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Program and Presentations

**Presentations, where we have received permission to post, will be linked to each session's title, following the conference**

Tuesday November 12th, 2019

Time

Description

0700

Registration and Continental Breakfast

0750

Welcoming Remarks

0800-0840

Courtyard

My Philosophy of Practice

Dr. David Carr MD, FCFP, CCFP(EM), CAC
Emergency Physician, University Health Network & MacKenzie Health
Associate Professor of Emergency Medicine, Clinical Investigator
Medical Director of Stadium Medicine, Toronto Blue Jays, Rogers Centre

This talk will focus on making complex decisions in the ED and how making these decisions will manage flow.

0840-0925

Courtyard

Rapid Fire Presentations

0840-0855
Rethinking Acute Compartment Syndrome

Dr. Arun Sayal MD, CCFP(EM)
Physician, Emergency Department and Fracture Clinic, North York General Hospital

Acute compartment syndrome is rare, but commonly missed orthopedic emergency. When we hear ‘compartment syndrome’, we often think of badly displaced fractures, the 5 (or 6 or 7) P’s, and reaching for the Stryker needle! This talk may change that.

0855-0910
Pokes for Broke Folks: Treating Rib Fracture Pain using POCUS

Dr. Claire Heslop MD, PhD, FRCPC 
Emergency Physician, University Health Network
Assistant Professor, Division of Emergency Medicine, University of Toronto

Rib fractures hurt! Try ultrasound-guided blocks for opioid-free pain relief for single or multiple rib fractures. Learn three techniques that manage pain not just for rib fractures, but also abscess drainage, chest tube insertion and even zoster and renal colic.

0910-0925
What’s the Nurse Talking About? Hot Topics in Emergency Nursing Research

Victoria Woolner NP, MN, BScN, MSc QIPS 
Nurse Practitioner, Emergency, Toronto General Hospital, University Health Network

Find out what current literature your nursing colleagues are reading and talking about. We will review three recent articles in the emergency nursing literature.

0930-1000

Exhibitor Time & Morning Break

1000-1130

Morning Workshops **Optional with limited availability**
These sessions will run only once from 1000 to 1130. See below for options.

1000-1130

Courtyard

Rapid Fire Presentations

1000-1015
Top Five Drugs to Avoid in the Elderly

Dr. Vukiet Tran MD, MHSc(Ed), MBA, CHE 
Emergency Physician, University Health Network
Medical Director, St-Hilda Towers Retirement Home
Assistant Professor, Faculty of Medicine, University of Toronto

I believe you have noticed by now that older people are seeking consultation in our EDs more frequently than 20 years ago. Many are discharged home with medications. But have we tailored our choices of medication that is safe and effective for this particular group of patients? With specific pharmacokinetics due to changing physiology and medication interactions from polypharmacy, as prescribers, we should be familiar with medications that can harm our vulnerable elderly patients.

1015-1030
Update in Stroke 2019

Dr Leanne Casaubon MD, MSc, FRCPC
Medical Director, University Health Network Stroke Program and Toronto Western Hospital Stroke Network
Founder, TIA and Minor Stroke (TAMS) Unit
Associate Professor of Medicine, University of Toronto

This talk will provide updates on acute ischemic stroke treatments and on the evaluation and management of transient ischemic attack and minor ischemic stroke, with a focus on evaluation and management in the ED. Also a review of relevant protocols for stroke patient care through the ED will be provided.

1030-1045
Rapid Update on the Art of Irradiating Patients

Dr. David Ng MD, CCFP(EM)
Emergency Physician, University Health Network & Michael Garron Hospital
Assistant Professor of Family and Community Medicine, University of Toronto

Special populations, demands on efficiency, and increasing patient and diagnostic complexities, have made considerations in diagnostic imaging more nuanced then ever before. What are the actual risks? Can we mitigate them? Let’s shine the latest light on this darkest of matters.

1045-1100
When Drugs Don’t “Play Nicely”...

Sara Ingram BA, MSc, BSc.Pharm, ACPR
Clinical Pharmacist, Toronto General Hospital, University Health Network

Highlighting tips to help identify, avoid, and manage dangerous Drug-Drug interactions commonly missed in the ED.

1100-1115
Ophthalmology Pearls & Pitfalls

Sahand Ensafi BHSc, CCPA
Physician Assistant, University Health Network
Clinical Instructor University of Toronto, Assistant Professor at McMaster University

Ophthalmologic cases are often dreaded by emergency providers. This talk will provide you with some high-yield clinical pearls that you can integrate into your practice and assessment of your next eye patient.

