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Program and Presentations

Wednesday November 7th, 2018
Time Description
0700 Registration and Continental Breakfast
0750 Welcoming Remarks
0800-0840

Courtyard
Crowding Can be Fixed if Leadership Can be Found

Dr. Peter Viccellio MD, FACEP
Vice Chair, EM, SUNY, Stony Brook, New York

This talk will focus on causes, consequences and solutions to hospital overcrowding.
0840-0855

Courtyard
Popular Drugs on the Street

Dr. Lisa Thurgur MD, MSc, FRCP(C)
Emergency Physician and Toxicologist, The Ottawa Hospital

Popular drugs on the street change every day. As emergency health care workers, we need to be in the know about how to recognize their toxidromes and manage them aggressively.
0855-0910

Courtyard
Lyme Disease in Canada: It’s Really Here and It’s Not so Bad

Dr. Isaac Bogoch MD, MSc, FRCP(C)
Infectious Diseases Consultant at University Health Network
Associate Professor, Department of Medicine, University of Toronto


This rapid-fire presentation will discuss pertinent aspects of Lyme diseases in Canada for those working in the Emergency Department.
0910-0925

Courtyard
Three ECG’s You Don’t Want to Miss

Dr. Bryan Au MD, FCFP(C)
Emergency Physician, St. Michael’s Hospital

This rapid-fire session will review three ECG’s that can mean big trouble for your patient. Some are subtle, some not so much, but all are important and can significantly change your management.
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

Alexander B/C

Spadina
Lunch Talks

Presentation sponsored by Shire


Angioedema - The Critical Role of the Emergency Room in Improving Care

Dr. Stephen Betschel MD, FRCPC
Clinical Immunologist and Allergist, St. Michaels Hospital & Respirology, University Health Network

Objectives:
    - Develop an approach to differentiating various types of angioedema
    - Become aware of treatment approaches for angioedema in the ER setting
    - Appreciate the impact the ER can have on the management and outcomes of patients with hereditary angioedema.
Presentation sponsored by Pfizer/Bristol Myers Squibb

Update on VTE Management

Dr. Eric Yeo MD, FACP, FRCP(C)
Staff Physician, Thrombosis Program, Toronto General Hospital, University Health Network

TBA
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
ED and Police Interactions
Panel Discussion


Emergency staff and police interact every day with various incidents, patients, and personal. At times staff are left wondering what their obligations are when it comes to protecting the privacy of the patient. This session will allow the audience to ask questions and find some answers that will help make working in the ED a little easier.

Panel:
Moderator:
Sahand Ensafi, Physician Assistant, University Health Network

Dr. Sam Sabbah, Emergency Physician, University Health Network
Kathy Bates RN, Nurse Manager, Toronto Western Hospital, University Health Network
Detective Sgt. Laurie Jackson, Toronto Police Services
Lee Lenkinski, Legal Counsel, University Health Network
Stephanie Crump RN, Staff 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 Reds Midtown Tavern, 382 Yonge Street

Wednesday November 7th, 2018 - Morning Concurrent Sessions
WA01

Alexander A
Chest Pain and the ECG: Acute or Ambulatory Care

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

This session will be a cased-based presentation focusing on important history and ECG findings that will help make triage decisions easier on where to send that patient.
WA02

Alexander B/C
Managing Sepsis Like A Pro!

Dr. Sara Gray MD, FRCP(C), MPH
Emergency Physician & Critical Care, St. Michael’s Hospital, Associate Professor University of Toronto

During this session, we will review optimal sepsis care in 2018, including fluid resuscitation, treatment goals, and those difficult new Surviving Sepsis Guidelines.
WA03

Spadina
TIA and Stroke Update

Dr. David Carr MD, FCFP, CCFP(EM), CAC
Emergency Physician & Assistant Director of Risk Management and Faculty Development,
Emergency, University Health Network
Medical Director of Stadium Medicine, Toronto Blue Jays, Rogers Centre


This talk will focus on a 2018 update in TIA and Stroke care. The talk will also highlight the pearls and pitfalls in dealing with vertigo. Are you missing a stroke?
WA04

Wood
Urologic Emergencies: Tips, Tricks and Nutty Cases

Dr. Oliver Van Praet MD, MDCM, CCFP(EM)
Emergency Physician, University Health Network

A rapid rollercoaster through a number of compelling urologic emergency cases; stopping only long enough to make you laugh, cry or absorb a clinical pearl or two.
WA05

Porter
90 Minute Ultrasound Workshop: Maximum 25 participants
Become a POCUS Ninja

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

Remember all those months ago when you spent the weekend learning about all new and exciting POCUS applications? Time has passed and memories have faded…when the $h#t hits the proverbial fan and you reach for your ultrasound machine, can you generate and interpret images and make clinical decisions with confidence? Learning ultrasound on healthy workshop models might teach you great image generating skills, but translating those skills into the messy resuscitation room can be a challenging leap.

