New York Institute of Technology
Department of Physician Assistant Studies
Course:
Credits:
Instructor:
Phone:
E-mail:
Office Hours:
Office:
Emergency Medicine
3
Prof. Lawrence Herman, MPA, PA-C
516 686-3783
lherman@nyit.edu
As Posted
NYCOM II Room 363
Course Description: In this course students will learn about the differential diagnosis,
management and treatment options for critically ill and severely injured patients.
Recognition for early intervention and definitive therapy are emphasized. Commonly
encountered adult and pediatric emergencies including but not limited to burns, asthma,
abdominal pain, cardiac disease, trauma, neurological disorders, etc., are discussed.
Application of prior course knowledge and principles of emergency diagnosis, treatment
and management are used to develop solutions for common emergency presentations.
Medico-legal aspects of emergency care including reportable events, EMTALA and
COBRA are discussed. In addition, students will obtain certification in Basic Cardiac Life
Support (BCLS) and Advanced Cardiac Life Support (ACLS).
Prerequisite: Permission of the PA Program Chair
Objectives: At the completion of this course, students will1.
2.
3.
4.
5.
6.
7.
Describe the differential diagnosis, management and treatment options for
commonly encountered emergencies.
Apply the guidelines for the ABC's of resuscitation to patient management.
Order and interpret appropriate laboratory and imaging studies.
Draw upon and synthesize prior course knowledge about systems and diseases
to aid in the diagnosis and treatment of common emergencies.
Become facile with medico-legal aspects of emergency medicine including rape,
domestic violence, minors presenting for treatment, reportable diseases,
consent, DNRs, DNIs, EMTALA and COBRA.
Determine what pre-hospital interventions have been implemented for the
patient.
Obtain certifications in BCLS and ACLS.
Required Texts:
1.
2.
3.
4.
Cline DM, et al. Emergency Medicine: Companion Handbook. 5th ed., 1999.
American Heart Association. Textbook of Advanced Cardiac Life Support.
American Heart Association. Textbook of Basic Cardiac Life Support.
Handouts
Optional Reference Texts:
1.
2.
3.
4.
5.
Davis MA, et al. Signs & Symptoms in Emergency Medicine: A Literature-Based
Guide to Emergent Conditions. 1999.
Tintinalli J, et al. Emergency Medicine: A Comprehensive Study Guide. 5th ed,
1999.
Fleisher GR, et al. Textbook of Pediatric Emergency Medicine. 4th ed, 1999.
Rosen P, et al. Diagnostic Radiology in Emergency Medicine. 1992.
Pfenninger JL, et al. Procedures for Primary Care Physicians. 1994.
Professional Journals: Annals of Emergency Medicine
American Journal of Emergency Medicine
Journal of Emergency Medicine
Useful Websites:
www.sempa.org
www.mc.vanderbilt.edu/vumcdept/emergency/
www.embbs.com/
www.virtualer.com
www.signsandsymptoms.com
Required Equipment:
None
Special Dress:
None
Evaluation Methodology: Students will be evaluated by non-cumulative multiplechoice examinations based upon lecture material, readings, and handouts.
Course Requirements:
1.
2.
3.
Attendance of all classes unless excused by instructor
Midterm examination
Final examination
Evaluation Criteria:
1.
2.
3.
