Paul Parks

Sunday, May 27, 2018 • 13:00 - 14:30
Track 2 - NOT THE IVORY TOWER - CARDIAC AND RESPIRATORY EMERGENCIES
Track Chair: Dr. Paul Parks

COPD and Asthma Update 2018: Whats 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

Pearls

  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

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.

Pearls:

  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

Pearls:

  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

Pearls:

  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: TBC

Learning Objectives:

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