ACEM Primary interactive diagrams

88 interactive teaching figures mapped to 66 ACEM Primary learning objectives. Each diagram opens inside the matching note in Primex.

Section anatomy

Brachial plexus

ANAT-47.4 Dermatomes & myotomes

Dermatomes & myotomes — Brachial plexus — Level 1

Dermatomes and peripheral nerve territories of the upper limb

ANAT-45.5 Dermatomes & myotomes

Dermatomes & myotomes — Motor innervation (myotomes) of upper limb — Level 1

Radiation physics — X-rays, ionising radiation and radiation protection

ANAT-12 Chest X-ray — finding recognition + Chest X-ray — normal anatomy

Chest X-ray — finding recognition + Chest X-ray — normal anatomy — Medical imaging techniques — Level 2

Spinal cord

ANAT-32.1 Dermatomes & myotomes

Dermatomes & myotomes — Spinal cord — Level 1

Spinal nerve roots

ANAT-32.2 Dermatomes & myotomes

Dermatomes & myotomes — Spinal nerve roots — Level 1

Section pathology

Abnormalities in acid-base balance

PATH-16.6 Anion gap and delta ratio + ABG interpretation algorithm

Anion gap and delta ratio + ABG interpretation algorithm — Abnormalities in acid-base balance — Level 2

Adrenal cortex and medulla

PATH-18.5 Hypothalamic-pituitary-adrenal axis

Hypothalamic-pituitary-adrenal axis — Adrenal cortex and medulla — Level 2

Endocrine pancreas

PATH-18.4 Glucose homeostasis

Glucose homeostasis — Endocrine pancreas — Level 2

Fibrinolysis and its regulation

PATH-4.4 Coagulation cascade

Coagulation cascade — Thrombosis — Level 1

General features of the immune system

PATH-5.1 Complement cascade & hypersensitivity I–IV

Complement cascade & hypersensitivity I–IV — General features of the immune system — Level 2

Haemostasis (PATH-4.5)

PATH-4.5 Coagulation cascade

Coagulation cascade — Haemostasis — Level 1

Hypersensitivity reactions

PATH-5.2 Complement cascade & hypersensitivity I–IV

Complement cascade & hypersensitivity I–IV — Hypersensitivity reactions — Level 1

Intracranial pressure — Monro-Kellie doctrine

PATH-20.2 Monro-Kellie intracranial volume + ICP curve

Monro-Kellie intracranial volume + ICP curve — Cerebral oedema and raised intracranial pressure — Level 1

Myocardial oxygen supply and demand — determinants, coronary autoregulation and ischaemia physiology

PATH-10.2 ECG — coronary territories

ECG — coronary territories — Ischaemic heart disease — Level 1

Pulmonary embolism — pathophysiology, risk factors

PATH-12.3 Spirometry — V-t + flow-volume loop + Flow-volume loop pattern trainer

Spirometry — V-t + flow-volume loop + Flow-volume loop pattern trainer — Obstructive airways disease — Level 1

Shock — cardiovascular responses and compensation

PATH-4.8 Shock & sepsis haemodynamic profiles

Shock & sepsis haemodynamic profiles — Shock — Level 1

Tubular and interstitial disease

PATH-16.2 Acute kidney injury staging

Acute kidney injury staging — Tubular and interstitial disease — Level 2

Urinary tract obstruction

PATH-16.4 Acute kidney injury staging

Acute kidney injury staging — Urinary tract obstruction — Level 1

Section physiology-cvs

Cardiac cycle and pressure-volume relationships

PHYS-HEART-5 Ventricular pressure-volume loop + PV loop — valve lesions

Ventricular pressure-volume loop + PV loop — valve lesions — Mechanical events of the cardiac cycle — Level 1

Cardiac excitation

PHYS-HEART-1 Cardiac action potential

Cardiac action potential — Cardiac excitation — Level 1

Cardiac output and its determinants

PHYS-HEART-6 Frank-Starling curve

Frank-Starling curve — Cardiac output — Level 1

Cerebral blood flow and autoregulation

PHYS-CIRC-8 Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve

Cerebral autoregulation (CBF vs MAP / PaCO₂ / PaO₂) + Monro-Kellie intracranial volume + ICP curve — Cerebral circulation — Level 1

Coronary blood flow and autoregulation

PHYS-CIRC-9 ECG — coronary territories

ECG — coronary territories — Coronary circulation — Level 1

ECG — systematic interpretation, axis deviation, conduction abnormalities and arrhythmia recognition

