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GCEP & EDBA Spring Meeting &
Scientific Assembly
June 13-15, 2008
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COURSE
OBJECTIVES
Title:
2008 LLSA Review
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Course
Description: The LLSA articles selected by ABEM have become an
integral part of the Board Certification process. This lecture will cover
the highlights of each of the articles, specifically addressing
information applicable to the practice of Emergency Medicine and the LLSA
test.
Objectives:
1.
Briefly review the main question, methods, and results of each of the 2008
LLSA articles
2.
Highlight information in the articles pertinent to EM practice.
3.
Highlight information pertinent to the LLSA test.
Faculty:
Mary Ann Edens, MD
Title:
Sepsis and Early Goal
Directed Therapy
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Course
Description: Sepsis is a spectrum of illness that has high mortality
and morbidity. Progress in reducing this morbidity and mortality has been
difficult to achieve. The use of Early Goal Directed Therapy in the
Emergency Department has shown promise in improving outcomes of sepsis.
This lecture will focus on recognizing sepsis, define Early Goal Directed
Therapy and discuss evidence of its success, and discuss strategies for
implementing it into practice.
Objectives:
1.
Define the clinical spectrum of disease associated with sepsis.
2.
Describe Early Goal Directed Therapy.
3.
Examine the evidence supporting improved outcomes using Early Goal
Directed Therapy.
4.
Identify barriers and successful strategies for implementing Early Goal
Directed Therapy in the Emergency Department.
Faculty:
Ted Stettner, MD
Title:
Toxic Terrors-Interesting Cases from the Georgia Poison Control Center
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Course
Description: Overdoses and accidental poisonings continue to
represent a significant proportion of cases presenting to Emergency
Departments. They present diagnostic and therapeutic challenges for the
Emergency Physician, and can have significant morbidity and mortality for
patients. This lecture will discuss challenging cases of overdose and
poisoning presenting to the Georgia Poison Control Center, the regional
referral center for our state.
Objectives:
1.
Discuss cases that have been referred to the Georgia Poison Control Center
that have provided diagnostic and therapeutic challenges to local
Emergency Departments.
2.
Emphasize general principles in the care of the poisoned patient that can
be employed by physicians in ED’s of all sizes.
3.
Identify pitfalls in the management of poisoned patients that tend to
recur in rare or subtle poisonings.
Faculty:
Brent Morgan, MD and Arthur Chang, MD
Title:
You
Are Feeling Very Sleepy: Update on Procedural Sedation
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Course
Description:
There have been many advances in procedural sedation over the lasst 10
years, with many more drug choices now available. This lecture will cover
the various drugs available for procedural sedation and the pros and cons
of each.
Objectives:
1.
Define procedural sedation
2.
Discuss the various options available for achieving sedation during
procedures.
3.
Discuss the advantages and disadvantages of different methods of sedation.
4.
Review the current literature regarding procedural sedation in the ED.
Faculty:
Eric Richardson, MD
Title:
$50,000 Fine - EMTALA
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Course
Description:
The Emergency Medical Treatment and Active Labor Act was enacted in 1986
to prevent uninsured patients being refused emergency treatment. Since
that time, many issues have arisen secondary to that law. This lecture
will take a case based approach to understanding EMTALA.
Objectives:
1. Define
EMTALA
2. Discuss
various issue that commonly arise concerning EMTALA
3. Review case
law concerning EMTALA
4.
Achieve a clearer understanding of the scope and nuances of EMTALA
Faculty:
Richard Pawl, MD
Title:
Emergency Ultrasound
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Course
Description:
Emergency Ultrasound is becoming an integral part of the practice of
Emergency Medicine in all academic emergency departments and is spreading
quickly to private EDs around the country. It is now being used commonly
in many different patient care scenarios from traumas to pregnancy. This
lecture will introduce the emergency practitioner to bedside ultrasound
and teach techniques useful in some of the most emergent situations.
Objectives:
1. Familiarize
the practitioner with bedside ultrasound
2. Demonstrate
how to perform the FAST exam and identify intraperitoneal fluid
3. Demonstrate
how to look for pericardial effusion and cardiac motion
5.
