Nurse-Flight Registered (CFRN) CE

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All of our activities are approved by ANCC (LVN, RN, and CNS) and all activity is reported to CE Broker and all states as required. StatPearls continuing education activities are linked to practice questions which are based on the Board of Certification for Emergency Nursing® content outlines. 388 authors and 7 editors have contributed to the development of the Nurse-Flight Registered (CFRN) content, which is continuously refined and updated to improve your learning experience.

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Nurse-Flight Registered (CFRN) Activities

Title Description Hours Questions
Abdominal Gunshot Wounds An abdominal gunshot wound is a multisystemic, traumatic injury that commonly causes high morbidity and mortality. Practitioners should recognize that ... Read the Article 1 4 Activity Info
Abdominal Thrust Maneuver The abdominal thrust maneuver, also known as the Heimlich maneuver, is used to treat upper airway obstructions caused by foreign bodies. This maneuver ... Read the Article 1 4 Activity Info
Abnormal Respirations There are multiple types of normal and abnormal respiration. They include apnea, eupnea, orthopnea, dyspnea hyperpnea, hyperventilation, hypoventilati ... Read the Article 1.25 10 Activity Info
Acute and Chronic Thermal Burn Evaluation and Management Thermal burns are a significant cause of worldwide morbidity and mortality. They can lead to debilitating, lifelong injuries and have serious psycholo ... Read the Article 1.5 13 Activity Info
Acute Eclampsia Eclampsia is a pregnancy-related disorder that manifests as new-onset generalized tonic colonic seizures. Typically eclampsia occurs after gestational ... Read the Article 1.25 10 Activity Info
Acute Mountain Sickness At higher altitudes, the decreased partial pressure of oxygen can cause several pathological presentations, including high altitude pulmonary edema, h ... Read the Article 1 5 Activity Info
Acute Myocardial Infarction Acute myocardial infarctions are one of the leading causes of death in the developed world, with prevalence approaching three million people worldwide ... Read the Article 2 30 Activity Info
Acute Pneumothorax Evaluation and Treatment A pneumothorax is an accumulation of gas in the pleural space (the space between the visceral and parietal pleura of the chest cavity), which can imp ... Read the Article 1 7 Activity Info
Acute Postpartum Hemorrhage Obstetric hemorrhage is the most common and dangerous complication of childbirth. Traditionally, postpartum hemorrhage (PPH) has been defined as great ... Read the Article 1.25 8 Activity Info
Acute Pulmonary Embolism Acute pulmonary embolism is a common clinical condition with a variable clinical presentation, making its diagnosis challenging. This activity outline ... Read the Article 2.25 31 Activity Info
Adenosine Adenosine has uses as both a diagnostic or therapeutic agent. As a diagnostic agent, adenosine can be utilized in myocardial perfusion stress imaging ... Read the Article 1.25 10 Activity Info
Adult Diabetic Ketoacidosis Diabetic ketoacidosis (DKA) is characterized by uncontrolled hyperglycemia, metabolic acidosis, and increased body ketone concentration. It is a life- ... Read the Article 1.25 11 Activity Info
Aerospace Decompression Illness Decompression sickness in aviation is most commonly seen following flights in nonpressurized aircraft, in flights with cabin pressure fluctuations, or ... Read the Article 1 6 Activity Info
Airway Assessment A thorough, but brief, airway assessment is essential for the proper management of patients requiring advanced airway management. Indications for the ... Read the Article 1 6 Activity Info
Airway Management Interprofessional team members must be familiar with the important anatomical, physiological, and pathological features related to the airway and have ... Read the Article 1.75 19 Activity Info
Airway Monitoring Airway monitoring involves assessing both a patient’s ventilatory function and their ability to perform adequate gas exchange. Determining a patient’s ... Read the Article 1 5 Activity Info
Airway Suctioning Airway suctioning is a procedure routinely performed in inpatient and outpatient settings. It is important to maintain the patency of the natural or a ... Read the Article 1 6 Activity Info
Albuterol Albuterol is used for the treatment and prevention of bronchospasm (acute or severe) in patients with reversible obstructive airway disease. It also h ... Read the Article 1.25 9 Activity Info
Alcohol Withdrawal Alcohol withdrawal symptoms usually appear when an individual discontinues or reduces alcohol intake after a period of prolonged consumption. In most ... Read the Article 1.5 17 Activity Info
Allergic And Environmental Induced Asthma Asthma is a major cause of morbidity and mortality in the United States. Numerous studies have shown that early institution of inhaled corticosteroids ... Read the Article 1.25 7 Activity Info
Anaphylaxis Anaphylaxis is an acute, life-threatening hypersensitivity disorder, defined as a generalized, rapidly evolving, multi-systemic allergic reaction. Ana ... Read the Article 1.75 24 Activity Info
Angina Angina is the most common symptom of ischemic heart disease, which is the major cause of morbidity and mortality worldwide. Approximately 9 million pa ... Read the Article 1.5 18 Activity Info
Anoxic Encephalopathy Anoxic encephalopathy, or hypoxic-ischemic brain injury, is a process that begins with the cessation of cerebral blood flow to brain tissue, which mos ... Read the Article 1.5 16 Activity Info
Anterior Myocardial Infarction Anterior myocardial infarction (AMI) is a common heart disease associated with significant mortality and morbidity. Advancement in diagnosis and treat ... Read the Article 1 7 Activity Info
Anteroseptal Myocardial Infarction Anteroseptal myocardial infarctions are commonly caused by the rupture of an unstable atherosclerotic plaque in the left anterior descending artery. D ... Read the Article 1 6 Activity Info
Aortic Dissection While uncommon, acute aortic dissection is an infrequent but catastrophic disorder. Patients present with tearing chest pain that radiates to the back ... Read the Article 2 29 Activity Info
Aortic Rupture Aortic rupture can occur from multiple causes, which include blunt aortic injury resulting from rapid deceleration, penetrating trauma, and spontaneou ... Read the Article 1 4 Activity Info
APGAR Score In 1952, Dr. Virginia Apgar, an anesthesiologist at Columbia University, developed the Apgar score. Serendipitously, APGAR is also a useful mnemonic t ... Read the Article 1.25 13 Activity Info
