Department of Continuing Education. P.O. Box 825. Boston, MA

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1 Department of Continuing Education P.O. Box 825 Boston, MA

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3 Who Should Attend? All health care professionals who are not trained as intensivists but whose clinical duties involve the care of critically ill patients, including: n Emergency medicine physicians n Hospitalists and nocturnists at community hospitals n Family practitioners n Critical care physicians n Obstetrician-Gynecologists n Surgeons n Anesthesiologists n PAs n Nurse practitioners n Other health care professionals who are commonly involved in the care of critically ill patients in intensive care settings Course Description Keeping pace with the rapid changes in evidencebased critical care medicine is a challenge for specialty-trained intensivists; for non-intensivists, the challenge of staying up to date may be overwhelming. This CME course is intended to provide core clinical critical care skills to health care providers who are not trained as intensivists but whose clinical duties involve taking care of critically ill patients. The focus of this course will be to highlight recent important evidence-based advances in the practice of modern critical care medicine. The topics include a variety of intensive care issues, such as mechanical ventilation, ultrasound, family meetings, shock and vasopressors, toxicology, sedation, delirium, ARDS, renal failure and dialysis, bleeding and transfusions, infections, antimicrobials and cardiopulmonary arrest. Our outstanding faculty, recognized as experts in the field, use diverse teaching methodologies including lectures, interactive case-based discussions, Q&As and clinical management simulation sessions. These sessions will assess your reasoning and strategies for incorporating, synthesizing and applying core critical care knowledge. The course concludes with an informal meet the professor session. NEW IN 2016: OPTIONAL ADVANCED WORKSHOPS Thursday, September 22 5:00pm - 6:30pm n Workshop 1: Advanced Critical Care Echocardiography Individualizing Care n Workshop 2: Quality and Safety in the ICU Evolution of a New Paradigm Saturday, September 24 8:15am - 12:30pm n Simulation and Skills Lab Workshop at BIDMC

4 Faculty HARVARD MEDICAL SCHOOL COURSE DIRECTORS Assistant Professor of Medicine Harvard Medical School Chair, Department of Medical Education Staff Intensivist Mount Auburn Hospital Harvard Medical School Director of Medical Critical Care Education Beth Israel Deaconess Medical Center Jakob I. McSparron, MD Harvard Medical School Director of Medical Critical Care Operations Associate Program Director Internal Medicine Residency Associate Program Director Harvard Pulmonary and Critical Care Medicine Fellowship Beth Israel Deaconess Medical Center J. Woodrow Weiss, MD Professor of Medicine Harvard Medical School Chief, Division of Pulmonary, Critical Care, and Sleep Medicine Beth Israel Deaconess Medical Center HARVARD MEDICAL SCHOOL FACULTY Asha Anandaiah, MD Rebecca E. Bruccoleri, MD Instructor in Pediatrics Brett J. Carroll, MD Clinical Fellow in Medicine Michael W. Donnino, MD Associate Professor of Medicine Katherine A. Dudley, MD Erik E. Folch, MD, MSc Assistant Professor of Medicine Douglas Hsu, MD Cindy M. Ku, MD Instructor in Anesthesia Barbara LeVarge, MD John Marshall, PharmD Associate Professor of Pharmacy Richard M. Schwartzstein, MD Ellen and Melvin Gordon Professor of Medicine Morgan I. Soffler, MD Research Fellow in Medicine Wendy Stead, MD Assistant Professor of Medicine Jennifer P. Stevens, MD Jeffrey H. William, MD LEARNING OBJECTIVES n Summarize contemporary evidence-based practice in critical care. n Identify specific causes of delirium in critically ill patients, interpret signs of delirium in the critically ill and characterize appropriate sedation goals to prevent delirium. n Rapidly assess causes and determine appropriate initial treatment for patients in cardiopulmonary arrest and identify best practices for post-arrest treatment. n Practice point-of-care ultrasound for vascular access. n Categorize different types of shock, identify the pathophysiologic mechanism behind each and formulate appropriate treatment strategies. n Recognize different types of and uses for mechanical ventilation and interpret basic ventilator waveforms. n Develop and practice strategies for communication about death and dying in the ICU. n Define different types of renal failure and recognize the need for dialysis. n Determine appropriate diagnosis and management of ARDS.