Your instructors will guide you through easy to remember algorithms that diagnose, causes shock, shortness of breath and cardiac arrest. Then, using ultrasound models and images of actual patient pathologies, we’ll guide you through timed scenarios designed to transform you from POCUS novice to POCUS ninja! Refresh you skills, then take them to the next level.
WA06



Bay
90 Minute Simulation Workshop: Maximum 20 participants

Sim School: Critical ER Procedures Made Easy!

Dr. Nadia Farooki MD, FRCP
Emergency Physician, University Health Network
Dr. Andrea Somers MD, CCFP(EM)
Emergency Physician, University Health Network

In this workshop, participants will have an opportunity to learn and practice critical ED procedures using High Fidelity Simulation and a variety of specialized Task Trainers. This year we highlight the following procedures: Lateral Canthotomy, Pigtail Catheter Chest Tube Insertion, ED Infant Delivery and EZIO Insertion.

Wednesday November 7th, 2018 - Afternoon Concurrent Sessions
WP01

Alexander A
Emergency Medicine and Addiction Medicine Collide

Dr, Michelle Klaiman MD, FRCP(C), DABAM
Emergency Physician, St. Michael’s Hospital & True North Medical

In this talk, the following will be discussed:
    - Medication assisted ED management of opioid use disorder and withdrawal
    - ED initiation of anti-craving medication for alcohol use disorder
    - Harm reduction practices in the ED
    - Hospital and community-based addiction medicine resources.
WP02

Alexander B/C
What Drives Us to Screw Up?

Dr. Peter Viccellio MD, FACEP
Vice Chair, EM, SUNY, Stony Brook, New York

The session will focus on an examination of cognitive bias and how it influences our decision making and performance.
WP03

Spadina
ED Ortho: When Less is More - Indications for Removable Splints

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


Optimal management of acute MSK injuries returns patients back to baseline activities safely and quickly. The price of immobilization includes weakness, stiffness, decreased function and DVT. This case-based talk will look at a variety of injuries and walk through the thinking to determine optimal immobilization strategy- focusing on indications and proper selection of removable devices.
WP04

Wood
Best Cases of the Year by the Emergency Residents

Moderator:
Dr. David Carr MD, FRFP, CCFP (EM)
Emergency Physician & Assistant Director of Risk Management and Faculty Development Emergency, University Health Network
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.
WP05

Porter
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
Dr. Claire Heslop MD, PhD, FRCP, Fellowship in Point of Care Ultrasonography
Dr. Dennis Cho MD, FRCP, Fellowship in Point of Care Ultrasonography

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.
WP06



Bay
90 Minute Simulation Workshop: Maximum 20 participants

Sim School: Critical ER Procedures Made Easy!

Dr. Nadia Farooki MD, FRCP
Emergency Physician, University Health Network
Dr. Andrea Somers MD, CCFP(EM)
Emergency Physician, University Health Network

In this workshop, participants will have an opportunity to learn and practice critical ED procedures using High Fidelity Simulation and a variety of specialized Task Trainers. This year we highlight the following procedures: Lateral Canthotomy, Pigtail Catheter Chest Tube Insertion, ED Infant Delivery and EZIO Insertion.

Thursday November 8th, 2018
Time Description
0700 Registration and Continental Breakfast
0800-0810 Welcoming Remarks
0810-0840

Courtyard
The Best of EMRAP

Dr. Stuart Swadron MD, FRCP(C), FACEP, FAAEM
Clinical Professor of Emergency Medicine and Medical Education, Keck School of Medicine of University of Southern California and EM:Rap, Emergency Medicine Reviews and Perspectives

The presenter, a host of popular monthly webcast, will cover a selection of some of the most interesting and important recent pieces on EMRAP.
0840-0855

Courtyard
Translating Knowledge into Action

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

Courtyard
Nursing Articles for the ED: 2018

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

This rapid-fire session will review the top three Emergency Nursing articles of 2018.
0910-0925

Courtyard
Pediatric EM Literature your Colleagues are Reading

Dr. Maxim Ben-Yakov MD, BSc PT, MDCM, FRCP(C), RCSCP (Pediatric EM)
Emergency Physician, University Health Network & Hospital for Sick Children
Assistant Professor of Pediatrics


This talk will review key literature that affects pediatrics patients in Emergency Medicine. The talk will touch on topics of Bronchiolitis, Concussions, UTI, with high yield results from major publications.
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 Exhibitor Time & Lunch (provided)
1215-1245

Alexander B/C

Spadina
Lunch Talks

Presentation sponsored by Merck

Complications of Immune-Oncology Therapy

Dr. Jeffrey Rothenstein MD, FRCPC,
Medical Oncologist, R.S. McLaughlin Durham Regional Cancer Center

Presentation sponsored by Servier

Update on Atrial Fibrillation

Dr. Andrew Ha MD, MSc, FRCP(C)
Cardiac Electrophysiologist, Toronto General Hospital, University Health Network

TBA
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
The Emergency Monologues

