1. science
2. medicine
3. pediatrics

May 30 – June 3, 2015
Annual Conference
Shaw Conference Centre | #CAEP15
Preliminary Program
11
Canadian Association
of Emergency Physicians (CAEP)
As the national voice of emergency medicine, CAEP provides continuing medical education and advocates on
behalf of emergency physicians and their patients. In cooperation with other specialties and committees, CAEP
plays a vital role in the development of national standards and clinical guidelines.
CAEP keeps Canadian emergency physicians informed of developments in the clinical practice of emergency
medicine and addresses political and societal changes which affect the delivery of emergency health care.
Vision
Canadian emergency physicians: Empowered. Connected. Represented.
Mission
CAEP’s mission is to promote the interests of emergency physicians and the specialty of emergency medicine
in Canada by:
• Advocating for emergency physicians and their patients;
• Connecting emergency physicians;
• Leading emergency medicine education;
• Providing a forum for research in emergency medicine.
The CAEP Conference:
• is the largest emergency medicine conference in Canada taking place over 4 days with over 850 delegates;
• showcases Canada’s best research in emergency medicine through oral presentations, moderated
poster sessions and plenary presentations;
• promotes learning through scientific sessions, CAEP Roadshows and interactive workshops.
Who Should Attend?
Physicians practicing full or part-time emergency medicine, residents engaged in postgraduate training in
emergency medicine, medical students and anyone with an interest in emergency medicine, including
nurses, EMTs and paramedics.
Why Attend CAEP 2015?
CAEP 2015 is the largest emergency medicine conference in Canada, and incorporates a four-day
educational program. The conference is a forum to showcase Canada’s best research and promote learning
through scientific sessions and interactive workshops on issues of importance and relevance to Canada’s
emergency medicine community. The conference provides many opportunities for lively interactive
discussion and networking among emergency physicians from across the country.
CAEP 2015 Scientific Conference Learning Objectives
• Improve the visibility of emergency medicine in areas of focused clinical medical expertise, reflecting the
unique scope of our practice.
• Promote clinical and academic excellence throughout the field of emergency medicine and offer
opportunities to discuss the current and evolving practices.
• Foster an environment for emergency medicine colleagues to exchange ideas on common challenges
facing our specialty, to explore cutting-edge research and to promote clinical collaboration.
• Celebrate the advances made in emergency medicine nationally and internationally.
Premium Luncheon Symposium Sponsor
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Symposia Sponsors
Conference Secretariat
Taylor & Associates
11-5370 Canotek Road
Ottawa, Ontario K1J 9E7
tel: 613-747-0262
fax: 613-745-1846
[email protected]
Track Chairs
INVITATION TO CAEP 2015 FROM THE CONFERENCE CHAIRS
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Addictions and Mental Health
Dr. Kathryn Dong
Cardiology
Dr. Brian Holroyd
Critical Care
Dr. Dennis Djogovic
Disaster Medicine & Simulation
Dr. Jeffrey Franc
EM Administration & Operational Medicine
Dr. Grant Innes
EM Medical Education I
Dr. Sandy Dong
EM Medical Education II
Dr. Darren Nichols
Environmental Emergencies
Dr. Brian Grunau
Ethics and Law
Dr. Merril Pauls
Familiar Faces
Dr. Howard Ovens
FOAMed
Dr. Ken Milne
General EM
Dr. Angela Naismith
Geriatric EM
Dr. Don Melady
Global Health
Dr. Joe Vipond
Infectious Diseases in the ED
Dr. Bjug Borgundvaag
Injury Prevention
Dr. Carolyn Snider
Just the Facts
Dr. Bruce MacLeod
Neurology
Dr. Jeff Perry
Orthopedic Pearls and Sports Med
Dr. Ed Berdusco
Palliative Care
Dr. Shona MacLachlan
Pediatric Clinical
Dr. Samina Ali
Pediatric EM
Dr. Ran Goldman
Pediatric Trauma
Dr. Bill Sevcik
Plastics Pearls
Dr. Ron Singh
Respiratory Emergencies
Dr. Brian Rowe
Simulation Olympiad
Dr. Damon Dagnone, Dr. Karen Woolfrey
Transport Medicine
Dr. Mark MacKenzie
Triage
Dr. Michael Bullard
Medical Student Program Coordinators
Luke Richardson
Dr. Dave Ha
Resident Program Coordinator
Dr. Martin Kuuskne
Conference Organizing
Committee
Dr. Angela Naismith, Conference Chair
Dr. Brian Rowe, Scientific Chair
Dr. Rob Green, Research Chair
Dr. Dave Ha, Resident Chair
Dr. Ni Lam, Social Chair
Katharyn Webb, Volunteer Chair
Vera Klein, Executive Director – CAEP
Lee Arbon – CAEP
Jennifer Artz – CAEP
Christina Bova – CAEP
Invitation to CAEP 2015
from the Conference Chairs
We invite you to Edmonton and CAEP 2015! The Conference Organizing Committee for CAEP 2015
has been busy for the past year preparing for your arrival. We believe the Annual Conference will
meet the needs of all CAEP members. Our scientific program will highlight a broad range of clinical
topics and disciplines focussing on evidence-based care. There are recurring sessions for those who
want to learn about the cutting edge research being conducted in emergency medicine in Canada.
For educators, we have tracks and innovation abstracts highlighting new and innovative educational
techniques. For administrators, we have sessions on ED overcrowding, flow management and
familiar faces. This year’s program will include hands-on skills pre-conference workshops, the
Simulation Olympiad and an accredited Symposium on each morning and during one lunch. Finally,
we have strong Plenary Speakers who will challenge and engage the audience.
Sponsors and exhibitors are a crucial component of the success of any large meeting like this. All
participants in CAEP’s premier educational event will have the opportunity to learn about state-ofthe-art emergency medicine products, technologies and presentations in the exhibit hall. This
setting will also give you the opportunity to network with your colleagues in the scientific and
clinical emergency communities.
Apart from the learning opportunities, we are excited and proud to show off our city’s many enticing
activities. We have put together an exciting social program which will allow you to relax, meet new
colleagues and reconnect with old friends from across the country. We start with a Welcome
Reception at the beautiful Art Gallery of Alberta. The variety of optional activities planned for our free
afternoon will encourage you to experience the outdoor beauty of Edmonton. The return of
Docs that Rock will provide you with an opportunity to enjoy music and dancing. Net proceeds
of the event will support the EM Advancement Fund; supporting research, improving care. Our
closing function will be an eclectic celebration of the ‘Festival City’ including music and dancing.
For those who want a more relaxing social calendar, we will provide the Top 20 List of attractions
and restaurants in the general conference area. Don’t miss any of them!
Edmonton is the capital of Alberta. It’s a vibrant multi-cultural city, the home of the West
Edmonton Mall, the Muttart Conservatory and the five-time Stanley Cup Champion Edmonton
Oilers. The city is transected by the beautiful North Saskatchewan River and the Valley trails
provide an excellent opportunity to bike, walk and enjoy nature just steps from the heart of the
downtown. Located just a four-hour drive east of Jasper or north-east of Lake Louise, Edmonton’s
location provides easy access to the Canadian Rockies and British Columbia. Our modern and
efficient Edmonton International Airport makes it an easy destination to travel to from anywhere
in Canada, the US or from international hubs.
This year’s CAEP Annual Conference will be held May 31 - June 3, 2015, which is an absolutely
beautiful time of year in Edmonton. We hope the meeting content, the social activities and the
beauty of the region will attract you and your colleagues to attend. The meeting and exhibits will
be held in the Shaw Conference Centre, located within walking distance of our host hotels, The
Fairmont Hotel Macdonald and the Westin Edmonton.
We look forward to meeting you in Edmonton this spring for a high quality, thought-provoking and
engaging conference. See you then!
Angela Naismith, MD, CCFP(EM)
CAEP 2015 Conference Chair
Brian H. Rowe, MD, MSc, CCFP(EM)
CAEP 2015 Scientific Chair
CAEP 2015 Lighting the Way
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Annual Conference
Program at a Glance
Preliminary program is subject to change.
FRIDAY
MAY 29
08:00-18:00
CAEP Roadshow – EDTU – Day 1
08:00-18:00
CAEP Roadshow – AIME
09:00–17:00 Preconference Workshop – Triage, Evaluation and Initial Treatment of the Crisis Patient
SATURDAY MAY 30
PROGRAM AT A GLANCE
44
08:00-16:30
CAEP Roadshow – EDTU – Day 2
08:00-18:00
CAEP Roadshow – AIME (Encore Offering)
Dave Ha / Luke Richardson
08:30-12:00
Medical Students Program
08:30-12:00
CTAS
09:00-17:00
Preconference Workshop – CASTED Emergency - The ‘Hands-On’ ED Orthopedics Course
12:00-13:00
CTAS/CEDIS Lunch
12:00-13:00
Medical Student Luncheon
12:00-16:00
Academic Leadership Symposium
13:00-16:00
Simulation Olympiad (Residents/Medical Students) and/or Student Simulation Break-out Sessions
13:00-17:00
CEDIS
16:00-17:30
Resident, Medical Student and Academic Leadership Symposium Reception & Career Fair
17:00-18:30
Academic Section Meeting
SUNDAY
MAY 31
07:00-08:15
Accredited Breakfast Symposium (co-developed by CAEP and Bayer)
08:30-08:45
Opening & Welcome
08:45-09:30
Plenary: Knowledge in Action: The Insite Program
09:30-10:00
Refreshment Break on Exhibit Floor & Poster Viewing
10:00-11:30
Concurrent Sessions: Research; Moderated Posters Critical Care # 1; Disaster Medicine Emergency Department
Simulation Part I; Pediatric Clinical with Abstracts; Addictions and Mental Health
11:30-13:00
LUNCH on Exhibit Floor & Poster Viewing
11:30-13:00
Residents’ Section Lunch and AGM
13:00-14:30
Concurrent Sessions: Research; Moderated Posters; Critical Care # 2 with Abstracts; Disaster Medicine Emergency
Department Simulation Part II; Just the Facts; Global Health
14:30-15:00
Refreshment Break on Exhibit Floor & Poster Viewing
15:00-16:30
Concurrent Sessions: Research; Moderated Posters; Cardiology with Abstracts; Disaster Simulation; Pediatric
Trauma; Familiar Faces: Who Are These People and What Do We Know About Them?
18:00-20:00
Welcome Reception, Alberta Art Gallery
Dr. Thomas Kerr
MONDAY
JUNE 1
07:00-08:15
Accredited Breakfast Symposium (co-developed by CAEP and AstraZeneca)
08:30-09:20
Plenary: From Celebrities to Science Spin: Debunking Medical Myths
09:30-10:30
Concurrent Sessions: Research; Moderated Posters; EM Medical Education 1; Plastics Pearls; Ethics and Law;
Pediatric EM
10:30-11:00
Refreshment Break on Exhibit Floor & Poster Viewing
11:00-12:30
Concurrent Sessions: Research; Moderated Posters; EM Medical Education 2; EM Administration and Operational
Medicine; Injury Prevention; Palliative Care in the ED
12:30-14:00
CAEP AGM (Members)
12:30-14:00
LUNCH on Exhibit Floor
14:00
Free Afternoon – Optional Activities
21:00-01:00
Docs That Rock at Club XO
Prof. Timothy Caulfield
CAEP 2015 Lighting the Way
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Annual Conference
TUESDAY
JUNE 2
07:00-08:15
Accredited Breakfast Symposium (co-developed by CAEP and Merck)
08:30-09:30
Plenary: The Best of Canadian EM Research - The Top 4 Abstracts
09:30-10:30
CAEP 2015 Awards Ceremony
10:30-11:00
Refreshment Break on Exhibit Floor & Poster Viewing
11:00-12:00
Plenary: Choosing Wisely Canada: The Present and the Future
12:00-13:30
LUNCH on Exhibit Floor & Poster Viewing
12:00-13:30
Accredited Luncheon Symposium
12:00-13:30
Residents’ Lunch with Guest Speakers
13:30-15:00
Concurrent Sessions: Research; Moderated Posters; Triage with Abstracts; Environmental Emergencies; Geriatric
EM; Simulation Olympiad Semi-Finals
15:00-15:30
Refreshment Break on Exhibit Floor & Poster Viewing
15:30-17:00
Concurrent Sessions: Research; Moderated Posters; General EM; Infectious Diseases in the ED; Transport
Medicine; Simulation Olympiad Finals
19:30-24:00
CAEP 2015 Festival City Celebration at the Fairmont Hotel Macdonald
Dr. Wendy Levinson
WEDNESDAY JUNE 3
07:00-08:15
Accredited Breakfast Symposium
08:30-10:30
Concurrent Sessions: Research; Moderated Posters; FOAMed; Respiratory Emergencies with Abstracts;
Orthopedic Pearls and Sports Med; Neurology with Abstracts
10:30-11:00
Refreshment Break
11:00-12:00
Plenary: Boston Marathon Bombing: Lessons Learned
12:00-12:15
CAEP 2015 Closing Remarks
Dr. Peter A. Burke
Please check the CAEP website www.caep.ca/Conference regularly for program additions and
speaker confirmations.
