Current Topics in Pediatric Trauma Care (Trauma CME) -
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This resource combines audio and digital components to review three topics in pediatric trauma care: concussion/mTBI, blunt abdominal trauma, and diagnostic POCUS.
An increasing number of patients with concussive injuries have been presenting to the ED in recent years, including many pediatric patients with sports-related mTBI. This course reviews the most recent consensus-based guidelines for concussion and mTBI, including diagnostic tools, return-to-school and return-to-sport recommendations, and the importance of providing concussion education and aftercare instructions.
A negative abdominal examination and the absence of comorbid injuries do not completely rule out an intra-abdominal injury in a pediatric patient who has suffered blunt abdominal trauma. Learn how the primary and secondary surveys, laboratory testing, and diagnostic imaging are used to evaluate these patients, and review the management considerations for specific intra-abdominal organ injuries.
This course also reviews the evidence for the use of diagnostic point-of-care ultrasound in the pediatric emergency setting and discusses common applications of POCUS for the assessment of trauma in pediatric patients. Photos and video tutorials are included to demonstrate many of the techniques that are described in the course.
It includes 12 AMA PRA Category 1 Credits™. Included as part of the 12 credits, this CME activity is eligible for 12 Trauma CME credits. CME expires on 08/14/2022
Included in this program:
Three evidence-based courses delivered in online format, reviewing concussion guidelines, evaluation and management of blunt abdominal trauma in pediatric patients, and the use of diagnostic POCUS for pediatric trauma patients
An episode of the EMplify podcast for an audio summary of the concussion guidelines course
12 AMA PRA Category 1 Credits™, including 12 Trauma credits
Course 1: Concussion in the Emergency Department: A Review of Current Guidelines - Trauma EXTRA
The concussion literature is evolving rapidly, but rigorous, standardized research protocols remain limited. This course provides a summary of 2 recently published, consensus-based guidelines on concussion and mild traumatic brain injury, and discusses practical aspects of ED management of patients with concussive injuries, including the initial evaluation, diagnostic criteria, assessment tools, and aftercare recommendations.
Includes an EMplify podcast episode with an audio discussion of the course presented by Dr. Susan Kirelik.
CME Credits: 4 (includes 4 Trauma credits)
Course 2: Pediatric Blunt Abdominal Trauma: Recognition and Management in the Emergency Department - Trauma EXTRA
Blunt abdominal trauma is the third most common cause of pediatric deaths from trauma, but it is the most common unrecognized fatal injury. This course discusses common mechanisms and injuries seen in children with blunt abdominal trauma and takes a closer look at evaluation and management techniques, including the critical steps in the initial evaluation and clinical decision tools for diagnostic imaging decisions. Treatment considerations are presented for specific intra-abdominal organ injuries.
CME Credits: 4 (includes 4 Trauma credits)
Course 3: Diagnostic Point-of-Care Ultrasound: Assessment Techniques for the Pediatric Trauma Patient - Trauma EXTRA;
The use of emergency ultrasound in the pediatric setting is increasing because it can facilitate diagnosis at the bedside and does not expose the patient to ionizing radiation. This course focuses on common indications for diagnostic POCUS that may be useful in the setting of trauma, including FAST and E-FAST, skull fractures, forearm fractures, lung and cardiac ultrasound, and assessments for testicular torsion and intravascular volume.
CME Credits: 4 (includes 4 Trauma credits)
Publication Date: November 1, 2020
CME Expiration Date: August 14, 2022
CME Information: Included as part of the 12 credits, this CME activity is eligible for 12 Trauma CME credits, subject to your state and institutional approval. Accreditation: 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 12 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Current Topics in Pediatric Trauma Care is eligible for 12 Category 2-A or 2-B credit hours by the American Osteopathic Association.
Concussion in the Emergency Department: A Review of Current Guidelines:
Carl M., MD: “Learning the latest criteria has helped me fine-tune my approach to the patient with concussion.”
Ilona J., MD: “[This] addressed all points regarding evaluation of patients with history of concussion.”
Jorge M-V., PA-C: “I feel more confident about my decision making, treatment, and follow-up care. I have a better understanding of the current guidelines to evaluate and treat concussions.”
Erin M., MD: “I will be more confident when giving patients discharge/aftercare instructions and feel more knowledgeable when I'm asked specific recovery questions by patients and parents.”
Emai H., DO: “Loved this podcast, thank you!”
