Nurse-Trauma (TCRN) 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. 493 authors and 8 editors have contributed to the development of the Nurse-Trauma (TCRN) content, which is continuously refined and updated to improve your learning experience.

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Nurse-Trauma (TCRN) 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 11 Activity Info
Abuse and Neglect Abuse and neglect refer to the actions or inactions of an individual's caregiver or parent inflicting physical, sexual, or emotional harm on the indiv ... Read the Article 1 6 Activity Info
Acetabular Fractures Acetabular fractures primarily occur in young people who are involved in high-velocity trauma. Since the advent of mandatory seatbelt use, there has ... Read the Article 1 5 Activity Info
Acromioclavicular Joint Injury Acromioclavicular joint injuries account for more than forty percent of all shoulder injuries. Mild injuries are not associated with any significant ... Read the Article 1.25 9 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 1.25 12 Activity Info
Acute Anemia Acute anemia occurs when there is an abrupt drop in red blood cells, usually due to acute hemorrhage or hemolysis. This activity reviews the presentat ... Read the Article 1 3 Activity Info
Acute Ankle Sprain Acute ankle sprains are commonly seen in both primary care practices and emergency departments and can result in significant short-term morbidity, rec ... Read the Article 1.25 12 Activity Info
Acute Compartment Syndrome Acute compartment syndrome is a condition in which there is increased pressure within a closed osteofascial compartment, resulting in impaired local c ... Read the Article 1.75 21 Activity Info
Acute Headache Headache is a nearly universal complaint. Most headaches are benign, and the majority of patients can be safely treated and discharged with minimal wo ... Read the Article 1 5 Activity Info
Acute Kidney Injury Acute kidney injury, previously known as acute renal failure, denotes a sudden and often reversible reduction in the kidney function, as measured by ... Read the Article 1.5 17 Activity Info
Acute Nerve Injury Peripheral nerve injuries (PNIs) can present in approximately 3% of trauma patients. They vary in severity and complexity, necessitating different app ... Read the Article 1 6 Activity Info
Acute Pancreatitis Acute pancreatitis is the leading cause of gastrointestinal-related hospitalization in the United States, and its frequency continues to rise in the U ... Read the Article 2.25 34 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 Respiratory Distress Syndrome Acute respiratory distress syndrome (ARDS) is a life-threatening condition characterized by poor oxygenation and non-compliant or "stiff" lungs. The d ... Read the Article 2.25 33 Activity Info
Acute Scrotum Pain Acute scrotum pain is an umbrella term that includes a wide variety of unique disease processes. Patients may describe the rapid onset of symptoms wit ... Read the Article 1.25 9 Activity Info
Acute Subarachnoid Hemorrhage Subarachnoid hemorrhages are true emergencies that demand prompt treatment. Subarachnoid hemorrhages result from a medical aneurysmal rupture or traum ... Read the Article 1.5 14 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
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
Animal Bites Animal bites account for approximately one percent of all emergency visits in the U.S. yearly and can range from superficial injuries to disfiguring a ... Read the Article 1.25 8 Activity Info
Ankle Fractures Acute ankle fractures can affect many different structures. Classification systems can help delineate the mechanism of injury and the structures damag ... Read the Article 1.25 12 Activity Info
Anterior Cruciate Ligament Knee Injuries The anterior cruciate ligament is one of the two cruciate ligaments that aids in stabilizing the knee joint. It is the most commonly injured ligament ... Read the Article 1.25 9 Activity Info
Anterior Glenohumeral Joint Dislocation Anterior glenohumeral joint dislocations are the most commonly encountered joint dislocations. They can be the result of low or high-energy trauma. Th ... Read the Article 1.25 8 Activity Info
Anthrax Anthrax is an infectious disease caused by an encapsulated, spore-forming, gram-variable bacteria called Bacillus anthracis. This commonly presents wi ... 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 26 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
Aortic Transection Aortic transection is an injury encountered with blunt thoracic trauma with substantial morbidity and mortality. Many patients with aortic transection ... Read the Article 1 6 Activity Info
Aortocaval Compression Syndrome Aortocaval compression syndrome is also known as a supine hypotensive syndrome. It typically occurs in pregnant females, usually after 20 weeks of ges ... 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
Appropriate Magnetic Resonance Imaging Ordering Magnetic resonance imaging (MRI) is a diagnostic imaging technique useful for the detailed characterization of the soft tissues without ionizing radia ... Read the Article 1 5 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
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 8 Activity Info
Autonomic Dysreflexia Autonomic dysreflexia is a condition that emerges after a spinal cord injury, usually when the injury has occurred above the T6 level. The higher the ... Read the Article 1.25 9 Activity Info
Autotransfusion Autotransfusion has not always been a safe procedure. The first known documented procedure of autotransfusion was performed in 1818 by Dr. James Blund ... Read the Article 1 5 Activity Info
Avulsed Tooth Dentoalveolar trauma are injuries caused by an external impact on the teeth, palate, mandible, maxilla, and gums. These injuries can result in anythin ... Read the Article 1.25 12 Activity Info
Axillary Nerve Injury Peripheral nerve injury can vary wildly in severity and presentation, ranging from mild soreness to severe muscle weakness. Axillary nerve injuries ty ... Read the Article 1 5 Activity Info
Babinski Reflex The Babinski reflex was described by the neurologist Joseph Babinski in 1899. Since that time, it has been incorporated into the standard neurological ... Read the Article 1 6 Activity Info
Bacitracin Topical Bacitracin is a topical antibiotic ointment widely used by both medical professionals and the general public to treat minor skin injuries including cu ... Read the Article 1 7 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
Basilar Skull Fractures Basilar skull fractures, usually caused by substantial blunt force trauma, involve at least one of the bones that compose the base of the skull. Basil ... Read the Article 1 7 Activity Info
Battle Sign Battle sign is bruising over the mastoid process that is typically the result of head trauma. Battle sign typically requires significant head trauma a ... Read the Article 1 5 Activity Info
