MEM-EM CONTENTS/ STRUCTURE

The Zero Pont Survey was developed to provide organised and structured preparation for the very unwell patient quickly bringing together an ad-hoc team in the best environment to help optimal performance in caring for sick patients (medical & trauma). Reviewing the zero point survey video combined with the video making things happen is a great start into learning how to mange the resus room. The zero point is a useful structure both for preparing for sick patients but also for analysing cases to learn from and make improvements. It is encouraged that leaners read the paper view the video and consider STEPS used for analysis of cases. However, sometimes to understand cases we need to think about the strategy used and how we prioritise and set goals plan action and skills.

The structure of this website loosely follows the STEP UPS structure with the second 'S' to represent systems and safety focused topics. Season 1 of the podcast covers the STEP UPS fundamentals of practice. Season 2 covers the SLOs and curriculum details. Season 3 Covers clinical topics and updates. Season 4 covers clinical debates and literature reviews.

1. Fundamentals: Self, Team, Environment

Welcome to Memorising Emergency Medicine (MEM-EM)

SELF

Wellness in Emergency Medicine: Switch From Surviving To Thriving!

Keeping Up in EM: Suggested Educational Resources for Exam Preparation & Lifelong Learning.

TEAM

(It is fully acknowledged the vital importance of the nursing, HCA, porters, PFC and many others in the ED team but others are better qualified to provide their educational needs this is the only reason they are not included in the topics below).

2. PATIENT and principles/SLOs

Pillar	• SLO #	• Specialty Learning Outcome Description
• Comprehensive Clinical Care	• 1	• Care for physiologically stable adult patients presenting to acute care across the full range of complexity.
	• 3	• Identify sick adult patients, be able to resuscitate and stabilise and know when it is appropriate to stop. Manage patients with organ dysfunction and failure
	• 4	• Care for acutely injured patients across the full range of complexity. Crisis Resource Management and human factors in Emergency Medicine Silver Trauma: Best Practice for Ax & Mx in the ED
	• 5	• Care for children of all ages in the ED, at all stages of development and children with complex needs. A Guide to Paediatric Emergency Medicine Sub-Specialty Training for UK Emergency Medicine Doctors
•Procedural & Situational Management	• 6	• Deliver key procedural skills. Briefing on Invasive Procedures and Procedural Skills in the Emergency Department Provide Anaesthetic Care & Sedation in ED
	• 7	• Deal with complex and challenging situations in the work place.

UPDATES / Utilise the team

Pillar	• SLO #	• Specialty Learning Outcome Description

•Departmental Leadership & Management	• 8	• Lead the ED shift. Emergency Department Flow & Crowding: A Practical Guide to Escalation and Safety
	• 12	• Manage, Administer and Lead.

PRIORITISE and goals

Pillar	• SLO #	• Specialty Learning Outcome Description

•Education & Professional Development	• 2	• Support the ED team by answering clinical questions and making safe decisions.
	• 9	• Support, supervise and educate.

SYSTEMS and Safety

Pillar	• SLO #	• Specialty Learning Outcome Description

•Education & Professional Development	• 10	• Participate in research and managing data appropriately.
	• 11	• Participate in and promote activity to improve the quality and safety of patient care. A How-To Guide for the RCEM QI Assessment

3. Clinical Topics & Practice Updates

RCEM Syllabus Summaries:

