Scientific Assembly 2024 - General Sessions

This bundle of 39 recordings was prepared as a part of the Scientific Assembly 2024. Each individual recording (chapter) is on a different topic and is worth 0.5 CME units per 30 minutes, for up to 29 AOA or AMA credits

If you have any questions, please reach out to info@acoep.org

 

CME Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Osteopathic Family Physicians (ACOFP) and the American College of Osteopathic Emergency Physicians (ACOEP). ACOFP is accredited by the ACCME to provide continuing medical education for physicians.

ACOFP designates this blended learning activity for a maximum of 29.0 AMA PRA Category 1 Credits™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.

ACOFP is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians.

ACOFP designates this blended learning activity for a maximum of 29.0 AOA Category 1-A credits and will report continuing medical education (CME) credits commensurate with the physician’s participation in this program.

 

Seminar Information
Seminar Date:
October 10, 2024
Seminar Location:
Houston, TX
Click on a topic name to see details and purchase options.
Monday October 7, 2024
ERcast Live - Session 1

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:

  • Drew Kalnow, DO FACEP – Lit Matters: IV Contrast and the Kidney
    • ?Review recent high-yield publications involving patients who suffer from a cardiac arrest.
    • Evaluate recent publications related to identifying sepsis in the ED.
    • Develop an evidence based approach to interpreting the medical literature.
  • John Hunter, MD – Rectal Misadventures
    • ?Implement a reliable approach to patients with a potentail small bowel obstrution.
    • Evaluate the literature associated with NG tubes.
    • Discuss an evidence based approach to evaluating rectal foreign bodies.
  • Matthew. Delaney – ED or No ED?
    • ?Develop an evidence based approach to ethically challenging encounters in the emergency department.
    • Review recent literature relating to clinician wellbeing
    • Identify hidden sources of enhanced medicolegal risk
  • Brit Long, MD – The Easy Miss… Immune Checkpoint Inhibitor Adverse Events
    • 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.
  •  Michelle Crispo, MD – Code Talking
    • ?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.
  • Andy Little, DO – Updates in Lower GI Bleeding
    • ?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.
  • Christina Shenvi, MD, PhD, MBA, FACEP – How To and How Not To Use the Beers List
    • ?Implement a consistent approach to patients who present with deleriuim.
    • Discuss high yield pearls from the BEERs criteria.
    • Develop an consistent approach to risk stratifying the geriatric patient.
  • Matthew Delaney – ED or No ED?
    • ?Develop an evidence based approach to ethically challenging encounters in the emergency department.
    • Review recent literature relating to clinician wellbeing
    • Identify hidden sources of enhanced medicolegal risk
  • Christina Shenvi, MD, PhD, MBA, FACEP – Foggy Minds – Clear Action: Diagnosis and Management of Delirium in the ED
    • ?Implement a consistent approach to patients who present with deleriuim.
    • Discuss high yield pearls from the BEERs criteria.
    • Develop an consistent approach to risk stratifying the geriatric patient.
  • John Hunter, MD – Blocked and Bloated
    • Implement a reliable approach to patients with a potentail small bowel obstrution.
    • Evaluate the literature associated with NG tubes.
    • Discuss an evidence based approach to evaluating rectal foreign bodies.
Speaker Information
Michelle Crispo MD  [ view bio ]
Matthew DeLaney MD  [ view bio ]
John Hunter MD  [ view bio ]
Andy Little Do  [ view bio ]
Brit Long MD  [ view bio ]
Joseph Ray MD  [ view bio ]
Christina Shevni Shevni MD, PhD, MBA  [ view bio ]
Ercast Live - Session 2

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.
Speaker Information
Geoffrey Comp Do FACEP FAWM  [ view bio ]
Michelle Crispo MD  [ view bio ]
Andy Little DO  [ view bio ]
Andy Little DO  [ view bio ]
Untangling the Bundle: Identifying Can't Miss Ischemic Changes in Bundle Branch Blocks!

In the ER, you see patients with chest pain every single shift, and each one of these patients will receive an EKG. Let's face it: bundle branch blocks can be confusing to recognize due to their atypical baseline morphologies, and discerning ischemia within these EKGs can be even more challenging! Together, we will untangle the mystery surrounding bundle branch blocks, so you can become a master at interpreting these EKGs on your next shift!

Objectives:

  1. Identify normal left and right bundle branch block EKG patterns
  2. Identify ischemia in left and right bundle branch block EKGs
  3. Review Scarbossa Criteria

 

Speaker Information
Jason Adler, MD
Chris Colbert DO  [ view bio ]
Identification and Management of Heat-Related Illness
Speaker Information
George Willis, MD  [ view bio ]
Framing the No: Master Negotiation Using Select Trade Secrets of a Car Salesman, Magician and Child Psychologist!

