Tuesday, May 28, 2019 • 13:00 - 14:30
Track 6 - Infectious Disease
Track Chair: Dr. Sam Campbell
Room: 202

MRSA in the ED: Update for 2019 - Dr. Heather Murray

Description: MRSA – Who has it? Who should be treated? Do all patients with abscesses get Septra now? When should I send cultures? Let’s look at the evidence and untangle the thorny issues surrounding MRSA and the ED doctor.

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

  1. Understand cure rates for skin and soft tissue abscess in the ED with/without antibiotics.
  2. Be able to select appropriate antibiotics for skin and soft tissue infections based on prevalence and resistance.
  3. Use their own hospital’s antibiogram to determine their regional approach to MRSA.

Pearls

  1. Skin abscess cure rates are high with I+D alone (even if MRSA pos).
  2. Skin abscess cure rates can be improved with Septra and *some* patients should receive it in addition to I+D.
  3. Knowing your regional resistance patterns (the “antibiogram”) is essential for practicing with a careful antibiotic footprint.

Heather Murray is an Associate Professor at Queen’s. She is an emergency physician and medical educator, teaching diagnostic reasoning and Evidence-Based Medicine to medical students and residents.

Fever in the Intravenous Drug User - Dr. James Goulding

Description: Practical approach to navigating the presentations of fever in the intravenous drug user. What to look for and what not to miss.

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

  1. Develop a streamlined approach to fever.
  2. Know about appropriate drug coverage.
  3. Know how much work up.

Pearls

  1. Recognize ‘classic’ cases
  2. Most cellulitis ‘safe’
  3. It’s the spine that will get you!

Clinical Associate Professor, Dept Emergency Medicine Privilege of practicing EM in Moncton,Vancouver,Halifax and Victoria.

Emerging Viral Infections - Dr. Chris McCrossin

Description: Overview of some of todays most prominent and clinically relevant emerging viral infections with a focus on global disease activity and early clinical presentations.

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

  1. Gain familiarity with the global epidemiology of some of today’s most important emerging viral infections.
  2. Gain familiarity with the clinical presentation of several emerging viral infections.
  3. Improve chances of early recognition and subsequent initiation of team safety protocols in cases of suspected contagious viral infections.

Dr. McCrossin trained in emergency medicine in Calgary, Alberta with specialty training in tropical medicine undertaken in Lima, Peru (Gorgas course in Tropical medicine). He has worked overseas in Haiti & Kenya and currently his primary academic focus has been in the design and facilitation of simulation sessions for senior emergency medicine residents with a focus on multidisciplinary communication and critical care decision making dilemmas.

LO52 - Classification versus prediction of mortality using the Systemic Inflammatory Response Score and quick Sepsis-related Organ Failure Assessment scores in patients with infection - Dr. Daniel Lane