Jeffrey Freeman

Sunday, May 27, 2018 • 10:15 - 11:45
Track 4 - hERetic - PROBING THE MYTHS
Track Chair: Dr. Jeffrey Freeman

Trauma Myths - Dr. Tamara McColl

Description: Emergency trauma management has evolved over the past decade with positive developments owing to the regionalization of trauma care, improvements in diagnostic imaging, advancing research in the field and increasing emphasis on the importance of teamwork and parallel care in trauma resuscitations. Despite these advances, out-dated practices, trauma dogma and misconceptions in resuscitative management still exist in many clinical environments. Throughout this interactive presentation, the speaker will explore and appraise the evidence for commonly held beliefs and dogma in emergency trauma care.

Learning Objectives:

  • Recognize commonly held misconceptions in the care of trauma patients.
  • Appraise recent advances and emerging evidence in trauma management and consider the application to your own clinical practice.

Biography: (@TamaraMcColl) is a clinician educator and Academic Lead of Educational Scholarship at the University of Manitoba, Department of Emergency Medicine. She is currently completing her Masters of Medical Education at the University of Dundee and has a particular interest in simulation, social media and competency-based educational research. She is an avid FOAMed enthusiast and contributes regularly to Academic Life in Emergency Medicine’s (ALiEM) Medical Education in Cases (MEdIC) series as Associate Editor.

Myths in Pediatric Emergency Medicine - Dr. Jeffrey Freeman

Description: Myth and folklore continue to influence everyday care, despite “evidence based” scientific scrutiny, research and critical appraisals.  Marketing by third parties, habits built on anecdote and ancient teachings all impact our fear of mistakes.  This brief lecture will highlight a diverse range of pediatric EM myths to whet your skepticism.

Learning Objectives:

  1. Review questionable management options of bronchiolitis
  2. Reconsider the management of pediatric buckle fractures
  3. Reexamine the utility of cell counts and lactate in common pediatric presentations.

Pearls:

  1. Current concussion guidelines are based on opinion more than evidence.
  2. WBC, lactate and CRP are frequently insensitive and nonspecific
  3. Many pediatric conditions, including common fractures and viral illnesses require only symptomatic treatment.

Biography: Practicing emergency medicine for over a third of a century has not softened this physician’s pragmatism, contumacy with political correctness, clinical nihilism and use of haloperidol.  Extensive experience with US and Canadian health care, addiction medicine, and resident education, this nocturnalist has spoken and taught internationally on four continents but is still humbled frequently.

Myths in Critical Care and Resuscitation - Dr. Justin Morgenstern

Description: Myths are incredibly common in emergency medicine. As knowledge is handed down from generation to generation, we tend to focus on what we should be doing, but rarely on why we should be doing it. The emphasis on what over why promotes myths. In asking “why?”, this short lecture aims at fostering skepticism about common resuscitation myths, with the ultimate goal of making resuscitation easier for emergency clinicians.

Learning Objectives:

  1. Evaluate the evidence behind the concept that CT contrast causes kidney damage.
  2. Consider competing myths about vasopressor use through peripheral IVs.

Biography: Justin is an emergency physician and the director of simulation education at Markham Stouffville Hospital. He has a special interest in medical education, performance under pressure, and science-based medicine. He is the founder of the #FOAMed blog First10EM and an editor at Emergency Medicine Cases and Life in the Fastlane.