Workshop & Educational Session Descriptions

 

Thursday, May 3, 2018

8:00 am - 3:00 pm
Break: 11 am - 12 pm
Workshop: Critical Care Symposium
Haney Mallemat, MD; Michael Winters, MD, FACEP; Evie Marcolini, MD, FACEP

In the last decade, the annual hours of critical care delivered by emergency providers has increased over 200%! The emergency provider is truly the first “intensivist” to deliver time-sensitive therapy to the critically ill patient. It is during these early hours of illness and resuscitation when lives can be saved…or lost! With this in mind, we have focused this Symposium on critical conditions commonly encountered in the emergency department. What should you immediately consider in the crashing patient? What must you do NOW to save this patient’s life?

Objectives:
  • Discuss the approach to the patient with undifferentiated shock.
  • Identify and discuss recent articles that impact the delivery of care to critically ill ED patients.
  • Discuss the resuscitation of ED patients with neurologic emergencies.
 
8:00 am - 11:00 am Workshop: Basic Ultrasound Workshop
Petra Duran-Gehring, MD

Focused, goal directed US can be used at the patient’s bedside to answer specific clinical questions which could change the next step in management and expedite patient care. In this workshop participants will learn the basics of point-of-care ultrasound (POCUS), and how to employ it to answer clinical questions. Short didactic sessions will be followed by instructor led small group hands-on skill sessions utilizing live models and simulation task trainers.

Objectives:
At the end of this course participants should be able to:
  • Describe indications for basic POCUS examinations
  • Perform basic POCUS scan protocols
  • Describe the indications for basic POCUS applications
  • Incorporate basic POCUS into their clinical practice
 
8:00 am - 11:00 am Workshop: Critical Procedures in Emergency Medicine: A Hand On Experience
Steven Godwin, MD, FACEP

This course is designed to help practitioners meet a significant number of their procedural requirements listed for EM Certificate of Added Qualifications. We will provide expert instruction on procedural skills including Ultrasound Guided Vascular Access, Lumbar Puncture with and without Ultrasound Guidance, Tube Thoracostomy/Needle Decompression, Intra-Osseus, Paracentesis and Athrocentesis.

Objectives:
  • Learners will be able to demonstrate correct performance of thoracostomy and needle decompression
  • Learners will demonstrate ultrasound guided techniques in vascular access.
  • Learners will be able to demonstrate proper lumbar puncture technique with and without ultrasound guidance
  • Learners will be able to perform arthrocentesis
  • Learners will be able to place intraosseous line
  • Learners will be able to perform a paracentesis
 
8:00 am - 11:00 am Workshop: Essentials of Traumatic Wound Care - Basic Wound Care Techniques Workshop
Amy Keim, PA-C MS; Jim Marinucci; Ryan Strauss, PA-C, MPH, MPAS
12:00 pm - 3:00 pm Workshop: Advanced Ultrasound Workshop
Petra Duran-Gehring, MD

Point-of-Care Ultrasound (POCUS) is essential to the management of critically ill Emergency Department patients and can improve patient care by altering treatment decisions based on the ultrasound examination. In this workshop, POCUS will be used to assess patients by building on basic ultrasound skills to take POCUS to the next level. Participants will learn more advanced modalities including cardiac and lung ultrasound. Short didactic sessions will be followed by instructor led small group hands-on skill sessions utilizing live models and simulation task trainers.

Objectives:
At the end of this course participants should be able to:
  • Describe indications for advanced POCUS examinations
  • Perform advanced POCUS scan protocols
  • Describe the indications for advanced POCUS applications
  • Incorporate advanced POCUS into their clinical practice
 
12:00 pm - 3:00 pm Workshop: Esentials of Traumatic Wound Care - Advanced Wound Care Techniques Workshop
Amy Keim, PA-C MS; Jim Marinucci; Ryan Strauss, PA-C, MPH, MPA
12:00 pm - 3:00 pm Workshop: Critical Procedures in Emergency Medicine: A Hand On Experience
Steven Godwin, MD, FACEP

This course is designed to help practitioners meet a significant number of their procedural requirements listed for EM Certificate of Added Qualifications. We will provide expert instruction on procedural skills including Ultrasound Guided Vascular Access, Lumbar Puncture with and without Ultrasound Guidance, Tube Thoracostomy/Needle Decompression, Intra-Osseus, Paracentesis and Athrocentesis.

