MAY 4 & 5, 2018 HILTON AIRPORT SUITES WINNIPEG, MB

The Department of Emergency Medicine, University of Manitoba, presents

EMPAC 2018 This conference covers up-to-date topics relevant to the emergency

care of the undifferentiated patient, through lectures, workshops and skills sessions delivered by expert faculty.

PRE-CONFERENCE COURSES MAY 2 & 3, 2018 CLINICAL LEARNING & SIMULATION FACILITY, U OF M BANNATYNE CAMPUS

POST-CONFERENCE ADD-ONS MAY 5, 2018 HILTON WINNIPEG AIRPORT SUITES

For further information: Phone: 204-789-3626 Email: Trisha.Bedard@umanitoba.ca

www.empac.net

Department of Emergency Medicine Continuing Education & Professional Development

KEYNOTE SPEAKER DR. CHRIS HICKS

OVERVIEW EMPAC 2018 is a 2-day conference designed for those who provide acute and emergency care to the undifferentiated patient. The theme for EMPAC this year is Innovation. Expert faculty will share their expertise and insights on new ways of approaching common problems, as well as cutting edge innovations and updates. Participants will have the opportunity to attend plenary sessions, take part in workshops, and improve their procedural skills through hands-on sessions.

Pre-conference courses are held May 2-3 at the CLSF. Post-conference add-ons are held May 5 at the Hilton.

TARGET AUDIENCE EMPAC will be of interest to:• emergency physicians• family physicians• nurses

LEARNING OBJECTIVES At the conclusion of this educational activity, the participant should be able to:

• Employ an up-to-date approach to the emergency care and resuscitation of the undifferentiated patient.• Develop an evidence-based approach to core and cutting edge aspects of emergency medical care.• Practice hands-on skills relevant to emergency medicine.• Foster an environment for urban, rural and northern emergency healthcare providers to explore common

challenges and collaborate on innovative ideas in the delivery of acute care medicine.

PLANNING COMMITTEE Trisha Bedard, CEPD Program Administrator Rebecca Schindle, MD, FRCPC (chair)Anne Finlayson, MD Teresa Wawrykow, MD, CCFP-EMJulian Regehr, MD, FRCPC

DISCLOSURE EMPAC 2018 complies with the University of Manitoba Conflict of Interest Policy, the College of Medicine CPD Disclosures Procedures, and the College of Medicine Industry Relations Policy. All speakers and planning committee members are required to disclose to the audience any involvement with industry or other organizations that may potentially influence the presentation of the educational material.

EXHIBITORS

EMERGENCY MEDICINE PRAIRIE ANNUAL CONFERENCE

• physician assistants• nurse practitioners• paramedics

• medical students • residents

PLATINUM GOLD

KEYNOTE SPEAKER Christopher Hicks, MD, MEd, FRCPC

REPTILE BRAIN: PERFORMANCE, ERROR & THE BURDEN OF CONSCIOUSNESS

Dr. Christopher Hicks is an Education Research Scientist at the Li Ka Shing Knowledge Institute, and an Assistant Professor in the Department of Medicine at the University of Toronto. He works as an emergency physician and trauma team leader at St. Michael’s.

In his keynote address on May 4th, Dr. Hicks will be sharing his expertise in the area of performance psychology - including how we can train effective unconscious reflexes to help us respond during complex and stressful situations in acute care settings.

Dr. Hicks will also be leading a workshop that includes practical skills training for the psychological skills that can assist us in performing in stressful clinical situations.

Twitter: @HumanFact0rz

CONFERENCE FACULTY

EMERGENCY MEDICINE PRAIRIE ANNUAL CONFERENCE

DEM FACULTY Kyle Burkett, MD, FRCPC Emergency Physician, HSC

Angela Derksen, MD, CCFP(EM) Emergency Physician, SOGHAnesthetist & Emergency Physician, The PasLecturer, Dept. of Emergency Medicine

Eric Flynn, MD FRCPC Emergency Medicine Resident, U of M

Cheryl ffrench, MD, FRCPC Emergency Physician, HSCAssociate PD, FRCPC EM Residency ProgramCBD Lead Emergency Medicine, U of MAssistant Professor, Max Rady College of MedicineInterim Director Clinical Learning & Simulation Program

Aaron Guinn, Bsc, MD, FRCPC Lecturer, Dept. of Emergency MedicineCourse Director, Clinical Reasoning 1Max Rady College of Medicine, U of MEmergency Physician, SBGHTransport Physician, STARS