Morgan Jones- Phillips
Advanced Care Paramedic, Toronto EMS

Entertaining stories from the world of emergency medicine will be shared with colleagues
1545-1600 Closing Remarks

Thursday November 8th, 2018- Morning Concurrent Sessions
TA01

Alexander A
Emerging Trends in ECMO

Dr. Alina Toma MD, FRCP(C)
Emergency Physician and Critical Care Physician, St. Michael’s Hospital and Mackenzie Health

Following a brief introduction to ECMO and the accepted indication for considering its use in the tertiary care and community setting, we will explore some of the new and exciting applications of ECMO that are on the horizon.
TA02

Alexander B/C
Ow, My Back Hurts! What Not to Miss

Dr. Peter Switakowski MD, CCFP(EM)
Emergency Physician & Assistant Director Education, University Health Network

Back pain is a common complaint. This session will discuss important diagnosis not to miss.
TA03

Spadina
Gynecology in the ED

Dr. Jamie Kroft MD, MSc, FRCSC
Staff Physician, Assistant Professor, Faculty and Research Supervisor, AAGL Fellowship in Minimally Invasive Gynecological Surgery, Sunnybrook Health Sciences Centre and University of Toronto

The objectives of this talk will be to review some common OB/Gyn scenarios that present in the emergency Department including: vaginal bleeding in the non-pregnant patient, first trimester bleeding, pre-eclampsia/ eclampsia, and hyperemesis.
TA04

Wood
Pitfalls of Geriatric Assessment

Dr. Vukiet Tran MD, MHSc, MBA
Emergency Physician, University Health Network

This case-based presentation will address traps that are set out for emergency practitioners when they assess the elderly patient. Learn to address them in your practice to avoid mortality, morbidity and bounce backs.
TA05

Porter
90 Minute Workshop: Maximum 25 participants

Better Communicate to Better Resuscitate

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

Co-Facilitators- Kevin Beane & Roger Chow
Staff Nurses, Toronto General Hospital, University Health Network

Confidence in communication is integral to resuscitation. In this session we provide you and your team with the communication tools necessary to better resuscitate. Simulated resuscitate 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.
TA06

Bay
90 MinuteOphthalmology Workshop: Maximum 20 participants

Things You Never Knew About the Slit Lamp and Ocular Ultrasound or Were Just Too Afraid to Admit


Dr. Brant Slomovic MD, FRCP(C)
Emergency Physician, University Health Network

In this hands-on workshop you will learn the essential 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.

Thursday November 8th, 2018 - Afternoon Concurrent Sessions
TP01

Alexander A
Dizzy: Your Eyes Roll and Deep Sigh

Dr. Paul Ellis MD, BSc, MSc, FRCPC Neurology
Emergency Physician, University Health Network

Learn an approach to the dizzy patient that is evidence based. Leave this session looking forward to dealing with your next dizzy patient.
TP02

Alexander B/C
The Hunt for STEMI

Dr. Stuart Swadron MD, FRCP(C), FACEP, FAAEM
Clinical Professor of Emergency Medicine and Medical Education, Keck School of Medicine of University of Southern California and EM:Rap, Emergency Medicine Reviews and Perspectives

In this workshop, we will discuss the critical role of the ECG in the triage of the patient with acute coronary syndrome. ECGs with subtle signs of an early complete coronary occlusion, some STEMI mimics and a possible few stories from south of the border will be shared.
TP03

Spadina
Abdominal Pain Zebras

Dr. Anna Nowacki MD, FRCP(C)
Emergency Physician, University Health Network

A pot-pourri of cases that M&Ms are made of! Join in for a discussion of abdominal pain disasters and saves.
TP04

Wood
Tips on Pain Management in the ED

Dr. Emily Austin MD, FRCP(C)
Emergency Physician, St. Michael’s Hospital

During this session we will explore some of the non-opioid pharmacological strategies or the management of acute pain in the ED, including the role of ketamine and anti-psychotics. We will discuss approaches to pain management in some specialized populations, including the pregnant patient and the elderly patient.
TP05

Porter
90 Minute ECG Workshop: Maximum 20 participants

Advanced ECG Workshop

Dr. Vukiet Tran MD, MHSc, MBA
Emergency Physician, University Health Network

The saying “you don’t know what you don’t know” is very true. However, as an ED practitioner one does not want to “not know” one of the most used tool in our assessment (i.e. the ECG). Come learn what you have missed all these years.
TP06

Bay
90 Minute Workshop: Maximum 25 participants

Pediatric Resus- You Can do It if You Know Your ABC’s

Dr. Maxim Ben-Yakov MD, BSc PT, MDCM, FRCP(C), RCSCP (Pediatric EM)
Emergency Physician, University Health Network & Hospital for Sick Children; Assistant Professor of Pediatrics

A video case-based review of the Pediatric resuscitation principles. The workshop will address high yield assessment and therapeutic principles that will count in the first moments that an emergency staff has to assess and intervene on the ABC’s of pediatric resuscitation.

For more information

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

www.uhnemergencyconference.com