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Emergency Medicine Refresher (2024)

Location: Health Science Centre & Web-conferencing

Date: 3 - 4 May 2024

Description

Welcome to the Emergency Medicine Refresher (2024) Registration page. 

Workshop Objectives

After completing this workshop, you will be able to:

  1. Review common emergency medicine presentations and the latest evidence in diagnosis and management.
  2. Integrate POCUS in clinical diagnosis and management decisions.
  3. Develop procedural skills in emergency medicine for both common and low-occurrence procedures.
  4. Develop an appreciation for emergency management of geriatric patients and pediatric trauma.


When: Friday, May 3, 2024 (8:30-4:00 PM) & Saturday, May 4, 2024 (8:00-12:30 PM)
Note: All Friday sessions are in person. The Saturday morning sessions are hybrid, and you can join virtually.

Where: 1M102, Faculty of Medicine Friday and Saturday morning session (8:00 AM -12:30 PM)
Clinical Learning and Simulation Center (CLSC) - Friday afternoon session (1-4 PM)

Note: At the CLSC session on Friday afternoon, you can pick three out of four sessions (see sessions below). These sessions are small groups that run concurrently and are repeated three times.

  • 12:45 PM-1:30 PM- POCUS Guided IV Insertion (Dr. Mandy Peach)
  • 1:30 PM- 2:15 PM- Advanced Suturing Techniques (Dr. Samantha Foster)
  • 2:30 PM- 3:15 PM - Chest Tubes (Dr. Duane Shewfelt)
  • 3:15 PM- 4:00 PM- Advanced Airway and Cricothyrotomy( Dr. Jordan Stone McLean)

 

All fees are inclusive of HST.

Registration Fees

$172.50Physicians (Friday Only)
$138.00Allied Health (Friday Only)
$80.50Students / Residents (Friday Only)
$57.50
Physicians (Saturday Only)
$40.25Allied Health (Saturday Only)
$28.75Students / Residents (Saturday Only)
$230.00
Physicians (Friday & Saturday)
$178.25Allied Health (Friday & Saturday)
$109.25Students / Residents (Friday & Saturday)
Upon registration at the live event, students MUST provide a student ID in order to be eligible for the student rate.