Benzocaine Benzocaine is a local anesthetic used in the management of pain control. It is in the ester local anesthetic class of medications. This activity descr ... Read the Article 1 5 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
Bladder Rupture Bladder rupture is most commonly due to abdominal or pelvic trauma but may be spontaneous or iatrogenic in association with surgical or endoscopic pro ... Read the Article 1 6 Activity Info
Bladder Trauma Bladder injury is broadly divided into extraperitoneal and intraperitoneal injuries. Extraperitoneal bladder injuries generally occur with pelvic frac ... Read the Article 1.25 8 Activity Info
Blast Injuries Explosions are unique in their ability to inflict acute injuries on many people at the same time, resulting in high levels of mortality and morbidity. ... Read the Article 1.25 12 Activity Info
Blister Agents Sulfur mustard (dichlorethylsulphide) and nitrogen mustard are blistering agents, or vesicants, that have been used in chemical warfare since before t ... Read the Article 1.25 9 Activity Info
Blood Donation Blood donation is a vital part of worldwide healthcare. It allows for blood transfusion as a life-sustaining and life-saving procedure. Over one hundr ... Read the Article 1.25 7 Activity Info
Blood Transfusion Blood transfusions are a relatively common medical procedure and while typically safe, there are multiple complications that practitioners need to be ... Read the Article 2 31 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 Cardiac Injury A cardiac contusion is a misnomer used to indicate injury to the heart after blunt chest trauma. Because of the term's ambiguity in describing a spect ... Read the Article 1.25 10 Activity Info
Blunt Eye Trauma Blunt injury to the eye can lead to various intrinsic eye injuries. Globe rupture and retrobulbar hematoma are two emergent entities that are of impor ... Read the Article 1 6 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
Blunt Head Trauma Traumatic Brain Injury is a significant cause of morbidity and mortality in the United States, with an annual occurrence of more than 1.5 million. Fal ... Read the Article 1 6 Activity Info
Body Fluid Exposures Health care workers have serious concerns about exposure to bodily fluids. Accidental exposures to bodily fluids present a wide variety of issues to h ... Read the Article 1 5 Activity Info
Bowel Perforation Bowel perforation results from insult or injury to the mucosa of the bowel wall caused due to a violation of the closed system. Bowel perforation can ... Read the Article 1 6 Activity Info
Brain Death Criteria Brain death accounts for about 2% of deaths in the United States and is often caused by traumatic brain injury. Criteria of Brain death determination ... Read the Article 1 5 Activity Info
Brain Herniation Brain herniation, also called brain code, requires early diagnosis and prompt management in order to prevent irreversible pathological cascades that e ... Read the Article 1 7 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
Brainstem Death The revised memorandum in 1979 correlated the brain stem death with death itself. This activity outlines current recommendations set for diagnosing br ... Read the Article 1 5 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
C1 Fractures The craniocervical junction is comprised of C1 (atlas) and C2 (axis). The occipito-atlantal and atlantoaxial articulations provide 50% of the flexion ... Read the Article 1.25 13 Activity Info
Carbamate Toxicity Carbamates are a class of insecticides structurally and mechanistically similar to organophosphate (OP) insecticides. Carbamates are N-methyl carbamat ... Read the Article 1 4 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
Carboxyhemoglobin Toxicity Carbon monoxide is a tasteless, odorless, colorless, and non-irritating gas formed with the incomplete combustion of hydrocarbons (fossil fuels). It i ... Read the Article 1 6 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 14 Activity Info
Cardiac Trauma Cardiac trauma can be categorized as either blunt or penetrating according to the mechanism of injury. Outcomes range from spontaneously-resolving arr ... Read the Article 1 5 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
Care Of A Chest Tube There are variable practice patterns used to manage chest tubes. Care and management of the chest tube are subject to the direction of the responsible ... Read the Article 1 3 Activity Info
Carotid Contusion The neck has several important anatomical structures which include the carotid arteries bilaterally. While the injury to the carotid artery is not a c ... Read the Article 1 4 Activity Info
Cauda Equina And Conus Medullaris Syndromes Cauda equina and conus medullaris syndromes have overlap in anatomy and clinical presentation. The cauda equina is a group of nerves and nerve roots s ... 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 Line Central venous catheterization (CVC) is a procedure frequently required in acute or critical care resuscitation. Indications include patients with mul ... Read the Article 1 5 Activity Info
Central Line Placement A central line is a large-bore central venous catheter that is typically placed using a sterile technique unless a patient is unstable, in which case ... Read the Article 1 5 Activity Info
Cerebral Edema The most basic definition of cerebral edema is swelling of the brain. It is a relatively common phenomenon with numerous etiologies. Cerebral edema c ... Read the Article 1 7 Activity Info
Cerebrospinal Fluid Leak Cerebrospinal fluid (CSF) is a clear protein- and glucose-rich liquid in the subarachnoid space of the central nervous system. It is found in the vent ... Read the Article 1 7 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 Dislocation Cervical dislocations have classically been associated with traumatic spinal cord injuries. These injuries can cause spinal cord compression and drama ... 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
Cervical Sprain The term "whiplash" injury was first coined by Harold Crowe in 1928 to define acceleration-deceleration injuries occurring to the cervical spine or ne ... Read the Article 1 5 Activity Info
Chance Fractures A Chance fracture is an unstable spine fracture that typically occurs at the thoracolumbar junction. It is a horizontal fracture extending from poster ... Read the Article 1.5 14 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 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 29 Activity Info
Child Physical Abuse And Neglect Approximately one in four children experience child abuse or neglect in their lifetime. Of maltreated children, 18 percent are abused physically, 78 p ... Read the Article 1 5 Activity Info
Child Sexual Abuse And Neglect Sexual abuse of children is the involvement of children or adolescents in sexual activities that he or she does not fully comprehend and can include e ... Read the Article 1 5 Activity Info
Closed Head Trauma Traumatic brain injury (TBI) is an injury to the brain from an external mechanical force. TBI can generally be classified as either closed or penetrat ... Read the Article 1 6 Activity Info
