Poison and drug information service (padis) Conference 2014

Transcription

1 FACULTY OF MEDICINE Office of Continuing Medical Education and Professional Development Poison and drug information service (padis) Conference 2014 Beyond Good Supportive Care Saturday, November 15, 2014 Libin Theatre, Health Sciences Centre, University of Calgary Foothills Campus 3330 Hospital Drive NW, Calgary Alberta PADIS Open House Friday November 14, 1-5pm Tour the Call Centre Enjoy Refreshments & Snacks PADIS Question of the Week Friday NOVEMBER 14, 2pm 8th Floor, North Tower, Foothills Medical Centre ALL WELCOME TO ATTEND Overview This intensive, one- day clinical toxicology course will be of interest to anyone who provides care to poisoned patients. Physicians, nurses, pharmacists and paramedics whose practice includes emergency medicine, critical care medicine or internal medicine will find this course useful. Objectives At the end of this program participants will be able to: Describe the diagnosis and management of common toxicological conditions Illustrate the evidence used to guide treatment of the poisoned patient Examine current controversies in the use of antidotes in patient care

2 Program Keynote Speaker Dr. Lewis Nelson Professor of Emergency Medicine, New York University School of Medicine Director of the Medical Toxicology Fellowship Program at NYUSOM and the New York City Poison Control Center Past President of the American College of Medical Toxicology The Newest Opium War: The Epidemiology of Prescription Opioid Misuse Dr. Lewis Nelson is an Emergency Physician at Bellevue Hospital Center and New York University Medical Center. He is a member of the Editorial Board of Annals of Emergency Medicine, an author on over 100 peer reviewed publications and numerous textbook chapters, and an editor of Goldfrank s Toxicologic Emergencies, the premier textbook of Medical Toxicology. His interests include medication safety, alcohol withdrawal, and opioid misuse Breakfast/Registration Location: HRIC ATRIUM 0830 Welcome/About PADIS/ Introduction of Keynote Speaker(s): Mark Yarema 0845 Keynote The Newest Opium War: The Epidemiology of Prescription Opioid Misuse The ever-increasing epidemic of prescription opioid misuse, abuse, addiction, and death that we are witnessing in both the US and Canada, is sparing the majority of the world. Legislators, regulators and healthcare providers in our countries are each doing their part to understand and ameliorate the devastating personal and public health effects, while attempting to allow access to these medications for those whom they are deemed effective. The balance of providing quality healthcare with protecting the public health is complicated by competing influential constituencies (pain and addiction), regulatory inconsistencies, and perverse incentives. This talk will highlight how we created this epidemic and where we currently stand, as well as some of the potential solutions that are being implemented or considered. Speaker(s): Lewis Nelson 1000 Break Location: HRIC ATRIUM 1030 Breakout Sessions 1 Northern Scourge: A Review of the Latest Evidence on Management of CO Poisoning The latest evidence regarding how to predict long term complications and management of patients with CO poisoning will be reviewed. Location: THEATRE ONE Speaker(s): David Johnson Double, Double Toil and Trouble: Gastric Decontamination A review of the various methods of decontamination in drug poisonings - e.g. ipecac, activated charcoal, gastric lavage, whole bowel irrigation, and endoscopy. Location: CLARA CHRISTIE Speaker(s): Ryan Chuang Program may change due to circumstances beyond our control

