FINAL PROGRAMME
OFFICIAL NATIONAL & INTERNATIONAL SPONSORING SOCIETIES
THE MEDITERRANEAN CIRCLE
Croatian Society for Emergency Medicine (CSEM) Lebanese Society for Emergency Medicine (LSEM)
Emergency Medicine Association of Turkey (EMAT) Service d’Aide Médicale Urgente de France (SAMU de France)
Egyptian Society for Emergency Medicine (ESEM) Slovenian Society for Emergency Medicine (SSEM)
Israeli Association of Emergency Medicine (IAEM) Societe Marocaine de Medecine d’Urgence et de Catastrophe (SMMUC)
Italian Society for Emergency Medicine (SIMEU) Société Tunisienne de Médecine d’Urgence (STMU)
La Societé Francophone de Médecine d’Urgence (SFMU) Spanish Society for Emergency Medicine (SEMES)
THE EUROPEAN CIRCLE THE INTERNATIONAL CIRCLE
Belgian Society for Emergency & Disaster Medicine (BeSEDiM) Emergency Nurses Association (ENA)
British Association for Emergency Medicine (BAEM) American Academy for Emergency Medicine in India (AAEMI)
Endorsed by the American College of Czech Academic Emergency Medicine Group (CSEDM) Emergency Physicians (ACEP)
Czech Society for Emergency & Disaster Medicine (CzSEM) Association des Medecins d’Urgence du Quebec (AMUQ)
Dutch Society of Emergency Medicine (NVSHA) Asian Society for Emergency Medicine (ASEM)
Estonian Society of Emergency Medicine (ESEP) Bahrain Emergentologist Association (BEMASSO)
Instituto Nacional de Emergencia Medica (INEM) Canadian Association of Emergency Physicians (CAEP)
Irish Association for Emergency Medicine (IAEM) Hong Kong College of Emergency Medicine (HKCEM)
Lithuanian Society for Emergency Medicine (LSEM) Korea Society of Emergency Medicine (KSEM)
Portuguese Association of Emergency Medicine (APME) Pan-Arab Society for Trauma and Emergency Medicine (PASTEM)
Polish Society for Emergency Medicine (PSEM) Sociedad Argentina de Emergencias (SAE)
Romanian Society for Emergency & Disaster Medicine (SMURD) Society for Emergency Medicine in India (SEMI)
Swedish Society for Emergency Medicine (SweSEM) Sociedad Mexicana de Emergencia (SMME)
U.K. Faculty of Accident and Emergency Medicine (FAEM) Society for Emergency Medicine in Singapore (SEMS)
Society of Emergency Medicine in Taiwan (SEMT)
1 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
CO-ORGANIZING & HOSTING SOCIETIES
ORGANIZING SOCIETIES
American Academy of Emergency Medicine (AAEM) European Society for Emergency Medicine (EuSEM)
PRESIDENTS OF THE CONGRESS
A. Antoine Kazzi, MD, FAAEM David Williams, FRCP, FFAEM (EuSEM)
CO-ORGANIZING SOCIETIES
Council of Residency Directors in Emergency Society for Academic Emergency Medicine (SAEM) Medicine (CORD-EM)
European Master in Disaster Medicine (EMDM)
National Association of EMS Physicians (NAEMSP) Spanish Society for Emergency Medicine (SEMES)
N.B. The CORD and SAEM are portions and their speakers among those organizations that do not receive any form of industry or exhibitor sponsorship.
HOSTING SOCIETIES
La Societé Francophone de Médecine d’Urgence (SFMU) Service d’Aide Médicale Urgente de France (SAMU de France)
HOSTING INSTITUTIONS Harvard Medical School, University of California-Irvine, USA Beth Israel Deaconess Medical Center, Boston, Università del Piemonte Orientale, Novarra, Italy USA
Northshore-LIJ Health System, USA Carolinas Medical Center Department of Emergency Medicine USA Mount Sinai School of Medicine, New York, USA Temple University School of Medicine, USA King Faisal Specialist Hospital and Research Center – Jeddah, Kingdom of Saudi Arabia University of Utah School of Medicine, USA
American University of Beirut, Beirut, Lebannon Universitè de Nice, Nice, France
HOSTING FOUNDATIONS
Foundation for Education and Research in The International Federation of Emergency Medicine Neurological Emergencies (FERNE) (IFEM) is adding support to the Mediterranean Congress.
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SUPPORTERS OF THE CONGRESS
DIAMOND SUPPORTERS BRONZE SUPPORTERS
Karl Storz American Heart Association
Biosite, Inc. SILVER SUPPORTERS Elsevier Estuaire Consultants
IST Cardiologue Michigan Instruments
Nephrotek Novo nordisk
Wisepress Sepracor
SonoSite Other general meeting support – Carolinas Healthcare, FERNE, UCLA Center for International Emergency Medicine, University of California- Vygon Irvine, Università del Piemonte Orientale, Universite de Nice
3 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
CHAIRS OF THE CONGRESS AND COMMITTEES
EXECUTIVE COMMITTEE CHAIRS ORGANIZING COMMITTEE OTHER ORGANIZING COMMITTEE Roberta Petrino (EuSEM) CHAIRS OF THE RESEARCH ABSTRACTS MEMBERS Erik D. Barton (AAEM) Walid Abujalala (Qatar) ORUM Dominique Pateron (SFMU) F Munawar Al Hoda (Bahrain) Coordinators Jose Garcia Vinay (Mexico) SCIENTIFIC COMMITTEE CHAIRS Gary Gaddis (AAEM) Abdullah Al-Hodaib (Saudi Arabia) Luis Garcia Castrillo Riesgo (EuSEM) Mark Langdorf (AAEM) Munawar Alhoda (Bahrain) Joseph R. Lex, Jr. (AAEM) Roberta Petrino (EuSEM) Kumar Alagappan (New York) Ghazala Sharieff (AAEM) Reviewers Philip Anderson (Massachusetts) Frederic Adnet (SAMU de France) Franco Aprá (Italy) Jamil Bayram (Illinois/Lebanon) Executive Committee Raed Arafat (Romania) Helene Cardet (Bois Cocombes, France) Andrew Affleck (President IFEM & CAEP) Cinzia Barletta (Italy) Gerard Cheron (Paris, France) Abdulwahab Al-Musleh (Qatar) Francesco Della Corte (Italy) Christine Chollet (Creteil, France) Marc Alazia (France) Gary Gaddis (Missouri) James Couvreaur (Brest, France) Hashim Allam (Egypt) Alessandro Geddo (Italy) Mark Davis (New York) Gautam Bodiwala (United Kingdom) Pierluigi Ingrassia (Italy) Chayan Dey (Maryland) Marc Freysz (France) Ziad Issa Kouzouz (Spain) Gos M.J. de Vries (Netherlands) Pinchas Halpern (Israel) Mark Langdorf (California) Shreef Fyadh (Egypt) Andy S. Jagoda (New York) Jacques Levraut (France) Aaron Hexdall (New York) Juliusz Jakubaszko (Poland) Francesca Lombardi (Italy) Bobby Kapur (Washington, DC) Claude Lapandry (France) Cem Oktay (Turkey) Hugo Peralta (Argentina) Dominique Lauque (France) Nadeem Qureshi (Saudi Arabia) Nadeem Qureshi (Saudi Arabia) Edward A. Panacek (California) Madavan Ramachandaran (United Kingdom) Ed Sloan (Illinois) Ulkumen Rodoplu (Turkey) Ulkumen Rodoplu (Turkey) Naji Souaiby (Lebanon) Terri Schmidt (Oregon) Mohammad Shanti (Saudi Arabia) WORKSHOP DIRECTORS Knox H. Todd (New York) Eustacia Su (Oregon) Judith Tintinalli (North Carolina) Course # 1 - Ultrasound Updates Workshop Richard E. Wolfe (Massachusetts) Michael Lambert (Illinois) Editors Peter Thompson (United Kingdom) SCIENTIFIC COMMITTEE Richelle Cooper (California) Abdullah Al-Hodaib (Saudi Arabia) John Richards (California) Course # 2 - Non-Invasive Ventilation Raed Arafat (Romania) Workshop HAIRS OF THE EALTHCARE YSTEMS S. Baque (France) C H S Roberta Petrino (Italy) R. Domergue (France) FORUM Course # 3 – Advanced Airway Course Ramon Johnson (California) Philip Anderson (AAEM) Erik D. Barton (Utah) Amal Mattu (Maryland) Francesco Della Corte (EuSEM) Volker Döerges (Germany) Federico Miglio (Italy) Pinchas Halpern (EuSEM) Course # 4 - Pediatric Procedures Patrick Miroux (France) CHAIRS OF THE RESIDENCY EDUCATION Workshop Nelson Pereira (Portugal) Ghazala Sharieff (California) John Ryan (Ireland) TRACK Yehezkel Waisman (Israel) J. Schmidt (France) Mary Jo Wagner (CORD) Richard Shih (New Jersey) Roberta Petrino (EuSEM) Course # 5 - Basics of Research in Larry Weiss (Louisiana) Emergency Medicine Workshop CHAIRS OF THE DISASTER MEDICINE Ed Panacek (California) TRACK Course # 6 - Advanced Wound Care Michel Debacker (EuSEM) Management Workshop Francesco Della Corte (EuSEM/EMDM) Scott Sherman (Illinois) Herman Delooz (EuSEM/EMDM) Course # 7 - Advanced EKG Interpretation Carl Schultz (AAEM) Workshop CHAIRS OF THE NEUROLOGICAL Amal Mattu (Maryland) Ulkumen Rodoplu (Turkey) EMERGENCIES TRACK Andy Jagoda (AAEM) Course # 8 - Hospital Disaster Preparedness Edward Sloan (FERNE) (HDP) Workshop Francesco Della Corte (Italy) CHAIRS OF THE PREHOSPITAL TRACK Course # 9 - Advanced Casting & Splinting Luis Garcia Castrillo Riesgo (EuSEM) Techniques Workshop Francis Mencl (NAEMSP) Michael Burg (California) Course # 10 - Dealing with Car Crashes in the Field Workshop Raed Arafat (Romania) Course # 11 - Emergency Medicine Residency Director Workshop (CORD-EM) Mary Jo Wagner (Michigan)
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CHAIRS OF THE CONGRESS AND COMMITTEES
ADVISORY BOARD OTHER REGIONAL LEADERS & ADVISORY Presidents and Senior Members of Spon- BOARD MEMBERS soring and Co-Organizing Societies France Suleiman Abbadi (Jordan) Jean-Emanuel De la Coussaye (France) Silvio Aguilera (Argentina) T.J. Francillon (France) Abdulwahab Al-Musleh (Qatar) Jacques Levraut (Nice, France) Kumar Alagappan (New York) Marc Maignan (France) Vitor Almeida (Portugal) Karim Tazarourte (France) V. Anatharaman (Singapore) Raed Arafat (Romania) Pan-Arab Region Helen Askitopoulou (Greece) Nabeel Abdulrahman Ansari (Bahrain) Jacob Assaf (Israel) Fikri Abu-Zidan (UAE) Ahmed Balma (Tunisia) Nabil Al-Ansari (Bahrain) Tom Beattie (United Kingdom) Mohamed Al-Asfoor (Bahrain) Michel Debacker (Belgium) Jassim Al Mehza (Bahrain) Herman Delooz (Belgium) Osama Awad (Bahrain) Vito Giustolisi (Italy) Kamal Badr (Lebanon) Marko Gricar (Slovenia) Imad Dandan (Lebanon) Yoon-Sik Hong (Korea) Osama El-Orabi (Egypt) Patricia Kunz Howard (Kentucky) George Fhaily (Lebanon) Juliusz Jakubaszko (Poland) Rashed Hijazi (Jordan) Sarvotham Kini (South Carolina) Taha Ibrahim (UAE) Ago Korgvee (Estonia) Zouheir Jerbi (Tunisia) Rick F.L. Lau (Hong Kong) Nejib Karoui (Tunisia) Tariq Linjawi (Saudi Arabia) Bilal Kattan (Saudi Arabia/Lebanon) Luis Lopez (Mexico) Osama Kentab (Saudi Arabia) Elhoussaine Louardi (Morocco) Elhoussaine Louardi (Morocco) Vit Maracek (Czech Republic) Gladys Mouro (Lebanon) Anthony Martin (Ireland) Kazi Omar (Oman) Jose Luis Casado Martinez (Spain) Mohammad Shanty (Saudi Arabia) Alastair McGowan (United Kingdom) Antoine Zoghbi (Lebanon) Agnes Meulemans (Belgium) International Federico Miglio (Italy) Abdulah Al-hodaib (Saudi Arabia) Luis Jimenez Murillo (Spain) William Barsan (Michigan) Gunnar Ohlen (Sweden) Nancy Bonalumi (Pennsylvania) Cem Oktay (Turkey) Thomas Cesario (California) Jacob Or (Israel) Jih-Chang Chen (Taiwan) Osama el Orabi (Egypt) Lewis Goldfrank (New York) Hugo Peralta (Argentina) Jerome R. Hoffman (California) Patrick Plunkett (Ireland) C. James Holliman (Pennsylvania) Rajhans Prasad (India) Muayad Khalid (Qatar) Luis Cunha Riberio (Portugal) Alberto Jose Machado (Argentina) Marc Sabbé (Belgium) John Marx (North Carolina) Aleksander Sipria (Estonia) Edgardo Menendez (Argentina) Ugo Sturlese (Italy) Mohamed Mikati (Lebanon) Robert Suter (Texas) Gladys Mouro (Lebanon) Milan Tichacek (Czech Republic) Richard Nowak (Michigan) Branka Tomljanovic (Croatia) Peter Rosen (Wyoming, Massachusetts) Dinas Vaitkaitis (Lithuania) Andrew Sama (New York) Laurent Vanier (Canada) Indrani Sheridan (New York) Bengt Widgren (Sweden) Giovanni Vacca (Italy) Benno Wolcke (Germany) Rajko Vajd (Slovenia) T.W. Wong (Hong Kong) Marvin Wayne (Washington) Dar-Yu Yand (Taiwan) Andrej Zmavc (Slovenia) Antoine Zoghbi (Lebanon) Mariska Zwartsenburg (Netherlands)
5 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
ABSTRACT CHAIRS
POSTER JUDGES SATURDAY, 3 SEPTEMBER 2005 SUNDAY, 4 SEPTEMBER 2005 MONDAY, 5 SEPTEMBER 2005 Morning Morning Morning Kenneth Butler (Maryland) Vitor Almeida (Portugal) Dale Birenbaum (Florida) Yildiray Cete (Turkey) Gabor Gion (Hungary) Alessandro Geddo (Italy) Carlo Locatelli (Italy) Paolo Groff (Italy) Francesca Lombardi (Italy) Cherie Mininger (Pennsylvania) Bobby Kapur (Washington, DC) Jacob Or (Israel) Yehezkel Waisman (Israel) R. Sean Lenahan (Pennsylvania) Ralph Riviello (New Jersey) Mildred Willy (Michigan) John Marshall (Maryland) Roger Stone (Maryland) Afternoon Afternoon Afternoon Sarvotham Kini (South Carolina) Alex Driesschaert (Belgium) Erika Christensen (Denmark) Mary Palmer (Virginia) Juan A. González-Sánchez (Puerto Rico) Erwin Dhondt (Belgium) Benjamin Wedro (Wisconsin) Raemma Paredes Luck (Pennsylvania) Lisa Mills (Louisiana) Aleksander Sipria (Estonia) Trevor Mills (Louisiana) Nounou Taleghani (California) Thomas Terndrup (Alabama) Milan Tichacek (Czech Republic)
ORAL ABSTRACT TRACK CHAIRS SATURDAY, 3 SEPTEMBER 2005 SUNDAY, 4 SEPTEMBER 2005 MONDAY, 5 SEPTEMBER 2005 Track I Track I Track I Morning Morning Morning Raed Arafat (Romania) Franco Aprá (Italy) Alex Driesschaert (Belgium) Cinzia Barletta (Italy) Barry Brenner (Arkansas) Vincent Markovchick (Colorado) Terri Schmidt (Oregon) Afternoon Agouridakis Panos (Greece) Afternoon Yildiray Cete (Turkey) Afternoon Gautam Bodiwala (United Kingdom) Andrew Sama (New York) Fikri Abu-Zidan (UAE) Luis Garcia Castrillo Riesco (Spain) Track J Fabrizio La Mura (Italy) Ishmael Griffin (Alabama) Morning Jacob Ufberg (Pennsylvania) Juliusz Jakubaszko (Poland) Rosa Marino (Pennsylvania) Track J Track J Souvatzis Xenia (Greece) Morning Morning Afternoon Abdulalwahab Al-Musleh (Qatar) Bentley Bobrow (Arizona) Nelson Pereira (Portugal) Christopher Lewandowski (Michigan) John Henry (United Kingdom) Judith Tintinalli (North Carolina) Ramachandran Madhavan (United Marc Sabbe (Belgium) Kingdom) Afternoon Afternoon Antonio Esquinas (Spain) Jonathan Fisher (Massachusetts) Cem Oktay (Turkey) Gunnar Ohlen (Sweden) Eustacia Su (Oregon)
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PRESIDENTS’ MESSAGE
It is with great pleasure that we welcome you to The Third Mediterranean Emergency Medicine Congress at the Acropolis Convention Centre in Nice. This conference has been organized by the European Society for Emergency Medicine (EuSEM) and the American Academy of Emergency Medicine (AAEM). Many of you will recall the remarkable success of The First Mediterranean Emergency Medicine Congress held in Stresa, Italy in September 2001, when more than 750 delegates and speakers from 52 countries contributed to an immensely exciting and educational experience. There was great demand that it should be repeated. Two years later, in September 2003, AAEM and EuSEM combined with SEMES, la Sociedad Espanola de Medicina de Urgencias y Emergencias, to create The Second Mediter- ranean Emergency Medicine Congress in Sitges, Spain. The number of delegates on that occasion was more than 1,300. Among them were emergency specialists from 66 nations with the official participation of representatives of national specialty societies from more than 40 countries. More than 800 research abstracts were presented. The Congress featured ten concur- rent tracks and six pre-congress workshops. It is perhaps not surprising that there was again overwhelming demand for a further such meeting this September. Those of you familiar with the history of medicine will understand why we targeted the Mediterranean Basin. This is the site of the Island of Cos, home of the master physician Hippocrates, who is widely regarded as the father of Western European medicine. The guild of physicians on the Island of Cos created one of the earliest teaching units with an excellent library and formal apprentices. Some of the first medical schools were found in Salerno, Sicily and in Montpellier in the South of France. It was with good reason that we chose Nice for The Third Mediterranean Emergency Medicine Congress this year. Nice is a truly European venue because it was named after the Greek goddess Nikea, “she who brings victory.” It was for many centuries part of Italy, it has the Promenade des Anglais as its main thoroughfare and it is now one of the major cities of France. The Acropolis Convention Centre is centrally situated, offers excellent facilities and has a main auditorium which is the largest in France. Nice also has a vibrant cultural heritage and has been the home of Rodin, Matisse and Chagall. It is without doubt the brightest jewel among the crown of cities which line the Cote d’Azur and is within easy access of such attractive resorts as Cannes, Monaco, Antibes and Monte Carlo. The collaboration between AAEM and EuSEM promotes the specialty of emergency medicine and offers a wonderful oppor- tunity for academic and scientific exchange. We have invited outstanding speakers of world renown who will give lectures, discuss clinical cases, conduct didactic sessions and moderate the abstract and poster presentations. We invite you to contribute to the success of this conference by participating in the wide range of scientific sessions and social events. The Hippocratic Oath requires that physicians should “…share…teach…impart knowledge …” and these are some of the principles which we have sought to follow in creating this further conference. We very much hope that you will enjoy the next few days.
