February 9 - 11, 2009, San Antonio, TX
Purpose and Objectives: The purpose of this three-day course is to provide the latest information on a broad range of topics within emergency medicine.
Target Audience: The curriculum is designed for military emergency physicians but may also be applied to all practicing emergency physicians with the focus on clinical practice. Physician Assistants are also encouraged to attend.
Description of Education Content: A variety of evidence-based, cutting edge lectures will be presented to include such subjects as Emergency Medical Care in the Austere Environment, Bedside Ultrasonography, and Toxicology Cases Identification. Developed by military physicians, the course also covers the latest techniques practiced by physicians who have been stationed in war zones.
Board Review: Board review and Continuous Certification Training (LLSA Review) are also presented.
JSS speakers are nationally known experts in the field of emergency medicine.
JSS COURSE AGENDA AND LEARNING OBJECTIVES:
Monday February 8,
0700-0800
Registration/Complimentary Continental Breakfast
0745-0800
Welcome
Maj James Eadie, MD, FACEP and Maj Julio Lariet, DO, FACEP
0800-0855
Length: 55 minutes
Speaker: Lt Col Edward L. Fieg, DO, FACEP, FAAEM: Commander, Emergency Services Flight, Wright Patterson Medical Center Wright Patterson AFB, OH; Assistant Professor, Department of Emergency Medicine, Wright State University
Title of presentation: Medical Embedded Training Team: Mentoring the Afghan National
Army Medical Service
Teaching Method: PowerPoint Presentation
Learning Objectives:
The military emergency physician is viewed as the caretaker of the service member, their families and our retirees. In time of war we deploy to conserve the fighting force, but there are times we must take on other roles. Dr. Fieg was a physician mentor with the Afghan National Army Medical Service. Upon completion of this lecture the participant should be able to describe the history and current status of healthcare and healthcare delivery in Afghanistan. He/ she should be able to detail the training, pre-deployment preparation, and conduct of the deployed medical embedded training team; assess the capabilities, idiosyncrasies, limitations and current status of a prototypical Afghan National Army Regional Community and Combat Support Hospital.
0900-0955
Length: 55 minutes
Military Keynote Speaker: Brig. Gen. Byron C. Hepburn, MD, Commander Air Force Medical Support Agency (AFMSA), Bolling Air Force Base, Washington, D.C
Title of presentation: Military Physician Leaders - A Call to Action!
Teaching Method: Power Point Presentation
Learning Objectives:
The military medicine professional has a unique leadership role. Our lecturer will address Global operational engagement and national medical challenges. He will discuss activities within the national capital region and joint medical research. Officership will be discussed as it is relevant to competency, strategic awareness and mentoring. Upon completion of this session participants should be able to describe the strategic factors impacting military medical practice today and the leadership qualities needed to excel in the current military medicine environment. The participants should be able to discuss the transformational activities within the Military Health System.
0955-1015 Coffee Break
1015-1100
Length: 45 minutes
Speaker: LTC John McManus, MD, MCR, FACEP: Emergency Medical Liaison for Combat Casualty Care Research, U.S. Army Institute of Surgical Research
Title of presentation: Pain Management in the Austere Setting
Teaching Method: Power Point Presentation
Learning Objectives:
In the wilderness, during medical mission trips and warfare, providing care outside the hospital can be difficult and at times daunting. Emergency physicians are adept at providing rapid and effective pain relief, but planning must be made prior to facing these challenges outside the hospital. Upon completion of this lecture, the participant should be able to describe why we care about pain, what constitutes adequate pain control, and how to define it. He/she should be able to discuss pain control at presentation and during transportation to definite medical care. Participants should be able to plan using the methods available in the austere setting and limitation of equipment and medicines in these environments.
1100-1145
Length: 45 minutes
Speaker: LtCol Robert Thaxton, MD: Associate Program Director, SAUSHEC Emergency Medicine Residency; Vice-Chair WHMC Ethic Committee
Title of presentation: Medical Ethical Dilemmas in a Deployed Setting
Teaching Method: Power Point Presentation
Learning Objectives:
The lecturer will broach ethical dilemmas, not often spoken about during military deployments in the war zone. The participants, after attending this lecture, should be able to discuss what the ethical conflicts are when deployed and how to overcome these conflicts. The participants should be able to train themselves and others to deal with ethical conflicts.