PROGRAM AT A GLANCE
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This preliminary program may be subject to change
CAEP 2015 Lighting the Way
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Annual Conference
Keynote Speakers
Sunday, May 31, 2015 • 08:45 - 09:30
Knowledge in Action: The Insite Program
Speaker: Dr. Thomas Kerr
This session will include a presentation of evidence derived from the scientific evaluation of Insite, North America’s first supervised
injection facility. Also discussed will be the ways in which efforts were made to translate knowledge derived from this evaluation and
how a range of stakeholders worked to politicize the science specific to this topic. The talk will conclude with a discussion of opportunities
to optimize the delivery of supervised drug consumption services in Canada.
Dr. Thomas Kerr is an Associate Professor in the Department of Medicine, and the Director of the Urban
Health Research Initiative of the BC Centre for Excellence in HIV/AIDS, where he oversees several large
cohort studies involving people who inject drugs. Dr. Kerr’s primary research interests are HIV/AIDS,
injection drug use, health policy and service evaluation, as well as community-based research methods.
He has published over 400 scientific papers in international peer-reviewed journals, and a key focus of Dr.
Kerr’s work has been the scientific evaluation of Insite, North America’s first supervised injecting facility.
Monday, June 1, 2015 • 08:30 - 09:20
From Celebrities to Science Spin: Debunking Medical Myths
Speaker: Prof. Timothy Caulfield
KEYNOTE SPEAKERS
66
There remains deep confusion regarding the individual and population actions that can maintain and improve our health, such as
nutrition, exercise and weight management. Moreover, dangerous myths (such as those associated with vaccination) and pseudoscientific
belief systems (such as those underlying practices like homeopathy and cleansing) seem to be gaining traction. This talk will explore
both how science is spun and why misperceptions persist, including publication bias, ideological agendas, marketing pressures, media
spin and even celebrity endorsements.
Timothy Caulfield is a Canada Research Chair in Health Law and Policy and a Professor in the Faculty of
Law and the School of Public Health at the University of Alberta. He has been the Research Director of the
Health Law Institute at the University of Alberta since 1993. Over the past several years he has been involved
in a variety of interdisciplinary research endeavours that have allowed him to publish over 300 articles and
book chapters. He is a Fellow of the Trudeau Foundation and the Principal Investigator for a number of large
interdisciplinary projects that explore the ethical, legal and health policy issues associated with a range of
topics, including stem cell research, genetics, patient safety, the prevention of chronic disease, obesity policy,
the commercialization of research, complementary and alternative medicine and access to health care.
Professor Caulfield is and has been involved with a number of national and international policy and research ethics committees, including:
Canadian Biotechnology Advisory Committee; Genome Canada’s Science Advisory Committee; the Ethics and Public Policy Committee for
International Society for Stem Cell Research; and the Federal Panel on Research Ethics. He has won numerous academic awards and is a
Fellow of the Royal Society of Canada and the Canadian Academy of Health Sciences. He writes frequently for the popular press on a range
of health and science policy issues and is the author of The Cure for Everything: Untangling the Twisted Messages about Health, Fitness and
Happiness (Penguin 2012/Beacon Press 2012) and Celebrities Are Wrong About (Almost) Everything: How the Famous Sell us Elixirs of
Health, Beauty & Happiness (Penguin Canada, 2015/Beacon Press 2015).
CAEP 2015 Lighting the Way
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Annual Conference
Tuesday, June 2, 2015 • 08:30 - 09:30
The Best of Canadian EM Research - The Top 4 Abstracts
Tuesday, June 2, 2015 • 11:00 – 12:00
Choosing Wisely Canada: The Present and The Future
Speaker: Dr. Wendy Levinson
Choosing Wisely Canada is a national campaign to help physicians and patients engage in conversations about unnecessary tests,
treatments and procedures, and to help physicians and patients make smart and effective choices to ensure high-quality care. The
session will present strategies for implementing the recommendations of Choosing Wisely in practice and in medical education in the
context of emergency care.
Dr. Wendy Levinson is the Chair of Choosing Wisely Canada. Previously she served as Chair of Medicine
at the University of Toronto and was the Chair of the American Board of Internal Medicine where she
helped shape the beginning of Choosing Wisely in the United States. She is an expert in the field of
physician patient communication and has conducted research on informed decision making, disclosing
medical errors, and the relationship of communication to medical malpractice.
KEYNOTE SPEAKERS
Wednesday, June 3, 2015 • 11:00 – 12:00
Boston Marathon Bombing: Lessons Learned
Speaker: Dr. Peter A. Burke
This lecture will describe the events of the 15th of April 2013 with an overview of the race, first and second explosions, first responders, and
the important role of triage. The utilization of rapid triage and transport, hemorrhage control with tourniquets, and the critical role of
bystanders and first responders will be discussed. The unique aspects of the holiday in Massachusetts, the availability of the OR and other
critical components of a successful response will be featured. A discussion of the after action report with fellow trauma centres and the
outcomes from some of the research evaluating the city wide response will be reviewed in terms of future emergency response strategies.
Dr. Peter A. Burke is a Professor of Surgery at Boston University School of Medicine and Chief of Trauma
Services at Boston Medical Center, a busy level one trauma center. Dr. Burke is involved in the daily clinical
care of a diffuse population of trauma and acute care of surgery patients, providing care for these patients
in the operating room, in the surgical ICU, and managing both trauma and surgical patients during their
hospitalizations. Dr. Burke’s laboratory interests involve looking at transcriptional regulation, transcription
regulatory mechanisms that are altered during the injury response, as well as a clinical interest in the
nutritional needs of trauma and ICU patients.
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CAEP 2015 Lighting the Way
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Concurrent Sessions
Sunday, May 31, 2015 • 10:00 - 11:30
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
Track 3 – CRITICAL CARE # 1
Track Chair: Dr. Dennis Djogovic
Vasopressor and Inotrope Use in Canadian Emergency
Departments: What’s Your Vice?
Dr. Dennis Djogovic
A high yield lecture on what do to when confronted by a patient in
shock who is in need of systemic perfusion support. Recently
published CAEP guidelines and case scenarios will set the stage for
developing a practical and evidence based resuscitation approach.
Learning Objectives
• Understand evidence based guidelines for vasopressor/
inotrope use in ED
• Apply this knowledge in the ED resuscitation scenarios
CONCURRENT SESSIONS
The Airway Mechanic: Looking Under the Hood to Solve
Problems with Old and New Airway Technologies
Dr. George Kovacs
There has been an explosion of new airway devices over recent
years. Do they offer improved success/outcomes? Is the direct
laryngoscope obsolete? How do we become experts with indirect
approaches to intubation while maintaining older core airway skills?
Learning Objectives
• Develop an approach to airway capture that reflects
current evidence
• Appreciate the array of airway adjuncts available
Under Pressure
Dr. Robert Keyes
Do we really understand pressure? Why do we use mmHg for blood
pressure, but CMH20 for the ventilator? Why do we level transducers
at the heart for art lines, but at the Circle of Willis for EVDs? Should
we care about peak pressures, or just plateau pressures?
Learning Objectives
• Understand what pressure is and how we measure it
• Understand how we use pressures at the bedside (e.g. BP, CSF
pressures, vent pressures, etc.)
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Track 4 – DISASTER MEDINE EMERGENCY
DEPARTMENT SIMULATION PART I
Track Chair: Dr. Jeffrey Franc
Lessons Learned from a Structural Collapse – Can
Physicians and Engineers Learn from Each Other?
Dr. Cameron Franchuk
The collapse of the Hyatt Regency Hotel in Kansas City, Missouri in
1981 was a watershed moment in engineering. Until 2002, it was
the largest structural collapse in U.S. history and the lessons learned
from it changes the way engineers approach their work. The session
will explore how engineer’s learned from disaster and saved lives in
the future.
Learning Objectives
• Understand how failures in systems occur
• Explore how acceptance of failures can be used to
improve processes
• Identify how industries can learn from one other
Emergency Medical Response to a Structural Collapse
– Lessons Observed or Lessons Learned?
Dr. Jeffrey Franc
Is there a difference between planning for a mass casualty incident
and actually being prepared? Lessons learned from the collapse of
the Hyatt Regency Hotel in Kansas City, Missouri reveal that incorrect
assumptions made in the planning process can hinder our ability to
respond.
Learning Objectives
• Understand that planning must encompass what people will
actually do rather than how we hope that they will behave
• Apply the lessons learned from past disasters to create an
effective disaster plan
Evidence-based Medicine in Disaster Medicine: Is
Simulation the Future?
Dr. Pier Luigi Ingrassia As disasters are uncommon and unpredictable events, obtaining
evidence-based information can be difficult. Simulation
solutions are available for a variety of disaster scenarios including
mass trauma events, pandemic influenza and Ebola Virus
Disease, and may be the key to moving from qualitative to
quantitative research in disaster medicine.
Learning Objectives
• Describe the difficulties encountered in obtaining evidencebased recommendations for disaster management
• Describe available solutions for simulation in disaster medicine
• Understand the advantages and disadvantages in using
simulation for studies in disaster management
CAEP 2015 Lighting the Way
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Annual Conference
Track 5 – PEDIATRIC CLINICAL WITH ABSTRACTS
Track Chair: Dr. Samina Ali
Pediatric Asthma Management: What’s New?
Dr. David Johnson
This presentation will explore the latest evidence-based
management of asthma in the ED and asthma care plans will be
presented.
Learning Objectives
• Learn best evidence for how to manage children with acute
asthma exacerbations with regard to aerosol delivery type,
bronchodilators, corticosteroids and other therapies
ABSTRACTS
Bronchiolitis Management: What’s New?
Dr. Lisa Hartling
This presentation will discuss the latest evidence-based
management of bronchiolitis and a review of latest guidelines
from AAP and CPS will be presented.
Learning Objectives
• Discuss the current evidence on management of bronchiolitis
• Review methodological and statistical approaches to reviewing
the evidence
• Discuss factors to consider when assessing the quality of
evidence, and implications for practice
Track 6 – ADDICTIONS AND MENTAL HEALTH
Track Chair: Dr. Kathryn Dong
CONCURRENT SESSIONS
Using Buprenorphine to Treat Acute Opioid Withdrawal
in the ED
Dr. Karine Meador
As rates of prescription opioid overdose and addiction rise in
Canada, so does the number of cases of opioid withdrawal in
emergency departments. Treatment has generally consisted of
symptomatic treatment with medications such as antiemetics,
benzodiazepines and clonidine, or even opioids themselves.
Buprenorphine, a partial opioid agonist used to treat opioid
addiction in Canada since 2007, is now being looked at as a
possible more effective and safer means to treat acute opioid
withdrawal. This presentation will look at how and when to use
buprenorphine in the ED.
Learning Objectives
• Look at the pharmacology of buprenorphine and understand how
it can act as both a partial opioid agonist and an opioid antagonist
• Learn how and when buprenorphine can be used to treat
acute opioid withdrawal
• Look at a specific case where buprenorphine was successfully
used to treat opioid withdrawal in the emergency department
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Hospitals as Risk Environments: Patient Perspectives from
People Who Inject Drugs
Dr. Thomas Kerr
In this session, evidence concerning the unique challenges in
providing hospital-based care to people who inject drugs will be
presented. Also discussed will be research revealing how social
and structural conditions within hospitals shape problems such
as leaving hospital against medical advice within this population.
