Come join Matthew DeLaney, Andy Little, Drew Kalnow and the entire ERcast team in an action packed ERcast Live event to kick off the ACOEP Fall Scientific Assembly on October 6th. Come for the high-quality education that you can take to the bedside on your next shift and stay for the live music, on-stage demonstrations, prize giveaways and an afternoon full of unexpected surprises. As an added bonus each attendee will receive a free trial subscription to ERcast.

Presentations in this Session:

• Brit Long, MD – Diverticulitis Myths and Missteps
  • ?Evaluate key pearls and pitfalls associated with conditions that are low prevalence but high risk.
  • Develop an approach to balancing the risk of missing a rare condition with the potential risk of overtesting.
  • Discuss a rational approach to risk stratifying the undifferentiated patient in the ED.
• Geoffrey B Comp DO FACEP FAWM – High-Altitude Illness Identification
  • ?Develop an evidence based approach to patients with acute mountain sickness
  • Discuss a consistent approach to hyperthermic patients.
  • Implement a framework for approaching potential environmental emergencies.
• ?Michelle Crispo MD– Palliative Care Pro-Tips
  • Discuss an evidence based approach to implementing palliative care in the emergency department.
  • Develop an approach to discussing goals of care at the bedside.
  • Evaluate potential areas of increased medicolegal risk associated with end of life care.
• Geoffrey B Comp DO FACEP FAWM – Identification of Cutaneous Cold Weather-Related Injuries
  • Develop an evidence based approach to patients with acute mountain sickness
  • Discuss a consistent approach to hyperthermic patients.
  • Implement a framework for approaching potential environmental emergencies.
• Andy Little, DO – GRACE 4 Guidelines for Alcohol Withdrawal and Alcohol Use Disorder and Cannabis Hyperemesis
  • ?Evaluate recent guidelines related to GI bleeds.
  • Discuss current recommendations for patients who present with alcohol use disorder.
  • Examine existing practices related to the use of vacation days.

Critical situations are not over when patient care ends. In order to get yourself ready for the next patient and make sure your team is able to continue their roles, we need to defuse the situation. Defuse? That's right, we are not talking debrief but rather a hot defuse to prevent your department from exploding.

Objectives:

1. Discuss the difference between debriefing and defusing
2. Discuss how to defuse after a critical event
3. Explore the benefits of defusing for both the individual and department

Thyroid storm is a less frequently encountered disease entity and yet remains a critical “can’t miss” diagnosis. Rapid recognition of this syndrome and knowledge of the steps required to treat it are essential, in addition to knowing how to address the complications that inevitably develop.

In this live episode of the Visible Voices Podcast, Dr. Resa E Lewiss sits down with Dr. Cedric Dark, a Baylor emergency medicine physician and author of "Under the Gun." There will be conversation on the often-overlooked stories of patients and health care workers, and how these experiences shape their perspectives as both doctors and a storytellers.

The Visible Voices podcast is an interview style podcast. Dr. Lewiss designs conversations with the intention of amplifying the voices and stories of people who are subject matter experts and with something interesting share in the health care, equity, and current trends spaces.

Objectives:

1. Understanding the Impact of Gun Violence: Participants will gain a comprehensive understanding of the epidemic of gun violence in the United States, including its effects on public health and the healthcare system.
2. Recognizing the Role of Physicians in Advocacy: Participants will explore the role of physicians as advocates and visible voices in the fight against gun violence, emphasizing the ethical responsibility to engage in societal issues that affect public health.
3. Developing Strategies for Effective Advocacy: Participants will learn practical strategies for effective advocacy, focusing on how healthcare professionals can influence policy and contribute to the broader conversation on gun violence prevention.

    

What is PEM Rules and how do I use those rules in my everyday care of children in the Pediatric Emergency Department.

What are the most common causes/etiologies for the ill-appearing newborn, and how does one make the exact diagnosis? What is the basic, initial treatment for those conditions?

Objectives:

1. Name the common etiologies for ill appearing infant
2. Understand the appropriate diagnosis and workup
3. Review Basic Management

How common are bacterial infections (vs. viral infections) in the pediatric population, and how do we treat these conditions without overusing antibiotics?

We will delve into the latest advancements and guidelines in stroke management. This session will cover updated blood pressure guidelines for stroke patients, cutting-edge updates for the treatment of intracerebral hemorrhage, and the significant findings from the Zodiac trial on the optimal positioning of ischemic stroke patients. Additionally, we will explore the extended time windows for thrombolytics, offering new hope for improved outcomes. Don’t miss this opportunity to stay at the forefront of stroke care innovations!

