critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 1 In alliance with Fletcher Allen Health Care The 11 th Annual

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1 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 1 In alliance with Fletcher Allen Health Care The 11 th Annual Northern New England Conference October 17 19, 2013 ESSEX, VERMONT Non-Profit Org. US Postage PAID Permit No. 143 Burlington, VT Register Early 128 Lakeside Avenue, Suite 100 Burlington, VT The University of Vermont College of Medicine Presents The 11 th Annual Northern New England

2 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 2 The University of Vermont College of Medicine Presents The 11 th Annual Northern New England CRITICAL CARE CONFERENCE October 17 19, 2013 The Essex Essex, VT Optional Thoracic Ultrasound Workshop on October 18th

3 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 3 Course Description This course is designed to address timely clinical issues encountered in the arena of critical care. All ICU caregivers (physicians, pharmacists, nurses, respiratory therapists, advanced practice nurses and physicians assistants) will obtain up-to-date and practical information relative to daily management of the critically ill patient. Participants will be able to identify and discuss recent developments and trends through comprehensive didactic sessions. Course Objectives: * Understand the principle and application of a broad array of bedside hemodynamic assessment tools. * Understand the diagnosis and management of several common neurologic problems in the critical care setting, including traumatic brain injury, encephalopathy and delirium. * Utilize a case-based approach to the understanding of common ICU problems such as acid-base disorders and antibiotic choices. Back By Popular Demand! We have added an optional Thoracic Ultrasound Workshop on Friday afternoon. The workshop will provide hands-on simulation stations, featuring hands-on ultrasound evaluation of the chest. This will include evaluation of live models to learn to identify normal chest and pleural anatomy; hands-on practice to learn in plane and out of plane assessment of needle position under ultrasound; hands-on placement of US guided thoracentesis catheter in model; and case-based question/answer session showing actual cases of thoracic pathology that were identified by practitioners in the ICU. Workshop Objectives: * Understand how to select probes, optimize settings, and image the plural in normal subjects. * Understand how to perform ultrasound guided thoracentesis on models. Accreditation The University of Vermont College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Vermont designates this live activity for a maximum of 13.5 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Application has been made to the American College of Emergency Physicians for ACEP Category I Credit. This program has been reviewed and is acceptable for up to 13.5 Nursing Contact Hours.* The University of Vermont Continuing Medical Education (VSNA Provider #: PR, 02/1/14) is an approved provider of continuing nursing education by the Vermont State Nurses Association, Inc. Committee on Education, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Credit for other providers is pending. PLEASE NOTE: If you do not participate in the optional workshop, the conference is only accredited for 12 credits. Registration and Cancellation The course fee includes comprehensive course materials, continental breakfast and coffee breaks each day, as well as the welcome reception for registrants and guests on Thursday evening. The Conference registration fee is $525 for physicians and $350 for other ICU caregivers. Please return the Registration Form along with appropriate registration fee. PLEASE MAKE YOUR RESERVATIONS EARLY! The fee for the Optional Thoracic Ultrasound Workshop is $100. Refunds: Refunds, minus an administrative fee of $75, will be made only if notice of cancellation is received, in writing, by September 30, No refunds are possible after that date.

4 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 4 Guest Faculty Achikam Oren-Grinberg, MD, MS Assistant Professor, Anaesthesia Harvard Medical School Director, Echocardiography Department of Anesthesia, and Pain Management Beth Israel Deaconess Medical Center Boston, MA University of Vermont Fletcher Allen Health Care Faculty Gilman B. Allen, MD Associate Professor, Medicine Division of Pulmonary and Director, Adult Services S. Patrick Bender, MD Assistant Professor, Anesthesiology Attending, Anesthesiology and Medicine Associate Program Director, Anesthesia Residency William E. Charash, MD, PhD Course Co-Director Associate Professor, Surgery Chief, Division of Trauma, Burns, Co-Director of SICU for Trauma Ryan D. Clouser, DO Assistant Professor, and Pulmonary Medicine Associate Director, Medical Intensive Care Unit John B. Fortune, MD Professor, Surgery Medical Director, Regional Trauma System Lyle Gerety, MD Clinical Instructor, Anesthesiology Chief Resident, Anesthesiology Mark J. Gorman, MD Associate Professor, Neurological Sciences Director, FAHC Stroke Program Christopher M. Greene, MD Associate Professor, Anesthesiology Attending, Anesthesiologist and Surgical Intensivist Mark P. Hamlin, MD, MS Course Co-Director Associate Professor, Anesthesiology and Surgery Co-Director of SICU for General and Subspecialty Medical Director of Respiratory Care Services Barry W. Heath, MD Professor, Pediatrics Chief, Division of Inpatient and Pediatrics Director, Pediatric Intensive Care Unit Peter Kassel, RN Staff Nurse III SICU/PICU Wesley D. McMillian, PharmD, BCPS Clinical Assistant Professor, Surgery Section of Trauma, Burns and Pharmacist Clinician, Richard D. Murray, MD Clinical Instructor, Neurosurgery Chief Resident, Neurosurgery Alan Segal, MD Associate Professor, Medicine Division of Nephrology Program Director, Nephrology Nune Zadikian, PharmD Pharmacist, SICU