Objectives:
  • Learners will be able to demonstrate correct performance of thoracostomy and needle decompression
  • Learners will demonstrate ultrasound guided techniques in vascular access.
  • Learners will be able to demonstrate proper lumbar puncture technique with and without ultrasound guidance
  • Learners will be able to perform arthrocentesis
  • Learners will be able to place intraosseous line
  • Learners will be able to perform a paracentesis
 
12:00 pm - 3:00 pm Workshop: Slit Lamp Workshop
Jason Knight, MD, FACEP

This workshop will focus on how to perform a comprehensive eye examination from start to finish. We will teach you how to use a slit lamp, how to use a tonopen, how to use a panoptic, how to use an ophthalmoscope, how to test visual fields, how to test extra-ocular muscles, and how to call excellent ophthalmology consults. this will be a hand on workshop. You will learn how to use an ophthalmic burr and how to remove ocular foreign bodies using a real tissue eye model. This will be an interactive case based discussion with visual diagnosis slides and multiple case studies.

Objectives:
  • Learn how to perform a comprehensive eye examination from start to finish.
  • Learn how to use a slit lamp and identify a number of pathological eye conditions. 
  • Learn how to use a tonopen to measure intra-ocular pressure.
  • Improve your ability to use a Panoptic and Ophthalmoscope.
  • Learn how to call an excellent ophthalmology consult.
  • Learn the best way to remove ocular foreign bodies.
 
3:00 pm - 3:30 pm Opening Session
3:30 pm - 4:00 pm Emergency Medicine Literature Update
Sanjay Arora, MD

Emergency Medicine is a constantly evolving field, and staying abreast of the medical literature is critical to providing patients with the best care possible. However with the vast amount of research published every month, this is a daunting task. In this two part session, the speaker will present some of the best and most clinically relevant papers from the last several years. The pros and cons of each publication will be presented, and listeners can expect to take home some key points that will change their day to day practice.

Objectives:
  • Review a variety of practice-changing papers that were recently published relevant to cutting edge emergency medicine.
  • Discuss how the results of these papers can be practically applied in routine clinical practice and in the development of best practices.
  • Critically analyze studies to provide evidence based recommendations.
  • Help practitioners stay current in our rapidly expanding specialty.
 
4:00 pm - 4:30 pm New Concepts in Trauma Care: Lessons from the Wars
Vikhyat Bebarta, MD, FACEP
4:30 pm - 5:00 pm High Risk Cases in Emergency Medicine
Kevin Klauer, DO, FACEP
5:00 pm - 5:30 pm Emergency Medicine Literature Update Part II
Sanjay Arora, MD
Emergency Medicine is a constantly evolving field, and staying abreast of the medical literature is critical to providing patients with the best care possible. However with the vast amount of research published every month, this is a daunting task. In this two part session, the speaker will present some of the best and most clinically relevant papers from the last several years. The pros and cons of each publication will be presented, and listeners can expect to take home some key points that will change their day to day practice.

Objectives:
  • Review a variety of practice-changing papers that were recently published relevant to cutting edge emergency medicine.
  • Discuss how the results of these papers can be practically applied in routine clinical practice and in the development of best practices.
  • Critically analyze studies to provide evidence based recommendations.
  • Help practitioners stay current in our rapidly expanding specialty.
 
5:30 pm - 6:00 pm Snakebite Management
Vikhyat Bebarta, MD, FACEP
6:00 pm - 6:30 pm More High Risk Cases in Emergency Medicine
Kevin Klauer, DO, FACEP
 

Friday, May 4, 2018

8:00 am - 8:30 am The Death Rash: Lethal Rashes You Can't Miss
Emily Rose, MD, FACEP

Rashes are common in the emergency department. Certain rashes are "can't miss" diagnoses. Additionally, there are many common and benign mimics of life-threatening conditions. This lecture will highlight and differentiate important serious rashes, including atypical presentations, as well as compare and contrast benign mimics.

