Tuesday – March 31

 
7:30 AM – 8:15 AM Continental Breakfast
 
8:15 AM – 8:45 AM
To Err is Human, but Our Errors Affect Children
Kathy N. Shaw, MD, MSCE, FACEP
 
The emergency department is a very challenging environment in which to work. Its complex patients, complex systems, and irregular routine can accentuate cognitive errors and lead to overt medical errors. The science of cognitive errors has become a prevalent topic in medical realms. The presenter will discuss what places a medical provider at risk for common cognitive errors and how those can become accentuated in the ED environment. The presenter will also cover how these issues apply to those who care for pediatric patients and will provide strategies to minimize these cognitive errors.
 
8:45 AM – 9:15 AM
Happy 10th Birthday PECARN Head Injury "Rule" - Oh How You've Grown!
James (Jim) Homme, MD
 
It has been 10 years since the publication of the landmark article in Lancet giving us the PECARN Pediatric Head Injury decision rule. In our current era of decision “rules”, the focus has been on derivation and validation of highly sensitive rules to identify patients at very low risk for specific injuries or conditions. These rules have been helpful to clinicians to decrease unnecessary testing. However, what about patients who do not meet very low-risk criteria? Are there subgroups within the heterogeneous intermediate-risk category that are higher or lower risk than others? Is there any guidance for providers and caregivers uncertain about imaging or observation? In this session, the presenter will utilize the PECARN Head Injury Study and subsequent publications as a model to highlight how clinical decision rules derived from large multicenter studies can provide important disease/injury prevalence information which can be utilized for further risk stratification of patients presenting with one or more of the identified risk factors in the rule.
 
9:15 AM – 9:45 AM
Sprain, Strains, and Separations: Sports Medicine in the Pediatric Emergency Department
Ilene A. Claudius, MD, FACEP
 
We want children to be active, but their activities can lead to injury. Fortunately, these injuries are commonly deemed to be minor, but these minor injuries can still create a major headache for both the patient and the ED provider if not managed well. Sports-related injuries can also be deceptive given the immature skeleton of children. The presenter will discuss the diagnosis and management of common activity-related injuries.
 
9:45 AM – 10:30 AM – Break – Visit the Exhibits and Learning Lounge
 
10:30 AM – 11:15 AM
Pediatric Chest Pain and Syncope: Simple or Sinister?
Mimi Lu, MD, FACEP, FAAP

Chest pain and syncope in adult patients always garner concern. Fortunately, the same complaint in children is less likely to be due to a significant cause. There are some concerning, severe conditions in pediatric patients, however, that may present with these subtle symptoms. The presenter will review the potentially life-threatening conditions that can cause children to show up in your ED with chest pain or syncope. A reasonable approach to the evaluation of these common complaints will be proposed.
 
11:15 AM – 12:00 PM
Hot Tots: Decision Rules for Infants Less than 60 Days with Fever
Jeffrey R. Avner, MD, FAAP
 
Fever in an infant <60 days poses challenges for the emergency clinician. Clinical decision rules have been based on data about the risk of bacteremia that no longer apply. New rapid PCR testing for pathogens and data on other biomarkers are now available in the ED. This expert lecturer will describe the latest data on the management of these challenging patients that will change your practice.
 
12:00 PM – 1:30 PM – Lunch – On Your Own
 
1:30 PM – 2:15 PM
When Vaccines Fail
Jeffrey R. Avner, MD, FAAP
 
Vaccines up to date? Great. No, wait…what is that rash? What could explain those neurologic symptoms? Why is this child so ill? Vaccines save lives, but like any public health intervention, they perform optimally when everyone participates. In this very un-brave new world, our knowledge of attack rates, herd immunity, and vaccine naïveté is put to the test. Learn about typical and atypical presentations and life-threatening complications of measles, influenza, streptococcus, Hemophilus, varicella and how to protect your patients – and yourself.
 
2:15 PM – 2:45 PM
Elevated Labs, or is it? Challenges in Interpretation of Lab Values in Children
Sean M. Fox, MD, FACEP, FAAP
 
Children present to the emergency clinician with abdominal pain, fever chest pain, altered mental status, and shortness of breath. We often obtain laboratories to guide us in our management of these patients. Normal laboratory results of common tests in children vary with age and can be a challenge in interpretation. This expert lecturer through case examples will clarify when to worry with abnormal results, such as WBC in CSF of neonates, leukamoid reactions, alkaline phosphatase, bilirubin, liver enzymes, ammonia, sedimentation rate, and others.
 