5 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 5 P R O G R A M S C H E D Thursday, October 17 12:00pm Registration & Exhibits 1:00 Welcome & Introduction Mark Hamlin, MD, MS and William Charash, MD, PhD 1:15 Bedside Hemodynamic Assessment: Non-Invasive Monitors Achikam Oren-Grinberg, MD, MS 2:00 Bedside Hemodynamic Assessment: Ultrasound S. Patrick Bender, MD 2:45 Break & Exhibits 3:15 Bedside Hemodynamic Assessment: Physical Exam William Charash, MD, PhD 4:00 Drug Therapy in Renal Failure Nune Zadikian, PharmD 4:45 Renal Replacement Therapies in the ICU Alan Segal, MD 5:30 Welcome Reception Registrants & Guests Friday, October 18 7:00am Continental Breakfast & Exhibits 7:30 Management of Traumatic Brain Injury Richard Murray, MD 8:15 Encephalopathy in the ICU: Evaluation and Management Mark Gorman, MD 9:00 Agitation/Delirium: CAM ICU Assessment Ryan Clouser, DO 9:45 Break & Exhibits 10:15 ICU Sedation in 2013 Gilman Allen, MD 11:00 Get Up and Get Well: Early Mobilization in the ICU Peter Kassel, RN 11:45 Sound, Air Elements o Mark Hamli 12:30 Registratio for Worksh 1:30 Thoracic U S. Patrick Be Lyle Gerety Mark Hamli Achikam O Participants will rotate t Hands on * Pleural * How to Thorac * Thoraci * Hands-o In Plan 3:00 Workshop Saturday, Octob 7:00am Continenta 7:30 My Patient Empiric An Wesley McM 8:00 Case-Based Christophe 8:30 Misbehavi Barry Heath 9:00 Challengin John Fortun 9:45 Break & Ex 10:15 Reality ICU Moderator William Cha Panelists: John Fortun Christophe Barry Heath Wesley McM 11:45 Conference

6 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 6 G R A M S C H E D U L E am Charash, MD, PhD sment: S sment: Ultrasound sment: e s in the ICU ants & Guests bits Traumatic valuation Assessment obilization in 11:45 Sound, Air and Water: The Essential Elements of Thoracic Ultrasound Mark Hamlin, MD, MS 12:30 Registration for Workshop and Lunch for Workshop Participants 1:30 Thoracic Ultrasound Workshop (optional) S. Patrick Bender, MD Lyle Gerety, MD Mark Hamlin, MD, MS Achikam Oren-Grinberg, MD, MS Participants will rotate through the following four stations: Hands on Simulation Stations * Pleural Ultrasound: Seeing What s Normal * How to Perform Ultrasound Guided Thoracentesis * Thoracic Ultrasound Laptop Cases * Hands-on Practice with Needle Guidance: In Plane and Out of Plane 3:00 Workshop Adjourns Saturday, October 19 7:00am Continental Breakfast & Exhibits 7:30 My Patient s Infected: How to Choose Empiric Antibiotics? Wesley McMillian, PharmD, BCPS 8:00 Case-Based Acid-Base Assessment Christopher Greene, MD 8:30 Misbehaving Children Barry Heath, MD 9:00 Challenging Cases from the Trauma Team John Fortune, MD 9:45 Break & Exhibits 10:15 Reality ICU: Managing the Tough Cases Moderator: William Charash, MD, PhD Panelists: John Fortune, MD Christopher Greene, MD Barry Heath, MD Wesley McMillian, PharmD, BCPS 11:45 Conference Adjourns