Learning Objectives
• Understand how social and structural conditions shape hospital
care for people who inject drugs
• Learn about how active addiction relates to the problem of
leaving hospital against medical advice
• Learn about ways in which individuals with active drug addiction
can be better accommodated within hospital settings
Ten Percocets to Go? Opioid Prescribing in the ED
Dr. Kathryn Dong
In this session, the epidemiology of the current prescription
opioid epidemic will be discussed. The role the emergency
department plays in both facilitating and curbing deaths due to
prescription opioid misuse will be explored. Finally, practical tips
for safe opioid prescribing will be presented.
Learning Objectives
• Describe the morbidity and mortality associated with
prescription opioid misuse
• Facilitate a discussion about how your ED can help reduce the
harms of opioid misuse
• Evaluate your opioid prescribing practices and implement
changes to ensure safe and responsible prescribing
Sunday, May 31, 2015 • 13:00 - 14:30
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
Track 3 – CRITICAL CARE # 2 WITH ABSTRACTS
Track Chair: Dr. Dennis Djogovic
Ventilator Management: What to do When the Basics
Aren’t Working
Dr. Robert McDermid
There is much focus on difficult intubation, but what about
difficult ventilation? This session takes the participants beyond
initial ventilator settings and the DOPE mnemonic to develop an
approach to the next steps in challenging mechanical ventilation.
CAEP 2015 Lighting the Way
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Annual Conference
Learning Objectives
• Understand straightforward principles to use when ventilating
the critically ill patient
• Utilize this new knowledge to stabilize and gain control of
challenging ventilation situations
ABSTRACTS
Debate: How Cool is Too Cool? 33C v 36C After Cardiac Arrest
Dr. Daniel Howes & Dr. Steven Brooks
This will be a light-hearted but high-level debate about the most
contentious issue in the care of the patient after cardiac arrest. The
participants will debate the issue, presenting the literature on both sides
of the debate with cross-examination by members of the audience.
Learning Objectives
• Understand the evidence supporting a target temperature of 3234 degrees Celsius for patients with post cardiac arrest syndrome
• Understand the evidence supporting a target temperature of 36
degrees Celsius for patients with post cardiac arrest syndrome
• Establish their personal temperature target for therapeutic
hypothermia (targeted temperature management)
Track 4 – DISASTER MEDICINE EMERGENCY
SIMULATION PART II
Track Chair: Dr. Jeffrey Franc
CONCURRENT SESSIONS
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10
Implementation of a Simplified Incident Command System
as a Standard for Emergency Department
Command-and-Control
Dr. Trevor Jain
When disaster strikes a simplified approach into organizing the
emergency department is essential to mount an effective
response. This session will focus on the use of a targeted
emergency department command structure: ICED (Incident
Command for Emergency Departments).
Learning Objectives
• Understand how to use the organizational structure, job action
sheets, and forms of the Incident Command for Emergency
Departments (ICED) system
• Identify potential pitfalls in implementation of emergency
department implementation of ICS (Incident Command
System) and how to avoid them
• Understand basic ICS concepts and use them to develop a
personalized emergency department disaster plan
Disaster Medicine Emergency Department Simulation – Part I
Dr. Jeffrey Franc
In this interactive session, participants will receive a short tutorial
on the use of the SurgeSim disaster simulation software followed
by ample hands-on opportunity to practice patient management
with the simulator using their own laptop computers.
Note: Pre-registration is necessary - see registration form. For more
information please contact [email protected]. Participants must
bring their own laptop computer. Attendance in Part I is
mandatory for attendance in Part II.
Learning Objectives
• Learn how simulation software can be used to simulate the
emergency department response to a mass casualty incident
• Manage a simulated patient using the SurgeSim software
• Understand the advantages and disadvantages of real-time
simulation software for simulation of a mass casualty incident
Track 5 – JUST THE FACTS
Track Chair: Dr. Bruce McLeod
UTI in the Elderly: When and With What
Dr. Rob Woods
Use of Confusion Assessment Method (CAM) to Identify
Delirium in Elderly ED Patients
Dr. Debra Eagles
Draggin’ Dictation
Dr. Chuck Wurster
Alcohol Withdrawal Made Easy
Dr. Bjug Borgundvaag
MD Management – Wealth Transfer
Mr. James Hubscher
When Morphine Just Does Not Cut it
Dr. Sev Perelman
Dogmalysis: What You Know That Just Ain’t So
Dr. Adam Thomas & Dr. Chris Lipp
Oligoanalgesia in the ED
Dr. Ken Milne
Rare ED Cases You Need To Be Aware of to Make a
Difference Dr. Bruce McLeod
Ten talks with 10 speakers - 6 minutes and 40 seconds in length.
With “just the facts” for the working stiff ED physician who does not
need a lot of background filler, this presentation offers a mini
update on various areas of interest.
Learning Objectives
• Present interesting facts and cases for the practicing ED
physician to utilize in everyday practice and life
Track 6 – Global Health
Track Chair: Dr. Joe Vipond
Emergency Medicine Education in Nepal: Using an Asset-Based
Development Approach to Creating Sustainable Change
Dr. Darren Nichols & Dr. Andy Kestler
Emergency medicine (EM) remains a young discipline in the early
stages of evolution in many nations, some that can benefit from
our experience within a mature EM system. How can we
contribute to sustainable change while avoiding the pitfalls of
benefactor-beneficiary relationships common in development
work? This session discusses using a bottom-up, asset-based
community development model to build and implement a plan
for sustainable EM education in Nepal. We will share key elements
of our success in this global partnership, programmatic evaluation
and a framework for sustainable EM development.
CAEP 2015 Lighting the Way
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Annual Conference
Learning Objectives
• Appreciate the fundamental concepts of Asset Based
Community Development
• View health care workers in evolving systems as leaders with
rights, entitlements and capabilities, rather than beneficiaries
with needs
• Acquire a framework for approaching global partnerships in
EM education
Integration of Simulation into the Medical Curriculum of
Resource Limited Countries
Dr. Ian Wishart
There will be an overview of some of the challenges and experiences
of introducing simulation to medical curriculum in various countries.
Discussion of appropriate equipment, training methodology,
scenario design, procedural skill training and training the trainer
models will be explored.
Learning Objectives
• Describe the impact on health care of simulation in resource
limited countries
• Discuss appropriate simulation models and trainers for resource
limited countries
• Discuss adaptation of simulation training methodology in
resource limited countries
• Describe approaches to training the trainer in simulation based
medical education
CONCURRENT SESSIONS
GLOBAL Global Health: Physicians’ Role in Combatting
Climate Change
Dr. Joe Vipond & Dr. Courtney Howard
Climate change has been identified by the Lancet and others as the
biggest global health threat of the 21st century. The Canadian
Medical Association, British Medical Association and others have
urged physicians to be on the front-lines, advocating for change.
Examples of ongoing and successful climate-health advocacy by ED
docs in Alberta and the North West Territories will illustrate
techniques for creating the transformation required to keep our
children’s future safe and healthy.
Learning Objectives
• Understand the connection between climate change and
human health
• Discuss the ethical imperative to advocate and engage
as physicians
• Learn skills in medical advocacy on climate-health using
examples from the Northwest Territories and Alberta
Sunday, May 31, 2015 • 15:00 - 16:30
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
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Track 3 – CARDIOLOGY WITH ABSTRACTS
Track Chair: Dr. Brian Holroyd
Key Interventions for Cardiovascular Drug Overdose
Dr. Marco Sivilotti
Both accidental and intentional ingestions of cardiovascular drugs
rank among the most lethal pharmaceutical overdoses. Optimal
management involves both meticulous attention to time-honoured
supportive care, as well as some unique considerations regarding
unconventional pressors, arrhythmia control and even heroic
extracorporeal cardiac support.
Learning Objectives
• Understand how cardiovascular drugs toxicity can disrupt
normal physiology
• Develop an approach to treating the more common
arrhythmias seen following overdose
• Recognize the role, and limitations, of intralipid emulsion in the
resuscitation of a poisoned patient
• Contemplate the benefits and challenges of implementing
extracorporeal cardiopulmonary resuscitation for such patients
ABSTRACTS
The Role of ECLS/ECMO in the ED as an Intervention for
Cardiac Arrest: A Review of the Evidence
Dr. Steven Brooks
Extracorporeal Life Support (ECLS) sometimes referred to
synonymously as extracorporeal cardiopulmonary resuscitation
(ECPR) or extracorporeal membrane oxygenation (ECMO) entails the
use of mechanical devices to support circulation for a prolonged
period of time. This session will entail a basic overview of the
technology behind ECLS and a review of the evidence to support its
use in the emergency department for patients suffering cardiac arrest.
Learning Objectives
• Understand the definition of ECLS
• Understand the evidence supporting the use of ECLS for
cardiac arrest in the emergency department
• Consider practical aspects of an ED-based ECLS program
• Review cases from North American ED ECLS settings
Track 4 – DISASTER SIMULATION
Track Chair: Dr. Jeffrey Franc
Disaster Medicine Emergency Department Simulation
– Part II
Dr. Jeffrey Franc
Using the SurgeSim simulation software, work as a team with other
conference participants to manage a large emergency department
responding to a mass casualty incident. Participants will develop
their own command-and-control structure and simulate all aspects
of patient management.
Note: Pre-registration is necessary - see registration form. For more
information please contact [email protected]. Participants must
bring their own laptop computer. Attendance in Part I is
mandatory for participation in Part II.
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Learning Objectives
• Demonstrate the implementation of a workable commandand-control structure for emergency department response to a
mass casualty incident
• Discover methods to develop emergency department
surge capacity
• Understand how team-based computer simulation can be
used to evaluate the effectiveness of personnel as well
infrastructure
Objective Measurement of Surge Capacity Using Simulation
Dr. Pier Luigi Ingrassia
Objective measurement of surge capacity for emergency
departments during mass casualty events is difficult. At present,
there are no universally accepted metrics. Using data from the
simulation exercise performed, a simple graphical method for
measuring surge capacity will be presented.
Learning Objectives
• Understand the difficulties in applying objective metrics to
measurement of emergency department surge capacity
• Describe how simulation may provide a measureable
benchmark for evaluation of surge capacity
• Interpret a simple graphical method for measurement of
emergency department surge capacity
Track 5 – Pediatric Trauma
Track Chair: Dr. Bill Sevcik
CONCURRENT SESSIONS
The Emergent Management of the Severe Pediatric Head
Injured Patient
Dr. Keith Aronyk
Dr. Aronyk will review the surgical management principles of
Pediatric Head Injuries using surgical videos to help explain the
nuances involved with the treatment of epidural hematoma,
subdural hematoma and brain swelling /DAI injuries.
Learning Objectives
• Understand the surgical management principles of Pediatric
Head Injuries
• Appreciate the importance of associated cervical spinal injuries
in the management of Pediatric Head Trauma
• Understand the urgency of the initial emergency room
assessment and diagnostic work-up
• Recognize the importance of Pediatric Intensive Care
management of raised intracranial pressure following the initial
surgical treatment
Transporting Severely Injured Pediatric Trauma Patients:
Pearls and Pitfalls
Dr. Allan de Caen
A case-based discussion will take attendees through the principles
of transport medicine as it pertains to the critically ill pediatric
trauma patient. This session will not focus on generic ATLS principles,
but instead those issues that are specific to high complexity/acuity
pediatric trauma patients.
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Learning Objectives
• Understand the impact of the transport setting on
pathophysiology of the high acuity pediatric trauma patient
• Understand the nuances involved in stabilizing the pediatric
trauma patient, specifically as it pertains to the transport setting
(ground or air)
• Recognize some of the controversies that exist in pediatric
trauma management in the pre-trauma center phase of care
Best-Evidence Approach to Imaging Pediatric Blunt
Abdominal Trauma: A Surgeons Perspective
Dr. Bryan Dicken
A rational approach to blunt abdominal trauma with respect to
imaging modalities in a level I trauma centre.
