Wednesday, May 29, 2019 • 10:45 - 12:15
Track 2 - Just the Facts 3: Pediatric Edition (Still Just the Facts, Only errr..Smaller)
Track Chair: Dr. Dominic Allain

Sepsis in < 3 Month - Dr. Kevin Chan

Description: To review what testing and treatment should be done in children with fever < 3 months of age. There has been a change in treatment and testing guidelines.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Highlight new testing guidelines for < 3 month olds.
  2. Look at epidemiological changes in < 3 month olds.
  3. Highlight the disappearance of Listeria as a pathogen in <1 month old.

Pearls

  1. Blood testing and cultures for otherwise well children may not be required for 1-3 month olds.
  2. Urine testing should still be performed.
  3. Ampicillin may no longer be required in the general population.

Kevin Chan is chair of pediatrics at Memorial University and clinical chief of children’s health at Eastern Health. He is currently president of the emergency medicine section of the Canadian Paediatric Society, and the Canadian representative to the Advance Pediatric Life Support (APLS) committee.

Managing Suspected Child Maltreatment in the Emergency Department - Dr. Alyson Holland

Description: This series of short presentations will provide participants with pearls for detecting and managing suspected child maltreatment in the emergency department.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Have an approach to identifying red flags for maltreatment on history and physical examination for injuries.
  2. Identify sentinel injuries and know their significance.
  3. Describe the emergency department management of child maltreatment.

Pearls

  1. If you don’t cruise, you don’t bruise.
  2. Every health care provider has a duty to report suspicion of child maltreatment to their local child protection government agency.
  3. No injury is pathognomonic for abuse and any injury can be caused by abuse.

Alyson was born, bred, educated, and re-educated in Halifax. She trained in Pediatrics and PEM at the IWK, and works in the ED and with the child protection team. She is mom to two dogs and a fabulous toddler.

Pediatric Radiology - Dr. Dominic Allain

Description: Key pediatric radiological findings and cases will be presented and high-yield facts will be discussed.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Gain a better understanding of key pediatric fractures.
  2. Gain a better understanding of key head CT findings.
  3. Gain more knowledge on pediatric growth plates and how they can be confused for fractures easily.

Pearls

  1. Pediatric fractures not to miss
  2. Pediatric head CTs can be tricky
  3. Pediatric growth plates can be confusing

Dr Allain is an Associate Professor in the Department of Pediatrics at the University of Alberta in Edmonton as well as in the Department of Emergency Medicine at Dalhousie University, in Halifax. He is a Pediatric Emergency Medicine Physician at the Stollery Children’s Hospital and the Past President of the Canadian Paediatric Society (CPS) Section of Emergency Medicine, as well as the current President of the CPS Global Child and Youth Health Section. He is also the Pediatric Medical Director for Ground Ambulance for the Province of Nova Scotia.

Six Graphs That Might Change Your Approach to Care - Dr. Brett Taylor

Description: Why are slow physicians slow, and fast physicians fast? Is this diversity an example of individually considered rational trade-offs, accepting slower (or faster) through-put for better outcomes (or more patient convenience)? Or can physician performance metrics provide deeper insights into patient flow in a decision dense workspace? Six graphs that explore this problem will be shown and an open discussion will follow.

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls

Dr. Taylor is an academic emergency pediatrician, health informatician and innovation consultant affiliated with the IWK Health Centre and Dalhousie University. He lives, works and surfs in Halifax, Nova Scotia.

Just the Facts: Pediatric Edition Panel Presentation - Drs. Dominic Allain, Alyson Holland, Kevin Chan, Brett Taylor

Description: An interactive session where audience members will get to ask their questions, bring up interesting cases and speakers will discuss their own clinical experiences and key take home messages in a variety of pediatric topics.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Have a better understanding of key pediatric procedural skills.
  2. Have knowledge from the tips and tricks presented by audience members and panel members.
  3. Have knowledge from mistakes and lessons learned from other participants and panel members.

Pearls

  1. Dealing with difficult pediatric patients and families: some tips.
  2. Pediatric procedures can be made more simple and cause less anxiety if planned well.
  3. Subtle findings could make a big difference in your diagnosis and management of pediatric conditions.