EMERGENCY MEDICINE FOR RURAL HOSPITALS

Transcription

1 26TH ANNUAL EMERGENCY MEDICINE FOR RURAL HOSPITALS A PROGRAM FOR PHYSICIANS AND NURSES FRIDAY EVENING TO SUNDAY January 22-24, 2010 COURSE OVERVIEW This program is designed for physicians and nurses in rural hospitals. Through a combination of plenary lectures, breakout sessions and small group workshops, participants will review current issues in management of patients presenting to rural emergency departments. NOTE Small group workshops have limited registration. REGISTER EARLY TO AVOID DISAPPOINTMENT. COURSE OBJECTIVES To provide nurses and doctors with an update on the management of urgent conditions presenting special challenges in the rural emergency department. Assessment, investigation and treatment appropriate to the rural setting will be covered. Banff Park Lodge 222 Lynx Street Banff, Alberta, Canada Extend your trip to Banff by attending the associated pre-courses for physicians and/or nurses Advanced Cardiac Life Support Course Hemodynamic Instability Course Rural Anesthesia for G.P. Anesthesiologists Rural Critical Care SEE LISTING ON PAGE 6 To assist physicians and nurses in identifying patients who can be optimally managed in a rural setting and those who require referral to a larger centre. Transport issues for patients needing referral will be addressed. To provide a forum for exchange of information among health professionals in rural communities. Office of Continuing Medical Education and Professional Development Creating the future of health

2 C O U R S E O U T L I N E FRIDAY JANUARY 22, Registration 1845 OPENING REMARKS Greetings from Course Chairs Steven Douglas & Jan Kautz Greetings from the Continuing Medical Education and Professional Development Office 1900 KEYNOTE The Agitated Patient Bruce Campana Dealing with the agitated, suicidal, or dangerous patient is one of the realities of practicing emergency medicine. Having a plan in place can change a dangerous and uncomfortable situation into one that is managed with reasonable calm and safety for the patient and the staff. This presentation will look at some options available today, including protocols, manpower and medication for different situations SHORT SNAPPER Practice-Changing Articles from the Recent Literature Grant Innes 2030 Reception Stay and enjoy a wine and cheese reception while having an opportunity to socialize with your colleagues. SATURDAY JANUARY 23, Continental Breakfast / Late Registration PLENARY SESSIONS 0800 Management of Recent Onset Atrial Fibrillation in the Rural ER Ian Stiell 0840 We Need to Put You to Sleep Alexis Mageau Practical aspects of procedural sedation and analgesia Non-STEMI Chest Pain The Grey Area Grant Innes Differentiating the more difficult cases, when and how often to do troponins, who needs admission to hospital, who can go home Nutrition Break BREAKOUT SESSIONS 1030, 1135, 1330, 1435, 1540 Each breakout session is 50 minutes long with 15 minutes for travel to the next session lunch is 1230 to REGISTER EARLY TO ENSURE YOUR CHOICE OF WORKSHOPS WORKSHOPS Workshop sessions have been identified as designed for physicians, nurses or both (multi-disciplinary). Although the focus of the GROUP A workshops is for the identified health professionals, other disciplines are welcome to attend. GROUP B workshops are restricted to the identified health discipline group. Sessions designed for PHYSICIANS: A1-A16 and B1-B8 Sessions designed for NURSES: A12-A20 and B6-B11 Due to the limited capacity and/or hands-on component of certain workshops, participants will be assigned to a maximum of two of the workshops in GROUP B. Attendance will be strictly monitored. Priority will be given to those registering early. The remainder of sessions assigned will be from your GROUP A choices. Most breakouts will be held at the Banff Park Lodge, although some procedure-based small group workshops will be held at the Mineral Springs Hospital next to the hotel. GROUP A A1. Recognizing and Managing Pediatric DKA Peggy Thomson A2. Non-invasive Ventilation: The Use of CPAP Modality for Pulmonary Edema and COPD Luc Berthiaume Understand when and how to use CPAP and when definitely not to use it. A3. Joint Injections Simplified Eric Babins Following a brief overview of indications for joint injections and aspiration, participants will have a practical session. A4. Clinical Examination of Soft Tissue Injuries of the Shoulder Greg Buchko This workshop will help non-specialist physicians develop skills to examine and diagnose shoulder injuries. A5. Novel Uses for Ultrasound Kyle McLaughlin Take bedside ultrasound to the next level. In this lecture, learn about advanced ultrasound techniques to complement your practice. A6. Weathering the Perfect Storm: Living While Practicing Emergency Medicine Marc Cherniwchan This interactive workshop is designed to help participants understand the root reasons for stress in the practice of Emergency Medicine in the rural setting and to explore practical, workable ways of managing family and personal life while doing this work long-term. A7. Clinical Clearance of the C-Spine Ian Stiell Research-based practical advice for the rural GP s approach to C-Spine issues.

