The Virginia College of Emergency Physicians Presents
2008 HOT TOPICS
In Emergency Medicine
January 22 - 25, 2008
Hot Topics Program
Approval has been received for up to 26.25 CME hours
2-Day Ultrasound Workshop 1-Day Difficult Airway Workshop 2005 LLSA Review & Exam
Hot Topics Registration Form Wintergreen Reservation Form
Tuesday, January 22 – 8:15 am – 5:15 pm
Barry J. Knapp, II, MD, FACEP
Physics of Emergency Ultrasound
This lecture is designed to introduce the emergency physician to concepts needed to understand and perform focused ultrasound scanning. Topics include basic physics, image refinement as well as probe orientation and selection.
Abdominal Imaging
This lecture will introduce the emergency physician to the ultrasound appearance of normal abdominal anatomy. Examples of organ systems to be reviewed will include the liver, spleen, kidney, bladder and vasculature. Examples of pathologic conditions will be provided to contrast with normal anatomy. Concepts of optimal image visualization including probe placement and image refinement will be reinforced in this lecture.
Cholelithiasis and Cholecystitis
This lecture will commence with a review of the ultrasound appearance of normal hepato-biliary anatomy. Concepts of optimal image visualization including probe placement and image refinement will be reinforced in this lecture. The emergency physician will be introduced to the ultrasound appearance of cholelithiasis and cholecystitis. Examples of gallstones, peri-cholecystic fluid, enlarged common bile duct and increased wall thickness will be reviewed.
Normal Gynecological Anatomy and Evaluation of First Trimester Pregnancy
This lecture will begin with a review of normal female gynecological anatomy and its appearance using transvaginal ultrasound. Concepts of optimal image visualization including probe placement and image refinement will be reinforced in this lecture.
The benefits of transvaginal over transabdominal imaging will be discussed. Examples of normal anatomy will be contrasted with pathologic conditions including fibroid tumors, ovarian cysts and tubo-ovarian abscess. The lecture will discuss and review normal ultrasound findings during early pregnancy including gestational sac, yolk sac and fetal pole. Examples of abnormal findings including ectopic pregnancy and subchorionic hemorrhage will be reviewed.
Lunch Provided
Abdominal Aortic Aneurysm
This lecture will review the normal vascular anatomy of the vena cava and abdominal aorta. Ultrasound techniques to differentiate artery and vein will be discussed. Concepts of optimal image visualization including probe placement and image refinement will be reinforced. Participants will learn the ultrasound appearance of an abdominal aortic aneurysm (AAA) and techniques to maximize accurate visualization. Measurement of aortic size will be discussed. The benefits and limitations of ultrasound use for AAA will be discussed.
Emergency Ultrasound Scanning Lab
This session will provide participants with an opportunity to practice the knowledge and techniques learned in the morning lecture series. Participants will work in small groups with a course instructor. Each participant will be expected to demonstrate the ability to properly image abdominal organs on simulated patients. The participant will be expected to demonstrate proficiency in the imaging of the gallbladder, aorta, spleen and kidneys. Participants will also be expected to properly perform a transvaginal ultrasound and identify the female reproductive anatomy.
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All photos courtesy of Wintergreen Resort
Wednesday, January 23 – 7:30 am – 5:45 pm
Ultrasound Workshop – Day #2
Barry J. Knapp, II, MD, FACEP
The Cardiac Exam
This lecture will provide an introduction to basic concepts of a focused ultrasound of the heart. Probe positioning and differences between cardiac planes of view will be explained. The ultrasound appearance of normal cardiac anatomy will be reviewed. The ultrasound appearance of pathologic conditions such as cardiac tamponade, wall motion abnormalities and right ventricular strain will be introduced.
Trauma FAST Exam
This lecture will provide the emergency physician with the knowledge and ability to identify hemoperitoneum and pericardial tamponade in the acutely traumatized patient. Concepts of imaging including probe placement and image optimization will be discussed. The ability of ultrasound to detect hemothorax and pneumothorax will be introduced.
Ultrasound Guided Vascular Access
Participants will become familiar with the rational and techniques used to obtain vascular access using ultrasound guidance. An evidenced-based approach will be used to introduce optimal sites and techniques. The need and techniques to differentiate between veins and arteries will be reinforced. Alternative sources of access beyond the deep venous system will be introduced.
DVT
The normal deep venous anatomy of the lower extremity will be reviewed. Literature supporting emergency physician’s ability to diagnosis deep venous thrombosis will be reviewed. Ultrasound techniques that can be used by the ED physician to make a preliminary diagnosis of DVT will be introduced.
Lunch with Guest Speaker – See Special Events (pre-registration required)
Emergency Ultrasound Scanning Lab
This session will provide participants with an opportunity to practice the knowledge and techniques learned in the morning lecture series. Participants will work in small groups with a course instructor. Each participant will be expected to demonstrate the ability to properly image abdominal organs on simulated patients. The participant will be expected to demonstrate proficiency performing the FAST exam, cardiac imaging, DVT and techniques used to obtain vascular access.
