CAEP 2012 Presentations
SUNDAY, JUNE 3, 2012
07:00-08:15 Accredited Breakfast Symposium: Angioedema in the ER
Dr. Paul Keith
08:45-09:30 PLENARY: Regulation of Doctors: What Is It and Where Are We Going?
Dr. Rocco Gerace
The regulation of doctors is under scrutiny worldwide. In Canada, doctors still have the privilege of a self-regulatory framework. While other jurisdictions had similar systems in the past, the majority have undergone significant changes to the point where the profession has lost this privilege and responsibility. The face of regulation is also evolving – moving from a punishment-basedapproach to one that is educational and more focused on ensuring and measuring quality throughout the physician’s career. To maintain the privilege and the quality momentum, it is critical that the profession at large take ownership of and support the regulatory process.
Dr. Rocco Gerace was appointed Registrar of the College of Physicians and Surgeons of Ontario in May 2002. Dr. Gerace graduated in medicine from the University of Western Ontario in 1972, and he is a Fellow of the Royal College of Physicians and Surgeons of Canada in Emergency Medicine.
Prior to his appointment as Registrar, Dr. Gerace was an attending staff physician in the Department of Emergency Medicine at the London Health Sciences Centre. He was also a consulting staff member at the Poison Information Centre at the Hospital for Sick Children in Toronto.
10:00-11:30 Track 1 - RESEARCH – ORAL
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Paul Atkinson
10:00-10:15 CAEP Research
Dr. Paul Atkinson
10:15-10:30 # 5587 Rapid Ultrasound Diagnosis of Heart Failure in Patients with Acute Dyspnea
Dr. Louise Rang
10:30-10:45 # 5561 Accuracy of Nurse Practitioner Performed Ultrasound for the Detection of Soft Tissue Foreign Bodies
Dr. Paul Atkinson
10:45-11:00 # 5571 Ultrasound-guided Peripheral Intravenous Catheter Placement: A Systematic Review and Meta-analysis of Trials
Jeffrey Heinrichs
11:00-11:15 # 5583 Clinical Characteristics Associated with Significant Carotid Imaging in Transient Ischemic Attack Patients Presenting to the Emergency Department
Dr. Jeff Perry
11:15-11:30 # 5465 Validation and Refinement of a Clinical Decision Rule for Subarachnoid Hemorrhage in Emergency Department Patients with Headache
Dr. Jeff Perry
10:00-11:30 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Rafi Setrak
10:00-10:10 # 5424 Referral to a Community Program for Youth Injured by Violence: A Feasibility Study
Dr. Carolyn Snider
10:10-10:20 # 5575 To Drill or Not to Drill: The Use of Burr Hole Trephination in Alberta
Dr. Michael Gallagher
10:20-10:30 # 5613 Presence of Third Molars and Rates of Mandible Fractures After Punched in Face
Dave Milzman
10:30-10:40 # 5622 Developing Seasonal Physician Shift Schedules in the Emergency Department to Meet Patient Demand
David Savage
10:40-10:50 # 5623 Prospective Outcomes of Symptomatic Early Pregnancy Correlated with Emergency Department Ultrasound Findings
Dr. Karl Phillips
10:50-11:00 # 5586 Usefulness of the Media in Launching a Study:The Quebec Rural Emergency Medicine Project
Dr. Richard Fleet
11:00-11:10 # 5564 An Evaluation of an Atrial Fibrillation Clinic for the Follow-up of Patients Presenting to the Emergency Department with Newly Diagnosed or Symptomatic Arrhythmia
Brandon Hone
11:10-11:20 # 5504 Medical Clearance of ED Patients with Psychiatric Diagnoses: Evaluation of the Physical Examination
Dr. Brandy Bursey
11:20-11:30 # 5509 Thromboembolic Events following Elective Hip and Knee Arthroplasty Using Oral Factor Xa Inhibitor (rivaroxaban)
Dr. John Murnaghan
10:00-11:30 Track 3 – MEDICAL EDUCATION
Track Chair: Dr. Glen Bandiera
10:00-10:45 The Development and Implementation of a Comprehensive Simulation-based Curriculum for Emergency Medicine Residents
Dr. Damon Dagnone
10:45-11:30 Human Factors Training in Emergency Medicine: From the Flight Deck to the Trauma Room
Dr. Chris Hicks
10:00-11:30 Track 4 – TRAUMA
Track Chair: Dr. Dave MacKinnon
10:00-10:45 Imaging in Trauma: What Every Emergency Physician Should Know
Dr. Mike Brzozowski
10:45-11:30 What's New in the Management of the Massively Bleeding Trauma Patient
Dr. Sandro Rizoli
10:00-11:30 Track 5 – ULTRASOUND
Track Chair: Dr. Rob Arntfield
10:00-10:45 What’s all the hocus PoCUS?! The Impact of Point of Care UltraSonography on You
Dr. Michael Woo
10:45-11:30 Pediatric Emergency Ultrasound: The Future is Now
Dr. Jason Fischer
12:30-14:00 Track 1 – RESEARCH
ORAL – Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Brian Rowe
12:30-12:45 Systematic Reviews Made Easier
Dr. Brian Rowe
