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Live CME Seminars
Pediatric Emergency Medicine CME |
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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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NARRATIVE DESCRIPTION: Following this course, the participant should be able to formulate an appropriate differential diagnosis of the various presenting disorders; apply proper life-stabilizing measures as well as identify the life-threatening emergencies as requiring urgent treatment and /or hospital admission; organize an approach to diagnosis and test ordering and develop a treatment plan based on current evidence as well as providing cost-effective outcomes. 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, with a focus on diagnosis, treatment and when to refer. There is a need to update knowledge in the field of Pediatric Emergency Medicine since it affects not only those in EM but even those practicing in clinical settings such as FP, GP and Pediatricians; therefore, this course was designed as a review and update for all practitioners at the level of a practicing physician.
| | Day 1 |
Office Management of Mild to Moderate Asthma. Emergency Management of Severe Asthma. Bronchiolitis: What’s Helpful and What’s Snot. Visual Diagnosis, Part I. |
| Day 2 |
Pediatric Dermatology: Common Rashes You Should Know. Fever and Rash – When to Worry. The Red Hot Eye. Teaching Pearls You Should Know. |
| Day 3 |
No Time to Waste – Surgical Emergencies in Children. Infants Behaving Badly. Pediatric Status Epilepticus and Febrile Seizures. Managing Animal Bites. |
| Day 4 |
Interesting Cases in Pediatric Emergency Medicine. The Febrile Young Toddler in the Age of the Pneumococcal Vaccine. The Febrile Young Infant. Visual Diagnosis, Part II. |
| Day 5 |
Pediatric Head Trauma. Pain Management in the Office and ED. Pediatric Orthopedic Pitfalls. Clinical Clues to Detecting Child Physical Abuse. |
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Pediatric Emergency Medicine: An Evidence-Based Approach
February 15-19, 2010
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Office Management of Mild to Moderate Asthma - Upon completion of this session, using evidence-based NHLBI guidelines, 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, using systematic reviews from the Cochrane database, 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 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.
| | Teaching Pearls You Should Know - Upon completion of this session, the participant should be able to:
| | 1. | Interpret diagnostic test results.
| | 2. | Grasp essential facts about common conditions encountered in a Pediatric ED.
| | 3. | Expand personal knowledge about appropriate diagnostic evaluations.
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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 in the Age of the Pneumococcal Vaccine - Upon completion of this session, the participant should be able to:
| | 1. | Stratify the young child with high fevers into risk categories of occult infections.
| | 2. | Appraise the current literature regarding occult bacteremia.
| | 3. | Apply data from vaccine studies to clinical practice.
| | 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, including those from the NEXUS study.
| | 2. | Recognize and manage children who have sustained concussions and discuss guidelines from the International Conference on 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. | Critique the American Society of Anesthesiologists Fasting Guidelines for procedural sedation.
| | 2. | Discuss the use of ketamine for deep sedation and analgesia.
| | 3. | Describe the use of pain management for specific case scenarios commonly seen in an office setting.
| | 4. | 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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