Sunday, May 27, 2018 • 10:15 - 11:45
Track 1 - JUST THE FACTS
Track Chair: Dr. Paul Atkinson
Room: Marriott Kensington B/C/D

Drugs That Save Lives in Resuscitation - Dr. Steve Lin

Description: A rapid evidence update on common drugs during cardiac arrest resuscitation including a quick evidence review and studies in the pipeline.

Learning Objectives:

  1. To identify key clinical trials and studies related to common drugs used during cardiac arrest
  2. To reflect how to incorporate evidence into clinical practice

Pearls:

  1. High quality CPR is the most important aspect of resuscitation.
  2. Cardiac arrest drugs require evaluation before scrapping them.

Biography: Dr. Steve Lin is an emergency physician, trauma team leader, and scientist at St. Michael’s Hospital. His research interest is in developing and evaluating drug therapies and devices that allow for goal-directed therapy in cardiac arrest resuscitation. He is a chapter author for the 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care and an evidence reviewer for the International Liaison Committee on Resuscitation.

PE - When to Thrombolyze? - Dr. Kirk Magee

Description: An overview of the most up to date evidence for thrombolysis of patients presenting with PE.

Learning Objectives:

  1. Review the most update evidence for thrombolysis of patients with PE
  2. Appraise the evidence for thrombolysis of patients with PE
  3. Identify the indications for thrombolysis of patients with PE.

Biography: He graduated from Dalhousie Medical School before completing residency training and a Masters degree at the University of Alberta.  He returned home to Nova Scotia in 2001 and is currently the Research Director and Interim Head at the Dalhousie Department of Emergency Medicine.  He spends his free time with his wife and eight year old son at the rink during hockey season and on the water in the summer.

To Err is Human but to Design is Divine - Dr. James French

Description: Have you ever spent more time finding stuff to do a procedure, than actually doing the procedure? Or have you ever had a to do a rare procedure and had to look up how on Google? Or have been unsure how to actually use a Sengstaken Blakemore or Linton Tube and not had a scooby what to do with it? If so come to my talk. If not I’ll see you in the pub. Hugs, JF.

Learning Objectives:

  1. To get people to see that how equipment is organised has a direct effect on performance
  2. You have to refresh operational practice.
  3. You need to embed systems with simulation.

Pearls:

  1. Cognitive off loading frees your mind
  2. Lean makes life easy
  3. To hand decision support is safety critical

Biography: Emerg/PHEM Doc that thinks the missing link doesn’t look like a Monkey, but is the bond between evidence, performance and behaviour.

Renal Colic - Who to Let Go Without Follow-Up? - Dr. James Andruchow

Description: A concise review of latest evidence and guidelines reviewing which patients with acute renal colic are likely to benefit from emergent consultation or urgent follow-up  by Urology and which patients can be managed expectantly.

Learning Objectives:

  1. Which patients need emergent Urology consultation?
  2. Which patients should have urgent outpatient Urology follow-up?
  3. Which patients can be managed expectantly?

Pearls:

  1. Patients with complicated ureteric stones (i.e., infected stones/urosepsis, acute kidney injury, solitary kidney or refractory symptoms) require emergent urology consultation.
  2. Patients with uncomplicated large stones (> 5mm), who have significant ureteric obstruction or fail conservative management should receive urgent outpatient urology follow-up.
  3. Patients with uncomplicated small stones (<5mm), normal renal function and anatomy and well-controlled symptoms can be managed expectantly.

Biography: Dr. Andruchow is an emergency physician and researcher practicing at Foothills Medical Centre in Calgary, Alberta. While James grew up in Alberta, he did some medical tourism, completing medical school at McGill and his emergency medicine residency and fellowship at Harvard before moving to Calgary to practice.  He is an avid mountain biker, fly-fisherman and all-around outdoorsman in his spare time.

Lung Ultrasound - See the Sounds! - Dr. Paul Atkinson

Description: A brief overview of key uses for PoCUS to assist with the respiratory system examination. From A lines to the V line, rockets, comets and more.

Learning Objectives:

  1. Understand normal lung appearance on PoCUS
  2. Discuss principles of artefacts.
  3. Demonstrate key pathologies

Pearls:

  1. White-out on X-ray – fluid or consolidation?
  2. Exudate vs Transudate
  3. Breathless shocked patient – where to start

Biography: Professor and Research Director, Emergency Medicine, Dalhousie University in Saint John, NB and Deputy Editor, CJEM. Interests include PoCUS, Med Ed, FOAM, and critical thinking. Actually prefer cycling to most of that!

Getting Acute Aortic Dissection off Your Differential - Dr. Robert Ohle

Description: Learn who doesn’t need a CT. Discharge your patients faster and with greater confidence.

Learning Objectives: 

  1. Understand the prevalence of acute aortic dissection
  2. Evaluate the usefulness of clinical exam and basic investigations
  3. Create a practical approach to ruling out acute aortic dissection

Biography: Dr. Ohle is a practicing emergency medicine physician and Director of Research for emergency medicine at Health Science North in Sudbury Ontario.  His research program focuses on improving recognition and reducing time to treatment of acute aortic dissection. He is currently working on Canadian practice guidelines for the diagnosis of acute aortic dissection in the emergency department.