Title: W-20220418-Emergency Medicine: Efficient Testing, Psychiatric Patient, Bedside Sedation, Being Hip On Ortho, Chest Pain
Course ID: W-20220418-Emergency Medicine-3
Faculty: Kenneth H. Butler, D.O.,F.A.C.E.P.,F.A.C.O.E.P.,F.A.A.E.M. and Joel Kravitz, M.D., F.A.C.E.P, F.R.C.P.S.C.
Original Release Date: July 1, 2022 Expiration Date: July 1, 2025
TOPIC 1: 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.
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TOPIC 2: 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.
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TOPIC 3: 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 wave form 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.
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TOPIC 4: 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.
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TOPIC 5: 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.
- The receipt for any incentive-associated purchase will designate the value of the gift card separately from the cost of the learning activity.
- This incentive may have implications on your tax reporting obligations. Any reimbursed amount must be declared as personal income for tax purposes.