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Home, Commute or Travel CME™
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Emergency Medicine Audio CME |
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by Valerianna Amorosa, M.D. - University of Pennsylvania School of Medicine; Assistant Professor of Clinical Medicine; Chief of Infectious Diseases and Clinic Director, HIV and Infectious Diseases Clinic, Philadelphia VA Medical Center, Philadelphia, PA; 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; David C. Brousseau, M.D., M.S. - Medical College of Wisconsin; Associate Professor of Pediatrics, Division of Emergency Medicine, Milwaukee, WI; 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; Stephen J. Gluckman, M.D., F.A.C.P. - University of Pennsylvania School of Medicine; Professor of Medicine; Chief, Infectious Diseases Clinical Services, Hospital of the University of Pennsylvania; Visiting Professor for Infectious Diseases, University of Botswana; Adam R. Guttentag, M.D. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor of Radiology; Director, General Radiology, and Section Chief, Thoracic Radiology, Albert Einstein Medical Center, Philadelphia, PA; 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; Donald Kaye, M.D., M.A.C.P. - Drexel University, College of Medicine; Professor of Medicine, Philadelphia, PA; 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; Pinaki Mukherji, M.D. - Albert Einstein College of Medicine; Assistant Professor, Department of Emergency Medicine; Attending Physician, Montefiore Medical Center, Bronx, NY; Andrew D. Perron, M.D., F.A.C.E.P., F.A.C.S.M. - University of Vermont College of Medicine; Professor, Department of Surgery, Division of Emergency Medicine; Director, Emergency Medicine Residency Program, Maine Medical Center, Portland, ME; and David E. Riley, M.D. - Case Western Reserve University School of Medicine; Professor, Department of Neurology; Director, Movement Disorders Center, University Hospitals Neurological Institute, University Hospitals Case Medical Center, Cleveland, OH. |
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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.
| SPECIFIC OBJECTIVES FOR EACH TOPIC
| | TOPIC 1 | 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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| | TOPIC 2 | Fluid and Electrolyte Disorders in the Pediatric Patient - Upon completion of this session, the participant should be able to:
| 1. | Recognize and accurately assess dehydration in children.
| | 2. | Describe the procedure for oral rehydration therapy and its indications and contraindications.
| | 3. | Recognize the clinical presentations of abnormalities in serum sodium and potassium, explain the common etiologies, and describe appropriate treatments for them.
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| | TOPIC 3 | Pediatric 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.
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| | TOPIC 4 | Fever in the Infant and Toddler - Upon completion of this session, the participant should be able to:
| 1. | Develop a differential diagnosis for infants and toddlers presenting with fever.
| | 2. | Recognize and manage the most common causes of fever in different age groups.
| | 3. | Identify appropriate diagnostic and treatment strategies for children with fever in different age groups (0-4 weeks, 4-8 weeks, 2 months - 2 years).
| | 4. | Determine what patients to treat and discharge, treat and observe, and treat for admission.
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| | TOPIC 5 | Seizures and the Seizing Child - Upon completion of this session, the participant should be able to:
| 1. | Explain the evaluation and management of a febrile seizure.
| | 2. | Explain the evaluation and management of a first time afebrile seizure.
| | 3. | Describe the common etiologies of pediatric status epilepticus.
| | 4. | Select appropriate treatment for the child who presents with status epilepticus.
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| | TOPIC 6 | Bronchiolitis and Croup - 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.
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| | TOPIC 7 | Clinical Clues to Detecting Child Physical Abuse - Upon completion of this session, the participant should be able to:
| 1. | Identify findings that are characteristic of physical abuse.
| | 2. | Distinguish physical findings often confused with physical abuse.
| | 3. | Formulate further evaluation and an appropriate course of action when the suspicion of abuse exists.
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| | TOPIC 8 | Orthopedics 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.
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| | TOPIC 9 | Soft Tissue and Bone Infections - Upon completion of this session, the participant should be able to:
| 1. | Identify an approach to making the diagnosis of common skin and soft tissue infections.
| | 2. | Recognize common infections to include streptococcal and staphylococcal infections and necrotizing fasciitis, diabetic foot infections, bite wound infections and bone and joint infections.
| | 3. | Apply appropriate treatment and management of these commonly seen infections and decide when specialist referral is indicated.
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| | TOPIC 10 | Sepsis Advances: Best Evidence Guidelines - Upon completion of this session, the participant should be able to:
| 1. | Choose appropriate initial antibiotics based on presenting complaints and indicators of resistance.
| | 2. | Describe special considerations in non-antibiotic therapy of selected infections.
| | 3. | Initiate early goal-directed therapy for the septic shock patient.
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| | TOPIC 11 | From Hematemesis to Melena: An Evidence-Based Approach to GI Bleeding - Upon completion of this session, the participant should be able to:
| 1. | Discuss the common ED pitfalls in the diagnosis and management of GI bleeding.
| | 2. | Review and integrate the current evidence-based recommendations for treating this disease.
| | 3. | Identify the high-risk features of certain GI bleeds that predict a worse outcome.
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| | TOPIC 12 | Psychogenic Neurologic Disorders - Upon completion of this session, the participant should be able to:
| 1. | Describe the most common neurologic manifestations of psychogenic disorders.
| | 2. | Distinguish among malingering, factitious disorders and conversion disorders.
| | 3. | Identify the major risk factors for psychogenic illness.
| | 4. | Formulate a plan for management of a psychogenic illness.
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| | TOPIC 13 | Contrast and Radiation Issues in Radiology: An Update - Upon completion of this session, the participant should be able to:
| 1. | Identify patients at risk for adverse reactions to intravenous iodinated contrast for CT.
| | 2. | Describe current understanding of adverse patient reactions to Gadolinium containing MRI contrast materials.
| | 3. | Describe factors leading to increased radiation exposure to patients from medical imaging.
| | 4. | Discuss approaches to reducing radiation doses to patients while preserving diagnostic accuracy.
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| | TOPIC 14 | Sexually Transmitted Diseases - Upon completion of this session, the participant should be able to:
| 1. | Outline the present epidemiology of STDs in this country.
| | 2. | List a differential diagnosis for the following STD syndromes:
| a. | Urethral discharge and dysuria;
| | b. | Vaginal discharge/vaginitis;
| | c. | Genital ulceration.
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| | 3. | Explain the diagnosis and management of syphilis, gonorrhea, and chlamydia.
| | 4. | Recognize the sexual transmission of “non-traditional STDs” such as hepatitis B, and cystitis in women.
| | 5. | Describe how to properly use a condom so that they may properly educate patients.
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| | TOPIC 15 | EKG Interpretation - Upon completion of this session, the participant should be able to:
| 1. | Standardize the approach to the initial ECG and discuss common artifacts and misreads.
| | 2. | Discriminate subtle presentations of abnormal rhythm and ischemia.
| | 3. | Describe signs of ischemia in patients with underlying bundle branch blocks.
| | 4. | Appreciate possible non-cardiac causes of abnormal ECGs.
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| | TOPIC 16 | Infective Diarrhea - Upon completion of this session, the participant should be able to:
| 1. | Differentiate the presentation of toxigenic and invasive diarrhea.
| | 2. | Identify food-borne pathogens.
| | 3. | Explain when to use fecal WBC, stool cultures, and stool O&P examinations.
| | 4. | Summarize the indications for antibiotic therapy.
| | 5. | Identify appropriate antibiotic choices.
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