3 C O U R S E O U T L I N E SATURDAY JANUARY 23, 2010 cont d A8. Pearls and Pitfalls in ECG Interpretation James McMeekin What not to miss in ECGs and what are the next steps. A9. The Friday Afternoon Oncologic Emergency Alberta Health Services Cancer Care Physician TBA Using a case-based approach, common oncological emergencies such as febrile neutropenia will be discussed. A10. After the ABCs: What Sick Kids Teach Us About Health and Care Vincent Hanlon In this session we ll consider the nature of brief therapeutic alliances, how we communicate with children and remind ourselves of the importance of name, touch and being present. A11. Approach to Three Views of the Abdomen Stefan Przybojewski How to sharpen your interpretation skills with plain film of the adbomen. A12. Vomiting and Diarrhea Care Pathway (MULTI-DISCIPLINARY FOCUS) David Johnson A new protocol for pediatrics. A13. Challenges of Transport from Remote Rural Communities (MULTI-DISCIPLINARY FOCUS) Trina Larsen Soles This session will discuss case presentations highlighting difficult transport situations involving trauma, medical and obstetric/neonatal emergencies. A14. Adolescent Substance Abuse (MULTI-DISCIPLINARY FOCUS) Samuel Chang This workshop will focus on the challenge of managing the adolescent s foray into substance abuse. A15. Evidence-based Health Tips for MDs and RNs (MULTI-DISCIPLINARY FOCUS) PFSP Physician TBA This session will explore six proven strategies for staying healthy while working in a pressured clinical (ER) environment. A16. Differentiating the 3Ds (MULTI-DISCIPLINARY FOCUS) Kelly McDonald & Colin Powell Identifying depression, delirium, and dementia why bother? A17. Understanding the Chest Drainage Tube and Pleur-Evac System (NURSE FOCUS) Anthony Falvi Overview of theory and management of chest drainage system. A18. Respiratory Medication Devices (NURSE FOCUS) Kathy Courtney Up to 91% of patients use their Asthma and COPD medications incorrectly. This session will help practitioners teach the patient and/or parent to administer respiratory medication effectively, enabling the patient towards self management of the disease. A19. Emergency Deliveries in the Rural Emergency Room (NURSE FOCUS) Leslie Perry Overview of vaginal delivery, shoulder dystocia and breech. A20. Rodeos, Ranches, and Recreation (NURSE FOCUS) Theresa Pasquotti This session will discuss trauma injuries from large animal interactions on the farm/ranch, rodeos and the road ; patterns of injury, new information on trauma care & treatment; and some transport considerations. GROUP B Participants will be assigned to a maximum of two of the workshops in GROUP B. Priority will be given to those registering early. The remainder of sessions assigned will be from your GROUP A choices. B1. Intraosseous Access: New Tools to Help with an Old Skill (PHYSICIAN ONLY) Steven Douglas & Katharine Smart Practice your IO needle insertion techniques. Become familiar with the new drills available, making the procedure very quick, very simple and applicable to a much wider age range of patients from pediatric to adults. B2. Emergency Ophthalmology Procedures (PHYSICIAN ONLY) Gordon Douglas Overview of common eye emergencies and practical skill development for ocular examination and treatment including slit lamp. B3. Plastic Surgery Techniques in the Rural ER Advanced Suturing Skills (PHYSICIAN ONLY) Thomas Sinclair Common plastic surgery problems seen in the ER and tips on how to treat them. B4. Procedural Critical Skills (PHYSICIAN ONLY) Wayne Sefcik & Cathie Belenky This session will comprise stations focusing on lumbar puncture, needle decompression, and insertion of chest tubes. B5. Airway Management (PHYSICIAN ONLY) Ian Wishart & Alexis Mageau This session will comprise stations focusing on assessment of the airway (regular versus difficult), in adults and children, adjuncts for difficult airway (Lighted Stylet, Bougie, LMA) and RSI intubation controversies. B6. Basic Suturing Techniques for the Rural Practitioner (MULTI-DISCIPLINARY FOCUS) Mort Doran This session will provide a practical overview and demonstration of basic suturing. B7. STARS Simulator (MULTI-DISCIPLINARY FOCUS) David Lendrum, Chad Hegge & Bob Odney The human patient simulator replicates complex medical and traumatic problems, offering health practitioners an opportunity to practice their reactions and skills. Participate in 2 short case scenarios with this advanced technology that simulates an emergency room.

