FACULTY OF MEDICINE
Office of Continuing Medical Education
and Professional Development
Poison and drug information service (padis)
Conference 2014
Beyond Good Supportive Care
Saturday, November 15, 2014
Libin Theatre, Health Sciences Centre, University of Calgary
Foothills Campus 3330 Hospital Drive NW, Calgary Alberta
Overview
PADIS
Open House
Friday November 14, 1-5pm
Tour the Call Centre
Enjoy Refreshments & Snacks
PADIS
“Question of the Week”
Friday NOVEMBER 14, 2pm
8th Floor, North Tower, Foothills
Medical Centre
ALL WELCOME TO ATTEND
This intensive, one-day clinical toxicology course will be of interest to anyone
who provides care to poisoned patients. Physicians, nurses, pharmacists and
paramedics whose practice includes emergency medicine, critical care medicine
or internal medicine will find this course useful.
Objectives
At the end of this program participants will be able to:
Describe the diagnosis and management
of common toxicological conditions
Illustrate the evidence used to guide treatment
of the poisoned patient
Examine current controversies in the use
of antidotes in patient care
Program
Keynote Speaker
0800 Breakfast/Registration
Location: HRIC ATRIUM
Dr. Lewis Nelson
0830 Welcome/About PADIS/
Introduction of Keynote
Location: LIBIN Theatre
Speaker(s): Mark Yarema
Professor of Emergency Medicine, New York
University School of Medicine
Director of the Medical Toxicology Fellowship
Program at NYUSOM and the New York City
Poison Control Center
Past President of the American College of
Medical Toxicology
“The Newest Opium War:
The Epidemiology of
Prescription Opioid Misuse”
Dr. Lewis Nelson is an Emergency Physician
at Bellevue Hospital Center and New York
University Medical Center. He is a member of
the Editorial Board of Annals of Emergency
Medicine, an author on over 100 peer reviewed
publications and numerous textbook chapters,
and an editor of Goldfrank’s Toxicologic
Emergencies, the premier textbook of Medical
Toxicology. His interests include medication
safety, alcohol withdrawal, and opioid misuse.
0845 Keynote
The Newest Opium War: The Epidemiology of
Prescription Opioid Misuse
The ever-increasing epidemic of prescription
opioid misuse, abuse, addiction, and death that
we are witnessing in both the US and Canada,
is sparing the majority of the world. Legislators,
regulators and healthcare providers in our
countries are each doing their part to understand
and ameliorate the devastating personal and
public health effects, while attempting to allow
access to these medications for those whom they
are deemed effective. The balance of providing
quality healthcare with protecting the public
health is complicated by competing influential
constituencies (pain and addiction), regulatory
inconsistencies, and perverse incentives. This talk
will highlight how we created this epidemic and
where we currently stand, as well as some of the
potential solutions that are being implemented or
considered.
Location: LIBIN Theatre
Speaker(s): Lewis Nelson
1000 Break
Location: HRIC ATRIUM
1030 Breakout Sessions 1
Northern Scourge: A Review of the Latest
Evidence on Management of CO Poisoning
The latest evidence regarding how to predict long
term complications and management of patients
with CO poisoning will be reviewed.
Location: THEATRE ONE
Speaker(s): David Johnson
Double, Double Toil and Trouble: Gastric
Decontamination
A review of the various methods of
decontamination in drug poisonings - e.g. ipecac,
activated charcoal, gastric lavage, whole bowel
irrigation, and endoscopy.
Location: CLARA CHRISTIE
Speaker(s): Ryan Chuang
Program may change due to circumstances
beyond our control
Course PROGRAM - continued
1030 Breakout Sessions 1 - Continued
1300 Breakout Sessions 3
Poisoned Patients and Nephrology:
When Do They Need to Meet?
This talk is on various clinical situations when
medical toxicologists and emergency physicians
need to involve nephrologists to help manage
poisoned patients. Discussion on which toxins are
amenable to extracorporeal removal (ECTR), the
timing of nephrology consultations, and discussion
on expected complications of ECTR will be
included.