12:45-13:00 # 5461 The Usefulness of the 3-Minute Walk Test in Predicting Adverse Outcomes in ED Patients with Heart Failure and COPD
Dr. Ian Stiell
13:00-13:15 # 5543 Policy-driven Improvements in Crowding: System-level Changes Introduced by a Provincial Health Authority and Its Impact on Emergency Department Operations in 15 Centers
Dr. Eddy Lang
13:15-13:30 # 5490 Effectiveness and Safety of Emergency Department Short Stay Units: A Rapid Review
Dr. Ed Kwok
13:30-13:45 # 5470 Outcomes and Length of Stay of Low-risk Abdominal Pain Patients Returning to the ED for Scheduled Next-day Abdominal Ultrasonography
Dr. Andrew McRae
13:45-14:00 # 5596 Implementation of an Overcapacity Protocol Improves Emergency Care Access and Patient Flow in the Calgary Health Region
Dr. Grant Innes
12:30-14:00 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Michael Howlett
12:30-12:40 # 5603 mTBI on the Rise: More Concussions or Improved Awareness
Dr. David Milzman
12:40-12:50 # 5570 A Social Determinants Interpretation of Emergency Department Utilization in Ontario, Canada
Dr. April Tozer
12:50-13:00 # 5549 Effect of an Emergency Department Guideline on Time to Fluid Resuscitation in Pediatric Severe Sepsis
Dr. Graham Thompson
13:00-13:10 # 5546 Acute Pediatric Musculoskeletal Pain Treatment: A North American Survey of Practice Variation
Dr. Janeva Kircher
13:10-13:20 # 5572 A National Faculty Development Needs Assessment in Emergency Medicine
Mark Brown
13:20-13:30 # 5620 PCP Intoxicated Patients Delay Care and Lengthen ED Stay for Themselves and Other Patients
Dr. David Milzman
13:30-13:40 # 5588 Bougie Assisted vs Seldinger Cricothyrotomy
Dr. Earle Sears
13:40-13:50 # 5474 Handover in the Emergency Department: An Observational Analysis of Quality and Elements
Dr. Lisa Calder
13:50-14:00 # 5502 A Controlled Trial of Traditional Versus Web-Based Teaching of Point-of-Care Ultrasound to Medical Students
Dr. Paul Pageau
12:30-14:00 Track 3 – MEDICAL EDUCATION
Track Chair: Dr. Glen Bandiera
12:30-13:15 Diagnostic Reasoning in the ED: Are the Education Theories Backwards?
Dr. Jonathan Sherbino
13:15-14:00 Can We Do Competency-Based Education in EM - Aren't We "All or Nothing"?
Dr. Glen Bandiera
12:30-14:00 Track 4 – TRAUMA
Track Chair: Dr. Dave MacKinnon
12:30-13:15 What's New and Important in the Trauma Literature: Case Presentations to the Trauma Panel
Dr. Dave MacKinnon
13:15-14:00 Trauma Systems: Getting the Right Patient to the Right Place at the Right Time
Dr. Avery Nathens
12:30-14:00 Track 5 – ULTRASOUND
Track Chair: Dr. Rob Arntfield
12:30-13:15 Rapid Ultrasound in Shock/Hypotension - The RUSH Exam
Dr. Bret Nelson
13:15-14:00 Critical Care Ultrasound for the Emergency Physician
Dr. Robert Arntfield
14:30-16:00 Track 1 - RESEARCH – ORAL
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Christian Vaillancourt
14:30-14:45 Designing a Research Question
Dr. Christian Vaillancourt
14:45-15:00 # 5618 Construct and Outcome Validity of CTAS Chest Pain
Dr. Michael Bullard
15:00-15:15 # 5558 Impact of a New Emergency Department and Process Changes on Quality Indicators
Dr. Audra Gedmintas
15:15-15:30 # 5589 A Prospective Cohort Study to Derive the Canadian TIA Score for Identification of Subsequent Stroke Risk within 7 Days
Dr. Jeff Perry
15:30-15:45 # 5544 Do Improvements in Emergency Department Operations Influence the Patient Experience? Impacts of Large Scale Implementation of Overcapacity Protocols on Perceptions of Crowding and Overall Ratings of Care
Dr. Eddy Lang
15:45-16:00 # 5557 Nurse Practitioners in the Emergency Department: A Solution to Long Wait-times and High Walk-out Rates?
Sarah Campbell
14:30-16:00 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Karen Woolfrey
14:30-14:40 # 5454 Which Competencies Belong in an Emergency Medicine Point of Care Ultrasonography Fellowship? A National Needs Assessment Study
Dr. Lisa Fischer
14:40-14:50 # 5510 Experience with Emergency Ultrasound Training by Canadian Emergency Medicine Residents: A National Survey
Dr. Daniel Kim
14:50-15:00 # 5615 CPR ANYTIME ANYSCHOOL: A Randomized Trial of Strategies to Teach CPR and Use of AED to High School Students
Dr. Laurie Morrison
15:00-15:10 # 5539 Factors Affecting Choice of Imaging Investigations for Patients with Suspected Renal Colic in the Emergency Department
Dr. Justin Yan
15:10-15:20 # 5532 Extending the Hours of Doppler Ultrasound Availability to Rule Out Deep Vein Thrombosis in the Emergency Department
Shelley McLeod
15:20-15:30 # 5472 Use of Bedside Ultrasound in Distal Radius Fractures: A Review of the Literature
Dr. Lucas Chartier
15:30-15:40 # 5612 Does Pelvic Ultrasound Lead to a Significant Delay in Management of Acute Pediatric Appendicitis?
