Intern EM Fundamentals

August 15th 8-9 – Chest Pain
M2-125 (above the cafeteria)

October 17th 8-9 – ACS

November 14th 8-9 – Syncope
M2 Meeting Center (above the cafeteria)
M2 Meeting Center aka M2-127 and M2-129 (they are now combined)

December 5th 8-9 -Shock
Conference Room

January 16th – Headache
Back of Conference Room

Primary Resources
Approach to Acute Headache – Flipped Classroom
Please Watch this Video
Secondary Resources
Chapter 60: Spinal Puncture and Cerebrospinal Fluid Examination – Roberts & Hedges (Access through VCU Libraries)
Roberts, J., Custalow, Catherine B., editor, & Thomsen, Todd W., editor. (2018). Roberts and Hedges’ clinical procedures in emergency medicine and acute care (Seventh ed.).

Primary Resources
Rosen’s EM Chapter 6 – Shock
Circulatory Shock NEJM
Secondary Resources
UpToDate – Undifferentiated Shock
An Evidenced Based Approach to Pressors – emDocs
The RUSH Exam – EMCrit
Methods of Monitoring Shock – NIH


Primary Resources
Website – Life in the Fast Lane – ACS
Does this patient have ACS?
Secondary Resources
ACEP Clinical Policy – ACS
2015 ECS nonSTEMI
Requiem for Unstable Angina

Chest Pain

Primary Resources
Listen: CrackCast Episode 26 – Chest Pain
Read: REBEL EM Management and Disposition of Low Risk Chest Pain
Review: VCU Chest Pain Guidelines
Secondary Resources
UpToDate – Chest Pain

Abdominal Pain

Primary Resources
Evaluation and management of acute abdominal pain in the emergency department
Secondary Resources
Abdominal Pain –
Evaluation of Abdominal Pain – Dr. Hartmut Gross

Altered Mental Status

Primary Resources
Watch: Altered Mental Status Video – You’ll need to scroll down the page.
EB Practice – AMS
Secondary Resources
EM Clin N Am – Altered Mental status (Read: Table 3, Figure 2)


Primary Resources
Rosen’s Chapter 17 – Dyspnea
Rosen’s Chapter 2 – Mechanical Ventilation and Noninvasive Ventilatory Support
Secondary Resources
ACEP Clinical Policy – VTE
When is Capnography Useful in the ED? Part I
When is Capnography Useful in the ED? Part II

First Trimester Bleeding

Primary Resources
Watch: Vaginal Bleeding in 1st TM Pregnancy
Complications In Pregnancy – Part I Early Pregnancy
Secondary Resources
ACEP Clinical Policy – Early Pregnancy

Approach to Poisoned Patient

Primary Resources
Powerpoint – Approach to the Poisoned Patient
Secondary Resources
LITFL – Approach to Acute Poisoning
A risk assessment based approach to the management of acute poisoning
The Approach to the Patient with an Unknown Overdose
Tintinalli’s Emergency Medicine- Chapter 176 – General Management of Poisoned Patients
Goldfranks Toxicologic Emergencies – Principles of Managing the Acutely Poisoned or OD Patient
The general approach to the poisoned patient
Rosen’s – Approach to the Poisoned Patient – Will need to log in with VCUeID


Primary Resources
PulmCCM – Early Goal Directed Therapy & ProCESS
EMCrit – Sepsis FAQ
Secondary Resources
New England Journal of Medicine– Severe Sepsis and Septic Shock
New England Journal of Medicine – Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock
JAMA – The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3)
Surviving Sepsis Campaign
EMCrit – Sepsis 3
Am J Respir Crit Care Med– Quick Sepsis – Related Organ Failure Assessment


Primary Resources:
Watch: 1. EM in 5 – Syncope  2. ECG in Syncope
Read: Evaluation of Syncope in the ED

Secondary Resources:
Life in the Fast Lane – Syncope
ALiEM – Management of Syncope

Guides for Instructors