> [!key points] Quick Links > - [[ACEM syllabus]] > - [[Blood gas]] > - [[Easily missed fractures and dislocations]] > - [[Day of exam cheat sheet]] These are my notes for the **ACEM fellowship written exam** sitting Nov 2024. They are under active updating while I currently study! Browse topics in the column on the left (or the hamburger menu if you are on mobile) or search in the same place. > [!info]- About > There is nothing else on this page you need to read to use the resource; the info below is to explain behaviour of the website that may be confusing, and to provide some resource attributions and recommendations. > > These are NOTES from “core” textbooks, past papers/DEMT practice papers, and other sources I trust. I didn't write a textbook! In addition to the standard resources, particular credit is given to colleagues of mine who shared helpful study resources that I have used in my notes. > ## Caveats > Internal links to other pages on the website (styled like [[Welcome|this]]) will always work. However, there are many greyed-out external links (styled like <a href="http://oscepass.org" style="color: var(--text-normal);cursor: not-allowed; opacity: 0.5; text-decoration: none; font-family: var(--font-text);">this</a>) in these notes to sources in my personal DEVONthink database, cubox links (a Read It Later app), or Bookends pdf library ==that will not work if you click them because those sources are in my personal collection==. I will take this warning down if I publish a version of these notes without this limitation. Links that look like [this](http://oscepass.org) will still work. > > > Of specific note with respect to the above issue is that the "related questions" section at the bottom of many notes is past questions related to the current note. None of these links will work for you because the contents are in my DEVONthink vault, but you can access the question database at the [ED VIVAs website](https://www.edvivas.com/part2s/). > > The reason I have stored a lot of these resources in my personal collection is simple: I don't trust that resources will always be available at a particular web address, so if something is useful to me, I tend to download it and store it in my personal database. I can access nearly 100% of my study resources offline (eg on an airplane), which has a certain apocalypse prepper appeal. Setting up an offline ecosystem was actually quite simple and I'm happy to help you do the same for your own study if you are keen. I highly recommend buying a copy of Devonthink to assist with this if that is your aim, but to be honest simply making a great anki deck is probably a better use of your time. > *** > There may be sections with a green box that looks like this: > ![[Pasted image 20240220185454.png]] > This is because a programatic feature called "dataview" that I use in the computer version of my notes (using an application called Obsidian) is not available yet for the online version of these notes; I may fix this at some point, but right now it is not a priority for me. > *** > Sometimes you will see a yellow box with a tag in it which you can click on to see other notes with that tag. You would be understandably inclined to assume that the tag eg \#ortho would lead you to all ortho subjects, but usually it is actually just the topics that aren’t already in the folder for that subject. Go to the hamburger menu and scroll to the folder if you want to browse the subject. The search bar is by far the easiest way to find what you are looking for. > > Another box you will see on most pages is a grey “*last updated*” date at the top. Take this with a grain of salt. Updates can be anything from content additions to layout changes to absolutely nothing but I accidentally edited the note while reviewing it. The last update date does NOT mean the contents in their entirety have been reviewed or are reliably contemporaneous. > *** > ==Please contact me if there is any information you would like taken down==; these are notes from a variety of sources for my personal study, and not intended as my own published work. As a result, there may be un-intended instances where proper attribution of the source was not provided. I have provided a list of sources used below. > [!Key points]- Sources involved in notes > **“Core” texts** (in approximate order of influence) > - Cameron's emergency medicine 5th ed - nice scaffolding for first read through of the “core” material (but there are a lot of practice questions that are not covered in this book!) > - Murray tox 3rd ed - mandatory reading > - Cameron's textbook of paediatric emergency medicine 3rd and 4th ed - in my opinion explains