7 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 7 Flash Drive/Syllabus Please indicate on the registration panel if you wish to receive a flash drive with PDF versions of the presentations, or if you wish to receive a syllabus binder with printed handouts. (If you choose a flash drive, you will be required to bring your laptop. Extra books will not be available.) For an additional $15, you may receive both a binder and a flash drive. Accommodations The Essex, Vermont s Culinary Resort & Spa, is Burlington area s only AAA Four Diamond property. The resort, featuring on-site golf, ropes course, pond, and much more, is set on 18 acres of Vermont countryside. The 22,000 square foot, full service spa includes 10 treatment rooms, a 25-yard indoor pool, outdoor hot tub, fitness center, hair and nail salon, and locker rooms with steam rooms, saunas and relaxation areas. A block of rooms has been reserved at The Essex. Please make your reservations directly with the hotel prior to September 16, 2013, (800) , and indicate your participation in this course to obtain our discounted rates: $204 single or double occupancy plus Vermont State tax. Room rates cannot be guaranteed after September 16th. Accommodations sell out quickly in this entire region due to the popular foliage season. PLEASE RESERVE EARLY. Special Event! The Essex is home to Vermont s Culinary Resort! Join their world class culinary team for an exciting cooking demonstration on Thursday evening during the Welcome Reception. The chef will prepare Hors d oeuvres utilizing local Vermont products. Please indicate on the registration panel the number of people attending (families welcome). Transportation The Essex is located at 70 Essex Way in Essex Junction, Vermont. Although complimentary shuttle service is available upon request to and from Burlington s International Airport, you may wish to rent a car to take advantage of the many fine restaurants, shops and attractions in the greater Burlington area. Leisure Activities The Essex offers a wealth of activities on the property including a heated outdoor pool, indoor pool, fitness center, tennis, fly fishing, ropes course, hot air balloon rides (weather permitting), as well as an 18-hole championship golf course, outlet shopping and cinema next door. A beautiful walking and biking path is accessible from the property. You may want to take advantage of the unique culinary offerings in the exclusive hands-on kitchen Cook Academy. Programs range from hands-on cooking classes and culinary demos. Burlington, just minutes away, is ideally situated on the shores of Lake Champlain, the sixth largest freshwater lake in the U.S. and offers great shopping and excellent restaurants. Echo at the Leahy Center for Lake Champlain provides fun learning activities for children on the ecology, history and culture of Lake Champlain. Historic Shelburne Farms and the Shelburne Museum, an eclectic collection of Americana, are a 30-minute drive from the Hotel. Within an hour's drive are the Ben & Jerry's Ice Cream Factory, UVM Morgan Horse Farm, and the world's largest granite quarry. Course #

8 critical care 13_critical care 06 Revised.qxd 6/24/ :53 PM Page 8 Northern New England Conference Name (As you would like it to appear on your nametag and certificate) Degree: q MD q DO q PA q NP q RN q CRNA q Other Address City State Zip Phone Specialty - Initials Last four digits of your SSN # Flash Drive/Syllabus I wish to receive a flash drive and will bring my laptop I wish to receive a syllabus binder with printed handouts q I wish to receive both a binder and a flash drive ($15 fee applies) Registration Fee Summary $525 Physicians q $350 Nurses, NPs, RTs, PAs, Fellows, Physicians-in-Training q $125 Non-Physician Trainees CRNAs: In order to award credit, the AANA requires that we provide them with documentation of nurse anesthetist attendance at the sessions. To that end, we will have a sign-in sheet available each day at the CME registration desk and ask that you simply check off each session you attend. CRNA certificates of attendance will be mailed following the conference. Please include your AANA Membership # below. Thank you. AANA Membership #: $100 Thoracic Ultrasound Workshop $15 Optional Binder and Flash Drive q Late Fee: After September 12, 2013, add $75 Total Enclosed q I Will Attend the Special Event Welcome Reception Payment Method $ # q To register by credit card, please visit our website at: Scroll down to select the Conference. q Check (payable to the University of Vermont) - Please mail your payment along with a completed registration form to the address below: Mail to: UVM, Continuing Medical Ed u ca tion 128 Lakeside Ave, Suite 100 Burlington, Vermont Phone: (802) Online: Registration is requested by September 12, 2013