Emergency Medicine 2014: 37th Annual Winter Conference

EMERGENCY MEDICINE 201437th Annual UC Davis Winter Conference

February 24 – 28, 2014

THE RITZ-CARLTONLAKE TAHOE

Sponsored by: UC DAVIS HEALTH SYSTEM

Office of Continuing Medical Educationand Department of Emergency Medicine

SCAN FOR CONFERENCE WEBPAGE

CME

25

AMA PRA C

atego

ry 1 C

redits™

CARDIAC EMERGENCIES

6:30 am Registration, Continental Breakfast, Visit Exhibits

7:30 ED Management of Congestive Heart Failure (CHF)J. Douglas Kirk, MDDespite advances in therapy, CHF remains difficult to treat, with very few new management options. Dr. Kirk will discuss how to orchestrate the management of this important disease syndrome.

8:20 Got Rhythm? Current Management of Atrial FibrillationDeborah Diercks, MD, MScAtrial fibrillation is a common malady in ED practice. Clinicians face decisions regarding rhythm control, rate control, and anticoagulation. Dr. Diercks will review the most current recommendations for management of this challenging arrhythmia.

9:10 Case Studies in Cardiac EmergenciesJ. Douglas Kirk, MDUsing a case-based format, including ECGs and imaging, Dr. Kirk will discuss important management decisions in emergency cardiovascular care.

10:00 Adjourn

RESUSCITATION EMERGENCIES

4:30 pm Après Ski Snacks

5:00 Push Fast, Push Hard: An Update on Cardiac ArrestDavid Barnes, MDDespite advances in cardiovascular disease prevention, cardiac arrest remains a prevalent condition. Dr. Barnes will review recent guidelines and literature and discuss clinical pearls for management of cardiac arrest in the ED.

6:00 The Elusive PE: Decision Rules, Testing, & TreatingDeborah Diercks, MD, MScThe diagnosis and management of pulmonary embolism in the ED can be very challenging. D-Dimer? V/Q scan? CT? What about imaging for pregnant patients? Who should receive lytics? Dr. Diercks will review the literature and provide practical answers for these common questions.

7:00 Where the Algorithm EndsAimee Moulin, MDMost clinical guidelines have defined end points. But what happens when your patient continues to deteriorate? Dr. Moulin will review real cases from the ED when standard treatment guidelines failed.

8:00 Adjourn

Monday, February 24, 2014 Tuesday, February 25, 2014IMAGING AND PAIN MANAGEMENT

6:30 am Continental Breakfast, Visit Exhibits

7:30 Critical Frequency: US and the Critically IllLisa Mills, MDCritically ill patients evolve rapidly in the ED. Dr. Mills will present point of care ultrasound techniques to hasten bedside assessment and to improve resuscitation outcomes of the critically ill patient.

8:20 Regional Anesthesia in the Emergency DepartmentKatren Tyler, MDRegional anesthesia is an easy skill to master, requiring focus on basic techniques and anatomy. Dr. Tyler will discuss peripheral regional anesthesia including blocking the femoral nerve for patients with hip fractures.

9:10 Do You Know Where That Probe Has Been?Lisa Mills, MDUltrasound is now considered an essential clinical tool for emergency clinicians. Dr. Mills will present unique and interesting cases involving the use of point of care ultrasound in the ED, highlighting simple and effective strategies for emergency providers.

10:00 Adjourn

SPECIAL POPULATIONS AND LITERATURE UPDATE


5:00 Morbidly Obese Patients in the ED: Help!Katren Tyler, MDDoes the thought of intubating a 500lb patient terrify you? How do you evaluate a morbidly obese trauma victim? What dose adjustments do you need to make for the morbidly obese? Using a case-based approach, Dr. Tyler will identify the key features to consider when treating morbidly obese patients.

6:00 Important Recent Literature for EM: Part 1Edward Panacek, MD, MPHKeeping up with the medical literature is a nearly impossible task. Dr. Panacek has reviewed hundreds of articles and summarized those that will be most relevant to your practice.