1145-1230
Length: 45 minutes
Speaker: COL Bruce D. Adams, MD, FACEP: Clinical Professor of Emergency Medicine Chief, Department of Clinical Investigation, William Beaumont Army Medical Center, Fort Bliss, TX
Title of presentation: Combat Research: From the Bedside to the Battlefield and Back
Teaching Method: Power Point Presentation
Learning Objectives:
War and the U.S. military medical corps have been instrumental in the advancement of medical innovation and have contributed greatly to medical research in various fields. After this lecture, the participants should be able to discuss the historical background of battlefield medicine and its translations into medical practice. They should be able to discuss current research efforts on the modern battlefield and explain how to perform research in the combat theater.
1230-1355
Length: 85 minutes
Consultants Lunch
Speakers: Col Linda Lawrence, MD, FACEP: Chief of Medical Staff, David Grant Medical Center, Travis AFB, CA; Emergency Medicine Consultant to the Surgeons General, Air Force; Associate Professor, Dept. of Military and Emergency Medicine, USUHS, Bethesda, MD; Immediate Past President, American College of Emergency Physicians
CAPT Joel Roos, MD, FAAEM, Director Primary Care and Branch Clinics, NMC Portsmouth, VA: Specialty Leader, Navy Emergency Medicine
COL Ian Wedmore, MD, FACEP: US Army Consultant to the Surgeons General; Adjunct Assistant Professor, USUHS.
Learning Objectives:
These Consultants to the Surgeons General for the respective services will explain the operational mission of each service and where the emergency medicine specialty is going within the military. The participant will be able to discuss emergency medicine staffing and assignments in the different military services, define roles of emergency medicine in medical readiness and identify career opportunities for emergency physicians within the federal system. Each consultant will take approximately 30 minutes presenting his/her portion.
1400-1445
Length: 45 minutes
Speaker: CPT (P) Scott E. Young, DO; Staff Physician, Dept Emergency Medicine, Womack AMC, Fort Bragg, TX
Title of presentation: Resuscitative Technology in the Austere Environment
Teaching Method: Power Point Presentation
Learning Objectives:
Portability and reliable performance in the deployed setting are essential components for equipment that we have to use in the field environment. This is particularly important in the austere locations where resuscitation is our mission. Dr. Young will demonstrate various devices. At the end of this session the participants will be able to discuss the obstacles to resuscitative critical care in the austere environment. They will be able to negotiate the devices currently in use, including vents, blood warmers, IV pumps, pt warming equipment and PRBC/FFP storage devices presented. They should be able to evaluate and describe the "walking blood bank", with current policies and developing research for bedside screening.
1450-1535
Length: 45 minutes
Speaker: LTC Bret T. Ackermann, DO, FACEP, FAAEM: Commander, 168th Multifunctional Medical Battalion 65th Medical Brigade, 8th U.S. Army; Adjunct Assistant Professor of Military Emergency Medicine, USUHS, Bethesda, MD
Title of presentation: Radiation Exposure and Illness: Current Diagnosis and Treatment
Teaching Method: Power Point Presentation
Learning Objectives:
Radiation at home or in the deployed setting is a reality and emergency physicians must be ready to treat the victims immediately after an event such as a Chernobyl, a nuclear weapons detonation, or our radiology department accident. Following this session, participants should be able to recognize the different syndromes associated with increasing levels of radiation exposure. They should be able to estimate the level of exposure based on timing and presentation of symptoms and applicable diagnostic tests and be aware of current treatment options available.
1535-1550 Coffee Break
1550-1635
Length: 45 minutes
Speaker: Major Paul DeFlorio, MD, FACEP: Staff Emergency Physician, Wilford Hall Medical Center Lackland Air Force Base, TX
Title of presentation: Blast Trauma
Teaching Method: Power Point Presentation
Learning Objectives:
During his deployment, Dr. DeFlorio took care of hundreds of blast injury patients. He has developed a unique lecture on the subject, combining photographs of presentation with real-life correlating radiographic images, and couched in a review of the literature. Following the session the participant should be able to explain the physics involved in military blast and how they impact the body, analyze the pathophysiology of blast trauma and determine the diagnostic approach and therapeutic interventions involved in the different subsets of blast trauma.
