Clinical skills, step by step
Other platforms explain it with text and video. In Making Synapses you practice it on the patient.
Free step-by-step guides to clinical skills for MD / DO, PA, nursing (NCLEX) and EMS (NREMT), based on official US sources. Read the steps, then practice each one on a virtual patient in Making Synapses.
Patient interview
How to interview a patient with chest painMD / DOPANursing (NCLEX)EMS (NREMT)21 Making Synapses cases
How to interview a patient who is short of breathMD / DOPANursing (NCLEX)EMS (NREMT)40 Making Synapses cases
How to interview a patient with dizziness or faintingMD / DOPANursing (NCLEX)EMS (NREMT)23 Making Synapses cases
How to take a medication and allergy historyMD / DOPANursing (NCLEX)EMS (NREMT)16 Making Synapses cases
How to interview a patient with palpitationsMD / DOPANursing (NCLEX)EMS (NREMT)12 Making Synapses cases
How to interview a patient who is vomiting bloodMD / DOPANursing (NCLEX)EMS (NREMT)6 Making Synapses cases
How to interview a patient with flank painMD / DOPANursing (NCLEX)EMS (NREMT)9 Making Synapses cases
How to interview a patient with abnormal vaginal bleedingMD / DOPANursing (NCLEX)2 Making Synapses cases
How to interview a patient with testicular painMD / DOPANursing (NCLEX)EMS (NREMT)8 Making Synapses cases
How to interview a patient with sudden vision lossMD / DOPANursing (NCLEX)EMS (NREMT)5 Making Synapses cases
How to interview a patient with a nosebleedMD / DOPANursing (NCLEX)EMS (NREMT)3 Making Synapses cases
How to interview a patient after a seizureMD / DOPANursing (NCLEX)EMS (NREMT)14 Making Synapses cases
How to interview a patient with sudden weaknessMD / DOPANursing (NCLEX)EMS (NREMT)18 Making Synapses cases
How to interview a patient who is confusedMD / DOPANursing (NCLEX)EMS (NREMT)30 Making Synapses cases
How to screen for intimate partner violenceMD / DOPANursing (NCLEX)EMS (NREMT)10 Making Synapses cases
How to interview a patient who is coughing bloodMD / DOPANursing (NCLEX)EMS (NREMT)9 Making Synapses cases
How to interview a patient with excessive thirst and urinationMD / DOPANursing (NCLEX)20 Making Synapses cases
How to interview a patient with an allergic reactionMD / DOPANursing (NCLEX)EMS (NREMT)10 Making Synapses cases
Head-to-toe assessment and vital signs
How to do a head-to-toe assessmentNursing (NCLEX)PAMD / DO
How to do the general survey (the first look)Nursing (NCLEX)MD / DOPAEMS (NREMT)612 Making Synapses cases
How to measure oxygen saturation with a pulse oximeterNursing (NCLEX)EMS (NREMT)MD / DOPA47 Making Synapses cases
How to use pain scales (numeric, faces, behavioral)MD / DOPANursing (NCLEX)EMS (NREMT)191 Making Synapses cases
How to do neuro checks (pupils, consciousness, movement)MD / DOPANursing (NCLEX)EMS (NREMT)44 Making Synapses cases
How to do a neurovascular check of a limbMD / DOPANursing (NCLEX)EMS (NREMT)53 Making Synapses cases
Exam by body system
Bedside procedures
How to give oxygen (cannula, mask, non-rebreather)Nursing (NCLEX)EMS (NREMT)67 Making Synapses cases
How to check nasogastric tube placementNursing (NCLEX)
How to set up an IV pumpNursing (NCLEX)
How to set up cardiac monitoring (3- and 5-lead)MD / DONursing (NCLEX)EMS (NREMT)20 Making Synapses cases
Emergencies and resuscitation
How to treat anaphylaxis with epinephrineEMS (NREMT)Nursing (NCLEX)MD / DOPA34 Making Synapses cases
How to use the pediatric assessment triangleMD / DOPANursing (NCLEX)EMS (NREMT)69 Making Synapses cases
How to place a patient in the recovery positionMD / DOPANursing (NCLEX)EMS (NREMT)23 Making Synapses cases
How to manage suspected heart attack chest painMD / DOPANursing (NCLEX)EMS (NREMT)24 Making Synapses cases
How to open the airway (head tilt and jaw thrust)MD / DOPANursing (NCLEX)EMS (NREMT)8 Making Synapses cases
How to call a rapid response with an early warning scoreMD / DOPANursing (NCLEX)1 Making Synapses cases
Medications
How to calculate a drug doseNursing (NCLEX)EMS (NREMT)
How to recognize an adverse drug reactionMD / DOPANursing (NCLEX)EMS (NREMT)28 Making Synapses cases
Reading results
How to read an arterial blood gasMD / DOPANursing (NCLEX)
How to read a blood count and electrolytesMD / DOPANursing (NCLEX)
How to read a normal ECG (rate, rhythm, intervals)MD / DOPANursing (NCLEX)EMS (NREMT)33 Making Synapses cases
How to recognize atrial fibrillation on an ECGMD / DOPANursing (NCLEX)EMS (NREMT)17 Making Synapses cases
How to recognize ventricular tachycardia and fibrillationMD / DOPANursing (NCLEX)EMS (NREMT)7 Making Synapses cases
Talking with the patient
How to give a handoff report (SBAR)Nursing (NCLEX)EMS (NREMT)MD / DOPA
How to introduce yourself and ask for consentMD / DOPANursing (NCLEX)EMS (NREMT)
How to explain a statinMD / DOPANursing (NCLEX)
How to explain opioid safety and naloxoneMD / DOPANursing (NCLEX)EMS (NREMT)10 Making Synapses cases
How to counsel about sexually transmitted infectionsMD / DOPANursing (NCLEX)16 Making Synapses cases
How to talk about goals of care and advance directivesMD / DOPANursing (NCLEX)2 Making Synapses cases
How to disclose a medical errorMD / DOPANursing (NCLEX)EMS (NREMT)
How to make a shared decision with a patientMD / DOPANursing (NCLEX)
How to use closed-loop communication in a teamMD / DOPANursing (NCLEX)EMS (NREMT)8 Making Synapses cases
How to present a patient on roundsMD / DOPA
Patient safety
How to identify the patient (two identifiers)Nursing (NCLEX)MD / DOPAEMS (NREMT)515 Making Synapses cases
Infection control
How to handle and dispose of sharpsNursing (NCLEX)EMS (NREMT)MD / DOPA
How to clean your hands (rub and wash)Nursing (NCLEX)EMS (NREMT)MD / DOPA
How to put on and take off PPENursing (NCLEX)EMS (NREMT)MD / DOPA
EMS field skills
How to size up the sceneEMS (NREMT)
How to apply a traction splintEMS (NREMT)