Colles' Fracture This activity outlines the evaluation, treatment, and management of Colles fractures. Colles fractures are forearm injuries that require medical manag ... Read the Article 1.25 9 Activity Info
Coma Altered mental status is a catch-all term that includes a spectrum of patient behaviors ranging from confusion to deep unresponsiveness. Coma is at on ... Read the Article 1.25 7 Activity Info
Commotio Cordis Commotio cordis is ventricular fibrillation precipitated by blunt trauma to the heart. Although it is infrequent, it is an important cause of sudden ... Read the Article 1 6 Activity Info
Concussion A concussion is a "traumatically induced transient disturbance of brain function." Concussions are a subset of the neurologic injuries known as trauma ... Read the Article 1 6 Activity Info
Contrecoup Brain Injury Contrecoup brain injury occurs at sites remote to the actual impact site on the head. The etiology and significance of this type of injury have been d ... Read the Article 1 5 Activity Info
Corneal Foreign Body Corneal foreign bodies account for the second most common form of ocular trauma, with corneal abrasions being number one. In general, major morbidity ... Read the Article 1.25 8 Activity Info
Corneal Injury Approximately 3 percent of all visits to the emergency department are due to eye trauma, with the vast majority of these presentations involving corne ... Read the Article 1 5 Activity Info
Crutches Crutches are medical devices designed to aid in ambulation, by transferring body weight from the legs to the torso and arms. They are mainly used to a ... Read the Article 1 7 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
Cultural Religious Competence In Clinical Practice The diversity of religion within our world's population brings challenges for health care providers and systems to deliver culturally competent medica ... Read the Article 1.75 16 Activity Info
Cyclobenzaprine Cyclobenzaprine is FDA-approved as an adjunct to rest for the treatment of muscle spasm associated with acute, painful musculoskeletal conditions. Cyc ... Read the Article 1 5 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
Dermal Melanocytosis This activity outlines the evaluation and management of congenital dermal melanocytosis (Mongolian spot). It explains the role of the interprofessiona ... Read the Article 1 6 Activity Info
Dextran Dextran is a medication used in managing and treating various clinical conditions, including during hemorrhage, shock, surgical procedures, radiologic ... Read the Article 1 5 Activity Info
Diabetes Insipidus Diabetes insipidus (DI) is a disease process that results in either decreased release of antidiuretic hormone (ADH, also known as vasopressin or AVP) ... Read the Article 1.5 17 Activity Info
Diaphragm Injury The diaphragm is composed of the central tendon, costal, sternal, and lumbar components, the lateral parts of which are a continuation of the oblique ... Read the Article 1 4 Activity Info
Digit Amputation Digital amputation is often associated with traumatic injuries but is also seen within the elective surgery setting, such as in the case of cancer res ... Read the Article 1 5 Activity Info
Digital Nerve Block The digital nerve block is a simple procedure that can be performed to provide immediate anesthesia for a multitude of injuries and procedures, such a ... Read the Article 1 6 Activity Info
Digoxin Toxicity Digoxin is a cardiac glycoside derived from the foxglove plant (digitalis species). It has inotropic effects and is utilized in the management of syst ... Read the Article 1.25 10 Activity Info
Distal Femur Fractures Distal femur fractures include fractures of the supracondylar and intercondylar region of the distal femur and are relatively common injuries. To avo ... Read the Article 1.25 11 Activity Info
Distributive Shock As is true of the four broad classifications of shock, distributive shock, also known as vasodilatory shock, causes inadequate tissue perfusion. In di ... Read the Article 1 5 Activity Info
Disulfiram Disulfiram is one of three drugs approved by the Federal Drug Administration (FDA) to treat alcohol dependence. It is a second-line option (acamprosat ... Read the Article 1 8 Activity Info
Diving Mask Squeeze Mask squeeze is a common injury among divers and occurs when a diver fails to equalize the air space in their mask during descent, resulting in damage ... Read the Article 1 4 Activity Info
Domestic Violence Family and domestic violence is a common problem in the United States, affecting an estimated 10 million people every year; as many as one in four wom ... Read the Article 1.75 17 Activity Info
Dopamine Dopamine is a peripheral vasostimulant used to treat low blood pressure, low heart rate, and cardiac arrest. Low infusion rates (0.5 to 2 micrograms/k ... Read the Article 1.25 9 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
Echocardiogram Cardiac echocardiography is a safe and non-invasive test that provides the clinical team with important cardiac function data. This functional data is ... Read the Article 1.25 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
Electrical Injuries Electrical injuries are a complex form of trauma that is often associated with high morbidity and mortality. The severity of the injuries depends upon ... Read the Article 1.25 6 Activity Info
Emergency Room Thoracotomy An emergency room thoracotomy is performed in selected cases of direct thoracic injury concurrently with ACLS/ATLS resuscitation. Survival rates are l ... Read the Article 1.25 9 Activity Info
Empyema Empyema is defined as a collection of pus in the pleural cavity, gram-positive, or culture from the pleural fluid. Empyema is usually associated with ... Read the Article 1.25 11 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 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 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 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 15 Activity Info
Endotracheal Tube Intubation Techniques Endotracheal intubation is an essential resuscitative procedure in the emergency setting. Direct and video laryngoscopy are the two most common approa ... Read the Article 1.25 9 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 17 Activity Info
Escharotomy Burns commonly present acutely. They can be due to many modalities, including thermal, chemical, electrical, or radiation. Often, burns result in supe ... Read the Article 1 6 Activity Info
Esophagial Foreign Body Most patients who present for evaluation of a foreign body in the esophagus do so after accidental ingestion of a known object, and the patient has mi ... Read the Article 1.25 13 Activity Info
Ethanol Toxicity Ethanol toxicity results from the ingestion of large amounts of ethanol, usually in the form of alcohol. It affects multiple organ systems in both the ... Read the Article 1 4 Activity Info
