IU Emergency Medicine Best of Showcase Freshen Up:


IU Emergency Medicine Best of Showcase Freshen Up: Banner



Date & Location
Friday, September 15, 2023, 8:00 AM - Saturday, September 14, 2024, 11:59 PM

Target Audience
Specialties - Emergency Medicine, Pediatric Emergency Medicine

Overview

Emergency medicine is ever-changing and fast-paced, so our educational materials should be as well. We aim to provide emergency physicians and advanced practice providers cutting edge presentations with up-to-date information and skills.

DETAILS OF COURSE CONTENT: 
Module 1 - Alexander: My Patient/Colleague Said What? Addressing Microaggressions in the Clinical Environment
Module 2 - Besinger: EM Strokes updates
Module 3 - Ferre: A Farewell to the Stethoscope
Module 4 - Kline: Medical MalPractice Involving Allegations of Negligent Failure to Diagnose in Emergency Care
Module 5 - Musey: Clinical decision pathways using high-sensitivity troponins for rapid chest pain evaluation in the ED.
Module 6 - Pollard: The Crashing Pulmonary Hypertension Patient
Module 7 - Rusyniak: Once in a Lifetime
Module 8 - Rutz: POCUS Practice Palliation
Module 9 - Seitz: Medicine + technology: a crash course on a collision course
Module 10 - Weinstein: Shake it Up: Pearls for the Seizing Patient
Module 11 - Bontempo: "There's Blood Everywhere! Dealing with Critical ENT hemorrhage."
Module 12 - Fix: No Really, How are you? The Power of Connection
Module 13 - Satorius: Verbal De-escalation
Module 14 - Pang: Acute Decompensate Heart Failure
Module 15 - Whitehead: Crashing Neonates

Launch Date:  9.15.23

Expiration Date:  9.15.24


Objectives
At the conclusion of this activity, participants should be able to:

  1. Updates on core emergency medicine essentials, such as evidence-based management of acute coronary syndrome and stroke
  2. Beyond the bedside discussions, including thoughts on post-pandemic burn out and role of emergency physicians in state government and crisis response
  3. Novel uses of point-of-care ultrasound in every day clinical practice

Registration

REGISTRATION:  This IEM requires registration and payment.   To register, sign in (or create a new account) by clicking the Sign-In button on the top left corner of the portal.

Once you find the course, click on the REGISTER button

Fees are as follows:

$189     IU Faculty/Alums/ Students*, Residents*, Fellows*
$99       IUHP APPs
$229     Non-IU Faculty/ Students*, Residents*, Fellows*
$109     Non-IUHP APPs

 

*All students, residents, and fellows can receive a FREE registration coupon code by contacting Jennifer Deppen at [email protected]

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How to watch the webinars after registering:

1.    Sign into your account (in top left corner of portal)  (If you previously created a password, but forgot, enter your email address, and click on forgot your password?   The system will redirect you to recreate one)

2.   Click the tests tile button and then click on the module's launch website tile button to view that module you wish to watch. 

                There are 15 total modules in this IEM.  You can watch in any order, and access them anytime 24/7 to complete, but must do #15/Whitehead module LAST

 

NEXT STEPS AFTER COMPLETING ALL 15 MODULES (and obtain continuing education credits)

3.    Sign into your account at iu.cloud-cme.com 

4.   After watching all 15 modules, click the post tests tile under module #15/Whitehead to attest to completing all the modules

5.  Click the MyCME button in the upper right hand of the portal page and click the evaluations and certificates tile

5.   Choose the type of credit, complete the CME evaluation and click submit


6.  On the evaluations and certificates page, click download certificate*

 

 

*Participants must view the entire webinar (all 15 modules) AND submit a completed evaluation to receive credit

 


Accreditation
 

In support of improving patient care, Indiana University School of Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physicians

Indiana University School of Medicine designates this enduring activity for a maximum of  7.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses

Indiana University School of Medicine designates this activity for a maximum of 7.50 ANCC contact hours.  Nurses should claim only the credit commensurate with the extent of their participation in the activity.

 

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REFERENCES:  

Seitz:

Musey:   

1.      Writing Committee; Kontos MC, de Lemos JA, Deitelzweig SB, Diercks DB, Gore MO, Hess EP, McCarthy CP, McCord JK, Musey PI Jr, Villines TC, Wright LJ. 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department: A Report of the American College of Cardiology Solution Set Oversight Committee. J Am Coll Cardiol. 2022 Nov 15;80(20):1925-1960. doi: 10.1016/j.jacc.2022.08.750. Epub 2022 Oct 11. PMID: 36241466.

