Current Emergencies in Internal Medicine

Course Description

Emergency Internal Medicine is one of the important areas of emergency care. It requires a broad spectrum of diagnostic and clinical reasoning skills as working tools.
Internal Medicine specialists can manage medical emergencies in both a clinic’s setting and in the emergency department.

The Current Emergencies in Internal Medicine course allows Internal Medicine specialists to diagnose, treat, and manage a full range of clinical conditions seen in emergency medicine.
This course offers broad exposure to acute illness in the areas of Toxicology, Endocrinology, Trauma, Intensive Medicine, and Cardiology.

Course Overview

• 5 Modules
  • 5 virtual patient cases of an intermediate level of complexity
• Average Time to practice (per module)
  • Clinical Scenario: 20 minutes per attempt (3 attempts: 60 minutes)
  • Final attempt (if applicable): 20 minutes
  • Multiple Choice Question: 5 minutes
  • Feedback Area: 10 minutes
  • Learning Objectives and Scientific References: 5 minutes
  • Debriefing Video: 10 minutes
• Online, Self-paced
  • You have up to 2 months to complete the 10 modules at your own pace. The course can be accessed through Body Interact at any time.
• Certificate of Completion
  • After completing the course, you will receive a Certificate of Completion that can be added to your CV or Resume.

Learning Objectives

• Recognize common, urgent, and emergent problems in the Emergency Department
• Obtain an accurate medical history and perform a physical examination for each patient encountered
• Perform appropriate treatment to clinical conditions based on clinical reasoning

Clinical Competencies

Safety

• Universal safety measures procedures
• Promote patient safety
• Collect patients clinical information
• Establish drug dosing for common medications

Airway and Breathing

• Basic airway management
• Placement of oral airway
• Videolaryngoscopy intubation
• Respiratory rate and rhythm assessment and interpretation
• Oximetry interpretation
• Perform lung examination (percuss, fremitus, auscult and qualities of air sound, lobar locations)
• Ventilator management
• Managing and interpreting chest drainage tubes
• O2 administration

Circulation

• Assess and interpret pulse (rate, rhythm and volume) and blood pressure
• Interpret capillary refill time
• Detect heart murmurs and identify S1 (tricuspid, mitral) and S2 (pulmonary, aortic) heart sounds and detect S3, S4 gallops
• Catheter management
• Determinate patient’s blood type and manage its component

Disability

• Measure and interpret blood sugar values
• Perform the pupillary examination

Exposure

• Lesion qualities assessment (petechiae, urticaria, jaundice, vesicles, etc)
• Perform abdominal and pelvic examination (inspect, auscult, percuss and palp)
• Interpret imaging tests (Chest x-ray, Ultrasonography, Computed tomography and Magnetic resonance imaging, Electrocardiogram interpretation, Nuclear imaging techniques, Abdominal ultrasound)
• Interpret lab tests (Liver function, Renal function, Fluid/Electrolyte, Cardiac enzyme, Hematocrit, Arterial Blood Gas, coagulopathy rate,Lipid test, Blood culture, Urinalysis)
• Recognize the indications to perform gastric lavage
• Bladder catheterization (male and female)

Module 1 – Vomiting and headache complaints

Context: Drug overdose can be accidental, due to ignorance, or intentional. Whatever the case, it is serious and immediate care is essential after identifying the symptoms.
Virtual Scenario: Over the past two days, Darcie has complained of headaches, vomiting, and nausea. Since she was confused, the family has brought her to the hospital.

Module 2 – Fall from the 3rd floor

Context: Traumatic injury is a term that refers to the sudden onset of severe physical injuries that require immediate medical attention. The injury can cause systemic shock, requiring immediate resuscitation and interventions to save the patient’s life.
Virtual Scenario: Mr. Jones was working on the construction site when he fell from the 3rd floor. The patient is being brought in by the Emergency Prehospital Service.

Module 3 – Found unconscious

Context: Overdose can be accidental, or intentional. Whatever the case, it is essential to provide immediate care after identifying the symptoms.
Virtual Scenario: Kelly`s sister found her lying on the couch unconscious.

Module 4 – Tooth abscess

Context: A tooth abscess occurs when a bacterial infection settles in the cavity between the gums and the bones of the face or neck. An infected tooth that does not receive proper treatment can form an abscess and cause serious complications.
Virtual Scenario: Mr. Wood had a recent tooth abscess and was prescribed antibiotics for 15 days. He developed difficulty in swallowing, odynophagia, dysphonia, extraoral swelling, and pain.

Module 5 – Chest pain

Context: Chest pain is not something to be ignored. It can be related to a number of causes, including heart or lung problems, for example. Some of these conditions can be life-threatening.
Virtual Scenario: Daniel woke up suddenly in the middle of the night with chest pain, and called for an ambulance.