Learning Objectives
• Recognize and describe the common mechanisms of pediatric
trauma and the associated injuries
• Identify the utility of plain radiography in the assessment of
pediatric patients with blunt abdominal trauma (BAT)
• Recognize the role of FAST ultrasound in the management of BAT
• Evaluate the role of CT in the assessment and management of BAT
Track 6 – Familiar Faces: Who Are These People
and What Do We Know About Them?
Track Chair: Dr. Howard Ovens
The Patient Experience
Dr. Andrew McFaden
This presentation describes the personal experience of a patient at
the Royal Alexandra Hospital emergency department and the unique
care plan developed to reduce patient’s visits to the emergency room.
This presentation describes the barriers and solutions that staff faced
and how collaboration with community agencies were effective in
reducing this patient’s use of emergency services.
Learning Objectives
• Understand a patient’s personal history and how this
contributes to their overuse of emergency services
• Recognize the logistical and ethical problems that emergency
staff face in their attempts to reduce the over-use of
emergency services
• Show how effective communication and engagement with
community organizations can help in reducing patients’ use of
emergency services
Community Paramedicine –The Role of Paramedics in
Managing Heavy Users
Dr. Alison Kabaroff
The session will address EMS utilization in some of the programs
running in the Edmonton Zone.
Learning Objectives
• Describe various approaches to utilize paramedics as part of
the team addressing needs of heavy users of EMS and ED’s
including Palliative Care patients and residents of Long Term
Care facilities
CAEP 2015 Lighting the Way
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A Team Approach to the Care of Heavy Users
Dr. Bjug Borgundvaag
This session will review the development of a multi-disciplinary
project aimed at improving the care of ED heavy users at an urban
teaching hospital. Examples will be provided for the types of issues
our project addressed, and how these were addressed. Outcome
data will be provided, as will a review of the key steps in developing/
adapting a similar approach for your own ED.
Teaching Clinical Reasoning in the ED
Dr. Rob Woods
Brief pre-recorded scenarios of trainees reviewing cases with their
preceptor in the ED will be shown, tools will be described by the
presenter, then repeat videos will be shown utilizing the tool to
enhance clinical reasoning. This session will review different scenarios
of trainees reviewing cases with their preceptor in the ED, and
highlight tools that can be used to foster clinical reasoning in trainees.
Learning Objectives
• Understand the types of patients that a care plan approach
may be help in dealing with
• Understand the basic steps in creating care plans
• Share lessons in how to successfully implement care plans
Learning Objectives
• Apply the 3-minute clinical presentation tool for novice trainees
with disorganized patient presentations
• Apply the one minute preceptor tool to help trainees develop
their illness scripts
• Apply the RAPID tool to help trainees prioritize important and
often neglected aspects of ED care
Panel Discussion to Follow
Monday, June 1, 2015 • 09:30- 10:30
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
Track 3 – EM MEDICAL EDUCATION 1
Track Chair: Dr. Sandy Dong
CONCURRENT SESSIONS
Making Teams Work: How to Create, Road Test and
Implement Effective Simulation-Based Human Team
Training in Emergency Medicine
Dr. Christopher Hicks
Resuscitation is a team sport. Cognitive psychology, human factors
and high risk industry can inform the development of high
performance teams for emergency medicine, with the downstream
goal of improving patient outcomes and safety during critical
events. In this interactive session, participants will examine and
critique how a process of systematic curriculum design can be used
to craft effective simulation-based training programs for EM teams
to suit local and domain-specific needs. The session will use a
practical example of curriculum design, piloting and implementation
(the CREW curriculum) and will draw from cutting edge science on
human performance during stressful events.
Learning Objectives
• Discuss how the science of human and team performance can
influence patient safety during critical events in the emergency
department
• Critique a practical example of systematic curriculum design for
simulation-based training for emergency medicine
• Acquire practical tips and tricks for the design and
implementation of effective inter-professional simulation
based training exercises
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Track 4 – PLASTICS PEARLS
Track Chair: Dr. Ron Singh
Common Hand and Wrist Injuries in the ER, Pearls
and Pitfalls
Dr. Mike Morhart
This presentation will focus on the more common hand and wrist
pathology typically appearing in the ER. In addition, discussion will
be on what cases are appropriate for repair in the ER and which
should be referred to a specialist.
Learning Objectives
• Gain an understanding of fractures in the hand and wrist and
the treatment options
• Learn how to deal with soft tissue injuries of the hand and wrist,
including nerve and tendon injuries
• Develop a systematic approach to x-rays of the wrist and gain
an appreciation that it’s not really a ‘black box’
Plastic Surgery Pearls for the ER Physician
Dr. Vick Chahal
The session will focus on practical plastic surgery pearls for the ER
physician. This will include a review of the commonly seen
emergency cases that are relevant to plastic surgery such as hand
trauma, facial injuries, burns and wounds. Tips on how the ER
physician can treat and manage such conditions will be reviewed.
Learning Objectives
• Review common emergency cases that are relevant to plastic
surgery such as hand trauma, facial injuries, burns and wounds
• Recognize which cases should be referred to plastic surgery
and which should not
• Identify specific tips that can help the ER physician handle cases
when plastic surgery is not available
CAEP 2015 Lighting the Way
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Track 5 – ETHICS AND LAW
Track Chair: Dr. Merril Pauls
Don’t Drop the Baton: Improving Handover Communication
in the ED
Dr. Janet Nuth
Poor handovers have been implicated in 25% of all legal claims in
the emergency department. During this session the medico-legal
risks associated with poor handover and the best practices from the
literature for improving this communication will be discussed.
Learning Objectives
• Describe medico-legal risks associated with poorly
performed handovers
• Name three barriers to performing effective handovers
• Identify five strategies for improving handovers in the ED
Preparing for the Worst: Ethical Decision-Making in
Difficult Times
Dr. Merril Pauls & Dr. Andrew McRae
This session will explore three key ethical issues that arise when
emergency departments (and health-care systems more
generally) prepare for outbreaks or other threats. The first is the
ethics of policies that limit or prevent care from being given to
suspected cases, the second is related to the level of risks that
providers can and should reasonably be expected to tolerate, and
when they can forego caring for patients to protect themselves.
The third issue is whether the significant use of resources for
dangerous but very rare problems is appropriate given the
compelling needs facing emergency departments.
CONCURRENT SESSIONS
Learning Objectives
• Describe how institutional policies limit care to certain patients
(e.g. Ebola or suspected Ebola) and discuss ethical arguments
for and against this
• Debate whether health-care providers should be able to recuse
themselves from the care of patients that pose a risk to their
health – and explore what level of risk and what justifications
may support this notion
• Discuss whether resources utilized in the preparation for rare
diseases can be justified in the face of other emergency
department problems that are more common and require
urgent attention
Track 6 – PEDIATRIC EM
Track Chair: Dr. Ran Goldman
Managing Pain for Children with Suspected Appendicitis
Dr. Ran Goldman
The session will include discussion on the main considerations an
emergency physician should have when seeing a child with acute
abdomen, suspected to be appendicitis. The study of analgesia in
appendicitis focuses in recent years on early administration of
analgesia to improve quality of care and decision making on the
need for surgery. Strategies for assessment of pain, pharmacological
decision making and effective analgesia in the ED will be reviewed.
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Learning Objectives
• Understand the importance of analgesia for children with acute
abdominal pain in the emergency department
• Discuss barriers to assessment of pain and administration of
analgesia in children of all ages in the ED
• Evaluate and critically appraise evidence for management of
children with suspected appendicitis in the ED including
provision of opioid analgesia
Recent Advances in Pediatric Procedural Sedation
Dr. Samina Ali
Dr. Ali will discuss easy, non-pharmacologic treatment options that
can make addressing children’s pain and sedation needs easier...and
more fun! She will also summarize the current evidence for intranasal
pain medications, as they are becoming quite popular when IV
access is a challenge or delayed.
Learning Objectives
• Discuss recent advances in provision of sedation and analgesia
for procedures in the general and pediatric emergency
department
• Review recent literature describing pharmacological and
non-pharmacological measures to improve sedation for
children in the ED
• Evaluate efficiency of flow in the ED while providing sedation
and analgesia for procedures in the ED
Safe Provision of Analgesia and Sedation for Children in
Emergency
Dr. Andrew Dixon
The session will review the general approach and common issues
encountered when seeing a child who needs procedural sedation
or acute pain management. Pain management and appropriate
use of sedation have the ability to significantly improve a child’s
experience in the emergency department. This session will give a
variety of strategies for sedation and pain management appropriate
for use at centres where these procedures are less commonly
performed in children.
Learning Objectives
• Review recent literature on safety in analgesia and sedation in
the emergency department
• Provide practical tools to ensure safe practice for children while
they go through procedures in the ED, and how analgesia and
sedation can help with safe practice
• Discuss pitfalls and caveats of sedation and analgesia and ways
to avoid them in daily practice
Monday, June 1, 2015 • 11:00 – 12:30
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
CAEP 2015 Lighting the Way
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Annual Conference
Track 3 – EM MEDICAL EDUCATION 2
Track Chair: Dr. Darren Nichols
Lessons Learned from Transitioning to a Competency Based
Medical Education Assessment System
Dr. Teresa Chan
Transitioning to a competency-based medical education (CBME)
system is both a complex and intricate process. In 2012, McMaster
University began a phased-transition to a CBME assessment system
called the McMaster Modular Assessment Program (McMAP). This
session discusses lessons learned from the transition.
Learning Objectives
• Compare and contrast a time-based and competency-based
medical education framework with regards to assessment
• Identify learner, rater and systems-related issues that will affect
implementation of a CBME assessment system
• Discuss local factors that may prevent or augment transition
into a CBME system
Supporting the Expert Assessors: CBME Systems for Front
Line Preceptors
Dr. Mike Donoff
Doing better assessment of learners starts with having an organized
system to direct attention of participants in the most effective way.
A quick outline of the components of such a system will be
presented. The implications for frontline preceptors will be
explained and examples of real world implementation shared.
CONCURRENT SESSIONS
Learning Objectives
• List the essential components of an organized assessment system
• Describe the essential role of preceptors doing assessment in
the workplace
Everything Will Change: A Modest Proposal to Make
Teaching, Feedback, Assessment & Learning in EM
Dramatically Better
Dr. Jason Frank
With competency-based training on the horizon for EM
residency and CPD, recent work has made the view of EM
education even clearer.
Learning Objectives
• Define competency based medical education (CBME)
• Describe how CBME changes bedside teaching, the nature of
feedback, the role of assessment, and learning in EM practice
• Debate the next steps for the evolution of EM med ed
Track 4 – EM ADMINISTRATION AND
OPERATIONAL MEDICINE
Track Chair: Dr. Grant Innes
Modifying ED Inflow: The Next Overcrowding Solution or
Just a Blind Alley?
When patients can’t get a family doctor, specialist, procedure, test or
a timely appointment, they head for the ED. When offices and clinics
close for the day, weekend or vacation season, patients converge on
the ED. Post-op complications? Deteriorating in extended care? Go
to the ED! Our safety net role is becoming too much to handle and
INFLOW may now be our biggest challenge. The expert panel will
discuss community and EMS diversion strategies, triaging away and
new inflow and triage processes now in operation at their sites. This
will be a highly interactive session with time for a panel and
audience discussion. Proceedings of the sessions will be emailed to
interested participants.
Learning Objectives
• Learn about new strategies to reduce or modify ED inflow,
along with supporting evidence
• Learn thumbs up/thumbs down recommendations,
implementation tips and why intervention was or was
not effective from the panelists
“Go Away!” Diversion Strategies and Triaging Away
(Reducing ED Inflow)
• Preventing Mental Health Visits
Dr. James Stempien
• Community Initiative: Pre-pre-hospital Diversion
Dr. Eric Grafstein
• “Just Say No!” Front End Diversion Strategies Dr. Marko Duic
• Triaging to Primary Care
Dr. Eddy Lang
Innovative Front-End Processes (Improving ED Inflow)
• Enhanced Triage: RN Diagnostics and Two-Stage Triage
Ms. Sherry Stackhouse
• Docs in the Waiting Room: The Triage Liaison Physician
Dr. Brian Holroyd
• Modifying Inflow
Dr. Alecs Chochinov
• ED Triage: Safely Streaming – or Creating Another Queue?
