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News, Haberler
03.01.2006  Allergy - March 03, 2006 - March 08, 2006 62nd Annual Meeting of the American Academy of Allergy, Asthma and Immunology Miami, FL, United States
02.01.2006  Pulmonology- January 30, 2006 - February 01, 2006 42nd Annual Meeting of The Society of Thoracic Surgeons New Orleans, LA, United States
25.12.2005  We are most happy and honoured to invite you to the 9th Annual Congress of Turkish Thoracic Society (TTS), the largest congress in pulmonary medicine in Turkey. The congress will take place in Sungate Port Royal Hotel located in Beldibi region of Kemer in Antalya between April, 19-23, 2006.

Emergency Medicine - Acil Týp - Emergencia Medicina - Urgent -
طِبُّ الطَّوَارِئ - непредвиденный - ¼±ÕïÊÒ

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General Links - SCI-E Journals - PubMed Journals - Congress - Associations & Org. -
See also:
Intensive Care

Genel Linkler - SCI-E Dergiler - PubMed Dergiler - Kongreler - Kurumlar -
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Yoðun Bakým

Description Reference Size
Hymenoptera Envenomation Joe Lex, MD, FACEP, FAAEM 332k
Hymenoptera Envenomation Joe Lex, MD, FACEP, FAAEM 332k
The Latest Concept of Aortic Dissection Chi Wei Lee, MD 163k
The Latest Concept of Aortic Dissection Chi Wei Lee, MD 163k

Poison & Overdose

Description Reference Size
Tylenol Toxicity Suhail Allaqaband, MD 77k
Tylenol Toxicity Suhail Allaqaband, MD 77k
Digitalis Intoxication Suhail Allaqaband, MD 85k
Lithium Intoxication Suhail Allaqaband, MD 60k
Digitalis Intoxication Suhail Allaqaband, MD 85k
Lithium Intoxication Suhail Allaqaband, MD 60k
Carbon Monoxide Poison (Spanish) Juan Manuel Dulcey, MD; Victor Hugo, MD 524k
Carbon Monoxide Poison (Spanish) Juan Manuel Dulcey, MD; Victor Hugo, MD 524k
Carbon Monoxide Poisoning, Barotraumas, Caisson Disease Rowland Cottingham, FRCS (Ed) FAAEM 60k
Methanol Intoxication (Spanish) Galo Idrobo, MD 271k
Carbon Monoxide Poisoning, Barotraumas, Caisson Disease Rowland Cottingham, FRCS (Ed) FAAEM 60k
Methanol Intoxication (Spanish) Galo Idrobo, MD 271k
Organophosphate Poisoning (Spanish) Galo Idrobo, MD 729k
Organophosphate Poisoning (Spanish) Galo Idrobo, MD 729k
Cyanide Poison Chi-Wei Lee M.D. 50k
Methanol Intoxication Chi-Wei Lee, M.D. 80k
Ethanol Intoxication Chi-Wei Lee, M.D. 148k
Cyanide Poison Chi-Wei Lee M.D. 50k
Methanol Intoxication Chi-Wei Lee, M.D. 80k
Ethanol Intoxication Chi-Wei Lee, M.D. 148k


Description Reference Size
Resuscitation of the Newborn Said Alavi, MD 255k
Resuscitation of the Newborn Said Alavi, MD 255k
Advanced Trauma Life Support Patrick Cheah, MD 56k
Advanced Trauma Life Support Patrick Cheah, MD 56k
Advanced Cerebral Resuscitation Joe Lex, MD, FACEP, FAAEM 141k
Advanced Cerebral Resuscitation Joe Lex, MD, FACEP, FAAEM 141k
Advanced Airway Management And Intubation Norm Wilkinson 355k
Advanced Airway Management And Intubation Norm Wilkinson 355k
Lightning Injuries Travis R. Welch, NREMT, Zionsville Fire Department's EMS Training Staff 74k
Lightning Injuries Travis R. Welch, NREMT, Zionsville Fire Department's EMS Training Staff 74k
Colloid or Crystaloid Fluid Resuscitation (Italian) Paolo Zuccoli, MD 116k
Colloid or Crystaloid Fluid Resuscitation (Italian) Paolo Zuccoli, MD 116k
Avdanced Cardiac Life Support (Spanish) Ramon Leon, MD 308k
Avdanced Cardiac Life Support (Spanish) Ramon Leon, MD 308k
Advanced Cardiac Life Support in Sudden Cardiac Death David Lu, MD 291k
Advanced Cardiac Life Support in Sudden Cardiac Death David Lu, MD 291k
Emergencia Anáhuac (Spanish) Dr. Edgar Cortés Cortés 68k
MANEJO DE LA VÍA AÉREA Y DE LA VENTILACION (Spanish) Dr. Edgar Cortés Cortés 199k
Emergencia Anáhuac (Spanish) Dr. Edgar Cortés Cortés 68k
MANEJO DE LA VÍA AÉREA Y DE LA VENTILACION (Spanish) Dr. Edgar Cortés Cortés 199k
Airway Management Brian Ginsberg 38k
Airway Management Brian Ginsberg 38k


