Follow attendance at this program you will be better able to understand and treat the following:

CO the Missing Link – Bryan Bledsoe, DO

Objective
1. Describe the physiology of CO and effect on humans
2. Discuss common and uncommon sources of exposure
3. Describe options for measuring CO
4. Discuss controversy over treatment including use of hyperbaric oxygen

Poisons, Potions, Pitfalls and Pearls from the World of Toxicology – Edward Boyer, MD, Steven
Bird, MD

Objectives
1. List 10 of the most difficult, common, or controversial toxicologic emergencies
2. Describe the challenge of identifying each, when unknown
3. Explain the physiologic effects of each agent
4. Discuss the management of each agent

Use of Imaging in the Modern Emergency Department - Christian Fox, MD

Objectives:
1. To understand the current imaging options available in the ED.
2. To explain the differences between CT Angio and MRA in brain imaging
3. To appreciate when the emergency physician needs to push for a more advanced imaging modality over a basic one
4. To understand the risks of radiation exposure of increased use of MDCT

A Review of the Emergency Medicine Literature, “What’s Hot and What’s Not”! - Ed Panacek, MD

Objectives
1. Understand an evidence-based approach to medical knowledge.
2. Be able to list recently published articles that will impact clinical practice in EM..
3. Understand each these publications well enough to describe how they suggest new practices to start and prior clinical practices to discontinue.

Use of Ultrasound for Vascular Access (Limited to 20, Sponsored by Sonosite)

Objectives
1. Describe principles of ultrasound
2. Demonstrate use of ultrasound to locate and cannulate vascular structures

ED Evaluation of the Adventure Traveler – Katy Jobe, MD

Objectives:
1. Explain the evaluation of the febrile traveler.
2. Explain the evaluation of the returning traveler with diarrhea.
3. Review the cutaneous manifestations of tropical diseases
4. Review recommendations for pre-travel pre-cautions5. Discuss potential complications of treatment and choice of “best” agents when indicated

Trauma Secondary to Sports, a Case Based Approach - James Kyle, MD

Objectives
1. Describe the incidence of serious orthopedic injuries from sports
2. Discuss strategies for early management of serious sports trauma
3. Describe how the ABCDs of trauma management apply to sports injuries
4. Describe the techniques for managing major sports related orthopedic trauma in the ED.

Myths vs. Realities in Wound Management in 2009 – Adam Singer, MD

Objectives
1. Discuss is there need for sterile technique and should all wounds be irrigated?
2. Describe the optimal wound irrigation methods and solutions?
3. List the length of the Golden Period be and if animal bites should be closed.
4. List when are prophylactic antibiotics indicated in animal bites and in non-bite lacerations?
5. Describe wound closure devices and tissue adhesives

Managing Sepsis in the ED, An Evidence Based Review - Phillip Dellinger, MD

Objectives
1. List common and uncommon causes of sepsis.
2. Discuss the pathophysiology of sepsis and sepsis syndrome.
3. Discuss multisystem organ failure as a consequence of sepsis syndrome.
4. Discuss the diagnosis and controversy surrounding ”goal directed” therapy

Eye Emergencies Not to be Missed – Frank Peacock, MD

Objectives
1. Identify eye emergencies that can cause rapid blindness or have potentially for life threat
2. Describe the clinical features pediatric, adult, and geriatric eye emergencies
3. Be able to identify patients at risk, apply emergent measures and refer

Community Acquired Pneumonia in the Era of MRSA – Greg Volturo, MD

Objectives
1. Discuss the changing epidemiology emergence of Ca MRSA
2. Review current epidemiology of CA MRSA vs nosocomial MRSA
3. Discuss diagnosis and treatment management, including appropriate antibiotics
4. Discuss evolution of antibiotic resistance

Use of Ultrasound, The FAST Exam (Limited to 20, Sponsored by Sonosite)

