THE COSMOPOLITAN LAS VEGAS, NV The American Academy of Emergency Medicine (AAEM) is the specialty society of emergency medicine. A democratic organization with almost 7,000 members, AAEM is committed to establishing board certification as the standard for spe- cialists in EM and to securing fair and equitable work environments throughout the EM community. FREE* registration to the general assembly for AAEM members and up to 20.5 AMA PRA Category 1 Credit(s)™ are offered! *refundable deposit required PRELIMINARY PROGRAM 19TH ANNUAL SCIENTIFIC ASSEMBLY FEBRUARY 9-13, 2013
Transcript
The CosmopoliTan las Vegas, nV
The American Academy of Emergency Medicine (AAEM) is the specialty society of emergency medicine. A democratic organization with almost 7,000 members, AAEM is committed to establishing board certification as the standard for spe-cialists in EM and to securing fair and equitable work environments throughout the EM community.
FREE* registration to the general assembly for AAEM members and up to 20.5 AMA PRA Category 1 Credit(s)™ are offered!
19th AnnuAl AmericAn AcAdemy of emergency medicine Scientific ASSembly
February 9-13, 2013 • The CosmopoliTan oF las Vegas 2
you’re invited... On behalf of the Education Committee, the American Academy of Emergency Medicine invites you to attend the premier event in emergency medicine for clinicians — the 19th Annual Scientific Assembly! This event will take place at the newly opened luxury resort — The Cosmopolitan — in Las Vegas, February 9-13, 2013. Here’s a sneak peak at what promises to be a fantastic event that has come to define our organization.
Preconference course offerings – February 9 and 10 • Resuscitation for Emergency Physicians (1.5 day course)• ED Operations Management: Cracking the Code! (2 day course)• Introductory and Advanced Ultrasound• Pediatric Emergencies: Children Are Not Little Adults! – jointly sponsored by CAL/AAEM• Introduction to Wilderness and Operational Medicine – jointly sponsored by USAAEM• Pediatric Emergency Department Simulation: Critical Skills from Birth to the School Bus!
Given the successes of recent Scientific Assemblies and to increase the opportunities for networking, the 2013 program has increased by a half day and will begin on February 10th at 1pm.
The conference will have 11 robust plenary sessions with a mixture of clinical updates and topics addressing the changing landscape of healthcare, and the impact of these changes on our practice. Topics include:• Affordable Care Act in My ED? ACO? What Does That Mean For Me? – Larry Weiss, MD JD FAAEM• A 911 Emergency — Drug Shortages in Your ED – Joseph Lex, Jr., MD MAAEM FAAEM
Clinical plenary sessions with preeminent speakers include:• Best of the Best in Cardiology – Amal Mattu, MD FAAEM• Best of the Best in Pediatrics – Ghazala Sharieff, MD MBA FAAEM FACEP• Best of the Best in Resuscitation – Corey Slovis, MD FAAEM• Best of the Best in Infectious Disease – Greg Moran, MD FAAEM• Best Evidence: When Ultrasound Really Makes a Difference – J. Christian Fox, MD FAAEM• Updates in Pharmacology and Devices – Jason Wagner, MD FAAEM• Cases from the Front Lines of Shock Trauma: Pearls to Keep & Pitfalls to Avoid in Assessing & Managing the Trauma
Patient in 2013 – Thomas Scalea, MD
Given its positive evaluations after premiering at Scientific Assembly 2012, “Ask the Experts” is making a return. In this unique, innovative session, panelists are presented with a challenging case with increasing amounts of information given as the case unfolds. Attendees will be able to see the thought process as content experts such as Peter DeBlieux, MD FAAEM, Corey Slovis, MD FAAEM, and Evie Marcolini, MD FAAEM, approach and solve cases in critical care, cardiology, and neurology. Amal Mattu, MD FAAEM, will serve as moderator.
In keeping with the spirit of providing attendees a cutting edge conference with up to date, results-oriented, and clinically relevant didactic sessions, the following NEW tracks have been added for 2013:• Maximizing Your Scope of Practice: Critical Care Management in Your ED• Mythbusters at Scientific Assembly• No BMW’S Here: Cost Effective, Evidence Based Imaging• Rare but Deadly: Call the Consultant Now!• You Want Me To Do What? Show Me the Evidence!• Draw Your Stethoscopes at Dawn! Hot Debates in Emergency Medicine• The Clock Begins Now! Time Sensitive Critical Complaints
These new tracks complement the timeless attendee favorites:• When Kids Aren’t Little Adults• This is a Common Complaint: Let’s Be Rational• Let’s Get Down to Business … and Administration Of Course! • When the Shift Hits the Fan! Cringe Inducing Triage Notes • The Best of Morbidity and Mortality: We’re Only Human, Learning From Our Mistakes
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Specialty tracks for 2013 include:• Prehospital Care: From the Field to Your ED• International Emergency Medicine Comes to Las Vegas• 2012 LLSA Review Track
If you think it couldn’t get any better than the content listed above, IT CAN! The afternoon sessions on Tuesday, February 12th will feature 3 specialty tracks which are being piloted for 2013. The first of these three tracks focuses on YOU and is titled: • Don’t Roll the Dice: Maximizing Your Success Personally and Professionally
This track will feature sessions on financial planning (You’ve Earned It — Now Spend it Wisely! Financial Planning for the EP), resilience (Resilience: What Every EM Doc Should Know to Keep Going), and social networking (Social Media 101 & 102: Pearls & Pitfalls You Need to Know Now!).
The second track is an interactive track composed of small groups working to find best practices for common problems. These sessions will have an early sign-up given the workshop style format. The two content areas for 2013 are: • Your Mid-level Provider Does What? Best Practices for Mid-level Providers• Wake Up! It’s Our Turn to Grab the Ring — Maximizing Patient Satisfaction and Our Position in an Ever-Changing
Healthcare Landscape
The third specialty track represents the inaugural Diagnostic Case Competition. Additional information and solicitation of cases will be posted on the website (www.aaem.org/education/scientific-assembly/competitions) as well as sent out by email.
