final program - Department of Emergency Medicine

NCCEM Program_Layout 2 2014-11-12 9:46 AM Page 1
ACCREDITATION INFORMATION FOR PRE-CONFERENCE SKILLS DAYS
ADVANCED CARDIAC LIFE SUPPORT UPDATE COURSE (ACLS)
This program meets the accreditation criteria of the Royal College of Physicians and Surgeons of Canada for up to
2 credits per hour of course under Section 2, Traineeships. This program also meets the accreditation criteria of the
College of Family Physicians of Canada for up to 3.5 Mainpro-C credits or 7 Mainpro-M1 credits.
PLANNING COMMITTEE
Both TOH and CHEO Departments of Emergency
Medicine extend special thanks to the following
individuals who participated in the planning of this event.
DISCLOSURE
Speakers will be asked to disclose to the audience any real
or apparent conflict(s) of interest that may have a direct
bearing on the subject matter of this program.
Ms. Kelly Torrance, Conference Liason, The Ottawa Hospital
Dr. Christine Johns, Co-Chair, The Ottawa Hospital
Dr. Sarah Reid, Co-Chair, Children’s Hospital
of Eastern Ontario
Dr. Joanna Bostwick, The Ottawa Hospital
Ms. Caroline Ehrat, The Ottawa Hospital
Dr. Jennifer Leppard, The Ottawa Hospital
Ms. Taryn Mackenzi, The Ottawa Hospital
Dr. Barbara Miller, The Ottawa Hospital
Dr. Gina Neto, Children’s Hospital of Eastern Ontario
Dr. Chris Nussbaum, The Ottawa Hospital
Dr. Paul Pageau, The Ottawa Hospital
Dr. Jacky Parker, The Ottawa Hospital
Mr. Robert Parson, Director of Education, Office of CPD
Ms. Cari Poulin, The Ottawa Hospital
Dr. Mark Reardon, The Ottawa Hospital
Dr. Shaun Visser, Monfort Hospital
Dr. Chuck Su, Winchester District Memorial Hospital
Dr. Debra Weatherhead, Queensway Carleton Hospital
Dr. Brian Weitzman, The Ottawa Hospital
Dr. Marianne Yeung, The Ottawa Hospital
Dr. Charles Zhao, The Ottawa Hospital
LIABILITY
The University of Ottawa, Office of Continuing Medical
Education assumes no liability for any claims, personal
injury or damage:
• to any individual attending this conference
• that may result from the use of technologies, program,
products and/or services at this conference
• that may arise out of, or during this conference
ACCREDITATION
The University of Ottawa’s Office of Continuing
Professional Development is accredited by the
Committee on Accreditation of Continuing Medical
Education (CACME) to provide accredited CPD
activities for family physicians and specialists.
This program meets the accreditation criteria of the
College of Family Physicians of Canada and has been
accredited for up to 12 Mainpro M-1 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 for 12 credits.
Each physician should claim only those hours of credit
that he/she actually spent in the educational activity.
COURSE CANCELLATION POLICY
The University of Ottawa, CPD reserves the right to cancel
courses. Registrants will be notified at the earliest possible
date in the event of a cancellation. Registration fees for
courses cancelled by the University of Ottawa, CPD will be
refunded; however the University of Ottawa, CPD will not
be liable for any loss, damages or other expenses that such
cancellation may cause.
FREEDOM OF INFORMATION AND
PROTECTION OF PRIVACY ACT
This information is protected and is being collected
pursuant to the Freedom of Information & Protection of
Privacy Act of Ontario (RSO 1990). By registering with the
University of Ottawa for its program or courses, you agree
to the information. The University of Ottawa is committed
to maintaining and protecting the confidentiality and privacy
of your personal information. Only authorized employees,
whose official duties so require, are allowed to view your
information.
COURSE PRESENTATIONS
To ensure course participants receive the most up-to-date
information and in an effort to lessen the environmental
impact of our events, all available course materials will be
posted to our website as soon as they become available.
We cannot guarantee that all course materials will be
posted on the website.
