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Annual Conference May 31 – June 4, 2014 FINAL PROGRAM Canadian Association of Emergency Physicians (CAEP) As the national voice of emergency medicine, CAEP provides continuing medical education and advocates on behalf of emergency physicians and their patients. In cooperation with other specialties and committees, CAEP plays a vital role in the development of national standards and clinical guidelines. CAEP ensures Canadian emergency physicians are informed of developments in the clinical practice of emergency medicine and addresses political and societal changes which affect the delivery of emergency health care. Vision Canadian emergency physicians: Empowered. Connected. Represented. Mission CAEP’s mission is to promote the interests of emergency physicians and the specialty of emergency medicine in Canada by: • Advocating for emergency physicians and their patients • Connecting emergency physicians • Leading emergency medicine education • Providing a forum for research in emergency medicine CAEP 2014 Scientific Conference Learning Objectives • Improve the visibility of emergency medicine in areas of focused clinical medical expertise, reflecting the unique scope of our practice. • Promote clinical and academic excellence throughout the field of emergency medicine and offer opportunities to discuss the current and evolving practices. • Foster an environment for emergency medicine colleagues to exchange ideas on common challenges facing our specialty, to explore cutting-edge research and to promote clinical collaboration. • Celebrate the advances made in emergency medicine nationally and internationally. Conference Organizing Committee Dr. Ian Stiell, Conference Chair Dr. Eric Clark, Scientific Chair Dr. Robert Green, Research Chair Dr. Edmund Kwok, Social Chair Dr. Christian Vaillancourt, Research Co-chair Sean Mondoux, Volunteer Chair Rachel Baril, Administrator Vera Klein, Executive Director – CAEP Lee Arbon – CAEP Jennifer Artz, PhD – CAEP Conference Secretariat Taylor & Associates 11- 5370 Canotek Road Ottawa, Ontario K1J 9E7 tel: 613-747-0262 fax: 613-745-1846 [email protected] On behalf of the CAEP 2014 Conference Organizing Committee, we are very pleased to welcome you to this year’s CAEP Annual Conference, Capitalizing on Excellence, in Ottawa, Ontario. The Conference Organizing Committee has developed a compelling program with something of interest to everyone. Our program balances information on latest practices and highlights leadership from many talented emergency physicians. The plenaries will address issues of patient safety, engagement in public policy and commitment to education – all delivered by role models with astonishing dedication and talent. In short, the program is designed to not only meet your educational needs but to motivate and inspire you. The scientific program tracks include Cardiology, Dermatology, Diagnostic Imaging, Education at three stages – Undergraduate, Postgraduate and Continuing Professional Development, ECG, EMS, How to Run Your ED Better, Neurology, Oncology & Infectious Disease, Pain Management, Pediatrics, Resuscitation, Toxicology and Trauma. Again this year, the Simulation Olympiad promises to be popular with the competition featuring representation of teams from across the country. Our integrated and dedicated Research Tracks will showcase how your colleagues are generating new knowledge that will impact care of our patients. This year’s research will be highlighted not only within the Research Track but within a portion of each Track, highlighting some of the outstanding accepted abstracts. We look forward to a stimulating environment that facilitates active discussion of cutting edge research from across the country. All participants in CAEP’s premier event will also have the opportunity to see and feel the latest in emergency medicine technologies and products. Please support our sponsors and exhibitors by visiting them in the exhibit hall where lunch and refreshment breaks will be served. Our social program offers a range of activities where you can relax, have fun, get some exercise, mingle with old friends and meet some new colleagues. We start the Welcome Reception on Sunday evening at the National Gallery of Canada. Our free afternoon on Monday offers time to explore the city on your own or participate in an Ottawa River cruise or bike tour. And then, finish your Monday afternoon off with the Fun Run along the Rideau Canal. That evening, don’t miss Docs That Rock in the heart of the Byward Market. And, to top it all off, join us Tuesday evening for A Taste of Canada Dinner at the Fairmont Château Laurier - you won’t want to miss this! Welcome to CAEP 2014! We look forward to seeing you and hope that you find the conference not only educationally stimulating, but also lots of fun! Track Chairs Cardiology Dr. Venkatesh Thiruganasambandamoorthy Dermatology Dr. Jennifer Beecker Diagnostic Imaging Dr. Michael Woo Education Dr. Jason Frank Dr. Stella Yiu Welcome to CAEP 2014 from the Conference Chairs Welcome to CAEP 2014 from the Conference Chairs ECG Dr. Mathieu Gatien EMS Dr. Justin Maloney How to Help Your ED Run Better Dr. Adam Cwinn Neurology Dr. Jeff Perry Oncology & Infectious Disease Dr. Andrew Gee Pain Management Dr. Sean Moore Pediatrics Dr. Sarah Reid Research Dr. Robert Green Dr. Christian Vaillancourt Resuscitation Dr. Daniel Howes Simulation Olympiad Dr. Damon Dagnone Dr. Karen Woolfrey Toxicology Dr. Marco Sivilotti Trauma Dr. Guy Hebert Medical Student Program Coordinators Luke Richardson Dr. Stella Yiu Resident Program Coordinator Dr. Nick Costain Dr. Ian Stiell, MSc, FRCPC CAEP 2014 Conference Chair Dr. Eric Clark, FRCPC CAEP 2014 Scientific Chair 1 CAEP 2014 Capitalizing on Excellence | Annual Conference Welcome from the CAEP President Welcome from the caep president It is what you learn when you don’t have to that determines what you will be when you can’t help it… — Oscar Wilde In the first place God made idiots. That was for practice. Then he made Aussies….(sort of) — Mark Twain Dr. Ian Stiell and Dr. Eric Clark have put a fantastic Conference together for you to attend in the coming days. As the Conference Committee and Scientific Committee Chair respectively, they, along with the other Organizing Committee members put in countless hours of work in developing an exciting and balanced program. Ian himself has taken it upon himself to be one of our plenary speakers as well, so I hope you will check out his talk with Mel Herbert on Tuesday morning. Our annual event continues to grow by leaps and bounds. In fact, we have grown so much that our conference must now be showcased at convention centres as we have outgrown the space available at hotels. We are now big time. For a second straight year CAEP had a record number of abstracts submitted to present at this conference. Over 250 will be presented in various formats during CAEP 2014. These researchers are scary good. Emergency residents are becoming so educated that ignorance will become a novelty. I will belong to the select few (sort of Will Rogers). Our Social Media Wall is again present this year so be sure to use the #CAEP14 handle when tweeting so other delegates can see what your are saying about the conference. We also have a Conference App available to delegates to help plan their time in Ottawa. Our conference could not be the great event it is without the support of our sponsors. It is their generosity that helps makes CAEP’s Annual Conference the premier research, education, and networking event for Canadian emergency physicians. I would like to thank this year’s Symposium Premiere Lunch Sponsor BMS/Pfizer Canada Alliance as well as our Symposia sponsors AstraZeneca and Bayer HealthCare Pharmaceuticals. In addition, we would like to recognize Boehringer Ingelheim (Canada) Ltd. as a Conference Sponsor, Bayer HealthCare Pharmaceuticals as the Conference App Sponsor and MD Physician Services/Canadian Medical Association as the Social Media Wall Sponsor. The support provided by these companies along with the conference Exhibitors is truly appreciated. I’d also like to thank each of you for attending our conference. Shake a hand, have a drink, make a friend. CAEP is where you connect. As I said before, we continue to grow and this year we hope to have over 1000 people in attendance. Dedication and support like this is what makes our organization great. The above quote from Mark Twain is just to settle a bet that Mel won’t read this. And I am counting on you not to tip him off. Yes it is true and it is why you are here. The “Melvus” of sheep loving Aussie descent is here at CAEP and - as he would likely say - this week we are going to “bust some learning at ya”. On Tuesday, It will be he and Ian Stiell, mano-a-mano, educator vs. researcher, Yank-Aussie vs. Canuck. It will make question period in the House of Commons look like child’s play. It will be memorable. Bundt cake memorable…. Bundt cake memorable with chocolate! CAEP is where a small town doc, like myself, can rub shoulders with the best of the best. The conference is my swan song as President. Back to being a nobody. Vera and gang….thanks. Really. To everyone else I would like to say so long… and thanks for all the fish. I hope you have a blast in the Nation’s Capital! Sincerely, Bruce McLeod, MD, FRCPC President, Canadian Association of Emergency Physicians (CAEP) 2 Table of Contents Table of Contents Welcome from the Conference Chairs 1 Welcome from the CAEP President 2 General Information 4 Program Notes 5 Program at a Glance 7 Keynote Speakers 19 Concurrent Sessions 24 Poster Presentations 33 Social Program Highlights and Activities 37 Conference Floorplan 39 Exhibitor Floorplan 41 Exhibitors42 Exhibitor Information 43 3 CAEP 2014 Capitalizing on Excellence | Annual Conference General Information General Information Registration Desk The Registration Desk is located in the Rideau Canal Atrium Alcove on the second floor of the Ottawa Convention Centre and will be available as follows: Saturday, May 31 Sunday, June 1 Monday, June 2 Tuesday, June 3 Wednesday, June 4 07:30-18:00 06:45-16:30 06:45-14:00 07:30-17:00 08:00-13:00 Legend OCC – Ottawa Convention Centre W – Westin Ottawa FCL – Fairmont Chateau Laurier Name Badge Policy All conference attendees are asked to wear their name badges at all times to gain access to meetings, the exhibit hall and social events. Delegate Delegate for Sunday only Delegate for Monday only Delegate for Tuesday only Delegate for Wednesday only Exhibitor Blue Green Purple Black Yellow Red Speakers’ Ready Room The Speakers’ Ready Room, located on the second floor of the Ottawa Convention Centre in Room 204, is set aside as a quiet room for reviewing presentation material or for any last minute presentation changes. All speakers, with the exception of Moderated Poster speakers, are asked to check in with the Onsite Presentation Technician to review and sign off on their presentation. Ribbons designate the following affiliations: The Speakers’ Ready Room will be available as follows: Smoke-Free/Scent-Free Environment We are pleased to provide a smoke-free environment. Additionally, for the comfort of all delegates, we ask your cooperation in refraining from wearing scented products while attending the conference. Saturday, May 31 12:00-18:00 Sunday, June 1 07:30-17:00 Monday, June 2 07:30-13:00 Tuesday, June 3 07:30-17:00 Wednesday, June 4 07:30-09:00 Wi-Fi Service Complimentary Wi-Fi service is provided in the first floor lobby area located in the immediate proximity to the main doors of the Ottawa Convention Centre. On-demand access is available elsewhere throughout the building at a minimal cost. Board of Directors CJEM Editors Organizing Committee Track Chairs Staff CAEP Donor Red Green Yellow Burgundy White Orange Cell Phones We would like to remind you to switch your cell phones to vibrate during all sessions. Program Notes CAEP 2014 Academic Symposium: How to Make Research Succeed in Your Department Saturday, May 31, 2014 12:00 – 16:00 The vision of the Academic Section is to promote high-quality emergency patient care by conducting world-leading education and research in emergency medicine. The 2014 Academic Symposium will focus on research, led by panels with participation from across Canada. For nearly a year, panels have met regularly and addressed specific questions aimed at the overall objective of making research succeed in your department. The results will be presented as follows: Achieving Excellence in Canadian Resident Research Dr. Lisa Calder and Panel A survey of Canadian Emergency Medicine Program Directors and a systematic review of emergency medicine resident research programs will be discussed and help formulate recommendations for the improvement of Canadian resident research programs. How to Train and Develop Career Researchers Dr. Jeff Perry and Panel Through information gathered directly from Canadian career researchers, as well as a systematic literature review, the panel will present findings and initial recommendations addressing the challenges and successes of emergency medicine researchers in Canada. Different Research Funding Models from Across Canada Dr. Christian Vaillancourt and Panel 4 A list of resources will be made available, and personal (expert) accounts of securing research funding will be described. A discussion of challenges will inform a list of recommendations for publication. The Academic Symposium is an interactive experience. Questions, feedback, and input are welcome, so join your colleagues for the advancement of Canadian emergency medicine research. Each of the panels will be publishing its findings and recommendations in the Canadian Journal of Emergency Medicine, May 2015 supplement. General Program Notes Accredited Symposia Sunday, June 1 and Monday, June 2 - 07:00-08:15 Tuesday, June 3 - 12:00-13:30 Accredited Breakfast Symposia will be held at breakfast on Sunday and Monday, and Tuesday during lunch, and are open to all delegates. Please note seating is limited. CAEP Annual General Meeting (AGM) Monday, June 2, 2014 – 12:30-14:00 CAEP members are invited to attend the 2014 Annual General Meeting where CAEP will inform the membership of the Association’s elections, upcoming direction, and activities. CAEP Conference Tutorials All tutorials require pre-registration. Based on the level of interest in both tutorials, both will repeated. ECG - Sunday, June 1 - 12:30 – 14:00 and 14:30 – 16:00 Dermatology - Monday, June 2 – 09:30 – 12:15 Dermatology – Wednesday, June 4 – 08:30 – 10:45 Mainpro Accreditation Poster Presentations Group 1: Sunday, June 1 09:30 – 10:00 Refreshment Break 11:30 – 12:30 Lunch 14:00 – 14:30 Refreshment Break Maintenance of Certification (MOC) This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada, and approved by The Canadian Association of Emergency Physicians for up to 21 Section 1 Credits. Group 1: Monday, June 2 10:15 – 10:45 Refreshment Break 12:15 – 14:00 Lunch CAEP Awards Ceremony This year CAEP will honour a number of outstanding contributions to emergency medicine at the Awards Ceremony on Tuesday, June 3 at 09:30: Group 2: Tuesday, June 3 10:15 – 10:45 Refreshment Break 12:00 – 13:30 Lunch 15:00 – 15:30 Refreshment Break Group 2: Wednesday, June 4 10:45 – 11:15 Refreshment Break For a detailed list of posters and authors, please see pages 33-36. Moderated Poster Presentations Participants will have the opportunity to present their latest research, clinical studies or case presentations in a moderated poster format during each concurrent time frame. Check the program for topics and their affiliated schedule. Selected accepted abstracts have been integrated into a number of track sessions (see titles in green) in addition to the Oral Abstract Research Track. Exhibit Area The Canadian Association of Emergency Physicians and the Conference Organizing Committee wish to express their gratitude to the companies who have given their support to this meeting as exhibitors. Please visit the exhibit area to meet and discuss issues with exhibitors and conference participants. The Exhibit is being held in Canada Hall 1 in the Ottawa Convention Centre. The schedule is as follows: 09:30-16:00 10:15-14:00 10:15-15:30 Conference Recording During the conference, Multiview will be audio recording many of the presentations. These recordings will be audio-synced with the corresponding presentation slides. Conference attendees will receive free access to these presentations. A username and password will be e-mailed to you within two weeks of the conference conclusion to allow you online access to the presentations. Simulation Olympiad – back by popular demand! Saturday, May 31 and Tuesday, June 3, 2014 • CAEP President’s Award • Penelope Gray-Allan Memorial CJEM Writing Award • Dr. Richard Kohn Memorial Award for Mentorship in Emergency Medicine • Dr. Alan Drummond Advocacy Award •Dr. Helen Karounis Memorial Award for Professionalism in Emergency Medicine • CAEP Award for Medical Journalism • Resident Leadership Award – FRCPC • Resident Teacher of the Year Award • CJEM Photography Award Join us to celebrate and congratulate our deserving recipients. New This Year! Abstract Placement Sunday, June 1 Monday, June 2 Tuesday, June 3 This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited for up to 21 Mainpro M1 credits. Program Notes Space has been allocated for a diverse collection of scientific posters. Authors will be present to discuss their paper during each morning break and lunch periods. Scheduled showings of two sets of posters will be available for viewing during the following hours: OCC - 207 Immerse yourself in an exciting simulation-based resuscitation competition at this year’s CAEP Conference. Join us to watch teams compete for national bragging rights as they demonstrate their communication skills, team-work, and crisis management skills under pressure. Introducing our Conference App This mobile application offers conference attendees an easy way to get the most out of the CAEP 2014 Conference. The easy-to-use app keeps attendees up-to-date, connected and informed throughout the duration of the event, enabling users to: Sponsored by • view agenda items and explore sessions; •build your personal schedule and manage meetings with fellow attendees (both mobile -app and on your smartphone’s calendar); •access speaker listings, sponsor information and find networking opportunities; • view maps of the Westin, OCC and the exhibit floor; •participate in the conversation on Twitter through the #stream; and • expand your professional network and have fun! Social Media Wall Sponsored by The Social Media Wall is the most advanced technology to deliver audience engagement in REAL-TIME. The Social Media Wall engages audience and delegates with real-time updates and allows conference attendees to share in their conference experience as it happens through Twitter, Facebook, videos and photos. Strategically placed monitors allow conference delegates to participate and stay current with the latest conference news. Join the conversation! The OCC 209 will be the actual site for the Simulation Olympiad. The winner will be announced at the Closing on Wednesday. We graciously acknowledge the contributions of CAE Healthcare to these sessions and Queens University for competition prizes. 