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Pediatric Emergency Medicine CME

 
 
Pediatric Emergency Medicine: Detection, Diagnosis and Developing Treatment Plans

April 18-22, 2011 (8:00am-12:15pm)
Location: Hyatt Regency Sarasota, Florida
20 AMA PRA Category 1 Credits™
20 CME Credits - AAP AAFP ACEP ACOG
Course #SEMLA-2520110418
Price: $645.00 - $795.00

by David C. Brousseau, M.D., M.S., F.A.A.P. - Medical College of Wisconsin; Professor of Pediatrics, Division of Emergency Medicine; Milwaukee, WI; Amy L. Drendel, D.O., M.S. - Medical College of Wisconsin; Assistant Professor of Pediatrics, Department of Pediatrics; Milwaukee, WI and Marc H. Gorelick, M.D., M.S.C.E., F.A.A.P. - Medical College of Wisconsin Professor of Pediatrics; Jon E. Vice Chair of Emergency Medicine, Children's Hospital of Wisconsin, Milwaukee, WI.

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 improved competence 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 aligning physician behavior with 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 competence and practice strategies 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 an update for all practitioners at the level of a practicing physician.

Day 1 Orthopedics in the Pediatric Patient. Abdominal Emergencies in Children. Pediatric Diabetic Ketoacidosis. Evaluation and Management of Dehydration in Children.
Day 2 Acute Asthma in Children: An Update on Management. Pediatric Seizures: Simple to Status. Accidents Will Happen? Evaluation of Suspected Physical Abuse in Children. Pediatric Head Trauma: Concussion to Coma.
Day 3 Management of the Critically Ill Neonate. Pediatric Pain: Assessment and Treatment from the ED to Home. Interesting Cases: When a Long Day Becomes a Pain in the “Back”. Pediatric Sports Injuries.
Day 4 Pediatric Airway Management. Fever in the Infant and Toddler. Croup and Bronchiolitis: Cough and Wheeze. Acute Gynecologic Problems in Children and Adolescents.
Day 5 Pediatric EKG Workshop. Pediatric Presentations of Cardiac Disease. Toxicology: Drug Store to Dance Floor. Management of Burns in Children.

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Pediatric Emergency Medicine: Detection, Diagnosis and Developing Treatment Plans
April 18-22, 2011
Location: Hyatt Regency Sarasota, Florida

SPECIFIC OBJECTIVES
Day 1Orthopedics in the Pediatric Patient - Upon completion of this session, the participant should be able to:
1.Describe the anatomic differences between child and adult bones/joints.
2.Classify pediatric fractures involving the growth plate.
3.Identify fractures associated with abuse.
4.Treat common orthopedic injuries and know when to refer.
Abdominal Emergencies in Children - Upon completion of this session, using ACEP and other evidence-based guidelines (guidelines.gov) as well as EBM publications, the participant should be able to:
1.Formulate differential diagnoses for children with vomiting and abdominal pain.
2.Identify and distinguish common and life-threatening causes of abdominal symptoms in children.
3.Compare and recommend different diagnostic imaging options for abdominal emergencies.
Pediatric Diabetic Ketoacidosis - Upon completion of this session, the participant should be able to:
1.Detect the presenting signs and symptoms of diabetic ketoacidosis.
2.Select appropriate initial therapy, based on the consensus statement of the American Diabetes Association, for the child with diabetic ketoacidosis.
3.Distinguish those children with diabetic ketoacidosis who may be candidates for outpatient management.
4.Contrast the presentation of type 1 and type 2 diabetes in children.
Evaluation and Management of Dehydration in Children - Upon completion of this session, using AAP and other evidence-based guidelines (guidelines.gov) as well as EBM publications, the participant should be able to:
1.Apply clinical findings to accurately assess dehydration in children.
2.Determine the role of laboratory testing in suspected dehydration.
3.Manage mildly-moderately dehydrated children with oral rehydration therapy.
4.Relate the indications for and determine the initial approach to parenteral fluid therapy.

Day 2Acute Asthma in Children: An Update on Management - Upon completion of this session, using NHLBI guidelines as well as EBM publications, the participant should be able to:
1.Appraise recent information regarding inhaled bronchodilator therapy for acute asthma.
2.Differentiate the roles of systemic and inhaled steroids in the management of acute asthma exacerbations.
3.Plan the appropriate use of additional therapies including magnesium sulfate and heliox.
4.Integrate the important considerations for airway and ventilator management for severe acute asthma.
Pediatric Seizures: Simple to Status - Upon completion of this session, the participant should be able to:
1.Evaluate and manage, based on guidelines from the American Academy of Pediatrics practice parameter, a febrile seizure.
2.Evaluate and manage, based on the practice parameter from the American Academy of Neurology and Child Neurology Society, a first time afebrile seizure.
3.Select appropriate treatment for the child in status epilepticus.
Accidents Will Happen? Evaluation of Suspected Physical Abuse in Children - Upon completion of this session, using AAP guidelines as well as EBM publications, the participant should be able to:
1.Assess and distinguish among common presentations of non-accidental trauma.
2.Plan the evaluation of the child with suspected non-accidental trauma.
3.Prepare and provide correct documentation for forensic purposes.
4.Recommend appropriate and safe disposition of the suspected abuse victim.
Pediatric Head Trauma: Concussion to Coma - Upon completion of this session, the participant should be able to:
1.Explain the initial approach to the child with a head injury.
2.Distinguish between those children at low and high risk for intracranial injury.
3.Identify an appropriate evaluation and treatment strategy for children with head injury of varying degrees of severity.

