Tuesday, May 28, 2019 • 10:15 - 11:45
Track 2 - Emergency Care in Pregnancy
Track Chair: Dr. Gillian Sheppard
Room: Argyle Suite (A1-A3)

PUL: Diagnosis & Management - Dr. Ryan Henneberry

Description: Participants will review the epidemiology, diagnosis and morbidity of extrauterine gestation(EUG). We will also cover the diagnosis of normal intra-uterine gestation utilizing a live pocus presentation. Pearls and pitfalls will be discussed. Finally, we will present a pathway for ruling out EUG in the emergency department.

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

  1. Review IUG and EUG.
  2. Identify findings on POCUS of an IUG.
  3. Identify signs of potential EUG on pocus.

Dr. Ryan Henneberry is a full-time Emergency Medicine specialist and Sports Medicine physician from Halifax.  His primary practice is at the QEII Health Sciences Centre, a tertiary care hospital affiliated with Dalhousie Medical School.  He is the Director of PoCUS at the QEII HSC Emergency Department. Ryan is also the past chair of the CAEP PoCUS Committee and a Speaker on the CAEP EDTU course.

Pregnancy Loss in the ED: Can We Be More Compassionate? - Dr. Christopher Patey

Description: With an increasing number of patients arriving to the ED with early pregnancy Loss (EPL) it is essential that we provide improved facilities and emotional support both in the ED and beyond. We will review existing policies and procedures and suggested evidence based improvements to better the ED EPL experience.

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

  1. Have better insight of existing EPL management in ED.
  2. Understand reasons why women present to ED for EPL.
  3. Inspire action to improve your ED for EPL management.

Pearls

  1. We need to set standards for EPL management in the ED.
  2. Alignment of resources is essential on the frontline to manage EPL.
  3. Present EPL management and how to improve how patients perceive their care and counselling there.

Over the past fifteen years Dr. Christopher Patey has practiced as a rural emergency and family physician. As site clinical chief of Carbonear Emergency, he is always eager to implement positive change initiatives with a primary goal to improve rural emergency care. Furthermore, as an Assistant Professor with Memorial University Medical School in St. John’s Newfoundland, hoping to expand rural research with a focus of improving community health.

LO40 - Services for emergency department patients experiencing early pregnancy complications: a survey of Ontario hospitals - Ms. Robin Glicksman

DescriptionWomen experiencing complications of early pregnancy frequently seek care in the emergency department (ED), as most have not yet established care with an obstetrical provider.  We will report the results of a research study describing services available to ED patients experiencing early pregnancy complications in Ontario hospitals.

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

  1. To describe the ED management, ultrasound access and follow-up care for patients experiencing early pregnancy loss or threatened early pregnancy loss in Ontario hospitals.
  2. To highlight the reliance of some Ontario hospitals on the ED to provide ongoing follow-up care to patients experiencing complications of early pregnancy.

Ms. Glicksman is a second year medical student at the University of Toronto.

Maternal Cardiac Arrest: How to Save Two Lives - Dr. Laurie Morrison

Description: Maternal cardiac arrest presents emergency medicine providers with an opportunity to save two lives. We will review the current evidence in maternal cardiac arrest care how to implement the most up to date practices at your local Emergency Department.

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

  1. Describe the AHA Maternal Resuscitation Guidelines.
  2. Review procedures that improve survival in maternal cardiac arrest.
  3. Describe the implementation strategy for maternal cardiac arrest.

Dr. Morrison is the Robert & Dorothy Pitts Research Chair in Acute Care & Emergency Medicine, Professor, Rescu Investigator and Clinician Scientist in the Division of Emergency Medicine, Department of Medicine at the University of Toronto and Li Ka Shing Knowledge Institute at St. Michael’s Hospital. Rescu is, a resuscitation research program focusing on the evaluation and implementation of prehospital and transport medicine time sensitive interventions in acute emergencies.

Perimortem Cesarean Section - Dr. Osama Loubani

Description: When a pregnant patient arrests, delivering the fetus can save the lives of both the mother and the fetus.

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

  1. Describe indications of perimortem C-section.
  2. Review procedure for perimortem C-section.

Pearls

  1. Delivering the fetus can save the mother’s life.
  2. You have 5 minutes to get the fetus out to get the best chance for survival for the fetus and the mother.
  3. This is not micro-surgery. Make large incisions, and move fast.

I am an Emergency Physician with a fellowship in ICU. I split my time between the emergency department and intensive care in Halifax.