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Current Clinical Topics in Internal Medicine Media: DVD Shipped in 8 days Cat.# AMS-9D $380.00 BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: There is a need to continue to maintain and improve the clinical diagnostic and therapeutic skills of Physicians regarding the field of Internal Medicine. This CME activity addresses the issues of diagnosing and treating common IM disorders in which the Physician may learn when to treat, when to refer and how to best provide health maintenance. Commonly seen chronic disease states in this age of rapid drug and technology development challenge the system in terms of cost control. This is especially important when treating commonly seen infections and considering antibiotic overuse and resistance as well as technological advances in diagnosing and treating Sudden Cardiac Death and Bradyarrhythmias. Further, the effective and efficient use of laboratory and diagnostic resources in not only diagnosing but also to properly monitor chronic disease states such as Hepatitis and COPD, needs to be communicated. This activity will present this information regarding these commonly seen disorders as well as issues in diagnosing and treating Delirium in an attempt to improve the knowledge and skills needed in the IM and Primary Care setting.

SPECIFIC OBJECTIVES
TOPIC 1 Newer Antibacterial Agents - At the conclusion of this session, the participant should be able to:
1. Relate the antibacterial spectrum of activity.
2. Describe the pharmacology of the agents.
3. List the indications and dosing recommendations.
4. Identify the side effects, adverse reactions and drug interactions.

TOPIC 2 Delirium in the Elderly – Current Concepts - At the conclusion of this session, the participant should be able to:
1. List diagnostic features and common causes of delirium.
2. Distinguish between delirium and dementia.
3. Appreciate uncommon causes of persistent delirium.
4. Describe non-pharmacologic and pharmacologic treatment approaches.

TOPIC 3 The Alphabet Soup of Viral Hepatitis - At the conclusion of this session, the participant should be able to:
1. Describe and characterize the 5 known types of viral hepatitis (A through E). Similarities and differences will be stressed, particularly the risks to develop chronic infection, the complications of chronic infection, and treatment.
2. Recognize hepatitis clinically and will reinforce their ability to interpret hepatitis serologies. They should be able to select appropriate patients for new treatment options available to some patients with chronic disease. Specific items covered include: a. Clinical syndromes of acute and chronic hepatitis;
b. Serologic diagnosis;
c. Complications of chronic hepatitis and newer treatment options.

TOPIC 4 SCD and Ventricular Arrhythmias and Bradycardia and AV Block - At the conclusion of this session, the participant should be able to:
1. Identify which patients need additional evaluation and treatment of ventricular arrhythmias.
2. Describe which patients need additional evaluation and treatment of cardiac conduction abnormalities.
3. Recognize indications for permanent electronic pacemakers.

TOPIC 5 Update on Antimicrobial Resistance - At the conclusion of this session, the participant should be able to:
1. Describe the pattern of emergence of resistance to certain infecting bacteria.
2. Identify epidemiology that may indicate potential resistance among the organisms discussed such as: a. Staphylococci;
b. Pneumococci;
c. Enterococci;
d. Gram negative bacilli.
3. Summarize the approach to current therapeutic regimens while considering resistance.

TOPIC 6 “Nuts and Bolts” of Pulmonary Function Testing – The Basics. We will review the “nuts and bolts” of pulmonary function testing in an easy to understand fashion with an emphasis on outpatient office spirometry - At the conclusion of this session, the participant should be able to:
1. Identify the components of PFTs including spirometry, lung volumes and diffusion.
2. Characterize the indications for PFTs.
3. Describe when bronchodilator and bronchoprovocation studies are useful.
4. Develop a stepwise approach to PFT interpretation and be able to distinguish common patterns.
5. Recognize different patterns of upper airway obstruction.
A variety of actual PFTs will be presented for interpretation and review.

TOPIC 7 COPD: Overview of Patient Management - At the conclusion of this session, the participant should be able to:
1. Derive an understanding of the definition and pathophysiology of COPD.
2. Characterize the natural history and clinical features of COPD.
3. Identify the many aspects of outpatient management including long term oxygen therapy and pharmacologic treatment. We will present a treatment algorithm and discuss indications for specialist referral.