2:45 PM – 3:30 PM – Break – Visit the Exhibits and Learning Lounge
 
3:30 PM – 4:00 PM
LVADs: The "I'm Paler"
Mimi Lu, MD, FACEP, FAAP
 
As night falls, the lone patient with the worst medical conditions seem to rise. Are you prepared to manage these patients? LVAD/TH is becoming more common in children and those on the front line will need more than a pitch fork to stave off the dangers associated with them. Join the speaker in understanding the components of the VAD and then the potential problems with structural failure. Explore how to troubleshoot the LVAD with specific guidelines and recommendations. After this course, you will no longer be afraid of the children of the night.
 

Wednesday – April 1

 
7:15 AM – 8:00 AM Continental Breakfast - Visit the Exhibits and Learning Lounge
 
8:00 AM – 8:45 AM
The National Pediatric Readiness Project: How You Can Make a Difference
Marianne Gausche-Hill, MD, FACEP, FAAP, FAEMS
 
The National Pediatric Readiness Project (NPRP) is a national initiative by the American College of Emergency Physicians, the American Academy of Pediatrics, the Emergency Nurses Association, and the Federal Emergency Medical Services for Children Program. The NPRP has been working to improve readiness for care of children in emergency departments since 2009 and is about to launch its second national assessment of emergency departments. The speaker will discuss the publication of the latest guidelines, what impact pediatric readiness has on the care of children, and how all emergency clinicians can impact pediatric readiness in their EDs.
 
8:45 AM – 9:15 AM
Pediatric Radiology Reading Room
Ilene A. Claudius, MD, FACEP
 
In the pediatric patient, life-threatening radiographic findings can often be subtle and easy to miss. The speaker will review important and potentially life-threatening findings found on pediatric radiographs. Real cases that are specific to the pediatric population including cardiac, abdominal, traumatic, and infectious disease emergencies will be reviewed.
 
9:15 AM – 9:45 AM
Pediatric Emergency Medicine Morsel Montage: Tasty Tips to Triumph
Sean M. Fox, MD, FACEP, FAAP
 
One of the most rewarding aspects of working in the ED is the vast variety of conditions and complaints that present at any and all times of the day. While this is rewarding, it is also incredibly challenging to appropriately manage the common conditions without overlooking the rare, but deadly. It requires us all to remain vigilant and continually sharpen our vision in order to help find those “needles in the haystack.” Many medical myths must also be confronted during this process. This presenter will address some of the common medical myths that may interfere with our care while also serving up some tips to help find those rare, yet devastating conditions.
 
9:45 AM – 10:15 AM
Caring for the LGBTQ+ Child in your Emergency Department
Speaker TBD
 
Do you ask non-sexually active teenagers about their sexual orientation? Do you ask children presenting with a psychiatric complaint about gender identity? It is well known that the LGBTQ+ population is at higher risk for bullying, substance abuse, sexually transmitted infections, psychiatric issues and poor access to health care. Unfortunately, we further traumatize this marginalized population when they seek emergency care primarily because of our lack of education and understanding. This diverse group of individuals will often delay seeking care because of fear of discrimination. The most effective way to combat this phenomenon is for clinicians to learn about this heterogenous population and understand the health risks it faces. The presenter of this course will empower you to deliver the compassionate and affirming care you want to provide!
 
10:15 AM – 11:00 AM Break - Visit the Exhibits and Learning Lounge
 
11:00 AM – 11:45 AM
Safe Control of the Agitated Patient
Marianne Gausche-Hill, MD, FACEP, FAAP, FAEMS
 
Procedural sedation is often a planned, methodical procedure. What happens when the acutely agitated or violent patient needs sedation – now? In this session, we will discuss the recognition and management of behavioral emergencies requiring chemical restraint, including de-escalation, patient and clinician safety, and practical pharmacopoeia.
 
11:45 AM – 12:15 PM
Anaphylaxis: How to Recognize and How to React
John M. Kelso, MD
 
Anaphylaxis is a common occurrence and presenting complaint in Pediatric EDs today. Multiple publications have highlighted this. They have also pointed out how standardized approaches to management will greatly improve care. The presenter will outline the most important aspects of care.
 
12:15 PM – 1:45 PM Lunch – On Your Own
 
1:45 PM – 2:15 PM
Food Allergies: Recognition, Treatment, and Prevention
John M. Kelso, MD
 
There has been an explosion of clinical events directly related to food allergies in children. The emergency provider would greatly benefit from a comprehensive review of the causality, pathophysiology, and treatment of such disorders. The presenter is an expert in the field of pediatric allergy and immunology and will greatly improve our knowledge base.
 
2:15 PM – 2:45 PM
Transgender Patients in the Emergency Department
Speaker TBD
 
Over 88% of emergency physicians, responding to a survey on the care of transgender patients, state that they see these patients in the ED and over 85% have had no formal training in the care of these patients. With an estimated 1.4 million transgender adults in the US, it is imperative that emergency clinicians must recognize that this population is at increased risk for poverty, depression, substance abuse, cardiovascular disease, and sexually transmitted infections. The speaker will provide best practices for the evaluation and management of these patients in the ED.
 
