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Home, Commute or Travel CME Audio CD/MP3 Course
Emergency Medicine Audio CME |
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by Andrew Chang, M.D., M.S., F.A.C.E.P., F.A.A.E.M. - Albert Einstein College of Medicine; Associate Professor, Department of Emergency Medicine; Attending Physician, Montefiore Medical Center, Bronx, NY; Michael A. Gibbs, M.D., F.A.C.E.P. - Tufts University School of Medicine; Professor of Emergency Medicine; Chief, Department of Emergency Medicine, Maine Medical Center; Immediate Past President, Maine Chapter of the American College of Emergency Physicians, Portland, ME; Joel Kravitz, M.D., F.A.C.E.P., F.R.C.P.S.C. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor, Department of Emergency Medicine; Attending Physician, Albert Einstein Medical Center, Philadelphia and Community Medical Center, Toms River, NJ; Pinaki Mukherji, M.D. - Albert Einstein College of Medicine; Assistant Professor, Department of Emergency Medicine; Attending Physician, Montefiore Medical Center, Bronx, NY; and Andrew D. Perron, M.D., F.A.C.E.P., F.A.C.S.M. - University of Vermont College of Medicine; Professor, Department of Surgery, Division of Emergency Medicine; Director, Emergency Medicine Residency Program, Maine Medical Center, Portland, ME. |
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OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.
| SPECIFIC OBJECTIVES FOR EACH TOPIC
| | TOPIC 1 | Abdominal Pain Case Studies - Upon completion of this session, the participant should be able to:
| 1. | Outline an evidence-based approach to evaluation of the ED patient with abdominal pain.
| | 2. | Identify common pitfalls in the assessment of patients with abdominal pain.
| | 3. | Describe high-risk scenarios related to patients with abdominal pain.
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| | TOPIC 2 | ST Segment Elevation: MI or Not MI - Upon completion of this session, the participant should be able to:
| 1. | Appreciate the wide variety of clinical conditions that can result in ST elevation on the ECG.
| | 2. | Describe ECG findings that can aid the clinician in determining the significance of ST-elevation on an ECG.
| | 3. | Discuss the possible adjuncts a clinician can use to further define the significance of ST-elevation on an ECG.
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| | TOPIC 3 | ACS in the ED: So Many Drugs and So Little Time - Upon completion of this session, the participant should be able to:
| 1. | Identify the scope of the problem of ACS in the ED.
| | 2. | Review the evidence-based treatment of ACS based on the latest applicable literature.
| | 3. | Appreciate the areas of controversy in the treatment of this disease entity.
| | 4. | Recognize emerging therapies that may prove useful for the treatment of ACS in the ED.
| | 5. | Identify and integrate the updated ACC/AHA guidelines for the management of patients with unstable angina and non ST-segment elevation myocardial infarction.
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| | TOPIC 4 | Drug-Drug Interactions (DDI’s) - Upon completion of this session, the participant should be able to:
| 1. | Assess the scope of the problem of drug-drug interactions as it pertains to both the outpatient and emergency settings.
| | 2. | Explore interactions between prescription and non-prescription medications and review their treatments.
| | 3. | Review common drug-drug interactions and their complications commonly seen in the emergency room.
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| | TOPIC 5 | Congestive Heart Failure - Upon completion of this session, the participant should be able to:
| 1. | Recognize the presenting signs and symptoms of congestive heart failure (or lack thereof).
| | 2. | Formulate a rapid treatment plan and reassess response to therapy.
| | 3. | Initiate non-invasive ventilation in appropriate candidates.
| | 4. | Consider alternative diagnoses in patients who are refractory to treatment.
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| | TOPIC 6 | Aortic Disasters - Upon completion of this session, the participant should be able to:
| 1. | Describe the pathophysiology and clinical presentation of aortic dissection and AAA.
| | 2. | Outline the diagnostic options for emergency detection of these life-threatening vascular emergencies.
| | 3. | Review the essentials of emergency management of aortic dissection and AAA.