Facial Burns Burn injuries are a significant health issue and are a leading cause of accidental death or injury in the U.S. Burns to the face can affect many speci ... Read the Article 1.5 13 Activity Info
Falls and Fall Prevention In The Elderly Falls account for one of the most common and serious issues contributing to a disability, especially among elderly individuals. Tinetti et al. in 1988 ... Read the Article 1.5 18 Activity Info
Fat Embolism Fat embolism (FE) and fat embolism syndrome (FES) are a clinical phenomenon that are characterized by systemic dissemination of fat emboli within the ... Read the Article 1.25 7 Activity Info
Female Urinary Retention Urinary retention, or the inability to voluntarily void urine, is one of the most prevalent presenting urologic complaints in the emergency department ... Read the Article 1 5 Activity Info
Femoral Neck Fractures Hip fractures are common injuries. Femoral neck fractures are a specific type of intracapsular hip fracture. The femoral neck connects the femoral sha ... Read the Article 1.75 20 Activity Info
Femur Immobilization The need to immobilize the femur is primarily due to fractures and dislocations. Each of these injuries dictates a specific immobilization and stabili ... Read the Article 1 5 Activity Info
First Degree Burn First-degree burns are superficial burns involving the epidermal layer of skin. The skin is the largest organ of the human body, with its weight compr ... Read the Article 1 3 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 agent for benzodiazepine overdose an ... Read the Article 1 7 Activity Info
Focused Assessment with Sonography for Trauma Traumatic injury is the leading cause of death among individuals younger than 45 years old. Eighty percent of traumatic injury is blunt with the major ... Read the Article 1.25 8 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
Gangrene Gangrene is tissue damage secondary to infection, ischemia, or both. It is a relatively uncommon condition, and early recognition is essential. Gangre ... Read the Article 1.25 7 Activity Info
Geriatric Head Injury Elderly patients with head trauma represent a large proportion of patients seeking medical attention. There are special considerations and challenges ... Read the Article 1 5 Activity Info
Geriatric Trauma Assessment of the geriatric trauma patient is unique, and this population requires special attention. As the elderly population increases, the number ... Read the Article 1.25 7 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
Grief Support Health professionals frequently deal with the loss of a patient in the emergency department and in intensive care units. These deaths are often due to ... Read the Article 1 5 Activity Info
Hand Amputation This activity reviews the presentation and evaluation of patients with hand amputations. Additionally, it highlights the treatment options and associa ... Read the Article 1 5 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
Hand Infection Hand infections comprise a broad spectrum of pathology, dependent upon which superficial or deep structures are involved. Given the anatomical complex ... Read the Article 1 6 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 14 Activity Info
Hemolytic Transfusion Reaction Hemolytic transfusion reactions are one possible complication from transfusions. Hemolysis is the rupture of red blood cells, and can occur intravascu ... Read the Article 1 3 Activity Info
Hemophilia B Hemophilia B is an inherited disease, mainly caused by the deficiency of factor IX. It mostly affects males, but carrier females may show some signs o ... Read the Article 1 5 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
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
Hemothorax Hemothorax is a collection of blood in the space between the visceral and parietal pleura (pleural space). The clinical findings in such patients incl ... Read the Article 1.25 12 Activity Info
Hip Fracture Overview Hip fractures are fractures of the proximal femur and are commonly seen in the elderly population following a fall. This type of injury has a high rat ... Read the Article 1.5 17 Activity Info
Human Bites Human bites account for a relatively low percentage (3%) of the total bites encountered in the ED, but they have the potential for severe morbidity du ... Read the Article 1 7 Activity Info
Human Trafficking Human trafficking is a pressing public health concern which transcends all races, social classes, demographics, and gender. No population is exempt fr ... Read the Article 2 22 Activity Info
Hydrocarbon Inhalation Hydrocarbons are organic compounds that consist of hydrogen and carbon. They are ubiquitous in society and are present in many common household and oc ... Read the Article 1 4 Activity Info
Hydrofluoric Acid Burns Hydrofluoric (HF) acid is an extremely powerful inorganic acid and a vigorous dehydrating agent that is used in many industrial branches. Domestic con ... Read the Article 1 4 Activity Info
Hypertensive Urgency Hypertensive urgency is a marked elevation in blood pressure without evidence of target organ damage, such as pulmonary edema, cardiac ischemia, neuro ... Read the Article 1.25 8 Activity Info
Hypertonic Fluids Clinicians use hypertonic fluids to increase intravascular fluid volume. Hypertonic saline can be utilized in the treatment of hyponatremia. Hypertoni ... Read the Article 1 5 Activity Info
Hyphema Hyphema is the accumulation of red blood cells (RBCs) in the anterior chamber of the eye. By definition, blood must be grossly visible, either on dire ... Read the Article 1.25 7 Activity Info
Hypocalcemia Disorders of calcium metabolism are frequently encountered. Though hypocalcemia is encountered as frequently as hypercalcemia, it can be potentially l ... Read the Article 1.25 11 Activity Info
Hyponatremia Hyponatremia is defined as a serum sodium concentration of less than 135 mEq/L but can vary to a small extent in different laboratories. Hyponatremia ... Read the Article 1.25 12 Activity Info
Hypotension Hypotension is a decrease in systemic blood pressure below accepted low values. While there is not an accepted standard hypotensive value, pressures l ... Read the Article 1 3 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
Hypovolemia Hypovolemia refers to a state of low extracellular fluid volume, generally secondary to combined sodium and water loss. All living organisms must main ... Read the Article 1 6 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
Iatrogenic Pneumothorax Pneumothorax is gas in the pleural space. This condition can present in one of three ways: spontaneous (primary), secondary, and traumatic. This activ ... Read the Article 1.25 9 Activity Info
Immunization Immunization has become a vital part of public health and disease prevention, yet remain a controversial topic. Diseases which were once responsible f ... Read the Article 1.25 10 Activity Info
Increased Intracranial Pressure The pressure in the cranial vault is measured in millimeters of mercury (mm Hg) and is normally less than 20 mm Hg. The cranium is a rigid structure ... Read the Article 1.25 10 Activity Info