2:45 PM – 3:15 PM
Will They Pay?
Michael J. Gerardi, MD, FACEP
 
As emergency physicians, we see patients, document well, and bill accordingly. But what happens after that bill is submitted? Are emergency services denied entirely? Is the level of admission subject to claim denial? What costs are we translating to patients due to testing or transport? What can we, as EPs do to ensure that we receive appropriate reimbursement and that our costs are not directly translated to patients.
 
3:15 PM – 3:30 PM Break
 
3:30 PM – 4:15 PM
Literature Review of Pediatric Emergency Medicine
Richard M. Cantor, MD, FACEP
 

Keeping up with the most recent literature addressing current issues in pediatric emergency medical practice can be challenging and time-consuming. The speaker will present the most relevant publications within the past year.

 

Thursday – April 2

 
7:30 AM – 8:00 AM Continental Breakfast
 
8:00 AM – 8:45 AM
Bubbles Save the Day Again! Utilization of the Contrast-Enhanced FAST (cFAST) Exam in Pediatric Trauma
Alexander C. Arroyo, MD
 
The FAST exam is considered the standard point-of-care imaging exam in children with blunt abdominal trauma to assess for hemoperitoneum as a marker for significant intraabdominal trauma. Contrast-enhanced ultrasonography (CEUS) utilizes microbubbles, consisting of gas core encapsulated by lipids, to expand imaging capabilities of ultrasonography. Similar in size and rheology to erythrocytes, microbubbles are confined to the intravascular space until degraded and exhaled. Addition of microbubbles to the FAST exam can overcome limitations of ultrasonography to visualize parenchymal organ injury and active bleeding with a high level of accuracy. The cFAST exam is repeatable, radiation-free, and kidney sparing bedside imaging option, allowing for serial examinations useful in clinical decision making.
 
8:45 AM – 9:30 AM
Pain Management: Balancing Compassionate Analgesia in the Middle of an Opioid Epidemic
Richard M. Cantor, MD, FACEP; Robert J. Hoffman, MD
 
The provision of sedation and analgesia is one of the cornerstones of the emergency medicine skill set. The current nationwide problem of opiate addiction has highlighted some pitfalls in the distribution of these potentially dangerous agents. Illustrative cases will be presented highlighting important principles in management.
 
9:30 AM – 9:45 AM Break
 
9:45 AM – 10:30 AM
Pediatric Trauma Pitfalls: Recognize them Before You Fall In
Alexander C. Arroyo, MD
 
Accidental injuries are the leading cause of morbidity and mortality in the pediatric population. While they are significant, they are also very challenging to manage. The severely traumatized pediatric patient may present differently than the injured adult patient. Providers must be able to account for the difference in presentation accounted for by the variance in anatomy and physiology and how those differences change as the patient’s age changes. The presenter will address these issues and highlight the concerning pitfalls that exist in an effort to help avoid them, if not at least assist us in getting out of them when we fall in.
 
10:30 AM – 10:45 AM
Cannabis in the Household with Children: A Dangerous Combination
Robert J. Hoffman, MD
 
There is growing concern in the US and globally about the risks of cannabis exposure in children. Many of these children once exposed require critical care and intubation. The speaker will illustrate through case presentations the growing crisis of cannabis poisonings in young children, and will discuss evaluation and management strategies including addiction teams to assist families with the crisis.
 
10:45 AM – 11:30 AM
Care of Sexual Assault/Sexual Abuse: What is our Role?
Amy Smith, MS, RN, AGACNP-BC, FNP-BC, NY SAFE
 
Over 1 million sexual assaults occur annually with ~40% before age 18 years. The ED clinician needs to know how to provide compassionate medical and supportive care while following state and local statutes. This lecture will provide current model screening protocols, approach to questioning, guidelines from other medical associations, patient-centered and trauma-informed care that addresses their medicolegal and psychosocial needs, as well as provide additional guidance regarding acute evaluation of survivors and evidence-gathering kits.
 
11:30 AM – 12:00 PM
Developing Resiliency in a World Full of Burnout
Carol Pak-Teng, MD, FAAEM
 
Burnout prevalence data is well known to emergency physicians—in fact, we lead the pack in the percentage of providers who admit to being burned out. Just recognizing burnout and knowing about it is not enough. We must build resilience in ourselves and in our colleagues in order provider better care to our patients and lead fuller lives. Leading institutions are charting approaches to developing resilience and improvement in burnout scores has been achieved by incorporating specific tools and mindsets into the daily practice of medicine. Successful approaches to building resilience will be highlighted.
 

*Schedule Subject to Change