RESUS Overview

Clinical Presentations	Condition / Issues
RP1. Acute airway obstruction	RC1. Choking
RP2. Anaphylaxis/Anaphylactoid reaction	RC2. Stridor
RP3. Cardiorespiratory arrest Chapter 8 – Brain Resuscitation Chapter 9 – Adult Resuscitation Chapter 10 – Pediatric Resuscitation Chapter 11 – Neonatal Resuscitation	RC3. Organ donation - The Dying Patient
RP4. Major Trauma Care for acutely injured patients across the full range of complexity. Crisis Resource Management and human factors in Emergency Medicine Silver Trauma: Best Practice for Ax & Mx in the ED See also the PTN PODCAST General Concepts Chapter 36 – Multiple Trauma Chapter 37 – Trauma in Pregnancy Chapter 38 – Pediatric Trauma Chapter 39 – Geriatric Trauma Chapter 40 – Injury Prevention and Control Section 2.2 – System Injuries Chapter 41 – Head Injury Practice Update: SWIFTIEE Protocol For the Management of Minor TRAUMATIC Brain Injuries Chapter 42 – Facial Trauma Chapter 43 – Spinal Trauma Chapter 44 – Neck Trauma Chapter 45 – Thoracic Trauma Chapter 46 – Abdominal Trauma Chapter 47 – Genitourinary System Chapter 48 – Peripheral Vascular Injury	RC4. BRUE
RP5. Respiratory failure Chapter 1 – Airway Chapter 2 – Mechanical Ventilation and Noninvasive Ventilatory Support	RC5. SUDIC Protocol
RP6. Sepsis - NICE Sepsis Mx >16y - NICE Sepsis Mx <16y - NICE Sepsis in Pregnancy Mx
RP7. Shock Chapter 6 – Shock
RP8. Unconsciousness Chapter 16 – Depressed Consciousness and Coma

Practice Update: A Proposed Emergency Department Protocol For The Rapid Exclusion of Acute MI

Whilst this section is under construction the excellent resources from CRACKCast following the chapters of Rosen's Emergency Medicine Textbook is recommended to aid your linear knowledge acquisition* Quick links to relevant sections provided below:

Part I – Fundamental Clinical Concepts

Section 1.1 – Critical Management Principles

Chapter 3 – Pain Management
Chapter 4 – Procedural Sedation and Analgesia
Chapter 5 – Monitoring the Emergency Patient

Chapter 7 – Blood and Blood Components

Section 1.2 – Cardinal Presentations
Chapter 12 – Fever in the Adult Patient
Chapter 13 – Weakness
Chapter 14 – Cyanosis
Chapter 15 – Syncope

Chapter 17 – Confusion
Chapter 18 – Seizures
Chapter 19 – Dizziness and Vertigo
Chapter 20 – Headache
Chapter 21 – Diplopia
Chapter 22 – Red and Painful Eye
Chapter 23 – Sore Throat
Chapter 24 – Hemoptysis
Chapter 25 – Dyspnea
Chapter 26 – Chest Pain
Chapter 27 – Abdominal Pain
Chapter 28 – Jaundice
Chapter 29 – Nausea and Vomiting
Chapter 30 – Gastrointestinal Bleeding
Chapter 31 – Diarrhea
Chapter 32 – Constipation
Chapter 33 – Acute Pelvic Pain in Women
Chapter 34 – Vaginal Bleeding
Chapter 35 – Back Pain

Part II – Trauma

Section 2.3 – Orthopedic Lesions
General Principles of Orthopedic Injuries
Hand Examination and Assessment Competencies: A Clinical Briefing
Wrist & Forearm Injuries (Radius, Ulna & Carpus)
Paediatric Forearm Fractures
Chapter 50 – Hand
Chapter 51 – Wrist and Forearm
Chapter 52 – Humerus and Elbow
Chapter 53 – Shoulder

Chapter 54 – Back Pain

Chapter 55 – Pelvic Trauma

Chapter 56 – Femur and Hip
Chapter 57 – Knee and Lower Leg
Chapter 58 – Ankle and Foot
Section 2.4 – Soft Tissue Injuries
Chapter 59 – Wound Management Principles
Laceration Repair and Suturing Guide for Emergency Care
Chapter 60 – Foreign Bodies
Chapter 61 – Mammalian Bites
Chapter 62 – Venomous Animal Injuries
Chapter 63 – Thermal Burns
Chapter 64 – Chemical Injuries
Section 2.5 – Violence and Abuse
Chapter 65 – Forensic Emergency Medicine
Chapter 66 – Child Maltreatment
Chapter 67 – Sexual Assault
Chapter 68 – Intimate Partner Violence
Chapter 69 – Elder Abuse and Neglect