4 C O U R S E O U T L I N E SATURDAY JANUARY 23, 2010 cont d B8. Pediatric Human Patient Simulator (MULTI-DISCIPLINARY FOCUS) Tanuja Kodeeswaran & Connie Abrey The pediatric patient simulator helps healthcare professionals to develop and enhance the skills required to provide medical assessment and treatment of children. In this workshop, participants will work through common emergency pediatric presentations in real time, using an advanced simulator. B9. Procedural Skills for Managing Trauma Patients (NURSE ONLY) Thora Barnes, Laura Fowler, Patricia Morkin & Theresa Pasquotti Demonstration and hands-on experience with pelvic binder, spinal immobilization, fluid warmer and Intraosseous. B10. Basic ECG Interpretation (NURSE ONLY) NOTE: DOUBLE SESSION (TWO 50 MINUTE TIME SLOTS) Angela Hope Examine elevation and depression of ST segment and new onset Bundle Branch Block and what it means; distinguish the difference between inferior vs anterior and the clinical implications. B11. Advanced ECG Interpretation (NURSE ONLY) NOTE: DOUBLE SESSION (TWO 50 MINUTE TIME SLOTS) Susan Bengivingo Examine axis deviation and bundle branch block and which leads are involved; discussion of patient stratification in ACS and administration of fibrolytics in the rural ER. Rural Emergency Nurses Interest Group Meeting Emergency Nurse Interest Group of Alberta (ENIG) 1630 Meeting (1hour) Alberta Section, Society of Rural Medicine CHAIR/HOST Dr Allan Garbutt 1700 Rural Health Strategy Guest Speaker from Alberta Health Services 1800 Annual General Meeting (appetizers & refreshments will be provided) SUNDAY JANUARY 24, 2010 PEDIATRICS IN THE RURAL EMERGENCY ROOM Sunday morning sessions will focus on managing pediatric patients in the ER what are the challenges, what is vital to know, new management guidelines and treatments Continental Breakfast PLENARY SESSIONS 0800 Non-Traumatic Pediatric Orthopedic Emergencies David Chaulk A review of presentation, recognition, diagnosis and management of pediatric orthopedic emergencies that are not secondary to trauma Pitfalls in Pediatric Trauma Sherry McGillivray 0925 Pediatric Potpourri A Primer on Pediatric Emergency Vignettes Edward Les 1010 Nutrition Break PLENARY SESSIONS 1030 Pediatric Sedation Pearls Marc Francis Including a discussion about utilizing Ketamine and Propofol in the pediatric environment Sepsis The Unfolding Sequence in the Pediatric Patient Graham Thompson How kids differ from adults and a review of current guidelines Closing Comments Steven Douglas & Jan Kautz PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

5 F A C U L T Y Connie Abrey, RN BN Clinical Nurse Educator, Alberta Children s Hospital Eric Babins, MD CCFP Dip Sports Med Clinical Associate Professor, Family Medicine, Thora Barnes, RN Clinical Leader, Emergency Services Interior Health Cranbrook, BC Cathie Belenky, RN Clinical Nurse Educator, Sheldon M Chumir Urgent Care Susan Bengivingo, RN Nurse Clinician, Alberta Health Services Luc Berthiaume, MD FRCPC Intensivist; Clinical Assistant Professor, Critical Care Medicine, Greg Buchko, MD FRCSC Orthopedic Surgeon, Alberta Health Services Banff, AB Bruce Campana, MD FRCPC Emergency Physician; Clinical Assistant Professor, University of British Columbia Vancouver, BC Samuel Chang, MD FRCPC Psychiatrist; Clinical Assistant Professor, Psychiatry, David Chaulk, MD FRCPC Deputy Chief, Division of Emergency Medicine, Alberta Children s Hospital; Clinical Assistant Professor, Paediatrics, Marc Cherniwchan, MD FRCPC