Description Reference Size
Anaphylactic Shock (Spanish) Fernando Véliz, MD 132k
Anaphylactic Shock (Spanish) Fernando Véliz, MD 132k


Description Reference Size
Triage for Mass Casualty Incident Travis R. Welch, NREMT, Zionsville Fire Department's EMS Training Staff 163k
Triage for Mass Casualty Incident Travis R. Welch, NREMT, Zionsville Fire Department's EMS Training Staff 163k
High Velocity Penetrating Bullet Wound (Italian) Paolo Zuccoli, MD 235k
High Velocity Penetrating Bullet Wound (Italian) Paolo Zuccoli, MD 235k


Rault Philippe et al.
Urgences Médico-Chirurgicales

  Arizona Emergency Medical Systems Red Book

Buttaravoli & Stair
Division of Infectious Diseases
2002 - Longwood Information LLC

Jonathan Adler, Barry Brenner, Steven Dronen, Craig Feied, William K Mallon, Robert O'Connor, Scott H Plantz, Charles V Pollack, Jr, Raymond J Roberge
Emergency Medicine
2002 - eMedicine, Inc.

Mark A. Graber
Emergency Medicine
University of Iowa Family Practice Handbook
4th edition


Kevin P. Kilgore
Emergency Medicine Student Manual

  U.S. Army Medical Research Institute of Chemical Defense (USAMRICD)
Field Management of Chemical Casualties Handbook
2nd edition, 2000

Headquarters Department of the Army
First Aid for Soldiers
1988 - University of Iowa


Guia basica para el Tratamiento en el Paciente Quemado
- Universidad Católica de Chile


Carlos E. De los Santos
Gu¡a de Emergencias de las Quemaduras
2002 - Unidad de Quemados Pearl. F Ort


Edward Eitzen, Julie Pavlin, Ted Cieslak, George Christopher, Randall Culpepper, Editors
Medical Management of Biological Casualties
1998 - U.S. Army Medical Researchinstitute of Infectious Diseases


Medical Management of Chemical Casulaties Handbook
3rd edition, 1999 - U.S Army, Medical Research Institute of Chemical Defense


David G. Jarrett
Medical Management of Radiological Casualties
1999 - Armed Forces Radiobiology Research Institute, 132 pp


Michael O. Hebb
The Gist of Emergency Medicine
The Management of Real or Simulated Patient Encounters
1998 - 188 pp
ISBN 0-9695693-5-1

Tratado de Urgencias, Emergencias y Cuidados Criticos
2002 - SAMIUC: Sociedad Andaluza de Medicina Intensiva y Unidades Coronarias

K Gunning, Editor
Trauma Handbook
5th edition, 1994 - The Liverpool Hospital, Department Of Trauma Services
ISBN 0 646 03688 2


Department of the Navy
U.S. Navy Standard First Aid Course
- University of Iowa


Jean-Paul Sculier
Urgences et Soins Intensifs Médicaux Appliques à la Cancérologie
- Unité de Soins et de Traitements Intensifs, Institut Jules Bordet

  Wilderness Emergencies
2002 - eMedicine, Inc.

First Aid Anatomy
First Aid for Soldiers
General Medical Officer Manual
Iowa Family Practice Handbook
Merck Manual - Disorders Due to Physical Agents
Merck Manual - Poisoning
U.S. Navy Standard First Aid Course
Injury Epidemiology - Introduction
Injury Epidemiology - Analytic Approaches
Injury Epidemiology- Participatory Action Research and Quantitative Approaches in Small Populations
Epidemiology of Childhood Fractures in Affluent and Deprived Areas
Teenage Driver Crashes - Carrying Passengers as a Risk Factor
Disaster and Hospital Functions
Epidemiology of Disasters - Part I     Part II
Is the CT Scan important at the 24 Hours in Children with Mild Traumatic Brain Injury? International Multicentre Study
The Epidemiology of Physical Activity-related Musculoskeletal Injuries. Part I.   Part II.
Corticosteroid Randomisation After Significant Head Injury
Disabilities due to Injury in the U.S. Armed Forces
Motor Vehicle Crashes in Older Drivers
Air Safety and Terrorism
Safety education of pedestrian. A systematic review.
Effectiveness of a State Law Mandating Use of Bicycle Helmets among Children: An Observational Evaluation
Introduction to Injury Scoring Systems  
Injury Prevention and Control
Falls in the Elderly
Air Travel. Pleasure or Peril?

