Critical Care/Hernia, Esophageal and Endocrine Surgery Ronald V. Maier, M.D., Bryan J. Sandler, M.D., Edward H. Phillips, M.D. and Michael Bouvet, M.D. Present evidence against blood transfusion. Identify the indications for blood transfusion. Define sports hernia and discuss its management. Describe the indications for, complications of, and controversies in GERD surgery. Avoid complications associated with thyroid surgery.
Trauma/Critical Care Surgery Michael J. Sise, M.D., Robert C. Mackersie, M.D., David E. Persse, M.D., Scott H. Norwood, M.D. and Lynette Scherer, M.D. Repair popliteal vein injuries associated with knee trauma. Weigh the evidence for and against use of extracorporeal membrane oxygenation and cervical collars. Identify the most appropriate candidates for pelvic packing. Recognize the indications for the use of prophylaxis for deep venous thrombosis in children under 13 yrs. of age. Talk to patients and their families about discontinuing futile treatment.
Critical Care 1 Matthew A. Koenig, M.D., Edward Manno, M.D. and Halinder Mangat, M.D. Diagnose delayed cerebral ischemia (DCI) after subarachnoid hemorrhage. Prevent the development of DCI after subarachnoid hemorrhages. Recognize the prevalence and impact of hematoma expansion after intracerebral hemorrhages. Monitor and manage intracranial pressure after severe traumatic brain injury (TBI). Recognize indicators of poor prognosis after TBI.
Critical Care 2 Jennifer A. Frontera, M.D., Jennifer A. Frontera, M.D. and Larry B. Goldstein, M.D. Classify and characterize the major metabolic encephalopathies. Distinguish cerebral salt wasting from syndrome of inappropriate antidiuretic hormone. Identify and treat patients with Wernicke encephalopathy. Manage convulsive and nonconvulsive status epilepticus. Apply recommendations for blood pressure management in the setting of acute stroke.
Critical Care 3 Matthew E. Fink, M.D., Justin Sattin, M.D., Richard Bonnie, L.L.B. and Michael A. Williams, M.D. Initiate and adjust osmotherapy in patients with elevated intracranial pressure. Avoid prolonged osmotic gaps and associated adverse effects associated with osmotherapy. Compare and contrast mannitol and hypertonic saline as osmotherapeutic agents. Discuss the risks and benefits of using tissue plasminogen activator in appropriate patients presenting with acute stroke. Explain the appropriate use of implied consent in emergency situations with respect to management of acute stroke.
Critical Care 4 Michael DeGeorgia, M.D., Adam Webb, M.D. and Eric E. Adelman, M.D. Identify biologic markers and neuroimaging studies that may be helpful in accurately predicting prognosis and outcome of coma after cardiac arrest. Recognize effects of therapeutic hypothermia on neurologic examinations and the metabolism of medications. Use ancillary testing in the determination of brain death. Differentiate cerebral circulatory arrest from brain death. Resolve disagreements among health care teams and family members about treatment decisions for incapacitated patients.
Updates and Controversies in Critical Care Medicine Michael R. Pinsky, M.D., C.M. and Marc J. Popovich, M.D. Measure cardiac output of a patient in shock. Explain why cardiac output is not a good measure of preload responsiveness. Describe how heart-lung interactions reflect volume responsiveness. Determine volume responsiveness using such techniques as the passive leg-raise and calculation of dynamic elastance. Weigh the evidence on the effectiveness of rapid response teams in improving patient outcomes.
Trauma and Critical Care Thomas M. Scalea, M.D., Daniel R. Margulies, M.D. and Paul D. Holtom, M.D. Manage intracranial hypertension by manipulating intrathoracic and intra-abdominal pressure. Calculate a patient’s brain trauma index and use it to guide management of traumatic brain injury (TBI). Recognize which TBI patients are at highest risk of developing deep venous thrombosis (DVT). Assess the benefits and risks associated with pharmacologic and nonpharmacologic methods of preventing DVT in patients with TBI. Choose the most appropriate antibiotics for empiric coverage in the intensive care unit.
Guidelines in Geriatric Care Michael E. Zenilman, M.D., William B. Greenough III, M.D. and Thomas Finucane, M.D. Predict surgical risk based on comorbidities and geriatric syndromes. Perform specific tests to assess preoperative frailty. Select and effectively apply appropriate dressings to assist wound healing. Use effective antibacterial agents to minimize infection in pressure sores. Weigh evidence about the effects of medications for tight glycemic control, and about the effects of tight control on outcomes.
Critical Decisions in Select Patient Populations Michael D. Jibson, M.D., Ph.D. and Karen L. Musolf, M.D. Distinguish borderline personality disorder from bipolar disorder. Select appropriate treatment for borderline personality disorder. Discuss opportunities associated with hospice care in patients with end-stage dementia. Review National Hospice and Palliative Care Organization guidelines for hospice admission in noncancer diagnoses. Counsel family members and surrogate decision makers about hospice referral and placement of feeding tubes, in end-stage dementia.
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