Title: EMed-Emergency Medicine – Emergency Department Challenges: Chest Pain; Head Injury; Nephrolithiasis & Pyelonephritis
Faculty: Kenneth H. Butler, D.O., Andrew D. Perron, M.D., Bryant Allen, M.D.
Original Release Date: July 1, 2020 Expiration Date: July 1, 2023
TOPIC 1: Chest Pain in The Emergency Department – Value of Heart Score.
Upon completion of this session, the participant should be able to: EBM, 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 2: Minor Closed Head Injury: An EvidenceBased Approach.
Upon completion of this session, the participant should be able to: GL, COMP
- Assess and relate the pathophysiology of minor closed head injury.
- Appraise the literature as it pertains to minor closed head injury and apply ACEP Guidelines as they relate to minor CHI.
- Recommend diagnostic algorithms appropriate for the evaluation and management of minor CHI in light of best-evidence available.
TOPIC 3: Nephrolithiasis & Pyelonephritis. Upon completion of this session, the participant should be able to: EBM, GL, COMP
- Illustrate the pathophysiology and clinical presentation of these two entities.
- Specify the best-evidence strategy in both imaging for diagnosis of nephrolithiasis and management of this pathology in the Emergency Department.
- Discuss the classifications of upper urinary tract infections and pyelonephritis, as current IDSA guidelines for treatment of these classifications.