Inhalation Injury Inhalation injury is a broad term that includes pulmonary exposure to a wide range of chemicals in various forms including smoke, gases, vapors, or fu ... Read the Article 1 7 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
Intercostal Nerve Block An intercostal nerve block is simple to perform and useful for pain management, either as a primary intervention or as an adjunct. In particular, inte ... Read the Article 1 7 Activity Info
Internal Jugular Vein Central Venous Access If an ultrasound machine is not immediately available and central venous access via the right jugular vein is required, a simple three-finger techniqu ... Read the Article 1 6 Activity Info
Intestinal Trauma Intestinal injury is common in both blunt and penetrating abdominal trauma. Due to the potentially life-threatening nature of these injuries, provider ... Read the Article 1.25 9 Activity Info
Intracranial Hemorrhage Intracranial hemorrhage encompasses four broad types of hemorrhage: epidural hemorrhage, subdural hemorrhage, subarachnoid hemorrhage, and intraparenc ... Read the Article 1.5 15 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
Intracranial Pressure Monitoring This activity outlines the current recommendations for ICP monitoring and reviews the role of current invasive and noninvasive methods of monitoring. ... Read the Article 1 5 Activity Info
Intramuscular Injection This activity outlines and highlights the role of the interprofessional team in improving care for patients who undergo intramuscular injection. This ... Read the Article 1 7 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
Intubation Endotracheal Tube Medications Mastering the skill of endotracheal intubation to secure airway plays a critical role in many settings such as pre-hospital environments, emergency ro ... Read the Article 1 4 Activity Info
Jaundice Jaundice, also known as hyperbilirubinemia, is defined as a yellow discoloration of the body tissue resulting from the accumulation of excess bilirubi ... Read the Article 1.5 15 Activity Info
Joint Immobilization Splinting and immobilization are crucial skills for prehospital medical providers, as traumatic musculoskeletal injuries are commonly encountered by e ... Read the Article 1.25 7 Activity Info
Ketamine In Acute and Chronic Pain Management Acute and chronic pain remain important health problems both in the United States and worldwide. With the rise in the prevalence of many chronic degen ... Read the Article 1 6 Activity Info
Kidney Trauma Renal trauma can result in injury to the parenchyma or the renal vasculature which can cause bleeding or injury to the collecting system with possible ... Read the Article 1.25 8 Activity Info
Knee Meniscal Tears The lateral and medial menisci are crescent-shaped fibrocartilaginous structures that collectively cover approximately 70% of the articular surface of ... Read the Article 1.25 10 Activity Info
Laceration Lacerations are a common patient chief complaint, and the understanding of key history and physical exam information can speed patient care. This acti ... Read the Article 1 5 Activity Info
Laryngeal Fracture A laryngeal fracture requires a considerable impact force. The most common cause of laryngeal trauma is a motor vehicle accident or sports injury, fol ... Read the Article 1 6 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
Left Ventricular Rupture Left ventricular (LV) rupture is a catastrophic but a common occurrence with acute myocardial infarction patients. The incidence of LV free-wall ruptu ... Read the Article 1 5 Activity Info
Leukocytosis Leukocytosis has a variety of etiologies with which clinicians of all backgrounds should be familiar. This activity outlines the evaluation of leukocy ... Read the Article 1.25 8 Activity Info
Lidocaine Lidocaine is a local anesthetic agent that is commonly used for local and topic anesthesia, but which also has antiarrhythmic and analgesic uses and c ... Read the Article 1.25 12 Activity Info
Lightning Injuries Lightning is a frequent occurrence worldwide with an estimated 50 occurrences per second and 20% of those resulting in ground strikes. It is impossib ... Read the Article 1 5 Activity Info
Liver Trauma The liver is the most regularly injured organ in blunt abdominal trauma. Given its large size in the abdominal cavity, it can also be frequently injur ... Read the Article 1 5 Activity Info
Long Arm Splinting Long arm splints are used in a variety of settings for immobilization of both bony and soft tissue injuries to the upper extremities. This type of spl ... Read the Article 1 4 Activity Info
Lower Genitourinary Trauma Trauma is a major cause of morbidity and mortality around the world. Trauma to the lower genitourinary tract presents unique challenges as there are u ... Read the Article 1.25 5 Activity Info
Lumbar Disc Herniation Low back pain is a prevalent symptom, as approximately 80 % of the population sustains an episode once in their lifetime. Within the many differential ... Read the Article 1.25 10 Activity Info
Mandible Body Fracture The fracture of the body of the mandible accounts for almost 11% to 36% of all the mandibular fractures. This activity describes the evaluation and ma ... Read the Article 1 5 Activity Info
Mandible Dislocation Temporal mandibular joint (TMJ) dislocation, or mandibular dislocation, can present as bilateral or unilateral displacement of the mandibular condyle ... Read the Article 1 6 Activity Info
Mandible Fracture Mandible is one of the most commonly fractured facial bone and is frequently seen in the emergency department. This activity reviews the anatomy of th ... Read the Article 1 6 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
Massive Transfusion Massive transfusion is traditionally defined as transfusion of 10 units of packed red blood cells (PRBCs) within a 24 hour period. The goal of massive ... Read the Article 1 6 Activity Info
Maxillary Fracture Maxillary fractures are common in patients sustaining facial trauma and may be caused by road traffic accidents, sports, or assault. Maxillary fractur ... Read the Article 1 4 Activity Info
Maxillary Sinus Fracture Maxillary sinus fractures (MSFs) are most commonly caused by blunt force trauma to the face. Depending on the magnitude and location of the direct inj ... Read the Article 1 5 Activity Info
Mechanical Back Strain Mechanical back strain is a prevalent disease in the medical field. Most patients who develop a mechanical back strain have a benign course; however, ... 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 8 Activity Info
Mediastinal Trauma The mediastinum is contained within the thoracic cavity and has a high concentration of major vascular and visceral structures. Traumatic injury to an ... Read the Article 1 6 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
Molluscum Contagiosum Molluscum contagiosum, also called water warts, is a benign condition of the skin. The skin lesions of molluscum contagiosum are called mollusca. The ... Read the Article 1.5 19 Activity Info