Objectives:
  • Detail important life-threatening rashes and their atypical presentations
  • List key diagnostic features of benign mimics of serious cutaneous conditions
  • Differentiate clinical features of life-threatening rashes from benign mimics
 
8:30 am - 9:00 am Subarachnoid Hemorrhage: Who Needs the LP?
Evie Marcolini, MD, FACEP

I will discuss the importance of the diagnosis of subarachnoid hemorrhage in the emergency department patient with sudden onset headache. I will review the available tools for diagnosis, including their limitations, and will review the published guidelines. Finally, I will review briefly the emergency department management of a patient in whom SAH has been diagnosed.

Objectives:
  • Discuss the importance of diagnosing subarachnoid hemorrhage
  • Review the available diagnostic tools and strategies for diagnosis
  • Review the best management of the patient in whom subarachnoid hemorrhage has been diagnosed
 
9:00 am - 9:30 am New Drugs of Abuse
Vikhyat Bebarta, MD, FACEP
10:00 am - 10:30 am Myths in Emergency Medicine
Kevin Klauer, DO, FACEP
10:30 am - 11:00 am Updates in the Approach to the Febrile Child: 2018
Emily Rose, MD, FACEP

Pediatric fever is one of the most common acute chief complaints in acute care settings. Providers must know the most common etiologies, practical management and clinical clues to important "can't miss" diagnoses in the care of a child with a fever. This lecture will discuss the management of the febrile child and evidence-based recommendations for care in 2018.

Objectives:
  • Initiate age-appropriate evaluation for fever
  • Recognize changing epidemiology and the impact of vaccinations
  • Discuss current literature on the evaluation of the febrile infant
 
11:00 am - 12:00 pm Top Plain Film Diagnoses You Can't Afford to Miss
Gillian Schmitz, MD, FACEP

The speaker will present cases of potential life threatening emergencies and subtle findings on plain film that were missed in the emergency department. The speaker will explain how to interpret plain films, detect subtle findings, and order appropriate follow up diagnostic studies to make critical diagnoses.

Objectives:
  • The learner will be able to identify subtle abnormalities on plain film to catch life threatening diagnoses and understand when further diagnostic imaging is required for futher evaluation.
 
1:00 pm - 1:30 pm Pediatric Respiratory Emergencies: What's New in 2018?
Emily Rose, MD, FACEP
Children are uniquely predisposed to respiratory distress and 95% of all pediatric cardiac arrest occurs secondarily to a respiratory etiology. The speaker will highlight important etiologies of pediatric respiratory distress as well as management pearls in treating the child in respiratory distress.

Objectives:
  • Formulate an evidence based diagnostic and treatment plan for children presenting in respiratory distress
  • Discuss important differential diagnoses to consider in the child presenting with respiratory distress
  • Interpret the results of imaging after possible foreign body aspiration
  • Utilize an algorithm for the crashing patient with status asthmatics
 
1:30 pm - 2:00 pm ENT Foreign Body Removal: Tips and Tricks
Jason Knight, MD, FACEP
2:00 pm - 2:30 pm 2018 Updates in Procedural Sedation
Steven Godwin, MD, FACEP
2:30 pm - 3:00 pm You've Been Sued: Now What?
Gillian Schmitz, MD, FACEP

The speaker will explain the lawsuit process, what to expect when you're expecting litigation, tips for deposition preparation, and resources for surviving litigation stress.

Objectives:
  • The learner will understand the anatomy of a lawsuit and time frame that follows after notification of a claim is made. 
  • The learner will be exposed to common mistakes made during a depostion and lawsuit, understand who he/she can talk to once a claim has been made, and tips on surviving the litigation process.
 
3:30 pm - 5:30 pm Workshop: ECG Workshop
George Higgins, III, MD, FACEP
3:30 pm - 6:30 pm Workshop: Basic Ultrasound Workshop
Petra Duran-Gehring, MD

Focused, goal directed US can be used at the patient’s bedside to answer specific clinical questions which could change the next step in management and expedite patient care. In this workshop participants will learn the basics of point-of-care ultrasound (POCUS), and how to employ it to answer clinical questions. Short didactic sessions will be followed by instructor led small group hands-on skill sessions utilizing live models and simulation task trainers.