Arrhythmias Arrhythmia entails a broad spectrum of disorders of heart rate and rhythm abnormalities. Arrhythmia is broadly categorized into bradyarrhythmias and t ... Read the Article 1 6 Activity Info
Arterial Lines Arterial catheterization is a procedure that is common to the intensive care and the operating room settings. It involves placement of a catheter into ... Read the Article 1 4 Activity Info
Arterial Pressure Monitoring Arterial pressure monitoring is a form of invasive blood pressure monitoring and is done through the cannulation of a peripheral artery. This form of ... Read the Article 1 6 Activity Info
Artery Cannulation Arterial cannulation is a procedure frequently performed in acute and critical care settings. It serves as an invasive means to more accurately measur ... Read the Article 1 6 Activity Info
Asthma Asthma is a chronic disease of the air passages characterized by inflammation and narrowing of the airways. Symptoms of asthma include shortness of br ... Read the Article 2.25 32 Activity Info
Asystole Asystole, colloquially referred to as flatline, represents the cessation of electrical and mechanical activity of the heart. Asystole typically occurs ... Read the Article 1.25 9 Activity Info
Atrial Fibrillation Atrial fibrillation is the most common type of cardiac arrhythmia. It is the leading cardiac cause of stroke. Risk factors for atrial fibrillation inc ... Read the Article 2.5 39 Activity Info
Atrial Flutter Atrial flutter, a supraventricular arrhythmia, is one of the most common rhythm disturbances of the heart. It is characterized by a fast atrial rate w ... Read the Article 1.25 8 Activity Info
Atropine Atropine or atropine sulfate carries FDA indications for anti-sialagogue/anti-vagal effect, organophosphate/muscarinic poisoning, and bradycardia. Atr ... Read the Article 1.25 11 Activity Info
Avulsed Tooth Dentoalveolar trauma injuries are caused by an external impact on the teeth, palate, mandible, maxilla, and gingiva. These injuries can result in anyt ... Read the Article 1.5 16 Activity Info
Bacterial Pneumonia The word "pneumonia" originates from the ancient Greek word "pneumon," which means "lung," so the word "pneumonia" becomes "lung disease." Medically i ... Read the Article 2 27 Activity Info
Bag Mask Ventilation Bag valve mask ventilation is a difficult skill to master. This activity explains how to improve this skill. This activity describes the technique of ... Read the Article 1 5 Activity Info
Barosinusitis Barosinusitis is an uncommon entity that is rarely described within the otolaryngology literature. It is generally affiliated with pilots and scuba di ... Read the Article 1 6 Activity Info
Barotrauma And Mechanical Ventilation Pulmonary barotrauma is a potentially life-threatening complication in patients on mechanical ventilation. It is important to recognize and quickly ac ... Read the Article 1.25 11 Activity Info
Benzodiazepine Toxicity Since the 1960s, with the development of chlordiazepoxide and shortly thereafter diazepam, benzodiazepines quickly became popular medications secondar ... Read the Article 1.25 12 Activity Info
Blunt Abdominal Trauma Abdominal trauma caused by blunt force is a common presentation in the emergency room seen in adults and children. The chief cause of blunt abdominal ... Read the Article 1.25 13 Activity Info
Blunt Force Trauma Trauma is the leading cause of morbidity and mortality in patients under 35-years of age and the sixth leading cause of death worldwide. The majority ... Read the Article 1.25 12 Activity Info
Brain Trauma Brain trauma or traumatic brain injury (TBI) results from a blow, bump, jolt, or penetrating injury to the head that disrupts the normal function of t ... Read the Article 1.5 13 Activity Info
Breech Presentation Breech presentation refers to the fetus in the longitudinal lie with the buttocks or lower extremity entering the pelvis first. The three types of bre ... Read the Article 1.25 11 Activity Info
Burn Evaluation And Management Burns are injuries of the skin involving the two layers: the thin, outer epidermis and the thicker, deeper dermis. 86% of burns are caused by thermal ... Read the Article 1 7 Activity Info
Burn Fluid Management In the United States, approximately 500,000 people seek care for burn injuries each year. For civilians, these injuries are typically sustained in hou ... Read the Article 1 5 Activity Info
Burn Resuscitation And Management Severe burns cause not only significant injury at the local burn site but also a systemic response throughout the body. Inflammatory and vasoactive m ... Read the Article 1 5 Activity Info
Carbon Monoxide Toxicity Carbon monoxide toxicity occurs after breathing in excessive levels of carbon monoxide. This is a tasteless, odorless, and colorless gas and victims a ... Read the Article 1.5 17 Activity Info
Cardiac Arrest As defined by the American Heart Association and the American College of Cardiology, "(sudden) cardiac arrest is the sudden cessation of cardiac activ ... Read the Article 1.25 9 Activity Info
Cardiac Tamponade Cardiac tamponade is a medical emergency that takes place when abnormal amounts of fluid accumulate in the pericardial sac compressing the heart and l ... Read the Article 1.5 15 Activity Info
Cardiogenic Pulmonary Edema Pulmonary edema refers to the accumulation of excessive fluid in the alveolar walls and alveolar spaces of the lungs. It can be a life-threatening con ... Read the Article 1.25 11 Activity Info
Cardiogenic Shock Cardiogenic shock is a primary cardiac disorder characterized by a low cardiac output state of circulatory failure that results in end-organ hypoperfu ... Read the Article 1.5 16 Activity Info
Cardiopulmonary Arrest In Adults Cardiopulmonary arrest is the cessation of adequate heart function and respiration and results in death without reversal. Often this condition is foun ... Read the Article 1 7 Activity Info
Cardiopulmonary Arrest In Children Unlike in adults, cardiopulmonary arrest in rare in children and less likely to be a primary cardiac event. Early onset of effective, high-quality CPR ... Read the Article 1 7 Activity Info
Cardiopulmonary Resuscitation Cardiopulmonary resuscitation (CPR) comprises a group of interventions performed to provide oxygenation and circulation to the body during cardiac arr ... Read the Article 1.25 10 Activity Info
Caustic Ingestions Caustic ingestion is the term given to describe the ingestion of an extremely toxic substance such as lye. Caustic ingestions are serious medical emer ... Read the Article 1.25 9 Activity Info
