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Live CME Seminars
Pediatric Emergency Medicine CME |
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by David C. Brousseau, M.D., M.S. - Medical College of Wisconsin; Associate Professor of Pediatrics, Division of Emergency Medicine, Milwaukee, WI; Amy Drendel, D.O., M.S. - Medical College of Wisconsin; Assistant Professor of Pediatrics, Department of Pediatrics, Milwaukee, WI and Marc H. Gorelick, M.D., M.S.C.E., F.A.A.P., F.A.C.E.P. - Medical College of Wisconsin; Professor of Pediatrics and Population Health; Jon E. Vice Chair, Emergency Medicine, Children's Hospital of Wisconsin, Milwaukee, WI.
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 |
Management of the Critically Ill Neonate. Fever in the Infant and Toddler. Pediatric Diabetic Ketoacidosis. Evaluation and Management of Dehydration in Children. |
| Day 2 |
Acute Asthma in Children: An Update on Management. Pediatric Seizures: Simple to Status. Accidents Will Happen? Evaluation of Suspected Physical Abuse in Children. Lacerations and Animal Bites. |
| Day 3 |
Hematologic Emergencies: Sickle Cell Disease and ITP. Pediatric Pain: Assessment and Treatment from the ED to Home. Interesting Cases: When a Long Day Becomes a Pain in the “Back”. Pharmacogenomics in the ED: What You Need to Know About SNPs. |
| Day 4 |
Pediatric Airway Management. Pediatric Head Trauma: Concussion to Coma. Pediatric Sports Injuries. Orthopedics in the Pediatric Patient. |
| Day 5 |
Pediatric EKG Workshop. Pediatric Cardiac Emergencies. Toxicology: Drug Store to Dance Floor. Bronchiolitis and Croup. |
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Pediatric Emergency Medicine: A Review and Update
April 5-9, 2010
Location: Hyatt Regency Sarasota, Florida
| SPECIFIC OBJECTIVES
| | Day 1 | Management of the Critically Ill Neonate - Upon completion of this session, the participant should be able to:
| 1. | Recognize the signs of distress in a neonate.
| | 2. | Discuss the differential diagnosis of the critically ill neonate.
| | 3. | Describe methods of obtaining vascular access in the neonate.
| | 4. | Design a treatment plan for the initial stabilization of a critically ill neonate.
| | Fever in the Infant and Toddler - Upon completion of this session, using AAP guidelines as well as EBM publications, the participant should be able to:
| | 1. | Develop a differential diagnosis for infants presenting with fever.
| | 2. | Plan appropriate diagnostic and treatment strategies for children with fever in different age groups (0-4 weeks, 4-8 weeks, 2 months – 2 years).
| | 3. | Recognize and manage common causes of fever in different age groups.
| | Pediatric Diabetic Ketoacidosis - Upon completion of this session, the participant should be able to:
| | 1. | Describe the presenting signs and symptoms of diabetic ketoacidosis.
| | 2. | Select appropriate initial therapy, based on the consensus statement of the American Diabetes Association, for the child with diabetic ketoacidosis.
| | 3. | Identify those children with diabetic ketoacidosis that may be candidates for outpatient management.
| | 4. | Contrast the presentation of type I and type II diabetes in children.
| | Evaluation and Management of Dehydration in Children - Upon completion of this session, using AAP and other evidence-based guidelines (guidelines.gov) as well as EBM publications, the participant should be able to:
| | 1. | Apply clinical findings to accurately assess dehydration in children.
| | 2. | Recognize the role of laboratory testing in suspected dehydration.
| | 3. | Manage mildly-moderately dehydrated children with oral rehydration therapy.
| | 4. | Describe the indications for and the initial approach to parenteral fluid therapy.
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| | Day 2 | Acute Asthma in Children: An Update on Management - Upon completion of this session, using NHLBI guidelines as well as EBM publications, the participant should be able to:
| 1. | Summarize recent information regarding inhaled bronchodilator therapy for acute asthma.
| | 2. | Recognize the role of systemic and inhaled steroids in the management of acute asthma exacerbations.
| | 3. | Plan the appropriate use of additional therapies including magnesium sulfate and heliox.
| | 4. | Describe the important considerations for airway and ventilator management for severe acute asthma.
| | Pediatric Seizures: Simple to Status - Upon completion of this session, the participant should be able to:
| | 1. | Explain the evaluation and management, based on guidelines form the American Academy of Pediatrics practice parameter, of a febrile seizure.
| | 2. | Explain the evaluation and management, based on the practice parameter from the American Academy of Neurology and Child Neurology Society, of a first time afebrile seizure.
| | 3. | Select appropriate treatment for the child in status epilepticus.
| | Accidents Will Happen? Evaluation of Suspected Physical Abuse in Children - Upon completion of this session, using AAP guidelines as well as EBM publications, the participant should be able to:
| | 1. | Recognize common presentations of non-accidental trauma.
| | 2. | Plan the evaluation of the child with suspected non-accidental trauma.
| | 3. | Know the principles of correct documentation for forensic purposes.
| | Lacerations and Animal Bites - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate treatment plans for wound repair based on the size and depth of the laceration.
| | 2. | Identify those wounds requiring antibiotic prophylaxis.
| | 3. | Outline the approach and treatment for children at risk for rabies and tetanus.