Dr. Naveen Poonai
15:40-15:50 # 5500 Predictors of Admission/Re-admission, and Regional Variations in Practice Patterns: A Four-year Population Based Analysis of Emergency Department Syncope in Alberta
Xin Feng
15:50-16:00 # 5515 CPR Training for Children: When Should We Begin?
Dr. Isabelle Bertrand
14:30-16:00 Track 3 – NNT – ED TREATMENTS THAT MATTER MOST
Track Chair: Dr. Suneel Upadhye
NNT – ED Treatments That Matter Most
Dr. Anil Chopra,
Dr. Suneel Upadhye
14:30-16:00 Track 4 – ESSENTIAL GERIATRICS - WHAT EVERY EMERG DOC NEEDS TO KNOW
Track Chair: Dr. Jacques Lee
14:30-15:00 Essential Cardiac Emergencies in Older Patients
Dr. Alexis Halpern
15:00-15:30 Emerg Essentials in Caring for Older Patients: Delirium, Dementia and Drugs
Dr. Don Melady
15:30-16:00 Geriatric Essentials: Panel Discussion
14:30-16:00 Track 5 - CRITICAL CARE MEDICINE
Track Chair: Dr. Sara Gray
14:30-15:15 Tough Times in the Resuscitation Bay – Cases to Challenge the Audience
Dr. Daniel Howes
15:15-16:00 Challenges in ED Ventilation
Dr. Sara Gray
14:30-16:00 Workshop GOLDEN EAGLES OF ECG PROJECT: An "Eye Training" Course to Detect Early ECG Changes in STEMI
Dr. Masis Perk
MONDAY, JUNE 4, 2012
07:00-08:15 Accredited Breakfast Symposium: New Oral Anticoagulants in the ER
Dr. Peter Gross, Dr. John McAuley
08:45-09:30 PLENARY: Leadership in Emergency Medicine: It Has Never Been More Important
Dr. Barry McLellan
Physician leaders are currently, and will increasingly be, essential to the success of fully integrated health care systems – the future model of health care delivery. It is critical that physicians be provided with leadership training opportunities throughout their careers and that the importance of integrated health care is incorporated into undergraduate and postgraduate medical training programs.
Dr. Barry McLellan is the President and Chief Executive Officer of Sunnybrook Health Sciences Centre in Toronto, Ontario. In this role, he provides leadership for one of Canada's largest academic health sciences centres with 10,000 staff and physicians, 1,200 beds and an annual budget of more than $800 million.
Each year Sunnybrook Health Sciences Centre conducts more than $100 million in research, provides educational opportunities for 2,000 students and cares for more than 1 million patients.
Prior to his position as President and CEO at Sunnybrook, Dr. McLellan was the Chief Coroner for Ontario. Graduating from the University of Toronto with a Medical Doctorate in 1981, he subsequently trained in emergency medicine, receiving a Fellowship in 1985 (Specialist in Emergency Medicine). Dr. McLellan was the Director of the Trauma Program and Vice President of Specialty Services at Sunnybrook and was also the Director of the hospital's Emergency Department, Base Hospital Program (paramedic program) and Trauma Research.
A Professor in the Department of Surgery at the University of Toronto, Dr. McLellan has published more than 60 scientific papers, written a textbook on trauma care and lectured extensively, including international presentations in the fields of trauma care and forensic investigation.
10:00-12:45 Track 1 - RESEARCH - ORAL
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Paul Atkinson
10:00-10:15 Mentoring Trainees in Research
Dr. Eddy Lang
10:15-10:30 # 5464 Introducing Bedside Limited Compression Ultrasound by Emergency Physicians into the Diagnostic Algorithm for Patients with Suspected DVT: A Prospective Cohort Trial
Dr. Rachel Poley*
10:30-10:45 # 5537 Predictors of Failure of Empiric Outpatient Antibiotic Therapy in Emergency Department Patients With Uncomplicated Cellulitis
Dr. Danny Peterson*
10:45-11:00 # 5540 Normal Renal Ultrasound Identifies Renal Colic Patients at Low Risk for Urologic Intervention: A Prospective Study
Dr. Justin Yan*
11:00-11:15 # 5541 Risk Factors Associated with the Need for Urologic Intervention in Emergency Department Patients with Suspected Renal Colic
Dr. Justin Yan*
11:15-11:30 # 5528 A Prospective Evaluation of the Utility of the Prehospital 12-Lead Electrocardiogram to Change the Management of Patients in the Emergency Department
Dr. Matthew Davis*
11:30-11:45 # 5535 MRI Abnormalities in ED Patients with a Diagnosis of TIA: A Pilot Study
Dr. Allison Meiwald*
11:45-12:00 # 5463 Clinical Characteristics of Emergency Patients Presenting With Transient Ischemic Attack (TIA) in the Setting of Atrial Fibrillation
Ryan Tam
12:00-12:15 # 5495 The Development and Validation of Simulation-based OSCE Stations for the Assessment of Emergency Medicine Residents
Lauren Lacroix
12:15-12:30 # 5555 Evidence Based Analgesia in the ED: A GRADE Evaluation of Medical Literature and Recommendations for Practice
Christopher Lipp
12:30-12:45 # 5595 Impact of Airline Travel on Outcome in NHL and NFL Players Immediately Post Concussion: Increased Recovery Times
Dr. David Milzman
10:00-12:30 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Andrew McRae
10:00-10:10 # 5506 Which Chest Pain Patients with a Normal ECG have an Acute Coronary Syndrome?