concepts better than the RCH guidelines, but not as quick to parse > - Dunn's emergency medicine manual - Australian, I preferred it on my second pass of the info (can even filter it for only high yield content if you want) > - Rosen's 10th ed -lower yield than tintinalli’s, but I just liked reading it better. Latest version cites a lot of contemporaneous research > - Tintinalli's emergency medicine - this and Rosen’s give the best explanations and reasoning. > > **Others** > - [ANZCOR Guidelines](https://www.anzcor.org/home/adult-advanced-life-support/guideline-11-10-resuscitation-in-special-circumstances/) > - Own the Arterial Blood gas - luke lawton, aussie FACEM exam ABG book worth doing > - Emergency Medicine MCQs - De Alwis 2012, variable usefulness but at least it’s Australian > - Goldfrank's toxicological emergencies - nice explanations of how the treatments work > - Trauma by Ernest E Moore > - radiopaedia especially [trauma radiology course](https://radiopaedia.org/courses/trauma-radiology-course-online) > - EMCQ mcqs > - David Schwartz Emergency Radiology Case studies > - Marino ICU textbook - one of the best medical books ever written. Sadly somewhat outdated, but perfect for the core concepts (eg chapter on hyperkalemia is mandatory reading) > - Schein's "Common sense emergency abdominal surgery" -- got me through intern year when I was afraid of abdominal exams. ignore the line when he says "Some ER physicians do not see much and do not understand the meaning of the little they do see; all they care about is where to dump the patient." > - Oh's Critical care - core text but not as readable as Marino’s > - Ma and Mateer's emergency ultrasound > - [Melbourne Ultrasound](https://www.melbourneus.com) - Thanks Amaali! > - Robert hedges clinical procedures in ED > - Amal mattu's ECG book as well as [ECG weekly](https://ecgweekly.com) > - [Royal Children's Hospital clinical guidelines](https://www.rch.org.au/clinicalguide/) and [paediatric fracture guidelines](https://www.rch.org.au/clinicalguide/fractures/) > - [Royal Victorian Eye and Ear hospital clinical guidelines](https://eyeandear.org.au/health-professionals/clinical-practice-guidelines/) > - APLS textbook > - Mark Crislip's [Infectious diseases compendium](http://pusware.com/testpus/) - sadly he stopped updating, but this guideline was written in the voice of a knowledgeable consultant giving 30 years of knowledge during a ward round. > - “Big Gun. Strong. Powerful. There are adjectives that are often used to describe antibiotics. There are few things in medicine that are 100%. But if a physician uses the above adjectives to describe an antibiotic they do not know a burro from a burrow. It is 100% sensitive and 100% specific that the speaker is a moron when it comes to antibiotic use, is a sucker for drug company commercials, and/or is blowing smoke up your butt.” - [Mark Crislip](http://www.pusware.com/PW1/PowerfulAntibiotics.html) > - update! He is working on an update using the same platform as this website. Check it out here: [Pus: an owner’s manual, beta edition](https://publish.obsidian.md/pus-an-owners-manual/Index) > - past ACEM papers eg from [Doctorswriting.com](https://www.doctorswriting.com/written.html) (thanks Viet!) > - graphic guide to infectious diseases > - Med school notes > - various Royal Melbourne Hospital clinical resources > - various [resources published by ACEM](https://acem.org.au/Search-Pages/Policy-And-Regulation-Search) > - various "classic" papers for ED > - EMRA publishes yearly [greatest hits](https://www.emra.org/emresident/article/greatest-hits-2023) and a dubious [top 10](https://www.emra.org/students/newsletter-articles/top-10-articles/) list > - [52 articles](https://www.aliem.com/52-articles-in-52-weeks-2nd-edition-2016/) - 2016 > - [EMA](https://onlinelibrary.wiley.com/journal/17426723) is high yield for Australian trainees > - [Resus important papers](https://resus.com.au/important-studies-emergency-medicine/) > - [NEJM emergency medicine](https://www.nejm.org/emergency-medicine) > - [Annals of emergency medicine journal club](https://www.annemergmed.com/journalclub) > - [Emergency Medical Journal Australasia](https://onlinelibrary.wiley.com/journal/17426723) > - therapeutic guidelines australia > - James Hayes' Northern Hospital fellowship guidelines (at [EM DOJO](https://emdojo.com) or [ED Central](https://edcentral.co/james-hayes-northern-guidelines/)) > - https://edfellowshipland.webnode.page/ -- (thanks Jana!) > - [Emergency Trauma Manual](https://etmcourse.com/login/?redirect_to=https%3A%2F%2Fetmcourse.com%2Ftraumamanual%2F) -- Andy's solution for modern high acuity trauma management > - [Western Trauma association algorithms](https://www.westerntrauma.org/western-trauma-association-algorithms/) > - [Eastern Trauma management Guidelines](https://www.east.org/education-career-development/practice-management-guidelines) > - Lidia's [Anki deck](https://ankiweb.net/shared/by-author/1529617387) (thanks!) > - [One of my own websites](https://davidlempert.com/medCMS/article/4) that I designed to have similar editing features to this platform before the software to make these notes existed (interestingly, we both use an open source library code codemirror for the editor features) > [!tip]- Application recommendations > - [obsidian](https://obsidian.md) (used for these notes) > - [bear](https://bear.app) -- used for a lot of my other notes > - [Anki](https://apps.ankiweb.net)-- spaced repetition > - [cubox](https://cubox.cc) -- read it later app > - [Bookends](https://www.sonnysoftware.com/bookends-for-mac) -- reference manager like endnote or zotero for pdfs and citations > - [pdf Expert](https://pdfexpert.com) -- for pdfs > - [DEVONthink](https://www.devontechnologies.com/apps/devonthink) and devonthink to go -- amazing database to store and search all my study materials > - [Collections database](https://collectionsdb.com) - mobile and desktop personal database app, like airtables but better and cheaper. > - [sono ultrasound](https://apps.apple.com/us/app/sono/id1532686897) -- ios app reference for POCUS (there are many but start here) > - [journal club](https://apps.apple.com/us/app/journal-club-medicine/id512153051) -- app that keeps up with important papers in medicine, usually more internal medicine than ED > - [sublux](https://apps.apple.com/us/app/sublux/id1332240487) ortho app -- reference app for fractures > - [eye manual](https://apps.apple.com/us/app/eye-emergency-manual/id777216623) -- for eye emergencies > - [Austin toxicology](https://apps.apple.com/us/app/austin-health-toxicology/id1436266463) -- easier to access than the textbook. note it is also available online > - Update. Sadly they stopped supporting the app, so you need to access the guidelines [online](https://www.austin.org.au/clinical-toxicology-guidelines/) > - palliative care fast facts > - [md on call](http://mdoncalltheapp.com) -- guide for ward call, I've used since intern year and still reference occasionally > - [ProcedureLog](https://apps.apple.com/us/app/procedure-log/id888851773) -- keep a log of procedures > - [Emergency Procedures](https://app.emergencyprocedures.org/Preparation) -- guide for various ED procedures > - [Mochi notes](https://mochi.cards) -- like a mixture of anki and obsidian; I use it for reviewing other people's anki decks > - [FEEEED](https://feeeed.nateparrott.com) -- to get EM blogs (listed below) delivered and other RSS feeds. > - matter -- to convert podcasts to written text (new version of apple podcasts does this now so less value) > - [mdcalc](https://www.mdcalc.com) -- who actually remembers the Glasgow-Blatchford score? > - [Orion browser](https://kagi.com/orion/) > - [Kagi search engine](https://kagi.com) - "premium" search engine that is supported by subscription, rather than advertisements. If you are tired of endless advertisements and marketing from your other search engines, worth the $10/month to me. > [!doses]- ED blogs/FOAM > > use at your own risk; these are not particularly useful for fellowship study > > - [The Bottom Line](https://www.thebottomline.org.uk/category/summaries/em/) -- one of the best IMHO > - [EM Cases](https://emergencymedicinecases.com) > - [EM lit of note](https://www.emlitofnote.com) > - [the NNT](https://thennt.com) > - [first10em](https://first10em.com) > - [EM RAP](https://www.emrap.org/corependium/) > - [rebelEM](https://rebelem.com) > - EM Crit -- link is to ["Functional Heuristics in resus"](https://emcrit.org/emcrit/functional-heuristics-in-resuscitation/), best article on the site > - [em updates](https://emupdates.com) > - [ALEM](https://www.aliem.com) > - [CORE EM](https://coreem.net) > - [St Emlyn's](https://www.stemlynsblog.org) > - [Emdocs](https://www.emdocs.net/) > - [DR Smith ECG blog](https://hqmeded-ecg.blogspot.com) > - [Western Trauma guidelines](https://www.westerntrauma.org/western-trauma-association-algorithms/) > - [Royal Women's hospital Guidelines](https://www.thewomens.org.au/health-professionals/clinical-resources/clinical-guidelines-gps/#a_downloads) > - [Better health victoria - pregnancy guidelines website](https://www.betterhealth.vic.gov.au/healthyliving/pregnancy) — great general reference material to share with non-medical acquaintances, eg the [pregnancy and diet](https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-and-diet) guide > - [Emergency Procedures](https://app.emergencyprocedures.org) > - paeds > - [don't forget the bubbles](https://dontforgetthebubbles.com) > - [pediatric EM morsels](https://pedemmorsels.com) > - ICU / anaesthetics > - [pulmCCM](https://www.pulmccm.org) > - [deranged physiology](https://derangedphysiology.com/main/home) > - [Propofol dreams](https://propofoldreams.wordpress.com) > - [ketamine nightmares](https://ketaminenightmares.com) > - [wikiem](https://wikem.org/wiki/Main_Page) > - [google foam](https://googlefoam.com/#gsc.tab=0) -- search engine for FOAM > [!warning] Disclaimer > These are my *personal* notes for a medical exam; these are not validated guidelines or treatment recommendations. This is not medical advice. This is not a replacement for seeking appropriate medical care, calling an ambulance in an emergency, or referring to your local department or other offical management guidelines for conditions discussed in these notes. # Recently Added %% DATAVIEW_PUBLISHER: start ``` TABLE file.folder AS "Folder", dateformat(file.ctime, "dd.MM.yyyy") AS "created" FROM "" WHERE file.name != this.file.name SORT file.ctime DESC LIMIT 20 ``` %% | File | Folder | created | | --------------------------------------------------------------------------------------------- | ------------------------- | ---------- | | [[Investigations/Osmolality and Osmolarity.md\|Osmolality and Osmolarity]] | Investigations | 08.11.2024 | | [[Biomarkers/Lipase.md\|Lipase]] | Biomarkers | 07.11.2024 | | [[Toxicology/Protonitazene.md\|Protonitazene]] | Toxicology | 07.11.2024 | | [[Toxicology/GHB.md\|GHB]] | Toxicology | 07.11.2024 | | [[Toxicology/Drink spiking.md\|Drink spiking]] | Toxicology | 07.11.2024 | | [[Symptoms/Confusion.md\|Confusion]] | Symptoms | 07.11.2024 | | [[Symptoms/Stridor.md\|Stridor]] | Symptoms | 06.11.2024 | | [[Decision tools and scores/PE clinical prediction scores.md\|PE clinical prediction scores]] | Decision tools and scores | 05.11.2024 | | [[Ortho/Femur fractures.md\|Femur fractures]] | Ortho | 05.11.2024 | | [[Surgery/Perianal abscess.md\|Perianal abscess]] | Surgery | 04.11.2024 | | [[Surgery/Renal colic.md\|Renal colic]] | Surgery | 04.11.2024 | | [[Trauma/Amputation.md\|Amputation]] | Trauma | 03.11.2024 | | [[Rheum/Sarcoidosis.md\|Sarcoidosis]] | Rheum | 03.11.2024 | | [[Admin/Debriefing.md\|Debriefing]] | Admin | 02.11.2024 | | [[Paeds/paediatric airway management.md\|paediatric airway management]] | Paeds | 02.11.2024 | | [[Neuro/Bell's Palsy.md\|Bell's Palsy]] | Neuro | 02.11.2024 | | [[Radiology/Pancoast tumour.md\|Pancoast tumour]] | Radiology | 02.11.2024 | | [[Symptoms/Pemberton's sign.md\|Pemberton's sign]] | Symptoms | 02.11.2024 | | [[Medicine (Gen Med)/SJS and TENs.md\|SJS and TENs]] | Medicine (Gen Med) | 02.11.2024 | | [[Infectious Diseases/Syphilis.md\|Syphilis]] | Infectious Diseases | 01.11.2024 | %% DATAVIEW_PUBLISHER: end %% # Recently modified %% DATAVIEW_PUBLISHER: start ``` TABLE file.folder AS "Folder", dateformat(file.mtime, "dd.MM.yyyy") AS "Last modified" FROM "" WHERE file.name != this.file.name AND file.folder != "Dataview queries" SORT file.mtime DESC LIMIT 10 ``` %% | File | Folder | Last modified | | ----------------------------------------------------------------------------------------------- | ------------------- | ------------- | | [[Medicine (Gen Med)/Wound management.md\|Wound management]] | Medicine (Gen Med) | 09.11.2024 | | [[Infectious Diseases/Herpes zoster.md\|Herpes zoster]] | Infectious Diseases | 09.11.2024 | | [[Admin/Statistics and research methods overview.md\|Statistics and research methods overview]] | Admin | 08.11.2024 | | [[Opthal/Painless loss of vision.md\|Painless loss of vision]] | Opthal | 08.11.2024 | | [[Opthal/Glaucoma.md\|Glaucoma]] | Opthal | 08.11.2024 | | [[Opthal/Eye infections.md\|Eye infections]] | Opthal | 08.11.2024 | | [[Opthal/Red eye.md\|Red eye]] | Opthal | 08.11.2024 | | [[Opthal/pupil exam.md\|pupil exam]] | Opthal | 08.11.2024 | | [[Radiology/Facial trauma radiology.md\|Facial trauma radiology]] | Radiology | 08.11.2024 | | [[Procedures/Lateral canthotomy.md\|Lateral canthotomy]] | Procedures | 08.11.2024 | %% DATAVIEW_PUBLISHER: end %% # Changelog - 20 Sept 2024 — launched on oscepass.org. This is because I already owned the domain from an OSCE exam preparation app I made in med school but no longer maintain, so decided to pivot the domain to host these notes instead. - 30 April 2024 -- Notes from George's statistics talk in Admin section - 15 April 2024 -- some new topics and folders - 17 March 2024 -- ongoing content updates, update resource recommendations - 19 Feb 2024 -- initial upload