Objectives:
At the end of this course participants should be able to:
  • Describe indications for basic POCUS examinations
  • Perform basic POCUS scan protocols
  • Describe the indications for basic POCUS applications
  • Incorporate basic POCUS into their clinical practice
 
3:30 pm - 6:30 pm Workshop: Critical Procedures in Emergency Medicine: A Hand On Experience
Steven Godwin, MD, FACEP

This course is designed to help practitioners meet a significant number of their procedural requirements listed for EM Certificate of Added Qualifications. We will provide expert instruction on procedural skills including Ultrasound Guided Vascular Access, Lumbar Puncture with and without Ultrasound Guidance, Tube Thoracostomy/Needle Decompression, Intra-Osseus, Paracentesis and Athrocentesis.

Objectives:
  • Learners will be able to demonstrate correct performance of thoracostomy and needle decompression
  • Learners will demonstrate ultrasound guided techniques in vascular access.
  • Learners will be able to demonstrate proper lumbar puncture technique with and without ultrasound guidance
  • Learners will be able to perform arthrocentesis
  • Learners will be able to place intraosseous line
  • Learners will be able to perform a paracentesis
 
3:30 pm - 6:30 pm  Workshop: Essential Management Skills for ENT Emergencies
Amy Keim, PA-C MS; Jim Marinucci; Ryan Strauss, PA-C, MPH, MPA
3:30 pm - 6:30 pm Workshop: Slit Lamp Workshop
Jason Knight, MD, FACEP

This workshop will focus on how to perform a comprehensive eye examination from start to finish. We will teach you how to use a slit lamp, how to use a tonopen, how to use a panoptic, how to use an ophthalmoscope, how to test visual fields, how to test extra-ocular muscles, and how to call excellent ophthalmology consults. this will be a hand on workshop. You will learn how to use an ophthalmic burr and how to remove ocular foreign bodies using a real tissue eye model. This will be an interactive case based discussion with visual diagnosis slides and multiple case studies. 

Objectives:
  • Learn how to perform a comprehensive eye examination from start to finish.
  • Learn how to use a slit lamp and identify a number of pathological eye conditions. 
  • Learn how to use a tonopen to measure intra-ocular pressure.
  • Improve your ability to use a Panoptic and Ophthalmoscope.
  • Learn how to call an excellent ophthalmology consult.
  • Learn the best way to remove ocular foreign bodies.
 
 

Saturday, May 5, 2018

8:00 am - 8:30 am Top Eye Emergencies
Jason Knight, MD, FACEP
8:30 am - 9:00 am The Combative, Uncooperative Trauma Patient
Chris Colwell, MD, FACEP

The combative, uncooperative trauma patient represents a significant challenge to providers. This course will discuss ways of managing these different situations including determining capacity and sedation when necessary.

Objectives:
  • Review the challenges we face when managing combative trauma patients.
  • Discuss the determination of capacity when alcohol and/or drugs are involved. 
  • Review safe methods of sedating combative trauma patients.
 
9:00 am - 9:30 am Mistakes in Pediatric Emergency Medicine to Avoid
Richard Cantor, MD, FACEP
A case based presentation of clinical tips proven helpful in managing selected common disorders.

Objectives:
  • Recognize hypoglycemia 
  • Adequately workup pediatric cyanosis 
  • Manage lethargy in infants
 
9:30 am - 10:00 am Low Risk Chest Pain: Should You Stay or Should You Go?
George Higgins, III, MD, FACEP

Every year millions of people will present to acute care facilities in the United States with a chief complaint of chest pain. Fortunately the majority of these will not be experiencing a life-threatening condition such as ACS, pulmonary embolus or thoracic aortic dissection. Acute Care Clinicians, therefore, need to identify patients with low risk chest pain and develop efficient and safe management plans for them.