Books, publications, tutorials
1Up Health - Injuries and Wounds [English]
Adult Critical Care Core Curriculum - University of Iowa [English]
Apuntes de Medicina Intensiva - Pontificia Universidad Católica de Chile [Español]
Basic Medical Training Manual - Integrated Publishing [English]
BestBETS - Manchester Royal Infirmary [English]
Critical Care - eMedicine [English]
eMedHome.com [English]
Emergency Medicine - Family Practice Notebook [English]
Emergency Medicine - University of Iowa [English]
Emergency Medicine at NCEMI [English]
Emergency Medicine Research Group (UK) [English]
Emergency Medicine Student Manual - Kevin P. Kilgore [English]
Evidence Based Emergency Medicine - New York Academy of Medicine [English]
Gist of Emergency Medicine - Michael O. Hebb [English]
Guía básica para el tratamiento del paciente quemado - Carlos E. De los Santos [Español]
Jeff Mann EM guidemaps [English]
Learn CPR - University of Washington [English]
MERGINET [English]
NY Emergency Room [English]
Principios de Urgencias, Emergencias y Cuidados Críticos - Sociedad Andaluza de Medicina Intensiva y Unidades Coronarias [Español]
Wilderness Emergencies - eMedicine [English]

ACLS 2000 Guidelines summary [.ppt] - Joel Turner, Dec/2000
Altitude Medicine [.ppt] - Corinne Hohl, Apr/2002
Aspirin and Acetaminophen [.ppt] - October/2003
Ballistics [.ppt] - Joel Turner, Jan/2000
Blunt Chest Trauma [.ppt] - Steven Issley, Sept/2001
Chemical Weapons exposure [.ppt] - Suj Sivaraman, Feb/2003
Cocaine chest pain [.ppt] - Daniel Brouillard, Dec/2001
Food Supplements in atheletes [.ppt] - Sophie Gosselin, Oct/2001
GU Trauma [.ppt] - Francois Dufresne, Feb/2002
Heroic Procedures in the ED [.ppt] - Ammar Al-Kashmiri, Nov/2003
Hypothermia [.ppt] - Francois Dufresne, May/2002
Mechanical Ventilation [.ppt] - Marc-Charles Parent, Jan/2001
NSTEMI Part 1 [.ppt] - Gilbert Boucher, Dec/2001
NSTEMI Part 2 [.ppt] - Gilbert BOucher, Jan/2002
Pediatric Fever [.ppt] - Francois Gaumont, Oct/2001
Penetrating extremity Trauma [.ppt] - Steven Issley, May/2002
Prehospital Fluid Resuscitation [.ppt] - Corinne Hohl, April/2003
Selected Toxicological antidotes [.ppt] - Joel Turner, Jan/2002
Trauma in Pregnancy [.ppt] - Nabil Al-Zadjali, May/2002
Troponin [.ppt] - Thao Huynh - Dec/2002
Wound care and Repair [.ppt] - Faras Abu Zeyad, Sept/2001

The following are links to Power Point Presentations, they require the proper software to view.
Asthma [.ppt] - Dr. Patrick Plaisance
Intra-arterial thrombolysis [.ppt] - Dr. Jeanne Teitelbaum
Ibutilide for atrial fibrillation [.ppt] - Dr. Magdi Sami
Lithium and Dialysis [.ppt] - Dr. Sophie Gosselin
Reperfusion therapy for acute MI [.ppt] - Dr. Eddy Lang
Carbon Monoxide [.ppt] - Dr. Martin Laliberte
Pain Management in the difficult pain patient [.ppt] - Dr. J. Ducharme
Electrical Injury [.ppt] - Dr. Robert Primavesi
Exam of the Comatose patient [.ppt] - Dr. Liam Durcan
Migraine Headache [.ppt] - Dr. James Ducharme
Models in Venous Thromboembolism [.ppt] - Dr. Eddy Lang
Pediatric abdominal pain [.ppt] - Dr. Joe Nemeth
SARS [.ppt] - Dr. Brian Ward
Bioterrorosim, Public health Perspective [.ppt] - Dr. Paul Le Guerrier
Small pox [.ppt] - Dr. Paul Le Guerrier
Tropical Disease Medicine [.ppt] - Dr. Bruno Bernadin
Click here to download a Power Point on AIDS Awareness.
Click here to download a Power Point on Injury Prevention.
Click here to download a Power Point on Smoking Prevention

Trauma Patient Simulators - Adult (ATLS)

Cervical Spine Clearance - Suddenly and inexplicably transferred to the spinal service, you have to assess and evaluate 6 patients with potential cervical spine injuries.

Head On - 32yr Male front seat restrained, passenger, high speed head on collision.

Initial Assessment - You are an ER doctor and must assess and adequately treat an injured patient. You have an assistant to help you, but they can be of variable help, as in real life.

Lady and the Truck - 78yr Female pedestrian, rolled over by truck, slow speed, wheels over chest/abdomen.

Neurotrauma Moulage - The Neurotrauma Moulage demonstrates the principles behind the care of the head injured patient. Using a mathematical model to approximate brain neurophysiology it is able to simulate a wide range of conditions that affect brain injury management, both in the emergency room and on intensive care.

Neurotrauma Physiology Simulator - Run the neurotrauma physiology simulator to examine cerebral responses to physiological derangements.

Not a Bungee Jump - 29yr Male fell 4 floors off building site.

Pedestrian vs Van - Estimated speed 50km/h up into windscreen, landed on roadway.

Pre-Hospital Care - Having finished with the last patient, you head up to the helipad to escape from the ER for a while. Things never go as planned however and 5 minutes later you are on a motorway 15 miles away. This is a prehospital scenario, but the principles of trauma management still hold, perhaps more so. You have an experienced paramedic to help you and all the kit you might need.