A. Antoine Kazzi, MD FAAEM, AAEM President David Williams, FFAEM EuSEM President
7 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
TRACK CHAIRS & SPEAKERS
Fikri Abu-Zidan (UAE) Gerard Cheron (France) Glenn Hamilton (Ohio) Frederic Adnet (France) Erika Christensen (Denmark) Peter Hansen (Denmark) Meric Akyol (Turkey) Gian Alonso Cibinel (Italy) Anton Hanusin (Slovakia) Nabeel Al Ansari (Bahrain) Gregory Ciottone (Massachusetts) Richard Harrigan (Pennsylvania) Abdullah Al Hodaib (Saudi Arabia) Tim Coates (United Kingdom) Taj Hassan (United Kingdom) Suleiman Al-Abbadi (Jordan) Cameron Crandall (New Mexico) John Henry (United Kingdom) Kumar Alagappan (New York) Hilarie Cranmer (Massachusetts) Jerome Hoffman (California) Marc Alazia (France) Ami Dave (New York) J. Stephen Huff (Virginia) Joe Alcock (New Mexico) Steven Davidson (New York) Rick Hunt (Georgia) Hashim Allam (Egypt) Michel Debacker (Belgium) Silvija Hunyadi Anticevic (Croatia) Vitor Almeida (Portugal) Wyatt Decker (Minnesota) Bart Huybrechts (Netherlands) Abdulalwahab Al-Musleh (Qatar) Kathleen Delaney (New York) Taha Ibrahim (UAE) Scott Altman (Illinois) Francesco Della Corte (Italy) Said Idrissi (Belgium) Hakan Altintas (Turkey) Herman Delooz (Belgium) Jennifer Isenhour (North Carolina) Julian Lopez Alvaro (Spain) Anthony DeMond (Colorado) Sheldon Jacobson (New York) Christine Ammirati (France) Arzu Denizbasi (Turkey) Andy Jagoda (New York) V Anatharaman (Singapore) Jean-Claude Deslandes (France) Juliusz Jakubaszko (Poland) Philip Anderson (Massachusetts) Erwin Dhondt (Belgium) Edward Jauch (California) Luis Lopez Andujar (Spain) Stefano Di Bartolomeo (Italy) Luis Jimenez Murillo (Spain) Maaike Anker (Netherlands) Jean-Francois Dieppendaele (France) Ramon Johnson (California) Costas Antonaides (Cyprus) Francois Dolveck (France) Alan Jones (North Carolina) Franco Aprá (Italy) R. Domergue (France) Steven Joyce (Utah) Raed Arafat (Romania) Volker Dörges (Germany) Bobby Kapur (Washington, DC) Jeffrey Arnold (Connecticut) Alex Driesschaert (Belgium) Ozgur Karcioglu (Turkey) Kris Arnold (Massachusetts) Pamela Dyne (California) A. Antoine Kazzi (California) Helen Askitopoulou (Greece) Antoinette Edwards (United Kingdom) Ziad Kazzi (Alabama) Cobi Assaf (Israel) Mohammad Eide (Palestine) Samuel Keim (Arizona) Ridvan Atilla (Turkey) David Eitel (Pennsylvania) Sean Kelly (Massachusetts) Christophe Baillard (France) Axel Ellrodt (France) Osama Kentab (Saudi Arabia) Abdulrahman Bakhsh (Saudi Arabia) Erendoo Erdenechimeg (Mongolia) Muayad Khalid (Qatar) Ahmed Balma (Tunisia) Lourdes Escobar (Spain) Sarvotham Kini (South Carolina) Robert Barish (Maryland) Marco Esposito (Italy) Jeffrey Kline (North Carolina) Cinzia Barletta (Italy) Antonio Esquinas (Spain) Young Ko (Korea) Dora Barrientos (Spain) Michael Farner (New Jersey) Leo Kobayashi (Rhode Island) William Barsan (Michigan) Martin Tejedor Fernandez Bahram Koci (Kosovo) Brigitte Baumann (New Jersey) George Fhaily (Lebanon) Kristi Koenig (California) Jamil Bayram (Illinois) Enrico Fiaccadori (Italy) Ago Korgvee (Estonia) Giorgio Bellomo (Italy) Moin Fikree (UAE) Joel Kravitz (Pennsylvania) Michel Benoit (France) Jonathan Fisher (Massachusetts) Edwin Kuffner (Colorado) Ali Bidari (Iran) Mathias Fisher (Germany) Gloria Kuhn (Michigan) Joost Bierens (Netherlands) J. Christian Fox (California) Richard Kulkarni (California) Dann Biesbroeck (Netherlands) Ondrej Frankel (Slovenia) Thomas Kwiatkowski (New York) Dale Birenbaum (Florida) Jeffrey Freeman (Michigan) Fabrizio La Mura (Italy) Diane Birnbaumer (California) Roberto Fumagalli (Italy) Mark Langdorf (California) Michelle Biros (Minnesota) Jose Ramon Garcia Vinay (Mexico) Frederic Lapostolle (France) Janice Blanchard (Washington, DC) Carlos Garcia-Rosas (Mexico) Gregory Larkin (Texas) Bentley Bobrow (Arizona) Alessandro Geddo (Italy) Dominique Lauque (France) Gautam Bodiwala (United Kingdom) Nina Gentile (Pennsylvania) Giuseppe Lauria (Italy) Christian Boeriu (Romania) Carl Germann (Maine) F. Leclerc (France) Nancy Bonalumi (Pennsylvania) Gabor Gion (Hungary) Michael Lekawa (California) Martjn Boosman (Netherlands) Vito Giustolisi (Italy) R. Sean Lenahan (Pennsylvania) Philip Bossart (Utah) Lewis Goldfrank (New York) E. Brooke Lerner (New York) James Bouzoukis (Delaware) Patrick Goldstein (France) F. Lesage (France) Tracy Boykin (Illinois) Ernestina Gomes (Portugal) Jacques Levraut (France) William Brady (Virginia) Juan González-Sánchez (Puerto Rico) Christopher Lewandowski (Michigan) Barry Brenner (Arkansas) Lionel Gonzalez (Panama) Roger Lewis (California) W. Richard Bukata (California) Collin Goto (California) Michelle Lin (California) Brad Bunney (Illinois) Frederic Greco (France) Freddy Lippert (Denmark) Kenneth Butler (Maryland) Marco Gribaudo (Italy) Carlo Locatelli (Italy) Christian Byhahn (Germany) Ishmael Griffin (Alabama) Francesca Lombardi (Italy) Charles Cairns (North Carolina) Jane Grimshaw (United Kingdom) Jean Lormand (France) Vic Calland (United Kingdom) Paolo Groff (Italy) El Houssaine Louardi (France) Peter Cameron (Australia) Anton Gros (Czech Republic) Raemma Paredes Luck (Pennsylvania) Luis Garcia Castrillo Riesco (Spain) Shamai Grossman (Massachusetts) Lau Fei Lung (Hong Kong) Yildiray Cete (Turkey) Monika Grunfeld (Slovenia) Darryl Macias (New Mexico) Arif Alper Cevik (Turkey) Vass Hajnal (Romania) S. Mahadevan (California) Esther Chen (Pennsylvania) Arezki Hakima (Algeria) Marianne Majdalani (Lebanon) Jih-Chang Chen (Taiwan) Pinchas Halpern (Israel) Dimitri Makhatadze (Georgia)
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TRACK CHAIRS & SPEAKERS
William Mallon (California) Madhavan Ramachandran (United Knox Todd (New York) Pia Malmquist (Sweden) Kingdom) Enrique Perez Tornero (Spain) Diku Mandavia (California) Laurence Raney (South Carolina) Stephen Traub (Massachusetts) Mark Mandell (New Jersey) Peter Richman (Arizona) Hilbert Tulner (Netherlands) Clifford Mann (United Kingdom) Ernesto Perez Rincon (Mexico) Jacob Ufberg (Pennsylvania) Jose Mardonez (Chile) James Rippey (United Kingdom) Andrew Ultrich (Massachusetts) Rosa Marino (Pennsylvania) Ralph Riviello (Pennsylvania) Dinas Vaitkaitis (Lithuania) Vincent Markovchick (Colorado) Kevin Rodgers (Indiana) Hector Alonso Valle (Spain) John Marshall (New York) Ulkumen Rodoplu (Turkey) Edwin Vandewalle (Netherlands) Anthony Martin (Ireland) E. Roe (Alabama) Laurent Vanier (Canada) John Marx (North Carolina) Robert Rogers (Maryland) Dominique Vanpee (Belgium) Amal Mattu (Maryland) Predrag Romic (Serbia and Montenegro) Larissa Velez (Texas) JoAnne McDonough (California) Carlos Garcia Rosas (Mexico) Bernard Vermeulen (France) Sean McGovern (United Kingdom) Peter Rosen (Massachusetts) Salvator Vicario (Kentucky) Alastair McGowan (United Kingdom) Michael Ross (Michigan) Mary Jo Wagner (Michigan) Robert McNamara (Pennsylvania) Ronald Roth (Pennsylvania) Gunnar Wahlgren (Sweden) Francis Mencl (Netherlands) Pierre Roy (France) Yehezkel Waisman (Israel) David Mendelow (United Kingdom) Scott Rudkin (California) Darren Walter (United Kingdom) Elisabeth Menthonnex (France) John Ryan (United Kingdom) Soon Joo Wang (Korea) Mark Merlin (New Jersey) Marc Sabbé (Belgium) Robert Wears (Florida) Keith Messner (Pennsylvania) Andrew Sama (New York) Benjamin Wedro (Wisconsin) Mohamad Mikati (Lebanon) Miguel Sanchez Sanchez Larry Weiss (Louisiana) Lisa Mills (Louisiana) Isabel Santos (Portugal) Joanne Williams-Lozoya (California) Trevor Mills (Louisiana) Scott Sasser (Georgia) Mildred Willy (Michigan) Cherie Mininger (Pennsylvania) Michael Sayre (Ohio) Benno Wolcke (Germany) Patrick Miroux (France) Peter Schellinger (Germany) Joseph Wood (Arizona) James Moises (Louisiana) Jeannot Schmidt (France) Souvatzis Xenia (Greece) Gregory Moran (California) Terri Schmidt (Oregon) Sedat Yanturali (Turkey) Andrea Morelli (Italy) Carl Schultz (California) Ayla Yava (Turkey) Brendon Morris (Netherlands) Martin Shalley (United Kingdom) Serpil Yaylaci Topuzoglu (Turkey) Hans Morten (Norway) Nathan Shapiro (Massachusetts) Gianni Zironi (Italy) Usamah Mossallam (Michigan) Ghazala Sharieff (California) Andrej Zmavc (Slovenia) Vicky Nassar (Lebanon) Suzanne Shepherd (Pennsylvania) Antoine Zoghbi (Lebanon) Larry Nathanson (Massachusetts) Indrani Sheridan (New York) Mariska Zwartsenburg (Netherlands) Bret Nelson (New York) Richard Shih (New Jersey) Neil Nichol (United Kingdom) William Shoff (Pennsylvania) Eric Noji (Georgia) Friorik Sigurbergsson (Iceland) Richard Nowak (Michigan) Tom Silfvast (Finland) Richard Nunez (Massachusetts) Robert Silverman (New York) Robert O’Connor (Delaware) Maarten Simmons (Netherlands) Gunnar Ohlen (Sweden) Adam Singer (New York) Cem Oktay (Turkey) Aleksander Sipria (Estonia) Miguel Oliveira (Portugal) Edward Sloan (Illinois) Steinar Olsen (Norway) John Sloan (United Kingdom) Kazi Wazir Omar (Oman) Eric Snoey (California) Jacob Or (Israel) John Southall (Maine) Tiffany Osborn (Virginia) Xenia Souvatzia (Greece) Jerry Overton (Virginia) Anna Spiteri (Malta) Mary Palmer (Virginia) Sidney Starkman (California) Agouridakis Panos (Greece) Charles Stewart (Colorado) Vaishali Patel (New York) Roger Stone (Maryland) Dominique Pateron (France) Gary Strange (Illinois) Peter Patka (Netherlands) Samuel Stratton (California) Christoph Pechlaner (Austria) Eustacia Su (Oregon) Suzanne Peeters (Netherlands) Matthew Sullivan (North Carolina) Kobi Peleg (Israel) Stuart Swadron (California) Hugo Peralta (Argentina) David Talan (California) Nelson Pereira (Portugal) Nounou Taleghani (California) Roberta Petrino (Italy) Karim Tazarourte (France) Tomislav Petrovic (France) Caroline Telion (France) Carli Pierre (France) Francois Templier (France) Karoly Piko (Hungary) Thomas Terndrup (Alabama) Patrick Plaisance (France) D. Thiercelin (France) Patrick Plunkett (Ireland) Tamara Thomas (California) Guillermo Burillo Putze (Spain) Peter Thompson (Australia) Demetrios Pyrros (Greece) Milan Tichacek (Czech Republic) Nadeem Qureshi (Saudi Arabia) Brian Tiffany (Arizona) Timothy Rainer (Hong Kong) Judith Tintinalli (North Carolina)
9 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
ACCME INFORMATION
ACCREDITATION STATEMENT CREDIT DESIGNATION FOR THE THIRD MEDITERRANEAN This activity has been planned and implemented in accordance with EMERGENCY MEDICINE CONGRESS the Essential Areas and Policies of the Accreditation Council for AAEM designates this educational activity for up to 25.5 hours of Continuing Medical Education (ACCME) through the joint sponsor- Category 1 credit towards the AMA Physician’s Recognition Award. ship of the American Academy of Emergency Medicine (AAEM) and Each physician should claim only those hours of credit that he/she the European Society for Emergency Medicine (EuSEM). AAEM is actually spent in the educational activity. Additional hours are accredited by the ACCME to provide continuing medical education available by attending the Satellite Courses. for physicians. TARGET AUDIENCE LEARNING OBJECTIVES This CME activity is designed for American, European and other The overall objective is the advancement of international emer- international emergency physicians and nurses who seek didactic gency medical services and education in the Mediterranean Basin - education in emergency medicine and an opportunity to exchange Europe in particular and the world in general. Persons who attend information with international colleagues. This exchange pertains to this congress will, at its conclusion, be able to: the advancement of international emergency medical services and · describe the history of development of emergency medicine as a education in the Mediterranean Basin – Europe in particular and the specialty and its status in various developed and developing world in general. nations in the Mediterranean Basin. · comprehend the diversity of the scope of practice and clinical DISCLOSURE POLICY privileges that emergency medicine specialists are certified for Faculty participating in CME programs sponsored by AAEM are and expected to provide. expected to disclose to the audience any real or apparent conflicts of interest to the content of their presentations. · contrast the general principles of treating common emergencies such as resuscitation, cardiovascular and respiratory complaints, pediatric patients, and trauma management. · utilize general principles of disaster and prehospital care and the basic principles of triage and stabilization. · assimilate general research principles from the oral and poster sessions of new research presented by attendees.