Erik Hildahl, MD, FRCPC Emergency Physician, HSCSport Medicine Fellow, Pan Am Clinic

Deborah Hill, MD, FRCPC, Dip. Sport Med Emergency Physician, HSCPan Am Sport Medicine PhysicianAssistant PD, FRCPC EM Residency Program, U of MAssistant Professor, Dept. of Emergency Medicine

Tom Jelic, MD, FRCPC, DABEM Assistant Professor of Emergency MedicineEmergency Physician, HSC STARS Transport PhysicianTransition to Clerkship Academic DirectorDirector of the Undergraduate POCUS ProgramUniversity of Manitoba

GUEST FACULTY Jason Brooks, PhD Performance Psychology Coach & Consultant, Maven Consulting GroupLecturer, Dept. of Emergency Medicine, U of MEsseddeeg Ghrooda, MD, FRCPC Assistant Professor, Section of Neurology, Dept. of Internal Medicine, University of ManitobaDirector of Province of Manitoba Telestroke program 

Joanne Hamilton, MD, FRCPCPediatric Emergency Medicine Physician, Children’s Hospital

Hooman Hennessey, MD, FRCPCInterventional Radiologist, Montreal Boshra (“Sara”) Hosseini, MD, FRCSC Obstetrician and Gynecologist, SBGHPGY-1 Program Director, SBGH

Aman Hussain, PhDAssistant Professor, Dept. of Kinesiology, U of W Adjunct Lecturer, Dept. of Emergency Medicine, U of M

Courtney Leary, MD, CCFP Family Physician, Ongomizwin Health Services, NMUEducation Site Lead & Director Indigenous Cultural Education, Norway House Northern & Remote Family Medicine Program

Kali Leary, B.Sc., MBT Founder and Lead Facilitator, Sage SolutionsFounding Director, Underserved Populations Program, CCMB

Sarvesh Logsetty, MD, FRCSC, FACS Director of Manitoba Firefighters Burn UnitAssociate Professor, Dept. of Surgery and Children’s Health University of Manitoba

Keith Poulson, BA, RPN Psychiatric Emergency Nurse, Health Sciences Centre

Luke Terrett, MD, FRCPC Critical Care Physician, Emergency Physician, & Trauma Team Leader - Royal University Hospital & St. Paul’s Hospital, Saskatoon, Saskatchewan Health AuthorityAssociate PD - Royal College EM Residency ProgramClinical Assistant Professor - University of Saskatchewan

Tamara McColl, MD, FRCPC Emergency Physician, SBGHAcademic Lead of Educational ScholarshipU of M, Dept. of Emergency MedicineAssociate Editor, Academic Life in Emergency Medicine

Wesley Palatnick, MD, FRCPC, FACMT Professor and Program Director Royal College Emergency Medicine Residency Program, Dept. of Emergency MedicineEmergency Physician, HSC

Zoë Piggott, MD, FRCPC, Dip. Med. Tox. Emergency Physician, SBGHLecturer, Dept. of Emergency Medicine, U of MTransport Physician and Special Projects Lead, STARSMedical Co-director, Vanguard Air Care

Paul Ratana, LLB, LLM, MD, FRCPC Emergency Physician & Site Director, SBGH STARS & Lifeflight Transport Physician Lecturer, Department of Emergency Medicine

Julian Regehr, MD, FRCPC Emergency Physician, HSCTransport Physician and Clinical Lead, STARS

Katie Sullivan, MD, FRCPC Emergency Physician, HSC

8:00 REGISTRATION & CONTINENTAL BREAKFAST

8:20 WELCOME & OPENING REMARKS Dr. R. Schindle / Dr. A. Chochinov

8:30 METHAMPHETAMINE Dr. W. Palatnick

9:00 CULTURALLY SAFE COMMUNICATION: ENHANCING COMPETENCIES FOR Dr. C. Leary / K. LearyPROVIDING CULTURALLY SAFE CARE

9:30 ACUTE STROKE MANAGEMENT Dr. E. Ghrooda

10:00 NETWORKING BREAK / EXHIBITS / REFRESHMENTS

10:30 WORKSHOP #1 (WORKSHOPS OPTIONS LISTED BELOW)

11:10 WORKSHOP #2 (WORKSHOPS OPTIONS LISTED BELOW)

