Emergency Medicine Without Borders

Sponsored by:

ADVANCING EMERGENCY CARE

A Scientific and Cultural Assembly

May 27 – 29, 2009Bell Harbor International Conference Center

Seattle, Washington

Emergency Medicine Without Borders

A/ACEP’s EmErgEnCy mEdiCinE Without BordErs hosts renowned speakers and leaders from around the Northwest and the nation to provide an

up-to-date look at concepts and current initiatives in emergency medicine. Their ideas and expertise are crucial in informing you of the next step in improving patient

care in the emergency department.

In addition, this conference offers a cutting-edge scientific program that highlights a variety of disciplines and topics ranging from procedural sedation, brain/spine/mind emergencies, pediatric emergencies, as well as risk management.

Physicians, nurses, and the entire emergency medicine community are invited to join us for our 3rd annual Emergency Medicine Without Borders conference!

Learning ObjectivesUpon completion of this activity, participants will be able to:

Discuss why patients sue•Identify ways to relate to patients•Describe the current clinical conditions plaintiff attorneys are •targeting for lawsuitsIdentify the clinical presentations of the current high risk clinical •conditions and know how to avoid being sued for themIdentify the elements of malpractice and apply them to a real case•Discuss special defenses to malpractice•Discuss the principles of safe and effective PSA•Present effective PSA in a set of complex emergency patients•Distinguish appropriate sedative agents for children based on the •child’s history, physician exam and depth of sedation needed to successfully complete the procedureDiscuss procedures to appropriately monitor children being •sedated and use specific criteria to know when a patient is safe to dischargeDescribe the potential toxicity of agents commonly used in •procedural sedationDescribe uncommon reactions to agents commonly used in •procedural sedationDescribe the management of toxicity and uncommon reactions in •agents used in procedural sedationDiscuss management and treatment of a variety of pediatric •conditionsDiscuss how current pediatric literature will affect your practice•Describe the rational use of antibiotics in a fully immunized child•Identify 3-4 current controversial pediatric emergency medicine •topicsIdentify a recommend clinical approach based on current literature•Describe at lease three non-pharmacologic treatment of agitation•Prescribe medications to treat pediatric agitation with greater •understanding of risks & benefitsDescribe evidence-based TBI resuscitation•Identify common pitfalls to avoid in neurological emergencies•Incorporate advanced technologies in patient care when •appropriate in neurological emergenciesDescribe the visual keys to diagnose a spinal emergency•Discuss treatment of a spinal emergency•Identify the mechanics of regional anesthesia and anesthetic •agentsPerform the emergency department axillary nerve block•

We’ve Gone GreenWA-ACEP will be providing a USB Portable flash drive in place of a syllabus this year. Each USB drive will have all of the speaker presentations (powerpoint slides,outline, articles). The USB drive will be provided to each attendee at registration check-in. The syllabus will be posted on our website in advance to the conference. Please review and print the speaker handouts that you will need in advance of the meeting.

cOnference cO-chairsBruce Webster MD, PhD, FACEPWA/ACEPHunter Hodge MD, FACEP WA/ACEPKathy Emde RN, MN, CEN, FAEN WA-ENA

cOnference cOmmittee membersStephen H. Anderson MD Christopher Kang MDRoger Casey RN Eric Shipley MDBif Fink RN George A. Woodward MD, MBA, Carl Heine MD FACEPEve Kaiyala MD Edward Walkley MD

target audienceThe intended audience for this course is emergency physicians, emergency nurses and physician assistants, emergency medicine residents, EMTs and paramedics.

cOurse creditThis activity has been planned and implemented in accordance with the Essential Areas and Policies for the Accreditation Council of Continuing Medical Education through the joint sponsorship of ACEP and the Washington Chapter American College of Emergency Physicians.