10 FINAL PROGRAMME
DISCLOSURES
Faculty Who Have Disclosed No Proprietary Interests as of Faculty Who Have Disclosed Proprietary Interests as of 5 August 2005 5 August 2005
Joe Alcock Marianne Majdalani Kumar Alagappan J. Stephen Huff Hakarn Altintas Dimitri Makhatadze Bayer Biological UCB Pharma Philip Anderson Pia Malmquist Scott Altman Andy Jagoda Franco Aprá Mark Mandell EMerge, LTD, AMR (American Astra Zeneca, Eisai, UCB Pharma Helen Askitopoulou Clifford Mann Medical Response), EMerge Raemma Luck Christophe Baillard Vincent Markovchick Consulting PEMR/Thomson Healthcare Robert Barish Anthony Martin Jeffrey Arnold Incorporated, Thomson Healthcare Cinzia Barletta John Marx EMD Pharmaceuticals Incorporated Brigitte Baumann Amal Mattu William Barsan Diku Mandavia Jamil Bayram Alastair McGowan AstraZeneca Hippocampus Technology Inc & Dale Birenbaum Robert McNamara William Brady CMEdownload.com Diane Birnbaumer Francis Mencl Medtronics, Phillips Mohamad Mikati Bentley Bobrow Mark Merlin Charles Cairns Glaxo Christian Boeriu Trevor Mills Merck Gregory Moran Nancy Bonalumi Cherie Mininger Charles Cairns Ortho McNeil, Aventis, Pfizer, Philip Bossart James Moises Millennium Pharmaceuticals, Schering James Bouzoukis Andrea Morelli Schering Plough, Bristol-Myers Richard Nowak Barry Brenner Usamah Mossallam Squibb Sepracor Pharmaceuticals Esther Chen Larry Nathanson Vic Calland Tiffany Osborn Jih-Chang Chen Bret Nelson Eventmed UK Ltd Edwards Lifescience Gerard Cheron Richard Nunez Peter Cameron Christoph Pechlaner Cameron Crandall Robert O’Connor Henry Jones Pty Ltd Dade Behring, Altana, Baxter, Michel Debacker Jerry Overton Gregory Ciottone Pfizer Francesco Della Corte Vaishali Patel Hemocellular Therapeutics Patrick Plunkett Herman Delooz Nelson Pereira Gregory Ciottone Lippincott, Williams and Wilkins, Volker Dörges Tomislav Petrovic Clozex Ltd European Journal of Emergency Pamela Dyne Patrick Plaisance Hilarie Cranmer Medicine David Eitel Nadeem Qureshi emedicine.com Pierre Roy George Fhaily Timothy Rainer Steven Davidson Biomerieux, Sanofi-Aventis Enrico Fiaccadori Madhavan Ramachandran Palm One Sidney Starkman Ondrej Frankel Laurence Raney Wyatt Decker Concentric Medical, Millennium Nina Gentile Ralph Riviello The Heart Course Pharmaceuticals, Genentech Carl Germann Kevin Rodgers Axel Ellrodt Incorporated Lewis Goldfrank Peter Rosen Bristol Myers Squibb David Talan Ernestina Gomes Ronald Roth Moin Fikree Vicuron, Pfizer, Schering-Plough Juan Gonzalez Sanchez Marc Sabbé Gulf Drug Establishment Hector Alonso Valle Lionel Gonzalez Andrew Sama Jonathan Fisher Inydia Collin Goto Isabel Santos Biosite Benno Wolcke Frederic Greco Terri Schmidt J. Christian Fox Advanced Circulatory Systems Shamai Grossman Suzanne Shepherd Sanofi-Aventis, Sonosite, Inc. Pinchas Halpern John Sloan Jerome Hoffman Glenn Hamilton John Southall Emergency Medical Abstracts Peter Hansen Xenia Souvatzia Richard Harrigan Anna Spiteri Sheldon Jacobson Roger Stone Juliusz Jakubaszko Gary Strange Ramon Johnson Eustacia Su Alan Jones Nounou Taleghani Steven Joyce Francois Templier A. Antoine Kazzi Brian Tiffany Samuel Keim Judith Tintinalli Sean Kelly Knox Todd Osama Kentab Dinas Vaitkaitis Sarvotham Kini Edwin Vandewalle Joel Kravitz Larissa Velez Richard Kulkarni Mary Jo Wagner Thomas Kwiatkowski Yehezkel Waisman Fabrizio La Mura Darren Walter Dominique Lauque Larry Weiss R. Sean Lenahan Joanne Williams-Lozoya E. Brooke Lerner Mildred Willy Christopher Lewandowski Joseph Wood Roger Lewis Sedat Yanturali Michelle Lin Gianni Zironi S. Mahadevan Andrej Zmavc
11 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
DISCLOSURES
Faculty Who Have Submitted No Form of Disclosure as of 5 August 2005
Fikri Abu Zidan Mathias Fisher Patrick Miroux Milan Tichacek Frederic Adnet Jeffrey Freeman Brendon Morris Enrique Perez Tornero Meric Akyol Roberto Fumagalli Hans Morten Stephen Traub Nabeel Al Ansari Jose Ramon Garcia Vinay Vicky Nassar Hilbert Tulner Abdullah Al Hodaib Carlos Garcia-Rosas Neil Nichol Jacob Ufberg Suleiman Al-Abbadi Alessandro Geddo Eric Noji Andrew Ultrich Marc Alazia Gabor Gion Gunnar Ohlen Laurent Vanier Hashim Allam Vito Giustolisi Cem Oktay Dominique Vanpee Vitor Almeida Patrick Goldstein Miguel Oliveira Bernard Vermeulen Abdulalwahab Al-Musleh Marco Gribaudo Steinar Olsen Salvator Vicario Julian Lopez Alvaro Ishmael Griffin Kazi Wazir Omar Gunnar Wahlgren Christine Ammirati Jane Grimshaw Jacob Or Soon Joo Wang V Anatharaman Paolo Groff Mary Palmer Robert Wears G. Andrieux Anton Gros Agouridakis Panos Benjamin Wedro Luis Lopez Andujar Monika Grunfeld Dominique Pateron Souvatzis Xenia Felix Ankel Vass Hajnal Peter Patka Ayla Yava Maaike Anker Arezki Hakima Suzanne Peeters Serpil Yaylaci Topuzoglu Costas Antonaides Anton Hanusin Kobi Peleg Antoine Zoghbi Raed Arafat Taj Hassan Hugo Peralta Mariska Zwartsenburg Kris Arnold John Henry Roberta Petrino Cobi Assaf Rick Hunt Carli Pierre Ridvan Atilla Silvija Hunyadi Anticevic Karoly Piko Abdulrahman Bakhsh Bart Huybrechts Guillermo Burillo Putze Ahmed Balma Taha Ibrahim Demetrios Pyrros Dora Barrientos Said Idrissi Peter Richman Giorgio Bellomo Jennifer Isenhour Ernesto Perez Rincon Michel Benoit Edward Jauch James Rippey Ali Bidari Luis Jimenez Murillo Colin Robertson Joost Bierens Bobby Kapur Ulkumen Rodoplu Dann Biesbroeck Ozgur Karcioglu E. Roe Michelle Biros Ziad Kazzi Robert Rogers Janice Blanchard Muayad Khalid Predrag Romic Gautam Bodiwala Jeffrey Kline Carlos Garcia Rosas Martjn Boosman Young Ko Michael Ross Tracy Boykin Leo Kobayashi Scott Rudkin W. Richard Bukata Bahram Koci John Ryan Bradshaw Bunney Kristi Koenig Miguel Sanchez Sanchez Kenneth Butler Ago Korgvee Scott Sasser Christian Byhahn Edwin Kuffner Michael Sayre Luis Garcia Castrillo Riesco Gloria Kuhn Peter Schellinger Yildiray Cete Mark Langdorf Jeannot Schmidt Arif Alper Cevik Frederic Lapostolle Carl Schultz Erika Christensen Gregory Larkin Martin Shalley Gian Alonso Cibinel Giuseppe Lauria Nathan Shapiro Tim Coates F. Leclerc Ghazala Sharieff Ami Dave Michael Lekawa Indrani Sheridan Kathleen Delaney F. Lesage Richard Shih Anthony DeMond Jacques Levraut William Shoff Arzu Denizbasi Freddy Lippert Friorik Sigurbergsson Jean-Claude Deslandes Carlo Locatelli Tom Silfvast Erwin Dhondt Francesca Lombardi Robert Silverman Stefano Di Bartolomeo Jean Lormand Maarten Simmons Jean-Francois Dieppendaele El Houssaine Louardi Adam Singer Francois Dolveck Lau Fei Lung Aleksander Sipria R. Domergue Darryl Macias Edward Sloan Alex Driesschaert William Mallon Eric Snoey Antoinette Edwards Jose Mardonez Charles Stewart Mohammad Eide Rosa Marino Samuel Stratton Joseph Epstein John Marshall Matthew Sullivan Erendoo Erdenechimeg JoAnne McDonough Stuart Swadron Lourdes Escobar Sean McGovern Karim Tazarourte Marco Esposito David Mendelow Caroline Telion Antonio Esquinas Elisabeth Menthonnex D. Thiercelin Michael Farner Keith Messner Tamara Thomas Martin Tejedor Fernandez Lisa Mills Peter Thompson
12 FINAL PROGRAMME
CONGRESS SATELLITE COURSES
THURSDAY, 1 SEPTEMBER 2005 AND FRIDAY, 2 SEPTEMBER 2005
COURSE # 1 ULTRASOUND UPDATES WORKSHOP COURSE # 2 NON-INVASIVE VENTILATION WORKSHOP Course Directors: Michael Lambert (Illinois) & Peter Thompson Course Director: Roberta Petrino (Italy) (United Kingdom) THURSDAY, 1 SEPTEMBER 2005 THURSDAY, 1 SEPTEMBER 2005 NON-INVASIVE VENTILATION PART I ULTRASOUND UPDATES WORKSHOP I 13:00 – 17:00 13:00 – 17:00 FRIDAY, 2 SEPTEMBER 2005 FRIDAY, 2 SEPTEMBER 2005 NON-INVASIVE VENTILATION PART II ULTRASOUND UPDATES WORKSHOP II 08:00 – 14:30 08:00 – 14:30 WORKSHOP OBJECTIVES WORKSHOP OBJECTIVES At the end of the session, the participants will be able to: (1) Discuss Introduction to Emergency Bedside Ultrasound which patients may be eligible for non-invasive ventilatory manage- Upon completion of this presentation, participants will be able to: ment. (2) Describe the indications for BiPAP and CPAP. (3) Assess the (1) Discuss the indications for emergency department ultrasound efficacy of non-invasive ventilatory techniques and determine which screening. (2) Discuss the ultrasound learning curve for an emer- patients may require intubation if these methods fail. gency physician. (3) Discuss common mistakes made in emergency ultrasound screenings. COURSE # 3 ADVANCED AIRWAY COURSE Course Directors: Erik D. Barton (Utah) & Volker Döerges (Ger- Ultrasound Physics and Instrumentation many) Upon completion of this presentation, participants will be able to: (1) Discuss the principles behind sound propagation and acoustic FRIDAY, 2 SEPTEMBER 2005 interfaces. (2) Determine the relationship between transducer 08:00 – 14:30 position and image orientation. (3) Describe the basic operator controls on the ultrasound system required for image acquisition. WORKSHOP OBJECTIVES Trauma Ultrasound At the conclusion of this course, participants will be able to: (1) List Upon completion of this presentation, participants will be able to: the incidence of difficult airways encountered in the Emergency (1) Describe the surface landmarks and transducer position neces- Medicine setting. (2) Define “difficult airway” in a way that allows sary to perform the FAST examination. (2) Determine the them to communicate effectively among other emergency physi- sonographic landmarks and anatomical relationships of the liver, cians and with physicians in other specialties. (3) Develop a difficult spleen and pelvis as it relates to the FAST examination. (3) Discuss airway algorithm that is flexible and tailored to their needs and the sonographic findings and pitfalls for interpreting life threatening which allows them to avoid delays in effective airway management trauma conditions such as cardiac tamponande, hemoperitoneum when time is of the essence. (4) Describe various techniques which and hemothorax. can be utilized to manage the difficult airway, whether its presence is predicted or not. (5) Decide, based on actual practice of these Abdominal Aorta Ultrasound techniques with individualized instruction, which interventions are Upon completion of this presentation, participants will be able to: most appropriate. (6) Review indications and anatomy pertinent to (1) Describe the surface landmarks and transducer position neces- surgical airway management. (7) Review the literature and discuss sary to perform an abdominal aorta ultrasound examination. differing techniques of emergency airway amendment. (8) Success- (2) Determine the sonographic landmarks and anatomical relation- fully perform surgical airway on lab specimens. ships as it relates to the abdominal aorta. (3) Discuss abdominal aortic aneurysms and their symptoms. (4) Identify and measure COURSE # 4 PEDIATRIC PROCEDURES WORKSHOP abdominal aortic aneurysms with ultrasound. Course Directors: Ghazalla Sharieff (California) & Yehezkel Echo in the ED Waisman (Israel) Upon completion of this presentation, participants will be able to: (1) Review the anatomy and the planes of the heart within the FRIDAY, 2 SEPTEMBER 2005 mediastinum. (2) Determine the surface landmarks and transducer 12:00 – 14:30 positioning utilized in the sonographic examination of the heart. ORKSHOP BJECTIVES (3) Coordinate the transducer position with sonographic cardiac W O anatomy. At the conclusion of this course, participants will be able to: (1) Demonstrate proper bag-valve mask ventilation, tracheal Vascular Access using Ultrasound Guidance intubation and needle cricothyrotomy in children. (2) Demonstrate Upon completion of this presentation, participants will be able to: several techniques for obtaining IV access such as intraosseous (1) Review the vascular anatomy of the subclavian, internal jugular, infusion and umbilical vein catheterization. (3) Use the Seldinger femoral and antecubital vessels. (2) Apply the venous compression technique of chest tube placement in children. (4) Demonstrate techniques of the common femoral, internal jugular and antecubital esophageal foreign body removal via foley catheter. veins. (3) Identify the various techniques of needle cannulation using ultrasound guidance. Emergency Evaluation of DVT Upon completion of this presentation, participants will be able to: (1) Review the vascular anatomy of the lower extremity. (2) Describe clot formation and propagation. (3) Apply the venous compression technique of common femoral, superficial femoral and popliteal veins. (4) Assess the variability of clot echogenicity.
