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Live CME Seminars
Emergency Medicine CME |
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by Andrew Chang, M.D., M.S., F.A.C.E.P., F.A.A.E.M. - Albert Einstein College of Medicine; Associate Professor, Department of Emergency Medicine; Attending Physician, Montefiore Medical Center, Bronx, NY; Joel Kravitz, M.D., F.A.C.E.P., F.R.C.P.S.C. - Jefferson Medical College, Thomas Jefferson University; Assistant Professor, Department of Emergency Medicine; Attending Physician, Albert Einstein Medical Center, Philadelphia and Community Medical Center, Toms River, NJ and Pinaki Mukherji, M.D. - Albert Einstein College of Medicine; Assistant Professor, Department of Emergency Medicine; Attending Physician, Montefiore Medical Center, Bronx, NY.
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 |
Disorders of Glucose Control, Part I: Hyperglycemic Emergencies. Disorders of Glucose Control, Part II: Hypoglycemic Emergencies. As the World Turns: Peripheral Vertigo in the ED. Electrolytes at Panic Levels. |
| Day 2 |
Supraventricular Tachycardias. Seizures in the Emergency Department. Neuromuscular Weakness. Hand and Wrist Injuries Not to be Missed. |
| Day 3 |
Thyroid Emergencies. Ophthalmic Emergencies in the ER. EKG Interpretation. Approach to Chest Pain. |
| Day 4 |
Congestive Heart Failure. Breathless: Does This Patient Have a PE? Psychiatric Emergencies. Drug-Drug Interactions (DDIs). |
| Day 5 |
Headache in the Emergency Department. Sepsis Advances. Abdominal Pain – The Black Box of the Belly. Facial Trauma. |
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Emergency Medicine: An Evidence-Based Approach to Adult Care
March 1-5, 2010
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Disorders of Glucose Control, Part I: Hyperglycemic Emergencies - Upon completion of this session, the participant should be able to:
| 1. | Create, using latest evidence, a comprehensive treatment plan for diabetic ketoacidosis (DKA).
| | 2. | Compare and contrast DKA and hyperosmolar non-ketotic states (HHNK).
| | Disorders of Glucose Control, Part II: Hypoglycemic Emergencies - Upon completion of this session, the participant should be able to:
| | 1. | Integrate the understanding of glucose handling to create a treatment plan for hypoglycemia and alcoholic ketoacidosis.
| | 2. | Identify potential pitfalls in the treatment and disposition of hypoglycemia.
| | As the World Turns: Peripheral Vertigo in the ED - Upon completion of this session, the participant should be able to:
| | 1. | Appreciate the pathophysiology of benign positional vertigo.
| | 2. | Discuss how to perform various diagnostic tests in the evaluation of patients with peripheral vertigo.
| | 3. | Discover how to perform various therapeutic maneuvers, such as the Epley maneuver, in the treatment of patients with benign positional vertigo.
| | 4. | Discuss ways to differentiate benign positional vertigo from vestibular neuritis and labyrinthitis.
| | Electrolytes at Panic Levels - Upon completion of this session, the participant should be able to:
| | 1. | Identify common emergency department causes of electrolyte abnormalities.
| | 2. | List the various therapies used to treat hyperkalemia.
| | 3. | Identify the indications to administer hypertonic saline.
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| | Day 2 | Supraventricular Tachycardias - Upon completion of this session, the participant should be able to:
| 1. | Review the characteristic EKG findings for atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, and Wolf-Parkinson-White syndrome.
| | 2. | Appreciate the factors determining the seriousness of any tachycardia.
| | 3. | Recognize the treatment options for various supraventricular tachycardias.
| | Seizures in the Emergency Department - Upon completion of this session, the participant should be able to:
| | 1. | Outline key demographic information related to epidemiology of seizures in the ED setting.
| | 2. | Review commonly used antiepileptic drugs and their dosing in seizures and status epilepticus.
| | 3. | Appraise the advantages of fosphenytoin over phenytoin in the treatment of status epilepticus.
| | Neuromuscular Weakness - Upon completion of this session, the participant should be able to:
| | 1. | Compare and contrast upper and lower motor neuron disease.
| | 2. | Discriminate between various clinical entities that cause neuromuscular weakness, including Guillain-Barré syndrome, myasthenia gravis, and others.
| | 3. | Demonstrate techniques to be able to discriminate between organic and functional weakness.
| | Hand and Wrist Injuries Not to be Missed - Upon completion of this session, the participant should be able to:
| | 1. | Review of the anatomy of the wrist and hand, with attention to surface anatomy and how it correlates to injury patterns.
| | 2. | Review the common pitfalls in diagnosis and treatment of hand and wrist injuries. This will be a case-base approach utilizing an Audience Response System.
| | 3. | Review hand injuries that should not be missed and/or require orthopedic follow-up.