5 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Program Notes Program notes Program for Saturday, May 31, 2014 Medical Student and Resident Programs Medical Student Program Saturday, May 31, 2014 • 08:00-17:30 08:00-08:20 Registration 08:20-08:30 Welcome and Introduction 08:30-09:15 Opening Plenary: EBM Past, Present and Future 09:15-10:00 Don't Miss Radiology Diagnosis 10:00-10:15 Refreshment Break 10:15-11:00 Panel Discussion: CCFP vs. FRCPC: Which EM is Right for you? 11:00-11:45 Cases in Toxicology OCC - 2nd Floor W – Confederation III Dr. Ken Milne Dr. Jen Leppard W – Confededration Foyer Dr. Lisa Thurgur 11:45-12:15 Annual General Meeting 12:15-13:00 Lunch W – Confederation II 13:00-16:00 Resident and Medical Students’ Simulation Olympiad OCC - 207 16:00-17:30 Reception & Career Fair – Students, Residents and CAEP 2014 Academic Symposium W – Confederation II Resident Program Saturday, May 31, 2014 • 13:00-17:30 13:00-16:00 Resident and Medical Students’ Simulation Olympiad 16:00-17:30 Reception & Career Fair – Students, Residents and CAEP 2014 Academic Symposium W – Confederation II OCC - 209 Sunday, June 1, 2014 • 11:30-12:30 11:30 – 12:30 Lunch with Annual General Meeting OCC - 208 Tuesday, June 3, 2014 • 12:30-13:45 12:30 – 13:45 6 Lunch with Keynote Speaker FCL - Laurier Legend Program at a Glance OCC – Ottawa Convention Centre W – Westin Ottawa FCL – Fairmont Chateau Laurier Time Room Assignment Event Speakers 07:30–18:00 OCC - 2nd Floor Registration 08:30–12:15 W - Confed III Medical Students' Program 08:30–12:00 W - Quebec An Introduction to Social Media in Medical Education for Emergency Medicine 12:00–16:00 W - Gov Gen II/III CAEP 2014 Academic Symposium 12:15–13:00 W - Confed II Medical Students' Lunch 13:00–16:00 OCC - 207 Simulation Olympiad (Resident/Students) 16:00–17:30 W - Confed II Reception & Career Fair - Students, Residents and CAEP 2014 Academic Symposium Program at a Glance Saturday, May 31, 2014 Sunday, June 1, 2014 Time Room Assignment Event Speakers 06:45–16:30 OCC - 2nd Floor Registration 07:00–08:15 OCC - 208 Accredited Breakfast Symposium: Are We Doing All We Can For The ACS Patient In The Emergency Department? Dr. Anas Nseir – Moderator Dr. Michel Le May Dr. Sunil Sookram 08:30–08:45 OCC - Canada Hall II Opening and Welcome 08:45–09:30 OCC - Canada Hall II Plenary: Taking Your Vision to Action: How to Make it Happen 09:30–10:00 OCC - Canada Hall I Refreshment Break on Exhibit Floor & Poster Viewing Dr. Samantha Nutt 10:00–11:30 Concurrent Sessions 10:00–11:30 OCC - 202 Track 1 - Research – Oral Abstracts Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Paul Atkinson 10:00–10:15 OP01: Emergency Physicians as Human Billboards for Injury Prevention Messaging: A Randomized Controlled Trial Dr. Emily Sullivan* 10:15–10:30 OP02: Portrait of Rural Emergency Departments in Québec and Utilisation of the Québec Emergency Department Management Guide: Phase 1 Dr. Richard Fleet 10:30–10:45 OP03: Relationship Between Mental Health Apprehensions by Police and Monthly Income Assistance (Welfare) Payments Dr. Tracy Pickett 10:45–11:00 OP04: Little Time Spent Giving Discharge Instructions in Canadian Emergency Departments Quinten Paterson 11:00–11:15 OP05: An Electronic System Reduces Time to Disposition in Emergency Department Patients with Chest Pain Dr. Michael Feldman 11:15–11:30 OP06: A Determination of Pre-Triage Wait Times at Two Busy Acute Care EDs and a Comparison to CTAS Recommendations Dr. Sachin Trivedi 10:00–11:30 OCC - Parliament Foyer Track 2 – Moderated Posters Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Jan Jensen 10:00–10:10 MP01: Tourniquet Utilization Patterns & Impacts on Hemostasis in a Large, Urban EMS System Dr. Jeffrey Goodloe 10:10–10:20 MP02: Emergency Medical Services Provider Comfort with Pre-Hospital Analgesia Administration to Children Dr. Beth DeBruyne 10:20–10:30 MP03: Prehospital STEMI Patients not Diverted to PCI Facility: Interventions by ED Physicians Dr. Alain Tanguay * Top Resident Research Award Winner 7 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Sunday, June 1, 2014 Time Program at a Glance Event Speakers 10:30–10:40 Room Assignment MP04: Experiential and Rational Decision-Making: A Survey to Determine Decision-Making Styles of Paramedics and Paramedic Students Dr. Asha Bienkowski 10:40–10:50 MP05: A Comparison of Two Structured Emergency Medical Dispatch Protocols in Ontario Dr. Michael Feldman 10:50–11:00 MP06: Paramedic Diagnostic Accuracy of ST-Elevation Myocardial Infraction on 12-Lead ECG: A Systematic Review Brent Deveau 11:00–11:10 MP07: Prehospital Nitroglycerin in Tachycardic Chest Pain Patients: Risky or Not? Dr. Marie-Hélène Proulx 11:10–11:20 MP08: First-Responder Accuracy Using SALT After Brief Initial Training Dr. Mike Peddle 11:20–11:30 MP09: Factors That Predict Pre-Hospital Paramedic IV Cannulation Success: A Retrospective Analysis Dr. Adam Dukelow 10:00–11:30 OCC - 201 Track 3 - Education: Undergraduate Track Chairs: Dr. Jason Frank, Dr. Stella Yiu 10:00–10:30 Giving Practical Feedback to Learners 10:30–11:00 Education Scientific Abstracts 10:30–10:40 LO01: The Edus2 Workout: A Stepwise Approach to Learning Critical Care Emergency Ultrasound Dr. Paul Olszynski 10:40–10:50 LO02: Mass Gathering Medical Care in a Motorsports Event-Based Collaborative Training Program Dr. Jeffrey Goodloe 10:50–11:00 LO03: A Novel Program to Improve Patient Safety by Integrating Peer Review into the Emergency Medicine Residency Curriculum Dr. Daniel Lakoff 11:00–11:10 The Flipped EM Classroom: How and Why Dr. Jonathan Sherbino 11:10–11:20 How I Did it - The Ottawa Flipped EM Clerkship Dr. Stella Yiu 11:20–11:30 Education: The Future is Already Here! Dr. Rob Rogers 10:00–11:30 OCC - 205 Track 4 - Pediatrics Track Chair: Dr. Sarah Reid 10:00–10:45 Top Ten PEM Articles of 2013 Dr. Roger Zemek 10:45–11:30 Pediatrics Scientific Abstracts 10:45–11:00 OP07: Point-of-Care Ultrasound Accurately Guides Reductions of Distal Forearm Fractures in Children Dr. Alexander Sasha Dubrovsky 11:00–11:15 OP08: Emergency Department Analgesia in Acute Appendicitis: A Comparison of Adult and Pediatric Patients Dr. Sheila Smith 11:15–11:30 OP09: A Randomized Controlled Trial Comparing Ultrasound, VeinViewer and Standard Approach To Peripheral Intravenous Catheter Placement in the Pediatric Emergency Department Dr. Sarah Curtis 10:00–11:30 OCC - 206 Track 5 - Neurology Track Chair: Dr. Jeff Perry 10:00–10:20 How to Keep a TIA from Becoming a Stroke 10:20–10:50 Neurology Scientific Abstracts 10:20–10:30 LO04: Peripheral Vertigo Discharged From the Emergency Department: Examining Outcomes in the Province of Ontario Dr. Keerat Grewal* 10:30–10:40 LO05: Patient and Caregiver Health Literacy in Stroke: A Systematic Review Dr. Gautam Goel 10:40–10:50 LO06: Rural Versus Urban Discrepancies in 30-Day In-Hospital Mortality Following Stroke: CIHI and the Canadian Rural Emergency Medicine Project Dr. Richard Fleet Dr. Grant Stotts 10:50–11:10 Spinal Emergencies - Cases Not to Miss Dr. Stephen Kingwell 11:10–11:30 Missed and Mis-Diagnosis in Emergency Neuroimaging Dr. Cheemun Lum 11:30–12:30 OCC - Canada Hall I LUNCH on Exhibit Floor & Poster Viewing 11:30–12:30 OCC - 208 LUNCH , Residents' AGM and Presentation: Emergency Medicine and Legal Challenges * Top Resident Research Award Winner 8 Dr. Chris Nussbaum, Dr. Eric Clark Sunday, June 1, 2014 Time Room Assignment Event Speakers Concurrent Sessions 12:30–14:00 OCC - 202 Track 1 - Research – Oral Abstracts Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Tia Renouf 12:30–12:45 OP10: ASSIST Pilot Study: Accuracy of Inovise STEMI Interpretation Software Samantha Henley 12:45–13:00 OP11: Description of a Successful Longitudinal Pre-Hospital Care Emergency Medicine Curriculum Dr. Alim Pardham 13:00–13:15 OP12: The Use of Medic Alert Notification by Paramedics and Medical Communication Officers Dr. Alix Carter 13:15–13:30 OP13: Systematic Review and Meta-Analysis of the Benefits of Prehospital 12-Lead ECG Confirmation in STEMI Patients Dr. Kyla Caners 13:30–13:45 OP14: Implementation and Reliability of the Pre-Hospital Canadian Triage Acuity Score (Pre-CTAS) Dr. Katherine Smith 13:45–14:00 OP15: The Impact of a Novel Collaborative Long Term Care – EMS Model: A Before-and-After Cohort Analysis Jan Jensen 12:30–14:00 OCC - Parliament Foyer Track 2 – Moderated Posters Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Andrew McRae 12:30–12:40 MP10: Impact of the Rapid Assessment Zone on Emergency Department Throughput and Quality Measurements Dr. Melanie Lecavalier 12:40–12:50 MP11: High Fidelity Simulation Results in Improving Clinician Performance in the Management of Massive Hemorrhage Cases Dr. Arielle Levy 12:50–13:00 MP12: Performance of the Ottawa 3DY Scale as a Screening Tool for Dr. Debra Eagles Impaired Mental Status in Elderly Emergency Department Patients 13:00–13:10 MP13: The Effect of an Initial Assessment Physician on Emergency Department Throughput Dr. Kelly van Diepen 13:10–13:20 MP14: General Surgery Consultations in the Emergency Department: A Multicenter Analysis of the Appropriateness and Timing of Surgical Referrals Dr. Eddy Lang 13:30–13:30 MP15: Availability of Needed Services for Older ED Patients After Discharge Following Minor Injury: Results from 1436 Patients in the Canadian Emergency Trauma Initiative (CETI) Observational Cohort Study Dr. Jacques Lee 13:30–13:40 MP16: Increasing the Number of Junior Residents During Shifts Worsens Emergency Department Crowding: A Cross-Sectional, Single-Center Study Dr. Takahisa Kawano 13:40–13:50 MP17: Evaluating the Turn-Around-Time of STAT Laboratory Tests in Jacqueline Fraser the Emergency Department Using Different Test Tubes 13:50–14:00 MP18: Why Are Fast Physicians Fast? 12:30–14:00 OCC - 201 Track 3 - Education: Postgraduate Track Chairs: Dr. Jason Frank, Dr. Stella Yiu 12:30–13:10 Top Five Mind Blowing, Practice-Changing Articles About Clerk and Resident Teaching in 2013! Program at a Glance 12:30–14:00 Dr. Grant Innes Dr. Glen Bandiera, Dr. Sandy Dong 13:10–13:40 Education Innovations Abstracts 13:10–13:20 LO09: Development and Implementation of Core Competencies for Dr. Jordan Chenkin an Emergency Medicine Point-of-Care Ultrasound Rotation Using the CanMEDS Framework 13:20–13:30 LO08: An Innovative Online Curriculum for Accredited Continuing Medical Education in Geriatric Emergency Medicine: www.geri-EM.com Dr. Don Melady 13:30–13:40 LO07: The McMaster Modular Assessment Program (McMAP): The Junior Emergency Medicine Competency Pilot Project Dr. Teresa Chan 13:40–14:00 What Would a Competency-Based EM Training Program Look Like? Milestones, Mastery, and More Dr. Jason Frank 9 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Sunday, June 1, 2014 Time Room Assignment 12:30–14:00 OCC - 205 Program at a Glance 10 Event Speakers Track 4: Pediatrics Track Chair: Dr. Sarah Reid 12:30–12:50 Suicide Risk Assessment in the PED Dr. Clare Gray 12:50–13:10 Pediatric Sepsis: Improving Recognition and Treatment Dr. Gina Neto 13:10–13:30 Fever and What (Not) to Worry About Dr. Sarah Reid 13:30–14:00 Highlights from Pediatric Morbidity and Mortality Rounds Dr. Ken Farion 12:30–14:00 OCC - 206 Track 5: Neurology Track Chair: Dr. Jeff Perry 12:30–12:50 Acute Stroke Care - State of the Art Management in the ED Dr. Michael Hill 12:50–13:20 How to Determine if This Headache is a Subarachnoid Hemorrhage (SAH) Dr. Jeff Perry 13:20–13:40 Management of Intracerebral Hemorrhage Dr. Dariush Dowlatshahi 13:40–14:00 Debate: To Thrombolyse or Not in the 3-4.5 Hour Range Dr. Devin Harris vs. Dr. Michael Hill 12:30–14:00 OCC - 203 Track 6 - ECG Tutorial Track Chair: Dr. Mathieu Gatien 12:30–14:00 Catch the Rhythm: Challenging ECGs for the Emergency Physician 14:00–14:30 OCC - Canada Hall I Refreshment Break on Exhibit Floor & Poster Viewing Dr. Mathieu Gatien 14:30–16:00 Concurrent Sessions 14:30–16:00 OCC - 202 Track 1 - Research – Oral Abstracts Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Jan Jensen 14:30–14:45 OP16: A Comparison of Different Stabilization Techniques and Transfer Methods During Pre-Hospital Management of Patients with a Suspected Neck Injury Dr. Patrick Boissy 14:45–15:00 OP17: CHIRPP: A Characterization of Captured Injuries versus Uncaptured Injuries for Patients Presenting at a Pediatric Tertiary Care Centre Dr. Michael Butler 15:00–15:15 OP18: Canadian CT-Head Rule Criteria are not Predictive of Long-Term Complications in mTBI Dr. Philippe Ouellet 15:15–15:30 OP19: Compressions During Defibrillator Charging Shortens Shock Pause Duration and Improves Chest Compression Fraction during Shockable Out of Hospital Cardiac Arrest Dr. Sheldon Cheskes 15:30–15:45 OP20: The Impact of Chest Compression Release Velocity on Outcomes from Out-of-Hospital Cardiac Arrest Dr. Sheldon Cheskes 15:45–16:00 OP21: Gender Differences in Access to Post-Arrest Care: A SPARC Network Cohort Study Dr. Laurie Morrison 14:30–16:00 OCC - Parliament Foyer Track 2 – Moderated Posters Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Carolyn Snider 14:30–14:40 MP19: The Effect of Ketamine on Intracranial and Cerebral Perfusion Pressure and Health Outcomes: A Systematic Review of the Literature Dr. Lindsay Cohen 14:40–14:50 MP20: Smoking-Related Medical Conditions in the Emergency Department: Prevalence and Accuracy of Patient Perception that their Visit may be Related to Smoking Dr. Amy Po Yu Tsai 14:50–15:00 MP21: Derivation of Predicting Tools of Functional Decline in Independent Seniors with Minor Injuries in the ED Dr. Marcel Emond 15:00–15:10 MP22: External Validation of the Criteria Defining « Clinically Important » Brain Injury in Patients with Mild TBI Dr. Justine Lessard 15:10–15:20 MP23: Predictors of Adverse Events Associated with Sedation Choice in Electrical Cardioversion Dr. David Clinkard 15:20–15:30 MP24: Emergency Physician Attitudes Toward CT Ordering Dr. Amjed Kadhim-Saleh 15:30–15:40 MP25: Reliability of Balance Error Scoring System (BESS) Test for Concussion in Different Field Conditions Dr. Aftab Azad Sunday, June 1, 2014 Time Speakers MP26: Paramedic Recognition and Management of Anaphylaxis in the Prehospital Setting Dr. Simerpreet Sandhanwalia 15:50–16:00 MP 27: Evaluation of a Clinical Score for Skull Radiography of Young Dr. Jocelyn Gravel Children with Isolated Head Trauma 14:30–16:00 OCC - 201 Track 3 - Education: Continuing Professional Development Track Chairs: Dr. Jason Frank, Dr. Stella Yiu 14:30–15:10 Panel: Systems Thinking, Accountability, Peer Review and Bad Apples Dr. James Worthington, Dr. Gordon Wallace, Dr. Brian Holroyd 15:10–16:00 Panel: Using Social Media Effectively to Enhance Your Education and Teaching Dr. Ken Milne Dr. Alan Drummond Dr. Rob Rogers Dr. Brent Thoma 14:30–16:00 OCC - 205 Track 4 - Pediatrics Track Chair: Dr. Sarah Reid 14:30–15:00 Challenging Cases in Pediatric Resuscitation - Red Flags and Pitfalls 15:00–15:20 Recognizing Child Maltreatment: An Evidence Informed Approach Dr. Anna Karwowska 15:20–15:35 TRanslating Emergency Knowledge for Kids: What TREKK Could Dr. Mona Jabbour, Dr. Doug Sinclair Mean for You 15:35–16:00 Pediatric Visual Diagnosis 14:30–16:00 OCC - 203 Track 5 - ECG Tutorial – Encore Presentation Track Chair: Dr. Mathieu Gatien 14:30–16:00 Catch the Rhythm: Challenging ECGs for the Emergency Physician 18:00–20:00 National Gallery of Canada Welcome Reception – The National Gallery 21:00 Room Assignment Heart & Crown Program at a Glance Event 15:40–15:50 Dr. Allan Shefrin Dr. Andrea Losier Dr. Mathieu Gatien Informal Jazz Session with the ‘Jammed Fingers’ Monday, June 2, 2014 Time Room Assignment Event Speakers 06:45–14:00 OCC - 2nd Floor Registration 07:00–08:15 OCC - 208 Accredited Breakfast Symposium – Evolving Management of Venous Thromboembolism (VTE): The Role of the Newer Oral Anticoagulants (NOACs) Dr. Anas Nseir – Moderator Dr. James Douketis Dr. William Semchuk 08:30–09:15 OCC - Canada Hall II Plenary: Challenge. Distance. Discovery. Ray Zahab 09:30–12:15 Concurrent Sessions 10:15–10:45 OCC - Canada Hall I Refreshment Break on Exhibit Floor & Poster Viewing 09:30–10:15 OCC - 202 Track 1 – Research – Lightning Oral Abstracts Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Patrick Archambault 09:30–09:40 LO10: Quebec-Fresno Shoulder Disclocation Rule: A Combined Decision Tool Dr. Marcel Emond 09:40–09:50 LO11: Efficacy of Anticholinergics for Preventing Hospitalization in Adults with Acute Asthma Scott Kirkland 09:50–10:00 LO12: Effect of Triage Nurse Initiated Radiography Using the Ottawa Ankle Rules on Emergency Department Length of Stay at a Tertiary Care Center Dr. Wailliam Lee* 10:00–10:10 LO13: Frailty Measures Are Useful in Identifying Independant Seniors at Risk of Functional Decline Evaluated In Emergency Departments after a Minor Trauma Dr. Marie-Josée Sirois * Top Resident Research Award Winner 11 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Monday, June 2, 2014 Time Program at a Glance 12 Event Speakers 10:45–10:55 Room Assignment LO14: Predictors of Time from Headache Onset to Computed Tomography in Emergency Patients with Suspected Subarachnoid Hemorrhage Dr. Maryam Khan 10:55–11:05 LO15: Test Characteristics of Point-of-Care Ultrasonography for the Diagnosis of Acute Posterior Ocular Pathology Dr. Nathan Hecht 11:05–11:15 LO16: Point-of-Care Ultrasound Use Over Six-Month Training Period Dr. Samuel in Rwandan District Hospitals Vaillancourt 11:15–11:25 LO17: Emergency Physicians’ Ultrasound Accuracy Detecting Intrauterine Pregnancy and Fetal Cardiac Activity Dr. Catherine Varner 11:25–11:35 LO18: Determining Factors that Predict Higher Utilization of CT in Emergency Medicine Dr. Amjed Kadhim-Saleh 11:35–11:45 LO19: In Patients Presenting to the ED with Bizarre Behavior CT Head Scans Do Not Yield Acute Findings and Increase Ed Length of Stay Dr. Pearlly Ng 11:45–11:55 LO20: Utility of a 4-Hour Educational Module in Demonstrating Transesophageal Echocardiography (TEE) to TEE-Naïve Acute Care Providers Dr. Jacob Pace 11:55–12:05 LO21: Pilot Prospective Cohort Study for the Use of Ultrasound Guided 3 in 1 Femoral Nerve Blocks in a Tertiary Care Emergency Department in Patients Presenting with a Hip Fracture Dr. Michael Woo 12:05–12:15 LO22: Are Interactive Workshops Effective at Introducing Medical Students to PoCUS? Dr. Nicholas Packer 09:30–12:15 OCC - Parliament Foyer Track 2 – Moderated Posters Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Alix Carter 09:30–09:40 MP28: Emergency Department Transient Ischemic Attack Novel Clinical Pathway: Etiology-Based Triage to Improve Patient Quality of Care Jessica Cheung 09:40–09:50 MP29: Do You Feel Safe at Work? A Survey of Residents’ Perception of Safety in a New York City Emergency Department Dr. Michael Rubin 09:50–10:00 MP31: Helmet Wearing Practices and Barriers to Use in Toronto Bike-Share (Bixi) Users: A Control Matched Study Dr. Steven Friedman 10:00–10:10 MP32: Effectiveness of Individualized Inter-Professional Care Plans for Heavy Emergency Department Users Dr. Bjug Borgundvaag 10:45–10:55 MP33: Content Analysis of Parents’ Needs and Expectations for Emergency Care of Children Dr. Tania Principi 10:55–11:05 MP34: Comparison of Emergency Department Visits for Homeless Patients in Canadian Emergency Departments Scott Kirkland 11:05–11:15 MP35: Does the Modality of Emergency Department Discharge Instructions Improve Patient Follow-Up with a Family Physician? Dr. Aaron Stone 11:15–11:25 MP36: Incidence of Neurogenic Shock in the Emergency Department Following Acute Traumatic Spinal Cord Injury Dr. Dayan Huang 11:25–11:35 MP37: Perceptions and Motivations of Emergency Medicine Residents Regarding Diagnostic Testing: A Qualitative Study Dr. Fareen Zaver 11:35–11:45 MP38: Determinants of Emergency Physician Productivity and Utilization Dr. Grant Innes 11:45–11:55 MP39: Return to the ED after Discharge Following Minor Injury: Results from 1436 Patients in the Canadian Emergency Trauma Initiative (CETI) Observational Cohort Study Dr. Jacques Lee 11:55–12:05 MP40: Physician Self Awareness of CT Ordering Practice Dr. Amjed Kadhim-Saleh 09:30–12:15 OCC - 201 Track 3: How to Help Your ED Run Better Track Chair: Dr. Adam Cwinn 09:30–09:50 ED Surge - Blueprints of an Effective Plan Dr. Edmund Kwok 09:50–10:10 ED Surge – Managing the Critical Situation Before Managing the Critical Incident