1115-1130
“Did I Miss That?” Hand Injuries & Effective Splinting

Dr. Herb von Schroeder MD
Hand & Wrist Surgeon, Toronto Western Hospital, University Health Network
Medical Director Hand and Upper Extremity Program, Altum Health
Associate Professor, University of Toronto

Missed injuries occur in up to 10% of hand and wrist cases. Accurate diagnosis depends on experience, suspicion in demographic groups, examination, checking all x-rays, and requesting special views and additional imaging. Appropriate splinting and ensuring follow-up for secondary examination is extremely important to reduce the burden of missed injuries.

1130-1300

Exhibitor Time & Lunch (provided)

1215-1245


Lunch Talks

Presentation sponsored by Abbvie

Approach to Common Skin Conditions Seen in the ED

Dr. Raed Alhusayen MD, MBBS, MSCE, FRCPC
Division of Dermatology, Sunnybrook Health Science Centre
President, Canadian Hidradentitis Suppurativa Foundation
Associate Scientist, Sunnybrook Research Institute
Assistant Professor, University of Toronto


Presentation sponsored by Purdue

New Strategies for Pain Control in the ED

Dr. Seyon Sathiaseelan MD, CCFP EM
Emergency Physician, MacKenzie Health

1300-1430

Afternoon Concurrent Sessions **Optional with limited availability**
These sessions will run only once from 1300 to 1430. See below for options.

1300-1430

Courtyard

Rapid Fire Presentations

1300-1315
Beyond ACLS- Resuscitating Asystole

Dr. Anand Swaminathan MD, MPH
Emergency Physician, St. Joseph’s University Medical Center, Paterson, New Jersey, USA
Assistant Professor of Emergency Medicine

ACLS isn’t for experts and those in Emergency Medicine must be experts in cardiac arrest care. In this talk, we will explore how to resuscitate asystole like an expert.

1315-1330
Don’t Eat These Greens!

Dr. Emily Austin MD
Emergency Physician, St. Michaels Hospital
Toxicologist, Ontario Poison Centre

This talk will discuss real patient cases where exposure to a toxic plant has led to the ED presentation.

1330-1345
ECGs that Rock!

Dr. Anil Chopra MD, FRCPC
VP Medical Affairs, University Health Network
Emergency Physician, University Health Network

ED nurses and physicians are constantly bombarded with a steady stream of near normal ECG’s. It is easy to miss subtle, but critical changes on an ECG which can mask a killer underlying disease. Don’t you be the one that missed it!

1345-1400
Medical Legal Themes: What Nurses Need to Know

Shirley Strachan-Jackman RN(EC), MN, ENC(C)
Nurse Practitioner, Toronto Western Hospital, University Health Network

This talk will address the top five themes that nurses need to know in regards to documentation to keep them out of law suits!

1400-1415
Traumatic Cardiac Arrest: You’re Doing It Wrong

Dr. Chris Hicks MD, Med, FRCPC
Emergency Physician, Trauma Team Leader, St. Michaels Hospital

Traumatic and medical cardiac arrest are fundamentally different clinical entities. Resuscitation principles intended for a sick and dying heart to shock states caused by hypovolemia and flow obstruction is a strategy that is destined to fail. Traumatic cardiac arrest is a survivable condition; step one: treating it as such.

1415-1430

Choosing Wisely: Why and How?

Dr. Amy Cheng MD, FRCPC, MBA
Emergency Physician, St. Michaels Hospital

It has been four years since the Choosing Wisely emergency medicine recommendations were released. Yet, it’s unclear about the extent of their implementation and use in everyday practice. This talk will discuss the latest evidence supporting the recommendations, and strategies for clinicians to use the recommendations in their daily practice.

1430-1500

Exhibitor Time & Afternoon Break

1500-1545

Courtyard

Panel Discussion
Violence in the ED is on the Rise

Healthcare workplace violence is underreported, ubiquitous, and a persistent problem that has been tolerated and largely ignored. Violence and harassment in the ED is increasing, causing harm to health care providers, and also affects patients. Hospitals once seen as “safe havens” are no more. This final session will give the audience an opportunity to share their stories and ask questions to a panel whose interest lies in violence in the workplace.

