01
Cardiovascular Emergencies
Yield 12-16%02
Trauma, Wounds and Burns
Yield 11-15%03
Abdominal and GI Emergencies
Yield 10-14%04
Respiratory and Airway Emergencies
Yield 9-12%05
Neurologic Emergencies
Yield 8-11%06
Toxicology and Environmental Emergencies
Yield 7-10%07
Shock, Resuscitation and Metabolic Critical Care
Yield 6-9%08
Infectious Disease and Sepsis
Yield 6-9%09
OB/GYN and Genitourinary Emergencies
Yield 6-9%10
Pediatric Emergencies
Yield 6-9%11
Musculoskeletal and Orthopedic Emergencies
Yield 6-9%12
ENT, Eye, Skin and Behavioral Emergencies
Yield 5-8%+
To Be Added
Blueprint gapsTopics the Emergency Medicine boards test that do not yet have a Bone Wizardry deep-dive. On the build list.
Cardiovascular Emergencies Cardiac arrest and ACLS (VF, pulseless VT, PEA, asystole), Chest pain risk stratification (HEART score, serial troponin, stress testing), Symptomatic bradycardia and high-degree AV block (atropine, transcutaneous pacing), Pericarditis and cardiac tamponade (Beck triad, pericardiocentesis), Syncope: cardiac vs vasovagal evaluation, Cardiogenic shock, Cocaine-associated chest pain and sympathomimetic cardiac toxicity, High-risk ECG patterns (Wellens, Brugada, WPW, long QT), Myocarditis, Reperfusion strategy (PCI vs thrombolysis).
Trauma, Wounds and Burns Primary and secondary survey (ABCDE/ATLS), Traumatic brain injury management (concussion, ICP, herniation), Cervical spine clearance (NEXUS, Canadian C-spine rule), Blunt and penetrating chest trauma (hemothorax, flail chest, traumatic aortic injury), Cardiac tamponade and pericardial window, Abdominal trauma and the FAST exam (splenic/liver injury), Pelvic fracture with hemorrhage, Extremity and open fractures, Hemorrhagic shock and massive transfusion protocol, Burns (rule of nines, Parkland formula, inhalation/chemical/electrical), Laceration repair, wound closure, and irrigation, Tetanus prophylaxis decisions, Animal and human bites, Compartment syndrome, Penetrating neck trauma zones, Crush injury and rhabdomyolysis.
Abdominal and GI Emergencies Mesenteric ischemia, Lower GI bleeding (diverticular, angiodysplasia), Perforated viscus and peritonitis, Incarcerated and strangulated hernia, Sigmoid and cecal volvulus, Esophageal emergencies (Boerhaave, food bolus, caustic ingestion), Acute liver failure and fulminant hepatitis, Nausea, vomiting, and dehydration management.
Respiratory and Airway Emergencies Airway management and rapid sequence intubation, Difficult airway and cricothyrotomy, Noninvasive ventilation (BiPAP) in COPD, Foreign body aspiration, Massive hemoptysis, Pleural effusion and empyema, ACE-inhibitor angioedema and airway compromise, Smoke inhalation and carbon monoxide exposure, Hypoxia and capnography interpretation.
Neurologic Emergencies Transient ischemic attack and ABCD2 risk, Altered mental status and coma workup, Increased intracranial pressure management and herniation, Temporal arteritis (giant cell arteritis), Delirium vs dementia evaluation, Cerebral venous sinus thrombosis.
Toxicology and Environmental Emergencies Acetaminophen overdose (Rumack-Matthew, N-acetylcysteine), Salicylate toxicity, Tricyclic antidepressant overdose (sodium bicarbonate), Opioid overdose and naloxone, Sedative-hypnotic and benzodiazepine overdose, Toxic alcohols (methanol, ethylene glycol, fomepizole), Carbon monoxide and cyanide poisoning, Organophosphate and cholinergic toxidrome, Beta-blocker and calcium channel blocker toxicity, Iron and other heavy metal poisoning, Hypothermia and frostbite, Heat exhaustion and heat stroke, Drowning and submersion injury, Electrical and lightning injury, Snake, spider, and marine envenomation, Methemoglobinemia, High-altitude illness and decompression sickness, Serotonin syndrome, Neuroleptic malignant syndrome, Lithium toxicity, Malignant hyperthermia (dantrolene).
Shock, Resuscitation and Metabolic Critical Care Shock classification (hypovolemic, cardiogenic, distributive, obstructive), Fluid resuscitation and vasopressor selection, Post-cardiac-arrest care (targeted temperature management), Blood products and transfusion reactions, Mechanical ventilation basics, Vascular access and central lines, Disposition and goals-of-care decisions, Tumor lysis syndrome, Disseminated intravascular coagulation (DIC).
Infectious Disease and Sepsis Cellulitis and erysipelas, Necrotizing fasciitis, Cutaneous abscess and incision/drainage, Pneumonia severity and disposition (CURB-65), Febrile neutropenia, Toxic shock syndrome, Fournier gangrene, Tetanus and rabies post-exposure prophylaxis, Fever in the returning traveler (malaria, dengue), Influenza and emerging viral syndromes, Osteomyelitis, Spinal epidural abscess.
OB/GYN and Genitourinary Emergencies Ovarian torsion, Ruptured ovarian cyst, Testicular torsion, Epididymitis and orchitis, Priapism, Acute urinary retention and obstruction, Threatened and spontaneous abortion (first-trimester bleeding), Emergency delivery, shoulder dystocia, and postpartum hemorrhage, Hyperemesis gravidarum, Sexual assault evaluation and prophylaxis, Abnormal uterine bleeding in the nonpregnant patient, Amniotic fluid embolism.
Pediatric Emergencies Fever in the young infant and neonatal sepsis evaluation, Febrile seizures, Bacterial tracheitis, Pediatric dehydration and acute gastroenteritis, Malrotation with midgut volvulus, Foreign body aspiration and button battery ingestion, Non-accidental trauma and child abuse, Henoch-Schonlein purpura, Brief resolved unexplained event (BRUE), Pediatric fractures (supracondylar, greenstick, Salter-Harris), Sickle cell crisis (vaso-occlusive, acute chest, splenic sequestration), Pediatric rashes and meningococcemia.
Musculoskeletal and Orthopedic Emergencies Fracture patterns (scaphoid, Colles, boxer's, hip, ankle/Weber), Open fracture management and antibiotics, Joint dislocations (shoulder, hip, elbow, patella), Compartment syndrome, Septic arthritis and arthrocentesis, Acute monoarthritis (gout vs pseudogout), Achilles and other tendon ruptures, Sprains, strains, and splinting/immobilization, Salter-Harris growth plate injuries, Nursemaid's elbow, Rhabdomyolysis, Osteomyelitis.
ENT, Eye, Skin and Behavioral Emergencies Epistaxis (anterior vs posterior), Acute angle-closure glaucoma, Central retinal artery and vein occlusion, Retinal detachment, Orbital vs preseptal cellulitis, Corneal abrasion, foreign body, and chemical burn, Ocular trauma (hyphema, globe rupture), Peritonsillar and retropharyngeal abscess, Ludwig angina and deep space neck infections, Mastoiditis and malignant otitis externa, Dental abscess, fracture, and avulsion, Urticaria and isolated angioedema, Stevens-Johnson syndrome and toxic epidermal necrolysis, Erythema multiforme and drug eruptions, Suicidality and self-harm risk assessment, Acute psychosis vs delirium differentiation.