Emergency Physician; PFSP Assessment Physician; Associate Clinical Professor, Emergency Medicine, University of Alberta Edmonton, AB Kathy Courtney, RRT Certified Respiratory Educator, Alberta Children s Hospital Mort Doran, MD General Surgeon; Clinical Associate Professor of Anatomy, Gordon Douglas, MD FRCSC Ophthalmologist, Alberta Health Services Steven Douglas, MD CCFP Emergency Physician, Alberta Health Services Strathmore/Drumheller, AB Anthony Falvi, MN NP Thoracic Surgery, Alberta Health Services Laura Fowler, RN BN ENC (C) ER Educator, Clinical Learning, Alberta Health Services Red Deer, AB Marc Francis, MD Emergency Physician, Alberta Health Services Vincent Hanlon, MD CCFP(EM) FCFP Emergency Physician; PFSP Assessment Physician Lethbridge, AB Chad Hegge, BHSc EMT-P Paramedic; Mobile Simulation Program Leader, STARS Angela Hope, RN Staff Nurse (Emergency), Covenant Health Banff, AB Grant Innes, MD CCFP(EM) FRCPC Clinical Department Head, Emergency Medicine, Calgary Zone; Professor & Chair, Division of Emergency Medicine, David Johnson, MDCM Professor, Paediatrics, Pharmacology & Pharmacology, Tanuja Kodeeswaran, MD FRCPC Clinical Assistant Professor, Paediatrics, Trina Larsen Soles, MD Emergency Physician, Interior Health Golden, BC David Lendrum, MD FRCPC Emergency Physician, Alberta Health Services; STARS Flight Physician Edward Les, MD FRCPC Clinical Assistant Professor, Paediatrics, Sherry McGillivray, RN BN Regional Pediatric Trauma Coordinator, Alberta Children s Hospital Alexis Mageau, RN BNSc MN Clinical Nurse Specialist; Emergency & Urgent Care Kelly McDonald, RN MN GNC(C) Clinical Nurse Specialist Seniors Health; Alberta Health Services Kyle McLaughlin, MD CCFP(EM) Emergency Physician, Alberta Health Services James McMeekin, MD FRCPC Clinical Professor, Cardiac Science & Medicine, Patricia Morkin, RN ENC(C) ED/CC Educator, Chinook Regional Hospital Lethbridge, AB Bob Odney, EMT Paramedic, STARS Theresa Pasquotti, RN BN ENC(C) Trauma Coordinator, Chinook Health Lethbridge, AB Leslie Perry, RN BTSN (Perinatal) Staff Nurse, Alberta Health Services Canmore, AB Colin Powell, MBBS FRCP Geriatric Medicine Specialist; Clinical Professor, Medicine, Stefan Przybojewski, MD FRCPC Radiologist; Fellow in Interventional Radiology, Alberta Health Services Wayne Sefcik, MD CCFP(EM) Deputy Regional Clinical Department Head Emergency Medicine; Chair, Clinical Safety Committee, Alberta Health Services Thomas Sinclair, MDCM FRCSC Plastic Surgeon, Alberta Health Services Banff/Canmore, AB Katharine Smart, MD FRCPC Clinical Assistant Professor, Paediatrics, Ian Stiell, MD FRCPC Professor and Chair, Department of Emergency Medicine, University of Ottawa; Distinguished Professor and University Health Research Chair, University of Ottawa; Senior Scientist, Ottawa Hospital Research Institute Ottawa, ON Graham Thompson, MD FRCPC PEM Outreach Educator, Alberta Children s Hospital; Assistant Professor, Paediatrics, Margaret (Peggy) Thomson, MDCM FRCPC Clinical Assistant Professor, Pediatrics, Ian Wishart, MD CCFP FRCPC Emergency Physician; Clinical Assistant Professor, Family Medicine, DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST In keeping with accreditation guidelines, speakers participating in this event have been asked to disclose to the audience any involvement with industry or other organizations that may potentially influence the presentation of the educational material. Disclosure may be done verbally or using a slide prior to the speaker s presentation.