Central Venous Catheter Central venous catheter insertion is a common and often, necessary procedure for the care of critically ill patients. Central venous access may be att ... Read the Article 1.25 8 Activity Info
Cerebrovascular Disease A stroke, or cerebrovascular accident, is an emergency medical condition characterized by an acute compromise of the cerebral perfusion or vasculature ... Read the Article 1.25 8 Activity Info
Cervical Disc Injuries The spinal cord is a nervous tissue bundle from the medulla oblongata in the brainstem to the lumbar region, and the vertebral column protects it. The ... Read the Article 1 6 Activity Info
Cervical Injury Cervical spine injuries, although uncommon, can result in significant and long-term disability. The cervical spine encompasses seven vertebrae and ser ... Read the Article 1 7 Activity Info
Chemical Decontamination Contending with a mass casualty incident involving a chemical exposure seems daunting; fortunately, these are rare events. Acute care clinicians may ... Read the Article 1 6 Activity Info
Chest Pain Chest pain is a common complaint and encompasses a broad differential diagnosis that includes several life-threatening causes. A workup must focus on ... Read the Article 1.25 11 Activity Info
Chest Trauma Chest trauma has quickly risen to the second most common traumatic injury in non-intentional trauma. Trauma to the chest comes with the highest mortal ... Read the Article 1 8 Activity Info
Chest Tube A chest tube, also known as a thoracostomy tube, is a flexible tube that can be inserted through the chest wall and into the pleural space. This activ ... Read the Article 1 6 Activity Info
Cheyne Stokes Respirations Cheyne-Stokes respiration is a type of breathing disorder characterized by cyclical episodes of apnea and hyperventilation. Although described in the ... Read the Article 1 5 Activity Info
Child Abuse and Neglect The World Health Organization (WHO) defines child maltreatment as “all forms of physical and emotional ill-treatment, sexual abuse, neglect, and explo ... Read the Article 2 30 Activity Info
Chronic Obstructive Pulmonary Disease Chronic obstructive lung disease is a lung disease characterized by lung airflow limitation and can be from exposure to harmful substances. It is a co ... Read the Article 2.25 37 Activity Info
Cocaine Cocaine hydrochloride topical solution contains 4% cocaine. It is not FDA-approved but allowed for only the following indications: topical anesthesia ... Read the Article 1.25 13 Activity Info
Congestive Heart Failure Heart failure is a complex clinical syndrome in which the heart cannot pump enough blood to meet the body's requirements. It results from any disorder ... Read the Article 2.5 38 Activity Info
Congestive Heart Failure And Pulmonary Edema Heart failure is a growing public health problem and is now the most common cause of hospitalizations in the U.S. among patients 65 years and older. T ... Read the Article 1.5 15 Activity Info
Cromolyn Sodium Cromolyn sodium is a medication used to manage bronchial asthma, allergic rhinitis, and certain allergic eye conditions such as vernal conjunctivitis, ... Read the Article 1 6 Activity Info
Croup Croup is a common respiratory illness of the trachea, larynx, and bronchi that can lead to inspiratory stridor and barking cough. It is a self-limited ... Read the Article 1.5 17 Activity Info
Crystalloid Fluids Crystalloid fluids are a subset of intravenous solutions that are frequently used in the clinical setting. Crystalloid fluids are the first choice for ... Read the Article 1.25 8 Activity Info
Decerebrate And Decorticate Posturing Decorticate and decerebrate posturing are abnormal posturing responses typically to noxious stimuli. They involve stereotypical movements of the trunk ... Read the Article 1 7 Activity Info
Defibrillation Cardiac defibrillation is the act of administering a transthoracic electrical current to a person experiencing one of the two lethal ventricular dysrh ... Read the Article 1 5 Activity Info
Diaphragm Rupture Diaphragmatic injuries are relatively uncommon, representing less than 1% of traumatic injuries. They are typically considered a marker of severe trau ... Read the Article 1.25 8 Activity Info
Drowning Drowning is defined as a process of experiencing respiratory impairment from submersion/immersion in a liquid medium. To delineate the incident's outc ... Read the Article 1 7 Activity Info
Dysbarism Dysbarism describes any condition resulting from changes in ambient pressure that occur at a rate outpacing the body's ability to adapt safely. Exampl ... Read the Article 1 7 Activity Info
ECG T Wave Normally, the T wave on an electrocardiogram (ECG) is representative of ventricular repolarization. Changes in T wave morphology can be indicative of ... Read the Article 1 6 Activity Info
Ectopic Pregnancy An ectopic pregnancy occurs when fetal tissue implants outside of the uterus or attaches to an abnormal or scarred portion of the uterus. Ectopic preg ... Read the Article 1.5 18 Activity Info
EKG Rhythm Successful ECG interpretation requires the utilization of the same stepwise method with each attempt. Like all aspects of electrocardiographic interpr ... Read the Article 1 7 Activity Info
Electrical Burns Electrical injuries are when high-energy current travels through the body due to contact with an electrical source. Injuries occur due to either the f ... Read the Article 1 6 Activity Info
Electrocardiogram Electrocardiogram (abbreviated as EKG or ECG) represents a recording of the electrical activity of the heart. Willem Einthoven first invented it in 1 ... Read the Article 1.25 14 Activity Info
EMS Airway Management In Adverse Conditions Managing the airway of the critically ill or injured patient is a core skill in emergency medical care. In addition to difficulties arising from physi ... Read the Article 1 6 Activity Info
EMS Chest Injury Chest injuries account for nearly one-fourth of all trauma-related mortality, second only to head and neck injuries. They often require rapid interven ... Read the Article 1.25 8 Activity Info
EMS Facilitated Intubation Without Paralytics Facilitated intubation, also known as medication-facilitated intubation or sedation-facilitated intubation, refers to intubation performed using a sed ... Read the Article 1 5 Activity Info
EMS Field Identification Of CHF Congestive heart failure (CHF) can arise from multiple causes, all resulting in decreased perfusion of body tissues. CHF may result from a drug overdo ... Read the Article 1 5 Activity Info
EMS Field Intubation Field intubation is the placement of an advanced airway or endotracheal tube (ET) by emergency medical services (EMS) personnel outside the hospital s ... Read the Article 1.25 6 Activity Info
