2nd Annual Critical Care in the Emergency Department
August 29-31, 2010
Grand Traverse Resort and Spa
Traverse City, Michigan
SCHEDULE OF EVENTS
August 29, 2010
6:15-7:00 am On-Site Registration and Continental Breakfast – Visit the Exhibits
7:00 am – 12:00 pm ED Critical Care Academy
Robert Sherwin, MD & Audwin J. Garcia, MD
The Academy is open to all residents registered for the conference for a small additional fee. This is a 5-hour intensive workshop focused on high yield knowledge sets and skills. It is designed for senior level residents and junior attending to hone their skills in a small group, hands on, interactive environment. Small group discussions will be complemented with skill stations and interactive case studies.
Upon completion of this course, the student will be comfortable diagnosing and managing a wide variety of patients with critical illness. The topics will cover a spectrum of presentations and etiologies. Didactic sessions will be complemented with hands-on practical teaching to demonstration proper use of the necessary monitoring and interventional techniques. This course is targeting senior emergency medicine residents and emergency medicine attendings interested in reviewing contemporary diagnostic techniques and interventional standards.
9:30 – 9:45 am SCHEDULED BREAK
12:00-1:00 pm LUNCH BREAK
1:00 – 1:10 pm Critical Care Practice in the ED
Robert Sherwin, MD
Following this presentation the participant will understand the format and sequence of the course offerings, networking and recreational opportunities for attendees and their families, exhibitor information, and background of the faculty members. Furthermore, they will be able to discuss the difficulties facing contemporary emergency departments caring for critically ill patients. This course is designed to provide an overview of the topic of critical illness in the emergency department of physicians at all levels of training.
1:10 – 1:45 pm Hypertensive Emergencies
Phillip D. Levy, MD, MPH, FACEP
At the end of this lecture the participant will understand the pathophysiology of hypertensive emergencies. They will be able to discuss specific treatment alternatives. The topics are presented in such a way to translate into various practice environments and to apply to different levels of disease severity. The design of this lecture is to provide learners with little experience in treating patients with hypertensive emergencies to improve the understanding and management abilities.
1:45 – 2:20 pm Induced Hypothermia
Brian J. O’Neil, MD, FACEP
After attending this lecture, the student will understand the basic tenets of management of a cardiac arrest survivor during the initial several hours of hospital care. The individual interventions and recommendations will be explained and justified. Furthermore, participants will be provided the knowledge with which they can implement an induced hypothermia at their own institution. This course is designed for participants involved with cardiac arrest patients clinically or administratively.
2:20 – 2:55 pm Critical Care Pearls
Christopher A. Lewandowski, MD, FACEP
At the conclusion of this talk, the participant will be able to provide best practice interventions for critically ill emergency department patients. Additionally, the diagnosis and workup concerning these patients will be reviewed. The disposition and management of patients with regards to the various etiologies and patient presentations will be understood.
2:55 – 3:30 pm Critical Illness in Pregnancy
Nikhil Goyal, MD
Following this lecture, the participant will be able to interpret different presentations of critically ill pregnant patients. The physiologic basis of these pathologies will be explained. The student will be able to effectively their clinical evaluation and emergency department workup to appropriately diagnosis, treat and disposition these patients.
3:30 – 4:05 pm Massive Gastrointestinal Bleed
Victor E. Coba, MD
This presentation will provide the student with state of the art information relating to massive GI bleeds. The participant will understand the physiology and effects of various conditions that result in this type of presentation. This course is designed for any physician who cares for patients with GI bleeds that are hemodynamically significant.
4:05 - 5:00 pm Septic Shock
Emanuel P. Rivers, MD, MPH
Following this presentation, attendees will be able to properly and promptly diagnose sepsis, severe sepsis and septic shock. Furthermore, they will be able to understand the different components of resuscitation in sepsis and septic shock including steroids and early goal directed therapy. This course is designed for any physician who cares for patients with sepsis, severe sepsis and spectic shock.
