• Volume I:
  First Thirty Minutes
  • Section 1
    Acute Care Algorithm/ Treatment Plans/ Acronyms
    • CALS Approach
      • CALS Universal Approach
      • Patient Transport
    • Airway
      • Rapid Sequence Intubation Algorithm/Rescue Airways
      • Endotracheal Intubation FlowSheet
      • Rapid Sequence Intubation Medications
      • Rapid Sequence Intubation Drug Calculator
      • Rapid Sequence Intubation Dosage Chart
      • Obstructed Airway Algorithm Adult and Pediatric
      • Initial Laboratory Studies
    • Cardiovascular
      • CPR Steps for Adults, Children, and Infants
      • Automated External Defibrillator Algorithm
      • Ventricular Fibrillation-Pulseless Ventricular Tachycardia Algorithm
      • Pulseless Electrical Activity Algorithm-Adult and Peds
      • Asystole Algorithm-Adult and Peds
      • Bradycardia Algorithm
      • Tachycardia Algorithm
      • Atrial Fibrillation/Atrial Flutter Algorithm
      • Electrical Cardioversion Algorithm-Adult and Pediatric
      • Chest Pain Evaluation Algorithm
    • Emergency Preparedness
      • Therapeutic Hypothermia
      • Mobilization Checklist
      • Symptom Recognition-Therapy
      • Blast Injuries
    • Fluids & Electrolytes
      • Causes of Anion and Non-Anion Gap Acidosis
    • Infection
      • Sepsis Guidelines
    • Neonatal
      • Neonatal Resuscitation Algorithm
      • Inverted Triangle-APGAR Score
      • Drugs in Neonatal Resuscitation Algorithm
    • Neurology
      • Altered Level of Consciousness
      • Glasgow Coma Scale-Adult, Peds,Infant
      • Tips From the Vowels Acronym
      • NIH Stroke Scale (Abbreviated)
      • Status Epilepticus Treatment Plan
    • Obstetrics
      • Postpartum Hemorrhage Algorithm
      • Shoulder Dystocia—HELPERR
      • Vacuum Delivery Acronym-ABCDEFGHIJ
    • Ophthalmology
      • Central Retinal Artery Occlusion
      • Chemical Burn Exposure to Eye
    • Pediatrics
      • Pediatric Equipment Sizes
      • Modified Lund Browder Chart
    • Trauma
      • Shock Acronym-Shrimpcan
      • Burn Management Treatment Plan
      • Initial Care of Major Trauma
      • Trauma Flow Sheet
  • Section 2
    Universal Approach
    • CALS Universal Approach To Emergency Advanced Life Support
  • Section 3
    Steps 1-6
    • Steps 1-6
    • Step 1: Activate the Team
    • Step 2: Immediate Control and Immobilization
    • Step 3: Initial Survey
    • Step 3: Simultaneous Team Action By Team Members
    • Step 4: Preliminary Clinical Impression
    • Step 5: Working Diagnosis and Disposition
    • Step 6: Team Process and Review
  • Section 4
    Preliminary Impression/Focused Clinical Pathways
    • Pathway 1: Altered Level of Consciousness (Adult and Pediatric)
    • Pathway 2: Cardiovascular Emergencies (Adult and Pediatric)
    • Pathway 3: Gastrointestinal/Abdominal Emergencies (Adult and Pediatric)
    • Pathway 4: Neonatal Emergencies
    • Pathway 5: Obstetrical Emergencies
    • Pathway 6: Adult Respiratory
    • Pathway 7: Pediatric Respiratory
    • Pathway 8: Adult Trauma (Secondary Survey for Adults)
    • Pathway 9: Pediatric Trauma (Secondary Survey for Trauma in Children)
• Volume II:
  Resuscitation Procedures
  • Section 5
    Airway Skills
    • Airway Skills 1: Aids to Intubation
    • Airway Skills 2: Bag-Valve-Mask Use
    • Airway Skills 3: Orotracheal Intubation
    • Airway Skills 4: Rapid Sequence Intubation
    • Airway Skills 5: Cricoid Pressure and the BURP Technique
    • Airway Skills 6: Esophageal Tracheal Combitube
    • Airway Skills 7: King Airway
    • Airway Skills 8: Intubating Laryngeal Mask Airway
    • Airway Skills 9: Nasotracheal Intubation
    • Airway Skills 10: Topical Anesthesia
