Study Hub

Emergency Medicine

Emergency Medicine is triage as a thought process: name the threat that kills in the next ten minutes, then the single move that stops it. Every Bone Wizardry deep-dive that maps to the acute-care shelf, organized by system and ordered by yield.

The shelf leans on diagnosis-from-presentation and the single most appropriate next step in stabilization, with a strong diagnostic-test-selection slice; the boards adds osteopathic management of musculoskeletal and somatic complaints plus more primary-care disposition.

01

Cardiovascular Emergencies

Yield 12-16%
MI Emergency MedsPro
Cardio · ACS first moves, in order
Inferior MI and AV BlockPro
Cardio · RCA occlusion, ECG localization
Post-MI ComplicationsPro
Cardio · The deadly post-infarct timeline
EKG Interpretation
Cardio · Rate, rhythm, ischemia patterns
Antiarrhythmics
Cardio · Rate vs rhythm control
Atrial FibrillationPro
Cardio · AFib with RVR, stroke risk
Aortic Dissection
Cardio · Rate before pressure
Hypertensive EmergencyPro
Cardio · Emergency vs urgency, crisis rule
Acute Heart Failure
Cardio · Flash pulmonary edema
Abdominal Aortic Aneurysm
Cardio · Ruptured AAA, hypotension
Pheochromocytoma
Endo · Catecholamine hypertensive crisis
Cardiomyopathies
Cardio · HCM, syncope, sudden death
02

Trauma, Wounds and Burns

Yield 11-15%
Intracranial HemorrhagesPro
Neuro · Epidural vs subdural vs SAH
Anticoagulants and ReversalPro
Heme · Anticoagulant bleed and reversal agents
03

Abdominal and GI Emergencies

Yield 10-14%
Acute AppendicitisPro
GI · Migrating pain, imaging, the OR
Acute Pancreatitis
GI · Lipase, causes, severity
Small Bowel ObstructionPro
GI · Adhesions, strangulation, NG
Cholecystitis and Biliary DiseasePro
GI · RUQ pain, HIDA, cholangitis
Diverticulitis
GI · LLQ pain, CT, complications
GERD and Peptic Ulcer Disease
GI · Bleeding and perforated ulcer
Cirrhosis and Portal HypertensionPro
GI · Variceal bleed, SBP
Gallstone IleusPro
GI · Rigler triad, mechanical SBO
04

Respiratory and Airway Emergencies

Yield 9-12%
PE and DVT
Resp · Wells, D-dimer, CTA, thrombolysis
Asthma vs COPD Exacerbation
Resp · The crashing obstructed airway
Tension Pneumothorax
Resp · Clinical dx, needle decompression
ARDS
Resp · Lung-protective ventilation
Pneumonia
Resp · Typical vs atypical, severity
Lung Abscess
Resp · Aspiration, air-fluid level
05

Neurologic Emergencies

Yield 8-11%
Acute Ischemic Stroke
Neuro · tPA window, thrombectomy, BP
Stroke Syndromes
Neuro · Vascular territories mapped
Seizures and Status EpilepticusPro
Neuro · Focal vs generalized, abortives
Headache Red Flags
Neuro · Thunderclap and danger signs
Bacterial Meningitis
Micro · CSF findings, empiric therapy
Guillain-Barre Syndrome
Neuro · Ascending paralysis, respiratory watch
Cortical Stroke Syndromes
Neuro · ACA vs MCA vs PCA
Brainstem Stroke SyndromesPro
Neuro · Wallenberg and crossed signs
Spinal Cord SyndromesPro
Neuro · Cord compression patterns
Conus vs Cauda EquinaPro
Neuro · Cauda equina red flags
Central vs Peripheral Vertigo
Neuro · HINTS and BPPV
Wernicke EncephalopathyPro
Neuro · Thiamine before glucose
NMJ Disorders
Neuro · Myasthenic crisis vs LEMS
Botulism
Micro · Descending paralysis, antitoxin
Hypertensive Hemorrhage
Neuro · Charcot-Bouchard, lacunar bleed
Idiopathic Intracranial HypertensionPro
Neuro · Papilledema, vision loss
Bell Palsy
Neuro · Peripheral CN VII palsy
Vasculitis and Giant Cell ArteritisPro
Immuno · Temporal arteritis, vision loss
06