Cheryl Geymonat, Kevin Peters, Kathy Bickerton Monday, June 2, 2014 Time Room Assignment Event Speakers Administration Scientific Abstracts 10:45–10:55 LO23: Does Improvement in Ed Length of Stay Lead to Improvements in Quality of Care? Dr. Michael Schull 10:55–11:05 LO24: Efficacy of Phone Follow-Up in Reducing Adverse Events in the Emergency Department: A Pilot Project Dr. Lisa Calder 11:05–11:15 LO25: Canadian EM Trainees' Coping with Fatigue and Shiftwork: Results of a National Survey Dr. Jason Frank 11:15–11:35 Implementing Patient Safety Enhancing Strategies in Your ED: Practical Tips and Shared Experiences Dr. Lisa Calder 11:35–11:55 Pros and Cons of Publishing ED Wait Time Dr. Eric Grafstein, Dr. Grant Innes 11:55–12:15 How to Extend the Influence of the ED in Your Hospital Dr. Adam Cwinn 09:30–12:15 OCC - 206 Track 4: EMS Track Chair: Dr. Justin Maloney 09:30–09:50 STEMI: First Contact to Definitive Care, Guide Your System's Integration Dr. Michel Le May 09:50–10:10 Mass Gathering Planning - Planning is Critical for Your Emergency Department Dr. Daniel Kollek 10:45–11:05 Extended Care Paramedics: Extending Your Emergency Department Care – What You Have to Know Dr. Andrew Travers 11:05–11:35 EMS Scientific Abstracts 11:05–11:20 OP22: Barriers to Self-Reporting Patient Safety Events by Paramedics Julie Sinclair 11:20–11:35 OP23: Safety Evaluation of the Canadian C-Spine Rule for Selective C-Spine Immobilization by Paramedics in the Field Dr. Christian Vaillancourt 11:35–11:55 A Code ROSC Protocol for the Emergency Department Dr. Paul Pageau 11:55–12:15 Disaster “STDs”: A Unique Approach to Disaster Surge Management Dr. Justin Maloney 09:30–12:15 OCC - 205 Track 5: Resuscitation Track Chair: Dr. Dan Howes 09:30–09:50 CPR in 2014 - So Much More Than "Hard and Fast" Dr. Steven Brooks Dr. Thomas Low 09:50–10:10 The Top 5 Resuscitation Papers of 2013 10:45–11:15 Resuscitation Scientific Abstracts 10:45–10:55 LO26: Targeted Temperature Management: Exploring the Association Between Processes of Care and Outcomes After Out-of-Hospital Cardiac Arrest Dr. Steven Lin 10:55–11:05 LO27: Innovative Use of AED by RNs and RTs During In-Hospital Cardiac Arrest Dr. Hannah Buhariwalla 11:05–11:15 LO28: Was the Return of Spontaneous Circulation Protocol Effective? Survival to Discharge and Adherence to the Protocol Through a Health Record Review Dr. Joanna Moore* 11:15–12:15 Stump the Experts Dr. Sara Gray, Dr. Peter Brindley 09:30–12:15 OCC - 203 Track 6: Dermatology Tutorial Track Chair: Dr. Jennifer Beecker 09:30–12:15 Tips from the Expert Dr. Jennifer Beecker 10:15–10:45 OCC - Canada Hall I Refreshment Break on Exhibit Floor & Poster Viewing 10:15–11:15 Parliament Foyer Live Report from 2014 12:30–14:00 OCC - 208 CAEP AGM (Members) 12:15–14:00 OCC - Canada Hall I Lunch on Exhibit Floor & Poster Viewing 14:00 Free Afternoon - Optional Activities 17:30–18:30 CAEP Fun Run 21:00–24:00 Great Canadian Cabin Docs That Rock Program at a Glance 10:45–11:15 * Top Resident Research Award Winner 13 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Tuesday, June 3, 2014 Time Program at a Glance 14 Room Assignment Event 07:30–17:00 OCC - 2nd Floor Registration 08:30–09:30 OCC - Canada Hall II Plenary: The Best of Canadian EM Research - The Top 4 Abstracts 09:30–10:15 CAEP 2014 Awards Ceremony 10:15–10:45 OCC - Canada Hall I Refreshment Break on Exhibit Floor & Poster Viewing 10:45–12:00 OCC - Canada Hall II Plenary: EM Educator Meets EM Researcher 12:00–13:30 OCC - Canada Hall I LUNCH on Exhibit Floor & Poster Viewing 12:00–13:30 FCL - Laurier LUNCH for Residents with Guest Speaker 12:00–13:30 OCC - 208 Accredited Luncheon Symposium On the Front Lines of Atrial Fibrillation Management: Guiding Anticoagulant Therapy in the Emergency Room Dr. James Douketis Dr. Justin Ezekowitz Dr. Indy Ghosh Dr. Eddy Lang Speakers Moderator: Dr. Robert Green Dr. Mel Herbert, Dr. Ian Stiell 13:30–15:00 Concurrent Sessions 13:30–15:00 OCC - 202 Track 1 – Research – Oral Abstracts Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Eddy Lang 13:30–13:45 OP24: Sex Differences in Presentations to Emergency Departments in Alberta, Canada for Atrial Fibrillation/Flutter: A Provincial Population-Based Cohort Study Dr. Brian Holroyd 13:45–14:00 OP25: Echo-Guided Life Support (EGLS) : An Algorithmic Approach to the Patient in Shock Dr. Maxime Valois 14:00–14:15 OP26: Presentations to Emergency Departments in Alberta, Canada for Atrial Fibrillation and Flutter: A Large Population-Based Study Dr. Brian Holroyd 14:15–14:30 OP27: The Utility of Measuring International Normalized Ratio (INR) Dr. Samuel Campbell as Part of the Investigation of Patients with Cardiac-Type Chest Pain 14:30–14:45 OP28: The Relationship of Maximum Troponin Values Post Out-of-Hospital Cardiac Arrest with Electrocardiographic Findings, Cardiac Procedures and Survival to Discharge; A Sub-Study of ROC PRIMED Dr. Sheldon Leskes 14:45–15:00 OP29: Discharged Minor Thoracic Injuries Patients Have Functional Limitations Dr. Marcel Emond 13:30–15:00 OCC - Parliament Foyer Track 2 – Moderated Posters Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Christian Vaillancourt 13:30–13:40 MP41: The Medical Education in Cases Series: Online Faculty Development for Medical Education Dr. Teresa Chan 13:40–13:50 MP42: Development of a Comprehensive Simulation Curriculum for Emergency Medicine Residency Training Programs Dr. Carolina Filipowska 13:50–14:00 MP43: ‘Telesimulation’ in Emergency Medicine: Connecting Canadian Faculty to Ethiopian Residents to Provide Procedural Teaching Dr. Emily Austin 14:00–14:10 MP44: Tactical Emergency Medicine Care in a Military Medicine, Law Enforcement, and Emergency Medicine Collaborative Training Program Dr. Jeffrey Goodloe 14:10–14:20 MP45: EM Clinical Teaching Teams: A Novel Longitudinal Resident Teaching and Assessment Program Dr. Kari Sampsel 14:20–14:30 MP46: The Social Media Index: Curating Emergency Medicine Blogs Dr. Brent Thoma and Podcasts 14:30–14:40 MP47: Exposing Canadian Medical Students to Point-of-Care Ultrasound: An Undergraduate Ultrasound Symposium Ryan McLarty 14:40–14:50 MP48: An Emergency Physician Multi-Measure Performance Profile for Promoting Reflections on Practice and Promoting Regression to the Mean through Peer Comparison Dr. Eddy Lang Tuesday, June 3, 2014 Time Room Assignment Speakers MP49: Journal Club 2.0: Collaboration Between a Traditional Journal and an Academic Blog to Create a Global Journal Club Experience Dr. Teresa Chan 13:30–15:00 OCC - 205 Track 3 - Trauma Track Chair: Dr. Guy Hebert 13:30–13:50 Trauma as a Non‐Surgical Disease: Who Should Care for Trauma Patients? Dr. John Tallon Dr. Damian MacDonald 13:50–14:10 Trauma and Mass Casualty Management at Kandahar Airfield 14:10–14:40 Trauma Scientific Abstracts 14:10–14:20 LO29: Multicentre Implementation of the Canadian C-Spine Rule by Emergency Department Triage Nurses Dr. Ian Stiell 14:20–14:30 LO30: Delayed Hemothorax Following Minor Thoracic Injuries Dr. Marcel Emond 14:30–14:40 LO31: Is Hockey the Most Dangerous Pediatric Sport? An Evaluation of Pediatric Sport-Related Injuries Treated in Nova Scotia Dr. Robert Green Top 5 Articles in Trauma That Could Change Your Practice Dr. Jacynthe Lampron 14:40–15:00 13:30–15:00 OCC - 201 Track 4 - Diagnostic Imaging Track Chair: Dr. Michael Woo 13:30–13:50 POCUS for Sepsis: A New Standard of Care? Dr. Robert Arntfield 13:50–14:10 Pediatric POCUS That Will Change Your Practice Dr. Allan Shefrin 14:10–14:40 Diagnostic Imaging Scientific Abstracts 14:10–14:20 LO32: Ultrasonography of the Optic Nerve Sheath Diameter for Detection of Raised Intracranial Pressure: A Systematic Review and Meta-Analysis Dr. Robert Ohle* 14:20–14:30 LO33: Use of Emergency Physician Performed Ultrasound for the Detection of Lower Extremity Deep Venous Thrombosis Dr. Dayan Huang 14:30–14:40 LO34: Predictors of Door-to-Imaging Time in Emergency Headache Patients with Suspected Subarachnoid Hemorrhage Dr. Maryam Khan 14:40–15:00 Sound Use of Simulation: One Small Step for Trainees, One Giant Leap for the Budget Dr. Paul Olszynski 13:30–15:00 OCC - 203 Track 5 - Pain Management Track Chair: Dr. Sean Moore 13:30–13:50 No Pain But Lots of Gain! Essential Ultrasound-Guided Nerve Blocks for the ER Physician 13:50–14:20 Pain Management Scientific Abstracts 13:50–14:00 LO35: Ketamine-Propofol vs Propofol Alone For Procedural Sedation in the Emergency Department: A Systematic Review and Meta-Analysis Dr. Justin Yan* 14:00–14:10 LO36: Pediatric Pain Management: The Emergency Medicine Residents' Perspectives Dr. Huma Ali* 14:10–14:20 LO37: A Randomized Double-Blind Trial Comparing the Effect on Pain of an Oral Sucrose Solution versus Placebo in Children 1 to 3 Months Old Needing Venipuncture Dr. Marie-Pier Desjardins 14:20–14:40 No Pain But Lots of Gain! Essential Ultrasound-Guided Nerve Blocks for the ER Physician – Part 2 Dr. Greg Hall When and How to Use Ketamine Dr. David Messenger 14:40–15:00 13:30–15:00 OCC - 207 Program at a Glance Event 14:50–15:00 Dr. Greg Hall Track 6 – Simulation Olympiad: Semi-finals Track Chairs: Dr. Damon Dagnone, Dr. Karen Woolfrey 15:00–15:30 OCC - Canada Hall I Refreshment Break on Exhibit Floor & Poster Viewing 15:30–17:00 Concurrent Sessions 15:30–17:00 OCC - 202 Track 1 – Research - Oral Abstracts Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Eddy Lang 15:30–15:45 OP30: Epidemiology and Clinical Predictors of Biphasic Reactions in Children with Anaphylaxis Dr. Waleed Alqurashi * Top Resident Research Award Winner 15 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Tuesday, June 3, 2014 Time Program at a Glance Event Speakers 15:45–16:00 OP31: Estimating Pediatric Weights in the Emergency Department: When We Guess Wrong, What are the Implications? Dr. Janet Ferguson 16:00–16:15 OP32: Remifentanil for Procedural Sedation: A Systematic Review Dr. Magdalena Kisilewicz 16:15–16:30 OP33: Treatment and Reduction of Anxiety and Pain in Pediatric Emergency Department: ‘TRAPPED’ Survey; A Pediatric Emergency Research Canada Study Dr. Evelyne D.Trottier 16:30–16:45 OP34: Pediatric Pain Management in the Emergency Department: The Triage Nurses’ Perspective Dr. Janeva Kircher 16:45–17:00 OP35: The Epidural Blood Patch is an Under-Utilized Treatment for Post-Dural Puncture Headache in the Emergency Department Dr. Arnold Pat 15:30–17:00 OCC - Parliament Foyer Track 2 – Moderated Posters Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Carolyn Snider 15:30–15:40 MP50: Alternative Care Prior to Emergency Department Visits in a Canadian Urban Setting Dr. Maria Ospina 15:40–15:50 MP51: Does an Educational Intervention Increase Radiation Dose Knowledge Among Physicians Dr. Michael Nauss 15:50–16:00 MP30: Prospective Characterization of Followup Imaging/Culture Results after Patient Disposition in the Emergency Department Dr. Edmund Kwok 16:00–16:10 MP53: Mild Traumatic Brain Injury: Risk Factors of Short Term Post-Concussion Symptoms Dr. Pierre-Yves Turgeon 16:10–16:20 MP54: Improving Shiftwork: Are Casino Shifts the Answer? Dr. Helen Levin 16:20–16:30 MP55: Is Ultrasound Associated with a Lower Negative Appendectomy Rate in Children Suspected of Acute Appendicitis? Dr. Amanda Vieira 16:30–16:40 MP56: Redundant Imaging of Mandibular Fractures in the ED: Should We Start with CT? Dr. Michelle Klingel 16:40–16:50 MP57: Criteria for Transfer to Tertiary Trauma Centers for Traumatic Brain Injuries: Validation Phase Based on the Comparison of the Evolution of Patients Transferred and Non-Transferred Dr. Natalie Le Sage 16:50–17:00 MP58: Does Mode of Transport Confer a Mortality Benefit to Trauma Patients? Characteristics and Outcomes at a Single Ontario Lead Trauma Hospital Dr. Ian Buchanan 15:30–17:00 OCC - 205 Track 3 - Trauma Track Chair: Dr. Guy Hebert 15:30–16:00 Coagulopathies in Trauma: The Growing Use of Fibrinogen and Thromboelastography Dr. Sandro Rizoli 16:00–16:30 Trauma Resuscitation: Updates from the Cutting Edge Dr. Christopher Hicks 16:30–17:00 Lessons Learned: From Community Hospital to Trauma Centre Dr. Guy Hebert Dr. Andrew Stiell 15:30–17:00 16 Room Assignment OCC - 201 Track 4 - Diagnostic Imaging Track Chair: Dr. Michael Woo 15:30–15:50 POCUS for CHF: B or Not B—That is the Question Dr. Andrew Liteplo 15:50–16:10 What’s New in Diagnostic Imaging? The Best Articles in Recent Literature Dr. James Worrall 16:10–16:30 POCUS for Bowel Obstruction: Pearls and Pitfalls Dr. Andrew Liteplo 16:30–16:50 Fractures That You Cannot Miss! Dr. Adnan Sheikh 15:30–17:00 OCC - 203 Track 5 - Pain Management Track Chair: Dr. Sean Moore 15:30–15:50 Better Analgesia in the Emergency Department Dr. James Ducharme 15:50–16:10 Pain and Opioid Addiction in Emergency Medicine Dr. Sean Moore 16:10–16:30 Palliative Medicine in the Emergency Department Dr. Erin O'Connor 16:30–16:50 Show Me the Evidence.....What Really Works for Pediatric Pain Dr. Samina Ali 16:50–17:00 Panel Discussion 15:30–17:00 OCC - 207 Track 6 – Simulation Olympiad: Finals Track Chairs: Dr. Damon Dagnone, Dr. Karen Woolfrey 19:30–24:00 FCL - Ballroom CAEP 2014 Taste of Canada Dinner at the Fairmont Château Laurier Wednesday, June 4, 2014 Time Room Assignment Event Speakers Registration 08:30–10:45 Concurrent Sessions 08:30–10:45 OCC - 202 Track 1 – Research - Lightning Oral Abstracts Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Tia Renouf 08:30–08:40 LO38: Emergency Medicine Residents’ Beliefs About Contributing to an Online Collaborative Slideshow Dr. Patrick Archambault 08:40–08:50 LO39: The Other End: Evaluation of Blood Bank Technologists and Hematologists during a Massive Hemorrhage Simulation Project Dr. Arielle Levy 08:50–09:00 LO40: Structured Teaching Shifts in the Emergency Medicine Clinical Clerkship: Impact on ED Length of Stay Dr. Lisa Shepherd 09:00–09:10 LO41: The Use of Online Educational Resources by Canadian Emergency Medicine Residents and Program Directors Dr. Eve Purdy 09:10–09:20 LO42: Quantifying Competency – The Development and Validation of a Hand Motion Analysis Program to Discriminate Experts and Non-Experts during Central Venous Line Cannulation Dr. David Clinkard 09:20–09:30 LO43: Evaluating and Enhancing M&M Rounds Aptitudes of Residents Using the Ottawa M&M Model (OM3) Dr. Shawn Mondoux 09:30–09:40 LO44: Performance of a Competency Based Resuscitation Assessment Tool (QSAT) – A Canadian Multi-Centered Study Dr. Damon Dagnone 09:50–10:00 LO46: Regional ED Response to Severe Overcrowding – Why Diversion Strategies are Problematic Dr. Eric Grafstein 10:00–10:10 LO47: A Collaborative Tale of Quality and Quantity: Enabling Emergency Physicians to Order CT Scans Without Mandating Discussion with Medical Imaging Did Not Increase CT Utilization Dr. David MacKinnon 10:10–10:20 LO48: Does Increasing Age Affect Emergency Physician Willingness to Work Night Shifts? Dr. Paul Atkinson 10:20–10:30 LO49: Emergency Department Visits after Diagnosed Chronic Obstructive Pulmonary Disease in Aboriginal Peoples in Alberta Dr. Maria Ospina 10:30–10:40 LO50: Predictors of Awareness and Use of an Emergency Department Wait Times Website in Three Canadian Urban Settings Dr. Brian Rowe 08:30–10:45 OCC - Parliament Foyer Track 2 – Moderated Posters Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Andrew McRae 08:30–08:40 MP 59: Non-Indicated Telemetry for COPD Patients Might Clog the ER Dr. Philippe Beaudry 08:40–08:50 MP 60: Variability of CTAS Scoring in Two Tertiary Care Centres in Calgary Dr. Andrew Jervis 08:50–09:00 MP 61: Management and Outcomes of Superficial Thrombophlebitis Diagnosed in the Emergency Department Dr. Ghag Daljit 09:00–09:10 MP 62: Emergency Department Management of Pulmonary Embolism: A Significant Opportunity for Standardizing Care Dr. Harris Devlin 09:10–09:20 MP 63: Diagnosis of Chest Pain by Metabolic Fingerprinting of Serum Dr. Tomislav Jelic 09:20–09:30 MP 64: The Utility of Chest X-Ray as Part of the Investigation of Patients with Chest Pain Suspected to be Cardiac in Origin Dr. Samuel Campbell 09:30–09:40 MP 65: Point Of Care Ultrasound in Rural Emergency Departments: Online Survey Examining Access, Training and Utilization Dr. Richard Fleet 09:40–09:50 MP 66: Pilot Study Assessing High-Sensitivity Cardiac Troponin Assays and Change in Concentrations for the Prediction of Hospital Admission for Acute Coronary Syndrome Dr. Colleen Shortt 09:50–10:00 MP 26: Communication in ED Resuscitations: Analysis of Information Sharing Among Emergency Department Team Members during Resuscitation of Critically Ill Patients Dr. George Mastoras 10:00–10:10 MP 68: Alternatives to Traditional EMS Dispatch or Transport to ED: A Scoping Review of Published Outcomes Dr. Alix Carter 10:10–10:20 MP 69: Pre-Hospital Management of Patients with History of Asthma and COPD in One Canadian Urban Setting Dr. Timothy Chung 10:20–10:30 MP 70: The Association of Adverse Events during Procedural Sedation with Airway Assessment Dr. Robert Green Program at a Glance 08:00–13:00 OCC - 2nd Floor 17 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Wednesday, June 4, 2014 Time Program at a Glance 18 Event Speakers 10:30–10:40 Room Assignment MP 71: Referral Patterns for Pediatric Emergencies: An Assessment of Knowledge Needs for the Translating Emergency Knowledge for Kids (TREKK) Network Dr. Kathleen Moncrieff 08:30–10:45 OCC - 201 Track 3 - Oncology & Infectious Disease Track Chair: Dr. Andrew Gee 08:30–08:50 Risk Stratification of Emergency Department Syncope Patients Dr. Xinni Song 08:50–09:10 Febrile Neutropenia: Insights Into Prevention and Management Dr. Carmel Jacobs 09:10–09:30 What Can Your Radiation Oncologist Do for You? Dr. Kristopher Dennis 09:30–10:00 Infectious Disease Scientific Abstracts 09:30–09:45 OP36: Do Urine Cultures in the Emergency Department Change Management of Young Women with Symptoms of Lower Urinary Tract Infection? Dr. David Phillips 09:45–10:00 OP37: Improving Quality Measures of ED Sepsis Care Through Staff Education, Feedback and Use of a Standardized Protocol Dr. Sarah Gray 10:00–10:20 Skin and Soft Tissue Infection Management in the ER: A Review of the Evidence Dr. Ivan Ying 10:20–10:45 Questions You've Always Wanted to Ask Your ID Specialist Dr. Andrew Gee, Dr. Ivan Ying 08:30–10:45 OCC - 206 Track 4 - Cardiology Track Chair: Dr. Venkatesh Thiruganasambandamoorthy 08:30–08:50 Risk Stratification of Emergency Department Syncope Patients Dr. Venkatesh Thiruganasambandamoorthy 08:50–09:10 2014 Updated CCS Guidelines for Recent-Onset Atrial Fibrillation and Flutter Dr. Ian Stiell 09:10–09:40 Cardiology Scientific Abstracts 09:10–09:25 OP38: Prospective Validation of the Ottawa Heart Failure Risk Scale 09:25–09:40 OP39: Potentially Missed Opportunities to Diagnose ACS: Demographic Dr. Eddy Lang and Clinical Features of Patients Seen and Discharged From an Emergency Department within 7 Days of Hospitalization for ACS 09:40–10:00 Pacemakers/Defibrillators Gone Crazy: An ER Approach Dr. Martin Green 10:00–10:25 The Troponin Confusion - Update on Chest Pain RiskStratification Literature Dr. Eddy Lang 10:25–10:45 Occult Cardiac Killers: A Brief Review of Two Challenging Clinical Entities - What You Need to Know so You Don't Miss Them! Dr. David Carr 08:30–10:45 OCC - 205 Track 5 - Toxicology Track Chair: Dr. Marco Sivilotti 08:30–09:00 Massive Acetaminophen Overdose: Old Drug, New Toxidrome Dr. Marco Sivilotti 09:00–09:20 Cannabinoid Hyperemesis Syndrome Dr. Khala Albert 09:20–09:50 Toxicology Scientific Abstracts 09:20–09:30 LO51: Emergency Department Patients with Amphetamine-Related Psychosis Have High Subsequent Community Resource Needs Dr. Eric Grafstein 09:30–09:40 LO52: Intoxicated Adolescents in the Emergency Department Dr. Katie Sullivan 09:40–09:50 LO53: The Use of Intralipid and High Dose Insulin Therapy in the Emergency Department Management of Beta Blocker and Calcium Channel Blocker Toxicity Dr. Morgan Riggan 09:50–10:20 The Prescription Opioid Epidemic Dr. David Juurlink 10:20–10:45 Bystander Naloxone: An EpiPen for Junkies? Dr. Lisa Thurgur 08:30–10:45 OCC - 203 Track 6: Dermatology Tutorial Track Chair: Dr. Jennifer Beecker 08:30–10:45 Tips from the Expert 10:45–11:15 Parliament Foyer Refreshment Break & Poster Viewing 11:15–12:00 Canada Hall II Plenary: A New Health Care System for Canada: If We Know What We Want Why Can't We Make it a Reality? 