Medical

Most of these start as “sick at home.” Work shock, sepsis, stroke, and sugar — then the look-alikes: carbon monoxide (the pulse ox lies), dialysis, agitation, withdrawal, sickle cell, GI bleed, PE, heat, eclampsia, and the refusal after glucose that is not capacity yet.

Lessons

Suggested order

Twenty-nine modules in this path. Progress is saved on this device after you pass a quiz.

1
Shock CategoriesVolume, vessels, pump, obstruction.
2
Sepsis Recognition in the FieldInfection plus dysfunction — alert early.
3
Stroke Recognition & Last Known WellBEFAST thinking and true LKW.
4
Altered Mental Status FrameworkAEIOU-TIPS style field pass.
5
Anaphylaxis RecognitionIM epi early — rash not required.
6
Diabetic Emergencies: Hypo & HyperGlucose early; treat the correct crisis.
7
Overdose & Toxidrome ThinkingPattern match, airway first, antidotes per protocol.
8
Seizure & Status EpilepticusStill seizing on arrival or about 5 minutes: treat as status. Glucose. Airway.
9
CHF & Pulmonary EdemaWet lungs, sit up, CPAP, careful nitrates — not a fluid bolus.
10
Syncope in the FieldSyncope: dangerous cause hunt — ECG, glucose, bleed, neuro — then destination.
11
Pulmonary Embolism: Field SuspicionSudden dyspnea, hypoxia, syncope, RV strain. Support, 12-lead, destination. CT is not a field tool.
12
Hypertensive Emergency vs High BPEnd-organ damage vs asymptomatic high BP. Treat ACS, stroke, edema — not the cuff alone.
13
Heat Stroke vs Heat ExhaustionCNS dysfunction + hyperthermia = heat stroke. Cool first. Exhaustion still gets shade, fluids, and a look.
14
Eclampsia & PreeclampsiaPregnancy or 6 weeks postpartum + seizure = eclampsia until proven otherwise. Mag first. Left lateral.
15
GI Bleed in the FieldAirway if hematemesis. Shock can hide. No nitro. Destination that can scope or operate.
16
Carbon Monoxide in the FieldCO is a scene diagnosis. High FiO₂. SpO₂ is not COHb. Hyperbaric is a destination question.
17
Accidental Hypothermia (Not Arrest)Remove wet, insulate, gentle handling. Altered cold patients are not “just drunk.”
18
Dialysis EmergenciesMissed run + weakness/edema/arrest: think hyperK and volume. Fistula is not your line.
19
Abdominal Pain Red FlagsPregnancy test story, shock, AAA, GI bleed. Pain meds per protocol do not replace destination.
20
Severe Agitation in the FieldDe-escalate. No prone restraint. Monitor after meds. Ketamine/benzo/antipsychotic only if authorized.
21
Alcohol Withdrawal in the FieldCIWA is a hospital score. You have tremor, HR, BP, AMS. Benzos per protocol. Destination.
22
Vaginal Bleeding in the FieldPregnancy status, shock, pad count. Ectopic and PPH do not stay home.
23
Meningitis & Fever With Stiff NeckPPE. Shock care. Petechial rash is a siren, not a dermatology consult.
24
Sickle Cell Crisis in the FieldBelieve the pain. Screen stroke, fever, chest. O₂ for hypoxia. Destination.
25
Hypoglycemia Refusal & CapacityRecheck glucose and mentation. Sulfonylurea, alcohol, no food: they ride. Capacity is documented.
26
Pediatric Septic Shock in the FieldFever + poor perfusion in a child: oxygen, access, bolus with reassess, pediatric destination.
27
Stroke Mimics: Still Protect the ClockGlucose. LKW. Screen. If the deficit stays, activate. Mimic does not cancel the clock.
28
Adrenal Crisis in the FieldSteroid-dependent + vomit + shock: glucose, fluids, steroid per protocol. Not a GI bug.
29
Thunderclap Headache & SAHThunderclap: glucose, LKW, stroke-capable CT hospital. Do not stay to prove it is migraine.