August 30, 2010
6:30-7:00 am On-Site Registration and Continental Breakfast – Visit the Exhibits
7:00 – 7:35 am Calcium Channel Blockers and Beta Blockers
Keenan M. Bora, MD
7:35 – 8:10 am Cardiovascular Collapse After Toxic Ingestion
Bram A. Dolcourt, MD
Following this presentation, the learner will be able to discuss the various potential toxic exposures a physician would need to consider in an overdose situation. Additionally, the student will understand how to interpret the workup of an overdosed patient include anion gap acidosis and EKG changes. This course is designed for emergency physicians who care for patients with overdoses and toxicological exposures.
8:10 – 8:55 am Basic Science of Traumatic Brain Injury
Jonathon M. Sullivan, MD, PhD
At the end of this lecture the participant will understand the pathophysiology of traumatic injury. They will be able to discuss specific metabolic pathways involved in traumatic injury secondary to ischemia and insult. The topics are presented in such a way to dovetail into the following lectures which will focus on the clinical management of patient with traumatic brain injury in adults and children. The design of this lecture is to provide learners with little experience in cerebral physiology to improve the understanding of traumatic injury.
8:55 – 9:30 am Prehospital Critical Care
Robert B. Dunne, MD, FACEP
At the end of this course the learner will understand the abilities and limitations of critical care management in the field. Additionally, principles governing pre-hospital care and training will be reviewed. The participant will know what level of care should be expected of pre-hospital transport. This course is designed for emergency physicians who work with and receive patients from EMS.
9:30 – 9:50 am BREAK
9:50 – 10:25 am Diving Injuries
Anthony T. Lagina, III, MD, FACEP
After this course the participants will understand the principles underlying decompression illness. The participant will be able to make educated decisions regarding acute management of patients with symptoms after exposure to compressed air. This course is designed for all physicians whom work in emergency departments as these patients commonly present even hundreds or thousands of miles from the dive site.
10:25 – 11:00 am Anaphylactic Shock
Taher T. Vohra, MD
Following this lecture, the student will understand the different modalities of diagnosis and intervention in patients with anaphylactic shock. They will understand the value and limitations of different interventions. This course is designed for physicians who manage patients complaining of all levels of allergic reactions.
11:00 am - 12:00 pm Stroke
William G. Barsan, MD, FACEP
Following this lecture, the participant will be familiar with all of the current recommendations concerning ED treatment of acute strokes. The topics will highlight the indications and contraindictions for the use of tPA. Finally the student will be able to discuss the initial work-up, evaluation of a patient with an acute stroke and be familiar with new therapies that are on the horizon. This course is primarily designed for emergency physicians who care for patients with acute strokes.
12:00 – 1:30 pm LUNCH BREAK
1:30 – 2:05 pm Pediatric Traumatic Brain Injury
Julie L. Hays, MD
2:05 – 2:40 pm Ductal Dependent Lesions
Curt Stankovic, MD
Following this course, the participant will be able to discuss the differential diagnosis of pediatric patients presenting with cardiac disease and congenital cardiac defects. They will understand the necessary interventions and disposition of these patients. This course is designed for emergency physicians whom manage pediatric patients presenting with critical illnesses.
2:40 – 3:25 pm Traumatic Brain Injury
Robert D. Welch, MD, MS, FACEP
Following this course, the participants will understand the current best practices concerning the management of patients with traumatic brain injury. The learner will know when to use different diagnostic modes including CT and MRI. Furthermore, the participant will know how to identify patients with at highest risk for complications and sequelae. This course is designed for emergency physicians caring for patients suffering from any level of traumatic brain injury.
August 31, 2010
6:30-7:00 am Continental Breakfast – Visit the Exhibits
7:00 – 7:35 am Critical Care in a Rural ED
Mark Gulow, DO
At the end of this course the learner will understand the abilities and limitations of critical care management in a rural emergency department. participant will know what level of care should be expected of patients transferred from rural institutions. This course is designed for emergency physicians who work in and receive patients from rural emergency departments.
