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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 and 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.
Learning Objectives
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Pediatric Emergency Medicine: An Evidence-Based Approach
February 16-20, 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 | Office Management of Mild to Moderate Asthma. - Upon completion of this session, the participant should be able to:
| 1. | State the benefits and drawbacks of using nebulizers or metered-dose inhalers with spacers to deliver beta2-agonists.
| | 2. | Summarize the evidence supporting the use of ipratropium bromide for moderately ill asthmatic children.
| | 3. | Outline the appropriate use of corticosteroids in this setting, including Dr. Scarfone’s research on the use of oral prednisone and nebulized dexamethasone.
| | Emergency 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.
| | Bronchiolitis: What’s Helpful and What’s Snot. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the benefits and limitations of the most recent recommendations for the treatment of bronchiolitis.
| | 2. | Identify features placing infants at risk for more serious disease.
| | Visual Diagnosis, Part I. - Upon completion of this session, the participant should be able to:
| | 1. | Recognize common, uncommon and atypical presentations of childhood illnesses.
| | 2. | Formulate an initial approach to the management of certain childhood illnesses or injuries based on visual clues.
| | 3. | Ask appropriate questions to discriminate among similar appearing pediatric diagnoses.
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| | Day 2 | Pediatric Dermatology: Common Rashes You Should Know. - Upon completion of this session, the participant should be able to:
| 1. | Identify specific characteristics of rashes encountered in the acute care setting.
| | 2. | Initiate appropriate treatment for common dermatologic conditions.
| | Fever and Rash – When to Worry. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the initial approach to a febrile child with petechiae.
| | 2. | Identify distinguishing characteristics of rashes in the child with fever.
| | 3. | Enumerate historical clues that are helpful in evaluating difficult to identify rashes.
| | The Red Hot Eye. - Upon completion of this session, the participant should be able to:
| | 1. | Describe the eight-point eye examination and explain what clinical conditions may be identified by each step in the examination.
| | 2. | Recognize and treat eye pathology resulting from infection or trauma and give examples of when to refer a child to an ophthalmologist.
| | 3. | Explain the difference between sinusitis with inflammatory edema, peri-orbital cellulitis and orbital cellulitis.
| | What’s New in Pediatric Emergency Medicine? - Upon completion of this session, the participant should be able to:
| | 1. | Discuss new treatment practices in the pediatric emergency department.
| | 2. | Use data from recently published clinical trials to offer an evidence-based approach to the management of ill or injured children.
| | 3. | Critically review recently published clinical trials describing novel treatment strategies for children with pediatric emergencies.
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| | Day 3 | No Time to Waste – Surgical Emergencies in Children. - Upon completion of this session, the participant should be able to:
| 1. | Recognize signs and symptoms of various acute surgical emergencies in children.
| | 2. | Describe the appropriate diagnostic studies to obtain in the evaluation of children with surgical emergencies.
| | 3. | Appreciate the consequences of delayed diagnosis in children with surgical emergencies.
| | Infants Behaving Badly. - Upon completion of this session, the participant should be able to:
| | 1. | Develop a complete differential diagnosis for critically ill infants.
| | 2. | Summarize the key management strategies in actual cases of infants presenting to a pediatric emergency department.
| | 3. | Describe the evaluation and management options available for infants with interesting and uncommon diagnoses.
| | Pediatric 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.
| | Managing Animal Bites. - Upon completion of this session, the participant should be able to:
| | 1. | Identify those bites that are at particular risk of infection.
| | 2. | Summarize the arguments for and against the use of prophylactic antibiotics in specific bite wounds.
| | 3. | Match specific infecting organisms with the biting animal.
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| | Day 4 | Interesting Cases in Pediatric Emergency Medicine. - Upon completion of this session, the participant should be able to:
| 1. | Organize a straightforward approach to the acutely ill child with a confusing presentation.
| | 2. | Generate a differential diagnosis for the acutely ill or injured child.
| | The 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.
| | The Febrile Young Infant. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the appropriate evaluation and treatment of the febrile infant who is less than eight weeks of age.
| | 2. | Discuss those serious bacterial infections for which the febrile infant is at risk.
| | 3. | Appraise recent data suggesting that a subset of febrile infants may be treated as outpatients.
| | Visual Diagnosis, Part II. - 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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| | Day 5 | Pediatric Head Trauma. - Upon completion of this session, the participant should be able to:
| 1. | Describe the use of decision rules in the management of head injured children.
| | 2. | Recognize and manage children who have sustained concussions.
| | 3. | Identify those children who require imaging studies as part of their medical evaluation.
| | Pain Management in the Office and ED. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the reasons why pain in children has often been inappropriately managed in the past.
| | 2. | Describe the use of pain management for specific case scenarios commonly seen in an office setting.
| | 3. | Describe the use of pain management for specific case scenarios commonly seen in an ED.
| | Pediatric Orthopedic Pitfalls. - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the unique responses of the pediatric musculoskeletal system to forces.
| | 2. | Initiate management for common pediatric extremity emergencies.
| | 3. | Correlate mechanism of injury, age and anatomy with common and uncommon extremity injuries.
| | 4. | Avoid traps that obscure subtle pediatric orthopedic injuries.
| | 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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Updated: July 30, 2008 |
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