Table of Contents

1.0 SIGNS, SYMPTOMS, AND PRESENTATIONS

1.1 Abnormal Vital Sign Physiology

• 1.1.1 Hypothermia
  
• 1.1.2 Fever
  
• 1.1.3 Bradycardia
  
• 1.1.4 Tachycardia
  
• 1.1.5 Apnea
  
• 1.1.6 Tachypnea
  
• 1.1.7 Hypoxia
  
• 1.1.8 Hypotension
  
• 1.1.9 Hypertension
  

1.2 Pain

• 1.2.1 Pain (unspecified)
  
• 1.2.2 Headache (See 12.3)
  
• 1.2.3 Eye pain
  
• 1.2.4 Chest pain
  
• 1.2.5 Abdominal pain
  
• 1.2.6 Pelvic pain
  
• 1.2.7 Back pain
  

1.3 General

• 1.3.1 Altered mental status
  
• 1.3.2 Anuria
  
• 1.3.3 Anxiety
  
• 1.3.4 Ascites
  
• 1.3.5 Ataxia
  
• 1.3.6 Auditory disturbances
  
• 1.3.7 Bleeding
  
• 1.3.8 Congestion/Rhinorrhea
  
• 1.3.9 Constipation
  
• 1.3.10 Cough
  
• 1.3.11 Crying/Fussiness
  
• 1.3.12 Cyanosis
  
• 1.3.13 Dehydration
  
• 1.3.14 Diarrhea
  
• 1.3.15 Dysmenorrhea
  
• 1.3.16 Dysphagia
  
• 1.3.17 Dysuria
  
• 1.3.18 Edema
  
• 1.3.19 Failure to thrive
  
• 1.3.20 Fatigue/Malaise
  
• 1.3.21 Feeding problems
  
• 1.3.22 Hematemesis
  
• 1.3.23 Hematuria
  
• 1.3.24 Hemoptysis
  
• 1.3.25 Hiccup
  
• 1.3.26 Jaundice
  
• 1.3.27 Joint swelling
  
• 1.3.28 Lethargy
  
• 1.3.29 Lightheadedness/Dizziness
  
• 1.3.30 Limp
  
• 1.3.31 Lymphadenopathy
  
• 1.3.32 Mechanical and indwelling devices, complications
  
• 1.3.33 Nausea/Vomiting
  
• 1.3.34 Occupational exposure
  
• 1.3.35 Palpitations
  
• 1.3.36 Paralysis
  
• 1.3.37 Paresthesia/Dysesthesia
  
• 1.3.38 Poisoning
  
• 1.3.39 Pruritus
  
• 1.3.40 Rash
  
• 1.3.41 Rectal bleeding
  
• 1.3.42 Shock
  
• 1.3.43 Shortness of breath
  
• 1.3.44 Sore throat
  
• 1.3.45 Stridor
  
• 1.3.46 Syncope
  
• 1.3.47 Tinnitus
  
• 1.3.48 Tremor
  
• 1.3.49 Urinary incontinence
  
• 1.3.50 Urinary retention
  
• 1.3.51 Vaginal bleeding
  
• 1.3.52 Vaginal discharge
  
• 1.3.53 Vertigo
  
• 1.3.54 Visual disturbances
  
• 1.3.55 Weakness
  
• 1.3.56 Wheezing
  

2.0 ABDOMINAL AND GASTROINTESTINAL DISORDERS

2.1 Abdominal Wall

• 2.1.1 Hernias
  

2.2 Esophagus

• 2.2.1 Infectious disorders
  
  • 2.2.1.1 Candida (See 4.4.2.1, 7.5.7)
    
  • 2.2.1.2 Viral esophagitis
    
• 2.2.2 Inflammatory disorders
  
  • 2.2.2.1 Esophagitis
    
  • 2.2.2.2 Gastroesophageal reflux (GERD)
    
  • 2.2.2.3 Toxic effects of caustic (See 17.1.14)
    
    • 2.2.2.3.1 Acid
      
    • 2.2.2.3.2 Alkali
      
• 2.2.3 Motor abnormalities
  
  • 2.2.3.1 Spasms
    
• 2.2.4 Structural disorders
  
  • 2.2.4.1 Boerhaave’s syndrome
    
  • 2.2.4.2 Diverticula
    
  • 2.2.4.3 Foreign body
    
  • 2.2.4.4 Hernias
    
  • 2.2.4.5 Mallory-Weiss syndrome
    
  • 2.2.4.6 Stricture and stenosis
    
  • 2.2.4.7 Tracheoesophageal fistula
    
  • 2.2.4.8 Varices
    
• 2.2.5 Tumors
  

2.3 Liver

• 2.3.1 Cirrhosis
  
  • 2.3.1.1 Alcoholic
    
  • 2.3.1.2 Biliary obstructive
    
  • 2.3.1.3 Drug-induced
    
• 2.3.2 Hepatorenal failure
  
• 2.3.3 Infectious disorders
  
  • 2.3.3.1 Abscess
    
  • 2.3.3.2 Hepatitis
    
    • 2.3.3.2.1 Acute
      
    • 2.3.3.2.2 Chronic
      
  • 2.3.4 Tumors
    

2.4 Gall Bladder and Biliary Tract

• 2.4.1 Cholangitis
  
• 2.4.2 Cholecystitis
  
• 2.4.3 Cholelithiasis/Choledocholithiasis
  
• 2.4.4 Tumors
  

2.5 Pancreas

• 2.5.1 Pancreatitis
  
• 2.5.2 Tumors
  

2.6 Peritoneum

• 2.6.1 Spontaneous bacterial peritonitis
  

2.7 Stomach

• 2.7.1 Infectious Disorders
  
• 2.7.2 Inflammatory Disorders
  
  • 2.7.2.1 Gastritis
    
• 2.7.3 Peptic ulcer disease
  
  • 2.7.3.1 Hemorrhage
    
  • 2.7.3.2 Perforation
    
• 2.7.4 Structural disorders
  
  • 2.7.4.1 Congenital hypertrophic pyloric stenosis
    
  • 2.7.4.2 Foreign body
    
• 2.7.5 Tumors
  

2.8 Small Bowel

• 2.8.1 Infectious disorders
  
• 2.8.2 Inflammatory disorders
  
  • 2.8.2.1 Regional enteritis/Crohn’s disease
    
• 2.8.3 Motor abnormalities
  
  • 2.8.3.1 Obstruction
    
  • 2.8.3.2 Paralytic ileus
    
• 2.8.4 Structural disorders
  
  • 2.8.4.1 Aortoenteric fistula
    
  • 2.8.4.2 Congenital anomalies
    
  • 2.8.4.3 Intestinal malabsorption
    
  • 2.8.4.4 Meckel's diverticulum
    
• 2.8.5 Tumors
  
• 2.8.6 Vascular Insufficiency
  

2.9 Large Bowel

• 2.9.1 Infectious disorders
  
  • 2.9.1.1 Antibiotic-associated
    
  • 2.9.1.2 Bacterial
    
  • 2.9.1.3 Parasitic
    
  • 2.9.1.4 Viral
    
• 2.9.2 Inflammatory disorders
  
  • 2.9.2.1 Appendicitis
    
  • 2.9.2.2 Necrotizing enterocolitis (NEC)
    