EMS Long Spine Board Immobilization Spinal motion restriction using a long spine board and cervical spine collar is implemented in the case of trauma, when certain criteria are met, to h ... Read the Article 1 5 Activity Info
EMS Pneumothorax The majority of emergency medical service (EMS) providers in the United States have protocols for rapid assessment and treatment of pneumothorax. Ther ... Read the Article 1 6 Activity Info
EMS Pneumothorax Identification Without Ancillary Testing Pneumothorax is a principal diagnosis for emergency medical services (EMS) providers to identify, which is a potentially life-threatening condition. I ... Read the Article 1 8 Activity Info
EMS Portable Ventilator Management Patients intubated in the field will need some form of artificial ventilation started. BVM ventilation is unreliable and inconsistent and requires a d ... Read the Article 1 3 Activity Info
EMS Prehospital CPAP Devices Continuous positive airway pressure (CPAP) is non-invasive positive pressure ventilation (NIPPV) that helps improve the work of breathing and oxygenat ... Read the Article 1 5 Activity Info
EMS Prehospital Deliveries There are approximately 3.9 million deliveries in the United States every year. Fortunately, most of these deliveries are appropriately anticipated an ... Read the Article 1 7 Activity Info
EMS Resuscitation During Contamination While Wearing PPE In a world of evolving disease, accidental industrial or commercial contamination, as well as foreign and domestic terrorism, emergency providers must ... Read the Article 1 6 Activity Info
Endotracheal Tube In its simplest form, the endotracheal tube is a tube constructed of polyvinyl chloride that is placed between the vocal cords through the trachea. It ... Read the Article 1.5 16 Activity Info
Epidural Hematoma An epidural hematoma (EDH) is an extra-axial collection of blood within the potential space between the outer layer of the dura mater and the inner ta ... Read the Article 1.5 14 Activity Info
Epinephrine Epinephrine is one of the most commonly used agents in various settings as it functions as medication and hormone. It is currently FDA-approved for va ... Read the Article 1.5 16 Activity Info
Etomidate Etomidate is an ultrashort-acting, non-barbiturate hypnotic intravenous anesthetic agent. It is administered only by intravenous route. Etomidate has ... Read the Article 1 6 Activity Info
Febrile Seizure Febrile seizures are seizures that are caused by a sudden spike in body temperature with fevers greater than 38C or 100.4F, with no other underlying s ... Read the Article 1.25 9 Activity Info
Feeding Tube Feeding tubes are tubes inserted into the gastrointestinal tract to provide a patient with enteral nutrition or for decompression. Tubes come in a var ... Read the Article 1 4 Activity Info
Femoral Vein Central Venous Access Venous access can be obtained through the cannulation of peripheral veins, such as the antecubital vein or saphenous vein, or central veins, such as t ... Read the Article 1 5 Activity Info
Flail Chest Flail chest is a traumatic condition of the thorax. It may occur when 3 or more ribs are broken in at least 2 places. It is considered a clinical diag ... Read the Article 1 7 Activity Info
Fluid Resuscitation The primary role of fluid resuscitation is to maintain organ perfusion (hemodynamics) and substrate (oxygen, electrolytes, among others) delivery thro ... Read the Article 1 6 Activity Info
Flumazenil Flumazenil is a benzodiazepine antagonist. The primary FDA-approved clinical uses for flumazenil include reversal agents for benzodiazepine overdose a ... Read the Article 1 7 Activity Info
Foot Ulcer Foot ulceration is among the most common health issues, and its prevalence has increased recently. It is one of the major causes of amputations, parti ... Read the Article 1.25 8 Activity Info
Foreign Body Aspiration Foreign body aspiration remains a significant cause of death in children for anatomic as well as developmental reasons. Choking is typically defined a ... Read the Article 1 5 Activity Info
Frostbite Frostbite, also known as freezing cold injury is tissue damage that occurs due to cold exposure, occurring at temperatures below zero degrees celsius. ... Read the Article 1.5 17 Activity Info
Generalized Tonic-Clonic Seizure This activity reviews generalized tonic-clonic seizures. A generalized tonic-clonic seizure, formerly known as grand mal seizure, is defined as a seiz ... Read the Article 1.25 10 Activity Info
Glasgow Coma Scale The Glasgow Coma Scale (GCS) is used to objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients. T ... Read the Article 1 6 Activity Info
Glucagon Glucagon is a medication used to manage and treat hypoglycemia as an antidote to beta-blocker and calcium channel blocker overdose, anaphylaxis refrac ... Read the Article 1 6 Activity Info
Guillain Barre Syndrome Guillain-Barre syndrome (GBS) is a rare but serious post-infectious immune-mediated neuropathy. It results from the autoimmune destruction of nerves i ... Read the Article 1.75 21 Activity Info
Hand Hygiene Handwashing practices in the patient care setting began in the early 19th century. The practice evolved over the years with evidential proof of its va ... Read the Article 1 4 Activity Info
Head Trauma Traumatic brain injury (TBI) due to head trauma is a common presentation in emergency departments and usually accounts for more than one million visit ... Read the Article 1.5 15 Activity Info
Hemophilia Hemophilia A and B are the most common severe hereditary hemorrhagic disorders. Hemophilia A and B result from factor VIII and factor IX protein defic ... Read the Article 1.5 10 Activity Info
Hemorrhage Hemorrhage can manifest in many different ways depending on the mechanism and anatomic location. It is a common and serious medical emergency that req ... Read the Article 1.25 12 Activity Info
Hemorrhage Control Blood is mandatory to maintain adequate circulation within the cardiovascular system and perfuse the tissues of the body. Hemorrhage is the loss of bl ... Read the Article 1 3 Activity Info
Hemorrhagic Shock Shock refers to the inadequate perfusion of tissues due to the imbalance between oxygen demand of tissues and the body’s ability to supply it. Classic ... Read the Article 1.75 20 Activity Info
Heparin Unfractionated heparin is an anticoagulant indicated for both the prevention and treatment of thrombotic events such as deep vein thrombosis (DVT) and ... Read the Article 1 5 Activity Info
