Update in Acute & Emergency Care Pediatrics

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1 Update in Acute & Emergency Care Pediatrics Tennessee Chapter of the American Academy of Pediatrics Tennessee Pediatric Society DEDICATED TO THE HEALTH OF ALL CHILDREN 6th Annual Conference Presented by At The Peabody Hotel October 5-6, 2007 Sponsored by A Collaborative Effort With Tennessee s Comprehensive Regional Pediatric Centers

2 OVERVIEW The sixth annual conference is a result of collaboration between the 4 Comprehensive Regional Pediatric Centers (CRPC's) in Tennessee, the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) and Tennessee Emergency Medical Services for Children (TN-EMSC). The emphasis of the course is to provide practical clinical information on urgent and emergent pediatric issues in an atmosphere that encourages participant interaction. TARGET AUDIENCE The program is designed for pediatricians, emergency physicians, family practitioners, nurse practitioners, physician assistants, nurses & EMS professionals. CONFERENCE OBJECTIVES 1. Review early recognition and current management of common pediatric emergencies such as shock, status epilepticus, the difficult airway, sports injuries, resuscitation of the newborn, the febrile infant, burns, cardiac emergencies and acute pain. 2. Assess and troubleshoot the "technology dependant" child. 3. Identify strategies to improve patient satisfaction, enhance patient safety and effectively communicate adverse outcomes in the acute care setting. 4. Discuss controversies in the treatment of acute otitis media, pharyngitis & sinusitis. 5. Describe prehospital initiatives for children in our state including disaster preparedness. COURSE DIRECTOR Jay Pershad, M.D., Associate Professor of Pediatrics, University of Tennessee Health Sciences Center, Staff, Emergency Department, Le Bonheur Children s Medical Center, FACULTY Thomas J. Abramo, M.D., Professor of Emergency Medicine and Pediatrics, Vanderbilt University School of Medicine, Medical Director, Emergency Department, Monroe Carroll Jr. Children s Hospital, Nashville, Tennessee Doralina L. Anghelescu, M.D., Director, Pain Management Service and Staff, Division of Anesthesiology, St Jude Children s Research Hospital, James H. Beaty, M.D., Professor, Department of Orthopaedic Surgery, University of Tennessee Health Science Center; Staff, Le Bonheur Children s Hospital & Campbell Clinic, Steven C. Buckingham, M.D., Associate Professor, Department of Pediatrics, University of Tennessee Health Science Center, Staff, Division of Infectious Disease, Le Bonheur Children s Medical Center, Memphis, Tennessee Dave F. Clarke, M.D., Assistant Professor, Department of Pediatrics, University of Tennessee Health Science Center; Staff, Division of Neurology, Le Bonheur S. Crile Crisler, Jr., MHA, NREMT-P, Director of Transport, Le Bonheur Children s Medical Center, James Wallace Eubanks, III, M.D., Clinical Instructor, Department of Surgery, University of Tennessee Health Science Center; Staff, Pediatric Surgery, Le Bonheur Barry G. Gilmore, M.D., Associate Professor, Department of Pediatrics, University of Tennessee Health Science Center; Medical Director, Emergency Department, Le Bonheur Children s Medical Center, Timothy G. Givens, M.D., Associate Professor of Emergency Medicine and Pediatrics, Vanderbilt University School of Medicine; Associate Director, Emergency Department, Monroe Carroll Jr. Children s Hospital, Nashville, Tennessee Karen L. Guillory, M.D., Assistant Professor of Pediatrics, University of Tennessee Health Science Center; Staff, Intensive Care Unit, Le Bonheur Children s Medical Center, Marvin N. Hall, M.D., Interim Chairman, Department of Pediatrics, Chattanooga Unit, University of Tennessee College of Medicine; Staff, T.C. Thompson Children s Hospital, Chattanooga, Tennessee R. Darlene Hamblen, RN, CCRN, Chief Transport Nurse/CRPC Coordinator, Pedi Flight, Le Bonheur William Ricks Hanna, Jr., M.D., Assistant Professor of Pediatrics, University of Tennessee Health Science Center; Staff, Emergency Department, Le Bonheur Martin I. Herman, M.D., FACEP, Professor of Pediatrics, University of Tennessee Health Science Center; Staff, Emergency Department, Le Bonheur Children s Medical Center, Gerald B. Hickson, M.D., Professor, Department of Pediatrics, Vanderbilt University School of Medicine, Staff, Vanderbilt University Medical Center, Nashville, Tennessee Susan A. McDaniel Hohenhaus, RN, MA, FAEN, Clinical Human Factors Nurse Researcher, Office of Patient Safety and Quality, Duke University Health Systems, Durham, North Carolina Joseph E. Holley, Jr., M.D., FACEP, Medical Director, Memphis & Shelby County Fire Department, Memphis, Tennessee; Staff, Emergency Department, Baptist Hospital, Collierville, Tennessee

