Track 1 – RESEARCH
Track Chair: Dr. Jeff Perry
|*** Top Pediatric Abstract Award Winner|
|LO046||Factors associated with hospital admission following asthma exacerbations: a systematic review||Brian Rowe|
|LO047||Predictors of treatment failure in renal colic patients discharged from the emergency department||Grant Innes|
|LO048||Systematic Review of the Use of Low-Dose Ketamine for Analgesia in the Emergency Department||Gauri Ghate|
|LO049||Ibuprofen or oxycodone? An observational cohort study of post-emergency department discharge management of childrens fracture pain.||Samina Ali***|
|LO050||The Predictive Value of Pre-Endoscopic Risk Scores to Predict Adverse Outcomes among Emergency Department Patients with Upper Gastrointestinal Bleeding A Systematic Review||Rosa Ramaekers|
|LO051||Validation of a Clinical Decision Rule to Detect Patients with Adverse Drug Events in the Emergency Department||Corinne Hohl|
|LO052||Sticks and stones may break your bones, but does having a car crash in a rural location effect your access to EMS care and surgical intervention? The initial analysis of a unique EMS and Trauma Dataset.||Matthew Kenney|
|LO053||Follow- up head CT scan after mild traumatic brain injury: is it really necessary?||Charles Gariepy|
|LO054||The emergency department usage and utility of ISAR and CAM assessment tools in identifying hip fracture patients at risk for developing delirium.||Cameron Thompson|
Track 2 – TRAUMATOLOGIE : LES GRANDS BRÛLÉS
Track Chair: Dr Martin Leblanc
Les patients grand-brûlés représentent un défi de taille pour le médecin d’urgence. Tout d’abord cette pathologie n’est pas fréquente. De plus l’évaluation et le traitement de ces patients présentent des particularités qui leur sont propres. Nous reviserons donc l’approche de ces derniers en salle d’urgence en plus d’explorer les dernières avancées sur le sujet.
Les aspects de l’évolution clinique aux soins intensifs d’une victime de brûlures graves seront décrits. La connaissance de l’évolution attendue de cette clientèle aux soins intensifs permettra une meilleure prise en charge initiale à l’urgence.
L’évaluation et le traitement des brûlures sont primordiaux dans la prise en charge des grands brûlés. De l’estimation de la surface corporelle atteinte, à la nécessité d’interventions chirurgicales, en passant par les soins topiques, tous ces aspects peuvent influencer l’évolution du patient brûlé. Le soin des plaies vise à minimiser la douleur et les risques d’infection, à favoriser la guérison, à préserver la fonction et à limiter les déformations esthétiques. Cette présentation a pour objectif de démystifier l’aspect cutané du traitement des grands brûlés.
Track 3 – PEDIATRIC II – PEDIATRIC TRAUMA
Track Chair: Dr. Joe Nemeth
This debate, moderated by Dr. Crocco, will address whether pediatric patients are better served by a pediatric ED trauma team or a general ED trauma team.
We’ve all lived through the worst experiences in the ED and have seen or heard stories of others who’ve lived through even worse. Dr. Angelo’s presentation will explore the factors that bring chaos into the crash room and in the ED. He will identify the non-technical skills that contribute to being able to survive the inevitable worst days, avoiding potential errors and improving teamwork. The session will also explore the concepts of anticipation and situational awareness in the context of a busy ED.
How important is injury? As a leading cause of hospitalization, morbidity and death, injury/trauma prevention is key to improving health outcomes in children. Dr. Beno’s session will review evidence, media, educational curricula and governmental/public health policies to explore current and proposed roles for injury prevention and control within the ED and for the individual clinician.
