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Assembly Scientific 17th Annual American Academy of Emergency Medicine Scientific Assembly FINAL PROGRAM Scientific17TH ANNUAL Assembly FEBRUARY 28–MARCH 2, 2011 The American Academy of Emergency Medicine (AAEM) is the specialty society of emergency medicine. A democratic organization with more than 6,500 members, AAEM is committed to establishing board certification as the standard for Orlando,Floridaspecialists in EM and to securing fair and equitable work environments throughout the EM community. 17th Annual American Academy of Emergency Medicine Scientific Assembly Conference Schedule Monday, February 28, 2011 Plenary Sessions Plaza International Ballroom I-K Howard Blumstein, MD FAAEM 7:45am AAEM President Welcome, Opening Remarks Lisa Sanders, MD Keynote Speaker A 22 Year Old Woman 8:00am with Fever, Jaundice and Bloody Diarrhea: A Case of Diagnostic Error Corey Slovis, MD FAAEM 9:00am Literature Update: Best of the Rest 10:00am BREAK Peter DeBlieux, MD FAAEM 10:15am Literature Update: Critical Care Ghazala Sharieff, MD FAAEM 11:15am Literature Update: Pediatrics LUNCH (on your own) 12:15pm Visit the Exhibit Hall in Plaza International G & H 17th Annual Scientific Assembly FEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 1 17th Annual American Academy of Emergency Medicine Scientific Assembly Conference Schedule Monday, February 28, 2011 Track A Track B Track C Track D Track E When the Shift Hits the Emergency Imaging Pediatrics Subspecialty Panels Resident Research Forum Fan, Cringe-Inducing Florida Ballroom A Florida Ballroom B Florida Ballroom C Plaza International Triage Notes Ballroom D Plaza International Ballroom I-K Amal Mattu, MD FAAEM David Newman, MD Ghazala Sharieff, MD EMS Panel Moderator/Judge: 55 y/o Male: “CP, recent Understanding Diagnostic FAAEM Roger Stone, MD FAAEM 1:00pm Stephen R. Hayden, MD negative stress test.” Testing 4 week old: “He’s not Moderator FAAEM breathing right.” Richard Joe Ybarra, MD Judges: Evolution of Private Emergency Stuart Swadron, MD Scott Melanson, MD Dave Nelson, MD FAAEM Howard Blumstein, MD Medicine Practices: FAAEM FAAEM SubQ Rehydration: Should I FAAEM 1:30pm Independent Freestanding EDs 65 y/o Male: “Bleeding Which Pancreatitis Patient Be Doing It? Robert McNamara, MD and Interface with EMS from tracheotomy.” Needs CT Scanning? FAAEM Brian J. Browne, MD FAAEM David Slattery, MD Manish Garg, MD FAAEM Bart Besinger, MD FAAEM Andrea Marmor, MD The Hospital Satellite FAAEM 2:00pm 84 y/o Female: “Weak and Subtle Radiographs with Mononucleosis: New Look Freestanding ED: Planning dizzy.” Major Implications at an Old Problem and Implementation of a New Facility and its Role within a Stuart Swadron, MD Michael Epter, DO FAAEM Elizabeth Weinstein, MD Greater EMS System FAAEM Can Head CT and CT FAAEM Marvin A. Wayne, MD FACEP 67 y/o Male: “Coughed up Beyond Bactrim and the Angiography Really Rule FAAEM some blood.” out SAH? CT Scanner - What the Improved Neurologic Outcomes EM Physician MUST Know after Pre-hospital Resuscitative about Evaluating Hematuria 2:30pm Efforts: Results of the “ResQ in the Pediatric Patient Pod” (Impedance Device) Trial David K. Tan, MD FAAEM The Approval of EMS as our Newest Sub-Specialty: Implications for the Emergency Physician BREAK 3:00pm Visit the Exhibit Hall in Plaza International G & H Peter DeBlieux, MD