Concurrent Sessions: Research; Orthopédie d’urgence; Physician Wellness in the ED; Technology and Social Media; International EM; GI Emergencies

June 6, 2016

09:30  –  10:30

Track 1

Track 1 – RESEARCH

Track Chair: Dr. Jeff Perry

Lightning Orals

ID Number Title Presenter
* Resident Abstract Award Winner
** Top Medical Student Abstract Award Winner
LO040 Do combined electrocardiogram rhythm and point of care ultrasound findings predict outcome during cardiac arrest? The second Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHOC-ED 2) Study. Nicole Beckett**
LO041 Predicting the return of spontaneous circulation using near-infrared spectroscopy monitoring: a systematic review and meta-analysis Alexis Cournoyer*
LO042 Sonography in Hypotension and Cardiac Arrest (SHoC) - Hypotension: Derivation of an evidence based consensus algorithm for the integration of point of care ultrasound into resuscitation of hypotensive patients. Paul Atkinson
LO043 Is there an association between resuscitation effort and the use of cardiac ultrasound in patients arriving to the emergency department in cardiac arrest? The second Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHOC-ED 2) Study. Nicole Beckett
LO044 Stress-testing the Resuscitation Room: Latent threats to patient safety identified during interprofessional in-situ simulation in the Emergency Department George Mastoras
LO045 Sonography in Hypotension and Cardiac Arrest (SHoC) – Cardiac Arrest: A consensus on the integration of point of care ultrasound into advanced cardiac life support during cardiac arrest. Paul Atkinson

Track 2


Track Chair: Dr Marcel Émond

Lésions traumatiques du membre supérieur fréquentes et celles qu'il ne faut pas manquer
Dr Jean-François Prévost

Présenter les lésions orthopédiques du membre supérieur à ne pas manquer chez un patient. Reconnaître et traiter les fractures et luxations du membre supérieur: les luxations de l’épaule, du coude et de la main. Les fractures fréquentes de l’humérus, radius-cubitus du poignet et de la main.

Objectifs d’apprentissage

  • Reconnaître les lésions du membre supérieur à ne pas manquer
  • Être capable d’effectuer le traitement initial d’une fracture ou d’une luxation à l’urgence

La hanche pour l’urgentologue!
Dr Luc Bedard

À la fin de la session, vous serez capable d’identifier les cinq erreurs les plus fréquentes en pathologies des hanches rencontrées à l’urgence et d’identifier les outils pour y faire face.

Objectifs d’apprentissage

  • Identifier les cinq erreurs les plus fréquentes en pathologies de hanches vues a l’urgence
  • Reconnaître les outils pour y faire face
  • Passer en revue les fractures des hanches les plus fréquentes

Track 3


Track Chair: Dr. Richard Fleet

Human Performance under Extreme Conditions
Dr. Sarah Dentry-Travis

Dr. Dentry-Travis will explore the mental and physical durability of two separate groups of people. The first is a group of students at the National Circus School in Montréal, one of the most physically and mentally demanding schools of its type in which students must push themselves beyond the perceived limits of human ability. The second is a group of 10 mentally and/or physically injured Canadian military veterans who are planning to climb Vinson Massif (16,067ft) in Antarctica, one of the World’s Seven Summits. The climb itself will take approximately 10 days in one of the harshest environments on the planet. These field projects provide real-life reactions to challenges that cannot be replicated in a laboratory. Dr. Dentry-Travis will present findings from the two projects to enhance understanding of the stress-reaction spectrum as well as provide insight into positive adaptations that can be used during rehabilitation of patients with a maladaptive stress reaction.

Learning Objective

  • Understand alternative perspectives , namely, the positive side of stress and challenge

Can Stress Kill You?
Dr. Kim Lavoie

In this presentation, Dr. Lavoie will provide a brief overview of the literature linking emotional stress, anxiety and mood disorders on physical health.

Learning Objectives

  • Gain better understanding of the impact of emotions on physical health
  • Recognize symptoms of stress and recognize when enough is enough

Top Five Evidence-based Street Management Techniques for the Busy Doctor
Dr. Kim Lavoie

This presentation will provide a brief overview of the literature linking emotional stress, anxiety and mood disorders on physical health.

Learning Objective

  • Learn what really works to reduce stress: from sleep research, cognitive and behavioural techniques to mindful meditation and exercise

Measuring Quality of Work Life among Emergency Staff Members
Dr. Gilles Dupuis

Dr. Dupuis’ presentation will first cover the theoretical and conceptual aspects of measuring quality of work life. Then, he will describe the instrument used to measure quality of work life (Quality of Work Life Systemic Inventory: QWLSI©) along with the explanation of the score it provides. He will also describe the web application used to measure QWL in a pilot study in the ED, as well as methods and results of the pilot study on quality of work life among emergency staff members with implications for future research.

Learning Objective

  • Understand the true nature of quality of work life and what it looks like among emergency staff members

Track 4


Track Chair: Dr. Patrick Archambault

Working Together Towards Networked Intelligence in EDs across Canada: Role of Communities of Practice and Wikis
Dr. Patrick Archambault

In this session, Dr. Archambault will review the literature on virtual communities of practice and wikis in emergency medicine. He will propose a new model for knowledge translation to link emergency physicians from across Canada in the creation of a novel open-source and free database of shared resources that can be reused and adapted to local contexts. Finally, he will provide a glimpse of a new era in knowledge translation in the era of the Semantic Web.