13 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
CONGRESS SATELLITE COURSES
COURSE # 5 BASICS OF RESEARCH IN EMERGENCY COURSE # 8 HOSPITAL DISASTER PREPAREDNESS (HDP) MEDICINE WORKSHOP WORKSHOP Course Director: Ed Panacek (California) Course Director: Francesco Della Corte (Italy)
FRIDAY, 2 SEPTEMBER 2005 THURSDAY, 1 SEPTEMBER 2005 08:00 – 14:30 HOSPITAL DISASTER PREPAREDNESS PART I WORKSHOP OBJECTIVES 08:00 – 17:00 At the conclusion of this course, participants will be able to: (1) Describe the scientific method and the general process of FRIDAY, 2 SEPTEMBER 2005 performing clinical research. (2) Describe the elements of an HOSPITAL DISASTER PREPAREDNESS PART II appropriate research question. (3) Describe the most commonly 08:00 – 14:30 used research designs. (4) Design an entire research protocol. (5) Describe the basics of data analysis. (6) Describe the most WORKSHOP OBJECTIVES common measures used in epidemiology and their proper place in The HDP is an innovative course that uses e-learning methodology clinical research. and multimedia computerized exercises. The course started one month prior to the Congress. Students will enter a website (using a COURSE # 6 ADVANCED WOUND CARE MANAGEMENT personal ID and password) with an e-learning platform, where they WORKSHOP will obtain the learning materials and will interact with tutors and Course Director: Scott Sherman (Illinois) course directors. The course is based on workshops, problem- solving and simulation exercises. FRIDAY, 2 SEPTEMBER 2005 At the conclusion of the workshop, participants will be able to: 08:00 – 11:00 (1) Construct their risk factors in a virtual environment. (2) Identify human and health resources. (3) Identify the equipment. WORKSHOP OBJECTIVES At the conclusion of this course, participants will be able to: (1) Explain COURSE # 9 ADVANCED CASTING & SPLINTING the appropriate preparation of a traumatic wound in order to TECHNIQUES WORKSHOP minimize infection and maximize cosmetic appearance. (2) Describe ideal characteristics of a wound cleaning solution. (3) Discuss advan- Course Director: Michael Burg (California) tages vs. disadvantages of wound edge undermining, deep-space RIDAY EPTEMBER closure, and “running” suture techniques. (4) Discuss appropriate use F , 2 S 2005 of antibiotics when treating traumatic wounds. (5) Demonstrate the 12:00 – 14:30 best methods for closing an angled laceration. (6) Demonstrate how WORKSHOP OBJECTIVES to appropriately deal with a “dog-eared” laceration. (7) Demonstrate At the workshop’s conclusion participants will be able to: (1) List these wound closure techniques and describe when each is appropri- several joint reduction techniques for shoulder, hip and elbow ate or inappropriate: running subcuticular, horizontal mattress, dislocations. (2) Describe how to perform arthrocentesis of the wrist, vertical mattress and locked mattress. (8) Demonstrate these ad- elbow, knee and ankle. (3) Demonstrate a variety of basic splinting vanced closure techniques and explain when they are appropriate: Z- techniques. (4) Discuss how procedural sedation and analgesia can be plasty, advanced flap and Y-plasty. safely used to facilitate these procedures in the ED. COURSE # 7 ADVANCED EKG INTERPRETATION COURSE # 10 DEALING WITH CAR CRASHES IN THE FIELD WORKSHOP WORKSHOP Course Directors: Amal Mattu (Maryland) & Ulkumen Rodoplu Course Director: Raed Arafat (Romania) (Turkey) FRIDAY, 2 SEPTEMBER 2005 FRIDAY, 2 SEPTEMBER 2005 08:00 – 14:30 08:00 – 11:00 WORKSHOP OBJECTIVES WORKSHOP OBJECTIVES After completion of this course, the participant will be able to: At the end of this course, participants will be able to identify (1) Determine the best ways to treat entrapped car accident victims. common mistakes and misunderstood findings in EKGs. (2) Recognize the influence of the new car technology on the trauma mechanisms and the trauma patient. (3) Describe the concepts of integrated intervention to motor vehicle accidents.
14 FINAL PROGRAMME
CONGRESS SATELLITE COURSES SPECIAL EVENTS
COURSE # 11 EMERGENCY MEDICINE RESIDENCY OPENING RECEPTION DIRECTOR WORKSHOP (CORD-EM) Friday, 2 September 2005 Course Director: Mary Jo Wagner (Michigan) 19:00 – 21:00 Terrasse, Nice Acropolis FRIDAY, 2 SEPTEMBER 2005 Please join us on the Terrasse for cocktails after the Opening 08:00 – 14:30 Ceremony. This ceremony is graciously being provided by the City of Nice and the University of Nice. WORKSHOP OBJECTIVES Dynamic Decision Making: GALA DINNER At the end of this session, the participant will be able to: (1) Describe Saturday, 3 September 2005 the term dynamic decision making and provide an example where 20:00 – 00:00 this is used successfully in another industry. (2) Discuss several Location to be announced. examples for use of deliberate practice in teaching residents and students in emergency medicine. KARAOKE DINNER & DANCE Transition to Outcomes-Based Training: Monday, 5 September 2005 At the end of this session, the participant will be able to: (1) Describe 21:00 – 01:00 the recent changes in focus for post-graduate training assessment The Karaoke Dinner & Dance will take place at the Blue Beach goals. (2) Define outcomes-based training and compare to the restaurant in Nice, France. The Blue Beach is located on the Mediter- traditional method of training in emergency medicine. ranean Sea and a short walk from the Le Meridien Hotel. If you are Curriculum Design: not already registered for this event, but would like to attend, At the end of this session, the participant will be able to: (1) Describe please see the registration desk anytime to sign up. the core curriculum of emergency medicine as defined by the United States Emergency Medicine Model of Clinical Practice. (2) Review curriculum variations that effectively describe Emer- gency Medicine’s international curriculum goals. Clinical Assessment Techniques: At the end of this session, the participant will be able to: (1) Describe the pros and cons of the various assessment tools (e.g., direct observation, 360 degree evaluation). (2) Discuss the effectiveness of these clinical assessment techniques in evaluating the core compe- tencies and international post-graduate training requirements. Identification and Management of the Problem Trainee: At the end of this session, the participant will be able to: (1) Design a rating instrument for assessing the affective attributes & interper- sonal skills of a resident that help identify problem residents. (2) Describe techniques for managing problem issues with emer- gency medicine trainees. EM Education Integration into the Health Systems: At the end of this session, the participant will be able to: (1) Identify the rationale for initiating EM residency training programs in an international community. (2) Describe methods for integrating emergency medicine into an established health care system.
15 Opening Reception
Mayor Jacques Peyrat
The organizers of the Third Mediterranean Emergency Medicine Congress would like to thank Mayor Peyrat, the City of Nice, and the University of Nice for their hospitality in hosting the Opening Reception.
Special thanks to the delegates from the University of Nice for their assistance in planning this event. FINAL PROGRAMME
ACROPOLIS LAYOUT
17 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SCHEDULE AT A GLANCE
SATURDAY, 3 SEPTEMBER 2005
18 FINAL PROGRAMME
SCHEDULE AT A GLANCE
SUNDAY, 4 SEPTEMBER 2005
19 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SCHEDULE AT A GLANCE
MONDAY, 5 SEPTEMBER 2005
20 FINAL PROGRAMME
FRIDAY, 2 SEPTEMBER 2005
15:30-18:00 Opening Plenary Session The Chairman - Professor Francesco Della Corte 15:30-16:00 Welcoming Remarks Dr. Roberta Petrino & Dr. Joe Lex, FAAEM Chairs of the Executive and Scientific Committees 16:00-17:00 Opening Words by the Presidents of the EuSEM, AAEM and Hosting Societies 16:00-16:15 EuSEM President - Dr. David Williams, FFAEM 16:15-16:30 AAEM President – Dr. A. Antoine Kazzi, FAAEM 16:30-16:45 Local French Authorities of the City & Mayor of Nice, Jacques Peyrat University of Nice Daniel Benchimol Dean of School of Medicine University of Nice Dr. Jacques Levraut Chairman of the School of Medicine Department of Emergency Medicine University of Nice 16:45-17:00 Hosting Societies (SAMU/SFMU) President of SFMU - Professor Jacques Kopferschmitt President of SAMU – Dr. Marc Giroud 17:00-18:00 Key Note Speakers 17:00-17:30 Professor Lewis Goldfrank, MD, FAAEM Advancing Emergency Medicine Professor and Chairman, Emergency Medicine New York University School of Medicine Director Emergency Medicine Bellevue Hospital, New York University Hospitals Medical Director, New York City Poison Center 17:30-18:00 Professor Matthew Cooke PhD, FFAEM Reforming Emergency Care Professor of Emergency Medicine, the University of Warwick Advisor in Emergency Medicine to the UK Department of Health 18:00 Closing Remarks Dr. Roberta Petrino & Dr. Joe Lex, FAAEM
21 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SATURDAY, 3 SEPTEMBER 2005
BREAKFAST - SPONSORED BY FERNE 08:30 - 09:00 Cardiac Risk Stratification Richard Harrigan (Pennsylvania), Giuseppe Lauria NEW CONCEPTS IN THE TREATMENT OF SEIZURES AND (Italy) STATUS EPILEPTICUS PATIENTS 09:00 - 09:30 Atrial Fibrillation in the ED Ticket Required Wyatt Decker (Minnesota), Benno Wolcke 07:00 - 08:30 (Germany) Location: Clio/Thalie 09:30 - 10:00 Hypertension in the ED: What Do We Treat and 07:00 - 07:30 What the ACEP Seizure Policy Doesn’t Tell Us How? About Adult Seizure and Status Epilepticus Robert Rogers (Maryland), Benno Wolcke Patients (Germany) J. Stephen Huff (Virginia) 10:00 - 10:30 Congestive Heart Failure: Are We Treating It 07:30 - 08:00 Seizure and Status Epilepticus Therapies: A 2005 Correctly? Update W. Richard Bukata (California), Roberta Petrino Andy Jagoda (New York) (Italy) 08:00 - 08:30 Crossfire: Adult Seizure and Status Epilepticus 11:00 - 11:15 Clopidogrel: What’s Its Use in the ED? Case Studies Wyatt Decker (Minnesota) Edward Sloan (Illinois) 11:15 - 11:30 Rational Use of Amiodarone Freddy Lippert (Denmark) POSTER PRESENTATIONS 11:30 - 11:45 Vasopressin Freddy Lippert (Denmark) 08:30 - 18:30 Location: Rhodes 11:45 - 12:00 GP IIb/IIIa Inhibitors William Brady (Virginia) Moderators: Kenneth Butler (Maryland), Yildiray Cete (Turkey), Sarvotham Kini (South Carolina), Carlo Locatelli (Italy), Cherie 12:00 - 12:30 Life-Threatening Complications of Acute Mininger (Pennsylvania), Mary Palmer (Virginia), Yehezkel Myocardial Infarction Waisman (Israel), Benjamin Wedro (Wisconsin), Mildred Willy Brian Tiffany (Arizona) (Michigan) RACK REHOSPITAL EDICINE 08:30 - 13:30 Airway/Analgesia/Anesthesia T B - P M (NAEMSP) Abstracts 51-64 08:30 - 12:30 Location: Risso 6 A-B-C Toxicology/Environmental Abstracts 65 - 141 Track Chairs: Jean-Claude Deslandes (France), Francis Mencl (Netherlands), Nelson Pereira (Portugal) Wound Care/Burn Care/Orthopedic Abstracts 143 - 145 Objectives (1) Discuss varying methods of EMS Response teams: fire-based, hospital- Cardiovascular and CPR based, and independent. (2) Explain why EMS benchmarking is an Abstract 146 essential process. (3) Describe the development of EMS systems in low- 14:30 - 18:30 Pediatrics income and middle-income countries. Abstracts 147 - 166 08:30 - 09:30 Organization of EMS Response: Fire-Based, Neurologic and Psychiatric Hospital-Based, or Independent Abstracts 167 - 194 Moderators: Jean-Claude Deslandes (France), Abdominal/Gastrointestinal/Genitourinary Ondrej Frankel (Slovenia) Peter Hansen (Denmark), Miguel Oliveira Abstracts 195 - 212 (Portugal), Darren Walter (United Kingdom) Administration and Health Care Policy 09:30 - 10:30 EED: EMS Benchmarking Abstracts 213 - 249 Moderators: Scott Sasser (Georgia), Darren Walter Obstetric/Gynecologic Emergencies (United Kingdom) Abstracts 250 - 253 Luis Garcia Castrillo Riesco (Spain), Jerry Overton Ophthalmology/ENT (Virginia) Abstracts 254 - 255 11:00 - 11:45 Development of EMS System, Part 1: World French Language Abstracts Health Organization “Development and Abstracts 256 - 263 Implementation of Pre-Hospital Trauma Care Systems in Low and Middle Income Countries” Moderators: Rick Hunt, E. Brooke Lerner (New York) TRACK A - CARDIOVASCULAR EMERGENCIES Rick Hunt (Georgia), Jean Lormand (France), Scott 08:30 - 12:30 Sasser (Georgia) Location: Athena 11:45 - 12:00 Development of EMS System, Part 2: Track Chairs: Freddy Lippert (Denmark), Amal Mattu (Maryland) “Development and Implementation of EMS Moderators: Salvator Vicario (Kentucky), Sedat Yanturali (Turkey) Systems: Making It Work - Examples of Objectives International Cooperation” (1) Describe factors that are associated with increased risk of acute Vic Calland (United Kingdom) coronary syndrome. (2) Discuss some methods of rhythm control of the 12:00 - 12:15 The Kosovo Experience patient with atrial fibrillation. (3) Distinguish between hypertensive Bahram Koci (Kosovo), E. Brooke Lerner (New emergencies and urgencies. York)
22 FINAL PROGRAMME
SATURDAY, 3 SEPTEMBER 2005
12:15 - 12:30 Implementation of a Fire-Based AED Program 08:30 - 09:00 Research in Emergency Medicine in Europe Raed Arafat (Romania) Colin Robertson (United Kingdom) 09:00 - 09:30 From Nothing to Something: Beginning Research TRACK C - EMERGENCY ULTRASOUND without Formal Training 08:30 - 12:30 Adam Singer (New York) Location: Gallieni 3 09:30 - 09:50 The Importance of Fellowship Training Track Chairs: J. Christian Fox (California), Peter Thompson (Austra- Charles Cairns (North Carolina) lia) Moderator: Fikri Abu-Zidan (UAE) 09:50 - 10:20 Talking to Your Statistician: Understanding Enough Statistics to Ask the Right Questions Objectives Roger Lewis (California) (1) Explain potential pitfalls in teaching Emergency Bedside Ultrasound. (2) Describe appropriate use of Emergency Ultrasound in the trauma 10:30 - 11:00 Multicenter Research: Integrating Yourself Into a victim. (3) Summarize uses of ultrasound in evaluating the pregnant or Multi-Center Consortium pediatric Emergency Department patient. Adam Singer (New York) 08:30 - 08:45 Ultrasound Basics: The Minimum You Need to 11:00 - 11:30 Publication Strategies: Dealing with Rejection or Know Recycling your Work Based on Advice of Reviewers Joseph Wood (Arizona) Roger Lewis (California) 08:45 - 08:55 Teaching Ultrasound in the Emergency Department 11:30 - 11:50 The Future of Emergency Medicine Research Bret Nelson (New York) Charles Cairns (North Carolina) 08:55 - 09:05 Teaching Ultrasound using PREP 11:50 - 12:10 Form Meets Function - Teaching Tools for Emergency Medicine Frederic Greco (France) Mariska Zwartsenburg (Netherlands) 09:05 - 09:20 Using Ultrasound in the Victim of Trauma Fikri Abu-Zidan (UAE) 12:10 - 12:30 Maximising Your Prospects for Publication Patrick Plunkett (Ireland) 09:20 - 09:30 Advanced Trauma Ultrasound and Contrast Gianni Zironi (Italy) TRACK E - RESPIRATORY EMERGENCIES 09:30 - 10:00 The Focused Cardiac Scan and Shock 08:30 - 12:30 Diku Mandavia (California) Location: Gallieni 6 A-B 10:00 – 10:15 Questions Track Chairs: Antonio Esquinas (Spain), Laurence Raney (South 10:45 - 11:00 The Use of Ultrasound in First Trimester Carolina) Decision Making: The Difficulties and the Moderators: Diane Birnbaumer (California), Paolo Groff (Italy) Benefits Objectives JoAnne McDonough (California) (1) Outline a practical approach to the emergent stabilization of the patient 11:00 - 11:15 The Challenges of Taking Ultrasound to presenting with ongoing, massive hemoptysis. (2) Evaluate improvements Prehospital Critical Care in antituberculous care in developing countries. (3) Describe the Tomislav Petrovic (France) appropriate patient in whom to use non-invasive ventilatory support. 11:15 - 11:30 Interface of Emergency and Critical Care 08:30 - 09:00 Pulmonary Embolism Ultrasound Jeffrey Kline (North Carolina) Gian Alonso Cibinel (Italy) 09:00 - 09:30 Massive Hemoptysis 11:30 - 11:45 How Can Ultrasound Help in Pediatric Stuart Swadron (California) Emergency 09:30 - 10:00 Early Treatment of COPD: How to Avoid Sean McGovern (United Kingdom) Endotracheal Intubation 11:45 - 12:00 Using Ultrasound with Interventions in the ED Dominique Vanpee (Belgium) John Sloan (United Kingdom) 10:00 - 10:30 Early Management of Pneumonia 12:00 - 12:15 Thoracic Ultrasound and Emergency Care Paolo Groff (Italy) James Rippey (United Kingdom) 11:00 - 11:30 Tuberculosis Update 12:15 – 12:30 Questions Suzanne Shepherd (Pennsylvania) 11:30 - 12:30 Respiratory Failure: Invasive vs. Non-Invasive TRACK D - RESEARCH EDUCATION FROM THE US (SAEM) Management 08:30 - 12:30 Franco Apra (Italy), Diane Birnbaumer (California), Location: Gallieni 5 Antonio Esquinas (Spain) N.B. The CORD and SAEM are portions and their speakers among these RACK URRENT TATUS OF MERGENCY EDICINE organizations that do not receive any form of industry or exhibitor T F - C S E M sponsorship. AROUND THE WORLD Track Chairs: Gautam Bodiwala (United Kingdom), Charles Cairns 08:30 - 12:30 (North Carolina) Location: Hermes Moderators: John Marx (North Carolina), Marc Sabbé (Belgium) Track Chairs: Philip Anderson (Massachusetts), Pinchas Halpern Objectives (Israel) (1) Describe a successful Emergency Medicine clinical research program. Moderators: Alastair McGowan (United Kingdom), Terrence (2) Identify critical research analysis skills. (3) Integrate key aspects of Mulligan (Washington, DC) reviewer advice into the publication process.