Objectives:
During this presentation, the following issues relevant to the patient with low risk chest pain will be reviewed:
  • Important clues to gather during the history and physical exam
  • Targeted diagnostic testing
  • Risk assessment using validated risk scores
  • Options for the timing and type of provocative testing
  • Biases to recognize and avoid
  • The pros and cons of observation in a clinical decision unit versus timely out-patient follow-up

10:30 am - 11:00 am 3rd Trimester Pregnancy Disasters
Rebecca Bavolek, MD, FACEP
11:00 am - 11:30 am Why What You Do Matters: But No One Really Cares
Richard Cantor, MD, FACEP
11:30 am - 12:00 pm Mass Casualty: Lessons Learned from the Colorado Shootings
Chris Colwell, MD, FACEP

This course will review the lessons learned from the mass casualty / mass shooting events in Colorado and how we can be better prepared for a mass casualty event from a medical perspective.

Objectives:
  • Review what happened at the mass casualty shootings in Colorado.
  • Discuss medical priorities in mass casualty situations.
  • Review the lessons learned from the Colorado Shootings.
 
12:00 pm - 12:30 pm Chest Pain in Pregnancy: Benign or Catastrophic?
Rebecca Bavolek, MD, FACEP
1:30 pm - 2:00 pm Pediatric Emergency Medicine Literature Update 2018
Richard Cantor, MD, FACEP

An evidence based update in the management of common pediatric respiratory disorders.

Objectives:
  • Become aware of EBM recommended management of croup, asthma, and pneumonia in children.
 
2:00 pm - 2:30 pm The Medical Impact of Marijuana Legalization
Chris Colwell, MD, FACEP

This course will review the impact of marijuana legalization from a medical perspective.

Objectives:
  • Review the progress of legalization of medical and recreational marijuana in the United States.
  • Discuss the lessons learned from the first state to legalize recreational marijuana. 
  • Review the medical impact of legalization and appropriate medical management.

2:30 pm - 3:30 pm High Risk Abdominal Pain
Rebecca Bavolek, MD, FACEP
3:30 pm - 5:30 pm Workshop: ECG Workshop
George Higgins, III, MD, FACEP
The ECG, a readily available, cost-effective, non-invasive, reliable and time-honored diagnostic test, can provide immediate and important clues that identify serious and life-threatening conditions. Acute Care Clinicians routinely order ECG's during every shift they work. Therefore, it is essential that they become proficient in the skill of ECG interpretation.

Objectives:
During this workshop, the following ECG patterns, along with a brief discussion of the actions they drive, will be presented:
  • orthodromic and antidromic SVT
  • right ventricular infarction
  • Brugada syndrome
  • Sgarbossa criteria
  • arrhythmogenic right ventricular cardiomyopathy
  • hypertrophic cardiomyopathy
  • posterior STEMI
  • polymorphic ventricular tachycardia
  • electric storm
  • electrolyte associated ECG abnormalities
  • ECG changes associated with acute neurologic injury 
 
3:30 pm - 5:30 pm Workshop: Secrets of the Chest X-Ray Masters
Joshua Broder, MD, FACEP
3:30 pm - 6:30 pm Workshop: Advanced Ultrasound Workshop
Petra Duran-Gehring, MD

Point-of-Care Ultrasound (POCUS) is essential to the management of critically ill Emergency Department patients and can improve patient care by altering treatment decisions based on the ultrasound examination. In this workshop, POCUS will be used to assess patients by building on basic ultrasound skills to take POCUS to the next level. Participants will learn more advanced modalities including cardiac and lung ultrasound. Short didactic sessions will be followed by instructor led small group hands-on skill sessions utilizing live models and simulation task trainers.

Objectives:
At the end of this course participants should be able to:
  • Describe indications for advanced POCUS examinations
  • Perform advanced POCUS scan protocols
  • Describe the indications for advanced POCUS applications
  • Incorporate advanced POCUS into their clinical practice
 
3:30 pm - 6:30 pm Workshop: Advanced Airway Management 
Steven Godwin, MD, FACEP
3:30 pm - 6:30 pm Workshop: Slit Lamp Workshop
Jason Knight, MD, FACEP

This workshop will focus on how to perform a comprehensive eye examination from start to finish. We will teach you how to use a slit lamp, how to use a tonopen, how to use a panoptic, how to use an ophthalmoscope, how to test visual fields, how to test extra-ocular muscles, and how to call excellent ophthalmology consults. this will be a hand on workshop. You will learn how to use an ophthalmic burr and how to remove ocular foreign bodies using a real tissue eye model. This will be an interactive case based discussion with visual diagnosis slides and multiple case studies. 