7:00 Important Recent Literature for EM: Part IIEdward Panacek, MD, MPH

8:00 Adjourn

Emergency Medicine 2014

Wednesday, February 26, 2014 Thursday, February 27, 2014ED CHALLENGES


7:30 Bites: Tips & Tricks of the TradeJohn Rose, MDBite injuries are common to ED practice. Suture or leave open to heal? Do patients need antibiotics? Do they need rabies vaccine? Dr. Rose will review the evidence on how to manage important human and animal bite wounds and discuss controversies in management.

8:20 Progressive Headache Treatment in the EDJohn Richards, MDThe good news: the patient doesn’t have meningitis. The bad news: the patient still has a headache. Dr. Richards will review proven and novel therapeutics for treating headache in the emergency department.

9:10 Swimming with the Sharks: Medical-Legal CasesJohn Richards, MD and John Rose, MDMalpractice? Negligence? Standard of care? Medical legal cases can be nerve wracking for providers. Drs. Richards and Rose will discuss some of the basic tenets of the malpractice tort, and review interesting cases for the audience.

10:00 Adjourn

TOXICOLOGY EMERGENCIES


5:00 New Oral Anticoagulants: Current Issues and Future ChallengesMark Sutter, MDEmergency physicians are increasingly challenged with the balance between treating venous thromboembolism and the significant complications of hemorrhage from both old and new classes of anticoagulants. Dr. Sutter will review the currently available literature and discuss treatment recommendations for ED practitioners.

6:00 Beyond Benzos: Toxicologic Antidotes You Need to KnowKelly Owen, MDSupportive care is the mainstay of treatment for many ingestions. However, for some poisonings, the timely administration of an antidote is often the only treatment that can save a life. Dr. Owen will review critical toxicologic emergencies requiring specific antidotes.

7:00 Grandma’s Purse: A Bag of Poisons!Mark Sutter, MDPediatric poisoning is always challenging, as history is often unreliable or unavailable. Dr. Sutter will review common medications that are toxic in small doses as well as discuss new over the counter products that can cause toxicity in children.

8:00 Adjourn

ENVIRONMENT AND INFECTIOUS DISEASE


7:30 Infectious Disease UpdateRobert Derlet, MDEmerging epidemics such as MERS-CoV and the H7N9 Influenza viruses are both challenging and scary. Dr. Derlet will discuss current infectious disease threats likely to be encountered by EM physicians.

8:20 Where the Wild Things AreKelly Owen, MDToday’s outdoor adventurer risks exposure to the toxic effects of animals, like snakes, spiders, scorpions, jellyfish, and more. Even city dwellers aren’t immune when they keep these animals as pets. Dr. Owen will discuss important envenomations that cause human toxicity and will review treatments that clinicians must know.

9:10 The Best of Mount Everest Base Camp TalksRobert Derlet, MDFrom his adventures climbing to Mount Everest base camp, Dr. Derlet will review an assortment of back country clinical conditions including altitude sickness, waterborne infections, and mountain trauma.

10:00 Adjourn

AIRWAY MANAGEMENT


5:00 Recent Techniques and Technology for Airway ManagementAaron Bair, MDAirway management is a critical skill for emergency physicians, and many advances and new devices continue to evolve. Dr. Bair will discuss and demonstrate the numerous novel options that involve video and optical technologies to provide easier and successful control of the airway.

6:00 Management of the Difficult AirwayErik Laurin, MDThe most feared airway scenario is a “can’t intubate, can’t oxygenate” situation. Dr. Laurin will introduce systematic methods to identify a difficult airway and manage it successfully, using a combination of classic methods, new techniques, and cutting edge devices.

7:00 When What You Don’t Know Can Be LethalAaron Bair, MDFor the past decade Dr. Bair has tracked quality assurance for airway management. He will discuss common and not so common errors that can have devastating consequences if patients are not managed optimally.

8:00 Adjourn


FacultyCOURSE DIRECTORDavid K. Barnes, MD, FACEPAssistant Professor Residency Program Director Department of Emergency Medicine UC Davis Health System

ASSISTANT COURSE DIRECTORAimee Moulin, MDAssistant Professor Assistant Residency Program Director Department of Emergency Medicine UC Davis Health System

Friday, February 28, 2014PEDIATRIC EMERGENCIES


7:30 Pediatric Dermatology “102”Cheryl Vance, MDPediatric patients with rashes are challenging encounters for emergency clinicians. Dr. Vance will go beyond the basics and review some pediatric rashes that are important to recognize and treat.