23 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SATURDAY, 3 SEPTEMBER 2005
08:30 – 08:50 Opening Comments TRACK J - INTERNATIONAL ORAL ABSTRACTS 08:50 - 09:10 France 08:30 - 12:30 Axel Ellrodt (France) Location: Risso 8B 09:10 - 09:30 Spain Track Chairs: Bentley Bobrow (Arizona) Luis Garcia Castrillo Riesco (Spain) Moderators: John Henry (United Kingdom), Marc Sabbé (Belgium) 09:30 - 09:50 Italy 08:30 - 10:15 Toxicology Vito Giustolisi (Italy) Moderator: John Henry (United Kingdom) 09:50 - 10:10 United Kingdom Abstracts 34 - 41 Martin Shalley (United Kingdom) 10:15 - 11:15 Pharmacology 10:10 - 10:30 Hong Kong Moderator: Marc Sabbé (Belgium) Timothy Rainer (Hong Kong) Abstracts 42 - 46 10:50 - 11:10 Finland 11:15 - 12:30 Infectious Disease Tom Silfvast (Finland) Moderator: Marc Sabbé (Belgium) Abstracts 47 - 50 11:10 - 11:30 Iceland Friorik Sigurbergsson (Iceland) TRACK K - CORE TALKS 11:30 - 11:50 Sweden 08:30 - 12:30 Pia Malmquist (Sweden) Location: Gallieni 2 11:50 - 12:10 Denmark Track Chairs: Stefano Di Bartolomeo (Italy), Kevin Rodgers (Indi- Erika Christensen (Denmark) ana) 12:10 - 12:30 Norway Moderators: Cobi Assaf (Israel), Jennifer Isenhour (North Carolina) Hans Morten (Norway) Objectives (1) Develop an evidence-based policy for dealing with a concussed athlete. TRACK G - FRENCH LANGUAGE ORAL ABSTRACTS (2) Summarize appropriate use of ultrasound in the injured athlete. 08:30 - 12:30 (3) List appropriate treatment for several commonly-encountered ophthal- Location: Risso 7A mologic emergencies. Moderator: Jamil Bayram (Illinois) 08:30 - 09:00 Dealing with the Concussed Athlete Abstracts 1 - 13 Eustacia Su (Oregon) 09:00 - 09:30 Performance Enhancing Drugs: What’s the Big TRACK H - FRENCH SOCIETY DIDACTIC PRESENTATIONS - Deal? GUIDELINES IN PREHOSPITAL MANAGEMENT OF TRAUMA Benjamin Wedro (Wisconsin) PATIENTS 09:30 - 10:00 Evaluating Sports-Related Injuries with 08:30 - 12:30 Ultrasound Location: Risso 7B JoAnne McDonough (California) Track Chairs: Carli Pierre (France), Lewis Goldfrank (New York) 10:30 - 11:00 Injury Prevention Cameron Crandall (New Mexico) 08:30 - 09:00 Dispatching, Gravity Scores of Trauma Patients Christine Ammirati (France) 11:00 - 11:30 Ophthalmologic Emergencies Sarvotham Kini (South Carolina) 09:00 - 09:30 Initial Management: Airway and Fluid Resuscitation 11:30 - 12:00 Advanced Trauma Life Support in the French Frederic Adnet (France) Prehospital System Carli Pierre (France) 09:30 - 10:00 Specificity of Trauma in Children Caroline Telion (France) 12:00 - 12:30 Diverse Presentations of Shock Mary Palmer (Virginia) 11:00 - 12:30 Workshop: EKG in Emergency Medicine Frederic Adnet (France), Frederic Lapostolle TRACK L - INTERNATIONAL NURSING (France),Tomislav Petrovic (France) 08:30 - 12:30 Location: Gallieni 4 TRACK I - INTERNATIONAL ORAL ABSTRACTS 08:30 - 12:30 Track Chairs: Nancy Bonalumi (Pennsylvania), Lourdes Escobar Location: Risso 8A (Spain) Track Chairs: Miguel Oliveira (Portugal), Terri Schmidt (Oregon) Objectives (1) Describe the impact of the nursing workforce shortage in the United 08:30 - 10:30 Prehospital States. (2) Describe the role of Emergency Nurse Practitioners and Moderator: Miguel Oliveira (Portugal) Emergency Care Practitioners in the ED setting. (3) Discuss the Abstracts 14 - 23 relationship between education of Emergency care staff and the quality of 10:30 - 11:30 Trauma prehospital care. Moderators: Raed Arafat (Romania), Terri Schmidt 08:30 - 09:30 Nursing Shortage in the United States (Oregon) Nancy Bonalumi (Pennsylvania) Abstracts 24 - 28 09:30 - 10:00 The Role of the Nurse Practitioner in the 11:30 - 12:30 Disaster Medicine Emergency Department Moderators: Cinzia Barletta (Italy), Terri Schmidt Jane Grimshaw (United Kingdom) (Oregon) Abstracts 29 - 33
24 FINAL PROGRAMME
SATURDAY, 3 SEPTEMBER 2005
10:30 - 11:00 EMS Education/Competences/Results 15:30 - 16:00 CPR: What’s New? Ondrej Frankel (Slovenia) Patrick Plaisance (France) 11:00 - 11:30 EMS 16:00 - 16:30 Advanced Cardiac Life Support: What’s Useful, Anton Gros (Czech Republic) What’s Useless, What’s Dangerous? 11:30 - 12:00 ESI (Triage) William Mallon (California) Hilbert Tulner (Netherlands) 16:30 - 17:30 Reaching Consensus on Resuscitation Science: 12:00 - 12:30 “E Care” The Issues Behind the Hottest Topics Bart Huybrechts (Netherlands) Michael Sayre (Ohio) 17:30 - 18:00 Deadly Misdiagnosis in EKG Interpretation PLENARY SESSION Amal Mattu (Maryland), Ulkumen Rodoplu (Turkey) NEWER DIAGNOSTIC TESTS AND THEIR USEFULNESS 12:30 - 13:30 TRACK B - PREHOSPITAL MEDICINE Location: Athena 15:00 - 18:30 Location: Risso 6 A-B-C Objectives (1) Estimate the accuracy and usefulness of B Natriuretic Peptide Track Chairs: Jean-Claude Deslandes (France), Francis Mencl measurement in diagnosing a patient with possible congestive heart (Netherlands), Nelson Pereira (Portugal) failure. (2) Estimate the accuracy and usefulness of D-Dimer measure- Objectives ment in diagnosing a patient with possible venous thromboembolic disease. (1) Discuss the advantages and disadvantages of pre-hospital thrombolysis (3) Summarize the potential usefulness of Myocardial Ischemic Albumin vs. transfer for emergent percutaneous coronary intervention. and Fatty Acid Binding Proteins in patients with possible acute coronary (2) Discuss the advantages and disadvantages of pre-hospital rapid syndrome. sequence intubation. (3) Discuss the advantages and disadvantages of 12:30 - 12:45 B Natriuretic Peptide using lights and sirens when responding to an emergency call. W. Richard Bukata (California) 15:00 - 16:00 Controversies: Prehospital Thrombolysis vs. 12:45 - 13:00 D-Dimer Transfer for PCI W. Richard Bukata (California) Moderators: Ernestina Gomes (Portugal), Francis Mencl (Netherlands) 13:00 - 13:15 Myocardium Ischemic Albumin Robert O’Connor (Delaware), Isabel Santos Giorgio Bellomo (Italy) (Portugal) 13:15 - 13:30 Fatty Acid Binding Proteins 16:00 - 17:15 Controversies: Prehospital Ventilation and RSI Hector Alonso Valle (Spain) for Head-Injured Patients Moderators: Christian Boeriu (Romania), Miguel LUNCH - SPONSORED BY FERNE Oliveira (Portugal) IMPROVING THE EMERGENCY DEPARTMENT CARE OF Jean-Claude Deslandes (France), Ernestina Gomes (Portugal) PEDIATRIC SEIZURE AND STATUS EPILEPTICUS PATIENTS 17:15 - 17:30 Introduction to Accreditation of Hospitals and Ticket Required EMS Systems 13:30 - 15:00 Moderators: Steinar Olsen (Norway), Nelson Location: Clio/Thalie Pereira (Portugal) 13:30 - 14:00 The American College of Emergency Physicians’ Meric Akyol (Turkey), Scott Altman (Illinois), Peter Seizure Policy: What About Pediatric Patients? Hanson (Denmark) Andy Jagoda (New York) 17:30 - 18:00 Lights and Sirens and Scene Safety 14:00 - 14:30 Case Studies in Pediatric Seizures and Status Moderators: Peter Hansen (Denmark), Robert Epilepticus O’Connor (Delaware) Edward Sloan (Illinois) Vic Calland (United Kingdom) 14:30 - 15:00 Current Treatment Recommendations for 18:00 - 18:30 EMS and High-Tech in Extreme Environments: Pediatric Seizure and Status Epilepticus Patients The Norwegian Experience Mohamad Mikati (Lebanon) Moderators: Scott Altman (Illinois), Christian Boeriu (Romania) TRACK A - CPR AND RESUSCITATION Steinar Olsen (Norway) 15:00 - 18:30 Location: Athena TRACK C - EMDM MEETING - BY INVITATION ONLY Track Chairs: Silvija Hunyadi Anticevic (Croatia), Amal Mattu 15:00 - 18:30 (Maryland) Location: Gallieni 3 Moderators: James Bouzoukis (Delaware), Muayad Khalid (Qatar) Track Chair: Francesco Della Corte (Italy) Objectives (1) Describe the cost-benefit analysis of public access defibrillation. TRACK D - RESIDENCY TRAINING EDUCATION (CORD- (2) Discuss the limitations of current recommendations regarding CPR in EM/EUSEM) terms of long-term survival and neurologic recovery. (3) List some of the 15:00 - 18:30 mimics of ventricular tachycardia and how treatment can cause decompen- Location: Gallieni 5 sation. N.B. The CORD and SAEM are portions and their speakers among these 15:00 - 15:30 Public Access Defibrillation organizations that do not receive any form of industry or exhibitor William Brady (Virginia), Silvija Hunyadi Anticevic sponsorship. (Croatia)
25 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SATURDAY, 3 SEPTEMBER 2005
Track Chairs: Alastair McGowan (United Kingdom), Mary Jo TRACK F - CURRENT STATUS OF EMERGENCY MEDICINE Wagner (Michigan) AROUND THE WORLD Objectives 14:30 - 18:30 (1) Discuss several examples of deliberate practice in teaching residents Location: Hermes and students in Emergency Medicine. (2) Describe techniques which most effectively educate a resident or student at the bedside on a clinical Track Chairs: Philip Anderson (Massachusetts), Pinchas Halpern topic. (3) Develop an assessment tool that effectively determines compe- (Israel) tency by a resident for a specific procedure. (4) List three methods of Moderators: Kris Arnold (Massachusetts), Laurent Vanier (Canada), providing feedback while at the bedside. Nadeem Quereshi (Saudi Arabia) 15:00 - 15:45 Using Deliberate Practice to Teach Residents 14:30 - 14:50 Belgium Taj Hassan (United Kingdom), Gloria Kuhn Marc Sabbé (Belgium) (Michigan) 14:50 - 15:10 Netherlands 15:45 - 16:15 Bedside Teaching Mariska Zwartsenburg (Netherlands) E. Roe (Alabama) 15:10 - 15:30 Ireland 16:15 - 17:00 Procedural Competency (Panel) Anthony Martin (Ireland) Pamela Dyne (California), Mary Jo Wagner 15:30 - 15:50 Malta (Michigan) Anna Spiteri (Malta) 17:15 - 17:45 Effective Feedback Skills 15:50 - 16:10 Portugal Abdullah Al-Hodaib (Saudi Arabia), Kevin Rodgers Vitor Almeida (Portugal) (Indiana) 16:10 - 16:30 Austria 17:45 - 18:30 Use of Simulation in Resident Education Christoph Pechlaner (Austria) Christian Byhahn (Germany), Neil Nichol (United Kingdom) 16:50 - 17:10 Germany Benno Wolcke (Germany) TRACK E - ENVIRONMENTAL EMERGENCIES 17:10 - 17:30 Czech Republic 15:00 - 18:30 Milan Tichacek (Czech Republic) Location: Gallieni 6 A-B 17:30 - 17:50 Poland Track Chairs: Joost Bierens (Netherlands), Darryl Macias (New Juliusz Jakubaszko (Poland) Mexico) 17:50 - 18:10 Slovenia Moderators: Anthony DeMond (Colorado), Erwin Dhondt (Bel- Andrej Zmavc (Slovenia) gium) Objectives TRACK G - FRENCH LANGUAGE ORAL ABSTRACTS (1) Discuss the appropriate nomenclature of immersion and submersion 15:00 - 18:30 injuries and explain why they differ. (2) Describe several different Location: Risso 7A lightning injuries and how their presentation and treatment may differ. Moderator: Joel Kravitz (Pennsylvania) (3) Summarize evidence-based appropriate uses of hyperbaric oxygen Abstracts 264 - 275 therapy. 15:00 - 15:20 Immersion\Submersion Injuries TRACK H - FRENCH SOCIETY DIDACTIC PRESENTATIONS - Joost Bierens (Netherlands) GUIDELINES IN MANAGEMENT OF ACUTE DYSPNEA 15:20 - 15:45 Lightning Injuries 15:00 - 18:30 Richard Kulkarni (California) Location: Risso 7B 15:45 - 16:10 Too Hard to Breathe: Case Studies in High Track Chairs: Frederic Adnet (France), D. Thiercelin (France) Altitude Emergencies Mechanical Ventilation and Non-Invasive Darryl Macias (New Mexico) 15:00 - 15:30 Ventilation 16:10 - 16:35 Diving Emergencies Francois Templier (France) Joe Alcock (New Mexico) 15:30 - 16:00 Adult Acute Asthma 16:35 - 17:00 Innovations in Hyperbaric Oxygen Therapy Patrick Plaisance (France) Pinchas Halpern (Israel) 16:00 - 16:30 Trauma Acute Dyspnea 17:00 - 17:25 You Are What You Eat: Case Studies in Marine Karim Tazarourte (France) Toxicology Suzanne Shepherd (Pennsylvania) 17:00 - 17:30 Pulmonary Emergencies Moderators: G. Andrieux (France), Felix Ankel 17:25 - 17:45 Wilderness and International Medicine (Minnesota) Opportunities Darryl Macias (New Mexico) ED Asthma: Management, Results of ASUR Survey, Recommendations 17:45 – 18:30 Panel Discussion and Summary Axel Ellrodt (France) 17:30 - 18:00 Pulmonary Embolism: Algorithm for Emergency Diagnosis Pierre Roy (France) 18:00 - 18:30 Infectious Pneumonia: What’s New? Dominique Lauque (France)
26 FINAL PROGRAMME
SATURDAY, 3 SEPTEMBER 2005
TRACK I - INTERNATIONAL ORAL ABSTRACTS TRACK L - INTERNATIONAL NURSING 15:00 - 18:30 15:00 - 18:30 Location: Risso 8A Location: Gallieni 4 Track Chair: Laurent Vanier (Canada), Ishmael Griffin (Alabama) Track Chairs: Nancy Bonalumi (Pennsylvania), Lourdes Escobar Moderators: Gautam Bodiwala (United Kingdom), Luis Garcia (Spain) Castrillo Riesco (Spain), Juliusz Jakubaszko (Poland) Objectives 15:00 - 16:00 Management (1) Describe the roles and responsibilities of ED nursing in disaster Moderator: Juliusz Jakubaszko (Poland) preparedness. (2) Describe the education given to ED nurses in Turkish Abstracts 276 - 280 Military Hospitals. (3) Describe current trauma care in Romanian 16:00 - 17:00 Academics and Education hospitals. Moderator: Gautam Bodiwala (United Kingdom) 15:00 - 15:30 Disaster Planning Abstracts 281 - 285 Vicky Nassar (Lebanon) 17:00 - 18:30 Research 15:30 - 16:00 Emergency Nursing in Turkish Military Hospitals Moderator: Luis Garcia Castrillo Riesco (Spain) Ayla Yava (Turkey) Abstracts 286 - 292 16:00 - 16:30 Trauma Care in Romania Vass Hajnal (Romania) TRACK J - INTERNATIONAL ORAL ABSTRACTS Emergency Nursing Workforce Issues in Europe 15:00 - 18:30 16:30 - 17:00 Location: Risso 8B Lourdes Escobar (Spain) Moderators: Antonio Esquinas (Spain), Cem Oktay (Turkey), Eustacia Su (Oregon) 15:00 - 16:45 Clinical Policy Moderator: Cem Oktay (Turkey) Abstracts 293 - 301 16:45 - 18:30 Respiratory Emergencies Moderator: Paolo Groff (Italy) Abstracts 302- 310