Reception – Exhibit Hall - 6:00– 7:30 PM – See Special Events (pre-registration required)
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All photos courtesy of Wintergreen Resort
Thursday, January 24 – 7:30 am – 4:45 pm
Gregory Christiansen, DO & Lynwood R. Stallings, MD
Difficult Airway Determination
Clinician will be able to predict the difficult airway and develop the basic approach to these patients.
Alternative Airway Devices
Objective – Alternative airway devices available to the emergency service setting will be described. The participants will be given instruction on alternative device indications. Understand the clinical applications of various airway devices will be emphasized.
Surgical Airway Techniques
Surgical Airway and subglottic techniquires will be described and demonstrated for the participants. The participants will then practice the skill on a METI Human Patient Simulator for surgical airways.
Lunch Provided in Exhibit Hall
Lab
The participants will familiarize themselves with difficult airway devices. They then will utilize the devices in the management of the difficult airway using manikin systems. Equipment for surgical and non-surgical techniques will be demonstrated and practiced by the participant.
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All photos courtesy of Wintergreen Resort
Friday, January 25 - 8:00 am – 1:00 pm
Nathan Menke, MD
Review & Exam
At the conclusion of the program participants should:
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All photos courtesy of Wintergreen Resort
2008 Hot Topics Faculty
W. Thomas Burnett, MD
Associate Medical Director, Department of Emergency Medicine, Carilion Clinic Physicians, LLC, Roanoke, VA
Gregory Christiansen, DO
Director of Medical Education, Department of Emergency Medicine, VCU Medical Center, Richmond, VA
Thomas A. Craig, MD
Associate Director for Medical Education, Portsmouth Naval Medical Center, Portsmouth, Virginia
Jamal M. Farran, MD
Assistant Professor, Department of Emergency Medicine, VCU Medical Center, Richmond, Virginia
Douglas S. Franzen, MD
Assistant Residency Director & Assistant Professor, Department of Emergency Medicine, VCU Medical Center, Richmond, Virginia
Barry J. Knapp, II, MD, FACEP
Associate Professor, Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, VA
Nathan Menke, MD
Assistant Professor, Department of Emergency Medicine, VCU Medical Center, Richmond, VA
L. Robert Stallings, MD
Assistant Professor, Department of Anesthesiology, VCU Medical Center, Richmond, VA
In accordance with ACCME Standards and ACEP policy, all faculty are required to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation(s).
Special Events
Wednesday, January 24
“The Virginia Tech Shootings”
Lunch with W. Thomas Burnett, MD
11:30AM – 1:30PM
A review of that tragic day's events on April 16, 2007, from the initial shots through to the last patient to arrive at regional facilities, presented by the SWAT Team physician on the scene. Lessons learned and shared with the Governor's review board from a medical perspective, participants will be able to identify opportunities for improving mass casualty responses in their communities.
Reception - 6:00 – 7:30PM
All participants, members and guests are welcome at the reception. Children accompanied by an adult are also welcome. Light hors d’oeuvres and complimentary beverages.
Please Note:
ALL SPECIAL EVENTS REQUIRE PRE-REGISTRATION.
This activity has been planned and implemented in accordance with the Essential Areas and Policies for the Accreditation Council of Continuing Medical Education through joint sponsorship of ACEP and the Virginia College of Emergency Physicians. The American College of Emergency Physicians is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American College of Emergency Physicians designates this educational activity for a maximum of 26.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in this activity.
Approved by the American College of Emergency Physicians for 26.25 hours of ACEP Category I credit.
This activity has been reviewed and is acceptable for up to 26.25 Prescribed credit hours by the American Academy of Family Physicians. The AAFP invites comments on any activity that has been approved for AAFP CME credit. Please forward your comments on the quality of this activity to cmecomment@aafp.org.
Approved by the American Osteopathic Association for 26.25 hours of AOA Category 2-A credit.
For Additional Information
Contact:
Virginia College of Emergency Physicians
757-220-4911 Ext. 5 or
1-800-649-4911 Ext. 5
Americans with Disabilities Act
VaCEP meetings comply with the Americans with Disabilities Act. If you have specific needs, please call the above number by January 2, 2008.
The Wintergreen Resort certifies that it complies with its obligations as a place of public accommodation under the Americans with Disabilities Act (ADA), including its obligations to provide accessible facilities. The Wintergreen Resort has made good faith efforts to ensure that its facilities are accessible to persons with disabilities and will accept reasonable requests for accommodations as required by the ADA.
Cancellation Policy
Cancellation policy requires written request for refund. No penalty for cancellations received by December 31st. Cancellations postmarked after December 31st subject to $50 administrative fee. No refunds for cancellations received after January 7th.