3 Joel Lutterman, M.D., Assistant Professor of Pediatrics, University of Tennessee Health Science Center, Staff, Division of Cardiology, Le Bonheur Children s Medical Center, Thom A. Mayer, M.D., Medical Director, Emergency Department, Fairfax Hospital, Fairfax, VA Jeffrey Runge, M.D., (invited speaker) Chief Medical Officer, Homeland Security, Washington, DC Robert B. Skinner, M.D., Professor, Division of Dermatology, Department of Medicine, University of Tennessee Health Science Center, Staff, Le Bonheur Ajay J. Talati, M.D., Associate Professor, Departments of Pediatrics & Obstetrics and Gynecology, University of Tennessee Health Science Center; Staff, The Newborn Center, MED, Rita Westbrook, M.D., Director, Pediatric Emergency Department, Baptist East Hospital, FACULTY DISCLOSURE As a provider accredited by ACCME, Methodist Healthcare must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these relevant financial relationships will be published in course materials so participants in the activity may formulate their own judgments regarding the presentation. ACCREDITATION Methodist Healthcare is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Methodist Healthcare is an approved provider of continuing nursing education by the Tennessee Nurses Association, an accredited approver by the American Nurses Credential Center s Commission on Accreditation. CREDIT Methodist Healthcare designates this educational activity for a maximum of AMA PRA Category 1 Credits. This activity has been reviewed and is acceptable for up to Prescribed credits by the American Academy of Family Physicians. The AAFP invites comments on any activity that has been approved for AAFP CME credit. Please forward your comments on the quality of this activity to cmecomment@aafp.org. Attendees should only claim credit commensurate with the extent of their participation in the activity. Application has been made for nursing contact hours nursing contact hours for Day One and 5.0 nursing contact hours for Day Two. REGISTRATION The registration fee for the Update in Acute & Emergency Care Pediatrics Conference includes course material, continental breakfasts, lunch on Friday and breaks. Written confirmation of your registration will be sent upon receipt of payment. Full refund will be given for cancellation notice in writing before September 17, Cancellations after that date will be assessed an administrative charge. No refunds will be given after September 24, Checks should be made payable to Methodist Le Bonheur Healthcare. American Express, Discover, MasterCard and VISA payment is accepted. For further information call Please note that Methodist Le Bonheur reserves the right to alter program titles, speakers, or sessions if circumstances so dictate or the right to cancel or reschedule this seminar due to an insufficient number of registrants. Visit our web site at HOTEL ACCOMMODATIONS Rooms at The Peabody Hotel, 149 Union Avenue,, are being offered at $ single/double. Participants should contact the hotel directly at or to make room reservations. Please advise you are attending the Methodist Le Bonheur Update in Acute & Emergency Care Pediatrics program to receive the conference rate. All rooms are subject to applicable taxes and a one-night deposit is required at the time of reservation. Reservations must be received by September 6, After that date, reservations will be taken on a space available basis and may revert to a higher rate. The hotel check-in begins at 4:00 p.m. and check-out time is 11:00 a.m. Deposit is refundable if room cancellation is made 72 hours prior to arrival. CONFERENCE SITE The Peabody Hotel, long considered the grande dame of southern hotels, is Memphis largest and oldest hotel. Today, this elegant national historic landmark is located in the heart of downtown Memphis and continues to charm its guests with unqualified luxury and true Southern Hospitality. The Peabody Ducks enchant guests as they travel to and from the Grand Lobby fountain every day at 11:00a.m. and 5:00p.m. to the sounds of John Phillips Sousa s King Cotton March in a ritual that has become internationally famous.