12:00–12:15 Canada Hall II CAEP 2014 Closing Remarks Dr. Ian Stiell Dr. Jennifer Beecker Jeffrey Simpson and Dr. Jeffrey Turnbull Keynote Presentations & Awards Taking Your Vision To Action: How to Make It Happen! Creating a Ground Swell: How to Foster Transformative Change OCC - Canada Hall II Speaker: Dr. Samantha Nutt Dr. Nutt is a staff physician at Women’s College Hospital in Toronto, an Assistant Professor of Medicine at the University of Toronto and is a Toronto doctor with a global conscience. With uncompromising and powerful advocacy for justice and peace, she is one of the most sought-after speakers, inspiring thousands of people across the continent to see global conflict as a problem that can and must be solved. For 16 years, she has attended the front lines of many of the world’s major crises points – Iraq, Afghanistan, Somalia, the Congo, Sierra Leone and Darfur. Her witness of the brutality of modern conflict inspired her to become founder and executive director of War Child Canada. Keynote Presentations & Awards Sunday, June 1, 2014 • 08:45 - 09:30 Dr. Nutt was recently named one of Canada’s 25 most influential figures by The Globe and Mail and one of Canada’s five leading activists by Time Magazine, while the World Economic Forum recognized her as one of 200 young global leaders. She is also a recipient of the Order of Canada. Samantha’s bestselling book: Damned Nations: Greed, Guns, Armies and Aid combines original research with her personal stories, offering thoughtful meditation on war against millions of civilians – primarily women and children. She is a leading commentator on war zones for leading television and radio networks. Dr. Nutt’s boundless energy, dedication, and compassion are evident in her writing and presentations. She lays out realistic, lasting solutions and shows how to move beyond outdated notions of charity towards a more progressive, inclusive, and respectful world view. Monday, June 2, 2014 • 08:30 - 09:15 Challenge. Distance. Discovery Speaker: Ray Zahab OCC - Canada Hall II On November 1, 2006, former ‘pack a day smoker’ Ray Zahab and two friends set out to cross the Sahara Desert on foot. Not your typical story of adventure, Ray Zahab’s story has so many lessons learned and shared. Lessons that span hard life decisions, taking risks, believing in oneself, courage, compassion and the unexpected rewards that life and change can bring. Ray’s story chronicles the true-life eight-year journey from quitting smoking to dipping his hands into the Red Sea after crossing the continent of Africa. The path chosen, the risks taken in pursuit of a dream, and the resulting gift of awareness and knowledge of so many of life’s complicated questions. His journey extends well beyond any physical or mental test. It was a journey of not only self-discovery, but a journey of appreciation of others and their management of their circumstances, as well as unimaginable social, cultural and environmental issues. As a result, in 2008, Ray founded impossible2Possible (i2P), an organization that aims to inspire and educate through adventure learning, inclusion and participation in expeditions. Today, outside of his own organization, Ray further dedicates potions of his time as a proud member of the Board of Directors of the Ryan's Well Foundation, as an Athletic Ambassador/board member of the ONExONE.org, and as a representative of SpreadTheNet. Ray was the recipient of the ONExONE Difference Award in 2007, and the Torchbearers Award in 2010. He is a Fellow of the Royal Geographical Society and Canadian Geographical Society. In spring 2012, Ray was invited by H.E. Tsogtbaatar Damdin (Minister of Environment, Mongolia) to join their Internal Advisory Committee. He continues today with life as an adventurer and as a volunteer with impossible2Possible. 'Running The Sahara' would begin a lifelong journey of discovery. A journey of learning that some of the largest barriers to success are the ones we put upon ourselves. By breaking these down, Ray has learned that we are all capable of achieving truly extraordinary things. 19 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Tuesday, June 3, 2014 • 08:30 - 09:30 The Best of Canadian EM Research - The Top 4 Abstracts Moderator: Dr. Robert Green OCC - Canada Hall II Keynote Presentations & Awards Grant Innes Research Paper and Presentation Award Does Use of a Point of Care Ultrasound Protocol Improve Outcome in Emergency Department Patients with Undifferentiated Hypotension? The First Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHOC-ED 1) Study: An Interim Analysis Speaker: Dr. Paul Atkinson Prospective Validation of the Ottawa Subarachnoid Hemorrhage Rule in Headache Patients Dr. Jeffrey Perry Criteria for Transfer to Tertiary Trauma Centers: Validation Phase Based on the Severity of Cases Treated in Tertiary Centers Dr. Natalie Le Sage Top Resident Validation of Trigger Tools and the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance Project (NEISS-CADES) Algorithms for Identification of Adverse Drug Events within Emergency Department Health Records Dr. Andrei Karpov* Tuesday, June 4, 2013 • 9:30 – 10:15 CAEP Awards Ceremony OCC - Canada Hall II • CAEP President’s Award • Penelope Gray-Allan Memorial CJEM Writing Award • Dr. Richard Kohn Memorial Award for Mentorship in Emergency Medicine • Dr. Alan Drummond Advocacy Award •Dr. Helen Karounis Memorial Award for Professionalism in Emergency Medicine • CAEP Award for Medical Journalism • Resident Leadership Award – FRCPC • Resident Teacher of the Year Award • CJEM Photography Award Tuesday, June 3, 2014 • 10:45 – 12:00 EM Educator Meets EM Researcher Speakers: Dr. Mel Herbert and Dr. Ian Stiell OCC - Canada Hall II A well-known Canadian researcher and a well-known U.S. educator will square off to discuss made-in-Canada EM evidence and how it should be best disseminated to docs in the trenches. Is traditional or e-learning best? We will involve the audience by crowdsourcing and pit the young docs against the old docs. Dr. Mel Herbert, MBBS is Associate Professor, Keck School of Medicine of the University of Southern California and is an internationally recognized and award winning educator in emergency medicine. An Australian by birth, he went to medical school at Monash University in Melbourne and did his postgraduate residency training in emergency medicine at UCLA in the United States. He currently serves as an attending physician and Associate Professor of Emergency Medicine at the Keck School of Medicine of USC at the LAC+USC Medical Center in Los Angeles. He is the owner and editor of EM:RAP, a monthly emergency medicine focused audio education series with over 12,000 subscribers and is the owner and conference chair of Essentials of Emergency Medicine, the largest privately run emergency medicine conference in the world. An innovator in online education and bedside teaching he believes that the education revolution in medicine has only just begun. * Top Resident Research Award Winner 20 Wednesday, June 4, 2014 • 11:15 – 12:00 A New Health Care System for Canada: If We Know What We Want Why Can't We Make It a Reality? Speakers: Jeffrey Simpson and Dr. Jeffrey Turnbull OCC - Canada Hall II Keynote Presentations & Awards Dr. Ian Stiell, MSc, FRCPC is Professor and Chair, Department of Emergency Medicine, University of Ottawa; Distinguished Professor and University Health Research Chair, University of Ottawa; Senior Scientist, Ottawa Hospital Research Institute; and Emergency Physician, The Ottawa Hospital. He is internationally recognized for his research in emergency medicine with a focus on the development of clinical decision rules and the conduct of clinical trials involving acutely ill and injured patients treated by prehospital services and in emergency departments. He is best known for the development of the Ottawa Ankle Rules and Canadian C-Spine Rule, and as the Principal Investigator for the landmark OPALS Studies for prehospital care. Dr Stiell is the Principal Investigator for 1of 3 Canadian sites in the Resuscitation Outcomes Consortium (ROC) which is funded by CIHR, NIH, HSFC, AHA, and National Defence Canada. Dr. Stiell is a Member of the Institute of Medicine of the U.S. National Academies of Science. Mr. Jeffrey Simpson and Dr. Jeffrey Turnbull debate the future of the health care system. Mr. Simpson examines the tenets of the medicare system that Canadians cling to so passionately and breaks the silence about the huge changes and real choices that Canadians face as detailed in his book, Chronic Condition. Dr. Turnbull recognizes that emerging from all of the discussions regarding the future of a sustainable health care system for Canada is a consensus that health care must become more patient centered, with integrated, team based service delivery models, with less emphasis on curative, acute care and a greater focus on health promotion and Chronic Disease Management. This transformative change must incorporate different governance structures and delivery and funding models, engagement and accountability, and dedicated focused leadership. Unfortunately, there is little consensus as to how to proceed towards these goals. The discussion will attempt to provide a consensus as to how to proceed to health care sustainability. Mr. Jeffrey Simpson has his fingers on the pulse of Canada – and the world. The Globe and Mail’s national affairs columnist since 1984, Simpson is one of the few outstanding political writers who can express his opinions as well spoken, as he can in writing. The author of seven books, including Chronic Condition: Why Canada’s Health Care System Needs to be Dragged into the 21st Century, Simpson is a sought-after speaker at major conferences and abroad. Simpson has won all three of Canada’s major writing prizes: the Governor-General’s award for nonfiction writing; the National Magazine Award for political writing; and the National Newspaper Award for columnwriting. He has also won the Hyman Solomon Award for excellence in public policy journalism, and the Arthur Kroeger prize for public discourse. Simpson was made an Officer of the Order of Canada in 2000 for his contribution to journalism. His views have been published in Saturday Night, The Report on Business Magazine, the Journal of Canadian Studies and The Queen’s Quarterly. Dr. Jeffrey Turnbull has pursued an interest in poverty and its effect on health nationally and internationally. He is one of the founders and is currently the Medical Director of the Inner City Health Project for the homeless in Ottawa. As well, he has been involved in education and health services initiatives to enhance community and institutional capacity and sustainable development in Bangladesh, Africa and the Balkans. He is the recipient of several national and international grants and awards, including the Order of Canada. In addition to being a specialist in Internal Medicine, Dr. Turnbull was the Department Chair of Medicine at The Ottawa Hospital and University of Ottawa from July 2001 to June 2008, a position he left to take on the role of Chief of Staff. He also currently serves as Senior Medical Officer for Correction Services Canada. He remains committed as a medical educator with special interests in “Poverty and Health Inequity” and associated health policy. 21 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Accredited Symposia Industry Symposia You are cordially invited to attend accredited symposia presented by industry partners of the 2014 Canadian Association of Emergency Physicians’ Annual Conference. ln recognition of their support, Symposium-level sponsors had the opportunity to co-develop accredited symposia with the Canadian Association of Emergency Physicians. Space at each session is limited, so plan to arrive early to attend those of interest. Access will be based on a first-come, firstserved basis. Sunday, June 1, 2014 • 07:00 – 08:15 Are We Doing All We Can for the ACS Patient in the Emergency Department? Room 208 Dr. Michel Le May, Dr. Sunil Sookram Moderator: Dr. Anas Nseir The responsibility of an emergency physician as the first point of care for most ACS patients, directly affects their further care and outcomes. This program will get you thinking about the tools at your disposal to meet the needs of ACS patients in the ED. The expert panelists will engage you in real life case-based patient scenarios, and help you navigate through a variety of conditions. Learning Objectives • Competently evaluate atypical chest pain presentation in the emergency department when ACS diagnosis is suspected Apply and interpret risk stratification tools in the emergency department • • Optimize use of biochemical assays (troponin I, hs troponin T) in the diagnosis and prognostication of ACS Review evidence-based approach to NSTEMI diagnosis and treatment initiation in the ED • • Understand the importance of adhering to CCS oral antiplatelet guidelines as they apply to ACS patients, and their place in the ED practice •Decide, based on evidence, how to best optimize the care for STEMI patients prior to primary PCI depending on door-to-needle and door-to-balloon time, including insights into ED fibrinolysis and how to track its success Monday, June 2, 2014 • 07:00 – 08:15 Evolving Management of Venous Thromboembolism (VTE): The Role of the Newer Oral Anticoagulants (NOACs) Room 208 Dr. James Douketis, Dr. William Semchuk Moderator: Dr. Anas Nseir This case-based interactive program will provide participants with practical tools to effectively manage VTE in the emergency room setting. The expert panel will compare and contrast what NOACs offer patients for the treatment of VTE versus the standard of care approach. Participants will gain insight into how NOACs are evolving hospital protocols, will understand when NOACs should and should not be given, and will learn to initiate anticoagulant therapy in the emergency room setting for patients with both acute deep vein thrombosis and/or pulmonary embolism. The bleed management strategies with NOACs will also be presented. Learning Objectives • Select the most appropriate anticoagulant for patients presenting with VTE (DVT and/or PE) in the emergency room • Expand their awareness and application of optimal NOAC practical management strategies • Reference an example of administration of a bleed management protocol for patients taking NOACs 22 Tuesday, June 3, 2014 • 12:00 – 13:30 On the Front Lines of Atrial Fibrillation Management: Guiding Anticoagulant Therapy in the Emergency Room Room 208 You make decisions about urgent interventions every day. And when it comes to patients with AF, these decisions are vital. This accredited, case-based symposium will arm you with tools for your practice, on such topics as: 1) Stroke prevention – it begins in the ER 2) Putting lab work to work in making optimal treatment choices 3) Mitigating risk and managing bleeding complications: Which OAC for which patient? 4) 1+2+3 = The importance of ER protocols Industry Symposia Dr. James Douketis, Dr. Justin Ezekowitz, Dr. Indy Ghosh, Dr. Eddy Lang Learning Objectives • Initiate anticoagulant treatment on the front lines of patient care in the ER • Drive the treatment choices for your patients with AF • Take charge of bleeding complications in your patients receiving anticoagulation therapy Monday, June 2, 2014 • 10:15 – 11:15 Live Report from CAEP 2014 Parliament Foyer This one-hour online interactive iMedicus broadcast will highlight 20 minute re-caps of each morning symposium regarding the ‘Evolving Management of Venous Thromboembolism: The Role of the Newer Anticoagulants’ and “Are We Doing All We Can for the ACS Patient in the Emergency Department?’ A final additional 20 minutes will be devoted to other CAEP conference highlights for those who could not attend the meeting in Ottawa. Are We Doing All We Can for the ACS Patient in the Emergency Department? Dr. James Douketis, Dr. Shelita Dattani Moderator: Dr. Anas Nseir Evolving Management of Venous Thromboembolism (VTE): the Role of the Newer Oral Anticoagulants (NOACs) Dr. Michel Le May, Dr. Sunil Sookram Moderator: Dr. Anas Nseir Highlights of CAEP 2014 Moderator: Dr. Bernard Mathieu 23 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Concurrent Sessions Concurrent Sessions Sunday, June 1, 2014 • 10:00 - 11:30 Track 1 - RESEARCH OCC - 202 Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Paul Atkinson Track 2 - MODERATED POSTERS OCC – Parliament Foyer Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Jan Jensen Track 3 – EDUCATION: UNDERGRADUATE OCC - 201 Track Chairs: Dr. Jason Frank, Dr. Stella Yiu Giving Practical Feedback to Learners Dr. Chris Nussbaum, Dr. Eric Clark Education Scientific Abstracts L001: The Edus2 Workout: A Stepwise Approach to Learning Critical Care Emergency Ultrasound Dr. Paul Olszynski L002: Mass Gathering Medical Care in a Motorsports Event-Based Collaborative Training Program Dr. Jeffrey Goodloe L003: A Novel Program to Improve Patient Safety by Integrating Peer Review into the Emergency Medicine Residency Curriculum Dr. Daniel Lakoff The Flipped EM Classroom: How and Why Dr. Jonathan Sherbino How I Did it - The Ottawa Flipped EM Clerkship Dr. Stella Yiu Education: The Future is Already Here! Dr. Rob Rogers In this Track, educators will discuss and demonstrate how to give feedback to learners. Participants will see the best education research projects of 2013. Have you heard of the Khan Academy? Our experts will show you how to get that started in your classroom. Track 4 – PEDIATRICS OCC - 205 Track Chair: Dr. Sarah Reid Top Ten PEM Articles of 2013 Dr. Roger Zemek It is challenging for busy emergency physicians to keep current with the ever-evolving literature. During this session, the top ten articles published in 2013 will be assessed for their potential to change practice for the care of infants, children and adolescents presenting for emergency care in Canada Pediatrics Scientific Abstracts OP07: Point-of-Care Ultrasound Accurately Guides Reductions of Distal Forearm Fractures in Children Dr. Alexander Sasha Dubrovsky OP08: Emergency Department Analgesia in Acute Appendicitis: A Comparison of Adult and Pediatric Patients Dr. Sheila Smith OP09: A Randomized Controlled Trial Comparing Ultrasound, VeinViewer and Standard Approach to Peripheral Intravenous Catheter Placement in the Pediatric Emergency Department Dr. Sarah Curtis Track 5 – NEUROLOGY OCC - 206 Track Chair: Dr. Jeff Perry How to Keep a TIA from Becoming a Stroke Dr. Grant Stotts Attendees will interact with Dr. Stotts, a stroke neurologist with an interest in stroke prevention. This session focuses on identifying high risk characteristics, interventions to implement in the emergency department and disposition planning. Neurology Scientific Abstracts LO04: Peripheral Vertigo Discharged From the Emergency Department: Examining Outcomes in the Province of Ontario Dr. Keerat Grewal LO05: Patient and Caregiver Health Literacy in Stroke: A Systematic Review Dr. Gautam Goel LO06: Rural Versus Urban Discrepancies in 30-Day In-Hospital Mortality Following Stroke: CIHI and the Canadian Rural Emergency Medicine Project Dr. Richard Fleet 24 Missed and Mis-Diagnosis in Emergency Neuroimaging Dr. Cheemun Lum A series of common missed findings primarily on CT scan of the head pertinent to ED physicians will be reviewed. Subtle findings, bilateral pathologies and "hidden spots" on CT scans