Learning Objectives

  • Learn how communities of practice and wikis can support clinical practice in emergency medicine
  • Learn how a database of open-source and free knowledge tools could support your ED
  • Learn about the evolution of knowledge translation in the era of the of the Semantic Web

Critical Appraisal 2.0: Learning Online in the Age of FOAMed, Twitter, and Other Non-traditional Formats
Dr. Teresa Chan

We now have rapid methods for receiving hard-hitting, new information (Twitter! Blogs! Podcasts!) and are less reliant on traditional publishing. Whereas most of us are well aware of how to critically read the primary literature, we now have to develop our skills for reading critically in the age of social media and networked learning. Dr. Chan’s presentation will explore the issues around critical appraisal in the modern era.

Learning Objectives

  • Describe the major issues in critical appraisal in the age of social media
  • Name one or more tools used to critically appraise blog posts or podcasts
  • Select a new strategy for enhancing current methods of acquiring continuing medical education

Everything Researchers Need to Know about Social Media
Dr. Brent Thoma

Social media is playing a growing role in the dissemination of medical knowledge. Researchers can use this powerful tool to assist in the dissemination, tracking, and translation of their work. Dr. Thoma’s presentation will demonstrate how blogs, podcasts, infographics, Altmetrics, Twitter, Facebook, Google Scholar, and other online tools can be used by researchers for these purposes.

Learning Objectives

  • Understand the importance of social media for researchers
  • List social media tools that can be used to disseminate and translate research
  • List social media tools that can be used to track the dissemination and impact of research

Track 5


Track Chair: Dr. Susan Bartels

Global Disaster Response: The Case for Professionalization
Dr. Hilarie Cranmer

Although the overall number of large-scale disasters and people affected by disasters may have slowly decreased over the past few years, those disasters due to climate change such as storms and floods have increased by 10 occurrences per year since 2012. Additionally the complexity of crisis and war has led to an unprecedented 59.5 million people displaced in 2015, the most since the end of World War II, and the majority of these are within their own countries, lacking access to health care, food and water. More people than ever are in distress and individuals, institutions and organizations are compelled to respond in an increasingly insecure environment. In order to provide a professional response to those affected by disasters and emergencies, especially those in regions with sudden onset and protracted crises, and in the increasing insecure world of humanitarian response, Dr. Cranmer will explore the possibilities and responsibilities to determine best individual and institutional strategy for response, with the priority of safety and security and well-being of those responding.

Learning Objectives

  • Understand the trends of global response and future needs
  • Explore possibilities and responsibilities to determine the best individual and institutional strategy for professionalization

Complex Humanitarian Emergencies: The How, Why and Where
Dr. Susan Bartels

Drawing on her experience in Sub-Saharan Africa and the Middle East, Dr. Bartels will describe characteristics that are common to complex humanitarian emergencies around the globe. She will also speak about the unique features of modern-day complex emergencies. Using case examples from the Democratic Republic of Congo and the Syrian crisis, her presentation will highlight how complex emergencies impact the health and lives of those affected, with a particular focus on children. She will also cover various elements of the humanitarian response as well as the challenges and difficulties that are often encountered in mounting an appropriate response.

Learning Objectives

  • Define characteristics of complex humanitarian emergencies
  • Highlight how complex emergencies impact health
  • Understand what is needed to respond to complex humanitarian emergencies

Track 6


Track Chair: Dr. Mike Ertel

This May Be Hard to Swallow
Dr. Mike Ertel

Dr. Ertel’s presentation is case-based and you will learn some valuable tips on what not to think by broadening your differential diagnosis in patients presenting with swallowing complaints. You will learn several practical take-home lessons that can improve the care of patients who present with upper GI symptoms. This presentation will be humorous and educational and includes a fascinating video.

Learning Objectives

  • Learn the signs and symptoms of esophageal perforation and why there is a high mortality rate with this entity
  • Understand the similarities and differences between Boerhaave’s Syndrome and Mallory-Weiss
  • Discuss FB ingestion and learn a treatment algorithm
  • Learn the role of U/S in diagnosing coin ingestion in children
  • Learn from case-based discussion on the ingestion of batteries and magnets and other nasty things

Seeing Red: UGI Bleeds
Dr. Julien Marsden

Upper gastrointestinal bleeding (UGIB) is a common presentation that results from a wide range of conditions. Although many treatment approaches exist, only a few have been found to benefit patients. Although rare, the massive GI bleed is a challenging situation that needs an organized approach to achieve the best possible outcomes. Dr. Marsden’s presentation will discuss treatment options for UGIB whether minor or massive.

Learning Objectives

  • Discuss the evidence regarding testing and treatment of the UGIB
  • Describe risk stratification to identify who can be safely discharged and who needs admission
  • Outline an approach to the massive UGIB

Caustic Ingestions: Pearls and Pitfalls
Dr. Matt Petrie

In this presentation, Dr. Petrie will focus on a stepwise approach to caustic ingestions in the ED. Following a brief review of pathophysiology, this interactive session will focus on controversies of care from assessment to treatment.

Learning Objectives

  • Understand the pathophysiology of different types of caustic ingestions
  • Develop a stepwise approach to the assessment of caustic ingestions in the emergency department
  • Develop an evidence based approach to the treatment of caustic ingestions