April 30 – May 2, 2014Bell Harbor International Conference Center

Seattle, Washington

Summit to SoundNorthwest Emergency Medicine Assembly

Guest FacultyElaine Albert, MD

Stephen Anderson, MD, FACEP

Paul Auerbach, MD, MS

Antonio Brandt, MD

Nicole Gibran, MD, FACS

Michael Granovsky, MD, FACEP, CPC

William Hurley, MD FACEP, FACMT

Jeremy Johnson, DO, RDMS, FACEP

Cappi Lay, MD

Suzan Mazor, MD

Russell Migita, MD

Mark Rosenberg, DO, MBA

Nathan Schlicher, MD, JD, FACEP

Jamie Shandro, MD, MPH

Robert Vissers, MD

Jon Weyand, MD

Nathan White, MD, MS

Cameron Wolterstorff, MD

PROGRAM CHAIR

Patrick Solari, MD, FACEP

WA/ACEP’s SUMMIT to SOUND — Northwest Emergency Medicine Assembly 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.

SPONSORED BY:

American College ofEmergency Physicians®

ADVANCING EMERGENCY CAREEMERGENCY NURSES ASSOCIATION

Washington State Council

ADVANCING EMERGENCY CARE

WASHINGTON CHAPTER

American College ofEmergency Physicians®

The World’s Leading Wilderness Medicine Expert:Paul S. Auerbach, MD, MS, FACEPDr. Paul Auerbach is the editor of Wilderness Medicine, and author of Medicine for the Outdoors and Field Guide to Wilderness Medicine. He has been recognized as a Hero of Emergency Medicine by the American College of Emergency Physicians and received the

New Orleans Grand Isle Award for Science from the Academy of Underwater Arts and Sciences, the Founders Award from the Wilderness Medical Society, and the Outstanding Contribution in Education Award from the American College of Emergency Physicians, among others. Dr. Auerbach has served as a volunteer physician in Haiti, Nepal, and Guatemala.

Michael A. Granovsky, MD, CPC, FACEPPresident, LogixHealth; Editor, ED Coding Alert, Subject Matter Expert AAPC ED Subspecialty Certification Exam; Chair, ACEP’s Coding and Nomenclature Committee; Member Reimbursement Committee; CFO, Greater Washington Emergency Physicians, Fort Washington, Maryland,

Co-Course Director, Reimbursement Trends and Strategies in EM/Advanced Procedure Coding for EM.

Don’t Miss This Bevy of National Speakers...Mark Rosenberg, DO, MBA, FACEP, FACOEP-D, is chairman of the Department of Emergency Medicine, chief of Geriatrics Emergency Medicine, and chief of Palliative Medicine at St. Joseph’s Healthcare System in Paterson, NJ. Palliative care is the medical specialty focused on relief of the pain, symptoms and stress of serious illness. The goal is to reduce suffering and improve quality

of life for patients and their families. Palliative care is appropriate at any point in a serious illness and can be provided at the same time as curative treatment. Dr. Rosenberg will discuss patients and families unique situations that need to be addressed on a case-by-case basis. Emergency physicians alone are not equipped to provide this individualized attention in their fast-paced, stressful environment. Adding a palliative care component to emergency medicine can help provide better outcomes for the patient and greater efficiency for the health care facility.

Robert J. Vissers, MD is the Medical Director of Emergency Services and Chair of Quality at Legacy Emanuel Medical Center in Portland, Oregon. He also serves as an Adjunct Associate Professor of Emergency Medicine at Oregon Health Sciences University. In addition, he is also the president and CEO of the physician group Northwest Acute Care Specialists. Dr. Vissers is a national expert in airway management and patient flow. He has authored over 50 book chapters and countless articles on many subjects, with an emphasis on difficult airway management.

