EMERGENCY MEDICINE FOR RURAL HOSPITALS

Transcription

1 22nd ANNUAL EMERGENCY MEDICINE FOR RURAL HOSPITALS FRIDAY EVENING TO SUNDAY January 20-22, 2006 A PROGRAM FOR PHYSICIANS AND NURSES 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. Banff Park Lodge 222 Lynx Street Banff, Alberta, Canada 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. 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 COURSE OUTLINE FRIDAY JANUARY 20, Registration 1845 OPENING REMARKS Introduction to the Trauma Focus of the 22nd Emergency Medicine for Rural Hospitals Course Tobias Gelber & Meg McDonagh KEYNOTE PRESENTATION 1900 Lessons from the Battlefield Application of Military Resuscitation and Transport to the Rural ER Setting (Pearls) Ishay Ostfeld MODERATOR Lance Shepherd 2000 Reception SATURDAY JANUARY 21, Continental Breakfast / Late Registration PLENARY SESSION 0800 Bringing the Battlefield Home: The Occasional Trauma Team Relevant key messages from Friday night that apply to the rural ER. Exploration of the notion of what is the rural ER? Bob White 0845 Chemical Toxicology: Crop Dusting to Train Derailments and Other Mass Casualty Exposure Closer to Home (such as swimming pools, hockey arenas) Ingrid Vicas 0930 Adult and Pediatric Resuscitation Guidelines (ACLS and PALS) Allen de Caen 1010 Nutrition Break BREAKOUT SESSIONS 1030, 1135, 1330, 1435, 1540 Each breakout session is 55 minutes long with 10 minutes for travel to the next session lunch is 1230 to Procedure-based physician small group workshops will mostly be held at the Mineral Springs Hospital next to the hotel. All other breakouts will be held at the Banff Park Lodge. By speaker request, some workshops are limited in size, and attendance strictly monitored. REGISTER EARLY TO ENSURE YOUR CHOICE OF WORKSHOPS PHYSICIAN Breakouts Workshops #1-14, #15-22 NOTE Physician Only Workshops #1-14; Workshops #15-22 Physician & Nurse 1. Central Venous Access Review access sites (internal jugular, subclavian and femoral view cannulation, pediatric intraosseous access). SMALL GROUP HANDS-ON WORKSHOP WITH CADAVER MODEL AND EQUIPMENT USED IN THESE PROCEDURES Dr Roger Galbraith & Dr Bill Wertzler 2. Recent CMPA Case Studies in Emergency Medicine Potential implications for your practice and recommendations to manage your legal risks. Bill Beilby, (CMPA) 3. Bier s Blocks A regional anesthesia approach in wrist and forearm reduction. Point/counterpoint discussion with specific how do you do this exactly information. Wiley Thompson & Jim Hendry 4. Trauma Patients Who needs plain X-Rays and who needs a CT Scan? Rick Morris 5. Palliative Emergencies: Not an Oxymoron How to deal with malignant small bowel obstruction, cord compression and other urgent palliative problems. Ron Spice 6. Controlling Bleeding in the Battlefield The use of tourniquets, dressings, Factor 7 and damage control surgery. Ishay Ostfeld 7. Evils of Demerol: Alternatives for Managing Pain in the Rural ER Peter Rawlek 8. Ophthalmology Procedures Overview of common eye emergencies. Practical skill development for ocular examination and treatment, including slit lamp. John McWhae & Kenneth Hammel 9. Plastic Surgery Techniques in the Rural ER Focus on Suturing Skills SMALL GROUP HANDS-ON WORKSHOP Tom Sinclair 10. Pediatric Fracture Management Pitfalls in diagnosis and management of common fractures which require reduction or immediate referral. Kelly Millar 11. Out in the Cold: Frostbite, Hypothermia and Other Cold-Related Injuries Alex Brothers

