Concurrent Sessions: Research; Choisir avec soin; Geriatrics; Learning from the Web; Infectious Disease; Simulation Olympiad (Semi-Finals)

June 5, 2016

13:00  –  14:30
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Track 1

Track 1 – RESEARCH

Track Chair: Dr. Jeff Perry

Lightning Orals

ID Number Title Presenter
LO013 Can you Trust Administrative Data? Accuracy of ICD-10 Codes for Diagnosis of Pulmonary Embolism Kristin Burles
LO014 Can you Trust Administrative Data? Accuracy of ICD-10 Codes for Diagnosis of Pulmonary Embolism

Brandon Ritcey
LO015 A Multi-Centered Regional Emergency Department Study of Renal Colic Management Using Medical Expulsion Therapy Erin Bristow
LO016 Can we use Administrative Data to Define an Emergency Department Population at Risk for Pulmonary Embolism? Development and Validation of an Algorithm to Identify a Research Population Kristin Burles
LO017 Review of Prehospital Naloxone Use In Ontario: Is A Mandatory Patch Point Necessary? Valerie Charbonneau
LO018 The Utility of ECG Characteristics as Prognostic Markers in Pulseless Electrical Activity Arrests: A retrospective observational cohort study Michael Ho
LO019 The prevalence and characteristics of non transported EMS patients in Nova Scotia Steven Carrigan
LO020 Obstacle course runs: Review of acquired injuries and illnesses at a series of Canadian events (RACE) Alana Hawley
LO021 Use of health services among non-institutionalized frail elderly with fracture: preliminary results Vanessa Fillion

Track 2

Track 2 – CHOISIR AVEC SOIN

Track Chair: Dr Lucas Chartier

Choisir avec soin – c’est quoi et pourquoi?
Dr Lucas Chartier

Les coûts associés au système de santé ne font qu’augmenter et, en dépit d’efforts gouvernementaux, la croissance ne fait qu’accélérer. De plus, plusieurs patients subissent des examens, traitements et interventions qui ne sont pas nécessaires et qui n’ajoutent aucune valeur à leurs soins. « Choisir avec soin » est la version francophone de la campagne nationale « Choosing Wisely Canada », qui vise à encourager un dialogue entre les médecins et leurs patients afin de choisir les examens et les traitements les plus appropriés pour assurer des soins de qualité. Cette session introduira la campagne « Choisir avec soin », en mettant l’emphase sur le développement et la publication des dix recommandations de l’Association canadienne des médecins d’urgence (ACMU).

Objectifs d’apprentissage

  • Illustrer la précarité du système de santé quant aux coûts et la sur-utilisation des ressources
  • Reconnaître la nécessité d’une campagne telle que « Choisir avec soin »
  • Résumer le développement et la publication des recommandations de « Choisir avec soin » de l’Association canadienne des médecins d’urgence (ACMU)

Choisir avec soin : Une nouvelle perspective sur les tests et les traitements de faible valeur en médecine d'urgence
Dr Eddy Lang

Depuis son lancement aux États-Unis en 2012, la campagne « Choisir avec soin » a été utilisée dans 17 pays et par 45 sociétés médicale nationales au Canada. Malgré ce succès, certains doutes et plusieurs questions persistent en ce qui a trait à l’utilisation et l’efficacité des recommandations qui ont été faites. Par exemple: comment s’assurer du transfert de la connaissance pour obtenir de vrais changements sur le terrain? De plus, est-ce que la campagne va assez loin dans ses recommandations et ses applications? Finalement, et du côté positif, quelle est l’approche prise par les programmes qui ont eu du succès à travers cette campagne?

