|
2009
Annual
Spring Meeting
June 11-14, 2009
Sea Pines Resort
on Hilton Head
Details
| Agenda
| Course Objectives |
Accreditation
| Hotel
|
Exhibitor Information
|Speaker Forms
REGISTER TO ATTEND |
EMS REGISTER TO ATTEND
| REGISTER TO EXHIBIT
COURSE
OBJECTIVES
Physicians Track
Pre-Hospital/EMS Track
Physicians Track
Title: ACS in
the First 12 Hours
Course Description:
Chest pain is one of the most frequent complaints for patients presenting
to the Emergency Department. Acute Coronary Syndrome is one of the most
important entities to be diagnosed or excluded in this patient population.
This talk will discuss the critical actions that should be taken during
the first twelve hours of managing a patient with or suspected to have an
ACS event, from ST elevation MI to low risk chest pain.
Objectives:
1.
State the critical
and time dependent steps that should be taken in the diagnosis and
management of ST elevation MI.
2.
Identify high risk
patients for non-ST elevation MI and unstable angina.
3.
Articulate a plan
for the efficient and cost effective assessment of low risk chest pain
patients.
4.
Describe the role
of an observation unit in the management of ACS patients.
Faculty: Mike
Ross, MD
Title: ED
Management of the Psychiatric (or Combative) Patient
Course Description:
There are times when all providers are confronted with a violent or
combative patient. Is it hypoxia, delirium, or just plain old
belligerence? This lecture will review the common organic causes of acute
combativeness, as well as teach strategies for safely and properly
protecting both the patient and yourself during conflicts.
Objectives:
-
Review the common
organic causes of acute combativeness
-
Identify risk factors
for predicting when a patient will escalate to physical violence.
-
Discuss treatment
strategies for securing the safety of the patient and the safety of the
pre-hospital providers caring for a violent or combative patient.
Faculty: Bruce
Janiak, MD
Title: High Risk
Hand Injuries
Course Description:
Hand injuries can range from benign and self limited to serious and
leading to permanent disability. Identification of injuries that have
potential to cause long-term morbidity and permanent loss of function are
critical for the emergency physician. This talk will present high risk
injuries that should be recognized, discuss management strategies that
help limit future disability, and identify injuries for which hand surgery
should be consulted to participate in the care of the injury.
Objectives:
1.
Identify
structures in the hand critical to the functionality of the hand.
2.
Identify
characteristics of wounds and fractures that can lead to long term
impairment of function.
3.
Describe
management strategies that limit impairment of function.
4.
List wounds and
fractures for which Hand Surgery should be consulted.
Faculty: Chad
Huot, MD
Title: Skills
Every ED Director Must Have
Course Description:
The role of ED Director is complex and demanding. The competing demands of
patients, physician providers, consulting staff, nursing and support
staff, and hospital administration require skills of negotiation, conflict
resolution, human resource management, as well as up to date medical
knowledge. This talk will discuss some of these skills that are essential
to function well in the role of ED Director
Objectives:
1.
Identify the roles
played by the ED Director
2.
Identify skills
needed by the ED Director
3.
Describe
strategies for balancing competing demands on the ED.
4.
List resources
available to assist the ED Director.
5.
Identify recent
trends in management strategies for Emergency Departments.
6.
Identify ways to
make the Emergency Department a mission critical component of the
hospital.
Faculty: Ricardo
Martinez, MD
Title: 2009 LLSA
Review
Course Description:
The LLSA articles selected by ABEM have become an integral part of the
Board Certification process. This lecture will cover the highlights of
each of the articles, specifically addressing information applicable to
the practice of Emergency Medicine and the LLSA test.
Objectives:
-
Briefly review the main
question, methods, and results of each of the 2009 LLSA articles
-
Highlight information
in the articles pertinent to EM practice.
-
Highlight information
pertinent to the LLSA test.
Faculty: Mary Ann
Edens, MD
Title:
Psychiatric Clearance and Disposition in Georgia
Course Description:
Psychiatric patients are frequent visitors to Emergency Departments.
Increasingly, psychiatric facilities require “clearance” of these patients
prior to admission. What are our obligations in this area? Does every
psychiatric patient require hundreds of dollars of lab tests? Once we have
“cleared” the patient, now how do we best disposition them?
Objectives:
1.
Identify the role
of the ED in the evaluation of psychiatric patients
2.
Discuss best
practices in the medical evaluation of psychiatric patients
3.
Discuss
indications for and against lab tests in this evaluation
4.
Identify receiving
psychiatric facilities in GA
5.
