- Describe the most common causes of chest pain in children and adolescents.
- Cite the relative risk of chest pain in children and adolescents being of cardiac origin.
- Identify the red flag historical and physical exam findings suggestive of cardiac chest pain.
- Recognize historical or physical exam findings concerning for serious non-cardiac chest pain conditions.
- Use a provided clinical pathway for evaluation and management of children and adolescents presenting with chest pain.
Recorded for the 2019 Spring Convention
47 minutes of synced audio and PowerPoint
Course Description:Children and adolescents presenting to an outpatient ambulatory or urgent care setting with a chief complaint of chest pain can be anxiety-provoking for the patient, parents and for healthcare providers. This presentation will assist you in differentiating between cardiac and non-cardiac chest pain along with information on the most common causes of chest pain in children. In addition, you will be provided with a structured approach to evaluating children and adolescents with chest pain to determine when additional evaluation or cardiology consultation is needed or when patient and parent reassurance is appropriate and the patient can be safely discharged home.
Speaker: Thomas Tryon, MD, MBA, FAAP
Dr. Tom Tryon is a clinical urgent care physician and is the former Associate Division Director of the Section of Urgent Care for Children’s Mercy Hospital in Kansas City and a Professor of Pediatrics at the University of Missouri – Kansas City (UMKC) School of Medicine. Dr. Tryon has been a full time pediatric urgent care physician since 2006. Dr. Tryon resigned his leadership role in December, 2015 in order to focus more of his time on an entrepreneurial venture company Dynamic Health Inventions, LLC and the production of a healthcare software innovation called MyHealthAdvisor. In his previous leadership role, he oversaw the building, development and clinical operations of three pediatric urgent care centers, including a staff of approximately 70 full, part time, and moonlighting physicians. The urgent care centers most recently this past fiscal year saw almost 85,000 patients, while generating over $60 million in revenue. Following his pediatric residency training at Children’s Mercy Hospital he practiced for eleven years in full time pediatric solo practice and half time adult and pediatric emergency medicine and urgent care practice in southwest Missouri and northeast Oklahoma before returning to Children’s Mercy in 2006. Dr. Tryon has been married for 34 years to his wife Jackie, a pediatric nurse and lactation consultant. They have four children: Chris, a pediatric critical care fellow at Norton Children’s Hospital in Louisville, Kentucky; Rebecca, a Genetic Counselor working with the University of Minnesota in Minneapolis; Drew, a nursing student at Denver School of Nursing, and Jack, a college freshman in Kansas City. They live in Smithville, Missouri, a suburb of Kansas City, close to Smithville Lake where they enjoy boating, fishing and golf.
Disclosures:
None
1 CME
Designation Statement
The Urgent Care Association designates this enduring material activity for a maximum of 1 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Accreditation Statement
The Urgent Care Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Submitting for Credit:
If you would like to submit for credit above, you must complete the 5 question knowledge test and answer 3 out of 5 (60%) correctly.Your certificate will be available in your library under Credits and below the title of the session.
Please email education@ucaoa.org with questions.