Pediatric Blunt Abdominal Trauma: Recognition and Management in the Emergency Department:
Linda H., MD: “Wonderful review of blunt abdominal injuries.”
Harold M., MD: “Nicely written and could be clearly understood. Reinforced my evaluation of pediatric abdominal trauma.”
Stephen P., MD: “I now understand why so many nonoperative techniques have been developed for pediatric blunt trauma.”
Peter M., MD: “Working in pediatric urgent care, I expect that my pattern of transfer of these patients to the local pediatric trauma center is affirmed; if anything, I may transfer sooner.”
Matthew D., MD: “I will utilize the clinical pathway provided to help with management and workup of peds blunt abdominal trauma patients.”
Diagnostic Point-of-Care Ultrasound: Assessment Techniques for the Pediatric Trauma Patient:
Robert A., MD: “Excellent review and extremely practical.”
Mia K., MD: “The videos and images were extremely helpful.”
Bryant P., MD : “Very well done review of ultrasound.”
Diane H., MD: “Clearly written and easily interpreted, especially the pertinent views in peds.”
Peter K. MD: “I will utilize FAST ultrasound more confidently when treating pediatric patients.”
Upon completion of this article, you should be able to:
Describe the current recommendations for assessment and management of sport-related concussion and mild traumatic brain injury
Utilize clinical decision tools to guide the diagnosis of concussive injuries
Identify risk factors for prolonged recovery from concussion
Describe the aftercare instructions that should be given to patients with concussion, including guidance for returning to work, school, and sport participation
Identify the common patterns of injury that can occur in children with blunt abdominal trauma
Perform an evidence-based diagnostic workup in children with blunt abdominal trauma
Distinguish the management of specific abdominal organ injuries
Discuss the indications for surgical consultation, admission, and discharge in children with blunt abdominal trauma
Use the FAST and E-FAST examinations to assess pediatric patients with abdominal or chest trauma for conditions such as free fluid, pneumothorax, and hemothorax
Demonstrate diagnostic ultrasound techniques utilized to assess cardiac conditions, such as pericardial effusion, tamponade, and cardiac arrest, and assess left ventricular ejection fraction
Utilize diagnostic ultrasound to assess for other pediatric conditions, including skull fractures, forearm fractures, and testicular torsion
Accreditation: 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 12 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AOA Accreditation: Current Topics in Pediatric Trauma Care is eligible for 12 Category 2-A or 2-B credit hours per issue by the American Osteopathic Association.
Specialty CME: Included as part of the 12 credits, this CME activity is eligible for 12 Trauma CME credits.
Needs Assessment: The need for this educational activity was determined by a survey of medical staff, including the editorial board of this publication; review of morbidity and mortality data from the CDC, AHA, NCHS, and ACEP; and evaluation of prior activities for emergency physicians.
Target Audience: This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.
Goals: Upon completion of this activity, you should be able to: (1) demonstrate medical decision-making based on the strongest clinical evidence; (2) cost-effectively diagnose and treat the most critical presentations; and (3) describe the most common medicolegal pitfalls for each topic covered.
Discussion of Investigational Information: As part of the journal, faculty may be presenting investigational information about pharmaceutical products that is outside Food and Drug Administration–approved labeling. Information presented as part of this activity is intended solely as continuing medical education and is not intended to promote off-label use of any pharmaceutical product.
Faculty Disclosures: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. In compliance with all ACCME Essentials, Standards, and Guidelines, all faculty for this CME activity were asked to complete a full disclosure statement. The information received is as follows: Dr. Kirelik, Dr. Bazarian, Dr. Espinoza, Dr. Schacherer, Dr. Miller, Dr. Petronis, Dr. Zibners, Dr. Guttman, Dr. Nelson, Dr. Gold, Dr. Mailhot, and their related parties report no relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) discussed in this educational presentation.
Commercial Support: This issue of Current Topics in Pediatric Trauma Care did not receive any commercial support.
Earning Credit: Two Convenient Methods: (1) Go online to www.ebmedicine.net/CME and click on the title of the article. (2) Mail or fax the CME Answer And Evaluation Form (included with your June and December issues) to EB Medicine.
Hardware/Software Requirements: You will need a Macintosh or PC to access the online archived articles and CME testing.
Additional Policies: For additional policies, including our statement of conflict of interest, source of funding, statement of informed consent, and statement of human and animal rights, visit www.ebmedicine.net/policies.
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