The American College of Emergency Physicians is accredited by the Accred-itation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American College of Emergency Physicians designated this educational activity for a maximum of 18.75 hour(s) AMA PRA Category I Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Conference ScheduleDay 1 | WeDnesDay, May 27, 2009

0900 Pre-Conference Workshop Registration

1000 – 1300 Ultrasound-Guided Vascular Access Workshop Bradley N. Younggren, MD, FACEP

1400 – 1700 Tips and Tools for the Difficult Airway Robert Vissers, MD & Jeff Campbell, MD

Day 2 | ThursDay, May 28, 2009

0700 – 0750 Continental Breakfast w/Exhibitor & Poster Display VisitsRegistration

0750 – 0800 Welcome & Introduction Bruce Webster, MD & Hunter Hodge, MD

0800 – 0830 National ACEP Update Frederick C. Blum, MD, FACEP

risk Management symposium

0830 – 0920 Human Issues of Risk Management Gregory L. Henry, MD, FACEP

0920 – 1000 The ED Docs Bête Noire: Current High Risk Clinical Conditions Ron Dobson, MD, FACEP

1000 – 1030 Break / Exhibits / Posters

1030 – 1115 A Detailed View of Malpractice Gregory Moore, MD, JD

1115 – 1200 Risk ManagementFrederick C. Blum, MD, FACEP

1200 – 1215 Panel Discussion with above Faculty

1215 – 1315 Lunch with Exhibitors

Procedural/Conscious sedation symposium

1315 – 1400 Challenges in Procedural Sedation and Analgesia Robert Vissers, MD

1400 – 1445 Procedural Sedation in Children Eileen J. Klein, MD, MPH

1445 – 1515 Break / Exhibits / Posters

1515 – 1615 Emergency Regional Anesthesia: Part I Mark Borden, MD

Procedural/Conscious sedation symposium (continued)

1615 – 1700 Toxicity & Unexpected Reactions in Procedural Sedation William T. Hurley, MD, FACEP

1700 – 1730 Panel Discussion with above Faculty

1730 – 1930 Welcome Reception

Day 3 | FriDay, May 29, 2009

0700 – 0800 Continental Breakfast w/Exhibitors & Poster Display VisitsRegistration

Pediatrics symposium

0800 – 0845 Pediatric Updates Frederick C. Blum, MD, FACEP

0845 – 0930 Pediatric Visual Diagnosis Russell Migita, MD

0930 – 0950 Panel Discussion with above Faculty

0950 – 1015 Break / Exhibits / Posters

1015 – 1100 Current Controversies in Pediatrics: Part I Edward Walkley, MD & Jeff Bullard-Berent, MD

1100 – 1145 Current Controversies in Pediatrics: Part II Rebecca Partridge, MD & Jennifer Reid, MD

1145 – 1200 Panel Discussion with above Faculty

1200 – 1300 Lunch with Exhibitors

Brain/spine/Mind emergencies

1300 – 1345 Child Psychiatric Emergency Care: The Agitated Child Robert Hilt, MD

1345 – 1430 TBI: What to do Before the Neurosurgeon Arrives Randall M. Chesnut, MD, FACS

1430 – 1445 Break

1445 – 1530 Top 10 Pitfalls in Neurological Emergencies J. Stephen Huff, MD

1530 – 1615 Top 5 Spinal Emergencies Rod J. Oskouian Jr. MD

1615 – 1645 Panel Discussion with above Faculty

1645 Adjourn

Pre-Conference WorkshopsWEdnEsday, May 27, 2009The workshops below are optional activities requiring an additional registration fee. To sign up for a workshop please use the enclosed registration form. The workshops will be held in the Seattle World Trade Center, directly across the skybridge from Bell Harbor International Conference Center.

n Ultrasound Hands-on Vascular Access10:00 am to 1:00 pm

This workshop is designed for all practitioners responsible for vascular access. It will teach you how to utilize bedside ultrasonography to improve your success rates and improve patient care when placing both central and peripheral lines. The faculty will cover the basics of ultrasound line placement and then spend a great deal of time in lab practicing lines in phantoms. Models are also used to practice, review and identify the anatomy and landmarks. At the conclusion of this workshop you will be able to apply ultrasound vascular access knowledge with confidence in the performance of vascular access procedures.

n Tips and Tools for the Difficult Airway Workshop2:00 pm to 5:00 pm

This workshop is designed for all practitioners responsible for airway management. Participants will be able to apply the latest clinical skills necessary to approach the difficult airway. The faculty will cover the role of rescue techniques and devices in the management of the difficult airway. Intubating mannequins and rescue devices will be used in the lab to master the skill of the difficult airway.

