QPEM 2018 Conference Objectives This second QPEM conference goal is to provide a high quality, evidence based update for health care practitioners involved in the urgent and emergent care of children. At the end of the conference, our multidisciplinary participants will have expanded knowledge on a variety of key topics, be able to recognize and manage common yet potentially serious conditions, and will have improved critical thinking around challenging or difficult diagnoses. Main Conference QPEM 2018 Day 1 0630-0700 0700-0745 Registration/Coffee Welcome and Introduction Seizures in the Pediatric ED; What s new? -Discuss the current guidelines for investigation and management of focal and non febrile seizures in the ED -Describe the management principles of status epilepticus 0745-0830 Infectious Disease Update -Discuss what tropical diseases we should watch for: their presentation, diagnosis and evidence based treatment plans 0830-0915 Child Protection: Everyone s Concern -Discuss current issues in child protection in the region and how all of us can help improve the health and well being of at risk children 0915-0930 Break 0930-1030 Top Articles of the Year -Appraise articles presented by an interprofessional panel and determine which articles will change your practice and enhance your patient care 1030-1100 The Painfree ED: How do we get there? -Describe the current evidence for pain assessment and management in the ED -Evaluate how to make our practice more in tune with a pain free approach 1100-1145 Visual Diagnoses -Diagnose illness based on cases and images in PEM 1145-1300 Prayer and Lunch
Track 1 Child Protection 1300-1330 Non Accidental Head Trauma: Best Evidence Update -Discuss the current evidence on the etiology, physiology, recognition and child protection management of non accidental head trauma 1330-1400 Child Abuse Mimics, How do I differentiate? -Identify, evaluate and manage suspected mimics of child abuse 1400-1430 Adverse Childhood Experiences (ACEs) and Child Maltreatment -Describe ACEs and the consequences of child maltreatment 1500-1545 Understanding the Sexual Abuse Exam -Appraise the approach to the sexual abuse exam and avoid pitfalls in making an accurate assessment 1545-1630 Differentiating between abusive and accidental femur fractures: What does the Evidence Say? -Effectively evaluate children to determine abusive versus non abusive femur fractures Track 2 Medical Emergencies 1300-1330 Congenital Heart Disease: Managing a Life threatening Problem -Describe how to use clinical signs and symptoms to identify cardiac disease -Design an approach to the management of the cyanotic newborn 1330-1400 Cardiac Case Based Emergencies -Manage interactive emergency cases 1400-1430 ECGs in a Nutshell -Identify cardiac disease by ECG 1500-1545 Pediatric Respirology Emergencies -Manage interactive cases of lower respiratory obstruction and chest infection 1545-1630 Rapid Fire Adverse Reactions to Antihistamines More Common Than Thought -Identify the adverse reactions caused by antihistamines Risk of recurrence in anaphylaxis in children -Detail what best evidence says about risk of recurrence of anaphylaxis Aminoglycoside Dosing and Monitoring -Identify what is needed in dosing and monitoring of this class of antibiotics
Duration of treatment for acute otitis media in children younger than two years -Evaluate best evidence for treatment duration for this common presentation Track 3 Nursing Care 1300-1330 Best Evidence For Septic Shock: Nursing Considerations -Detail the critical actions a bedside nurse should take when faced with a potentially septic patient 1330-1400 The Infant in a Metabolic Crisis, What do I Need to Know? -Describe how to identify early undiagnosed metabolic disease presenting to the ED -List the steps to take when caring for a child with known metabolic disease 1400-1430 Accessing Central Lines and Ports: The Essentials -Demonstrate how to access and troubleshoot problems when they occur -Detail how the procedures are done in a family centered fashion 1500-1545 Introduction to Nursing Research: How Do We Get Started? 