Carolyn Pasko
10:10-10:20 # 5530 Initial Rhythm, Therapeutic Hypothermia and Patient Outcomes in Cardiac Arrest Patients
Dr. Sean Doran
10:20-10:30 # 5460 Quantitative B-type Natriuretic Peptide Values for Stratifying Risk of Poor Outcomes in ED Patients with Heart Failure
Dr. Ian Stiell
10:30-10:40 # 5519 Assessment of Scribes in Calgary Emergency Departments
Dr. Ping-Wei Chen
10:40-10:50 # 5563 Critical Dynamics Study of Burnout in Emergency Department Health Professionals in New Brunswick: Early Findings
Dr. Michael Howlett
10:50-11:00 # 5475 Knocked Up? - Parental Knowledge of Concussion Symptoms in a Minor Football Organization
Dr. Paul Dhillon
11:00-11:10 # 5617 Are CTAS Time Targets Appropriate? What Are Emergency Department Patients’ Beliefs Regarding Appropriate Physician Response Times?
Kelsey Innes
11:10-11:20 # 5598 Validity of CTAS Assessments Done by Triage Nurses Compared to Patient Self-Assessed Acuity
Dr. Grant Innes
11:20-11:30 # 5594 Impact of Emergency Department Discharge Processes on Length of Stay: A Prospective Evaluation
Robyn Palmer
11:30-11:40 # 5467 What Is the Impact of a Rapid Assessment Zone on Wait Times to Care for the Acute Care Unit of the Emergency Department?
Dr. Astrid Guttman
11:40-11:50 # 5545 Development of an In-hospital Standardized Mortality Ratio for Emergency Department Sensitive Conditions
Dr. Eddy Lang
11:50-12:00 # 5483 Emergency Department Waits: A Time-in-Motion Study
Dr. Brian Rowe
12:00-12:10 # 5453 Adverse Drug Event Reports in Administrative Records of Emergency Department Patients
Dr. Corinne Hohl
12:10-12:20 # 5585 A Systematic Review of Medical Assessment Units: Effects on Emergency Department and Inpatient Unit Length of Stay
Dr. Eddy Lang
12:20-12:30 # 5600 Using Artificial Intelligence to Improve the Emergency Department Influenza Surveillance System
Jeff Pei
10:00-12: Track 3 – GLOBAL HEALTH
Track Chair: Dr. Raghu Venugopal
10:00-10:30 Developing Emergency Medicine in a Low-Income Nation: The Experience in Ethiopia
Dr. Megan Landes
10:30-11:00 Developing an Emergency Medicine Residency in a Low-Resource Setting: The Experience in Ethiopia
Dr. James Maskalyk
11:00-11:30 Front-Line Humanitarian Assistance in the Democratic Republic of Congo
Dr. Jennifer Turnbull
11:30-12:00 Global Health - Why Emergency Medicine Should Care
Dr. Lucas Chartier
12:00-12:30 Global Health: Why Should I Get Involved?
Dr. Douglas Sinclair
10:00-12:30 Track 4 - PEDIATRICS
Track Chair: Dr. Gary Joubert
10:00-10:45 Bronchiolitis: How should I Manage the Wheezing Infant?
Dr. Amy Plint
10:45-11:30 Changing Trends: Urinary Tract Infection in Pediatrics 2012 Update
Dr. Rodrick Lim
11:30-12:15 Pediatric Pneumonia in the ED: How to Diagnose and Treat?
Dr. Tim Lynch
10:00-12:15 Track 5 – KNOWLEDGE TRANSLATION
Track Chair: Dr. Christopher Fernandes
10:00-10:45 Knowledge Translation: What Does It Mean and Why Should We Care?