• Demonstrate how to accurately identify peripheral and central veins • Demonstrate how to place catheters and lines using ultrasound

guidance• Review the major forces defining emergency medicine• Analyze strategies to ensure a stable financial future for your group• Discuss alternative revenue streams available to ED groups• Review successful strategies for profitability with additional revenue

streams• Discuss the unique nature of wounds encountered in wilderness

settings• Review the concepts of wound management unique to wilderness

settings• Discuss how patients’ experiences in the ED impacts their health• Identify ways to improve patients’ experiences through operational

improvements

• Discuss ways to help individual providers improve their patient satisfaction scores

• Describe the importance of teamwork skills in emergency medicine practice

• Demonstrate key teamwork skills• Review how to approach fever in young children• Discuss the elements of a geriatric ED• Identify the elements of a complete geriatric assessment in the ED• Differentiate palliative medicine and hospice care• Identify the elements of a palliative assessment in the ED• Describe evidence-based considerations for polytrauma patients• Discuss considerations surrounding patient transfer to a Level I

trauma center• Review recent publications describing potential use of CCTA in the

ED for cardiac workups

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

CME InformationThis activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Emergency Physicians and the Washington Chapter American College of Emergency Physicians. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The American College of Emergency Physicians designates this live activity for a maximum of 20.50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved by the American College of Emergency Physicians for a maximum of 20.50 hours of ACEP Category I credit

Conference Schedule DAY 1 – WEDNESDAY, APRIL 30, 2014 HANDS-ON WORKSHOPS

0900 – 1100 TeamSTEPPS Sim | William Hurley, MD

1130 – 1330 Ultrasound Vascular Access Jeremy Johnson, DO and Cameron Wolterstoff, MD

1400 – 1600 Ultrasound Peripheral Nerve Block Jeremy Johnson, DO and Cameron Wolterstoff, MD

1730 – 1930 WA/ACEP Board Meeting | Pacific Room

DAY 2 – THURSDAY, MAY 1, 2014 BELL HARBOR INTERNATIONAL CONFERENCE CENTER

0700 – 0750 Registration/Continental Breakfast with Exhibitors Harbor Dining Room

0750 – 0800 Welcome & Introduction | Bay Auditorium

EM Culture and Health Care Reform | Moderated by Enrique Enguidanos, MD

0800 – 0845 How is Health Care Reform Affecting EM? Mike Granovsky, MD

0845 – 0930 Legislative Update in WashingtonNathan Schlicher, MD, JD and Stephen Anderson, MD

0930 – 1000 Alternative EM Revenue Streams | Mike Granovsky, MD

1000 – 1030 Break /Exhibits /Poster Display | Bay Auditorium Inlet

1030 – 1130 Cutting Edge Patient Satisfaction | Antonio Brandt, MD

1130 – 1200 Moderated Panel Discussion

1200 – 1315 WA-ACEP/WA-ENA Business LuncheonMaritime Event Center

Trauma Symposium | Moderated by Susan Stern, MD

1315 – 1400 Wilderness Wound Care | Paul Auerbach, MD

1400 – 1445 Early Burn Care | Nicole S. Gibran, MD

1445 – 1515 Break /Exhibits /Poster Display

1515 – 1545 Case Based Trauma Pearls | Jamie Shandro, MD, MPH

DAY 2 – THURSDAY (continued)

1545 – 1645 Blood Products and Reversal of Anticoagulant Agents Nathan White, MD

1645 – 1715 Moderated Panel Discussion

1715 – 1815 Welcome Reception with Exhibitors – Harbor Dining Room

DAY 3 – FRIDAY, MAY 2, 2014 BELL HARBOR INTERNATIONAL CONFERENCE CENTER

0700 – 0800 Registration & Continental Breakfast with Exhibitors Harbor Dining Room

Extremes in Age | Moderated by Chris Kang, MD and Pat Solari, MD

0800 – 0845 The Geriatric Emergency Department – Why, What and How Much | Mark Rosenberg, DO

0845 – 0930 Pediatric Infectious Disease | Russ Migita, MD

0930 – 1000 Break /Exhibits /Poster Display

1000 – 1045 Palliative Care in the ED | Mark Rosenberg, DO

1045 – 1130 Pediatric Toxicology | Suzan Mazor, MD

1130 – 1200 Panel Discussion with above Faculty

1200 – 1300 Lunch

1215 – 1300 Journal Club: Value of Coronary CT in the Evaluation of Acute Chest Pain | Jon Weyand, MD