1545-1630 Rapid Fire -Design a plan of how to incorporate research study, design and implementation into your career TeamSTEPPS Strategies in the ED: Improving Patient Safety -Detail how TeamSTEPPS strategies are used to improve patient safety Cultural Considerations with Family Presence during Resuscitations -Explain the evidence and rationale for family presence during a resuscitation Strategies for managing patients with Autism -Detail how children with autism and potentially difficult responses to the ED can be supported by simple interventions Recognizing and Managing the Escalating Situation -Detail key strategies to help de escalate potentially aggressive situations Track 4 EMS and Critical Care Transport 1300-1330 Prehospital Trauma Care: The Essentials for Paramedics -Describe the evidence and rationale for prehospital trauma management in pediatric patients 1330-1400 Pediatric Trauma Cases -Manage interactive cases involving pediatric trauma 1400-1430 The Management of Anaphylaxis
-Explain best evidence for the initial management of anaphylaxis -Detail the principles of management during transport 1500-1545 Respiratory Distress; Managing Common Conditions in Transit -Explain the evidence and rationale the management of the most common respiratory complaints 1545-1630 Rapid Fire s Best Web Resources for EMS -Detail the best resources for quick research in the field for evidence based practice The Use of Length based tapes in prehospital care -Describe the latest evidence for the use of length based tapes; pros and cons Prehospital Care of Children with Special Needs: Tips for Success -Describe strategies for managing complex children in transport Priorities in Pediatric Prehospital Research -Detail the needs for research in the field of pediatric prehospital medicine Family Centered Care during Pediatric Prehospital transport -Explain how prehospital care can be more family centered Day 2 0700 Registration/Coffee 0730-0815 Sedation and Analgesia Adverse Drug Events- What Are They and How to Avoid Them -Discuss the adverse drug events associated with different sedation medications and analgesics -Formulate an approach to avoiding issues when using various medications for sedation and pain 0815-900 New Technologies in the ED: Improving Practice -Propose a plan on how to incorporate new technology that improves care delivery in the ED setting 0900-1000 Challenge the Experts: Medication Errors -Discuss a no blame approach to managing the complexity of medication errors 1000-1015 Break 1015-1100 Pediatric Airway: Pitfalls and Rescues -Describe how to assess and manage the pediatric airway in a crisis situation -Discuss the strategies for successful avoidance of pitfalls, and what you can do to recover
1100-1145 Ethical Research -Formulate a plan for the ED/Urgent Care that maintains the gold standard 1145-1215 Low Yield Tests: Why did I order that Anyway? -Discuss when to test for common ED conditions, and when tests will not help your diagnosis and management 1215-1300 Prayer and lunch Track 1 Pediatric Trauma 1300-1330 Pediatric Injury Prevention: What do we Know What Needs to be Done? -Detail a stepwise approach to injury prevention in children 1330-1400 Concussion: Where is the Evidence? -Describe best evidence for the management of pediatric concussion 1400-1430 Break 1430-1500 Abdominal Trauma in Children: Case Based Things not to Miss -Discuss pitfalls in dealing with pediatric abdominal trauma 1500-1545 The Role of US in pediatric trauma -Describe the role for US in the context of pediatric trauma 1545-1630 Rapid Fire s- Tranexamic acid and its uses in trauma -Describe the use of tranexamic acid in children in the context of trauma Massive transfusion protocols in pediatrics -Recognize the need for a massive transfusion protocol and what such protocols entail Using TeamSTEPPS to maximize team performance when managing a trauma -Strategize on how to use TeamSTEPPS in a trauma situation to improve patient safety Checklist use to improve use of ATLS standards -Analyze the data suggesting checklists improve trauma resuscitations Track 2 Toxicology 1300-1330 Medication Errors in the ED: Everyone s Problem -Discuss cases of toxicity based on medication errors
