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Emergency Medicine CME

 
 
Emergency Medicine: An Evidence-Based Approach to Adult Care

February 21-25, 2011 (8:00am-12:15pm)
Location: Hyatt Regency Sarasota, Florida
20 AMA PRA Category 1 Credits™
20 CME Credits - AAFP ACEP ACOG
Mainpro-M1 (Canadian Physicians)
Course #SEMLA-2520110221
Price: $645.00 - $795.00



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; 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 and Director, Medical Student Clerkship, Community Medical Center, Toms River, NJ and Pinaki Mukherji, M.D. - Albert Einstein College of Medicine; Assistant Professor, Department of Emergency Medicine; Director, Emergency/Internal/Critical Care Residency Program and Attending Physician, Long Island Jewish Medical Center, Queens, NY.

Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to recognize the epidemiology, demographics and common clinical presentations for the diseases and disorders discussed; construct an appropriate history, physical exam and laboratory evaluation to develop cost-effective and accurate diagnosis; manage as well as employ appropriate follow-up and/or specialty referral for the diseases and disorders presented. This activity is expected to result in improved competence in making 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 aligning physician behavior with current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives. Emergency Medicine is a specialty that has a high rate of utilization and change in standards of care. It is often the point of entry for medical care; therefore, this course was designed to be of value to all practitioners at the level of a practicing physician in an effort to keep them abreast of current clinical practices in Emergency Medicine.

Day 1 Disorders of Glucose Control, Part I: Hyperglycemia. Disorders of Glucose Control, Part II: Hypoglycemia. As the World Turns: Peripheral Vertigo in the ED. Electrolytes at Panic Levels.
Day 2 Supraventricular Tachycardias. Seizures in the Emergency Department. Neuromuscular Weakness. Hand and Wrist Injuries Not to be Missed.
Day 3 Endocrine Emergencies in the ER. Ophthalmic Emergencies. EKG Interpretation. Approach to Chest Pain.
Day 4 Acute Pulmonary Edema. Breathless: Does This Patient Have a PE? Psychiatric Emergencies. Drug-Drug Interactions (DDIs).
Day 5 The Acute Headache. Sepsis Advances. Abdominal Pain – The Black Box of the Belly. Facial Trauma.

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Emergency Medicine: An Evidence-Based Approach to Adult Care
February 21-25, 2011
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES
Day 1Disorders 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 (HHNK).
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.
As the World Turns: Peripheral Vertigo in the ED - Upon completion of this session, the participant should be able to:
1.Illustrate the pathophysiology of benign positional vertigo.
2.Differentiate the various diagnostic tests in the evaluation of patients with peripheral vertigo.
3.Discover how to perform various therapeutic maneuvers, such as the Epley maneuver, in the treatment of patients with benign positional vertigo.
Electrolytes at Panic Levels - Upon completion of this session, the participant should be able to:
1.Specify common ED causes of electrolyte abnormalities.
2.Discriminate the various therapies used to treat hyperkalemia.
3.Specify the indications to administer hypertonic saline.

Day 2Supraventricular Tachycardias - Upon completion of this session, the participant should be able to:
1.Differentiate EKG findings for atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, and Wolf-Parkinson-White syndrome.
2.Specify the factors determining the seriousness of any tachycardia.
3.Differentiate the treatment options for various supraventricular tachycardias.
Seizures in the Emergency Department - Upon completion of this session, the participant should be able to:
1.Specify key demographic information related to the epidemiology of seizures in the ED setting.
2.Differentiate commonly used antiepileptic drugs and their dosing in seizures and status epilepticus.
3.Appraise the advantages of fosphenytoin over phenytoin in the treatment of status epilepticus.
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.
Hand and Wrist Injuries Not to be Missed - Upon completion of this session, the participant should be able to:
1.Review of the anatomy of the wrist and hand, with attention to surface anatomy and how it correlates to injury patterns.
2.Review the common pitfalls in diagnosis and treatment of hand and wrist injuries. This will be a case-based approach utilizing an Audience Response System.
3.Review hand injuries that should not be missed and/or require orthopedic follow-up.
4.Detect subtle wrist injuries that, if undiscovered, could lead to long-term dysfunction.

Day 3Endocrine Emergencies in the ER - Upon completion of this session, the participant should be able to:
1.Create a comprehensive treatment algorithm for the management of thyroid storm and thyrotoxicosis.
2.Detect adrenal insufficiency and formulate a treatment plan.
3.Assess the clinical presentation of myxedema coma and develop a treatment plan.
4.Detect and develop a plan to test for less common endocrine and paraneoplastic syndromes, including pheochromocytoma and parathyroid disease, and formulate treatment plans.
Ophthalmic Emergencies - Upon completion of this session, the participant should be able to:
1.Develop an algorithm for the differential diagnosis of the red eye.
2.Create a diagnostic strategy for sudden monocular and binocular blindness.
3.Review the treatment plans for emergent ophthalmic conditions, including glaucoma, and retinal vein and artery occlusions.
4.Develop a treatment strategy for ophthalmic trauma.
EKG Interpretation - Upon completion of this session, the participant should be able to:
1.Standardize the approach to the initial ECG and discuss clinical pearls.
2.Describe signs of ischemia in patients with underlying bundle branch blocks.
3.Alter initial treatment of cardiac and non-cardiac diseases based on the EKG.
Approach to Chest Pain - Upon completion of this session, the participant should be able to:
1.Identify warning signs in the typical and atypical presentation of chest pain.
2.Make admission and discharge decisions based on risk stratification.
3.Modify a treatment plan based on outcome risks.

Day 4Acute Pulmonary Edema - Upon completion of this session, the participant should be able to:
1.Differentiate the presenting signs of acute pulmonary edema versus chronic congestive heart failure.
2.Formulate a rapid treatment plan and reassess response to therapy.
3.Initiate non-invasive ventilation in appropriate candidates.
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.
Psychiatric Emergencies - Upon completion of this session, the participant should be able to:
1.Recognize the early signs of agitation and employ strategies to resolve them.
2.Diagnose and manage the complications of commonly used psychiatric medications.
3.Develop a plan for the medical clearance of a psychiatric patient.
Drug-Drug Interactions (DDIs) - 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.

Day 5The Acute Headache - 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.
Sepsis Advances - Upon completion of this session, the participant should be able to:
1.Initiate early goal-directed therapy for the septic shock patient.
2.Choose appropriate initial antibiotics based on presenting complaints and infectious source.
3.Use goals of tissue perfusion to guide management.
Abdominal Pain – The Black Box of the Belly - Upon completion of this session, the participant should be able to:
1.Review some challenging cases of abdominal pain.
2.Explore diagnoses of abdominal pain in the absence of abdominal pathology.
3.Evaluate the utility of various tests, including labs, ultrasound and CT scan in the diagnosis of abdominal pain.
4.Determine subtle features of certain presentations of abdominal pain that suggest a more severe cause.
Facial Trauma - Upon completion of this session, the participant should be able to:
1.Perform both a rapid screen and a thorough evaluation of the patient with facial trauma.
2.Outline the challenges in securing an airway in the patient with facial trauma.
3.Describe the indication for different imaging procedures for facial trauma.
4.Manage injuries to the soft tissues of the face (lips, tongue, eyelids…).

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