Clinical Practice

Acute Decompensated Heart Failure

~ N. Adam Brown, MD

Our discussion will be a review of new practice patterns in emergency medicine for the treatment of decompensated heart failure.

The Critical Child in a Community ED - Life without a Backup

~ Alfred Sacchetti, MD

Textbook management of the critical child is often based on ready access to advanced diagnostic capabilities and immediately available consultants. This session focuses on how management priorities change when a solitary emergency physician must balance the stabilization of a critical child with little or no support while at the same time continuing to care for the remainder of a busy ED.

Poppin’ a Gasket - Nontraumatic Intracranial Hemorrhages

~ N. Adam Brown, MD

Confusion, syncope, headache, chest pain … the diagnosis is what? This lecture focuses on the nuances of the presentation, diagnosis and management of a patient with an intracranial hemorrhage.

Sick or Not Sick - The Sixth Sense of Emergency Medicine

~ Dov Frankel, MD

Emergency physicians are often required to evaluate multiple patients simultaneously and at different stages of their work-ups, requiring a unique skill set. This lecture focuses on some differences between EM physicians and other specialists in the way they think, act and care for their patients.

Really, Really Advanced Pediatric Analgesia and Sedation/font>

~ Alfred Sacchetti, MD

This lecture is a comprehensive review of multiple options for the proper management of pain and anxiety in the pediatric patient. Included in this lecture are discussions on the use of oral sucrose, dexmetetomidine, remifentanil, propofol, regional anesthesia, and outpatient protocols. Data from the Procedural Sedation in the Community ED registry will be presented.

Pulmonary Edema: From Blue as a Squid to Happy as a Clam

~ Alfred Sacchetti, MD

This lecture is a presentation of recent innovations in the care of patients with severe congestive heart failure. It focuses on the avoidance of diuretics and morphine in the initial care of these patients, application of sublingual captopril and BiPAP along with ED discharge of intubated patients.

Acute Coronary Syndrome: A heart to heart review

~ Dov Frankel, MD

Ischemic heart disease is the leading cause of death in the U.S. Being able to recognize and properly treat these patients in a timely fashion is of the utmost importance. This lecture reviews the current guidelines in diagnosing and managing patients who are presented to the ED with acute coronary syndrome.

The Lows of Legal Highs

~ Howard Mell, MD

A discussion of household and synthetic intoxicants. Participants will recognize the natural history and clinical syndromes associated with the abuse of dextromethorphan, nitrous oxide and salvia. “Bath salts”, “K”, and other synthetic hallucinogens will also be discussed.

From X-rays to Anti-emetics: Difficult Decisions in the Pregnant Patient

~ Alfred Sacchetti, MD

This lecture focuses on the non-obstetrical problems that challenge emergency physicians in the ED. Topics to be discussed include Diagnostic studies for pulmonary embolism and right sided abdominal pain, procedural sedation management, along with diagnostic and therapeutic approaches to other difficult medical scenarios in the pregnant patient.

Children are Not Just Small Adults and Other Pediatric Myths

~ Alfred Sacchetti, MD

The lecture explores some of the long-standing premises regarding the treatment of children. Topics to be covered include pediatric analgesia and sedation, fever myths, ED pediatric coverage and children in the EMS arena.

ED Approach to the Child with Special Health Care Needs: Optimal Care When You Have No Idea What You’re Treating

~ Steven A. Katz, MD

We all know the adage that children are not just small adults and need specialized care, but this lecture will deal with that segment of the Pediatric population - those with special needs who need even more specialized care. It will give a background to the issue and then discuss some of the more common emergencies that special needs children present with in the ED.

Three Cardiac Fables

~ Howard Mell, MD

An overview of 12 lead ECG interpretation, followed by a discussion of transport monitors (frequency response range), Brugada, and Wellen”s Syndrome. Participants will be able to identify the limits of transport monitors as well as recognizing the clinical and ECXG manifestations of Wellen’s and Brugada Syndromes.

Pediatric Fever 2010: It’s a Virus, Go Home

~ Alfred Sacchetti, M.D.

This lecture examines the myths and misnomers still surrounding pediatric fevers in the post vaccination era. A rational approach to the febrile child will be presented including the role of urine analysis, blood studies and other diagnostic testing.

Sepsis and Septic Shock

~ N. Adam Brown MD

Is Xigris worth 8000 bucks? Should I really give this kidney failure patient a liter of saline? Is a central line all that necessary? Lactate-shmacktate, who cares? Our discussion will explore the latest fads and the facts in the treatment of severe sepsis and septic shock.

Pediatric Cardiology: The Child’s Heart as a Black Box

~ Alfred Sacchetti, MD

This lecture presents a very rational approach to the pediatric cardiac patient in the ED. Topics to be discussed include: Congenital Heart Anomalies, Arrhythmias, Syncope and Infectious emergencies.

To schedule a lecture, call 800-247-8060 or contact Craig Bleiler at craig_bleiler@emcare.com.