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Home, Commute or Travel CME™
MP3/Audio CD Course
 
Pediatric Emergency Medicine: Bringing an Evidence-Based Approach to Your Practice

Original Release Date: July 1, 2008
Expiration Date: July 1, 2011
20 AMA PRA Category 1 Credits™
Audio CDs #AUDCD-1120080526
MP3 CD #MP3CD-1120080526
Price: $445.00

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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 David C. Brousseau, M.D., M.S. - Medical College of Wisconsin; Associate Professor of Pediatrics, Division of Emergency Medicine, Milwaukee, WI; by Stephen C. Eppes, M.D., F.A.A.P. - Jefferson Medical College, Thomas Jefferson University; Professor of Pediatrics; Associate Director of Infectious Diseases, Alfred I. duPont Hospital for Children, Wilmington, DE; by Marc H. Gorelick, M.D., M.S.C.E., F.A.A.P., F.A.C.E.P. - Medical College of Wisconsin; Professor of Pediatrics and Population Health; Jon E. Vice Chair, Emergency Medicine, Children's Hospital of Wisconsin, Milwaukee, WI; 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 John M. Loiselle, M.D., F.A.A.P. - Jefferson Medical College, Thomas Jefferson University; Associate Professor of Pediatrics; Director, Department of Emergency Medicine and the Urgent Care Center, Alfred I. duPont Hospital for Children, Wilmington, DE; by Michael J. Muszynski, M.D., F.A.A.P. - Florida State University College of Medicine; Regional Campus Dean and Professor of Clinical Sciences; Staff Physician, Arnold Palmer Hospital for Children, Orlando, FL; 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.


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 Pediatric 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 Head Injuries, Asthma, Febrile Illnesses such as Meningitis, Virus X, MRSA and FUO, Seizures, Endocrine and Cardiac Emergencies and Appendicitis as vital skills for the Emergency and Primary Care Provider. 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 PEM. 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 1The Febrile Young Toddler - Upon completion of this session, the participant should be able to:
1.Stratify the young child with high fevers into specific risk categories of occult bacteremia.
2.Appraise the current literature regarding occult bacteremia.
3.Justify the use and utility of prophylactic antibiotics in children with occult bacteremia.

TOPIC 2Pediatric Endocrine Emergencies: Diabetic Ketoacidosis - Upon completion of this session, the participant should be able to:
1.Describe the presenting signs and symptoms of diabetic ketoacidosis.
2.Select appropriate initial therapy for the child with diabetic ketoacidosis.
3.Identify those children with diabetic ketoacidosis that may be candidates for outpatient management.
4.Contrast the presentation of Type 1 and Type 2 Diabetes in children.

TOPIC 3Upper 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.

TOPIC 4Emergency Department Management of Severe Asthma - Upon completion of this session, the participant should be able to:
1.Appraise the literature with regard to the treatment of children with severe asthma.
2.Summarize the role of continuously nebulized albuterol for children with severe asthma.
3.Discuss the use of magnesium sulfate and intravenously administered beta2- agonists in this setting.

TOPIC 5Serious Infections of the Head and Neck - Upon completion of this session, the participant should be able to:
1.Recognize differences and similarities in the clinical appearance, diagnosis and treatment of peritonsillar, retropharyngeal and parapharyngeal space infections.
2.Outline the approach to the child with red, swollen eye or cheek.

TOPIC 6Evaluation of the Child with Altered Mental Status - Upon completion of this session, the participant should be able to:
1.Formulate a differential diagnosis of altered mental status in children.
2.Recognize signs of cerebral herniation.
3.Provide initial stabilization measures for the child with altered mental status.
4.Employ a practical approach to evaluating the child with altered mental status.

TOPIC 7Diagnosis and Misdiagnosis of Appendicitis in Childhood - Upon completion of this session, 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.

TOPIC 8Virus X: Ubiquitous, Uncanny, Understandable - Upon completion of this session, the participant should be able to:
1.Discuss the pathophysiology of Epstein-Barr virus infection.
2.Recognize the diverse clinical manifestations of EBV infection.
3.Order appropriately laboratory work-up based on the situation.

TOPIC 9The Age of MRSA - Upon completion of this session, the participant should be able to:
1.Describe the emergence and development of drug resistance and MRSA in particular.
2.Appreciate the prevalence and differences in diagnosing and treating both community and hospital acquired MRSA.
3.Recognize the importance of appropriate and timely diagnosis when confronted with MRSA.
4.Recognize the alternative therapies recommended when challenged by MRSA.
5.Identify some practical preventative measures in helping to reduce the incidence of MRSA.

TOPIC 10Visual 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.

TOPIC 11Wound Care - Upon completion of this session, the participant should be able to:
1.Differentiate treatment plans for wound repair based on the size and depth of a laceration.
2.Identify those wounds requiring antibiotic prophylaxis.
3.Outline the approach and treatment for children at risk for rabies or tetanus.

TOPIC 12Pediatric Status Epilepticus and Febrile Seizures - Upon completion of this session, the participant should be able to:
1.Explain the management of Status Epilepticus in the pediatric patient.
2.Define appropriate laboratory and imaging studies in the acute care setting.
3.List the typical features of a simple and complex febrile seizure.

TOPIC 13Pediatric Presentations of Cardiac Disease - Upon completion of this session, the participant should be able to:
1.Recognize common clinical scenarios indicating the presence of cardiac disease in children.
2.Review the pathophysiology of some common pediatric heart diseases.

TOPIC 14Meningitis Revisited - Upon completion of this session, the participant should be able to:
1.Discuss common presenting features of bacterial and viral meningitis.
2.Identify the common pathogens and treatment for bacterial meningitis in children.
3.Recognize the management priorities and potential complications of bacterial meningitis.

TOPIC 15Pediatric Poisoning - Upon completion of this session, the participant should be able to:
1.Review data on pediatric poisonings including recent trends.
2.Describe and explain various options for gastrointestinal decontamination.

TOPIC 16Articles 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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Updated: July 31, 2008