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Home, Commute or Travel CME™
MP3/Audio CD Course |
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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; by Michael A. Gibbs, M.D., F.A.C.E.P. - University of Vermont College of Medicine; Associate Professor of Emergency Medicine; Chief, Department of Emergency Medicine, Maine Medical Center; President, Maine Chapter of the American College of Emergency Physicians, Portland, ME; by 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; by 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; Assistant Residency Director, Emergency Medicine Residency Program, Albert Einstein Medical Center, Philadelphia, PA; by Andrew D. Perron, M.D., F.A.C.E.P., F.A.C.S.M. - University of Vermont College of Medicine; Associate Professor, Department of Surgery, Division of Emergency Medicine; Director, Emergency Medicine Residency Program, Maine Medical Center, Portland, ME and by Richard J. Scarfone, M.D., F.A.A.P. - University of Pennsylvania School of Medicine; Associate Professor of Pediatrics; Medical Director, Emergency Preparedness, Children's Hospital of Philadelphia, PA. |
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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.
EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: The specialty of Emergency Medicine impacts all Emergency Departments and many Primary Care practices daily. Emergency Practitioners and Primary Care Providers working in Emergency and Urgent Care environments must maintain adequate knowledge to diagnose and effectively treat these commonly seen conditions, many with possible serious and even fatal consequences if not properly diagnosed and treated. Needs analysis specifically identifies the ability to diagnose, treat and appropriately refer patients who present with Orthopedic Injuries, Trauma, PE/DVT, Seizures, Abdominal Pain, Endocrine and Cardiac Emergencies and Sepsis as vital skills for the Emergency and Primary Care Provider. In addition, the knowledge and skills necessary to diagnose and treat the common presentations of Back Pain and Asthma are also important due to their frequent occurrence. Educational gap analysis has identified two areas that must be addressed: increased knowledge and increased confidence on the part of Emergency and Primary Care Physicians in these areas of EM. To address these needs and close these gaps, this activity, designed from peer reviewed live presentations, presents current thinking and new information that will help Emergency and Primary Care Providers maintain and update their knowledge and provide them with the confidence to diagnose, treat and refer their patients thereby improving patient outcomes.
| SPECIFIC OBJECTIVES
| | TOPIC 1 | Pitfalls in Orthopedics - Upon completion of this session, the participant should be able to:
| 1. | Outline high-risk scenarios in emergency orthopedics.
| | 2. | Discuss severe true orthopedic emergencies.
| | 3. | Review commonly missed/mis-managed orthopedic conditions, using a case-based approach.
| | 4. | Discuss the causes, clinical presentation, diagnosis and management of compartment syndrome.
| | 5. | Review the approach to the patient with penetrating extremity trauma.
| | 6. | Discuss the indications for vascular assessment in knee dislocations.
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| | TOPIC 2 | 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. | Discuss the utility of various tests, including labs, ultrasound and CT scan in the diagnosis of abdominal pain.
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| | TOPIC 3 | DVT and PE - Upon completion of this session, the participant should be able to:
| 1. | Identify the scope of the problem of thromboembolic disease in the ED.
| | 2. | Discuss the latest diagnostic algorithms and adjuncts available to aid the clinician in the diagnosis of thromboembolic disease.
| | 3. | Review the evidence-based treatment of thromboembolic disease based on the latest applicable literature.
| | 4. | Recognize the limitations of current diagnostic modalities for these diseases.
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| | TOPIC 4 | 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.
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| | TOPIC 5 | 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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| | TOPIC 6 | 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. | Severe and minor brain injury
| | b. | Spinal trauma
| | c. | Blunt chest trauma
| | d. | Blunt abdominal trauma
| | e. | Pelvic trauma
| | f. | Genitourinary trauma
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| | 3. | Discuss common pitfalls in the evaluation of the injured patient.
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| | TOPIC 7 | Low Back Pain in the ED - Upon completion of this session, the participant should be able to:
| 1. | Discuss the evidence-based approach to the evaluation of non-traumatic back pain.
| | 2. | Review the “red flags” that should heighten the suspicion for serious pathology in the evaluation of back pain.
| | 3. | Describe both effective as well as disproved therapies in the treatment of back pain.
| | 4. | Identify potential pitfalls in the treatment and disposition of low back pain.
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| | TOPIC 8 | Sexually Transmitted Diseases - Upon completion of this session, the participant should be able to:
| 1. | Integrate into their own practice some of the latest recommendations by the CDC with respect to the treatment of Sexually Transmitted Diseases.
| | 2. | Solve treatment issues in some of the more ‘controversial’ patients – including pregnant and HIV patients.
| | 3. | Differentiate between the various STDs that present with genital ulcers.
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| | TOPIC 9 | Judicious Use of Antibiotics in the 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.
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| | TOPIC 10 | Essentials of Trauma Imaging - Upon completion of this session, the participant should be able to:
| 1. | Identify which patients need imaging following trauma.
| | 2. | List which imaging studies are most effective in diagnosing injury.
| | 3. | Demonstrate how the clinician should approach image interpretation.
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| | TOPIC 11 | Acute Management of Asthma - Upon completion of this session, 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.
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| | TOPIC 12 | Wide Complex Tachycardia: When is V-Tach Not V-Tach? - Upon completion of this session, the participant should be able to:
| 1. | Review the possible etiologies and ECG appearance of wide complex tachycardias.
| | 2. | Identify ECG features of these rhythms that will help differentiate between ventricular tachycardia and other more benign etiologies.
| | 3. | Discuss evidence-based treatment of these dysrhythmias.
| | 4. | Appreciate the clinical significance of the underlying medical conditions that result in these dysrhythmias.
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| | TOPIC 13 | Thyroid Emergencies - Upon completion of this session, the participant should be able to:
| 1. | Describe the presentation of life-threatening hyperthyroid states to the Emergency Department.
| | 2. | Prepare a comprehensive treatment plan for the patient with thyroid storm and thyrotoxicosis.
| | 3. | Describe the presentation of myxedema coma.
| | 4. | Justify the use of intravenous Synthroid in the potentially hypothyroid patient.
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| | TOPIC 14 | Mastering Local and Regional Anesthesia - Upon completion of this session, the participant should be able to:
| 1. | Describe the pharmacology of local anesthetics.
| | 2. | Discuss recent controversies in local anesthetic techniques.
| | 3. | Review regional anesthetic techniques appropriate for the ED.
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| | TOPIC 15 | No Time to Waste: Surgical Emergencies in Children - Upon completion of this session, the participant should be able to:
| 1. | Recognize signs and symptoms of various acute surgical emergencies in children.
| | 2. | Describe the appropriate diagnostic studies to obtain in the evaluation of children with surgical emergencies.
| | 3. | Appreciate the consequences of delayed diagnosis in children with surgical emergencies.
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| | TOPIC 16 | Early Goal-Directed Therapy for Sepsis: Why All the Fuss? - Upon completion of this session, the participant should be able to:
| 1. | Describe the pathophysiology of sepsis and the sepsis syndrome.
| | 2. | Appreciate the scope of the problem regarding effective management of sepsis in the ED.
| | 3. | Review the principles of early goal-directed therapy in the treatment of sepsis.
| | 4. | Appreciate the potential gains that can be realized, as well as the pitfalls to avoid, in the management of sepsis utilizing early goal directed therapy.
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