A Bird's Eye View
In this Medical Mystery Case from On Medical Grounds podcast, the answer may not be as simple as you think. Using lab results and patient presentation, can you figure out what is wrong with Joe before the doctor does?
This podcast is accredited for one hour of FREE continuing education credit for physicians, nurses, respiratory therapists, and laboratory professionals.
A Rocky Start
Join us for a Medical Mystery Case from On Medical Grounds podcast.
Little Kemena was born early at 32 weeks via emergency C-section. At first it seemed Paul’s newborn would be okay—then the respiratory therapist asked him to move aside... Can you figure out what is wrong before the neonatologist does?
Accredited for one hour of FREE CME/CE for physicians, nurses, respiratory therapists, and laboratory professionals.
The Need for Diabetes Screening
Join On Medical Grounds host Dr. Jane Caldwell and diabetes specialist, Dr. Jay Shubrook from Touro University, in a discussion about diabetes, why we must diagnose earlier, and how to screen. Accredited free CME/CE for physicians, nurses, and laboratory professionals.
Diabetes: Identifying and Educating High-Risk Individuals
On Medical Grounds host Dr. Jane Caldwell speaks with board-certified pharmacotherapy specialist and certified diabetes care/education specialist Dr. Heather Whitley. Listen in to a discussion on prediabetes and diabetes, and the benefits of POC HbA1c testing compared to other methodologies. Dr. Whitley also offers screening and diagnosis guidelines for community and urgent care settings. Accredited free CME/CE for physicians, nurses, and laboratory professionals.
Pathologies and the Use of Cerebrospinal-Fluid-Based Biomarkers in Alzheimers Disease
Alzheimers disease (AD) progression can occur long before cognitive, functional, and behavioral impairment—and no cure is available. Early diagnosis can give patients an opportunity to plan ahead. This educational article reviews the neurobiological basis of AD, identifies the role of cerebrospinal fluid (CSF) biomarkers in establishing a diagnosis, and discusses racial disparities seen in AD biomarkers. Accredited free CME/CE for physicians, physician assistants, and nurses.
Osteomyelitis: Achieving Antibiotic Penetration
Explore the osteomyelitis labyrinth of treating these challenging infections with Dr. Adam Bressler and On Medical Grounds host, Dr. Jane Caldwell. Dr. Bressler is an infectious disease specialist with Emory Hillandale Hospital and Emory Decatur Hospital, and discusses the role of antibiotic-resistance and other complications in current treatment regimens for osteomyelitis. Accredited free CME/CE for physicians, nurses, and pharmacists.
Adnexal Mass Risk Assessments: Do Algorithms Improve Care?
In this episode, On Medical Grounds host, Dr. Jill Sellers interviews board eligible OB/GYN Dr. Laura Hanks on adnexal masses, the importance of proper early assessment and the likelihood of malignancy. Dr. Hanks also explains ROMA (Risk of Ovarian Malignancy) scores and how using this method can help physicians determine the best course of action for their patients. Accredited free CME for physicians, physician assistants, and nurses.
Diagnosing and Managing Sepsis Syndrome: The Emerging Role of Bedside Analyte Testing
Sepsis is an overwhelming immune response to an infection. It kills more than 210,000 Americans each year and is becoming more common, especially in the hospital. Sepsis is a medical emergency that can be difficult to define, diagnose, and treat, but every minute counts in the effort to save lives. This self-study activity is accredited for physicians, nurses, respiratory therapists, and laboratory professionals with complimentary CME.
Creatinine: Significance and Applications for Rapid Creatinine Testing
Acute kidney injury (AKI) may lead to morbidity and mortality in many types of patients. Rapid creatinine testing may assist in preventing injury by assessing the decline in renal function early and subsequently prevent long-term chronic kidney disease. This self-study activity is accredited for physicians, nurses, respiratory therapists, and laboratory professionals with complimentary CME.