5 How to Register COURSE TUITION Principles of Critical Care Medicine for Non-Intensive Care Specialists Course # NEW PARTICIPANTS PAST PARTICIPANTS Physicians and Allied Health Professionals $850 $800 Residents and Fellows in Training $600 $550 OPTIONAL ADVANCED WORKSHOPS LIMITED AVAILABILITY Workshop 1: Advanced Critical Care Echocardiography Individualizing Care Thursday, September 5pm Workshop 2: Quality and Safety in the ICU Evolution of a New Paradigm Thursday, September 5pm Simulation and Skills Lab Workshop at BIDMC Saturday, September 24 (half day) Fees shown in USD. Your tuition includes all breakfasts and coffee breaks, complimentary Internet access, one hands-on workshop and a special meet the professor session on Friday, September 23. All attendees will receive a comprehensive printed syllabus, which will also be available electronically on the course website. $175 $125 $399 REGISTRATION, PAYMENT, CONFIRMATION, AND REFUND POLICY You may register by credit card (Visa, MasterCard or American Express) or check using Harvard Medical School s secure online registration system. A processing fee of $5 (USD) will be assessed per transaction. Upon receipt of your paid registration, an confirmation from the HMS-DCE office will be sent to you. Be sure to include an address that you check frequently. Your address is used for critical information, including registration confirmation, evaluation and certificate. Refunds, less an administrative fee of $150, will be issued for all cancellations received two weeks before to the start of the course. Refund requests must be received by postal mail, or fax. No refunds will be issued should cancellation occur less than two weeks before. No shows are subject to the full course fee, and no refunds will be issued once the conference has started. VENUE All sessions for this activity will be held at: The Seaport Hotel and World Trade Center One Seaport Lane Boston, MA Tel: ACCOMMODATIONS AND TRAVEL A limited number of rooms have been reserved at the Seaport Hotel (telephone: , SEAPORT) until August 26, Please specify that you are enrolled in this activity to receive the reduced room rate of $289 single/double. Please do not make non-refundable airline reservations until you have received an from our office confirming your paid registration. INQUIRIES By phone , Monday-Friday, 9:00am - 5:00pm (EDT), or by at ceprograms@hms.harvard.edu. ACCREDITATION The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities. ACGME COMPETENCIES n Patient care and procedural skills n Medical knowledge n Practice-based learning and improvement n Interpersonal and communication skills n Systems-based practice RISK MANAGEMENT This activity meets the criteria of the Massachusetts Board of Registration in Medicine for 3.75 credits of Risk Management Study. Please check with your individual state licensing board requirements before claiming Risk Management Credit(s). DISCLOSURE POLICY Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards and Policies. It is HMS s policy that those who have influenced the content of a CME activity (e.g., planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

6 Thursday, September 22 7:00am - 8:30am 7:00am - 8:00am 8:00am - 8:15am 8:15am - 8:30am Registration and Continental Breakfast Hands-On Skills (pre-registration is required) SUNRISE SESSION I - Ultrasound-Guided Vascular Access and IO Placement, Katherine A. Dudley, MD Break Introduction and Overview, Jakob I. McSparron, MD, 8:30am - 9:15am LECTURE I Principles of Mechanical Ventilation: What You Need to Know to Manage the Ventilator 9:15am - 9:20am Transition to Breakouts Breakout Sessions I-II (choose one per session) Case-Based Interactive Session: Best Practices for 9:20am - 10:05am Breakout Session I Noninvasive and Invasive Ventilation Asha Anandaiah, MD How to Incorporate Point-of-Care Ultrasound in 10:05am - 10:20am Refreshment Break 10:20am - 11:05am Breakout Session II Your ICU: A Hands-On Workshop Deconstructing the Difficult Discussion: Communicating with Families of Dying Patients 11:05am - 11:10am Transition to Lectures Shock: Physiology and Strategies for Vasopressor Use 11:10am - 11:50am LECTURE II Toxicology in the ICU: Overdoses and Toxidromes You Need to Know in 2016 Rebecca E. Bruccoleri, MD 11:50am - 1:05pm Lunch Break (on your own) 12:05pm - 1:05pm Hands-On Skills (pre-registration is required) MIDDAY SESSION I - Ultrasound-Guided Vascular Access and IO Placement 1:05pm - 2:00pm Dealing with Delirium: Best Practices for Sedation and Prevention/ Management of Delirium, John Marshall, PharmD 2:00pm - 2:05pm Transition to Breakouts 2:05pm - 2:50pm Breakout Session III 2:50pm - 3:05pm Refreshment Break 3:05pm - 3:50pm Breakout Session IV 3:50pm - 3:55pm Transition to Breakouts 3:55pm - 4:35pm LECTURE III History of Critical Care: Where We Are and Why We re Here J. Woodrow Weiss, MD Breakout Sessions III-IV (choose one per session) ARDS in 2016: A Case-Based Session Jakob I. McSparron, MD To Dialyze or Not to Dialyze: Understanding Renal Failure and Renal Replacement Therapy in the ICU Jeffrey H. William, MD Transfusions and Management of Bleeding in the ICU: Best Practices in the Era of Oral Anticoagulants State-of-the-Art Management of Pulmonary Embolism and Right Heart Failure: A Multidisciplinary Approach Brett J. Carroll, MD, Barbara LeVarge, MD 4:35pm - 5:00pm Putting It Together: Case-Based Summary and Closing Remarks,, Jakob I. McSparron, MD 5:00pm - 6:00pm Hands-On Skills (pre-registration is required) AFTERNOON SESSION I - Ultrasound-Guided Vascular Access and IO Placement, Morgan I. Soffler, MD, Katherine A. Dudley, MD 5:00pm - 6:00pm OPTIONAL ADVANCED WORKSHOPS CHOOSE ONE (pre-registration is required) Workshop 1: Advanced Critical Care Echocardiography - Individualizing Care Workshop 2: Quality and Safety in the ICU - Evolution of a New Paradigm, Jennifer P. Stevens, MD