Moderator:

Dr. Sheryl Seidman MD, Emergency Physician, University Health Network

Panelists:

Dr. Meeta Patel MD, Emergency Physician, North York General Hospital

Dr. Sam Sabbah MD, Medical Director, Emergency Medicine, University Health Network; Emergency Physician, University Health Network

Trevor Hanagan, Corporate Security Supervisor, University Health Network

Uleth Harvey RN, BN, Staff Nurse, Toronto Western Hospital, University Health Network

Ruth Appiah-Boateng RN, BScN, Emergency Nurse, Toronto General Hospital, University Health Network

1545-1600

Wrap-up Day One

1600-1700

Wine and Cheese Reception- Music- Jenn and the Holograms- LIVE

1730

Night Out at Pogue Mahones, 777 Bay Street

Tuesday November 12th, 2019 - Morning Workshops

TA01

College

90 Minute Ultrasound Workshop (Ideal for Nursing Staff): Maximum 25 participants

Peripheral IV Access

Dr. Adam Slomer, MD, FRCP, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network

Dr. Claire Heslop, MD, PhD, FRCP, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network

Dr. Dennis Cho, MD, FRCP, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network

Dr. Phil Stasiak, MD, CM, FRCPC, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network & St. Joseph's Health Centre

We’ve brought you the best educators and the best hands-on phantoms/simulators to teach you how to secure peripheral IV access in the hard-to-cannulate patient!

Have IV skills but not sure how to turn on the ultrasound? We’ve got you covered. We will teach you how to look for veins, how to choose which veins to target, how to actually get the IV in (one person and two-person techniques), and the best ways to track the needle from skin to flashback! Lots of hands-on practice on our phantoms and vein models. This workshop is open to everyone interested in learning ultrasound for the hard-to-poke patients.

TA02


90 Minute Airway Workshop sponsored by Medtronic: Maximum 20 participants

The Video Laryngoscope and “Routine” Airways

Marco Zaccagnini RRT/CCAA, MSc, Ph.D(s)
Registered Respiratory Therapist & Anesthesia Assistant, McGill University Health Centre

This workshop will discuss the literature on airways in emergency medicine and cous on the reality that routine airways in emergency medicine rarely exist. The session will then discuss the McGrath video laryngoscope and how it enhances the safety of airway management and promotes safely teaching medical residents. The lecture concludes with hands-on practice.

Tuesday November 12th, 2019 - Afternoon Workshops

TP01

90 Minute ACLS Workshop: Maximum 15 participants

Better Communicate to Better Resuscitate

Stephen Casey RN, BScN, ENC(C), MHSM
Advanced Practice Nurse Educator, Toronto General Emergency, University Health Network

Co-facilitators: Brittany Jenkins & Roger Chow

Confidence in communication is integral to resuscitation. In this session, we provide you and your team with the communication tools necessary to better resuscitate. Simulation resuscitative scenarios will challenge you and allow learning through application and observation of your peers. We encourage and will facilitate both physician led and nurse/physician co-led resuscitations.

TP02

College

90 Minute Ultrasound Workshop Presented by the UHN ED POCUS Team:Maximum 20 participants

When Minutes Matter- Resuscitative POCUS

Dr. Adam Slomer, MD, FRCP, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network

Dr. Claire Heslop, MD, PhD, FRCP, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network

Dr. Dennis Cho, MD, FRCP, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network

Dr. Phil Stasiak, MD, CM, FRCPC, Fellowship in Point of Care Ultrasonography
Emergency Physician, University Health Network & St. Joseph's Health Centre

Heart Rate 123. Blood pressure 70/40. The patient is obtunded. Your history is limited. Do you reach for antibiotics or fluids? Maybe consider pressors or even blood products? Do you need to perform a critical procedure? A needle decompression or maybe even a pericardiocentesis? The resuscitation of the hypotensive patient can be challenging and is fraught with high-stakes decisions. Can we be more precise and provide better patient care? Enter resuscitative point-of-care ultrasound (POCUS).

Your expert instructors will guide you through a protocol that combines cardiac, thoracic, and abdominal ultrasound views to help you navigate the uncertainties of the patient who is in shock. Ample practice using ultrasound models and realistic simulated cases will ensure that you have lots of hands-on scanning time to refresh, refine, and apply your resuscitative ultrasound skills.