7:35 – 8:20 am Palliative Care
Robert J. Zalenski, MD
Following this course, the participant will understand the indications for the use of a palliative care consultation. Furthermore, the student will know how to discuss options and prognoses with the patient and family. This course is designed for emergency physicians who care for nursing home patients and patients with terminal or catastrophic illnesses.
8:20 – 9:20 am The Past, Present & Future of ACLS
Robert E. O’Connor, MD, MPH
Upon completion of this lecture, the participant will understand the background of ACLS and the future directions. Furthermore, specific updates of the ACLS components will be reviewed to highlight recent important changes in management. The learner will understand how the algorithms have been altered and the justification for these changes . This course is designed for healthcare providers with previous ACLS certification who manage patients with cardiac dysthrymias, arrest and syndromes.
9:20 – 9:40 am BREAK
9:40 – 10:15 am Pediatric Sepsis and Septic Shock
Bradford L. Walters, MD, FACEP
Following this presentation, attendees will be able to properly and promptly diagnose and recognize children with severe infections and sepsis.. Furthermore, they will be able to understand the different components of resuscitation in this population. The student will furthermore be able to describe what disposition or transfer options are most appropriate. This course is designed for any physician who cares for patients with sepsis, severe sepsis and septic shock in children.
10:15 – 10:50 am Critical Management of Trauma in the ED
Ronny M. Otero, MD, FACEP
Following this course, the participant will understand the overview of trauma as it impacts emergency departments. They will be able to understand the basic tenets of trauma evaluation and resuscitation. Up to date concepts related to trauma care in the acute setting will be reviewed. This course is designed for emergency physicians who care for trauma patients.
10:50 – 11:30 am EKG Lecture
Howard Fertel, MD
Following this course, the participant will understand the overview of trauma as it impacts emergency departments. They will be able to understand the basic tenets of trauma evaluation and resuscitation. Up to date concepts related to trauma care in the acute setting will be reviewed. This course is designed for emergency physicians who care for trauma patients.
11:30 am -1:00 pm LUNCH
Following lunch, from 1:00 until 4:00 pm, participants can participate in one of three workshops listed below. There is an additional charge of $65 for workshop registration.
Ultrasound Guided Resuscitation Workshop, Gregory L. Hays, MD and TBD
This hands-on workshop will focus on the use of ultrasound to evaluate critically ill patients, including techniques to identify the causes of shock and the use of ultrasound as a therapeutic aid in placing central lines and as a guide for fluid therapy.
Difficult Airway Workshop, Marc Rosenthal, DO, PhD, FACEP and Gloria J. Kuhn, DO, PhD, FACEP
This workshop will describe rescue techniques available to manage patients with difficult airways, including demonstration of the function of different techniques and understanding the advantages and disadvantages of the use of alternate airway techniques.
Induced Hypothermia Workshop, Brian J. O’Neil, MD, FACEP, and Robert L. Sherwin, MD, FACEP
This workshop will include the appropriate patient assessment to determine eligibility for induced hypothermia, available techniques and technologies, and how to properly monitor and manage patients receiving induced hypothermia.
NEW OFFERING
Critical Care Workshop, Steve Vance, MD, FACEP, Peggy Ursuy, RN, MSN, and David Lock, MD, FACEP
This interactive workshop will include 4-5 simulated critical care scenarios designed to apply principles discussed during the conference. Provider teams will be selected from the audience. Utilizing digital recording technologies, these "mock resuscitations" will be subsequently debriefed by the audience and course faculty. Workship will be limited to 25 participants.
Registration
Register online at: www.mcep.org by August 15!
Click on the conference information on the front page of the web site, which will direct you to the online registration system. If you are not a MCEP member, you will need to create an account and login. Credit card payment is required and registrants will receive an immediate e-mail confirmation.
The registration fee is $425 for physicians and $200 for residents, nurses, and physician assistants.
This year we have added the Critical Care Academy. The Academy is open to all residents registered for the conference for a small additional fee of $35 in addition to the resident registration fee of $200.