  • 2.9.2.3 Radiation colitis
    
  • 2.9.2.4 Ulcerative colitis
    
• 2.9.3 Motor abnormalities
  
  • 2.9.3.1 Hirschsprung’s disease
    
  • 2.9.3.2 Irritable bowel
    
  • 2.9.3.3 Obstruction
    
• 2.9.4 Structural disorders
  
  • 2.9.4.1 Congenital abnormalities
    
  • 2.9.4.2 Diverticula
    
  • 2.9.4.3 Intussusception
    
  • 2.9.4.4 Volvulus
    
• 2.9.5 Tumors
  

2.10 Rectum and Anus

• 2.10.1 Infectious disorders
  
  • 2.10.1.1 Perianal/Anal abscess
    
  • 2.10.1.2 Perirectal abscess
    
  • 2.10.1.3 Pilonidal cyst and abscess
    
• 2.10.2 Inflammatory disorders
  
  • 2.10.2.1 Proctitis
    
• 2.10.3 Structural disorders
  
  • 2.10.3.1 Anal fissure
    
  • 2.10.3.2 Anal fistula
    
  • 2.10.3.3 Congenital anomalies
    
  • 2.10.3.4 Foreign body
    
  • 2.10.3.5 Hemorrhoids
    
  • 2.10.3.6 Rectal prolapse
    
• 2.10.4 Tumors
  

2.11 Spleen

• 2.11.1 Asplenism
  
• 2.11.2 Splenomegaly
  
• 2.11.3 Vascular insufficiency/Infarction
  

3.0 CARDIOVASCULAR DISORDERS

3.1 Cardiopulmonary Arrest

• 3.1.1 Sudden unexpected infant death (SUID)
  
• 3.1.2 Pulseless electrical activity
  

3.2 Congenital Abnormalities of the Cardiovascular System
3.3 Disorders of Circulation

• 3.3.1 Arterial
  
  • 3.3.1.1 Aneurysm
    
  • 3.3.1.2 Aortic dissection
    
  • 3.3.1.3 Thromboembolism
    
• 3.3.2 Venous
  
  • 3.3.2.1 Thromboembolism (See 16.6.2)
    

3.4 Disturbances of Cardiac Rhythm

• 3.4.1 Cardiac dysrhythmias
  
  • 3.4.1.1 Ventricular
    
  • 3.4.1.2 Supraventricular
    
• 3.4.2 Conduction disorders
  

3.5 Diseases of the Myocardium, Acquired

• 3.5.1 Cardiac failure
  
  • 3.5.1.1 Cor pulmonale
    
  • 3.5.1.2 High output
    
  • 3.5.1.3 Low output
    
• 3.5.2 Cardiomyopathy
  
  • 3.5.2.1 Hypertrophic
    
• 3.5.3 Congestive heart failure
  
• 3.5.4 Coronary syndromes
  
• 3.5.5 Ischemic heart disease
  
• 3.5.6 Myocardial infarction
  
• 3.5.7 Myocarditis
  
• 3.5.8 Ventricular aneurysm
  

3.6 Diseases of the Pericardium

• 3.6.1 Pericardial tamponade (See 18.1.2.6)
  
• 3.6.2 Pericarditis
  

3.7 Endocarditis
3.8 Hypertension
3.9 Tumors
3.10 Valvular Disorders

4.0 CUTANEOUS DISORDERS

4.1 Cancers of the Skin

• 4.1.1 Basal cell
  
• 4.1.2 Kaposi's sarcoma
  
• 4.1.3 Melanoma
  
• 4.1.4 Squamous cell
  

4.2 Ulcerative Lesions

• 4.2.1 Decubitus
  
• 4.2.2 Venous stasis
  

4.3 Dermatitis

• 4.3.1 Atopic
  
• 4.3.2 Contact
  
• 4.3.3 Eczema
  
• 4.3.4 Psoriasis
  
• 4.3.5 Seborrhea
  

4.4 Infections

• 4.4.1 Bacterial
  
  • 4.4.1.1 Abscess
    
  • 4.4.1.2 Cellulitis
    
  • 4.4.1.3 Erysipelas
    
  • 4.4.1.4 Impetigo
    
  • 4.4.1.5 Necrotizing infection
    
• 4.4.2 Fungal
  
  • 4.4.2.1 Candida (See 2.2.1.1, 7.5.7)
    
  • 4.4.2.2 Dermatophytes
    
• 4.4.3 Ectoparasites
  
• 4.4.4 Viral
  
  • 4.4.4.1 Aphthous ulcers
    
  • 4.4.4.2 Childhood exanthems (See 10.6.8, 10.6.9)
    
  • 4.4.4.3 Herpes simplex (See 10.6.4, 13.1.3.1)
    
  • 4.4.4.4 Herpes zoster (See 10.6.5)
    
  • 4.4.4.5 Human papillomavirus (HPV) (See 13.1.3.2)
    
  • 4.4.4.6 Molluscum contagiosum
    
• 4.5 Maculopapular Lesions
  
  • 4.5.1 Erythema multiforme
    
  • 4.5.2 Erythema nodosum
    
  • 4.5.3 Henoch-Schönlein purpura (HSP)
    
  • 4.5.4 Pityriasis rosea
    
  • 4.5.5 Purpura
    
  • 4.5.6 Urticaria
    
• 4.6 Papular/Nodular Lesions
  
  • 4.6.1 Hemangioma/Lymphangioma
    
  • 4.6.2 Lipoma
    
  • 4.6.3 Sebaceous cyst
    
• 4.7 Vesicular/Bullous Lesions
  
  • 4.7.1 Pemphigus
    
  • 4.7.2 Staphylococcal scalded skin syndrome
    
  • 4.7.3 Stevens-Johnson syndrome
    
  • 4.7.4 Toxic epidermal necrolysis
    
  • 4.7.5 Bullous pemphigoid
    

5.0 ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS

5.1 Acid-base Disturbances

• 5.1.1 Metabolic or respiratory
  
  • 5.1.1.1 Acidosis
    
  • 5.1.1.2 Alkalosis
    
• 5.1.2 Mixed acid-base balance disorder
  

5.2 Adrenal Disease

• 5.2.1 Corticoadrenal insufficiency
  
• 5.2.2 Cushing's syndrome
  

5.3 Fluid and Electrolyte Disturbances

• 5.3.1 Calcium metabolism
  
• 5.3.2 Fluid overload/Volume depletion
  
• 5.3.3 Potassium metabolism
  
• 5.3.4 Sodium metabolism
  
• 5.3.5 Magnesium metabolism
  
• 5.3.6 Phosphorus metabolism
  

5.4 Glucose Metabolism

• 5.4.1 Diabetes mellitus
  
  • 5.4.1.1 Type I
    
  • 5.4.1.2 Type II
    
  • 5.4.1.3 Complications in glucose metabolism
    
    • 5.4.1.3.1 Diabetic ketoacidosis (DKA)
      