TRACK K - CORE TALKS 15:00 - 18:30 Location: Gallieni 2 Track Chairs: Franco Apra (Italy), Janice Blanchard (District of Columbia) Moderator: Sheldon Jacobson (New York) Objectives (1) List the major components of clinical decision-making including principles that foster safe, effective conservative decision-making. (2) Describe the role that patient-provider communication plays in affecting treatment decisions and influencing medical/legal risk. (3) Discuss end of life issues including those dealing with patient preferences, advance directives and do not attempt resuscitation orders. 15:00 - 15:45 Clinical Reasoning: How We Know What We Know Jerome Hoffman (California) 15:45 - 16:30 Decision Making in Emergency Medicine Sheldon Jacobson (New York) 17:00 - 17:30 Ethical Issues in Emergency Medicine Ridvan Atilla (Turkey) 17:30 - 18:00 Decisions at the End of Life Terri Schmidt (Oregon) 18:00 – 18:30 The Offer of Choice: Risk, Arrogance and Ethical Dilemmas in the Emergency Department Jeffrey Freeman (Michigan)
27 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SUNDAY, 4 SEPTEMBER 2005
TRACK B - DISASTER MEDICINE (EUROPEAN MASTER IN POSTER PRESENTATIONS DISASTER MEDICINE EMDM) 08:30 - 18:30 08:30 - 12:30 Location: Rhodes Location: Risso 6 A-B-C Moderators: Vitor Almeida (Portugal), Alex Driesschaert Track Chairs: Michel Debacker (Belgium), Carl Schultz (California) (Belgium), Gabor Gion (Hungary), Juan Gonzalez Sanchez (Puerto Rico), Paolo Groff (Italy), Bobby Kapur (Washington, Objectives DC), R. Sean Lenahan (Pennsylvania), Raemma Luck (Pennsyl- (1) Explain the necessity of Disaster Medicine Education throughout all vania), John Marshall (Maryland), Aleksander Sipria (Estonia), levels of medical training. (2) Discuss the importance of developing and Nounou Taleghani (California), Milan Tichacek (Czech implementing a disaster simulation exercise. (3) Describe materials Republic) essential to each Emergency Department in the event of a nuclear terrorist attack. 08:30 - 14:30 Trauma Abstracts 363 - 441 08:30 - 09:00 Developments in Teaching and Training in Disaster Medicine Interactive Simulation Exercise Respiratory for Emergencies (Leonardo da Vinci Programme) Abstracts 442 - 459 Moderators: Francesco Della Corte (Italy), Educational and Professional Development Madhavan Ramachandran (United Kingdom), Abstracts 460 - 467 Michael Debacker (Belgium) Nursing 09:00 - 09:30 European Union Survey of Training Objectives in Abstracts 468 - 469 Disaster Medicine 14:30 - 18:30 Management Herman Delooz (Belgium) Abstracts 512 - 550 09:30 - 10:00 Disaster Medicine Education: Medical School Infectious Disease Through Fellowship Abstracts 551 - 578 Carl Schultz (California) Hospital Disaster Preparedness and Management Academics to Resident Education 10:00 - 10:30 Training Abstracts 579 - 598 Abdulalwahab Al-Musleh (Qatar) Clinical Decision Guides 11:00 - 11:30 Are We Prepared for Terrorism? Epidemiologic Abstracts 599 - 601 Aspects of Terrorist Bombings Geriatrics Moderators: Gregory Ciottone (Massachusetts), Abstracts 603 - 605 Michel Debacker (Belgium) Pharmacology Kobi Peleg (Israel) Abstracts 606 - 613 11:30 - 12:00 When Terrorism Strikes Will Your EMS System be Prepared? Kristi Koenig (California) TRACK A - EMERGENCY MEDICAL ABSTRACTS: BEST 12:00 - 12:30 Is Your ED Prepared for a Dirty Bomb? Ziad Kazzi (Alabama) ARTICLES OF THE PAST YEAR 08:30 - 12:30 TRACK C - INFORMATION TECHNOLOGY AND INFORMATICS Location: Athena 08:30 - 12:30 Track Chairs: W. Richard Bukata (California), Jerome Hoffman Location: Gallieni 3 (California) Track Chairs: Richard Kulkarni (California), Fabrizio La Mura (Italy) Objectives Moderators: Antoinette Edwards (United Kingdom), Larry (1) Assess the usefulness and scientific validity of several articles Nathanson (Massachusetts) published in the Emergency Medicine literature over the past year. Objectives (2) Develop critical evaluation skills concerning the current literature. (1) Explain how to obtain funding for a multi-center research database. (3) Detect the flaws inherent in using Evidence-Based Medicine. (2) Discuss recent innovations in Emergency Department tracking and 08:30 - 10:00 Emergency Medical Abstracts: Top Articles of the Provider Order Entry. (3) Describe the technology used in various Year in Emergency Medicine - Part 1 European Disaster Simulations. Diane Birnbaumer (California), W. Richard Bukata 08:30 - 09:00 Relational Databases: Example Using Them for (California), Jerome Hoffman (California), William Multi-Center Research, How to Set Them Up, How Mallon (California) to Obtain Funding 10:30 - 11:30 Emergency Medical Abstracts: Top Articles of the Judith Tintinalli (North Carolina) Year in Emergency Medicine - Part 2 09:00 - 09:30 Using Internet-Based Relational Databases as a Diane Birnbaumer (California), W. Richard Bukata Multi-Center Trauma Registry, How to Set Them (California), Jerome Hoffman (California), William Up, How to Obtain Funding: The European Mallon (California) Perspective 11:30 - 12:30 Evidence-Based Medicine: What It Is (and What It Stefano Di Bartolomeo (Italy) Isn’t) 09:30 - 10:00 Emergency Department Patient Tracking and Jerome Hoffman (California) Computerized Provider Order Entry Larry Nathanson (Massachusetts)
28 FINAL PROGRAMME
SUNDAY, 4 SEPTEMBER 2005
10:00 - 10:30 Using a PDA at the Bedside for Just-in-Time TRACK F - CURRENT STATUS OF EMERGENCY MEDICINE Clinical Practice Richard Kulkarni (California) AROUND THE WORLD 08:30 - 12:30 10:30 - 11:00 Advanced Medical Simulation in Emergency Location: Hermes Medicine 2005 Leo Kobayashi (Rhode Island) Track Chairs: Philip Anderson (Massachusetts), Pinchas Halpern (Israel) 11:00 - 11:30 State of the Art in SCORM Technology for Moderators: Pinchas Halpern (Israel), Sarvotham Kini (South Students’ Distance Evaluation and Multi-User Carolina) Platform Games for Disasters’ Simulation Used by the European Master in Disaster Medicine 08:30 - 08:50 Estonia Fabrizio La Mura (Italy) Ago Korgvee (Estonia) 11:30 - 12:00 The Technology Used in the “Interactive 08:50 - 09:10 Lithuania Simulation Exercise for Emergencies” (I SEE), Dinas Vaitkaitis (Lithuania) Leonardo da Vinci European Project 09:10 - 09:30 Slovakia Martjn Boosman (Netherlands) Anton Hanusin (Slovakia) 12:00 - 12:30 The Technology Used in the “European DIStance 09:30 - 09:50 Georgia TRaining Interactive and Collaborative Tools for Dimitri Makhatadze (Georgia) the Civil Protection” (e-DISTRICT CiPro), Leonardo da Vinci European Project 09:50 - 10:10 Hungary Marco Gribaudo (Italy) Karoly Piko (Hungary) 10:10 - 10:30 Romania TRACK D - INTERNATIONAL RESEARCH EDUCATION Raed Arafat (Romania) 08:30 - 12:30 10:50 - 11:10 Serbia and Montenegro Location: Gallieni 5 Predrag Romic (Serbia and Montenegro) Track Chairs: Joseph Epstein (Australia), Mathias Fisher (Germany) 11:10 - 11:30 Croatia Silvija Hunyadi Anticevic (Croatia) RACK NFECTIOUS ISEASE T E - I D 11:30 - 11:50 Cyprus 08:30 - 12:30 Costas Antonaides (Cyprus) Location: Gallieni 6 A-B 11:50 - 12:10 Greece Track Chairs: Patrick Plunkett (Ireland), David Talan (California) Helen Askitopoulou (Greece) Moderators: Peter Cameron (Australia), Edwin Vandewalle (Nether- lands) 12:10 - 12:30 Israel Jacob Or (Israel) Objectives (1) Explain how the emergence of MRSA in the United States has changed TRACK G - FRENCH ORAL ABSTRACTS the way we treat simple skin infections. (2) Summarize the essential data 08:30 - 12:30 Emergency Practitioners must know in the event of a global influenza Location: Risso 7A pandemic. (3) Describe new developments in the diagnosis and treatment of meningococcal disease. Moderator: Lewis Goldfrank (New York) Abstracts 311 - 323 08:30 - 09:00 New Approaches to Antibiotic Therapy in the Emergency Department: One-Shot Therapy for All? TRACK H - FRENCH SOCIETY DIDACTIC PRESENTATIONS David Talan (California) 08:30 - 12:30 Location: Risso 7B 09:00 - 09:30 Emergence of Community-Associated MRSA in the United States Track Chairs: Jamil Bayram (Illinois), Jacques Levraut (France) Gregory Moran (California) 08:30 - 09:00 Non Traumatic Abdominal Pain: Algorithm of 09:30 - 10:00 Lessons from SARS and Implications for the Diagnosis in ED Coming Pandemic Jeannot Schmidt (France) Peter Cameron (Australia) 09:00 - 09:30 Abdominal Trauma: Ancillary Testing in ED 10:00 - 10:30 Tropical Diseases Presenting to the Emergency Bernard Vermeulen (France) Department 09:30 - 10:00 Upper Gastrointestinal Bleeding: Guidelines for Maaike Anker (Netherlands), Edwin Vandewalle Initial Management (Netherlands) Dominique Pateron (France) 11:00 - 11:30 Serious Skin Infections Due to Dogs, Cats, and 11:00 - 11:30 Neuropsychiatrical Emergencies Other Flesh Eaters Moderators: Jeannot Schmidt (France), Nounou David Talan (California) Taleghani (California) 11:30 - 12:00 Medical-Legal Infectious Disease Cases from the Elderly Agitation: Pitfalls Emergency Department Marc Alazia (France) Gregory Moran (California), David Talan 11:30 - 12:00 Stroke: Institutional Management (California) Patrick Miroux (France) 12:00 - 12:30 Meningococcal Infections: New Developments in 12:00 - 12:30 Suicide Attempt: Psychiatrical ED Management Early Diagnosis and Treament Michel Benoit (France) Vaishali Patel (New York)
29 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SUNDAY, 4 SEPTEMBER 2005
TRACK I - INTERNATIONAL ORAL PRESENTATIONS PLENARY SESSION: INTRACEREBRAL HEMORRHAGE 08:30 - 12:30 12:30 - 13:30 Location: Risso 8A Location: Athena Track Chairs: Franco Aprá (Italy), Barry Brenner (Arkansas) Objectives Cardiovascular and CPR (1) Discuss optimal strategies for the diagnosis and treatment of Emer- Abstracts 324 - 333 gency Department patients with intracerebral hemorrhage. (2) Review the results of the STICH clinical trial and the effectiveness of urgent operative Biomarkers intervention in Emergency Department patients with intracerebral Abstracts 334 - 343 haematoma. TRACK J - INTERNATIONAL ORAL PRESENTATIONS 12:30 - 13:00 State of the Art: Management of Intracerebral Haematoma in 2005 08:30 - 12:30 Edward Jauch (California) Location: Risso 8B 13:00 - 13:30 Operative Intervention in ICH: The STICH Track Chairs: Rosa Marino (Pennsylvania), Souvatzis Xenia (Greece) (Surgical Treatment of Intracerebral Haematoma) Airway Management and Sedation Trial Results Abstracts 344 - 349 David Mendelow (United Kingdom) Pain Management Abstracts 350 - 355 LUNCH - SPONSORED BY FERNE: EMERGENCY Neurology DEPARTMENT DIAGNOSIS AND MANAGEMENT OF PATIENTS Abstracts 356 - 362 WITH HEMORRHAGIC STROKE Ticket Required TRACK K - CORE TALKS 13:30 - 15:00 08:30 - 12:30 Location: Clio/Thalie Location: Gallieni 2 13:30 - 14:15 CT Neuroimaging in Emergency Medicine: A Track Chairs: Tracy Boykin (Illinois), Patrick Goldstein (France) Focus on Stroke & Intracerebral Haematoma Moderators: Mark Langdorf (California), Brian Tiffany (Arizona) Peter Schellinger (Germany) Objectives 14:15 - 15:00 Journal Club: The Emergency Department (1) Develop an appropriate Emergency Department work for the patient Management of Intracerebral Haematoma Patients with syncope, based on symptoms and risk factors. (2) Discuss novel Moderator: Edward Sloan (Illinois), Gunnar approaches to the treatment of asthma in the Emergency Department. Wahlgren (Sweden) (3) Compare treatment of the pregnant trauma patient with the non- pregnant trauma patient. TRACK A - SHOCK 08:30 - 09:00 Acute Coronary Syndromes 15:00 - 18:30 Patrick Goldstein (France) Location: Athena 09:00 - 09:30 Evaluation of Syncope in the Emergency Track Chairs: Roberto Fumagalli (Italy), Nathan Shapiro (Massachu- Department setts) Shamai Grossman (Massachusetts) Moderators: Ozgur Karcioglu (Turkey), Tiffany Osborn (Virginia) 09:30 - 10:00 Novel Education Techniques Objectives Mariska Zwartsenburg (Netherlands) (1) Describe protein markers which are useful in the diagnosis of shock. 10:00 - 10:30 Case Studies in Asthma (2) List equipment needed in order to implement Goal-directed therapy Robert Silverman (New York) protocols in treating shock. (3) Discuss possible alternatives to catechola- mines and blood when treating the patient in shock. 11:00 - 11:30 Trauma in Pregnancy Judith Tintinalli (North Carolina) 15:00 - 15:15 New Protein Markers in Sepsis and Septic Shock Jeffrey Kline (North Carolina) 11:30 - 12:00 Rational Use of Drugs in Pregnancy Brian Tiffany (Arizona) 15:15 - 15:30 Blood Lactate as an Indicator of Tissue Hypoxia During the Initial Management of Shock States 12:00 - 12:30 When your Patient Dies: Breaking Bad News in the Jacques Levraut (France) Emergency Department Indrani Sheridan (New York) 15:30 - 15:45 Updates on Sepsis and the Surviving Sepsis Campaign TRACK L - CPC COMPETITION Tiffany Osborn (Virginia) 08:30 - 12:30 15:45 - 16:00 The Use of Goal Directed Therapy Protocols to Location: Gallieni 4 Treat Septic Shock Track Chairs: Esther Chen (Pennsylvania), John Southall (Maine) Nathan Shapiro (Massachusetts) Moderator: Carl Germann (Maine) 16:00 - 16:15 What is Unproved in Sepsis Therapy Roberto Fumagalli (Italy) 16:15 - 16:30 Questions/Discussions/Cases 17:00 - 17:15 Innovative Approaches to Managing Shock Alan Jones (North Carolina) 17:15 - 17:30 Alternatives to Catecholamines in Septic Shock: Where We Are Andrea Morelli (Italy)
30 FINAL PROGRAMME
SUNDAY, 4 SEPTEMBER 2005