Online Registration Available!ng
Save time and money by visiti e
us at www.med.uottawa.ca/cm
For further information:
TEL: 613-761-4480 ext. 1 FAX: 613-761-5262
EMAIL: [email protected]
Visit our website at: www.med.uottawa.ca/cme
and register online today!
registration form will be processed without the
• No
full registration fee included.
• Post-dated cheques are not accepted.
breakfast, 2 refreshment breaks and lunch
• Continental
are included in the registration fees.
less $75 administrative charge will be issued
• Refunds
for cancellations received in writing by: January 6, 2015.
2015 National Capital Conference
on Emergency Medicine (NCCEM)
Registration information
PHOTO BY OTTAWA TOURISM
No refund will be issued for cancellations received after
that date. Refund cheques will be sent after the event.
A written acknowledgement of course confirmation and a
tax receipt will be sent via email if provided by registrant.
First Name: ______________________________________ Last Name: ______________________________________
Address: ________________________________________________________________________________________
City: ________________________________________ Province__________ Postal Code: ______________________
Email: __________________________________________________________________________________________
Telephone: _______________________________________ Fax: ___________________________________________
Physician
Resident
Allied Health Professional
Other, please specify: _____________________________
2015 National Capital Conference
on Emergency Medicine
February 6-7, 2015
The Westin Hotel, Ottawa, ON
PRE-CONFERENCE SKILL
DAYS REGISTRATION
WORKSHOPS
Assigned on a first-come, first-served basis
Indicate your workshop preferences:
February 5, 2015
Early Bird Fee (on or before Jan. 23) Regular Fee (on or after Jan. 24)
Registration Fee
Physcians
*Residents and
Allied Health
Physcians
*Residents and
Allied Health
$500
$350
$550
$400
DAILY FEES
Physicians
Allied Health Professionals
* Residents
Early Bird
1 Day
$375
$300
$300
MasterCard
1 choice: ____________ ______________
2nd choice: ____________ ______________
American Express
Card Number: ______________________________________
Early Bird Regular Fee Regular Fee TOTAL
2 Days
1 Day
2 Days 1 or 2 days
Cheque
Exp. date: ___/____
Name on Card: ______________________________________________________
Signature: ___________________________ Authorized Amount: ________________
All participants who register for a University of Ottawa CPD course are included in our database for notice of future CPD programs.
To protect your privacy, the Office of CPD can no longer accept registrations by telephone.
$600
$475
$475
$425
$350
$350
$675
$550
$550
______
______
______
Total Amount NCCEM: __________
METHODS OF PAYMENT – Please print clearly
VISA
(S1-S6)
On/before Jan. 23 On/before Jan. 23 On/after Jan. 24 On/after Jan. 24
* A letter from your Program Director verifying Resident status must accompany
registration form to receive discounted rate. Must register by mail or fax only.
Credit Card :
(F1-F6)
st
Alternate: ____________ ______________
REGISTRATION FEES – Circle the appropriate registration fee(s)
Advance Cardiac Life Support
Friday, Feb. 6 Saturday, Feb. 7
If paying by credit card, you may
fax or mail the completed form:
Fax: 613-761-5262
Make cheque payable to:
University of Ottawa, CME
Mail: University of Ottawa,
Office of CPD
Loeb Research Building,
Main Floor, Room 158
725 Parkdale Avenue,
Ottawa, ON K1Y 4E9
FEBRUARY 6-7
Westin Hotel, Ottawa
CPD
Office of Continuing Professional Development
Pre-Conference Skills Day:
February 5
Full Conference Program:
February 6-7
For further information, contact the CPD Office at: Tel: 613-761-4480
Fax: 613-761-5262 Email: [email protected]
Brochure and Online Registration available at
www.med.uottawa.ca/cme
NCCEM Program_Layout 2 2014-11-12 9:46 AM Page 2
CONFERENCE COURSE DESCRIPTION
Our event is designed to provide practicing Emergency Physicians with an evidence-based update in a wide
variety of emergency medicine topics.
Our 2-day conference (February 6-7) will offer a spectrum of both core and cutting edge topics relevant to
the practice of adult and pediatric emergency medicine in Canadian academic health science centres as
well as community and rural settings.