    • 5.4.1.3.2 Hyperglycemia
      
    • 5.4.1.3.3 Hyperosmolar hyperglycemic state
      
    • 5.4.1.3.4 Hypoglycemia
      

5.5 Nutritional Disorders

• 5.5.1 Vitamin deficiencies
  
• 5.5.2 Wernicke-Korsakoff syndrome
  
• 5.5.3 Malabsorption
  

5.6 Parathyroid Disease
5.7 Pituitary Disorders

• • 5.7.1 Panhypopituitarism
    

5.8 Thyroid Disorders

• 5.8.1 Hyperthyroidism
  
• 5.8.2 Hypothyroidism
  
• 5.8.3 Thyroiditis
  

5.9 Tumors of Endocrine Glands

• 5.9.1 Adrenal
  
  • 5.9.1.1 Pheochromocytoma
    
• 5.9.2 Pituitary
  
• 5.9.3 Thyroid
  

6.0 ENVIRONMENTAL DISORDERS

6.1 Bites and Envenomation (See 18.1.3.2)

• 6.1.1 Arthropods
  
  • 6.1.1.1 Insects
    
  • 6.1.1.2 Arachnida
    
• 6.1.2 Mammals
  
• 6.1.3 Marine organisms (See 17.1.28)
  
• 6.1.4 Reptiles
  

6.2 Dysbarism

• 6.2.1 Air embolism
  
• 6.2.2 Barotrauma
  
• 6.2.3 Decompression syndrome
  

6.3 Electrical Injury (See 18.1.3.3.1)

• 6.3.1 Lightning
  

6.4 High-altitude Illness

• 6.4.1 Acute mountain sickness
  
• 6.4.2 Barotrauma of ascent
  
• 6.4.3 High-altitude cerebral edema
  
• 6.4.4 High-altitude pulmonary edema
  

6.5 Submersion Incidents

• 6.5.1 Cold water immersion
  
• 6.5.2 Near drowning
  

6.6 Temperature-related Illness

• 6.6.1 Heat
  
  • 6.6.1.1 Heat exhaustion
    
  • 6.6.1.2 Heat stroke
    
• 6.6.2 Cold
  
  • 6.6.2.1 Frostbite
    
  • 6.6.2.2 Hypothermia
    

6.7 Radiation Emergencies

7.0 HEAD, EAR, EYE, NOSE, THROAT DISORDERS

• 7.1 Ear
  
  • 7.1.1 Foreign body
    
    • 7.1.1.1 Impacted cerumen
      
  • 7.1.2 Labyrinthitis
    
  • 7.1.3 Mastoiditis
    
  • 7.1.4 Ménière’s disease
    
  • 7.1.5 Otitis externa
    
    • 7.1.5.1 Infective
      
      • 7.1.5.1.1 Malignant
        
  • 7.1.6 Otitis media
    
  • 7.1.7 Perforated tympanic membrane (See 18.1.11.2)
    
  • 7.1.8 Perichondritis
    
• 7.2 Eye
  
  • 7.2.1 External eye
    
    • 7.2.1.1 Blepharitis
      
    • 7.2.1.2 Burn confined to eye (See 18.1.10.2)
      
    • 7.2.1.3 Conjunctivitis
      
    • 7.2.1.4 Corneal abrasions (See 18.1.10.1)
      
    • 7.2.1.5 Dacryocystitis
      
    • 7.2.1.6 Disorders of lacrimal system
      
    • 7.2.1.7 Foreign body
      
    • 7.2.1.8 Inflammation of the eyelids
      
      • 7.2.1.8.1 Chalazion
        
      • 7.2.1.8.2 Hordeolum
        
    • 7.2.1.9 Keratitis
      
  • 7.2.2 Anterior pole
    
    • 7.2.2.1 Glaucoma
      
    • 7.2.2.2 Hyphema (See 18.1.10.5)
      
    • 7.2.2.3 Iritis (See 18.1.10.9)
      
    • 7.2.2.4 Hypopyon
      
  • 7.2.3 Posterior pole
    
    • 7.2.3.1 Choroiditis/Chorioretinitis
      
    • 7.2.3.2 Optic neuritis
      
    • 7.2.3.3 Papilledema
      
    • 7.2.3.4 Retinal detachments and defects (See 18.1.10.8)
      
    • 7.2.3.5 Retinal vascular occlusion
      
  • 7.2.4 Orbit
    
    • 7.2.4.1 Cellulitis
      
      • 7.2.4.1.1 Preseptal
        
      • 7.2.4.1.2 Postseptal
        
    • 7.2.4.2 Purulent endophthalmitis
      
• 7.3 Cerebral Venous Sinus Thrombosis
  
  • 7.3.1 Cavernous sinus thrombosis
    
• 7.4 Nose
  
  • 7.4.1 Epistaxis
    
  • 7.4.2 Foreign body
    
  • 7.4.3 Rhinitis
    
  • 7.4.4 Sinusitis
    
• 7.5 Oropharynx/Throat
  
  • • 7.5.1 Dentalgia
      
    • 7.5.2 Diseases of the oral soft tissue
      
      • 7.5.2.1 Ludwig's angina
        
      • 7.5.2.2 Stomatitis
        
    • 7.5.3 Diseases of the salivary glands
      
      • 7.5.3.1 Sialolithiasis
        
      • 7.5.3.2 Suppurative parotitis
        
    • 7.5.4 Foreign body
      
    • 7.5.5 Gingival and periodontal disorders
      
      • 7.5.5.1 Gingivostomatitis Larynx/Trachea
        
    • 7.5.6 Larynx/Trachea
      
      • 7.5.6.1 Epiglottitis (See 16.1.1.2)
        
      • 7.5.6.2 Laryngitis
        
      • 7.5.6.3 Tracheitis
        
    • 7.5.7 Oral candidiasis (See 2.2.1.1, 4.4.2.1)
      