Other annual favorites to round out the program include:• Open Mic: AAEM members have the opportunity to expound on a cutting edge topic by presenting a 20-minute lecture on a
subject of their choosing. The top speaker(s) will be invited to give a formal presentation at the 2014 Scientific Assembly in New York.
• Emergency Medicine Photo Competition• AAEM/JEM Resident and Student Research Competition • RSA–YPS Track — including the In-Training Exam Preparatory Course• Medical Student Track — February 10, 2013
We are also extremely pleased to offer a MOBILE APP for the first time ever at Scientific Assembly! This app will provide participants with great features for the conference including an event guide, speaker profiles, evaluations, surveys, banner ads/exhibitor listing and handout/PPT document access.
As customary for the conference, there is no registration fee for AAEM members (deposit is refundable). For more information, visit this website now: www.aaem.org/education/scientific-assembly — and don’t forget to register for the preconference courses at the discounted rate.
Expect nothing less from your professional organization — the best emergency medicine CME, at no charge, in a prime location, presented by the top clinician-educators in emergency medicine. The AAEM Scientific Assembly — perpetually advancing emergency medicine for the clinician, and proudly, the premier clinical conference in our specialty.
Michael L. Epter, DO FAAEM Education Chair, AAEM
Scientific Assembly Subcommittee
William T. Durkin, Jr., MD MBA FAAEMChad Kessler, MD MPH FAAEMJoseph Lex, Jr., MD MAAEM FAAEMSarah Terez Malka, MD
Amal Mattu, MD FAAEM Kevin Reed, MD FAAEMKevin Rodgers, MD FAAEM Elizabeth Weinstein, MD FAAEM
Michael Winters, MD FAAEM FACEPJacob Ufberg, MD FAAEMLeslie Zun, MD MBA FAAEM
Jody BathMarcia BlackmanLaura BurnsJames Colletti, MD FAAEMGaston Costa, MDAmanda Crichlow, MDGinger CzajkowskiTom DerenneRob Dickson, MD FAAEMChristopher Doty, MD FAAEMWilliam T. Durkin, Jr., MD MBA FAAEMMichael L. Epter, DO FAAEMMitchell Goldman, DO FAAEM FAAPMichael Gottlieb, MDMelissa Iammatteo, MDHeather Jiménez, MDAndrew Johnson, MD MPH FAAEM
Statements of DisclosureThe American Academy of Emergency Medicine (AAEM) endorses the guidelines for continuing medical education programs as set forth in the Accreditation Council for Continuing Medical Education (ACCME). This activity has been planned and implemented in accordance with the Essential Areas and Elements (including the Standards for Commercial Support) and Accreditation Policies. AAEM maintains control over the development of its educational programs and the selection of topics and presenters.
A full disclosure of relevant financial relationships is required of all presenters and faculty members, and the presence of any such relationship will be reported to all program attendees. AAEM defines relevant financial relationships as those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fee, honoraria, ownership interest (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds), or other financial benefit. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received or expected. ACCME considers relationships of the person involved in the CME activity to include financial relationships of a spouse or partner.
In accordance with these policies, AAEM would like to make the following information known to all conference participants.
PlAnning CoMMiTTEE MEMbErs And sTAFF Who hAvE disClosEd no rElEvAnT FinAnCiAl rElATionshiPs.
ThE FolloWing PlAnning CoMMiTTEE MEMbErs And sTAFF hAvE disClosEd rElEvAnT FinAnCiAl rElATionshiPsGary Gaddis, MD PhD FAAEMJohnson & Johnson, Stock Ownership
Robert Glatter, MD FAAEMMedscape Emergency Medicine, Honorarium, Blogger; Advisor; Reviewer
Kay WhalenExecutive Director, Inc., Ownership Interest
Leslie Zun, MD MBA FAAEMAlexza Pharma, Consultant
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ACCrEdiTATion sTATEMEnTThe American Academy of Emergency Medicine (AAEM) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CrEdiT dEsignATion sTATEMEnTThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 20.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
disClosurE PoliCyAll faculty and planning committee members participating in continuing medical education programs sponsored by AAEM are expected to disclose to the audience any real or apparent conflicts of interest.
EduCATionAl nEEdsIn order to maintain their medical practice at the highest possible level, emergency physicians need up-to-date information on a variety of topics in emergency medicine, including both clinical and workplace issues. This conference will meet those needs by providing cutting edge information in several relevant areas. AAEM frequently polls its members for potential topics to be covered. A majority of the topics for 2013 were selected specifically on recommendation of a member.
When planning activities, the AAEM Education Committee uses the 2009 Model of the Clinical Practice of Emergency Medicine to determine the education needs of the emergency physicians attending Scientific Assembly. The Model of the Clinical Practice of Emergency Medicine details the core content of emergency medicine and undergoes an on-going review.
TArgET AudiEnCEThis activity is designed for providers engaged in the practice of emergency medicine who are seeking the most current information in the field, presented at a skill level appropriate to the educational needs of the emergency physician.
lEArning objECTivEsUpon completion of this activity, participants will be able to apply new principles to improve their everyday practice of emergency medicine and to increase their understanding of the emergency medicine workplace.
ACgME CoMPETEnCy indExTo contribute to the development of our members as lifelong learners and enhance the effectiveness of the CME activities it provides, AAEM uses the six competencies defined by the Accreditation Council for Graduate Medical Education (ACGME) to guide its educational programming decisions. The six competencies are:
Patient CareMedical KnowledgePractice-Based Learning and ImprovementInterpersonal and Communication SkillsProfessionalismSystems-Based Practice
All sessions at the AAEM Scientific Assembly address the competencies of Patient Care and Medical Knowledge. For more information about the ACGME physician competencies, visit http://acgme.org/Outcome.
sPECiAl ThAnks & ConsidErATionThe 2013 Scientific Assembly would not be possible without the administrative support provided by Janet Wilson and Marcia Blackman and the collective input from the Education Committee and those Track Chairs who participated on the 2013 Scientific Assembly Planning Subcommittee.