CONFERENCE LEARNING OBJECTIVES
After taking part in the 2015 NCCEM conference, participants will be able to:
• provide leadership on issues of importance in Emergency Medicine
• employ up-to-date and evidence-based approaches to the diagnosis and management
of medical and surgical emergencies in both adult and pediatric populations
• integrate new, essential hands-on skills required in the treatment of both the pediatric
and adult population
HOTEL GUESTROOM RESERVATIONS
In 2015, we will be hosting the 2-day conference at the iconic Westin Hotel, Ottawa located in the
heart of downtown Ottawa. Attendees requiring accommodation can take advantage of the special rate
available to our conference participants. As this is a popular peak season, hotel accommodation space is
limited and we encourage you to reserve your guestroom early.
Traditional room rate: $189 (plus taxes)
FRIDAY, FEBRUARY 6, 2015
8:15
8:30
MORNING LECTURES:
Welcome and Introductions
Highlighting the Top Articles in Pediatric Emergency Medicine from 2014
Dr. Christine Johns
Dr. Rini Jain
8:15
8:30
MORNING LECTURES:
Welcome and Introductions
The Top Articles in Emergency Medicine for 2014
9:15
2014 Updated CCS Guidelines for Recent-Onset Atrial Fibrillation and Flutter
Dr. Ian Stiell
9:15
Anaphylaxis in ED... Is it your Cup of Tea?
Dr. Waleed AlQurashi
10:00
10:30
Networking Break
Devastating P.E. in the ER
Dr. Kerstin de Wit
11:00
Using your Head to Manage Pediatric Concussion
Dr. Roger Zemek
11:30
Little People, Big Probes: How to Apply Your PoCUS Skills to Pediatric Patients
Dr. Allan Shefrin
10:00
10:30
11:00
11:30
Course Times: 08:30 – 17:00
Maximum Number of Registrants: 20
Hypothermia: Conquer the Cold
* Describe the initial evaluation of the hypothermic victim
* Recognize the risk factors for severe hypothermia
* Differentiate between primary and secondary hypothermia
* Manage hypothermia using active re-warming strategies
"My Heart Will Go On!" Rescuscitation: Present and Future
* Describe the up-to-date advances in Resuscitation Medicine
* Apply key advancements beyond ACLS to bring to your day to day practice
* Select and access resources that will keep you in tune with the latest advances
Dr. Patricia Huston
Dr. Anita Pozgay
Dr. Richard Dionne
Dr. Christopher Fabian
and Dr. Mathieu Gatien
* List key articles from the literature in the last year
* Apply these research findings to daily practice.
* Describe current controversies in the treatment of anaphylaxis
* Identify patients at high risk of developing second phase reactions
* Describe the classic ER presentation of a devastating PE
* Rapidly diagnose PE at the bedside in an unstable patient
* List the main differential diagnosis of this condition
* Rescuscitate a crashing PE patient, including when to lyse before LABS and imaging are available
Dr. Marianne Yeung
Dr. Stella Yiu
and Dr. Jeff Freeman
* Diagnose and manage pediatric concussion using the newly released Ontario Neurotrauma Foundation 2014 Guidelines
* Incorporate an assessment of balance and cognition into your evaluation of children with concussion
* Implement the "Return to play" and "Return to learn" recommendations as fundamental elements of the initial management of children with concussion
* Describe current applications for PoCUS specific to the pediatric patient
* Describe the evolving evidence for the use of PoCUS for a variety of indications in the pediatric patient
* Describe how adult PoCUS skills can be applied to pediatric patients
12:00
Lunch
13:00-14:40 BREAK-OUT WORKSHOPS (45 min sessions - choose 2)
S1 Your Patient's in Shock and You Dont Know Why?