Heroin Heroin, also known as diacetylmorphine, is derived from the opium poppy plant. Professionals initially touted morphine as a substitute with less misus ... Read the Article 1 6 Activity Info
High Altitude Cerebral Edema High altitude cerebral edema (HACE) is a severe and potentially fatal condition associated with high altitude illness that is often thought of as a la ... Read the Article 1 4 Activity Info
High Altitude Pulmonary Edema High altitude pulmonary edema (HAPE) is a severe form of high-altitude illness that, if left untreated, can lead to mortality in 50 percent of affecte ... Read the Article 1.25 8 Activity Info
Hymenoptera Stings The Hymenoptera order includes over 150,000 different species of flying and non-flying insects. Some species within this order have modified oviposito ... Read the Article 1.25 10 Activity Info
Hypercapnea Hypercapnia is the increase in partial pressure of carbon dioxide (PaCO2) above 45 mmHg. Carbon dioxide is a metabolic product of the many cellular pr ... Read the Article 1 3 Activity Info
Hyperkalemia Hyperkalemia is defined as a serum or plasma potassium level above the upper limits of normal, usually greater than 5.0 mEq/L to 5.5 mEq/L. While mild ... Read the Article 1.25 13 Activity Info
Hypertensive Emergency A hypertensive emergency is an acute, marked elevation in blood pressure that is associated with signs of target-organ damage. These can include pulmo ... Read the Article 1 7 Activity Info
Hypocalcemia Disorders of calcium metabolism are frequently encountered. Though hypocalcemia is not encountered as frequently as hypercalcemia, it can be life-thre ... Read the Article 1.25 11 Activity Info
Hypoglycemia Hypoglycemia is often defined by a plasma glucose concentration below 70 mg/dL; however, signs and symptoms may not occur until plasma glucose concent ... Read the Article 1.5 18 Activity Info
Hypothermia Accidental hypothermia occurs when the body dissipates more heat than it absorbs or creates, leaving the body unable to generate sufficient heat to ma ... Read the Article 1.5 15 Activity Info
Hypovolemic Shock Patients with hypovolemic shock have severe hypovolemia with decreased peripheral perfusion. If left untreated, these patients can develop ischemic in ... Read the Article 1 7 Activity Info
Hypoxia Hypoxia is a state in which oxygen is not available in sufficient amounts at the tissue level to maintain adequate homeostasis; this can result from i ... Read the Article 1 4 Activity Info
Inferior Myocardial Infarction Without timely treatment, coronary artery occlusion results in decreased perfusion to the myocardium, resulting in myocardial ischemia followed by my ... Read the Article 1.25 11 Activity Info
Inguinal Hernia Inguinal hernia repair is an extremely common operation performed by surgeons. More than 800,000 repairs performed annually. These groin hernias can b ... Read the Article 1.25 8 Activity Info
Inotropes And Vasopressors Vasopressors and inotropes are medications used to create vasoconstriction or increase cardiac contractility, respectively, in patients with shock. Th ... Read the Article 1.25 8 Activity Info
Intra-Aortic Balloon Pump This activity reviews the indications and contraindications of intra-aortic balloon pump in patients with cardiogenic shock secondary to various cardi ... Read the Article 1.5 11 Activity Info
Intracranial Hypertension Intracranial hypertension is a spectrum of neurological disorders where cerebrospinal fluid (CSF) pressure within the skull is elevated. Normal CSF pr ... Read the Article 1.25 12 Activity Info
Intraosseous Vascular Access Obtaining vascular access is often difficult and delays patient care in the prehospital and hospital setting. Intraosseous (IO) access is a fast and r ... Read the Article 1.25 11 Activity Info
Isoproterenol Isoproterenol is a beta-1 and beta-2 adrenergic receptor agonist indicated primarily for bradydysrhythmias. The administration and subsequent post-adm ... Read the Article 1 7 Activity Info
Laryngeal Injury Laryngotracheal injuries have a high mortality rate although they are infrequently seen. These injuries may be penetrating or blunt and can occur in t ... Read the Article 1.25 9 Activity Info
Laryngeal Mask Airway Laryngeal mask airways (LMA) are supraglottic airway devices. They may be used as a temporary method to maintain an open airway during the administrat ... Read the Article 1 6 Activity Info
Malignant Hyperthermia Malignant hyperthermia (MH) is a hereditary disorder of skeletal muscle that classically presents as a hypermetabolic response to halogenated anesthet ... Read the Article 1.25 8 Activity Info
Mannitol Mannitol can be used for the reduction of intracranial pressure and brain mass, to reduce intraocular pressure if this is not achievable by other mean ... Read the Article 1.25 11 Activity Info
MAO Inhibitors Monoamine oxidase inhibitors (MAO Inhibitors) are medications used to manage and treat depression, among other neurological and psychiatric illnesses. ... Read the Article 1.25 8 Activity Info
Mechanical Ventilation Although mechanical ventilation can be a complex and seemingly elusive topic, expectations are that healthcare professionals who deal with critically ... Read the Article 1.25 9 Activity Info
Meconium Aspiration Meconium aspiration syndrome (MAS) is the neonatal respiratory distress that occurs in a newborn in the context of meconium-stained amniotic fluid (MA ... Read the Article 1 4 Activity Info
Metabolic Acidosis Acid-base disorders are disturbances in the homeostasis of hydrogen ion concentration in the plasma. Any process that increases the serum hydrogen ion ... Read the Article 1.5 18 Activity Info
Methanol Toxicity Methanol (CH3OH) is a toxic alcohol that is found in various household and industrial agents. Methanol exposure can be extremely dangerous, with signi ... Read the Article 1.75 23 Activity Info
Middle Ear Barotrauma Eustachian tube dysfunction (ETD) and middle ear barotrauma (MEBT) remain the two most common complications of SCUBA diving, commercial diving, and cl ... Read the Article 1 5 Activity Info
Morphine FDA-approved usage of morphine sulfate includes moderate to severe pain that may be acute or chronic. Most commonly used in pain management, morphine ... Read the Article 1.25 14 Activity Info
Motion Sickness Motion sickness is a common and complex syndrome that occurs in response to either real or perceived motion. Its presentation can be diverse and may i ... Read the Article 1.25 9 Activity Info
Myocardial Infarction Myocardial infarction (MI), colloquially known as "heart attack," is caused by decreased or complete cessation of blood flow to a portion of the myoca ... Read the Article 1.25 12 Activity Info