Kevin Reed, MD FAAEM Dave Nelson, MD FAAEM Clinical Toxicology Update 3:30pm FAAEM My Vented Patient 24 y/o Female: Vaginal A Funny Looking Kid: Does — 2011: Four Antidotes is Still Hypoxemic bleeding, 34 weeks pregnant it Change Evaluation? that You Need to Know! Peter DeBlieux, MD Michael Epter, DO FAAEM David Newman, MD Pralidoxime for FAAEM Beyond the Obvious; What Why Do We Treat for Strep Organophosphate Poisoning 4:00pm I Think This Patient is Sick CT Findings Preclude Throat? Intravenous Sylibinin for but I Can’t Prove It the Use of tPA in Acute Amatoxin Poisoning Ischemic Strokes Intralipid Emulsion Therapy Kevin Reed, MD FAAEM Paul Sierzenski, MD Andrea Marmor, MD Hyrdoxocobalamin for 19 y/o Female: Pregnant, RDMS FAAEM PCV-13 Vaccine: What Does 4:30pm Cyanide Toxicity “Foot sticking out of Ultrasound in Kids: Are They it Mean for Fever Without a vagina.” Just Little Adults? Source? Ziad Kazzi, MD FAAEM S. Todd Mitchell, MD MPH Manish Garg, MD FAAEM Paul Sierzenski, MD Elizabeth Weinstein, MD Tammi Schaeffer, DO Chicken Pox: Who Gets RDMS FAAEM FAAEM FAAEM 5:00pm Treated What’s the RUSH? Scary: The Sickle Cell Child Charles McKay, MD Using Ultrasound in in Shock Josef Thundiyil, MD Undifferentiated Shock FAAEM Awards Ceremony 5:30pm Florida Ballroom A Opening Reception 6:30pm Plaza International Ballroom G & H AAEM Movie Screening “21 and a Wakeup” 8:00pm Regal Pointe Orlando 2 17th Annual Scientific Assembly FEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly Conference Schedule Tuesday, March 1, 2011 Track A Plenary Sessions Plaza International Ballroom I-K Amal Mattu, MD 7:45am FAAEM Literature Update: Cardiology Seung Ho Kim, MD Past President, 8:45am Korean Society of Emergency Medicine TBA Jim Roberts, MD 9:00am FAAEM Literature Update: Neurology 10:00am BREAK Arjun Chanmugam, MD FAAEM 10:30am Literature Update: Infectious Disease S. V. Mahadevan, MD FAAEM 11:30am Literature Update: Trauma Lunch and Annual Business Meeting 12:30pm Plaza International I-K 17th Annual Scientific Assembly FEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 3 17th Annual American Academy of Emergency Medicine Scientific Assembly Conference Schedule Tuesday, March 1, 2011 Track A Track B Track C Track D Track F Is This a Piece of Your Why is Pain Such a Pain: When the Shift Hits the The Best of Morbidity Resident Track Brain? The ED Paradox Fan: Cringe-Inducing and Mortality Plaza International F Plaza International Florida Ballroom A Triage Notes Florida Ballroom C Ballroom I-K Florida Ballroom B Amal Mattu, MD FAAEM 2:30pm The Integration of EKG into Your Practice Chad Kessler, MD Larry Raney, MD FAAEM Christopher Lee, MD Mark Favot, MD Paul Sierzenski, MD FAAEM* Should We Be Using FAAEM A. Joseph Garcia, MD RDMS FAAEM What Does “Questionable Agonist-Antagonist Pain 18 y/o Male: “Stabbed But He Presented with The Integration of 3:00pm Loss of Consciousness” Meds in the Emergency in chest, just lost pulse.” Hematemesis! Ultrasound into Your Mean? Department? (EMS call) Practice (Retrograde vs. Anterograde Amnesia) Bart Besinger, MD Karl Nibbelink, MD Maureen McCollough, Sneha H. Shah, MD Michael Epter, DO FAAEM I Suspect My Colleague is MD Rodney Omron, MD MPH FAAEM Fine Tuning Treatment of Using Drugs: What Should 6 week old: “Seizing for The Difficult Psychiatric CV Workshop 3:30pm the Injured Brain: Position, I Do? the past 30 