You deal with challenging patient encounters every shift, and they can be soul-draining! Learn how to become a master negotiator by gleaning insights from some non-traditional teachers: a car salesman, a magician, and a child psychologist!

Objectives:

  1. Understand the power of scripting in your patient encounters 
  2. Learn how to incorporate empathy into any patient interaction  
  3. Refine your negotiation techniques using insight from a car salesman, magician, and a child psychologist
Speaker Information
Jason Adler, MD   [ view bio ]
Prevent the Explosion - Defusing in the ED

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
Speaker Information
Drew Kalnow, DO
Updates in the Agitated Patient
Speaker Information
Andrew Phillips, MD
Cue the Thunder and Lightning: Thyroid Storm

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.

Speaker Information
Geoff Comp, DO
Innovative Ways to "Bend the Rules"/ Updates in Joint Dislocation and Reductions

This lecture will delve into the nuances of joint dislocation and reduction, focusing on the complexities that emergency physicians encounter in managing these injuries. Attendees will explore the anatomy and biomechanics of common joint dislocations, such as shoulder, hip, and elbow, and learn to identify subtle signs that distinguish simple dislocations from those complicated by fractures or neurovascular compromise. The session will cover advanced reduction techniques, pain management strategies, and post-reduction care, emphasizing the importance of timely and accurate intervention to prevent long-term complications. Through case studies and hands-on demonstrations, participants will enhance their skills in performing joint reductions with confidence and precision.

Objectives:

  1. Understand the Anatomy and Biomechanics of Common Joint Dislocations: By the end of the lecture, participants will be able to identify the anatomical structures and biomechanical principles involved in common joint dislocations, enabling them to assess the severity of dislocations and associated injuries accurately.
  2. Develop Proficiency in Advanced Reduction Techniques: Participants will learn and demonstrate advanced techniques for the reduction of various joint dislocations, focusing on methods that minimize patient discomfort, reduce the risk of complications, and ensure successful realignment.
  3. Enhance Decision-Making in Complex Dislocation Cases: Attendees will gain the ability to differentiate between simple and complex dislocations, understand when to employ specific reduction strategies, and recognize situations that require orthopedic consultation or advanced imaging, thereby improving overall patient outcomes.

     

Speaker Information
Andrew Phillips, MD
Tuesday October 8, 2024
Podcast Palooza Kick Off – EM Over Easy

Listen as the official podcast for the ACOEP kicks off Podcast Palooza 24 with a bang with a clinical discussion about a hosts recent case. You wont want to miss this session!

Learing Objectives:

  1. Identify a clinically difficult situation that all EM providers face in their practice. 
  2. Review best practices on how to recognize these situations in real time
  3. Discuss how to work through this situation with input from our hosts and the audience.
Speaker Information
John Casey DO  [ view bio ]
Geoff Comp, DO   [ view bio ]
Tanner Gronowski
Drew Kalnow DO  [ view bio ]
R.E.B.E.L. EM Podcast
Speaker Information
Karen Greenberg, DO   [ view bio ]
ERcast LIVE Show

For this special edition of ERcast Live join DeLaney, Andy and Drew as we sit down with the experts to find practice changing pearls that you can take to the bedside on your next shift. Come for the high quality education, stay for the live music, awesome giveaways and much more.

Speaker Information
John Casey Do  [ view bio ]
John Hunter  [ view bio ]
Drew Kalnow, DO   [ view bio ]
Andy Little Do  [ view bio ]
The Visible Voices Podcast Episode: Under the Gun: The Reality of Emergency Medicine with Cedric Dark

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.

     

Speaker Information
Cedric Dark MD, MPH, FACEP  [ view bio ]
Steven Nazario, MD   [ view bio ]
Ultrasound G.E.L
Speaker Information
Delia Gold MD
Karen Greenberg, DO
Mid-Day Reflection – EM Over Easy
Speaker Information
John Casey DO  [ view bio ]
Chris Colbert DO  [ view bio ]
Tanner Gronowski
Mary McLean, MD
RapidRads LIVE!

Podcastapalooza is an all day event where different podcasters in Emergency Medicine will have 1 hour to sit down and record a live podcast. This segment with Dr. Chris Reilly, MD and Dr. Gary Cook, DO will incorporate a discussion on what RapidRads is followed by approaches to different imaging studies, radiographic case based presentations and audience interaction. This is a must see for anyone looking to sharpen their radiographic interpretation skills!

