Tuesday, May 28, 2019 • 15:00 - 16:30
Track 6 - Heads, Hearts and Making Sure They All Get Perfused
Track Chair: Dr. Mary-Lynn Watson
Room: Argyle Suite (A1-A3)

The latest in stroke, diversion for STEMI and ECMO, all for the EDP.

Emergency Department Extracorporeal Membrane Oxygenation (ED ECMO): It’s Time to Get “Pumped” Up! - Dr. James Gould and Dr. George Kovacs

Description: Recent evidence has shown significant improvement in neurological outcomes for out of hospital cardiac arrest using extracorporeal cardiopulmonary resuscitation. Successful implementation of such therapy requires coordination of a multidisciplinary ECMO team. In this talk we will overview the value and goals of an ED ECPR program and how to engage your own institution to develop such an initiative.

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

  1. Know about extracorporeal cardiopulmonary resuscitation (ECPR).
  2. Know about the evidence for extracorporeal cardiopulmonary resuscitation (ECPR).
  3. Know how to engage their institution to develop an ECPR program in the emergency department.

Pearls

  1. Observational data suggest rates of good neurological outcome as high as 40% for out of hospital cardiac arrest using Extrac cardiopulmonary resuscitation (ECPR).
  2. To be successful ECPR must be initiated in the first 60 minutes of cardiac arrest.
  3. Successful implementation of an ED based ECPR program requires coordination of prehospitally activated multidisciplinary team.

Hailing from Nova Scotia. Currently a 4th year Emergency Medicine resident at Dalhousie University with special interest in Resuscitation and Reanimation. In love with his wife, daughter “Avery” and energetic Nova Scotia Duck Tolling retriever “Penny”.

Dr. George Kovacs is a full-time professor of Emergency Medicine and is cross-appointed in the Department of Anaesthesia, Department of Medical Neuroscience and Division of Medical Education at Dalhousie University. He works clinically as an Emergency Physician and Trauma Team Leader at the Queen Elizabeth II Health Sciences Centre in Halifax.

EMS to ED to Cardiology: A Systems Approach to Thinking - Dr. Andrew Travers

Description: Participants will learn about what works and what doesn’t work with a focus on the remote, rural and urban interfaces between EMS, ED and Cardiology.

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

  1. Identify evidence on the role of EMS in contemporary STEMI care.
  2. Identify knowledge translation tools to enable to clinicians to apply evidence in their own practice.
  3. Identify areas of controversy as it relates to ACS systems of care.

Pearls

  1. First medical contact is frequently EMS – the clock starts with them and there are basic, intermediate and advanced options for you.
  2. Developing a system predicated on integration, collaboration, measurement, benchmarking and feedback is fundamental.
  3. Lessons can be learned from other system level time sensitive disease (ie stroke, trauma, cardiac arrest) and can be applied in STEMI cases.

Andrew Travers BSc MD MSc FRCPC CCPE is professor and attending medical staff in the Dalhousie Department of Emergency Medicine, with cross-appointments in Community Health & Epidemiology, and is the Provincial Medical Director for Emergency Health Services Nova Scotia.

Organizing Hyper-acute Stroke Care - the Need for Speed - Dr. Gord Gubitz

Description:

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

  1. Better understand the ‘make or break’ role that paramedics and ED docs and nurses play in the care of patients presenting with acute stroke symptoms.
  2. Be familiar with the urgent ‘need for speed’ that we all face when dealing with this patient population.
  3. Be able to describe processes of care that can improve patient outcomes

Panel Debate - Dr. Andrew Travers and Dr. Gord Gubitz

Description: To divert or not divert, where do we go in the age of specialized care and limited resources. An entertaining/educational debate on diversion of patients to specialized care emergency departments.

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

  1. Consider the pros and cons of pre-hospital diversion to specialized care facilities.
  2. Know what effects does ambulance diversion have on the delivery of care both pre-hospital as well as at the specialized facility.

Andrew Travers BSc MD MSc FRCPC CCPE is professor and attending medical staff in the Dalhousie Department of Emergency Medicine, with cross-appointments in Community Health & Epidemiology, and is the Provincial Medical Director for Emergency Health Services Nova Scotia.

LO64 - The HEART score in predicting major adverse cardiac events in patients presenting to the emergency department with possible acute coronary syndrome: a systematic review and meta-analysis - Dr. Christopher Byrne
Resident Research Abstract Award