17:30 - 17:45 Hemoglobin-Based Oxygen Carriers 17:30 - 18:00 Surgical Airway Options Judith Tintinalli (North Carolina) Kenneth Butler (Maryland) 17:45 - 18:00 Extracorporeal Depurative Therapies in Sepsis 18:00 - 18:30 Emergency Airway Management Algorithm Enrico Fiaccadori (Italy) Christian Byhahn (Germany) 18:00 - 18:30 Questions/Discussions/.Cases TRACK D - THE BUSINESS OF EMERGENCY MEDICINE TRACK B - DISASTER MEDICINE (EMDM) 15:00 - 18:30 15:00 - 18:30 Location: Gallieni 5 Location: Risso 6 A-B-C Track Chairs: David Eitel (Pennsylvania), Juliusz Jakubaszko Track Chairs: Michel Debacker (Belgium), Track Chair: Carl (Poland) Schultz (California) Moderators: Steven Davidson (New York), Gunnar Ohlen (Sweden) Objectives Objectives (1) Specify the principles of risk management and disaster prevention. (1) Explain the philosophy of a “Culture of Safety” in the Emergency (2) Explain how to take data from disaster response and use it to prevent Department. (2) Discuss various lifestyle adjustments which can be used future disasters. (3) Discuss the vulnerabilities inherent in disaster to avoid career burn-out. (3) Describe triage modifications which can prevention. streamline Emergency Department patient flow. 15:00 - 15:30 The Greatest Challenge for the Future in Disasters: 15:00 - 15:30 Avoiding Accidents and Incidents in the Prevention or Response? Risk Management and Emergency Department Prevention Robert Wears (Florida) Moderators: Herman Delooz (Belgium), Carl Schultz 15:30 - 16:00 How to Assure Patient Safety and Satisfaction (California) When Training Residents and Students Jeffrey Arnold (Connecticut) Juliusz Jakubaszko (Poland) 15:30 - 16:00 Disaster Management: Moving from Response to 16:00 - 16:30 Patient Satisfaction Prevention Jeffrey Freeman (Michigan) Eric Noji (Georgia) 16:30 - 17:00 ED Overcrowding: How to Deal With It 16:00 - 16:30 Disaster Prevention and Vulnerabilities Gunnar Ohlen (Sweden) Kerim Hakarn Altintas (Turkey) 17:00 - 17:30 Avoiding Burnout in Emergency Medicine 16:30 - 17:00 Round Table Discussion Arif Alper Cevik (Turkey) Kerim Hakarn Altintas (Turkey), Jeffrey Arnold 17:30 - 18:00 Triage: Fixing the Front End (Connecticut), Herman Delooz (Belgium), Eric Noji David Eitel (Pennsylvania) (Georgia), Carl Schultz (California) 18:00 - 18:30 Value Stream Mapping the ED - Our Journey 17:30 - 17:50 Hospital Emergency Incident Command System: Keith Messner (Pennsylvania) HEICS Can Be Useful for Hospitals During and After Disasters TRACK E - MEDICAL IMAGING Ulkumen Rodoplu (Turkey) 15:00 - 18:30 17:50 - 18:10 The Municipal Plans of Emergency in Disaster Location: Gallieni 6 A-B Prevention Track Chairs: Erwin Dhondt (Belgium), Gary Strange (Illinois) Ernesto Perez Rincon (Mexico) Moderator: Matthew Sullivan (North Carolina) 18:10 - 18:30 The Role of Water Supply in Disaster Medicine: Objectives An Often Neglected Planning Step (1) Demonstrate an appropriate method for interpreting radiographs of the Charles Stewart (Colorado) thoracolumbar spine. (2) Demonstrate an appropriate method for inter- preting radiographs of the cervical spine. (3) Discuss the rational use of RACK MERGENCY IRWAY ANAGEMENT T C - E A M imaging in evaluating a patient suspected thromboembolic disease. 15:00 - 18:30 Location: Gallieni 3 15:00 - 15:30 Abdominal Imaging J. Christian Fox (California) Track Chairs: Kenneth Butler (Maryland), Volker Dörges (Germany) 15:30 - 16:00 The Use of CT Venography and CT Angiography Objectives in the Emergency Evaluation of Patients with (1) Describe some special techniques available to aid with the difficult Potential Venous Thromboembolic Disease airway patient. (2) Analyze laryngoscopic intubation as the standard of Peter Richman (Arizona) care. (3) Choose an appropriate algorithm for the difficult airway, based on your personal skills and equipment available to you. 16:00 - 16:45 Thoracolumbar Spine Assessment and Imaging Michelle Lin (California) 15:00 - 15:30 How to Use Blades and Aids Benno Wolcke (Germany) 17:00 - 17:45 How to Never Miss a Cervical Spine Fracture S. Mahadevan (California) 15:30 - 16:00 Are We Changing Rapid Sequence Intubation Pharmacology? 17:45 - 18:30 Emergency Imaging for the 21st Century Kenneth Butler (Maryland) Michael Farner (New Jersey), Ago Korgvee (Estonia) 16:00 - 16:30 Alternative Techniques of Tracheal Intubation Under Vision Volker Dörges (Germany) 17:00 - 17:30 Is “Standard” Laryngocopic Intubation the Standard? Richard Kulkarni (California)
31 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
SUNDAY, 4 SEPTEMBER 2005
TRACK F - CURRENT STATUS OF EMERGENCY MEDICINE TRACK I - INTERNATIONAL ORAL PRESENTATIONS AROUND THE WORLD 15:00 - 18:30 14:30 - 18:30 Location: Risso 8A Location: Hermes Track Chairs: Yildiray Cete (Turkey), Andrew Sama (New York) Track Chairs: Philip Anderson (Massachusetts), Pinchas Halpern Trauma (Israel) Abstracts 476 - 486 Moderator: Bobby Kapur (Washington, DC) Pediatrics 14:30 - 14:50 Lebanon Abstracts 487 - 493 George Fhaily (Lebanon), Antoine Zoghbi (Lebanon) TRACK J - INTERNATIONAL ORAL PRESENTATIONS 14:50 - 15:10 Jordan 15:00 - 18:30 Suleiman Al-Abbadi (Jordan) Location: Risso 8B 15:10 - 15:30 Algeria Track Chairs: Nelson Pereira (Portugal), Judith Tintinalli (North Arezki Hakima (Algeria) Carolina) 15:30 - 15:50 Tunisia Cardiovascular and CPR Ahmed Balma (Tunisia) Abstracts 494 - 505 15:50 - 16:10 Morocco Imaging and Ultrasound El Houssaine Louardi (France) Abstracts 506 - 511 16:10 - 16:30 Egypt TRACK K - CORE TALKS Hashim Allam (Egypt) 15:00 - 18:30 16:50 - 17:10 Turkey Location: Gallieni 2 Cem Oktay (Turkey) Track Chair: Glenn Hamilton (Ohio) 17:10 - 17:30 Iran Moderator: Kumar Alagappan (New York) Ali Bidari (Iran) Objectives (1) Summarize recent data of the occurrence of rabies worldwide. RACK RENCH RAL BSTRACTS T G - F O A (2) Summarize recent data of the occurrence of tetanus worldwide. 15:00 - 18:30 (3) Describe life-threatening delayed complications of gastric bypass Location: Risso 7A surgery. Moderator: Eric Snoey (California) 15:00 - 15:30 Rabies Updates Abstracts 470 - 475 Richard Harrigan (Pennsylvania) TRACK H - FRENCH SOCIETY DIDACTIC PRESENTATIONS 15:30 - 16:00 Tetanus 15:00 - 18:30 Kumar Alagappan (New York) Location: Risso 7B 16:00 - 16:30 Updates on Diabetic Ketoacidosis Track Chairs: Marc Alazia (France), Darryl Macias (New Mexico) Joel Kravitz (Pennsylvania) Complications of American Fads: Gastric Bypass, 15:00 - 15:30 Optimisation of Emergency Services in Disaster 17:30 - 18:00 R. Domergue (France) Cosmetic Procedures, Piercings Esther Chen (Pennsylvania) 15:30 - 16:00 Is Lactate Concentration Useful in Emergency Medicine? 18:00 - 18:30 Safely Managing the Agitated Emergency Jacques Levraut (France) Department Patient Scott Rudkin (California) 16:00 - 16:30 Diagnosis of Acid-Base Disorders in Emergency Medicine TRACK L - CPC COMPETITION Jacques Levraut (France) 15:00 - 18:30 17:00 - 18:30 Workshop: Emergency Airway Management Location: Gallieni 4 Frederic Adnet (France), Christophe Baillard Track Chairs: Esther Chen (Pennsylvania), John Southall (Maine) (France), Francois Dolveck (France) Moderator: Carl Germann (Maine)
32 FINAL PROGRAMME
MONDAY, 5 SEPTEMBER 2005
12:00 - 12:30 TARN: Trauma Audit Research Network: A European Trauma Registry POSTER PRESENTATIONS Antoinette Edwards (United Kingdom) 08:30 - 18:30 Location: Rhodes TRACK B - PHARMACOLOGY Moderators: Dale Birenbaum (Florida), Erika Christensen 08:30 - 12:30 (Denmark), Erwin Dhondt (Belgium), Alessandro Geddo Location: Risso 6 A-B-C (Italy), Francesca Lombardi (Italy), Lisa Mills (Louisiana), Track Chairs Marc Sabbé (Belgium), Richard Shih (New Jersey) Trevor Mills (Louisiana), Jacob Or (Israel), Ralph Riviello Moderators: Erwin Dhondt (Belgium), Mark Merlin (New Jersey) (New Jersey), Roger Stone (Maryland) Objectives 08:30 - 13:30 Cardiovascular and CPR (1) Explain potential problems in the use of cyclooxygenase II inhibitors. Abstracts 657 - 729 (2) Appropriately question whether, considering the cost, fosphenytoin Computer Information and Technology offers any advantages over phenytoin. (3) Determine whether recombi- Abstracts 730 - 736 nant factor VIIa should be used in certain emergency department patients Diagnostic Technology and Radiology with bleeding. Abstracts 737 - 745 08:30 - 08:50 Thrombolysis and CPR Shock/Critical Care Benno Wolcke (Germany) Abstracts 746 - 749 08:50 - 09:10 Rofecoxib Use in the United States 14:30 - 18:30 EMS/Out of Hospital/Prehospital Ami Davé (New York) Abstracts 776 - 809 09:10 - 09:30 Corticosteroids and Emergency Medicine Disaster Medicine Erwin Dhondt (Belgium) Abstracts 812 - 845 09:30 - 09:50 Fosphenytoin: Is It Worth the Price? Disease and Injury Prevention Mark Mandell (New Jersey) Abstracts 846 - 850 09:50 - 10:10 Important Drugs in the Past in Emergency Endocrine Medicine: Characteristics for the Future Abstract 851 Marc Sabbé (Belgium) Research Design 10:10 - 10:30 Toxic to Your Liver Abstract 852 Kathleen Delaney (New York) Spanish Language Abstracts 10:50 - 11:10 Recombinant Factor VIIa: Is This the Next Miracle? Abstracts 853 - 898 Stephen Traub (Massachusetts)
11:10 - 11:30 NaHCO3 and Emergency Medicine Erwin Dhondt (Belgium) 11:30 - 11:50 Droperidol and the Black Box TRACK A - TRAUMA Andrew Ultrich (Massachusetts) 08:30 - 12:30 Location: Athena 11:50 - 12:10 Neuropharmacology in the ED Arzu Denizbasi (Turkey), Larissa Velez (Texas) Track Chairs: Raed Arafat (Romania), Larry Weiss (Louisiana) Moderator: Michael Lekawa (California), Peter Patka (Netherlands) 12:10 - 12:30 Which Heparin Should I Use: Unfractionated vs. Low Molecular Weight Objectives Mark Merlin (New Jersey) (1) Explain how to avoid common pitfalls in dealing with the victims of thoracic and abdominal trauma. (2) Discuss common errors made in TRACK C - WRITING AND PUBLISHING IN EMERGENCY treating trauma patients in the prehospital setting. (3) List several common wrist injuries and how to identify them radiographically. MEDICINE 08:30 - 09:00 Pitfalls in Caring for the Patient with Thoracic 08:30 - 12:30 Trauma Location: Gallieni 3 Diku Mandavia (California), Marc Sabbé (Belgium) Track Chairs: John Ryan (United Kingdom), Joanne Williams- 09:00 - 09:30 Pitfalls in Caring for the Patient with Abdominal Lozoya (California) Trauma Objectives Stefano Di Bartolomeo (Italy), Trevor Mills (1) Describe some of the common writing errors that seem to permeate (Louisiana) every article. (2) Analyze the use of the web as a publishing medium in 09:30 - 10:00 Pitfalls in Caring for the Patient with Head and clinical Emergency Medicine. (3) Summarize the process of peer review. Spinal Cord Trauma 08:30 - 10:00 Panel Discussion: Writing for Peer-Reviewed James Moises (Louisiana) Publication 10:00 - 10:30 Pitfalls in Dealing with Prehospital Trauma Joost Bierens (Netherlands), Michelle Biros Brendon Morris (Netherlands), Ronald Roth (Minnesota), Jean-Claude Deslandes (France), Peter (Pennsylvania) Rosen (Massachusetts), John Ryan (United Kingdom) 11:00 - 11:30 Wrist Watching: Injuries to Look For 10:00 - 11:00 Alternate Publishing Options Suzanne Peeters (Netherlands) Richard Kulkarni (California), Diku Mandavia (California), Richard Nunez (Massachusetts), Judith 11:30 - 12:00 Evidence-Based Management of the Patient with Tintinalli (North Carolina), Sedat Yanturali Penetrating Neck Trauma (Turkey) Diane Birnbaumer (California)
33 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
MONDAY, 5 SEPTEMBER 2005
11:30 - 12:30 Emergency Medicine Publications and 11:00 - 11:30 Asthma and Bronchiolitis Updates International Journals: Overview, Challenges, and Marianne Majdalani (Lebanon), Nadeem Qureshi Opportunities for Collaboration (Saudi Arabia) 11:30 - 12:00 Taking the Fear Out of Pediatric Procedural TRACK D - INTERNATIONAL ISSUES IN EMERGENCY Sedation and Analgesia MEDICINE Osama Kentab (Saudi Arabia), Marianne Majdalani 08:30 - 12:30 (Lebanon) Location: Gallieni 5 12:00 - 12:30 Evaluating and Managing Pediatric Fever Track Chairs: Jamil Bayram (Illinois), Francesco Della Corte (Italy) Dann Biesbroeck (Netherlands), Mohamad Mikati Moderators: Kris Arnold (Massachusetts), Francesco Della Corte (Lebanon) (Italy) TRACK F - CURRENT STATUS OF EMERGENCY MEDICINE Objectives (1) Explain advantages of an International Emergency Medicine Profes- AROUND THE WORLD sional Society. (2) List and explain the top dilemmas in emergency medical 08:30 - 12:30 ethics from around the world, highlighting the similarities and differences Location: Hermes across different care systems. (3) Discuss advantages and pitfalls in hiring Track Chairs: Philip Anderson (Massachusetts), Pinchas Halpern an Emergency Physician from Abroad to Be Education Director for a New (Israel) Emergency Medicine Residency. Moderators: Kumar Alagappan (New York), Abdulalwahab Al- 08:30 - 10:10 Developing an International Professional Society Musleh (Qatar), Fei Lung Lau (Hong Kong) for Emergency Medicine 08:30 - 08:50 Bahrain A. Antoine Kazzi (California), Judith Tintinalli Nabeel Al Ansari (Bahrain) (North Carolina) 08:50 - 09:10 Oman 10:10 - 10:30 The Tuscan Emergency Medicine Initiative: An Kazi Wazir Omar (Oman) international cooperation to build a bridge to Post- graduate Emergency Medicine Training 09:10 - 09:30 Qatar Kevin Ban (Massachusetts), Gian Franco Gensini Muayad Khalid (Qatar) (Italy) 09:30 - 09:50 Saudia Arabia 11:00 - 11:30 Hiring an Emergency Physician from Abroad to be Abdullah Al Hodaib (Saudi Arabia) Education Director for a New Emergency Medicine 09:50 - 10:10 United Arab Emirates Residency Moin Fikree (UAE) Maarten Simmons (Netherlands) 10:50 - 11:10 Singapore 11:30 - 12:00 Ethical Issues in Emergency Medicine Around the V. Anatharaman (Singapore) World Gregory Larkin (Texas) 11:10 - 11:30 South Korea Soon Joo Wang (Korea) 12:00 - 12:30 International Emergency Medicine Fellowships Jamil Bayram (Illinois) 11:30 - 11:50 Taiwan Jih-Chang Chen (Taiwan) TRACK E - PEDIATRICS 11:50 - 12:10 Mongolia 08:30 - 12:30 Erendoo Erdenechimeg (Mongolia) Location: Gallieni 6 A-B 12:10 - 12:30 India Track Chairs: Ramon Johnson (California), Nadeem Qureshi (Saudi Indrani Sheridan (New York) Arabia), Yehezkel Waisman (Israel) Moderators: Marianne Majdalani (Lebanon), Ghazala Sharieff TRACK G - SPANISH LANGUAGE PRESENTATIONS (California) 08:30 - 12:30 Objectives Location: Risso 7A (1) Develop an evidence-based algorithm for the evaluation of children with Track Chair: Luis Jiménez Murillo (Spain) minor head injury. (2) List historical and physical findings suggestive for Moderators: Carlos Garcia-Rosas (Mexico), Hugo Peralta (Argen- inborn errors of metabolism. (3) Discuss updates in the treatment of tina) pediatric asthma. 