3 COURSE OUTLINE 12. Drawing the Line on Cellulitis Distinguishing cellulitis from bites, monitoring progression and deciding on intensity of treatment. Andrew Pattulo 13. Bleeding in the First Trimester of Pregnancy Management, Investigation and Follow-up Care Phil Browne 14. Pre-retirement Planning Beyond the Financials NOTE: SPOUSES ARE INVITED AND ENCOURAGED TO ATTEND THIS SESSION Bryn Whittaker & Vince Hanlon STARS Simulator LIMIT 4 Mike Betzner, Corinne Edwards, Bonnie Sproule The STARS mobile Human Patient Simulator is back! Participate in 2 short case scenarios with this advanced technology. Register as an individual or as a team with at least 1 physician. All team members must be conference registrants. PHYSICIAN & NURSE Breakouts Workshops # Personal Directives Identifying, responding and managing the intricacies of a personal directive for the patient, agent and family members in the rural ER. Adrian Robertson 16. Emergency Medicine Resources for the PDA Barrie McCombs 17. Orthopedic Skills for the Rural Physician Assessment and a practical approach to physical exam of the knee and common injuries to the knee. Laurie Hiemstra 18. The Alcoholic in ER Acute management, assessment and follow-up issues. Chuck Gautier 19. Rural ER Antidote Kit What facilities in your region should stock which supplies and why? PADIS Staff 20. Revisiting Atrial Fibrillation A three part approach to atrial fibrillation. Mardelle Gamble 21. Life After the ER: Career Issues and Life Balance Vince Hanlon & Bryn Whittaker 22. Pearls from Urgent Care Tatoos & Piercings and Other Clinical Challenges Raj Bhardwaj NURSE Breakouts Workshops #15-22, #23-29 NOTE Nurse Only Workshops #23-29; Workshops #15-22 Physician & Nurse 23. From ER to the OR Preparing the Patient for a Direct Admit from ER to the OR in Your Hospital or in the Region Chris Hillary 24. Dotting the I s and Crossing the T s How to avoid the common pitfalls in charting and how to get ER documentation right! Canadian Nurse Protectorate Society (CNPS) 25. Case Based Approach to the Management of Chest Pain Typical, Atypical and Others Laura Fowler 26. Pediatric Assessment Skills Gain the cooperation of children fast; take the fear out of starting IVs on kids. Jeanette Pearce 27. Airway Management Tips and Tricks for the Rural ER Sandra Mergler & Harry Patterson 28. Mega-Code: ACLS Skill Development SMALL GROUP WORK AT SKILL STATIONS Judy Skanderup 29. Cultural Sensitivity in the ER Focus on the Hutterite Culture and implications for the rural ER nurse. Teresa Pasquotti Rural Emergency Nurses Interest Group Meeting Emergency Nurse Interest Group of Alberta (ENIG) CHAIR/HOST Pam Little PRESIDENT Judy Skanderup Alberta Section, Society of Rural Medicine CHAIR/HOST Dr Allan Garbutt 1700 Trends and Issues 1800 Annual General Meeting (appetizers and refreshments will be provided)

4 COURSE OUTLINE SUNDAY JANUARY 22, Continental Breakfast BREAKOUT SESSIONS 0800, 0900 Registrants choose 2 of 3 lectures. Each session is 50 minutes long with 10 minutes for travel to the next session. Physician Lectures 1. Cardiac Markers in the Management of CHF in the ER Deb Isaac 2. The Not-So-Great Outdoors: Lightening Strikes, Animal Bites and Other Outdoor Injuries Jeff Boyd 3. Management of the Child in Shock in 2006 Allen de Caen Nurse Lectures 1. Drugs, Alcohol and Gang Violence in Rural Alberta Issues in the management of patients affected by these trends, including recognition of signs and symptoms and initial nursing response/actions. Maggi Sproule 2. Should This Cardiac Patient be Here Risk stratification assessment to assist decision re: care (primary, secondary or tertiary care). Sue Bengivingo 3. Assessment of Common Pediatric Presentations in the Rural ER Judy Skanderup 