Sudden Death Trauma Scenarios - The Cases:

10yr Penetrating Leg Injury
18yr Motor Cross Rider: Rope Injury to Neck
21yr Driver: Mini-Minor into Metal Fence
28yr Abdominal Stabbing
34yr Army Private: Gunshot Wound to Abdomen
38yr Gunshot Wound to Abdomen
40yr male Pedestrian Hit by a Truck
45yr Construction Worker: Crush Injury
45yr Metal Worker: Angle Grinder Injury to Right Groin

Trauma - A vicious butcher knife stabbing. You are the ER physician on call and it is critical that you help the arriving patient.

Trauma Management Simulation

Trauma One - Where do you practice multiple-trauma management? This ruthless, demanding simulator will teach you a rock-solid approach to trauma stabilization and workup. It comes with a complete trauma-management manual, both on-line and printed. (3.6 MB)

Trauma Patient Presentations

Trauma Team Leader Decision Scenarios - Multiple short scenarios where you, as team leader, have to tread the path of the enlightened trauma doc.

Pediatric Moulage - Transferred back to the ER after generating too much work for the hospital's lawyers on the spinal service, you have to manage a child injured in a motor vehicle accident. The child's parameters and response to your treatment will change with each run through  and you'll get a full appraisal of your performance at the end of the moulage.

Acute Care Simulator - 63yr female complaining of right-sided weakness and difficulty speaking beginning 45 minutes ago.

Acute Coronary Syndrome - Chest pain in a 63yr male

Acute Coronary Syndrome - Chest pain in a 67yr male

Acute Leg Swelling - 43yr male with a painful, swollen leg.

Acute Leg Swelling - 54yr woman with an traumatic, swollen leg

AlgoSim - The Difficult Airway Algorithm Tutorial/Simulator.

ACLS Central Scenario 1 - You have just received a 50yr male patient from triage, he weighs 100 kilograms. You have placed him in your "code room" because of his vitals signs. His chief complaint is palpitations in his chest and feels weak and dizzy all over. His blood pressure is 70/36.

ACLS Central Scenario 2 - You are a RN working in the Intensive Care Unit. You have been caring for a 70yr male recovering from an acute Inferior Wall MI.

ACLS Central Scenario 3 - You are a RN working in the ER. The paramedic coordinator notifies you she just received a patch that the paramedics are en route with a GTO with chest pain.

ACLS Central Scenario 4 - You are a Paramedic with a 66yr male in full cardiac arrest.

ACLS Central Scenario 5 - You are a RN assigned to a Telemetry Unit. Mrs. Ewok was admitted with "fainting spells". So far her work-up has discovered nothing unusual. You are at her bedside taking her vitals when she states, "I have that funny feeling again in my chest!"

ACLS Megacode Simulator Case 1 - 67yr male who presents complaining of lightheadedness of two hours duration. His wife states that he lost consciousness for about 30 seconds.

ACLS Megacode Simulator Case 2 - 58yr male complaining of a feeling of tightness in the center of his chest beginning 2 hours ago waking him from sleep.

ACLS Multiple Choice Exam - 50 question multiple exam created from an American Heart Association test pool of questions.

ACLS Simulator - Practice your algorithm knowledge.

ACLS Simulator 2002 - Real-time simulator that provides the ability for all physicians and nurses to practice the management of cardiac arrest.

Adult CPR Simulator - All procedures in this simulator follow the CPR guidelines of the American Heart Association.

Advanced Cardiac Life Support - Advanced Cardiac Life Support (ACLS) Mega-code Simulator. A review for health care providers certified in ACLS.

AED Challenge - Training simulator for emergency responders and trained laypersons. Simulates cardiac arrest scenarios, allowing students to practice resuscitation and defibrillation skills step by step.

Automated Defibrillation (AED) Simulator

Automated Defibrillation Simulator - All procedures in this simulator follow the CPR guidelines of the AHA.

Bioterrorism Simulator 2002 - Helps physicians, nurses and other health care providers improve their response to biological and chemical attack. Simulated patients are presented and you must make the diagnosis and administer the most appropriate treatment.

Bystander CPR Simulator - Simulator for the general public.

Cardiac Arrest! Lite Demo - Exciting live-action video not just pretty pictures. A real simulation. Tough clinical problems like hypocalcemia, hyperkalemia, hypothermia, Kawasaki disease and more. Current to the latest ACLS guidelines. (5.3 MB)

Cardiovascular Nursing Simulations - 2 patient simulations that require the user to answer open-ended questions. The purpose of this method is to teach critical decision-making skills to nursing students and new nurses.

Chest Pain - An elderly gentleman with chest pain and shortness of breath. You're the first year cardiology resident called to see a patient in the ER.

