OBJECTIVES

HTN in the ED, should I really give a crap? – W. Frank Peacock, MD

1. Identify outcomes associated with asymptomatic isolated systolic hypertension.
2. List acceptable treatments in the management of hypertensive emergencies.
3. Review the pro's and con's in the use of currently available intravenous anti-hypertension medications.

Current Drugs of Abuse - Kathleen Jobe, MD

1. Describe the current drugs of abuse.
2. Describe clinical manifestations of current drugs of abuse and how to recognize their toxidromes.
3. Demonstrate knowledge of management of patients under the influence of current drugs of abuse.

Acute Cardiac Imaging - Judd Hollander, MD

1. To understand the limitations of history and physical examination for patients with ACS.
2. To understand the strengths and weaknesses of cardiac imaging modalities for patients with potential ACS.
3. To enhance strategies to risk stratify chest pain patients.

Status Epilepticus - Robert Welch, MD

1. Provide their pre-hospital care personnel with important new treatment techniques.
2. Improve their ability to provide effective and safe early management of these patients.

Literature Update - Edward Panacek, MD

1. Understand an evidence-based approach to reviewing medical knowledge.
2. Gain exposure to a wide breadth of clinically important articles.
3. Be able to list recently published articles that will impact clinical practice in EM.
4. Understand these articles and describe their impact on current Emergency Medicine practice.

Cocaine associated Myocardial Ischemia - Judd Hollander, MD

1. To enhance diagnostic ability in patients with cocaine toxicity.
2. To understand treatment of patients with cocaine toxicity.
3. To be able to distinguish differences in treatment of patients with ACS who have used cocaine from those who have not.

Eye Emergencies Not to Miss - Tommy Korn, MD

1. Identify at least 3 eye emergencies (adult, geriatric, or pediatric) that can cause rapid blindness or potentially threaten life if not promptly detected in the emergency room.
2. Identify at least 3 red eye conditions that require immediate referral to ophthalmology.
3. Distinguish between viral and bacterial conjunctivitis by using the latest diagnostic techniques, and employ effective treatment and management strategies to avoid antibiotic resistance and prevent an infectious epidemic.
4. Properly examine the eye using the ophthalmoscope to identify optic nerve diseases (diabetic retinopathy, glaucoma) and other underlying systemic conditions.

12 Facts every Emergency Physician Should Know about Vision: Dispelling Myths about your Eyes - Tommy Korn, MD

1. Distinguish between the facts and myths about vision in children and how to provide evidence-based advice to parents
2. Distinguish between the facts and myths about vision in adults and geriatric patients and how to provide evidence-based advice.
3. Discuss at least 2 techniques in enhancing and preserving one's eyesight using the latest evidence-based data.
4. Perform a comprehensive eye exam using instruments available in most emergency care settings.

The Leaky Patient on Warfarin: What to do When You've Messed up Their Blood – W. Frank Peacock, MD

1. Review the published therapeutic guidelines for patients presenting to the ED with elevated INR.
2. List the currently available anticoagulant reversal agents for warfarin.
3. Detail the indications/contraindications for the newest anticoagulants.

State of the Art Wound and Laceration Repair - Adam Singer, MD

1. Review methods of wound preparation.
2. Compare and contrast wound closure devices.
3. Instruct on the proper use of the topical skin adhesives.

Cardiac devices - Kathleen Jobe, MD

1. Demonstrate knowledge of types of implantable cardiac device.
2. Demonstrate ability of emergency management of a patient with in ICD/PCD.
3. Describe current cardiac assist devices and potential patient presentation.
4. Describe management of patient with malfunction of LVAD.

Predicting, Side-stepping, and Managing the Unmanageable Airway - Rich Levitan, MD

1. Identify high-risk areas of emergency airway management, including problems with ventilation and intubation, and situations when RSI should be avoided.
2. Highlight the critical aspects of surgical airway management in emergent settings
3. Review techniques for awake airway management through the nose, with and without fiber optics.
4. Discuss emergency airway techniques that can maximize pre-oxygenation, prolong safe apnea, and permit apneic oxygenation.

ACO, HIPPA, COBRA/EMTALA - Al Weihl, MD & Chris Howard, JD

1. To update and educate the audience of recent legal and regulatory developments that will have an impact on their clinical practice.
2. To analyze specific cases that have resulted in legal claims to provide lessons for improving the quality of care provided.
3. To provide specific practice pointers to both improve patient care and help manage risk in an emergency room setting.

Dealing with opiate abuse, drug seeker, and compassionate pain management in the ED - Mark Borden, MD

1. Discuss the history of pain treatment.
2. Discuss progresses to the most modern methods of pain management.
3. Discuss the depth of the problems faced by the modern Emergency Physician in the ED today.
4. After the lecture the physician will have a broader understanding of pain management, and be better able to deal with the problems encountered with pain management in the ED.