Objectives:

  1. Background information on who we are, what RapidRads is and how it can fill the gap in your radiographic education.
  2. How to approach your Chest X-Rays and improve your confidence in disposing your patients without an official read
  3. How to approach your trauma imaging in a case-based format with tips, tricks and pearls to get you there

 

Speaker Information
Drew Kalnow, DO
Andy Little, DO   [ view bio ]
PEM Rules

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

 

Speaker Information
Molly Estes MD  [ view bio ]
Karen Greenberg, DO   [ view bio ]
Wednesday October 9, 2024
Balancing Act: Understanding Neurologic Complications in Emerging Alzheimer's Treatments

Alzheimer’s disease impacts over 6 million Americans, with many more yet to be diagnosed. As new treatments emerge, emergency medicine providers must be prepared to manage both the promise and the peril these innovations bring. This session will delve into the latest FDA-approved medications for Alzheimer's, such as Aducanumab, Lecanemab, and the recently approved Donanemab, which offer hope in slowing disease progression but come with significant risks like Amyloid-Related Imaging Abnormalities (ARIA).

There will be multiple case studies to illustrate the clinical presentation and challenges of ARIA in patients treated with these medications. The session will cover the mechanisms of these therapies, their administration protocols, and the critical role of MRI in monitoring and diagnosing ARIA. Attendees will learn to differentiate ARIA from similar conditions in emergency settings and establish a protocol for managing it effectively.

These medications are among the newest in the United States, placing attendees in the top tier of current medical knowledge. From practical strategies for communication with radiologists and neurologists to best practices in managing side effects like edema and hemorrhage, this session will equip attendees with the knowledge and tools necessary to provide comprehensive care for Alzheimer's patients in the emergency department. Attendees will leave with a deeper understanding of the balance between treatment benefits and potential complications, ready to apply this knowledge in their practice.

Objectives

  1. Establish a protocol for efficiently assessing the likelihood of ARIA in patients undergoing ATT treatment.
  2. Differentiate ARIA from similar conditions in emergency settings.
  3. Manage ARIA in patients on ATTs following best practices, including effective communication with treating clinicians and radiologists.

     

Speaker Information
Steven Nazario, MD
The Very Sick Infant In the Pediatric ED

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
Speaker Information
Michael Weinstock, MD   [ view bio ]
Malpractice Minefield: Mastering Consultant Dialogues & Common Mistakes

Objectives:

  1. We will examine the medical-legal pitfalls of emergency medicine physicians in their interactions and dealings with consultants.
  2. We will understand the impact of the duty a consultant has to patients when called, and how the rules of evidence around hearsay can affect our conversations with consultants as evidence.
  3. Finally, we will postulate approaches to help defend our care in court when conversations with consultants are called into question.
Speaker Information
Matthew DeLaney, MD
The Use of Abx in Children

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

Speaker Information
Anna Kalantari, DO  [ view bio ]
Physiologic Difficult Airway

Physically getting the endotracheal tube into the airway is one thing, but a new concept has arisen in the last few years: the physiologic difficult airway. Severe acidemia. Severe hypovolemia. Decompensated heart failure. All of these and more make the act of sedating and intubation extremely dangerous. Learn to evaluate an airway beyond physically delivering the tube so you can avoid your next peri-intubation cardiac arrest.

Objectives:

  1. Describe the concept of the physiologic difficult airway
  2. Describe the broad types of physiologic difficult airways and how to approach them
Speaker Information
Cameron Meyer, DO   [ view bio ]
Breaking Boundaries in Stroke Care: Highlights from ISC 2024 and ESOC 2024

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
Speaker Information
Barrie Bostick  [ view bio ]
Fluid Resuscitation

Fluid tolerant? Fluid responsive? Too much? Too little?

We'll take a dive into best case and worse case scenarios so you can make fluid resuscitation decisions even on a busy shift without spending hours ultrasounding everyone. We'll also discuss when to initiate pressors and the dangers of relying on fluid rather than vasopressors for resuscitation.

Objectives:

  1. Describe the difference between fluid tolerant and fluid responsive.
  2. Describe 3 different ways to approach fluid status and resuscitation.
Speaker Information
Cameron Meyer, DO   [ view bio ]
Treatment of Alcohol Use Disorder in the ED

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

 

Speaker Information
Andy Little, DO   [ view bio ]
Acidotic Intubation
Speaker Information
Anna Kalantari, DO  [ view bio ]
Elevate Your Airway Game: Evidence-Based Updates in Airway Management

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.
Speaker Information
Barrie Bostick, MD   [ view bio ]
HALO Procedures in the ED

Come listen as Dr Little works through the Idea of High Acuity, Low Opportunity (HALO) procedures in emergency medicine. He'll cover patient selection, indications, anatomical landmarks and work you through how to perform these on your next shift.