Objective: 

1. Identify the key treatment strategies for intracerebral hemorrhage 
2. Describe the significant findings from the Zodiac trial for the optimal positioning of ischemic stroke patients
3. Demonstrate an understanding of the extended time windows for thrombolytics

In this session, will discuss identifying alcohol use disorder, determining the disposition of a patient in alcohol withdrawal, and ED interventions to address patients alcohol use disorder and acute withdrawal state.

Objectives:

1. Identify alcohol use disorder
2. Determine appropriate disposition for a patient presenting to the ED for concerns of alcohol withdrawal
3. Treatment options for alcohol withdrawal
4. Brief discussion of medications for AUD that can be initiated during ED visit

This lecture is designed to provide emergency medicine professionals with the latest evidence-based updates in airway management. Using recent high-impact studies, we aim to enhance clinical practice by focusing on the most critical elements of airway preparation, preoxygenation, induction, and post-intubation management.

1. DuCanto Catheter (“The DuCanto Catheter Sucks”): Understand the advantages of the DuCanto catheter over traditional Yankauer suction for managing heavily contaminated airways in emergency settings.
2. PREOXI Trial: Learn how noninvasive ventilation (NIV) for preoxygenation can significantly reduce hypoxemia compared to standard oxygen masks, especially in high-risk, critically ill patients.
3. Ketamine Meta-Analysis: Evaluate the evidence supporting the use of ketamine over etomidate as an induction agent to reduce mortality and maintain hemodynamic stability in critically ill patients.
4. ED-AWARENESS Study: Recognize the risk of awareness with paralysis in intubated patients due to delayed sedation and the importance of immediate post-intubation sedation to prevent psychological trauma.
5. DEVICE Trial: Identify the superior first-pass success rates of video laryngoscopy compared to direct laryngoscopy and its particular benefit for less experienced operators.
6. Back-Up Position Study: Understand how elevating patients to a 25° back-up position during intubation improves glottic visualization and simplifies airway management.

Objectives: 

1. Understand the basics of medical malpractice lawsuits.
2. Define the components needed to bring a medical malpractice suit forward by a plaintiff.
3. Illustrate what duty, breach of the standard of care, causation, and damages mean.
4. Identify who determines if there is a duty owed, whether the standard of care was breached, if the breach was the causation of the plaintiff's injuries, and how damages are calculated.

Objectoves:

1. Understand the basics of medical malpractice lawsuits. 
2. Define the components needed to bring a medical malpractice suite forward by a plaintiff. 
3. Illustrate what duty, breach of the standard of care, causation and damages mean,
4. Identify who and how is it determined if there is a duty owed, whether the standard of care was breached, the breach was the causation of the plaintiff's injuries, and how damages are calculated. 

Are you caught in the wellness tug-of-war between agency and acceptance? Are you the captain of your own ship, or have you embraced the art of letting go? Join us for a lively and enlightening session where we'll explore the delicate balance between taking charge of your well-being and embracing what life throws your way—especially when life means working a double shift on a holiday weekend.

In this session, we’ll unravel the mysteries of agency and acceptance, two wellness strategies that can sometimes feel like polar opposites. We'll dive into the science, share relatable stories from the trenches of the emergency department, and even toss in a few laughs along the way.

You’ll leave with practical tips on how to wield your agency like a pro, while also mastering the zen of acceptance when the ED runs out of turkey sandwiches. Discover how these two seemingly conflicting approaches can work together to boost your resilience, improve your work-life balance, and keep you from pulling your hair out when the electronic medical record system crashes—again.

Prepare for a session that’s as engaging as it is informative, and walk away with a renewed perspective on how to thrive in emergency medicine. After all, wellness isn’t just a destination; it’s a journey worth enjoying, potholes and all!

Objectives:

1. Distinguish agency and acceptance
2. Review latest research on wellness strategies
3. Identify one new wellness strategy for personal use

Hypotension. Altered mental status. These are some of the hallmarks of patients with sepsis. However, hidden in the neck may be a poorly functioning thyroid gland, increasing this patient's mortality despite early antibiotics, IV fluids, and vasopressors. The speaker will discuss physical exam findings to look for when evaluating ill patients. They will also discuss some pitfalls to avoid in the management of these critically ill patients in the emergency department.

Objectives:

1. Discuss physical exam findings to increase suspicion of decompensated hypothyroidism.
2. Discuss how to make the diagnosis of decompensated hypothyroidism.
3. Discuss the appropriate management including supportive care in these critically ill patients.