3 Course PROGRAM - continued 1030 Breakout Sessions 1 - Continued Poisoned Patients and Nephrology: When Do They Need to Meet? This talk is on various clinical situations when medical toxicologists and emergency physicians need to involve nephrologists to help manage poisoned patients. Discussion on which toxins are amenable to extracorporeal removal (ECTR), the timing of nephrology consultations, and discussion on expected complications of ECTR will be included. Speaker(s): Sophie Gosselin 1115 Breakout Sessions 2 Feel the Burn: The Toxicity of Weight Loss Agents From amphetamines to herbals, the aim of this session is to review of the wide variety of pharmaceuticals and supplements, both legal and illicit, that are used for purposes of weight loss, fat-burning, and appetite suppression. Focus will be on toxicity and mechanism of action, while emphasizing historical and cultural context. This talk is aimed at medical professionals with all levels of experience. Location: THEATRE ONE Speaker(s): Fiona Garlich New Kids on the Block: Emerging Toxicologic Concerns This presentation will focus on complications related to overdose of newer drugs including direct thrombin inhibitors, factor Xa inhibitors, and antipsychotics. We will also discuss exposure to nicotine from e-cigarettes. This presentation is targeted towards participants with basic toxicology knowledge. Location: CLARA CHRISTIE Speaker(s): Scott Lucyk Advances in Antidotes Designed for those looking for an in-depth, advanced, evidence-based review, this presentation will discuss two antidotes for common poisonings: intravenous lipid emulsion therapy for lipophilic cardiotoxic drugs and N-acetylcysteine for acetaminophen toxicity. Speaker(s): Mark Yarema 1200 Lunch Location: HRIC ATRIUM 1300 Breakout Sessions 3 Little Hands and Mouths: the Risk of Common Childhood Ingestions Ingestion by toddlers account for the majority of all reported poisonings. The epidemiology and outcomes for some of the most common ingestions in pre-school children will be reviewed. Speaker(s): David Johnson Geriatric Poisonings: No Country for Old Men A review of risk factors for toxicity and poison management principles in seniors will be provided. Special focus will be given to medications of concern (e.g. digoxin, oral hypoglycemics). This talk is intended for participants with a basic understanding of pharmacokinetics. Location: CLARA CHRISTIE Speaker(s): Matt Mink Simulation Session (seats limited at 12 per session) Practice case of toxicology poisoning at University of Calgary s medical campus simulation lab Location: To Be Determined Speaker(s): Ryan Chuang, James Huffman 1345 Breakout Sessions 4 Slow and Steady: A Review of Toxicologic Bradycardia This presentation will review the common causes and treatments for drug-induced bradycardia. An in-depth review of pathophysiology and its relationship to treatment will be covered. This talk is targeted towards participants with basic toxicology knowledge. Location: CLARA CHRISTIE Speaker(s): Scott Lucyk Remote Poisonings: A Lot Can Happen in the Middle of Nowhere This session will include a case-based discussion of poisoned patients in rural or remote areas, with a focus on lab capabilities, antidote access and transport decisions. It is primarily directed toward those who work in rural areas or have an interest in the challenges of managing remote poisoning cases. Speaker(s): Brooke Button Simulation Session (repeat) Practice case of toxicology poisoning at University of Calgary s medical campus simulation lab Location: To Be Determined Speaker(s): Ryan Chuang, James Huffman Program may change due to circumstances beyond our control

4 Course PROGRAM - continued 1430 b r e a k Location: HRIC ATRIUM 1500 Panel discussion Keep Calm and Ask a Toxicologist This moderated panel discussion will feature two experienced medical toxicologists discussing management of common toxicologic issues such as toxin-induced seizures and the agitated, delirious patient. It is geared towards medical professionals at all levels of experience. Ample time will be provided for audience members to ask their own questions of the panel. Moderator: Fiona Garlich Discussants: Lewis Nelson & Sophie Gosselin 1545 Closing Plenary Not for Human Consumption: Incense, Bath Salts, and Synthetic Marijuana With advances in non-commercial synthetic chemistry and with the help of easy information availability on the Internet, illicit drug manufacturers can stay steps ahead of regulatory and drug authorities. Simple changes in a drug s chemical makeup produce not only changes in the anticipated clinical effects but also allow circumventing of controlled substances laws. This talk will focus on the history of synthetic substitutes for more conventional drugs of abuse (such as for amphetamines and cannabis), discuss some of the regulatory aspects, and describe the clinical management of patients exposed to these unpredictable substances. Speaker(s): Lewis Nelson 1630 Adjournment Speaker(s): Mark Yarema Program may change due to circumstances beyond our control