|LO055||Increased Utilization of Bier Block for Pediatric Forearm Fracture Reduction Following Simulation and Web-Based Training||Emmanuelle Fauteux-Lamarre|
|LO056||Perceptions and provision of analgesia for acutely painful conditions in children: a multi-centre prospective survey of caregivers||David Wonnacott|
|LO057||Association between metoclopramide treatment in the ED for concussion and persistent post-concussion headaches: a propensity score matching analysis||Natalie Bresee|
Track 4 – CHOOSING WISELY
Track Chair: Dr. Brian Rowe
Choosing Wisely is a resource stewardship initiative first developed and implemented by the American Board of Internal Medicine (ABIM) Foundation in 2012. This program was developed in collaboration with US Consumer Reports with the goal of encouraging discussion between patients and physicians regarding the necessity of medical tests, procedures and treatments. Choosing Wisely Canada (CWC) launched in 2014 in partnership with the Canadian Medical Association and is led by Dr. Wendy Levinson at the University of Toronto. In the spring of 2014, the Canadian Association of Emergency Physicians (CAEP) was invited to formulate a Top-5 list for CWC. Dr Rowe will discuss how since CWC’s launch, more than 35 medical specialty societies have developed more than 165 recommendations of medical tests, procedures and treatments to question in their practice. The leadership at CAEP elected to develop their Top-5 list and release it in June 2015 at the CAEP conference in Edmonton.
Choosing Wisely is an excellent initiative to improve the appropriateness of tests and investigations for our patients. The challenge is implementing these guidelines both at a hospital and system level. Dr. Sinclair’s presentation will focus on the integration of efforts in the ED and at the hospital level to implement sustainable changes in practice.
|LO058||Reducing Unnecessary Coagulation Studies in Suspected Cardiac Chest Pain Patients||Shawn Dowling|
|LO059||CT Head Scans Yield No Relevant Findings in Patients Presenting to the Emergency Department with Bizarre Behavior||Pearlly Ng|
Choosing Wisely has reminded us of our roles as stewards of the public healthcare budget. Lots of inappropriate testing is done in the ED for a number of reasons. Dr. Campbell will make a presentation about how the undifferentiated nature of emergency medicine makes emergency physicians who associate with the greatest number of allied acute care services, perhaps best suited to take an institutional lead in this area.
Track 5 – DIAGNOSTIC IMAGING
Track Chair: Dr. Michael Garner
The main goal of Dr. Rioux’s presentation is to explain to emergency physicians what to look for when interpreting an abdominal CT in a trauma context. It is a step-by-step approach with key points to look for at each step. The first point is where to look for pneumoperitoneum. The second point is where to look for hemoperitoneum and the third point is to always look for possible traumatic aortic injury. It will be a crash course for abdominal CT interpretation for emergency physicians with pictures and examples.
|LO060||Diagnostic and prognostic value of hydronephrosis in emergency department patients with acute renal colic||Grant Innes|
|LO061||Variation in Emergency Department use of Computed Tomography for Investigation of Acute Aortic Dissection||Robert Ohle|
|LO062||Ultrasound-Assisted Distal Radius Fracture Reduction||Paul Atkinson|
To order or not to order a CT-Scan? As emergency physicians, we use more and more CT-Scans for many purposes: Pan-Scan for traumas, angioscan for PE, uroscans, CT-scans for headaches, etc. Is this practice really without risks? Will we be the cause of an epidemic of cancers in a few decades? Is there some good data to help guide our practice? And what about the patient’s opinion? Does the patient know that there may be risks? Dr. Noteabaert’s session will help you guide your practice.
Track 6 – TAKING CARE OF THE INTOXICATED PATIENT – TOXICOLOGY 201
Track Chair: Dr. Alexandre Larocque
Synthetic cannabinoid receptor agonists (SCRAs) have sprung onto the market as one of the most prevalent novel psychoactive substances used in the US and elsewhere. Their promotion as synthetic marijuana, combined with low cost, their ability to bypass legal controls and their ability to avoid detection on standard urine drug screens, has led to a massive epidemic. Common acute toxicities include wild agitation, deep sedation, and complications such as stroke, kidney failure, alveolar hemorrhage, myocardial infarction and long lasting drug-induced psychosis. Over 300 new molecules are characterized and the numbers are growing daily. Dr. Hoffman will review the history, epidemiology, pharmacology, clinical effects and treatment of acute SCRA toxicity.
Dr. Gosselin’s presentation will discuss the clinical signs and symptoms associated with the use of antiepileptics in overdose (carbamazepine, phenytoin, phenobarbital, levetiracetam, topiramate). This session will help participants decide when extracorporeal therapies and treatment with carnitine are indicated, as well as recognize valproate-induced hyperammoniemic encephalopathy and adopt strategies to manage barbiturates withdrawal.
Dr. St-Onge’s presentation will discuss the different causes of shock seen with cardiotoxicants and the management of patients poisoned with cardiotoxicants. She will also discuss the approach for patients poisoned with multiple co-ingestions.