Heat-related illness is on the rise. As record-breaking temperatures become the norm due to climate change, PAs in acute and primary care settings will more frequently encounter patients with heat-related conditions – from mild to deadly. This session will use memorable cases to cover the evidence-based fundamentals of diagnosis and management of conditions related to extreme heat, paying special attention to effects on vulnerable populations and practical approaches to patient education.  Objectives include:

1. Describe trends in heat-related illness, including effects on vulnerable populations. 
2. Compare features of systemic heat-related conditions and select a treatment plan for each. 
3. Differentiate the clinical presentations and management of heat-related dermatologic conditions. 
4. Provide effective patient education on heat-related illness, including prevention and when to seek medical care.

This goal of this presentation is to describe an algorithmic approach to caring for the patient presenting with heartburn and reflux, including empiric treatment with acid-suppression therapy and a refined, data-driven approach to diagnostic testing. This presentation will also review the efficacy and safety profile of the widely available and commonly used proton pump inhibitors. Refining our approach to diagnostic testing provides the opportunity to decrease time to diagnosis, decrease cost of care, better control our patient’s symptoms, and limit complications of longstanding disease. Objectives include: 

1. Explain current practice guidelines for the diagnosis and treatment of gastroesophageal reflux disease.
2. Recognize diagnostic tools available to investigate the etiology for heartburn and reflux including EGD and pH catheters.
3. Review evidence-based lifestyle modifications for those with heartburn and reflux.
4. Identify pharmacologic therapies available for treating acid reflux including proton pump inhibitors, histamine receptor antagonists, and antacids.
5. Utilize strategies to reduce cost of care in individuals with chronic heartburn and reflux.

This is a high risk EKG session using a case based review.  Objectives include: 

1. Recognize bradycardia that needs to be treated with a pacemaker. 
2. Develop a system to approaching reading EKG's to not miss the high risk findings.
3. Describe the 5 NEW STEMI Equivalents.