Social Activitiesn Opening Night ReceptionThursday, May 28 | 5:30 – 7:30 PMGreet old acquaintances and meet new ones. You and yours are invited to attend a special welcoming reception Thursday evening in the Exhibit Hall, featuring a tasting of Northwest wines paired with tantalizing epicurean appetizers. Don’t miss out on this free social event!

Facultyn Honorary Faculty

Frederick C. Blum MD, FACEP Emergency Medicine, Pediatrics Ruby Memorial Hospital Morgantown, West Virginia

Gregory L. Henry MD, FACEP Clinical Professor, Department of Emergency Medicine University of Michigan Ann Arber, Michigan

Robert J. Vissers MD, FACEP, FRCPC Medical Director, Emergency Department Legacy Emanuel Hospital Adjunct Associate Professor, Emergency Medicine, OHSU Portland, Oregon

n Guest FacultyMark Borden MD

Medical Director, Emergency Department Whidby General Hospital Coupeville, Washington

Jeffrey Bullard-Berent MD, FAAP, FACEP Attending Physician, Emergency Department Mary Bridge Children’s Hospital Tacoma, Washington Associate Professor Emergency Medicine and Pediatrics University of New Mexico

Jeff Campbell MD Attending Physician, Emergency Department Legacy Emanuel Hospital, Adjunct Instructor, OHSU Portland, Oregon

Randall M. Chestnut MD, FACS Professor, Neurotrauma Harborview Medical Center Seattle, Washington

Ron Dobson MD, FACEP Chief Medical Officer, 1st HealthSystems Kirkland, Washington

Robert Hilt MD Assistant Professor, Child Psychiatry University of Washington, Seattle Children’s Hospital Seattle, Washington

J. Stephen Huff MD Associate Professor, Emergency Medicine and Neurology University of Virginia Charlottesville, Virginia

William T. Hurley MD FACEP Medical Director, Washington Poison Center Attending Physician, Harborview Medical Center Seattle, Washington

Eileen J. Klein MD, MPH Associate Professor Pediatrics/Attending Physician, Emergency Department University of Washington School of Medicine Seattle Children’s Hospital Seattle, Washington

Russell Migita MD Clinical Director, Emergency Services Seattle Children’s Hospital Seattle, Washington

Gregory Moore MD, JD Attending Faculty, Emergency Medicine Madigan Army Medical Center Tacoma, Washington

Rod T. Oskouian MD Neurosurgeon Swedish Neuroscience Specialists Seattle, Washington

Rebecca L. Partridge MD Assistant Professor, Pediatrics University of Washington Seattle Children’s Hospital Seattle, Washington

Jennifer Reid MD Assistant Professor, Pediatrics University of Washington Seattle Children’s Hospital Seattle, Washington

Edward I. Walkley MD, FAAP, FACEP Attending Physician, Emergency Department Mary Bridge Children’s Hospital Clinical Professor, Pediatrics University of Washington Seattle, Washington

Bradley N. Younggren MD, FACEP Associate Program Director, Emergency Medicine Residency, Madigan Army Medical Center Assistant Clinical Professor University of Washington Seattle, Washington

In accordance with the ACCME standards and ACEP policy, all faculty members are required to disclose to the program audience any real or apparent conflict(s) of interest related to the contents of their presentation(s).

