Migraine Headaches – Update on Diagnosis and Treatment.

Upon completion of this session, using the International Headache Society and U.S. Headache Consortium Guidelines and the National Guideline Clearinghouse and the evidence-based reports from Clinical Evidence, the participant should be able to: ^{EBM, GL, COMP}

1. Construct the approach for evaluating a patient with possible migraine headaches.
2. Assess the advantages of supportive therapy and lifestyle changes in treating migraine headaches compared to pharmacologic therapy.
3. Appraise the pharmacologic options for treating the acute pain of a migraine headache.
4. Recommend a prophylactic therapy regimen for patients with recurrent migraine headaches.

 Dyspepsia.

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Appraise symptoms and common etiologies for dyspepsia.
2. Use EBM to detect “alarm symptoms” that are suspicious for GI malignancy.
3. Apply current medical evidence and expert guidelines to construct a diagnostic evaluation for Dyspepsia.
4. Determine appropriate treatment for Dyspepsia based on current medical evidence and the likely etiology.

 Irritable Bowel Syndrome.

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Appraise possible etiologies for Irritable Bowel Syndrome.
2. Select and utilize diagnostic criteria to identify IBS, based on the current medical evidence and expert recommendations.
3. Use the current medical literature to assess and screen for other conditions that can present with similar IBS symptoms.
4. Detect “red flag” signs and symptoms that should make one question the diagnosis of IBS.
5. Formulate an EBM diagnostic evaluation for patients with signs and symptoms of IBS.
6. Use the current medical literature to develop an EBM treatment plan for Irritable Bowel Syndrome.

 Nasty Nosebleeds: The Epistaxis Playbook (Dubbs).

Upon completion of this session, the participant should be able to: ^COMP

1. Describe multiple methods of management for patients presenting with epistaxis from first-line treatment to more complex interventions.
2. Develop a plan and approach to persistent, severe epistaxis.
3. Provide improved education and anticipatory guidance to patients being discharged after treatment for epistaxis.
4. Outline the indications for transfer, consultation, and advanced management modalities in severe epistaxis.

 Up to your Eyeballs- Can’t miss Eye Emergencies  (Dubbs).

Upon completion of this session, the participant should be able to: ^COMP

1. Outline the applications and basic operation of ophthalmologic examination equipment- ophthalmoscope, wood’s lamp, slit lamp, and tonometer.
2. Describe the presentations and exam findings of key ocular emergencies.
3. Describe the management of key ocular emergencies.
4. Describe essential elements of documentation regarding eye complaints for improved medical communication and medicolegal protection.

Treating Patients with Type 2 Diabetes Mellitus.

Upon completion of this session, using the American Diabetes Association, the European Association for the Study of Diabetes Guidelines and the Cochrane Abstract Database, the participant should be able to: ^{EBM, GL, COMP}

1. Evaluate the therapeutic goals in treating type 2 diabetes and their impact on morbidity and mortality.
2. Recommend the approach for choosing an oral hypoglycemic agent to treat type 2 diabetes.
3. Specify the clinical situations that would require the use of insulin to treat type 2 diabetes and the probable dosage form and average amounts required for control of A1c.
4. Develop the therapeutic options for preventing diabetic complications.

 Wound Repair Pearls for the Urgent Care Physician.  (Dubbs)

Upon completion of this session, the participant should be able to: ^{GL, COMP}

1. Describe key steps in the initial evaluation of acute laceration wounds.
2. Improve skills and techniques in repair of simple and complex lacerations.
3. Describe essential elements of documentation regarding lacerations/wounds for improved medical communication and medicolegal protection.

 GU Infection updates. (Dubbs)

Upon completion of this session, the participant should be able to: ^{GL, COMP}

1. Describe updated guidelines on treatment of simple urinary tract infections.
2. Recognize potential complex urinary tract infections and manage or transfer appropriately based on care setting.
3. Describe updated guidelines from the CDC on treatment of sexually transmitted infections.

Judicious Use of Antibiotics in Outpatient Setting.

Upon completion of this session, using national Evidence Based Medicine sources including Cochrane Collaboration and published guidelines from sources including the American Academy of Pediatrics, the participant should be able to: ^{EBM, GL, COMP}

1. Identify antibiotic prescribing patterns, outcomes, and expenditures for common pediatric conditions.
2. Differentiate between common pediatric infections that benefit and that do not benefit from antibiotic therapy.
3. Develop a clinical approach to the diagnosis and therapy of sinusitis, pharyngitis and skin/soft tissue infections.

 Pediatric Respiratory Infections: Asthma, Bronchitis, Pneumonia and Croup

Upon completion of this session, the participant should be able to: ^COMP

1. Develop a pathway approach to the management of acute asthma exacerbations.
2. Develop management strategies for pediatric bronchiolitis.
3. Apply a pathway driven approach to the diagnosis and management of pediatric pneumonia and croup.

