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Home, Commute or Travel CME Video DVD 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 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; 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; 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 specialties of Pediatrics and Pediatric Emergency Medicine impact most Primary Care practices and Emergency Departments daily. Primary Care Providers must maintain adequate knowledge to diagnose and effectively treat these commonly seen Pediatric 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, Foreign Body Ingestion and Poisonings as vital skills for the Primary Care Provider. In addition, if the Child with a Limp is not properly diagnosed and referred for proper treatment, permanent disabling sequelae will likely result. Finally, the knowledge and skills necessary to diagnose and treat the common presentations of Back Pain and Dehydration are also important to the Primary Care Provider. Educational gap analysis has identified two areas that must be addressed: increased knowledge and increased confidence on the part of Primary Care Physicians in these areas of Pediatrics. 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 Primary Care Providers maintain and update their knowledge and provide them with the confidence to diagnose, treat and refer their patients presenting with these complaints.
| SPECIFIC OBJECTIVES
| | TOPIC 1 | Head Injuries - Upon completion of this session, the participant should be able to:
| 1. | | Discuss the pathophysiology of head injury in childhood.
| | 2. | | Analyze the management approach to mild, moderate, and severe head trauma.
| | 3. | | Review the emergency treatment of severely head-injured conditions.
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| | TOPIC 2 | The Child With a Limp - Upon completion of this session, the participant should be able to:
| 1. | | Discuss the importance of age to specific hip pathology.
| | 2. | | Differentiate etiologies of limp in the pediatric patient.
| | 3. | | Review management of specific orthopedic conditions.
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| | TOPIC 3 | Visual Diagnosis - Upon completion of this session, the participant should be able to:
| 1. | | Identify diagnoses in children by simple visual inspection.
| | 2. | | Discriminate among common pediatric diagnoses by asking appropriate historical questions.
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| | TOPIC 4 | Dilemma of the Foreign Body - Aspirated or Ingested - Upon completion of this session, the participant should be able to:
| 1. | | Distinguish the epidemiology and clinical presentation of aspirated versus ingested foreign bodies.
| | 2. | | Analyze the rationale for radiographic evaluation of children with a history of foreign body ingestion.
| | 3. | | Debate the relative merits of endoscopic versus Foley catheter removal, and bougienage advancement of esophageal foreign bodies.
| | 4. | | Review the diagnostic approach and radiographic interpretation of children with aspirated foreign bodies.
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| | TOPIC 5 | Evaluation and Management of Dehydration in Children - Upon completion of this session, the participant should be able to:
| 1. | | Apply clinical findings to accurately assess dehydration in children.
| | 2. | | Recognize the role of laboratory testing in suspected dehydration.
| | 3. | | Manage mildly to moderately dehydrated children with oral rehydration therapy.
| | 4. | | Describe the indications for and the initial approach to intravenous fluid therapy.
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| | TOPIC 6 | 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 each of the conditions presented.
| | 2. | | Generate a differential diagnosis for each described clinical presentation.
| | 3. | | Develop an initial treatment plan for each clinical scenario.
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| | TOPIC 7 | Pediatric 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.
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