Objectives

  • Describe how our current culture and practice environment has changed as it comes to inviting and encouraging emergency providers to share our narratives.
  • Discuss what barriers still exist that would attempt to block or hinder personal narrative.
  • Discuss the impact that narrative sharing can have on an individual, our departments/organizations, and our patients.
  • List the recent ACG Guidelines for Upper GI bleeding
  • Explain the treatment modalities available for GI bleeding
  • Identify the role of CTA in the setting of GI bleeding
  • Explain the rationale behind alternative dosing strategies for n-acetylcysteine in massive acetaminophen overdose.
  • Delineate the indications for the use of 4-MP (Fomepizole™) for massive acetaminophen overdose.
  • List the indications for the use of hemodialysis in massive acetaminophen overdose.
  • Explore adjunctive therapies for the management of benzodiazepine-resistant ETOH withdrawal
  • Describe potential therapeutics for outpatient management of ETOH withdrawal
  • Evaluate the recommendations from the American Academy of Pediatrics (AAP) febrile infant clinical practice guideline (CPG)
  • Compare the performance characteristics of the newer risk stratification algorithms that include procalcitonin
  • Analyze the evidence for selective lumbar punctures in febrile young infants with positive urinalyses
  • Explain the role of observation medicine within emergency medicine and why it's fundamentally a part of the specialty of emergency medicine.
  • Explain how to begin an observation medicine program without a "unit" and how to identify ideal patients for a fledgling observation medicine practice.
  • Explain the different types of observation units and which has the best evidence and why.
  • Explain the pitfalls of early observation units and some key benchmarks used to determine success.
  • Demonstrate possible protocol innovations in observation medicine and share key data.
  • Identify and classify Traumatic Brain Injury TBI patients
  • Summarize the best practices for managing severe TBI patients
  • List the best practices for managing mild TBI patients