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CME: Goal-directed resuscitation in sepsis - a case-based approach test

ACCREDITATION EXPIRED: November 30, 2011

Activity Description / Statement of Need:

In this online CME self-learning program:

The hemodynamic status of critically ill patients is complex often with complicating co-morbidities. As a result there are often conflicting therapeutic goals involved, such as maintaining hemodynamic instability and fluid management with ALI/ARDS. The challenges to managing septic shock are to find the right parameters to monitor and the end-points for adequate resuscitation. Current evidence supports the use of dynamic parameters rather than traditional static ones for fluid responsiveness. When caring for the complex patient, caveats with traditional assessment variables exist. Clinicians need to become more aware of new developments in managing septic shock. This session discusses current evidence for use of dynamic parameters in a goal directed approach to resolve sepsis, as well as caveats around other parameters used in goal directed resuscitation, such as ScvO2 and lactate levels.

Target Audience:

This program has been designed for a multidisciplinary physician and nurse audience including: ICU / Anesthesia / Peri-op / Intensivists / Trauma / Critical Care


This program is supported by an educational grant from Edwards Lifesciences, a manufacturer of Medical Devices.


Release Date: December 01, 2010 -- Expiration Date: November 30, 2011

Faculty: Jorge A Guzman, MD, FCCM -- Byron Bair, M.D. -- Laxman Bahroo, MD -- Claudia Baldassano, MD

Agenda

agenda goes here

Learning Objectives

By the end of the session the participant will be able to:

  • Cite current research supporting the use of goal directed therapy.
  • Define dynamic fluid responsiveness parameters.
  • From a case scenario, determine if resuscitation end points have been met

Accreditation

ACCME Activity #accme #

ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.


Faculty Disclosure and Resolution of COI

Faculty Disclosure and Resolution of COI: As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review ScientiaCME.

 

Faculty Disclosure: Jorge A Guzman, MD, FCCM discloses that he receives honoraria and expense reimbursement from Edwards Lifesciences.

 

Disclosures of Educational Planners: Steven Sachse is an officer and part owner of ScientiaCME, LLC. ScientiaCME has received grants from Bayer, Edwards Lifesciences, Eisai, Daiichi-Sankyo, Lilly, Merck, Pfizer, Sanofi Aventis, Wolf-Torey Medical, and currently has grants pending from from Abbott, AMGEN, BMS, Eisai, and Savient Pharmaceuticals.

 

Commercial Support Disclosure: This program is supported by an educational grant from Edwards Lifesciences, a manufacturer of Medical Devices.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


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