Full Course Description
MOMMY, I Don't Feel So Good!
- Assessment/Diagnosis of Problems by Age Group
- How to take a thorough history
- Growth & Development: What’s Normal?
- Developmental milestones
- Assessment of development
- Anticipatory Guidance: “What Do You Want to Look Out For?”
- Through the 1st year
- School age
- Teens & beyond
- More Vaccines?
- HPV: It’s not just for girls
- What about autism?
- Pediatric Lab Interpretation
- Identifying baseline testing
- Can an allergy test be done in primary care?
- Interpreting results
Presenting Pediatric Problems
- Failure to thrive: Metabolic disorders, heart disease
- School Age
- Pre-hypertension vs. hypertension
- Causes: Renal, cardiac, lifestyle
- Eval/treatment: Dietary guidelines 2010, medications, link to cholesterol
- Drug Abuse
- Prescription drug overdose
- Street names
- Concussions & Sports Injuries
- New International Guidelines
- Return to play
- Treatment strategies vs. adults
- Symptoms/Long-term complications
- Weight lifting/performance enhancing substances
- Antibiotic Resistance/MRSA
- Energy Drinks
- Life-Threatening Allergies
- Internet Safety
The Joint Commission
- Patient safety goals: What are they?
- Medication safety
- Staff communication
- Preventing infection
- Risk Management: A 7-step approach to protect yourself
- Patient Satisfaction Metrics
- Discharge information
- Analyze the research on vaccine recommendations and relay data to parents in a non-confrontational approach.
- Differentiate between a well child physical and a sports physical in relation to both history and exam.
- Explain the steps to determine etiology of pediatric hypertension.
- Compare presentation between a typical migraine headache vs. a headache requiring referral to a neurologist.
- Interpret lab data and apply the findings to clinical practice.
- Demonstrate knowledge of the AAP’s recommendations on weight lifting.
- Apply your knowledge of the pathophysiology of drowning and recommended treatment strategies.
Life-Threatening Pediatric Emergencies
Pediatric Stabilization & Critical Assessment Goals
- Essential data to collect
- Primary and secondary survey:
- Assessment and interventions
- Immediate interventions for life-threatening situations
- Hypothermia and its multisystem implications
- Code medications: The “Big 3”
Technology: The Benefits & the Pitfalls
- Respiratory devices: Delivery systems, oxygen therapy, mist, humidification
- Pulse oximeter
- Interpreting key laboratory findings
- EEG and lumbar puncture
Suspecting Child Abuse
- Shaken baby syndrome
- Munchausen by proxy
- Child maltreatment
- Mandatory reporting
- Group b strep
- Bacterial/viral meningitis
- Toxic shock syndrome
- Herpes: Simplex and encephalitis
- Kawasaki disease
- Rheumatic Fever
- Fever and hyperthermia management
Ingestions & Poisoning
- GI decontamination
- “Pharming” implications
- OTC medications: Cold/cough preparations, acetaminophen, NSAIDs
- Alcohols, hydrocarbons
- Lead intoxication
- Pyloric stenosis
- Necrotizing enterocolitis
- Malrotation/Bowel obstruction
- Diarrhea and dehydration:
- Evidence-based guidelines
Trauma in Children
- Sports and non-sports related injuries
- Abdominal trauma: Bowel perforation, spleen & liver laceration
- Chest trauma: Pulmonary contusion, pneumothorax, hemothorax, flail chest
- Neurological involvement:
- Head trauma: TBI, cerebral edema and concussions
- Hypertrophy cardiomyopothy
- Prevention & initial/acute management
- Anaphylactic shock
- Optimizing use of the Epi pen
- Croup: Viral and bacterial
Respiratory Emergencies: Upper Airway
- Bronchiolitis (RSV/Non-RSV)
- Explain the latest strategies useful in evaluating pediatric life-threatening situations.
- Formulate both non-pharmacological and pharmacological options used to manage pediatric life-threatening situations.
- Differentiate between various infectious diseases and the most up-to-date interventions for each.
- Choose the current treatment recommendations for the most commonly ingested agents.
- Apply the latest evidence-based guidelines for optimal treatment of significant diarrhea and dehydration.
- Assess a variety of traumatic injuries seen in children and the best practice initial response to make the difference in outcomes.
- Determine the optimal and immediate interventions for the cardiac emergencies likely to present in children.
- Explain the medication management of distributive anaphylactic shock.
- Compare clinical presentation between various lower and upper airway diseases.
Managing Pediatric Respiratory Conditions
Pulmonary Assessment & the “5” Fingered Assessment
- Adventitious Lung Sounds
- Clubbing, Pallor & Cyanosis
- Oxyhemoglobin Dissociation Curve
- Ventilation, Diffusion & Accessory Muscles
- Diagnostics Consideration:
- Pulmonary Function Testing (PFT)
- Airway Clearance: Techniques & Technologies
- The Do’s & Don’ts of Suctioning
- What the Chest X-ray is Telling You
- Lab Values: Normal vs. Baseline
- Determining Critical Clues
Unique Airway Challenges
- Pediatric Patient is not a Small Adult:
- Anatomical and Physiological Differences
- Increased Oxygen Consumption Rates
- The Allergic Cascade
- The Concept of Linked Airways
- Airway Inflammation
- Hygiene Hypothesis
Non-Pharmacological and Technological Management
- Oxygen Therapy
- Devices used for both low and high flow rates
- Pulse Oximetry - What Does It Really Mean?
- Chest X-ray interpretation
- Medication Delivery Devices
- Dry Powder Inhalers (DPI)
- Asthma Medications
- Steroids: IV vs. Oral
- Antihistamines: First and Second Generation
- Emergency Medications
Urgent & Emergent Respiratory Conditions
- Tips for Quick Identification
- Critical Interventions for:
- Flail Chest
- Rib Trauma
- Anaphylactic Reaction
- Foreign Body Aspiration
- Status Asthmaticus
Identification & Treatment of Upper Airway Conditions
- Croup: “The Good, the Bad, the Ugly”
Risk Factors and Treatment Modalities for Lower Airway Conditions
- Interstitial Lung Disease (ILD)
- The 2 Cousins: RSV & Human Metapneumovirus
- Apply the clinical essentials necessary for an efficient and comprehensive respiratory assessment.
- Interpret assessment findings in children with alterations in respiratory status.
- Determine underlying pathophysiology for both upper airway and lower airway conditions.
- Compare and contrast cause versus symptoms of upper versus lower airway conditions when selecting appropriate management strategies.
- Differentiate the management of both urgent and emergent respiratory conditions.
- Discuss non-pharmacological, technological and pharmacological treatment modalities used in managing pediatric respiratory conditions.