Dr. Brian Rowe
10:45-11:30 Where the Rubber Hits the Road: Implementing Guidelines on the Frontline of EM Care
Dr. Eddy Lang
11:30-12:15 The London Sepsis Checklist - Application Knowledge Captures the Benefits of Research
Dr. Christopher Fernandes
10:00-12:30 Special Interest Session: The Simulation Olympiad - Preliminary Competition Round 1 and 2
Track Chairs: Dr. Damon Dagnone, Dr. Karen Woolfrey, Dr. Chris Hicks, Dr. Andy Howes, Dr. Bob McGraw, Dr. Dave Ouellette
14:00-15:15 Accredited Symposium: Atrial Fibrillation in the ER: Translating Evidence into Practice
Moderator: Dr. Indy Ghosh
New Oral Anticoagulants: Prevention and Management of Bleeding Advances in Stroke Prevention
Dr. John Eikelboom, Dr. Michael Sharma
TUESDAY, JUNE 5, 2012
07:00-08:15 Accredited Breakfast Symposium: Outpatient Parenteral Antibiotic Therapy (OPAT)
Dr. Sam Campbell, Dr. Isabelle Chiu, Dr. Indy Ghosh, Dr. Daryl Hoban
08:30-09:30 PLENARY: The Best of Canadian EM Research - The Top 4 Abstracts
0830 - 0845 Randomized Controlled Trial of Volume-based Staffing in an Urban Emergency Department Grant Innes Research Award - Dr. Brian Rowe
0845 - 0900 Serum Levels of Spectrin Breakdown Product 150 (SBDP 150) Distinguish Mild Traumatic Brain Injury from Trauma and Uninjured Controls and Predict Intracranial Injuries on CT and Neurosurgical Intervention - Dr. Linda Papa
0900 - 0915 Clinical Decision Rules to Improve the Detection of Adverse DRug Events in Emergency Department Patients - Dr. Corinne Hohl
0915 - 0930 Understanding Communication between Emergency and Consulting Physicians: Manifestations of Conflict, Conflict-Prevention and Conflict-Resolution - Dr. Teresa Chan
10:45-12:15 Track 1 - RESEARCH – ORAL
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Ian Stiell
10:45-11:15 Clinical Decision Rules: How to Get Started
Dr. Ian Stiell
11:15-11:30 # 5602 The Canadian National Emergency Medical Services (EMS) Research Agenda: A Mixed Methods Consensus Study
Jan Jensen
11:30-11:45 # 5580 Transport Outcomes and Dispatch Determinants in a Novel Expanded Scope Paramedic-Long Term Care Program
Jan Jenson
11:45-12:00 # 5581 Implementation and Operation of a Novel Paramedic-Long Term Care Program
Jan Jensen
12:00-12:15 # 5488 Developing a Canadian EMS Research Agenda: A Baseline Study of Stakeholder Opinions
Blair Bigham
10:45-12:15 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Andrew McRae
10:45-10:55 # 5487 Most Paramedics Are Victims of Violence in the Pre-Hospital Workplace
Blair Bigham
10:55-11:05 # 5582 Guidelines Appraisal Project (GAP) for EMS: A Systematic Review of the Quality and Relevance to EMS of Published Clinical Practice Guidelines
Zach Dewar
11:05-11:15 # 5579 Paramedic Clinical Management of Acute Myocardial Infarction with Fibrinolytics: A Process Map and Hazard Analysis
Dr. Andrew Travers
11:15-11:25 # 5514 Communication in the Emergency Department between Physicians and Paramedics: A Pilot Qualitative Study to Determine Areas for Improvement
Dr. Serena Sennik
11:25-11:35 # 5513 Communication in the Emergency Department between Physicians and Paramedics: A Pilot Quantitative Study to Determine Emergency Physician’s Accuracy, Awareness and Satisfaction with Paramedic Handover
Dr. Brendon Trotter
11:35-11:45 # 5493 The Use of Furosemide in the Pre-Hospital Setting for the Treatment of Heart Failure
Dr. Andy Pan
11:45-11:55 # 5534 Demographic Predictors of Poor Performance on the National Registry of Emergency Medical Technicians Exam by Southwest Ontario Paramedics
Dr. Ceara McNeil
11:55-12:05 # 5484 Factors Affecting Success of Pre-Hospital Intubation in an Air and Land Critical Care Transport Service: Results of a Multivariate Analysis
Dr. Anna MacDonald
12:05-12:15 # 5573 The Effect of an Emergency Department Nurse Initiated Analgesia Protocol on the Timeliness of Analgesia Delivery for Patients Presenting with Renal Colic
Dr. David Heughan
10:45-12:15 Track 3 – RESUSCITATION MEDICINE
Track Chair: Dr. Laurie Morrison
10:45-11:00 Improving Resuscitation Outcomes Through High Quality CPR
Dr. Sheldon Cheskes
11:00-11:15 Should We Say No to Drugs in Cardiac Arrest or Give a Few Select Ones Early and Hope for the Best?
Dr. Paul Dorian
11:15-11:30 Post Arrest Care - Cutting Edge Interventions Beyond Return of Circulation
Dr. Steven Brooks
11:30-11:45 ECMO Post Arrest in the ED by Emerg Docs: Are Ya’ Nuts?
Dr. Zack Shinar
11:45-12:15 Panel Discussion of Cases
10:45-12:15 Track 4 – ADMINISTRATION
Track Chair: Dr. Samuel Campbell
10:45-12:15 ED Overcrowding: Where Are We and Where Do We Need to Go?