The 10 Ultrasounds That Every Emergency Physician Should be able to Perform – J. Christian Fox, MD

1. Understand the indications for emergency physician bedside ultrasound.
2. Appreciate the pitfalls with bedside ultrasound.
3. Describe the transducers necessary for various bedside ultrasound applications.
4. Understand the probe locations to generate ultrasound windows of common organs.

Pediatric Sports Injuries - Jim Kyle, MD

1. Discuss Common Apophyseal lower extremity injuries in the skeletally immature athlete.
2. Review current guidelines for return to play after sport concussions in young athletes.
3. Develop strategies for accurate diagnosis of Knee pain in youth sports.
4. Discuss "Little League Baseball" sudden death research.

Have A Blast! Understanding and Managing Blast Injuries - Marvin Wayne, MD

1. Describe the etiologies of blast injury.
2. Describe the pathophysiology of changes that occur.
3. List body areas injured and both primary and secondary effects.
4. Discuss immediate and secondary management.
5. Discuss long term effects both physical and psychological.

Death by Oxygen - Robert O'Connor, MD

1. Understand the history of oxygen toxicity due to indiscriminate use of high flow oxygen.
2. Understand the need to use pulse oximetry to guide oxygen therapy in acute myocardial infarction, stroke, and during post resuscitation care.
3. Develop a reasoned clinical approach to titrate oxygen to reverse hypoxia or oxygen desaturation in the clinical setting.
4. Understand and apply strategies to avoid hypoxia and hyperoxia in critical care.

Pulmonary Embolism - Deborah Diercks, MD

1. Review new AHA/ACC statement on management of PE.
2. Practical approach to risk stratification.
3. Discuss imaging strategies.

Video Laryngoscopy - Richard Levitan, MD

1. Review the commercially available video laryngoscopes, discussing their imaging technology, methods of distracting the tongue and epiglottis, and tube delivery.
2. Explain aspects of upper airway anatomy relevant for successful intubation with video laryngoscopes.
3. Discuss how tracheal tube design and stylets impact on the performance of video laryngoscopes.

Biomarkers in the ED - Alan Maisel, MD

1. To describe value of sensitive troponins in diagnosis of acute MI.
2. To describe value of bnp in diagnosis of the dyspneic patient.
3. To describe new and exciting prognostic biomarkers- ST-2 ADM, NGAL.

Compression only CPR – Robert O'Connor, MD

1. Employ several strategies for performing bystander CPR following sudden cardiac arrest.
2. Understand the need to minimize interruptions in chest compressions.
3. Utilize new strategies for minimizing interruptions in chest compressions.
4. Implement comprehensive referral systems for the treatment of post-resuscitation care.

Phenotype-driven management of AHF - emerging concept that's here to stay - Phillip Levy, MD

1. Contrast the existing model of acute heart failure with emerging concepts, specifically focusing on phenotypic variations that arise from the confluence of underlying pathophysiology and immediate precipitants.
2. Describe an approach to the management of acute heart failure that is based upon a phenotype-oriented framework, highlighting the use of current and novel therapeutics.
3. Discuss existing controversies in acute heart failure care including timing (early vs. delayed) of therapy, targets of intervention (hemodynamics, symptoms, surrogate markers), and clinical end-points (dyspnea, mortality, recidivism).

2011 Life-long Learning Assessment articles – J. Christian Fox, MD

1. Understand the main learning objectives inherent in the 2011 LLSA articles.
2. Recite important updates to patient care found in the 2011 LLSA articles.
3. Appreciate the methodological limitations of each 2011 LLSA article.
4. Describe ways in which your practice will change after reading the 2011 LLSA articles.

Administering Regional Anesthesia like a Pro in the ED - Mark Borden, MD

1. Review the basics of Emergency Regional Anesthesia.
2. Discuss regional techniques of the trunk and lower extremities in detail.
3. After the lecture the physician will have improved understanding of regional anesthesia techniques in general and will have learned specific techniques for axial and lower extremity regional anesthesia. 

Atrial Fibrillation in the ED - Alan Maisel, MD

1. To describe the pathophysiology of atrial fibrillation in the ED.
2. To describe the clinical presentation of atrial fibrillation in the ED.
3. To describe the treatment of atrial fibrillation in the ED.

Everything I learned in Maui at CCEC - Rakesh Engineer, MD

1. Provide a summary of the lecture material presented during the 2011 CCEC.
2. Highlight the three most important concepts of from each presentation.
3. Allow the attendee to transmit material from this lecture to others within their group.