1000 Nutrition Break 1030 Ethics of Disaster Triage (Mass Casualty) Exploring the issues of multi-casualty triaging actions, decisions and consequences. Adrian Robertson PLENARY 1115 Decreasing Your Liability Exposure Does shared care mean shared liability? CMPA & CNPS (co-presentation) 1155 Summary Tobias Gelber & Meg McDonagh 1200 Adjournment PLAN TO ATTEND 23rd Annual Emergency Medicine for Rural Hospitals January 19-21, 2007 COURSE DETAILS AVAILABLE FALL 2006 on the CME website F A C U L T Y Bill Beilby, MD Executive Director and Managing Director, Risk Management Services Canadian Medical Protective Association Ottawa, ON Sue Bengivingo, RN Nurse Clinician, Foothills Medical Centre, ; Staff Nurse, Emergency Department, Strathmore General Hospital Strathmore, AB Mike Betzner, MD FRCPC Medical Director, STARS Air Ambulance Calgary, AB Raj Bhardwaj, MD CCFP Family Medicine Calgary, AB Sharon Blyth, MD CCFP Anesthesiologist, Mineral Springs Hospital Banff AB Jeffrey Boyd, MBBs CCFP (EM) DABEM Emergency Medicine, Mountain Medicine, Mineral Springs Hospital, Calgary Health Region Banff, AB Alexander Brothers, MD CCFP Clinical Associate, Alberta Children s Hospital, Calgary Health Region Canmore, AB Philip Browne, MD CCFP Obstetrics and Gynecology, Chinook Health Region Lethbridge, AB Allan de Caen, MD FRCP(C) Pediatric Critical Care Residency Program; Director, University of Alberta; Medical Director, PICU Transport Team, Stollery Children s Hospital, Pediatric Intensive Care Unit, Stollery Children s Hospital Edmonton, AB Connie Edwards, RN HPS/Team Leader, STARS Edmonton, AB Laura Fowler, RN BN ENC(C) Educator, Emergency Department, Red Deer Regional Hospital Centre, David Thompson Health Region Red Deer, AB

5 F A C U L T Y Roger Galbraith, MDCM FRCPC Clinical Associate Professor, University of Calgary; Pediatrician, Emergency Department, Alberta Children s Hospital, Mardelle Gamble, MD FRCPC Emergency Physician, Department of Emergency Medicine, Foothills Medical Centre, Charles Gautier, MD CCFP (EM) Emergency Department, Mineral Springs Hospital Banff, AB Kenneth Hammel, MD FRCPC Ophthalmologist, Medicine Hat Regional Hospital, Palliser Health Region Medicine Hat, AB Vincent M Hanlon, MD FCFP (EM) Rural Locum Program, Alberta South Physician & Family Support Program (AMA), Chinook Health Region Lethbridge, AB James Hendry, MD CCFP(EM) Emergency Physician, Mineral Springs Hospital, Calgary Health Region Banff, AB Laurie Hiemstra, MD FRCSC Orthopedic Surgeon, Calgary Health Region Banff, AB Chris Hillary, RN BScN Emergency Nurse, Rural, Mineral Springs Hospital Banff, AB; Urban, Foothills Medical Centre Calgary, AB Hal Irvine, BSc MD FCFP Clinical Associate Professor, Department of Family Medicine, University of Calgary Calgary, AB; Family Physician, David Thompson Health Region Sundre, AB Deb Isaac, MD FRCPC Director, Cardiac Transplant; Associate Clinical Professor, Faculty of Medicine, University of Calgary Calgary, AB Sepah Mazloum, EMT-P Instructor, SAIT; Paramedic, Calgary Emergency Services Calgary, AB Barrie McCombs, MD CCFP CCFP(EM) FCFP Clinical Assistant Professor, Department of Family Medicine, Continuing Medical Education, University of Calgary Calgary, AB John McWhae, MD FRCSC Ophthalmologist, Clinical Associate Professor, University of Calgary Calgary, AB Sandra Mergler, MD CCFP (EM) G.P. Anesthesiologist and Emergency Physician, Mineral Springs Hospital, Calgary Health Region Banff, AB Kelly Millar, MB BS FRCPC Assistant Professor, Department of Pediatrics, University of Calgary; Pediatric Emergency Physician, Alberta Children s Hospital, Calgary Health