    • 7.5.8 Dental abscess
      
    • 7.5.9 Peritonsillar abscess
      
    • 7.5.10 Pharyngitis/Tonsillitis
      
    • 7.5.11 Retropharyngeal abscess
      
    • 7.5.12 Temporomandibular joint disorders
      
• 7.6 Tumors
  

8.0 HEMATOLOGIC DISORDERS

8.1 Blood Transfusion
8.1.1 Complications
8.2 Hemostatic Disorders
8.2.1 Coagulation defects
8.2.1.1 Acquired
8.2.1.2 Hemophilias
8.2.2 Disseminated intravascular coagulation
8.2.3 Platelet disorders
8.2.3.1 Thrombocytopenia
8.3 Lymphomas
8.4 Pancytopenia
8.5 Red Blood Cell Disorders
8.5.1 Anemias
8.5.1.1 Aplastic
8.5.1.2 Hemoglobinopathies
8.5.1.2.1 Sickle cell disease
8.5.1.3 Hemolytic
8.5.1.4 Hypochromic
8.5.1.4.1 Iron deficiency
8.5.1.5 Megaloblastic
8.5.2 Polycythemia
8.5.3 Methemoglobinemia (See 17.1.29)
8.6 White Blood Cell Disorders
8.6.1 Leukemia
8.6.2 Multiple myeloma
8.6.3 Leukopenia

9.0 IMMUNE SYSTEM DISORDERS

9.1 Collagen Vascular Disease
9.1.1 Raynaud’s disease
9.1.2 Reiter’s syndrome
9.1.3 Rheumatoid arthritis (See 11.3.1.3)
9.1.4 Scleroderma
9.1.5 Systemic lupus erythematosus
9.1.6 Vasculitis
9.2 Hypersensitivity
9.2.1 Allergic reaction
9.2.2 Anaphylaxis
9.2.3 Angioedema
9.2.4 Drug allergies
9.3 Transplant-related Problems
9.3.1 Immunosuppression
9.3.2 Rejection
9.4 Immune Complex Disorders
9.4.1 Kawasaki syndrome
9.4.2 Rheumatic fever
9.4.3 Sarcoidosis
9.4.4 Post-streptococcal glomerulonephritis (See 15.3.1)

10.0 SYSTEMIC INFECTIOUS DISORDERS

10.1 Bacterial
10.1.1 Bacterial food poisoning
10.1.1.1 Botulism
10.1.2 Chlamydia
10.1.3 Gonococcus
10.1.4 Meningococcus
10.1.5 Mycobacterium
10.1.5.1 Atypical mycobacteria
10.1.5.2 Tuberculosis
10.1.6 Other bacterial diseases
10.1.6.1 Gas gangrene (See 11.6.3)
10.1.7 Sepsis/Bacteremia
10.1.7.1 Shock
10.1.7.2 Systemic inflammatory response syndrome (SIRS)
10.1.7.3 Toxic shock syndrome
10.1.8 Spirochetes
10.1.8.1 Syphilis
10.1.9 Tetanus
10.2 Biological Warfare Agents
10.3 Fungal Infections
10.4 Protozoan/Parasites
10.4.1 Malaria
10.4.2 Toxoplasmosis
10.5 Tick-Borne
10.5.1 Ehrlichiosis
10.5.2 Lyme disease
10.5.3 Rocky Mountain spotted fever
10.6 Viral
10.6.1 Infectious mononucleosis
10.6.2 Influenza/Parainfluenza
10.6.3 Hantavirus
10.6.4 Herpes simplex (See 4.4.4.3, 13.1.3.1)
10.6.5 Herpes zoster/Varicella (See 4.4.4.4)
10.6.6 HIV/AIDS
10.6.7 Rabies
10.6.8 Roseola (See 4.4.4.2)
10.6.9 Rubella (See 4.4.4.2)
10.7 Emerging Infections, Pandemics, and Drug Resistance

11.0 MUSCULOSKELETAL DISORDERS (NONTRAUMATIC)

11.1 Bony Abnormalities

• 11.1.1 Aseptic/Avascular necrosis
  
• 11.1.2 Osteomyelitis
  
• 11.1.3 Tumors
  

11.2 Disorders of the Spine

• 11.2.1 Disc disorders
  
• 11.2.2 Inflammatory spondylopathies
  
• 11.2.3 Low back pain
  
  • 11.2.3.1 Cauda equina syndrome (See 18.1.15.1)
    
  • 11.2.3.2 Sacroiliitis
    
  • 11.2.3.3 Sprains/Strains
    

11.3 Joint Abnormalities

• 11.3.1 Arthritis
  
  • 11.3.1.1 Septic
    
  • 11.3.1.2 Crystal arthropathies
    
  • 11.3.1.3 Rheumatoid (See 9.1.3)
    
  • 11.3.1.4 Juvenile
    
  • 11.3.1.5 Osteoarthrosis
    
• 11.3.2 Congenital dislocation of the hip
  
• 11.3.3 Slipped capital femoral epiphysis
  

11.4 Muscle Abnormalities

• 11.4.1 Myositis
  
• 11.4.2 Rhabdomyolysis
  

11.5 Overuse Syndromes

• 11.5.1 Bursitis
  
• 11.5.2 Muscle strains
  
• 11.5.3 Peripheral nerve syndrome
  
  • 11.5.3.1 Carpal tunnel syndrome
    
• 11.5.4 Tendonitis
  

11.6 Soft Tissue Infections

• 11.6.1 Fasciitis
  
• 11.6.2 Felon
  
• 11.6.3 Gangrene (See 10.1.6.1)
  
• 11.6.4 Paronychia
  
• 11.6.5 Synovitis/Tenosynovitis
  

12.0 NERVOUS SYSTEM DISORDERS

12.1 Cranial Nerve Disorders
12.1.1 Idiopathic facial nerve paralysis (Bell’s palsy)
12.1.2 Trigeminal neuralgia
12.2 Demyelinating Disorders
12.2.1 Multiple sclerosis
12.3 Headache (See 1.2.2)
12.3.1 Tension
12.3.2 Vascular
12.3.3 Cluster
12.4 Hydrocephalus
12.4.1 Normal pressure
12.4.2 VP shunt
12.5 Infections/Inflammatory Disorders
12.5.1 Encephalitis
12.5.2 Intracranial and intraspinal abscess
12.5.3 Meningitis
12.5.3.1 Bacterial
12.5.3.2 Viral
12.5.4 Myelitis
12.5.5 Neuritis
12.6 Movement Disorders
12.6.1 Dystonic reaction
12.6.2 Chorea/Choreiform
12.6.3 Tardive dyskinesia
12.7 Neuromuscular Disorders
12.7.1 Guillain-Barré syndrome
12.7.2 Myasthenia gravis
12.7.3 Peripheral neuropathy
12.8 Other Conditions of the Brain
12.8.1 Dementia (See 14.5.3)
12.8.2 Parkinson’s disease
12.8.3 Pseudotumor cerebri
12.9 Seizure Disorders
12.9.1 Febrile
12.9.2 Neonatal
12.9.3 Status epilepticus
12.9.3.1 Nonconvulsive
12.10 Spinal Cord Compression
12.11 Stroke
12.11.1 Hemorrhagic
12.11.1.1 Intracerebral
12.11.1.2 Subarachnoid
12.11.2 Ischemic
12.11.2.1 Embolic
12.11.2.2 Thrombotic
12.12 Transient Cerebral Ischemia
12.13 Tumors