will be presented. The clinical implications of neuroimaging misdiagnoses will be discussed. Sunday, June 1, 2014 • 12:30 - 14:00 Track 1 - RESEARCH OCC - 202 Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Tia Renouf Track 2 - MODERATED POSTERS OCC – Parliament Foyer Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Andrew McRae Track 3 – EDUCATION: POSTGRADUATE OCC - 201 Track Chairs: Dr. Jason Frank, Dr. Stella Yiu Top Five Mind Blowing, Practice-Changing Articles About Clerk and Resident Teaching in 2013! Dr. Glen Bandiera, Dr. Sandy Dong This large group interactive session is for teachers and education leaders. Participants will consider specific cases that demonstrate common EM educational challenges. Key articles that support an evidence-based approach will be introduced and participants will learn applied strategies to help in future teaching and education encounters. Education Innovations Abstracts LO09: Development and Implementation of Core Competencies for an Emergency Medicine Point-of-Care Ultrasound Rotation Using the CanMEDS Framework Dr. Jordan Chenkin LO08: An Innovative Online Curriculum for Accredited Continuing Medical Education in Geriatric Emergency Medicine: www.geri-EM.com Dr. Don Melady LO07: The McMaster Modular Assessment Program (McMAP): The Junior Emergency Medicine Competency Pilot Project Dr. Teresa Chan What Would a Competency-Based EM Training Program Look Like? Milestones, Mastery and More Dr. Jason Frank Training is changing worldwide using competency-based approaches. What would a competency-based EM training program look like? This session will introduce competency-based medical education, milestones, EPAs, and other new concepts. Don't miss this window into the next generation of EM education. Track 4 – PEDIATRICS OCC - 205 Track Chair: Dr. Sarah Reid Concurrent Sessions Spinal Emergencies – Cases Not to Miss Dr. Stephen Kingwell This session will review a range of acute spine emergencies and will emphasize the clinical presentation and the early approach to management. Critical elements to avoid diagnostic pitfalls and initiate important care will be highlighted. Suicide Risk Assessment in the PED Dr. Clare Gray This session will provide participants with increased understanding about the process of assessing suicidal patients in the emergency department. Participants will learn key questions to ask suicidal patients in order to help determine risk, when to consult psychiatry and how to develop a safety plan with patients and their families. Pediatric Sepsis: Improving Recognition and Treatment Dr. Gina Neto Early recognition and rapid resuscitation of pediatric sepsis is of critical importance as delay in treatment is associated with worse outcomes. In this session, we will review the management of severe sepsis in children and the use of sepsis tools to improve care. Fever Without a Source - What (Not) to Worry About Dr. Sarah Reid The introduction of various childhood immunizations has changed the landscape of pediatric infectious disease over the last 20 years. During this session, we will examine the epidemiology of serious bacterial infections in children in 2014. What has changed and what infections do you really need to worry about? Highlights from Pediatric Morbidity and Mortality Rounds Dr. Ken Farion Using some case examples from a busy pediatric emergency department, participants will be exposed to some common errors that can occur during the emergency care of pediatric patients that may result in morbidity or mortality in this vulnerable population. The patient, provider and system factors that may be at the root cause of these errors will be explored, along with mitigation strategies to help improve the safety of these patients in your department. Track 5 – NEUROLOGY OCC - 206 Track Chair: Dr. Jeff Perry Acute Stroke Care – State of the Art Management in the ED Dr. Michael Hill Attendees will interact with Dr. Michael Hill, a stroke neurologist with an interest in stroke prevention. This session focuses on acute stroke management from identifying thrombolysis candidates to how to optimize management for patients who are not eligible for thrombolysis treatment. 25 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Concurrent Sessions How to Determine if this Headache is a Subarachnoid Hemorrhage (SAH) Dr. Jeff Perry Attendees will interact with Dr. Perry who has published large prospective studies of ED patients at risk for SAH, published in JAMA, BMJ, Annals of EM and CJEM. This session introduces the Ottawa SAH Rule, if a lumbar puncture is required following CT, and how to interpret abnormal cerebrospinal fluid. Management of Intracerebral Hemorrhage Dr. Dariush Dowlatshahi Intracerebral hemorrhage (ICH) is the most severe type of stroke. Recent advances in neuroimaging and outcomes research have identified hematoma expansion as a promising therapeutic target. Emerging studies reveal rapid intervention with hemostatic, hemodynamic, and surgical therapies can potentially improve outcomes in patients with acute ICH. Debate: To Thrombolyse or Not in the 3-4.5 Hour Range Dr. Devon Harris vs. Dr. Michael Hill The management of ischemic stroke patients within the emergency department is extremely time sensitive and complex. Thrombolysis for acute ischemic stroke is an accepted, yet controversial, therapy within the 3 to 4.5 hour window. Within this session, our experts will debate the evidence for thrombolysis within the 3 to 4.5 hour window and hopefully provide some clarity on the literature with some practical advice. Track 6 – ECG TUTORIAL OCC 203 Track Chair: Dr. Mathieu Gatien Catch the Rhythm: Challenging ECGs for the Emergency Physician Dr. Mathieu Gatien This interactive workshop will review and discuss both challenging and critical ECG findings as well as features that assist arrhythmia recognition in the context of clinical scenarios encountered in the ED. Therapeutic implications of ECG findings will also be explored. Sunday, June 1, 2014 • 14:30 - 16:00 Track 1 - RESEARCH OCC 202 Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Jan Jensen Track 2 - MODERATED POSTERS OCC – Parliament Foyer Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Carolyn Snider 26 Track 3 – EDUCATION: CONTINUING PROFESSIONAL DEVELOPMENT OCC – 201 Track Chairs: Dr. Jason Frank, Dr. Stella Yiu Panel: Systems Thinking, Accountability, Peer Review and Bad Apples Dr. James Worthington, Dr. Gordon Wallace, Dr. Brian Holroyd We will discuss the quality revolution – what is it and how would it affect my practice? Panel: Using Social Media Effectively to Enhance Your Education and Teaching Dr. Ken Milne, Dr. Alan Drummond, Dr. Rob Rogers, Dr. Brent Thoma Social Media in Education has exploded in the past few years. How do I use it for my own learning and teaching without being overwhelmed? Track 4 – PEDIATRICS OCC 205 Track Chair: Dr. Sarah Reid Challenging Cases in Pediatric Resuscitation – Red Flags and Pitfalls Dr. Allan Shefrin Every medical student is taught that “children aren’t small adults”. This is especially true for the acutely ill pediatric patient. Cases will be presented where failure to identify and understand these differences could lead to serious consequences. Recognizing Child Maltreatment: An Evidence Informed Approach Dr. Anna Karwowska This session will provide a brief review of the child maltreatment literature for bruising and fractures, relevant to emergency practitioners. It will facilitate evidence-based decisions regarding the potential for child maltreatment in patients presenting with these injuries. We will also review which children require further evaluation, as well as how to optimize documentation and reporting. TRanslating Emergency Knowledge for Kids: What TREKK Could Mean for You Dr. Mona Jabbour, Dr. Doug Sinclair TREKK is a national network of pediatric emergency and community ED sites that has been created to mobilize knowledge on best pediatric emergency care. This session will elaborate on how TREKK is becoming the definitive resource for pediatric care in all EDs, and specifically what TREKK can mean for you. Pediatric Visual Diagnosis Dr. Andrea Losier Sometimes a picture is worth a thousand words. X-ray and photograph images of common and uncommon pediatric diagnosis will be presented, illustrating cases emergency physicians should be aware of. Management tips will also be discussed. Track 5 – ECG TUTORIAL - Encore Presentation OCC 203 Track Chair: Dr. Mathieu Gatien Administration Scientific Abstracts LO23: Does Improvement in Ed Length of Stay Lead to Improvements in Quality of Care? Monday, June 2, 2014 • 09:30 - 12:15 Refreshment Break 10:15 - 10:45 Track 1 - RESEARCH OCC - 202 Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Patrick Archambault Track 2 - MODERATED POSTERS OCC – Parliament Foyer Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Alix Carter Track 3 – HOW TO HELP YOUR ED RUN BETTER OCC - 201 Track Chair: Dr. Adam Cwinn ED Surge - Blueprints of an Effective Plan Dr. Edmund Kwok Emergency department (ED) surges can occur and fluctuate at multiple times throughout the day. Measuring it in global terms of any single ED crowding metric is not only inaccurate, but limited in its usefulness to drive timely responses at point-ofcare. In this session, we will explore the foundations of an effective ED Surge Plan. ED Surge – Managing the Critical Situation Before Managing the Critical Incident Cheryl Geymonat, Kevin Peters, Kathy Bickerton During this track, participants will be introduced to the TOH ED Surge Protocol based on Asplin’s theory of ED Flow. We will discuss metrics and thresholds and standardized work as well as stakeholder engagement. We will have an interactive session to see the surge protocol in action and discuss the power of the 30,000 feet view for front line ED leaders. LO24: Efficacy of Phone Follow-Up in Reducing Adverse Events in the Emergency Department: A Pilot Project Dr. Lisa Calder LO25: Canadian EM Trainees' Coping with Fatigue and Shiftwork: Results of a National Survey Dr. Jason Frank Implementing Patient Safety Enhancing Strategies in Your ED: Practical Tips and Shared Experiences Dr. Lisa Calder Patient safety is intimately linked with quality of care. Every ED has processes in place which could be improved to better enhance patient safety. This session will illustrate some examples of patient safety interventions and provide practical tips on how to identify and implement solutions in your ED. Concurrent Sessions Dr. Michael Schull Catch the Rhythm: Challenging ECGs for the Emergency Physician Dr. Mathieu Gatien This interactive workshop will review and discuss both challenging and critical ECG findings as well as features that assist arrhythmia recognition in the context of clinical scenarios encountered in the ED. Therapeutic implications of ECG findings will also be explored. Pros and Cons of Publishing ED Wait Times Dr. Eric Grafstein, Dr. Grant Innes Patients are demanding more information and choice from their health care system. This session will review the theoretical pros and cons of publishing "real time" ED wait times. Do patients benefit? Do departments benefit? We will review the literature and provide the real world experience with ED wait time publication. How to Extend the Influence of the ED in Your Hospital Dr. Adam Cwinn This presentation by a senior and experienced ED chief will describe effective strategies for ensuring that the needs of your ED are well heard and responded to by hospital administration and the leaders of other departments. Track 4 – EMS OCC - 206 Track Chair: Dr. Justin Maloney STEMI: First Contact to Definitive Care, Guide Your System’s Integration Dr. Michel Le May The presentation will address the importance of early recognition of ST- Elevation Myocardial Infarctions (STEMI). Emphasis will be placed on how each unit of time has an impact on the survival outcome. Specifically, first hospital contact to hospital arrival (door-in, door-out) of the emergency department and door to balloon time. Primary PCI versus pharmacoinvasive strategies for the treatment of STEMI will also be described. The role of fibrinolytics will be discussed and adjuvant antiplatelet therapy will be reviewed. A summary of comprehensive STEMI patients will be presented. 27 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Concurrent Sessions Mass Gathering Planning ‐ Planning is Critical for Your Emergency Department Dr. Daniel Kollek This presentation will briefly review steps that would be useful prior to a mass gathering in their community. This would include preparation in the emergency department, with EMS and in conjunction with the event planners. Dr. Steve Lin LO27: Innovative Use of AED by RNs and RTs During In-Hospital Cardiac Arrest Dr. Hannah Buhariwalla Extended Care Paramedics: Extending Your Emergency Department Care – What You Have to Know Dr. Andrew Travers This presentation will illustrate the current breadth of practice of paramedicine outside the ambulance EMS setting in Canada and other countries. Barriers, incentives, strategies and solutions will be reviewed in translating this evidence to local practice. EMS Scientific Abstracts OP22: Barriers to Self-Reporting Patient Safety Events by Paramedics Julie Sinclair OP23: Safety Evaluation of the Canadian C-Spine Rule for Selective C-Spine Immobilization by Paramedics in the Field Dr. Christian Vaillancourt A Code ROSC Protocol for the Emergency Department Dr. Paul Pageau Cardiac arrest centers involve highly specialized systems to provide time sensitive interventions to our sickest patients. This session will examine the ‘Code ROSC’ protocol at The University of Ottawa Heart Institute and The Ottawa Hospital. The challenges, successes and impact on integrated systems of care will be discussed. Disaster “STDs”: A Unique Approach to Disaster Surge Management Dr. Justin Maloney Text heavy hospital disaster plans may themselves be disasters. Patient surge will arrive at your door. Do you know your own department’s plan? Did you help write it? Do you have Job Action Sheets? Emergency staff are first receivers. Take control of your plan. Be guided by simple “STD” responses. Track 5 – RESUSCITATION OCC - 205 Track Chair: Dr. Dan Howes CPR in 2014 – So Much More Than “Hard and Fast” Dr. Steven Brooks This session will review the latest evidence on several hot topics including the impact of peri-shock pauses on outcomes from cardiac arrest, the potential benefits of “see-through CPR”, the potential benefit and safety of hands-on defibrillation, and the use of mechanical chest compression devices. The Top 5 Resuscitation Papers of 2013 Dr. Thomas Low This session will review the Top 5 Resuscitation papers that will have an impact on your practice. 28 Resuscitation Scientific Abstracts LO26: Targeted Temperature Management: Exploring the Association Between Processes of Care and Outcomes After Out-of-Hospital Cardiac Arrest L028: Was the Return of Spontaneous Circulation Protocol Effective? Survival to Discharge and Adherence to the Protocol through a Health Record Review Dr. Joanna Moore Stump the Experts Dr. Sara Gray, Dr. Peter Brindley This session is intended to be provocative and stimulating, and we welcome hecklers. We intend to take two (self-professed) "experts" in resuscitation and cover the gamut from pre-hospital to Emerg to the ICU...even including the morgue. We hope to provide some novel and practical ideas for those practitioners eager to improve all aspects of the vital science (and art) of resuscitation. Track 6 – Dermatology Tutorial: Tips from the Expert OCC - 203 Track Chair: Dr. Jennifer Beecker This Dermatology session will cover both common dermatological presentations to the emergency department, as well as some diagnoses “not to miss”. The majority of the presentation will be in a quiz format with audience participation. All cases presented will be real cases that presented to the emergency department. After the case is presented and the audience has voted, there will be discussion around the disease and appropriate treatment. There also will be opportunity for an “open” question period, so you can bring any of your burning dermatological questions! Tuesday, June 3, 2014 • 13:30 - 15:00 Track 1 - RESEARCH OCC - 202 Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Eddy Lang Track 2 - MODERATED POSTERS OCC – Parliament Foyer Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Christian Vaillancourt Track 3 – TRAUMA OCC - 205 Track Chair: Dr. Guy Hebert Trauma and Mass Casualty Management at Kandahar Airfield Dr. Damian MacDonald This talk will focus on the unique role of emergency physicians in a Canadian Forces field hospital. Using video footage and images from the front lines and emergency department at Kandahar Airfield, Dr. MacDonald will discuss the most common injuries of war and military medical techniques for their treatment. Special attention will be given to an effective system of mass casualty management developed on this tour of duty and the management. Trauma Scientific Abstracts LO29: Multicentre Implementation of the Canadian C-Spine Rule by Emergency Department Triage Nurses Dr. Ian Stiell LO30: Delayed Hemothorax Following Minor Thoracic Injuries Dr. Marcel Emond LO31: Is Hockey the Most Dangerous Pediatric Sport? An Evaluation of Pediatric Sport-Related Injuries Treated in Nova Scotia Dr. Robert Green Top 5 Articles in Trauma That Could Change Your Practice Dr. Jacynthe Lampron The presentation of 5 peer-reviewed articles published in the last year that are susceptible to change the practice of emergency room physicians toward trauma patients will be featured. Track 4 – DIAGNOSTIC IMAGING OCC - 201 Track Chair: Dr. Michael Woo POCUS for Sepsis: A New Standard of Care? Dr. Robert Arntfield This 30-minute talk will review how to use multi-organ point of care ultrasound to provide best care for your critically ill patient with severe sepsis and septic shock. Pediatric POCUS That Will Change Your Practice Dr. Allan Shefrin Point-of-Care Ultrasound (POCUS) is an emerging skillset in pediatric emergency medicine. While many applications in adult emergency medicine are transferable to pediatric patients the interpretation differs. Novel pediatric applications exist that may be of benefit to physicians that assess pediatric patients. Actual studies will be incorporated in this discussion. Diagnostic Imaging Scientific Abstracts LO32: Ultrasonography of the Optic Nerve Sheath Diameter for Detection of Raised Intracranial Pressure: A Systematic Review and Meta-Analysis Concurrent Sessions Trauma as a Non‐Surgical Disease: Who Should Care for Trauma Patients? Dr. John Tallon Until recently ATLS™ has traditionally described “trauma” as a surgical disease and explicitly ignored/downplayed the role of emergency physicians in trauma care and trauma leadership despite a significant maturation of the specialty of emergency medicine. Conjointly, the resuscitative care of the trauma patient, particularly the blunt trauma patient, has become less surgically oriented and more resuscitative and diagnostically oriented with a growing role for trauma teams led by emergency physicians and with literature to support such a transformational change. This talk will review those changes; the changing epidemiology of trauma injury and associated surgery, the evolving role of the emergency physician in trauma care (from prevention to inpatient care and beyond) and will suggest leadership strategies to further enhance and expand these roles for emergency physicians with a review of the associated literature. Dr. Robert Ohle LO33: Use of Emergency Physician Performed Ultrasound for the Detection of Lower Extremity Deep Venous Thrombosis Dr. Dayan Huang LO34: Predictors of Door-to-Imaging Time in Emergency Headache Patients with Suspected Subarachnoid Hemorrhage Dr. Maryam