Program Agenda

Friday, May 3, 2024
8:30 AM
Registration
Welcome Remarks
8:45 AM
ECGS in Emergency
Dr. Lori Rogers
Session Learning Objectives:
  • Describe rhythm identification on ECGS
  • Identify STEMI equivalents on ECG tracings
  • Develop an awareness of how electrolyte imbalances affect ECG findings
  • Integrate ECG findings in a clinical context
    • CanMED Roles:
  • Medical Expert
    • 9:45 AM
    Procedural Sedation - Pearls and Pitfalls
    Dr. Jordan Stone McLean
    Session Learning Objectives:
  • Describe the essential indications and contraindications for procedural sedation, ensuring appropriate patient selection and safety
  • Familiarize participants with the medications commonly used for procedural sedation, including dosages, routes of administration, and pharmacological effects
  • Discuss the key principles of patient assessment prior to procedural sedation, encompassing medical history review, airway assessment, and identification of risk factors
  • Explore the necessary monitoring techniques and equipment required during procedural sedation, focusing on continuous assessment of vital signs, airway patency, and sedation depth
  • Examine case studies involving special patient populations to discuss adjustments in approach, monitoring, and pharmacology for optimal outcomes
    • CanMED Roles:
  • Medical Expert
  • Health Advocate
    • 10:45 AM
    Break
    15 Minute Nutritional Break
    11:00 AM
    Geriatric Trauma
    Dr. Kayla Furlong
    Session Learning Objectives:
  • Discuss falls as trauma in older adults, including the causes, consequences, and management.
  • Identify anatomic and physiological differences and discuss how that might change the evaluation and management of traumatic injuries in the older adult.
  • Discuss injury patterns among older adults, including the evaluation and management of specific injuries
    • CanMED Roles:
  • Medical Expert
  • Communicator
    • 12:00 PM
    Lunch
    45 minute Lunch Break
    12:45 PM
    POCUS Guided IV Insertion (CLSC)
    Dr. Mandy Peach
    Session Learning Objectives:
  • Describe the Point-of-Care Ultrasound (POCUS) approach to undifferentiated dyspnea
  • Review the BLUE protocol and its applications in clinical settings.
  • Describe the POCUS approach to managing undifferentiated hypotension
  • Review the SHoC ED protocol
  • Analyze a series of case studies demonstrating the benefits of POCUS in resuscitation scenarios
    • CanMED Roles:
  • Medical Expert
    • 1:30 PM
    Advanced Suturing Techniques (CLSC)
    Dr. Samantha Foster
    Session Learning Objectives:
  • Select the appropriate suture material
  • Describe various suture techniques
  • Explain techniques for suturing challenging areas such as nail beds, ears, lips, and deep or layered wounds.
  • Perform facial nerve blocks
    • CanMED Roles:
  • Medical Expert
    • 2:15 PM
    Break
    15 Minute Nutritional Break
    2:30 PM
    Chest Tubes (CLSC)
    Dr. Duane Shewfelt
    Session Learning Objectives:
  • Describe the indications and contraindications for chest tube placement
  • Identify the correct anatomical placement for chest tubes
  • Develop the procedural skills to place a chest tube
  • Identify any troubleshooting issues with the chest tube circuit
    • CanMED Roles:
  • Medical Expert
    • 3:15 PM
    Advanced Airway and Cricothyrotomy (CLSC)
    Dr. Jordan Stone McLean
    Session Learning Objectives:
  • Explain when a surgical airway is necessary, such as in cases of failed intubation, airway obstruction, or facial trauma compromising the upper airway
  • Illustrate and describe the relevant anatomy involved in surgical airway procedures, including landmarks including the cricothyroid membrane, thyroid cartilage, and trachea.
  • Learn how to perform simplified surgical airway technique using “scalpel - finger - bougie” method.
  • Review the necessary equipment for performing surgical airways
    • CanMED Roles:
  • Medical Expert
    • Saturday, May 4, 2024
    7:45 AM
    Registration
    Welcome Remarks
    8:00 AM
    Infectious Disease Topics in Emergency Medicine
    Dr. Samuel Bourassa-Blanchette
    Session Learning Objectives:
  • Define and classify the causes of diabetic foot infections (DFIs).
  • Identify the common microorganisms that colonize and infect diabetic foot wounds
  • Discuss the latest evidence and guidelines related to the diagnosis, treatment, and prevention of diabetic foot infections (DFIs)
  • Recognize the complications and outcomes of DFIs and their impact on the quality of life of persons with diabetes
  • Recognize the limitations of laboratory and imaging investigations for the diagnosis of necrotizing fasciitis
  • Identify the best imaging modality for the diagnosis of vertebral osteomyelitis, indications for tissue diagnosis, and indications for empiric treatment
  • Identify which antimicrobial agents can be candidates for targeted therapy
  • Review what the components of outpatient antimicrobial parenteral therapy programs are
    • CanMED Roles:
  • Medical Expert
  • Health Advocate
    • 9:15 AM
    What’s New in Emergency Medicine Research
    Dr. Sarah Mathieson and Dr. Margo Wilson
    Session Learning Objectives:
  • Highlight recent emergency medicine research
  • Develop an understanding of how to interpret results and conclusions
  • Apply research findings to patient care and clinical encounters
    • CanMED Roles:
  • Medical Expert
  • Scholar
    • 10:15 AM
    Break
    15 Minute Nutritional Break
    10:30 AM
    Pediatric Trauma
    Dr. Gillian Sheppard
    Session Learning Objectives:
  • List the differences in the trauma primary survey and adjuncts for pediatric patients
  • Describe two strategies for difficult IV access in pediatrics
  • List two current strategies for managing hemorrhagic shock in pediatric patients
  • Discuss c-spine clearance in pediatric patients
    • CanMED Roles:
  • Medical Expert
  • Communicator
    • 11:30 AM
    Bottomed Out and Breathless? PoCUS to The Rescue!
    Dr. Mandy Peach and Dr. Rebecca Bobby
    Session Learning Objectives:
  • Review the anatomy of the upper limb as visualized on ultrasound
  • Differentiate between arteries and veins using ultrasound imaging.
  • Identify appropriate vessels for intravenous insertion
  • Discuss the common pitfalls and cautions associated with IV insertion
  • Practice real-time IV insertion using ultrasound guidance
    • CanMED Roles:
  • Medical Expert
  • Communicator
  • Collaborator

    • Acknowledgements

    Funds in support of this CME activity were provided as an educational grant to Memorial University. The funds were independently allocated and disbursed in accordance with current CMA guidelines. An educational grant to help support this program was provided by:Discipline of Emergency Medicine 

     

    The Office of Professional & Educational Development (OPED), Faculty of Medicine, Memorial University, is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME), a subcommittee of the Committee on Accreditation of Canadian Medical Schools (CACMS). This standard allows OPED to assign credits for educational activities based on the criteria established by The College of Family Physicians of Canada, and the Royal College of Physicians and Surgeons of Canada.