13.0 OBSTETRICS AND GYNECOLOGY

13.1 Female Genital Tract
13.1.1 Cervix
13.1.1.1 Cervicitis and endocervicitis
13.1.1.2 Tumors
13.1.2 Infectious disorders
13.1.2.1 Pelvic inflammatory disease
13.1.2.1.1 Fitz-Hugh-Curtis syndrome
13.1.2.1.2 Tuboovarian abscess
13.1.2.2 Urethritis
13.1.3 Lesions
13.1.3.1 Herpes simplex (See 4.4.4.3, 10.6.4)
13.1.3.2 Human papillomavirus (HPV) (See 4.4.4.5)
13.1.4 Ovary
13.1.4.1 Cyst
13.1.4.2 Torsion
13.1.4.3 Tumors
13.1.5 Uterus
13.1.5.1 Dysfunctional bleeding
13.1.5.2 Endometriosis
13.1.5.3 Prolapse
13.1.5.4 Tumors
13.1.5.4.1 Gestational trophoblastic disease
13.1.5.4.2 Leiomyoma
13.1.6 V agina and vulva
13.1.6.1 Bartholin’s cyst
13.1.6.2 Foreign body
13.1.6.3 Vaginitis/Vulvovaginitis
13.2 Normal Pregnancy
13.3 Complications of Pregnancy
13.3.1 Abortion
13.3.2 Ectopic pregnancy
13.3.3 Hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome
13.3.4 Hemorrhage, antepartum
13.3.4.1 Abruptio placentae (See 18.2.1)
13.3.4.2 Placenta previa
13.3.5 Hyperemesis gravidarum
13.3.6 Gestational hypertension
13.3.6.1 Eclampsia
13.3.6.2 Preeclampsia
13.3.7 Infections
13.3.8 Rh isoimmunization
13.3.9 First trimester bleeding
13.3.10 Gestational diabetes
13.4 High-risk Pregnancy
13.4.1 Assisted reproductive therapies
13.5 Normal Labor and Delivery
13.6 Complications of Labor
13.6.1 Fetal distress
13.6.2 Premature labor (See 18.2.3)
13.6.3 Premature rupture of membranes
13.6.4 Rupture of uterus (See 18.2.4)
13.7 Complications of Delivery
13.7.1 Malposition of fetus
13.7.2 Nuchal cord
13.7.3 Prolapse of cord
13.8 Postpartum Complications
13.8.1 Endometritis
13.8.2 Hemorrhage
13.8.3 Mastitis
13.8.4 Pituitary infarction
13.9 Contraception

14.0 PSYCHOBEHAVIORAL DISORDERS

14.1 Addictive Behavior
14.1.1 Alcohol dependence
14.1.2 Drug dependence
14.1.3 Eating disorders
14.1.4 Substance abuse
14.1.5 Tobacco dependence
14.2 Mood Disorders and Thought Disorders
14.2.1 Acute psychosis
14.2.2 Bipolar disorder
14.2.3 Depression
14.2.3.1 Suicidal risk
14.2.4 Grief reaction
14.2.5 Schizophrenia
14.3 Factitious Disorders
14.3.1 Drug-diversion behavior
14.3.2 Munchausen syndrome/Munchausen by proxy
14.4 Neurotic Disorders
14.4.1 Anxiety/Panic
14.4.2 Obsessive compulsive
14.4.3 Phobic
14.4.4 Post-traumatic stress
14.5 Organic Psychoses
14.5.1 Chronic organic psychotic conditions
14.5.1.1 Alcoholic psychoses
14.5.1.2 Drug psychoses
14.5.2 Delirium
14.5.3 Dementia (See 12.8.1)
14.5.4 Intoxication and/or withdrawal
14.5.4.1 Alcohol (See 17.1.2)
14.5.4.2 Hallucinogens (See 17.1.17)
14.5.4.3 Opioids (See 17.1.1.3)
14.5.4.4 Sedatives/Hypnotics/Anxiolytics (See 17.1.35)
14.5.4.5 Sympathomimetics and cocaine (See 17.1.36;17.1.15)
14.5.4.6 Anticholinergic (See 17.1.4)
14.6 Patterns of Violence/Abuse/Neglect
14.6.1 Interpersonal violence
14.6.1.1 Child, intimate partner, elder
14.6.2 Homicidal Risk
14.6.3 Sexual assault
14.6.4 Staff/Patient safety
14.7 Personality Disorders
14.8 Psychosomatic Disorders
14.8.1 Hypochondriasis
14.8.2 Hysteria/Conversion

15.0 RENAL AND UROGENITAL DISORDERS

15.1 Acute and Chronic Renal Failure
15.2 Complications of Renal Dialysis
15.3 Glomerular Disorders
15.3.1 Glomerulonephritis (See 9.4.4)
15.3.2 Nephrotic syndrome
15.4 Infection
15.4.1 Cystitis
15.4.2 Pyelonephritis
15.5 Male Genital Tract
15.5.1 Genital lesions
15.5.2 Hernias
15.5.3 Inflammation/Infection
15.5.3.1 Balanitis/Balanoposthitis
15.5.3.2 Epididymitis/Orchitis
15.5.3.3 Gangrene of the scrotum (Fournier's gangrene)
15.5.3.4 Prostatitis
15.5.3.5 Urethritis
15.5.4 Structural
15.5.4.1 Paraphimosis/Phimosis
15.5.4.2 Priapism
15.5.4.3 Prostatic hypertrophy (BPH)
15.5.4.4 Torsion
15.5.5 Testicular masses
15.5.6 Tumors
15.5.6.1 Prostate
15.5.6.2 Testis
15.6 Nephritis
15.6.1 Hemolytic uremic syndrome
15.7 Structural Disorders
15.7.1 Calculus of urinary tract
15.7.2 Obstructive uropathy
15.7.3 Polycystic kidney disease
15.8 Tumors