Day 3Management of the Critically Ill Neonate - Upon completion of this session, the participant should be able to:
1.Recognize the signs of distress in a neonate.
2.Discuss the differential diagnosis of the critically ill neonate.
3.Describe methods of obtaining vascular access in the neonate.
4.Design a treatment plan for the initial stabilization of a critically ill neonate.
Pediatric Pain: Assessment and Treatment from the ED to Home - Upon completion of this session, the participant should be able to:
1.Discuss the pain assessment tools recommended for use by the American Academy of Pediatrics.
2.Identify barriers to the treatment of pain in children.
3.Using the latest evidence, formulate an analgesic treatment plan for common painful pediatric conditions.
Interesting Cases: When a Long Day Becomes a Pain in the “Back” - Upon completion of this session, the participant should be able to:
1.Identify the important clinical features of diagnoses associated with back pain.
2.Generate a differential diagnosis for each described clinical presentation.
3.Develop an initial evaluation and treatment plan for children presenting with back pain.
Pediatric Sports Injuries - Upon completion of this session, the participant should be able to:
1.Discuss the mechanism of injury for common sports injuries.
2.Diagnose common sporting injuries of the elbow, shoulder, knee and ankle.
3.Develop an evidence-based treatment plan and know when to refer.

Day 4Pediatric Airway Management - Upon completion of this session, the participant should be able to:
1.Evaluate and identify high risk airways in children using the American Society of Anesthesiologist's Practice Guidelines of the Difficult Airway.
2.Discuss the basic airway devices and adjuncts that can be used in the pediatric patient.
3.Plan the approach to performing endotracheal intubations in challenging scenarios.
Fever in the Infant and Toddler - Upon completion of this session, using AAP guidelines as well as EBM publications, the participant should be able to:
1.Develop a differential diagnosis for infants presenting with fever.
2.Plan appropriate diagnostic and treatment strategies for children with fever in different age groups (0-4 weeks, 4-8 weeks, 2 months – 2 years).
3.Diagnose and formulate a management plan for common causes of fever in different age groups.
Croup and Bronchiolitis: Cough and Wheeze - Upon completion of this session, the participant should be able to:
1.Recognize the clinical presentation of infants with bronchiolitis.
2.Synthesize the latest evidence regarding bronchodilator and corticosteroid therapy for bronchiolitis.
3.Manage children with mild, moderate and severe croup using the latest evidence on interventions.
Acute Gynecologic Problems in Children and Adolescents - Upon completion of this session, using AAP, CDC, and other evidence-based guidelines (guidelines.gov) as well as EBM publications, the participant should be able to:
1.Develop a differential for common gynecologic problems that present in childhood and adolescence.
2.Plan the evaluation and management of the adolescent with sexually transmitted infections.
3.Plan the evaluation and management of the adolescent with abnormal uterine bleeding.

Day 5Pediatric EKG Workshop - Upon completion of this session, the participant should be able to:
1.Identify important pediatric EKG abnormalities.
2.Describe the treatment plan, based on American Heart Association guidelines, for pediatric arrhythmias.
3.Differentiate concerning from non-concerning abnormalities seen on pediatric EKGs.
Pediatric Presentations of Cardiac Disease - Upon completion of this session, using evidence-based guidelines (guidelines.gov) as well as EBM publications, the participant should be able to:
1.Appraise common clinical scenarios indicating the presence of cardiac disease in children.
2.Plan the initial evaluation and management of children with suspected cardiac disease.
3.Determine and recommend an appropriate diagnostic evaluation of children and adolescents with chest pain.
Toxicology: Drug Store to Dance Floor - Upon completion of this session, the participant should be able to:
1.Differentiate toxic and non-toxic ingestions.
2.Manage common pediatric accidental ingestions.
3.Describe the diagnosis and management of newer drugs being used by children.
Management of Burns in Children - Upon completion of this session, using American College of Surgeons guidelines as well as EBM publications, the participant should be able to:
1.Treat minor burns in children on an outpatient basis.
2.Provide supportive care for patients with major burns, including treatment of smoke inhalation and fluid management.
3.Initiate appropriate referral for inpatient or specialty care in pediatric burn patients.

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