6 G E N E R A L I N F O R M A T I O N ACCOMMODATION Registrants must make their own arrangements. Reserve at the Banff Park Lodge ( ) by December 23, 2009 to receive the conference rate of $115 per night (plus applicable taxes) at the Lodge or $95 per night at the sister hotel, Bow View Lodge. This rate will be available for two days pre- and post-course, subject to room availability. Advise the hotel that you are registered for the Emergency Medicine for Rural Hospitals course. Also available are the following hotels: Banff International Hotel ( ) Brewsters Mountain Lodge ( ) Delta Banff Royal Canadian Lodge ( ) See for additional accommodation. REIMBURSEMENT OF REGISTRATION FEES Physicians who are members of the Alberta Medical Association may be eligible for reimbursement of registration fees and expenses to attend CME courses from a fund administered by the AMA. For more information, call the AMA at (780) or CONFIRMATION OF REGISTRATION On-line registration (where available) 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 prior to January 12, However $40 will be retained for administrative costs. No refund will be made for cancellation after January 11, NOTE: Refunds are processed only on the return of original receipt. All receipts must be returned within 30 days after program date. 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 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 for up to 12 MAINPRO-M1 credits. FOR FURTHER INFORMATION, CONTACT Office of Continuing Medical Education and Professional Development,, Faculty of Medicine, 3330 Hospital Drive NW, Calgary, AB T2N 4N1 About Course Content, Contact Mairi Babey, Rural Conference Coordinator Phone (403) , Fax (403) ruralcme@ucalgary.ca About Registration, Contact cmereg@ucalgary.ca VISIT OUR WEBSITE Support from the College of Physicians and Surgeons of Alberta, the Rural Physician Action Plan and Mineral Springs Hospital (Banff), is gratefully acknowledged. A S S O C I A T E D P R E - C O U R S E S Advanced Cardiac Life Support Course Thursday & Friday JANUARY 21-22, 2010 Banff, AB Registration form on Hemodynamic Instability Course Friday JANUARY 22, 2010 Banff, AB Information and registration on Rural Anesthesia for G.P. Anesthesiologists Friday JANUARY 22, 2010 Banff, AB Brochure and registration form on Rural Critical Care Friday JANUARY 22, 2010 Banff, AB Information and registration at Society of Rural Physicians of Canada: P L A N N I N G C O M M I T T E E BANFF, AB Simon Bartley, MD CCFP BROOKS, AB Judy Skanderup, RN BN Mari-Lynn Thomson, MB ChB DRUMHELLER, AB Rod Graf, ACCN-ER DE WINTON, AB Steven Douglas, MD CCFP LETHBRIDGE, AB Patricia Morkin, RN ENC(C) OKOTOKS, AB Anton Nel, MB ChB RED DEER Laura Fowler, RN BN ENC(C) STRATHMORE, AB Jan Kautz, RN BN (Co-Chair) SUNDRE, AB V Michelle Warren, MD CCFP CRANBROOK, BC Thora Barnes, RN Neehar Arya, MBBS CALGARY, AB Claire Mills, RN BScN LLB (CME)

7 REGISTRATION FORM PART 1 26th Annual EMERGENCY MEDICINE FOR RURAL HOSPITALS Friday to Sunday JANUARY 22-24, 2010 PROFESSION PHYSICIAN NURSE RESIDENT/ STUDENT OTHER: SPECIFY FIRST NAME LAST NAME ADDRESS CITY PROV POSTAL CODE AREA CODE PHONE AREA CODE FAX PAYMENT BY CHEQ AMEX VISA MASTERCARD CARD NUMBER EXPIRY 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 Includes reception on Friday evening, continental breakfast on Saturday and Sunday, lunch on Saturday, nutrition breaks, handouts $465 Physician $335 Nurse/Other Health Professional $250 Student/Resident 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 for your use and notify you of upcoming courses offered by our Office. Financial information is used to process applicable fees and is retained for future reference. If you have questions about the collection or use of this information, call the Research Associate at The Office of Continuing Medical Education and Professional Development (403) SATURDAY AFTERNOON ADDITIONAL GUEST LUNCHES Indicate # of guest(s) Per Guest $35 X = $ 5yrs & Under Free X Please Note Lunch will include a vegetarian selection. We are unable to accommodate special dietary restrictions (for example, gluten free, peanut allergies). TOTAL FEES ENCLOSED $ REGISTER BY FAX Fax Registration Form with credit card information to (403) Our fax machine is in a secure area. REGISTER BY MAIL Mail Registration Form with payment to Office of Continuing Medical Education and Professional Development, Faculty of Medicine,, 3330 Hospital Drive NW, Calgary, AB T2N 4N1 Cheque payable to UNIVERSITY OF CALGARY REGISTRATION DEADLINES Course January 14, 2010 Banff Park Lodge Accommodation Before December 23, 2009 to ensure you receive the conference rate.

