Tuesday – March 19

7:30 AM – 8:15 AM Continental Breakfast


8:15 AM – 8:30 AM Welcome and Introductions


8:30 AM – 9:00 AM
Toxic Doppelgänger
Cyrus Rangan, MD

Many medical conditions exist that mimic toxic exposures, and vice
versa. Toxidromes are initially clinical diagnoses; it is essential to identify
them correctly–or risk a toxic doppelgänger.


9:00 AM – 9:30 AM
Death of A Child in the Pediatric Emergency Department
Eron Y. Friedlaender, MD, MPH, FAAP
The death of a child in the emergency department is a devastating event, affecting all caregivers involved. There exists a body of literature surrounding this issue, providing valuable guidance for management. The presenter will outline effective strategies involved.


9:30 AM – 10:00 AM
Can't Make 'Em All Appy: Update in Appendicitis Management
Daniel DeUgarte, MD, FAAP
The surgical and non-surgical approaches to appendicitis are changing. Attend this course to know when the OR is not the only option.


10:00 AM – 10:45 AM – Break – Visit the Exhibits and Learning Lounge
10:45 AM – 11:15 AM
Opioid Epidemic and PEM
Cyrus Rangan, MD
The opioid crisis has resulted from the intersection of two important public health challenges - the desire to reduce suffering caused by pain and the rising toll of harm that can result from the use of opioid drugs. This crisis touches our patients in the pediatric emergency department in a variety of ways. Some of our patients are in pain—what are the alternatives to treating them with narcotics? Some of our patients routinely receive narcotics—are we creating new cases of opioid addiction? Some of our patients have caregivers who are addicted—how can we intervene? These and other important questions will be addressed using a public health model to understand the epidemic of addiction.


11:15 AM – 11:45 PM
Sickle Cell: The Danger Behind the Pain
Ilene A. Claudius, MD, FACEP
Sickle-cell disease is not only pain crisis. Other dangerous diagnoses lurk behind the hydration-analgesia pathway. Using cases, the speaker will provide the most-up-to-date and evidence-based approach to the identification and treatment of acute chest syndrome, aplastic crisis, eye trauma, splenic sequestration, bacteremia, and stroke. Therapies such as exchange transfusion will be discussed.


11:45 PM – 1:00 PM – Lunch – On Your Own


1:00 PM – 1:30 PM
Special Needs Children and Lessons Learned
Eron Y. Friedlaender, MD, MPH, FAAP
Children with complex medical problems can elicit a variety of emotional responses in the emergency practitioner - fear, panic, confusion. What behaviors and physiology are actually normal for them? Learn where your bias may be and fill in your own assessment gaps in this case-based session.


1:30 PM – 2:00 PM
Cannabis for Dummies
Richard Cantor, MD, FACEP, FAAP
Marijuana availability has become ubiquitous in American society. The diversity of available products is impressive – in any and all forms. The pediatric patient is particularly susceptible to the toxic effects of these preparations, including agitation and ischemia. Learn what to do when the mellow is hashed.


2:00 PM – 2:30 PM
Blocks Unblinded: Ultrasound-Guided Regional Anesthesia
J. Christian Fox, MD, RDMS, FACEP
Regional anesthesia plays an important role in ED procedures and pain management, particularly in situations where sedation or parenteral medication presents challenges. The traditional landmark-based techniques leave much to be desired. Bedside ultrasound affords the EM clinician the ability to more adequately locate the target therapeutic anesthetics to the exact nerve. The speaker will discuss key blocks for everyday practice.


2:30 PM – 3:15 PM – Break – Visit the Exhibits and Learning Lounge


3:15 PM – 3:45 PM
Severe Head Trauma: Airway, Breathing, Now What?
William Loudon, MD
Severe head trauma in children requires understanding and managing conflicting priorities in resuscitation. Brain resuscitation strategies will be covered, including the rationale behind hyperosmolar therapy, indications for seizure prophylaxis, and indications for decompressive craniectomy.


3:45 PM – 4:15 PM
Tricks of the Trade: a Nitrous Toolkit
James (Jim) Homme, MD, FACEP
Efficacy and safety of the use of nitrous oxide for anxiolysis and analgesia in the emergency department setting is well established. So why aren’t more of us using it? Practical issues with scavenging ambient nitrous oxide as well as limited experience during training has led to underutilization of this useful gas. The speaker will not only discuss the why and how to use nitrous oxide, but will also provide information on the logistics of how to establish protocols and training for your group to use nitrous oxide in the ED.


4:15 PM – 5:15 PM – Welcome Reception in the Exhibit Hall

Wednesday – March 20

7:15 AM – 8:00 AM Continental Breakfast - Visit the Exhibits and Learning Lounge


8:00 AM – 8:45 AM
Lifesaving Procedures
Michael Overbeck, MD
Performing procedures in children can be challenging at any time but especially when a life is on the line. The presenter will present tangible micro-skills to ensure your little critical patient has the best chance possible. Using multi-media, we will discuss advanced airway management, pericardiocentesis and drain placement, thoracotomy, and vascular cut-down. Emphasis will be placed on the special considerations for children.


