7A002E - Emergency and Acute Presentations - The Undifferentiated Patients 01 Sep 2027 - 31 Aug 2033 | Version 0

Associated Module Information

Module Code: 7A002E
Module Title: Emergency and Acute Presentations - The Undifferentiated Patients
Faculty: Faculty of Life Sciences and Education
Faculty Group: Nursing and Allied Health
Faculty Sub Group: Nursing and Allied Health
Module Leader: Karl New
Module Team:
First Intended Intake: SEP 2027 Final Year of Intake: 2032
Date Closed:
Credit Value: 20 Credit Level: 7
Language: English
Percentage of Module Taught in Welsh: 0
Equivalent Module:
HECOS codes: 100258 - clinical physiology
HECOS Code Weighting: 100

Document Version Information

Version 0
Valid From 01 Sep 2027
Valid To 31 Aug 2033

Module Aims

The main aims of the module are: 

  • To develop advanced presentation-based clinical reasoning aligned to the undifferentiated-patient approach of emergency medicine practice. 

  • To critically examine the investigation and evidence-based management of high-risk and high-frequency emergency presentations across major body systems. 

  • To apply systematic approaches to diagnostic uncertainty, including the interpretation of investigations, imaging, and risk stratification tools, to support safe clinical decision-making in emergency settings. 

Content Summary

This module develops the advanced clinical reasoning skills required to assess and manage patients who present to the emergency department without a clear diagnosis. Using a presentation-based approach, students will learn to work systematically from symptoms and signs towards safe, evidence-based management decisions in high-pressure and uncertain clinical environments. 

Students will explore common and high-risk emergency presentations across cardiovascular, respiratory, neurological, gastrointestinal, endocrine, renal, and infectious disease domains. The module covers conditions such as chest pain, breathlessness, stroke, sepsis, abdominal pain, and metabolic emergencies, while helping students develop expertise in diagnostic reasoning, risk stratification, investigation interpretation, and safety-netting. Particular emphasis is placed on recognising atypical presentations, avoiding diagnostic error, and managing diagnostic uncertainty. 

This module strengthens students’ ability to assess the undifferentiated patient safely and confidently. It provides a critical bridge between the foundational principles of emergency medicine and the more advanced trauma, resuscitation, and critical care components of the course. 

Learning and Teaching Methods

Activity Type Hours
Seminars 40
Independent Study 80
Directed Study 40
Problem/Challenge based learning 40
Total Hours Selected 200

Learning Outcomes

# Learning Outcome
LO1 Critically synthesise advanced pathophysiological knowledge across multiple domains to construct systematic, presentation-based clinical reasoning frameworks for undifferentiated patients
LO2 Critically evaluate the diagnostic process in emergency medicine to formulate, justify, and communicate safe and effective management decisions for complex, undifferentiated patients.

Module Requisites

N/A

Assessment Criteria

Assessment Category Assessment Type Description Duration Word Count Weight (%) Best of? Pass Mark
Asynchronous Assessment Case study N/A 0 2500 40 No 40
Asynchronous Assessment Project N/A 0 100 20 No 40
Asynchronous Assessment Self Reflective Assessment 1 N/A 0 600 10 No 40
Synchronous Online Assessment  Classroom Test - Time Constrained (Online)  N/A 60 N/A 30 No 40

Assessment Matrix

Assessment Type Learning Outcomes
LO1 LO2
Case study
Project
Self Reflective Assessment 1
Classroom Test - Time Constrained (Online) 

Reading List

The module reading list is available to the students to access via electronic links on the learning platform (Moodle). 

 

In addition to the list below, each list is supplemented with up-to-date peer-reviewed journal articles and studies that are continually refreshed as guidelines change and new treatments and technologies emerge. 

 

Additional reading resources are also provided where relevant by the tutors during the running of the module in the discussion forum to keep the reading resources current and relevant. 

 

RCEM Learning 

 

  • Royal College of Emergency Medicine. Chest pain: low risk 'rule-out' pathways [Internet]. London: RCEM Learning; 2024. 

  • Royal College of Emergency Medicine. Chronic obstructive pulmonary disease [Internet]. London: RCEM Learning; 2023 [updated 2025]. 

  • Royal College of Emergency Medicine. Non-traumatic subarachnoid haemorrhage [Internet]. London: RCEM Learning; 2022. 

 

Textbooks 

 

  • Wyatt JP, Illingworth RN, Graham CA, Hogg K. Oxford Handbook of Emergency Medicine. 5th ed. Oxford: Oxford University Press; 2020. 

  • Cameron P, Little M, Mitra B, Deasy C, editors. Textbook of Adult Emergency Medicine. 5th ed. Edinburgh: Elsevier; 2020. 

  • Morris F, Harrison R, Alan G, editors. ABC of Emergency Medicine. 5th ed. London: Wiley-Blackwell; 2021. 

 

Guidelines 

 

  • NICE Guideline CG95 (Recent-onset chest pain) and the newer NHS (Getting it right the first time) GIRFT Acute Coronary Syndrome Pathway  

  • Getting It Right First Time (GIRFT). Acute Coronary Syndrome Pathway [Internet]. London: NHS England / GIRFT; 2025]. 

  • Byrne RA, Rossello X, Coughlan JJ, Barbato E, Berry C, Chieffo A, et al. 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J. 2023;44(38):3720-3826. 

  • National Institute for Health and Care Excellence. Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NICE Guideline NG128) [Internet]. London: NICE; 2019 [last updated 2022]. 

  • Intercollegiate Stroke Working Party. National clinical guideline for stroke for the United Kingdom and Ireland [Internet]. London: Sentinel Stroke National Audit Programme (SSNAP); 2023. 

  • National Institute for Health and Care Excellence. Sepsis: recognition, diagnosis and early management (NICE Guideline NG51) [Internet]. London: NICE; 2016 [last updated 2024] 

  • UK Sepsis Trust. Clinical toolkits: Emergency Department and acute care sepsis screening and management tool [Internet]. Birmingham: UK Sepsis Trust; 2023 [updated 2025] 

  • Academy of Medical Royal Colleges. Statement on initial antimicrobial treatment of sepsis [Internet]. London: AoMRC; 2022.