8 REGISTRATION FORM PART 2 FIRST NAME 26th Annual EMERGENCY MEDICINE FOR RURAL HOSPITALS Friday to Sunday JANUARY 22-24, 2010 REGISTER EARLY TO ENSURE YOUR CHOICE OF WORKSHOPS LAST NAME SELECTIONS Saturday Breakouts Workshop sessions in GROUP A are didactic presentations. Workshop sessions in GROUP B have a hands-on component or smaller capacity. Due to the limited enrolment available for GROUP B sessions, participants will be assigned to a maximum of two of the workshops in GROUP B. Attendance will be strictly monitored. Priority will be given to those registering early. The remainder of sessions assigned will be from your GROUP A choices. (You will be assigned to a total of 5 workshops.) GROUP A Workshop sessions have been identified as designed for physicians, nurses or both (multi-disciplinary). The focus of the workshops is for the identified health professionals, although other disciplines are welcome to sign up for the sessions. PHYSICIAN FOCUS (nurses welcome): A1-A11 MULTI-DISCIPLINARY FOCUS (physicians & nurses): A12-A16 NURSE FOCUS (physicians welcome): A17-A20 Select 10 Number in order of preference with 1 being the most important. A1. Recognizing and Managing Pediatric DKA A2. Non-invasive Ventilation A3. Joint Injections Simplified A4.... Soft Tissue Injuries of the Shoulder A5. Novel Uses for Ultrasound A6. Weathering the Perfect Storm A7. Clinical Clearance of the C-Spine A8. Pearls and Pitfalls in ECG Interpretation A9. The Friday Afternoon Oncologic Emergency A10. After the ABCs What Sick Kids Teach Us... A11. Approach to Three Views of the Abdomen A12. Vomiting and Diarrhea Care Pathway A13. Challenges of Transport from Remote Rural... A14. Adolescent Substance Abuse A15. Evidence-based Health Tips for MDs and RNs A16. Differentiating the 3Ds A17. Understanding the Chest Drainage Tube and... A18. Respiratory Medication Devices A19. Emergency Deliveries... Rural Emergency Room A20. Rodeos, Ranches, and Recreation GROUP B These workshop sessions have a hands-on component or smaller capacity and participants will be limited to a maximum of two workshops in this group. Sessions fill quickly. GROUP B Physican Breakouts Select 7 Number in order of preference with 1 being the most important. B1. Intraosseous Access B2. Emergency Ophthalmology Procedures B3. Plastic Surgery Techniques in the Rural ER B4. Procedural Critical Skills B5. Airway Management B6. Basic Suturing Techniques... Rural Practitioner B7. STARS Simulator B8. Pediatric Human Patient Simulator GROUP B Nurse Breakouts Select 4 Number in order of preference with 1 being the most important. B6. Basic Suturing Techniques... Rural Practitioner B7. STARS Simulator B8. Pediatric Human Patient Simulator B9. Procedural Skills for Managing Trauma Patients B10. Basic ECG Interpretation NOTE: DOUBLE SESSION (TWO 50 MINUTE TIME SLOTS) B11. Advanced ECG Interpretation NOTE: DOUBLE SESSION (TWO 50 MINUTE TIME SLOTS) PRIORITY WILL BE GIVEN TO THOSE REGISTERING EARLY