Khan Sound Use of Simulation: One Small Step for Trainees, One Giant Leap for the Budget Dr. Paul Adam Olszynski The growing use of clinician-performed ultrasound (CPU) heralds a dramatic change in bedside medicine and patient care. Emergency medicine is at the forefront of this movement. As such, limited training resources pose real challenges. Simulation, though costly, may have a role in the development of CPU skills amongst EM trainees. Track 5 – PAIN MANAGEMENT OCC - 203 Track Chair: Dr. Sean Moore No Pain But Lots of Gain! Essential Ultrasound-Guided Nerve Blocks for the ER Physician Dr. Greg Hall With point of care ultrasound, regional anesthesia is now an essential tool for pain management in the emergency department. Learn about blocks you should be doing now and blocks you should consider doing in the future. Pain Management Scientific Abstracts LO35: Ketamine-Propofol vs Propofol Alone For Procedural Sedation in the Emergency Department: A Systematic Review and Meta-Analysis Dr. Justin Yan LO36: Pediatric Pain Management: The Emergency Medicine Residents' Perspectives Dr. Huma Ali LO37: A Randomized Double-Blind Trial Comparing the Effect on Pain of an Oral Sucrose Solution versus Placebo in Children 1 to 3 Months Old Needing Venipuncture Dr. Marie-Pier Desjardins 29 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Concurrent Sessions exitbitor invitation No Pain But Lots of Gain! Essential Ultrasound-Guided Nerve Blocks for the ER Physician – Part 2 Dr. Greg Hall This is a continuation of the earlier session in this track. When and How to Use Ketamine Dr. David Messenger This practical and evidence-based session will use clinical vignettes to explore some of the common and controversial uses for ketamine by emergency physicians, such as procedural sedation and analgesia, induction for intubation, treatment of severe asthma and management of agitated delirium. Track 6 – SIMULATION OLYMPIAD – SEMI-FINALS OCC - 207 Track Chairs: Dr. Damon Dagnone, Dr. Karen Woolfrey Speakers / Expert Judges: This is a simulation-based resuscitation competition for emergency medicine resident teams. Tuesday, June 3, 2014 • 15:30 - 17:00 Track 1 - RESEARCH OCC - 202 Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Eddy Lang Track 2 - MODERATED POSTERS OCC – Parliament Foyer Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Carolyn Snider Track 3 – TRAUMA OCC - 205 Track Chair: Dr. Guy Hebert Coagulopathies in Trauma: The Growing Use of Fibrinogen and Thromboelastography Dr. Sandro Rizoli Resuscitation changed dramatically in this century with the discovery that 1/3 of all trauma patients cannot clot appropriately. We will discuss the most recent advances in resuscitation: the blood-based formula resuscitation (1:1:1); the European focus on fibrinogen replacement and the proposal of goal-directed resuscitation assisted thromboelastography. Trauma Resuscitation: Updates from the Cutting Edge Dr. Christopher Hicks This dynamic, case-based session will focus on recent updates in trauma resuscitation science, including component therapy, hemostatic resuscitation, managing the acute coagulopathy of trauma, goal-directed trauma resuscitation and massive transfusion. Updates from the trauma literature will be translated into practical recommendations that will guide your next complex resuscitation with precision and confidence. 30 Lessons Learned: From Community Hospital to Trauma Centre Dr. Guy Hebert, Dr. Andrew Stiell Emergency physicians are faced with numerous challenges when caring for trauma patients in the community hospital setting. This session will be a case-based approach to highlight strategies in the management of these patients as they transition from community care to the trauma centre. Track 4 – DIAGNOSTIC IMAGING OCC - 201 Track Chair: Dr. Michael Woo POCUS for CHF: B or Not B—That is the Question Dr. Andrew Liteplo Rapidly diagnosing the cause of a patient’s dyspnea can make a life-saving difference. In this session, you will learn about how ultrasound can be used to diagnose pulmonary edema and monitor response to treatment. What’s New in Diagnostic Imaging? The Best Articles in Recent Literature Dr. James Worrall We will review the best diagnostic imaging articles in recent literature, with a focus on articles that will affect your practice. POCUS for Bowel Obstruction: Pearls and Pitfalls Dr. Andrew Liteplo X-rays and CT scans for diagnosing bowel obstruction are costly, time-consuming, and expose patients to radiation. In this session, you will learn about the use of inexpensive, rapid, and radiationfree ultrasound for obstruction. Fractures that You Cannot Miss! Dr. Adnan Sheikh Orthopedic injuries are among the most likely conditions to be missed in emergency departments. The consequences of missed diagnosis range from minor pain to chronic functional limitation secondary to fracture non-union with possible need for complex surgery. The radiographic findings and strategies that will help to identify the most commonly missed fractures will be discussed in this talk. Track 5 – PAIN MANAGEMENT OCC - 203 Track Chair: Dr. Sean Moore Better Analgesia in the Emergency Department Dr. James Ducharme This case-based session will outline issues relating to optimal analgesic strategies for some common and complex issues encountered in the emergency department. Cases will include examples of neuropathic pain, somatic pain, and complex regional pain syndrome. Palliative Medicine in the Emergency Department Dr. Erin O’Connor Patients suffering from terminal illnesses will present to the emergency department for management of their symptoms. During this session, we will provide an approach to goals of care discussions and to management of common symptoms at end of life. Show me the Evidence.....What Really Works for Pediatric Pain Dr. Samina Ali Pediatric pain must be adequately assessed and treated during the course of any emergency department visit. Failure to do so can result in both short- and long-term consequences for the patient (and perhaps the physician, too, when they are no longer able to hear out of their left ear, due to all the screaming!). Optimal pain management improves patient care and satisfaction. This session will provide some 'sure bets' in the treatment of children's pain. Febrile Neutropenia: Insights into Prevention and Management Dr. Carmel Jacobs Febrile neutropenia is a common complication of systemic cancer therapy, and is often encountered in the emergency department. We will review an approach to the diagnosis and management of these patients in the acute care setting, as well as current methods of prevention. What Can Your Radiation Oncologist do for You? Dr. Kristopher Dennis As emergency physicians we are often called upon to diagnose and manage radiation therapy-related symptoms and complications, and identify cancer-related emergencies that are best treated with urgent radiation therapy such as spinal cord compression and superior vena cava obstruction. When should the radiation oncologist be called urgently? Concurrent Sessions Pain and Opioid Addiction in Emergency Medicine Dr. Sean Moore Opioid addiction and abuse have reached epidemic proportions in many Canadian communities. This session will discuss solutions to those presenting with problems including withdrawal, pain crisis, and overdose. In addition, opioid substitution programs with buprenorphine and methadone will be presented. These topics will be reviewed by an Ottawa Hospital radiation oncologist with subspecialty training in palliative radiation therapy. Infectious Disease Scientific Abstracts OP36: Do Urine Cultures in the Emergency Department Change Management of Young Women with Symptoms of Lower Urinary Tract Infection? Dr. David Phillips Track 6 – SIMULATION OLYMPIAD – FINALS! OCC - 207 Track Chairs: Dr. Damon Dagnone, Dr. Karen Woolfrey Speakers / Expert Judges: The final rounds of the simulation-based resuscitation competition for emergency medicine resident teams. Wednesday, June 4, 2014 • 08:30 - 10:45 Track 1 - RESEARCH OCC - 202 Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Tina Renouf Track 2 - MODERATED POSTERS OCC – Parliament Foyer Track Chairs: Dr. Robert Green, Dr. Christian Vaillancourt Moderator: Dr. Andrew Gee Track 3 – ONCOLOGY & INFECTIOUS DISEASE TRACK OCC - 201 Track Chair: Dr. Andrew McRae Emergency Complications of Cancer Immune Therapy Dr. Xinni Song In recent years, significant advances have been made in cancer immune therapy. This session will review immune check-point blockade therapy and focus on the management of potential immune-related adverse reactions. OP37: Improving Quality Measures of ED Sepsis Care through Staff Education, Feedback and Use of a Standardized Protocol Dr. Sarah Gray Skin and Soft Tissue Infection Management in the ER: A Review of the Evidence Dr. Ivan Ying This session will review the management of skin and soft tissue infection in the emergency room setting. In particular, focus will be spent on reviewing the evidence and discussing issues that frequently come up with the infectious diseases consulting service. Examples of this include the need for MRSA coverage as well as empiric coverage of diabetic foot infections. Questions You’ve Always Wanted to Ask Your ID Specialist Dr. Andrew Gee, Dr. Ivan Ying An informal Q&A regarding ID issues in the emergency department. Come with your questions ready! Track 4 – CARDIOLOGY TRACK CC - 206 Track Chair: Dr. Venkatesh Thiruganasambandamoorthy Risk Stratification of Emergency Department Syncope Patients Dr. Venkatesh Thiruganasambandamoorthy This session will update attendees on the latest literature on ED risk stratification of syncope and provide suggestions for optimal management of emergency department syncope patients. The session will also include a short high-intensity presentation followed by an interactive Q&A period. 31 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Concurrent Sessions exhibitor application form 2014 Updated CCS Guidelines for Recent-Onset Atrial Fibrillation and Flutter Dr. Ian Stiell We will review the (not yet published) 2014 Updated Guidelines for ED Management of RAFF as recently approved by the Canadian Cardiovascular Society. In particular, we will review the revised strategies for ED physicians to ensure safe stroke prevention for their RAFF patients. Discussions will include stratification of risk, warfarin versus novel OACs, heparin, transesophageal echcocardiography, and appropriate follow-up. Cardiology Scientific Abstracts OP38: Prospective Validation of the Ottawa Heart Failure Risk Scale Toxicology Scientific Abstracts LO51: Emergency Department Patients with Amphetamine-Related Psychosis Have High Subsequent Community Resource Needs Dr. Eric Grafstein Dr. Ian Stiell LO52: Intoxicated Adolescents in the Emergency Department OP39: Potentially Missed Opportunities to Diagnose ACS: Demographic and Clinical Features of Patients Seen and Discharged From an Emergency Department within 7 Days of Hospitalization for ACS Dr. Katie Sullivan Dr. Eddy Lang Dr. Morgan Riggan Pacemakers/Defibrillators Gone Crazy: An ER Approach Dr. Martin Green This session will highlight some of the challenges of cardiac arrhythmia device interpretation and management in the emergency situation. The Prescription Opioid Epidemic Dr. David Juurlink This session will discuss changes in opioid prescribing over the past 15 years and the ensuing public health consequences in North America. The Troponin Confusion – Update on Chest Pain RiskStratification Literature Dr. Eddy Lang The arrival of high sensitivity troponins (hsTroponins) represent the most significant, if not the most researched advance in cardiac biomarkers for the assessment of patients with suspected ACS. This assay holds the promise of earlier detection of myocardial injury as well as more effective risk stratification and efficient rule-outs. It can also wreak havoc in terms of false positives and ground your hospital and CCU to a halt. This presentation will review the latest evidence and offer strategies for mitigating this test’s limited specificity. Bystander Naloxone: An EpiPen for Junkies? Dr. Lisa Thurgur One response to the epidemic of unintentional opioid overdose deaths has been the development of “bystander naloxone” programs that first appeared in San Francisco and Baltimore, and have since spread to several jurisdictions in Canada. Proponents support putting this familiar antidote and a delivery device into the hands of the first responders who are likely to witness the respiratory arrest. Skeptics wonder whether it provides a false sense of security, whether evidence supporting its use can be extended beyond the injection drug use setting, and whether malicious use might emerge. Occult Cardiac Killers: A Brief Review of two Challenging Clinical Entities - What You Need to Know so You Don't Miss Them! Dr. David Carr This session will review the pitfalls and pearls clinicians need in order to nail down the key diagnoses in cardiovascular emergencies that present to the emergency department. Track 6 – Dermatology Tutorial: Tips from Track 5 – TOXICOLOGY TRACK OCC - 205 Track Chair: Dr. Marco Sivilotti Massive Acetaminophen Overdose: Old Drug, New Toxidrome Dr. Marco Sivilotti While every emergency physician is familiar with acetaminophen, even an old dog has new tricks. Very large ingestions (~1g/kg) can cause coma, lactic acidosis, hyperglycemia and hypothermia within hours, reflecting impaired ATP synthesis. This toxidrome of “mitochondrial paralysis” is largely reversible with treatment, which may include higher doses of acetylcysteine and hemodialysis. 32 Cannabinoid Hyperemesis Syndrome Dr. Khala Albert “Cannabinoid hyperemesis syndrome” is a brand new entity that has only been reported since the early 2000’s. This term is used to describe patients who experience repetitive episodes of severe nausea and vomiting and also smoke marijuana on a regular basis. These episodes of nausea and vomiting are very disabling for patients and are often very difficult to treat. LO53: The Use of Intralipid and High Dose Insulin Therapy in the Emergency Department Management of Beta Blocker and Calcium Channel Blocker Toxicity the Expert - Encore Presentation OCC - 203 Track Chair: Dr. Jennifer Beecker This Dermatology session will cover both common dermatological presentations to the emergency department, as well as some diagnoses “not to miss”. The majority of the presentation will be in a quiz format with audience participation. All cases presented will be real cases that presented to the emergency department. After the case is presented and the audience has voted, there will be discussion around the disease and appropriate treatment. There also will be opportunity for an “open” question period, so you can bring any of your burning dermatological questions! Poster Presentations Sunday, June 2 • 09:30-10:00, 11:30-12:30, 14:00 - 14:30 Monday, June 3 • 10:15-10:45, 12:15-14:00 P001 Imaging in the Diagnosis of Acute Appendicitis in Children: A Retrospective Chart Review Dr. Kashif Ahmed P002 Acute Immobilization of Colles Fractures in the ED – Splinting vs. Circumferential Cast Dr. Shajan Ahmed P003 Bridging the Pain Gap Between Emergency Department Discharge and Community Care: A Pilot Evaluation of the Calgary ‘Opioids For Home’ Program Dr. Ryan Allen P004 Diagnosis and Management of Children with Anaphylaxis: A National Survey of Emergency Physicians Dr. Waleed Alqurashi P005 Can a Simplified Two View Echocardiogram Screen for Severe Aortic Stenosis? Dr. Hasan Alzahrani P006 Management of Renal Colic in Patients Presenting to Regional Emergency Departments With and Without a CT Scanner Dr. Niran Argintaru P007 The Impact of Computed Tomography (CT)-Defined Calculus-Induced Renal Obstruction on the Acute Management and Disposition of the Renal Colic Patient Dr. Paul Atkinson P008 A Large In-situ Disaster Simulation as a Means for Interdisciplinary and Interprofessional Whole Hospital Learning Dr. Ilana Bank P010 Cellulitis Management Within the Emergency Department at Regina General Hospital Kristin Bonkowski P011 Bag versus Catheter for Urine Collection in Infants at an Academic Tertiary Care Centre Dr. Meggan Brine P012 An Undergraduate Point-of-Care Ultrasound Interest Group Dr. Christopher Byrne P013 The Utility of Routinely Measuring Serum Electrolytes as Part of the Investigation of Patients with Cardiac-type Chest Pain Dr. Samuel Campbell P015 Offload Zones in the Emergency Department to Mitigate Emergency Medical Services (EMS) Offload Delay: A Process Map and Hazard Analysis Dr. Alix Carter P016 A Novel Approach to the Assessment of Alcohol Withdrawal in the Emergency Department Sally Carver P018 The McMaster Modular Assessment Program (McMAP) Improves Quality of In-training Evaluation Reports via Aggregated Work-Based Assessments and Guided Narrative Global Assessment Dr. Teresa Chan P019 Improving Emergency Department Care for Acute Exacerbations of COPD Kavish Chandra P020 Initial Presentations and Outcomes of Necrotizing Infections: A Retrospective Chart Review Dr. Kuan-Chin Jean Chen P021 Describing Current Practice Patterns for the Management of Discharged Emergency Department Patients with Hypertension: A Multicentre Survey Dr. Dennis Cho P022 Pre-hospital Management of Patients with History of Asthma and Talc Lung in One Canadian Urban Setting Dr. Timothy Chung P023 Pre-hospital Management of Acute Respiratory Distress in One Canadian Urban Setting Dr. Timothy Chung P024 Geographic Variation in Sedation Choice for Electrical Cardioversion in Canadian Academic Emergency Departments Dr. David Clinkard P025 Changing Pain Management Practices in a Pediatric ED: Teamwork Works! Dr. Evelyne D.Trottier P026 Handover in the Emergency Department: Qualitative Analysis of Staff Emergency Physician Perceptions of Handover Dr. Christa Dakin P027 Corticosteroids and Antihistamines in the Treatment of Anaphylaxis: A Systematic Review Dr. Gillian Dolansky P028 Complications Increase with Greater Than One Endotracheal Intubation Attempt: Experience in a Canadian Adult Tertiary-Care Teaching Centre Dr. Brian Deady P029 Emergency Department Induced Delirium in Seniors Dr. Marcel Emond P030 Emergency Department Admission Rates of Community and Long Term Residential Care Elderly Patients: A Comparative Study Dr. Jeff Eppler POSTER PRESENTATIONS Poster Group 1 33 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Poster Presentations POSTER PRESENTATIONS 34 P031 Smart Card Enabled Thin Clients in the Emergency Department Environment: Satisfied Physicians and Improved Information System Access Dr. Matthew Erskine P032 A Retrospective Cohort Study Examining Treatments and Outcomes for Frostbite in Two Tertiary Care Emergency Departments Dr. Jaroslav Fabian P033 Development of Evidence-based Tiered Response Criteria for First Responders in Ontario Dr. Michael Feldman P034 Choice of Smoking Cessation Counselling via Phone, Text or Email in Emergency Department Patients Dr. Warren Fingrut P035 Existing Models of Pre-hospital Care in Low and Middle Income Countries: A Descriptive Systematic Review of Current Literature Dr. Laura Francis P036 The Resident Duty Hours Debate: Do Canadian EM Trainees Have Different Work Patterns and Satisfaction? Dr. Jason Frank P037 The Resident Duty Hours Debate: Do Canadian EM Trainees Prefer Different Policy Options? Dr. Jason Frank P038 Investigating the necessity of CT Scans in Children with Headaches: A Retrospective Review Dr. Rohit Gandhi P039 Adenosine Utilization and Effect on Supraventricular Tachycardia in a Large, Urban EMS System Dr. Jeffrey Goodloe P040 Airway Management Practices in Adult Non-traumatic Cardiac Arrest in a Large, Urban EMS System Dr. Jeffrey Goodloe P041 Endotracheal Intubation in Adult, Non-traumatic Cardiopulmonary Arrest in a Large, Urban EMS System