Tuesday, May 28, 2019 • 15:00 - 16:30
Track 2 - Pediatrics
Track Chairs: Dr. Shannon MacPhee & Dr. Kevin Chan
Room: 202

LO62 - Intranasal dexmedetomidine for procedural distress in children: a systematic review and meta-analysis - Mr. Joseph Spohn

LO63 - Humanoid robot-based distraction to reduce pain and distress during venipuncture in the pediatric emergency department: A randomized controlled trial - Dr. Samina Ali
Top Pediatric Abstract Award

Hot Topics: Pediatric Emergency Medicine Journal Club - Dr. Shannon MacPhee

Description: This session will highlight recent publications relevant to pediatric emergency medicine. Presentation will include the research design, results, conclusions as well as relevance to practice within the field.

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

  1. Critically appraise recent pediatric publications.
  2. Demonstrate the use of literature to guide clinical practice.
  3. Appreciate the generalizability of a study to the emergency environment.

Shannon MacPhee, MD, FRCPC (PEDS), PEM. Dr. Shannon MacPhee graduated from medical school at Dalhousie University in 1999. She did her Pediatric residency and Pediatric Emergency Medicine Fellowship at the Hospital for Sick Children. Dr. MacPhee was recruited to the IWK in 2005 and is currently an Associate Professor in the Department of Emergency Medicine. Dr. MacPhee served as Chief of Emergency Medicine at the IWK Health Centre from 2009-2018.

ImageSim - Dr. Kathy Boutis

Description: ImageSim is an online competency-based learning tool that helps health care professionals improve their diagnostic knowledge and interpretation of medical images. The learning system simulates the presentation of medical images just like you would get them in clinical practice and emphasizes deliberate practice such that you get hundreds of case examples. “You make the call” and get immediate feedback after each case. You also get a running tab of your performance and it is benchmarked to the performance of residents, staff ED, and content experts.

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

  1. Understand the diagnostic challenge for emergency physicians.
  2. Understand why the emergency physician is prone to diagnostic errors.
  3. Apply evidence based education strategies to improve the emergency physician’s diagnostic competency towards the goal of improved health outcomes.


  1. Emergency physicians do not routinely get feedback on their cases so often they do not know what they do not know.
  2. Evidence has shown that emergency physicians could improve their diagnostic accuracy to the level of content experts (e.g. radiologists).
  3. Technology now makes this goal possible in all health care settings.

Dr. Kathy Boutis completed her medical school at the University of Toronto and completed her residency in pediatrics and fellowship in pediatric emergency medicine at Boston Children’s hospital. She then joined the Department of Pediatrics at the Hospital for Sick Children as an emergency physician and Clinician Investigator. Dr. Boutis has become an internationally recognized thought leader in pediatric emergency medicine whose research on musculoskeletal injuries has challenged dogma is transforming practice.

Discharge Instructions - Dr. Janet Curran


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

  1. Review current evidence regarding discharge communication interventions in pediatric emergency departments.
  2. Discuss barriers and enablers to discharge communication.
  3. Discuss implications for research and practice.

Dr. Janet Curran is an Associate Professor in the School of Nursing and the Department of Emergency Medicine at Dalhousie University in Halifax, Nova Scotia Canada and holds a Clinician Scientist appointment in pediatrics and emergency medicine at the IWK Health Centre.

Pediatric Headache - Dr. Garth Meckler

Description: This brief review will highlight the epidemiology and ED diagnosis of pediatric migraine and focus on aspects of ED abortive therapy.

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

  1. Understand the epidemiology and how to diagnose pediatric migraine in the ED.
  2. Appreciate the therapeutic goals and limitations for pediatric migraine in the ED.
  3. Become familiar with the range of abortive treatments available for pediatric migraine in the ED.


  1. Migraine is common and can begin early in childhood; ED diagnosis can be made on a first episode.
  2. Dopamine antagonists are the most effective parenteral abortive therapy for pediatric migraine in the ED setting.
  3. Subanesthetic doses of propofol can be used as a second line abortive therapy for pediatric migraine.

Dr. Meckler is an Associate Professor of Pediatrics and Emergency Medicine and Head of Pediatric Emergency Medicine at BC Children’s Hospital / UBC. His research interests include the ED management of pediatric headache.

Baby Steps: Cannabis and Pediatric Emergency Patients - Dr. Neil Petrie

Description: In this session attendees will review the evidence to date regarding toxic ingestions, the scope of clinical effects this may produce, and the management of such ingestions. Attendees will review the association of cannabis and pediatric mental health. Side effects of cannabis use will be reviewed.

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

  1. Know about epidemiology of accidental massive ingestion, clinical presentation, and management.
  2. Know about association with pediatric mental health presentations.
  3. Review side effects of cannabis use.

Dr. Neil Petrie is a native Haligonian who completed his MSc in synthetic organic chemistry with a focus on drug design (Queen’s University, 2002). He returned to Halifax and completed his Emergency medicine residency at Dalhousie in 2006. He is a staff Emergency physician at the IWK Children’s Hospital and Halifax Infirmary.