Chest Pain Simulator Demo - Practice the workup, diagnosis and treatment of chest pain patients with this "chest pain ER" trainer. Chest Pain Simulator teaches a rapid, safe and thorough approach to chest pain. It includes history and exam, testing, differential diagnosis and thrombolytic therapy. (4.1 MB)

Code Team! Demo - This ACLS training system includes CardioQuiz (basic knowledge for the written test), EKG Teaching (arrhythmia and pathology recognition) and ACLS Protocols (practice for the dreaded MEGACODE scenarios). Current to the latest ACLS guidelines. (4.1 MB)

Critical Care Simulator 2002 - Provides the opportunity for physicians and nurses to improve response to ICU and ER emergencies through computer simulation. The simulator reproduces the ICU on the screen of the computer and simulates responses of patients under your care. Many emergency situations will occur.

Critical Thinking in Critical Care - Critical Care Nurse Snapshots are designed to be interactive case scenarios for nurses involved in making informed decisions at the bedside. Each case study will involve the student in the critical thinking process as it relates to the assessment, diagnosis, management and follow-up of a clinically based problem.

CritiControl - Patient simulator for use in emergency medical and critical care education. The realism and clinical accuracy of the simulations allows medical students and healthcare professionals to deepen their understanding of human physiological response to a range of traumas, pathologies and interventions.

Don't Be Tachy - 32yr man with shortness of breath at rest, severe weakness times a half hour, no chest discomfort or other problems.

Emergency - The emergency physician asks you to see Mrs. M a 53yr school teacher, complaining of progressive abdominal pain and nausea for 3 days.

Emergency Child Birth - Steps to take in an emergency child birth situation and videos on child birth & fertilization.

EmergiMed CD Demo - Contains Cardiac Arrest! Lite, Code Team!, MicroEKG, Blood Gases, Chest Pain Simulator and Trauma One. (11.5 MB)

ERsim: The Online Interactive Medical Simulation Game - Online game where you are the doctor. Test your skills on 15 free cases (Car Accident, Alcohol Abuse, Burglar, Snowboard Accident, Construction Accident, Tough to Breath, Shot by Police, Infant Fever, Infant Breathing Problem).

Finding-the-Path - 50 ED patient presentations with an interactive format to select the appropriate diagnostic workup for the patient. Brigham and Women's Hospital

Got Milk? - 65yr female with PSVT. An alarm sounds and the tech tells you your patient's A-line has gone flat but her EKG looks good with a normal sinus rhythm at 75.

Heartburn: Life in the ER - You are a local physician, dedicated to manning the trenches of an understaffed yet overcrowded ER of a community hospital.

Hemodynamics Simulator 2002 - Anesoft Hemodynamics Simulator will help physicians and nurses review invasive monitoring, cardiovascular physiology and vasoactive infusions. Follow the self-directed study lessons to optimize the blood pressure, cardiac output and filling pressures in a variety of clinical conditions using fluids and vasoactive infusions.

Home Emergency Simulator - MD Choice's Emergency Physician experts have put together the first in a series of interactive patient care simulators. If you haven't taken CPR, this is a great introduction to some life-saving techniques. Their first case: Would you know how to help a choking infant?

Inter-active Patient Home Page

Med Facts "CARDIO DOC" Play Doctor - Interactive discovery learning experience dedicated to creating a more informed patient/physician relationship through an online game that reverses the role and allows you to "Play Doctor" by playing the role of a rookie intern and walking you through various cardiology-related examinations.

Mega-Code Simulator - A review for health care providers certified in ACLS.

Mega Code - You are the team leader directs all aspects of the code.  Utilize all of your ACLS skills, electrical, cpr, drugs and rhythm recognition.

* Mr. B, case scenario, agitated patient.

* Mrs. Elliot with Chest Pain

Outdoor Emergency Care - Instructor web page. We recognize that there are many talented individuals out there who have been developing their own teaching aids for the lessons they teach. This is the place for you to show your creativity and share what you have been using with your fellow instructors.

Paramedic Quiz 1

Paramedic Quiz 2

Pre-Hospital Care: EMS Simulator - On-Line program allows you to assess and treat a virtual patient. Digital audio and visual images will take you to a realistic scene. Once on-scene, you will need to decide how to assess, treat and transport the victim to the hospital.

Pre-Hospital Care Simulator - Ambulance simulator for EMS workers. The simulation is a basic EMS emergency care scenario.
EMS Scenario 24
EMS Scenario 25
EMS Scenario 26
EMS Scenario 27
EMS Scenario 28
EMS Scenario 29

ResusSim 98 - PC-based simulator of Advanced Life Support (ALS) aimed at doctors, medical students, paramedics, nurses and other health care personnel. Real time ECG is shown on the screen along with pictures of the relevant resuscitation situation. 21 different patients presenting ventricular fibrillation, ventricular tachycardia, supraventricular tachycardia, asystole, complete heart block and other cardiac emergencies due to a variety of causes including hypothermia, hypokalaemia, renal failure, drug overdose and lightning strike. Each situation may develop differently from time to time, because of underlying advanced pathophysiological models with built-in random variation. Models react to 30 different drugs or treatments, fluid therapy, shock, transcutaneous pacing, intubation and chest compressions.