7 Friday, September 23 7:00am - 8:00am 7:00am - 8:00am 8:00am - 8:05am Continental Breakfast Hands-On Skills (pre-registration is required) SUNRISE SESSION II Ultrasound-Guided Vascular Access and IO Placement, Katherine A. Dudley, MD Transition to Lectures 8:05am - 8:10am Welcome and Overview 8:10am - 8:55am LECTURE IV 2016 Update on Bugs and Drugs in the ICU Wendy Stead, MD Breakout Sessions V-VI (choose one per session) 8:55am - 9:00am Transition to Breakouts Case-Based Interactive Session: Best Practices for 9:00am - 9:45am Breakout Session V Noninvasive and Invasive Ventilation Asha Anandaiah, MD How to Incorporate Point-of-Care Ultrasound in Your ICU: A Hands-On Workshop 9:45am - 10:05am Refreshment Break Deconstructing the Difficult Discussion: 10:05am - 10:50am Breakout Session VI Communicating with Families of Dying Patients Shock: Physiology and Strategies for Vasopressor Use 10:50am - 10:55am Transition to Lectures 10:55am - 11:45am LECTURE V ACLS Guidelines and Beyond: What You Need to Know Now Michael W. Donnino, MD 11:45am - 1:00pm Lunch Break (on your own) 12:00pm - 1:00pm Hands-On Skills (pre-registration is required) MIDDAY SESSION II Ultrasound-Guided Vascular Access and IO Placement, 1:00pm - 1:45pm Breakout Session VII 1:45pm - 1:50pm Transition to Breakouts 1:50pm - 2:35pm Breakout Session VIII 2:35pm - 2:55pm Refreshment Break 2:55pm - 4:00pm LECTURE VI Ask the Experts: Approaches to Your Difficult Cases Breakout Sessions VII-VIII (choose one per session) ARDS in 2016: A Case-Based Session Jakob I. McSparron, MD To Dialyze or Not to Dialyze: Understanding Renal Failure and Renal Replacement Therapy in the ICU Jeffrey H. William, MD Transfusions and Management of Bleeding in the ICU: Best Practices in the Era of Oral Anticoagulants State-of-the-Art Management of Pulmonary Embolism and Right Heart Failure: A Multidisciplinary Approach Brett J. Carroll, MD, Barbara LeVarge, MD Richard Schwartzstein, MD, J. Woodrow Weiss, MD,, Jakob I. McSparron, MD, 4:00pm - 4:10pm Putting It Together: End-of-Course Summary, Q&A and Closing Remarks,, Jakob I. McSparron, MD 4:10pm - 5:00pm Meet the Professors (informal meet-and-greet and Q&A) Richard M. Schwartzstein, MD, J. Woodrow Weiss, MD,, Douglas Hsu, MD,, Jakob I. McSparron, MD Register at CriticalMedBoston.com

8 Saturday, September 24 Optional Simulation and Skills Lab Workshop Procedural and clinical management skills will be emphasized during the optional workshop at the Carl J. Shapiro Simulation and Skills Center at Beth Israel Deaconess Medical Center. This state-of-the-art facility offers the latest advances in medical simulation technology to replicate real-life patient care situations. Select procedural skills will be taught to complete your comprehensive training. Transportation will be provided. A separate registration fee applies. Register early, as space is limited! 8:15am Bus departs from the Seaport Hotel to the Carl J. Shapiro Simulation and Skills Center (SASC) at Beth Israel Deaconess Medical Center 8:45am - 9:00am Welcome and Simulation Center Overview 9:00am - 12:00pm Concurrent Sessions (rotate through each station for 30 minutes) Simulation Session: Integrative Case 1 Simulation Session: Integrative Case 2 Jennifer P. Stevens, MD Pleural Procedures: Thoracentesis, Needle, Decompression, Chest Tube Placement Erik E. Folch, MD, MSc Airway Management Cindy M. Ku, MD Ventilator Management Ultrasound-Guided Vascular Access 12:00pm - 12:10pm Closing Remarks, Jakob I. McSparron, MD, Reasons to Attend in 2016 n State-of-the-art management of pulmonary embolism and right heart failure n Guidelines for management of the overdoses you will see in your ICU this year n Overview of point-of-care ultrasound in the ICU n Communication strategies for difficult family meetings n Expert advice on management of bleeding in the ICU n Evidence-based use of vasopressors n Best practices for management of ARDS in :15pm Bus departs from the Carl J. Shapiro Simulation and Skills Center (SASC) at Beth Israel Deaconess Medical Center to the Seaport Hotel Please note: Program changes/substitutions may be made without notice. DISCLAIMER CME activities sponsored by Harvard Medical School are offered solely for educational purposes and do not constitute any form of certification of competency. Practitioners should always consult additional sources of information and exercise their best professional judgment before making clinical decisions of any kind.