CRITICAL CARE MEDICINE & TRAUMA

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Presented by the Departments of Anesthesia and Perioperative Care, Medicine, and Surgery University of California, San Francisco School of Medicine University of California San Francisco CRITICAL CARE MEDICINE & TRAUMA THURSDAY SATURDAY May 30 - June 1, 2013 The COURSE DIRECTOR Michael A. Gropper, MD, PhD Professor and Vice Chair Department of Anesthesia Director, Critical Care Medicine UCSF Medical Center COURSE CO-CHAIR Rochelle Dicker, MD, FACS of Surgery and Anesthesia UCSF Medical Center

CRITICAL CARE MEDICINE & TRAUMA May 30- June 1, 2013 This course is designed for practicing physicians, nurses, advanced healthcare practitioners, and respiratory therapists caring for the critically ill, including practitioners in critical care, pulmonary medicine, surgery, emergency medicine, anesthesia, hospital medicine, and general internal medicine. The purpose is to discuss recent advances and state-of-the-art information pertinent to critical care medicine and trauma. Updated information on the pathophysiology and management of disorders commonly encountered in the practice of critical care medicine and trauma will be presented. Multidisciplinary faculty from the UCSF School of Medicine will present the latest data on both pathophysiology and practical management aspects of caring for the critically ill. GREEN MEETING This is a green meeting. The syllabus will be transmitted electronically one week prior to the course. ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. UCSF designates this live activity for a maximum of 19.5 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit TM issued by organizations accredited by the ACCME. Physician Assistants: AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit from organizations accredited by the ACCME. EDUCATIONAL OBJECTIVES An attendee completing this course should be able to: Improve care and management of trauma patients; Describe the imaging modalities available for imaging the critically ill; Identify the controversy behind the implementation of sepsis bundles; Apply reliable techniques for the diagnosis of ventilator associated pneumonia; Accurately assess limitations of plain film radiography in the ICU; Incorporate optimal use of low tidal volume ventilation for critically ill patients; Integrate non-invasive ventilation in the care of patients with acute respiratory failure; Improve clinical outcomes of stroke patients.

CRITICAL CARE MEDICIN May 30-June 1, 2013 THURSDAY, MAY 30, 2013 7:00 am Registration & Continental Breakfast 7:50 Welcome and Introduction 8:00 Update in Pediatric Trauma Christopher Newton, MD, FACS, FAAP 8:30 The Neuro Exam in the ICU S. Andrew Josephson, MD 9:00 The New SCCM Guidelines on Juliana Barr, MD, FCCM Analgesia and Sedation 9:45 Measuring the Quality of Critical Care Michael Gropper, MD, PhD 10:30 Break 10:45 Advanced Practice Providers in the ICU Thomas L. Farley, MS, NP 11:15 Interprofessional Collaboration in the ICU: Scott Reeves, PhD Emerging Findings from a Multi-Sited Ethnographic Study 11:45 Lunch on your own 1:00 pm Transfusion Ratios: What is the Evidence? Rachael A. Callcut, MD, MSPH 1:30 Year in Review in Trauma Surgery Alicia Privette, MD 2:00 Year in Review in Critical Care Eric Seely, MD 2:30 Critical Care in the Emergency Department Robert Rodriguez, MD 3:00 Break 3:15 Orthopaedic Trauma Eric Meinberg, MD 3:45 Traumatic Brain Injury: Shirley Stiver, MD, PhD Review, Update, & Controversies 4:15 The New Anticoagulants and Critical Care Linda Liu, MD 4:45 Early Mobilization Heidi Engel, PT, DPT 5:15-7:00 pm Course Reception FRIDAY, MAY 31, 2013 7:30 am Continental Breakfast 8:00 Postoperative Care in the Cardiac Jamie Ramsay, MD Surgery Patient 8:30 Lung in a Box Jasleen Kukreja, MD 9:00 Military Trauma: Lessons for Civilian Care Todd E. Rasmussen, MD, FACS 9:30 Code Sepsis David Shimabukuro, MDCM 9:55 Break COURSE DIRECTOR Michael A.Gropper, MD, PhD Professor and Vice Chair Department of Anesthesia and Perioperative Care Director, Critical Care Medicine UCSF Medical Center COURSE CO-CHAIR Rochelle Dicker, MD, FACS of Surgery and Anesthesia University of California, San Francisco San Francisco General Hospital VISITING SPEAKERS Juliana Barr, MD, FCCM Chair, ACCM PAD Guideline Task Force; of Anesthesia, Stanford University School of Medicine Associate ICU Medical Director VA Palo Alto Health Care System VISITING SPEAKERS (CONT D) Christopher Newton, MD, FACS, FAAP Medical Director, Trauma Services and Surgical Critical Care Department of Surgery Children's Hospital Oakland Todd E. Rasmussen, MD FACS Colonel USAF MC Professor of Surgery The Uniformed Services University of the Health Sciences Deputy Commander, US Army Institute of Surgical Research Shirley Stiver, MD, PhD Neurosurgeon UCSF FACULTY (University of California,San Francisco) Wendy Gabrielle Anderson, MD, MS Assistant Professor Division of Hospital Medicine and Palliative Care Program Christopher Barnett, MD, MPH Assistant Professor of Medicine Daniel Burkhardt, MD of Anesthesia Carolyn S. Calfee, MD, Pulmonary and Critical Care Medicine Rachael A. Callcut, MD, MSPH Assistant Professor of Surgery Division of General Surgery Andre Campbell, MD Professor of Surgery Division of General Surgery Endowed Chair in Surgical Education Christopher G. Choukalas, MD, MS Assistant Professor of Anesthesia Miles B. Conrad MD, MPH Assistant Professor of Radiology Department of Radiology and Biomedical Imaging Interventional Radiology Section Heidi Engel, PT, DPT Physical Therapist, Department of Rehabilitative Services Thomas L. Farley MS, NP Assistant Professor of Nursing Department of Critical Care Medicine Jan K Horn, MD Professor of Clinical Surgery Attending Surgeon, San Francisco General Hospital and Trauma Center