    • Airway Skills 11: Retrograde Intubation
    • Airway Skills 12: Tracheal Foreign Body Removal
    • Airway Skills 13: Cricothyrotomy
    • Airway Skills 14: Tracheotomy
    • Airway Skills 15: Tracheotomy in Infants
    • Airway Skills 16: Transtracheal Needle Ventilation
  • Section 6
    Breathing Skills
    • Section 6 Breathing Skills Portals
    • Breathing Skills 1: Chest Tube Insertion
    • Breathing Skills 2: Chest Suction and Autotransfusion
    • Breathing Skills 3: Endobronchial Tube
    • Breathing Skills 4: Heliox
    • Breathing Skills 5: Needle Thoracostomy
  • Section 7
    Circulation Skills
    • Section 7 Circulation Skills Portals
    • Circulation Skills 1: Arterial and Venous Catheter Insertion
    • Circulation Skills 2: Central Venous Access
    • Circulation Skills 3: Central Venous Pressure Measurement
    • Circulation Skills 4: Emergency Thoracotomy
    • Circulation Skills 5: Intraosseous Needle Placement (Adult)
    • Circulation Skills 6: Pericardiocentesis
    • Circulation Skills 7: Rewarming Techniques
    • Circulation Skills 8: Saphenous Vein Cutdown
    • Circulation Skills 9: Transvenous Cardiac Pacing
  • Section 8
    Disability Skills
    • Section 8 Disability Skills Portals
    • Disability Skills 1: Skull Trephination
    • Disability Skills 2: Raney Scalp Clips
  • Section 9
    Trauma Skills
    • Trauma Skills Portals
    • Trauma Skills 1: Compartment Pressure Measurement
    • Trauma Skills 2: Femur Fracture Splinting
    • Trauma Skills 3: Pelvic Fracture Stabilization
    • Trauma Skills 4: Suprapubic Cystostomy
  • Section 10
    X-Rays Skills
    • X-ray Skills 1: Cervical Spine Rules and Use of Imaging Portal
    • X-ray Skills 2: Cervical Spine X-ray Interpretation
    • Xray Skills 3: Interpretation of a Pelvic X-ray
• Volume III:
  Definitive Care
  • Section 11
    Airway
    • Rapid Sequence Intubation Portal
    • Airway Obstruction Portal
    • Heliox Treatment Portal
    • Ventilator Management Portal
    • Noninvasive Ventilatory Support Portal
    • Inspiratory Impedance Threshold Device Portal
    • Status Asthmaticus Portal
    • Anaphylaxis Portal
  • Section 12
    Cardiovascular
    • Cardiovascular 1: Classification of Pharmacological (Therapeutic) Interventions Portal
    • Cardiovascular 2: Cardiac Rhythms Portal
    • Cardiovascular 3: Pharmacology of Cardiovascular Agents Portal
    • Cardiovascular 4: Endotracheal Drug Delivery
    • Cardiovascular 5: Ventricular Fibrillation/Pulseless Ventricular Tachycardia Portal
    • Cardiovascular 6: Pulseless Electrical Activity Portal
    • Cardiovascular 7: Asystole Treatment Portal
    • Cardiovascular 8: Tachycardia Treatment Portal
    • Cardiovascular 9: Electrical Cardioversion Portal
    • Cardiovascular 10: Bradycardia Treatment Portal
    • Cardiovascular 11: Acute Coronary Syndromes Portal (Acure Ischemic Chest Pain)
    • Cardiovascular 12: Acute Heart Failure Portal
    • Cardiovascular 13: Hypertensive Crises Portal
    • Cardiovascular 14: Digitalis Toxicity Portal
    • Cardiovascular 15: Long QT Syndrome Portal
    • Cardiovascular Diagnostic Treatment Portals
  • Section 13
    Emergency Preparedness
    • Emergency Preparedness 1: Community-Wide Collaboration Portal
    • Emergency Preparedness 2: Approaches to Planning
    • Emergency Preparedness 3: Hazard Vulnerability Analysis Portal
    • Emergency Preparedness 4: Incident Command System Portal
    • Emergency Preparedness 5: Emergency Management Program Portal
    • Emergency Preparedness 6: Basic All Hazards Response Portal
    • Emergency Preparedness 7: Rapid and Efficient Mobilization Portal