Mononucleosis Mononucleosis classically presents with fever, lymphadenopathy, and tonsillar pharyngitis. The term infectious mononucleosis was first used in the 192 ... Read the Article 1.5 14 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
Muscular Hematoma Muscular hematomas are a common source of extravasated blood from within a muscle group, most commonly occurring in the abdominal waist. Muscular hema ... Read the Article 1 6 Activity Info
Myoglobinuria Myoglobinuria is the presence of an excess amount of myoglobin in the urine. It is mostly caused by muscle breakdown, releasing a high amount of myogl ... Read the Article 1 5 Activity Info
Nasal Septal Hematoma The nose is the most commonly injured facial structure. Most nasal injuries do not require immediate intervention, but trauma is resulting in septal h ... Read the Article 1 4 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
Nasotracheal Intubation Nasotracheal intubation (NTI) involves passing an endotracheal tube through the naris into the nasopharynx and the trachea; most commonly after induct ... Read the Article 1 4 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
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
Nightstick Fracture Nightstick fractures are a relatively rare injury presenting in patients of all ages that can result in discomfort, weakness, and loss of function. Th ... Read the Article 1.25 8 Activity Info
Normal Saline Fluid therapy is a critical component of the clinical management of patients. It consists of colloid therapy as well as crystalloid therapy. The most ... Read the Article 1 3 Activity Info
Normochromic Normocytic Anemia Normocytic normochromic anemia is the type of anemia in which the circulating RBCs are the same size (normocytic) and have a normal red color (normoc ... Read the Article 1.25 8 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 Withdrawal Opioid withdrawal syndrome is a life-threatening condition resulting from opioid dependence. Opioids are a group of drugs used to manage severe pain a ... Read the Article 1 6 Activity Info
Optic Nerve Sheath Ultrasound Point of care optic nerve sheath ultrasound (ONSUS) is a bedside practice that can be used to evaluate for increased intracranial pressure. This activ ... Read the Article 1 5 Activity Info
Orbital Floor Fracture Fractures of the orbital floor and the medial orbital wall (blowout fractures) are common midface injuries. Orbital fractures have a distinct trauma m ... Read the Article 1 4 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
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
Pain Management Medications Analgesics are medications used in the management and treatment of pain. They include several classes of medications (acetaminophen, nonsteroidal anti ... Read the Article 1.25 8 Activity Info
Palliative Care The World Health Organization characterizes the field of palliative care as a form of specialized medical care which aims to optimize the quality of l ... Read the Article 2.25 34 Activity Info
Pancreatic Trauma Pancreatic trauma is a rare but potentially catastrophic injury that can be very difficult to diagnose. Conventional imaging modalities miss subtle fi ... Read the Article 1 6 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
Pectoralis Major Tear Injuries of the pectoralis major muscle are rare. Although the injury typically occurs while lifting weights, specifically while performing a bench pr ... Read the Article 1 5 Activity Info
Pediatric Abusive Head Trauma Pediatric abusive head trauma (AHT), or shaken baby syndrome, most often involves shaking, blunt impact, or a combination of both in infants and young ... Read the Article 2 24 Activity Info
Pediatric Facial Fractures Trauma is a significant cause of morbidity and death in children. Trauma to the head is the most common anatomic site, and while facial fractures are ... Read the Article 1 5 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
Pediatric Foreign Body Ingestion Children commonly swallow foreign bodies. Coins are the most commonly swallowed foreign body that comes to medical attention in the USA; in other coun ... Read the Article 1.25 10 Activity Info
Pediatric Head Trauma Blunt traumatic brain injury (TBI) is a disruption in the normal function of the brain caused by a mechanical impact to the head. TBI ranges from mild ... Read the Article 1 5 Activity Info
Pediatric Skull Fractures A child's skull is thinner and more pliable than an adult skull, thus providing less protection to the brain. Head trauma is a common cause of morbidi ... Read the Article 1 6 Activity Info
Pediatric Spine Trauma A spinal cord injury is a potentially crippling injury which often results in severe and permanent disability. Quite often when encountering multi-sys ... 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 Ring Injuries The pelvic ring is made of the sacrum and two innominate bones, each containing an ilium, ischium, and pubis. There is no inherent stability to the bo ... Read the Article 1.25 10 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 Chest Trauma Chest trauma has quickly risen to be the second most common traumatic injury in non-intentional trauma. Trauma to the chest is also associated with th ... Read the Article 1 4 Activity Info
Penetrating Groin Trauma Penetrating groin trauma is an infrequent yet complex injury that requires quick identification, evaluation, and treatment in the emergency department ... Read the Article 1.25 7 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
Peripheral Line Placement Peripheral intravenous (IV) lines, catheters or cannulas are indwelling single-lumen plastic conduits that allow fluids, medications and other therapi ... Read the Article 1 3 Activity Info
Permissive Hypotension Permissive hypotension is the act of maintaining a blood pressure lower than physiologic levels in a patient that has suffered from hemorrhagic blood ... Read the Article 1 5 Activity Info
Phenylephrine The FDA-approved indication for intravenous (IV) phenylephrine hydrochloride is for increasing blood pressure in adults with clinically significant hy ... Read the Article 1 5 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
Posttraumatic Stress Disorder Posttraumatic stress disorder (PTSD) is a disabling psychiatric disorder that results from being exposed to real or threatened injury, death, and sexu ... Read the Article 1.25 11 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
Procedural Sedation Procedural sedation permits the safe performance of procedures that a patient cannot tolerate in the fully conscious state. Through this activity, th ... Read the Article 1 5 Activity Info
Promethazine Promethazine is a medication used to manage and treat allergic conditions, nausea and vomiting, motion sickness, and sedation. It also has off-label u ... Read the Article 1 8 Activity Info