4 AGENDA Friday, October 5, :30 8:00 a.m. Registration & Continental Breakfast 8:00 8:15 a.m. Opening Remarks Jay Pershad, MD 8:15 9:15 a.m. Enhancing Customer Satisfaction in the Hospital Setting Thom A. Mayer, MD 9:15 10:15 a.m. Resuscitation of the Case Studies Skin Flicks Newborn & Preparing for Highlighting Pitfalls During Common Pediatric the Unexpected Delivery Interfacility Transport Rashes Ajay Talati, MD Karen Guillory, MD Robert Skinner, MD 10:15 10:30 a.m. Break 10:30 11:30 a.m. Rapid Sequence Intubation Initial Management Controversies in the & Recognition of the of Burns Management of Otitis Difficult Airway Media, Sinusitis & Pharyngitis Barry Gilmore, MD James Eubanks, MD Steven Buckingham, MD 11:30 12:30 p.m. Recognition Of Shock & Troubleshooting the Too Hot To Handle! Early Goal Directed Technology Dependant Approach To The Febrile Child Therapy Child: Shunts, Trach s, <36 Months Without Tubes & More A Source Marvin Hall, MD Thomas Abramo, MD W. Ricks Hanna, MD 12:30 1:30 p.m Lunch 1:30 2:30 p.m. Management of Status Current Management Of Tricks of the Trade: Epilepticus & Newer Acute Pain & Update On Clinical Tips that May Anti-Epileptic Drugs Topical Anesthetics Otherwise Take Years to Figure Out on Your Own! Dave Clarke, M.D. Doralina Anghelescu, MD Martin Herman, MD 2:30 3:00 p.m. Break 3:00 4:00 p.m. Recent Articles that May Change Your Practice & Some That Shouldn t Timothy Givens, M.D. 4:00-5:00 p.m. Being Prepared When You Least Expect It: Mock Resuscitations with Simulation Technology (Optional Workshop but Registration Required Limited to the first 8 participants) AGENDA Saturday, October 6, :30 8:30 a.m. Being Prepared When You Least Expect It: Mock Resuscitations with Simulation Technology (Optional Workshop but Registration Required Limited to the first 8 participants) 8:30 9:30 a.m. When Stuff Happens: The How and When of Communicating Adverse Outcomes Gerald Hickson, MD 9:30 10:30 a.m. Management of Cardiac Emergency Department Community Disaster Emergencies in Infancy Management of Common Preparedness & Pre-hospital Sports Injuries Care Update Joel Lutterman, MD James Beaty, MD Joseph Holley, MD 10:30 10:45 a.m. Break 10:45 11:45 a.m. What s Wrong with This Picture? Identifying Risks to Pediatric Safety in Emergency Care Susan Hohenhaus, MA, RN, FAEN 11:45 12:45 p.m Improving Health Care Provider Performance: Motivational Strategies & Management of Caregiver Fatigue Jeffrey Runge, MD 12:45 1:00 p.m. Closing Remarks & Evaluation 1:00 4:00 p.m. TNAAP Board Meeting & Working Lunch