WORKSHOPS

CRYSTAL METH INTOXICATION: MANAGING A CHAOS-INDUCING PATIENT SAFELY Mr. K. Poulson

DIZZINESS PART 1: INTRODUCTION & INTERMITTENT DIZZINESS Dr. A. Guinn

CLINICAL PEARLS IN THE MANAGEMENT OF EARLY PREGNANCY COMPLICATIONS Dr. S.Hosseini

DECODING THE CODE - A LOOK AT DEBRIEFING IN THE EMERGENCY DEPARTMENT Dr. C. ffrench

LIFE-THREATENING ELECTROLYTE ABNORMALITIES Dr. E. Flynn

PEDIATRIC STARS STARS

11:40 INTERVENTIONAL RADIOLOGY FOR PELVIC FRACTURES: WHAT YOU NEED TO KNOW Dr. H. Hennessey

12:10 LUNCH / EXHIBITS

13:00 REPTILE BRAIN: PERFORMANCE, ERROR & THE BURDEN OF CONSCIOUSNESS Dr. C. Hicks

14:00 NETWORKING BREAK / EXHIBITS / REFRESHMENTS

14:20 AFTERNOON SESSION #1 (SESSION OPTIONS LISTED BELOW)

15:30 AFTERNOON SESSION #2 (SESSION OPTIONS LISTED BELOW)

AFTERNOON SESSIONS

CHEST TUBE SKILLS LAB Dr. A. Derksen

SURGICAL AIRWAY SKILLS LAB Dr. P. Ratana / Dr. Z. Piggott

MAKING IT HAPPEN - PRACTICAL PSYCHOLOGICAL SKILLS Dr. C. Hicks / Dr. J. Regehr / Dr. J. BrooksTRAINING FOR ACUTE CARE MEDICINE

MSK X-RAYS: CLINICAL PEARLS & PITFALLS Dr. D. Hill / Dr. E. Hildahl

TRANSVENOUS PACER SKILLS LAB Dr. K. Burkett

HIGHLIGHTS FROM THE LITERATURE: BEST NEW EVIDENCE IN EMERGENCY MEDICINE Dr. T. McColl

CHEST STARS STARS

16:30 ADJOURNMENT OF DAY 1

CONFERENCE PROGRAM FRIDAY, MAY 4, 2018

*PROGRAM IS SUBJECT TO CHANGE

STARS SIM BUS With many thanks to the talented team of educators at STARS, we are pleased to announce the return of the very popular STARS Mobile Education Unit to EMPAC in 2018! The Mobile Education Unit (or Sim Bus, as it is affectionately known) is returning to the Hilton Parking lot for more simulation-based education.

Small groups will work together as a team to manage a simulated critically ill patient, followed by a debriefing led by trained instructors. Cases will be grouped around clinical themes such as pediatrics, chest emergencies and abdominal catastrophes. Be sure to sign up early, as space is limited and sessions fill up quickly.

8:45 REGISTRATION & CONTINENTAL BREAKFAST

9:10 WELCOME & OPENING REMARKS Dr. R. Schindle

9:15 CURRENT APPROACH TO BURN CARE Dr. S. Logsetty

10:00 STORIES OF BECOMING AN EMERGENCY PHYSICIAN Dr. A. Hussain

10:15 NETWORKING BREAK / EXHIBITS / REFRESHMENTS

10:30 NONINVASIVE VENTILATION: FROM PHYSIOLOGY TO CLINICAL PRACTICE Dr. L. Terrett

11:00 WORKSHOP #1 (WORKSHOP OPTIONS LISTED BELOW)

11:40 WORKSHOP #2 (WORKSHOP OPTIONS LISTED BELOW)

WORKSHOPS

TAKING YOUR NEXT RESUSCITATION TO THE NEXT LEVEL: ULTRASOUND GUIDED RESUSCITATION Dr. T. Jelic

THE WORRISOME WHEEZER: MANAGING PEDIATRIC BRONCHIOLITIS & ASTHMA IN THE ED Dr. J. Hamilton

BEDSIDE APPLICATIONS OF NONINVASIVE VENTILATION: A CASE-BASED APPROACH Dr. L. Terrett

EVIDENCE-BASED MANAGEMENT OF UPPER GI BLEEDING Dr. K. Sullivan

INTRA-ABDOMINAL STARS STARS

12:10 CONFERENCE CLOSE

CONFERENCE PROGRAM SATURDAY, MAY 5, 2018

*PROGRAM IS SUBJECT TO CHANGE

OPTIONAL PRE-CONFERENCE COURSES

*Pre-conference courses take place at the Clinical Learning & Simulation Facility (CLSF) - 727 McDermot Wednesday, May 2 / 2018

Thursday, May 3 / 2018

EMERGENCY MEDICINE PRAIRIE ANNUAL CONFERENCE

Procedural Sedation This simulation course offers the opportunity to perform procedural sedation on manikins, using a case-based format that is tailored specifically to the emergency medicine environment. Participants will develop an approach to drug choices, doses and special considerations for various patient scenarios - ranging from the health athlete with a dislocated shoulder to the obese patient in rapid AF requiring cardioversion. Participants will also develop a structured approach to managing the complications that can arise from administering procedural sedation. The course includes pre-reading materials, and 3 hours of on-site teaching (including 1 hour of interactive review and 2 hours of hands-on practice).