Propofol Propofol is an intravenous anesthetic that is used for procedural sedation, during monitored anesthesia care, or as an induction agent for general ane ... Read the Article 1 6 Activity Info
Prothrombin Complex Concentrate Prothrombin complex concentrate (PCC) comes from the process of ion-exchange chromatography from the cryoprecipitate supernatant of large plasma pools ... Read the Article 1.25 9 Activity Info
Pulmonary Capillary Wedge Pressure Pulmonary capillary wedge pressure (PCWP) is frequently used to assess left ventricular filling, represent left atrial pressure, and assess mitral val ... Read the Article 1 5 Activity Info
Pulmonary Contusion Pulmonary contusions are lung injuries commonly sustained during cases of blunt chest trauma. These traumatic lung injuries result in impaired gas exc ... Read the Article 1.25 8 Activity Info
Rabies Rabies causes viral encephalitis which kills up to 70000 people/year worldwide. Infected animal saliva transmits viral encephalitis to humans. Rabies ... Read the Article 1 7 Activity Info
Radial Nerve Injury The radial nerve stems from the posterior cord of the brachial plexus and supplies the upper limb. It also supplies the triceps brachii muscle of the ... 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
Retroperitoneal Bleeding Retroperitoneal bleeding occurs when blood enters into the space behind the posterior reflection of the abdominal peritoneum. With a variety of possi ... Read the Article 1 4 Activity Info
Retroperitoneal Hematoma Retroperitoneal hematoma describes a heterogeneous condition that may arise spontaneously, as a result of trauma or iatrogenically. It is associated w ... Read the Article 1.25 8 Activity Info
Rhabdomyolysis Rhabdomyolysis is a state of muscle injury that can lead to several forms of systemic insult, with the most important being acute kidney injury, elect ... Read the Article 1.5 13 Activity Info
Rib Fracture When enough force is placed on the rib, the rib will fracture. Most isolated rib fractures can be managed expectantly. However, certain patterns of ri ... Read the Article 1.25 10 Activity Info
Ringer's Lactate Ringer's lactate solution, or lactated Ringer's solution, is a type of isotonic, crystalloid fluid further classified as a balanced or buffered soluti ... Read the Article 1 4 Activity Info
Saphenous Vein Cutdown The establishment of venous access is essential to the treatment and resuscitation of both the medically and traumatically ill patient. Adequate venou ... Read the Article 1 5 Activity Info
Scalp Laceration A laceration is a pattern of injury in which blunt forces result in a tear in the skin and underlying tissues. Lacerations in the scalp are different ... Read the Article 1 7 Activity Info
Scaphoid Wrist Fracture Scaphoid fractures are the most common carpal fractures and tend to occur in younger, active individuals. They account for 2% to 7% of all fractures a ... Read the Article 1.5 18 Activity Info
Scapula Fracture Scapular fractures are uncommon, accounting for less than 1 percent of all fractures. This may be because they typically result from high-energy traum ... Read the Article 1 6 Activity Info
Seat Belt Injuries Although seatbelts have prevented numerous deaths by reducing head injuries, they can cause damage via the transmission of force upon impact associate ... Read the Article 1 5 Activity Info
Second Impact Syndrome Second impact syndrome (SIS), also known as repetitive head injury syndrome, describes a condition in which individual experiences a second head injur ... Read the Article 1 5 Activity Info
Septic Arthritis Septic arthritis is inflammation of the joints secondary to an infectious etiology such as bacterial, fungal, mycobacterial, viral, or other pathogens ... Read the Article 1.25 12 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
Sexual Assault Clothing Collection and Documentation Medical management should be the first and top priority in caring for sexual assault victims. After the patient is clinically stable, proper assault p ... Read the Article 1.25 8 Activity Info
Sexual Assault Evidence Collection Sexual assault evidence collection is the process of collecting specimens and documenting injuries of sexual assault victims to be used in the court o ... Read the Article 1.25 12 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
Shock Resuscitation At its most basic definition, the term “shock” means that there is a lack of adequate tissue oxygenation throughout the body. Typically, this lack of ... Read the Article 1 4 Activity Info
Silver Sulfadiazine Silver sulfadiazine is a medication used in the prevention, management, and treatment of burn wound infections. It is a heavy metal topical agent with ... Read the Article 1 5 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
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 1.75 25 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
Splenic Trauma Traumatic injuries of the spleen can be either blunt or penetrating. The management of splenic trauma has become largely non-operative, as non-operati ... Read the Article 1.25 9 Activity Info
Splinting Injuries that result in instability require immobilization, decreasing the likelihood of further damage, protecting soft tissues, alleviating pain, a ... Read the Article 1 6 Activity Info
Status Epilepticus Status epilepticus is a neurological emergency requiring immediate evaluation and management to prevent significant morbidity or mortality. Previously ... 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
Subconjunctival Hemorrhage Subconjunctival hemorrhage is a common ocular complaint that most clinicians will see in their practice. This article is to describe its causes and it ... Read the Article 1 5 Activity Info
Subcutaneous Emphysema Subcutaneous emphysema is the de novo generation or infiltration of air underneath the dermal layers of skin. The development of subcutaneous air may ... Read the Article 1 5 Activity Info
Subdural Hematoma A subdural hematoma, as its name implies, forms because of an abnormal collection of blood under the dura mater. This is one of the intracranial injur ... Read the Article 1.5 18 Activity Info
Subungual Hematoma Drainage Subungual hematomas are injuries of the nail bed in which bleeding develops under the nail. Patients usually complain of pain and discoloration of the ... Read the Article 1 4 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
Sunburn A sunburn is caused by excessive exposure to the sun’s ultraviolet (UV) rays or by exposure to artificial sources of UV rays such as tanning beds. The ... Read the Article 1 3 Activity Info
Supraglottic Airway Obstruction Supraglottic obstruction is a medical or surgical emergency. It can result in increased work of breathing and respiratory distress and can progress to ... Read the Article 1 4 Activity Info
Syndrome of Inappropriate Antidiuretic Hormone Secretion Syndrome of inappropriate antidiuretic hormone ADH release (SIADH) is a condition defined by the unsuppressed release of antidiuretic hormone (ADH) fr ... Read the Article 1.25 11 Activity Info