There is an additional $65 fee to register for the elective workshops on August 31. Be sure to register by August 15 to receive the early bird registration fee. Add $25 if registering after August 15.
Registrants unable to register online may download the registration form from the MCEP web site and submit it via fax (at 517-327-7530) or via mail to MCEP, 6647 West St. Joseph Highway, Lansing, MI 48917. On-site registration will also be available.
Cancellation Policy: All refunds must be requested in writing. Registrants who request a refund by August 1 will receive a full refund, minus a $50 administrative fee. Registrants who request a refund between August 1 and August 20 will receive a 50% refund. No refunds will be issued after August 20, 2010.
Hotel Reservations
The Critical Care in the Emergency Department Conference will be held at:
Grand Traverse Resort and Spa
100 Grand Traverse Village Boulevard
Acme, Michigan 49610
800-968-7352
Make reservations at www.grandtraverseresort.com by July 30 and enter group code MCEP82010 in the upper left corner of the page, and click on the “go to” link after the code. When making a reservation by phone, be sure to mention the “MCEP Critical Care Conference” to receive the discounted single/double rate of $139 (hotel guestroom) or $169 (tower guest room). Rates do not include taxes or resort fee. Hotel reservations must be made by July 30. Reservations made after July 30 will be honored only if there is space available.
Continuing Education Credit
This activity has been planned and implemented in accordance with the Essential Areas and Policies for the Accreditation Council for Continuing Medical Education through joint sponsorship of ACEP, the Michigan College of Emergency Physicians, and the Wayne State University Department of Emergency Medicine.
The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American College of Emergency Physicians designates this educational activity for a maximum of 23 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Approved by the American College of Emergency Physicians for 23 hours of ACEP Category I credit.
For More Information
Contact MCEP at mcep@mcep.org or call 517-327-5700 for more information or if you require ADA accommodations. Changes or updates on conference details received after the publication of this brochure will be posted at www.mcep.org
Syllabus
In an effort to “go green,” the program syllabus will be provided in PDF format available for download at www.mcep.org
Faculty List
Keynote Speakers
William G. Barsan, MD, FACEP - University of Michigan
Robert E. O’Connor, MD, MPH - University of Virginia
Brian J. O’Neil, MD, FACEP - Wayne State University/DRH
Emanuel P. Rivers, MD, MPH - Henry Ford Health System
Speakers
Keenan M. Bora, MD, Detroit Receiving Hospital
Bram A. Dolcourt, MD (Co-Program Director), Detroit Receiving Hospital
Robert Dunne, MD, FACEP, St. John Hospital and Medical Center
Howard K. Fertel, DO, Providence Hospital
Audwin J. Garcia, MD, Henry Ford Hospital
Nikhil Goyal, MD, Henry Ford Hospital
Mark Gulow, DO, War Memorial Hospital
Gregory Hays, MD, Henry Ford Hospital
Julia L. Hays, MD, Henry Ford Hospital
Gloria J. Kuhn, DO, PhD, FACEP, Detroit Receiving Hospital
Anthony T. Lagina, III, MD, FACEP, Detroit Receiving Hospital
Phillip D. Levy, MD, MPH, FACEP, Detroit Receiving Hospital
Christopher Lewandowski, MD, FACEP, Henry Ford Hospital
David Lock, MD, FACEP, Spectrum Health
Joseph B. Miller, MD, Henry Ford Hospital
Ronald Otero, MD, FACEP, Detroit Receiving Hospital
Marc Rosenthal, DO, PhD, FACEP, Detroit Receiving Hospital
Robert L. Sherwin, MD (Program Director), Detroit Receiving Hospital
Jonathon M. Sullivan, MD, PhD, Wayne State University
Peggy Ursuy, RN, MSN, Synergy Medical Education Alliance
Steve Vance, MD, FACEP, Synergy Medical Education Alliance
Taher Vohra, MD, Henry Ford Hospital
Bradford L. Walters, MD, FACEP, William Beaumont Hospital
Robert D. Welch, MD, MS, FACEP, Detroit Receiving Hospital
Robert J. Zalenski, MD