Region Calgary, AB Rick Morris, MD CCFP (EM) Associate Clinical Lecturer, Department of Emergency Medicine, Calgary Health Region Calgary, AB Ishay Ostfeld, MD MHA Cardiothoracic Surgeon, Rabin Medical Center; Military Physician in the Israeli Deface Forces (IDF), Special Units Medical Administration; (ISUMA) Commander within the IDF/MC; Researcher, Gertner Institute for Health Policy Research Israel Teresa Pasquotti, RN BN ENC(C) Nursing Unit Manager, ER Harry Patterson, MD GP Anesthesiologist, Mineral Springs Hospital, Calgary Health Region Banff, AB Andrew Pattulo, MD FRCP(C), Internal Medicine, Infectious Diseases, Jeanette Pearce, RN BN Clinical Nurse Educator, Alberta Children s Hospital, Emergency, Calgary Health Region Calgary, AB Peter Rawlek, MD CCFP(EM) Emergency Medicine, Red Deer Health Centre, David Thompson Health Region Red Deer, AB Adrian Robertson, MD FRCP(C) Intensivist, Emergentologist, Clinical Ethicist, Assistant Director Critical Care, Education Director, Critical Care Unit, Health Sciences North, Thunder Bay Regional Hospital Thunder Bay, ON Lance Shepherd, MD CCFP STARS, Banff EMS Medical Director, Tom Sinclair, MD FRCSC Plastic Surgeon, Banff Mineral Springs Hospital, Canmore General Hospital, Calgary Health Region Banff/Canmore, AB Judy Skanderup, RN BN Instructor (BLS, ACLS, TNCC, ENPC and Peds CTAS), Rural Nurse Instructor, Palliser Health Region Brooks, AB Ron Spice, MD CCFP Director of Palliative Medicine Program, Bonnie Sproule, RN HPS/Team Leader, STARS Calgary, AB Maggie Sproule, RN BScN Educator Acute Care, Education Resources, David Thompson Health Region Ponoka, AB J Wiley Thompson, MD CCFP(EM) Emergency Medicine, Sturgeon Hospital St Albert, AB Ingrid Vicas, MDCM FACMT FRCPC CCFP (EM) Director, Medical Director, Medical Toxicologist with the Alberta Poison and Drug Information Service; Director, Medical Director, Medical Toxicologist with the Saskatchewan Poison Centre, William Wertzler, MD CCFP(EM) Clinical Assistant Professor, University of Calgary; Emergency Department, Foothills Medical Centre, Calgary Health Region Calgary, AB Bob White, MB ChB Medicine, Respiratory & Emergency, Medical Director Ambulance Services, Aspen Health Region Edson, AB Bryn Whittaker, MD CCFP Assessment Physician, Physician & Family Support Program; Geriatric Medicine, Capital Health Edmonton, AB 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 2, 2005 to receive the conference rate of $97 per night (plus applicable taxes). There is a block of rooms available until this date. After December 2 this rate will be available for 2 days preand post-course, subject to room availability. Advise the hotel that you are registered for the Emergency Medicine for Rural Hospitals course. Available are the following hotels: Banff International Hotel ( ) Bowview Motor Lodge ( ) Brewsters Mountain Lodge ( ) 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 for up to 14 MAINPRO-M1 credits. 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 call the AMA at (780) or Nurses are invited to contact Alberta Registered Nurses Education Trust (ARNET) regarding the availability of funding to assist with registration fees, travel and accommodation at Ext 427. CONFIRMATION OF REGISTRATION Confirmation of registration will be in the form of a blue official tuition receipt. No other confirmation will be sent. REFUND POLICY All course cancellations received before January 6, 2006 will be levied an administrative fee of $30. Refunds after that date will be at the discretion of the Office of Continuing Education and Professional Development. Refunds can only be processed on