Vital Emergency Medicine by Emergency Medicine Institute (EMI)

Vital Emergency Medicine 4-Day CME Conference 2019 is organized by Emergency Medicine Institute (EMI) and will be held from Apr 01 - 04, 2019 at Key West Marriott Beachside Hotel, Key West, Florida, United States of America. This CME Conference has been approved for a maximum of 20.0 AMA PRA Category 1 credits.™

Accredited Provider:  American Medical Seminars, Inc. in a Joint Providership with EM Conferences.  ACCME.

CME4Life and the Emergency Medicine Institute has partnered to ignite your passion in learning and measurably increase your confidence and competence. This course is designed for PAs, NPs and primary care physicians working in the ED. 

Come join us for a unique and one of a kind conference experience!  Learn clinical application of patient assessment, lab medicine, EKG and radiology.  Also, we teach you how to stay out of trouble medical legally.

John Bielinski, Jr, MS, PAC is the speaker.

John is hailed as one of the greatest presenters in the country. With his unique active style and easy to follow
presentation, attendees have reported learning more in one day from him than an entire year in the classroom! He earned a master’s degree in family and emergency medicine and is a national lecturer on emergency medicine and extraordinary patient care. His experience not only includes years of hospitalist/intensive care coverage, but he has also run a rural emergency department for nine years autonomously, having cared for hundreds of cardiac arrest and critically ill patients.
John has lectured for over 10 years teaching PA students at two PA schools in Buffalo, NY, as well as instruction of paramedics/ nurses on advanced cardiac life support.

• Laboratory Medicine & Clinical Application
• Pulmonary Medicine & CXR Interpretation
• Chest Pain & EKG/ECG Interpretation
• Common Emergency Medicine Complaints

To learn more about him and his "active engagement" learning style, check out his podcast Talk EM or his YouTube channel.  John has been the keynote speaker at numerous state and national conference as well as in Canada and on National Geographic.

Learning Objectives:

Day 1

Sepsis and Acute Bleeding.
Upon completion of this session, the participant should be able to: GL, COMP
• Develop an appropriate evaluation and treatment plan for sepsis based on current SSC guidelines.
• Evaluate the scope of the problem regarding effective management of sepsis in the ED.
• Identify early diagnosis of acute bleeding to avoid adverse outcomes to improve patient outcome based on trauma protocol.

Acute Kidney Injury/Failure.
Upon completion of this session, the participant should be able to: GL, COMP
• Apply the KDIGO Clinical Practice Guidelines for Acute Kidney Injury.
• Explain a clinical approach to acute renal failure.

Electrolytes.
Upon completion of this session, the participant should be able to: COMP
• Apply a systematic approach to the assessment of hyponatremia.
• Integrate the updated treatment options in the management of hyperkalemia. 

Emergency Mindset and Preventing Burnout in Medicine. 
Upon completion of this session, the participant should be able to: COMP
• Integrate effective communication skills such as active listening, reframing, and validation into daily interactions with patients, improving overall communication and the quality of care.
• Review current literature re: burnout.
• Adopt strategies for successful patient experience surveys.
• Apply techniques for managing functional symptoms in the office.

Day 2

Basic Chest X-Ray Interpretation.
Upon completion of this session, the participant should be able to: COMP
• Develop a systematic approach to interpreting a chest radiograph.
• Assess a chest radiograph for technical factors that may hide or simulate disease.
• Determine whether a chest radiograph demonstrates air space disease.

Congestive Heart Failure.
Upon completion of this session, the participant should be able to: GL, COMP
• Recognize the symptoms of congestive heart failure and appropriately Stage as per the ACC/AHA Guidelines.
• Identify common causes of systolic heart failure.
• Employ current ACCF/AHA Guidelines and standard-of-care therapies, differentiating between those treatments which reduce mortality and those that improve symptoms.