Dr. Michael Bullard
Panel and Audience Discussion to follow
Track 5 – INJURY PREVENTION
Track Chair: Dr. Carolyn Snider
Cycling Injuries and the CAEP Position Paper
Dr. Brian Rowe
Bicycling is an increasingly popular recreational activity/mode of
transportation in Canada, however, cycling injuries can be serious or
fatal. Since many crashes are preventable, emergency physicians
have an important role in injury prevention. This session will review
interventions to mitigate cycling injuries and describe the CAEP
Position Statement on Bicycling Safety.
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Annual Conference
Learning Objectives
• Review the evidence for fatal and serious injuries as a result of
cycling in Canada
• Discuss the potential interventions to mitigate cycling
injuries including environment, helmet use/legislation and
cyclist behaviour
• Present the general outline of the CAEP Cycling Position
Statement
CATT ONLINE: Concussion Clinical Toolkit for Medical
Professionals
Dr. Ian Pike
During this session, the Concussion Clinical Toolkit will be presented
for its potential to assist emergency medical professionals deliver
the most recent care and management of patients who have
sustained a concussion, based on the most recent Zurich Guidelines.
This includes a review of the 40-minute online course, as well as inoffice assessments, printable resources, expert video commentaries
and case studies.
Learning Objectives
• Understand the potential of the CATT ONLINE Toolkit to assist in
the most recent care and management of patients who have
sustained a concussion
• Recognize the key aspects of concussion care and management,
including the Zurich Guidelines for return to play
• Make a personal plan to complete the CATT ONLINE training
CONCURRENT SESSIONS
Developing a Youth Violence Intervention in the Emergency
Department
Dr. Carolyn Snider
Approximately 20% of youth injured by violence will return to an ED
with a subsequent injury within the next year. Dr. Snider will describe
her CIHR-funded randomized control trial of an emergency
department violence intervention program (www.edvip.ca)
designed to decrease repeat injury. She will describe the
development and implementation of the program, early results as
well as ways that similar interventions could be implemented in
your ED.
Learning Objectives
• Identify the need for violence intervention programs in EDs
• Review the evidence demonstrating the effectiveness of
violence intervention programs in EDs
• Understand the process for developing a violence intervention
program in your ED
Track 6 – PALLIATIVE CARE IN THE ED
Track Chair: Dr. Shona MacLachlan
Palliative Care in the ED: Why Do We Need to Know?
Dr. Shona MacLachlan
This session will, through a series of cases, highlight the importance
of a palliative care skill set for emergency physicians. Discussion will
cover the concept of disease trajectories and their relevance to our
patient population, as well as touch on the concept of prognosis
assessment. The goal is to enlighten emergency physician’s
perspective and peak their interest for this niche within our discipline
in order to enhance patient care.
Learning Objectives
• Understand the pertinence of a palliative care skill set for
emergency physicians
• Identify the disease trajectories and their relevance in both
communicating with patients and families, and in
contemplating prognosis
• Gain new perspective on the identification and management
of this vulnerable population for whom we provide care
Non-Cancer Palliative Care in the Emergency Room
Dr. Amanda Brisebois
Many patients with chronic illness cycle through the emergency
departments. It is not typical to request palliative services for these
patients, or to focus on symptom control, until the last weeks to
days of a patients’ life. This presentation will discuss the importance
of palliative care and symptom management needs for patients
with chronic illness. Some tips on how to determine when symptom
management and palliation should be a focus will be discussed.
Learning Objectives
• Recognize the importance of symptom management
throughout illness trajectory, for patients with non-cancer
diagnoses
• Gain tools to integrate palliative care principles when caring for
patients with chronic illness in the ER
Pediatric Palliative Care: Symptom Based Care in the ED
Dr. Dawn Davies
Drs. Davies and Maclachlan will do a joint case-based presentation
of common presentations to any emergency room of a child with a
life-threatening illness. One case will focus on pain management.
The other will focus on communication with parents in distressing
situations in which a child is likely to die.
Learning Objectives
• Develop a strategy for pain management in children and
infants with chronic painful diseases
• Gain comfort and in having difficult conversations with parents
whose child is likely to die by understanding “mock no-code” tools
• Recognize how much health professionals in any emergency
room setting can offer families of seriously ill children during
their most difficult health crises
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Tuesday, June 2, 2015 • 13:30- 15:00
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
Track 3 – Triage with Abstracts
Track Chair: Dr. Michael Bullard
Pre-Hospital CTAS – Going Beyond the Triage Desk
Dr. Rob Grierson
The challenges and expectations of a modern EMS service are ever
increasing. The appropriate application of pre-hospital CTAS scoring
can greatly assist both the individual paramedic in clinical decision
making as well as providing an evidence-based rational for systemwide resource allocation.
Learning Objectives
• Outline the overall process of pre-hospital CTAS from initial
training right through to ongoing, electronic score calculation
and data collection (including a live computer demonstration)
• Discuss how pre-hospital CTAS scores are used to assist
paramedics in making real time clinical decisions
• Review how pre-hospital CTAS is combined with the Medical
Priority Dispatch System (MPDS) to create an evidence based
resource allocation tool (including a live computer
demonstration)
CONCURRENT SESSIONS
The Globalization of CTAS – Debunking the Myths
Dr. Michael Bullard
CTAS is a widely recognized triage scale, adopted by 8 other nations
as their preferred triage standard. With patient volume exceeding
capacity, input delays and triage nurse pressures have led to
questions about the value of triage. International feedback and the
benefits and limitations of triage will be discussed.
Learning Objectives
• Learn what CTAS can and cannot provide
• Learn the value of emergency department triage and key
characteristics of importance
• Understand the successes and challenges of international
CTAS adoptions
Track 4 – ENVIRONMENTAL EMERGENCIES
Track Chair: Dr. Brian Grunau
Rescue and Resuscitation of the Avalanche Victim
Dr. Kyle McLaughlin
This session will provide a medical perspective into avalanche
burials - a unique clinical scenario that mixes essential backcountry
skills of rescue and recovery with the understanding of the
physiology of the medical conditions encountered by the victims.
Learning Objectives
• Understand the basics of avalanche rescue and recovery
• Identify the medical conditions encountered by avalanche
burial victims
• Recognize key features of the avalanche burial that dictate
disposition and care
Accidental Hypothermia: Building the Chain of Survival
Dr. Doug Brown
The session will provide a case-based update on the
identification, triage, transport and management of accidental
hypothermia patients.
Learning Objectives
• Accurately stage, triage and manage accidental hypothermia
patients based on the vital signs and level of consciousness
• Identify which cold patients in cardiac arrest are unlikely to
benefit from resuscitation and which patients may benefit from
prolonged resuscitation and rewarming
• Select the appropriate warming technique and treatment
facility for hypothermic patients
• Understand the BC Hypothermia Clinical Practice Guideline and
explore the potential for guidelines to improve patient outcomes
The Mythical Biphasic Reaction: Do They Exist and Can We
Predict or Prevent Them?
Dr. Brian Grunau
Emergency Physicians have all been taught to fear biphasic
reactions, in which recurrent anaphylaxis may exhibit severe
symptoms and possibly death. For this reason current practice is to
monitor patients for hours after allergic reactions or anaphylaxis and
treat liberally with corticosteroids. However, do we have good
evidence for these practices? Studies have reported biphasic
reactions occur in 20% of ED anaphylaxis patients, however many
emergency physicians have never seen one. Can we explain these
discrepancies?
ABSTRACTS
Panel Discussion to Follow
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Learning Objectives
This session will explore the literature of allergic, anaphylactic, and
biphasic reactions, with focus on the following questions:
• Do biphasic reactions actually exist and if so, what is the risk of
their occurrence?
• Can we predict in whom biphasic reactions will occur? Can we
predict the severity?
• Can we prevent or mitigate the risk of severe biphasic reactions?
• What is the benefit of prolonged monitoring of anaphylaxis
patients? What is the optimal duration of observation?
CAEP 2015 Lighting the Way
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Track 5 – GERIATRIC EM
Track Chair: Dr. Don Melady
“Is it fit for your Grandma?”: How to Create a SeniorFriendly ED
Dr. Don Melady
This session will address the main challenges that our current ED
approach poses for older people and introduce some changes
that even small EDs can implement to improve the patient
experience, patient outcomes and department function (flow,
LOS, staff satisfaction). It will also promote evidence-based best
practices that are of interest to practicing clinicians in diverse
settings in ED care of older people.
Learning Objectives
• Develop an inventory of opportunities in her home ED relating to
care of older people (with a focus on screening tools, falls
assessment, delirium assessment and transitions of care)
• Describe the key components of a senior-friendly ED using
the ACEP Geriatric ED Guidelines http://www.acep.org/
geriEDguidelines/
• Name at least three QI projects to implement back home
“The Evidence About Your Grandma”: Critically Appraising
Geriatric ED Screening Instruments
Dr. Chris Carpenter
This interactive presentation will critically review the findings and
biases of ED-based research for dementia and delirium screening,
risk of post-ED falls and adverse outcomes for older adults. The
presentation will use Turning Point technology to assess your
current practice patterns, awareness of screening instruments and
quantitative understanding of research.
CONCURRENT SESSIONS
Learning Objectives
• Identify older ED patients at increased risk for dementia, delirium,
falls and other sub-optimal post-ED outcomes
• Demonstrate Bayesian reasoning in the assessment of older adults
for common geriatric syndromes using readily available evidencebased diagnostic resources
• Describe essential research priorities to further improve geriatric
ED outcomes
“Taking Care of Your Grandma”: Managing the Injured
Older Person in the ED
Dr. Marcel Emond
This clinically focused review will address the most common cause
of trauma in the older ED patient – falls and the injuries associated
with them. It will also present pearls in the management of major
poly-trauma in the frail older person.
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Learning Objectives
• Describe an approach to falls and injuries in the independent
older person
• Identify issues in the emergent management of major trauma
in older patients
• List variations from standard ATLS protocols relevant to
older patients
• Describe findings from current Canadian research about
injured older patients
Track 6 – SIMULATION OLYMPIAD: SEMI-FINALS
Track Chairs: Dr. Damon Dagnon, Dr. Karen Woolfrey
Tuesday, June 2, 2015 • 15:30- 17:00
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
Track 3 – GENERAL EM
Track Chair: Dr. Angela Naismith
Storms to Steroids: Clinical Pearls from Endocrine Cases
Seen in the ED
Dr. Andrea Opgenorth
This talk will look at specific cases seen in Edmonton emergency
departments looking at diagnostic challenges and clinical
pearls learned.
Learning Objectives
• Review the pathophysiology and common causes of
hypocalcemic presentations to the ED
• Describe appropriate therapy for emergency and short-term
management of hypocalcemia
• Recognize secondary adrenal insufficiency in a patient with
remote history of a pituitary macroadenoma
Rheumatologic Emergencies – It’s Not Just Swollen Joints
Dr. Joanne Homik
This talk will cover pearls on polymyalgia rheumatic/temporal
arteritis, distinguishing gout vs septic arthritis and a quick review on
recognizing Lofgren’s Syndrome.
Learning Objectives
• Be able to list the different clinical features and management of
gout and septic arthritis
• Recognize the presenting features of Lofgren’s syndrome,
polymyalgia rheumatic and temporal arteritis
• Recognize the presenting features of polymyalgia rheumatic
and temporal arteritis
CAEP 2015 Lighting the Way
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Annual Conference
First Do No Harm: Initial Work-up and Management of
Hyponatremia in the Emergency Department
Dr. Adam Romanovsky
Although hyponatremia is the most common electrolyte
abnormality, its pathophysiology is often poorly understood,
leading to a lack of comfort in its investigation and management.
This session will aim to briefly describe the pathophysiology and,
by extension, initial work-up and management of various causes
of hyponatremia so as to avoid adverse effects in patients
presenting to the emergency department with hyponatremia.