1640-1725
Length: 45 minutes
Speaker: MAJ Robert L. Mabry, MD: Medical Director for Academics, Department of Combat Medic Training Fort Sam Houston, TX
Title of presentation: Airway Management on the Battlefield
Teaching Method: Power Point Presentation
Learning Objectives:
Airway is the cornerstone of resuscitation and this takes greater center stage in the austere environment. Following this session the participant should be able to describe the most common injuries associated with airway death and the advantages and disadvantages of current methods available for management of the airway in the tactical setting. They should also be able to describe the best technique for cricothyroidotomy in the tactical setting and discuss the role of supraglottic airways in the tactical setting.
Track 2, Monday February 9, Advanced Tactical Ultrasound
Target Audience: The target audience includes civilian or military emergency physicians, military emergency medicine residents and physician assistants who are interested in advancing their skills in emergency ultrasound as it relates to the tactical/wartime environment.
Description of educational content: The educational material regarding the emergency ultrasound workshop will be presented in two formats. Primary instruction will occur through PowerPoint presentations that will include both relevant photos and video clips. Additionally, educational instruction will be solidified through hands-on instruction for the various applications previously covered by PowerPoint.
1020- 1105
Length: 45 Minutes
Speaker: CPT Brooks Laselle MD; Fellow, Emergency Ultrasound; Clinical Instructor, University of Colorado School of Medicine, Department of Emergency Medicine Denver Health Medical Center, Denver, CO
Title of presentation: Emergency Echocardiography
Teaching Method: Power Point Presentation
Learning Objectives:
Echocardiography can be a rapid, noninvasive, objective tool in the assessment of ventricular function and preload during resuscitation. Ultrasonography has emerged as an important, noninvasive, bedside diagnostic tool for emergency physicians to facilitate early detection of potentially reversible and time-dependent conditions. Upon completion of this session participants should be able to discuss the utilization of bedside echo in ED code situations, determine how to estimate ejection fraction, identify right ventricular strain by ultrasound and describe the echocardiography signs seen in pulmonary embolism.
1105-1150
Length: 45 Minutes
Speaker: MAJ Bradley N. Younggren, MD, FACEP: Associate Program Director, Madigan Army Medical Center Emergency Medicine; Acting Medical Director, Andersen Simulation Center, Fort Lewis, WA; Assistant Professor of Medicine, University of Washington
Title of presentation: Peripheral Nerve Blocks
Teaching Method: Power Point Presentation
Learning Objectives:
Imaging guidance for nerve localization and peripheral block improves pain control for many procedures at the bedside. Regional anesthesia using the ultrasonography modalities improves success and decreases complications otherwise encounter during blind needle insertion. Upon completion of this session, the participant should be able to describe the relevant anatomy in a brachial plexus block, in a forearm/wrist block, in a popliteal block and in a femoral nerve block. The participant will also be able to describe the technique used to perform a peripheral nerve block once the relevant anatomy is identified.
1150-1220
Length: 30 Minutes
Speaker: MAJ Jeremy N. Johnson, DO: Emergency Ultrasound Fellow, Palmetto Richland Memorial Hospital, Columbia, SC
Title of presentation: Testicular Ultrasound
Teaching Method: Power Point Presentation
Learning Objectives:
A sudden onset of pain in the *** is considered a serious problem. Delay in diagnosis and treatment can lead to loss of function. Have you waited for your consultant or for a technician thinking time is critical and wished you could do the ultrasound? Upon completion of this session the participants should be able to discuss the role of EM testicular ultrasound, the limitations of this process and the liability with testicular ultrasound.
1230-1355 Consultants Lunch (see above)
1400-1430
Length: 30 Minutes
Speaker: CPT Todd J McArthur MD RDMS: Director ED Ultrasound, Dept Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: "Deep Venous Thrombus"
Teaching Method: Power Point Presentation
Learning Objectives:
Accurate diagnosis of DVT represents a significant concern to the practice of emergency medicine; undiagnosed DVT can cause serious complications, including sudden death from pulmonary embolism. Upon completion of this session, participants should be able to review the relevant anatomy as it related to DVT identification, the current literature supporting the use of ultrasound in the ED to identify DVT's, and what images must be acquired to complete a thorough scan consistent with radiology standards at most hospitals.