Location: LIBIN Theatre
Speaker(s): Sophie Gosselin
Little Hands and Mouths: the Risk of Common
Childhood Ingestions
Ingestion by toddlers account for the majority
of all reported poisonings. The epidemiology
and outcomes for some of the most common
ingestions in pre-school children will be reviewed.
Location: LIBIN Theatre
Speaker(s): David Johnson
1115 Breakout Sessions 2
Feel the Burn: The Toxicity of Weight Loss
Agents
From amphetamines to herbals, the aim of
this session is to review of the wide variety of
pharmaceuticals and supplements, both legal and
illicit, that are used for purposes of weight loss,
fat-burning, and appetite suppression. Focus will
be on toxicity and mechanism of action, while
emphasizing historical and cultural context. This
talk is aimed at medical professionals with all
levels of experience.
Location: THEATRE ONE
Speaker(s): Fiona Garlich
New Kids on the Block: Emerging Toxicologic
Concerns
This presentation will focus on complications
related to overdose of newer drugs including
direct thrombin inhibitors, factor Xa inhibitors,
and antipsychotics. We will also discuss exposure
to nicotine from e-cigarettes. This presentation
is targeted towards participants with basic
toxicology knowledge.
Location: CLARA CHRISTIE
Speaker(s): Scott Lucyk
Advances in Antidotes
Designed for those looking for an in-depth,
advanced, evidence-based review, this
presentation will discuss two antidotes for
common poisonings: intravenous lipid emulsion
therapy for lipophilic cardiotoxic drugs and
N-acetylcysteine for acetaminophen toxicity.
Location: LIBIN Theatre
Speaker(s): Mark Yarema
1200 Lunch
Location: HRIC ATRIUM
Geriatric Poisonings: “No Country for Old Men”
A review of risk factors for toxicity and poison
management principles in seniors will be provided.
Special focus will be given to medications of
concern (e.g. digoxin, oral hypoglycemics). This
talk is intended for participants with a basic
understanding of pharmacokinetics.
Location: CLARA CHRISTIE
Speaker(s): Matt Mink
Simulation Session
(seats limited at 12 per session)
Practice case of toxicology poisoning at University
of Calgary’s medical campus simulation lab
Location: To Be Determined
Speaker(s): Ryan Chuang, James Huffman
1345 Breakout Sessions 4
Slow and Steady: A Review of Toxicologic
Bradycardia
This presentation will review the common causes
and treatments for drug-induced bradycardia.
An in-depth review of pathophysiology and its
relationship to treatment will be covered. This
talk is targeted towards participants with basic
toxicology knowledge.
Location: CLARA CHRISTIE
Speaker(s): Scott Lucyk
Remote Poisonings: “A Lot Can Happen in the
Middle of Nowhere”
This session will include a case-based discussion
of poisoned patients in rural or remote areas, with
a focus on lab capabilities, antidote access and
transport decisions. It is primarily directed toward
those who work in rural areas or have an interest
in the challenges of managing remote poisoning
cases.
Location: LIBIN Theatre
Speaker(s): Brooke Button
Simulation Session
(repeat)
Practice case of toxicology poisoning at University
of Calgary’s medical campus simulation lab
Location: To Be Determined
Speaker(s): Ryan Chuang, James Huffman
Program may change due to circumstances beyond our control
Course PROGRAM - continued
1430
Break
Location: HRIC ATRIUM
1500 Panel discussion
Keep Calm and Ask a Toxicologist
This moderated panel discussion will feature two
experienced medical toxicologists discussing
management of common toxicologic issues
such as toxin-induced seizures and the agitated,
delirious patient. It is geared towards medical
professionals at all levels of experience. Ample
time will be provided for audience members to ask
their own questions of the panel.
Location: LIBIN Theatre
Moderator: Fiona Garlich
Discussants: Lewis Nelson & Sophie Gosselin
1545 Closing Plenary
Not for Human Consumption: Incense, Bath Salts,
and Synthetic Marijuana
With advances in non-commercial synthetic
chemistry and with the help of easy information
availability on the Internet, illicit drug
manufacturers can stay steps ahead of regulatory
and drug authorities. Simple changes in a drug’s
chemical makeup produce not only changes in
the anticipated clinical effects but also allow
circumventing of controlled substances laws.
