Sunday, May 26, 2019 • 15:00 - 16:30
Track 2 - Just the Facts 2: Hard Case, Best Kind - Just the Facts from Newfoundland
Track Chair: Dr. Margo Wilson
Room: 106-107

Sugar Never Tasted So Good: Non-emergent Hyperglycemia in the ER - Dr. Margo Wilson

Description: A short discussion of non-emergent hyperglycemia in the ER.

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

  1. Identify key features in the diagnosis of each condition.
  2. Demonstrate the appropriate investigation for each presentation.
  3. Review current management strategies.

Pearls

  1. Tips to recognize various spinal conditions
  2. Important visual diagnoses not to miss
  3. Review the latest changes in management guidelines

Dr. Margo Wilson, CCFP (EM) is an emergency physician with Eastern Health and assistant professor in the Discipline of Emergency Medicine, Faculty of Medicine at Memorial University in St. John’s. Margo spent the early part of her career as a rural family and emergency physician in Happy Valley-Goose Bay, Labrador. Margo’s clinical and scholarly interests include rural health systems, emergency medicine, trauma management, and medical simulation training.

Comfortably Numb: Complications of Illicit Drug Use - Dr. Margo Wilson

Description: A brief discussion of some of the skin and soft tissue complications associated with IV and illicit drug use.

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

  1. Recognize common presentations of skin and soft tissue infections in patients using illicit drugs.
  2. Review management of skin and soft tissue complications of patients using illicit drugs.

Pearls

  1. Develop an approach to skin and soft tissue issues that present in patients with illicit drug use.

Dr. Margo Wilson, CCFP (EM) is an emergency physician with Eastern Health and assistant professor in the Discipline of Emergency Medicine, Faculty of Medicine at Memorial University in St. John’s. Margo spent the early part of her career as a rural family and emergency physician in Happy Valley-Goose Bay, Labrador. Margo’s clinical and scholarly interests include rural health systems, emergency medicine, trauma management, and medical simulation training.

Danger! High Voltage: Electrical injuries - Dr. Margo Wilson

Description: A brief review of common electrical injuries as well as a discussion of occult and delayed considerations.

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

  1. Review the types of trauma seen with electrical injuries.
  2. Recognize occult and delayed presentations of electrical injuries.
  3. Apply evidence-based resuscitation and management strategies for patients with electrical injuries.

Pearls

  1. A shockingly brief approach to patients with electrical injuries.

Dr. Margo Wilson, CCFP (EM) is an emergency physician with Eastern Health and assistant professor in the Discipline of Emergency Medicine, Faculty of Medicine at Memorial University in St. John’s. Margo spent the early part of her career as a rural family and emergency physician in Happy Valley-Goose Bay, Labrador. Margo’s clinical and scholarly interests include rural health systems, emergency medicine, trauma management, and medical simulation training.

Prehospital Antibiotics - Dr. Brian Metcalfe

Description: A fast review on fast antibiotic administration.

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

  1. Review recent literature on prehospital antibiotic administration.
  2. Discuss benefits and limitations of prehospital antibiotics.

Dr. Brian Metcalfe is an Emergency Physician with Eastern Health, an Assistant Professor of Emergency Medicine at Memorial University and the Provincial Medical Director for ground and air ambulance in Newfoundland and Labrador. His interests include medical education, resuscitation science and EMS quality improvement.

Palliative Care in the ED - Dr. Brian Metcalfe

Description: Rapid-fire tips for ED palliative care.

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

  1. Discuss palliative care as a form of resuscitation.
  2. Review common palliative care presentations.
  3. Discuss effective symptom management.

Dr. Brian Metcalfe is an Emergency Physician with Eastern Health, an Assistant Professor of Emergency Medicine at Memorial University and the Provincial Medical Director for ground and air ambulance in Newfoundland and Labrador. His interests include medical education, resuscitation science and EMS quality improvement.

Just the (Arti)facts - Dr. Brian Metcalfe

Description: A brief discussion of interesting ECG artifacts.

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

  1. Recognize a selection of uncommon ECG artifacts.

Dr. Brian Metcalfe is an Emergency Physician with Eastern Health, an Assistant Professor of Emergency Medicine at Memorial University and the Provincial Medical Director for ground and air ambulance in Newfoundland and Labrador. His interests include medical education, resuscitation science and EMS quality improvement.

Just the Facts: Hard Case, Best Kind - Dr. Yogi Sehgal

Description: A quick hitter on some unusual newer ED papers focusing on the basic facts.

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

  1. Quickly absorb some new evidence.
  2. Use the evidence to apply to their own practice.
  3. Use principles of EBM to figure out where the evidence does NOT apply.

Pearls

  1. If you are getting hangry, eat something.
  2. Alcohol might be good for something.
  3. Not everyone who is hallucinating needs an antipsychotic.

I have been a full time ER doc in Fredericton NB and Oromocto NB since 2014, and prior to that did family medicine and ER in Fredericton for a few years and prior to that 13 years of rural full-service practice, mostly in northwestern Ontario. I have a keen interest in Evidence-Based Medicine, playing music, goaltending and helping my wife Lynne raise a 6 yo boy, Ori, a 5 yo boy, Kéo and a 3 yo girl, Talika. I would like more sleep.

Tips Tricks and Hacks: I’ve Got You Under My Skin - Drs. Brian Metcalfe, Yogi Sehgal, Margo Wilson

Description: Skin clues of chronic disease.

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

  1. Recognize chronic disease presentations by their associated skin manifestations.

Pearls

  1. A slideshow to cue your visual diagnosis.

I have been a full time ER doc in Fredericton NB and Oromocto NB since 2014, and prior to that did family medicine and ER in Fredericton for a few years and prior to that 13 years of rural full-service practice, mostly in northwestern Ontario. I have a keen interest in Evidence-Based Medicine, playing music, goaltending and helping my wife Lynne raise a 6 yo boy, Ori, a 5 yo boy, Kéo and a 3 yo girl, Talika. I would like more sleep.

Dr. Margo Wilson, CCFP (EM) is an emergency physician with Eastern Health and assistant professor in the Discipline of Emergency Medicine, Faculty of Medicine at Memorial University in St. John’s. Margo spent the early part of her career as a rural family and emergency physician in Happy Valley-Goose Bay, Labrador. Margo’s clinical and scholarly interests include rural health systems, emergency medicine, trauma management, and medical simulation training.

Tips Tricks and Hacks: Gamma Ray - Drs. Brian Metcalfe, Yogi Sehgal, Margo Wilson

Description: Uncommon and commonly missed x-rays.

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

  1. To review x-rays with uncommon presentations.
  2. To review x-rays of commonly overlooked pathology.

I have been a full time ER doc in Fredericton NB and Oromocto NB since 2014, and prior to that did family medicine and ER in Fredericton for a few years and prior to that 13 years of rural full-service practice, mostly in northwestern Ontario. I have a keen interest in Evidence-Based Medicine, playing music, goaltending and helping my wife Lynne raise a 6 yo boy, Ori, a 5 yo boy, Kéo and a 3 yo girl, Talika. I would like more sleep.

Dr. Margo Wilson, CCFP (EM) is an emergency physician with Eastern Health and assistant professor in the Discipline of Emergency Medicine, Faculty of Medicine at Memorial University in St. John’s. Margo spent the early part of her career as a rural family and emergency physician in Happy Valley-Goose Bay, Labrador. Margo’s clinical and scholarly interests include rural health systems, emergency medicine, trauma management, and medical simulation training.