1430-1530
Length: 60 minutes
Speakers: MAJ Bradley N. Younggren, MD, FACEP: Associate Program Director, Madigan Army Medical Center Emergency Medicine; Acting Medical Director, Andersen Simulation Center, Fort Lewis, WA; Assistant Professor of Medicine, University of Washington
CPT Todd J McArthur MD RDMS: Director ED Ultrasound, Dept Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
MAJ Jeremy N. Johnson, DO: Emergency Ultrasound Fellow, Palmetto Richland Memorial Hospital, Columbia, SC
CPT Brooks Laselle MD; Fellow, Emergency Ultrasound; Clinical Instructor, University of Colorado School of Medicine, Department of Emergency Medicine Denver Health Medical Center, Denver, CO
Title of presentation: "Breakout Scanning Session"
Teaching Method: Hand-ons with live models for scanning
Learning Objectives:
This session the participants will have the opportunity to practice the series of lectures and techniques just completed with the assistance of the lecturers at their side. Different diverse ultrasonography machines will be available as well as live models. Upon completion of this workshop participants should be able to acquire appropriate images in the different windows for bedside echo, cardiac images and estimate ejection fraction and images consistent with the major peripheral nerve blocks.
1530-1550 Coffee Break
Toxicology Laboratory
1550-1750
Length: 120 minutes
Speaker: MAJ Brandon Wills, DO, MS: Attending Physician, Dept of Emergency Medicine Madigan Army Medical Center, Fort Lewis, WA; Clinical Assistant Professor of Medicine, University of Washington,
Seattle, WA; Associate Medical Director, Washington Poison Center, Seattle, WA
MAJ Melissa Givens, MD, MPH: Residency Director, Emergency Medicine Residency, Darnall Army Medical Center, Fort Hood, TX
LTC Michael A. Miller MD: Assistant Chief, Medical Toxicologist, Department of Emergency Medicine
Tripler Army Medical Center, Hawaii
LtCol Shawn Varney, MD, FACEP: Medical Toxicology Fellow, Rocky Mountain Poison and Drug Center, Denver, CO: Assistant Professor of Military and Emergency Medicine, USUHS, Bethesda, MD
Title of presentation: "Toxicology Lab"
Teaching Method: Interactive stimulus lab and Power Point Presentation
Learning Objectives:
This laboratory proctored by four emergency medicine and toxicology boarded faculty is an interactive stimulus lab with visual stimuli and a few toxic odors. This will be an invaluable active learning experience for younger residents and a good refresher for seasoned emergency physicians. For 60 minutes the participants will be exposed to over 25 questions related to visual and olfactory stimuli and each station will highlight many high-yield management points. This will be followed by four 15 minute lectures. Upon completion of this laboratory the participants should be able to answer questions taken from each stimulus which are practical and clinically relevant for acute care toxicology and will include important discussion from staff toxicologists. They will be able to identify subtle clues frequently present in the ED when these patients arrive and describe the appropriate clinical decision necessary for the care of the toxicology patient. The participant should be able to discuss recognition, pathophysiology, treatment and disposition of these types of cases.
Tuesday, February 10
Track 1
0700-0800 Registration/Complimentary Continental Breakfast
0800-0855
Length: 55 minutes
Speaker: Richard Schwartz, MD, FACEP: Professor and Chairman, Dept of Emergency
Medicine, Medical College of Georgia.
Title of presentation: Beyond Mass Casualty Triage
Teaching Method: Power Point Presentation
Learning Objectives:
"Is your ED ready for the pan flu?" Local, state and national agencies have a vested interest that their health care infrastructure can handle an epidemic and emergency departments are the front lines combatants in everyone's scenarios. At the conclusion of this session, the participant should be able to describe the difference between Mass Casualty Triage and Pandemic Population-based triage. He/she should be able to explain how to triage mass casualty patients using the SALT methodology and discuss the key components of a Pandemic Population based triage system and the impact of Pandemic Population-based triage on emergency medicine.
