Angelo Mikrogianakis

Tuesday, May 29, 2018 • 15:00 - 16:30
Track 1 - NOT THE (PEDIATRIC) IVORY TOWER
Track Chair: Dr. Angelo Mikrogianakis

TREKK Update - New Resources Available - Dr. Mona Jabbour

Description: Discussion of TREKK network, resources, education, and other activities.

Learning Objectives:

  1. Learn about the TREKK knowledge mobilization network
  2. Become familiar with TREKK resources, research, and education initiatives
  3. Learn about TREKK Pediatric Packages (PedPacs) to guide assessment and management of various pediatric conditions in a general ED

Pearls:

  1. TREKK is a national network connecting front-line clinicians, researchers, and families from 68 organizations across Canada
  2. TREKK resource development and education sessions are guided by a 2013 national needs assessment with over 1400 general ED healthcare professional and nearly 900 health consumers
  3. Over 700 evidence-based resources for children’s emergency care can be found on trekk.ca

Biography: Mona Jabbour, MD, MEd, FRCPC is an Associate Professor in Pediatrics, Division of Emergency Medicine and Vice-Chair/Chief of Pediatrics at CHEO, with cross-appointment to the Department of Emergency Medicine, Faculty of Medicine, University of Ottawa. She is Co-Director of TRanslating Emergency Knowledge for Kids (TREKK), a national network funded by the (Networks for Centres of Excellence) NCE to improve pediatric emergency care in all ED settings.

How to Administer Intranasal Benzodiazepines in Seizing Pediatric Patients - Dr. Angelo Mikrogianakis

Description: Intranasal benzodiazepines can be a fast and effective treatment for pediatric patients with generalized seizures.  Knowing how to administer benzos by the intranasal route can make the treatment of this patient population much easier.

Learning Objectives:

  1. Learn the technique for administering intranasal benzodiazepines in seizing patients
  2. Learn the dose of different Benzos via the intranasal route
  3. Introduce the Southern Alberta Pediatric Seizure treatment algorithm

Pearls:

  1. Intranasal benzos should be your first choice in the seizing pediatric patient.
  2. Proper technique is easy yet important to do correctly.

Biography: Section Chief and Medical Director, Pediatric Emergency Medicine

Co-Director, Pediatric Critical Care Transport

Alberta Children’s Hospital

Sedation - Dr. Marc N. Francis

Description: The highlights and things you need to know to perform top quality procedural sedation on children in your ED.

Learning Objectives:

  1. Basics of procedural sedation
  2. Things you wish you had known about procedural sedation
  3. A look to the future of procedural sedation in the ED

Pearls:

  1. Intranasal route of administration is your friend
  2. Ketamine vs Propofol when to make the transition
  3. Dexmedetomidine coming soon to an ED near you

Biography: MD, FRCPC Emergency Medicine Physician  Foothills Medical Centre – Adult EM  Alberta Children’s Hospital – Pediatric EM   Clinical Lecturer at University of Calgary   Assistant Program Director FRCPC-EM UofC   STARS Flight Physician

Pediatric Rashes - Dr. Carey Johnson

Description: A rapid fire visual review of important pediatric rashes.

Learning Objectives:

  1. Recognize features of benign rashes
  2. Recognize features of dangerous rashes
  3. Understand risk profiles of various organisms that produce rashes

Pearls:

  1. Vast majority of Pediatric rashes have a self-limited course
  2. Distinguish the sick kid with a rash from the well child with a rash
  3. Beware of purpuric rashes

Biography: Pediatrician with 30 years experience in high volume Pediatric Emergecy Department settings.

Fever Without Source in <90 Day Old Infants - Dr. Russell Lam

Description: There is marked practice variability in managing young infants presenting with fever. In this talk, we will review the literature on fever without source in <90 day old infants and discuss an approach to managing these patients.

Learning Objective:

  1. Approach to managing fever without source in <90 day old infants

Pearls:

  1. There is marked variability in the management of young infants with fever.
  2. Even in the post-prevnar era, in <30 day old infants, SBI is still common.
  3. Physical exam cannot stratify risk of SBI in 0-60 day old infants.

Biography: Russell Lam did his pediatric training at Queen’s University and finished his emergency fellowship at the University of Calgary. His interests are in trauma, resuscitation, and medical education.

Vomiting & Diarrhea in Kids - Optimizing Care - Dr. Stephen Freedman

Description: This session will focus on major developments that clinicians need to know to optimize the care of the most common pediatric emergency department complaints.

Learning Objectives:

  1. How to operationalize the optimal approach to oral rehydration therapy
  2. Ondansetron – what the evidence really supports
  3. Probiotics – should we be recommending them

Pearls:

  1. Oral rehydration therapy should follow a practical, child-centred approach
  2. Ondansetron – Single oral dose – good; multiple or IV – bad
  3. More and better evidence is needed to support their use

Biography: Dr. Freedman is a member of the Sections of Pediatric Emergency Medicine and Gastroenterology at the Alberta Children’s Hospital in Calgary, Alberta where he holds the Alberta Children’s Hospital Foundation Professorship in Child Health and Wellness.  His research focus is on applying clinical research to improve outcomes in children with gastroenteritis. He is the principal investigator on multiple clinical trials with funding from CIHR, NIH, and the Bill & Melinda Gates Foundation.