William T. Durkin, Jr., MD MBA FAAEMMichael L. Epter, DO FAAEMChad Kessler, MD FAAEMJoseph Lex, Jr., MD MAAEM FAAEMSarah Terez Malka, MDAmal Mattu, MD FAAEMKevin Reed, MD FAAEMKevin Rodgers, MD FAAEMJacob Ufberg, MD FAAEMElizabeth Weinstein, MD FAAEMMichael Winters, MD FAAEM FACEPLeslie Zun, MD MBA FAAEM
Continuing Medical Education
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11th Annual open Mic SessionoPEn MiC sEssions AvAilAblESponsored by the Young Physicians Section
AAEM will again feature the Open Mic Session, which is a unique opportunity for attendees who have always wanted to speak at a national meeting.
Monday, February 11, 2013, will feature an “Open Microphone” session in a 40-50 seat room at The Cosmopolitan of Las Vegas. From 7:30am to 5:30pm, Assembly attendees will have an opportunity to present a 20-minute lecture (15 minutes for presentation, 5 minutes for questions) on any topic of their choosing, allowing 16 “new voices” to be heard and evaluated by AAEM Education Committee members and conference attendees. The top speaker(s) will be invited to give a formal presentation at the 2014 Scientific Assembly in New York, NY.
Half of the time slots will be filled in advance by email. The remaining time slots will be filled on a “first-come, first-served” basis by signing up onsite. Those who presented at the 2012 Open Mic Session are not eligible to sign up.
Speakers can choose any topic they wish; however, AAEM reserves the right to end a session if the content is not appropriate. Handouts, which are optional, must be provided by the speaker. An LCD projector and screen will be available for computer-based presentations. Evaluation forms will be available for anyone who wishes to comment on what they’ve seen and heard.
Timing will be VERY strict. Eight slots will be reserved for emergency medicine residents and Young Physicians Section members — four scheduled in advance and four scheduled onsite. The other eight slots are open for medical professionals who have been looking for an entry onto the speaking circuit. This is not an educational track, and there will be no CME for these sessions. Speakers certainly should not list the Open Mic Session on their CVs as “invited guest lecturer.”
To sign up for an Open Mic time, please contact Marcia Blackman at [email protected] or 800-884-2236.
Hotel AccommodationsThE CosMoPoliTAn oF lAs vEgAs 3708 Las Vegas Boulevard South Las Vegas, NV 89109Phone: (702) 698-7000
Reservations by Phone: (855) 435–0005 (Reference “American Academy of Emergency Medicine” or the group code, “SCIEN13” to secure the group rate)
AAEM encourages attendees to make reservations by this date. After January 8, 2013, regular room rates may apply and availability may not exist. Reservations should be made directly with The Cosmopolitan of Las Vegas.
Single/Double Occupancy - $229.00 per night, plus applicable state and local taxes.
AAEM’s 20th Anniversary EventOn Tuesday, February 12, 2013, AAEM will host an evening event for Scientific Assembly attendees to commemorate AAEM’s 20th Anniversary. Visit the Scientific Assembly website for more information coming soon: www.aaem.org/education/scientific-assembly
Conference Cancellation PolicyRefund requests must be submitted in writing one month prior to the event. A $50 processing fee will be charged for all cancellations. All refunds will be processed after the meeting. No refunds will be granted if cancellation is received less than one month prior to the event or if deposit was designated as a donation to the AAEM Foundation. Special considerations will be given for health or family emergencies if requested in writing no later than 15 days after the last day of the meeting.
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Pre-Conference SchedulesATurdAy, FEbruAry 9, 2013 7:45am-5:00pm Resuscitation for Emergency Physicians (Day 1 of 2)
1:00pm-5:30pm Emergency Department Operations Management: Cracking the Code! (Day 1 of 2)
8:00am-5:00pm Pediatric Emergencies: Children are Not Little Adults! (lunch provided)
sundAy, FEbruAry 10, 20137:45am-12:00pm Resuscitation for Emergency Physicians (Day 2 of 2)
7:30am-12:00pm Introduction to Wilderness and Operational Medicine
7:15am-12:30pm Medical Student Track
8:00am-12:30pm Emergency Department Operations Management: Cracking the Code! (Day 2 of 2)
7:30am-11:30am Pediatric Emergency Department Simulation: Critical Skills from Birth to the School Bus! (Offsite Course, Transportation provided with 7:00am departure)
general Assembly SchedulesundAy, FEbruAry 10, 2013Plenary Sessions
1:00pm-2:00pm Keynote Speaker — To Be Announced
2:00pm-3:00pm Amal Mattu, MD FAAEM Best of the Best in Cardiology
3:00pm-3:15pm BREAK
T1: No BMW’s Here: Cost Effective, Evidence-Based Imaging
3:15pm-3:45pm Marc Haber, MD FAAEM Avoiding Hiroshima — Imaging Options that Make Sense
3:55pm-4:25pm Robert Rodriguez, MD FAAEM Decision Instruments for Selective Trauma Imaging
4:35pm-5:05pm Marc Haber, MD FAAEM Uncommon but Invaluable Radiologic Studies
T2: This is a Common Complaint — Let’s Be Rational!
3:15pm-3:45pm William Brady, MD FAAEM “I just got shocked by my AICD”
3:55pm-4:25pm Edward Callahan, MD FAAEM “I have cirrhosis and my doctor sent me here for a paracentesis”
4:35pm-5:05pm Peter De Blieux, MD FAAEM Dx: Severe Sepsis/Septic Shock in the Single-Coverage Community ED
T3: Let’s Get Down to Business … and Administration Of Course!