8:20 ‘Tis the Season: Update on Emergency Management of Pediatric AsthmaEmily Andrada, MDPediatric asthma exacerbations are a prevalent chief complaint in US emergency departments. Dr. Andrada will discuss the most recent recommendations for the emergent evaluation and treatment of pediatric asthma.

9:10 Crutches for the ED Doc: Tools for Evaluating a Limping ChildLeah Tzimenatos, MDThe chief complaint (limp) in a pediatric patient represents a broad differential diagnosis and a wide range of acuity. Dr. Tzimenatos will discuss a general framework as well as specific tips for emergency evaluation of the limping child.

10:00 Conference Adjourns


CONFERENCE COORDINATORPamela SchneiderCME Specialist Office of Continuing Medical Education

UC DAVIS EMERGENCY MEDICINE FACULTYEmily R. Andrada, MDAssociate Professor

Aaron E. Bair, MD, MSc, FACEP, FAAEMProfessor Medical Director, Center for Virtual Care Associate Dean for CME

Robert W. Derlet, MD, FAAEMProfessor Emeritus

Deborah B. Diercks, MD, MSc, FACEPProfessor Vice Chair for Research

J. Douglas Kirk, MD, FACEPProfessor Vice Chair for Clinical Operations Director, Chest Pain Evaluation Unit Associate Chief Medical Officer

Erik G. Laurin, MD, FAAEM, FACEPProfessor Director of Medical Student Education

Lisa D. Mills, MD, FAAEMAssociate Professor Director of EM Ultrasound

Kelly P. Owen, MDAssistant Professor

Edward A. Panacek, MD, MPH, FACEP, FAAEMProfessor Director of Clinical Trials

John R. Richards, MD, FAAEMProfessor Director of Alumni Relations

John S. Rose, MDProfessor

Mark E. Sutter, MDAssistant Professor Director, Toxicology Fellowship Assistant Medical Director Sacramento Division, California Poison Control System

Katren R. Tyler, MD, FACEP, FACEMAssociate Professor Associate Residency Director

Leah S. Tzimenatos, MDAssociate Professor

Cheryl W. Vance, MD, FAAPProfessor and Chief Division of Pediatric Emergency Medicine

CONFERENCE REGISTRATIONPlease register early – space is limited. Tuition is $750 for physicians and $650 for all others. Confirmation of registration will be sent within two weeks after receipt of registration form. The fees will increase after February 4, 2014.

You must pay the registration fee in order to obtain a room at the discount rate at the Ritz Carlton. See HOTEL RESERVATION GUIDELINES for details.

Tuition includes continental breakfasts, refreshment breaks, après ski snacks, and electronic syllabus. Tuition may be paid by check, American Express, Discover, MasterCard or VISA. Cash is not accepted. Conference materials cannot be guaranteed unless enrollment is received by February 14, 2014. The Office of Continuing Medical Education reserves the right to cancel this program. In such a case, a full refund will be given.

Registration forms received without payments will not be processed until payment is received, and payment must follow within 10 days. Early discount rates are honored if payment is received by the date noted on the enrollment form. After that date, the late fee is applied.

Layered clothing is recommended as the meeting room temperature may be uncomfortable for some, depending on personal preferences. If you have any special needs due to a disability as specified in the Americans with Disabilities Act, please call the Office of Continuing Medical Education at (916) 734-5390 so we may make the necessary accommodations for you.

CANCELLATION AND REFUND POLICY: A refund of tuition, less $75 administrative fee, will be allowed if requested in writing by February 14, 2014. No refunds will be provided after this date.

TARGET AUDIENCEThis activity is designed for emergency medicine healthcare professionals. It also provides an excellent educational opportunity for physicians who are peripherally involved in emergency care.