Objectives
1. Describe use of ultrasound for abdominal pain
2. Discuss limitations of ultrasound for abdominal pain
3. Describe positive findings and demonstrate examples

Use of Regional Anesthesia in the ED, Indications and Techniques – Mark Borden, MD

Objectives
1. Review and highlight key properties and characteristics of local, regional and system pain
2. Review and understand the clinical and physiologic basis for pain
3. Describe the indications and contraindications for various analgesic agents
4. Discuss application of local and regional blocks including use of ultrasound to facilitate

A Case Based Approach to Emerging Therapy and Testing for Hypertension, and other
Cardiovascular Emergencies, “FDA Approved Stuff You Should Be Using?” – Frank Peacock, MD

Objectives:
1. Describe the new FDA approved cardiovascular diagnostic and therapeutic strategies
2. Identify the clinical advantages and disadvantages from using these new advances.
3. Describe the financial ramifications of adopting this approach into daily practice
4. List expected improvement in outcome of such application

Assessing and Managing Acute GI Bleeding – Deborah Diercks, MD

Objectives
1. Describe a rapid assessment strategy for acute GIB
2. Discuss current treatment options for GIB
3. Review novel pharmacologic agents as association with bleeding risk
4. Review current methods of risk stratification for GIB and prevention of recurrance

Using Ultrasound in the Community ED – Will Scruggs, MD

Objectives
1. Describe the principles of Ultrasound
2. Discuss the application of ultrasound in the critically ill medical and trauma patient
3. Describe the FAST exam,
4. Discuss its use for vascular access, interpretation of cardiac function, pneumothorax diagnosis and other
potential use

Complications of Cardiac Devices, AICD, Pacers, LVADs – Kathy Jobe, MD

Objectives
1. Describe common cardiac devices and indications
2. Describe function and malfunction of each
3. List steps on emergent and semi emergent basis to evaluate the devices function
4. Describe emergent corrective actions that may be required.

The Top 10 Ways to Get Sued – Albert Weihl, MD, Christopher Howard, JD

Objectives
1. Define concept of “Risk Management” perceived and real
2. Discuss current litigation climate physicians
3. Describe the big “10” actions most likely to result in litigation
4. Describe a process to mitigate those potential suits

Hot topics in Cardiovascular Disease (pending) – Deborah Diercks, MD, Marvin Wayne, MD

Objectives
1. Describe the current incidence of women and cardiovascular disease
2. List the unique characterizes of women and heart disease
3. Discuss diagnostic strategies unique to women
4. Present diagnostic and therapeutic options
4. Describe current thinking about prevention women’s health issues.

New Technology for Airway Management in EMS and the ED - Marvin Wayne, MD

Objectives
1. Describe the problems of airway management in ED and EMS
2. Discuss current techniques and devices for intubation
3. Describe the advent of camera assisted laryngoscopy for ED and EMS
4. Discuss application of such technology
5. Present results of a comparative study of traditional and camera assisted intubation in EMS

“My Belly Hurts and I have Inflammatory Bowel Disease” - A Complaint you Never Want to Hear
Rakesh Engineer, MD

Objectives
1. Review the physiology of inflammatory bowel disease
2. Discuss the diseases that make up the syndrome
3. Discuss presentation and associated complications
4. Describe patient assessment and acute management

Pulmonary Embolus, a Rare Disease Commonly Diagnosed, or a Common Disease Rarely Diagnosed? Phil Dellinger, MD

Objectives
1. Understand the value of pre-test clinical suspicion of PE on interpretation of CT results
2. Describe the positive and negative predictive value of D-dimer in the evaluation for PE
3. Describe how morbidity and mortality risk can be assessed with echocardiography
4. List the indications for use of thrombolytic therapy in life threatening PE

Review of the LLSA ABEM Articles – Ed Panacek

Objectives
1. Understand the ABEM LLSA continuous certification requirements
2. Be able to list the articles in the most recent LLSA cycle
3. Understand each of the articles well enough to address the EMCC questions