E & TRAUMA FRIDAY, MAY 31, 2013 (CONT D) 10:15 Bedside Ultrasound: A Core Competency? Christopher Barnett, MD, MPH 11:00 Practical Approach to Palliative Care Wendy G. Anderson, MD 11:30 Burn Management Jan K. Horn, MD 12:00 pm Lunch on your own 1:15 Pro-Con Debate: 24/7 Intensivist Coverage Susan Yoo, MD & John Turnbull, MD 2:00 Acute Renal Failure Kathleen Liu, MD 2:30 Acute Respiratory Failure Carolyn S. Calfee, MD 3:00 Management of Stroke Nerissa U. Ko, MD, MAS 3:30 Break 3:45 Crush Injuries Andre Campbell, MD 4:15 The Complex Trauma/Critical Care Patient Rochelle Dicker, MD, FACS Michael Gropper, MD, PhD Todd Rasmussen, MD 5:00 pm Adjourn SATURDAY, JUNE 1, 2013 7:30 am Continental Breakfast 8:00 Critical Care of the Pregnant Patient Kristina Sullivan, MD 8:30 Delirium Screening and Prevention Kathleen Puntillo, RN, PhD, FAAN, FCCM 9:00 Goal-directed Fluid Resuscitation Christopher G. Choukalas, MD, MS 9:30 Cost-effectiveness in the ICU Rochelle Dicker, MD, FACS 10:00 Break 10:15 DVT Prophylaxis in Trauma Patients: M. Margaret Knudson, MD, FACS Choices and Controversies 10:45 Difficult to Sedate ICU Patient Daniel Burkhardt, MD 11:15 Interventional Techniques in the Critically Ill Miles B. Conrad, MD, MPH 11:45 am Adjourn, Evaluations and Attendance Verification POST COURSE ULTRASOUND WORKSHOP 1:00-3:00 pm Ultrasound Techniques Rochelle Dicker, MD, FACS Christopher Barnett, MD, MPH John Taylor, MD S. Andrew Josephson, MD Neurovascular and Behavioral Neurology; Vice Chairman, Parnassus Programs; Director, Neurohospitalist Program; Medical Director, Inpatient Neurology, Department of Neurology M. Margaret Knudson, MD, FACS Professor of Surgery Chief of Surgery, San Francisco General Hospital and Trauma Center Nerissa U. Ko, MD, MAS Department of Neurology Assistant Director, Neurovascular Service; Fellowship Program Director, Neurocritical Care Jasleen Kukreja, MD Program & Surgical Director Lung Transplant; Director Adult Respiratory Mechanical Support (ECMO) of Surgery Division of Cardiothoracic Surgery Kathleen Liu, MD Divisions of Nephrology and Critical Care, Departments of Medicine and Anesthesia Linda Liu, MD Professor of Anesthesia and Perioperative Care Eric G. Meinberg, MD Department of Orthopaedic Surgery Kathleen Puntillo, RN, PhD, FAAN, FCCM Professor Emerita of Nursing School of Nursing Alicia Privette, MD Trauma & Critical Care Fellow UCSF/SFGH James G. Ramsay, MD Professor of Anesthesiology Medical Director, Cardiothoracic ICU Moffitt Hospital Scott Reeves, PhD Founding Director Center of Innovation in Interprofessional Education Professor of Social & Behavioral Sciences, UCSF Editor-in-Chief, Journal of Interprofessional Care Robert M. Rodriguez, MD Professor of Emergency Medicine Residency Research Director Eric J. Seeley, MD Assistant Professor Division of Pulmonary and Critical Care Medicine Department of Medicine David Shimabukuro, MDCM of Anesthesia Kristina Sullivan, MD of Anesthesia John M. Taylor, MD Medical Director, Post Anesthesia Care Unit; Medical Director, OR Support Services, Department of Anesthesia John H. Turnbull, MD Assistant Professor of Anesthesia Susan Yoo, MD Assistant Professor of Anesthesia