Clinical Solutions to Topics in Emergency Medicine Media: DVD Shipped in 8 days Cat.# AMS-12D $380.00 BUY

ACEP Speaker of the Year Recipients:
Dr. Colucciello - 1992 and Dr. Gibbs - 2005

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: The specialty of Emergency Medicine presents physicians and practitioners with its’ own set of unique diagnostic and treatment challenges. These challenges come in the form of life-threatening diagnostic and treatment dilemmas, cost-effective practice and risk management. This CME activity suggests methods of decision analysis, clinical approach and practice behavior to improve outcomes in patient care through reliance on algorithms, evidence-based studies and guidelines. New diagnostic and treatment information in the areas of Spinal and Brain Trauma, Pitfalls in Orthopedics as well as Chest Pain can improve patient outcomes and risk management. Life-threatening outcomes in patient presentations such as Aortic Disasters can improve with awareness and use of guidelines for diagnosis and treatment. And finally, cost-effective use of the laboratory should be considered and selectively incorporated into daily practice by the emergency and primary care physician. A review and update of commonly seen patient presentations as given in this activity will help to maintain the level of knowledge needed to keep the practitioner current in practical, cost-effective and risk-reduced clinical behavior.

SPECIFIC OBJECTIVES
TOPIC 1 Emergency Management of Spinal Trauma - At the conclusion of this session, the participant should be able to:
1. Recognize who is at risk for cervical injury.
2. Review who needs cervical radiography.
3. List which X-rays are needed.
4. Identify when CTs & MRIs are useful.
5. Identify when cervical fractures are missed.

TOPIC 2 Chest Pain – A Nearly Evidence-Based Approach - At the conclusion of this session, the participant should be able to:
1. Describe the various etiologies of chest pain and identify essential elements of the patient’s history.
2. Appreciate both the utility and the limitations of the ECG.
3. Describe the role of cardiac enzymes in the evaluation of chest pain in the ED, and how to interpret and act upon the results.
4. Discuss the impact of the various platelet-modifying agents in acute coronary syndrome.
5. Outline a cost-effective approach to the management of chest pain.
6. Describe some of the rapid evaluation strategies that are being used in today’s ED.
7. List some of the more common pitfalls when diagnosing and treating chest pain.

TOPIC 3 Emergency Management of Traumatic Brain Injury - At the conclusion of this session, the participant should be able to:
1. Review the epidemiology of TBI.
2. Discuss the emergency assessment and management of head injury, using an evidence-based approach.
3. Provide practical indications for imaging.
4. Review very common management pitfalls.

TOPIC 4 Acute Neuromuscular Weakness - At the conclusion of this session, the participant should be able to:
1. Compare and contrast upper and lower motor neuron disease.
2. Review the presentation of Guillain-Barre syndrome, botulism, Myasthenia Gravis and other causes of weakness, using the neuromuscular junction as a ‘road map’.
3. Describe some physical examination techniques to help differentiate organic from functional weakness.

TOPIC 5 and 6 Is This Test Necessary? Part I & II - At the conclusion of this session, the participant should be able to:
1. Differentiate between positive predictive value and sensitivity.
2. Recognize the dangers of over testing.
3. Identify the limitations of the complete blood count.
4. Recognize the limitations of chest radiography.
5. Identify the high-risk trauma patient who has a Glasgow Coma score of 15.
6. Identify strategies to limit over testing in the emergency department.

TOPIC 7 Aortic Disasters - At the conclusion of this session, the participant should be able to:
1. Describe the pathophysiology and clinical presentation of aortic dissection and AAA.
2. Outline the diagnostic options for emergency detection of these life-threatening vascular emergencies.
3. Review the essentials of emergency management of aortic dissection and AAA.