This talk will focus on the history of synthetic
“substitutes” for more conventional drugs of abuse
(such as for amphetamines and cannabis), discuss
some of the regulatory aspects, and describe the
clinical management of patients exposed to these
unpredictable substances.
Location: LIBIN Theatre
Speaker(s): Lewis Nelson
1630 Adjournment
Location: LIBIN Theatre
Speaker(s): Mark Yarema
Program may change due to circumstances beyond our control
Planning committee
Faculty
Course Chair
Brooke Button RN BScN CSPI
David Johnson MD
Mark Yarema MD FRCPC
Ryan Chuang MD DABEM
Clinical Information Resource
Specialist I, Poison and Drug
Information Service, Alberta Health
Services
Medical Toxicologist, Poison and
Drug Information Service, Alberta
Health Services
Ewa Courvoisier MD CCFP-EM
Ryan Chuang MD DABEM
Heather Gallant RN BN CSPI
Associate Medical Director, Poison
and Drug Information Service,
Alberta Health Services
Fiona Garlich MD DABEM
Professor, Departments of
Pediatrics, and Physiology &
Pharmacology, University of Calgary
Scott Lucyk MD FRCPC
Joanne Masur RN CSPI
Clinical Lecturer, Department of
Emergency Medicine, University of
Calgary
Medical Toxicology Fellow, New York
City Poison Control Center, New
York University School of Medicine,
New York
Matt Mink BSP CSPI
Fiona Garlich MD DABEM
Matt Mink BSP CSPI
Colleen Noble RN BN CSPI
Medical Toxicologist, Poison and
Drug Information Service, Alberta
Health Services
Educator and Clinical Information
Resource Specialist II, Poison and
Drug Information Service, Alberta
Health Services
Val Lee RN BN CSPI
Kristine Markieta RN BN CSPI
Amin Rajwani BSc Pharm MSW CSPI
Farah Saleh BSc Pharm
Brandyn Stevens BSP
Diane Simpson PhD
(CME Representative)
Chloe Wu MSc MEd
(CME Representative)
Clinical Lecturer, Department of
Emergency Medicine, University of
Calgary
Sophie Gosselin MD FRCPC
Director, Medical Toxicology
Consultation Service, McGill
University Health Centre
Medical Toxicologist, Centre
antipoison du Québec and Poison
and Drug Information Service,
Alberta Health Services
Mark Yarema MD FRCPC
Medical Director, Poison and Drug
Information Service, Alberta Health
Services
Clinical Associate Professor,
Departments of Emergency
Medicine, Physiology &
Pharmacology, and Critical Care
Medicine, University of Calgary
James Huffman MD FRCPC
Emergency Physician, Department
of Emergency Medicine, Alberta
Health Services - Calgary Zone
Clinical Lecturer, Department of
Emergency Medicine, University of
Calgary
Disclosure of potential financial conflicts of interest
In keeping with accreditation guidelines, speakers participating in this event have been asked to disclose to the audience any
financial involvement with industry or other organizations that may potentially influence the presentation of the educational
material. Disclosure will be done verbally and using a slide prior to the speaker’s presentation.
cme.ucalgary.ca
About Padis
The Poison and Drug Information
Service (PADIS) provides a
comprehensive system of patient
care, education and research in the
fields of clinical pharmacology and
toxicology to the general public and
health professionals throughout
Alberta, Saskatchewan and the
Northwest Territories.
Formed in 1986, PADIS is one of
five provincial Poison Centres in
Canada. PADIS is staffed by a
multi-disciplinary group of health
professionals who are cross trained
in all areas and are supported
by Medical Toxicologists. With
intensive training and access to
critical resources, our Information
Specialists are able to treat, alert
and advise both health care
providers and the general public
under three distinct services:
The Poison Centre provides
emergency advice and information
about poisoning management and
prevention to both the general
public and health care professionals
throughout Alberta, Saskatchewan
and the Northwest Territories
24 hours a day, 7 days a week.