0900-0955
Length: 55 minutes
Keynote Speaker: David C. Seaberg, MD, FACEP: Dean and Professor, University of Tennessee College of Medicine, Chattanooga, TN
Title of presentation: Clinical Decision Rules and Practice Guidelines: Pathways to the Future or Cookbook Medicine
Teaching Method: Power Point Presentation
Learning Objectives:
How does your practice decide which are good clinical decision rules or practice guidelines to adopt? Are they right for your department or group? Upon conclusion of this session the participant should be able to describe the processes involved in the development of valid clinical decision rules and practice guidelines. He/she should differentiate between clinical decision rules and practice guidelines and give recent examples of each. He/she should be able to review the strengths and weaknesses of the various techniques/methods for implementing practice guidelines. He/she should describe what patient-centered outcomes are and how they could be incorporated into practice guidelines and explain how explicit and tacit knowledge affect guideline implementation and discuss practice guidelines and their affect on medical-legal issues.
0955-1020 Coffee Break
1020-1110
Length: 50 minutes
Speaker: COL David Della-Giustina, MD, FACEP, FAWM: Chairman of Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: Peripheral Neuropathies in the ED
Teaching Method: Power Point Presentation
Learning Objectives:
The presentation of neurological complaints in the ED is common and when presented, the first step is to determine is the lesion central or peripheral. Once it is determine to be a peripheral neuropathy, your clinical approach is determined by the location of the lesion and the immediacy that the complaint should be further addressed. Upon conclusion of this lecture the participants should be able to distinguish peripheral from central neurological complaints and review the differential for peripheral neuromuscular complaints. They should be able to identify life-threatening etiologies for peripheral neuromuscular complaints and their management and describe non-urgent peripheral neuropathies that commonly present to the ED.
1110-1200
Length: 50 minutes
Speaker: CAPT (ret) David W. Munter, MD., MBA, FACEP: President, The DESA Consulting Group, Chesapeake, VA; former President, GSACEP
Title of presentation: Foreign Bodies in the Gastrointestinal Tract
Teaching Method: Power Point Presentation
Learning Objectives:
Foreign bodies within the GI tract are not only painful, but may pose a life-threatening event. The rapid evaluation and clinical decision making is imperative when dealing with this complaint, and knowing when to call the consultant is essential. Upon completion of this session, the participants should be able to outline the basic approach to evaluation and management of foreign bodies and foreign body sensation in the oropharynx and throat. He/she should identify the common areas of entrapment of esophageal foreign bodies, and radiographic appearance of foreign bodies in these areas. He/should be able to describe several interventional approaches to management of esophageal foreign bodies, and understand what types of esophageal foreign bodies represent true emergencies. Describe the basic approach to evaluation and management of rectal foreign bodies, and understand the indications for surgical consultation. Explain the approach to management of special ingestions including button batteries, safety pins, and sharp objects.
1200-1330
Length: 90 minutes
Speaker: Maj Julio Lairet, DO, FACEP: Associate Program Director, SAUSHEC EMS Fellowship; Volunteer Clinical Assistant Professor of Emergency Medicine Indiana University School of Medicine
David C. Seaberg, MD, FACEP: Dean and Professor, University of Tennessee College of Medicine, Chattanooga, TN
Title of Presentation: GSACEP Chapter Lunch
Learning Objectives:
The Chapter president Dr. Julio Lairet and our keynote speaker Dr. David C. Seaberg will address the chapter at large to give us an update on both the Chapter and ACEP at the national level. Participants at the end of this session should be able to list chapter accomplishments for the past year, identify chapter goals for 2009 and describe ACEP-chapter collaboration on critical issues facing emergency medicine.