How Bedside Ultrasound Can Help
* Describe the utility, pitfalls, and limitations of rapid bedside ultrasound for undifferentiated shock
* Describe current point-of-care US protocols for shock and their present, real-world utility (eg. RUSH, EGLS)
* Select and access resources to keep up to date on ED critical care US
Dr. Nicolas Chagnon
S2 Palliative Care: Coming to an Emergency Department Near You
Dr. Lisa Fischer
* Describe the current health care reality and statistics on the variety of people who need palliative care in the ED
* Discuss barriers and strategies in addressing advance care directives
* Describe the management of common terminal symptoms (pain, dyspnea, secretions, agitation)
* Outline protocols in withdrawal of life support (including vasoactive medication and ventilator support)
F2 Not Little Adults: DKA in Children
Dr. Sarah Reid
F3 The Essential Hand Exam
Dr. Meg Wilson
S3 Getting Sick Patients out of Your Rural ER: Essential Tips & Pearls
Dr. Sean Moore
and Dr. Andrew Stiell
F4 Transport of the Acutely Ill Child - Panel
Dr. Caroline Ehrat and
Dr. Fuad Al-Naji
S4 Still Waiting for Pee: UTIs in Kids
Dr. Gina Neto
F5 Madness or Medicine: What you need to know about Medical Marijuana
Dr. Lisa Bromely
S5 Promoting Survival in Sepsis
Dr. Andy Pan and
Dr. Magdelena Kisilewicz
F6 Emerging Global Disease
Kathryn Suh
S6 What Should I do with this Child with a Limp?
Dr. Anna Karwowska
* Describe the common pitfalls encountered in preparing a critically ill child for transport and how to mitigate them
* Prepare for the common medical and logistical challenges around transporting pediatric patients to definitive care
* Describe pharmacology of cannabinoids and the endocannabinoid system
* Recognize cannabis used disorder(cannabis addiction)
* Assess and respond to a patient request for medical marijuana
ADVANCED CARDIAC LIFE SUPPORT UPDATE COURSE (ACLS)
Course Location: The Ottawa Hospital (Civic Campus) 1053 Carling Avenue, Ottawa, ON
* Describe emerging and re-emerging infectious diseases that Canadians may be exposed to and why
* Describe why it is more important than ever to remain abreast of emerging ID issues in Canada
* Describe the new Canada Communicable Disease Report (CCDR) and other PHAC online resources, and how they
can help you detect and address emerging IDs in the ER
* Describe the hand anatomy essential to ER practise
* Apply a methodical but simple approach to nerve/tendon/vascular risk assessment
* Access a cheat sheet (or pocket card) quickly on the job to take to the bedside exam
THURSDAY, FEBRUARY 5, 2015
For further course information, please contact: Josiane Beausoleil: 613-798-5555, ext. 19255
Networking Break
A New ID ER Resource: The Canadian Communicable Disease Report
* Describe the differences between adult and pediatric DKA in terms of treatment and morbidity
* Treat DKA using an algorithm to guide fluid resuscitation, insulin and monitoring.
OPTIONAL PRE-CONFERENCE SKILLS DAY
Participants will have an opportunity to practice as a team leader in simulations using the principles of crisis resource
management to optimize team performance.
* Stratify risk of stroke based upon time since onset, CHADS2, age, and other factors
* Describe the indications and appropriate use of warfarin, novel oral anticoagulants, and heparin
* Safely manage unstable patients with RAFF
* Order appropriate investigations and follow-up
* review life threatening presentations of a dialysis patient
* learn to recognize and treat the complications of fistulas and grafts
* review bleeding emergencies in the dialysis patient
Group name: National Capital Conference on Emergency Medicine
https://www.starwoodmeeting.com/StarGroupsWeb/res?id=1410067282&key=30177160
1) airway management, intubation
2) defibrillation, cardioversion, and external pacing
3) dysrhythmia recognition and treatment, and
4) simulated cardiac arrest scenarios including advanced scenarios (toxicology, MI, anaphylaxis, CHF).
* Identify the best pediatric emergency medicine literature from 2014
* Apply this literature to implement evidence-based practice to children presenting to the emergency department
12:00
Lunch
13:00-14:40 BREAK-OUT WORKSHOPS (45 min sessions - choose 2)
F1 Critical Care of a Dialysis Patient in the ED
Reservations must be made by January 6, 2015 or until our group room block is full
in order to qualify for the group rate. Once room block is full, space and rate will be confirmed based on
available rate and space basis only.