Nasogastric Tube Nasogastric tubes are part of the standard of care in treating intestinal obstruction and can also be used to provide nutritional support. They are mo ... Read the Article 1.25 11 Activity Info
Nasopharyngeal Airway A nasopharyngeal airway device (NPA) is a hollow plastic or soft rubber tubes that a healthcare provider can utilize to assist with patient oxygenatio ... Read the Article 1 6 Activity Info
Neck Trauma The management of neck trauma can be challenging and sometimes overwhelming, as this anatomical region contains many vital structures. These structure ... Read the Article 1.5 15 Activity Info
Necrotizing Fasciitis Necrotizing fasciitis is a subset of aggressive skin and soft tissue infections (SSTIs) that cause necrosis of the muscle fascia and subcutaneous tiss ... Read the Article 1.5 18 Activity Info
Neurogenic Shock Neurogenic shock is a devastating consequence of spinal cord injury (SCI) that can manifest as hypotension, bradyarrhythmia, and temperature dysregula ... Read the Article 1 7 Activity Info
Neuromuscular Blocking Agents The widespread use of neuromuscular blocking agents (NMBA) was a significant milestone in the development of anesthesia. Before the introduction of N ... Read the Article 1 5 Activity Info
Nitrates Nitrates are useful in the management and treatment of angina. They are a group of medications that cause vasodilation by donating nitric oxide. This ... Read the Article 1 7 Activity Info
Nitroglycerin Nitroglycerin is a vasodilatory drug used primarily to provide relief from anginal chest pain. It is currently FDA approved for the acute relief of an ... Read the Article 1.25 10 Activity Info
Norepinephrine Untreated hypotension can be a significant cause of morbidity and mortality. Norepinephrine is a first-line agent for hypotension that does not respon ... Read the Article 1 6 Activity Info
Open Fracture Management An open fracture is an injury where the fractured bone and/or fracture hematoma are exposed to the external environment via a traumatic violation of t ... Read the Article 1 6 Activity Info
Opioid Toxicity Opioids and opiates together comprise a class of medications widely used primarily to control severe pain. If first-line agents are not effective in c ... Read the Article 1.5 15 Activity Info
Organophosphate Toxicity Most patients exposed to organophosphates come into contact with insecticides. The first organophosphate insecticide was created in the mid-1800s but ... Read the Article 1.25 12 Activity Info
Oropharyngeal Airway Acute respiratory failure is caused by a wide range of etiologies. Progression to cardiopulmonary arrest and ultimately death is likely in the absenc ... Read the Article 1 4 Activity Info
Oxygen Administration Oxygen administration may be initiated for a variety of reasons. Increased metabolic demand, maintenance of oxygenation while providing anesthesia, su ... Read the Article 1.25 8 Activity Info
Pain Assessment There are multiple tools used to help assess a patient's pain. These tools can be used to assess multiple types of pain, ranging from nociceptive pain ... Read the Article 1.5 15 Activity Info
Parkland Formula Early and aggressive fluid resuscitation plays a fundamental role in the management of severe burn patients. The Parkland formula is the most widely u ... Read the Article 1 4 Activity Info
Patient Restraint and Seclusion Patient restraint and seclusion is a controversial yet necessary aspect of medicine. Restraint encompasses both physical and chemical procedures. This ... Read the Article 1 6 Activity Info
Pediatric Asthma Asthma is a chronic inflammatory disease of the airways, characterized by recurrent episodes of airflow obstruction resulting from edema, bronchospasm ... Read the Article 1.5 18 Activity Info
Pediatric Dehydration The World Health Organization defines dehydration as a condition that results from excessive loss of body water. The most common causes of dehydration ... Read the Article 1.5 16 Activity Info
Pediatric Facial Trauma Pediatric facial trauma includes blunt and penetrating trauma to the structures of the face in patients ages less than 18 years. This article primaril ... Read the Article 1.25 8 Activity Info
Pelvic Fracture A pelvic fracture involves damage to the hip bones, sacrum, or coccyx - the bony structures forming the pelvic ring. Due to the inherent structural an ... Read the Article 1.75 23 Activity Info
Pelvic Trauma Pelvic injuries are the result of high energy trauma; they frequently have associated injuries. The injuries can be life-threatening and lead to life- ... Read the Article 1.25 6 Activity Info
Penetrating Abdominal Trauma Penetrating abdominal trauma is most commonly caused by stabbing or gunshot wound. The most commonly injured regions are the small bowel, large bowel, ... Read the Article 1.25 11 Activity Info
Penetrating Head Trauma Penetrating brain injury (PBI) is a significant cause of mortality in young individuals. PBI encompasses all traumatic brain injuries other than blunt ... Read the Article 1 5 Activity Info
Percutaneous Transluminal Coronary Angioplasty Percutaneous transluminal coronary angioplasty (PTCA) also called percutaneous coronary intervention (PCI) is a minimally invasive procedure to open b ... Read the Article 1.25 8 Activity Info
Pericarditis Pericarditis is inflammation of the pericardial sac and is the most common pathologic process involving the pericardium. Temporally, it may be further ... Read the Article 1.5 16 Activity Info
Phencyclidine Toxicity Phencyclidine (PCP) is a dissociative anesthetic that is a commonly used recreational drug. PCP is a crystalline powder that can be ingested orally, i ... Read the Article 1.25 13 Activity Info
Pleural Effusion Pleural effusion is the accumulation of fluid in between the parietal and visceral pleura, called the pleural cavity. It can occur by itself or can be ... Read the Article 1.25 8 Activity Info
Pneumothorax A pneumothorax is a collection of air outside the lung but within the pleural cavity. It occurs when air accumulates between the parietal and visceral ... Read the Article 1.5 17 Activity Info
Polytraumatized Patient Polytrauma is when a patient has sustained multiple injuries, some of which may cause significant disability and may be life-threatening. Worldwide th ... Read the Article 1 6 Activity Info
Positive End-Expiratory Pressure Positive end-expiratory pressure (PEEP) is a value that can be set up in patients receiving invasive or non-invasive mechanical ventilation. This acti ... Read the Article 1 7 Activity Info