Update on the Management of COPD and Asthma.
Upon completion of this session, the participant should be able to: COMP, GL, EBM
• Differentiate the treatment of acute COPD from other pulmonary diseases.
• Perform initial management and stabilization of the patient with asthma or COPD exacerbation and distinguish between the strategies for each condition.
• Develop an evidence-based strategy for the management of COPD based on the GOLD criteria.
• Detect conditions that may mimic asthma or COPD in the clinical setting.

Pneumonia.
Upon completion of this session, the participant should be able to: EBM, COMP
• Differentiate the presentation of various cases of pneumonia and management.
• Distinguish the different pathogens that cause pneumonia.
• Apply evidence-based recommendations for prevention of pneumococcal pneumonia.
• Employ the CURB 65 criteria to assist in treatment options for patients identified with pneumonia.

Day 3

Methodical Approach to EKG Interpretation. 
Upon completion of this session, the participant should be able to: COMP
• Formulate a clinical approach to EKG interpretation.
• Recognize the importance of a fixed, methodical approach to 12-lead EKG interpretation.
• Demonstrate the recommended order of 12-lead EKG analysis.
• Utilize the “Three Main Causes” approach to abnormalities encountered while interpreting a 12-lead EKG.
• Integrate participant’s own adjustments to the methodical approach without reducing sensitivity.

EKG Interpretation Practice.
Upon completion of this session, the participant should be able to: GL, COMP
• Demonstrate the ability to recognize the different causes of chest pain using EKG assessment and clinical factors that may hide or simulate ACS.
• Specify the classic morphological features of left and right bundle branch block and the importance of the repolarization abnormality.
• Recognize the main categories of subendocardial and acute epicardial ischemia.
• Evaluate the complaint in the context of history, physical exam, and EKG findings.

Differential Diagnosis of Chest Pain.
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Assess for and identify causes of chest pain.
• Describe the pathophysiology of chest pain.
• Differentiate the clinical features of various causes of chest pain.
• Identify infectious causes of chest pain based on clinical presentation and evaluation.

Approach to the Management of Chest Pain.
Upon completion of this session, the participant should be able to: GL, COMP
• Develop an approach to the patient with chest pain based on current AHA/ACC guidelines.
• Calculate the HEART Score in the assessment of a patient with chest pain and acute coronary care.
• Employ the ACCF/AHA Guideline based management strategies for chest pain.
• Recognize when to refer patients for more advanced cardiac care.

Acute Coronary Syndrome in the ED.
Upon completion of this session, the participant should be able to: EBM, GL, COMP
• Develop a strategy to use cardiac biomarkers in the evaluation of ACS.
• Integrate the evidence-based treatment of ACS based on the latest applicable literature.
• Relate the areas of controversy in the treatment of this disease entity.
• Apply and integrate the updated ACC/AHA guidelines for the management of patients with unstable angina and non ST-segment elevation myocardial infarction.

Day 4

Abdominal Pain Case Studies.
• Upon completion of this session, the participant should be able to: EBM, COMP
• Develop an evidence-based approach to the  evaluation of the ED patient with abdominal pain.
• Determine and avoid common pitfalls in the assessment of patients with abdominal pain.
• Detect and assess high-risk scenarios related to patients with abdominal pain.

Gastrointestinal Bleeding and the Use of Gastric Lavage.
Upon completion of this session, the participant should be able to: GL, COMP
• Assess risk factors for gastrointestinal bleeding.
• Evaluate the most recent guidelines for management and prevention of GI bleeds.
• Devise a plan to effectively manage acute GI bleeding and optimize treatment responses in the individual patient.

Diagnosis and Misdiagnosis of Appendicitis.
• Upon completion of this session, the participant should be able to: EBM COMP
• Review the pathophysiology and clinical presentation for appendicitis.
• Analyze various diagnostic approaches to appendicitis.
• Criticize the care provided in several cases of appendicitis missed at the time of initial ED evaluation.