Emergency Medicine: Practicing According to the Evidence

Venue: Hyatt Regency Sarasota

Location: Sarasota, Florida, United States

Event Date/Time: Nov 30, 2009 End Date/Time: Dec 04, 2009
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SPECIFIC OBJECTIVES FOR THIS COURSE: DAY 1 –LOCAL AND REGIONAL ANESTHESIA – Pharmacology of local anesthetics. Controversies in local anesthetic techniques. Regional anesthetic techniques. PITFALLS IN ORTHOPEDICS – High-risk scenarios in emergency orthopedics. Severe true orthopedic emergencies. Commonly missed/mis-managed orthopedic conditions, case-based approach. WIDE-COMPLEX TACHYCARDIAS – Etiologies and ECG appearance. ECG features of these rhythms that will help differentiate between ventricular tachycardia and other more benign etiologies. Evidence-based treatment of dysrhythmias. Clinical significance of the underlying medical conditions that result in dysrhythmias. PERICARDITIS & MYOCARDITIS - Pathophysiology and clinical presentation. Potential pitfalls in diagnosis and management. Commonalities and differences. Evidence-based work-up and treatment options. DAY 2 - SUBARACHNOID HEMORRHAGE – Principles and pathophysiology of SAH. New advances in diagnosis and management. Evidence-based treatment. Pitfalls in diagnosis and management. LOW BACK PAIN – Evidence-based approach to evaluation of non-traumatic back pain. “Red flags” that heighten the suspicion for serious pathology in evaluation of back pain. Effective as well as disproved therapies in treatment. Potential pitfalls in treatment and disposition. AORTIC DISASTERS – Pathophysiology, clinical presentation, and management of: Abdominal aortic aneurysm, Traumatic aortic disruption, Essentials of aortic dissection. ABDOMINAL PAIN CASE STUDIES – Evidence-based approach to evaluation of abdominal pain. Cmmon pitfalls in assessment of abdominal pain. High-risk scenarios related to abdominal pain. DAY 3 - AIRWAY MANAGEMENT – Essentials of airway pharmacology. Approach to airway assessment. Rapid sequence intubation. AIRWAY RESCUE STRATEGIES – Epidemiology and risk factors associated with the failed airway. Contemporary airway rescue techniques. Management of the failed airway. ST-SEGMENT ELEVATION – Clinical conditions that can result in ST elevation on the ECG. ECG findings that can aid in determining the significance of ST-elevation on ECG. Possible adjuncts to further define the significance of ST-elevation on ECG. ACUTE CORONARY SYNDROME – Scope of the problem of ACS in the ED. Evidence-based treatment of ACS. Appreciate the areas of controversy in the treatment of this disease entity. Recognize emerging therapies that may prove useful for the treatment of ACS in the ED. ACC/AHA guidelines for management of unstable angina and non ST-segment elevation myocardial infarction. DAY 4 - PE AND DVT – Scope of the problem of thromboembolic disease. Diagnostic algorithms and adjuncts available to aid in the diagnosis of thromboembolic disease. Evidence-based treatment of thromboembolic disease. Limitations of current diagnostic modalities for these diseases. THROMBOLYSIS FOR STROKE – Principles and pathophysiology of stroke and treatment. Medical literature available to the clinician. Performance of thrombolysis for stroke. Controversy regarding this therapy. Emerging technologies and therapies useful for treatment. HYPERTENSION – "Essentials" for the assessment of hypertension. Framework for treatment of acute hypertension. Highlights of the current guidelines: "Prevention, detection, evaluation, and treatment of high blood pressure. The Eight Report of the Joint National Committee [JNC 8]" to be released in June 2009. TURNING ERROR INTO OPPORTUNITY – Elements of the emergency care environment that predisposes the clinician to decision-making errors. Cognitive strategies that reduce the likelihood of error. Effective methods for reviewing, discussing, addressing medical errors. DAY 5 - TRAUMA CASE STUDIES – Critical issues in evaluation and management of the injured patient. The management imperatives of: blunt and penetrating traumatic arrest, shock in the injured patient, severe traumatic brain injury, spinal trauma, pelvic ring trauma, aortic trauma. Common pitfalls in evaluation of the injured patient. TRAUMA IMAGING – Which patients need imaging following trauma. Which imaging studies are most effective in diagnosing injury. Evidence-based guidelines will be provided for: imaging of the cervical spine, thoracic imaging, imaging in blunt aortic injury, interpretation of pelvic radiology, indications and strengths/weaknesses of abdominal CT, indications for CT imaging in minor brain injury. EARLY GOAL DIRECTED THERAPY IN SEPSIS – Pathophysiology of sepsis and sepsis syndrome. Scope of the problem regarding effective management. Principles of early goal-directed therapy in treatment. Potential gains that can be realized, as well as the pitfalls to avoid, in management utilizing early goal directed therapy. COMMUNITY ACQUIRED METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS (CA-MRSA) - Risk factors for CA-MRSA infection. Management of skin and soft tissue infections in the era of drug resistance. Pharmacologic and non-pharmacologic management strategies for this disease entity. Treatment guidelines for CA-MRSA.


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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