Dr. Grant Innes, Dr. Brian Rowe, Dr. Jeff Tyberg
10:45-12:15 Track 5 – FORENSIC MEDICINE - Forensic Medicine in the Emergency Department – Where CSI meets ER
Track Chair: Dr. Dan Cass
10:45-11:30 The Death Investigation in the Emergency Department
Dr. Dan Cass
11:30-12:15 Preservation and Collection of Forensic Evidence in the Emergency Department Early Changes - Subtle Changes
Detective Constable Bradley Donais & Dr. Elizabeth Shih
10:45-12:15 Special Interest Session: The Simulation Olympiad – The Finals
Track Chairs: Dr. Damon Dagnone, Dr. Karen Woolfrey, Dr. Chris Hicks, Dr. Andy Howes, Dr. Bob McGraw, Dr. Dave Ouellette
13:30-15:00 Track 1 - RESEARCH - ORAL
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. John Tallon
13:30-13:45 Clinical Equipoise - Do We Need Another Study?
Dr. John Tallon
13:45-14:00 # 5468 Upstream Relief: Benefits on EMS Offload Delay of a Provincial ED Overcapacity Protocol Aimed at Reducing ED Boarding
Dr. Andrew McRae
14:00-14:15 # 5457 Comparison of Bystander Fatigue and CPR Quality when Older Bystanders Use Continuous Chest Compressions Versus 30:2 Compressions to Ventilations: A Randomized Cross-over Trial
Shawn Liu
14:15-14:30 # 5610 Breaking Down Silos: Building Better Advance Directives
Dr. Alix Carter
14:30-14:45 # 5469 A Time Flow Study to Establish Determinants of the Offload Interval: Implications for Evaluation of EMS Operational Efficiency
Dr. Andrew McRae
14:45-15:00 # 5607 Intubation Success Before and After Intensive Airway Education
Dr. Alix Carter
13:30-15:00 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Jay Mekwan
13:30-13:40 # 5577 Program Regionalization is Associated with Differential Management Patterns for Patients with Renal Colic
Dr. Grant Innes
13:40-13:50 # 5538 Assessment of Emergency Department Timeliness to Remove Cervical Spine Immobilized Patients from Rigid Backboards
Dr. Wanda Millard
13:50-14:00 # 5576 Evidence-Based Anti-Emetics for ED Patients; a GRADE Based Evaluation of Medical Literature and Recommendations for Practice
Rajan Dhaliwal
14:00-14:10 # 5526 Do Emergency Physicians Know the Costs of Commonly Ordered Emergency Department Investigations?
Dr. Christine Richardson
14:10-14:20 # 5597 An Emergency Department Systems Analysis of Delays to Antibiotics
Natalie Coyle
14:20-14:30 # 5455 Needs Assessment for Telephone Consultation Guidelines for Emergency Physicians
Dr. Michael Woo
14:30-14:40 # 5456 Factors Associated with the Use of Intraosseous Access in Adult Patients Requiring Fluid Resuscitation when Peripheral Intravenous Access Is Not Available
Dr. Warren Cheung
14:40-14:50 # 5501 Between-Rater Reliability of Historical Variables Used in a Routine ED Patient Evaluation
Andrei Karpov
14:50-15:00 # 5458 Test Characteristics of Thoracic Point of Care Ultrasonography for the Diagnosis of Acute Congestive Heart Failure in the Emergency Department
Dr. Muhammad Tashkandi*
13:30-15:00 Track 3 – RESUSCITATION MEDICINE - REPEAT
Track Chair: Dr. Laurie Morrison
13:30-13:45 Improving Resuscitation Outcomes Through High Quality CPR
Dr. Sheldon Cheskes
13:45-14:00 Should We Say No to Drugs in Cardiac Arrest or Give a Few Select Ones Early and Hope for the Best?
Dr. Paul Dorian
14:00-14:15 Post Arrest Care - Cutting Edge Interventions Beyond Return of Circulation
Dr. Steven Brooks
14:15-14:30 ECMO Post Arrest in the ED by Emerg Docs: Are Ya’ Nuts?
Dr. Zack Shinar
14:30-15:00 Panel Discussion of Cases
13:30-15:00 Track 4 – ADVOCACY - PHYSICIAN WELLNESS
Track Chair: Dr. Carys Massarella
13:30-14:15 Responding to the Needs of Distressed Doctors: Our Colleagues, Our Patients, Our Friends
Dr. Michael Kaufmann
14:15-15:00 "Physician in Transition", One Physician's Journey in Gender Transition in the Workplace
Dr. Carys Massarella
13:30-15:00 Track 5 – ADVOCACY – INJURY PREVENTION
Track Chair: Dr. Carolyn Snider
13:30-14:15 Time for ER Docs to Get Serious about Injury Control!