3:15pm-3:45pm David Lawhorn, MD FAAEM So You Want to Start a Business? Step 1: Here’s the Checklist
3:55pm-4:25pm David Lawhorn, MD FAAEM So You Want to Start a Business? Step 2: Walking Through the RFP Process
4:35pm-5:05pm James Blakeman Do We Get Paid for This? Understanding New Payment Strategies to Preserve the Bottom Line
5:30pm OPENING RECEPTION
MondAy, FEbruAry 11, 2013 Plenary Sessions
8:00am-9:00am Peter De Blieux, MD FAAEM; Corey Slovis, MD FAAEM; Evie Marcolini, MD FAAEM; Moderator: Amal Mattu, MD FAAEM Ask the Experts
9:00am-10:00am Thomas Scalea, MD Cases from the Front Lines of Shock Trauma: Pearls to Keep & Pitfalls to Avoid in Assessing & Managing the Trauma Patient in 2013
10:00am-10:15am BREAK
12:05pm-1:30pm LUNCH (not provided)
1:30pm-2:30pm Larry Weiss, MD JD FAAEM Affordable Care Act in my ED? ACO? What Does that Mean for Me?
2:30pm-3:30pm Ghazala Sharieff, MD MBA FAAEM FACEP Best of the Best in Pediatrics
3:30pm-3:35pm BREAK
T4: Maximizing Your Scope of Practice: Critical Care Management in Your ED
10:15am-10:45am Michael Winters, MD FAAEM FACEP Critical Care Quickies: Pearls for the Crashing Patient
10:55am-11:25am John Greenwood, MD ECMO ... in the ED?
11:35am-12:05pm Haney Mallemat, MD FAAEM A Big Problem: The Critically-Ill Obese Patient
3:35pm-4:05pm Michael Winters, MD FAAEM FACEP Post-arrest Care: It’s More than Hypothermia
4:15pm-4:45pm Evie Marcolini, MD FAAEM Neuro Critical Care: An Eye on Bleeding and Blood Pressure
4:55pm-5:25pm Robert Gordon, MD FAAEM LVAD? No Pulses, No Heart Sounds … Aren’t You Dead?
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T5: Mythbusters at Scientific Assembly!
10:15am-10:45am Ellen Slaven, MD FAAEM Sinusitis/Bronchitis — Just Give Antibiotics …
10:55am-11:25am Autumn Graham, MD FAAEM All Patients with a GIB Need a NG Lavage! (And a PT/PTT)
11:35am-12:05pm Joelle Borhart, MD FAAEM Lidocaine With Epi for Fingers/IV Contrast with Shellfish Allergy — No Way!
3:35pm-4:05pm Susan Torrey, MD FAAEM ECGs for All! Z-paks, Flouroquinolones, TMP/SMZ and the Dreaded QT … Oh My!
4:15pm-4:45pm Haney Mallemat, MD FAAEM But Vasopressors Save Lives! Don’t They?
4:55pm-5:25pm Ellen Slaven, MD FAAEM PCN is Obsolete, Right?
T6: Let’s Get Down to Business … and Administration Of Course!
10:15am-10:45am Alan Channing What a CEO Expects from an EM Group
10:55am-11:25am James Blakeman The 411 on Contracting with Carriers — How, Why & With Whom?
11:35am-12:05pm Panel Discussion: William T. Durkin, Jr., MD MBA FAAEM; David Lawhorn, MD FAAEM; Craig Norquist, MD FAAEM; Alan Channing We Just Lost Our Contract! Case Studies in What Went Wrong and Strategies on How to Ensure Longevity
3:35pm-4:05pm Leslie Zun, MD MBA FAAEM HR Issues — When Being Proactive is Essential to a Group’s Internal and External Successes
4:15pm-4:45pm Leslie Zun, MD MBA FAAEM Throughput is the Key! Surefire Approaches that Work
T7: This is a Common Complaint — Let’s Be Rational!
10:15am-10:45am Robert Gordon, MD FAAEM Pulmonary Hypertension I to V — What’s the Difference and Why Should I Care?
10:55am-11:25am Evie Marcolini, MD FAAEM “My child has a headache and a VP shunt!”
11:35am-12:05pm Michael Epter, DO FAAEM “I’m on pradaxa, and I’m bleeding!”
3:35pm-4:05pm Mel Herbert, MD FAAEM “Transfer from Hemodialysis — SBP<90”
4:15pm-4:45pm Stephen Tantama, MD FAAEM “My IBD flared up”
4:55pm-5:25pm Joelle Borhart, MD FAAEM “My legs are swollen”
T8: Open Mic Presentations (Sponsored by YPS)
TuEsdAy, FEbruAry 12, 2013Plenary Sessions
8:00am-9:00am Corey Slovis, MD FAAEM Best of the Best in Resuscitation
9:00am-10:00am Joseph R. Lex, Jr., MD MAAEM FAAEM A 911 Emergency: Drug Shortages in Your ED
10:00am-10:15am BREAK
12:15pm-1:45pm Annual Business Meeting & Candidate Forum (Lunch provided)
2:00pm-3:00pm John Christian Fox, MD FAAEM Best Evidence: When Ultrasound Really Makes a Difference!
3:00pm-3:15pm BREAK
T9: You Want Me To Do What? Show Me the Evidence!
10:15am-10:45am Larry Weiss, MD JD FAAEM AMA Forms: Get Out of Jail Free Card or Worthless Piece of Paper?