    • Emergency Preparedness 8: Emergency Event Response Classifications Portal
    • Emergency Preparedness 9: Triage Portal
    • Emergency Preparedness 10: Surge Capacity Planning and Scarce Resources Guidelines
    • Emergency Preparedness 11: Glossary of Terms
    • Emergency Preparedness 12: Resources
    • Emergency Preparedness 13: Introduction to Nuclear, Biological, and Chemical Warfare
    • Emergency Preparedness 14: Nuclear Devices Portal
    • Emergency Preparedness 15: Acute Radiation Syndrome Portal
    • Emergency Preparedness 16: Biological Agents Portal
    • Emergency Preparedness 17: Chemical Agents Portal
    • Emergency Preparedness 18: Explosion and Blast Injuries Portal
    • Emergency Preparedness 19: Patient Isolation Precautions
    • Emergency Preparedness 20: Additional References and Resources
  • Section 14
    Endocrine and Metabolic
    • Endocrine and Metabolic 1: Adrenal Crisis Portal
    • Endocrine and Metabolic 2: Diabetic Ketoacidosis Portal
    • Endocrine and Metabolic 3: Myxedma Coma (Severe Hypothyroidism) Portal
    • Endocrine and Metabolic 4: Thyroid Storm Portal (Severe Thyrotoxicosis/Hyperthyroidism)
    • Endocrine and Metabolic 5: Hyperosmolar (Hyperglycemic) Non-Ketotic State Portal
    • Endocrine and Metabolic 6: Acid-Base Portal Concepts and Clinical Considerations
    • Endocrine and Metabolic 7: Disorders of Electrolyte Concentration Portal
  • Section 15
    Environmental
    • Environmental 1: Hypothermia Portal
    • Environmental 2: Hyperthermia/Heat Stroke Portal
    • Environmental 3: Burns Management Portal
    • Environmental 4: Near Drowning Portal
    • Environmental 5: High Altitude Illness Portal
    • Environmental 6: Snake Bite Portal
  • Section 16
    Farming
    • Farming 1: Respiratory Illnesses Portal
    • Farming 2: Farm Wounds/Amputation Portal
    • Farming 3: Chemical Exposures Portal
  • Section 17
    Gastrointestinal/
    Abdominal
    • Gastrointestinal/Abdominal 1: Esophageal Varices Portal
  • Section 18
    Geriatrics
    • Geriatrics 1: General Aging Portal
  • Section 19
    Infection
    • Infection 1: Adult Pneumonia
    • Infection 2: Meningitis Portal
    • Infection 3: Sepsis in Adults Portal
    • Infection 4: Abdominal Sepsis Portal
    • Infection 5: Tetanus Immunization Status Portal
  • Section 20
    Neonatal
    • Neonatal 1: Neonatal Resuscitation Algorithm
    • Neonatal 2: Drugs in Neonatal Resuscitation
    • Neonatal 3: Meconium Suctioning Portal
    • Neonatal 4: Umbilical Artery and Vein Cannulation Portal
    • Neonatal 5: Inverted Triangle/Apgar Score Portal
    • Neonatal 6: Meningitis/Sepsis in Newborn Portal
    • Neonatal 7: Respiratory Distress Syndrome Scoring System Portal
  • Section 21
    Neurology
    • Neurology 1: Status Epilepticus Portal
    • Neurology 2: Stroke Portal
    • Neurology 3: NIH Stroke Scale Portal
    • Neurology 4: Phenytoin and Fosphenytoin Loading Portal
    • Neurology 5: Increased Intracranial Pressure Portal
  • Section 22
    Obstetrics
    • Obstetrics 1: Physiology of Pregnancy Portal
    • Obstetrics 2: Ultrasound Use Portal
    • Obstetrics 3: Bleeding in Early Pregnancy/Miscarriage Portal
    • Obstetrics 4: Dilatation and Curettage Portal
    • Obstetrics 5: Fetal Heart Tone Monitoring Portal
    • Obstetrics 6: Preterm Labor Management Portal
    • Obstetrics 7: Bleeding in the Second Half of Pregnancy Portal
    • Obstetrics 8: Hypertension In Pregnancy Portal
    • Obstetrics 9: Trauma in Pregnancy Portal
    • Obstetrics 10: Emergency Cesarean Section Portal
    • Obstetrics 11: Imminent Delivery Portal
    • Obstetrics 12: Malpresentations and Malpositions: Breech, Occiput Posterior Portal