ELECTRONIC EVALUATION AND CREDITThe link to your electronic syllabus, evaluation and certificate of credit will be available for 30 days after the last day of the conference. Once you have completed the online evaluation your certificate will be available to print. However, after 30 days this link will expire and these items are no longer available online. You must contact the Office of CME to receive your certificate. A $15 administrative fee will be applied.

The electronic syllabus will be available to pre-registered attendees online prior to the conference for downloading and printing. A flash drive containing the syllabus will be distributed at the conference. If you prefer to have a printed syllabus, we will be happy to accommodate you for an additional fee of $40 if ordered by February 14, 2014.

WHY YOU SHOULD ATTENDEmergency Departments provide the “front line” of health care in this country, and serve an extraordinary public safety function. However, health care delivery in the country is changing rapidly, and emergency care is no exception. As a result of course participant evaluations and other annual assessment surveys, the need for cutting edge information about emergency medicine has been identified. The course is designed to change physician knowledge and competence in areas identified in the needs assessments, including:

• Difficult airway management

• Headache treatment

• Cardiopulmonary resuscitation

• Acute coronary syndrome diagnosis and therapy

• Important ED infections

• Pediatric rashes, limp, and asthma

• ED ultrasound

• Regional anesthesia

• Reversal of anticoagulation

This year’s 5-day long conference will specifically address these identified educational needs and provide practitioners with state-of-the-art tools to provide improved treatment options for their patients. This is an important opportunity for physicians involved in the delivery of emergency medicine to review important topics and discuss recent advances in key areas. This also provides an excellent chance for physicians peripherally involved in emergency care to expand their horizons.

EDUCATIONAL METHODSLectures with Q and A will be used to facilitate the dissemination of up to date information.

Case studies and discussion will highlight conditions commonly seen in clinical practice.

EDUCATIONAL OBJECTIVESAt the end of the activity, participants should be able to:

• Identify and select proper equipment for difficult airway management

• Effectively administer pharmacologic agents for treatment of primary headache

• Use outcome-proven strategies to improve survival from cardiac arrest

• Effectively diagnose acute coronary syndrome using cardiac biomarkers

• Incorporate findings of recent literature into emergency medicine practice

• Diagnose and manage life-threatening pulmonary embolus

• Recognize emerging global infections in patients presenting to U.S. EDs

• Incorporate point-of-care ultrasound into emergency practice

• Choose proper therapeutic agents for reversal of life-threatening coagulopathy

• Properly execute a fascia-iliaca nerve block for hip fractures

• Differentiate and identify life-threatening rashes in children

Edward A. Panacek, MD, MPH, FACEP, FAAEMProfessor Director of Clinical Trials

John R. Richards, MD, FAAEMProfessor Director of Alumni Relations

John S. Rose, MDProfessor

Mark E. Sutter, MDAssistant Professor Director, Toxicology Fellowship Assistant Medical Director Sacramento Division, California Poison Control System

Katren R. Tyler, MD, FACEP, FACEMAssociate Professor Associate Residency Director

Leah S. Tzimenatos, MDAssociate Professor

Cheryl W. Vance, MD, FAAPProfessor and Chief Division of Pediatric Emergency Medicine

ACCREDITATIONThe University of California, Davis, Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

CREDIT DESIGNATIONPHYSICIAN CREDIT: The University of California, Davis, Health System designates this live activity for a maximum of 25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AAFP: Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

AMA PRA Category 1 Credits™NURSE: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credits™ issued by organizations accredited by the ACCME. For the purpose of re-licensure, the California Board of Registered Nursing accepts AMA PRA Category 1 Credits™ (report hours of credit and fill in “CME Category 1” for the provider number).

PHYSICIAN ASSISTANT: The National Commission on Certification of Physician Assistants (NCCPA) states that AMA PRA Category 1 Credits™ are acceptable for continuing medical education requirements for recertification.

ADDITIONAL CREDIT DESIGNATIONEMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS: The University of California Davis Medical Center – Emergency Medical Services is an approved Continuing Education Provider for the California EMS (Provider #34-2050). This course is approved for 25 hours continuing education hours.

