounds, Pre-hospital paramedic/EMT observation, Independent reading, Formal case presentations, Participation in practical laboratories on intubation, airway management, splinting techniques, and suturing- to be held at Hollywood Fire Rescue Training Facility, future dates and program pending.

Additional Information and Description: You work approximately 12 eight, ten or twelve hour shifts per month in the emergency department. Shifts are 7 AM to 4 PM, 7 AM to 5 PM, 7 AM to & PM, 11 AM to 11 PM. In addition, there is two required night shift (7 PM to 7 AM), to get a "flavor" of what goes on at night in the ED. During the 4 weeks, you will be divided between the acute and non-acute sections of the emergency department. Acute sections include Red and Yellow, non acute is the Green section.

You are supervised by board certified or board eligible attending physicians and will see patients independently (unless the patient is critically ill), and are primarily responsible for their patients while in the ED.

You are expected to see between one and three patients at a time, depending on their own level of comfort, the relative complexity of their patients' problems, and the tempo of the emergency department. You are encouraged to do all necessary procedures on their patients.

Recommended Reading:

Case Files Emergency Medicine, Third Edition (LANGE Case Files)
An Introduction to Clinical Emergency Medicine by Mahadevan and Garmel
Chapter 1: Approach to the emergency department, Chapter 3: Cardiopulmonary and cerebral resuscitation , Chapter 4: Cardiac dysrhythmias, Chapter 5: Septic Shock, Chapter 6: Shock, Chapter 10: Abdominal pain, Chapter 11: Abnormal behavior, Chapter 13: Allergic reactions and anaphylactic syndromes, Chapter 14: Altered mental status, Chapter 17: Chest pain, Chapter 21: Diabetes – related emergencies Chapter 23: Dizziness and vertigo, Chapter 27: Fever in Adults, Chapter 29: Gastrointestinal bleeding Chapter 30: Headache , Chapter 34: Pelvic pain p. Chapter 37: Seizures, Chapter 38: Shortness of Breath Chapter 40: Syncope, Chapter 41: Toxicologic emergencies, Chapter 42: Urinary –related complaints, Chapter 43: Vaginal bleeding

Recommended: Mitchell E, Medzon R. Introduction to Emergency Medicine; New York: Lippincott Williams & Wilkins, 2005. Tintinalli J, et al. :Emergency Medicine - A Comprehensive Study Guide, 4th ed., McGraw-Hill Pub. 
Rosen P, ed.: Emergency Medicine -Concepts and Clinical Practice, 3d ed.,C.V. Mosby Co, St. Louis MO. 
Harwood-Nuss A, et al.: The Clinical Practice of Emergency Medicine, 2nd ed., J.B. Lipincott. 
Rothenhaus, T The ER Intern Pocket Survival Guide, International Medical Publishing