This ACLS Update course is for health-care providers who have previous ACLS training. We provide an evidencebased approach to the new CPR and ACLS guidelines. The main focus of this session is for individuals to become
more comfortable and competent in recognizing and managing cardiac emergencies and cardiac arrest. The course
consists of interactive sessions and small group hands-on workshops in:
SATURDAY, FEBRUARY 7, 2015
* Describe the current infectious diseases which are gaining ground and why.
* List which diseases have important global impact
* Identify which diseases could land in your ER and which of these could spread like wildfire
* Select and access online resources when your patient gets off a plane and comes directly to your ER
Dr. Michael Pierse
15:30
Know your New Oral Anti-Coagulants
Dr. Bharat Bahl
15:50
Making the Best Use of Abdominal X-rays in Children
Dr. Khaldoun Koujok
16:10
See and You Shall Find: Pediatric Visual Diagnosis
Dr. Andrea Losier
* Describe the statistics on survival of patients on new ACoags who present with bleeds
* Apply the Gold standard of resuscitation in such patients
* Select the appropriate anticoagulant based on the patient's risk of bleeding complications
* Identify important pathology on plain abdominal x-rays in children
* Describe the indications for, and limitations of, plain abdominal x-rays in children"
* Identify common and uncommon pediatric diagnoses which are made by physical examination or diagnostic
imaging and describe how to treat them
* Describe how to treat these conditions
16:30
Evaluation and Wrap-up
16:35-17:30 Welcome Reception
Conference attendees are invited to attend a Winterlude themed reception.
Complimentary hot beverages and pastries will be served
* Diagnose and treat UTI in infants and children
* Describe the current controversies around the management of this common infection.
Making Sense of Sepsis in 2014: A practical approach to the Surviving Sepsis Guidelines ED bundle therapy
* Describe what the PROCESS trial should mean to your department
* Discuss the "How-to" of Hemodynamics, including endpoints of fluid resuscitation, when to initiate vasoactive
medications, and how to prepare and use bolus-dose vasopressors
and Dr. Julie Hurteau
* Formulate a differential diagnosis for a child presenting with a limp
* Describe and evaluate the advantages and limitations of available imaging tests to identify conditions that are life or limb-threatening
14:45
Networking Break
AFTERNOON SHORT SNAPPER SESSIONS
15:10
Don't push that drug... or do? Common Pediatric Resuscitation Pitfalls
* Identify common errors made during pediatric resuscitation and how to mitigate them
* Describe important transport dilemmas that arise in EDs outside referral centres
* Formulate a checklist for transport pitfalls
* Communicate difficult issues effectively to transport teams and referral centres
* Select the correct transport method and personnel
14:45
Networking Break
AFTERNOON SHORT SNAPPER SESSIONS
15:10
Doctor, I have Lyme and West Nile: "I went to a cottage and got bitten on
the leg by either a tick or a mosquito"
15:30
* Describe the epidemiology of Lyme and West Nile and how likely they are to turn up in your ED
* List who to test, when to test, how to test
* Describe the variations in presentation
* Discuss how to educate your patient for warning signs if you discharge as too low risk to test
Dr. Mark Reardon
Quick Checklist for Elderly Fall Risk
Dr. Elizabeth Hobden
and Dr. Laura Wilding
The Essential Cauda Equina Exam and Workup
Dr. Lorne Weisenfeld
16:10
Cathe the Rhythm: Challenging ECGs for the Emergency Physician
Dr. Mathieu Gatien
16:30
Evaluation and Wrap-up
15:50
* Describe a check list for assessing elderly fall risk in the ER
* Communicate effectively to patients and families about altering their environment and how to access follow up
* Identify liasion services in our local communities
* Develop a systematic approach to the CE exam
* Describe when the clinical exam is sufficient to rule out diagnosis, and when imaging is necessary
* Recognize critical but subtle ECG findings within the context of specific clinical encounters
* Recognize recently / newly described ECG findings
* Describe appropriate management of individual ECG findings