Wednesday November 13th, 2019

Time

Description

0700

Registration and Continental Breakfast

0800-0810

Welcoming Remarks

0810-0840

Courtyard

The Most Important Words in Medicine

Dr. Anand Swaminathan MD, MPH
Emergency Physician, St. Joseph’s University Medical Center, Paterson, New Jersey, USA
Assistant Professor of Emergency Medicine

We will discover that the most powerful words in medicine are “I don’t know.” We will explore three ideas within cognitive psychology and how understanding them will make us better in caring for out patients.

0840-0925

Courtyard

Rapid Fire Presentations

0840-0855
Practice Changing Papers

Dr. Joel Yaphe MD, MHSC, FRCP(C)
Emergency Physician, University Health Network

It’s easy to read the conclusions in an abstract. It’s often a lot harder to apply the findings. Three articles from recent EM literature will be presented, along with a discussion focused on translating knowledge into action.

0855-0910
Re-emerging Vaccine-Preventable Illnesses in the ED

Dr. Isaac Bogoch MD, MSc, FRCPC, DMT&H
Infectious Diseases Consultant at University Health Network
Associate Professor, Department of Medicine, University of Toronto

This rapid-fire session will focus on the recognition, diagnosis, and management of vaccine- preventable illnesses that are increasingly more common in Canadian emergency departments.

0910-0925
Big Papers on Little Patients

Dr. Maxim Ben-Yakov MDCM, FRCPC, RCSPC, dABEM, FACEP 
Emergency Physician, University Health Network, Hospital for Sick Children & Humber River Regional

We will review recent articles covering topics relevant to Pediatric Emergency Medicine (PEM). These are some of the PEM articles your colleagues are reading, your residents are quoting, and you should know about.

0930-1000

Exhibitor Time & Morning Break

1000-1040
&
1045-1130

Morning Concurrent Sessions; Repeated
These sessions will run from 1000 to 1040 and repeated from 1045 to 1125.

1130-1300

Exhibitor Time & Lunch (provided)

1215-1245

Lunch Talks

Presentation sponsored by Servier

Update in Stroke

Dr. Gustavo Saposnik MD
Neurologist, St. Michaels Hospital

Presentation sponsored by Pfizer-BMS

Update on VTE Management

Dr. Eric Yeo MD, FACP, FRCPC
Staff Physician, Thrombosis Program, Toronto General Hospital, University Health Network

1300-1340
&
1345-1425

Afternoon Concurrent Sessions; Repeated
These sessions will run from 1300 to 1340 and repeated from 1345 to 1425.

1430-1500

Exhibitor Time & Afternoon Break

1500-1545

Courtyard

Will Medical Culture Allow for the Wellbeing of the Medical Worker?

Dr. Shelly Dev MD
Intensivist/ Director of Education, Sunnybrook Health Science Centre
Lead, Mentorship/ Wellness, Interdepartmental Division of Critical Care Medicine, University of Toronto
Lead, Mentorship, Peter-Boyd Academy

A provocative proposal for the necessary rehabilitation of medical culture to ensure a healthier, more productive and, most importantly, safer workplace.

1545-1600

Wrap-up Day / Evaluations

Wednesday November 13th, 2019 - Morning Concurrent Sessions

WA01

Alexander A/B

Mountain Medicine: Lessons Learned in the Himalayas

Dr. Peter Switakowski MD, CCFP(EM)
Emergency Physician, University Health Network

Wilderness courses often teach more than you bargain for. The talk is about my story of a mountain medicine course taken this year on a trek to Everest Base Camp.

WA02

Alexander C

Acute Opioiod Withdrawal

Dr, Michelle Klaiman MD, FRCPC, DABAM
Emergency Physician, St. Michael’s Hospital

The objectives for this talk are as follows:

1. Review presentation of opioid withdrawal

2. Discuss options for management of opioid withdrawal

3. Learn to safely prescribe buprenorphine in the ED

4. Identify patients who may benefit from a home induction

WA03

Spadina

Best Cases of the Year by the Emergency Residents

Moderator:
Dr. David Carr MD, FCFP, CCFP(EM), CAC
Emergency Physician, University Health Network & MacKenzie Health
Associate Professor of Emergency Medicine, Clinical Investigator
Medical Director of Stadium Medicine, Toronto Blue Jays, Rogers Centre

During this seminar, there will be several memorable cases seen through an Emergency Resident’s eye.

WA04

Wood

Artificial Intelligence in Emergency Medicine: Is Skynet Taking Over?