Temporal Fracture The temporal bone is the thickest bone in the body, requiring significant force to fracture. Such high-velocity head injuries carry the risk of signif ... Read the Article 1 7 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
Tetanus Prophylaxis This activity reviews and outlines the role of tetanus prophylaxis. It will outline the basics of immunization and prophylaxis and will discuss types ... Read the Article 1 7 Activity Info
Tetanus Toxoid The tetanus toxoid is a vaccine used in the management and treatment of tetanus. It is in the vaccine class of medications. This activity reviews the ... Read the Article 1.25 13 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 8 Activity Info
Thoracentesis Thoracentesis is a procedure that is performed to remove fluid from the thoracic cavity. This can be done for both diagnostic and therapeutic purposes ... Read the Article 1.25 11 Activity Info
Thoracic Trauma Thoracic trauma accounts for up to 35 percent of trauma-related deaths in the United States and encompasses a broad range of injuries that can cause s ... Read the Article 1.25 9 Activity Info
Thoracolumbar Spine Fracture The T10-L2 thoracolumbar region is the most common area of injury to the spine from trauma due to the specific biomechanics of this segment of the spi ... Read the Article 1.25 8 Activity Info
Thoracotomy Thoracotomy is described as an incision made between the ribs to access the contents of the thoracic cavity. Due to the anatomic location of the conte ... Read the Article 1.25 9 Activity Info
Thumb Spica Splinting Hand and wrist injuries afflict a large proportion of the population and impact patients of all ages and activity levels. Splinting can be effective a ... Read the Article 1 4 Activity Info
Tibia Fractures Overview Tibial shaft fractures are the most common long bone fractures and are seen in 4 percent of the senior population. This activity reviews the evaluatio ... Read the Article 1.5 16 Activity Info
Tibial Anterior Compartment Syndrome Compartment syndrome occurs when the tissue pressure within a given compartment exceeds the perfusion pressure of the arterial supply, resulting in is ... Read the Article 1.25 9 Activity Info
Topical, Local, and Regional Anesthesia and Anesthetics Nerve impulse transmission occurs when voltage-gated sodium channels on the neuronal membrane open, allowing a massive influx of sodium. This causes m ... Read the Article 1.25 11 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 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
Tracheal Trauma Tracheal trauma may be penetrating or blunt and acute or subacute. A blow or stab wound to the neck or crush injuries to the upper chest may cause acu ... Read the Article 1.25 8 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
Tranexamic Acid The only FDA-approved usage for tranexamic acid (TXA) is for heavy menstrual bleeding and short-term prevention in patients with hemophilia.; this inc ... Read the Article 1 4 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 Assessment Trauma is the leading cause of death worldwide. In the United States, trauma is the leading cause of death in young adults and accounts for ten percen ... Read the Article 1.25 11 Activity Info
Trauma Care Principles Trauma care principles outline fundamental concepts that providers should know when treating various injuries in a trauma setting. The content will fo ... Read the Article 1.5 12 Activity Info
Trauma Neurological Exam The neurological examination in the setting of trauma is a systematic evaluation of important clinical signs that provide evidence to help determine f ... Read the Article 1 5 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
Trauma Secondary Survey The secondary survey is a rapid but thorough head to toe examination assessment to identify potential injuries. It should be performed after the prima ... Read the Article 1 6 Activity Info
Traumatic Brain Injury Traumatic brain injury (TBI) can result from trauma ranging from a simple blow to the head to a penetrating injury to the brain. In the United States, ... Read the Article 1.25 11 Activity Info
Tympanic Membrane Perforations Tympanic membrane perforation is when there is a tear in the tympanic membrane leading to a connection between the external auditory canal and the mid ... Read the Article 1 4 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
Urethral Injury Urethral Injuries are a relatively rare process that is often associated with severe trauma, childbirth, and improper catheterization. This activity o ... Read the Article 1 7 Activity Info
Vertebral Fracture Vertebral fractures can result from trauma and metastatic disease but, in most cases, are the result of osteoporosis. This activity describes the eva ... Read the Article 1.5 12 Activity Info
Vinyl Chloride Toxicity Vinyl chloride monomer (VCM) is an IARC group 1 carcinogen known to cause hepatic angiosarcoma (HAS) in highly exposed industrial workers. VCM is a co ... Read the Article 1 4 Activity Info
Waddell Triad Waddell’s triad represents a pediatric emergency. The triad comprises of three distinct features seen in pediatric pedestrian patients subject to blun ... Read the Article 1 5 Activity Info
Warfarin Drug Interactions Warfarin has FDA approval for the prophylaxis and treatment of venous thrombosis and its complications, such as a pulmonary embolus. It is also indica ... Read the Article 1.25 9 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 Assessment A wound is damaged or disruption to the skin and, before treatment, the exact cause, location, and type of wound must be assessed to provide appropria ... Read the Article 1.25 11 Activity Info
Wound Closure Techniques Wound management is an essential part of emergency medicine practice. The clinicians care for wounds ranging from minor and simple lacerations or abra ... Read the Article 1 5 Activity Info
Wound Debridement Wound debridement is based on the premise that debridement will promote reepithelialization. Wound debridement has been utilized for more than a decad ... Read the Article 1.25 10 Activity Info
Wound Foreign Body Removal Soft tissue foreign bodies or wounds associated with foreign bodies result from blunt/abrasive trauma or penetrating trauma. Patients may present earl ... 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 4 Activity Info
Wrist Drop The radial nerve is responsible for innervating the extensor muscles of the wrist and digits. Consequently, injury to the radial nerve results in the ... Read the Article 1 6 Activity Info
Wrist Fracture Distal radius fractures, commonly known as a wrist fracture, are defined by the involvement of the metaphysis of the distal radius. In younger patient ... Read the Article 1 7 Activity Info
Wrist Splint The wrist is one of the most frequently splinted parts of the body, often after injury or surgery. Wrist splints provide rigid support to allow proper ... Read the Article 1.25 8 Activity Info

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