Sunday, May 27, 2018 • 13:00 - 14:30
Track Chair: Dr. Paul Parks
Room: Marriott Kensington B/C/D

COPD and Asthma Update 2018: What's Up? - Dr. Brian Rowe

Description: Acute wheezing episodes are common ED presentations, caused by a variety of conditions. The differentiation among asthma, chronic obstructive pulmonary disease (COPD) and “mimics” is an important issue since management and prognosis differs for each condition. This presentation will review the causes of ED wheezing and evidence-based approaches to the management of asthma/COPD.

Learning Objectives:

  1. Participants will understand the various causes of acute wheezing
  2. Participants will understand


  1. All that wheezes is not asthma.
  2. Systemic corticosteroids are the cornerstone for treating asthma and COPD.
  3. Antibiotics should be chosen wisely in acute COPD and asthma.

Biography: Dr. Rowe is a Professor, Department of Emergency Medicine at the University of Alberta, Scientific Director of the Institute of Circulatory and Respiratory Health at CIHR and a Tier I Canada Research Chair.

Atrial fibrillation - Dr. Paul Parks

Presentation slides

Description: Quick and focused presentations on the key management points for common cardiac and respiratory emergencies. Essential management approaches for ACS, CHF, Syncope, A-fib, and Asthma/COPD emergencies.

Learning Objectives:

  1. Understand the essentials of management of common cardiac emergencies.
  2. Understand the essentials of management of common respiratory emergencies.
  3. Outline of the latest evidence based management of common carido-respiratory emergencies.


  1. Just the facts approach to ACS, Syncope, CHF, A-fib.
  2. Just the facts approach to Asthma/COPD.
  3. Latest practical approaches to clinically managing cardio-respiratory emergencies.

Biography: I did my emergency residency training at the UofA in Edmonton. Relocated to Medicine Hat Alberta in 2009, and I am currently the Chief of Emergency Medicine at Medicine Hat Regional Hospital.

ACS Management Tips in the Community ED - Dr. Peter Kwan

Description: This presentation will look at management pearls in the ACS patient in a community emergency department that has a lower volume of ACS patients and has no local cardiology or interventional cardiology. These pearls will be front line based learning points that will hopefully help mitigate the stressors in managing the ACS patient.

Learning Objectives:

  1. Address the practicalities of common ACS drugs
  2. Address some common pitfalls in ACS management
  3. Address ACS management tips for common issues


  1. Serial ECGs with high index of suspicion
  2. Be aggressive with IV nitroglycerine
  3. Sometimes doing nothing is the best… reperfusion rhythms.

Biography: jack of all trades, emergency MD, “two Chinese wide”

Syncope - Dr. Laurel Murphy

Description: A practical approach to confidently managing syncope in the ED.

Learning Objectives:

  1. Are decisions rules helpful?
  2. Investigating without overkill
  3. Review key features to look for on the ECG


  1. It’s all in the history
  2. Read the old ECHO report (if there is one)
  3. Think about PE

Biography: Laurel is an Emergency Medicine and Critical Care physician at the QEII Health Sciences Centre in Halifax, Nova Scotia, and an Assistant Professor at Dalhousie University.

Don't Fail the Failing Heart: Tips for Diagnosing CHF - Dr. Rob Woods

Description: As health care advances and our population carries more co-morbidities, diagnosing CHF on clinical grounds alone is extremely challenging.  This talk will review the key diagnostic tests that will help you make the diagnosis of CHF with confidence.

Learning Objectives:

  1. Describe the relative utility of history and physical elements for the diagnosis of CHF
  2. Incorporate bedside ultrasound findings, CXR and biomarker testing for the diagnosis of CHF


  1. History and Physical Exam alone are insufficient to diagnose CHF in the ED
  2. CXR is reasonably useful to rule in CHF
  3. Lung US is by far the best way to rule in or out CHF

Biography: Rob works in Saskatoon as an Emergency Physician, Trauma Team Leader and STARS Transport Physician and holds the role of Residency Program Director.  He is a self-reported mediocre Basketball player, Crossfitter and Triathlete, and his 12 y o son is already a better soccer player than him.  He recently joined the world of dog ownership with a Border Collie / Poodle named Gary.