Concurrent Sessions: Research; Juste les faits; Trauma and Injury; Pediatric Pearls; Leadership in EM; Simulation Olympiad (Finals)

June 5, 2016

15:00  –  16:30
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Track 1

Track 1 – RESEARCH

Track Chair: Dr. Jeff Perry

Lightning Orals

ID Number Title Presenter
LO025 In Support of Choosing Wisely: Variation in CT Ordering for Patients Presenting to Emergency with Minor Head Injury Eddy Lang
LO026 Outcomes of a Provincial Cardiac Reperfusion Strategy: a population-based, retrospective cohort study Jolene Cook
LO027 Cervical spine injury in trauma patients 65 years and older immobilised in the prehospital setting Laurence Lamy
LO028 Prospective validation of an iOS app to evaluate tremor in patients with alcohol withdrawal syndrome. Bjug Borgundvaag
LO029 Undetected serious medical illness in mental health patients seen in an academic emergency department Chris Poss
LO030 Inter-rater agreement of nurse and clinical expert tremor assessments for patients with alcohol withdrawal syndrome in the emergency department. Bjug Borgundvaag
LO031 The epidemiology of emergency department visits for dog-related injuries in Alberta Susan Jelinski
LO032 Use of pharmacological sleep aids among emergency medicine staff physicians in a Canadian tertiary-care setting: A web based survey Ryan Iverach
LO033 Attitudes of emergency physicians towards homeless and substance using patients Jennifer Nicol

Track 2

Track 2 – JUSTE LES FAITS!

Track Chair: Dr Jean-Sébastien Audette

Une présentation qui plaie
Dr Jean-Sébastien Audette

Colique néphrétique : Sexe Drogue et Rock’n Roll
Dr Louis David Audette

Corticostéroïdes et Lombalgie, miracle ou charlatanisme
Dre Amélie Comtois

Avons-nous encore une indication de faire une radiographie du crâne chez les enfants après un trauma?
Dr Nicholas Elazhary

L’occlusion intestinale : Ce qui entre et ce qui sort!
Dr Mathieu Pelletier

Y a-t-il un risque de convulsions avec l’haldol chez le patient agité?
Dr Alexandre Larocque

Truc de gériatrie : Lève-toi et marche!
Dr Marcel Émond

Vertige et TDM, En avons nous pour notre argent
Dre Élyse Berger-Pelletier

L’acide tranexamique en trauma, utile ou nuisible?
Dr Christian Malo

CRASH-2 dans le nez
Dre Éliane Raymond-Dufresne

« Juste les faits » regroupe dix courtes présentations de 8 minutes sur des sujets cliniques précis et variés. Les présentations ne contiennent que l’essentiel. Un vrai concentré de perles cliniques!

Objectif d’apprentissage

  • Reconnaître la pertinence de certaines interventions dans la pratique de la médecine d’urgence

Track 3

Track 3 – TRAUMA AND INJURY IN THE ED

Track Chair: Dr. Raoul Daoust

Your Next Trauma is Pregnant, What Should You Do Differently?
Dr. Christian Malo

Dr. Malo will discuss the challenges of treating a severely injured patient in the latter stages of pregnancy. He will address common questions such as:

  • How do I prevent inferior cava hypotension syndrome?
  • Is it going to be a difficult intubation?
  • When do I start to care about the fetus?
  • Can I scan this patient?
  • What about Kleihauer-Betke test and anti-D immunoglobulins?
  • How long do I need to keep fetal monitoring?
  • What are the obstetrical complications I don’t want to miss?

as well as how to respond to a cardiac arrest. He will discuss the indication and techniques of performing a perimortem cesarean section.

Learning Objectives

  • Correlate anatomic and physiologic changes of pregnancy with effects of trauma
  • Investigate adequately the pregnant trauma patient and the fetus
  • Treat adequately the pregnant trauma patient and the fetus

Abstracts

ID Number Title Presenter
* Resident Abstract Award Winner
LO034 Does head injury matter? Comparison of functional outcomes in elderly who have sustained a minor trauma with or without head injury: a prospective multicenter cohort study Audrey-Anne Brousseau*
LO035 The prevalence of alcohol-related trauma recidivism: a systematic review James Nunn
LO036 The influence of cognitive rest and graduated return to usual activities emergency department discharge instructions on symptoms of minor traumatic brain injury Catherine Varner

Transfusion and Coagulopathy in Trauma
Dr. Eric Notebaert

Transfusion medicine in trauma is a rapidly evolving topic. Good studies have been completed in the past years and we can now integrate their results in our daily practice. However, there are still many controversies that Dr. Notebaert will discuss in this session. A few examples: When should we transfuse Tranexamic Acid? Should Prothrombin Complex Concentrates or other products be considered? What is the role of Viscoelastic Tests (ROTEM and TEG) in trauma?

Learning Objectives

  • Transfuse blood products in the appropriate ratios and use Massive Transfusion Protocols when needed
  • Decide when to use Tranexamic Acid and other products to correct Acute Traumatic Coagulopathy
  • Understand how Coagulation Viscoelastic Tests (ROTEM and TEG) may help the management of their bleeding patients

Is Hypotensive Resuscitation in Trauma for Everybody?
Dr. Raoul Daoust

Using clinical cases, Dr. Daoust will review the advantages and risks of hypotensive resuscitation in trauma.