Part III – Medicine and Surgery

Section 3.1 – Head and Neck Disorders
Chapter 70 – Oral Medicine
Chapter 71 – Ophthalmology [part A | part B]
Chapter 72 – Otolaryngology
Section 3.2 – Pulmonary System
Chapter 73 – Asthma
Chapter 74 – Chronic Obstructive Pulmonary Disease
Chapter 75 – Upper Respiratory Tract Infections
Chapter 76 – Pneumonia
Chapter 77 – Pleural Disease
Section 3.3 – Cardiac System
Chapter 78 – Acute Coronary Syndromes [part A | part B]
Chapter 79 – Dysrhythmias
Chapter 80 – Implantable Cardiac Devices
Chapter 81 – Heart Failure
Chapter 82 – Pericardial and Myocardial Disease
Chapter 83 – Infective Endocarditis and Valvular Heart Disease
Section 3.4 – Vascular System
Chapter 84 – Hypertension
Chapter 85 – Aortic Dissection
Chapter 86 – Abdominal Aortic Aneurysm
Chapter 87 – Peripheral Arteriovascular Disease
Chapter 88 – Pulmonary Embolism and Deep Vein Thrombosis
Section 3.5 – Gastrointestinal System
Chapter 89 – Esophagus, Stomach, and Duodenum (9e: Ch. 79)
Chapter 90 – Disorders of the Liver and Biliary Tract (9e: Ch. 80)
Chapter 91 – Disorders of the Pancreas (9e: Ch. 81)
Chapter 92 – Disorders of the Small Intestine (9e: Ch. 82)
Chapter 93 – Acute Appendicitis (9e: Ch. 83)
Chapter 94 – Gastroenteritis (9e: Ch. 84)
Chapter 95 – Disorders of the Large Intestine (9e: Ch. 85)
Chapter 96 – Disorders of the Anorectum (9e: Ch. 86)
Section 3.6 – Genitourinary and Gynecologic Systems
Chapter 97 – Renal Failure (9e: Ch. 87)
Chapter 98 – Sexually Transmitted Diseases (9e: Ch. 88)
Chapter 99 – Select Urological Disorders (9e: Ch. 89)
Chapter 100 – Select Gynecologic Disorders (9e: Ch. 90)
Section 3.7 – Neurology
Chapter 101 – Stroke (9e: Ch. 91)
Chapter 102 – Seizure (9e: Ch. 92)
Chapter 103 – Headache Disorders (9e: Ch. 93)
Chapter 104 – Delirium and Dementia (9e: Ch. 94)
Chapter 105 – Brain and Cranial Nerve Disorders (9e: Ch. 95)
Chapter 106 – Spinal Cord Disorders (9e: Ch. 96)
Chapter 107 – Peripheral Nerve Disorders(9e: Ch. 97)
Chapter 108 – Neuromuscular Disorders(9e: Ch. 98)
Chapter 109 – CNS Infections(9e: Ch. 99)
Section 3.8 – Psychiatry
Chapter 110 – Thought Disorders(9e: Ch. 100)
Chapter 111 – Mood Disorders (9e: Ch. 101)
Chapter 112 – Anxiety Disorders (9e: Ch. 102)
Chapter 113 – Somatoform Disorders (9e: Ch. 103)
Chapter 114 – Factitious Disorders and Malingering (9e: Ch. 104)
Chapter 115 – Suicide (9e: Ch. 105)
Section 3.9 – Immunologic & Inflammatory
Chapter 116 – Arthritis (9e: Ch. 106)
Chapter 117 – Tendonopathy & Bursitis (9e: Ch. 107)
Chapter 118 – Systemic Lupus Erythematosus & Vasculitides (9e: Ch. 108)
Chapter 119 – Allergy & Anaphylaxis (9e: Ch. 109)
Chapter 120 – Dermatologic Presentation (9e: Ch. 110)
Section 3.10 – Hematology & Oncology