5 Planning committee Faculty Course Chair Mark Yarema MD FRCPC Ryan Chuang MD DABEM Ewa Courvoisier MD CCFP-EM Heather Gallant RN BN CSPI Fiona Garlich MD DABEM Val Lee RN BN CSPI Kristine Markieta RN BN CSPI Joanne Masur RN CSPI Matt Mink BSP CSPI Colleen Noble RN BN CSPI Amin Rajwani BSc Pharm MSW CSPI Farah Saleh BSc Pharm Brandyn Stevens BSP Diane Simpson PhD (CME Representative) Chloe Wu MSc MEd (CME Representative) Brooke Button RN BScN CSPI Clinical Information Resource Specialist I, Poison and Drug Information Service, Alberta Health Services Ryan Chuang MD DABEM Associate Medical Director, Poison and Drug Information Service, Alberta Health Services Clinical Lecturer, Department of Emergency Medicine, University of Calgary Fiona Garlich MD DABEM Medical Toxicologist, Poison and Drug Information Service, Alberta Health Services Clinical Lecturer, Department of Emergency Medicine, University of Calgary Sophie Gosselin MD FRCPC Director, Medical Toxicology Consultation Service, McGill University Health Centre Medical Toxicologist, Centre antipoison du Québec and Poison and Drug Information Service, Alberta Health Services James Huffman MD FRCPC Emergency Physician, Department of Emergency Medicine, Alberta Health Services - Calgary Zone Clinical Lecturer, Department of Emergency Medicine, University of Calgary David Johnson MD Medical Toxicologist, Poison and Drug Information Service, Alberta Health Services Professor, Departments of Pediatrics, and Physiology & Pharmacology, University of Calgary Scott Lucyk MD FRCPC Medical Toxicology Fellow, New York City Poison Control Center, New York University School of Medicine, New York Matt Mink BSP CSPI Educator and Clinical Information Resource Specialist II, Poison and Drug Information Service, Alberta Health Services Mark Yarema MD FRCPC Medical Director, Poison and Drug Information Service, Alberta Health Services Clinical Associate Professor, Departments of Emergency Medicine, Physiology & Pharmacology, and Critical Care Medicine, University of Calgary Disclosure of potential financial conflicts of interest In keeping with accreditation guidelines, speakers participating in this event have been asked to disclose to the audience any financial involvement with industry or other organizations that may potentially influence the presentation of the educational material. Disclosure will be done verbally and using a slide prior to the speaker s presentation. cme.ucalgary.ca

6 About Padis The Poison and Drug Information Service (PADIS) provides a comprehensive system of patient care, education and research in the fields of clinical pharmacology and toxicology to the general public and health professionals throughout Alberta, Saskatchewan and the Northwest Territories. Formed in 1986, PADIS is one of five provincial Poison Centres in Canada. PADIS is staffed by a multi-disciplinary group of health professionals who are cross trained in all areas and are supported by Medical Toxicologists. With intensive training and access to critical resources, our Information Specialists are able to treat, alert and advise both health care providers and the general public under three distinct services: The Poison Centre provides emergency advice and information about poisoning management and prevention to both the general public and health care professionals throughout Alberta, Saskatchewan and the Northwest Territories 24 hours a day, 7 days a week. Approximately 70% of calls received by the Poison Centre are managed safely and effectively at home without the need to refer to a health care facility. Drug Consultation for Health Professionals Line provides advice to healthcare professionals throughout Alberta and the Northwest Territories. Types of calls include questions regarding therapeutic use of medications, adverse drug reactions, use of drugs in pregnancy, lactation, and drug identification. This service is available from Monday to Friday, excluding statutory holidays. Calls on this line are from pharmacists, nurses, physicians, midwives, paramedics, dentists, dental hygienists, as well as other health care professionals. Medication and Herbal Preparation Advice Line is dedicated to helping patients make informed decisions about their medications. Types of calls include questions regarding therapeutic use of medications, adverse drug reactions, use of drugs in pregnancy, lactation, and drug identification. This service provides advice to Albertans 24 hours a day, seven days a week. PADIS provides accurate, complete, current and timely information about drugs and poisons to the public and health professionals. For patients in a healthcare facility, PADIS partners with the healthcare professionals at the bedside to support patient care throughout the patient s entire hospital stay. Our city-wide Medical Toxicology consultation service in Calgary covers the five acute care hospitals and provides bedside consultations by PADIS. PADIS also operates a monthly outpatient Medical Toxicology Clinic at the Rockyview General Hospital in Calgary where patients with exposures to potentially toxic substances such as metals (e.g. lead, arsenic, mercury, cobalt, chromium), gases (e.g. carbon monoxide) and other hazardous materials or requiring interpretation of toxicologic testing already performed are seen by a Medical Toxicologist. PADIS takes a leadership role in poison and drug education programs through formal clinical placements for undergraduate, graduate and post-graduate students, on-site training for current healthcare practitioners, and other partnerships with professional and licensing bodies, community groups, and the media. Finally, PADIS is a centre of research in drug and poison information. Original research findings have been presented at many local, national, and international conferences. Areas of research interest include the epidemiology of poisoning, acetaminophen poisoning, antidotal therapy, pediatric toxicology and toxic alcohol poisoning. Our data collection system provides the capacity to monitor poisonings and trends in poisoning, target educational programs, recognize groups at highest risk, and identify high risk toxins. CONTACT US (AB and NWT) (SK) Website cme.ucalgary.ca

