Tuesday, May 28, 2019 • 13:00 - 14:30
Track 4 - Emergency Medical Services/Prehospital and Transport Medicine (2)
Track Chairs: Dr. Alix Carter & Dr. David Sibley

Rural EM and Co-ordination of Care - Dr. Sunil Sookram

Description:

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls

On the Road Again: Preparing the Critically Ill or Injured Patient for Interhospital Transport - Dr. David Sibley

Description: What sending and transporting providers can do to help achieve a safe and effective interhospital transfer of a critically ill or injured patient.

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls

How Do We Stem the Tide of Post Traumatic Stress and Suicide in Paramedicine - Dr. Allan Abbass

Description: Will review patterns of emotional responses to trauma in paramedics, how to evaluate and manage them using intensive short-term dynamic psychotherapy methods.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Name 4 somatic patterns of unconscious anxiety.
  2. Describe the somatic pathway of rage.
  3. Describe a role of guilt about rage in symptom formation.

Pearls

  1. Motions are somatic events.
  2. Emotions may be blocked by anxiety depression and other mechanisms.
  3. Experiencing emotions overrides multiple types of symptoms including depression and anxiety.

Psychiatrist and former emergency physician and family physician now a leading researcher and clinician in the areas of psychosomatic medicine and short-term psychotherapy of conditions including post traumatic stress disorder.

Five Things that are Changing in Resuscitation - Dr. Sheldon Cheskes and Dr. Alix Carter

Description: Keep up to date with the cutting edge changes in Resuscitation! Learn about double sequential external defibrillation and ECMO for refractory VF. Is mechanical CPR the answer for my EMS system. Should we beginning epinephrine in OHCA? Intubation vs SGA in OHCA? Are drones the answer to AED deployment in rural areas? Get answers to all these and more during our resuscitation changes session.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Know more about new approaches to the management of Refractory VF.
  2. Know more about if mechanical CPR is right for my EMS system
  3. Know more about whether I should be using an ET tube or SGA during cardiac arrest

Pearls

  1. Double sequential external defibrillation should be considered early in Refractory VF cardiac arrest.
  2. ECMO is cool but all the pieces need to be in place for successful outcomes.
  3. SGA are easy! If you don’t intubate often, use them in OHCA.

Dr. Cheskes is the Medical Director for Sunnybrook Centre for Prehospital Medicine and has provided medical oversight in the Regions of Halton and Peel for over 30 years. His research interests include CPR quality, alternative defibrillation strategies and prehospital systems of STEMI care.