DATE: Wednesday, May 2, 2018TIMES: 13:30-16:30LOCATION: CLSF (727 McDermot)COST: $300PREREQUISITE: none

Dental Blocks Regional blocks of the face and oral cavity can be invaluable tools for the management of oral-facial trauma and dental pain. These local anesthetic techniques can help improve cosmesis, decrease patient discomfort, and save time. But many clinicians are unfamiliar with performing these blocks, or don’t have the confidence to use them in their clinical practice. This hands-on course will help clinicians become more comfortable in performing facial blocks and infiltration of local anesthesia to the oral cavity. After a review of local anesthesia principles and relevant anatomy, each participant will receive over-the-shoulder coaching as they perform 5 different local anesthesia blocks on manikin dental models and, optionally, on each other. DATE: Wednesday, May 2, 2018TIMES: 9:00-13:00LOCATION: CLSF (727 McDermot)COST: $285PREREQUISITE: none

SimAIRWAY This simulation based course is designed to give you hands-on management in emergency airway skills. From making the decision to intubate to choosing drugs and equipment, this course allows you to work as part of a team in managing the airway of a realistic manikin. The focus is on developing an organized approach to airway management, dealing with the difficult airway, and refining skills in the use of airway adjuncts and equipment. Each scenario is built around a real life case, allowing you to not just practice the manual skill of intubating, but to consider your approach to airway management in the broader context of the clinical setting. Each case is followed by a team debriefing session led by a trained facilitator. DATE: Thursday, May 3, 2018TIMES: 8:00-12:00LOCATION: CLSF (727 McDermot)COST: $475PREREQUISITE: none

SimSHOCK Patients in shock require timely intervention, and can pose a clinical challenge to even the most experienced clinician. These patients require simultaneous resuscitation and work up, and undifferentiated shock can pose a diagnostic challenge. SimSHOCK is a simulation based course that will help you develop a solid approach to patients in shock. Participants work together in small groups to resuscitate a realistic life-sized manikin. Following each case, the team will have the chance to take part in a debriefing session led by a trained facilitator, as well as review key clinical principles. This course will give you more confidence in dealing with your next critically ill patient, and help you improve your crisis resource management skills.

DATE: Thursday, May 3, 2018TIMES: 13:00-17:00LOCATION: CLSF (727 McDermot)COST: $475PREREQUISITE: none

OPTIONAL POST-CONFERENCE ADD-ONS

Extend your conference experience by registering for one of the post-conference add-ons. These high-yield sessions offer hands-on practice in small group settings. Please note that all post-conference

courses take place at the conference venue - Hilton Winnipeg Airport Suites (1800 Wellington). Saturday, May 5 / 2018

EMERGENCY MEDICINE PRAIRIE ANNUAL CONFERENCE

Pediatric Airway Skills Session Are you ready to manage your next pediatric airway emergency? This hands-on course will give you a foundation in the principles of pediatric airway management, and allow you to practice specific airway skills for neonates, infants, children and adolescents. Using airway manikins and real airway equipment, you will have the chance to develop your skills under the guidance of three pediatric emergency medicine specialists, with a participant to instructor ratio of 4:1.

DATE: Saturday, May 5, 2018TIMES: 13:00-15:00LOCATION: Hilton Winnipeg Airport Suites (1800 Wellington)COST: $200PREREQUISITE: noneINSTRUCTORS: Dr. Joanne Hamilton, Dr. Darcy Beer, Dr. Murray Kesselman

Code Blue Cases Do you ever feel like it would be useful to practice running some codes, but don’t need or want to take the full ACLS course? This 2-hour session allows you to work with a small group to run through several cardiac arrest cases on a manikin, giving you the chance to refine your resuscitation skills, review the algorithms, and discuss current controversies in cardiac arrest care. The emphasis will be on highlighting key points from each case, as well as developing crisis resource management skills.

