Current Topics in Shock and Sepsis Management: Traumatic Hemorrhagic Shock and Septic Shock -
$169.00

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This course combines audio and digital components to review critical care management of traumatic hemorrhagic shock management as well as sepsis and septic shock. Includes 9.5 AMA PRA Category 1 Credits™.

Module 1 reviews the evaluation and management decisions unique to the subset of trauma patients with hemorrhagic shock.
Module 2 reviews the recent changes in sepsis criteria, prognosticators, and quality metrics and offers recommendations on the recognition and treatment of sepsis, severe sepsis, and septic shock in the emergency department.
Module 3 assesses the use of tools to identify and assess critical illness, including the SIRS criteria, qSOFA score, MEWS-Sepsis screening tool, and NEWS screening tool.
Module 4 discusses fluid requirements for patients in septic shock.
Module 5 discusses massive transfusion in the setting of traumatic hemorrhagic shock as well as intubation in the setting of trauma and hemorrhage.

Includes 9.5 AMA PRA Category 1 Credits™. Included as part of the 9.5 credits, this CME activity is eligible for 4 Trauma CME credits and 2 Pharmacology CME credits. CME expires 10/23/2023.

Included in this course:

Two evidence-based modules delivered in online and PDF formats, reviewing critical care management of traumatic hemorrhagic shock management as well as sepsis and septic shock.
Two corresponding episodes of the EMplify podcast audio discussions of the traumatic hemorrhagic shock and sepsis and septic shock modules.
Two audio lecture sessions recorded at the 2018 ResusEM conference covering sepsis scores and criteria and fluids in septic shock.
One audio webinar with Dr. Scott Weingart covering massive transfusion in the setting of traumatic hemorrhagic shock as well as intubation in the setting of trauma and hemorrhage.
9.5 AMA PRA Category 1 Credits^TM, including 4 Trauma CME credits and 2 Pharmacology CME credits.

Modules

Module 1: An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department + EMplify podcast audio discussion

Hemorrhagic shock is the major preventable cause of morbidity and mortality in patients who suffer trauma. Definitive hemostasis is the primary goal, but coordination of care with prehospital providers, trauma centers, and surgical teams that is based on defined institutional protocols will ensure that these patients receive optimal care. This issue provides evidence-based recommendations for the assessment and treatment of traumatic hemorrhagic shock. Hemostatic techniques as well as correction of hemorrhagic hypovolemia and traumatic coagulopathy are presented. The safety and efficacy of practices such as resuscitative endovascular balloon occlusion of the aorta (REBOA), viscoelastic clot testing, and whole blood resuscitation are also reviewed. This module also includes an episode of the EMplify podcast for audio review.

CME Credits: 4.5

Module 2: Updates and Controversies in the Early Management of Sepsis and Septic Shock + EMplify podcast audio discussion

For patients in the ED who are suspected of having sepsis, swift, effective management is vital to improving outcomes. Diagnosis and treatment of sepsis and septic shock are fundamental for emergency clinicians, and include knowledge of clinical and laboratory indicators of subtle and overt organ dysfunction, infection source control, and protocols for prompt identification of the early signs of septic shock. This issue is a structured review of the literature on the management of sepsis, focusing on the current evidence, guidelines, and protocols. This module also includes an episode of the EMplify podcast for audio review.

CME Credits: 4.5

Module 3: Good SIRS let’s sit on the (q)SOFA and discuss the aMEWSing NEWS (audio lecture)

In this audio lecture, Dr. Jennifer Axelband of St. Luke’s University Health Network in Bethlehem, PA, discusses the evaluation of sepsis with the use of SIRS criteria and qSOFA, MEWS, and NEWS scores, including how and when to use the scores.

Audio length: 14 minutes

CME Credits: 0.25

Module 4: How much fluid would Goldilocks give a septic shock patient? (audio lecture)

In this audio lecture, Dr. Phillip Dellinger of Cooper University Healthcare in Camden, NJ, discusses fluid needs for patients in septic shock – how much to give and when to stop.

Audio length: 15 minutes

CME Credits: 0.25

Module 5: Traumatic Hemorrhagic Shock, Massive Transfusion, and Intubation (audio webinar)

In this audio webinar, Dr. Scott Weingart of EMCrit and Stony Brook Medicine in Stony Brook, NY, discusses massive transfusion in the setting of traumatic hemorrhagic shock as well as intubation in the setting of trauma and hemorrhage, and provides caveats, tips, and tricks to keep your patients alive and improve outcomes.

Product Details

Publication Date: April 15, 2021

CME Expiration Date: October 31, 2023

CME Information: Included as part of the 9.5 credits, this CME activity is eligible for 4 Trauma CME credits and 2 Pharmacology CME credits. EB Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the ACCME. Credit Designation: EB Medicine designates this enduring material for a maximum of 9.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Current Topics in Shock and Sepsis Management: Traumatic Hemorrhagic Shock and Septic Shock is eligible for 9.5 Category 2-A or 2-B credit hours by the American Osteopathic Association. The “An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department” journal issue is approved by the American College of Emergency Physicians for 4 hours of Category I credit. The “Updates and Controversies in the Early Management of Sepsis and Septic Shock” journal issue is approved by the American College of Emergency Physicians for 4 hours of Category I credit.

Customer Comments

An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department

Angela J, MD: “This was incredible, thank you!! These are my favorite articles, but this was the best one in a while! So much concise, and truly up to date info. I’m a community EM doc but about to take an inner-city job and this was exactly the refresher/update I needed.”
Subramanian D, MD: “It is my go-to resource. The focus on what to do based on the current evidence base is most valuable.”

Updates and Controversies in the Early Management of Sepsis and Septic Shock

Vincent G, PA-C: “We have a septic protocol that has automatic triggers in our patient computer charting system based on vital signs and lab values. You can override the orders for the septic pathway but you need to understand why and justify it. This article gave a good understanding of the topic and how we actually practice in our ED.”
Julia R, DO: “It's probably the most valuable resource i have for clinical practice and CME.”

CME Information