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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 and 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.
Learning Objectives
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Pediatric Emergency Medicine: A Review and Update
January 26-30, 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 | Approach to Febrile Infants and Toddlers. - Upon completion of this session, the participant should be able to:
| 1. | Assess the risks of various management strategies of febrile infants less than 2 months of age.
| | 2. | Summarize recent data concerning the clinical approach to febrile young infants.
| | 3. | Differentiate the approach to febrile 3-24 month old children with a known source of infection from those with fever and no identifiable focus of infection.
| | 4. | Summarize data concerning the diagnostic evaluation of febrile children 3-24 months of age.
| | 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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| | 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.
| | Upper 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.
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| | Day 2 | Non-Traumatic Surgical Abdominal Emergencies. - Upon completion of this session, the participant should be able to:
| 1. | Recognize pediatric abdominal processes that require surgical intervention.
| | 2. | Diagnose and manage the following conditions:
| a. | Intussusception;
| | b. | Malrotation;
| | c. | Pyloric Stenosis;
| | d. | Meckel’s Diverticulum.
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| | Diagnosis 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.
| | 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.
| | Pediatric Emergency Case Studies. - Upon completion of this session, the participant should be able to:
| | 1. | Apply basic principles of emergency medicine in the stabilization and evaluation of interesting pediatric emergency cases.
| | 2. | Describe the etiology and pathogenesis of pediatric emergency cases.
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| | Day 3 | 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.
| | 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.
| | Medical Errors in Pediatrics. - Upon completion of this session, the participant should be able to:
| | 1. | Explain root cause analysis and perform it on cases of medical errors that involved children.
| | 2. | Describe specific risks for medication errors and strategies to reduce their occurrence.
| | 3. | Review issues in sleep physiology that relate to medical error risks.
| | Visual 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.
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| | Day 4 | The Septic Appearing Infant. - Upon completion of this session, the participant should be able to:
| 1. | Conclude that an infectious etiology is not the only cause of a “toxic” appearing child.
| | 2. | Differentiate neurologic, hematologic, toxin, and cardiac causes of the ill child.
| | Pediatric Poisonings. - 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.
| | Orthopedic Conditions Above the Hip. - Upon completion of this session, the participant should be able to:
| | 1. | Diagnose the Salter-Harris classification of fractures in the pediatric patient.
| | 2. | Initially manage fractures of the upper extremity and recognize when to refer to an Orthopedic Surgeon.
| | Pediatric Emergency Radiology. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the radiographic findings of the films displayed.
| | 2. | Interpret radiographs and diagnose a variety of pediatric conditions.
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| | Day 5 | Fluid and Electrolyte Emergencies. - 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.
| | Judicious Use of Antibiotics in 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.
| | 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.
| | Articles 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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