Demonstrate how to look for pneumothorax
Faculty:
Carl
Menckhoff, MD and Matthew Lyon, MD
Title:
Emergency Ultrasound Workshop
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Course
Description:
Emergency Ultrasound is becoming an integral part of the practice of
Emergency Medicine in all academic emergency departments and is spreading
quickly to private EDs around the country. It is now being used commonly
in many different patient care scenarios from traumas to pregnancy. This
workshop will teach the emergency practitioner how to perform a number of
ultrasound studies useful in some of the most emergent situations.
Objectives:
1. Familiarize
the practitioner with bedside ultrasound
2. Have the
practitioner perform the FAST exam
3. Have the
practitioner use ultrasound to look for pericardial effusion and cardiac
motion
4.
Have the practitioner use ultrasound to look for pneumothorax
Faculty:
Carl
Menckhoff, MD and Matthew Lyon, MD
Title:
DNI: Non-invasive Ventilatory strategies for patients that “Don’t
Need Intubation (yet)”
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Course
Description:
Pre-Hospital providers are often called the to the side of the acute
undifferentiated dyspneic patient. They have a multitude of different
therapeutic options available to them, including non-invasive ventilatory
strategies. This lecture will cover the basis of use of Continuous
positive airway pressure (CPAP) as well as Bi-level Positive Airway
Pressure (BiPAP) and the role that it can play in the care of the acutely
dyspneic patient in attempt to avoid invasive airway interventions.
Objectives:
1.
Review the pertinent anatomy as physiology related to airway management
2.
Discuss the concepts and mechanics behind the use CPAP and BiPAP.
3.
Illustrate the use of BiPAP ad CPAP using a case based approach to the
acutely dyspneic pre-hospital patient.
4.
Review the current literature regarding the use of non-invasive
ventilatory strategies in the pre-hospital environment.
Faculty:
Ian Greenwald, MD
Title:
TMI on TBI:
Everything you wanted to know about CHI.
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Course
Description:
A leading cause of death and disability in the United States, and an
unfortunate frequent occurrence for pre-hospital providers, is caring for
patients with closed head injury. This lecture will focus in the
pathophysiology behind closed head injury and traumatic brain injury, as
well as debunking some myths behind treatment strategies for TBI.
Objectives:
1.
Review the basic pathophysiology behind traumatic brain injury.
2.
Describe treatment strategies that can be employed, as well as those that
should be avoided by the pre-hospital provider in their care of the TBI
patient.
3.
Illustrate these principles through a case based approach.
Faculty:
Patrick McDougal
Title:
Code STEMI!:
Emergent care of the cardiac patient
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Course
Description:
Patient with chest pain seems to flood our lives, but the patient with a
true STEMI deserves special attention. This lecture will focus on
reviewing key aspects of ACS, as well a give special attention to the
STEMI patient, telemetry, and regionalization of a STEMI network.
Objectives:
1.
Review the core concepts surrounding care of the ACS patient with special
attention to STEMI.
2.
Describe a regional network for rapid identification, treatment and
direction of STEMI patients to appropriate facilities.
3.
Discuss the current pre-hospital literature for the care of ACS patients.
Faculty:
Bryan McNally, MD
Title:
Less-lethal force: an emerging problem in Pre-Hospital care
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Course
Description:
There is a push for law enforcement agencies to look for and employ
various new technologies for less lethal or non-lethal force. From
sandbags and rubber bullets to TasersŇ
and OC spray the options for law enforcement officers abound. However, the
aftermath is something that pre-hospital providers are left to deal with.
This lecture will focus of the types of less-lethal force used by law
enforcement agencies; injury patterns associated with these weapons, and
treatment options available to pre-hospital providers to care for these
patients.
Objectives:
1.
Identify common less-lethal weapons used by law enforcement agencies.
2.
Review the common injury patterns associated with these weapons.
3.
Discuss treatment considerations for patients injured by less-lethal
weapons.
Faculty:
Alex Isakov, MD
Title:
“Should they stay or should they go now, na-na-na”: refusal of care in the
pre-hospital environment.
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Course
Description:
Always a point of QA/QI and always a point of tension when a patient you
really think needs to be transported is refusing care. Your assessments of
capacity, your interactions with supervision or medical control are always
areas of stress. This lecture will review the concept of the capacity, and
pearls and pitfalls for pre-hospital providers who must deal with a
patient who is refusing care.