return of the original receipt. All receipts must be received by the CME Office within 30 days of the date scheduled for the course. COURSE CANCELLATION POLICY The Office of Continuing Medical Education and Professional Development reserves the right to cancel the course if there are insufficient registrations. FOR FURTHER INFORMATION Regarding Course Content, Contact Claire Mills Conference Coordinator Continuing Medical Education and Professional Development, University of Calgary, Faculty of Medicine, 3330 Hospital Drive NW, Calgary, AB T2N 4N1 Phone (403) , Fax (403) millsc@ucalgary.ca Regarding Registrations or Payment, Contact Janis Pearson Registration Clerk Continuing Medical Education and Professional Development, University of Calgary, Faculty of Medicine, 3330 Hospital Drive NW, Calgary, AB T2N 4N1 Phone (403) , Fax (403) pearsonj@ucalgary.ca VISIT OUR WEBSITE S P O U S E & C H I L D R E N RURAL PHYSICIAN SPOUSAL NETWORK FAMILY PROGRAM The spousal Network is proud to support a program for spouses and their families again this year. Program details forthcoming. More information can be obtained by calling Monica Kohlhammer, or by rpap-spousal@rpap.ab.ca P L A N N I N G C O M M I T T E E BANFF Pam Little, RN BN ENC(C) Donna McKown, RN BN Lance Shepherd, MD CCFP CANMORE Jim Hendry, MD CCFP CME Claire Mills, RN BScN LLB PINCHER CREEK Tobias Gelber, MD (Co-Chair) Mary Schnell, RN RED DEER Laura Fowler, RN BN ENC(C) ST ALBERT Wiley Thompson, MD CCFP(EM) STRATHMORE Jan Kautz, RN SUNDRE Meg McDonagh, RN MN ENC(C) (Co-Chair) Support from the College of Physicians and Surgeons of Alberta and the Rural Physician Action Plan is gratefully acknowledged.

7 REGISTRATION FORM PART 1 22nd Annual EMERGENCY MEDICINE FOR RURAL HOSPITALS Friday to Sunday JANUARY 20-22, 2006 PHYSICIAN NURSE RESIDENT/ STUDENT OTHER SPECIFY FIRST NAME LAST NAME ADDRESS CITY PROV POSTAL CODE AREA CODE PHONE (day) AREA CODE FAX CHEQ VISA MASTERCARD CARD NUMBER PAYMENT BY EXPIRY M M Y Y / SIGNATURE REGISTRATION FEE Includes reception on Friday evening, continental breakfast on Saturday and Sunday, lunch on Saturday, nutrition breaks, handouts $385 Physician $285 Nurse/Other Health Professional $210 Resident/Student SATURDAY AFTERNOON ADDITIONAL LUNCHES $25 Guest Adult X $15 Guest Child X Free Guest 5yrs and Under X Dietary Restrictions I CONSENT to put my name, organization, address, fax, and on a participants list for planning purposes. YES NO Registration information is collected under the authority of the Freedom of Information and Protection of Privacy Act. The information you provide is required to register you in the course, prepare material for your use and will be used to notify you of other courses and/or pertinent information. Financial information is used to process applicable fees and is retained for future reference. The names and addresses of participants may also be shared with other legitimate educational institutions and professional associations who provide CME. If you have questions about the collection or use of this information, call Claire Mills, Continuing Medical Education and Professional Development (403) REGISTER BY MAIL Mail Registration Form with payment to Office of Continuing Medical Education and Professional Development, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB T2N 4N1 Cheque payable to UNIVERSITY OF CALGARY REGISTER BY FAX Fax Registration Form with credit card information to (403) Our fax machine is in a secure area. REGISTRATION DEADLINES Course January 13, 2006 Banff Park Lodge Accommodation Before December 21, 2005 to ensure you receive the conference rate.