Learning Objective

  • Identify trauma patients who can benefit from hypotensive resuscitation

Track 4

Track 4 – PEDIATRIC I – PEDIATRIC PEARLS AND HOT STUFF

Track Chair: Dr. Chantal Guimont

Ondansetron for Vomiting Kids...Epic Fail or Not?
Dr. Anthony Crocco

In this presentation, Dr. Crocco will review the evidence for anti-emetics in children, including ondansetron. He will discuss recent evidence suggesting that doctors are not using these medications correctly, as well as the importance of understanding research methodology and applying it clinically.

Learning Objectives

  • Discuss some of the limitations of research results
  • Use ondansetron properly in children with vomiting
  • Apply the LOW & SLOW rule for oral rehydration

Abstracts

ID Number Title Presenter
LO037 A Randomized Double-Blind Trial Comparing The Effect On Pain Of An Oral Sucrose Solution Versus Placebo In Children 1 To 3 Months Old Needing Urethral Catheterization Marie Pier Desjardins
LO038 Evaluation Of A Midstream Urine Collection Technique For Infants In The Emergency Department Tighe Crombie
LO039 The effect of desaturations on subsequent medical visits in infants discharged from the emergency department with bronchiolitis Tania Principi

Taking the Sim to You: Pediatric in Situ Simulations
Dr. Éliane Raymond-Dufresne

In this session, Dr. Raymond-Dufresne will review evidence related to the use of in situ simulation in pediatric emergency medicine. She will also share her personal experience using in situ simulation and will provide the audience with tips for the successful implementation of such a programme in their own clinical environment.

Learning Objectives

  • Describe how in situ simulation influences the clinical environment and team dynamics
  • Identify the main barriers and incentives to implement in situ simulation
  • Reflect on how in situ simulation could be implemented into the clinical context

Pediatric Emergency Medicine, the Top 5 Articles of the Year!
Dr. Mathieu Blanchet

Pediatric emergency medicine literature is abundant. In this session, Dr. Blanchet will present five recent articles that influenced his practice.

Learning Objectives

  • Name five of the most important pediatric emergency medicine articles of 2015-2016
  • Summarize five articles that have the possibility to influence management of pediatric emergency medicine cases
  • Be up-to-date with the recent pediatric emergency medicine literature

Pain Management in the Pediatric Emergency Department: Evidence-Based Options in the Post-Codeine Era
Dr. Naveen Poonai

The removal of codeine from many hospital formularies has left a void in analgesic options for children. Dr. Poonai’s evidence-based synopsis of opioids, non-opioids and non-pharmacologic therapies for fractures, otitis media, and abdominal pain will inform a rational approach to management of children’s pain in the ED.

Learning Objectives

  • Develop an age-based approach to the measurement of pain in children
  • Gain an understanding of the myths and barriers surrounding effective analgesic therapy in children who present to the ED
  • Identify the most effective analgesic choices for acute abdominal pain, otitis media, and fracture in children in the ED

Track 5

Track 5 – LEADERSHIP IN EM

Track Chair: Dr. Jim Christenson

Can I Teach or Learn to be a Leader?
Dr. Julien Poitras

The CanMEDS 2015 framework launched in October 2015, introduced a major change to the manager role and renamed it the leader role. Emergency physicians will have to teach the CanMEDS roles in the clinical setting to help learners to become competent leaders. Likewise, emergency physicians might wish to increase their leadership competencies to become better leaders and in doing so, better role models for learners. But what elements of leadership can be taught and how can we teach them? Dr. Poitras’ presentation will review the competencies and milestones that are defined in the leadership role of the CanMEDS 2015 framework. He will also discuss which ones are the most teachable/learnable in our clinical context and how emergency physicians can increase their leadership competencies to become better leaders and role models.

Learning Objectives

  • Name three competencies of the CanMEDS 2015’s leader role they could teach or learn
  • Describe three methods to teach leader competencies in the clinical setting
  • Engage in one action to increase leadership competencies

Effective Leadership: Reflections on What I Know, and What I Know I Don't Know
Dr. Michael Schull

Leadership roles in medicine and academia attract some and repel others, while many others look on in puzzlement from the sidelines. Dr. Schull does not claim to have all of the answers, but promises an entertaining exploration of the following questions: What makes for effective leadership? Why does it matter? Are leaders born or can they learn the needed skills? Why do leaders sometimes fail?

Learning Objectives

  • Identify key enablers of effective leadership
  • Describe pitfalls to avoid as a leader
  • Understand why effective leadership matters

Interactive Session to Explore Leadership Skills
Dr. Louise McNaughton-Filion

This session will provide an exercise to work with audience participants and explore a personal component of leadership.

Learning Objective

  • Increase awareness of personal leadership skills and abilities and the opportunity to improve

Track 6

Track 6 – SIMULATION OLYMPIAD – FINALS

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

Description

The top two  teams will then compete in the final scenario. Audience voting will be the deciding factor.