Media: Audio CD, or MP3

Original Release Date: July 1, 2010
Expiration Date: July 1, 2013
20 AMA PRA Category 1 Credits™

OVERALL OBJECTIVES: Upon completion of this CME activity, through the use of clinical vignettes emphasizing Guidelines and Evidence-Based Medicine, the physician or healthcare provider should be able to formulate a differential, make a diagnosis and develop a plan for the prevention and/or therapeutic management of the various disorders presented.

SPECIFIC OBJECTIVES FOR EACH TOPIC

TOPIC 1: No Time To Waste - Surgical Emergencies in Children - Upon completion of this session, the participant should be able to:

1. Recognize signs and symptoms of various acute surgical emergencies in children. 
2. Describe the appropriate diagnostic studies to obtain in the evaluation of children with surgical emergencies. 
3. Appreciate the consequences of delayed diagnosis in children with surgical emergencies.

TOPIC 2: Acute Management of Asthma - Upon completion of this session, using NHLBI Guidelines and Cochrane EBM sources, the participant should be able to:

1. Describe the pathophysiology of asthma and rationale for therapeutic interventions. 
2. Summarize recent data on steroids, theophylline, ipratropium bromide, and magnesium sulfate in the treatment of acute asthma in childhood.

TOPIC 3: The Febrile Young Toddler - Upon completion of this session, the participant should be able to:

1. Stratify the young child with high fevers into risk categories of occult infections. 
2. Appraise the current literature regarding occult bacteremia. 
3. Apply data from vaccine studies to clinical practice.

TOPIC 4: Pediatric EKG Workshop - Upon completion of this session, the participant should be able to:

1. Identify important pediatric EKG abnormalities. 
2. Describe the treatment plan, based on American Heart Association guidelines, for pediatric arrhythmias. 
3. Differentiate concerning from non-concerning abnormalities seen on pediatric EKGs.

TOPIC 5: Pediatric Poisonings - Upon completion of this session, using AAP guidelines and evidence-based medicine, the participant should be able to:

1. Review data on pediatric poisonings including recent trends. 
2. Describe and explain various options for gastrointestinal decontamination.

TOPIC 6: The Red Hot Eye - Upon completion of this session, the participant should be able to:

1. Describe the eight-point eye examination and explain what clinical conditions may be identified by each step in the examination. 
2. Recognize and treat eye pathology resulting from infection or trauma and give examples of when to refer a child to an ophthalmologist. 
3. Explain the difference between sinusitis with inflammatory edema, peri-orbital cellulitis and orbital cellulitis.

TOPIC 7: Interesting Cases in Pediatric Emergency Medicine - Upon completion of this session, the participant should be able to:

1. Organize a straightforward approach to the acutely ill child with a confusing presentation. 
2. Generate a differential diagnosis for the acutely ill or injured child.

TOPIC 8: Medical Errors in Pediatrics - Upon completion of this session, the participant should be able to:

1. Explain root cause analysis and perform it on cases of medical errors that involved children. 
2. Describe specific risks for medication errors and strategies to reduce their occurrence. 
3. Review issues in sleep physiology that relate to medical error risks.

TOPIC 9: Pediatric Meningitis Revisited - Upon completion of this session, the participant should be able to:

1. Discuss common presenting features of bacterial and viral meningitis. 
2. Identify the pathogens and treatment concerning bacterial meningitis in children. 
3. Recognize the management priorities and potential complications of bacterial meningitis. 
4. Explain the effects of immunizations practices on bacterial meningitis.

TOPIC 10: Pearls You Should Know - Upon completion of this session, the participant should be able to:

1. Interpret diagnostic test results. 
2. Grasp essential facts about common conditions encountered in a Pediatric ED. 
3. Expand personal knowledge about appropriate diagnostic evaluations.

TOPIC 11: Influenza: What’s New and What You Can Do - Upon completion of this session, the participant should be able to:

1. Identify recent changes in influenza epidemiology. 
2. Enumerate recommendations for immunization. 
3. Describe options for antiviral prophylaxis and treatment.

TOPIC 12: Pediatric Emergency Case Studies - Upon completion of this session, the participant should be able to:

1. Apply basic principles of emergency medicine in the stabilization and evaluation of interesting pediatric emergency cases. 
2. Describe the etiology and pathogenesis of pediatric emergency cases.

TOPIC 13: Pediatric Status Epilepticus and Febrile Seizures - Upon completion of this session, the participant should be able to:

1. Explain the management of Status Epilepticus in the pediatric patient. 
2. Define appropriate laboratory and imaging studies in the acute care setting. 
3. List the typical features of a simple and complex febrile seizure.

TOPIC 14: Accidents Will Happen? Evaluation of Suspected Physical Abuse in Children - Upon completion of this session, using AAP guidelines as well as EBM publications, the participant should be able to:

1. Recognize common presentations of non-accidental trauma. 
2. Plan the evaluation of the child with suspected non-accidental trauma. 
3. Know the principles of correct documentation for forensic purposes.

TOPIC 15: Serious Infections of the Head and Neck - Upon completion of this session, the participant should be able to:

1. Recognize differences and similarities in the clinical appearance, diagnosis and treatment of peritonsillar, retropharyngeal and parapharyngeal space infections. 
2. Outline the approach to the child with red, swollen eye or cheek.

TOPIC 16: Pediatric Head Trauma - Upon completion of this session, the participant should be able to:

1. Describe the use of decision rules in the management of head injured children, including those from the NEXUS study. 
2. Recognize and manage children who have sustained concussions and discuss guidelines from the International Conference on Concussions. 
3. Identify those children who require imaging studies as part of their medical evaluation.