2.      Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. Nov 30 2021;144(22):e368-e454. doi:10.1161/cir.0000000000001029

3.      Thygesen K, Alpert JS, Jaffe AS, et al. Fourth Universal Definition of Myocardial Infarction (2018). Journal of the American College of Cardiology. Oct 30 2018;72(18):2231-2264. doi:10.1016/j.jacc.2018.08.1038

4.      Cairns C, Kang K, Santoc L. National Hospital Ambulatory Medical Care Survey: 2018 emergency department summary tables. U.S. Department of Health and Human Services, 2018.

Bontempo:   

Bontempo LJ, Manning SL. Tracheostomy Emergencies. Emerg Med Clin North Am. 2019 Feb;37(1):109-119. doi: 10.1016/j.emc.2018.09.010. PMID: 30454773.

Dermendjieva M, Gopalsami A, Glennon N, Torbati S. Nebulized Tranexamic Acid in Secondary Post-Tonsillectomy Hemorrhage: Case Series and Review of the Literature. Clin Pract Cases Emerg Med. 2021 Aug;5(3):1-7. doi: 10.5811/cpcem.2021.5.52549. PMID: 34437029; PMCID: PMC8373187.

Donaldson L, Raper R. Successful emergency management of a bleeding tracheoinnominate fistula. BMJ Case Rep. 2019 Dec 17;12(12):e232257. doi: 10.1136/bcr-2019-232257. PMID: 31852691; PMCID: PMC6936497.

Fields RG, Gencorelli FJ, Litman RS. Anesthetic management of the pediatric bleeding tonsil. Paediatr Anaesth. 2010 Nov;20(11):982-6. doi: 10.1111/j.1460-9592.2010.03426.x. PMID: 20964765.

Hankerson, MJ et al. Nebulized tranexamic acid as a noninvasive therapy for cancer-related hemoptysis. J Palliat Med. 2015 Dec;18(12):1060-2

Harounian JA, Schaefer E,Schubart J,Carr MM. Pediatric adenotonsillectomy and postoperative hemorrhage: Demographic and geographic variation in the US. International journal of pediatric otorhinolaryngology. 2016 Aug

Mohammadpour-Maleki A, Rasoulian B. Post-tonsillectomy Hemorrhage: A Seven-year Retrospective Study. Iran J Otorhinolaryngol. 2021 Sep;33(118):311-318. doi: 10.22038/ijorl.2021.54962.2882. PMID: 34692578; PMCID: PMC8507943.

Poppe M, Grimaldo F. A Case Report of Nebulized Tranexamic Acid for Post-tonsillectomy Hemorrhage in an Adult. Clin Pract Cases Emerg Med. 2020 Aug;4(3):443-445. doi: 10.5811/cpcem.2020.6.47676. PMID: 32926708; PMCID: PMC7434284.

Shin TJ, Hasnain F, Shay EO, Ye MJ, Matt BH, Elghouche AN. Treatment of post-tonsillectomy hemorrhage with nebulized tranexamic acid: A retrospective study. Int J Pediatr Otorhinolaryngol. 2023 Aug;171:111644. doi: 10.1016/j.ijporl.2023.111644. Epub 2023 Jul 6. PMID: 37423163.

Spencer R, Newby M, Hickman W, Williams N, Kellermeyer B. Efficacy of tranexamic acid (TXA) for post-tonsillectomy hemorrhage. Am J Otolaryngol. 2022 Sep-Oct;43(5):103582. doi: 10.1016/j.amjoto.2022.103582. Epub 2022 Aug 6. PMID: 35988367.

Wall JJ, Tay K-Y. Postoperative Tonsillectomy Hemorrhage. Emerg Med Clin North Am. 2018;36(2):415-426.

Satorius: 

Schnapp et al. Workplace Violence and Harassment Against Emergency Medicine Residents, WJEM 2016: 17(5) 567-573.

Downes et al. Structured team approach to the agitated patient in the emergency department. Emergency Medicine Australasia (2009) 21, 196-202

JS Richmond et al. Verbal De-escalation of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA De-escalation Workgroup. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health 2012: 13(1) 17-25.

Thompson, G. J., & Jenkins, J. B. (2013).Verbal judo: The gentle art of persuasion.