Critical Care | Moderated by John Matheson, MD

1300 – 1345 Peri-Intubation Crash | Robert Vissers, MD

1345 – 1430 Neuro Critical Care | Cappi Lay, MD

1430 – 1450 Coffee Break

1450 – 1545 Emergent Intubations | Robert Vissers, MD

1545 – 1630 Beyond Pediatric Advanced Life Support Elaine Albert, MD

1630 – 1700 Panel Discussion with above Faculty

1700 Adjourn

WEDNESDAY | April 30, 2014The workshops below are optional activities requiring an additional registra-tion fee. To sign up for a workshop please use the enclosed registration form.

n TeamSTEPPS Sim Workshop | 9:00 – 11:00 am

TeamSTEPPS is a teamwork system developed jointly by the Department of Defense (DoD) and the Agency for Healthcare Research and Quality (AHRQ) to improve institutional collaboration and communication relating to patient safety. The TeamSTEPPS program provides the resources to optimize team performance across an organization. Human factors research has shown that even highly skilled, motivated professionals are vulnerable to error due to human limitations. But research has also shown that teams that communi-cate effectively and back each other up reduce the potential for error, which results in enhanced safety and improved performance.n Ultrasound Vascular Access Workshop | 11:30 am to 1:30 pm

This hands-on workshop is designed for practitioners who are responsible for vascular access. It will teach you how to utilize bedside ultrasonography to obtain both peripheral and central venous access and therefore improve your

Pre-Conference Workshops

success rates and patient care. Live models and medical simulation phan-toms are utilized to practice hands-on skills. Upon completion, participants will receive an attestation form for completion of training examinations.

n Ultrasound Peripheral Nerve Block Workshop | 2:00 –4:00 pm

This workshop is intended to teach practitioners how to utilize ultrasound guidance for peripheral nerve blocks. The primary focus will be on forearm, femoral, sciatic, and posterior tibial nerve blocks. Live models and medical simulation phantoms are utilized to practice hands-on skills. Upon comple-tion, participants will receive an attestation form for completion of training examinations.

Social Activitiesn OPENING NIGHT RECEPTION A  Thursday, May 1 | 5:15 – 6:15 pm

Greet old acquaintances and meet new ones. You are invited to attend a special welcoming reception Thursday evening in the Exhibit Hall, featuring a tasting of Northwest wines paired with tantalizing appetizers. Don’t miss out on this free social event!

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

Register online at: www.washingtonacep.org

Course LocationSeattle’s premier conference center, located on Elliott Bay in

Downtown Seattle

Seattle, WashingtonIt’s easy to find limitless recreation, fabulous dining, and flourishing culture. Seattle offers some fantastic attractions: The Pike Place Market, the Space Needle, Experience Music Project, Pioneer Square, Theater District and the Seattle waterfront. To find out about upcoming down town Seattle events, shopping, dining information and how best to get around, visit: www.downtownseattle.com.

Sponsored by:

EMERGENCY NURSES ASSOCIATION

Washington State Council

PRSRT STDUS POSTAGE

PAIDPERMIT NO. 5544

SEATTLE, WA

SUM MIT TO SOU N D

WASHINGTON CHAPTER ACEPNorthwest Emergency

Medicine AssemblyAPRIL 30–May 2, 2014

Bell Harbor International Conference CenterSeattle, Washington

ADVANCING EMERGENCY CARE

WASHINGTON CHAPTER

American College ofEmergency Physicians®

American College ofEmergency Physicians®

ADVANCING EMERGENCY CARE

A Meeting to Be Proud OfThe WA-ACEP has gone green! Prior to the meeting,

you will receive an e-syllabus via email, which will include all the details about the meeting, including an up-to-date schedule and speaker handouts to review and printout before you come. No printers or paper syllabus will be provided.

LodgingA conference room block has been arranged at The Edgewater.

The Edgewater2411 Alaskan Way, Pier 67 | Seattle, WA 98121www.edgewaterhotel.com

Call the hotel at 206-728-7000 to receive the special conference rate of $219 a night. Be sure to ask for the Washington Chapter ACEP room block. Reservations must be made by March 31.

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