Chapter 121 – anemia, polycythemia, white blood cell disorders (9e: Ch. 112 & 113)
Chapter 122 – Disorders of Hemostasis (9e: Ch. 114)
Chapter 123 – Select Oncologic Emergencies (9e: Ch. 115)
Section 3.11 – Metabolism and Endocrinology
Chapter 124 – Acid-Base Disorders (9e: Ch. 116)
Chapter 125 – Electrolyte Disorders (9e: Ch. 117)
Chapter 126 – Diabetes Mellitus Disorders & Glucose Homeostasis (9e: Ch. 118)
Chapter 127 – Rhabdomyolysis (9e: Ch. 119)
Chapter 128 – Thyroid & Adrenal Disorders (9e: Ch. 120)
Section 3.12 – Infectious Disease
Chapter 129 – Bacteria (9e: Ch. 121)
Chapter 130 – Viruses (9e: Ch. 122)
Chapter 131 – Rabies (9e: Ch. 123)
Chapter 132 – HIV/AIDS (9e: Ch. 124)
Chapter 133 – Parasitic Infections (9e: Ch. 125)
Chapter 134 – Tick-Borne Illness (9e: Ch. 126)
Chapter 135 – Tuberculosis (9e: Ch. 127)
Chapter 136 – Bone and Joint Infections (9e: Ch. 128)
Chapter 137 – Soft Tissue Infections (9e: Ch. 129)
Chapter 138 – Sepsis Syndromes (9e: Ch. 130)
Section 4.1 – Environment
Chapter 139 – Frostbite (9e: Ch. 131)
Chapter 140 – Accidental Hypothermia (9e: Ch. 132)
Chapter 141 – Heat Illness (9e: Ch. 133)
Chapter 142 – Electrical & Lightning Injuries (9e: Ch. 134)
Chapter 143 – Dysbarism and diving emergencies (9e: Ch. 135)
Chapter 144 – Drowning (9e: Ch. 137)
Chapter 145 – High Altitude Medicine (9e: Ch. 136)
Chapter 146 – Radiation Injuries (9e: Ch. 138)
Section 4.2 – Toxicology
Chapter 147 – Approach to the poisoned patient (9e: Ch. 139)
Chapter 148 – Acetaminophen (9e: Ch. 143)
Chapter 149 – ASA and NSAIDs (9e: Ch. 144)
Chapter 150 – Anticholinergics (9e: Ch. 145)
Chapter 151 – Antidepressants (9e: Ch. 146)
Chapter 152 – Cardiovascular Drugs (9e: Ch. 147)
Chapter 153 – Caustics (9e: Ch. 148)
Chapter 154 – Cocaine and Sympathomimetics (9e: Ch. 149)
Chapter 155 – Toxic Alcohols (9e: Ch. 141)
Chapter 156 – Hallucinogens (9e: Ch. 150)
Chapter 157 – Iron and Heavy Metals (9e: Ch. 151)
Chapter 158 – Hydrocarbons (9e: Ch. 152)
Chapter 159 – Inhaled Toxins (9e: Ch. 153)
Chapter 160 – Lithium (9e: Ch. 154)
Chapter 161 – Antipsychotics (9e: Ch. 155)
Chapter 162 – Opioids (9e: Ch. 156)
Chapter 163 – Pesticides (9e: Ch. 157)
Chapter 164 – Plants, Mushrooms, Herbal Meds (9e: Ch. 158)
Chapter 165 – Sedative Hypnotics (9e: Ch. 159)
Section 5.1 – The Paediatric Patient
Chapter 166 – General Approach to the Paediatric Patient (9e: Ch. 160)
Chapter 167 – Paediatric Fever (9e: Ch. 166)
Chapter 168 – Paediatric Respiratory Emergencies: Upper Airway Obstruction & Infection (9e: Ch. 167)
Chapter 169 – Paediatric Respiratory Emergencies: Lower Airway Obstruction (9e: Ch. 168)
Chapter 170 – Paediatric Respiratory Emergencies: Diseases of the Lung (9e: Ch. 169)
Chapter 171 – Cardiac Disorders (9e: Ch. 170)