Discuss the best
methods for accessing inpatient and outpatient psychiatric facilities in
GA
Faculty: Louis
Ciamillo, MD
Title: Healthcare
Reform Update
Course Description:
Health care reform is a major emphasis President Obama’s new
administration. Any efforts at health care reform will have a major impact
on the practice of Emergency Medicine in the future. Physicians must play
an informed and active role in the reform process. This talk will present
an update on current developments in the discussion of health care reform
at the national and state levels.
Objectives:
-
Identify current
proposals on the table in the healthcare reform debate on the national
level.
-
Discuss some pro’s and
con’s of competing ideas for healthcare reform.
-
Identify key ways
physicians can participate in the healthcare reform process.
Faculty: Arthur
Kellermann, MD
Title: ED
Jeopardy!
Course Description:
A review of knowledge and principles of diagnosis and management of
emergency conditions from a number of disciplines in the format of a
competition between residents from MCG and Emory Emergency Medicine
programs and community physicians in the active practice of Emergency
Medicine.
Objectives:
-
Answer questions
regarding the emergency management of orthopedic, traumatic and
urogenital emergencies.
-
Answer questions
regarding the emergency management of cardiac, ENT and pediatric
emergencies.
-
Answer questions
regarding the emergency management of environmental, dermatologic,
toxicologic and neurologic emergencies.
Faculty: Carl
Menckhoff, MD
Title: Evaluation
of Fever in Young Children
Course Description:
Evaluation of fever in the infant and young child is challenging,
particularly for those physicians who do not see children on a regular
basis. The paradigm for evaluation of children with fever has changed with
the advent of new vaccines. This talk will discuss recent strategies for
the safe and cost effective management of this common complaint so that
practitioners can approach these patients with confidence and skill.
Objectives:
1.
List common causes
of fever in children of different ages presenting to the emergency
department for evaluation.
2.
State a diagnostic
plan for evaluation of fever in children of different ages presenting for
fever.
3.
Identify children
at high risk of occult bacteremia who present to the emergency department
with fever.
4.
Identify safe
disposition strategies for children with fever seen in the emergency
department.
Faculty: Jim
Wilde, MD
Title:
ABCD of Trauma Ultrasound, Vascular Access with Ultrasound
Course Description:
Emergency Ultrasound is becoming an integral part of the practice of
Emergency Medicine in all academic emergency departments and is spreading
quickly to private EDs around the country. It is now being used commonly
in many different patient care scenarios from traumas to pregnancy. This
lecture will introduce the emergency practitioner to bedside ultrasound
and teach techniques useful in some of the most emergent situations.
Objectives:
1. Familiarize the
practitioner with bedside ultrasound
2. Demonstrate how to
perform the FAST exam and identify intraperitoneal fluid
3. Demonstrate how to
look for pericardial effusion and cardiac motion
4.
Demonstrate how to look for pneumothorax
Faculty:
Carl Menckhoff, MD; Matthew Lyon, MD; Mary Ann Edens, MD
Pre-Hospital/EMS Track
Title: Update in
Pre-Hospital Medicine 2009: Articles that should change your practice
Course Description:
With such a push to develop evidence based medicine guidelines throughout
all of medicine, it is only natural that the move for such guidelines
would soon reach the pre-hospital environment. These lecture will cover
the evolving field of pre-hospital research as well as highlight key
articles from recent years that should change your practice.
Objectives:
-
Discuss the evolution
of pre-hospital research
-
Review the current
literature in pre-hospital medicine that highlights potential practice
altering topics
Faculty:
Eric Ossmann
Title: TMI on TBI:
Everything you wanted to know about CHI.
Course Description:
A leading cause of death and disability in the United States, and an
unfortunate frequent occurrence for pre-hospital providers, is caring for
patients with closed head injury. This lecture will focus in the
pathophysiology behind closed head injury and traumatic brain injury, as
well as debunking some myths behind treatment strategies for TBI.
Objectives:
-
Review the basic
pathophysiology behind traumatic brain injury.
-
Describe treatment
strategies that can be employed, as well as those that should be avoided
by the pre-hospital provider in their care of the TBI patient.
-
Illustrate these
principles through a case based approach.
Faculty:
Lisa Merck, MD
Title: Excited
Delirum: It’s not just about Tasers anymore
Course Description:
Excited delirium. Such a hot topic that no one seems to be able to
adequately even define it. A serious concern for providers involved in
tactical support as well as the street medic called to care for these
patients. This lecture will review the concept of excited delirium, as
well as the current literature describing it etiology, identification, and
treatment strategies for the pre-hospital provider.
