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Live CME Seminars
Pediatric Emergency Medicine CME |
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by Robert A. Belfer, M.D., F.A.A.P. - University of Medicine and Dentistry of New Jersey; Associate Professor of Emergency Medicine and Pediatrics; Director, Children and Adolescent Rapid Emergency Services, Children's Health Associates, Voorhees, NJ and Mark D. Joffe, M.D., F.A.A.P. - University of Pennsylvania School of Medicine; Associate Professor of Pediatrics; Director, Community Pediatric Medicine, Children's Hospital of Philadelphia, PA.
Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to formulate an appropriate differential diagnosis of the various presenting disorders; apply proper life-stabilizing measures as well as identify the life-threatening emergencies as requiring urgent treatment and /or hospital admission; organize an approach to diagnosis and test ordering and develop a treatment plan based on current evidence as well as providing cost-effective outcomes. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.
The emphasis will be on current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives, with a focus on diagnosis, treatment and when to refer. There is a need to update knowledge in the field of Pediatric Emergency Medicine since it affects not only those in EM but even those practicing in clinical settings such as FP, GP and Pediatricians; therefore, this course was designed as a review and update for all practitioners at the level of a practicing physician.
| | Day 1 |
Approach to Febrile Infants and Toddlers. Life-Threatening Pediatric Infections. Acute Management of Asthma. Upper Airway Emergencies in the Pediatric Patient. |
| Day 2 |
Non-Traumatic Surgical Abdominal Emergencies. Diagnosis and Misdiagnosis of Appendicitis in Childhood. Pediatric Seizures. Pediatric Emergency Case Studies. |
| Day 3 |
Head Injuries. The Child with a Limp. Medical Errors in Pediatrics. Visual Diagnosis: You Make the Call. |
| Day 4 |
The Septic Appearing Infant. Pediatric Poisonings. Orthopedic Conditions Above the Hip. Pediatric Emergency Radiology. |
| Day 5 |
Fluid/Electrolyte Emergencies. Judicious Use of Antibiotics in Outpatient Setting. Dilemma of the Foreign Body - Aspirated or Ingested. Articles That Change the Way We Practice Pediatric Emergency Medicine. |
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Pediatric Emergency Medicine: A Review and Update
January 18-22, 2010
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Approach to Febrile Infants and Toddlers - Upon completion of this session, using published guidelines and evidence-based medicine, the participant should be able to:
| 1. | Assess the risks of various management strategies of febrile infants less than 2 months of age.
| | 2. | Summarize recent data concerning the clinical approach to febrile young infants.
| | 3. | Differentiate the approach to febrile 3-24 month old children with a known source of infection from those with fever and no identifiable focus of infection.
| | 4. | Summarize data concerning the diagnostic evaluation of febrile children 3-24 months of age.
| | Life-Threatening Pediatric Infections - Upon completion of this session, the participant should be able to:
| | 1. | Conclude that as newer immunizations eradicate many serious infections, we are still faced with certain pathogens that can cause severe morbidity and mortality.
| | 2. | Recognize, diagnose and manage the following diseases:
| a. | Toxic Shock Syndrome;
| | b. | Meningococcemia;
| | c. | Rocky Mountain Spotted Fever;
| | d. | Kawasaki Syndrome.
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| | Acute Management of Asthma - Upon completion of this session, using NHLBI Guidelines and Cochrane EBM sources, the participant should be able to:
| | 1. | Describe the pathophysiology of asthma and rationale for therapeutic interventions.
| | 2. | Summarize recent data on steroids, theophylline, ipratropium bromide, and magnesium sulfate in the treatment of acute asthma in childhood.
| | Upper Airway Emergencies in the Pediatric Patient - Upon completion of this session, the participant should be able to:
| | 1. | Conclude that upper airway emergencies require prompt diagnosis and efficient treatment.
| | 2. | Recognize and treat common causes of pediatric stridor including:
| a. | Croup;
| | b. | Epiglottitis;
| | c. | Retropharyngeal abscess;
| | d. | Anaphylaxis.
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| | Day 2 | Non-Traumatic Surgical Abdominal Emergencies - Upon completion of this session, the participant should be able to:
| 1. | Recognize pediatric abdominal processes that require surgical intervention.
| | 2. | Diagnose and manage the following conditions:
| a. | Intussusception;
| | b. | Malrotation;
| | c. | Pyloric Stenosis;
| | d. | Meckel’s Diverticulum.