Objectives:

  1. Identify the HALO procedures in Emergency Medicine
  2. Review the patient selection process and indications for HALO procedures in EM. 
  3. Discuss the performance of each individual HALO procedure identified.
Speaker Information
Shayne Gue, MD   [ view bio ]
Bystander CPR - Patient Outcome in the ER
Speaker Information
Brian Acunto DO, EJD  [ view bio ]
Speaker Panel
Speaker Information
Chris Colbert DO  [ view bio ]
Sara Dimeo  [ view bio ]
Molly Estes MD  [ view bio ]
Thursday October 10, 2024
Cosmetic Derm Gone Wrong

Across all emergency rooms there is a notable increase in complications secondary to cosmetic procedures. Emergency physicians must be familiar with cosmetic emergencies as these situations often involve visible injuries that can have long-term physical and psychological impacts on patients. Quick and effective management of cosmetic emergencies, filler and botox injections are crucial to minimize scarring, prevent complications, and improve aesthetic outcomes. Understanding the appropriate management techniques coupled with when to consult specialists is essential.

Objectives:

  1. Understand the Classification and Initial Assessment of Cosmetic Injuries: By the end of the lecture, participants will be able to accurately identify and classify different types of cosmetic injuries (e.g., facial lacerations, burns, soft tissue damage) and perform a thorough initial assessment to determine the most appropriate management strategy.
  2. Master Techniques for Wound management : Participants will learn and demonstrate proficiency in management of fuller/ botox complications 
  3. Recognize When to Refer and How to Address Patient Concerns: Attendees will gain the ability to identify situations that require referral to plastic or reconstructive surgeons and will develop strategies for effectively communicating with patients about cosmetic outcomes, setting realistic expectations, and addressing their concerns regarding appearance.
Speaker Information
Richard Cantor, MD  [ view bio ]
Medical Malpractice Pearls and Pitfalls – Part I

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.
Speaker Information
Kevin Tomacsek, MD  [ view bio ]
When Blood Turns Toxic

Hematologic/Oncologic emergencies are infrequently occurring conditions, depending on the patient population you work with. However, when they occur, they are absolutely essential to be identified and managed properly otherwise we run the risk of making the patient’s condition exponentially worse. By remembering a few key points, any EM physician can feel confident in their ability to face whatever the shift might throw their way.

Objectives:

  1. Identify nuances involved in treating hemophiliacs including appropriate factor replacement
  2. Determine how to diagnose and treat patients presenting with neutropenic fever 
  3. Actively manage the oncologic emergencies of tumor lysis syndrome and hyperviscosity syndrome
Speaker Information
John Casey, DO  [ view bio ]
Medical Malpractice Pearls and Pitfalls – Part II

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. 
Speaker Information
Shayn Gue, MD  [ view bio ]
The Crashing Aortic Dissection: Do's and Don't's

Patients who present with aortic dissection have high mortality. Some of that is related to the disease but some is related to inappropriate management of the patient, especially when the patient starts to decompensate.  The speaker will discuss things to do and things not to do when you have your next patient with aortic dissection in the emergency department.  

Objectives:

 

  1. Discuss the appropriate management of aortic dissection.
  2. Discuss diagnostic steps when a patient with aortic dissection begins to decompensate.
  3. Discuss management steps when a patient with aortic dissection begins to decompensate.
Speaker Information
Richard Cantor, MD  [ view bio ]
Agency vs. Acceptance: The Wellness Tug-of-War for Emergency Physicians

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
Speaker Information
Andy Little, DO  [ view bio ]
Blunt Cerebrovascular Injury - Screening, Diagnosis, and Treatment Updates

This will be a short lecture on blunt cerebrovascular injury(BCVI) in the US. BCVI is often underrecognized and underdiagnosed in trauma patients. Up to 20% of patients will have a stroke after a clinical significant BCVI. There are a variety of recommendations for screening and imaging and we will review the current data with the goal of arming participants with the necessary education to make sure that consideration of BCVI is part of your trauma work up in an evidence-based fashion. 

Objectives:

  1. Review which patients are at risk for BCVI and the current evidence behind screening recommendations. 
  2. Apply BCVI risk stratification and treatment recommendations
  3. Compare and contrast universal screening vs. targeted screening
Speaker Information
John Casey, DO  [ view bio ]
Pitfalls in the Diagnosis and Management of Decompensated Hypothyroidism

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.
Speaker Information
George Willis MD  [ view bio ]
Pediatric Thoracoabdominal Trauma - A Review of Rare Trauma

Pediatric penetrating trauma to the torso is rare, which creates discomfort when such patients present to the emergency department. Children with penetrating injuries to the torso require careful evaluation of the chest, abdomen, pelvis, and genital structures for system-specific injuries that may contribute to rapid decompensation, long-term morbidity, and influence the order of emergent resuscitation. We will review current evidence in this 30-minute lecture and go over best practices for emergency diagnosis and treatment.

Objectives:

  1. Review current evidence for diagnosing and treatment of penetrating trauma to the torso in pediatric patient
  2. Understand predictive factors for higher morbidity and mortality
  3. Apply best practices to case scenarios
Speaker Information
HIlary Fairbrother  [ view bio ]
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