minutes” Patient Sugar, Temperature, Blood Pressure Kevin Rodgers, MD Karl Nibbelink, MD Karen Santucci, MD Jairo Ulloa, MD Elizabeth Hall, MD FAAEM My Colleague is Back 9 y/o Female: (Mother) “I Jairo Santanilla, MD FAAEM 4:00pm Reversing Anticoagulants from Rehab: How Should think her father is abusing 37 year old Female with Improving Patient in the Patient with Brain I Act? her.” Abdominal Pain Satisfaction Trauma Scott Melanson, MD Sergey Motov, MD Chandra Aubin, MD Caroline Molins, MD Arjun Chanmugam, MD FAAEM FAAEM 24 y/o Female: “Caught Pitfalls in the FAAEM Which Neck Injuries “My Doctor is on in house fire.” “Inappropriate” Patient Finding Your Niche in EM 4:30pm Require Vascular Vacation and I Ran Out of Imaging? Percocet.” Dealing with Suspected Drug Diverters 5:00pm Brian Lin, MD FAAEM* Larry Raney, MD FAAEM Maureen McCollough, Richard Kirkpatrick, MD Is Head Injury Protection How Effective Are Non- MD Dennis Hernandez, MD Carey Chisholm, MD RSI a Myth? Opioid Pain Relievers? 2 y/o old male: “He took FAAEM 5:15pm FAAEM some of grandma’s pills.” Neonatal Fever Making the Transition Chandra Aubin, MD Sergey Motov, MD Karen Santucci, MD Jill Ward, MD from Resident to Faculty... Idiopathic Intracranial FAAEM 7 y/o Female: “Can’t Jason Sniffen, DO Successfully 5:30pm Hypertension: All You Pain Management in the swallow, voice sounds Septic Cavernous Sinus Need to Know in the Addicted Patient: Now funny.” Thrombosis Emergency Department What? ABEM Town Hall Meeting 6:00pm Florida Ballroom A 7:00pm ADJOURN 4 17th Annual Scientific Assembly FEBRUARY 28–MARCH 2, 2011 — The Peabody Orlando 17th Annual American Academy of Emergency Medicine Scientific Assembly Conference Schedule Wednesday, March 2, 2011 Track A Track B Track C Track D Managing Critical Abdominal Complaints: Clinical Questions? Nuts and Bolts of Patients in the ED What’s in the “Black Florida Ballroom B Running an ER Plaza International Box?” Florida Ballroom C Ballroom I-J Florida Ballroom A Evie Marcolini, MD Angela Mills, MD FAAEM Harsh Sule, MD FAAEM Gary Gaddis, MD FAAEM FAAEM Is this Really Peritonitis? Abscess Treatment: Who How Do I Get Propofol in Does Antibiotic Choice Needs Antibiotic? Who My ED? Change Outcomes in Needs Repacking? Can 8:00am Sepsis? Gorillacillin We Do Primary Closure? and Cephakillemol: Who Needs Big Gun Antibiotics? Evie Marcolini, MD Jack Perkins, MD Ingrid Lim, MD FAAEM Mark Reiter, MD MBA FAAEM FAAEM* Do Prophylactic Antibiotics FAAEM 8:30am Does Pressor Choice or Do “Belly Labs” Ever Make any Difference in How Can I Maximize My Use Change Outcomes in Help? Wounds? RVUs…Honestly? Sepsis? Michael Winters, MD Jack Perkins, MD Joe Lex, MD FAAEM Robert McNamara, MD FAAEM FAAEM* Saline vs. NAC vs. Bicarb FAAEM 9:00am What Does CORTICUS Tell Are PPIs Really Better vs. Vitamin C: How Is the AMA Relevant to Us about Steroids and Than H2 Blockers? Important is CIN? Can We EM? Sepsis? Prevent it in the ED? Heatherlee Bailey, MD Chad Kessler, MD Lisa Moreno-Walton, Leslie Zun, MD FAAEM FAAEM FAAEM* MD FAAEM* Optimizing the ED: Mid- CPAP and BiPAP? Who Who Really Needs a Bell’s Palsy: Steroids? levels, Extenders, Scribes 9:30am Might I Hurt? Why Would Rectal Exam? Antivirals? Both? I Choose One Over the Neither? Other? Pre-Hospital? Tim Ellender, MD Angela Mills, MD FAAEM Harsh Sule, MD FAAEM William T.
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