Learning Objectives
• Understand the general pathophysiology of various causes of
hyponatremia
• Initiate a work-up for hyponatremia
• Initiate management for various causes of hyponatremia
• Understand the pitfalls of management and be able to avoid
adverse events in these patients
Track 4 – INFECTIOUS DISEASES IN THE ED
Track Chair: Dr. Bjug Borgandvaag
MRSA in Skin and Soft Tissue Infections in the ED: National
Trends over Time
Dr. Bjug Borgandvaag
In this session, we will review trends in MRSA skin and soft tissue
infections across Canada. We will discuss the relative proportions of
community and hospital acquired MRSA, as well as antibiotic
resistance patterns over the last three years. We will also discuss
geographic variation in the prevalence of MRSA and the possible
implications this has on ED treatment.
CONCURRENT SESSIONS
Learning Objectives
• Differentiate hospital and community acquired MRSA
• Discuss the emergency of community acquired MRSA in Canada
• Review trends in the prevalence, and antibiotic resistance
patterns, of MRSA from skin and soft tissue infections in patients
presenting to the ED
Antibiotic Stewardship and Prescribing Practice in the ED
Dr. Andrew Morris
This session will challenge the current thinking that most ER
physicians have regarding antimicrobial therapy. Using a
mixture of evidence and humor, Dr. Morris will tackle some of
the most common reasons antibiotics are used in the ER, and
offer another approach.
Learning Objectives
• Understand the goals and mandate of the antibiotic
stewardship process
• Learn the importance or rational prescribing in the ED
• Review the process of arriving at consensus and developing
treatment guidelines
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Ebola, MERS and the Next Deadly Infectious Disease: How
Should ED’s Prepare
Dr. Laurie Mazurik
This session will focus on how ED staff can be threatened by
exposure to deadly infectious diseases and the protective measures
they must take from threat recognition, personal protection and the
activation of a hospital response. Ebola and MERS will be used as
case examples.
Learning Objectives
• Recognize risk to HCW’s of deadly diseases like Ebola, MERS and
emerging threats
• Discuss the evolution of risk based personal protection guidance
• Review trends in reducing deadly disease threats to HCWs in the
ED and building High Risk Infectious Disease Teams
Track 5 – TRANSPORT MEDICINE
Track Chair: Dr. Mark MacKenzie
Going the Way of the Dodo Board – Debunking Myths in
EMS and Transport
Dr. Alison Kabaroff
Long board immobilization of trauma patients has been taught as
the standard of care for decades in paramedic programs as well as in
nursing and medicine. This practice has not only been shown not to
improve patient outcomes but may also cause harm. This session
looks at the evidence regarding long board immobilization and
discusses transport alternatives.
Learning Objective
• Learn why long board immobilization is not as effective for
spinal motion restriction as we think it is
• Learn how long boards cause harm
• Discuss alternatives to long boards for patient transport
Who Ya Gonna Call? System Design and Levels of Care
in EMS
Dr. Mark MacKenzie
Practitioners are often faced with the decision of which level of EMS
care is appropriate for the interfacility transport of a patient. This
session will help physicians with transport decisions and will define
a level of EMS whose time has come - critical care.
Learning Objectives
• Evaluate the transport needs of the patient time sensitivity and
level of care
• Understand the levels of care in EMS
• Appreciate the anatomy of an interfacility transport
CAEP 2015 Lighting the Way
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Annual Conference
Transport Medicine: Is There a Doctor On Board?
Dr. Sunil Sookram
The various roles Physicians play in Canadian Transport Medicine
will be discussed and include: direct patient care in the field/air; field
supervision and off line medical oversight - policy development;
protocol development; incorporating newest evidence into
practice; and clinical resource for practitioners education.
Learning Objectives
• Appreciate the variety of roles physicians currently play in
transport medicine
• Highlight the medical oversight principles both on line and
offline that are employed by Canadian EMS Medical Directors
• Learn how physicians should prepare themselves should they
be engaged in EMS medical oversight and field delivery of care
Track 6 – SIMULATION OLYMPIAD: FINALS
Track Chairs: Dr. Damon Dagnon, Dr. Karen Woolfrey
Wednesday, June 3, 2015 • 08:30 – 10:30
Track 1 - RESEARCH
Track Chair: Dr. Rob Green
Track 2 - MODERATED POSTERS
Track Chair: Dr. Rob Green
Track 3 – FOAMed
Track Chair: Dr. Ken Milne
CONCURRENT SESSIONS
(Un)Learning in Medicine – Easing the Grieving Process
with FOAM
Dr. Lauren Westafer
A Harvard Medical School’s former dean proclaimed to his students
half a century ago, “Half of what we are going to teach you is wrong,
and half of it is right. Our problem is that we don’t know which half
is which”. Ease the denial, the anger, the sadness of hearing that
what you were taught is no longer accurate with FOAM. This isn’t
your favorite brew, rather Free Open Access Medical education
(FOAM), which can allow one to increase cognitive flexibility by
staying up to date with evidence based medicine and peer
discussions. It’s yoga for your brain.
Learning Objectives
• Understand the limitations of our knowledge of medicine and
the need for cognitive flexibility
• Recognize the difficulty associated with unlearning
cherished medical knowledge and re-learning aspects of
medicine and science
• Gain understanding of means of using FOAM as a means of lifelong learning, mitigating the knowledge translation gap
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I Find Your Lack of FOAM Disturbing! How FOAM can
Change the World – Musings from Darth Educator
Dr. Chris Bond
Discuss how true engagement in FOAM and SoMe can lead to
greater meaning in your life (even more important than happiness)
and how you truly can change the world.
A frequent question I’ve heard in recent years is, “Why spend the
time to get involved in Twitter and other elements of social media
and FOAM?” My general answer has always been that engagement
in these digital worlds simply enhances and accelerates your career
and makes you happier. Free Open Access Medical Education
(FOAMed) and social media (SoMe) have forever changed the way
we teach, learn and thrive in medical education.
Learning Objectives
• Discuss the critical elements of success in the FOAM and social
media world (curation, creation, and engagement)
• Discuss the benefits of going beyond curating and filtering
FOAM to creating FOAM and how to get started
• Discuss how to develop a sense of meaning in your life by
establishing friendships with the wonderful people in the social
media world
• Describe an approach to branding yourself and your ideas in
order to drive the machinery that leads to engagement,
happiness and a sense of well-being in the FOAM world
Learning to Teach on Social Media: Equipping ED Docs to
Teach Effectively Online
Dr. Alia Dharamsi
Social Media is quickly gathering momentum in the realm of
Emergency Medicine. With a new generation of ED docs so adept at
using social media (Twitter, podcasts, blogs), how can we equip ED
docs and trainees to effectively teach online?
Recently, a pilot digital scholarship project was initiated in which a
resident can apply curriculum development theory to practice by
creating their own online, digital curriculum. Using this as a model,
we will discuss how ED docs and trainees can become proficient at
knowledge translation online.
Learning Objectives
• Understand current research outlining how, when and in what
forms learners use social media technologies to learn
• Engage in discussion on strategies that have been, and are
being, applied to provide residents and ED docs skills in online
knowledge translation
You Don’t Know What You’ve Got ‘Til It’s Gone
Dr. Eve Purdy
Medical learners frequently use open-access resources to find
information at the point of care. We will explore how a simple
educational intervention, ditching the smartphone, might help
learners and their teachers reflect on the impact of such resources
and discover how going smartphone-free can serve as a powerful
jumping off point for teaching and learning in the department.
CAEP 2015 Lighting the Way
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Learning Objectives
• Outline the many ways that open-access resources are used at
the point of care
• Identify specific open-access resources relevant to Emergency
physicians
• Reflect on one’s own use of open-access resources at the point
of care
• Implement a novel educational intervention
Track 4 – RESPIRATORY EMERGENCIES WITH
ABSTRACTS
Track Chair: Dr. Brian Rowe
Unique Infections as a Cause for Respiratory Presentations
to the ED
Dr. Stan Houston
Through case examples, this session will illustrate the recognition of
characteristic patterns of epidemiologic, clinical and radiologic
findings that should prompt suspicion of specific respiratory
infectious diseases with important clinical and public health
implications, such as the need for immediate respiratory isolation.
Learning Objectives
• Gain a better understanding of the utility and importance of
epidemiologic information in recognizing patients at risk of TB
• Develop awareness of the clinical and other clues that may
suggest HIV as the predisposing cause of a presenting
respiratory illness
• Attain greater comfort in identifying the small number of
patients at risk for “exotic” etiologies of their respiratory illness
among the hordes of patients presenting to the ED with cough
CONCURRENT SESSIONS
ABSTRACTS
Update on Acute Asthma: There Must be More than Just
Oral Corticosteroids!
Dr. Brian Rowe
Acute asthma remains a common, albeit decreasing, emergency
department presentation. There have been important changes in
the management after discharge to prevent relapse and improve
asthma control. This session will focus on the care of patients who
are discharged and review the evidence-based approach to outpatient management.
Learning Objectives
• Describe the epidemiology and importance of ED relapse after
discharge from the emergency department for acute asthma
• Review the evidence for systemic and inhaled corticosteroids
after discharge for acute asthma
• Examine factors associated with relapse after the ED visit
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PE in the ED: Managing the Spectrum from
Thromboneurosis to Sub-massive Emboli
Dr. Eddy Lang
Pulmonary Embolism (PE) represents one of the most significant
diagnostic and therapeutic challenges for the ED physician.
Challenges range from the use of validated clinical prediction
instruments to the appropriate use of cutting-edge imaging and
laboratory diagnostics. Management of the unstable patient and
those for whom admission is unnecessary and novel antithrombotic
options exist completes the spectrum of new things every ED MD
needs to know.
Learning Objectives
• Develop an evidence-informed diagnostic strategy to the
spectrum of possible and likely PE patients
• Become knowledgeable on the most appropriate indications
for thrombolytic therapy in PE
• Revisit management and disposition decision-making for PE
patients at low risk for decompensation
Track 5 – ORTHOPEDIC PEARLS AND SPORTS MED
Track Chair: Dr. Ed Berdusco
Sports Medicine Approach to Athletic Pubalgia in
Hockey Players
Dr. Dhiren Naidu
This session will review common cases of hip and groin pain
(athletic pubalgia) in hockey players. It will provide a diagnostic and
treatment approach to this common problem.
Learning Objectives
• Review common cases of hip and groin pain in hockey players
• Develop a diagnostic and treatment approach to hip and groin
pain in hockey players
Trials and Tribulations of an Olympic Chief Doctor
Dr. Connie Lebrun
The job of Chief Doctor for a Canadian Olympic Team requires much
specialized knowledge about event medical coverage for multisport international games. Location, climate, language and culture
of the hosting country all present interesting and frequently
frustrating logistical issues. This session will elaborate on the medical
preparations for Sochi 2014.
Learning Objectives
• Understand the various challenges to optimal health and
performance which accompanied preparation for the Sochi
2014 Winter Olympics
• Understand the specific role(s) of members of the Canadian
Health and Science Support Team (HST). This includes
identification of some proactive and preventative medicine
practices prior to the time of the Games, and an outline of the
skills and specialized expertise offered by the individual
practitioners on the HST – the Team behind “The Team”
CAEP 2015 Lighting the Way
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Current Management of Acute Knee Injuries
Dr. Catherine Hui
This session will review a range of common acute knee injuries and
will emphasize the clinical presentation and the approach to
appropriate emergency management. Critical elements to avoid
diagnostic pitfalls and initiate important care will be highlighted.
Learning Objectives
• Recognize the clinical presentation of patients with acute knee
injuries in the emergency department
• Identify diagnostic pitfalls which may lead to missed or late
diagnosis resulting in subsequent injuries
• Identify early management strategies that can reduce longterm complications in this patient population
Early Management of Common Shoulder Presentations
in the ED
Dr. Colleen Kjelland
This presentation will address acute shoulder presentations
commonly seen in the ED, including shoulder dislocations and
rotator cuff injuries. We will examine historical and physical exam
pearls and will discuss current and evidence-based management,
as well as who needs early referral to a surgeon.
