Emergency Medicine: An Evidence-Based Approach to Adult Care

Venue: Hyatt Sarasota on Sarasota Bay

Location: Sarasota, Florida, United States

Event Date/Time: Feb 23, 2009 End Date/Time: Feb 27, 2009
Registration Date: Feb 23, 2009
Early Registration Date: Jan 24, 2009
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SPECIFIC OBJECTIVES FOR THIS COURSE: DAY 1 - DISORDERS OF GLUCOSE CONTROL: HYPOGLYCEMIA - Understanding of glucose handling to create a treatment plan for Hypoglycemia and Alcoholic Ketoacidosis. Potential pitfalls in treatment and disposition. DISORDERS OF GLUCOSE CONTROL: HYPERGLYCEMIA - Treatment plan for Diabetic Ketoacidosis (DKA). DKA and hyperosmolar non-ketotic states (HONK). PERIPHERAL VERTIGO - Common causes of peripheral vertigo. Pathophysiology of benign positional vertigo. How to perform various diagnostic tests in the evaluation of peripheral vertigo. How to perform various therapeutic maneuvers, such as the Epley maneuver, in the treatment of benign positional vertigo. ELECTROLYTES AT PANIC LEVELS - Common symptoms and signs that suggest an electrolyte abnormality. Therapies used to treat hyperkalemia. Formulas used to correct disorders in sodium homeostasis. DAY 2 - SUPRAVENTRICULAR TACHYCARDIAS - Characteristic EKG findings for atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, Wolf-Parkinson-White syndrome. Factors determining the seriousness of any tachycardia. Treatment options for various supraventricular tachycardias. SEIZURES - Key demographic information related to epidemiology of seizures. ACEP seizure clinical policy. Interventions for acute seizures and status epilepticus. Nonconvulsive status epilepticus. NEUROMUSCULAR WEAKNESS - Upper and lower motor neuron disease. Clinical entities that cause neuromuscular weakness, including Guillain-Barré Syndrome, Myasthenia Gravis, others. Techniques to discriminate between organic and functional weakness. HAND AND WRIST INJURIES - Anatomy of the wrist and hand, with attention to surface anatomy and how it correlates to injury patterns. Common pitfalls in diagnosis and treatment of hand and wrist injuries. Case-base approach utilizing an Audience Response System. Hand injuries that should not be missed and/or require orthopedic follow-up. DAY 3 - THYROID EMERGENCIES - Presentation of life-threatening hyperthyroid states. Treatment plan for patient with thyroid storm and thyrotoxicosis. Myxedema coma. Use of intravenous Synthroid in the potentially hypothyroid patient. SEXUALLY TRANSMITTED DISEASES - Recommendations by the CDC with respect to the treatment of Sexually Transmitted Diseases. Treatment issues in some of the more ‘controversial’ patients – including pregnant and HIV patients. STDs that present with genital ulcers. EKG INTERPRETATION - Approach to the initial ECG and common artifacts and misreads. Subtle presentations of abnormal rhythm and ischemia. Signs of ischemia in underlying bundle branch blocks. Possible non-cardiac causes of abnormal ECG's. APPROACH TO CHEST PAIN - Warning signs in the typical and atypical presentation of chest pain. Factors in the history and physical which will alter risk stratification, and which interventions will alter outcome. Treatment plan for every patient before obtaining the ECG or lab testing. DAY 4 - CONGESTIVE HEART FAILURE - Presenting signs and symptoms of congestive heart failure (or lack thereof). Rapid treatment plan and reassess response to therapy. Non-invasive ventilation in appropriate candidates. Alternative diagnoses in patients who are refractory to treatment. BREATHLESS: DOES THIS PATIENT HAVE A PE? Algorithm for the diagnosis of pulmonary embolus based on clinical pre-test probability. Use of the D-dimer and patients who would benefit from its use. Signs of pulmonary embolus on the screening ECG. Manage pulmonary embolism with anticoagulation or interventions. PSYCHIATRIC EMERGENCIES - Early signs of agitation and strategies to resolve them. Complications of commonly used psychiatric medications. Medical clearance of a psychiatric patient. DRUG INTERACTIONS - Scope of the problem of drug-drug interactions to both the outpatient and emergency settings. Interactions between prescription and non-prescription medications and their treatments. Common drug-drug interactions and complications commonly seen. DAY 5 - HEADACHE - Common headache syndromes and dangerous pathology. Pitfalls of misdiagnosis in the “rule out subarachnoid hemorrhage” patient. Treatment plan for the unstable patient with severe headache. SEPSIS ADVANCES - Initial antibiotics based on presenting complaints and indicators of resistance. Considerations in non-antibiotic therapy of selected infections. Early goal-directed therapy for the septic shock patient. ABDOMINAL PAIN - Challenging cases of abdominal pain. Diagnoses of abdominal pain in the absence of abdominal pathology. Utility of various tests, including labs, ultrasound and CT scan in the diagnosis of abdominal pain. FACIAL TRAUMA - Rapid screen and a thorough evaluation of facial trauma. Challenges in securing an airway in the patient with facial trauma. Indication for different imaging procedures for facial trauma. Injuries to the soft tissues of the face (lips, tongue, eyelids…).


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Additional Information

Physician Fees $745.00 Regular Registration (30 days prior to seminar start date) $795.00 Late Registration Non Physician/Resident* Fees $645.00 Regular Registration (30 days prior to seminar start date) $695.00 Late Registration