ResusSim Prehospital Advanced Prehospital Care PC Simulator - Aimed at ambulance and first responding personnel including paramedics, emergency medical technicians, emergency physicians, firemen and policemen. You have access to more than 160 different investigations and treatments including a wide range of drugs, different defibrillators, all common airway techniques, ventilation and chest compression. In the simulator, the user is confronted by a wide variety of realistic cases followed by a thorough evaluation of the treatment given along with suggestions for improvements.

Shortness Of Breath - You are called by the ER physician to assess a wheezing 25yr female.

The Lab Technician - He suddenly sits on the empty bed next to him, drops his equipment tray, then slumps back onto the bed making a gurgling sound.

VIPS: Virtual Internet Patient Simulation - Multi-platform software tool for automated continuing medical education (CME) operating on the Internet and in isolated environments. The user is challenged with an on-line clinical case. Just like in a real consultation, the physician's input consists of statements in natural language, simulated physical examinations and diagnostic or therapeutic decisions. The program interprets the user's vocabulary, responds to requests and evaluates user input within the context of the proposed hypotheses. VIPS simulates patient interactivity and retrieves expert opinions from validated knowledge bases.

Virtual Hospital Patient

The Interactive Patient at Marshall University School of Medicine is a Interactive World Wide Web Program that allows the user to simulate an actual patient encounter. This teaching tool for physicians, residents and medical students offers a case with a chief complaint to the user who then has to interact with the patient requesting additional history, performing a physical exam and reviewing laboratory data and x-rays.

Simulated Pediatric Emergencies (PALS)

3 week old with noisy breathing since birth

6 month old with sudden onset of a "terrible noise"

8 month old with noisy breathing since 2 months of age

15 month old with a barky cough

3yr found in neighbor's swimming pool.

3yr with high fever and increased restlessness

3yr who is lethargic.

3 1/2yr after an ingestion

10yr boy with shortness of breath

Child CPR Simulator

Infant CPR Simulator

Pediatric Advanced Cardiac Life Support Megacode Simulator

Pediatric Advanced Life Support - Pediatric Advanced Cardiac Life Support Megacode Simulator

Pediatric Advanced Life Support Simulator: Case 1 - 24 month old female who is carried in by her mother. According to mom, the patient has a history of asthma and has had progressive shortness of breath for the last day. The child is blue, apneic and unresponsive.

Pediatric Advanced Life Support Simulator: Case 2 - 32 month old male who was reportedly electrocuted while playing with an electrical cord.

Pretest for ALS - Pediatric Education for Prehospital Professionals (PEPP) Course

Pretest for BLS - Pediatric Education for Prehospital Professionals (PEPP) Course

Simulated Interactive Pediatric Patient

Adolescent with leg pain

Blue Baby - Diagnosing the cause of cyanosis in a newborn

Child with a fever

Child with a sore throat

Child with an abdominal mass

Child with chronic constipation and pica

Cindy has a cold

Cranky child

Eric is Sick

Newborn with vomiting

Tommy's Testing - Evaluate a 10yr boy for learning difficulties.

Anesthesia and Respiratory Simulators

Airway Evaluation Tutorial - Interactive website intended to familiarize students with the airway examination.

Airway Quiz

Anesthesia Simulator 2002 - For anesthesiologists and nurse anesthetists to improve response to anesthetic emergencies through computer simulation. The simulator reproduces the anesthesia work environment on the screen of the computer and simulates responses of patients under your care. Many emergency situations will occur

Auscultation Assistant - Heart sounds, heart murmurs and breath sounds in order to help medical students and others improve their physical diagnosis skills.

Blood Gases Demo - Teaches some of the most difficult, yet most important material in medicine. Learn Aa gradient calculation and interpretation, bedside acid-base balance interpretation, bicarbonate dosage calculation and more. The program will even interpret blood gas values for you. (3.4MB)

Bullard laryngoscope Intubation - Interactive Airway Device Tutorials. University of Florida

Combitube Intubation - Interactive Airway Device Tutorials. University of Florida

Interactive Airway Device Tutorials - Animated airway tutorials on the Lighted stylet (Lightwand), Bullard laryngoscope, UpsherScope and the Combitube. These tutorials are designed as practical quick how-to references for people who want to learn to use these devices.

Intubation and Ventilation: Clinical Scenarios - 13 scenarios describing a different pathological process, which will lead to patients developing either ventilation or oxygenation (gas exchange) failure.

Lighted Stylet Tutorial - Interactive Airway Device Tutorials. University of Florida

MacGill Respiratory Physiology demo - [Zip]

Mechanical Ventilation Strategies - An intubated patient is admitted to ICU. You must prescribe a ventilation strategy.

Opening the Airway Simulation

Regional ABC Guide of the Lower Extremity - If you want to brush up on the relevant anatomy, remind yourself of a particular block technique, wonder how you should test your blocks, curious about alternatives, then this website is for you. Regional ABC is a hands-on, Web-based regional anesthesia guide from Duke University Medical Center. It focuses on regional anesthesia of the lower extremity and is designed to be a step-wise process. It is applicable to all peripheral nerve blocks and is essentially the mental checklist that you complete each time a block is performed. The components will vary from block to block, patient to patient depending upon clinical circumstances. It is thus an aid to the novice clinician who has yet to gain more comprehensive experience.