1330-1415
Length: 45 minutes
Speaker: COL Robert E. Suter, DO, MHA, FACEP, FIFEM: U.S. Army Reserve; Department of Military and Emergency Medicine, USUHS Professor, University of Texas at Southwestern; Past President, International Federation for Emergency Medicine; Past President of ACEP
Title of presentation: Emergency Medicine Around the World
Teaching Method: Power Point Presentation
Learning Objectives:
Emergency medicine truly is international. Many emergency departments throughout the world face the same problems as we do in the US, and we can gain knowledge from them, by understanding their approach to these issues. Upon completion of this session, the participant should be able to: explain the difference between the Franco-German and Anglo-American approaches to emergency medicine, and where they are found; identify from a list of countries in the world, those with highly developed emergency medicine systems and be able to discuss the pace and direction of emergency medicine specialty development worldwide.
1415-1500
Length: 45 minutes
Speaker: CAPT James V. Ritchie, MD, FACEP: Emergency Medicine Residency Director; Interim Medical Director, Simulation Center Naval Medical Center, Portsmouth, VA; Assistant Professor of Military and Emergency Medicine, USUHS
Title of presentation: Resuscitation Physiology: Recognizing Occult Peril
Teaching Method: Power Point Presentation
Learning Objectives:
Resuscitation is often thought of as ACLS or only CPR. Emergency physicians are students of resuscitation, and it is our primary tool. Be a master. Upon completion of this session the participants should be able to explain a conceptual framework for physiological response to physiological stressors and recognize potential for occult ongoing injury and compromise despite reassuring appearance. They should as well be able to recognize absence of bedside indicators of key physiologic measurements and articulate resuscitative strategies based on physiologic predictions.
1500-1520 Coffee Break
1520-1605
Length: 45 minutes
Speaker: COL Robert A. De Lorenzo, MD, MSM, FACEP: Senior Fellow, Department of Clinical Investigations, Brooke Army Medical Center, Fort Sam Houston, TX; Professor of Military and Emergency Medicine, USUHS
Title of presentation: Fainting, Swooning and Blacking Out: The Many Facets of Syncope
Teaching Method: Power Point Presentation
Learning Objectives:
One of the most common complaints that arrive to the ED is syncope or near syncope. What do you do with these? Admit them all, do a million dollar work up, or dismiss them as nothing? After this session the participant should be able to discuss the historical and scientific basis of syncope as it relates to emergency medicine practice. They will be able to identify the scientific evidence available on syncope with an emphasis on recent research developments and construct a reasonable approach to the diagnosis and management of syncope that includes the latest clinical practice guidelines.
1605-1650
Length: 45 minutes
Speaker: Maj Julio Lairet, DO, FACEP: Associate Program Director, SAUSHEC EMS Fellowship; Volunteer Clinical Assistant Professor of Emergency Medicine Indiana University School of Medicine
Title of presentation: Hypothermic Resuscitation After Cardiac Arrest
Teaching Method: Power Point Presentation
Learning Objectives:
Increased brain temperature contributes to ischemic brain damage in patients after cardiac arrest and there is evidence that by lowering brain temperature, may decrease brain damage. Upon conclusion of this lecture the participants should be able to discuss the history of therapeutic hypothermia and define therapeutic hypothermia. They should be able to describe the mechanism of therapeutic hypothermia, the effects of hypothermia on the body and the available methods of cooling patients. Participants should be able to describe the available literature addressing therapeutic hypothermia after cardiac arrest - An EBM approach and the challenges faced when trying to institute therapeutic hypothermia in daily practice.
Track 2
0900-1500
Length: 270 minutes
Course Director: COL Marco Coppola, DO, FACEP: Commander, Texas Army National Guard; Chair, Dept. of Emergency Medicine, Las Colinas Medical Center; Secretary and Board Member, Questcare Partners; Professor, Dept. of Emergency Medicine, Texas A&M University Systems Health Science Center College of Medicine
Title of Course: Oral Board Review Course
Teaching Method: PowerPoint presentation and Workshop
Learning Objectives:
The oral board is the second hurdle once residency is completed to become ABEM board- certified. This course is designed for third year residents or recent graduates that already past step one and is preparing for the oral boards. Practice with direct feedback has shown to be the best tool to successfully accomplish this goal. Upon completion of this course the participants should be able to explain the key elements needed to pass the oral boards and the organizational skill to do so. They should be able to actively manage simulated oral board case scenarios and synthesize the direct feedback following the encounter, analyze their performance after multiple mock oral board cases and gain confidence for their upcoming oral boards.