10:55am-11:25am Michael C. Bond, MD FAAEM Capnography 101: A Better Way to Monitor Sedated Patients in Your ED
11:35am-12:05pm Robert Rodriguez, MD FAAEM Attack of the Killer Bands! Cases of Killer Bandemias
T10: Draw Your Stethoscopes at Dawn! Hot Debates in Emergency Medicine
10:15am-10:45am Autumn Graham, MD FAAEM; Carey Chisholm, MD MS FAAEM LP for Evaluation of SAH is Barbaric
10:55am-11:25am Bart Besinger, MD FAAEM; Jason Knight, MD FAAEM Haloperidol Is Obsolete for Behavior Control
11:35am-12:05pm Susan Torrey, MD FAAEM; Corey Slovis, MD FAAEM Admitting Every New Afib is Ridiculous
T11: When the Shift Hits the Fan! Cringe Inducing Triage Notes
10:15am-10:45am John Greenwood, MD “I’m SOB and I have a flolan pump”
10:55am-11:25am Mel Herbert, MD FAAEM “I have abdominal pain and I had a gastric bypass 2 weeks ago”
11:35am-12:05pm Michael Ybarra, MD “I have a headache and I’m 34 weeks pregnant!”
T12: The Clock Begins Now! Time Sensitive Critical Complaints
10:15am-10:45am Kevin Rodgers, MD FAAEM Limb Emergencies 101: The Pulseless Limb (When to Consult, When to Act) and Severed Limbs (What’s Really Salvageable?)
10:55am-11:25am Ghazala Sharieff, MD MBA FAAEM FACEP Time of Birth Now! When Resuscitating a Newborn Becomes a Reality
11:35am-12:05pm Michael Epter, DO FAAEM Beyond SAH: Headaches That Need MRI/MRA/MRV Now!
T13: Resident Research Forum
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T14: Prehospital Care: From the Field to the ED
3:15pm-3:45pm Joseph Weber, MD FAAEM; Eric Beck, DO “Doc can we call the code, here?” — Eyebrow-Raising EMS Radio Calls
3:55pm-4:25pm Scott Goldstein, DO FAAEM From the Field to the ED: Receiving the Agitated Patient from EMS and the Police
4:35pm-5:05pm Marvin Wayne, MD FAAEM Intubation with Continuous CPR — Does Video Laryngoscopy Change the “Playing in the Field” in EM and EMS?
T15: Great Minds Think Alike: New Interactive Track * (Small Groups Working To Find Best Practices to Common Problems We Face) *Pre-registration required for this track.
3:15pm-3:30pm Track Introduction
3:30pm-4:30pm Joseph Guarisco, MD FAAEM; Mark Jaben, MD BREAKOUT 1: Your Mid-level Provider Does What? Best Practices for Mid-level Providers
Tom Scaletta, MD FAAEM; David Lawhorn, MD FAAEM BREAKOUT 2: Wake Up! It’s Our Turn to Grab the Ring — Maximizing Patient Satisfaction and Our Position in an Ever-Changing Healthcare Landscape
4:30pm-5:05pm Reconvene & Discussion of Best Practices
T16: Don’t Roll The Dice: Maximizing Your Success Personally & Professionally
3:15pm-3:45pm Mark Reiter, MD MBA FAAEM You’ve Earned It — Now Spend it Wisely! Financial Planning for the EP
3:55pm-4:25pm Edward Callahan, MD FAAEM Resilience: What Every EM Doc Should Know to Keep Going
4:35pm-5:05pm Michael C. Bond, MD FAAEM Social Media 101 & 102: Pearls & Pitfalls You Need to Know Now!
T17: Specialty Pilot Content Being the Great Detective: 1st Annual Diagnostic Case Competition
T18: 2012 LLSA Review Track Michael Silverman, MD FAAEM FACP; Richard Shih, MD FAAEM
WEdnEsdAy, FEbruAry 13, 2013Plenary Sessions
8:00am-9:00am Greg Moran, MD FAAEM Best of the Best in Infectious Disease
9:00am-10:00am Jason Wagner, MD FAAEM Updates in Pharmacology & Devices
T19: When Kids Aren’t Little Adults
10:15am-10:45am Jennifer Walthall, MD FAAEM FFAP Rock-a-Bye-Baby: Tips and Tricks for Pediatric Sedation
10:55am-11:25am Elizabeth Weinstein, MD FAAEM Heartbreakers: Sick Kids, Congenital Hearts
11:35am-12:05pm David Nelson, MD FAAEM Pediatric Misadventures: Button and Battery Ingestions, FB Aspirations, FB Removal, Superglue, Stuck Objects on Fingers, Lamp Oil
12:15pm-12:45pm Jennifer Walthall, MD FAAEM FFAP “He’s out of control” — Managing Acute Pediatric Psychosis
T20: Rare But Deadly: Call the Consultant Now!
10:15am-10:45am Bart Besinger, MD FAAEM Deadly Drops: Syncope That Kills
10:55am-11:25am Stephen Tantama, MD FAAEM Is That the Flu or Tularemia: Recognizing Bioterrorism
11:35am-12:05pm Jason Knight, MD FAAEM Cellulitis Gone Bad: Flesh-Eating Bacteria
12:15pm-12:45pm Kevin Rodgers, MD FAAEM When Fever Isn’t an Infection: NMS, Thyroid Storm, Serotonin Syndrome, Chronic Aspirin Toxicity
T21: The Best of Morbidity & Mortality: We’re Only Human, Learning From Our Mistakes
T22: RSA – YPS TRACK
8:00am-9:30am Michael Epter, DO FAAEM CV Preparation & Workshop
9:30am-10:00am Haney Mallemat, MD FAAEM Social Media for Medical Education: What It Is and Isn’t
11:30am-12:00pm Mark Reiter, MD MBA FAAEM I Just Got My First Paycheck! Fiscal Strategies that Every New Graduate Should Know
12:00pm-12:45pm Carey Chisholm, MD MS FAAEM; Andy Walker, MD FAAEM The 411 on Securing Your Dream Job
T23: International Emergency Medicine Comes to Las Vegas
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Resident in-Training Exam Review: What to Expect on your TestCoursE dEsCriPTionThis post-conference course is meant to simulate the type of questions encountered on the ABEM Qualifying Examination. This course will serve as an intense overview of many high yield topics to facilitate maximal success on the upcoming in-training examination.
