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How to Spot the Well-appearing Patient Who Will Soon Be Dead

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How to Spot the Well-appearing Patient Who Will Soon Be Dead

1 hour Audio and Power Point Presentation

Recorded September 25, 2015

The course helps providers identify the most difficult ED patient: The well-appearing patient who has a life-threatening process occurring. It uses a unique 2 step approach to identify concerning patients with abnormal vital signs or patients with a life-threatening chief complaint and lack of definitive diagnosis. When the patient is identified, there are 3 actions: Revisit, record, recruit. The presentation is interactive with actual cases and panels to assess the initial evaluation and is divided into 3 parts:
1. How to spot
2. Why we don’t spot
3. What happens when we don’t spot
Learning Objectives:
  • Identify well appearing patients with life-threating conditions
  • Describe when to reassess
  • List why these patients can be dismissed (CDR's - cognitive dispositions to respond)
  • Discuss key findings that should be documented
  • Develop an appropriate differential diagnosis for common complaints

Disclosures: The above faculty had no relevant financial relationships to disclose.

Faculty Bio:

Michael Weinstock, MD

Michael is a Professor of Emergency Medicine, adjunct in the Department of Emergency Medicine at The Ohio State University, Chairman and Director of Medical Education in the Emergency Department at Mt. Carmel St. Ann’s, and Medical director in The Ohio Dominican University PA studies program. He is risk management section editor of Emergency Medicine Reviews and Perspectives (EM RAP), a CME program with international circulation to over 18,000 physicians, and editor-in-chief for Urgent Care Reviews and Perspectives (UC RAP). He is Associate editor for The Journal of Urgent Care Medicine (JUCM). He has lectured nationally on issues such as risk management and patient safety and has published multiple papers in peer-reviewed journals. In 2006 he authored Bouncebacks! Emergency Department Cases: ED Returns and in 2011 Bouncebacks: Medical and Legal with reviews in Annals of Emergency Medicine, Archives of Emergency Medicine and JAMA. In 2014 he authored The Resident’s Guide to Ambulatory Care, 7th edition, a book started while in residency, now with sales of almost 35,000 copies. In 2015 he authored Bouncebacks! Pediatrics. Early in his career, while working as a full time Emergency Physician, Michael spent 12 years as a Clinical Assistant Professor in the Infectious Diseases Clinic at The Ohio State University caring for patients with HIV/AIDS and working as a clinical trials sub-investigator. He has practiced medicine on both a local and global scale, including volunteer medical work in Papua New Guinea, Nepal, and the West Indies. In March 2014 he received an award for Outstanding Contributions to the Field of Emergency Medicine from the University of Maryland Emergency Medicine residency program. In March of 2015 he was the lead author on an original chest pain study which was published in JAMA Internal Medicine.

Credit Information:

Designation Statement
The Urgent Care Association of America designates this enduring material activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Accreditation Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education. Credit for this course is good for 1 year after purchase.

Submitting for Credit:  

If you would like to submit for either of the credit above, once you complete the activity you must submit for credit you will need to complete the 5 question exam.  You must answer 3 out of 5 correctly to receive credit.  Your credit will be placed in your profile under Professional Development or click on "My Credits".  Email with questions.  

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