Emergency Medicine

📌 Emergency Medicine

1) General ED Principles & Operations

  • Emergency medical system & triage overview
  • ED Crowding & Boarding management
  • Patient safety, quality metrics, LWBS
  • Sepsis early management (1-hour bundle)
  • Pain management in ED
  • Palliative care initiation in ED
  • Documentation & medico-legal risk in ED

2) Resuscitation & Critical Care in ED

  • ABCDE Approach (Primary/Secondary Survey)
  • Undifferentiated Shock: Hypovolemic / Cardiogenic / Obstructive / Distributive
  • Acute Dyspnea (Approach)
  • Mechanical ventilation in ED
  • Airway management
    • RSI (Rapid Sequence Intubation)
    • Post-intubation care
  • Hemodynamic monitoring
  • Cardiac arrest
    • ACLS 2025 update
    • Post-cardiac arrest care (Targeted Temperature Management)
  • Trauma critical care principles

3) Trauma & Injury Emergency

  • Major trauma initial approach (ATLS)
  • Traumatic brain injury (TBI)
  • Spinal trauma & immobilization
  • Chest trauma (Pneumothorax, Massive hemothorax, Flail chest)
  • Abdominal trauma
  • Pelvic fracture & hemorrhage control
  • Extremity trauma & compartment syndrome
  • Electrical & lightning injury
  • Burn management in ED (Parkland formula, criteria for transfer to burn center)

4) Cardiovascular Emergency

  • Acute coronary syndromes (STEMI / NSTEMI)
  • Heart failure & Flash pulmonary edema
  • Arrhythmia management (unstable vs stable)
  • Hypertensive emergency
  • Venous thromboembolism (PE/DVT)
  • Aortic dissection
  • Cardiac tamponade

5) Respiratory & Thoracic Emergency

6) Neurologic & Psychiatric Emergency

  • Acute ischemic stroke (Reperfusion therapy)
  • Intracranial hemorrhage
  • Seizure / Status epilepticus
  • Headache red flags
  • Delirium in ED
  • Psychiatric emergencies
    • Suicidal behavior
    • Acute agitation management

7) Infectious Diseases Emergency

  • Sepsis & Septic shock
  • Meningitis
  • Severe skin & soft tissue infections
  • Tropical infectious diseases in Thailand
    • Dengue shock
    • Scrub typhus
    • Malaria
  • COVID-19 acute management update

8) Endocrine / Metabolic Emergency

  • Diabetic ketoacidosis (DKA)
  • Hyperosmolar hyperglycemic state (HHS)
  • Thyroid storm
  • Adrenal crisis
  • Electrolyte emergencies
    • Hyperkalemia
    • Hypo/Hypernatremia

9) GI & Abdominal Emergency

  • Acute abdomen approach
  • Upper GI bleeding / Lower GI bleeding
  • Acute pancreatitis
  • Acute appendicitis
  • Hepatic encephalopathy
  • Bowel obstruction

10) Renal & Urologic Emergency

  • Acute kidney injury
  • Obstructive uropathy
  • Urosepsis
  • Testicular torsion
  • Urinary retention

11) OB-GYN Emergency

  • Ectopic pregnancy
  • Vaginal bleeding in pregnancy
  • Pre-eclampsia/eclampsia
  • Postpartum complications
  • Pelvic inflammatory disease

12) Pediatric Emergency

  • Pediatric assessment triangle (PAT)
  • Fever in infants and young children (āļ•āļēāļĄāļ—ี่āļ„ุāļ“āđ€āļ„āļĒāļ‚āļ­)
  • Bronchiolitis & HFNC in peds
  • Croup
  • Pediatric trauma
  • Pediatric shock

13) Toxicology & Environmental Emergency

  • Common poisoning: Acetaminophen, Organophosphate, Methanol
  • Envenomation: Snakebite in Thailand
  • Heat stroke / Hypothermia
  • Drowning / Near-drowning
  • Radiation & HazMat incident

14) Procedural Skills in ED

  • Airway procedures: Intubation, Cricothyrotomy
  • Vascular access: Central line, IO line
  • Chest tube insertion
  • Point-of-Care Ultrasound (POCUS) protocols
    • eFAST, RUSH, Lung USG
  • Wound care / Fracture reduction / Splinting

15) Disaster & Mass Casualty Management

 

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