Objectives:
  • Learn how to perform a comprehensive eye examination from start to finish.
  • Learn how to use a slit lamp and identify a number of pathological eye conditions. 
  • Learn how to use a tonopen to measure intra-ocular pressure.
  • Improve your ability to use a Panoptic and Ophthalmoscope.
  • Learn how to call an excellent ophthalmology consult.
  • Learn the best way to remove ocular foreign bodies.
 
 

Sunday, May 6, 2018

8:00 am - 9:00 am Reading the Head CT: Findings You Can't Miss!
Joshua Broder, MD, FACEP
9:00 am - 9:30 am All "Stressed Out" - How to Prevent Burnout
Jay Kaplan, MD, FACEP
9:30 am - 10:00 am More Than Red Flags: Pitfalls in the Patient with Back Pain
Andy Perron, MD, FACEP

Back pain is a common complaint in the ED. During this session the speaker will review the evidence-based historical and physical exam-based findings that help identify pathology in the few who harbor it, while limiting the work-up in the vast majority in whom it is not indicated.

Objectives:
  • Understand the common red flags for pathology associated with back pain. 
  • Describe an efficient but complete neurological examination appropriate for the back pain patient. 
  • Identify some evidence-based back pain treatments.

10:30 am - 11:00 am Cruising the Infectious Disease Literature
John Perkins, MD, FACEP

The speaker will review select articles from the past 12-24 months which highlight the most intriguing, innovative, and practice-changing concepts in infectious disease in emergency medicine.

Objectives:
  • Understand the risk of identifying a cellulitis mimic and prescribing unnecessary antibiotics.
  • Recognize the potential harm in prescribing NSAIDs to patient with an acute respiratory illness.
  • Learn about non-surgical management of acute appendicitis.
 
11:00 am - 11:30 am Concussion Update 2018: What We Know, What We Think We Know, and What We Don't Know
Andy Perron, MD, FACEP

The evaluation and management of concussion is a current "hot topic" where the world of EM, sports medicine, neurology, and neurosurgery currently intersect. This lecture will update the attendee on current thinking regarding concussion prevention, evaluation, management, and return to play.

Objectives:
  • Understand the pathophysiology of concussion. 
  • Identify interventions that are evidence-based that can help reduce concussion. 
  • Describe the connection between concussion and long-term neurocognitive dysfunction.
 
11:30 am - 12:00 pm Getting Better and Faster Than the Other Guy - How to "Astonish" Our Patients, Our Staff, and Our Medical Staff
Jay Kaplan, MD, FACEP
12:00 pm - 12:30 pm The High Risk Oncology Patient
John Perkins, MD, FACEP

Oncologic emergencies are becoming more common in the emergency department setting and represent critical opportunities for life-saving interventions if they are appropriately recognized. However, both presentation, evaluation, and management of oncologic emergencies can be tricky even for experienced providers.

Objectives:
  • Discuss the pearls and pitfalls in the diagnosis and treatment of neutropenic fever, tumor lysis syndrome, and hypercalcemia.
  • Discuss the evaluation and management of epidural spinal cord compression.
 
1:30 pm - 2:00 pm Tranexamic Acid: New Uses Beyond the Trauma Bay
Tarlan Hedayati, MD, FACEP

The use of tranexamic acid (TXA) as part of a massive transfusion protocol in the critically ill trauma patient suffering from hemorrhagic shock is well established. However, its use in the setting of epistaxis, dental injuries, hemoptysis, and GI bleeding is less accepted and discussed.

Objectives:
By the end of the session, learners will be able to:
  • Discuss the use of TXA outside MTPs and traumatic hemorrhagic shock.
  • Correctly dose, mix, and apply TXA in the setting of epistaxis, dental injuries, hemoptysis, and GI bleeding.
  • Recognize the limitation of evidence in the use of TXA in the emergency department.
 
