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Emergencies in the Pregnant Patient Alison Wilson, M.D. and Susan B. Promes, M.D. Diagnose and manage the most common causes of postpartum hemorrhage. Discuss the physiologic changes that occur during pregnancy and evaluate how they affect treatment of the pregnant trauma patient. Optimize airway, breathing, and circulation in the resuscitation of a pregnant trauma patient. Implement telemetric cardiotocographic monitoring for pregnant trauma patients. Recognize the indications for perimortem cesarean delivery.
Alcohol Emergencies/Trendy Drugs of Abuse Diane Birnbaumer, M.D. and Suzanne R. White, M.D. Distinguish alcohol-withdrawal seizures from other causes of seizures. Diagnose and manage delirium tremens. Utilize screening tests to determine whether a patient is alcohol dependent. Recognize new drugs of abuse. Manage effects of new drugs of abuse with supportive treatment and benzodiazepines.
Airway Review Calvin A. Brown III, M.D. and Ron M. Walls, M.D. Anticipate which patients will have difficult airway. Utilize the appropriate induction agent for patients with specific conditions. Prescribe the adequate dose of O2, especially in patients with chronic obstructive pulmonary disease. Demonstrate that etomidate is not contraindicated in patients with sepsis. Recognize that corticosteroid supplementation in sepsis is appropriate only in certain patients.
Living Wills in the ED Setting Ferdinando L. Mirarchi, D.O. Elaborate on the most common shortcomings or problems seen with living wills. Distinguish between an effective living will and one that is enacted or activated. Advise patients on the creation of a living will that clearly and accurately discloses their health care decisions. Educate prehospital personnel, physicians, and nurses on the difference between a living will and a “Do Not Resuscitate” order and how each affects patient care. Implement methods to safeguard living wills from misinterpretation.
Pediatric Emergencies Part 1: Fever Andrea Marmor, M.D., M.S.Ed. and Judith Klein, M.D. Determine the most common causes of fever without source in infants of different age groups. Recommend testing based on the risk factors for urinary tract infection in infants below 3 mo of age. Recognize the risk factors for serious bacterial infections in infants. Choose the appropriate laboratory tests for infants who present with fever, based on age and clinical appearance. Prescribe the appropriate antibiotics for children who require admission to the hospital for fever.
Pediatric Emergencies Part 2: Neurology Maureen McCollough, M.D. and Steven M. Selbst, M.D. Distinguish true seizures from conditions that mimic seizure. Obtain the appropriate laboratory tests in the work-up for seizures. Diagnose neurocardiogenic or vasovagal syncope based on the history. Recognize the life-threatening causes of syncope. Determine when to refer a child with syncope.
Pediatric Emergencies Part 3: Trauma Judith Klein, M.D. Elaborate on the anatomic differences between children and adults that make children particularly vulnerable to trauma. Determine the likelihood of thoracic trauma based on the presence of localizing findings. Utilize the Pediatric Emergency Care Applied Research Network (PECARN) decision rule in treating minor head trauma. Apply modifications to the National Emergency X-Radiography Utilization Study (NEXUS) criteria to determine the likelihood of cervical spine injury. Discuss the significance of the seat belt sign for determining the likelihood of intra-abdominal injury.
Emergencies in the Elderly Tom Morrissey, M.D., Kaushal Shah, M.D. and Colleen Morton, M.B. B.Ch., M.S. Evaluate for altered mental status in the emergency department. Differentiate delirium from dementia and psychosis. Utilize clinical decision rules to determine when to obtain computed tomography of the head in elderly patients with head injuries. Manage patients with bleeding who are on warfarin. Discuss the advantages and disadvantages of the agents used to reverse anticoagulation.
Child Abuse/Domestic Violence Stephen Ludwig, M.D. and Linda Lentz, R.N., M.A. Optimize collection of forensic evidence in cases of child sexual abuse. Recommend appropriate testing for and prophylaxis of sexually transmitted infections and HIV. Recognize the historic and physical indicators of child physical abuse. Review the classification of TBI. Identify the physical problems and the cognitive, emotional, and behavioral changes that may result from TBI.
Vaccines James H. Conway, M.D. Recognize the reasons for focusing immunization on 11 and 12-yr-old middle school children. Implement the recommendations of the Advisory Committee on Immunization Practices for immunization of adolescents. Evaluate the cocooning strategy of immunization. Implement strategies for improving immunization of adolescents. Discuss vaccine safety with parents and patients.
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