1215-1330 GSACEP Chapter Lunch (see above for objectives)
1520-1720 Research Forum
Length: 120 Minutes
Moderator: MAJ Melissa Givens, MD, MPH: Residency Director, Emergency Medicine Residency, Darnall Army Medical Center, Fort Hood, TX
Title of Event: Research Forum
Teaching Method: Forum Discussion and Presentation
Learning Objectives:
In this forum the participants will be able to present original basic science or clinical research. Open to all level of training, it affords an opportunity to present on topics that are unique to emergency medicine and military physicians. Submissions will be reviewed and the selected abstracts will be able to present a ten minute PowerPoint presentation. Participants at the end of this session should be able to
discuss the emphases of current and leading-edge operational research coming from military facilities. Be able to explain the challenges inherent in conducting operational research in the combat or field environment. They should be able to analyze current advances in military combat care and build research presentation skills through participation or vicarious learning.
Track 3
1330-1630
Length: 180 minutes
Speaker: LTC John McManus, MD, MCR, FACEP: Emergency Medical Liaison for Combat Casualty Care Research, U.S. Army Institute of Surgical Research
Title of Presentation: 2008 LLSA Review
Teaching Method: PowerPoint presentation and small group discussion
Learning Objectives:
This is a synopsis of the required reading for the emergency physician for the 2008 LLSA. Participants upon completion of this course should be able to discuss the history and purpose of board certification and the model of the clinical practice of emergency medicine. List the core competencies defined by American Board of Medical Specialties and define the four broad areas that continuous certification must address. They will also be able to list the primary emergency medical continuous certification program requirements, discuss diplomat concerns with the new boarding process and evaluate Life Long Learning and Self-Assessment Articles.
Wednesday, February 11
Track 1
0730-0830 Continental Breakfast
0800-0855
Length: 55 minutes
Speaker: Dr. Sumeru Mehta: Methodist Stone Oak Hospital, San Antonio, TX Director of Emergency
Ultrasound, Greater San Antonio Emergency Physicians Residency: Hospital of the Univ of Pennsylvania
Title of presentation: High Altitude Medicine: An Evidence Based Update
Teaching Method: Power Point Presentation
Learning Objectives:
Wilderness medicine and operational medicine has many things in common, and the sudden onset of high altitude illness is of concern that affects performance. Prevention is key, but when confronted with an ill patient, what does the evidence show. Upon completion of this session the participant should be able to describe the diagnosis and spectrum of High Altitude Illness (HAI) and the evidence based management of HAI. He/she should be able to discuss the challenges of practicing emergency medicine in the austere environment
0900-1000
Length: 60 minutes
Speaker: MAJ Melissa Givens, MD, MPH: Residency Director, Emergency Medicine Residency, Darnall Army Medical Center, Fort Hood, TX
Title of presentation: "Wine, Water, or Whiskey: Controversies in Fluid and Blood Product
Resuscitation of the Trauma Patient"
Teaching Method: Power Point Presentation
Learning Objectives:
Volume and fluid resuscitation is essential in the hypovolemic patient regardless of etiology. Controversy has surrounded as which is the best option for early and aggressive therapy. Upon completion of this presentation, the participant should be able to discuss available crystalloids and colloids for the resuscitation of the trauma patient, and blood product use and controversies in optimal use in the trauma patient. The participant should be able to explain what blood product alternatives are.
1000-1015 Coffee Breakfast
1015-1105
Length: 50 minutes
Speaker: LTC John Rayfield, MD, FS: Associate Program Director, SAUSHEC Emergency Medicine Residency; Medical Director, Emergency Medicine Physician Assistant D.Sc Fellowship Brooke
Army Medical Center
Title of presentation: Itches, Boils and Patches; What You Need to Know about Emergency Dermatology
Teaching Method: Power Point Presentation
Learning Objectives:
Rashes are common entities in the practice of emergency medicine. The can be confusing, enigmatic and frustrating. Familiarization with important rashes is essential and these will be reviewed during this session. Upon completion of this session the participant should be able to recognize common skin conditions for the emergency physician and discuss dermatological findings for assorted medical conditions (malignancies, etc). The participant should be able to differentiate skin findings pertinent to deployment medicine.