Objectives:
-
Define excited delirium
-
Discuss the
pathophysiology/etiology of the disease (as it is best understood to
date)
-
Review strategies for
the diagnosis and treatment of this condition
Faculty:
Melissa White, MD
Title: Ice, Ice
Baby: Pre-Hospital hypothermia after cardiac arrest
Course Description:
Since the publication of the Hypothermia after Cardiac Arrest (HACA) and
the Bernard study of induced hypothermia in the New England Journal of
Medicine in 2002, there has been significant talk of the use of the
hypothermia to improve neurological outcomes in victims of cardiac arrest.
While this has been becoming more of a mainstream intervention in the ED
and the Intensive care units, it has yet to be widely deployed in the
pre-hospital environment. This lecture will review the development,
design, and implementation of a pre-hospital hypothermia system within a
community.
Objectives:
-
Review the literature
behind the use of induced hypothermia
-
Describe a development
to implementation plan for a pre-hospital agency
-
Discuss some of the
interpretations of the popular press as it relates to hypothermia
Faculty:
Ian Greenwald
Title: Pediatric
Altered mental status: just because they aren’t talking doesn’t mean they
are “pre-verbal”
Course Description:
From toxic-metabolic, to traumatic injuries, evaluating the patient with
altered mental status has always been difficult. Couple this with a
pediatric patient who may not be able to effectively communicate even when
they are at their baseline and you have a recipe for disaster. This
lecture will review the evaluation of pediatric patients with altered
mental status and offer the providers clues to determine the etiology of
the patients’ condition.
Objectives:
-
Review the evaluation
of the pediatric patient with altered mental status
-
Describe key
strategies to use when attempting to determine the etiology of the
altered sensorium
-
Illustrate these
principles through a case based approach.
Faculty:
David Goo
Title:
Non-accidental Trauma: Big problems for little patients
Course Description:
Whether you call it non-accidental trauma, an accident, and just plain
child abuse, there are subtle presentations that the pre-hospital provider
needs to be aware of to effectively uncover this devastating problem. This
lecture will review relevant recent literature on non-accidental trauma,
and use a case based approach to highlight key presentations, physical
exam findings and subtle clues to identify children suffering from abuse.
Objectives:
1.
Review recent
literature on non-accidental trauma, including the current practice
guidelines as it pertains to pre-hospital personnel
2.
Discuss physical
exam findings that correlate with potential abuse
3.
Illustrate using a
case based approach, the subtle clues and tricks of the trade for
identifying children with these injuries.
Faculty:
David Goo
Title: The sky is
falling: Utilization of aeromedical services and implications for the
pre-hospital provider
Course Description:
Recent catastrophic events have led us to critically evaluate the
utilization of aeromedical services caring for our patients. Federal
regulatory as well as professional associations are working to define
guidelines for the safe and clinically effective use of these services.
This lecture will review recent events, discuss the literature and current
recommendations for use of these services.
Objectives:
-
Review current events
surround aeromedical tragedies
-
Describe the current
literature recommendations for aeromedical utilization
-
Discuss the national
and federal efforts surrounding enhancing safety in aeromedical services
Faculty:
Alex Isakov
Title: Just
because we do it this way, doesn’t mean it is right: Pre-Hospital systems
around the world, a brief overview
Course Description:
A wise man once said “If you have seen one EMS system, you have seen one
EMS system.” This lecture will provide a survey of different models for
EMS systems around the world, and ways in which we can all learn from a
fresh perspective in the delivery of pre-hospital care.
Objectives:
-
Describe various
delivery models of EMS systems from around the world
-
Review the key take
home points that may be applicable to our practice here in the States
Faculty:
Christine Keyes
Title: Pull that
tube: Evidenced based utilization of non-visualized airway devices
Course Description:
So much of what we practice in the pre-hospital environment is less that
solidly footed in evidence based medicine. This lecture will examine
pre-hospital intubation, the pros the cons, and the alternatives. With
such a boon in non-visualized airway devices, this lecture will help the
pre-hospital agency understand the literature behind such a controversial
subject as “pulling the tube” from the trucks.
Objectives:
-
Identify the literature
that supports and dismisses the need for pre-hospital intubation
-
Review the current
practice standards from around the country showcasing agencies that have
different approaches to pre-hospital airway managment.
-
Briefly, discuss the
various manners in which pre-hospital providers can secure an airway
without the use of traditional endotracheal tubes
Faculty:
Eric Ossmann |