CONCURRENT SESSIONS
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Learning Objectives
• Identify important historical, physical exam or diagnostic
techniques for common shoulder presentations
• Apply current evidence-based literature to the management of
common shoulder presentations
• Describe important early management principles and how to
apply them from the ED in common shoulder presentations
• List shoulder presentations requiring early referral to an
orthopedic surgeon
Track 6 – NEUROLOGY WITH ABSTRACTS
Track Chair: Dr. Jeff Perry
Pediatric Migraines: Current Management and
Controversies in the Emergency Department
Dr. Lawrence Richer
Children and adolescents often present to the emergency
department for undifferentiated headache and management of
migraine. Recognizing migraine is a critical first step and we will
review evidence-based management strategies including when
first-line treatment fails. In the absence of a strong evidence-base
though, there remain a number of controversies including the use
of intravenous fluids, multiple medications, propofol and when to
admit and discharge management.
Learning Objectives
• Differentiate migraine from other headache disorders in the ED
• Develop an evidence-based first-line treatment plan
• Recommend an alternative management plan when first-line
therapy fails
• Recognize controversies in the management of pediatric
migraine in the ED including the use of intravenous fluids,
multiple medications, propofol and when to admit and
discharge management
ABSTRACTS
How to Assess Headache Patients for Possible Subarachnoid
Hemorrhage (SAH)
Dr. Jeff Perry
Attendees will interact with Dr. Perry who has published large
prospective studies of ED patients at risk for SAH, published in JAMA,
BMJ, Annals of EM and CJEM. This session introduces the Ottawa
SAH Rule, if a lumbar puncture is required following CT, and how to
interpret abnormal cerebrospinal fluid results.
Learning Objectives
• Understand how to stratify headache patients as high or low risk
for subarachnoid hemorrhage according to the Ottawa SAH Rule
• Learn how to investigate efficiently and safely to exclude
subarachnoid hemorrhage
• Understand how to interpret abnormal cerebrospinal fluid results
• Discuss when cerebral angiography is needed
H.I.N.T.S. to I.N.F.R.A.C.T. – Recent Advances in Diagnosing
Stroke in Acute Dizziness & Vertigo
Dr. David Newman-Toker
Dizziness and vertigo are frequent symptoms in the emergency
department. While benign ear conditions are most common,
posterior circulation strokes can mimic ear disorders closely. This
lecture will emphasize bedside diagnosis in acute dizziness and
vertigo, focusing on eye movements that distinguish dangerous
vertebrobasilar strokes from benign peripheral causes.
Learning Objectives
• Describe clinical presentations and patient profiles at high risk
for missed vertebrobasilar stroke in the ED
• Distinguish stroke from vestibular neuritis in acute, continuous
vertigo/dizziness with a three-step ocular motor exam (HINTS)
CAEP 2015 Lighting the Way
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Annual Conference
Simulation Olympiad
Back Again by Popular Demand!
Saturday, May 30 and Tuesday June 2, 2015
Join us for another exciting simulation-based resuscitation competition at this year’s CAEP Conference.
Come watch teams from across the country compete for national bragging rights as they demonstrate their communication skills, teamwork, and crisis management skills under pressure.
Better yet, enter your own inter-professional team to compete at this year’s competition.
How does the Competition Work?
The competition will be held in a large room to allow for a live audience of 80 - 100 spectators.
Day 1 Preliminary Competition
All teams complete a single 10 minute resuscitation scenario and debriefed by a panel of EM experts. Multiple scenarios will
be used for audience entertainment. Audience voting will determine teams that advance in the competition.
Day 2
The top 4 teams will compete in two SEMI-FINAL scenarios. The advancing teams will then compete in a FINAL scenario to
determine the winning team. Again, audience voting will be the deciding factor.
Enter your team now!
The call for teams is now open. Each competing team of four (4) should include at least one (1) senior resident physician (maximum
2), one (1) junior resident physician (maximum 2), and at least one (1) nurse, medical student, paramedic or respiratory therapist.
All teams should also have a faculty EM coach to assist with team preparation and performance. Each participating team member
must be registered for the conference.
Team members are encouraged but need not be from the same academic institution and each participating team member must
be registered for the conference. Team entries meeting the above criteria will be preferentially selected for the competition if more
than eight teams register to compete.
SIMULATION OLYMIAD
CAE Healthcare bursaries to support CAEP conference registration are available for non-physician members of the team.
Team entries must be received no later than April 1, 2015.
Enter your team by sending an email to [email protected] with the following information:
Institution name / Team name
Faculty coach email address and cell phone number
Team members name, profession, level of training
Entry is limited to 8 teams, so register now!
The Simulation Olympiad is made possible by the generous support of CAEP and the Kingston Resuscitation Institute.
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Medical Student and Resident Programs
MEDICAL STUDENT PROGRAM
SATURDAY, MAY 30, 2015 • 07:40-18:30
07:40-08:00
Registration
08:00-08:15
Welcome and Introduction
Isabelle Colmers
08:15-09:00
Opening Plenary: Physician Wellness
Dr. Erica Dance
09:00-9:45
Lecture: Dermatology
Dr. Aisha Mirza
09:45-10:00
Refreshment Break
10:00-10:45
Lecture: Inner City Health in the ED
Dr. Kathryn Dong
10:45-11:15
CAEP Medical Students’ Annual General Meeting
Luke Richardson
11:15-12:15
Panel Discussion: CCFP vs. FRCPC: Which EM is Right for You?
12:15-13:00
Lunch
13:00-16:00
Residents and Medical Students’ Simulation Olympiad
13:00-16:00
Student Simulation Break-out Sessions
16:00-17:30
Residents/Students Reception with Academic Leadership Symposium and Career Fair
RESIDENT PROGRAM
SATURDAY, MAY 30, 2015 • 13:00 – 18:30
13:00-16:00
Residents and Medical Students’ Simulation Olympiad
16:00-17:30
Residents/Students Reception with Academic Leadership Symposium and Career Fair
SUNDAY, MAY 31, 2015 • 11:30-12:30
11:30-12:30
Residents’ Section Lunch and Annual General Meeting
TUESDAY, JUNE 3, 2015 • 12:30-13:30
12:00-13:30
MEDICAL STUDENT AND RESIDENT PROGRAMS
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Lunch with Guest Speakers
Please check the CAEP website www.caep.ca/Conference regularly for program additions and
speaker confirmations.
CAEP 2015 Lighting the Way
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Annual Conference
Pre-Conference Program
Roadshows
Airway Interventions & Management in Emergencies (AIME)
One day course
Friday, May 29, 2015 (08:00-18:00)
Saturday, May 30, 2015 (08:00-18:00)
The AIME program has been providing valued and practical hands-on airway management learning experiences for clinicians
around the world for over fifteen years. AIME educators are experienced and entertaining clinical instructors who understand the
varied work environments of practicing clinicians. Whether you work in a large, high-volume centre or a small remote setting, AIME
will provide a practical approach for airway management in emergencies.
Maximum registration: 24 (each day)
Course Location: Westin Edmonton
CATEGORY
Before/On
April 16
After
April 16
Physician - CAEP Member
$1,095.00
$1,145.00
Physician - Non-Member
$1,450.00
$1,500.00
Resident - CAEP Member
$ 995.00
$1,045.00
Resident - Non-Member
$1,450.00
$1,500.00
Study Credits (up to)
9 MAINPRO C (CFPC) 9
Section 1 (RCPSC)
Emergency Department Targeted Ultrasound (EDTU)
Two day course
Friday, May 29 and Saturday, May 30, 2015 (08:00-18:00)
PRE-CONFERENCE PROGRAM
Emergency Department Targeted Ultrasound (EDTU) is designed to provide physicians with a strong foundation in emergency ultrasound.
The course philosophy emphasizes hands-on practical instruction to maximize the participants’ learning experience. This is achieved with
one-on-one bedside teaching on live models who will be a combination of normal and true positive patients. The program is designed to
facilitate the completion of the fifty required supervised scans in each of four areas (aorta, cardiac, abdomen, and pelvis). The new program
includes an e-syllabus as well as five lectures on video. The learners are required to review the materials prior to attending the program. This
two day course has been recently updated so that it is current and relevant to both emergency and family physicians.
Maximum registration: 20
Course Location: Edmonton General Continuing Care Centre
CATEGORY
Before/On
April 16
Physician - CAEP Member
$3200.00
$3300.00
Physician - Non-Member
$3500.00
$3600.00
Resident - CAEP Member
$3000.00
$3100.00
Resident - Non-Member
$3500.00
$3600.00
Sponsored in part by:
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After
April 16
Study Credits (up to)
17 MAINPRO C (CFCP)
17 Section 1 (RCPSC)
CAEP 2015 Lighting the Way
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Annual Conference
Pre-Conference Workshops
Triage, Evaluation and Initial Treatment of the Crisis Patient
Friday, May 29, 2015
08:00 – 17:00
Care of psychiatric patients in the emergency department has increased exponentially with deinstitutionalization. These patients
frequently present to emergency departments in crisis, whether from medication non-compliance, social issues, or complicating
illness. When treating psychiatric patients, emergency physicians should be prepared to deal with associated clinical and system
issues. One of the most important challenges is in the initial assessment and management of a psychiatric crisis/emergency. This
includes differentiating a clinical emergency from a social emergency. This seminar can serve as a primer or as an update for the
emergency physician in the evaluation and management of psychiatric and behavioral emergencies. The participants will learn
about the role of medical and psychiatric evaluations and basic risk assessment of patients in crisis. The participants will also learn
about the management of agitation as part of a psychiatric emergency. A combination of lectures and case discussions covering
fundamental and pragmatic skills to identify, assess, triage and manage a range of clinical crises.
Learning Objectives
• Understand the goals of emergency triage and medical assessment for the psychiatric patient
• Know the key elements of an emergency psychiatric evaluation
• Understand a focused risk assessment
• Know the key steps to manage and treat an agitated patient
Maximum Number of Registrants: 40
Registration Fee: $400.00 for Physicians; $275.00 for Residents
Course Location: The Westin Edmonton
CASTED: Emergency - The ‘Hands-On’ ED Orthopedics Course
Saturday, May 30, 2015
08:00 – 17:00
PRE-CONFERENCE WORKSHOPS
CASTED combines case-based lectures with hands-on practice. You will learn tips on reductions, proper moulding and ED efficient
immobilization. Adult and paediatric injuries are comprehensively covered. This award-winning hands-on ED orthopaedics course is
a high-yield, clinically-focused course and relevant to all ED doctors - from urban to rural.
Learning Objectives
• Discuss orthopedic principles
• Describe keys to ED assessment , diagnoses and management of extremity injuries
• Perform ED relevant fracture and dislocation reductions
• Perform casting and splinting for ED orthopedic injuries
Maximum Number of Registrants: 40
Registration Fee: $935.00 for Physicians; $695.00 for Residents
Course Location: The Westin Edmonton
To Register: Please visit www.CASTED.ca/schedule to register
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CAEP 2015 Academic Leadership Symposium: How to Improve EM Academic
Leadership, Governance and Funding at Your University
Saturday, May 30, 2015
12:00 – 16:00
CAEP 2015 Academic Leadership Symposium: The vision of the Academic Section is to promote high-quality emergency patient
care by conducting world-leading education and research in emergency medicine through its three working groups focused on
leadership/administration, education and research. The Academic Section Annual Academic Symposium focused on research last
year, and this year the focus is on leadership.
The 2015 Academic Leadership Symposium has three sections, each led by expert panels with participation from EM leaders from
across Canada. Each panel has met regularly and addressed specific topics aimed at the overall objective of improving leadership,
governance and funding in your department. Using information gathered from the Canadian EM environmental scan, literature
review and experts, three components of leadership will be covered:
1) How to build leadership within the EM community and beyond (led by Doug Sinclair);
2) What are the best models for university EM governance and administration (led by David Petrie); and
3) What is an appropriate amount of funding and how to achieve it (led by Eddy Lang).
At the symposium, each topic will be presented via expert panel-led discussions to review the current state and future of Canadian
EM academic units. They will present draft recommendations for each of their topics and ask for your participation and feedback to
refine the recommendations to be published in CJEM.
Future, current and past EM chairs and chiefs are encouraged to join the symposium discussion. Aspiring leaders will profit from the
invaluable expertise.
Pre-registration is strongly encouraged to attend the symposium. Lunch is provided. We hope to see you there and look forward to
you sharing your views, experiences and questions.