Dr. Jeffrey Goodloe P042 Presentation of Acute Allergic Reactions in a Large, Urban EMS System Dr. Jeffrey Goodloe P043 Impact of a Regional Public Wait Times Website on Regional ED Volumes – A Preliminary Study Dr. Eric Grafstein P044 Which Test Leads to the Shorter ED Length of Stay for Patients with Appendicitis: Ultrasound or CT scan? Dr. Sara Gray P045 A Characterization of Trauma Patients Who Have Undergone Procedural Sedation Dr. Robert Green P046 The Impact of Normal Saline versus Ringers Lactate on Patient Outcomes Dr. Robert Green P047 The Impact of Peri-intubation Physiologic Adverse Events on Long-term Patient Outcomes Dr. Robert Green P048 The Incidence and Factors Associated with the Development of Post-intubation Hemodynamic Instability Dr. Robert Green P049 CAEP Stroke Practice Committee Position Statement on Thrombolysis for Acute Ischemic Stroke Dr. Devin Harris P050 Evaluation of a Brief On-line Teaching Module Training Emergency Physicians and Residents How to Interpret Hydronephrosis and its Gradations Using Point of Care Ultrasonography Dr. Behzad Hassani P051 Team-based Errors in Trauma Resuscitation: A Systematic Review Dr. Heather Heipel P052 Sustained Knowledge Acquisition Among Rwandan Physicians Participating in a Six-Month Ultrasound training Program Dr. Vaillancourt Samuel P054 Impact of a new ED on Regional ED and Urgent Care Utilization and Wait Times (Build it and They Will Come) Dr. Grant Innes P055 Region-wide Variability of Operational Performance and Utilization Behaviour for Emergency Physicians Dr. Grant Innes P056 Can a Focused Education Program Increase Staff Familiarity with an Emergency Department Disaster Plan? Dr. Carl Jarvis P057 Assessing Attitudes Toward Inner-city Populations: What Tools are Available? Monica Jepson P058 Incorporating the Patient Experience with an Early Acute Pain Management Quality Initiative: Development and Preliminary Findings of an In-situ Survey Dr. Jennifer Jolley P059 The Use of Electronic Health Records for Emergency Department Quality Improvement Evaluations in Calgary Dr. Simon Jones Poster Group 2 Tuesday, June 3 • 10:00 - 10:45, 12:00 - 13:30, 15:00 - 15:30 Wednesday, June 4 • 10:45 - 11:15 Presentation and Outcomes of Patients Certified in the Emergency Department Under the Ontario Mental Health Act Dr. Han Sol Kang P061 Establishing a Standardized Process of Gathering Evidence-based Information to Support Clinical Knowledge Development Scott Kirkland P062 Using Clinical Grade Cadavers for High Fidelity Simulation Dr. George Kovacs P063 Development and Implementation of a Novel Administration Block in a Royal College Emergency Medicine Training Program Dr. Edmund Kwok P064 Why University Athletes Choose Not to Reveal Their Concussion Symptoms During a Practice or Game Dr. Charles Lamfookon P065 Epidemiology and Outcomes of Head Injury Patients in an Urban Ethiopian Emergency Department Dr. Megan Landes P066 Emergency Department Outpatient Management of Deep Vein Thrombosis and Pulmonary Embolism: Management and Outcomes Dr. Ghag Daljit P067 Examining the Current Health Care Milieu of the New Ethiopian Emergency Medicine System: A Qualitative Analysis of Ethiopian Emergency Medicine Residents Dr. Joel Lockwood P068 Just in Time ATLS: Training for Trauma During Disasters Dr. Tarek Loubani P069 Is Exposure to Major Trauma During Medical Training Adequate for Emergency Physicians in New Brunswick? Dr. Davor Lukanovic P070 Development of a National Simulation Curriculum: What do Residents Think? Dr. Allison McConnell P071 Lumbar Puncture Practices by Emergency Physicians: A Multicenter Study Dr. Andrew McRae P072 Mortality and Outcomes for Frequent Users of Emergency Departments Dr. Jessica Moe P073 Distal Radial Fractures: Adequacy of Reductions Performed in the Emergency Department Dr. Reza Montazeri P074 Evaluation of Advanced Life Support Experiences by Clerkship Students Dr. Matthew Moss P075 The Use of a New Feedback Form in the Pediatric Emergency Department: Incorporating CanMEDs and Self-Reflection Dr. Rachel Mullenger P076 Screening for Post-Traumatic Stress Disorder After Injury in the Pediatric Emergency Dr. Jeffrey Odenbach Department – A Systematic Review P077 Factors Associated With Having a Family Physician Among Visitors of Emergency Departments in a Canadian Urban Setting Dr. Maria Ospina P078 Awareness and Use of Health Link Prior to an Emergency Department Visit in a Canadian Urban Setting Dr. Maria Ospina P079 Outcomes of Emergency Department Visits of Aboriginal Peoples Diagnosed with Chronic Obstructive Pulmonary Disease in Alberta Dr. Maria Ospina P080 Leadership in Crisis Situations: Merging the Interdisciplinary Silos Dr. Hugo Paquin P081 Effects of Paramedic Education and Novel Oral Analgesia Directive on Pre-hospital Pain Assessment, Documentation and Management Dr. Hannah Park P082 Injuries Related to Falls in the Elderly in British Columbia: Kelowna General Hospital’s Experience Brent Parker P083 Mass Gathering Medicine Elective: Emergency Medicine Education in the Field Dr. Jessica Paul P085 Pain and Symptom Control of Renal Colic Patients Presenting to Regional Emergency Departments With and Without a CT Scanner Dr. Natasha Rafo P086 FOAMSearch: A Search Engine Optimized for Emergency Medicine Physicians Dr. Todd Raine P087 An Exploration of the Consequences of 3rd Year Clerkship Clinical Assessments Dr. Theresa Robertson P088 Inside the Brain of an Expert: Measuring Cognitive Load in Emergency Medicine Physicians Nathan Roth P089 Action Plans in Patients Presenting to Emergency Departments With Asthma Exacerbations Dr. Brian Rowe P090 Good to the Last Drop: A Case of an Entrapped Tongue Dr. Michael Rubin POSTER PRESENTATIONS P060 35 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Poster Presentations Poster Presentations 36 P091 Mass Casualty Event Simulation: Preparing Boston’s First Responders for Disaster Scenarios Post Boston Marathon Bombings Dr. Michael Rubin P092 Ultrasound, an Underutilized Available Resource in One Tacloban Hospital Dr. Michael Rubin P093 An Outbreak of Ciguatera Fish Poisoning in New York City Dr. Michael Rubin P094 Simulation Saves a Life in a Small Community Emergency Department: A Model to Simulate Ultrasound Guided Pericardiocentesis Dr. Michael Rubin P097 Information Needs and Preferences of Healthcare Providers and Healthcare Consumers in 32 General Emergency Departments in Canada: Findings from the Translating Emergency Knowledge for Kids (TREKK) Knowledge Mobilization Initiative Dr. Mona Jabbour P098 Treatment of Pediatric Diabetic Ketoacidosis in Canada: A Review of Treatment Protocols Utilized in Canadian Pediatric Emergency Departments Dr. Steven Skitch P099 A Retrospective Review of Time-to-Analgesia for the Direct from Scene Trauma Patients Transported to a Level-1 Trauma Centre by a Single EMS Provider Dr. Adam Slomer P100 Corticosteroid use in the Treatment of Anaphylaxis in the Emergency Department Dr. Victoria Smith P101 Impact of the Age of Stored Blood on Trauma Patient Mortality: A Systematic Review Dr. Nicholas Sowers P102 Evaluation of a Point-of-Care Ultrasound Scan List in the Emergency Department at Black Lion Hospital, Addis Ababa, Ethiopia Dr. Maja Stachura P103 The Effectiveness of a Student Volunteer-based Research Assistant Program in a Pediatric Emergency Department Dr. Patrick Steadman P104 The Professional Benefits for Volunteer Research Assistants in a Pediatric Emergency Department Dr. Patrick Steadman P105 Utility of a Validated Prediction Model for Diagnosing Acute Heart Failure - Results of a Prospective Trial Dr. Brian Steinhart P106 Emergency Department Diagnosis of Pulmonary Embolism: Use of D-Dimer, CT Pulmonary Angiography and VQ scanning Dr. Ben Strauss P107 Use of a Severe Sepsis Management Bundle Can Improve ED Care: Preliminary Findings from a Quality Initiative Dr. Sheena Taylor P108 Online Portfolios: The Curriculum Vitae 2.0 Dr. Brent Thoma P109 The Applicability of a Clinical Decision Rule for Chest Radiography in Patients with Acute Chest Pain Susan Tran P110 Characterizing How Long Term Care Patients Use Emergency Department Services in Regina, Saskatchewan Dr. Sachin Trivedi P112 British Columbia Emergency Health Services’ Aeromedical CBRNE/HazMat Response Dr. Erik Vu Program P113 Emergency Supply of Blood Products for Aeromedical Evacuation - British Columbia Emergency Health Service’s (BCEHS) Pilot Program Dr. Erik Vu P114 The Desire for a Core Emergency Medicine Clerkship Rotation at Memorial University Dr. Zachary Warren P115 Caregiver Satisfaction with Children’s Pain Management in the Emergency Department Dr. Laura Weingarten P116 Prevalence of Hazardous Drinking Varies Between Socioeconomic Groups in an Urban Academic Emergency Department Ian Whatley P117 Flipping the Clerkship Classroom Dr. Stella Yiu P118 Are Faster Doctors Better Teachers? A Comparison of Teaching Versus Productivity in the Emergency Department Dr. Omer Yusuf Social Program Highlights & Activities CAEP 2014 Welcome Reception National Gallery of Canada This year’s Welcome Reception is a must-attend event! Conveniently located in the Byward Market, the National Gallery of Canada is one of the world’s most respected art institutions, revered for its scholarship, applauded for its ability to engage audiences of all ages and levels of artistic knowledge, and renowned for its exceptional collections. It makes its home in a grand, light-filled structure of glass and granite, designed by Moshe Safde, and offers stunning views of both Ottawa and Quebec. Mix and mingle with your friends while toasting the magnificence of Canada’s Capital! Included with registration, but pre-registration is required. Additional tickets are available for purchase at Registration. Shuttle buses leave from the front of the Westin Ottawa. Sunday, June 1, 2014 · 21:00 – 24:00 Informal Jazz Session Heart & Crown, Byward Market Join Ottawa’s ‘Jammed Fingers’ as they jam and perform for the CAEP conference. Drop in on your way back to the hotel from the Opening Reception and show your support for these multi-talented local physicians! Social Program Highlights & Activities Sunday, June 1, 2014 · 18:00 - 20:00 Afternoon Activities Optional Monday, June 2, 2014 · 14:00 - 15:30 Ottawa River Cruise Cruise along the Ottawa River and get a new perspective on the Parliament Buildings, Supreme Court, Museum of Civilization, National Art Gallery, Rideau Falls and Residence of the Prime Minister amongst many other sites of interest. You have the choice of seeing the scenery from the open air environment on the upper deck or relaxing at one of the tables in the roomy lower deck. This cruise offers you the view of the city as it was first conceived with the river as its main highway and resource. You will also see the natural beauty of the region that captured the imagination of the first European explorer Samuel de Champlain. This 1.5 hour cruise leaves from the Ottawa Locks which can be found between Parliament Hill and the Fairmont Chateau Laurier Hotel. Tour leaves from the Westin Ottawa lobby at 13:45 sharp! Boat leaves at 14:00 PRICE PER PERSON: $20.00 includes bilingual tour, taxes and gratuities Minimum: 10 people Tickets available at Registration desk 37 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Monday, June 2, 2014 · 14:00 - 17:30 Bicycle Tour or Mountain Biking Social Program Highlights & Activities Ottawa, a vibrant urban centre, is blessed with a natural setting of rivers, waterways, parks and pathways – a place where visitors can truly enjoy the great outdoors right in the heart of the city and minutes away from Gatineau Park. Explore and experience the city’s beauty by biking, or for those more adventurous, by mountain biking in the Gatineau Hills. Departing from the Westin Ottawa, members of your host committee will lead the way. Choose among the following tours: 1. Ottawa/Gatineau Bicycle Tour: 40 km Equipment: Bicycles are available for rent. Bicycles leave from the Westin Ottawa. Helmets are included. PRICE PER PERSON: $20.00 includes guide and gratuities Maximum: 20 people Tickets available at Registration desk 2. Gatineau Hills Mountain Biking Tour Equipment: Mountain bikes will be provided and helmets are included. Bus leaves from the Westin Ottawa. PRICE PER PERSON: $70.00 includes return transportation, mountain bike rental, refreshment, guides and gratuities Maximum: 12 people Tickets available at Registration desk Monday, June 2, 2014 · 21:00 – 01:00 Docs That Rock Great Canadian Cabin Located in the heart of the Byward Market, the Great Canadian Cabin is where the party begins. This club has been a staple of Ottawa’s entertainment scene for over 14 years. With its “come-as-you-are” attitude, it is a great place to hang out with old friends and meet new ones. After a year of not-touring, The Docs that Rock join such distinguished company as Jon Bon Jovi and Chad Kroeger on center stage. Join us as we give them a rousing welcome back! PRICE PER PERSON: $30.00 with a contribution to the CAEP Research Fund Tickets available at Registration desk Monday, June 2, 2014 · 17:30 – 18:30 CAEP 2014 Fun Run Finish your day off with an exhilarating run along the Rideau Canal, a UNESCO world heritage site. Put on your runners or walking shoes and join other fitness keeners on this great 30-minute jaunt that is sure to leave you pumped. Your guided running route will introduce you to the beautiful views of downtown Ottawa. Light refreshments will be available upon your return! Leaves from the Westin Ottawa lobby at 17:30 sharp! PRICE PER PERSON: $10.00 includes guide and light refreshments Tickets available at Registration desk Tuesday, June 3, 2014 · 19:30 – 24:00 Taste of Canada Dinner Ballroom and Terrace, Fairmont Château Laurier Reflecting the confidence, dignity and style of Canada's capital city, Fairmont Château Laurier stands as a testament to this dynamic, thriving city. Located next door to the Parliament Buildings, the landmark Fairmont Château Laurier Hotel in Ottawa is a magnificent building reminiscent of a French château and commonly referred to as an ‘unofficial’ extension of Parliament Hill. Enjoy an evening that pays homage to all that is truly Canadian while enjoying the sounds of a local band that will really get you moving. Additional tickets available at Registration desk 38 Conference Floorplan Conference Floorplan Ottawa Convention Centre Level 2 Confederation Ramp - Rampe de Confédération RCC RC Alcove RCS A RCN Coat Room Vestiaire B C A B C Business Centre Centre d`affaires Level 3 PF2 PF1 PF3 39 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference The Westin Ottawa Conference Floorplan RIDEAU CENTRE LEVEL THREE LEVEL TWO MANITOBA LES SAISONS BRITISH COLUMBIA DALY’S RESTAURANT ONTARIO SASKATCHEWAN LEVEL FOUR CONFEDERATION BALLROOM PROVINCES I PROVINCES BALLROOM CONFEDERATION II CONFEDERATION III CONFEDERATION I PROVINCES II CONFEDERATION BALLROOM FOYER PRINCE EDWARD ISLAND NUNAVUT QUEBEC FOYER NOVA SCOTIA NEW FOUNDLAND GOVERNOR GENERAL BALLROOM I 40 II III ALBERTA NEW BRUNSWICK OTTAWA CONGRESS >>> CENTRE Exhibitor Floorplan Exhibitor Floorplan Food Service Area 130 131 230 231 128 129 228 229 126 127 226 227 10’ 225 122 123 222 223 120 121 220 221 10’ 8’6” 219 116 114 117 216 16’ 115 214 217 20’ 215 112 113 212 213 110 111 210 211 108 109 208 209 106 107 206 207 104 105 204 205 102 103 202 203 Entrance 41 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Exhibitors Exhibitors Booth # Booth # Company Foyer Canadian Association of Emergency Physicians 202 Cubist Pharmaceuticals Canada Inc. Foyer Edmonton Tourism 203 Innovative Trauma Care 102 Bayer HealthCare Pharmaceuticals 204 Minogue Medical Inc. 103 AstraZeneca Canada Inc. 205 MEDHOST 104 Philips Healthcare 206 Calgary Zone Emergency Department 105 PEPID LLC 207 Life Recovery Systems 106 Middlesex Hospital Alliance 210 Arthrocare 107 Teleflex Medical 211 ZONARE Medical Systems Canada 108 GE Healthcare 212 Thunder Bay Regional Health Sciences Centre MD Physician Services/Canadian Medical Association 213 Carestream Medical Ltd. 214 VocalTek 216 Wellsoft Corporation 109-111 110 Kapuskasing and District Recruitment and Retention 112 Notre Dame Hospital 217 SaskDocs 113 SonoSite, Inc. 219 Hitachi-Aloka Medical 114 American College of Emergency Physicians (ACEP) 220 Health Match BC 221 Baxter Health Corporation 115 McGraw-Hill Ryerson 222 Telexy Healthcare Inc. 116 Royal College of Physician and Surgeons of Canada 223 Challenger Corporation 117 Optum Clinical Solutions 225 Roxon Medi-Tech Ltd. BMS/Pfizer Alliance 226 Ferno Canada Inc. 121 Boehringer Ingelheim (Canada) Ltd. 227 Alere Canada 123 Canadian Hemophilia Society 228 Sanofi Canada 126 The Rounds 229 Canadian Association of Physician Assistants 127 Abbott Point of Care 230 Africa Health Placements 128 Cerner Canada 231 Grey Bruce Health Services 129 Verathon Medical 130 Paladin Labs Inc. 131 Fraser Health 120-122 42 Company CAEP 2014 Sponsors Exhibitor Information Booth 230 Africa Health Placements Africa Health Placements (AHP) is a human resources organisation that has been changing the face of public health in South Africa, creating new outcomes for healthcare facilities that might otherwise be defunct. AHP implements pragmatic solutions to plan for, find and keep the workforce needed to ensure health for all. Alere Canada Booth 227 Alere’s novel Triage® meter and rapid diagnostic tests improve a physician’s ability to diagnose critical diseases and health conditions including heart failure, chest pain, pulmonary embolism, acute kidney injury and drug overdose. Triage® brand rapid tests include quantitative measurement of the analytes such as BNP, sensitive Troponin, CK-MB, Myoglobin, D-Dimer and a qualitative TOX Drug Screen. Using Alere Triage system provides clinicians results in 15-20 minutes. Please visit us at booth 227 or at www.alere.ca. American College of Emergency Physicians (ACEP) Booth 114 The American College of Emergency Physicians (ACEP) is the largest global medical specialty organization representing physicians who practice emergency medicine. With over 32,000 members, ACEP continually monitors trends in health care and analyzes issues affecting emergency physicians and their patients. Stop by booth #114 to view membership options and educational material available. ArthroCare Booth 210 ArthroCare® ENT provides advanced solutions for ENT physicians. Our line of Coblation® plasma wands and Sinu-Foam® dissolvable nasal dressings help surgeons provide exceptional care. AstraZeneca Canada Inc. Booth 103 Sponsor AstraZeneca is a global, innovation-driven biopharmaceutical business with a primary focus on the discovery, development and commercialization of prescription medicines for gastrointestinal, cardiovascular, neuroscience, respiratory and inflammation, oncology and infectious disease. AstraZeneca operates in over 100 countries and its innovative medicines are used by millions of patients worldwide. AstraZeneca’s Canadian headquarters are located in Mississauga, Ontario. For more information, please visit the company’s website at www. astrazeneca.ca. Exhibitor Information Abbott Point of Care Booth # 127 Accelerating Patient Care Decision-Making is the goal of Abbott Point of Care. To support this goal, we manufacture the i-STAT® System, an advanced, handheld diagnostic tool that provides real-time, lab-quality results for patient point-of-care testing within minutes across the widest menu in the market today. As part of Abbott, a global, diversified health care innovator with a legacy of pioneering work in medical diagnostics, Abbott Point of Care is uniquely positioned to bring innovative point-of-care testing to the patient’s bedside. Baxter Health Corporation Booth 221 Baxter manufactures and markets products that save and sustain the lives of people with hemophilia, immune disorders, kidney