CrEdiT dEsignATion sTATEMEnTThe American Academy of Emergency Medicine designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
lEArning objECTivEsBy the end of this course, attendees will have gained knowledge and confidence that will significantly improve their scores on the National Emergency Medicine In-Training Examination.
CoursE sChEdulEWednesday, February 13, 20131:30pm-5:30pm
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Advanced & introductory Ultrasound CoursesCoursE dEsCriPTionWhether you’re a beginner or a seasoned sonographer, this year’s AAEM pre-conference ultrasound course will be worth your time. We will be offering an introductory course for beginners. This will include didactic sessions on physics, trauma exam (FAST), abdominal aorta and ultrasound assisted procedures (including central line placement). Half of your time will be spent in small groups scanning models with a very favorable instructor/student ratio.
Physicians who have already taken an introductory course will have an opportunity to build their own ultrasound course in our advanced modules. These will be structured to maximize “hands-on” scanning of models. Modules will be offered in aorta, cardiac, equipment, gallbladder & renal, gastrointestinal, head & neck, musculoskeletal, ocular, pelvic ultrasound, peripheral nerve blocks, physics, procedures, pulmonary, shock, testicular ultrasound, trauma and venous access & DVT.
The faculty will include physicians with international reputations as outstanding ultrasound educators.
Introductory Ultrasound Course Credit Designation StatementThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 6.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Advanced Ultrasound Half-Day Course Credit Designation StatementThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Advanced Ultrasound Full-Day Course Credit Designation StatementThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
lEArning objECTivEsTo view a full list of objectives for the following modules, please visit www.aaem.org/education/scientific-assembly.
CoursE sChEdulEINTRODUCTORY ULTRASOUNDSaturday, February 9, 20138:00am-8:15am Welcome8:15am-9:00am Introduction & Physics9:00am-9:45am The FAST Examination9:45am-10:00am FAST— Case Studies10:00am-10:15am Break10:15am-11:00am Aorta11:00am-12:00pm Procedures12:00pm-1:00pm Lunch (on your own)1:00pm-2:30pm Modules2:30pm-2:45pm Break2:45pm-4:15pm Modules4:15pm Adjourn
ADVANCED ULTRASOUNDSaturday, February 9, 2013Full Day8:00am-4:00pm (lunch on your own)Pick 6 application modules
Half Day Session8:00am-12:00pm or 1:00pm-5:00pm Pick 3 application modules
CoursE dirECTorMichael J. Lambert, MD RDMS FAAEMFellowship Director Emergency Ultrasound, Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, IL
PreConference Courses • Saturday, February 9, 2013
19th AnnuAl AmericAn AcAdemy of emergency medicine Scientific ASSembly
February 9-13, 2013 • The CosmopoliTan oF las Vegas 11
Pediatric Emergencies: Children Are Not Little Adults!CoursE dEsCriPTionAn emergency department visit can be a life-changing event for a child. Children and adolescents account for nearly a third of hospital emergency department visits. This patient population has unique physical characteristics that require special care and equipment. According to the Centers for Disease Control and Prevention, fewer than 6% of emergency departments have on hand all the pediatric equipment recommended by the American Academy of Pediatrics. A recent report on pediatric emergency care by the Institute of Medicine found that many providers don’t know how to properly stabilize seriously injured or ill children or fail to recognize cases of child abuse. This course will serve as a venue in which the emergency physician may fine tune and polish their skills in the assessment and management of pediatric emergencies.
ACCrEdiTATion sTATEMEnTThis activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Emergency Medicine (AAEM) and the California Chapter of AAEM (CAL/AAEM). The American Academy of Emergency Medicine is accredited by the ACCME to provide continuing medical education for physicians.
CrEdiT dEsignATion sTATEMEnTThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 8.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
lEArning objECTivEs1. Discuss practical and clinically relevant information for the
current approach to pediatric emergencies.2. Develop a logical, efficient approach to the assessment and
treatment of the ill or injured child.
CoursE sChEdulESaturday, February 9, 20138:00am-5:00pm
CoursE dirECTorJoanne Williams, MD FAAEMClinical Associate Professor of Emergency Medicine, Charles Drew University of Medicine & Science; Clinical Associate Professor of Emergency Medicine, Keck School of Medicine of USC; Physician Specialist/DHS/Los Angeles County, Los Angeles County-USC Medical Center, Los Angeles, CA
PreConference Courses • Saturday, February 9, 2013
19th AnnuAl AmericAn AcAdemy of emergency medicine Scientific ASSembly
February 9-13, 2013 • The CosmopoliTan oF las Vegas 12
Emergency Department operations Management: Cracking the Code!CoursE dEsCriPTionAs “accountable” care gains traction and as health care reform advances, emergency care must be rapidly redesigned to be more process and cost efficient. It must also deliver better patient satisfaction to meet pay-for-value goals being set by the federal government and private payers alike. Emergency medicine must embrace new models of care from a process focused perspective that delivers on these goals; and emergency physicians must become responsible stewards of resource utilization, particularly in regard to hospital admitting practices and big ticket test ordering. The most important management question emergency medical directors need to answer in today’s environment is: “How can we deliver faster, better and less costly care in an intensely competitive market and with increasing marginal returns?”
This intensive, yet enjoyable, workshop will highlight innovative care models that meet these new challenges. Attendees will take home ideas that will deliver on performance, quality, safety and service. AAEM has “cracked the code” in discovering the key operational elements that lead to success and the singular operational failure that has befuddled ED administrators for years. Come find out.
CrEdiT dEsignATion sTATEMEnTThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 8.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
lEArning objECTivEs1. Hear and learn of innovative models of providing emergency
care.2. Gain an understanding of lean concepts in capacity
management and queuing theory.3. View and work with toolsets to assist with resource and cost
challenges.4. Learn how to achieve both top quality and excellent patient
satisfaction in high volume EDs.5. Understand cost of care contracting and what your CEO now
seeks in an emergency physician group.6. Learn how to guide your ED team through the burning platform
of process change management.
