Title:2023 Pediatric Emergency Medicine: A Practical Approach to ED & UC Challenges – Day 1 (Physician)

Faculty: Robert Belfer, MD, Joshua Belfer, MD, Jeffrey Seiden, MD

Release Date: 7/1/2023 Expiration Date: 7/1/2026

Day 1

Approach to Febrile Infants and Toddler (Seiden)

Upon completion of this session, using published guidelines and evidence-based medicine, the participant should be able to: ^{EBM, GL, COM} 

1. Assess the risks of various management strategies of febrile infants less than 2 months of age.
2. Appraise recent data concerning the clinical approach to febrile young infants.
3. Appraise data concerning the diagnostic evaluation of febrile children 3-24 months of age.
4. Recognize the changing epidemiology of invasive bacterial infections secondary to widespread vaccination practices.

Head Injuries in the Pediatric Patient (Seiden)

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, COM} 

1. Describe the pathophysiology and, using evidence-based medicine, develop clinical strategies for the emergency treatment of severe head injury 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. Demonstrate use of currently recommended management approaches in children with concussion.

Acute Management of Childhood Asthma (Seiden)

Upon completion of this session, using published practice guidelines and Cochrane EBM sources, the participant should be able to: ^{EBM, GL, COM}

1. Determine the appropriate use of albuterol by metered-dose inhaler, intermittent nebulizer, and continuous nebulizer for children with moderate and severe asthma exacerbations.
2. Appropriately apply the evidence regarding levalbuterol as compared with albuterol in the treatment of childhood asthma.
3. Employ recent data and recommendations for the use of steroids, magnesium sulfate, terbutaline, and ipratropium bromide in the treatment of acute asthma exacerbations.
4. Recognize indications for inpatient hospitalization in children with acute asthma exacerbations.

Orthopedics Pediatric Potpourri (Belfer, R.)

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, COM}

1. Interpret radiographs that demonstrate Salter-Harris fractures in the pediatric patient.
2. Initially manage fractures of the upper extremity and recognize when to refer to an Orthopedic Surgeon.
3. Develop management plans for fractures; assess the need for urgent orthopedic consultation.

Pearls from the CHOP PEM Podcast Experts (Belfer, R.)

Upon completion of this session, using published practice guidelines and Cochrane EBM sources, the participant should be able to:

1. Be familiar with the latest clinical and research advances in diagnosis and treatment of the following conditions: concussions, asthma, DKA, sepsis and more.