8:45 AM – 9:30 AM
Congenital Heart Disease in the Pediatric ED
Gira Morchi, MD
Shortness of breath, respiratory failure, and shock have a broad differential diagnosis. When should we consider a novel presentation of congenital heart disease in the ED? How can we help the known case of CHD?
What was the sequence of surgeries again – and man, can someone please explain what a normal oxygen saturation should be for them?
Come learn what you need to know in the inevitable case that this child comes to you – ill, or about to be.


9:30 AM – 10:15 AM Break - Visit the Exhibits and Learning Lounge


10:15 AM – 10:45 AM
Pediatric Stroke: Current Challenges, Future Solutions
Marianne Gausche-Hill, MD, FACEP, FAAP, FAEMS
The diagnosis of pediatric stroke is often delayed, with implications for the eligibility for hyper acute therapies such as thrombolysis and endovascular recanalization. The delay occurs at many stages of the child’s care beginning in the home and including the ED where the physician’s diagnostic accuracy has been shown to low when compared to accuracy of stroke diagnosis in adult patients. The speaker will review the new recommendations for improving the diagnosis of stroke in the pediatric patients. Imaging guidelines, indications for thrombolysis, and the emergence of primary pediatric stroke centers will all be discussed.


10:45 AM – 11:30 AM
Literature Update 2019
Richard Cantor, MD, FACEP, FAAP
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.


11:30 AM – 12:45 PM Lunch – On Your Own


12:45 PM – 1:30 PM
Could It be Cancer?
Marianne Gausche-Hill, MD, FACEP, FAAP, FAEMS
A 4-year-old girl presents with overall weakness, pale skin and a limp; a 3-month old boy presents with vomiting; a 7-year-old boy with dizziness, and an 18 year-old adolescent presents with back pain for 3 months. The common thread? Each of these patients have cancer, but we don’t know it yet.
The expert lecturer through case presentation will provide the tips and clues needed to make a diagnosis of cancer in the ED. The latest guidelines for treatment of oncologic emergencies will also be described.


1:30 PM – 2:00 PM
Oh Me, Oh Myocarditis!
Timothy Horeczko, MD, MSCR, FACEP
Vomiting. Ok, Zo-PO-go, right? Wait. Critical illness can hide in plain sight. Using cases, the speaker will discuss potential pitfalls and clinical clues to catch this life-threatening condition. The speaker will review pattern-recognition, investigation, and stabilization techniques. What is the role of pressors? Is there any value in overdrive pacing? Who should be transferred for ECMO? How do I keep MY heart from racing?


Thursday – March 21

7:30 AM – 8:00 AM Continental Breakfast


8:00 AM – 8:45 AM
Sentinel Events and Devastating Misses: Child Abuse Pitfalls
Kelly L. Callahan, MD, MPT
Child physical abuse is commonly missed, putting abused children at risk for repeated injury and death. Several sentinel injuries have been suggested to be associated with high rates of abuse. Children with minor injury may never receive medical care; some are harmed repeatedly before they receive medical attention; others present for medical care with mild or nonspecific symptoms but are misdiagnosed by unsuspecting physicians, only to return with more severe or fatal injury. Learn to identify this cycle and how you can break it.


8:45 AM – 9:30 AM
Transplant Bootcamp
Emily A. Rose, MD, FACEP, FAAP
What do you do when a child with a transplant comes to your ED? “Call the transplant team” is not the final answer. During this session, experts in the care of pediatric transplantation patients will review the critical concepts for all acute care providers to know and understand when approaching the care of pediatric transplant patients.


9:30 AM – 10:00 AM
The Critically Ill Obese Child
Mimi Lu, MD, FACEP
Obesity in all ages is now epidemic. When a morbidly obese child becomes critically ill, caring for him is fraught with risk and difficulty. The speaker will discuss airway maneuvers, drug dosing, and resuscitation considerations – all specialized for this high-risk population.


10:00 AM – 10:15 AM Break


10:15 AM – 11:00 AM
Neonatal Resuscitation Update 2019
Lynne M. Smith, MD
The identification and resuscitation of the critically ill neonate are essential to the practice of emergency medicine. Attend this course to refresh and update your practice when seconds counts for our most vulnerable population.


11:00 AM – 11:30 AM
Pediatric Eye Emergencies You're Missing
Mimi Lu, MD, FACEP
The evaluation of children with ocular complaints can be challenging due to limitations in history and cooperation with the physical exam. The speaker will discuss techniques and conditions that you must master for safe emergency practice.


11:30 AM – 12:00 PM
A CO2 Sigh of Relief
Timothy Horeczko, MD, MSCR, FACEP, FAAP
It’s in the way that you use it. In distinction from pulse oximetry, which lags in time, end-tidal carbon monoxide (EtCO2) monitoring can give a breath-to-breath picture of your patient’s respiratory status. What do shark fins, wind sails, and crenellations have to do with safety in sedation and mechanical ventilation?


*Schedule Subject to Change