DATE: Saturday, May 5, 2018TIMES: 13:00-15:00LOCATION: Hilton Winnipeg Airport Suites (1800 Wellington)COST: $150PREREQUISITE: none INSTRUCTORS: Dr. Rebecca Schindle, Dr. Melody Ong

Trauma STARS This 2-hour session in the STARS Mobile Education Unit will allow you to work with a small group to resuscitate a manikin during several simulation cases. The focus is on trauma, and cases are followed by a debriefing session that emphasizes crisis resource management skills and key trauma management principles.

DATE: Wednesday, May 2, 2018TIMES: 13:00-15:00LOCATION: Hilton Winnipeg Airport Suites (1800 Wellington)COST: $15 (covers food and EMPAC administrative costs - STARS does not charge a fee for this course)PREREQUISITE: none INSTRUCTORS: STARS

CONFERENCE VENUE EMPAC 2018 returns again this year to the Hilton Winnipeg Airport Suites. The Hilton is a 4-star venue with modern meeting spaces, and is conveniently located a few minutes from downtown and 10 minutes from the Winnipeg Airport.A block of rooms has been reserved at a special rate for conference registrants. Please specify that you are with “EMPAC 2018” when booking in order to receive the preferred rate. Rooms will be available at the preferred rate until April 201, 2018.

PRE-CONFERENCE VENUE All pre-conference courses are held at the Clinical Learning and Simulation Facility, located at the Bannatyne Campus of the University of Manitoba (727 McDermot). Registrants for these courses will be sent a map and directions upon registering.

PARKING There is ample free parking at the Hilton Winnipeg Airport Suites, for the conference and post-conferences add-ons. Parking at the Clinical Learning and Simulation Facility (for the pre-conference courses) is paid parking. There are several parking lots in the area, as well as metered street parking.

DRESS CODE Dress is business casual. Layers are recommended since temperature in the venue may fluctuate.

SCENT FREE To ensure the comfort of everyone attending this event, we ask that all participants refrain from wearing scented products.

EMERGENCY MEDICINE PRAIRIE ANNUAL CONFERENCE

Hilton Winnipeg Airport Suites 1800 Wellington Avenue Winnipeg, MB

Phone: 204-783-1700Toll Free: 1-800-HILTONSFax: 204-786-6588Web: www.hilton.com

REGISTRATION & FEES

EMPAC 2018 (FULL CONFERENCE OR SINGLE DAY)

*Early bird registration ends March 29. Regular registration closes April 25.

PRE-CONFERENCE COURSES

POST-CONFERENCE ADD-ONS

*The $15 fee for “Trauma STARS” is collected by EMPAC for food and administrative costs related to registration. STARS does not charge a fee for the session.CANCELLATION POLICY Please read and carefully review the cancellation policy prior to submitting your registration. Cancellations for the conference, pre-conference courses and/or post-conference courses must be made in writing. Full refund less a $100 administrative fee if cancelled four (4) weeks or more before the event. No refund past this date.

The Department of Emergency Medicine reserves the right to cancel any course. A full refund will be issued for any course cancelled by the Department of Emergency Medicine. The Department of Emergency Medicine is not responsible for any other costs incurred - including, but not limited to, airline or hotel fees or penalties.

All lectures, workshops, skills sessions and speakers are subject to change without notice.

FOR ASSISTANCE OR INFORMATION, PLEASE CONTACT: Trisha Bedard (204) 789-3626 trisha.bedard@umanitoba.ca

EMERGENCY MEDICINE PRAIRIE ANNUAL CONFERENCE

MAY 4 & 5 (FULL CONFERENCE)

MAY 4 ONLY (SINGLE DAY)

MAY 5 ONLY (SINGLE DAY)

Early Bird* Regular Early Bird* Regular Early Bird* Regular

MD $475 $565 $315 $385 $185 $220

Non-MD $350 $425 $235 $325 $135 $165

Student/Resident $160 $195 $105 $125 $60 $75

Course Date & Time Fee Location

Procedural Sedation May 2 / 13:00-15:00 $300 CLSF (727 McDermot)

Dental & Facial Blocks May 2 $285 CLSF (727 McDermot)

SimAIRWAY May 3 $475 CLSF (727 McDermot)

SimSHOCK May 3 $475 CLSF (727 McDermot)

TO REGISTER ONLINE: www.empac.net

Course Date & Time Fee Location

Pediatric Airway Workshop May 5 $200 Hilton Winnipeg Airport Suites (1800 Wellington)

Code Blue Cases May 5 $150 Hilton Winnipeg Airport Suites (1800 Wellington)

Trauma STARS May 5 $15* Hilton Winnipeg Airport Suites (1800 Wellington)

MAY

2M

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