Approximately 70% of calls received
by the Poison Centre are managed
safely and effectively at home
without the need to refer to a health
care facility.
Drug Consultation for Health
Professionals Line provides
advice to healthcare professionals
throughout Alberta and the
Northwest Territories. Types of
calls include questions regarding
therapeutic use of medications,
adverse drug reactions, use of
drugs in pregnancy, lactation, and
drug identification. This service is
available from 0800-1615 Monday
to Friday, excluding statutory
holidays. Calls on this line are from
pharmacists, nurses, physicians,
midwives, paramedics, dentists,
dental hygienists, as well as other
health care professionals.
Medication and Herbal Preparation
Advice Line is dedicated to helping
patients make informed decisions
about their medications. Types of
calls include questions regarding
therapeutic use of medications,
adverse drug reactions, use of drugs
in pregnancy, lactation, and drug
identification. This service provides
advice to Albertans 24 hours a day,
seven days a week.
PADIS provides accurate, complete,
current and timely information about
drugs and poisons to the public and
health professionals. For patients in
a healthcare facility, PADIS partners
with the healthcare professionals
at the bedside to support patient
care throughout the patient’s entire
hospital stay. Our city-wide Medical
Toxicology consultation service in
Calgary covers the five acute care
hospitals and provides bedside
consultations by PADIS.
PADIS also operates a monthly
outpatient Medical Toxicology
Clinic at the Rockyview General
Hospital in Calgary where patients
with exposures to potentially toxic
substances such as metals (e.g.
lead, arsenic, mercury, cobalt,
chromium), gases (e.g. carbon
monoxide) and other hazardous
materials or requiring interpretation
of toxicologic testing already
performed are seen by a Medical
Toxicologist.
Finally, PADIS is a centre of research
in drug and poison information.
Original research findings have been
presented at many local, national,
and international conferences.
Areas of research interest include
the epidemiology of poisoning,
acetaminophen poisoning, antidotal
therapy, pediatric toxicology and
toxic alcohol poisoning. Our data
collection system provides the
capacity to monitor poisonings
and trends in poisoning, target
educational programs, recognize
groups at highest risk, and identify
high risk toxins.
CONTACT US
1-800-332-1414 (AB and NWT)
1-866-454-1212 (SK)
Website
www.padis.ca
PADIS takes a leadership role
in poison and drug education
programs through formal clinical
placements for undergraduate,
graduate and post-graduate
students, on-site training for current
healthcare practitioners, and other
partnerships with professional and
licensing bodies, community groups,
and the media.
cme.ucalgary.ca
General Information
Accommodation
REFUND POLICY
Registrants must make their own
accommodation arrangements.
We recommend:
A registration refund will be made
upon written request on or prior
to October 31, 2014. However $50
will be retained for administrative
costs. No refund will be made for
cancellation after October 31, 2014.
NOTE: Refunds are processed only
on the return of original receipt. All
receipts must be returned within 30
days after program date.
Hotel Alma
169 University Gate NW, Calgary AB
T2N 1N4
Phone 403.220.2588
Toll Free 1.877.498.3203
Email [email protected]
hotelalma.ca
To obtain the University rate of $129
per night plus taxes, please indicate
the promotion code PADIS and show
your CME&PD course confirmation/
receipt upon arrival. (Taxes include
4% Alberta Tourism Levy, 3%
Destination Marketing Fee and 5%
GST.)
PARKING
The Health Sciences Centre is
located adjacent to the Foothills
Hospital. Visitor parking is available
in Visitor Lot 6 parkade on the north
side of the Health Sciences Centre.
This parkade accepts credit card or
cash payment via machine ($13/day).
DRESS
Dress is business casual. Sweaters
or items of clothing that can be
layered are recommended since
temperature in the venue may
fluctuate.
CONFIRMATION OF REGISTRATION
On-line registration confirmation
is automatic after registering
on-line. A tax receipt will be sent
approximately 2 weeks after
registering.
For all other methods of registration
(mail, fax) confirmation will be in
the form of a tax receipt. No other
confirmation will be sent. Please
allow 2 weeks for registration
processing.