Dr. Sameer Masood MD, MPH, FRCPC
Emergency Physician, University Health Network & Humber River Regional

Artificial Intelligence? Machine learning? Deep learning? Is Terminator coming back? Is Skynet taking over? What do Emergency Providers and Researchers need to know? To find out…come to this talk!

WA05

Bay

90 Minute Workshop: Maximum 30 participants

Pearls and Pitfalls in Diagnosing STEMI

Dr. Jesse McLaren MD
Emergency Physician, University Health Network

The diagnosis of acute coronary occlusion has rested on classic STEMI criteria, aided by automated interpretation. But ECG machines have high rates of error, while STEMI criteria miss 25% of acute occlusions. This workshop will use multiple real cases to improve your ECG interpretation.

WA06

Porter

90 Minute Simulation Workshop: Maximum 20 participants

STAT OB Delivery in the ED

Dr. Nadia Farooki MD, FRCP
Emergency Physician, University Health Network

Dr. Andrea Somers MD, CCFP(EM)
Emergency Physician, University Health Network & St. Joseph's Health Centre

This workshop will allow the participant to get hands on experience with emergency deliveries in the ED. We will cover topics such as shoulder dystocia, breech presentation, peri-mortem c-section and neonatal resuscitation.

Wednesday November 13th, 2019 - Afternoon Concurrent Sessions

WP01

Alexander A/B

The Crashing Asthmatic

Dr. Anand Swaminathan MD, MPH
Emergency Physician, St. Joseph’s University Medical Center, Paterson, New Jersey, USA
Assistant Professor of Emergency Medicine

Asthma is a common condition encountered in the ED but, the crashing asthmatic is rare. Proper management can reduce morbidity and mortality.

WP02

Alexander C

Do No Harm: Climate Change and Healthcare

Dr. Nazanin Meshkat MD, FRCPC, MHSc
Emergency Physician, University Health Network
Program Director, University of Toronto

When you think about climate change, do you think of a starving polar bear stranded on a remote melting icecap? Think again…in 2019, the World Health Organization named climate change and air pollution as the number one threat to health. Let’s have a conversation about what that means to us.

WP03

Spadina

Burns: What’s Hot & What’s Not

Dr. Maria Ivankovic MD, CCFP(EM)
Physician Emergency, St. Joseph’s Health Center
Assistant Professor, DFCM, University of Toronto

Which dressing is actually the best? Should I pop this blister? Is the Rule of Nine a rule of the past? Is the Parkland passe?

This breakout session will answer these questions and more as we examine best practices in burn care.

WP04

Wood

Beyond 5 and 2: Modern Management of the Agitated Patient

Dr. Bryan Au MD, FRCPC
Emergency Physician, St. Michael’s Hospital

Have you noticed that you’re seeing more agitated and potentially violent patients in your ED? It’s important for all ED staff to be aware of best practices when it comes to managing these complex patients. This session will present recent cases to illustrate restraint techniques, and review modern sedation to make our ED safer for us and our patients.

WP05

Bay

90 Minute Ophthalmology Workshop: Maximum 16 participants

Things You Don’t Know and Don’t Admit About the Slit Lamp and Ocular Ultrasound

Dr. Brant Slomovic MD, FRCPC
Emergency Physician, University Health Network

Dr. Sameer Masood MD, MPH, FRCPC
Emergency Physician, University Health Network & Humber River Regional

Back for a second year by popular demand, this hands-on workshop will teach you the essential clinical tools related to the assessment of ocular emergencies. We will walk you through the top three skills of slit lamp use, the top three essential ophthalmic diagnosis and the three slit lamp pearls. The ultrasound component will cover the techniques used to diagnose three clinical presentations: retinal pathology, vitreous hemorrhages and optic nerve disease.

WP06

Porter

90 Minute Geriatric Simulation Workshop: Maximum 20 participants

Dr. Alice Gray MD, FRCPC
Emergency Physician, University Health Network & St. Michaels Hospital

Dr. Alia Dharamsi MD, FRCPC
Emergency Physician, University Health Network & St. Michaels Hospital

Geriatric patients are some of the most complex and vulnerable patients we see in the ED. Join us for this hands-on workshop to gain skills in managing these complex patients. Experience some of the challenges of being an elderly patient in the ED.

For more information

Shirley Strachan-Jackman
Shirley.Strachan-Jackman@uhn.ca
416-603-5800 ext. 6476

www.uhnemergencyconference.com