Relax - Designed to teach concepts about the pharmacology and clinical management of neuromuscular blockade. The software uses an interactive, problem-based approach and moves the user through cases in an operating room environment. Users prescribe specific neuromuscular blocking agent depending on the selected patient and indicated surgical procedure, then observe the clinical consequences.

Sedation Simulator 2002 Demo - Helps radiologists, oral surgeons, endoscopists, surgeons and nurses review the management of sedation. Simulated patients are presented and you must manage the airway, ventilation, fluids and medications. Many emergency situations will occur.

Summetric Interactive Software - Series of modules dealing with mechanical ventilators and ventilator patient scenarios. The modules have been designed for use as both a competency evaluation and cross-training tool for all allied health care providers.

The R.A.L.E. Repository - Digital recordings of respiratory sounds in health and disease.

Transesophageal Esophageal Echocardiography Curriculum (TEECHER) - An interactive software package designed to introduce the basic fundamentals of ultrasound and to the cardiac structures seen in standard single-plane transverse TEE.

Upsher Laryngoscope Intubation - Interactive Airway Device Tutorials. University of Florida

Ventilation and Perfusion Matching In The Lung - An interactive exercise for the teaching of Pulmonary Physiology to medical and graduate students. It is an advanced exercise that assumes that the students have a basic knowledge of the principals of gas exchange, the alveolar gas equation and of the oxyhemoglobin saturation curve.

Virtual Anesthesia Machine: Simulations in Anesthesia - The original, interactive and most advanced computer simulation of an anesthesia machine with visualization of gas flows inside the machine. Based on the internal schematics of previous anesthesia machine models.

Virtual Fabius GS Simulation - Interactive computer simulation of the new Draeger Fabius GS anesthesia system and provides insight into its innovative design.

Virtual Stethoscope - Tutorial on the physical exam with emphasis on auscultation; a brief review of selected cardiac and pulmonary physiology/pathophysiology topics; a virtual stethoscope interface for auscultating normal and abnormal cardiac and respiratory sounds.

Cardiac Simulators

AED Simulation

Auscultation Assistant - Heart sounds, heart murmurs and breath sounds in order to help medical students and others improve their physical diagnosis skills.

Basic EKG Rhythms - Learn more about the basic EKG or also called ECG rhythms

Blaufuss Medical Multimedia - Interactive multimedia tutorials and tests are available for aortic and mitral valve disease and for supraventricular tachycardias (SVTs), using actual patient sounds, video and custom animations.

Cardiac Trivia Challenge - Free, fun & engaging trivia game. Or give the longer 5 level Cardiac Trivia Game a try.

CESLab - Electrophysiologic simulator that goes from the cell to the body surface and maps cardiac depolarization in three dimensions. This program is aimed at electrophysiologists, but will be of interest to serious students of general electrocardiography. The program is not validated but does go a long way to demystify the electrocardiogram.

Computer Simulation and Visualization in the Cardiovascular System

Computer Simulations of Physiology & Cardiology

ECG Simulator - SkillStat's Six Second ECG.

Electrical Therapy Quiz

Heart sounds - WAV files of various normal and abnormal sounds.

HeartLab: FamilyPractice.com - Extensive text and icons to illustrate examination technique, describing both chest locations and patient maneuvers that are usually best to identify particular physical findings. Users can select the listening location to hear (simulated) normal and abnormal heart sounds and murmurs.

LVAD Simulator - Enter key patient cardiac and circulatory parameters to determine case-by-case LVAD performance.

MacGill Cardiovascular Simulation - [Zip]

McGill Virtual Stethoscope Project - Listen to heart sounds, murmurs, breath sounds and visualize them with spectra and shockwave animations.

MI / Stroke Quiz

MicroEKG Demo - Learn 12-lead ECG interpretation on your computer. Starts with basics and goes on to teach criteria for chamber enlargement, conduction blockages, arrhythmias, infarct location and age and much more. (3.5 MB)

Practice of Medicine: The Cardiac Exam - Demonstrates the cardiac examination on a healthy subject in this 18-minute video, giving descriptions on how to listen with the stethoscope and how to observe the patient.

Pulmonary Arterial Catheterization Simulator - Sophisticated simulation system intended for teaching medical and paramedical staff all the skills required for the safe use of pulmonary artery catheters (PAC).

Simulation of Cardiovascular Mechanics - [Zip]

Test Your Rhythm Recognition Skills - Each page has three EKG strips. Your mission is to identify each one of them. Simply click on the answer you believe is correct. You will receive either instant gratification or try again.

Virtual Cardiology - Prepared by 3rd year medical students and gives you first hand experience of cardiology cases. It is primarily intended for medical undergraduates during the early years of their training.

Surgery Simulators

ARTEMIS - Details of tele-presence systems which allow the surgeon to perform minimally invasive surgery remotely, via a multimedia interface.

Cardiothoracic Surgery Clinical Simulator - Put your quick decision making to the test for critical care problems.