REIMBURSEMENT OF
REGISTRATION FEES
Physicians may be eligible for
reimbursement of registration
fees and expenses to attend CME
courses from a fund administered
by the Alberta Medical Association.
For more information regarding
this, please visit https://www.
albertadoctors.org/leaderspartners/quality-and-educationprograms/cme/claim .
COURSE CANCELLATION POLICY
The Office of Continuing Medical
Education and Professional
Development reserves the right
to cancel the course if there are
insufficient registrations.
ACCREDITATION
The University of Calgary – Office of
Continuing Medical Education and
Professional Development is fully
accredited by the Committee on
Accreditation of Canadian Medical
Schools (CACMS).
STUDY CREDITS
This program meets the
accreditation criteria of The
College of Family Physicians of
Canada and has been accredited
by University of Calgary Continuing
Medical Education and Professional
Development for up to 5.75
MAINPRO-M1 credits.
This event is an Accredited Group
Learning Activity (Section 1) as
defined by the Maintenance of
Certification program of The
Royal College of Physicians and
Surgeons of Canada and approved
by University of Calgary Continuing
Medical Education and Professional
Development. Participants can claim
up to a maximum of 5.75 study
credits.
Through an agreement between
the Royal College of Physicians
and Surgeons of Canada and the
American Medical Association,
physicians may convert Royal
College MOC credits to AMA PRA
Category 1 Credits™. Information on
the process to convert Royal College
MOC credit to AMA credit can be
found at www.ama-assn.org/go/
internationalcme.
FOR FURTHER INFORMATION
Office of Continuing Medical
Education and Professional
Development
Faculty of Medicine
University of Calgary
TRW Building, 3280 Hospital Drive
NW Calgary, AB T2N 4Z6
About Course Content
Gillian Liston
Phone 403.220.6493
Email [email protected]
About Registration
Phone 403.220.7032
Email [email protected]
To Register
On-line, by mail or by
fax 403.270.2330
(see Registration Form
for details)
UofC.CME
@CME_UofC
cme.ucalgary.ca
Course number - 91096
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Poison and Drug Information Service (PADIS) Conference 2014 - November 15, 2014
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REGISTRATION FEE
On or before October 30, 2014
Physician - $257.25
Non-Physician - $199.50
After October 30, 2014
Physician - $283.50
Non-Physician - $220.50
Residents/Students
$132.30
On-site registration is based on availability and is not guaranteed
BReakout Session SELECTION
FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY
ACT Registration information is collected under the authority of the
Freedom of Information and Protection of Privacy Act. The contact
information you provide is required by our Office to register you
in the course, prepare material and courses for your use, plan for
future courses and notify you of similar, upcoming courses offered
by our Office. Financial information is used to process applicable
fees and is retained for future reference. Call the Conference and
Program Manager at the Office of Continuing Medical Education
and Professional Development, 403.220.4251, if you have questions
about the collection or use of this information.
REGISTRATION INFORMATION
Phone 403.220.7032, Email [email protected]
Please number 1 to 3 for your preference of topics within each
time block
REGISTER ON-LINE
1030-1115
1. Management of CO Poisoning
2. Gastric Decontamination
3. Poisoned Patients and Nephrology
REGISTER BY MAIL
1115-1200
4. Toxicity of Weight Loss Agents
5. Emerging Toxicologic Concerns
6. Advances in Antidotes
1300-1345
7. Risk of Common Childhood Ingestions
8. Geriatric Poisonings
9. Simulation Session
1345-1430
10. Review of Toxicologic Bradycardia
11. Remote Poisonings
12. Simulation Session (repeat of 9.)
https://cmeregistration.ucalgary.ca
Mail Registration Form with payment to
Office of Continuing Medical Education and
Professional Development, Faculty of Medicine,
University of Calgary, TRW Building,
3280 Hospital Drive NW, Calgary, AB T2N 4Z6
Cheque payable to UNIVERSITY OF CALGARY
REGISTER BY FAX
Registration with credit card payment only may be
faxed to 403.270.2330
cme.ucalgary.ca