ELECT EOEMC - Advanced Emergency Medicine Elective

1. Forensics Rotation for Senior Medical Students: The goals for this rotation should include a basic understanding of the role of the coroner’s office and how it serves the community.
2. Poison Center - Clinical Toxicology: To expose students to the day to day functioning of the Poison Center and become versed in the management of common poison center exposure cases.
3. Urgent Care division of Emergency Medicine: Gain an understanding of patient care for those presenting in an urgent care environment. Learn the treatment of undifferentiated symptoms presenting to the urgent care setting and basic management of those disease states.
4. Bridge to Emergency Medicine: Expose 4th year medical students with high yield resources that they will find extremely beneficial for continuing self-study and education as they transition from being a senior medical student to intern year.
5. Emergency Medicine Basic Skills: This week long rotation can be chosen as part of the EM elective during the 4th year of medical school. It will consist of students spending time with nursing, ER techs, Paramedics, and respiratory therapy in the department to learn valuable skills such as placing peripheral IV’s, Foley catheters, lab draws, EKG’s, and administering breathing treatments.
6. Emergency Medicine Ultrasound: Learn basic principles of ED ultrasound.
7. EMS (Emergency Medical Systems): Expose the student to the emergency medicine subspecialty of Emergency Medical Systems (EMS) and aspects of medical care in the unique environment of prehospital emergency care.

• Explain which death cases fall under the jurisdiction of the Caddo Parish Coroner’s Office and which of those cases require a forensic autopsy.
• Begin to formulate a differential diagnosis list for apparent natural deaths.
• Define and distinguish the decedent’s cause, manner, and mechanism of death.
• Understand the principles used to determine approximate time of death.
• Explain the relationship between law enforcement and the coroner’s office.
• Define the steps necessary to perform a physical evidence recovery kit in cases of suspected sexual assault.
• Explain the role of the coroner in the emergency commitment of the mentally ill.

Poison Center - Clinical Toxicology:

• The student will observe the process of gathering information and making recommendations to patients exposed to a variety of toxins, drugs and poisons
• The student will expand their understanding of common poison exposures by utilizing reference materials and poison center databases from active poison center cases
• The student will develop an understanding of how the Poison Center functions within the broader scope of the medical community

Urgent Care division of Emergency Medicine:

• Understand the role of urgent care in the broader community based care concept.
• Understand the specific skill sets required to work in urgent care as a subdivision of Emergency Medicine.

Bridge to Emergency Medicine:
BRIDGE TO EM IS DESIGNED AS A 1 WEEK COURSE. FOR THE 1 WEEK YOU BE ON THIS ROTATION YOUR EXPECTATIONS ARE TO COMPLETE 2 OF THE 8 WEEKS. YOU MAY PICK ANY 2 WEEKS THAT INTEREST YOU. THE CONTENT IS RELATIVELY SHORT SO I FEEL FINISHING 2 WEEKS WORTH OF MATERIAL IN 1 WEEK IS VERY REASONABLE (10 PODCASTS, 1-1.5 HOURS EACH; 20 BLOG POSTS/VERY SHORT PODCASTS; 30 EKG CASES)

Emergency Medicine Basic Skills:

• Peripheral IV insertion will require knowing optimal location, contraindications, IV size requirements for specific medications/procedures.
• Appropriate Foley catheter placement along with indications and contraindications.
• Performing EKG’s and learning proper lead placement.
• Working with respiratory therapy when available to administer breathing treatments, NIF assessment, BIPAP administration, and obtaining VBG/ABG.

Emergency Medicine Ultrasound:

Specific Objectives:

• Learn how to turn on and make adjustments to US machine to obtain US scan.
• Learn reasons for performing ED ultrasound.
• Learn how to perform FAST scan.

EMS (Emergency Medical Systems)

Specific Objectives:

• Participate and observe prehospital medical care as delivered by a local EMS agency
• Describe common organizational structures of EMS services
• Describe the educational requirements and skill levels of various EMS providers
• Understand basic principles of disaster management specifically ICS
• Understand the basic principles of EMS research
• Understand the medicolegal responsibilities and liability associated with medical direction
• Understand the application of evidence-based medicine to the prehospital environment

• See specific course syllabus in Moodle for information