16.0 THORACIC-RESPIRATORY DISORDERS

16.1 Acute Upper Airway Disorders

• 16.1.1 Infections
  
• 16.1.1.1 Croup
  
• 16.1.1.2 Epiglottitis (See 7.5.6.1)
  
• 16.1.2 Obstruction
  
• 16.1.3 Tracheostomy/Complications
  

16.2 Disorders of Pleura, Mediastinum, and Chest Wall

• 16.2.1 Costochondritis
  
• 16.2.2 Mediastinitis
  
• 16.2.3 Pleural effusion
  
• 16.2.4 Pleuritis
  
• 16.2.5 Pneumomediastinum
  
• 16.2.6 Pneumothorax (See 18.1.2.7)
  
• 16.2.6.1 Simple
  
• 16.2.6.2 Tension
  
• 16.2.6.3 Open
  
• 16.2.7 Empyema
  

16.3 Noncardiogenic Pulmonary Edema
16.4 Obstructive/Restrictive Lung Disease

• 16.4.1 Asthma/Reactive airway disease
  
• 16.4.2 Bronchitis and bronchiolitis
  
• 16.4.3 Bronchopulmonary dysplasia
  
• 16.4.4 Chronic obstructive pulmonary disease
  
• 16.4.5 Cystic fibrosis
  
• 16.4.6 Environmental/Industrial exposure
  
• 16.4.7 Foreign body
  

16.5 Physical and Chemical Irritants/Insults

• 16.5.1 Pneumoconiosis
  
• 16.5.2 Toxic effects of gases, fumes, vapors (See 18.1.3.3.2)
  

16.6 Pulmonary Embolism/Infarct

• 16.6.1 Septic emboli
  
• 16.6.2 Venous thromboembolism (See 3.3.2.1)
  
• 16.6.3 Fat emboli
  

16.7 Pulmonary Infections

• 16.7.1 Lung abscess
  
• 16.7.2 Pneumonia
  
• 16.7.2.1 Aspiration
  
• 16.7.2.2 Community-acquired
  
• 16.7.2.3 Health care-associated
  
• 16.7.3 Pulmonary tuberculosis
  
• 16.7.4 Respiratory syncytial virus (RSV)
  
• 16.7.5 Pertussis
  

16.8 Tumors

• 16.8.1 Breast
  
• 16.8.2 Pulmonary
  

16.9 Pulmonary Hypertension

17.0 TOXICOLOGIC DISORDERS

17.1 Drug and Chemical Classes

• 17.1.1 Analgesics
  
• 17.1.1.1 Acetaminophen
  
• 17.1.2 Alcohol (See 14.5.4.1)
  
• 17.1.2.1 Ethanol
  
• 17.1.2.2 Glycol
  
• 17.1.2.3 Isopropyl
  
• 17.1.1.2 Nonsteroidal anti-inflammatories (NSAIDS)
  
• 17.1.1.3 Opiates and related narcotics (See 14.5.4.3)
  
• 17.1.1.4 Salicylates
  
• 17.1.2.4 Methanol
  
• 17.1.3 Anesthetics
  
• 17.1.4 Anticholinergics/Cholinergics (See 14.5.4.6)
  
• 17.1.5 Anticoagulants/Antithrombotics
  
• 17.1.6 Anticonvulsants
  
• 17.1.7 Antidepressants
  
• 17.1.8 Antiparkinsonism drugs
  
• 17.1.9 Antihistamines and antiemetics
  
• 17.1.10 Antipsychotics
  
• 17.1.11 Bronchodilators
  
• 17.1.12 Carbon monoxide
  
• 17.1.13 Cardiovascular drugs
  
• 17.1.13.1 Antiarrhythmics
  
• 17.1.13.1.1 Digitalis
  
• 17.1.13.2 Antihypertensives
  
• 17.1.13.3 Beta blockers
  
• 17.1.13.4 Calcium channel blockers
  
• 17.1.14 Caustic agents (See 2.2.2.3)
  
• 17.1.14.1 Acid
  
• 17.1.14.2 Alkali
  
• 17.1.15 Cocaine (See 14.5.4.5)
  
• 17.1.16 Cyanides, hydrogen sulfide
  
• 17.1.17 Hallucinogens (See 14.5.4.2)
  
• 17.1.18 Hazardous materials
  
• 17.1.19 Heavy metals
  
• 17.1.20 Herbicides, insecticides, and rodenticides
  
• 17.1.21 Household/Industrial chemicals
  
• 17.1.22 Hormones/Steroids
  
• 17.1.23 Hydrocarbons
  
• 17.1.24 Hypoglycemics/Insulin
  
• 17.1.25 Inhaled toxins
  
• 17.1.26 Iron
  
• 17.1.27 Isoniazid
  
• 17.1.28 Marine toxins (See 6.1.3)
  
• 17.1.29 Methemoglobinemia (See 8.5.3)
  
• 17.1.30 Mushrooms/Poisonous plants
  
• 17.1.31 Neuroleptics
  
• 17.1.32 Non-prescription drugs
  
• 17.1.33 Organophosphates
  
• 17.1.34 Recreational drugs
  
• 17.1.35 Sedatives/Hypnotics (See 14.5.4.4)
  
• 17.1.36 Stimulants/Sympathomimetics (See 14.5.4.5)
  
• 17.1.37 Strychnine
  
• 17.1.38 Lithium
  
• 17.1.39 Nutritional supplements
  
• 17.1.40 Chemical warfare agents
  
• 17.1.41 Antibiotics
  
• 17.1.42 Antiretrovirals
  

18.0 TRAUMATIC DISORDERS

18.1 Trauma

• 18.1.1.1 Diaphragm
  
• 18.1.1 Abdominal trauma
  
• 18.1.1.2 Hollow viscus
  
• 18.1.1.3 Penetrating
  
• 18.1.1.4 Retroperitoneum
  
• 18.1.1.5 Solid organ
  
• 18.1.1.6 Vascular
  
• 18.1.2 Chest trauma
  
• 18.1.2.1 Aortic dissection/Disruption
  
• 18.1.2.2 Contusion
  
• 18.1.2.2.1 Cardiac
  
• 18.1.2.2.2 Pulmonary
  
• 18.1.2.3 Fracture
  
• 18.1.2.3.1 Clavicle
  
• 18.1.2.3.2 Ribs/Flail chest
  
• 18.1.2.3.3 Sternum
  
• 18.1.2.4 Hemothorax
  
• 18.1.2.5 Penetrating chest trauma
  
• 18.1.2.6 Pericardial tamponade (See 3.6.1)
  
• 18.1.2.7 Pneumothorax (See 16.2.6)
  