2:00 pm - 2:30 pm Life-Threatening Weakness: Don’t Get Fooled by the Diagnosis
Andy Perron, MD, FACEP

The chief complaint of "weakness" has an enormous differential diagnosis. Fortunately, few items on the list are "life-threats". While they are rare, however, a few specific diagnoses should come to mind when evaluating patients with this chief complaint.

Objectives:
  • Understand the differential of "life-threatening" weakness. 
  • Know the testing (and limitations to testing) for these specific diagnoses. 
  • Be able to use a targeted history and physical examination to make these tough diagnoses.
 
2:30 pm - 3:00 pm Achy Breaky Heart: 2018 NSTEMI Updates
Tarlan Hedayati, MD, FACEP

A number of established and new therapies exist in the management of patients with non-ST elevation acute coronary syndrome (ACS). Every year, however, these therapies and guidelines are updated or changed completely based on new research and evidence. This lecture will discuss the management of ACS, including definition, ED management, pharmacotherapy, and the role of early intervention, based on current evidence and published guidelines.

Objectives:
By the end of the lecture, learners will be able to:
  • Classify and define ACS as stable angina, unstable angina, or NSTEMI.
  • Integrate various risk stratification scores in the management of chest pain patients in the ED.
  • Summarize recent literature regarding the management of NSTEMI, including the use of heparin, nitrates, antiplatelet agents, antithrombins, and percutaneous coronary interventions.
  • Recognize the advantages and limitations of guidelines in the management of NSTEMI.
 
3:00 pm - 3:30 pm The Unappreciated Perils of Urinalysis Interpretation: Five Pitfalls to Avoid
John Perkins, MD, FACEP

The urinalysis has long been considered one of the most straightforward and benign tests obtained in emergency medicine. However, this is far from the case, and the mis-interpretation of a urinalysis can lead to inappropriate antibiotics, antibiotic resistance, and adverse patient outcomes.

Objectives:
  • Understand the pitfalls in urinalysis interpretation especially as they relate to special patient populations.
  • Learn an organized and methodical approach to interpreting a urinalysis which will help avoid misdiagnosis and inappropriate antibiotic utilization.
 
3:30 pm - 5:30 pm Workshop: Procedures They Never Taught You That Will Change Your Practice (Didactic)
George Higgins, III, MD, FACEP
One of the most enjoyable components of an Acute Care Clinician's professional life is the ability to perform easily mastered bedside procedures. Not only do these procedures contribute satisfaction to a provider's busy shift, but they can be extremely beneficial, even at times sight-saving or life-saving, for the patient. Therefore, it is important to review procedures that can be easily added to a clinician's skill set.

Objectives:
During this session a head to toe review of easily mastered bedside procedures will be presented. Examples of conditions requiring timely intervention include:
  • scalp laceration repair
  • orbital compartment syndrome
  • mandible dislocation; avulsed teeth
  • posterior clavicle dislocation
  • shoulder dislocation
  • nurse maid's elbow
  • transthecal digital nerve block
  • trochanteric and pes anserine bursitis
  • posterior hip dislocation
  • knee dislocation (and the performance of the ankle-brachial index)
  • SI joint subluxation
 
3:30 pm - 5:30 pm Workshop: Secrets of the Orthopedic X-Ray Masters
Joshua Broder, MD, FACEP
3:30 pm - 4:30 pm Roundtable: NCCPA Update on Certification and Recertification
Greg Thomas, PA, MPH

Join NCCPA for an update on a variety of issues, including the recently announced alternative to PANRE pilot and the move to core medical knowledge as the basis of the recertification assessment. We’ll also provide an overview of how clinically practicing PAs are a vital part in the exam building process, how PAs can volunteer for those committees, and an update on CME requirements and how to fulfill them.

