Jim Ducharme

Wednesday, May 30, 2018 • 10:30 - 12:00
Track 6 - ACUTE PAIN IN THE ED
Track Chair: Dr. Jim Ducharme

Opioid Use vs. Addiction Risk - Dr. Sean Moore

Description: We focus a lot on successfully intubating patients in Emergency Medicine, but very little on their care needs after the tube is successfully passed. This talk will focus on the critically important care needs in terms of basic ventilator management as well as critically important post-intubation care needs that all patients require.

Learning Objectives:

  1. The learner will be able to manage initial ventilator settings for the vast majority of emergency medical conditions.
  2. The learner will be able to identify and manage post-intubation patient care needs while in the ED.
  3. The learner will be encouraged to think about measures to prevent lung trauma and infection post intubation.

Pearls:

  1. “Universal Precautions” should be applied before every script for opioids.
  2. Ketamine dosing varies greatly depending on clinical context.
  3. Urine drug screening is sometimes useful, but often misleading in the ED.

Biography: Sean Moore is an emergency physician practicing in Kenora, Ontario, where he an assistant professor with the Northern Ontario School of medicine.  His focus is in teaching rural and remote emergency medicine with a focus on transport medicine, pain, and addictions.

Time to Block the Pain: POCUS Guided Nerve Blocks - Dr. Greg Hall

Description: A brief overview of how point of care ultrasound assisted nerve blocks can enhance pain control.

Learning Objectives:

  1. Understand how POCUS guided nerve blocks can supplement multimodal pain control.
  2. Recognize the indications and contraindications to using POCUS guided nerve blocks.
  3. Learn about several blocks that are useful in treating painful conditions and procedures in the emergency department.

Pearls:

  1. Pre-made nerve block equipment kits and staff training will allow blocks to be used on a busy shift.
  2. Inject sterile water to localize needle tips and confirm ideal location before injecting anesthetics.
  3. Always aim the needle at where the anesthetic should go, never at the nerve itself.

Biography: Assistant Clinical Professor McMaster University, Hamilton, ON. Director of EM Ultrasound Brantford General Hospital, Brantford, Vice President Canadian Point of Care Ultrasound Society.  Co-author of Essentials of Point of Care Ultrasound, co-developer of several POCUS educational programs and international speaker on POCUS applications and accreditation.

The Pitfalls of Paediatric Pain (mis)Management - Dr. Samina Ali

Description: In this talk, we will review ways to optimize your ED’s pediatric pain management practices. Better timing, measurement, drug choices, and other interventions will be presented in a practical way, with tips and tricks to make it ‘stick’.

Learning Objectives:

  1. Know how to initiate pain management BEFORE you have even seen a patient.
  2. Understand how treating children’s pain will make your job easier!
  3. Learn how to engage others to help you treat children’s pain.

Pearls:

  1. Treating children’s pain makes diagnosis easier
  2. Parents are you allies during children’s medical procedures
  3. Pain doesn’t end when you discharge a patient

Biography: Dr. Ali is a pediatric emergency physician at the Stollery Children’s Hospital (Edmonton, AB), and a Professor of Pediatrics & Emergency Medicine at the University of Alberta. She holds national funding for her research program in acute pain management in children.