CoursE sChEdulESaturday, February 9, 2013 1:00pm-1:15pm Introduction: Program Goals and Overview1:15pm-2:15pm Health Mandate: Better, Faster, Less Costly
Emergency Care2:15pm-3:15pm Science of Throughput: Lean Capacity
Management and Queuing Theory3:15pm-3:30pm Break3:30pm-4:30pm Innovations in ED Operations and Workflow4:30pm-5:00pm Cracking the Code (1): Critical Failures in ED
Operations Management5:00pm-5:30pm Q&A Panel
Sunday, February 10, 2013 8:00am-8:15am Review of Saturday’s Key Points8:15am-9:15am Hub of the Enterprise: Operations Management
Overview9:15am-10:15am Readying for 2020: Predicting and Achieving
Optimal ED Performance10:15am-10:30am Break10:30am-11:30am Achieving Operational Excellence: Delivering What
Patients and Payers Want11:30am-12:00pm Cracking the Code (2): Critical Failures in ED
Operations Management12:00pm-12:30pm Q&A Panel
CoursE dirECTorJoe Guarisco, MD FAAEMChair, AAEM Operations Management Committee; Department of Emergency Medicine, Ochsner Health System New Orleans; System Chair Emergency Services, Ochsner Health System New Orleans
19th AnnuAl AmericAn AcAdemy of emergency medicine Scientific ASSembly
February 9-13, 2013 • The CosmopoliTan oF las Vegas 13
Resuscitation for Emergency PhysiciansCoursE dEsCriPTionIn recent years it has become all too common for critically ill patients to remain in the emergency department for exceedingly long periods of time. It is during these early hours of illness that many detrimental processes begin to take hold. It is during these early hours of illness that lives can be saved … or lost! In order to prevent unnecessary morbidity and mortality, the emergency physician must be an expert at resuscitating the critically ill patient.
Resuscitation for Emergency Physicians (REP) is an integrated resuscitation course for the emergency physician that will encompass a broad spectrum of topics including undifferentiated shock, cardiac arrest, post-arrest management, sepsis, CNS catastrophes, trauma, and pediatric resuscitation. REP is the first integrated resuscitation course developed by an emergency medicine professional society that is tailored to the needs of emergency physicians. Emergency physicians who want to take a single, integrated resuscitation course taught at an advanced level, rather than taking ACLS, PALS and ATLS, will find REP to be an outstanding experience. Quite frankly, this course will help you save lives!
PREREQUISITE: Course participation will require either board certification or residency training in emergency medicine.
CrEdiT dEsignATion sTATEMEnTThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 10.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
lEArning objECTivEs1. Develop advanced resuscitation skills that can be applied to
medical, trauma and undifferentiated patients of all age groups. 2. Develop an approach to complex medical and traumatic disease
processes based upon a discussion of current medical literature.3. Develop an integrated approach to resuscitation in the
emergency department.4. Discuss by way of a case-based approach multiple key medical
and traumatic conditions in an evidence-based format.
CoursE sChEdulESaturday, February 9, 20137:45am-7:50am Introduction7:50am-8:30am The Patient with Undifferentiated Shock8:30am-9:10am Pearls & Pitfalls in Acute Respiratory Failure 9:10am-9:50am Cardiac Arrest … What Really Works?9:50am-10:10am Break10:10am-10:50am Septic Shock 10:50am-11:40am Post-Cardiac Arrest Care …Interventions that
Save Lives! 11:40am-1:10pm Lunch (on your own)1:10pm-1:50pm Life-threatening Dysrhythmias 1:50pm-2:30pm Ultrasound in the Critically Ill 2:30pm-2:50pm Break2:50pm-3:30pm The Crashing Trauma Patient 3:30pm-4:10pm Critical Toxicology 4:10pm-4:50pm Traumatic CNS Emergencies 5:00pm Adjourn
Sunday, February 10, 20137:45am-8:45am Pearls in Pediatric and Neonatal Resuscitation8:45am-9:30am Neurologic Emergencies 9:30am-9:50am Break9:50am-10:50am Challenging Cases in Resuscitation 10:50am-11:50am The Crashing Patient 12:00pm Adjourn
CoursE dirECTorsWilliam Brady, MD FAAEMProfessor of Medicine and Vice-Chair of Emergency Medicine, University of Virginia Health System, Charlottesville, VA
Michael Winters, MD FAAEM FACEPAssociate Professor of Emergency Medicine and Director of Combined EM/IM Program; Co-Director, Combined EM/IM/Critical Care Program, University of Maryland School of Medicine
Andrew Perron, MDProfessor and Program Director, Department of Emergency Medicine, Maine Medical Center, Portland, ME
19th AnnuAl AmericAn AcAdemy of emergency medicine Scientific ASSembly
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introduction to Wilderness and operational MedicineCoursE dEsCriPTionThe Uniformed Services Chapter of AAEM will host a half-day course covering various wilderness and operational medicine topics. Wilderness medicine is a growing subspecialty, with leaders emerging from the emergency medicine community. We will present an overview of subjects in the field and give recent updates incorporating military experiences from the past decade of deployments overseas.
ACCrEdiTATion sTATEMEnTThis activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Emergency Medicine (AAEM) and the Uniformed Services Chapter of AAEM (USAAEM). The American Academy of Emergency Medicine is accredited by the ACCME to provide continuing medical education for physicians.
CrEdiT dEsignATion sTATEMEnTThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 4.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
lEArning objECTivEs1. Develop an understanding of the subject matter of wilderness
and operational medicine.2. Understand recent military advances in operational medicine
that can be applied to providing medical support in remote environments.