Objectifs d’apprentissage

  • Démontrer certains des problèmes et des défis de la campagne « Choisir avec soin »
  • Illustrer l’importance du transfert de la connaissance pour obtenir des changements tangibles
  • Discuter de l’approche prise par quelques programmes au Canada pour améliorer la qualité des soins

Choisir avec soin – un plan d’attaque sur le terrain
Dre Marie-Maud Couture

La campagne « Choisir avec soin » a obtenu un très grand succès au Canada depuis son lancement en avril 2014, avec plus de 160 recommandations créées par les sociétés nationales impliquées. Maintenant que la campagne s’est donnée le mandat de prévenir 10 millions de tests et de traitements non nécessaires d’ici à 2020, il est aussi temps pour les départements d’urgence du pays de contribuer à l’amélioration continue de la qualité des soins. Cette session présentera le parcours d’un centre académique pour améliorer la qualité de l’acte, ainsi qu’une approche appliquée pour appliquer les recommandations de « Choisir avec soin » de l’ACMU à l’urgence.

Ojectifs d’apprentissage

  • Expliquer le parcours d’un centre académique pour améliorer la qualité de l’acte
  • Illustrer une approche appliquée pour appliquer les recommandations de « Choisir avec soin »
  • Identifier des méthodes pour améliorer la qualité de l’acte dans son département d’urgence

Track 3

Track 3 – GERIATRICS: LEARN TO GET READY FOR THE SILVER TSUNAMI

Track Chair: Dr. Jacques Lee

The GERI-ED Team: A Model of Care to Assist the ED Physician
Dr. Jacques Lee

The clinical presentation of older adults in the ED can be complex. The Geriatric approach has already been integrated in many aspects of care in the ED. The GERI-ED team is a model of care used to assist the ED physician in managing the most challenging patients in the ED, and better plan discharge. This multidisciplinary team consists of members from geriatric nursing, occupational therapy, physiotherapy, geriatric pharmacy, social work and geriatrics. Dr. Verdon will present common findings, pearls and practical tips learned by this team.

Learning Objectives

  • Recognize the complex presentation of older adults in the ED
  • Learn about the model of care of a GERI-ED team
  • Implement some changes in your practice from lessons learned from the GERI-ED team

Abstracts

ID Number Title Presenter
LO022 Incidence and impact measurement of delirium induced by ED stay -INDEED Marcel Émond
LO023 Association between ED-induced delirium and cognitive & functional decline in seniors Marianne Giroux
LO024 Time to Perform Ultrasound Guided Femoral Nerve Block in Older Hip Fractures Patients by Emergency Physicians Jacques Lee

Creating a Senior Friendly Emergency Department: A How-to Guide Based on the Geriatric ED Guidelines
Dr. Kevin Biese

Understand the fundamentals of making your emergency department appropriate for older adults. In this presentation, Dr. Biese will present best practices in creating the structures, processes, and educational programs to prepare your department for increasing numbers of older adults. He will also discuss strategies for advocating for these resources with hospital leadership and how to get in contact with other emergency department leaders around the world working on similar initiatives.

Learning Objectives

  • Create emergency department structures and processes that improve care for older adults
  • Implement an educational program that trains providers and nurses in optimal geriatric emergency department care
  • Advocate for the resources needed to improve care for older adults in their emergency departments

Track 4

Track 4 – LEARNING FROM THE WEB

Track Chair: Dr. Hugh Scott

This track will have a live Twitter feed.

To participate, follow #caepfoam2016

Evaluating FOAMed, its Merits and How to Incorporate it into Teaching and Practice
Dr. Hugh Scott

Dr. Scott will discuss the merits of Free Open Access Meducation (FOAMed), an online medical learning community.  He will make comparisons, using several clinical vignettes, between FOAMed and traditional methods, including paid online content to answer specific clinical queries. He will cover how to evaluate whether to trust the information in a particular blog or podcast sufficiently to incorporate it into clinical decision-making. The session will provide a practical approach to using FOAMed in every day clinical medicine and for teaching purposes highlighting the unique opportunity FOAMed provides to engage with content creators.