Dr. Louis Francescutti
14:15-15:00 Re-Framing Violence as Preventable
Dr. Carolyn Snider
13:30-15:00 Workshop ADAPTEing Clinical Practice Guidelines for Canadian Emergency Medicine Usage
Dr. Suneel Upadhye
15:30-17:00 Track 1 - RESEARCH - ORAL
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Jim Ducharme
15:30-15:45 Getting Published
Dr. Jim Ducharme
15:45-16:00 # 5503 Multicenter Prospective Validation of the Canadian Assessment of Tomography for Childhood Head Injury (CATCH) Rule
Dr. Martin Osmond
16:00-16:15 # 5569 Impact of an Asthma Pathway on Time to Corticosteroid Administration
Dr. Marie-Pier Desjardins
16:15-16:30 # 5560 Are Metal Detectors Reliable for the Detection & Localisation of Ingested Metallic Foreign Bodies in Children? A Systematic Review and Meta-analysis
Dr. Jay Mekwan
16:30-16:45 # 5593 Public Online Posting of Emergency Department and Urgent Care Centre Wait Times: An Evaluation of Accuracy and Impact on Visit Volumes
Dr. Grant Innes
16:45-17:00 # 5496 Non-invasive Positive Pressure Ventilation to Treat Acute Exacerbations of Chronic Obstructive Pulmonary Disease: A Study of Utilization and Adherence to Evidence-based Standards and Proposed Quality Improvement Metrics
Dave Tran
15:30-17:00 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Rafi Setrak
15:30-15:40 # 5601 Agreement of Patient-Assessed and Nurse-Assessed Illness Acuity at Two Urban Emergency Departments
Dr. Grant Innes
15:40-15:50 # 5520 Protective Effects of Adiponectin in Paraquat-Induced Lung Injury Toxicology
Dr. Rong Yao
15:50-16:00 # 5462 Comparison of Management and Outcomes of ED Patients with Acute Decompensated Heart Failure Between the United States and Canada
Dr. Anita Lai
16:00-16:10 # 5479 Tailoring the Intervention of a Future Trial in Acute Asthma: Engaging Patients and Key Knowledge Users
Dr. Brian Rowe
16:10-16:20 # 5547 Pediatric Musculoskeletal Pain Management in the ED: A Medical Record Review
Dr. Janeva Kircher
16:20-16:30 # 5604 Pediatric Cardiac Arrest: Is there Variability in Institutional Practice? A Survey of Canadian Pediatric CPR Committee Chairs
Dr. Andrew Travers
16:30-16:40 # 5609 Pediatric Mental Health Presentations to Emergency Departments in Alberta, Canada: Examining Wait Times and Treatment Times
Dr. Samina Ali
16:40-16:50 # 5574 Children Discharged from the Emergency Department with Serious Infections: A Population-based Study in Ontario
Dr. Samuel Vaillancourt
16:50-17:00 # 5550 Sepsis in Canadian Children: A National Analysis Using Administrative Data
Dr. Graham Thompson
15:30-17:00 Track 3 – INFORMATICS/NEW TECHNOLOGY
Track Chair: Dr. Michael Feldman
15:30-15:45 Clinical Informatics in the Emergency Department: Challenges, Successes, and Lessons Learned
Dr. Michael Feldman
15:45-16:00 The Challenges of Developing, Disseminating, and Maintaining Electronic Decision Support Tools
Dr. Michael Bullard
16:00-16:15 Lessons and Insights on the Measurement of Processes in the ED
Dr. Michael Carter
16:15-16:30 Lessons and Insights on ED Dashboards
Dr. David Dushenski
16:30-17:00 Panel Discussion
15:30-17:00 Track 4 – ADVOCACY – PATIENT SAFETY
Track Chair: Dr. David Ouellette
15:30-16:15 Critical Thinking and Patient Safety in the ED
Dr. Patrick Croskerry
16:15-17:00 Patient Safety in Emergency Medicine
Dr. David Ouellette
15:30-17:00 Track 5 – EMS
Track Chair: Dr. Michelle Welsford
15:30-16:15 EMS STEMI Care Panel
Dr. Sheldon Cheskes, Dr. John Tallon, Dr. Andrew Travers
16:15-17:00 Capnography in Cardiac Resuscitation
Dr. Michelle Welsford
15:30-17:00 Workshop – Repeat
15:30-17:00 GOLDEN EAGLES OF ECG PROJECT: An "Eye Training" Course to Detect Early ECG Changes in STEMI
Dr. Masis Perk
WEDNESDAY, JUNE 6, 2012
08:30-10:45 Track 1 - RESEARCH - ORAL
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Sam Campbell
08:30-08:45 Research on a Shoestring
Dr. Sam Campbell
08:45-09:00 # 5505 Limited Access to Services in Canadian Rural Emergency Departments: A Pilot Study
Dr. Richard Fleet
09:00-09:15 # 5516 Enhancing Teamwork Skills among Health Care Providers in the Emergency Department: Development and Assessment of the Effectiveness of a Team Training Educational Program
Dr. Nicola Schiebel
09:15-09:30 # 5578 Decrease in Medevacs and Overall Transportation to Regional Emergency Department with Implementation of Territorial Picture Archiving and Communication System
Alexander Hoechsmann
09:30-09:45 # 5522 Emergency Department Utilization by Adult Cancer Patients: A Prospective Cohort Study
Michael Prystajecky
09:45-10:00 # 5552 Standardized Reporting Guidelines for Emergency Department Syncope Risk Stratification Research
Dr. Venkatesh Thiruganasambandamoorthy
10:00-10:15 # 5551 Validation of the ED RAFF Scale Over Time in Patients with Recent-Onset Atrial Fibrillation or Flutter
Jeff Yoo
10:15-10:30 # 5611 Prevalence of Bicycle Helmet Use by Users of Public Bicycle Sharing Programs