LOCATION

13005 Ritz-Carlton Highlands DriveTruckee, CA 96161 USAPHONE: (530) 562-3000http://www.ritzcarlton.com

SPECIAL GROUP ROOM RATES

DELUXE GUEST ROOM: $289

HOTEL RESERVATION GUIDELINES

You must first register and pay CME fees. Within 5 days you will receive an email with the phone number and group discount room code to make your hotel reservations at the Ritz-Carlton Lake Tahoe. These discounted room rates are only available until the room block is sold out or by February 4, 2014. The group block will sell out early and once the block is sold out, there are no opportunities for additional rooms. Only one room can be reserved per paid registrant. For those who pay the single-day registration fee, only one night per paid day will have access to the group rate.

The Ritz-Carlton Lake Tahoe ski resort is situated mid-mountain on the Northstar-at- Tahoe ski area and features ski-in, ski-out access, a restaurant by Traci des Jardins, a renowned San Francisco celebrity chef, a 17,000-square-foot spa and fitness center, exceptional dining and impeccable service. It is a sophisticated mountain retreat unlike any other. An inter-mountain gondola connects guests between the nearby Village at Northstar with The Ritz-Carlton Lake Tahoe.

The Village at Northstar centers around an ice-rink with numerous restaurants, bars, galleries, and shops throughout. The ski valets will assist each guest with their boots and escort them to the slopeside terrace for ski-in, ski-out access to the Northstar lifts. When guests return to this exceptional ski hotel in Lake Tahoe, the ski valet will retrieve their equipment and store overnight.

NORTHSTAR-AT-TAHOE VILLAGENorthstar-at-Tahoe Resort is one of the finest year-round destination mountain resorts in North America offering activities for all ages. With 89 trails spread across 2,904 acres, world-class terrain parks and snow sports including alpine and telemark skiing, snowboarding, cross-country skiing, snowshoeing, and tubing, Northstar Resort is fun for all. And with the new Village at Northstar featuring shopping, dining, special events and a 9,000 square foot skating rink, Northstar Resort offers something for everyone.

ACTIVITIES AT THE VILLAGE• Ski & Snowboard School for children and

adults

• Cross-Country Ski and Snowshoe Center offering extensive trail network (includes track, skate, snowshoe and Telemark)

• Two rental equipment shops (Village and mid-mountain)

• Two demo centers

• Licensed childcare for kids ages 2+

• 9,000 square foot ice skating rink

• Mid-mountain and summit day lodges

• Lift-accessed tubing hill

• New Village at Northstar featuring top retailers and restaurants, bars, shops, grocers, overnight ski storage, locker room and WiFi Internet access

DISCOUNTED LIFT TICKETSDiscounted lift ticket information will be sent prior to the start of the conference.

LAKETAHOE

NEV

ADA

CALIFO

RNIA

ToSan Francisco& Sacramento

To & Sacramento

SouthLake Tahoe

King’sBeach

TahoeVista

Tahoe City

West Shore

Reno/TahoeInt’l Airport

InclineVillage

Truckee

I-80

I-80

395

50

50

50

431

267

2828

89

89

89

THE RITZ-CARLTONLAKE TAHOE

BROCHURE ART CREDITBrochure images courtesy of Accreditation Council for Continuing Medical Education, UC Davis Public Affairs, The Ritz-Carlton and iStockphoto.com.

vhidalgo

Text Box

$299

AIR TRAVEL

UNITED AIRLINES: For online airline ticketing, go to http://www.united.com.

• click on Products and Services

• scroll to Travel for Groups and Meetings

• click on United Meetings

• click on Book Meeting Travel

• enter offer code: ZQZ5 235 294

GROUND TRANSPORTATIONIf you rent a vehicle at the Reno-Tahoe International Airport, please allow yourself at least 90 minutes drive time from the airport to The Ritz-Carlton (depending on weather conditions). There are several car rental agencies at the airport that rent four wheel drive vehicles.

HERTZ CAR RENTAL: 1 (800) 654-2240 and request ID CV#04H70005 for discounted rates.

