First Course

Be Part of History: The Grand Opening of KSA’s First Wiki-Based Course & FOAM Initiative at EHC.

Welcome to 1st Wiki-SEM Emergency Medicine Course In EMSL/EHC

"ABCDE – Shock – Hypoxia"

What you must know about the course?

"At the Frontline... We Prepare Heroes"

1st Wiki-SEM Emergency Medicine Course In EMSL/EHC isn't just another course—it's your practical survival guide for the most critical moments in emergency medicine. Built on the powerful combination of Wiki-based medical knowledge, Distributed learning, EPA competency frameworks, and Simulation-based training, we bring you a learning experience that's as intense and rewarding as the ED itself.

What Makes This Course Different?

We know your time is precious. That's why we've designed a three-stage mastery system that ensures you don't just learn concepts—you own them:

MCQs: Test your theoretical decision-making under pressure
Simulation: Practice shock and airway management in realistic scenarios
OSCE: Prove your skills in integrated, high-stakes assessments

Every module follows one rule: Stabilize before you diagnose.

What You'll Experience?

Day 1 kicks off with "The Unstable Patient"—the most feared and most common ED challenge. Through our 14 EPA-aligned competencies, you'll master:

1. 1. Rapid ABCDE assessment that actually works in chaos
  2. Airway management when seconds count
  3. Shock recognition and treatment without the guesswork
  4. When to escalate, how to communicate, and why it matters

Before you even step into the classroom, you'll receive our preparatory Wiki-SEM file—a curated collection of FOAM resources, wiki-based references, and self-assessments covering all 14 EPA points. Arrive prepared, leave confident.

What We Ask of You?

This isn't passive learning. We expect:

Pre-course preparation: Complete your Wiki-SEM file review and MCQs
Active participation: Engage in simulations, ask tough questions, learn from peers
Self-reflection: Assess your own performance, identify growth areas
Collaboration: Support your team, give and receive feedback

Bring your stethoscope, your curiosity, and your commitment to excellence.

Your Learning Journey?

Preparation time frame?

"Our Aim, a course that bridges the gap between textbook knowledge and real ED chaos.

We use these Wiki-Based skills every single shift."

We don't just teach protocols—we build decision-makers. Our methods are:

1. 1. Evidence-based: Grounded in FOAM and current best practices.
  2. Competency-driven: Mapped to all 14 EPAs for measurable skill growth.
  3. Culturally safe: Integrating social determinants of health in every scenario.
  4. Immediately applicable: What you learn Sunday, you use Monday.

Your Outcome

By course end, you'll confidently say: "I can stabilize before I diagnose."

You'll walk away with:

Proven skills in resuscitation and escalation.
Measurable competency against EPA standards.
A network of like-minded emergency physicians.
Lifetime access to Wiki-SEM resources.

Slogens to be used

The unstable patient doesn't wait. Neither should you.

Enroll now. Master the first 10 minutes. Save lives.

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WikiDES: Wiki · Distributed Learning · EPA Competency · Simulation

Core Knowledge: Pre-Course Six Modules

6 Modules

Module (1) :

ABCDE Approach & Rapid Assessment:

EPA 1, 8 (History/Physical + Recognize urgent care)

Module (2) :

Airway Management – Basic & Difficult:

EPA 8, 11 (Urgent care + Procedures)

Module (3) :

Undifferentiated Shock:

EPA 2, 3, 5 (Differential diagnosis + Investigation + Management)

Module (4) :

Cyanosis & Dyspnea Approach:

EPA 1, 2, 3 (History/Physical + Differential + Investigation)

Module (5) :

IVF vs. Vasopressors:

EPA 5, 8 (Management + Urgent care)

Module (6) :

Mechanical Ventilation Basics

EPA 11 (Procedures)

EPA Integration Map

Social Determinants & Cultural Safety (EPA 14)

Module (1)

ABCDE Approach & Rapid Assessment:

EPA 1, 8 (History/Physical + Recognize urgent care)

Key Concepts:

Airway: Look, listen, feel for obstruction.
Breathing: Rate, effort, SpO2, auscultation.
Circulation: Pulse, BP, capillary refill, skin signs.
Disability: AVPU/GCS, glucose, pupils.
Exposure: Temperature, rash, injuries.

FOAM Resources:

SMACC: "The ABCDE of Resuscitation" (YouTube)
Life in the Fast Lane (LITFL): ABCDE approach summary
St. Emlyn's: "Airway Assessment in 60 Seconds"

Wiki Reference:

WikEM: "ABCDE Approach to Resuscitation".
UpToDate: "Initial evaluation of the critically ill adult".

Pre-Course Task: Watch one ABCDE video and time yourself completing a mental checklist.