Seven Things to Know About Treating Hyponatremia
Hyponatremia is one of the most common electrolyte disturbances that clinicians find in outpatient and inpatient settings. It can be easily detected with a basic metabolic profile test. But once discovered, how do you treat it? Listen in as On Medical Grounds host Dr. Jill Sellers interviews Dr. Biff Palmer on diagnosing and treating hyponatremia and the effectiveness of conivaptan as a therapeutic strategy. Free CME for physicians, nurses, and pharmacists with show notes and other resources.
VAP: Diagnosing and Managing Ventilator-Associated Pneumonia
VAP is a sub-type of hospital-acquired pneumonia, which occurs in people receiving mechanical ventilations. VAP is difficult to diagnose and surveillance is curtailed by the subjectivity of many components of the surveillance definition. This self-study activity is accredited for physicians, nurses, respiratory therapists, and laboratory professionals with complimentary CME.
An Orthopedic Surgeon, A Bike Wreck, and Stopping the Cycle of Opioid Use
Intravenous ibuprofen has emerged as an alternative to opioids for the management of peri- and post-operative pain. Listen in as On Medical Grounds, Dr. Jill Sellers interviews Dr. Stephen Southworth about a groundbreaking study on IV Ibuprofen and how the findings have changed the way he and his colleagues are managing pain in their orthopedic surgery patients. This activity is accredited for physicians, nurses, and pharmacists with complimentary CME.
Pain Management Case Studies: A Surgeon’s Perspective
Surgical patients are at increased risk for opioid-use disorders due to pre- and post-operative prescribing. Dr. Stephen Southworth discusses how intravenous ibuprofen may provide an alternative solution to reduce pain and opioid use before and after surgery. This activity is accredited for physicians, nurses, and pharmacists with complimentary CME and CEUs.
IBD Fecal Biomarkers: Scientific Findings & Clinical Applications
Inflammatory bowel disease (IBD) is diagnosed in an estimated 1.3% of U.S. adults. Fecal biomarkers are an accurate, cost-effective, and efficient way to assist in the diagnosis and management of chronic intestinal inflammation. Learn more at this accredited, on-demand, self-study course.
Identification and Pharmacological Management of Hyponatremia
Hyponatremia is an electrolyte disturbance in which sodium ion concentration in blood plasma is lower than normal. This can be associated with a variety of critical care conditions including congestive heart failure, liver failure, kidney failure and pneumonia. This accredited self-study learning activity provided current information on hyponatremia.
Emerging Strategies for Improving Acute Pain Management
In the face of a nationwide opioid epidemic, Drs. Patrick M. Cody, Russell D. Weisz, Jack C. McGeachy, and Eric M. Folkens discussed challenges and strategies for emergency medicine clinicians and urgent care providers searching for pain treatment modalities.
Natriuretic Peptide Screening for the Identification, Assessment, and Treatment of Heart Failure
Drs. Ronald A. Yee, W. Frank Peacock IV, William E. Chavey II, and Beth T. Davidson examined evidence supporting the use of natriuretic peptide biomarkers to assist with the diagnosis or exclusion of heart failure in both chronic and acute care settings.
New Therapies & Modalities for More Effective Pain Management
Drs. Aryeh Shander, Stephen R. Southworth, David J. Samuels, and Jeffrey Fudin assessed new multimodal strategies and medications to effectively manage acute and chronic pain in the hospital setting and examined the proper use of opioids.
Treatment of C. difficile Infection in 2018: What Do the New IDSA-SHEA Guidelines Recommend?
The incidence of Clostridium difficile infection (CDI) has been growing steadily in the United States, and the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA) has updated the 2010 guideline with significant changes. This webinar presented by Drs. Ciarán P. Kelly, Christopher R. Polage, and Carey-Ann D. Burnham was accredited for nurses, physicians, laboratory directors, quality care coordinators and all healthcare professionals involved in the prevention, detection, diagnosis, and reporting of C. difficile.
Reducing Opioids in Surgical Pain Management: Exploring New Perioperative and Postoperative Strategies
As the U.S. opioid epidemic continues, strategies are needed to reduce their use before and after surgery, and for long-term pain management. This webinar presented by Drs. Jay Kuchera, R. Corey Waller, Sarah E. Rebstock, and Daniel H. Sajewski was accredited for physicians, nurses, and pharmacists.