8 REGISTRATION FORM PART 2 22nd Annual EMERGENCY MEDICINE FOR RURAL HOSPITALS Friday to Sunday JANUARY 20-22, 2006 REGISTER EARLY TO ENSURE YOUR CHOICE OF WORKSHOPS FIRST NAME LAST NAME SELECTIONS Saturday Breakouts and Sunday Lectures PRIORITY WILL BE GIVEN TO THOSE REGISTERING EARLY Physician Breakouts Saturday SELECTIONS Select 10. Number in order of preference with 1 being the most important. You will be assigned to 5 workshops. Priority for STARS Simulator workshop will be given to those registering as a Team. NOTE #15-22 Physician & Nurse Workshops. Physician Only Workshops # Central Venous Access (SMALL GROUP... ) 2. Recent CMPA Case Studies in Emergency Medicine 3. Bier s Blocks 4. Trauma Patients 5. Palliative Emergencies Not an Oxymoron 6. Controlling Bleeding in the Battlefield 7. Evils of Demerol Alternatives for Managing Pain Ophthalmology Procedures 9. Plastic Surgery Techniques... Rural ER (SMALL GROUP... ) 10. Pediatric Fracture Management 11. Out in the Cold 12. Drawing the Line on Cellulitis 13. Bleeding in the First Trimester of Pregnancy 14. Pre-retirement Planning Beyond the Financials STARS Simulator LIMIT 4 Individual (LIMIT 4) Team (LIMIT 4), LIST TEAM MEMBERS (at least one MD), all must be conference registrants (1) (2) (3) (4) Personal Directives Emergency Medicine Resources for the PDA Orthopedic Skills for the Rural Physician The Alcoholic in ER Rural ER Antidote Kit Revisiting Atrial Fibrillation Life After the ER: Career Issues and Life Balance Pearls from Urgent Care Nurse Breakouts Saturday SELECTIONS Select 10. Number in order of preference with 1 being the most important. You will be assigned to 5 workshops. Priority for STARS Simulator workshop will be given to those registering as a team. NOTE #15-22 Physician & Nurse Workshops. STARS Simulator LIMIT 4 Individual (LIMIT 4) Team (LIMIT 4), LIST TEAM MEMBERS (at least one MD), all must be conference registrants (1) (2) (3) (4) Personal Directives Emergency Medicine Resources for the PDA Orthopedic Skills for the Rural Physician The Alcoholic in ER Rural ER Antidote Kit Revisiting Atrial Fibrillation Life After the ER: Career Issues and Life Balance Pearls from Urgent Care Nurse Only Workshops # From ER to the OR 24. Dotting the I s and Crossing the T s 25. Case Based Approach... Management of Chest Pain 26. Pediatric Assessment Skills 27. Airway Management Tips and Tricks for the Rural ER 28. Mega-Code: ACLS Skill Development (SMALL GROUP... ) 29. Cultural Sensitivity in the ER Physician Lectures Sunday SELECTIONS Number in order of preference with 1 being your first choice. You will be assigned to 2 lectures. 1. Cardiac Markers in the Management of CHF in the ER 2. The Not-So-Great Outdoors 3. Management of the Child in Shock in 2006 Nurse Lectures Sunday SELECTIONS Number in order of preference with 1 being your first choice. You will be assigned to 2 lectures Drugs, Alcohol and Gang Violence in Rural Alberta Should This Cardiac Patient be Here Assessment... Pediatric Presentations in the Rural ER