• 18.1.2.7.1 Simple
  
• 18.1.2.7.2 Tension
  
• 18.1.2.7.3 Open
  
• 18.1.3 Cutaneous injuries
  
• 18.1.3.1 Avulsions
  
• 18.1.3.2 Bite wounds (See 6.1)
  
• 18.1.3.3 Burns
  
• 18.1.3.3.1 Electrical (See 6.3)
  
• 18.1.3.3.2 Chemical (See 16.5.2)
  
• 18.1.3.3.3 Thermal
  
• 18.1.3.4 Lacerations
  
• 18.1.3.5 Puncture wounds
  
• 18.1.4 Facial fractures
  
• 18.1.5.1 Bladder
  
• 18.1.5.2 External genitalia
  
• 18.1.4.1 Dental
  
• 18.1.4.2 Le Fort
  
• 18.1.4.3 Mandibular
  
• 18.1.4.4 Orbital
  
• 18.1.4.5 Nasal
  
• 18.1.4.5.1 Septal hematoma
  
• 18.1.4.6 Zygomatic arch
  
• 18.1.5 Genitourinary trauma
  
• 18.1.5.1 Bladder
  
• 18.1.5.2 External Genitalia
  
• 18.1.5.3 Renal
  
• 18.1.5.4 Ureteral
  
• 18.1.5.5 Urethral
  
• 18.1.6.1Intracranial injury
  
• 18.1.6 Head trauma
  
• 18.1.6.2 Scalp lacerations/Avulsions
  
• 18.1.6.3 Skull fractures
  
• 18.1.7 Injuries of the spine
  
• 18.1.7.1 Dislocations/Subluxations
  
• 18.1.7.2 Fractures
  
• 18.1.7.3 Sprains/Strains
  
• 18.1.8 Extremity bony trauma
  
• 18.1.8.1 Dislocations/Subluxations
  
• 18.1.8.2 Fractures (open and closed)
  
• 18.1.9 Neck trauma
  
• 18.1.9.1 Laryngotracheal injuries
  
• 18.1.9.2 Penetrating neck trauma
  
• 18.1.9.3 Vascular injuries
  
• 18.1.9.3.1 Carotid artery
  
• 18.1.9.3.2 Jugular vein
  
• 18.1.9.4 Strangulation
  
• 18.1.10 Ophthalmologic trauma
  
• 18.1.10.1 Corneal abrasions/Lacerations (See 7.2.1.4)
  
• 18.1.10.2 Corneal burns (See 7.2.1.2)
  
• 18.1.10.2.1 Acid
  
• 18.1.10.2.2 Alkali
  
• 18.1.10.2.3 Ultraviolet
  
• 18.1.10.3 Eyelid lacerations
  
• 18.1.10.4 Foreign body (See 19.4.4.8)
  
• 18.1.10.5 Hyphema (See 7.2.2.2)
  
• 18.1.10.6 Lacrimal duct injuries
  
• 18.1.10.7 Penetrating globe injuries
  
• 18.1.10.8 Retinal detachments (See 7.2.3.4)
  
• 18.1.10.9 Traumatic iritis (See 7.2.2.3)
  
• 18.1.10.10 Retrobulbar hematoma
  
• 18.1.11 Otologic trauma
  
• 18.1.11.1 Hematoma
  
• 18.1.11.2 Perforated tympanic membrane (See 7.1.7)
  
• 18.1.12 Pediatric fractures
  
• 18.1.12.1 Epiphyseal
  
• 18.1.12.1.1 Salter-Harris classification
  
• 18.1.12.2 Greenstick
  
• 18.1.12.3 Torus
  
• 18.1.13 Pelvic fracture
  
• 18.1.14 Soft-tissue extremity injuries
  
• 18.1.14.1 Amputations/Replantation
  
• 18.1.14.2 Compartment syndromes
  
• 18.1.14.3 High-pressure injection
  
• 18.1.14.4 Injuries to joints
  
• 18.1.14.5 Penetrating trauma
  
• 18.1.14.6 Periarticular
  
• 18.1.14.7 Sprains/Strains
  
• 18.1.14.8 Tendon injuries
  
• 18.1.14.8.1 Lacerations/Transections
  
• 18.1.14.8.2 Ruptures
  
• 18.1.14.8.2.1 Achilles tendon
  
• 18.1.14.8.2.2 Patellar tendon
  
• 18.1.14.9 Vascular injuries
  
• 18.1.15 Spinal cord and nervous system trauma
  
• 18.1.15.1 Cauda equina syndrome (See 12.2.3.1)
  
• 18.1.15.2 Injury to nerve roots
  
• 18.1.15.3 Peripheral nerve injury
  
• 18.1.15.4 Spinal cord injury
  
• 18.1.15.4.1 Spinal cord injury without radiologic abnormality (SCIWORA)
  

18.2 Trauma in Pregnancy

• 18.2.1 Abruptio placentae (See 13.3.4.1)
  
• 18.2.2 Perimortem C-section (See 19.4.8.2)
  
• 18.2.3 Premature labor (See 13.6.2)
  
• 18.2.4 Rupture of uterus (See 13.6.4)
  