Dr. David Milzman
10:30-10:45 # 5608 Early Serum Levels of Glial Fibrillary Acidic Protein (GFAP) Are Associated with Global Outcome at One Month Post Injury in Mild and Moderate Traumatic Brain Injury
Dr. Linda Papa
08:30-10:45 Track 2 - MODERATED POSTER SESSION
Track Chair: Dr. Paul Atkinson – Session Moderator: Dr. Karen Woolfrey
08:30-08:40 # 5584 Does Parental Presence During Fracture Reduction Decrease Anxiety in Children and their Parents in the Emergency Department? A Pilot Study
Dr. Nathalie Gaucher
08:40-08:50 #5512 Exploring the Challenges and Feasibility of Using High-Fidelity Simulation to Train Medical Students in Cardiac Arrest Management
Haley Magee
08:50-09:00 # 5466 A Patient Safety Analysis of the Emergency Assessment of Patients with Acute Heart Failure and Exacerbations of Chronic Obstructive Pulmonary Disease: a Multicenter Cohort Study
Dr. Lisa Calder
09:00-09:10 # 5559 A Comparative Study of Patient Characteristics, Opinions and Outcomes for Patients who Leave the Emergency Department Before Medical Assessment
Dr. Paul Atkinson
09:10-09:20 # 5481 Returns on Investment from a Hospital Foundation Research Grants Competition: Implications for Young Researchers
Dr. Brian Rowe
09:20-09:30 # 5459 Community Emergency Medicine Outreach (CEMO): Evaluation of a CME Program for Physicians in Rural Practice
Dr. Marianne Yeung
09:30-09:40 # 5446 A Simulation-based Trauma Education Program: Does It Improve Trauma Management?
Dr. Tim Chaplin
09:40-09:50 # 5486 Emergency Department Physician Comfort with Central Venous Catheter Insertion
Jacob Pace
09:50-10:00 # 5507 Comparison of Rural Emergency Departments in British Columbia and Quebec: A Pilot Study
Dr. Richard Fleet
10:00-10:10 # 5433 What Electrocardiogram (ECG) Diagnoses and/or Findings Do Residents in Emergency Medicine Need to Know?
Dr. Catherine Patocka
10:10-10:20 # 5430 Teaching Emergency Medicine Skills: Is a Self-directed, Independent, Online Curriculum the Way of the Future?
Dr. Tighe Crombie
10:20-10:30 # 5492 Understanding Communication between Emergency and Consulting Physicians: Interpersonal Relationships and the Emergency Department Referral-Consultation Process
Dr. Teresa Chan
10:30-10:40 # 5567 Evaluation of a Novel Research Education Rotation for Royal College of Physicians and Surgeons Emergency Medicine Residents
Dr. Riyad Abu-Laban
08:30-10:45 Track 3 – TOXICOLOGY
Track Chair: Dr. Margaret Thompson
08:30-09:15 “Over the Falls” Without an In-House Tox Lab
Dr. Marco Sivilotti
09:15-10:00 New “Highs (& Lows)” of Concern
Dr. Ian Ball
10:00-10:45 Toxicology: The Science of Anecdotes…Important Toxicological Literature from 2011
Dr. Margaret Thompson
08:30-10:45 Track 4 – DISASTER MEDICINE
Track Chair: Dr. Michael Peddle
08:30-09:15 Emergency Medicine at Large-Scale Community Special Events: Mass Gathering Medicine as a Disaster Training Opportunity
Dr. Adam Lund
09:15-10:00 Technology and Disaster Management: The "Smart Approach" Used to Keep Hospitals Operational During the G20 Riots
Dr. Laurie Mazurik
10:00-10:45 Mass Casualty Incident (MCI) Preparedness: Lessons Learned from Israeli Preparedness and Surge Response for MCI
Dr. Michael Peddle
08:30-10:45 Track 5 – GOVERNMENT AND THE MEDIA
Track Chair: Dr. Andrew Affleck
08:30-10:45 From the Bedside to the House of Commons
Andre Picard, Dr. Howard Ovens, Dr. Paul Parks, Dr. Raj Sherman
11:15-12:00 PLENARY: Health Care's Most Critical Reform: The Doctor
Dr. David Newman
Increasingly, surveys show patients are dissatisfied and physicians are frustrated. The doctor-patient relationship is in peril. And yet, while patients distrust insurance companies or pharmaceutical corporations or politicians to make decisions for them, they trust their physicians. Physicians are the de facto face of reform, and the primary drivers of reform’s success or failure. This raises critical questions: can the academic medicine community reform itself, starting with the physician? Can we reform the way we think, or interact with patients, or use technologies? Can we deconstruct and rewire? There is no reform without physician reform. But physicians are famously headstrong. What now?
Dr. Newman is the Director of Clinical Research in the ED at the Mt. Sinai School of Medicine and an Iraq war veteran. In addition to being widely published in medical journals, he has written health care articles for the New York Times and authored the lay press book Hippocrates' Shadow. He has worked with the Annals of Emergency Medicine editorial board for the past ten years, concentrating his work in medical evidence translation and appraisal. Dr. Newman is also the editor-in-chief for two online publications, www.TheNNT.com, a bedside resource, and www.SMARTEM.org, an open source monthly audio review. He lives in New York City with his wife.