disease, and other chronic and acute medical conditions. As a global healthcare company, Baxter applies a combination of expertise in medical devices, pharmaceuticals, and biotechnology to create products that advance patient care. Bayer HealthCare Pharmaceuticals Booth 102 Sponsor Bayer Inc. is a Canadian subsidiary of Bayer AG. Founded in 1863, Bayer AG is an international research-based group with core businesses in healthcare, crop science and innovative materials committed to creating a better life for all through science. In Canada, Bayer operates its healthcare business – Pharmaceuticals, Consumer Care, Diabetes Care, Animal Health and Radiology & Interventional – from its headquarters in Toronto, ON. Bayer improves the quality of life for Canadians through products that fight disease, protect crops and animals, and provide highperformance materials for numerous daily life uses. Boehringer Ingelheim (Canada) Ltd. Booth 121 Sponsor Boehringer Ingelheim (Canada) Ltd. is a research-driven pharmaceutical group of companies committed to the development of innovative, cost-effective medicines and finding medical breakthroughs for therapies which fulfill unmet medical needs. Our drug discovery focuses on six major therapeutic areas: respiratory diseases, cardiometabolic diseases, oncology, neurological diseases, immunology and inflammation, and infectious diseases. For more information please visit our website: www.boehringer-ingelheim.ca. 43 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Exhibitor Information BMS/Pfizer Alliance Booth 120-122 Sponsor In 2007, Pfizer and Bristol-Myers Squibb entered into a global alliance combining Bristol-Myers Squibb's long-standing strengths in cardiovascular drug development and commercialization with Pfizer’s global scale expertise in this field. Bristol-Myers Squibb is a global biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases. Pfizer Canada Inc. is the Canadian operation of Pfizer Inc, one of the world's leading biopharmaceutical companies. At Pfizer, we’re working together for a healthier world. Calgary Zone Emergency Department Booth 206 The Calgary Zone Emergency Department encompasses two emergency medicine residency programs and four hospital sites seeing over 260,000 patients annually. In addition to a full spectrum of high acuity clinical medicine, trauma and cardiac care, we have active programs in human patient simulation and EM ultrasound, and Calgary is the home of STARS (Shock Trauma Air Rescue Society), one of North Americas longest operating rotary wing aero medical systems. Canadian Association of Physician Assistants Booth 229 The Canadian Association of Physician Assistants is a nationally incorporated bilingual professional association that advocates on behalf of its members. CAPA has members in all national regions as well as the Canadian Forces sharing a desire to help develop Canadian health care, and to advocate for the professions’ model of cooperative, collaborative, patient centered quality health care. Canadian Hemophilia Society Booth 123 The Canadian Hemophilia Society is a voluntary health charity committed to improve the health and quality of life of all people with inherited bleeding disorders and ultimately to find a cure. One of its goals is to raise awareness among health care providers not directly associated with bleeding disorder patients, including emergency physicians. CAREstream Medical Ltd. Booth 213 CAREstream Medical specializes in the distribution and repair of anaesthesia, cardiology, respiratory, EMS & biomedical Engineering Equipment. For more information, visit our website: www. carestreammedical.com. CAREstream Médical se spécialise dans la distribution et réparation de produit d’anesthésie, cardiologie, inhalothérapie, services médicaux d’urgences et génie biomédicale. Pour plus d'informations : www.carestreammedical.com. Cerner Canada Booth 128 Cerner is contributing to the systemic change of health and care delivery. We are transforming health care by eliminating error, variance and waste for health care providers and consumers around the world. Cerner systems are used by everyone from individual consumers, to single-doctor practices, hospitals, and entire countries. We are building on the knowledge that is in the system to support evidence-based clinical decisions, prevent medical errors and empower patients in their care. Cerner® solutions are licensed by approximately 10,000 facilities around the world. Challenger Corporation Booth 223 Challenger has been a leading provider of electronic medical education for over twenty years. We provide medical knowledge and career MOC products to practicing clinicians as well as group education and compliance systems for medical training institutions and allied healthcare organizations. For more information, visit: chall.com. Booth 202 Cubist Pharmaceuticals Canada, Inc. Cubist Pharmaceuticals Canada, Inc. is a biopharmaceutical company focused on the research, development, and commercialization of pharmaceutical products that address unmet medical needs in the acute care environment. Cubist Pharmaceuticals Canada, Inc. is located at 4950 Yonge Street, Suite 900, Toronto, Ontario, Canada M2N 6K1. Edmonton Tourism Booth in foyer Edmonton Tourism is the trusted expert and resource for marketing Edmonton's visitor experience. Working alongside their Stakeholders, Edmonton Tourism delivers exceptional experiences, inviting guests to stay longer, spend more, and share their stories with others. To accomplish these goals, they focus on brand aligned destination marketing and quality in-destination events and festivals for the visitor. Ferno Canada Inc. Booth 226 Ferno is a global leader in the manufacturing and distribution of professional emergency, mortuary, and healthcare products, dedicated to improving the value of life through the use of caregiving products. Partnerships with other corporate divisions enable us to offer products for search & rescue, vehicle performance monitoring & control, and more. We are committed to providing innovative solutions to keep you safe and effective “When It’s Critical”. Fraser Health Booth 131 Every day, more than 27,000 employees and physicians in Fraser Health strive to improve the health and quality of life of 1.6 million people in 20 communities, from Burnaby to Boston Bar. Fraser Health is BC’s largest health authority with exceptional opportunities at 12 acute care hospitals for Emergency and Pediatric Emergency Physicians. 44 Grey Bruce Health Services Booth 231 Grey Bruce Health Services is a six hospital site corporation located in southwestern Ontario. Serving a population of 170,000 residents, we have Locum and Permanent Full-Time opportunities in Emergency Medicine available at our Level 2 Regional Referral Centre in Owen Sound and at our community hospital in Southampton. Visit: www.gbhs.on.ca. Health Match BC Booth 220 Health Match BC is a free health professional recruitment service funded by the Government of British Columbia, Canada. Our physician services team matches qualified physicians to opportunities that suit their career and lifestyle interests. If you are a physician seeking employment in BC, contact Health Match BC today. Hitachi-Aloka Medical Booth 219 As a recognized leader in ultrasound innovation, Hitachi Aloka Medical is known for unparalleled image quality, superior system reliability and intuitive use of innovative technologies. Hitachi Aloka Medical has the answer for all of your clinical diagnostic requirements. Innovative Trauma Care Booth 203 The ITClampTM Hemorrhage Control System by Innovative Trauma Care is a clamping device that controls critical bleeding in seconds. Based in Edmonton, Canada with a US headquarters in San Antonio, Texas, ITC provides point of injury solutions to treat common causes of preventable death in traumatic injury scenarios. Kapuskasing and District Recruitment and Retention Booth 110 The Sensenbrenner Hospital in Kapuskasing, Ontario is seeking Emergency Department Locum coverage. The Health Force Ontario Locum Program pays for travel and accommodation expenses within Ontario. The ED shifts are 12 or 24 hours. The payment for ED is through an (AFA) Alternative Funding Agreement. Locums are expected to have up to date ATLS/ACLS or equivalent experience. Ask us about our incentive package for permanent physicians! Life Recovery Systems Booth 207 The ThermoSuit System is the only non-invasive medical device on the market for Therapeutic Hypothermia; can reach target temperature (32C -34C) in 20 – 40 minutes with only the use of iced water. Easily deployed, enabling earlier initiation of cooling. Patients remain cold for hours after removal from the device, allowing other treatments after cooling. McGraw-Hill Ryerson Booth 115 McGraw-Hill Ryerson is committed to providing Canadians with material of the highest quality for their education, enjoyment, and professional development. Our strength and success in the marketplace is a testimony to the quality of our products and the creative and innovative means we use to introduce new resources to our customers. We publish and distribute educational and professional materials in both print and digital formats. Our authors rank among the most distinguished of Canadian educators, academics and business thinkers. For more information, visit: www.mheducation.ca. Exhibitor Information GE Healthcare Booth 108 GE Healthcare provides transformational medical technologies and services that are shaping a new age of patient care. Our broad expertise in medical imaging and information technologies, medical diagnostics, patient monitoring systems, drug discovery, biopharmaceutical manufacturing technologies, performance improvement and performance solutions services help our customers to deliver better care to more people around the world at a lower cost. MD Physician Services/Canadian Medical Association Sponsor Booth 109-111 The Canadian Medical Association (CMA) is a national association which supports physicians in their practice, profession and personal lives through knowledge, advocacy and wealth management. MD Physician Services (MD), a wholly-owned subsidiary of the CMA, is the only firm that delivers total wealth management solutions engineered exclusively for physicians. MEDHOST Booth 205 MEDHOST provides market-leading enterprise, departmental and healthcare engagement solutions to more than 1,000 hospitals. Our intuitive, easy-to-use and SaaS-enabled solutions are complemented by a robust suite of managed hosting, outsourcing and consulting services that are revolutionizing how clinicians and hospital leaders work and communicate, while generating notable operational, patient flow, care and revenue improvements. Middlesex Hospital Alliance Booth 106 The Middlesex Hospital Alliance (MHA) is an alliance between Four Counties Health Services, (Newbury, ON) and Strathroy Middlesex General Hospital, (Strathroy, ON). Together, we provide comprehensive acute patient care to a largely rural population of over 80,000 residents in beautiful South-western Ontario. For more information please visit us at www.mhalliance.ca Minogue Medical Inc. Booth 204 The Boussignac Continuous Positive Airway Pressure (CPAP) from Vygon is the only completely open CPAP system. It is small, easyto-use and lightweight, and does not require a flow generator. The Boussignac CPAP has a low O2 consumption, high FiO2, and easily accommodates use of nebulizer. Visit www.minogue-med.com for more information. 45 www.caep.ca/Conference CAEP 2014 Capitalizing on Excellence | Annual Conference Exhibitor Information Notre-Dame Hospital Booth 112 Notre-Dame Hospital is a modern, fully-accredited hospital (www.ndh.on.ca) which serves a population of some 10,000 people. Notre-Dame Hospital provides a wide range of health care programs and services ranging from emergency, diagnostic imaging, laboratory, respiratory therapy, chemotherapy, ambulance services, acute care, chronic care, pharmacy, clinical nutrition, electrocardiography, physiotherapy, surgery, diabetes education. Specialty clinics in cardiology, internal medicine, pediatrics, urology, orthopedic, gynecology, ENT, etc. are held on a regular basis. Optum Booth 117 ED PulseCheck is the high-performance ED EMR that helps hospitals improve quality of care measures in the ED. It delivers a complete set of operational and management tools that help optimize ED performance as well as provide interoperability with the hospital’s EMR and the healthcare community through an HIE. For more information, visit www.optum.com. Sanofi Canada Booth 228 Sanofi, a global and diversified healthcare leader, discovers, develops and distributes therapeutic solutions focused on patients’ needs. It has core strengths in the field of healthcare with seven growth platforms: diabetes solutions, human vaccines, innovative drugs, consumer healthcare, emerging markets, animal health and the new Genzyme. Sanofi employs more than 1,700 people across the country and invested $122 million in R&D in Canada in 2012, creating jobs, business and opportunity throughout the country. Booth 130 Paladin Labs Inc. Headquartered in Montreal, Paladin labs Inc. is a specialty company focused on brining innovative pharmaceutical products to Canada. Key emergency treatments include Antizol© (antidote for ethylene glycol or methanol poisoining) as well as DigiFab© (treatment of patients with life-threatening or potentially lifethreatening digoxin toxicity or overdose). Booth 217 Sask Docs Saskdocs (Physician Recruitment Agency of Saskatchewan) is a one-stop shop connecting communities with physicians wanting to live, work and play in Saskatchewan. We work with employers and communities to help find the right doctor for the right location. Visit our website (www.saskdocs.ca) or stop by our booth at CAEP to learn more about us. PEPID LLC Booth 105 PEPID is the only decision support tool that truly supports emergency physicians’ decisions at the point of care. Containing a differential diagnosis generator, Canadian drug database, emergency-specific evidence-based medicine, dosing calculators, disease profiles and emergency protocols, PEPID gives you the information you need, when and where you need it most. SonoSite, Inc. Booth 113 SonoSite, Inc. (www.sonosite.com), the innovator and world leader in hand-carried ultrasound. SonoSite’s small, lightweight systems are expanding the use of ultrasound across the clinical spectrum by cost-effectively bringing high performance ultrasound to the point of patient care. A third party market research company has reported that SonoSite equipment has been chosen by more Emergency Departments in the US than all other brands combined. Philips Healthcare Booth 104 Philips is dedicated to creating the future of healthcare and saving lives. We develop innovative solutions across the continuum of care in partnership with clinicians and our customers to improve patient outcomes, provide better value, and expand access to care. www.philips.com/healthcare. Roxon Medi-Tech Ltd. Booth 225 Founded in 1975, Roxon medi-tech ltd is a 100% Canadian owned corporation dedicated to supplying quality specialized equipment to medical facilities across Canada. Our focus is in Cardiac, Respiratory, and Neurology equipment. Our sales representatives have the appropriate educational and clinical backgrounds to set up the equipment and train our clients on its proper use. Our clients can count on our factory trained technicians across the country to provide prompt and reliable after sales support. 46 Royal College of Physicians and Surgeons of Canada Booth 116 The Royal College’s Maintenance of Certification (MOC) Program is a continuing professional development program designed to support lifelong learning among Fellows and health care professionals. The MOC Program demonstrates the Royal College’s commitment to sustaining the highest standards in specialty medicine, and is one of our core services for Fellows. Teleflex Medical Booth 107 Teleflex Medical partners with hospitals, clinicians and patients to provide medical devices and solutions that support improved patient and provider safety. We now have a complete product offering across the continuum of care for vascular access including the EZ-IO® Intraosseous Infusion System which provides immediate vascular access using the intraosseous space. For more information, visit: www.teleflex.com/en/ca. Telexy Healthcare Booth 222 Telexy Healthcare, a British Columbia corporation, develops advanced workflow solutions for point-of-care ultrasound. Q-path helps you manage and simplify ultrasound credentialing, quality assurance, reporting, teaching, research, image storage, billing and connectivity to other hospital information systems. Stop by booth 222 at the 2014 CAEP conference in Ottawa for a demonstration. Thunder Bay Regional Health Sciences Centre Booth 212 Thunder Bay Regional Health Sciences Centre (TBRHSC) is recruiting full time and locum Emergency Physicians. TBRHSC is a state-of-the-art Academic Health Sciences Centre, with 375 acute care beds, providing regional services to a population base of 250,000 people. We are the Regional Trauma and Cancer Referral Centre(s) for Northwestern Ontario, and are affiliated with the Northern Ontario School of Medicine (NOSM) and the Thunder Bay Regional Research Institute (TBRRI). Booth 129 Verathon Medical GlideScope® video laryngoscopes offer a consistently clear, realtime view of airway and tube placement, enabling quick intubation. The GlideScope AVL defines advanced video laryngoscopy, with airway views in DVD clarity, and real-time recording. Single-use and reusable options provide the right tool for patients from preterm to morbidly obese. (www.verathon.com) VocalTek Booth 214 VocalTek, a Canadian company specializing in the development of innovative software solutions for the health care industry, is proud to present its latest application, « NotaMEDICA ». This intuitive and customizable software enables doctors to dramatically improve productivity using tactile technology to efficiently create their medical reports in legible electronic format. Wellsoft Corporation Booth 216 Consistently ranked #1 EDIS by KLAS, Wellsoft EDIS offers an exceptional combination of features, experience and support. A defining feature is the level of workflow consulting provided. Wellsoft meets CEDIS and CTAS requirements. Features include Patient Tracking, Triage, Clinical Documentation, Orders/Results, Prescriptions, Discharge Instructions, Risk Management and much more. Exhibitor Information The Rounds Booth 126 The Rounds is a secure, exclusive physician-only network. We accelerate communication and facilitate collaboration across specialties and across the country. With our tools, Canadian physicians are able to connect to the information and experts they need to deliver better care in real-time. Join for free at therounds.ca. Booth 211 ZONARE Medical Systems Canada ZONARE where diagnostic confidence means everything. Which is why at ZONARE, performance means image quality. We understand you need exceptional, consistent image quality that performs in all settings. If you have that, you can make quick, definitive decisions with confidence across a full range of patients who enter the ED - from pediatric to bariatric. 47 www.caep.ca/Conference Stay in touch with us where ever you are! Keep up to date with CAEP, your colleagues and the latest EM news. Visit CAEP.ca to connect with all our social media platforms. Canadian Association of Emergency Physicians Thanks you! Symposium Premiere Luncheon Sponsor Symposia Sponsors Conference Sponsor Conference App Sponsor Social Media Wall Sponsor Join us in Edmonton to be a part of Lighting the Way at CAEP 2015 May 30 - June 3, 2015 Discover more at the CAEP Lounge located in the Exhibit Hall www.caep.ca