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| | Day 3 | Thyroid Emergencies - Upon completion of this session, the participant should be able to:
| 1. | Describe the presentation of life threatening hyperthyroid states to the Emergency Department.
| | 2. | Prepare a comprehensive treatment plan for patients with thyroid storm and thyrotoxicosis.
| | 3. | Describe the presentation of myxedema coma.
| | 4. | Justify the use of intravenous thyroid hormones in the potentially hypothyroid patient.
| | Ophthalmic Emergencies in the ER - Upon completion of this session, the participant should be able to:
| | 1. | Develop an algorithm for the differential diagnosis of the red eye.
| | 2. | Create a diagnostic strategy for sudden monocular and binocular blindness.
| | 3. | Review the treatment plans for emergent ophthalmic conditions, including glaucoma, and retinal vein and artery occlusions.
| | 4. | Develop a treatment strategy for ophthalmic trauma.
| | EKG Interpretation - Upon completion of this session, the participant should be able to:
| | 1. | Standardize the approach to the initial ECG and discuss clinical pearls.
| | 2. | Describe signs of ischemia in patients with underlying bundle branch blocks.
| | 3. | Appreciate possible non-cardiac causes of abnormal ECGs.
| | Approach to Chest Pain - Upon completion of this session, the participant should be able to:
| | 1. | Identify warning signs in the typical and atypical presentation of chest pain.
| | 2. | Appreciate factors in the history and physical which will alter risk stratification, and which interventions will alter outcome.
| | 3. | Formulate an initial treatment plan for every patient before obtaining lab testing.
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| | Day 4 | Congestive Heart Failure - Upon completion of this session, the participant should be able to:
| 1. | Recognize the presenting signs and symptoms of congestive heart failure.
| | 2. | Formulate a rapid treatment plan and reassess response to therapy.
| | 3. | Initiate non-invasive ventilation in appropriate candidates.
| | 4. | Discuss the renal dysfunction in CHF.
| | Breathless: Does This Patient Have a PE? - Upon completion of this session, the participant should be able to:
| | 1. | Design an appropriate algorithm for the diagnosis of pulmonary embolus based on clinical pre-test probability.
| | 2. | Describe the appropriate use of the D-dimer and define those patients who would benefit from its use.
| | 3. | Recognize the signs of pulmonary embolus on the screening ECG.
| | Psychiatric Emergencies - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the early signs of agitation and employ strategies to resolve them.
| | 2. | Diagnose and manage the complications of commonly used psychiatric medications.
| | 3. | Develop a plan for the medical clearance of a psychiatric patient.
| | Drug-Drug Interactions (DDIs) - Upon completion of this session, the participant should be able to:
| | 1. | Assess the scope of the problem of drug-drug interactions as it pertains to both the outpatient and emergency settings.
| | 2. | Explore interactions between prescription and non-prescription medications and review their treatments.
| | 3. | Review common drug-drug interactions and their complications commonly seen in the emergency room.
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| | Day 5 | Headache in the Emergency Department - Upon completion of this session, the participant should be able to:
| 1. | Discuss common headache syndromes and differentiate them from dangerous pathology.
| | 2. | Avoid the typical pitfalls of misdiagnosis in the “rule out subarachnoid hemorrhage” patient.
| | 3. | Rapidly create a treatment plan for the unstable patient with severe headache.
| | Sepsis Advances - Upon completion of this session, the participant should be able to:
| | 1. | Initiate early goal-directed therapy for the septic shock patient.
| | 2. | Choose appropriate initial antibiotics based on presenting complaints and infectious source.
| | 3. | Use goals of tissue perfusion to guide management.
| | Abdominal Pain – The Black Box of the Belly - Upon completion of this session, the participant should be able to:
| | 1. | Review some challenging cases of abdominal pain.
| | 2. | Explore diagnoses of abdominal pain in the absence of abdominal pathology.
| | 3. | Discuss the utility of various tests, including labs, ultrasound and CT scan in the diagnosis of abdominal pain.
| | Facial Trauma - Upon completion of this session, the participant should be able to:
| | 1. | Perform both a rapid screen and a thorough evaluation of the patient with facial trauma.
| | 2. | Outline the challenges in securing an airway in the patient with facial trauma.
| | 3. | Describe the indication for different imaging procedures for facial trauma.
| | 4. | Manage injuries to the soft tissues of the face (lips, tongue, eyelids…).
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