2022 Emergency Medicine: An Evidence Based Approach to Adult Care (Recorded Live)
2022 Emergency Medicine: An Evidence Based Approach to Adult Care (Recorded Live) is organized by American Medical Seminars (AMS), Inc.
Original Release Date: July 1, 2022
Expiration Date: July 1, 2025
TOPIC 1: Facial Trauma (Kravitz)
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Perform both a rapid screen and a thorough evaluation of the patient with facial trauma.
• Outline the challenges in securing an airway in a patient with facial trauma.
• Describe the indication for different imaging procedures for facial trauma.
• Manage injuries to the soft tissues of the face (lips, tongue, eyelids…).
TOPIC 2: Drug-Drug Interactions (DDIs) (Kravitz).
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Assess the scope of the problem of drug-drug interactions as it pertains to both the outpatient and emergency settings.
• Explore interactions between prescription and non-prescription medications and review their treatments in the context of the Beers Criteria.
• • Review common drug-drug interactions and their complications commonly seen in the emergency room.
TOPIC 3: Neuromuscular Weakness (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Discriminate between various clinical entities causing neuromuscular weakness, including Guillain-Barre syndrome, myasthenia gravis, and others.
• Demonstrate techniques to be able to discriminate between organic and functional weaknesses.
• Compare and contrast upper and lower motor neuron disease.
TOPIC 4: As the World Turns: Peripheral Vertigo in the ED (Chang).
Upon completion of this session, the participant should be able to: GL, COMP
• Illustrate the pathophysiology of benign positional vertigo.
• Differentiate the various diagnostic tests in the evaluation of patients with peripheral vertigo.
• Discover how to perform various therapeutic maneuvers, such as the Epley maneuver, in the treatment of patients with benign positional vertigo.
• Identify treatment recommendations for vestibular neuritis using evidence-based medicine from NEJM.
TOPIC 5: Electrolytes at Panic Levels (Chang).
Upon completion of this session, the participant should be able to: GL, COMP
• Specify common ED causes of potassium and sodium abnormalities.
• Discriminate the various therapies used to treat hyperkalernia.
• Specify the indications to administer hypertonic saline.
TOPIC 6: Aortic Catastrophes (Chang).
Upon completion of this session, the participant should be able to: GL, COMP
• Implement AAA Screening as per the systematic review of guidelines.
• Determine the Stanford classification of a particular aortic dissection based on location.
• Apply appropriate initial therapy in the patient with aortic dissection.
• Assess the risk of rupture of abdominal aortic aneurysm based on size.
TOPIC 7: The Thunderclap Headache (Chang).
Upon completion of this session, the participant should be able to: GL, COMP
• Determine characteristics suggesting a thunderclap headache.
• Construct a differential diagnosis beyond subarachnoid hemorrhage in the patient presenting with a thunderclap headache as per the ACEP clinical policy on acute headache.
• Interpret spinal fluid results in the workup of a thunderclap headache.
TOPIC 8: Ophthalmologic Emergencies (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Develop an algorithm for the differential diagnosis of the red eye.
• Create a diagnostic strategy for sudden monocular and binocular blindness.
• Review the treatment plans for emergent ophthalmic conditions, including glaucoma, retinal vain, and artery occlusions as per the American Academy of Ophthalmology preferred practice pattern guidelines.
• Develop a treatment strategy for ophthalmic trauma.
TOPIC 9: Trauma and Orthopedic Pitfalls (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Detect subtle injuries that, unless treated, can have an impact on long-term musculoskeletal function.
• Determine and treat the subtle presentation of severe traumatic and neurologic injuries.
• Distinguish particular injury patterns to avoid missing correlated injuries in a traumatically injured patient.
TOPIC 10: Endocrine Emergencies (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Develop, using the latest evidence and the ADA position statement, a comprehensive treatment plan for diabetic ketoacidosis (DKA).
• Compare and contrast DKA and hyperosmolar non-ketotic states (HHNK).
• Detect adrenal insufficiency and formulate an efficient treatment plan.
• Construct treatment algorithms as per the AACE guidelines, for the management of thyrotoxicosis, hyperthyroidism, and thyroid storm.
TOPIC 11: Is This Test Necessary: Efficient Use of Testing in the Emergency Department (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Develop, using the available evidence, efficient decision-making skills for the use of some commonly used lab and radiographic tests in the ED as per the COC guidance and recommendations.