Learning Objectives

  • Evaluate FOAMed blogs and podcasts to make a personal list that can be trusted to assist in clinical and educational needs
  • Discover how using FOAMed for keeping up-to-date and helping in day-to-day practice injects more excitement into your routine
  • Find out how to discuss issues directly with the bloggers and podcasters

Diving into FOAMed – Opportunities and Challenges
Dr. Ryan Radecki

In this presentation, Dr. Radecki will describe how he and other leaders in FOAMed develop content and find their special niche. FOAMed is about more than just blogging and tweeting. There’s an entire community of resources providing access to innovative academic discourse, the latest in knowledge translation, and trainee education for all levels. Best of all, joining the community as a contributor has only one requirement – a commitment to excellence.

Learning Objectives

  • Describe the components of reliable, accurate, and accessible online content
  • Research and develop a niche tailored to their expertise in the world of FOAM
  • Utilize available resources to create a variety of online content for distribution

Brew Your Own FOAMed
Dr. Ken Milne

Started in 2012, FOAMed has one goal – to make the world a better place. The Skeptics’ Guide to Emergency Medicine (www.TheSGEM.com) became part of the FOAMed movement in the fall of 2012. Its goal is to shorten the knowledge translation window from over 10 years to less than one year through social media. It was a sharp learning curve. Dr. Milne will discuss specific issues raised by FOAMed regarding hardware, software and content. He will also discuss how to measure success.

Learning Objectives

  • Define the FOAMed movement
  • Describe the Skeptics’ Guide to Emergency Medicine (www.TheSGEM.com) development
  • Review lessons learned from starting a blog and podcast

Track 5

Track 5 – THE STUDY OF A BUG! – INFECTIOUS DISEASE

Track Chair: Dr. Bjug Borgundvaag

The Rational Use of Antibiotics in Simple Uncomplicated UTI in the ED
Dr. Bjug Borgundvaag

In this presentation, Dr. Borgundvaag will focus on current primary care guidelines for the management of UTI, with a focus on management strategies and suggestions for how to improve management.

Learning Objectives

  • Review guidelines for the management of uncomplicated UTI in the ED
  • Understand the current management of UTI in the ED
  • Develop an evidence-based approach to the management of UTI in the ED

Antimicrobial Stewardship in the ED: New Approaches to Old Barriers
Dr. Jeff Powis

The introduction of antibiotics into medicine created the opportunity for substantial reductions in patient morbidity and mortality through the appropriate treatment of bacterial infections. Though further research initially led to a large armamentarium for addressing bacterial infections, the rate at which new effective antimicrobials have become available has slowed significantly. Increasing bacterial resistance has caused lifesaving antibiotics to become ineffective, leading to growing costs and increasing patient morbidity and mortality. Antimicrobial stewardship was introduced to address these problems. Encouraging the appropriate and judicious use of antibiotics reduces resistance rates at the local level and also improves patient outcomes. The ED, as the front-line in hospital-based care, must frequently rely on antibiotics to address acute patient presentations. The unique environment of the ED, however, presents several challenges to the successful implementation of an ASP. In this session, Dr. Powis will review the barriers to implementation of ASPs in the ED, existing literature and novel/practical solutions to bring ASP to your own ED.

Learning Objectives

  • Learn what ASP is and why it is important in the ED
  • Determine what the barriers are to implementing ASP in the ED
  • Review new approaches/solutions to bring ASP to the ED

Fever in the Returning Traveller
Dr. Helene Senay

Besides Plasmodium species, three viruses are becoming more prevalent as causes of fever in the returning traveller. In this presentation, Dr. Senay will describe the epidemiology, transmission, clinical presentation, diagnostic tests, treatment and prevention of Chikungunya infections, Dengue fever and Zika infections.

Learning Objectives

  • Describe the clinical features that can help distinguish Chikungunya infection from Dengue fever and Zika infection
  • Know how to confirm these three infections
  • Understand how these infections are transmitted to humans and how to prevent their acquisition

Track 6

Track 6 – SIMULATION OLYMPIAD – SEMI-FINALS

Track Chairs: Dr. Damon Dagnone, Dr. Erin Brennan

Description

Semi-finals

The top four teams will compete in two semi-final scenarios.Audience voting will be the deciding factor.