Toxicology and Environmental Emergencies

Yield 7-10%
Toxidromes and Antidotes
Pharm · Poison recognition, antidote table
Substance Intoxication and Withdrawal
Psych · Alcohol withdrawal, DTs
Digoxin Toxicity
Pharm · The toxic EKG, Digibind
Lead and Heavy Metal Poisoning
Heme · Basophilic stippling, chelation
Drug-Induced Mental StatusPro
Pharm · Toxic delirium and tremor
Tyramine CrisisPro
Pharm · MAOI hypertensive reaction
07

Shock, Resuscitation and Metabolic Critical Care

Yield 6-9%
Electrolyte Emergencies
Renal · Hyperkalemia and the EKG
DKA vs HHS
Endo · Fluids, insulin, potassium
Anaphylactic Shock
Immuno · IM epinephrine first
Acid-Base and ABGs
Resp · Anion gap, compensation
Adrenal Crisis
Endo · Stress-dose steroids
Sodium and Osmolality Disorders
Renal · Hyponatremia correction
Hypoglycemia
Endo · Whipple triad, C-peptide
Thyroid Storm and Myxedema
Endo · Hyper vs hypothyroid crisis
Calcium Disorders
Endo · Hyper and hypocalcemia
AKI vs CKD
Renal · Uremia, when to dialyze
Platelet DisordersPro
Heme · TTP, HUS and ITP emergencies
08

Infectious Disease and Sepsis

Yield 6-9%
Sepsis and Septic ShockPro
Micro · Hour-1 bundle, qSOFA
UTI and Pyelonephritis
Renal · Cystitis to urosepsis
Infective EndocarditisPro
Cardio · Duke criteria, septic emboli
HIV and AntiretroviralsPro
Micro · Diagnosis, PEP, PrEP
Opportunistic Infections
Micro · The CD4 ladder
09

OB/GYN and Genitourinary Emergencies

Yield 6-9%
Ectopic Pregnancy
Repro · Beta-hCG, rupture, shock
Preeclampsia and Eclampsia
Repro · HELLP, magnesium
Placenta Previa vs Abruption
Repro · Third-trimester bleeding
Placenta Accreta
Repro · Adherent placenta, hemorrhage
PID and Gyn Infections
Repro · PID, tubo-ovarian abscess
Nephrolithiasis
Renal · Renal colic, stone imaging
10

Pediatric Emergencies

Yield 6-9%
Croup vs EpiglottitisPro
Peds · The pediatric airway
Bronchiolitis and RSVPro
Peds · Supportive care, palivizumab
IntussusceptionPro
Peds · Currant jelly stool, air enema
Pyloric Stenosis
Peds · Projectile vomiting, olive mass
Kawasaki DiseasePro
Peds · Fever, coronary aneurysms
Congenital Heart Defects
Cardio · Cyanotic newborn, ductal-dependent crash
Neonatal JaundicePro
Peds · Kernicterus risk, exchange transfusion
Congenital Adrenal Hyperplasia
Endo · Neonatal salt-wasting crisis
11

Musculoskeletal and Orthopedic Emergencies

Yield 6-9%
Low Back Pain Red Flags
OMM · Red flags and OMT approach
Sciatica and Lumbar Radiculopathy
Neuro · Which nerve root is it
Spinal StenosisPro
Neuro · Neurogenic claudication
Cervical Radiculopathy
Neuro · C5 to T1 localization
Osteopathic Special Tests
OMM · Provocative exam maneuvers
Rib Dysfunction and Chest Wall
OMM · Costochondritis, rib OMT
Muscle Energy Technique
OMM · MET mechanics
HVLA
OMM · Indications, contraindications
Counterstrain
OMM · Pelvis and lumbar tenderpoints
Soft Tissue OMTPro
OMM · Stretch, traction, inhibition
Lumbar Dysfunction
OMM · Type 1 vs type 2 mechanics
Psoas Syndrome
OMM · Low back, opposite-motion rule
Piriformis Syndrome
OMM · Sciatic entrapment, OMT
Sacral Dysfunction
OMM · Sacral diagnosis and treatment
Thoracic Dysfunction
OMM · Thoracic and rib links
OMM Fundamentals
OMM · TART, barriers, OMT models
12

ENT, Eye, Skin and Behavioral Emergencies

Yield 5-8%
Acute Otitis Media
Micro · Bulging red tympanic membrane
The Agitated Patient
Psych · De-escalation and restraint
+

To Be Added

Blueprint gaps

Topics 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.
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