Positive Pressure Ventilation Positive pressure ventilation describes the process of either using a mask or, more commonly, a ventilator to deliver breaths and to decrease the work ... Read the Article 1 5 Activity Info
Postictal Seizure State The postictal state is a period that begins when a seizure subsides and ends when the patient returns to baseline. It typically lasts between 5 and 30 ... Read the Article 1 5 Activity Info
Pregnancy Trauma Trauma in pregnancy can ranges from mild, for example trauma associated with a single fall from standing height or hitting the abdomen on an object su ... Read the Article 1 4 Activity Info
Premature Ventricular Contraction During a premature ventricular contraction (PVC), the heartbeat is initiated by the Purkinje fibers rather than the SA node. Given that a PVC occurs b ... Read the Article 1 6 Activity Info
Protamine Protamine is a medication used to reverse and neutralize the anticoagulant effects of heparin. Protamine is the specific antagonist that neutralizes ... Read the Article 1.25 9 Activity Info
Pulmonary Artery Catheterization Pulmonary artery catheterization is a diagnostic procedure in which an intravascular catheter is inserted through a central vein, such as the femoral, ... Read the Article 1.25 8 Activity Info
Pulmonary Edema Pulmonary edema is defined as an abnormal accumulation of extravascular fluid in the lung parenchyma. Two main types are cardiogenic and noncardiogen ... Read the Article 1.5 14 Activity Info
Pulsus Paradoxus Pulsus paradoxus refers to a systolic pressure drop greater than 10mmHg during inspiration. Pulsus paradoxus results from alterations in the mechanica ... Read the Article 1 6 Activity Info
Respiratory Acidosis Respiratory acidosis typically occurs due to failure of ventilation and accumulation of carbon dioxide. The primary disturbance is an elevated arteria ... Read the Article 1.25 9 Activity Info
Respiratory Distress Syndrome Acute respiratory distress syndrome (ARDS) is a common condition which is caused by pulmonary and extra-pulmonary pathologies, and it carries high rat ... Read the Article 1 5 Activity Info
Respiratory Failure Respiratory failure happens when the respiratory system fails to maintain gas exchange and is classified into type 1 and type 2 according to blood gas ... Read the Article 1.25 12 Activity Info
Right Heart Failure Heart failure is a condition in which the heart loses its ability to pump blood efficiently to the rest of the body. Right heart failure is most commo ... Read the Article 1.5 13 Activity Info
Seizure Medications The mainstay treatment strategy for seizures is medication management. However, much like the prescription of any other pharmaceutical agent, a clinic ... Read the Article 1.5 15 Activity Info
Septic Shock Sepsis syndromes span a clinical continuum with variable prognoses. Septic shock, the most severe complication of sepsis, carries a high mortality. Se ... Read the Article 1.75 20 Activity Info
Shock Shock is a life-threatening manifestation of circulatory failure. Circulatory shock leads to cellular and tissue hypoxia resulting in cellular death ... Read the Article 1.25 8 Activity Info
Sinus Tachycardia Sinus tachycardia is a regular cardiac rhythm in which the heart beats faster than normal. While it is common to have tachycardia as a physiological r ... Read the Article 1.25 12 Activity Info
Snake Toxicity Venomous snakes inflict considerable morbidity and mortality worldwide, although specific data on the total number of venomous snakebites globally are ... Read the Article 1 5 Activity Info
Sodium Nitroprusside Sodium nitroprusside is a medication used in the management of acute hypertension. It is a potent vasodilator and is administered as an IV infusion wi ... Read the Article 1.25 12 Activity Info
Spinal Cord Injuries Spinal cord injury (SCI) is a serious medical condition, which often results in severe morbidity and permanent disability. It occurs when the axons of ... Read the Article 2 26 Activity Info
Spinal Shock Spinal shock is a result of severe spinal cord injury. It usually requires high-impact, direct trauma that leads to spinal cord injury and spinal shoc ... Read the Article 1 5 Activity Info
Splenic Injury Injuries to the spleen are one of the most common injuries in abdominal trauma. The spleen is the most vascular organ in the body. Since bleeding in s ... Read the Article 1.25 9 Activity Info
Splenic Rupture The spleen is an encapsulated hematopoietic organ that lies within the posterior aspect of the left upper quadrant in the peritoneal cavity. It has pr ... Read the Article 1 3 Activity Info
Spontaneous Pneumothorax Spontaneous pneumothorax is an abnormal condition of the lung characterized by the collection of gas in the pleural space between the lungs and the ch ... Read the Article 1.25 9 Activity Info
Subarachnoid Hemorrhage Subarachnoid hemorrhages are life-threatening and result from the accumulation of blood between the arachnoid and pia mater. The incidence of subarach ... Read the Article 2 30 Activity Info
Subfalcine Herniation Herniation occurs when brain tissue is displaced across a structure within the cranium. Subfalcine herniation is the most common form of brain herniat ... Read the Article 1 5 Activity Info
Succinylcholine Chloride Succinylcholine chloride is a short-acting depolarizing neuromuscular blockade approved by the United States Food and Drug Administration (FDA) as a p ... Read the Article 1 5 Activity Info
Supraventricular Tachycardia Supraventricular tachycardia (SVT) is a dysrhythmia originating at or above the atrioventricular (AV) node and is defined by a narrow complex (QRS &lt ... Read the Article 1.5 16 Activity Info
Surgical Airway Suctioning Airway suctioning refers to the collective measures that are used for clearing the airway of a patient. It involves suctioning, clearing secretions, a ... Read the Article 1 2 Activity Info
Synchronized Intermittent Mandatory Ventilation Synchronized intermittent mandatory ventilation (SIMV) is a type of volume control mode of ventilation. With this mode, the ventilator will deliver a ... Read the Article 1 4 Activity Info
Syncope Syncope is a transient loss of consciousness and postural tone followed by spontaneous recovery. While there are numerous classification schemes used ... Read the Article 1.5 14 Activity Info
Tachypnea Tachypnea is defined as a breathing rate that is higher than the normal breathing rate. This condition is seen in both the physiologic state as well a ... Read the Article 1 3 Activity Info
Targeted Hypothermia Temperature Management Targeted temperature management aims to reduce mortality and improve neurological outcomes in unresponsive patients who achieve ROSC after cardiac arr ... Read the Article 1.25 8 Activity Info