Evidence for the Increasing Role of Natriuretic Peptides in the Diagnosis and Management of Heart Failure
This webinar presented by healthcare professionals James L. Januzzi Jr., Beth T. Davidson, and Ann S. Laramee, discussed evidence for the utility of natriuretic peptide testing to improve outcome, and presented case studies on the management of heart failure after admission and discharge.
Finding Undiagnosed HIV:
Strategies From Community-Based Programs
Dr. Lisa B. Hightow-Weidman, Erik Valera from the Latino Commission on AIDS, and Barry Walters with AIDS Project New Haven, presented an accredited, educational, live webinar on the incidence and sequelae associated with undetected HIV infection. In addition, they evaluated strategies to promote HIV testing and counseling, and discussed new techniques and technologies which can identify HIV infections.
POINT-OF-CARE TESTING IN THE ED:
Strategies to Improve Throughput, Compliance, and Patient Outcome
Dr. Adam J. Singer, and healthcare professionals AnnMarie Papa, Ashley Hildreth, and Alexander Johnson, presented an accredited, educational, live webinar reviewing current data regarding ED flow, current guidelines, mandatory reporting, processes, and point-of-care strategies to improve patient outcome.
The C. diff Debate: The Role of Diagnostics in Disease Determination
Moderated by Ciarán P. Kelly, MD, this debate and self-study program with Professors Ferric C. Fang, MD and Mark H. Wilcox, MD identified new developments and discoveries with C. difficile, reviewed current guidelines for diagnosis and prevention, assessed CDI testing methodologies and current controversies, and applied findings to determine the appropriate protocol and testing algorithms for CDI for one’s institution.
Pre-exposure Prophylaxis (PrEP):
Evolving Strategies for HIV Prevention, Treatment, and Testing
Drs. Cynthia C. Brinson and David W. Rosenthal presented this accredited educational webinar which reviewed the development and rationale behind pre-exposure prophylaxis (PrEP), identified potential barriers to HIV screening and initiation of PrEP, evaluated current CDC and HRSA guidelines, determined the role of rapid point-of-care HIV antigen/antibody testing in prophylaxis and early treatment, and discussed strategies to increase screening, earlier interventions, and greater implementation of PrEP to prevent HIV infection.
New Sepsis Measures and Applications for Improving Outcome
This accredited educational webinar presented by Drs. Mitchell M. Levy and Shu-Ling Fan, and healthcare professionals Patti DeJuilio and Alexander Johnson, explored the new CMS measures for sepsis and institutional applications, assessed the findings with the implementation of sepsis bundles, and discussed best practices for sepsis care including point-of-care.
Hyperphosphatemia in CKD: Cases for Improving Compliance and Outcome
This accredited educational webinar presented by Drs. Ellie Kelepouris, Kathleen Hill Gallant, and Debra J. Hain, explored hyperphosphatemia in CKD patients, compared and contrasted new phosphate binders, and identified new strategies to improve patient adherence and outcome for CKD patients with hyperphosphatemia.
Rapid HIV Screening: Best Practices for Earlier Detection
Presented by Drs. Neil W. Anderson and Hannah Berry Gay, this accredited educational webinar reviewed current guidelines for HIV testing, screening, and analysis, identified the patient population that can benefit from rapid POCT, and developed strategies and best practices to improve the care of patients who are HIV positive and HIV negative.
Recognition of Low Alkaline Phosphatase Activity: The role of the Laboratory in the Clinical Dianosis of Hypophosphatasia
Held during the 68th AACC Annual Scientific Meeting & Clinical Lab Expo, Drs. Khosrow Adeli, Mark D. Kellogg, and Joshua J. Zaritsky led this educational symposium on defining and differentiating hypophosphatasia (HPP), recognizing the biochemical and clinical impacts of low ALP activity, and increasing recognition of low alkaline phosphatase levels and clinical follow-up.