3. Discuss challenges in medical direction and training of wilderness and operational medicine providers.
4. Practice improvised wilderness medicine techniques for patient stabilization and transport.
CoursE sChEdulESunday, February 10, 20137:30am-7:45am Introduction to Wilderness and Operational
Medicine 7:45am-8:05am Introduction to Dive Medicine8:05am-8:25am High-altitude Medicine Update8:30am-8:50am Update on Tactical Combat Casualty Care8:50am-9:10am Environmental Toxicology 9:15am-9:35am Wilderness EMS Medical Direction9:35am-10:00am Break10:00am-10:20am Pain Control in Austere Settings10:20am-10:40am Point/Counterpoint: Prehospital Ultrasound Use10:40am-11:00am Adventure Racing Medical Coverage11:00am-12:00pm Demonstration and Practice of Improvised
Splinting and Patient Movement Techniques
CoursE dirECTorsSean Keenan, MD FAAEMLTC(P), MC, FS/DMO, US Army; Group Surgeon, 10th Special Forces Group (Airborne), Fort Carson, CO
Travis Deaton, MDLCDR, MC, FS/DMO, US Navy; Naval Medical Center San Diego
Pediatric Emergency Department Simulation: Critical Skills from Birth to the School Bus!CoursE dEsCriPTionThis simulation course is designed for emergency physicians seeking a practical, hands-on course in the management of critical obstetric and pediatric scenarios including the performance of invasive procedures. Training is available for emergency physicians of all levels to teach skills not received during EM training or to refresh delivery skills and procedures that are rarely used but “high-risk” when encountered in the ED setting. This course will focus on two areas. First, the delivery of a fetus, including complicated deliveries, is required training in emergency medicine residency. However, these deliveries are infrequent in the emergency department, limiting EM residency and post-EM residency routine training, especially at large tertiary hospitals where obstetrics competition for procedures exists. It will include didactic and intensive simulation training in three high-risk deliveries scenarios: breech, shoulder dystocia and nuchal cord delivery requiring resuscitation of both mother and fetus. Second, participants will rotate through two pediatric critical case scenarios (involving airway emergencies and sepsis) in which they will simulate the critical decision making skills required for the successful resuscitation of critically-ill pediatric patients.
Junior physicians will have a hand at directing the management of simulated critically-ill children and at performing procedures they may have not yet performed in practice. Senior physicians will be able to refresh their skills particularly in procedures and events that are infrequent in practice but high stakes when they are needed. Faculty will guide participants through the stations and provide not only core instruction in indication, performance, and management of complications, but also share their “tricks of the trade.”
Participants will receive hands-on instruction by experienced EM and OB faculty. Task trainers and simulators will be used to recreate clinical vignettes. Critical actions will be reviewed, and each participant will perform these simulated high-risk deliveries and pediatric critical care scenarios in a low-pressure setting. A post-training test and summary will ensure understanding of steps necessary for successful high-risk deliveries and pediatric critical cases in the future.
PreConference Courses • Sunday, February 10, 2013
19th AnnuAl AmericAn AcAdemy of emergency medicine Scientific ASSembly
February 9-13, 2013 • The CosmopoliTan oF las Vegas 15
CrEdiT dEsignATion sTATEMEnTThe American Academy of Emergency Medicine (AAEM) designates this live activity for a maximum of 3.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
lEArning objECTivEs1. Describe the different breech delivery positions and apply
recommended techniques for a successful breech delivery.2. Identify when a delivery is complicated by shoulder dystocia and
perform a successful shoulder dystocia delivery.3. Recognize a nuchal cord delivery with fetal distress and
demonstrate an understanding of neonatal resuscitation and immediate maternal post-partum care.
4. Review indications, necessary supplies and techniques for successful umbilical catheter insertion for neonatal resuscitation.
5. Evaluate the pediatric airway and perform several rescue strategies for airway control, including non-invasive maneuvers and surgical rescue interventions.
6. Recognize the signs of impending septic shock and demonstrate the critical steps for resuscitation of a pediatric patient with septic shock.
CoursE sChEdulESunday, February 10, 20137:00am Shuttle bus to Clinical Simulation Center of
Las Vegas7:30am-7:45am Introduction7:45am-8:25am Scenario #18:25am-8:30am Station Rotation8:30am-9:10am Scenario #29:10am-9:15am Station Rotation9:15am-10:00am Scenario #310:00am-10:15am Break10:15am-11:00am Scenario #411:00am-11:15am Group post-test and review11:15am-11:30am Debriefing wrap up11:30am Return shuttle bus to The Cosmopolitan
CoursE dirECTorKevin Reed, MD FAAEMVice-Chair, MedStar Harbor Hospital; Simulation Faculty and Assistant Professor of Emergency Medicine, MedStar Georgetown University and MedStar Washington Hospital Center, Georgetown University School of Medicine
Student TrackTrACk dEsCriPTionThe student track will provide you with invaluable advice for how to shine on your clerkships and successfully apply to an emergency medicine residency. There will also be talks on international emergency medicine and emergency ultrasound, as well as a residency program director panel. Registration is free for paid student members (refundable deposit required), so take advantage of the opportunity to learn more about the specialty and meet other students and physicians practicing emergency medicine. We encourage you to stick around for the rest of the Scientific Assembly, which will begin after the student track at 1:00pm with the plenary session. We hope to see you there!
TrACk sChEdulESunday, February 10, 20137:15am-8:00am Networking Breakfast8:00am-9:00am Program Director Panel9:00am-10:00am Pearls and Pitfalls of EM 10:00-10:45am How to Shine on Your Clerkships10:45am-11:00am Break11:00am-11:45am International EM11:45am-12:30pm Emergency Ultrasound
PreConference Courses • Sunday, February 10, 2013
19th AnnuAl AmericAn AcAdemy of emergency medicine Scientific ASSembly
February 9-13, 2013 • The CosmopoliTan oF las Vegas 16
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