Minor Closed Head Injury:  An Evidence-Based Approach.

Upon completion of this session, the participant should be able to: ^{EBM, GL, COMP}

1. Assess and relate the pathophysiology of minor closed head injury.
2. Appraise the literature as it pertains to minor closed head injury and apply ACEP Guidelines as they relate to minor CHI.
3. Recommend diagnostic algorithms appropriate for the evaluation and management of minor CHI in light of best-evidence available.

Adult Orthopedic Pearls and Pitfalls.

Orthopedic injuries are a frequently seen complaint in the Emergency Department.  The vast majority are straightforward to diagnose and manage.  There are some injuries, however, that are more subtle in presentation and more complicated to manage.  This session will focus on the latter group of injuries.  Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Detect the presentation and diagnostic pitfalls associated with posterior shoulder dislocation.
2. Determine an appropriate work-up of compartment syndrome and distinguish the myriad ways it can present.
3. Appraise those at risk for knee dislocation and relate the time-imperative for reduction.
4. Demonstrate understanding of the work-up and evidence-based treatment for native hip dislocation, as well as occult hip fracture.

Painless Procedures in the Urgent Care: When Procedural Sedation is Not an Option

Upon completion of this session, the participant should be able to: ^COMP

1. Become familiar with the dosing, route, expected effects and side effects of intranasal analgesia and sedation.
2. Improve your hematoma blocks for fracture reduction.
3. Describe the effective use of intra-articular lidocaine for shoulder reductions.

Fever in the Pediatric Patient

Upon completion of this session, the participant should be able to: ^COMP

1. Develop appropriate management strategies for febrile neonates and young children (0-24 months).
2. Determine which febrile neonates and young children are at low-risk for serious infections, using evidence-based guidelines.
3. Assess the role of recent evidence and vaccination programs when evaluating occult infections in febrile young children.

Pediatric Rashes – When to Worry.

Upon completion of this session, the participant should be able to: ^COMP

1. Identify benign and life-threatening rashes in the pediatric population.
2. Develop an initial management strategy for pediatric rashes.
3. Discuss the evidence behind recent outbreaks of Measles, mumps and varicella.

Trauma in the Pediatric Patient: Concussions and Common Fractures.

Upon completion of this session, using evidence-based medicine and guidelines from the 4th International Symposium on Concussion in Sport, the participants should be able to: ^{EBM, GL, COMP}

1. Describe the pathophysiology and, using evidence-based medicine, develop clinical strategies for the emergency treatment of head injury/concussion in childhood.
2. Apply an evidence-based medicine approach to decisions regarding obtaining a CT scan in children after minor head trauma.
3. Recognize the signs and symptoms of concussions in pediatric patients.
4. Recognize common pediatric fractures and learn how to manage them and when to refer to Orthopedics.

Abdominal Pain in the Young Patient.

Upon completion of this session, the participant should be able to: ^COMP

1. Develop a clinical approach to the child with right lower quadrant pain.
2. Identify children who need surgical consultation for abdominal pain.
3. Determine the differential diagnosis for acute pediatric abdominal pain.

Turning Inpatients into Outpatients: DVT, PE, Low Risk Chest Pain.

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Describe the rapidly evolving landscape emphasizing the outpatient treatment of many diseases that formerly mandated hospital admission
2. Outline the risk-stratification of low-risk chest pain to identify patients who can be rapidly discharged with outpatient follow-up
3. Outline the risk-stratification of low-risk DVT and PE to identify patients who can be rapidly discharged with outpatient follow-up

A Rational Approach to Abscesses and Cellulitis in the Era of MRSA.

Upon completion of this session, the participant should be able to: EBM, COMP

1. Assess risk factors for CA-MRSA infection.
2. Specify the best-evidence management of skin and soft-tissue infections such as abscess and cellulitis in the era of drug resistance.
3. Assess both pharmacologic and non-pharmacologic best-practice management strategies for this disease entity.
4. Demonstrate familiarity with the latest treatment recommendations for CA-MRSA as directed by the CDC.

Low Back Pain in the ED: What We Know, What We Think We Know, and What We Don’t Know.

Upon completion of this session, the participant should be able to: ^{EBM, COMP}

1. Apply an evidence-based approach to the evaluation of non-traumatic back pain.
2. Differentiate the “red flags” that should heighten the suspicion for serious pathology in the evaluation of back pain.
3. Assess and differentiate both effective as well as disproved therapies in the treatment of back pain using the Cochrane Database.
4. Specify potential pitfalls in the treatment and disposition of low back pain.