1330-1400 Challenging Cases from the Clinical Toxicology Service -Discuss 3 interesting and challenging toxicology cases 1400-1430 Foreign Bodies in the GI Tract -Plan management for different foreign body ingestions 1500-1530 Antivenoms -Review regional snake, scorpion, and spider antivenoms 1530-1630 Rapid Fire Mercury Toxicity- or Not -Describe what makes mercury toxic and how lab values can be misleading Hyperbaric Oxygen and Cyanide Antidotes After Smoke Exposure- -Review the evidence for use of both forms of treatment Dangerous Antidotes -Detail the dangers of use of antidotes Toxicology Lab Testing- Timing is Critical -Review the what, when and how fast of tox testing Activated Charcoal -Evaluate the use and timing of use of activated charcoal Paracetamol Review -Review the current protocol evidence on treatment of paracetamol ingestions Track 3 Nursing Care 1300-1330 The Evolution of ALTE to BRUE 1330-1400 CTAS 1400-1430 Break -Describe the decision making process in the management of babies with unexplained events -Discuss the rationale and evidence on how to use CTAS guidelines -Assign CTAS scores to patients presenting in the ED 1430-1500 Best Web Resources to keep your practice Evidence Based -List the resources available to ED nurses to further advance CME and the practice of evidence based medicine 1500-1545 Role of the Advanced Nurse Practitioner 1545-1630 Rapid Fire -Discuss the evolution of the advanced nurse practitioner and how care provided can benefit patients and the ED Tools and Gear that will Help with Procedural Distress
-Discuss the use of J Tips, Buzzy s and other tools and gear in the ED Intranasal Medications: a Fast Route to Relief -Formulate a plan to use intranasal medications for fast and effective patient care Ultrasound Guided Peripheral Venous Access -Detail the evidence for use of US in pediatric peripheral IV insertion Successful Insertion of a Peripheral IV: Does al Anesthetic Interfere? -Discuss the evidence supporting the use of anesthetics for IV insertion Ondansetron in the ED -Detail the evidence for use in the ED: the when and why Track 4 Surgical Emergencies 1300-1330 Abdominal Pain: When to be concerned? -Discuss the red flags for abdominal pain -Describe the best testing for yield 1330-1400 Abdominal Pain Case Based Emergencies -Manage interactive cases 1400-1430 Torsion and its Presentation and Initial Management- How long is too long? -Analyze the best evidence for assessment and intervention for this acute emergency 1500-1545 Easy but Impactful Pain Management for Dental Presentations awaiting surgery/intervention OR review on Dental Fractures and Avulsions -Discuss the interventions needed to ensure effective pain management in children with dental injury or infection 1545-1630 Rapid Fire s Neonatal Surgical Emergencies: a Unique Presentation -Recognize and intervene with the unique presentations of neonates with surgical emergencies Tonsillar Abscess or Cellulitis? -Differentiate between an abscess and cellulitis Antibiotics for Appendicitis: When are they needed? -Analyze evidence for use and timing of antibiotics in the management of appendicitis Malrotation in older children: What to look for -Identify the features in clinical presentation that suggest malrotation in older children
Day 3 0700 Registration/Coffee 0730-0815 Best Practice Standards for Providing Care in the ED in 2018 -Evaluate what pediatric standards state are best practice for the ED 0815-0900 Psychiatric Emergencies in Qatar -Detail what pediatric psychiatric disorders are seen in Qatar and how to recognize -Discuss the who, what, when, where and how of referring patients 0900-0945 Pediatric Dermatologic Emergencies: Differentiation, Diagnosis and Disposition -Describe the significant emergent dermatologic conditions seen in children -Detail the immediate management of such conditions 0945-1000 Break 1000-1045 Metabolic Emergencies: What do I need to Know? -Appraise best evidence for the initial assessment and management of metabolic emergencies 1045-1130 The Immunosuppressed Patient in the ED: Considerations for Care -Appraise best evidence for care of the immunosuppressed patient in the ED 1130-1215 Gastroenteritis: What s New -Appraise best evidence for care of child with gastroenteritis 1215-1245 QPEM Highlights: A summary of Take Home Points Total 20 CME hours available per participant over 2.5 days