History of Influenza Self Study Program
The World Health Organization (WHO) estimates between three and five million cases of severe illness and between 250,000 and 500,000 deaths occur each year due to influenza. It is important for healthcare professionals to understand the historical chronology of events and that the threat of pandemic influenza has led to significant discoveries in antiviral treatments, rapid diagnostics, and methods of global surveillance. This accredited, self-study program was designed for these purposes.
Hyperphosphatemia in CKD: Cases for improving Adherence and Outcome
Drs. Ellie Kelepouris, Dana Negoi and Jay B. Walsh explored hyperphosphatemia and anemia in CKD patients, and identified new treatment strategies which can improve adherence and outcome for CKD non-dialysis and dialysis patients.
Heart Failure Readmissions: Improving the Post-Discharge Process
This accredited educational webinar presented by Drs. Nancy M. Albert and Beth T. Davidson, focused on factors associated with early rehospitalization of patients with heart failure, specific interventions which reduce readmissions, and strategies to enhance post-discharge outcomes. The HEart Failure DischargeInitiative (HEFDI) sponsored the webinar, funded by an educational grant from Alere, Inc.
New Tools for Managing Hyperkalemia: Cases in Renal Disease and Heart Failure An Interactive Satellite Symposium With Women in Red
During this live, accredited, educational program moderated by Dr. Ileana Piña, Drs. Nancy M. Albert and Suzanne Oparil, information was presented on dose optimization with hyperkalemia in heart failure and renal disease, with interactive case studies and new paradigms of treatment for hyperkalemia. This exciting program invited interactive audience participation, offering attendees new ideas to achieve better outcomes.
New Paradigms in Heart Failure: RAAS Inhibition and the Management of Hyperkalemia
During this live educational program moderated by Professor John McMurray, new options for the treatment of hyperkalemia in heart failure patients were presented. Dr. Faiez Zannad, a world leader on this topic, led the discussion with current challenges in optimizing renin-angiotensin-aldosterone inhibitors (RAASi) and Dr. Ileana Piña provided pragmatic advice on new pharmacological treatment options for RAASi.
The Ongoing Management of Hyperkalemia in CKD Patients:
Cases for Clinical Decisions
During this live educational program moderated by David Wheeler, MD, discussions and case studies were presented on RAAS inhibition in CKD patients and how it can be optimized and maintained. This program was held at the 52nd European Renal Association – European Dialysis and Transplant Association Congress.
The RAASi Debate: Should RAAS Blockade Continue With a Declining eGFR?
During this live educational program moderated by Dr. Marisa Crespo-Leiro, highly regarded clinicians in the space of cardiology and nephrology debated whether or not RAAS inhibition should continue in HF/CKD patients with a rise in creatinine/decline in eGFR. Both teams included a premier expert in heart failure and nephrology. The program was held at the Heart Failure 2015 Congress organized by the Heart Failure Association of the European Society of Cardiology.
Reducing Heart Failure Readmissions: Case Studies Utilizing Biomarkers for Risk Stratification
Heart Failure is a worldwide health issue affecting 23 million people that often requires hospitalization for treatment. Biomarkers specific to the determinants of heart failure may play an increasingly prominent role in risk assessment and the possible reduction of short-term hospital readmissions.
New and Controversial Perspectives in the Treatment of Hyperkalemia in Acute Kidney Injury and Chronic Renal Failure
During this live educational program moderated by Claudio Ronco, MD, new findings in the area of hyperkalemia were presented by a cardiologist and critical care specialist. A panel discussion led by Dr. Ronco followed with focus on hyperkalemia management in AKI and chronic renal failure from the three specialist’s viewpoints. This program was held at the 33rd Vicenza Course on Critical Care Nephrology.
Nausea & Vomiting of Pregnancy: Cases for Pharmacological Considerations (Archive)
Approximately 50% of women have nausea and vomiting in early pregnancy (NVP), and an additional 25% have nausea alone. The effects of NVP are substantial and there is mischaracterization of nausea and vomiting of pregnancy and misinformation regarding safe, effective, and approved treatments.