Walking distance to Bell Harbor International Conference Center

Edgewater HotelAdjacent to Bell Harborhttp://www.edgewaterhotel.com/800.624.0670

Marriott Seattle Waterfront Across the street from Bell Harborwww.marriott.com/hotels/travel/seawf-seattle-marriott-waterfront/206.443.5000

To Bell Harbor International Conference Center from north of Seattle on I-5 South:

Take Exit 167 (West Mercer Street/Fairview Avenue) •Turn right onto Fairview Avenue •Take the first left onto Valley Street •Stay left; Valley Street merges into Broad Street •Continue on Broad Street to Elliott Avenue, and turn left •Once you pass the Wall Street intersection, park in the Art Institute of Seattle •parking garage on your immediate right

To Bell Harbor International Conference Center from south of Seattle on I-5 North (coming from Sea-Tac Airport):

Take the Madison Street exit (also called Convention Place exit) •Turn left onto Madison Street •Stay on Madison Street until you come to the waterfront •Turn right on Alaskan Way •You will pass Pier 66 on your left; the next street after the sky bridge is Wall •Street Turn right on Wall Street •Turn right on Elliott Avenue •

Parking: Parking is not validatedPark in the Art Institute of Seattle parking garage•Take the sky bridge to the Conference Center, World Trade Center Seattle, and •Odyssey, the Maritime Discovery Center

• Please note the two parking garage entrances, Elliott Avenue and Wall Street •

Seattle’s premier conference center, located on Elliott Bay in Downtown Seattle

Bell Harbor International Conference Center2211 Alaskan WaySeattle, WA 98121www.bellharbor.com

Lodging

Course Location

5

99

ALASKANW

AY

1STST.

SHOPPING

DISTRICT

MADISON ST.

PIKE PLACE

MARKET

STEWART ST.

WES

TLAK

EAV

E.6THAVE.

WALL ST.

ELLIOTT BAY

BLANCHARD ST.BELL ST.

BROAD ST.

ELLIOTT AVE.

Directions

Registration

Full Name Name for Badge

ED Group/Hospital ED

Address

City/State/ZIP

Phone Email

My food preference is vegetarian

Conference registration fee includes tuition, e-syllabus, opening night reception, as well as your breakfasts, AM/PM Breaks, and Lunches. Please register separately for the Pre-conference Workshops. Postmarked Postmarked Before May 1 After May 1n Conference Registration

Physician $280 $330

Nurse/ARNP/PA $200 $250

Resident $100 $150

EMT/Paramedic $200 $250

n One-Day Only Registration

Physician May 28 May 29 $150 $200

Nurse/ARNP/PA May 28 May 29 $110 $160

Resident May 28 May 29 $50 $75

EMT/Paramedic May 28 May 29 $110 $160

n Pre-Conference Workshop

Ultrasound Hands-on Vascular Access $ 95 $ 125

Difficult Airway $ 95 $ 125

TOTAL ENCLOSED: U.S. FUNDS ONLY

n PAYMENTMail to: WA/ACEP • 2033 Sixth Avenue, Suite 1100 • Seattle, WA 98121

Enclosed is my check made payable to: WA/ACEP

Credit Card Payment: Visa or MasterCard only. Mail to address above or Fax to 206-441-5863

Credit Card No. Expiration Date

Print Name Signature

DEADLINES: Your registration must be received by no later than May 4, 2009, to ensure that your name will appear on the program roster.

CANCELLATION POLICY: We must receive written notification of your cancellation. A $50 processing fee will be deducted from the registration refund. No refunds will be issued after May 1, 2009.

INQUIRES: Contact Shannon McDonald at the WA/ACEP Office at 206-956-3648, or call toll free from Washington, 1-800-552-0612, ext. 3038, or send emails to smc@wsma.org.

(please type or print clearly)

Emergency Medicine Without BordersA Scientific and Cultural Assembly

Register online at: www.washingtonacep.org

Washington State ACEP2033 Sixth Avenue, Suite 1100Seattle, WA 98121

Return Address Requested

PRSRT STDUS POSTAGE

PAIDPERMIT NO. 5544

SEATTLE, WA

Emergency Medicine Without BordersA Scientific and Cultural Assembly

May 27 – 29, 2009

Bell harbor international Conference CenterPier 66, 2211 Alaskan Way • Seattle, WA

Phot

o cr

edit:

Bel

l Har

bor I

nter

natio

nal C

onfe

renc

e Ce

nter

Sponsored by:American College ofEmergency Physicians®

ADVANCING EMERGENCY CARE

Washington State Chapter American College of Emergency Physicians®