SHUTTLE SERVICE:North Tahoe Executive Shuttle (866) 583-7685 • (530) 583-7685 www.northtahoeexecutiveshuttle.com

For Office Use Only

EMMED146027

TELEPHONE: (916) 734-5390

FAX APPLICATION: (916) 734-0742

REGISTER ONLINE AT: http://cme.ucdavis.edu/conferences

Registration FormEMERGENCY MEDICINE WINTER CONFERENCE · FEBRUARY 24 – 28, 2014

________________________________________________________________________________________________________________________First Name M.I. Last Name

MD DO PA NP RN EMT Other: ______________________________________________________________________

________________________________________________________________________________________________________________________Institution/Employer (as you would like it to appear on your badge)

________________________________________________________________________________________________________________________Profession/Occupation

________________________________________________________________________________________________________________________Home Address (or where you would like your receipt mailed)

________________________________________________________________________________________________________________________City State Zip Code

________________________________________________________________________________________________________________________Day Phone Fax Number

Please note special dietary/food allergy requirements: _______________________________________________________________________

Please check your payment method: Registration forms received without check, credit card number or purchase order number will not be processed until payment is received.

Check enclosed payable to: UC Regents AMEX Discover MasterCard VISA

________________________________________________________________________________________________________________________Account Number Expiration Date

________________________________________________________________________________________________________________________Authorized Signature (name on card) 3 Digit Security Code

Physician information required for CME credit and name badge. Please indicate primary medical specialty:

EM FP GP IM Other (specify) ______________________________________________________________________________

Social Security Number (last 4 digits required for transcript purposes)

Please copy the mail code from the address side of the brochure(above your name, e.g. PPEM, MMSEM, CRDEM) _____________________________________

If you did not receive a brochure in the mail, how did you hear about this conference? (Example: PT&MG, UCD website, web search, magazine, colleague) ____________________

Please use ONE of these methods to register:

MAIL APPLICATION AND PAYMENT TO:Office of Continuing Medical Education c/o UC Davis Cashier’s OfficePO Box 989062, West Sacramento, CA 95798-9062

REGISTRATION FEES (Receipt/Confirmation will be mailed within two weeks)

Early Discount After 2/4/14

Physician $750 $850

Other Health-care Professionals $650 $725

( ) ( )

E-mail for link to electronic syllabus. UC Davis CME will not use your email for any purpose other than corresponding with you.

_____________________________________________________________________________________________________________________

HAVE YOU ATTENDED THIS COURSE IN THE PAST? YES NO

FOR FURTHER INFORMATION

UC Davis Health System Office of Continuing Medical Education 3560 Business Drive, Suite 130 Sacramento, CA 95820-2161

1 (866) CME4EDU (263-4338) (916) 734-5390 (916) 734-0742 Fax http://cme.ucdavis.edu

ELECTRONIC SYLLABUSThe electronic syllabus will be available to pre-registered attendees online prior to the meeting for downloading and printing. A USB flash drive will be distributed at the conference. If you prefer to have a printed syllabus, we will be happy to accommodate you for an additional $40 if ordered by February 14, 2014.

Flash Drive (included in tuition)

Printed (additional $40)

SCAN QR CODE FOR ONLINE REGISTRATION

vhidalgo

Text Box

Web

University of California, DavisOffice of Continuing Medical Education3560 Business Drive, Suite 130Sacramento, CA 95820-2161

EMERGENCY MEDICINE 201437TH ANNUAL UC DAVIS WINTER CONFERENCE

MONDAY - FRIDAYFEBRUARY 24 - 28, 2014

Non-profit Org.U.S. Postage

PAIDSacramento, CAPermit No. 3405

THE RITZ-CARLTON, LAKE TAHOEMID-MOUNTAIN AT NORTHSTAR-AT-TAHOE TRUCKEE, CA

HIGHLIGHTS:

• Cardiovascular emergencies

• Toxicology emergencies

• Recent ED literature review

• Pediatric emergencies

• Medical-Legal discussion

• State-of-the-art airway management update

This program is self-supporting and receives no state funding.

CME

25

AMA PRA C

atego

ry 1 C

redits™

CME 25AMA PRA Category 1 Credits™

Health & Medicine

Emergency Medicine 2014: 37th Annual Winter Conference