• Determine the utility of some less commonly used tests in the ED, including strep tests, D-dimers, and coagulation tests.
• Evaluate case scenarios to discuss optimizing patient care while reducing unnecessary costs.
TOPIC 12: Management of the Emergency Psychiatric Patient (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Recognize the early signs of agitation and employ strategies to resolve them.
• Select appropriate agents for chemical restraint based on available evidence.
• Using ACEP guidelines as a framework, develop a plan for the medical clearance of a psychiatric patient.
TOPIC 13: Bedside Sedation (Butler).
Upon completion of this session, the participant should be able to: GL, COMP
• Analyze patient characteristics and clinical presentation where the most important risk is for apnea.
• Debate pulse oximeter and waveform capnography- do we need it?
• Assess and specify when sedation is an appropriate consideration for the critically ill.
• Employ the use of sedation in the head injured patients as per the Clinical Practice Guidelines for emergency department use of Ketamine.
TOPIC 14: Being “Hip” On Ortho (Butler).
Upon completion of this session, the participant should be able to: GL, COMP
• Assess if this is just another ‘found down’ patient.
• Identify which fractures have the highest ‘missed’ rate.
• Determine when ultrasound is better than a plain film.
• Using evidence-based medicine from NEHM, identify indications for fasciotomy.
TOPIC 15: Chest Pain in The Emergency Department- Value of Heart Score (Butler).
Upon completion of this session, the participant should be able to: GL, COMP
• Who should we heart score- Appraise which patients we should heart score in the ED.
• Do risk factors matter-Identify specific risk factors that are significant and will change your approach to the patient with Chest Pain using the HEART Score of the European Society of Cardiology.
• What is the incidence of a missed MI-Assess the incidence of a missed MI in patients discharged from the ED
• Determine when stress testing is most appropriate- where are we today with a stress test?
• What about a slightly elevated troponin- Interpret how a slightly elevated troponin will affect your care and a patient’s disposition.
TOPIC 16: Sick Trauma Patient in the Non-Trauma Center (Butler).
Upon completion of this session, the participant should be able to: GL, COMP
• Recognize why we no longer follow the hematocrit and understand the utility of serial lactates in the trauma patient.
• Detect subtle risks and signs in a retroperitoneal bleeding patient.
• Distinguish who gets permissive hypotension and who should not.
• Identify the risk of hypotension and what it means in traumatic brain injury using evidence-based medicine from JAMA.
• Utilize antifibrinolytics in bleeding patients for medical treatment.
TOPIC 17: Traumatic Brain Injury (Butler).
Upon completion of this session, the participant should be able to: GL, COMP
• Develop an approach to assessing the head-injured patient where you can forget about the GCS scoring system.
• Identify the TBI clinical presentation where ‘The eyes have it’.
• Determine when TBI necessitates a ‘formal’ RSI intubation.
• Employ appropriate RSI techniques and drug protocols as per cited evidence-based medicine recommendations and systemic reviews.
TOPIC 18: The High-Risk Abdomen You Cannot Afford to Miss (Butler).
Upon completion of this session, the participant should be able to: GL, COMP
• Identify clinical presentations and findings that should alert you to not being fooled by a negative test.
• Develop clinical strategies that will enable you to think outside the abdominal ‘black box’.
• Determine how one simple bedside test can save a life.
TOPIC 19: Abdominal Pain-The Black Box of the Belly (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Review some challenging cases of abdominal pain to help differentiate benign from severe abdominal pain.
• Evaluate the utility of various tests, including labs, ultrasound, and CT scan, including during pregnancy using the ACOG opinion guidelines, in the diagnosis of abdominal pain.
• Determine subtle features of certain presentations of abdominal pain that suggest a more severe cause.
• Explore diagnoses of abdominal pain in the absence of abdominal pathology.
TOPIC 20: Coagulopathy in the ER: All Bleeding Stops Eventually (Kravitz).
Upon completion of this session, the participant should be able to: GL, COMP
• Differentiate different patterns of coagulopathy that present in the ED.
• Develop an evaluation and treatment plan for non-traumatic bleeding disorders in the Ed, including hemophilia, TTP, ITP, and others.
• Outline the rationale and indications for the use of blood products used in the treatment of the bleeding patient.
• Discuss some of the newer anticoagulation agents used today, such as Prasugrel (Effient) and Dabigatran (Pradeaxa) as per the referenced RCT and EBM studies such as Rocket, RE-LY, and Einstein.