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| | Day 3 | Hematologic Emergencies: Sickle Cell and ITP - Upon completion of this session, the participant should be able to:
| 1. | Contrast the clinical presentations of sickle cell complications.
| | 2. | Evaluate and manage the febrile child with sickle cell disease.
| | 3. | Discuss the clinical signs and laboratory evaluation of Idiopathic Thrombocytopenic Purpura (ITP).
| | 4. | Describe treatment options for children with ITP.
| | Pediatric Pain: Assessment and Treatment from the ED to Home - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the pain assessment tools recommended for use by the American Academy of Pediatrics.
| | 2. | Identify barriers to the treatment of pain in children.
| | 3. | Using the latest evidence, formulate an analgesic treatment plan for common painful pediatric conditions.
| | Interesting Cases: When a Long Day Becomes a Pain in the “Back” - Upon completion of this session, the participant should be able to:
| | 1. | Identify the important clinical features of diagnoses associated with back pain.
| | 2. | Generate a differential diagnosis for each described clinical presentation.
| | 3. | Develop an initial evaluation and treatment plan for children presenting with back pain.
| | Pharmacogenomics in the ED: What You Need to Know About SNPs - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the key terms and nomenclature used in pharmacogenomics.
| | 2. | Recognize the impact of known polymorphisms on clinical efficacy.
| | 3. | Describe how the knowledge of inducers and inhibitors might affect medication prescription.
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| | Day 4 | Pediatric Airway Management - Upon completion of this session, the participant should be able to:
| 1. | Evaluate and identify high risk airways in children using the American Society of Anesthesiologist's Practice Guidelines of the Difficult Airway.
| | 2. | Discuss the basic airway devices and adjuncts that can be used in the pediatric patient.
| | 3. | Plan the approach to performing endotracheal intubations in challenging scenarios.
| | Pediatric Head Trauma: Concussion to Coma - Upon completion of this session, the participant should be able to:
| | 1. | Explain the initial approach to the child with a head injury.
| | 2. | Distinguish between those children at low and high risk for intracranial injury.
| | 3. | Identify an appropriate evaluation and treatment strategy for children with head injury of varying degrees of severity.
| | Pediatric Sports Injuries - Upon completion of this session, the participant should be able to:
| | 1. | Discuss the mechanism of injury for common sports injuries.
| | 2. | Diagnose common sporting injuries of the elbow, shoulder, knee and ankle.
| | 3. | Develop an evidence-based treatment plan and know when to refer.
| | Orthopedics in the Pediatric Patient - Upon completion of this session, the participant should be able to:
| | 1. | Describe the anatomic differences between child and adult bones/joints.
| | 2. | Classify pediatric fractures involving the growth plate.
| | 3. | Identify fractures associated with abuse.
| | 4. | Treat common orthopedic injuries and know when to refer.
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| | Day 5 | Pediatric EKG Workshop - Upon completion of this session, the participant should be able to:
| 1. | Identify important pediatric EKG abnormalities.
| | 2. | Describe the treatment plan, based on American Heart Association guidelines, for pediatric arrhythmias.
| | 3. | Differentiate concerning from non-concerning abnormalities seen on pediatric EKGs.
| | Pediatric Cardiac Emergencies - Upon completion of this session, the participant should be able to:
| | 1. | Recognize common clinical scenarios indicating the presence of cardiac disease in children.
| | 2. | Formulate a differential diagnosis for pediatric chest pain.
| | 3. | Review the pathophysiology and stabilization of common pediatric cardiac conditions.
| | Toxicology: Drug Store to Dance Floor - Upon completion of this session, the participant should be able to:
| | 1. | Differentiate toxic and non-toxic ingestions.
| | 2. | Manage common pediatric accidental ingestions.
| | 3. | Describe the diagnosis and management of newer drugs being used by children.
| | Bronchiolitis and Croup - Upon completion of this session, the participant should be able to:
| | 1. | Recognize the clinical presentation of infants with bronchiolitis.
| | 2. | Synthesize the latest evidence regarding bronchodilator and corticosteroid therapy for bronchiolitis.
| | 3. | Manage children with mild, moderate and severe croup using the latest evidence on interventions.
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