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| | TOPIC 7 | Neuromuscular Weakness - Upon completion of this session, the participant should be able to:
| 1. | Compare and contrast upper and lower motor neuron disease.
| | 2. | Discriminate between various clinical entities that cause neuromuscular weakness, including Guillain-Barré Syndrome, Myasthenia Gravis, and others.
| | 3. | Demonstrate techniques to be able to discriminate between organic and functional weakness.
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| | TOPIC 8 | Seizures in the Emergency Department - Upon completion of this session, the participant should be able to:
| 1. | Outline key demographic information related to epidemiology of seizures in the ED setting.
| | 2. | Review the ACEP seizure clinical policy.
| | 3. | Identify appropriate interventions for acute seizures and status epilepticus in the ED setting.
| | 4. | Raise awareness of nonconvulsive status epilepticus.
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| | TOPIC 9 | Breathless: Does This Patient Have a PE? - Upon completion of this session, the participant should be able to:
| 1. | Design an appropriate algorithm for the diagnosis of pulmonary embolus based on clinical pre-test probability.
| | 2. | Describe the appropriate use of the D-dimer and define those patients who would benefit from its use.
| | 3. | Recognize the signs of pulmonary embolus on the screening ECG.
| | 4. | Manage the pulmonary embolism patient in a stepwise fashion with anticoagulation or interventions.
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| | TOPIC 10 | Turning Error Into Opportunity - Upon completion of this session, the participant should be able to:
| 1. | Describe the elements of the emergency care environment that predisposes the clinician to decision-making errors.
| | 2. | Describe cognitive strategies that reduce the likelihood of error.
| | 3. | Illustrate effective methods for reviewing, discussing and addressing medical errors.
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| | TOPIC 11 | Supraventricular Tachycardias - Upon completion of this session, the participant should be able to:
| 1. | Review the characteristic EKG findings for atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, and Wolf-Parkinson-White syndrome.
| | 2. | Appreciate the factors determining the seriousness of any tachycardia.
| | 3. | Recognize the treatment options for various supraventricular tachycardias.
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| | TOPIC 12 | Disorders of Glucose Control, Part I: Hyperglycemia - Upon completion of this session, the participant should be able to:
| 1. | Create, using latest evidence, a comprehensive treatment plan for Diabetic Ketoacidosis (DKA).
| | 2. | Compare and contrast DKA and hyperosmolar non-ketotic states (HONK).
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| | TOPIC 13 | Disorders of Glucose Control, Part II: Hypoglycemia - Upon completion of this session, the participant should be able to:
| 1. | Integrate the understanding of glucose handling to create a treatment plan for Hypoglycemia and Alcoholic Ketoacidosis.
| | 2. | Identify potential pitfalls in the treatment and disposition of Hypoglycemia.
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| | TOPIC 14 | Subarachnoid Hemorrhage: What Is New in Diagnosis and Management? - Upon completion of this session, the participant should be able to:
| 1. | Identify the principles and pathophysiology of SAH.
| | 2. | Appreciate new advances in the diagnosis and management of this disease.
| | 3. | Describe the evidence-based treatment of SAH based on the latest applicable literature.
| | 4. | Recognize the pitfalls in the diagnosis and management of SAH in the ED.
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| | TOPIC 15 | Headache in the Emergency Department - Upon completion of this session, the participant should be able to:
| 1. | Discuss common headache syndromes and differentiate them from dangerous pathology.
| | 2. | Avoid the typical pitfalls of misdiagnosis in the “rule out subarachnoid hemorrhage” patient.
| | 3. | Rapidly create a treatment plan for the unstable patient with severe headache.
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| | TOPIC 16 | Trauma Case Studies - Upon completion of this session, the participant should be able to:
| 1. | Identify critical issues in the evaluation and management of the injured patient using a case-based format.
| | 2. | Describe the management imperatives of:
| a. | Spinal trauma
| | b. | Blunt chest trauma
| | c. | Blunt abdominal trauma
| | d. | Pelvic trauma
| | e. | Genitourinary trauma
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| | 3. | Discuss common pitfalls in the evaluation of the injured patient.
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