0569 University of California, San Francisco Office of Continuing Medical Education UCSF Box 0742 94143-0742 E Printed on Recycled Paper For more information or to register online visit our website at www.cme.ucsf.edu. You may also reach us by calling the Office of CME at (415) 476-4251 or emailing: info@ocme.ucsf.edu. REGISTRATION INFORMATION Tuition: By May 10 $625 Physicians $485 Allied Health Professionals, Nurses, Interns and Residents $100* Ultrasound Techniques Workshop (maximum 12 attendees) After May 10 $700 Physicians $510 Allied Health Professionals, Nurses, Interns and Residents $100* Ultrasound Techniques Workshop (maximum 12 attendees) * Pre-registration BY PHONE is required for Ultrasound Techniques Workshop. Call (415) 476-5808. Space is limited to 12 people and there is an additional charge of $100 per person. Payment may be made by Visa, MasterCard, AmEx or check. REGISTER VIA: Online: www.cme.ucsf.edu Mail: Fax: Phone: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box 45368 94145-0368 Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number) To register or to inquire about registration status, please call UCSF s CME Registration Office at (415) 476-5808. On-Site Registration: Generally we are able to accommodate on-site registration at our courses. REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. CONFERENCE LOCATION Enjoy San Francisco s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco s culinary hub at the Ferry Building. The is just steps from Union Square and the Theatre District. A block of guestrooms has been reserved at the special UCSF conference rate of $219 per night. You are urged to make your reservations early. The cut off date is April 29, 2013, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. To make hotel reservations on-line, go to http://bit.ly/13e1bpp. You can also call (800) WESTIN 1 (937-8461) and identify yourself as a member of this UCSF conference to receive the special rate. By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. RENTAL CAR Hertz is offering special rates for participants of this conference; simply call (800) 654-2240 and refer to convention number # 03BW0132, or call your travel agent. You may also make reservations at www.hertz.com. Advance reservations are recommended. AIR TRANSPORTATION UCSF has negotiated special fares with American and United Airlines for our course attendees. You may use the following tour codes to book on your own: American (800) 433-1790 code: A7753BW United code: ZN9K492826 GREEN MEETING This is a green meeting. The syllabus will be transmitted electronically one week prior to the course.

t St Course Registration Form www.cme.ucsf.edu CRITICAL CARE MEDICINE AND TRAUMA May 30 - June 1, 2013 San Francisco, California Mail to : UCSF Office of CME P.O. Box 45368 94145-0368 Fax: (415) 502-1795 æ Dr. æ Mr. æ Mrs. æ Ms. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Email Address Label Code Letter (see address label: example, A, B, C, D, etc.) Would you like to be on our priority email list? Yes No Date of birth to be used as OCME registrant number: / / X X Month Day MAN13002 Please indicate if you have any special needs: Registration Fees: By May 10, 2013 $625 Physicians $485 Allied Health Professionals, Nurses, Interns and Residents After May 10, 2013 $700 Physicians $510 Allied Health Professionals, Nurses, Interns and Residents Ultrasound Techniques Workshop: Pre-registration is required. You may register by phone or online only. Call (415) 476-5808. Space limited to 12 people and there is an additional charge of $100 per person. Make checks payable to UC Regents Please charge my credit card: Visa MasterCard AmEx for $ / Card # Expiration date Name on Card (Please Print) Authorized Signature Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up to date information on the course: www.cme.ucsf.edu 335 Powell Street 94102 www.westinstfrancis.com 415-397-7000 (800) Westin1 (937-8461) ar Line NOB HILL St Jones St Leavenworth St Landmarks Neighborhoods Points of Interest Parks Cable Car Lines GRACE CATHEDRAL MASONIC AUDITORIUM FRANCISCO Taylor St Mason St Westin St. Francis Online registration: www.cme.ucsf.edu Registration Information: (415) 476-5808 Course Information: (415) 476-4251 Powell St kton St Stockton St CHINATOWN UNION SQUARE O Farrell St Columbus Av PORTSMOUTH SQUARE BANK OF AMERICA BLDG. Grant Av Pine St Bush St Kearny St Post St Geary St rket St Montgomery St Pacific St Jackson St TRANSAMERICA PYRAMID BLDG. FINANCIAL DISTRICT CROCKER GALLERIA Washington St Clay St Sacramento St Sansome St California St New Montgomery St Battery St WALTON PARK 2nd St 1st St Drumm St EMBARCADERO SHOPPING CENTER GOLDEN GATE UNIV. MONTGOMERY ST. STATION SF MUSEUM TRANSBAY TERMINAL Market St Fremont St JUSTIN HERMAN PLAZA EMBARCADERO STATION Mission St Beale St RINCON CENTER Main St WORLD TRADE CTR. The Embarcadero Spear St Howard St FERRY BUILDING Steuart St Folsom St rison St