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ACEP Speaker of the Year Recipients: Dr. Gibbs - 2005 and Dr. Perron - 2007
by Michael A. Gibbs, M.D., F.A.C.E.P. - University of Vermont College of Medicine; Professor of Emergency Medicine; Chief, Department of Emergency Medicine, Maine Medical Center; President, Maine Chapter of the American College of Emergency Physicians, Portland, ME and 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, Porland, ME.
Learning Objectives
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| EDUCATIONAL GAP AND NEEDS ANALYSIS STATEMENT: The specialty of Emergency Medicine affects most Primary Care practices daily by having to diagnose and treat acute patient complaints such as calf and leg pain which could be DVT, allergic reactions which could rapidly turn into airway distress, abdominal pain which could be due to an Aortic Disaster, and other common patient complaints and presentations involving topics taught in this CME activity. Important diagnostic and treatment methods in the areas of Airway Management, Chest Pain, DVT/PE and Trauma Management should become common knowledge for the Emergency and Primary Care physician in the ED. A review and update of commonly seen patient presentations as given in this activity will help to maintain the level of knowledge needed to keep the Practitioner current in prudent, cost-effective, and practical clinical behavior.
| | Day 1 |
Mastering Local and Regional Anesthesia. Pitfalls in Orthopedics. Wide-Complex Tachycardias: When is V-Tach Not V-Tach? Pericarditis and Myocarditis: How Can 2 Diseases Sound So Similar and Act So Differently? |
| Day 2 |
Subarachnoid Hemorrhage: What Is New in Diagnosis and Management? Low Back Pain in the ED: What We Know, What We Think We Know, and What We Don’t Know. Aortic Disasters. Abdominal Pain Case Studies. |
| Day 3 |
Cutting Edge ED Airway Management. Airway Rescue Strategies. ST-Segment Elevation: MI or Not MI. Acute Coronary Syndrome in the ED: So Many Drugs and So Little Time. |
| Day 4 |
PE and DVT in the Emergency Department. Thrombolysis for Stroke. Trauma Case Studies, Parts I & II. |
| Day 5 |
Turning Error into Opportunity. Essentials of Trauma Imaging. Early Goal Directed Therapy in Sepsis: Why All the Fuss? From Hematemesis to Melena: An Evidence-Based Approach to GI Bleeding. |
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Emergency Medicine: Practicing According to the Evidence
January 19-23, 2009
Location: Hyatt Regency Sarasota, Florida
OBJECTIVES
| 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
| | Day 1 | 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.
| | 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.
| | Wide-Complex Tachycardias: 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.
| | Pericarditis and Myocarditis: How Can 2 Diseases Sound So Similar and Act So Differently? - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the pathophysiology and clinical presentation of these two entities.
| | 2. | Review the potential pitfalls in the diagnosis and management of these diseases.
| | 3. | Discuss the commonalities and differences of these closely related diseases.
| | 4. | Describe the evidence-based work-up and treatment options for pericarditis and myocarditis.
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| | Day 2 | Subarachnoid Hemorrhage: What Is New in Diagnosis and Management? - Upon completion of this session, the participant should be able to:
| 1. | Identify the principles and pathophysiology of SAH.
| | 2. | Appreciate new advances in the diagnosis and management of this disease.
| | 3. | Describe the evidence-based treatment of SAH based on the latest applicable literature.
| | 4. | Recognize the pitfalls in the diagnosis and management of SAH in the ED.
| | Low Back Pain in the ED: What We Know, What We Think We Know, and What We Don’t Know. - 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.
| | Aortic Disasters. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the pathophysiology and clinical presentation of aortic dissection and AAA.
| | 2. | Outline the diagnostic options for emergency detection of these life-threatening vascular emergencies.
| | 3. | Review the essentials of emergency management of aortic dissection and AAA.
| | Abdominal Pain Case Studies. - Upon completion of this session, the participant should be able to:
| | 1. | Outline an evidence-based approach to evaluation of the ED patient with abdominal pain.
| | 2. | Identify common pitfalls in the assessment of patients with abdominal pain.
| | 3. | Describe high-risk scenarios related to patients with abdominal pain.
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| | Day 3 | Cutting Edge ED Airway Management. - Upon completion of this session, the participant should be able to:
| 1. | Discuss essentials of airway pharmacology.
| | 2. | Discuss a fundamental approach to airway assessment.
| | 3. | Describe the technique of rapid sequence intubation.
| | Airway Rescue Strategies. - Upon completion of this session, the participant should be able to:
| | 1. | Describe a general approach to the patient with a difficult airway.
| | 2. | Discuss contemporary airway rescue techniques.
| | 3. | Present an algorithm for management of the failed airway.
| | ST-Segment Elevation: MI or Not MI. - Upon completion of this session, the participant should be able to:
| | 1. | Appreciate the wide variety of clinical conditions that can result in ST elevation on the ECG.
| | 2. | Describe ECG findings that can aid the clinician in determining the significance of ST-elevation on an ECG.
| | 3. | Discuss the possible adjuncts a clinician can use to further define the significance of ST-elevation on an ECG.
| | Acute Coronary Syndrome in the ED: So Many Drugs and So Little Time. - Upon completion of this session, the participant should be able to:
| | 1. | Identify the scope of the problem of ACS in the ED.
| | 2. | Review the evidence-based treatment of ACS based on the latest applicable literature.
| | 3. | Appreciate the areas of controversy in the treatment of this disease entity.
| | 4. | Recognize emerging therapies that may prove useful for the treatment of ACS in the ED.
| | 5. | Identify and integrate the updated ACC/AHA guidelines for the management of patients with unstable angina and non ST-segment elevation myocardial infarction.
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| | Day 4 | PE and DVT in the Emergency Department. - 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.
| | Thrombolysis for Stroke. - Upon completion of this session, the participant should be able to:
| | 1. | Identify the principles and pathophysiology of stroke and stroke treatment.
| | 2. | Appreciate the applicable medical literature that is available to the clinician.
| | 3. | Review the performance of thrombolysis for stroke to this point in time.
| | 4. | Describe the controversy regarding this therapy.
| | 5. | Recognize emerging technologies and therapies useful for the treatment of stroke in the ED.
| | Trauma Case Studies, Parts I & II. - 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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| | Day 5 | Turning Error into Opportunity. - Upon completion of this session, the participant should be able to:
| 1. | Describe the elements of the emergency care environment that predisposes the clinician to decision-making errors.
| | 2. | Describe cognitive strategies that reduce the likelihood of error.
| | 3. | Illustrate effective methods for reviewing, discussing and addressing medical errors.
| | 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.
| | Early Goal Directed Therapy in 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.
| | 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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