    • Obstetrics 13: Assisted Delivery Portal
    • Obstetrics 14: Shoulder Dystocia Portal
    • Obstetrics 15: Third-stage and Postpartum Emergencies Portal
    • Obstetrics 16: Thromboembolic Disease and Pregnancy Portal
  • Section 23
    Pediatrics
    • Pediatrics 1: Physiologic and Anatomic Considerations Portal
    • Pediatrics 2: Tracheal Foreign Body Portal
    • Pediatrics 3: Epiglottitis Portal
    • Pediatrics 4: Laryngotracheal Bronchitis (Croup) Portal
    • Pediatrics 5: Bacterial Tracheitis Portal
    • Pediatrics 6: Bronchiolitis Portal
    • Pediatrics 7: Pneumonia Portal
    • Pediatrics 8: Sepsis Portal
    • Pediatrics 9: Meningitis Portal
    • Pediatrics 10: Diphtheria Portal
    • Pediatrics 11: Glasgow Coma Scale Portal
    • Pediatrics 12: Intraosseous Vascular Access
  • Section 24
    Sedation/
    Pain Control/
    Anesthesia
    • Sedation/Pain Control/Anesthesia 1: Procedural Sedation
    • Sedation/Pain Control/Anesthesia 2: Management of Combative, Agitated, Delirious Patients
    • Sedation/Pain Control/Anesthesia 3: Malignant Hyperthermia Portal
  • Section 25
    Toxicology
    • Toxicology 1: Systematic Approach
    • Toxicology 2: Essential Antidotes Portal
    • Toxicology 3: Acetaminophen Overdose Portal
    • Toxicology 4: Aspirin Overdose Portal
    • Toxicology 5: Tricyclic Antidepressants Overdose Portal
    • Toxicology 6: Beta Blocker Toxicity Portal
    • Toxicology 7: Calcium Channel Blocker Toxicity Portal
    • Toxicology 8: Bendodiazepine Overdose Portal
    • Toxicology 9: Alcohol Withdrawal Portal
    • Toxicology 10: Toxic Alcohols: Methanol and Ethylene Glycol
    • Toxicology 11: Cocaine Ingestion Portal
    • Toxicology 12: Narcotic Overdose Portal
    • Toxicology 13: Amphetamine Analog Intoxication Portal
    • Toxicology 14: Iron Ingestion Portal
    • Toxicology 15: Carbon Monoxide Poisoning Portal
    • Toxicology 16: Hyperbaric Oxygen and Normobaric Oxygen
    • Toxicology 17: Cyanide Poisoning Portal
    • Toxicology 18: Organophosphates Toxicity Portal
  • Section 26
    Trauma Care
    • Trauma Care 1: Shock Portal
    • Trauma Care 2: Shock Evaluation Overview Portal
    • Trauma Care 3: Use of Hemostatic Agents to Control Major Bleeding Portal
    • Trauma Care 4: Severe Traumatic Brain Injury—Adult 
    • Trauma Care 5: Severe Traumatic Brain Injury—Pediatric
    • Trauma Care 6: Compartment Syndrome
  • Section 27
    Tropical Medicine
    • Tropical Medicine 2: Introduction
    • Tropical Medicine 3: Fever and Systemic Manifestations
    • Tropical Medicine 4: Gastrointestinal and Abdominal Manifestations
    • Tropical Medicine 5: Dermatological Manifestations
    • Tropical Medicine 6: Muscular Manifestations (Including Myocardium)
    • Tropical Medicine 7: Neurological Manifestations
    • Tropical Medicine 8: Ocular Manifestations
    • Tropical Medicine 9: Pulmonary Manifestations
    • Tropical Medicine 10: Urogenital Manifestations
    • Tropical Medicine 11: Disorders of Nutrition and Hydration
    • Tropical Medicine 12: Medicine in Austere Environs
    • Tropical Medicine 13: Antiparasitic Primer
    • Tropical Medicine 14: Concise Parasitic Identification
    • Tropical Medicine 15: Bibliography
  • Section 28
    Ultrasound
    • Ultrasound 1: Emergency Ultrasound Applications Portal
    • Ultrasound 2: Emergency Ultrasound Techniques Portal

Acute Care 37: Central Retinal Artery Occlusion

Central Retinal Artery Occlusion (CRAO)

Painless Vision Loss

Examination of Fundi

Constricted Arterioles Cherry Red Macular Spot

Perform Intermittent On/Off Digital Ballotment of the Globe for 5 to 30 Minutes. Consult with Ophthalmology.

Edition 13-October 2011