JULY 2018

Featured Lecture

Every summer, over 600 people in the United States succumb to extreme heat. More information

We’ve chosen to focus this month on a lecture by Dr. David Bullard: Updates on Heat-related Illnesses. Dr. Bullard is Associate Professor of Emergency Medicine, Alpert School of Medicine of Brown University in Providence, RI. Dr. Bullard was recorded at the 35th Annual Emergencies in Medicine, held February 26, 2017, in Park City, UT, and sponsored by Emergencies in Medicine. For information about upcoming CME conferences from Emergencies in Medicine, please visit emergenciesinmedicine.org

Dr. Bullard provides tools for differentiating among forms of heat illness and outlines effective cooling techniques and supportive care for patients with heat stroke. Highlights of this lecture include the epidemiology of heat illness, mechanisms of thermoregulation, and many additional resources for primary care providers and all physicians who treat patients with heat-related illnesses.

Updates on Heat-Related Illnesses
Emergency Medicine
David Bullard, MD, MEd
June 21, 2018 / EM3512
Run time: 25:05 >> Speaker Icon

Check out the questions below to assess your knowledge about treating heat-related illness.

  1. Body heat may be lost via radiation, which involves:
    (A) Transfer of heat to a cooler object
    (B) Loss of heat without contact
    (C) Heat transfer by movement of cool air or water
    (D) Evaporative cooling

 

  1. A teenage boy wakes his parents at night reporting severe leg and abdominal cramps. That afternoon, he had run 5 miles in athletics practice after school. On examination, he is afebrile, awake, and alert; there are no other findings. This presentation is most consistent with _______; the next management step should be _______.
    (A) Heat syncope; obtaining total creatinine kinase level
    (B) Heat stroke; obtaining basic metabolic panel
    (C) Thermoregulation; application of ice packs to axilla and groin
    (D) Heat cramps; administration of oral and intravenous hydration

 

  1. A 23-yr-old Marine recruit is brought to the emergency department after suffering from a syncopal episode while performing training drills during a heat wave. On examination, his skin is warm to the touch. He is weak but alert. His vital signs are notable for rectal temperature of 103ºF, heart rate 140 bpm, and blood pressure of 110/60 mm Hg. Which of the following methods of cooling would be most effective for this patient?
    (A) Ice water immersion
    (B) Air-conditioned environment
    (C) Ice packs to axilla and groin
    (D) Evaporative cooling






Answers: 1-B, 2-D, 3-A

Timely Topics: What’s coming up in August?

Some of the programs and lectures that our editors are planning for the month of August:
  • Blood Pressure in Black Barber Shops (ACCEL Vol. 50, Iss. 8)
  • Latex Allergies and Anaphylaxis (Anesthesiology, Vol. 60, Iss. 27)
  • Insulin Pumps, Blood Glucose, and Continuous Glucose Monitors (DiabetesInsight, Vol. 9, Iss. 15)
  • Physician’s Orders for Life-Sustaining Treatment documents (Emergency Medicine, Vol. 35, Iss. 14)
  • Infectious Diseases: Urgencies and Emergencies (Family Medicine, Vol. 66, Iss. 27)
  • Cancer Risk with IBD Therapies: How to Discuss with Patients (Gastroenterology, Vol. 32, Iss. 14)
  • Genetic Screening for Colorectal Malignancies (General Surgery, Vol. 65, Iss. 14)
  • New Treatment Advances for Hepatitis B and Hepatitis C Infections (Internal Medicine, Vol. 54, Iss. 27)
  • Brain Mapping and Improvement in Surgical Outcomes for Gliomas (Neurology, Vol. 9, Iss. 15)
  • Endometrial Hyperplasia (Obstetrics & Gynecology, Vol. 65, Iss. 14)
  • First-line Therapy for Mantle Cell Lymphoma (Oncology, Vol. 9, Iss. 14)
  • Infectious Uveitis and Emerging Pathogens (Ophthalmology, Vol. 56, Iss. 14)
  • Fusing the Spine and Sacroiliac Joint at the Same Setting (Orthopaedics, Vol. 41, Iss. 14)
  • The Pathogenesis of Obstructive Sleep Apnea from a Physiologic Perspective (Otolaryngology, Vol. 51, Iss. 15)
  • Recognizing Juvenile Idiopathic Arthritis (Pediatrics, Vol. 64, Iss. 28)
  • An update on OCD and related disorders (Psychology, Vol. 7, Iss. 14)
  • Management of Depression and Common Comorbidities (Psychiatry, Vol. 47, Iss. 14)
  • Penile Rehabilitation After Prostatectomy (Urology, Vol. 41, Iss. 14)

FEATURED MEETING:

American Osteopathic College of Anesthesiologists

September 23-26, 2018
San Diego, CA
http://www.cvent.com/events/2018-aoca-annual-conclave-convention/event-summary-d42835f3b0a84536ba2a92c3cd10dff8.aspx

“The American Osteopathic College of Anesthesiologists designates this program for a maximum of up to 30 hours of AOA Category 1-A credits and an additional 4 hours of AOA Category 1-A credits for the Scientific Poster Session Saturday, September 22nd, if attended. The AOCA will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity to the AOA.”

For more information and to register >>

UPCOMING MEETINGS:

GI 11th Annual Inflammatory Bowel Disease: The Art and Science in the Diagnosis and Treatment 2018
Boston University School of Medicine
Boston, MA, September 7-8, 2018

IM What’s New in Medicine: Internal Medicine: Infectious Diseases Continuing Medical Education Workshop 2018
American College of Physicians Washington Chapter
Kennewick, WA, September 7-8, 2018

GI New Advances in Inflammatory Bowel Disease
Scripps Conferences and CME San Diego, CA, September 8-9, 2018

NE Advances in Movement Disorders
NYU School of Medicine NYU Langone Medical Center
New York, NY, September 14, 2018

PD 75th Brennemann Lectures
Los Angeles Pediatric Society
Disneyland Hotel, Anaheim, California, September 21-23, 2018

CD Inaugural Scripps Cardiomyopathy and Cardio-oncology Symposium: A Case-Based Approach
Scripps Conferences and CME
San Diego, CA, September 22, 2018

AN The 66th AOCA Annual Convention
American Osteopathic College of Anesthesiologists
San Diego, CA, September 23-26, 2018

PD Dementia: What Now? Interventions for the Patient and Caregiver After the Diagnosis
University of Michigan School of Medicine
Ann Arbor, MI, September 27, 2018

AN 32nd Annual Scientific Meeting
Ophthalmic Anesthesia Society
Chicago, IL, September 28-30, 2018

GM Food: The Main Course to Digestive Health
University of Michigan School of Medicine Nutrition Obesity Research Center
Ann Arbor, MI, September 28-30, 2018

ON 8th International Symposium on Malignant Pleural Mesothelioma
David Geffen School of Medicine at UCLA
Los Angeles, CA, September 29, 2018

PD 35th Annual Current Advances in Pediatrics
American Academy of Pediatrics-CA District IX
Irvine, CA, October 5-7, 2018

GM 6th Annual Symposium: Cardiovascular Disease Management: A Case-Based Approach
Promedica International CME
Phoenix, AZ, October 11-12, 2018

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