CME - Emergency Medicine: An Evidence-Based Approach to Adult Care

Venue: Hyatt Regency Sarasota

Location: Sarasota, Florida, United States

Event Date/Time: Mar 01, 2010 End Date/Time: Mar 05, 2010
Registration Date: Mar 01, 2010
Early Registration Date: Jan 30, 2010
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SPECIFIC OBJECTIVES FOR THIS COURSE: DAY 1 - DISORDERS OF GLUCOSE CONTROL, PART I: HYPERGLYCEMIC EMERGENCIES – Treatment plan for diabetic ketoacidosis (DKA). DKA and hyperosmolar non-ketotic states (HHNK). DISORDERS OF GLUCOSE CONTROL, PART II: HYPOGLYCEMIC EMERGENCIES – Understanding of glucose handling to create a treatment plan for hypoglycemia and alcoholic ketoacidosis. Potential pitfalls in the treatment and disposition of hypoglycemia. AS THE WORLD TURNS: PERIPHERAL VERTIGO IN THE ED - Pathophysiology of benign positional vertigo. How to perform various diagnostic tests in the evaluation of patients with peripheral vertigo. How to perform various therapeutic maneuvers, such as the Epley maneuver, in the treatment of patients with benign positional vertigo. Ways to differentiate benign positional vertigo from vestibular neuritis and labyrinthitis. ELECTROLYTES AT PANIC LEVELS - Common emergency department causes of electrolyte abnormalities. Therapies used to treat hyperkalemia. Indications to administer hypertonic saline. DAY 2 - SUPRAVENTRICULAR TACHYCARDIAS - Characteristic EKG findings for atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, and Wolf-Parkinson-White syndrome. Factors determining the seriousness of any tachycardia. Treatment options for various supraventricular tachycardias. SEIZURES IN THE EMERGENCY DEPARTMENT - Key demographic information related to epidemiology of seizures in the ED setting. Commonly used antiepileptic drugs and their dosing in seizures and status epilepticus. Advantages of fosphenytoin over phenytoin in the treatment of status epilepticus. NEUROMUSCULAR WEAKNESS - Upper and lower motor neuron disease. Clinical entities that cause neuromuscular weakness, including Guillain-Barré syndrome, myasthenia gravis, and others. Techniques to be able to discriminate between organic and functional weakness. HAND AND WRIST INJURIES NOT TO BE MISSED - 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 to the ED. Treatment plan for patients with thyroid storm and thyrotoxicosis. Presentation of myxedema coma. Use of intravenous thyroid hormones in the potentially hypothyroid patient. OPHTHALMIC EMERGENCIES IN THE ER - Differential diagnosis of the red eye. Diagnostic strategy for sudden monocular and binocular blindness. Treatment plans for emergent ophthalmic conditions, including glaucoma, and retinal vein and artery occlusions. Treatment strategy for ophthalmic trauma. EKG INTERPRETATION - Approach to the initial ECG, clinical pearls. Signs of ischemia in underlying bundle branch blocks. Possible non-cardiac causes of abnormal ECGs. 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. Initial treatment plan before obtaining lab testing. DAY 4 - CONGESTIVE HEART FAILURE - Presenting signs and symptoms. Rapid treatment plan and response to therapy. Non-invasive ventilation in appropriate candidates. Renal dysfunction in CHF. BREATHLESS: DOES THIS PATIENT HAVE A PE? - Diagnosis of pulmonary embolus based on clinical pre-test probability. Use of the D-dimer and who would benefit from its use. Signs of pulmonary embolus on the screening ECG. PSYCHIATRIC EMERGENCIES - Early signs of agitation and strategies to resolve them. Complications of commonly used psychiatric medications. Plan for the medical clearance of a psychiatric patient. DRUG-DRUG INTERACTIONS (DDIS) - Scope of the problem of drug-drug interactions as it pertains 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 in the ER. DAY 5 - HEADACHE IN THE ED - Common headache syndromes and differentiate them from dangerous pathology. Typical pitfalls of misdiagnosis in the “rule out subarachnoid hemorrhage” patient. Treatment plan for the unstable patient with severe headache. SEPSIS ADVANCES - Early goal-directed therapy for septic shock. Initial antibiotics based on presenting complaints and infectious source. Goals of tissue perfusion to guide management. 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 facial trauma. Indication for different imaging procedures. Manage 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