Cardiothoracic Surgery Oral Boards on the Web - Test your clinical skills with the online mock oral examination.

Central Venous Canulation Simulator (VRML)

Computer Aided Surgery - Study original papers exploring all aspects of digital technology as applied to surgery. Register to gain full-text access to the library.

Computer Aided Surgery Online - Full text, searchable online edition of Computer Aided Surgery with preprints, forums and reference links to MEDLINE.

Endoscopy Learning Center - The Image Show Section is the easiest way of using this Endoscopy Learning Center. Just pick the organ or the disease You want to learn more about  and the just click forward or back to examine the images with their comments. The Quiz Section is a fascinating way of learning and recognizing images seen during endoscopic examinations.

Liver Biopsy Simulator (VRML)

Lumbar Puncture Simulator (VRML)

Mainprize's Surgical Tutorials - A case is outlined as it presents to the surgeon and you are then asked questions on the investigation and management of the patient as the case develops.

Pedicle Screw Insertion Simulator (VRML)

Surgery Online Large site covering surgery on the internet. With advice about putting your own site onto the net and papers about surgery.

Tele-Manipulation for Minimally Invasive Surgery - A research project analyzing surgical techniques. You can look at pictures of project instruments.

Trigeminal Neuralgia Simulator (VRML)

Ventricular Catheterization Simulator (VRML)

Web-Based Surgical Simulators and Medical Education Tools - Provides a resource for online surgical training and medical education tools.

Miscellaneous Simulators

AIDA Diabetes Simulator - Program which allows interested patients with diabetes and their relatives, as well as health-care professionals and students to experiment with insulin dosage and dietary adjustments on their own computers.

Brain Teasers - Sharpen your diagnostic and decision making skills which are so crucial to EMS training and practice.

Clinical Case Simulation in Gynecology - [Zip]

Clinical Case Simulation Inotropic Therapy - [Zip]

Clinical Problem Solving Cases - American College of Physicians. Interactive cases in various subspecialties of internal medicine. Review patient assessments, order tests, prescribe treatments, respond to outcomes and receive expert feedback on your decisions.

Clinical Simulation in Obstetrics - [Zip]

Diabetic Ketoacidosis Management - [Zip]

DKA, Diabetic Ketoacidosis Simulation - A DOS based program with many different cases to try and treat.

Enhanced Neurological Eye Simulator - This is a minor enhancement of the original neurological eye simulator that improves the resolution of the graphics, adds CNIII palsy eyelid ptosis and blue eyes.

Environmental Medicine: Case 1 - 8yr girl c/o stomach cramps and constipation. Mother states she's listless and irritable. She is potentially exposed to a variety of environmental toxins.

Environmental Medicine: Case 2 - 38yr maintenance man presents with non-specific symptoms of fatigue, headache and dizziness. He has potential exposures to several environmental toxicants.

Environmental Medicine: Case 3 - 28yr pregnant woman with a history of spontaneous abortion c/o fatigue, nausea, headaches, vaginal spotting and hand numbness. She is exposed to pesticides through several exposure pathways.

Environmental Medicine: Case 4 - 30yr woman with symptoms of shortness of breath, cough, fever and lethargy. She had been hospitalized for pneumonia one month earlier. She has potential exposures at home as well as in her workplace.

Frank: Biochemistry - Identify the disease (s) which Frank is currently manifesting and its underlying pathology.

Interactive Body Guide - A visually interactive tool that enables viewers to navigate between the 12 systems of the male and female bodies.

Interactive Clinical Experience - Simulated patient scenarios are based on lifelike patient situations and are supported by clinical evidence. In these scenarios the patient presents with certain symptoms and the user acts as the treating physician, determining a differential diagnosis, selecting laboratory and diagnostic tests, evaluating the results of those tests, making a final diagnosis and determining the treatment plan.

Interactive Human Atlas - The world's largest library of 3D medical animations. The atlas features rotating models, labeled slides, and printable text in addition to animated videos.

Life Like Models - Portal for medical models, simulators and virtual reality medical applications. Contains complete list of manufacturers and vendors selling manikins, surgical trainers and other simulators.

MacGill Drug Kinetics Simulation - [Zip]

MacGill Renal Physiology Simulation - [Zip]

Management of Hypercholesterolemia - A 52yr female has a persistently elevated LDL cholesterol level despite a reduced saturated fat, high soluble fiber diet, and the use of atorvastatin and colesevelam. How would you manage this case?

Neurological Case: The Upset Office Manager - 48yr woman with nausea and vomiting after being emotionally upset. After 3 hours of nausea and vomiting she had the sudden onset of numbness of her left arm which progressed to her left leg and the left side of her face.

Neurological Eye Simulator - It simulates interactive eye motion and allows various neurological pathologies to be simulated.

Painless: Pain Management Simulation You will be in charge of caring for a post-op cancer patient administering, adjusting and monitoring his medication.

Pharmacologic Therapy Quiz

Renal Problems and Fluid Balance - A number of clinical scenarios in which patients developed oliguria or renal failure.

Shock: Clinical Scenarios - Critical Care Medicine Tutorials



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