Tension Pneumothorax Pneumothorax is when air collects in between the parietal and viscera pleurae resulting in lung collapse. It can happen secondary to trauma (traumatic ... Read the Article 2 26 Activity Info
Tetanus Tetanus is an infection characterized by muscle spasms and lockjaw, also called trismus. Toxins produced by Clostridium tetani are responsible for the ... Read the Article 1.5 17 Activity Info
Thermal Burns Thermal burns are skin injuries caused by excessive heat, typically from contact with hot surfaces, hot liquids, steam, or flame. Most burns are minor ... Read the Article 1.25 10 Activity Info
Third-Degree Atrioventricular Block An atrioventricular block is a loss of the regular function of the cardiac electroconductive pathways linking the sinoatrial node (SA node) and the ve ... Read the Article 1.5 16 Activity Info
Thrombocytopenia Thrombocytopenia is a platelet count below the lower limit of normal, i.e., 150000/microliter (for adults). This activity reviews the etiology, evalua ... Read the Article 1.5 16 Activity Info
Thrombolytic Therapy Thrombolytics or fibrinolytics are a group of medications used in the management and treatment of dissolving intravascular clots. They are in the plas ... Read the Article 1.25 10 Activity Info
Torsade de Pointes Torsades de Pointes is a type of polymorphic ventricular tachycardia characterized on electrocardiogram by oscillatory changes in amplitude of the QRS ... Read the Article 1.5 18 Activity Info
Toxic Exposure Hazardous Materials Hazardous materials (HAZMAT) are chemical or radioactive substances that can harm an individual and the environment upon exposure, resulting in differ ... Read the Article 1 6 Activity Info
Tracheal Injury Tracheal injury is an uncommon occurrence seen primarily after healthcare procedures, blunt and penetrating trauma, and caustic inhalations. Damage to ... Read the Article 1.25 11 Activity Info
Tracheal Intubation Medications Endotracheal intubation is indicated in many clinical settings, such as impending respiratory failure and when protecting the patient airway. The foll ... Read the Article 1 3 Activity Info
Tracheal Rapid Sequence Intubation Rapid sequence intubation (RSI) is a technique that is used when rapid control of the airway is needed as a precaution for patients that may have a 'f ... Read the Article 1.25 8 Activity Info
Tracheobronchial Tear Tracheobronchial tears are uncommon injuries or lacerations or puncture occurring anywhere in the tracheobronchial tree resulting from penetrating or ... Read the Article 1.25 6 Activity Info
Tracheostomy A tracheostomy (or tracheotomy, while there are technical differences, these terms are colloquially used interchangeably. For the purposes of this art ... Read the Article 1.5 14 Activity Info
Tracheostomy Tube Change Tracheostomy is a procedure where an artificial airway is established surgically or percutaneously in the cervical trachea. This activity describes th ... Read the Article 1 2 Activity Info
Transfusion Reactions Transfusion reactions are adverse events associated with the transfusion of whole blood or one of its components. They range in severity from minor to ... Read the Article 1.5 15 Activity Info
Trauma Primary Survey The primary survey is designed to rapidly assess and treat life-threatening injuries. The main causes of death in trauma patients are airway obstructi ... Read the Article 1.25 8 Activity Info
Uncal Herniation Uncal herniation occurs when rising intracranial pressure causes portions of the brain to move from one intracranial compartment to another. It is a l ... Read the Article 1 7 Activity Info
Unconscious Patient Unconsciousness is generally caused by a temporary or permanent impairment of either the reticular activating system in the brainstem, both cerebral h ... Read the Article 1 4 Activity Info
Universal Precautions Universal precautions were introduced by the Centers for Disease Control (CDC) in 1985, mostly in response to the human immunodeficiency virus (HIV) e ... Read the Article 1 7 Activity Info
Unstable Angina Unstable angina is chest discomfort or pain caused by an insufficient flow of blood and oxygen to the heart. It is part of the acute coronary syndrome ... Read the Article 1.5 14 Activity Info
Upper Airway Obstruction Upper airway obstruction is defined as occlusion or narrowing of the airways leading to compromise in ventilation. Obstruction can vary from acute to ... Read the Article 1 5 Activity Info
Ventilator Complications Mechanical ventilation is an essential medical intervention in the context of critical illness. However, this intervention is associated with the risk ... Read the Article 1.25 9 Activity Info
Ventilator Management Invasive mechanical ventilation is an intervention that is frequently used in acutely ill patients requiring either respiratory support or airway prot ... Read the Article 1.5 16 Activity Info
Ventricular Fibrillation Arrhythmias originating from the ventricular myocardium or His-Purkinje system are grouped under ventricular arrhythmia (VA). This includes a subset o ... Read the Article 1.25 10 Activity Info
Ventricular Tachycardia Ventricular tachycardia is characterized as a wide complex tachyarrhythmia. It is classified by duration as non-sustained or sustained. Non-sustained ... Read the Article 1.5 15 Activity Info
Ventriculoperitoneal Shunt A ventriculoperitoneal (VP) shunt is a cerebral shunt used to treat hydrocephalus. The shunt removes excess cerebrospinal fluid. In pediatric patients ... Read the Article 1.25 10 Activity Info
Verapamil The Food and Drug Administration (FDA) approved indications for verapamil include angina (chronic stable, vasospastic or Prinzmetal variant), unstable ... Read the Article 2 26 Activity Info
Warfarin Warfarin is a medication used in the prophylaxis and treatment of venous thrombosis and thromboembolic events. It is in the anticoagulant class of dru ... Read the Article 2 26 Activity Info
Wheat Allergy The wheat allergy is either IgE-mediated or non-IgE-mediated allergic reaction to wheat proteins. The result can be life-threatening and can lead to a ... Read the Article 1 4 Activity Info
Wheezing Wheezing is the symptomatic manifestation of any disease process that causes airway obstruction. Wheezing is commonly experienced by people who have a ... Read the Article 1 5 Activity Info
Wound Irrigation Wounds and lacerations are common complaints. Each year in the United States, roughly 12.2 million patients are seen in emergency departments for woun ... Read the Article 1 5 Activity Info

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