Objectives:
  • Understand the PANRE alternative pilot and what PAs are eligible to participate,
  • Appreciate the process of developing content for PANRE and a deeper definition of "core medical knowledge" that is being used to develop future PANRE exams,
  • Learn about the many ways PAs may get involved with NCCPA activities, including participating in exam development and capitalizing on resources to inform the public about certified PAs, and
  • Understand the roles of NCCPA's supporting organizations, PA History Society and nccPA Health Foundation. 
 
3:30 pm - 4:30 pm Roundtable: Resiliency
Jay Kaplan, MD, FACEP
 

Monday, May 7, 2018

8:00 am - 8:30 am The Crashing Asthmatic
Anand Swaminathan, MD
This presentation will explore the management of the critically ill patient with asthma in the ED.

Objectives:
  • Identify the management priorities in crashing asthmatic patients.
  • Understand critical interventions to prevent intubation of the crashing asthmatic patient.
  • Explore the pitfalls in management of the crashing asthmatic after intubation.
 
8:30 am - 9:30 am Perils of Intubating and Sedating the Critically Ill Patient
Tarlan Hedayati, MD, FACEP

The decision to sedate and intubate a critically ill patient is complex and multifaceted. The indication, underlying pathology, patient's current hemodynamic state, sedative and paralytic pharmacotherapy choices, vasopressors, and intubation technique must all be considered and can mean the difference between life and death when intubating a critically ill patient.

Objectives:
By the end of this session, learners will be able to:
  • Discuss various sedative and paralytic agents available in the ED.
  • Identify clinical scenarios in which the use of specific sedatives and paralytics would be preferred over other agents.
  • Recognize the optimal patient position and technique to maximize intubation success.
  • Predict which critically ill patients are at risk for decompensation during and/or immediately after intubation.
  • Generate a plan to mitigate the risk of clinical decompensation in the critically ill patient during and/or immediately after intubation.
 
9:30 am - 10:00 am The Critical GI Bleed: Resuscitation Pearls
Stuart Swadron, MD, FACEP
10:15 am - 10:45 am Aortic Dissection: A Diagnostician's Nightmare
Anand Swaminathan, MD

Aortic dissection is an EM providers worst nightmare; rare, difficult to diagnose and life-threatening. We will explore the diagnosis and try to equip ourselves to expertly make the diagnosis.

Objectives:
  • Explore some of the reasons for the difficulty in making this diagnosis.
  • Understand the features of the history and physical exam that can alert us to the diagnosis.
  • Explore the basic points of management once diagnosis is made. 
 
10:45 am - 11:15 am Epistaxis
Jess Mason, MD

When it comes to epistaxis you need to have an approach and be familiar with the various medications, tools, and techniques to get the bleeding to stop.

Objectives:
  • Implement an algorithmic approach to the patient with epistaxis.
  • Understand the medication options used for epistaxis.
  • Implement strategies for using the various devices used for nasal tamponade. 
 
11:15 am - 11:45 am Neuro Diagnostic Dilemmas: What To Do?
Stuart Swadron, MD, FACEP
11:45 am - 12:15 pm The ED Narrative
Jess Mason, MD

Jonathan and his wife Anna thought they were coming to the emergency department for a routine sickle cell pain crisis, but his illness takes him down an unexpected spiral of multisystem organ failure and critical illness. What was a routine patient encounter becomes a much more personal human interaction that causes the provider to question her perspective on chronically painful conditions and realize the effect our words and subtle action have on our patients.

Objectives:
  • Understand that sickle cell disease is a risk factor for many other emergent conditions. 
  • Develop an approach to the sickle cell patient in a pain crisis.
  • Evaluate what biases you may bring into your patient interactions.
 
12:15 pm - 12:45 pm Management of Recent Onset Atrial Fibrillation
Anand Swaminathan, MD

Recent onset AF is bread and butter EM but, there are a number of debatable points of management. We will explore some of these areas.

Objectives:
  • Understand the various approaches to management of recent-onset AF.
  • Explore the argument for rhythm control over rate control.
  • Discuss the options for both approaches to management.
 
Virtual SEMPA18
Virtual SEMPA 2014 II

Get access to the slides and synchronized audio from all the lectures that can viewed on your phone, tablet and laptop whenever and wherever you want or need 

Virtual SEMPA18