Chapter 172 – Gastrointestinal Disorders (9e: Ch. 171)
Chapter 173 – Infectious Diarrheal Disease and Dehydration (9e: Ch. 172)
Chapter 174 – Genitourinary and renal tract Disorders (9e: Ch. 173)
Chapter 175 – Neurologic Disorders (9e: Ch. 174)
Chapter 176 – Musculoskeletal Disorders (9e: Ch. 175)
Section 5.2 – The Pregnant Patient
Chapter 177 – Acute Complications of Pregnancy (9e: Ch. 178)
Chapter 178 – Comorbid medical emergencies during Pregnancy (9e: Ch. 179)
Chapter 179 – Drug Therapy in Pregnancy (9e: Ch. 180)
Chapter 180 – Labor and Delivery and Their Complications (9e: Ch. 181)
Section 5.3 – The Geriatric Patient
Chapter 181 – Approach to the geriatric patient (9e: Ch. 183)
Chapter 182 – Drug therapy in the geriatric patient (9e: Ch. 185)
Section 5.4 – Special Clinical Circumstances
Chapter 183 – The Immunocompromised Patient (9e: Ch. 187)
Chapter 184 – The Solid Organ Transplant Patient (9e: Ch. 188)
Chapter 185 -Alcohol-Related Disease (9e: Ch. 142)
Chapter 186 – Substance Abuse Disorder (9e: Ch. 140)
Chapter 187 – The Combative and Difficult Patient (9e: Ch. 189)
Section 6.1 – Emergency Medical Services and Disaster Preparedness
Chapter 188 – Emergency Medical Service: Overview and Ground Transport (9e: Ch. 190)
Chapter 189 – Air Medical Transport (9e: Ch. 191)
Chapter 190 – Disaster Preparedness (9e: Ch. 192)
Chapter 191 – Weapons of Mass Destruction (9e: Ch. 193)
Revised Episodes (9th Edition)
Part 1: Critical Management Principles
Chapter 1 – Airway
Chapter 2 – Mechanical Ventilation and Noninvasive Ventilatory Support
Chapter 3 – Pain Management
Chapter 4 – Procedural Sedation and Analgesia
Chapter 5 – Monitoring the Emergency Patient
Chapter 6 – Shock
Chapter 7 – Brain Resuscitation
Chapter 8 – Adult Resuscitation
Part 2: Signs, Symptoms and Presentations
Chapter 9 – Fever in the Adult Patient
Chapter 10 – Weakness
Chapter 11 – Cyanosis
Chapter 12 – Syncope
Chapter 13 – Depressed Consciousness and Coma
Chapter 14 – Confusion
Chapter 15 – Seizures
Chapter 16 – Dizziness and Vertigo
Chapter 17 – Headache
Chapter 18 – Diplopia
Chapter 19 – Red and Painful Eye
Chapter 20 – Sore Throat

4. Clinical Debate & Literature Reviews

CDR - Helping or Harming EM?

5. Mental Simulation/Visualisations

*** Whilst this section is under construction see the excellent LITFL, Procedures App and resus drills resources on practical procedures and mental simulation ****

4 Ways to Supercharge Your Mental Simulation and Visualization for Emergency Medicine and Beyond
LITFL Procedures
Resus Drills EM3

Crisis Resource Management and human factors in Emergency Medicine

Laceration Repair and Suturing Guide for Emergency Care

MEM-EM: Memorising Emergency Medicine

Thursday, 13 November 2025