1105-1200
Length: 55 minutes
Speaker: LTC Rolando Torres, FACEP: Associate Program Director; Medical Director, US Army/Baylor EMPA DSc Fellowship Program, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: Literature Review on the Febrile Child
Teaching Method: Power Point Presentation
Learning Objectives:
The approach used to address the febrile infant is controversial and an item of intense debate among EM physicians. Why the controversy, why the different ways to address a very common problem in our practice? Upon completion of the session, the participants will be able to describe how the febrile child work-up has changed in the last 20 years as the literature emerged and how immunizations have changed the way we approach the febrile child. They should be able to compare the difference between standard of care and best care practice today in the approach of the febrile child, and evaluate fever guideline and their utility.
Track 2 Residency Track
0800-0855
Length: 55 minutes
Speaker: CAPT James V. Ritchie, MD, FACEP: Emergency Medicine Residency Director; Interim Medical Director, Simulation Center Naval Medical Center, Portsmouth, VA; Assistant Professor of Military and Emergency Medicine, USUHS
Title of presentation: "Time Management for Real Life"
Teaching Method: Power Point Presentation
Learning Objectives:
Do you have a foreboding sense of falling behind in your responsibilities? Do you regret not spending more time in your most important relationship? Then this session is for you. Emergency medicine residents never seem to have enough time, and it gets worse after residency. Upon completion of this session the participant should be able to realize that your expectations aren't reasonable regarding what you can accomplish in the time you're given. They should be able to recognize Time Thieves that rob you of following your priorities and identifying strategies for recovering "lost" time. The participant should be able to budget available time to facilitate his/her life goals.
0900-1000
Length: 60 minutes
Speaker: David W. Munter, M.D., MBA, FACEP: President, The DESA Consulting Group, Chesapeake, VA
Title of presentation: Taking Care of Patients - What You Were Never Taught in School
Teaching Method: Power Point Presentation
Learning Objectives:
Being clinically competent is only one part of the delivery of care to patients. Patients and clinicians have vastly different perceptions of quality. There is an art and science to managing all the components needed to optimize outcomes. Concepts common in other businesses can be successfully used in medicine. Upon completion of this session the participant should be able to describe what variation is and how it relates to the practice of medicine and the basic methods of measuring variation. They should be able to develop strategies to reduce variation leading to better outcomes at lower costs; explain how patients perceive quality (it's not clinical competence!), and how to modify a practice environment to optimize their perceptions. He/she should be able to put into practice basic customer tenants and use them to improve customer satisfaction in his/her clinical area.
1000-1015 Coffee Break
1015-1200
Length: 105 minutes
Speakers: CPT Emily Merchant, MD, Chief Resident, Madigan Army Medical Center, Ft. Lewis, WA
COL David Della-Giustina, MD, FACEP, FAWM: Chairman of Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
CAPT James V. Ritchie, MD, FACEP: Emergency Medicine Residency Director; Interim Medical Director, Simulation Center Naval Medical Center, Portsmouth, VA; Assistant Professor of Military and Emergency Medicine, USUHS
Capt Torree McGowan, MD, USAF Medical Corps Staff Physician, Emergency Department, Elmendorf AFB, Alaska
CPT Rachel Villacorta Lyew, MD: Staff Physician, Dept Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: Beyond Residency
Teaching Method: Power Point Presentation and Group/Panel Discussion
Learning Objectives:
New graduates from residency have many choices to make and lots of more non-clinical information to process. This session is designed to give you some sound advice from two senior officers in the emergency medicine specialty, EMRA and ACEP members and recent graduates already in the field. Topics to be discussed include setting goals for you career, getting involved locally and nationally, life after residency, operational medicine for the EM trained and Navy Emergency Medicine. There will be a 15 minute question and answer time. Upon completion of this session, the participants should be able to provide the emergency physician with an approach to setting goals for career progression and satisfaction and with tools and techniques to enhance their career. He/ she should be able to describe numerous methods for the emergency physician to become involved in organized medicine in both local and national emergency medicine organizations. The participant should be able to describe real world situations where the military emergency physician may be utilized.