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Live CME Seminars
Emergency Medicine CME |
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by Michael A. Gibbs, M.D., F.A.C.E.P. - Tufts University School of Medicine; Professor of Emergency Medicine; Chief, Department of Emergency Medicine, Maine Medical Center; Immediate Past 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. - Tufts University School of Medicine; Professor of Emergency Medicine; Director, Emergency Medicine Residency Program, Maine Medical Center, Portland, ME.
Learning Objectives
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NARRATIVE DESCRIPTION: Following this course, the participant should be able to recognize the epidemiology, demographics and common clinical presentations for the diseases and disorders discussed; construct an appropriate history, physical exam and laboratory evaluation to develop cost-effective and accurate diagnosis; manage as well as employ appropriate follow-up and/or specialty referral for the diseases and disorders presented. This activity is expected to result in increased confidence in making an appropriate diagnosis and providing effective treatment and referral or follow-up care with the overall goal of improving patient outcomes.
The emphasis will be on current guidelines and evidence-based medicine, as indicated within each topic’s specific objectives. Emergency Medicine is a specialty that has a high rate of utilization and change in standards of care. It is often the point of entry for medical care; therefore, this course was designed to be of value to all practitioners at the level of a practicing physician in an effort to keep them abreast of current clinical practices in Emergency Medicine.
| | Day 1 |
Mastering Local and Regional Anesthesia. Pitfalls in Orthopedics. Wide-Complex Tachycardias: When is V-Tach Not V-Tach? Pericarditis & Myocarditis: How Can 2 Diseases Sound So Similar & Act So Differently? |
| Day 2 |
Subarachnoid Hemorrhage: What’s 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. Hypertension – Just the Facts! Turning Error into Opportunity. |
| Day 5 |
Trauma Case Studies. Essentials of Trauma Imaging. Early Goal Directed Therapy in Sepsis: Why All the Fuss? Community Acquired Methicillin Resistant Staphylococcus aureus (CA-MRSA): A 2009 Update. |
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Emergency Medicine: Practicing According to the Evidence
November 30 – December 4, 2009
Location: Hyatt Regency Sarasota, Florida
| 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.
| | 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 & Myocarditis: How Can 2 Diseases Sound So Similar & 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’s 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. | Review the pathophysiology, clinical presentation, and ED management of the following:
| a. | Abdominal aortic aneurysm,
| | b. | Traumatic aortic disruption,
| | c. | Essentials of aortic dissection.
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| | 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 the epidemiology and risk factors associated with the failed airway in the ED.
| | 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.
| | Hypertension – Just the Facts! - Upon completion of this session, the participant should be able to:
| | 1. | Review the emergency department "essentials" for the assessment of the patient with hypertension.
| | 2. | Provide a rational framework for the ED treatment of acute hypertension.
| | 3. | Review highlights of the current guidelines: "Prevention, detection, evaluation, and treatment of high blood pressure.
| | 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.
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| | Day 5 | Trauma Case Studies - 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. | Blunt and penetrating traumatic arrest,
| | b. | Shock in the injured patient,
| | c. | Severe traumatic brain injury,
| | d. | Spinal trauma,
| | e. | Pelvic ring trauma,
| | f. | Aortic trauma.
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| | 3. | Discuss common pitfalls in the evaluation of the injured patient.
| | 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.
| | Evidence-based guidelines will be provided for:
| a. | Imaging of the cervical spine,
| | b. | Thoracic imaging,
| | c. | Imaging in blunt aortic injury
| | d. | Interpretation of pelvic radiology,
| | e. | Indications and strengths/weaknesses of abdominal CT,
| | f. | Indications for CT imaging in minor brain injury.
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| | 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.
| | Community Acquired Methicillin Resistant Staphylococcus aureus (CA-MRSA): A 2009 Update - Upon completion of this session, the participant should be able to:
| | 1. | Identify risk factors for CA-MRSA infection.
| | 2. | Recognize the management of skin and soft tissue infections in the era of drug resistance.
| | 3. | Discuss both pharmacologic and non-pharmacologic management strategies for this disease entity.
| | 4. | Demonstrate familiarity with the latest treatment guidelines for CA-MRSA.
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