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| | Diagnosis and Misdiagnosis of Appendicitis in Childhood - Upon completion of this session, using evidence-based medicine, the participant should be able to:
| | 1. | Review the pathophysiology of appendicitis.
| | 2. | Associate the pathophysiology of appendicitis with the signs and symptoms.
| | 3. | Analyze various diagnostic approaches to appendicitis in childhood.
| | 4. | Criticize the care provided in several cases of appendicitis missed at the time of initial ED evaluation.
| | Pediatric Seizures - Upon completion of this session, the participant should be able to:
| | 1. | Describe the evaluation and pharmacologic treatment options in status epilepticus.
| | 2. | Discuss the epidemiology evaluation and treatment of febrile seizures.
| | Pediatric Emergency Case Studies - Upon completion of this session, the participant should be able to:
| | 1. | Apply basic principles of emergency medicine in the stabilization and evaluation of interesting pediatric emergency cases.
| | 2. | Describe the etiology and pathogenesis of pediatric emergency cases.
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| | Day 3 | Head Injuries - Upon completion of this session, using Cochrane EBM sources and guidelines from the 2nd International Symposium on Concussion in Sports, the participant will be able to:
| 1. | Describe the pathophysiology and, using evidence-based medicine, review the emergency treatment of severe head injury in childhood.
| | 2. | Discuss the management approaches to minor head trauma including evidence-based medicine in deciding whether a CT scan should be obtained.
| | 3. | Review the diagnosis of concussion and, describe currently recommended management approaches.
| | The Child with a Limp - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the importance of age to specific hip pathology.
| | 2. | Differentiate etiologies of limp in the pediatric patient.
| | 3. | Review management of specific orthopedic conditions.
| | Medical Errors in Pediatrics - Upon completion of this session, the participant should be able to:
| | 1. | Explain root cause analysis and perform it on cases of medical errors that involved children.
| | 2. | Describe specific risks for medication errors and strategies to reduce their occurrence.
| | 3. | Review issues in sleep physiology that relate to medical error risks.
| | Visual Diagnosis: You Make the Call - Upon completion of this session, the participant should be able to:
| | 1. | “Make the correct call” on slides representing interesting physical examination findings of pediatric patients.
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| | Day 4 | The Septic Appearing Infant - Upon completion of this session, the participant should be able to:
| 1. | Conclude that an infectious etiology is not the only cause of a “toxic” appearing child.
| | 2. | Differentiate neurologic, hematologic, toxin, and cardiac causes of the ill child.
| | Pediatric Poisonings - Upon completion of this session, using AAP guidelines and evidence-based medicine, the participant should be able to:
| | 1. | Review data on pediatric poisonings including recent trends.
| | 2. | Describe and explain various options for gastrointestinal decontamination.
| | Orthopedic Conditions Above the Hip - Upon completion of this session, the participant should be able to:
| | 1. | Diagnose the Salter-Harris classification of fractures in the pediatric patient.
| | 2. | Initially manage fractures of the upper extremity and recognize when to refer to an Orthopedic Surgeon.
| | Pediatric Emergency Radiology - Upon completion of this session, the participant should be able to:
| | 1. | Describe the radiographic findings of the films displayed.
| | 2. | Interpret radiographs and diagnose a variety of pediatric conditions.
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| | Day 5 | Fluid/Electrolyte Emergencies - Upon completion of this session, using AAP guidelines and evidence-based medicine, the participant will be able to:
| 1. | Describe the factors that are useful in assessing degree of dehydration in children.
| | 2. | Review the indications for oral rehydration and describe the procedure.
| | 3. | Discuss the presentations and treatment of children with abnormalities in serum sodium and potassium concentrations.
| | Judicious Use of Antibiotics in Outpatient Setting - Upon completion of this session, the participant should be able to:
| | 1. | Identify antibiotic prescribing patterns, outcomes, and expenditures for common pediatric conditions.
| | 2. | Compare parent and physician beliefs for prescribing antibiotics.
| | Dilemma of the Foreign Body - Aspirated or Ingested - Upon completion of this session, using evidence-based medicine, the participant should be able to:
| | 1. | Distinguish the epidemiology and clinical presentation of aspirated versus ingested foreign bodies.
| | 2. | Analyze the rationale for radiographic evaluation of children with a history of foreign body ingestion.
| | 3. | Debate the relative merits of endoscopic versus Foley catheter removal, and bougienage advancement of esophageal foreign bodies.
| | 4. | Review the diagnostic approach and radiographic interpretation of children with aspirated foreign bodies.
| | Articles That Change the Way We Practice Pediatric Emergency Medicine - Upon completion of this session, the participant should be able to:
| | 1. | Identify recent journal articles, which continue to advance the field of Pediatric Emergency Medicine.
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