08:30 - 10:30 Acreditación de los Servicios de Urgencias y 08:30 - 09:00 Pediatric Head Injury: Who Gets Scanned, Who Emergencias (Emergency Services Accreditation) Gets Admitted? Luis López Andujar (Spain), Martin Tejedor Ramon Johnson (California), Yehezkel Waisman Fernandez, Luis Jimenez Murillo (Spain) (Israel) 10:30 - 11:30 Oral Presentations: Administration 09:00 - 09:30 Pediatric Literature Update: What Articles Will Moderators: Luis López Andujar (Spain), Miguel Change Your Practice Sánchez Sánchez Ramon Johnson (California), Ghazala Sharieff (California) TRACK H - FRENCH SOCIETY DIDACTIC PRESENTATIONS 09:30 - 10:30 SIDS, ALTEs, and Inborn Errors of Metabolism 08:30 - 12:30 Said Idrissi (Belgium), Nadeem Qureshi (Saudi Location: Risso 7B Arabia) 08:30 - 08:45 Guidelines in Out-of-Hospital Perinatality 10:00 - 10:30 When Children Die: Delivering Bad News in the Emergencies Pediatric Emergency Department Patrick Plaisance (France), Nounou Taleghani Indrani Sheridan (New York) (California)
34 FINAL PROGRAMME
MONDAY, 5 SEPTEMBER 2005
08:45 - 09:00 Out of Hospital Delivery 11:00 - 11:30 Bombing in Istanbul and The Role of Emergency Elisabeth Menthonnex (France) Medicine 09:30 - 10:00 Management of Out-of-Hospital Birth Serpil Yaylaci Topuzoglu (Turkey) Jean-Francois Dieppendaele (France) 11:30 - 12:00 Updates in Pelvic Trauma 11:00 - 11:15 Emergencies in Pediatrics Jacob Ufberg (Pennsylvania) Moderators: Gérard Cheron (France), R. Domergue 12:00 - 12:30 17 Years of Emergency Medicine Development in (France) Mexico 11:15 - 11:30 Dysrhythmias Carlos Garcia Rosas (Mexico) Gerard Cheron (France) PLENARY SESSION: MAXIMAL THERAPY FOR THE CRASHING 11:30 - 12:00 Initial Diagnosis of Cardiorespiratory Failure F. Leclerc (France) ASTHMATIC 12:30 - 13:30 12:00 - 12:30 Neurological Distress Location: Athena F. Lesage (France) Objectives TRACK I - INTERNATIONAL ORAL ABSTRACTS (1) Relate existing evidence which dictates our current treatment of the 08:30 - 12:30 patient with severe asthma. (2) Discuss several controversies in the Location: Risso 8A current treatment of the patient with severe asthma. Track Chairs: Alex Driesschaert (Belgium), Vincent Markovchick 12:30 - 13:00 Evidence for the Current Therapy of Severe (Colorado), Agouridakis Panos (Greece) Asthma Clifford Mann (United Kingdom) 08:30 – 09:30 Clinical Policy Moderator: Hezi Waissman (Israel) 13:00 - 13:30 Are We Harming our Patients with Current Abstracts 619 - 623 Therapies? Richard Nowak (Michigan) 09:30 – 11:30 Academics to Resident Education Abstracts 624 - 632 LUNCH – SPONSORED BY FERNE: STATE OF THE ART: 11:30 – 12:30 Prehospital ACUTE ISCHEMIC STROKE MANAGEMENT Moderator: Alex Driesschaert (Belgium) Abstracts 633 - 637 Ticket Required 13:30 - 15:00 Location: Clio/Thalie TRACK J - INTERNATIONAL ORAL ABSTRACTS 08:30 - 12:30 13:30 - 14:00 Future Therapeutic Modalities for Acute Ischemic Location: Risso 8B Stroke: Neuroprotective Agents, Intravasular Lysis, and More Track Chair: Christopher Lewandowski (Michigan) William Barsan (Michigan) 08:30 – 09:10 Shock 14:00 - 14:30 The Impact of Designated Stroke Centers: The Moderator: Cinzia Barletta (Italy) American and European Experiences Abstracts 638 – 640 Bradshaw Bunney (Illinois) 09:10 – 10:30 Disaster Medicine 14:30 - 15:00 Evaluating the Emergency Department Patients Moderator: Cinzia Barletta (Italy) with Transient Ischemic Attack: Inpatient vs. Abstracts 641 - 647 Outpatient Strategies 10:30 – 12:30 Disaster Medicine Michael Ross (Michigan) Moderator: Madavan Ramachamandran (United Kingdom) Abstracts 648 - 656 TRACK A - NEUROLOGIC EMERGENCIES 15:00 - 18:30 TRACK K - CORE TALKS Location: Athena 08:30 - 12:30 Track Chairs: Nina Gentile (Pennsylvania), Andy Jagoda (New Location: Gallieni 2 York), Guillermo Burillo Putze (Spain) Track Chair: Samuel Keim (Arizona) Moderator: Edward Sloan (Illinois) Moderator: Serpil Yaylaci Topuzoglu (Turkey) Objectives Objectives (1) Assess whether Phase IV data justifies the use of thrombolytic agents (1) Explain why evaluation of abdominal pain in the elderly patient differs in patients with acute ischemic stroke. (2) Discuss current and future from that of younger patients. (2) Describe an appropriate forensic therapies for the patient with subarachnoid hemorrhage. (3) List current evaluation for the victim of sexual assault. (3) Discuss current recommen- theories in the treatment for headache in the Emergency Department dations for treating sexually transmitted diseases. patient. 08:30 - 09:00 Abdominal Pain in the Elderly 15:00 - 15:30 A Reevaluation of the NINDS: Data: Should We Robert McNamara (Pennsylvania) Still Give Thrombolytics? 09:00 - 09:30 Anorectal Emergencies Thomas Kwiatkowski (New York) Sean Kelly (Massachusetts) 15:30 - 16:00 Some Difficult Stroke Cases: What Would You Do? 09:30 - 10:00 Dealing with the Victim of Sexual Assault in the Sidney Starkman (California) Emergency Department 16:00 - 16:30 Subarachnoid Hemorrhage: New Theories, New Ralph Riviello (New Jersey) Treatments 10:00 - 10:30 Sexually Transmitted Diseases: An Update Nina Gentile (Pennsylvania) Brigitte Baumann (New Jersey)
35 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
MONDAY, 5 SEPTEMBER 2005
16:45 - 17:15 Headache Treatment: What’s the Latest? 17:00 - 18:30 Developing a Descriptive Framework for Philip Bossart (Utah) International Emergency Medicine System 17:150 - 18:30 Stump the Experts: Difficult Neurologic Cases You Research and Development May Encounter Gautam Bodiwala (United Kingdom), Francesco William Barsan (Michigan), Thomas Kwiatkowski Della Corte (Italy), David Williams (United (New York) Kingdom)
TRACK B - TOXICOLOGY TRACK E - PAIN MANAGEMENT IN THE EMERGENCY 15:00 - 18:30 DEPARTMENT Location: Risso 6 A-B-C 15:00 - 18:30 Track Chairs: John Henry (United Kingdom), Richard Shih (New Location: Gallieni 6 A-B Jersey) Track Chairs: Helen Askitopoulou (Greece), Knox Todd (New York) Moderators: Robert Barish (Maryland), Carlo Locatelli (Italy) Moderator: Taha Ibrahim (UAE) Objectives Objectives (1) Develop an evidence-based protocol for managing the agitated Emer- (1) Describe the concept of the analgesic ceiling as relates to NSAIDs and gency Department patient. (2) List several drugs which can be lethal to a learn said ceiling as relates to ibuprofen and ketorolac. (2) List the four small child in very small doses. (3) Describe current recommendations for medications best used to accomplish sedation for emergency department treating victims of poisonous snakebites. procedures. (3) Apply promising pain management quality improvement 15:00 - 15:30 Managing the Agitated Patient strategies for use in their emergency departments. Lewis Goldfrank (New York) 15:00 - 15:20 Oligoanalgesia: What are the Barriers in 15:30 - 16:00 Antidotes for Treatment of Tricyclic Emergency Medicine? John Henry (United Kingdom) Helen Askitopoulou (Greece) 16:00 - 16:20 Poisonous Plant Mix-Ups 15:20 - 15:40 Pain in the Emergency Department: Is It Always Mary Palmer (Virginia) Underestimated? Taha Ibrahim (UAE) 16:20 - 16:40 Danerous Overdoses in Children Collin Goto (California) 15:40 - 16:00 Abdominal Pain Management: What Does the Literature Really Say? 16:40 - 17:00 Risk of Acetaminophen Toxicity in Chronic Suzanne Peeters (Netherlands) Alcoholics Edwin Kuffner (Colorado) 16:30 - 16:50 Rational Use of Nonsteroidal Anti-Inflammatory Agents in the Emergency Department 17:00 - 17:30 The Italian Model for Antidotes Availability Laurence Raney (South Carolina) Carlo Locatelli (Italy) 16:50 - 17:10 Procedural Sedation 17:30 - 18:00 Snake Envenomation Mark Langdorf (California) Robert Barish (Maryland) 17:10 - 17:30 Regional Nerve Blocks in the Emergency 18:00 - 18:30 Treatment Controversies in the Management of Department Carbon Monoxide Poisoning Xenia Souvatzia (Greece) Larry Weiss (Louisiana) 17:30 - 17:50 What Works Best? TRACK D - INTERNATIONAL ISSUES IN EMERGENCY Muayad Khalid (Qatar) MEDICINE 17:50 - 18:10 Initiatives to Improve the Qualify of Pain Management in Emergency Medicine 15:00 - 18:30 Knox Todd (New York) Location: Gallieni 5 Track Chairs: Philip Anderson (Massachusetts), Pinchas Halpern TRACK F - CURRENT STATUS OF EMERGENCY MEDICINE (Israel) AROUNF THE WORLD 15:00 - 15:20 Development of an International EM Curriculum - 14:30 - 18:30 the IFEM Taskforce Location: Hermes Gautam Bodiwala (United Kingdom) Track Chairs: Philip Anderson (Massachusetts), Pinchas Halpern 15:20 - 15:40 Survey on Undergraduates Education in Europe (Israel) Francesco Della Corte (Italy) Moderators: Taha Ibrahim (UAE), Young Ko (Korea), Tamara 15:40 - 16:00 Rallye Rajviz Competition: An Adult Learning Thomas (California) Experience 14:30 - 14:50 Argentina Monika Grunfeld (Slovenia) Hugo Peralta (Argentina) 16:00 - 16:20 Palestinian-Israeli Cooperation in Advancing 14:50 - 15:10 Canada Emergency Medicine in Their Respective Nations Laurent Vanier (Canada) Cobi Assaf (Israel), Mohammad Eide (Palestine) 15:10 - 15:30 Chile 16:40 – 17:00 History and Activity of the Asian Society of José Mardónez (Chile) Emergency Medicine Lau Fei Lung (Hong Kong) 15:30 - 15:50 Mexico Jose Ramon Garcia Vinay (Mexico) 15:50 - 16:10 Panama Lionel González (Panama)
36 FINAL PROGRAMME
MONDAY, 5 SEPTEMBER 2005
16:10 - 16:30 Peru TRACK K - EMERGENCY MEDICINE FOR MASS GATHERINGS Dora Barrientos (Spain) 15:00 - 18:30 16:50 - 17:10 Puerto Rico Location: Gallieni 2 Juan Gonzalez Sanchez (Puerto Rico) Track Chairs: Abdulrahman Bakhsh (Saudi Arabia), Usamah 17:10 - 17:30 Australia Mossallam (Michigan) Peter Cameron (Australia) Moderators: Suzanne Shepherd (Pennsylvania), Soon Joo Wang 17:30 - 18:15 Official Representatives of the Participating US (Korea) National Societies Objectives Moderator: A. Antione Kazzi, MD FAAEM, (1) Predict special physical and psychological needs of immigrants and President AAEM refugees in the Emergency Department. (2) Discuss predictable and unpredictable needs in a massive disaster like the Asian tsunami of 2004. TRACK G - SPANISH LANGUAGE PRESENTATIONS (3) Describe special considerations in developing a medical program for a 15:00 - 18:30 large gathering such as The Olympics. Location: Risso 7A 15:00 - 15:20 Special Issues of Immigrants and Refugees in the Track Chairs: Luis Garcia Castrillo Riesco (Spain), Judith Tintinalli Emergency Department (North Carolina) Suzanne Shepherd (Pennsylvania) Moderator: Hugo Peralta (Argentina) 15:20 - 15:40 Infectious Disease Concerns 15:00 - 17:00 Atención del paciente Inmigrante (Immigrants Brigitte Baumann (New Jersey) Emergency Medical Care) 15:40 - 16:00 Special Psychosocial Issues in Immigrants and Moderators: Luis Garcia Castrillo Riesco (Spain), Refugees Julián López Alvaro (Spain), Miguel Sanchez William Shoff (Pennsylvania) Sanchez, Enrique Pérez Tornero (Spain) 16:00 - 16:30 The Asian Tsunami: What Went Right, What Went 17:00 - 18:00 Oral Presentations: Pain Wrong Moderators: Julián López Alvaro (Spain), Enrique Samuel Stratton (California) Pérez Tornero (Spain) 16:30 - 17:00 The Asian Tsunami: A Firsthand Report TRACK H - FRENCH SOCIETY DIDACTIC PRESENTATIONS Hilarie Cranmer (Massachusetts) 15:00 - 18:30 17:30 - 17:45 John Paul II Funeral: A Complex Mass Gathering Location: Risso 7B Organization Marco Esposito (Italy) TRACK I - INTERNATIONAL ORAL ABSTRACTS 17:45 - 18:00 The Olympic Games - The Utah Experience 15:00 - 17:30 Steven Joyce (Utah) Location: Risso 8A 18:00 - 18:15 The Greece Experience Track Chair: Jacob Ufberg (Pennsylvania) Demetrios Pyrros (Greece) Moderators: Fikri Abu Zidan (UAE), Fabrizio La Mura (Italy) 15:00 – 16:00 Trauma TRACK L - OPEN MICROPHONE Moderator: Dikri Abu-Zidan (UAE) 15:00 - 18:30 Abstracts 754 – 758 Location: Galieni 4 16:00 – 17:30 Information Technology Moderator: Fabrizio La Mura (Italy) Abstracts 759 - 765
TRACK J - INTERNATIONAL ORAL ABSTRACTS 15:00 - 17:00 Location: Risso 8B Track Chairs: Jonathan Fisher (Massachusetts), Gunnar Ohlen (Sweden) 15:00 – 17:00 Management Moderator: Gunnar Ohlen (Sweden) Abstracts 766 - 775
37 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
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38 FINAL PROGRAMME
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39 THE THIRD MEDITERRANEAN EMERGENCY MEDICINE CONGRESS
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