PHYS-HEART-2 ECG mean QRS axis determination + ECG rhythm recognition trainer + ECG identify drill (real 12-leads) + ECG — coronary territories

ECG mean QRS axis determination + ECG rhythm recognition trainer + ECG identify drill (real 12-leads) + ECG — coronary territories — The electrocardiogram — Level 1
PHYS-HEART-4 ECG mean QRS axis determination + ECG rhythm recognition trainer + ECG identify drill (real 12-leads) + ECG — coronary territories

ECG mean QRS axis determination + ECG rhythm recognition trainer + ECG identify drill (real 12-leads) + ECG — coronary territories — Electrocardiographic findings in other diseases — Level 1

Haemostasis (PHYS-BLD-7)

PHYS-BLD-7 Coagulation cascade

Coagulation cascade — Haemostasis — Level 1

Platelet function and primary haemostasis

PHYS-BLD-4 Coagulation cascade

Coagulation cascade — Platelets — Level 1

Section physiology-endo

Control of anterior pituitary secretion

PHYS-PITT-1 Hypothalamic-pituitary-adrenal axis

Hypothalamic-pituitary-adrenal axis — Control of anterior pituitary secretion — Level 2

Glucagon

PHYS-END-GLU Glucose homeostasis

Glucose homeostasis — Glucagon — Level 1

Glucocorticoids

PHYS-END-GC Hypothalamic-pituitary-adrenal axis

Hypothalamic-pituitary-adrenal axis — Glucocorticoids — Level 1

Insulin

PHYS-END-INS Glucose homeostasis

Glucose homeostasis — Insulin — Level 1

Regulation of insulin secretion

PHYS-END-INSR Glucose homeostasis

Glucose homeostasis — Regulation of insulin secretion — Level 1

The renin-angiotensin system

PHYS-END-RAAS Renin-angiotensin-aldosterone system

Renin-angiotensin-aldosterone system — The renin-angiotensin system — Level 1

Section physiology-resp

Diffusion of respiratory gases — Fick's law

PHYS-RESP-9 Oxygen cascade — atmosphere to mitochondrion

Oxygen cascade — atmosphere to mitochondrion — Gas diffusion — Level 1

Gas transport by the blood and to tissues

PHYS-RESP-10 Oxygen cascade — atmosphere to mitochondrion

Oxygen cascade — atmosphere to mitochondrion — Gas transport by the blood and to tissues — Level 1

Respiratory aspects of acid-base balance

PHYS-RESP-11 Davenport acid-base diagram + Anion gap and delta ratio + ABG interpretation algorithm

Davenport acid-base diagram + Anion gap and delta ratio + ABG interpretation algorithm — Respiratory aspects of acid-base balance — Level 1

Ventilation-perfusion relationships and West zones

PHYS-RESP-8 V/Q distribution (West / Riley)

V/Q distribution (West / Riley) — Ventilation-perfusion relationships — Level 1

Section physiology-renal

Fluid compartments and distribution

PHYS-RENAL-7 Sodium & water disorders + IV fluid composition

Sodium & water disorders + IV fluid composition — Tonicity — Level 1

Glomerular filtration rate and its regulation

PHYS-RENAL-3 Starling capillary forces + Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging

Starling capillary forces + Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging — Glomerular filtration — Level 1
PHYS-RENAL-2 Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging

Renal autoregulation (RBF + GFR vs MAP) + Acute kidney injury staging — Renal circulation — Level 1

Renal concentrating and diluting mechanisms

PHYS-RENAL-5 Nephron + diuretic sites + Acute kidney injury staging

Nephron + diuretic sites + Acute kidney injury staging — Renal function disorder and diuretics — Level 1

The renin-angiotensin system (renal)

PHYS-RENAL-10 Nephron + diuretic sites + Renin-angiotensin-aldosterone system + Acute kidney injury staging

Nephron + diuretic sites + Renin-angiotensin-aldosterone system + Acute kidney injury staging — The renin-angiotensin system (renal) — Level 1

Tubular function and regulation

PHYS-RENAL-4 Nephron + diuretic sites + Acute kidney injury staging

Nephron + diuretic sites + Acute kidney injury staging — Tubular function and regulation — Level 1

Section pharmacology-general

Pharmacodynamics — dose response

PHARM-1.2.4 Dose-response curves

Dose-response curves — Pharmacodynamics — dose response — Level 1

Pharmacokinetics — absorption

PHARM-1.1.1 Concentration–time curves & steady state

Concentration–time curves & steady state — Pharmacokinetics — absorption — Level 1