7 General Information Accommodation Registrants must make their own accommodation arrangements. We recommend: Hotel Alma 169 University Gate NW, Calgary AB T2N 1N4 Phone Toll Free hotelalma.ca To obtain the University rate of $129 per night plus taxes, please indicate the promotion code PADIS and show your CME&PD course confirmation/ receipt upon arrival. (Taxes include 4% Alberta Tourism Levy, 3% Destination Marketing Fee and 5% GST.) PARKING The Health Sciences Centre is located adjacent to the Foothills Hospital. Visitor parking is available in Visitor Lot 6 parkade on the north side of the Health Sciences Centre. This parkade accepts credit card or cash payment via machine ($13/day). DRESS Dress is business casual. Sweaters or items of clothing that can be layered are recommended since temperature in the venue may fluctuate. CONFIRMATION OF REGISTRATION On-line registration confirmation is automatic after registering on-line. A tax receipt will be sent approximately 2 weeks after registering. For all other methods of registration (mail, fax) confirmation will be in the form of a tax receipt. No other confirmation will be sent. Please allow 2 weeks for registration processing. REFUND POLICY A registration refund will be made upon written request on or prior to October 31, However $50 will be retained for administrative costs. No refund will be made for cancellation after October 31, NOTE: Refunds are processed only on the return of original receipt. All receipts must be returned within 30 days after program date. REIMBURSEMENT OF REGISTRATION FEES Physicians may be eligible for reimbursement of registration fees and expenses to attend CME courses from a fund administered by the Alberta Medical Association. For more information regarding this, please visit albertadoctors.org/leaderspartners/quality-and-educationprograms/cme/claim. COURSE CANCELLATION POLICY The Office of Continuing Medical Education and Professional Development reserves the right to cancel the course if there are insufficient registrations. ACCREDITATION The University of Calgary Office of Continuing Medical Education and Professional Development is fully accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS). STUDY CREDITS This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited by University of Calgary Continuing Medical Education and Professional Development for up to 5.75 MAINPRO-M1 credits. This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada and approved by University of Calgary Continuing Medical Education and Professional Development. Participants can claim up to a maximum of 5.75 study credits. Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits. Information on the process to convert Royal College MOC credit to AMA credit can be found at internationalcme. FOR FURTHER INFORMATION Office of Continuing Medical Education and Professional Development Faculty of Medicine University of Calgary TRW Building, 3280 Hospital Drive NW Calgary, AB T2N 4Z6 About Course Content Gillian Liston Phone gcliston@ucalgary.ca About Registration Phone cmereg@ucalgary.ca To Register On-line, by mail or by fax (see Registration Form for details) cme.ucalgary.ca

8 Course number REGISTRATION FORM Poison and Drug Information Service (PADIS) Conference November 15, 2014 PROFESSION PHYSICIAN NURSE PHARMACIST PARAMEDIC OTHER: PLEASE SPECIFY PLANNING COMMITTEE/ FACULTY FIRST NAME LAST NAME ADDRESS CITY PROVINCE POSTAL CODE AREA CODE PHONE EXT AREA CODE FAX PAYMENT BY CHEQ AMEX VISA MASTERCARD CARD NUMBER Exp. Date M M / Y Y SIGNATURE Check here if you would like the above address used to receive our monthly CME newsletter with course updates REGISTRATION FEE On or before October 30, 2014 Physician - $ Non-Physician - $ After October 30, 2014 Physician - $ Non-Physician - $ Residents/Students $ On-site registration is based on availability and is not guaranteed BReakout Session SELECTION Please number 1 to 3 for your preference of topics within each time block Management of CO Poisoning 2. Gastric Decontamination 3. Poisoned Patients and Nephrology Toxicity of Weight Loss Agents 5. Emerging Toxicologic Concerns 6. Advances in Antidotes Risk of Common Childhood Ingestions 8. Geriatric Poisonings 9. Simulation Session Review of Toxicologic Bradycardia 11. Remote Poisonings 12. Simulation Session (repeat of 9.) FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT Registration information is collected under the authority of the Freedom of Information and Protection of Privacy Act. The contact information you provide is required by our Office to register you in the course, prepare material and courses for your use, plan for future courses and notify you of similar, upcoming courses offered by our Office. Financial information is used to process applicable fees and is retained for future reference. Call the Conference and Program Manager at the Office of Continuing Medical Education and Professional Development, , if you have questions about the collection or use of this information. REGISTRATION INFORMATION Phone , cmereg@ucalgary.ca REGISTER ON-LINE REGISTER BY MAIL Mail Registration Form with payment to Office of Continuing Medical Education and Professional Development, Faculty of Medicine, University of Calgary, TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6 Cheque payable to UNIVERSITY OF CALGARY REGISTER BY FAX Registration with credit card payment only may be faxed to cme.ucalgary.ca