18.3 Multi-system Trauma

• 18.3.1 Blast injury
  

19.0 PROCEDURES AND SKILLS INTEGRAL TO THE PRACTICE OF EMERGENCY MEDICINE

19.1 Airway Techniques

• 19.1.1 Intubation
  
• 19.1.2 Airway adjuncts
  
• 19.1.3 Surgical airway
  
• 19.1.4 Mechanical ventilation
  
• 19.1.5 Non-invasive ventilatory management
  
• 19.1.6 Ventilatory monitoring
  

19.2 Resuscitation

• 19.2.1 Cardiopulmonary resuscitation
  
• 19.2.2 Neonatal resuscitation
  
• 19.2.3 Pediatric resuscitation
  
• 19.2.4 Post-resuscitative care
  
• 19.2.5 Blood, fluid, and component therapy
  
• 19.2.6 Arterial catheter insertion
  
• 19.2.7 Central venous access
  
• 19.2.8 Intraosseous infusion
  
• 19.2.9 Defibrillation
  
• 19.2.10 Thoracotomy
  

19.3 Anesthesia and Acute Pain Management

• 19.3.1 Local anesthesia
  
• 19.3.2 Regional nerve block
  
• 19.3.3 Procedural sedation and analgesia
  

19.4 Diagnostic and Therapeutic Procedures

• 19.4.1 Abdominal and gastrointestinal
  
• 19.4.1.1 Anoscopy
  
• 19.4.1.2 Excision of thrombosed hemorrhoid
  
• 19.4.1.3 Gastric lavage
  
• 19.4.1.4 Gastrostomy tube replacement
  
• 19.4.1.5 Nasogastric tube
  
• 19.4.1.6 Paracentesis
  
• 19.4.2 Cardiovascular and Thoracic
  
• 19.4.2.1 Cardiac pacing
  
• 19.4.2.2 Cardioversion
  
• 19.4.2.3 ECG interpretation
  
• 19.4.2.4 Pericardiocentesis
  
• 19.4.2.5 Thoracentesis
  
• 19.4.2.6 Thoracostomy
  
• 19.4.3 Cutaneous
  
• 19.4.3.1 Escharotomy
  
• 19.4.3.2 Incision and drainage
  
• 19.4.3.3 Trephination, nails
  
• 19.4.3.4 Wound closure techniques
  
• 19.4.3.5 Wound management
  
• 19.4.4 Head, ear, eye, nose, and throat
  
• 19.4.4.1 Control of epistaxis
  
• 19.4.4.2 Drainage of peritonsillar abscess
  
• 19.4.4.3 Laryngoscopy
  
• 19.4.4.4 Lateral canthotomy
  
• 19.4.4.5 Slit lamp examination
  
• 19.4.4.6 Tonometry
  
• 19.4.4.7 Tooth stabilization
  
• 19.4.4.8 Corneal foreign body removal (See 18.1.10.4)
  
• 19.4.4.9 Drainage of hematoma
  
• 19.4.5 Systemic infectious
  
• 19.4.5.1 Personal protection (equipment and techniques)
  
• 19.4.5.2 Universal precautions and exposure management
  
• 19.4.6 Musculoskeletal
  
• 19.4.6.1 Arthrocentesis
  
• 19.4.6.2 Compartment pressure measurement
  
• 19.4.6.3 Fracture/Dislocation immobilization techniques
  
• 19.4.6.4 Fracture/Dislocation reduction techniques
  
• 19.4.6.5 Spine immobilization techniques
  
• 19.4.6.6 Fasciotomy
  
• 19.4.7 Nervous system
  
• 19.4.7.1 Lumbar puncture
  
• 19.4.8 Obstetrics and gynecology
  
• 19.4.8.1 Delivery of newborn
  
• 19.4.8.2 Perimortem c-section (See 18.2.2)
  
• 19.4.8.3 Sexual assault examination
  
• 19.4.9 Psychobehavioral
  
• 19.4.9.1 Psychiatric screening examination
  
• 19.4.9.2 Violent patient management/Restraint
  
• 19.4.10 Renal and urogenital
  
• 19.4.10.1 Bladder catheterization
  
• 19.4.10.1.1 Urethral catheter
  
• 19.4.10.1.2 Suprapubic catheter
  
• 19.4.10.2 Cystourethrogram
  
• 19.4.10.3 Testicular detorsion
  
• 19.4.11 Toxicologic
  
• 19.4.11.1 Decontamination
  

19.5 Other Diagnostic and Therapeutic Procedures

• 19.5.1 Foreign body removal
  
• 19.5.2 Collection and handling of forensic material
  
• 19.5.3 Ultrasound
  
• 19.5.3.1 Diagnostic
  
• 19.5.3.2 Procedural
  

20.0 OTHER CORE COMPETENCIES OF THE PRACTICE OF EMERGENCY MEDICINE

20.1 Interpersonal and Communication Skills
20.1.1 Interpersonal skills
20.1.1.1 Inter-departmental and medical staff relations
20.1.1.2 Intra-departmental relations, teamwork, and collaboration skills
20.1.1.3 Patient and family experience of care
20.1.2 Communication skills
20.1.2.1 Complaint management and service recovery
20.1.2.2 Conflict management
20.1.2.3 Crisis resource management
20.1.2.4 Delivering bad news
20.1.2.5 Multicultural approach to the ED patient
20.1.2.6 Negotiation skills
20.2 Practice-based Learning and Improvement
20.2.1 Performance improvement and lifelong learning
20.2.1.1 Evidence-based medicine
20.2.1.2 Interpretation of medical literature
20.2.1.3 Knowledge translation
20.2.1.4 Patient safety and medical errors
20.2.1.5 Performance evaluation and feedback
20.2.1.6 Research
20.2.2 Practice guidelines
20.2.3 Education
20.2.3.1 Patient and family
20.2.3.2 Provider
20.2.4 Principles of quality improvement
20.3 Professionalism
20.3.1 Advocacy
20.3.1.1 Patient
20.3.1.2 Professional
20.3.2 Ethical principles
20.3.2.1 Conflicts of interest
20.3.2.2 Diversity awareness
20.3.2.3 Electronic communications/Social media
20.3.2.4 Medical ethics
20.3.3 Leadership and management principles
20.3.4 Well-being
20.3.4.1 Fatigue and impairment
20.3.4.2 Time management/Organizational skills
20.3.4.3 Work/Life balance
20.3.4.4 Work dysphoria (burn-out)
20.4 Systems-based Practice
20.4.1 Clinical informatics
20.4.1.1 Computerized order entry
20.4.1.2 Clinical decision support
20.4.1.3 Electronic health record
20.4.1.4 Health information integration
20.4.2 ED Administration
20.4.2.1 Contracts and practice models
20.4.2.2 Patient flow and throughput
20.4.2.2.1 Patient triage and classification
20.4.2.2.2 Hospital crowding and diversion
20.4.2.2.3 Observation and rapid treatment units
20.4.2.3 Financial principles
20.4.2.3.1 Billing and coding
20.4.2.3.2 Cost-effective care and resource utilization
20.4.2.3.3 Reimbursement issues
20.4.2.4 Human resource management
20.4.2.4.1 Allied health professionals
20.4.2.4.2 Recruitment, credentialing, and orientation
20.4.3 ED operations
20.4.3.1 Policies and procedures
20.4.3.2 ED data acquisition and operational metrics
20.4.3.3 Safety, security, and violence in the ED
20.4.4 Health care coordination
20.4.4.1 End-of-life and palliative care/Advance directives
20.4.4.2 Placement options
20.4.4.3 Outpatient services
20.4.5 Regulatory/Legal
20.4.5.1 Accreditation
20.4.5.2 Compliance and reporting requirements
20.4.5.3 Confidentiality and HIPAA
20.4.5.4 Consent, capacity, and refusal of care
20.4.5.5 Emergency Medical Treatment and Active Labor Act (EMTALA)
20.4.5.6 External quality metrics
20.4.6 Risk management
20.4.6.1 Liability and litigation
20.4.6.2 Professional liability insurance
20.4.6.3 Risk mitigation
20.4.7 Evolving trends in health care delivery
20.4.7.1 Public policy
20.4.8 Regionalization of emergency care