Registration Fee:
$35.00 in advance
$50.00 at the door
PRE-CONFERENCE PROGRAM / PROGRAM NOTES
Program Notes
All Conference sessions will be held at the Shaw Conference Centre unless otherwise noted.
Accredited Symposia
Moderated Poster Presentations
An Accredited Symposium will be held each morning over
breakfast, and again this year, Tuesday during lunch – all are
open to delegates. Please note seating is limited.
Participants will have the opportunity to present their latest
research, clinical studies or case presentations in a moderated
poster format during some of the concurrent time frames.
Check the program for topics and their affiliated schedule.
Location: Westin Edmonton
CAEP Annual General Meeting (AGM)
Complimentary Wi-Fi/Conference App
CAEP members are invited to attend the 2015 Annual General
Meeting where CAEP will inform the membership of the
Association’s elections, upcoming direction, and activities.
This year, we are pleased to provide complimentary Wi-Fi
to conference delegates at the Shaw Conference Centre,
for downloading the conference app and for on-line
session evaluations.
Monday, June 1, 2015 – 12:30-14:00
Location: Westin Edmonton
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Social Program Highlights
CAEP 2015 Welcome Reception – Alberta Art Gallery
Sunday, May 31, 2015 • 18:00 - 20:00
This year’s Welcome Reception is a must-attend event! Located in downtown Edmonton, the Art Gallery of Alberta is a
centre of excellence for the visual arts in Western Canada, connecting people, art and ideas. As the oldest cultural institution
in Alberta and the only museum in the province solely dedicated to the exhibition and preservation of art and visual
culture, it maintains a collection of over 6,000 objects. This masterpiece of architecture is inspired by the forms of the North
Saskatchewan River and Aurora Borealis while taking inspiration from the city’s unique northern environment and urban
grid. Join us and enjoy reconnecting with friends in this diverse and creative setting.
Included with registration, but pre-registration is required. Additional tickets are available for purchase.
Docs That Rock - Club XO Monday, June 1, 2015 • 21:00 – 01:00
Located steps away from the Fairmont Hotel Macdonald, Club XO is one of Edmonton’s newest destinations for nightlife.
Known for offering style and substance to the trendsetter that wants to see and be seen, Club XO opens for this year’s Docs
That Rock engagement. Join us as we rock the night away!
PRICE PER PERSON: $35.00 with a contribution to the CAEP Research Fund
If you are registered for the conference and interested in participating in the Docs That Rock band, please contact
Peter Toth at [email protected].
CAEP 2015 Festival City Celebration
Tuesday, June 2, 2015 • 19:30 – 24:00
Welcome to The Fairmont Hotel Macdonald, a Four Diamond Hotel and the only luxury heritage property in Edmonton,
Alberta! The charm and classic elegance of the hotel will lend to the evening’s celebration, sampling both food and
entertainment of some of the wide variety of festivals that call Edmonton home.
Included with registration, but pre-registration is required. Additional tickets are available for purchase.
SOCIAL PROGRAM HIGHLIGHTS
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Afternoon Activities – Optional
Choice # 1 – Segway Tour
Monday, June 1, 2015 • 14:30 - 19:00
Segway tours showcase the beautiful Edmonton River Valley as guests effortlessly glide through the park on the amazing Segway.
Participants will receive in-depth training, from a certified Segway trainer. You will go through the skill and drills for everything you
will need to know before heading out on your adventure. After the training get ready for the experience of a lifetime, a ride through
Edmonton’s world famous river valley. You’ll have the chance to enjoy the beautiful scenery of the river valley like you never have before.
PRICE PER PERSON: $68.00 for one hour – includes training, taxes and gratuities
Maximum: 10 people per time frame
Choice # 2 – Bike Tour
Monday, June 1, 2015 • 14:30 – 16:00
These bike tours use high quality Rocky Mountain bikes for you to ride right off the Trans Canada Trail. No need to haul a bike
around, just show up and prepare to explore North America’s largest urban parkland. With over 480 kms of trails to explore
throughout the City, you will be sure to have an amazing adventure.
PRICE PER PERSON: $30.00 for 90 minutes – includes Rocky Mountain bike, tour, taxes and gratuities
Maximum: 10 people per time frame
Choice # 3 – Canoe or Kayak down the North Saskatchewan River
Monday, June 1, 2015 • 14:00 – 17:00
Paddle a canoe or kayak down the North Saskatchewan River - a majestic and beautiful river winding in a northeastern
direction through Edmonton. It originates 1,800 metres above sea level in the massive 325 sq. km Columbia Icefield. It flows
across Alberta and Saskatchewan to Lake Winnipeg, into the Nelson River and eventually into the Hudson Bay.
PRICE PER PERSON: $60.00 includes shuttle, taxes and gratuities
Minimum: 6 people
Maximum: 10 people
Choice # 4 – Muttart Conservatory
Monday, June 1, 2015 • 14:00 - 17:00
Step inside the Pyramids where different climates are home to various plants, flowers and trees collected from all regions of
the world. Join a knowledgeable interpreter for an hour-long guided tour of the gems of this collection. You’ll explore the
lush plant life of the tropical pyramid, discover unique plant adaptations in the arid pyramid and enjoy the changing of the
seasons in the temperate pyramid. Then spend additional time further exploring the wonders of this unique collection.
SOCIAL PROGRAM HIGHLIGHTS
PRICE PER PERSON: $45.00 - includes return transportation, private tour, admission, taxes and gratuities
Minimum: 10 people
Maximum: 20 people per tour – 2 tour times available
Choice # 5 – Fort Edmonton Park
Monday, June 1, 2015 • 14:00 - 17:00
Providing the best in living history, Fort Edmonton Park is nestled on 64 hectares (158 acres) of wooded parkland along
Edmonton’s river valley. What began as a Canada Centennial project in 1967 to reconstruct the old Fort Edmonton, quickly grew to
encompass much more. Thanks to the dedicated efforts of the Rotary Club of Edmonton and the Fort Edmonton Foundation, the
Park now includes the 1846 Hudson’s Bay Fort as well as the Streets of 1885, 1905 and 1920, depicting the evolution of Edmonton’s
early history. Fort Edmonton Park is owned by the City of Edmonton and operated by the Fort Edmonton Management Company.
PRICE PER PERSON: $52.00 - includes return transportation, admission, taxes and gratuities
Minimum: 20 people
Choice # 6 – Yellowhead Brewery Tours and Tasting
Monday, June 1, 2015 • 14:00 - 17:00
Yellowhead Brewery takes its name from the famous Iroquois-Métis Pierre Bostonais, nicknamed “Tête Jaune” or “Yellow Head” for
his unusual fair hair. Tête Jaune was a Metis trader with a colourful history. He first mapped a pass through the Rocky Mountains that
would later carry his name. As such, the name Yellowhead casts a long shadow on Edmonton and Alberta’s history. As a community
based brewery that sells exclusively to Edmonton and area, we feel that such a name suits our premium offering and brewery.
PRICE PER PERSON: $44.00 - includes return transportation, tour, tasting, taxes and gratuities
Minimum: 20 people
Maximum: 25 people
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General Information
How to Register
Register online at www.caep.ca. Enclose your full payment of conference fees by MasterCard or Visa.
Conference Registration Fees
REGISTRATION CATEGORY
MEMBER
Before/on
April 9
Physician
$1,075
NON-MEMBER
Before/on
May 7
$1,275
After
May 7
$1,400
Before/on
April 9
$1,325
Before/on
May 7
$1,450
After
May 7
$1,575
Resident*
$450
$500
$550
$700
$760
$815
Nurse/Paramedic/Research Assistant
$450
$525
$590
$625
$705
$785
Student*
$325
$350
$375
$525
$565
$610
Physician Assistant
$550
$625
$690
$725
$805
$885
One Day - Physician
$475
$575
$675
$575
$675
$775
One Day – Nurse/Paramedic/PA
$225
$300
$375
$300
$375
$450
*Students and Residents must attach a photocopy of their student card or confirmation from their Program Director.
Registrations include the Student/Resident program on May 30, 2015.
Confirmations
Confirmation of registration will be emailed if received by May 7, 2015 and post-conference if received after this date.
Delegate Registration Fee includes: Access to all scientific sessions (excluding workshops), accredited breakfast symposia,
exhibits, breaks and lunches, conference materials, the Welcome Reception and the Festival City Celebration.
One Day Registration Fee includes: Access to all scientific sessions (excluding workshops), accredited breakfast symposia,
exhibits, breaks and lunch for the day purchased and any related conference materials. The Welcome Reception and the Festival
City Celebration are not included and tickets must be purchased separately.
GENERAL INFORMATION
Registration Cancellation and Refund Policy
Registration forms will be processed only if accompanied by full payment of registration fees. Only registered delegates may claim
registration materials at the Conference Registration Desk and will not be permitted to collect materials for other delegates.
Substitution is permitted up to and including the first day of the Conference. Cancellations received in writing postmarked by April
24 will be refunded in full less a $125 administration fee. No refunds will be issued for cancellations received after April 24. Only
cancellations received in writing will be processed. An alternate attendee name may be substituted for a confirmed registration for
a $35 administration fee. Changes that cannot be made online or by credit card reprocessing are subject to a $35 administration
fee. These requests must be made in writing to CAEP at the address noted on the registration form. On-line registration closes May
18. All registrations after this date will be processed as on-site registrations.
Smoke-Free/Scent-Free Environment
We are pleased to provide a smoke-free environment. Additionally, for the comfort of all delegates, we ask your cooperation in
refraining from wearing scented products while attending the conference.
Going Green
CAEP promotes and practices ‘green conferences’. We ask our delegates to consider carbon offsets when booking their travel.
Thank you for contributing what you can to the environment. We encourage you to bring your own mug to continue the
green theme.
Draw Prizes
This year, draw prizes will be featured at each plenary session. You must be in attendance to win. The Grand Prize will be
announced at the final plenary, so please plan your travel accordingly.
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Accommodation
The conference will be held in Edmonton at the Shaw Conference Centre, with room blocks at The Westin Edmonton and The
Fairmont Hotel Macdonald.
All Conference sessions will be held at the Shaw Conference Centre unless otherwise noted.
The Shaw Conference Centre is Edmonton’s premier conference centre, a world-class facility, where Edmonton meets,
celebrates and innovates. Located in the heart of downtown Edmonton, overlooking the city’s beautiful and renowned North
Saskatchewan River Valley, the Shaw Conference Centre offers close proximity to more than 2,000 hotel rooms, as well as shopping,
entertainment and transportation to accommodate events of all sizes.
The Westin Edmonton, located in the heart of the city, is connected to the Shaw Conference Centre and is only a few steps away
from the best shopping, dining, arts, entertainment and experiences that Edmonton has to offer.
Located in the heart of the city and a block from the Shaw Conference Centre, The Fairmont Hotel Macdonald overlooks the
largest urban parkway in North America, the North Saskatchewan River Valley. The hotel’s distinctive guestrooms are wellappointed with state-of-the-art amenities.
Please refer to the Canadian Association of Emergency Physicians Conference when making your reservation. To book on-line, visit our
website at www.caep.ca and follow the accommodation links. Reservations must be made by April 28, 2015 to take advantage of the
significant savings. Reservations made after this date will be based on availability and rates cannot be guaranteed. These special rates
will be offered three days prior and three days after the conference dates, again, subject to availability.
Traditional $199.00 single/double
Deluxe $239.00 single/double
The Fairmont Hotel Macdonald
Fairmont $209.00 single/double
10065–100 Street
Edmonton, AB T5J 0N6
Reservations:
Tel: 780-424-5181
Toll-Free: 1-866-540-4468
Fairmont with View $239.00 single/
double
Deluxe $239.00 single/double Deluxe
with View $269.00 single/double
The Westin Edmonton
10135–100 Street
Edmonton, AB T5J 0N7
Reservations:
Direct: 780-426-3636
Toll-Free: 1-800-228-3000
GENERAL INFORMATION
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To reserve your room online, please go to the accommodation page on the CAEP website www.caep.ca
Travel Arrangements
Marlin Travel is the official travel agency for the Canadian Association of Emergency Physicians. We invite you to contact Susan
Traill at Marlin Travel at 613-596-5872 or toll-free at 1-866-596-5872.
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