5 PLEASE SELECT THE SESSIONS YOU WILL ATTEND. DAY ONE OCTOBER 5, 2007 (Check One) 9:15 10:15 a.m. Resuscitation of the Case Studies Skin Flicks Newborn & Preparing for Highlighting Pitfalls During Common Pediatric the Unexpected Delivery Interfacility Transport Rashes Ajay Talati, MD Karen Guillory, MD Robert Skinner, MD 10:30 11:30 a.m. Rapid Sequence Initial Management Controversies in the Intubation & Recognition of Burns Management of Otitis of the Difficult Airway Media, Sinusitis & Pharyngitis Barry Gilmore, MD James Eubanks, MD Steven Buckingham, MD 11:30 12:30 p.m. Recognition Of Shock Troubleshooting the Too Hot To Handle! & Early Goal Directed Technology Dependant Approach To The Febrile Child Therapy Child: Shunts, Trach s, <36 Months Without Tubes & More A Source Marvin Hall, MD Thomas Abramo, MD W. Ricks Hanna, MD 1:30 2:30 p.m. Management of Status Current Management Tricks of the Trade: Epilepticus & Newer Of Acute Pain & Update On Clinical Tips that May Anti-Epileptic Drugs Topical Anesthetics Otherwise Take Years to Figure Out on Your Own! Dave Clarke, M.D. Doralina Anghelescu, MD Martin Herman, MD 4:00-5:00 p.m. Being Prepared When You Least Expect It: Mock Resuscitations with Simulation Technology (Optional Workshop but Registration Required Limited to the first 8 participants) DAY TWO OCTOBER 6, 2007 (Check One) 7:30 8:30 a.m. Being Prepared When You Least Expect It: Mock Resuscitations with Simulation Technology (Optional Workshop but Registration Required Limited to the first 8 participants) 9:30 10:30 a.m. Management of Cardiac Emergency Department Community Disaster Emergencies in Infancy Management of Common Preparedness & Pre-hospital Joel Lutterman, MD Sports Injuries Care Update James Beaty, MD Joseph Holley, MD ROLLIN ON THE RIVER Join your colleagues for an evening of fun, music, food, entertainment and auction at The Cadre Building 140 Monroe Street (one block from The Peabody Hotel in downtown Memphis) Proceeds will benefit Tennessee-EMS for Children and the Le Bonheur Children s Medical Center. Friday, October 5, 2007 from 6:30 to 9:30 P.M. Cost: $40.00 with Conference Registration or $50.00 without Conference Registration

6 PROGRAM REGISTRATION Update in Acute & Emergency Care Pediatrics October 5 & 6, 2007 Secure, on-line registration is available at REGISTRATION FEE SCHEDULE (please circle) Registration Fees Early Bird Registration Registration After September 7th Physicians, NP's & PA's $250 $275 RN, Resident & Fellows $150 $175 EMS $100 $125 Rollin On The River Event ($40 per person with registration, $50 per person Rollin On The River event only) Name: Degree: Address: City, State, Zip: Phone: ( ) Fax: ( ) Method of Payment: Check for $ enclosed (payable to Methodist Healthcare) Credit Card: Charge $ to my: American Express Discover Specialty: SS#: (optional - last four digits for CME tracking only) MasterCard VISA I give my permission to CME to send educational activity announcements via . Register online at: or Mail, fax or telephone your completed registration form and tuition to: Continuing Medical Education Methodist Healthcare 1325 Eastmoreland, Suite 372, Memphis, TN PHONE: (901) FAX: (901) Credit Card #: CSC #: Exp. Date: Card Holder s Name: (PLEASE PRINT) Signature: (Card Holder Signature) Statement Address: City, State, Zip: WILL ATTEND TNAAP BOARD MEETING AND LUNCHEON YES NO Continuing Medical Education Methodist Le Bonheur Healthcare 1325 Eastmoreland Ave., #372 Memphis, TN Non-Profit Organization U.S. Postage PAID Memphis, TN Permit No. 3093

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