TOPIC 8 Pitfalls in Orthopedics - At the conclusion of this session, the participant should be able to:
1. Outline high-risk scenarios in emergency orthopedics.
2. Discuss severe true orthopedic emergencies.
3. Review commonly missed/mis-managed orthopedic conditions, using a case-based approach.
4. Discuss the causes, clinical presentation, diagnosis and management of compartment syndrome.
5. Review the approach to the patient with penetrating extremity trauma.
6. Discuss the indications for vascular assessment in knee dislocations.

Primary Care Medicine: Clinical Updates That Will Improve the Way You Practice Media: DVD Shipped in 8 days Cat.# AMS-5D $380.00 BUY

OVERALL OBJECTIVES: The overall objective is to provide the participant with practical and clinically relevant information. Upon completion of this CME activity, the physician or healthcare provider should be able to describe the current approach to formulating differential diagnoses, diagnostic, therapeutic, and preventive management of the various disciplines presented.

NEEDS STATEMENT: Controlling costs while promoting preventive care and maintaining a healthy population is an immediate challenge for Primary Care Physicians. When you consider the frequent changes in guidelines, behaviors and therapies in areas such as stroke, dementia, hypertension, and overall adult health care and screening, the need to annually review and update knowledge in these specific areas is readily apparent. Information provided in this activity will help to prepare the primary care physician in maintaining a guidelines-driven approach to patient care which will in turn help to contain costs in today’s healthcare environment.

SPECIFIC OBJECTIVES
TOPIC 1 Brain Attack! Nine Mistakes Made in the Acute and Prophylactic Therapy of Stroke and TIA - At the conclusion of this session, the participant should be able to:
1. Identify and treat risk factors for stroke.
2. Recognize what imaging studies are appropriate in their stroke patients.
3. Appreciate that in stroke too, time is brain and discover what immediate interventions, including thrombolytics, are necessary in their acute stroke patients.
4. Better manage and triage patients with intracerebral hemorrhage.

TOPIC 2 Practical Approach to the Patient with Hypertension - At the conclusion of this session, the participant should be able to:
1. Review the JNC VII recommendations for the treatment of hypertension.
2. Consider a rational approach to choosing medication in treating hypertension.
3. Decide when and how to evaluate for secondary causes of hypertension.

TOPIC 3 Heart Failure - At the conclusion of this session, the participant should be able to:
1. Review the new ACC/AHA guidelines.
2. Better advise patients about the new medications available for heart failure management.
3. Become familiar with the use of technology (i.e. transplant and implantable defibrillators).

TOPIC 4 Community-Acquired Pneumonia - At the conclusion of this session, the participant should be able to:
1. Identify the microbial causes of community acquired pneumonia.
2. Describe the accepted methods, and potential pitfalls of making the diagnosis.
3. List the prognostic factors related to outcome.
4. Describe treatment options according to severity of illness.

TOPIC 5 Dementia in the Elderly - At the conclusion of this session, the participant should be able to:
1. Describe the relationship between aging and dementia.
2. List common causes of dementia in the elderly and use of MMSE.
3. Identify atypical patterns and differential diagnosis.
4. Describe common features of Alzheimer’s.
5. Describe a reasonable medical evaluation of a newly identified patient.

TOPIC 6 Effective Therapy of Neuropathic Pain - At the conclusion of this session, the participant should be able to:
1. Review current thinking about the pathophysiology of neuropathic pain.
2. Discuss the clinical features of a patient with neuropathic pain.
3. Explore the pharmacologic options available to treat patients with neuropathic pain.

TOPIC 7 Adult Preventive Health - At the conclusion of this session, the participant should be able to:
1. Describe the criteria for a good screening test.
2. Describe the rationale behind the recommended Health Maintenance Procedures.
3. Implement the recommended Health Maintenance Procedures including Screening, Counseling, Preventive Medications, and Immunizations.

Drug Abuse and Bipolar Disorder Media: PAL Video - 19 minutes IN STOCK Cat.# MC-64 $ 90.00 - SALE BUY

This video describes exactly what bipolar disorder is. The dynamic of how alcohol and drugs affect a person with bipolar disorder is examined. Issues such as: genetics, depression, mania and brain mechanics are explored. Treatments such as psychological therapy and anti-depressant drugs are also presented.

2003