Objectives:
1.
Discuss the controversies surrounding refusal of care/transport.
2.
Review the concept of capacity and competence.
3.
Describe common pitfalls pre-hospital providers encounters when dealing
with refusal of care.
Faculty:
Eric Ossman, MD
Title:
“You have a what, inside you?”: Less than mainstream medical devices
encountered in the field.
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Course
Description:
You roll up on the patient with the deep brain stimulator or a
Ilizarov frame and wonder to yourself
what exactly that does. Or perhaps it is the difference between a Broviac,
a Leonard, a Hickman or a VasCath that keeps you up at night. This lecture
will discuss the concept behind some common and some not so common medical
devices and their implications for the pre-hospital provider.
Objectives:
1.
Review the function, common uses, and differences or some common medical
devices that pre-hospital providers may encounter (including, but not
limited to vascular access devices and orthopedic devices)
2.
Review the function, common uses, and differences or some not so common
medical devices that pre-hospital providers may encounter (including, but
not limited to neurosurgical and anesthesia devices)
Faculty:
Eric Ossman, MD
Title:
When to put your foot down: Care of the violent or combative patient
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Course
Description:
There are times when all providers are confronted with a violent or
combative patient. Is it hypoxia, delirium, or just plain old
belligerence? This lecture will review the common organic causes of acute
combativeness, as well as teach strategies for safely and properly
proctecting both the patient and yourself during conflicts.
Objectives:
1.
Review the common organic causes of acute combativeness
2.
Identify risk factors for predicting when a patient will escalate to
physical violence.
3.
Discuss treatment strategies for securing the safety of the patient and
the safety of the pre-hospital providers caring for a violent or combative
patient.
Faculty:
Matt Graber, MD
Title:
Emerging Infections
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Course
Description:
From the MRSA epidemic to Multi-drug resistant TB, and pandemic flu,
pre-hospital providers are on the front lines of serious public health
outbreaks, and must be adequately trained and equipped to deal with these
patients. This lecture will cover both the most recent literature
surrounding emerging infections and special considerations for
pre-hospital providers caring for these patients.
Objectives:
1.
Discuss the current emerging and problematic infections and their
implications for pre-hospital providers.
2.
Review the appropriate protection strategies that pre-hospital providers
can employ when caring for the undifferentiated as well as the identified
high-risk patient.
3.
Describe the current literature surrounding emerging infections/public
health risks.
Faculty:
Jim Wilde, MD
Title:
“I took a holiday from Dialysis”: The spectrum of Dialysis emergencies
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Course
Description:
With great advances in care of the renal patient, people are living longer
lives with end-stage renal disease. With these successes comes additional
challenges, pre-hospital providers are often called to evaluate hemo-dialysis
patients. Whether you have a bleeding shunt or a hyperkalemic cardiac
arrest, these patients present unique challenges for pre-hospital
providers.
Objectives:
1.
Review the concept of hemo-dialysis and the related pathophysiology
2.
Describe the various type of vascular access (grafts, fistulas, etc...)
3.
Identify the top 5 dialysis related emergencies that pre-hospital
providers will encounter.
4.
Review treatment strategies for hemo-dialysis emergencies.
Faculty:
Eric Richardson, MD
Title:
“No, No, No! Don’t Push”: OB emergencies for the pre-hospital provider.
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Course
Description:
Whether it is Enpuje!, Poussez! Or Push! These are words that often make
the pre-hospital crew a little edgy. Obstetrical emergencies are seemingly
always charged encounters, from the thrill of a uncomplicated delivery to
the terror of a pushing pregnant women when you transmission dies on your
ambulance. This lecture will review the common OB emergencies and the
pre-hospital treatment considerations for them, including emergency
delivery.
Objectives:
1.
Review basic anatomy and physiology as it relates to OB emergencies.
2.
Discuss common OB emergencies.
3.
Review the steps and process of an emergency delivery.
4.
Describe pertinent treatment considerations for OB patients in the
pre-hospital setting.
Faculty:
Ian Greenwald, MD |