Midterm examination
Quiz
Final examination
Percent of Grade
45%
10%
45%
NYIT Department of Physician Assistant Studies
PHAS 365 Emergency Medicine Lecture Schedule
2001 Lecture Schedule
Lecture
Hours
Topic
Text/Pages
Lecture 1
Herman, PA-C
1.5 hours
Introduction to Emergency Medicine
 the history, philosophy, cutting edge approach to EM
 medico-legal aspects of EM
 critical thinking in EM
 common errors in EM
 malpractice pitfalls in EM
Handouts
Lecture 2
Herman, PA-C
2 hours
Respiratory Distress and Airway Management
 the continuum of respiratory difficulty
 differential diagnosis of respiratory difficulty/cough
 airway management tools
 therapeutic options
Cline 5th 1-7, 28-34,
158-160, 175-178, 191218, 376-383
Lecture 3
Herman, PA-C
1.5 hours
Ocular Emergencies
 common eye complaints and infections
 eye trauma
 therapeutic options
Cline 761-771
Lecture 4
Herman, PA-C
2 hours
Fluid and Electrolyte Disturbances
 common fluid and electrolyte disturbances
 therapeutic options
Cline 35-52,
390-392, 398-399,
409-412
Lecture 5
TBA
2 hours
Anaphylaxis and Hypersensitivity Reactions
 anaphylactoid reactions
 immune triggers
 anaphylactic shock
 therapeutic options
Cline 66-70, 607-615
Lecture 6
Schwall, PA-C
2 hours
Headache and Neurological Emergencies
 Glascow Coma Scale
 mass lesions, intracerebral bleeds, CVA
 acute head, neck and spinal trauma
 neurological and spinal diagnostic imaging
Cline 711-723,
746-748, 824-835,
839-841
Lecture 7
TBA
2 hours
Poisonings and Toxidromes
 general approach to the poisoned/overdose patient
 aspirin and acetaminophen overdoses
 biological terrorism
 other common toxidromes
Cline 511-598,
645-650
Lecture 8
TBA
2 hours
Coma and Alterations of Consciousness
 mental status exam
 differential diagnosis of altered mental status
 seizure disorder
 therapeutic options
Cline 651-658,
724--732, 740-745
Lecture 9
Herman, PA-C
1.5 hours
Environmental Emergencies
 disorders of thermoregulation
 fresh- and saltwater near-drownings
Cline 5th 599-606,
619-628
Lecture 10
Herman, PA-C
2 hours
Coronary Ischemia and Cardiac Emergencies
Cline 137-190,
 the approach to the patient with chest pain
 differential diagnosis
 diagnostic studies
 therapeutic options; "Chest Pain" EDs & "rapid rule-out"
Lecture 11
Herman, PA-C
1 hour
ENT Emergencies
Cline 360-364,
 OM, OE, ruptured TM, and foreign bodies
772-794
 nasal bone fractures, epistaxis, sinusitis, foreign bodies
 pharyngitis, peritonsillar abscess, Ludwig's angina
 common ENT procedures and equipment
 therapeutic options
Lecture 12
Herman, PA-C
2 hours
Anti-infectives in the Outpatient Setting
 common pathogens vs. concerning pathogens
 the approach to the immunocompromised patient
 prophylaxis vs. treatment
 first- and second-line anti-infective choices
TBA
1 hour
Midterm Examination
Lecture 13
Piccirillo, PA-C
2 hours
Cardiac Dysrhythmias
Cline 7-34
 atrial and ventricular dysrhythmias
 pharmacological and non-pharmacological interventions
 an introduction: how to run a code
 an overview of ACLS guidelines
Lecture 14
Herman, PA-C
1 hour
Fever in Children
 the general approach to fever in children
 Rochester Fever Criteria
Cline 447-510
Cline 343-345,
371-375
Lecture 15
Herman, PA-C
1 hour
Psychiatric Emergencies
 the approach to the psychiatric patient
 suicidal ideations
 schizophrenia and the psychotic patient
Cline 5th 933-944
Davis 23-32
Lecture 16
Herman, PA-C
1.5 hour
Child Abuse and Domestic Violence
 the approach to the abused patient
 recognizing child, spousal, and elder abuse
 abuse injury patterns
 legal obligations
 patient advocacy issues
Cline 945-947
Lecture 17
Barese, PA-C
1 hour
Emergency Care of Burns
 classification of burns
 Rule of Nines
 fluid resuscitation, Parkland formula
 initial stabilization and treatment
Cline 629-639
Lecture 18
Piccirillo, PA-C
2.0 hours
Sexual Assault and OB/Gyn Emergencies
 the general approach to sexual assault victims
 evidence collection and the rape "kit"
 chemoprophylactic options
 STDs, PID, ectopic pregnancy
Cline 5th 309-341, 447452, 948-950
Lecture 19
Herman, PA-C
1.5 hours
Shock
 the approach to the patient at risk for “shock”
 classification of shock
 resuscitative guidelines
 therapeutic options
Cline 53-65
809-816
Lecture 20
Herman, PA-C
2 hours
Analgesia and Conscious Sedation
 local and regional anesthesia
 introduction to conscious sedation
 oral, transdermal, mucosal, inhaled and parenteral
pain management therapeutic options
Cline 71-86,
87-90
Lecture 21
Acevedo, PA-C
2 hours
Trauma
 the approach to the major/multiple trauma patient
 blunt and penetrating chest trauma
 blunt and penetrating abdominal trauma
 multiple casualty incidents/disaster trauma
 burns
Cline 91-136,
809-870
Lecture 22
Herman, PA-C
1 hour
Principles of Wound Care
 the approach to wounds
 infection and healing
 options in local anesthesia
 options in wound closure
Cline 87-136
Lecture 23
3 hours
Case Presentations
Lecture 24
3 hours
Case Presentations
TBA
BCLS/ACLS Certification
TBA
Quiz
TBA
1 hour
Final Examination