Pharmacokinetics — biotransformation

PHARM-1.1.3 CYP450 inducer / inhibitor map

CYP450 inducer / inhibitor map — Pharmacokinetics — biotransformation — Level 1

Pharmacokinetics — distribution

PHARM-1.1.2 PK compartment models

PK compartment models — Pharmacokinetics — distribution — Level 1

Pharmacokinetics — elimination kinetics

PHARM-1.1.4 PK compartment models + Concentration–time curves & steady state

PK compartment models + Concentration–time curves & steady state — Pharmacokinetics — elimination kinetics — Level 1

Section pharmacology-cvs

Antiarrhythmic agents — sodium channel blockers class 1b

PHARM-3.3.1.2 Use-dependent Na channel block + Cardiac action potential

Use-dependent Na channel block + Cardiac action potential — Antiarrhythmic agents — sodium channel blockers class 1b — Level 1

Diuretics — loop diuretics

PHARM-3.6.1 Nephron + diuretic sites

Nephron + diuretic sites — Diuretics — loop diuretics — Level 1

Drugs affecting haemostasis — anti-platelet agents

PHARM-3.7.1 Coagulation cascade

Coagulation cascade — Drugs affecting haemostasis — anti-platelet agents — Level 1

Drugs affecting haemostasis — anticoagulants

PHARM-3.7.2 Coagulation cascade

Coagulation cascade — Drugs affecting haemostasis — anticoagulants — Level 1

Thrombolytics — tPA, mechanism, indications and contraindications

PHARM-3.7.3 Coagulation cascade

Coagulation cascade — Drugs affecting haemostasis — thrombolytics — Level 1

Section pharmacology-ns

Antidepressives — lithium

PHARM-4.6.4 Psychotropic receptor profiles & dopamine pathways

Psychotropic receptor profiles & dopamine pathways — Antidepressives — lithium — Level 1

Antidepressives — serotonin re-uptake inhibitors

PHARM-4.6.2 Psychotropic receptor profiles & dopamine pathways

Psychotropic receptor profiles & dopamine pathways — Antidepressives — serotonin re-uptake inhibitors — Level 2

Antidepressives — tricyclics

PHARM-4.6.1 Psychotropic receptor profiles & dopamine pathways

Psychotropic receptor profiles & dopamine pathways — Antidepressives — tricyclics — Level 1

Antipsychotic agents

PHARM-4.5 Psychotropic receptor profiles & dopamine pathways

Psychotropic receptor profiles & dopamine pathways — Antipsychotic agents — Level 2

Suxamethonium — mechanism, side effects, contraindications

PHARM-4.4.2 Train-of-four monitoring

Train-of-four monitoring — General anaesthesia — muscle relaxants — Level 1

Section pharmacology-antimicrobial

Antimicrobial agents — aminoglycosides

PHARM-5.3 Antimicrobial PK/PD targets

Antimicrobial PK/PD targets — Antimicrobial agents — aminoglycosides — Level 1

Antimicrobial agents — beta lactam agents

PHARM-5.2 Antimicrobial PK/PD targets

Antimicrobial PK/PD targets — Antimicrobial agents — beta lactam agents — Level 1

Antimicrobial agents — principles of action

PHARM-5.1 Antimicrobial PK/PD targets

Antimicrobial PK/PD targets — Antimicrobial agents — principles of action — Level 1

Carbon monoxide poisoning — CO-haemoglobin physiology, tissue hypoxia, pulse oximetry limitations and hyperbaric oxygen

PHARM-10.3 Toxidrome discriminator grid

Toxidrome discriminator grid — Toxidromes — Level 1

Section pharmacology-endocrine

Steroids

PHARM-7.2 Hypothalamic-pituitary-adrenal axis

Hypothalamic-pituitary-adrenal axis — Steroids — Level 1

Section pharmacology-other

Analgesics — steroids

PHARM-9.4 Hypothalamic-pituitary-adrenal axis

Hypothalamic-pituitary-adrenal axis — Analgesics — steroids — Level 1

Section pharmacology-fluids

Fluids and electrolytes — intravenous fluid solutions

PHARM-11.1 Sodium & water disorders + IV fluid composition

Sodium & water disorders + IV fluid composition — Fluids and electrolytes — intravenous fluid solutions — Level 1

Fluids and electrolytes — potassium

PHARM-11.2 Sodium & water disorders + IV fluid composition

Sodium & water disorders + IV fluid composition — Fluids and electrolytes — potassium — Level 1

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