Module (2)

Airway Management – Basic & Difficult:

EPA 8, 11 (Urgent care + Procedures).

Key Concepts:

Basic: OPA/NPA, bag-mask ventilation, positioning.
Difficult: LEMON assessment, backup plans (LMA, surgical airway).
C-spine: When to immobilize vs. prioritize airway.

FOAM Resources:

EMCrit: "Airway Management in the Critically Ill".
EM Basic: "Difficult Airway Algorithms".
Aussie Anaesthetist: "The Vortex Approach" (Visual tool).

Wiki Reference:

WikEM: "Difficult Airway".
Radiopaedia: "Airway anatomy for intubation".

Pre-Course Task: Practice the LEMON mnemonic on yourself or a colleague.

Module (3)

Undifferentiated Shock:

EPA 2, 3, 5 (Differential diagnosis + Investigation + Management)>

Shock Types & Clues:

Type Key Features Initial Rx:

Hypovolemic Trauma, bleeding, dehydration IVF, control bleeding.
Cardiogenic Chest pain, JVP↑, crackles Inotropes, diuretics.
Obstructive Pneumothorax, tamponade, PE Relieve obstruction.
Distributive Sepsis, anaphylaxis, neurogenic Fluids + vasopressors.

FOAM Resources:

SMACC: "Shock: The Movie" (Video).
LITFL: "Shock Classification and Management".
Critical Care Compendium: Vasopressor guide.

Wiki Reference:

WikEM: "Shock".
UpToDate: "Approach to the patient with shock".

Pre-Course Task: Create a one-page shock algorithm cheat sheet.

Module (4)

Cyanosis & Dyspnea Approach:

EPA 1, 2, 3 (History/Physical + Differential + Investigation).

Key Questions:

Acute vs. chronic?.
Cardiac vs. pulmonary vs. metabolic?.
Pulse oximetry limitations (carbon monoxide, poor perfusion).

FOAM Resources:

- EMCrit: "Cyanosis and Hypoxia".
- PulmCCM: "Approach to Acute Dyspnea".

Wiki Reference:

- WikEM: "Cyanosis" and "Dyspnea".

Module (5)

IVF vs. Vasopressors:

EPA 5, 8 (Management + Urgent care).

Decision Framework:

Fluid Responsive? → Passive leg raise, IVC ultrasound.
Give Fluids: 250-500ml boluses (watch for overload).
Start Pressors: If MAP <65 despite fluids or fluid intolerance.

Key Pressors:

Norepinephrine: First line for septic shock.
Epinephrine: Anaphylaxis, cardiac arrest.
Phenylephrine: Neurogenic shock.

FOAM Resources:

EMCrit: "Vasopressor Basics".

Wiki Reference:

WikEM: "Vasopressors".

Module (6)

Mechanical Ventilation Basics:

EPA 11 (Procedures).

Key Settings:

Mode: AC/VC or SIMV.
Tidal Volume: 6-8 ml/kg IBW.
Rate: 12-20 breaths/min.
FiO2: Start 100%, titrate to SpO2 92-96%.
PEEP: Start 5 cm H2O.

FOAM Resources:

EMCrit: "Ventilator Basics for the Non-Intensivist".
LITFL: "Mechanical Ventilation Overview".

Wiki Reference:

WikEM: "Mechanical Ventilation".

Course Resources Wiki-Based

"Master the Course while you drive. High-yield summaries for the busy physician."

Rosen’s in Perspective: from www.canadiem.org

Dyspnea: "Rosen’s in Your Ears" (Podcast) , Also; Here is a written summary of the Rosen’s chapter covered on this page.

Rosen’s in Perspective: from www.canadiem.org

Cyanosis: "Rosen’s in Your Ears" (Podcast) , Also; Here is a written summary of the Rosen’s chapter covered on this page.

Rosen’s in Perspective: from www.canadiem.org

Airway: "Rosen’s in Your Ears" (Podcast) , Also; Here is a written summary of the Rosen’s chapter covered on this page.

Rosen’s in Perspective: from www.canadiem.org

Mechanical Ventilation: "Rosen’s in Your Ears" (Podcast) , Also; Here is a written summary of the Rosen’s chapter covered on this page.

Rosen’s in Perspective: from www.canadiem.org

Adult Resuscitation: "Rosen’s in Your Ears" (Podcast) , Also; Here is a written summary of the Rosen’s chapter covered on this page.

Rosen’s in Perspective: from www.canadiem.org

Shock in the ER: "Rosen’s in Your Ears" (Podcast) , Also; Here is a written summary of the Rosen’s chapter covered on this page.

"FOAMed & Digital Reference"

Dr.Maleka shaheen

Director of Cont. Education in EMSL

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