Pang:

1.      Harrison NE, Koester J, Farmer A, Hannon A, Jakupco N, Nanagas J, Park S, Li X, Collins S, Monahan P, Pang PS. Emergency physician risk tolerance in acute heart failure is higher than previously thought and compatible with modern disposition decision instruments. Acad Emerg Med. 2022 Dec 15. doi:10.1111/acem.14641. Online ahead of print. PMID: 36520547

2.      Pang PS, Russell FM, Ehrman R, Ferre R, Gargani L, Levy PD, Noble V, Lane KA, Li X, Collins SP. Lung Ultrasound-Guided Emergency Department Management of Acute Heart Failure (BLUSHED-AHF): A Randomized Controlled Pilot Trial. JACC Heart Fail. 2021 Sep;9(9):638-648. doi: 10.1016/j.jchf.2021.05.008. Epub 2021 Jul 7.PMID: 34246609

3.      Collins SP, Liu D, Jenkins CA, Storrow AB, Levy PD, Pang PS, Chang AM, Char D, Diercks DJ, Fermann GJ, Han JH, Hiestand B, Hogan C, Kampe CJ, Khan Y, Lee S, Lindenfeld J, Martindale J, McNaughton CD, Miller KF, Miller-Reilly C, Moser K, Peacock WF, Robichaux C, Rothman R, Schrock J, Self WH, Singer AJ, Sterling SA, Ward MJ, Walsh C, Butler J. Effect of a Self-care Intervention on 90-Day Outcomes in Patients With Acute Heart Failure Discharged From the Emergency Department: A Randomized Clinical Trial. JAMA Cardiol. 2021 Feb 1;6(2):200-208. doi: 10.1001/jamacardio.2020.5763.PMID: 33206126

4.      Pang PS, Fermann GJ, Hunter BR, Levy PD, Lane KA, Li X, Cole M, Collins SP. TACIT (High Sensitivity Troponin T Rules Out Acute Cardiac Insufficiency Trial). Circ Heart Fail. 2019 Jul;12(7):e005931. doi: 10.1161/CIRCHEARTFAILURE.119.005931. Epub 2019 Jul. PMID:31288565

5.      Sax DR, Mark DG, Rana JS, Reed ME, Lindenfeld J, Stevenson LW, Storrow AB, Butler J, Pang PS, Collins SP. Current Emergency Department Disposition of Patients With Acute Heart Failure: An Opportunity for Improvement. J Card Fail. 2022 Oct;28(10):1545-1559. doi: 10.1016/j.cardfail.2022.05.006. Epub 2022 May 29. PMID: 35649474

6.       Chang AM, Pang PS, Butler J, Storrow AB, Levy PD, Lindenfeld J, Collins SP. Early Treatment in Emergency Department Patients with Acute Heart Failure: Does Time Matter? Curr Heart Fail Rep. 2019 Mar 4. PMID: 30828762

7.      Collins SP, Pang PS. ACUTE Heart Failure Risk Stratification. Circulation. 2019 Feb 26;139(9):1157-1161. doi: 10.1161/CIRCULATIONAHA.118.038472. PMID:30857401

8.       *Pang PS, Collins SP. Acute Heart Failure in the ED: Just a One Night Stand?  Acad Emerg Med. 2016 Dec 22 doi: 10.1111/acem.13151. PMID 28008693

 

Ferre:

  1. Keyes LE, Frazee BW, Snoey ER, Simon BC, Christy D. Ultrasound-guided brachial and basilic vein cannulation in emergency department patients with difficult intravenous access. Ann Emerg Med. 1999 Dec;34(6):711-4. PubMed PMID: 10577399.
  1. Abboud PA, Kendall JL. Ultrasound guidance for vascular access. Emerg Med Clin North Am. 2004 Aug;22(3):749-73. Review.Costantino TG, Parikh AK, Satz WA, Fojtik JP. Ultrasonography-guided peripheral intravenous access versus traditional approaches in patients with difficult intravenous access. Ann Emerg Med. 2005 Nov;46(5):456-61.
  1. Blaivas M, Lyon M. The effect of ultrasound guidance on the perceived difficulty of emergency nurse-obtained peripheral IV access. J Emerg Med. 2006 Nov;31(4):407-10.
  1. Chinnock B, Thornton S, Hendey GW. Predictors of success in nurse-performed ultrasound-guided cannulation. J Emerg Med. 2007 Nov;33(4):401-5.
  1. Stein J, George B, River G, Hebig A, McDermott D. Ultrasonographically guided peripheral intravenous cannulation in emergency department patients with difficult intravenous access: a randomized trial. Ann Emerg Med. 2009 Jul;54(1):33-40.
  1. Witting MD, Schenkel SM, Lawner BJ, Euerle BD. Effects of vein width and depth on ultrasound-guided peripheral intravenous success rates. J Emerg Med. 2010 Jul;39(1):70-5.
  1. Costantino TG, Kirtz JF, Satz WA. Ultrasound-guided peripheral venous access  vs. the external jugular vein as the initial approach to the patient with difficult vascular access. J Emerg Med. 2010 Oct;39(4):462-7.
  1. Bauman M, Braude D, Crandall C. Ultrasound-guidance vs. standard technique in difficult vascular access patients by ED technicians. Am J Emerg Med. 2009 Feb;27(2):135-40.
  1. Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, Dean AJ. What you  see (sonographically) is what you get: vein and patient characteristics associated with successful ultrasound-guided peripheral intravenous placement in  patients with difficult access. Acad Emerg Med. 2009 Dec;16(12):1298-303.
  1. Witting MD, Moayedi S, Yang Z, Mack CB. Advanced intravenous access: technique choices, pain scores, and failure rates in a local registry. Am J Emerg Med. 2016 Mar;34(3):553-7.
  1. Rupp JD, Ferre RM, Boyd JS, Dearing E, McNaughton CD, Liu D, Jarrell KL, McWade CM, Self WH. Extravasation Risk Using Ultrasound-guided Peripheral Intravenous Catheters for Computed Tomography Contrast Administration. Acad Emerg Med. 2016 Aug;23(8):918-21.
  1. Dargin JM, Rebholz CM, Lowenstein RA, Mitchell PM, Feldman JA. Ultrasonography-guided peripheral intravenous catheter survival in ED patients with difficult access. Am J Emerg Med. 2010 Jan;28(1):1-7.
  1. Adhikari S, Blaivas M, Morrison D, Lander L. Comparison of infection rates among ultrasound-guided versus traditionally placed peripheral intravenous lines. J Ultrasound Med. 2010 May;29(5):741-7.
  1. Elia F, Ferrari G, Molino P, Converso M, De Filippi G, Milan A, Aprà F. Standard-length catheters vs long catheters in ultrasound-guided peripheral vein  cannulation. Am J Emerg Med. 2012 Jun;30(5):712-6.
  1. Fields JM, Dean AJ, Todman RW, Au AK, Anderson KL, Ku BS, Pines JM, Panebianco NL. The effect of vessel depth, diameter, and location on ultrasound-guided peripheral intravenous catheter longevity. Am J Emerg Med. 2012 Sep;30(7):1134-40.

 Pollard:

Greenwood JC, Spangler RM. Management of Crashing Patients with Pulmonary Hypertension. Emerg Med Clin North Am. 2015 Aug;33(3):623-43. doi: 10.1016/j.emc.2015.04.012. Epub 2015 Jun 6. PMID: 26226870.

Hoeper MM, Granton J. Intensive care unit management of patients with severe pulmonary hypertension and right heart failure. Am J Respir Crit Care Med. 2011 Nov 15;184(10):1114-24. doi: 10.1164/rccm.201104-0662CI. PMID: 21700906.

Matthews JC, McLaughlin V. Acute right ventricular failure in the setting of acute pulmonary embolism or chronic pulmonary hypertension: a detailed review of the pathophysiology, diagnosis, and management. Curr Cardiol Rev. 2008 Feb;4(1):49-59. doi: 10.2174/157340308783565384. PMID: 19924277; PMCID: PMC2774585.

Wilcox SR, Kabrhel C, Channick RN. Pulmonary Hypertension and Right Ventricular Failure in Emergency Medicine. Ann Emerg Med. 2015 Dec;66(6):619-28. doi: 10.1016/j.annemergmed.2015.07.525. Epub 2015 Sep 3. PMID: 26342901

 

 


Additional Information

 

For questions about accessibility or to request accommodations please contact the IUSM CEHP office at 317-274-0104 or [email protected]. One week advance notice will allow us to provide seamless access. Please ensure to specify the accommodations you need in order to participate.


Credits
AMA PRA Category 1 Credits™ (7.50 hours), ABS CC (7.50 hours), ANCC Contact Hours (7.50 hours), Non-Physician Attendance (7.50 hours)