The hard stuff - sexual assault, NAI

Facilitator - Steph

0830- 0930 Case discussions

0930 COFFEE

0935- 1035 Sexual Assault in the ED - The EEK - Mrs Bethany Albonico

Please bring your pre-prepared questions to this session!!!

1035- 1100 Domestic Violence- Essentials we need to know and do (Volunteer please)

1100- 1130 Blunt neck injury including non-fatal strangulation (Volunteer please)

1130-1200 Forensic Emergencies- “Need to Know stuff” (Volunteer please)

• Injury description

• Evidence collection

1200 LUNCH

1215- 1300 NAI- a Paeds and ED perspective (Paeds Team +/- ED Team)

For auditing purposes - 25% paediatrics

Positive about gram negatives

Facilitator - Tom

0830 - Case discussions

0930 - FEAST trial video and discussion

1030 - Coffee

1045 - Critical Care Olympics: sepsis edition

For auditing purposes - 30% paediatrics

Crying infant, BRUE, HEADACHE

Facilitator - Elise

0830 - Case based discussions | ECGs | radiology

0930 - Core content

For auditing purposes - 100% paediatrics

SWEET AND SALTY

Facilitator: Tom

0830 - Case based discussions | ECGs | Radiology

0930 - Too sweet: DKA, EKA, AKA, PSK, JPS

1030 - coffee

1045 - Salt of the earth: fluid prescriptions, lazy man’s hyponatraemia

1130 - DKA resus simulation

1200 - Metabolic mayhem registrar talks: assessment and management in 15min or less

• Addison’s

• myxoedema

• thyroid storm

1245 - Registrar rapid review snap-shot: Fluid induced harm in the hospital (15min)

Paper chase:

Calcium, magnesium, phosphate metabolism PART 1

Calcium, magnesium, phosphate metabolism PART 2

Fluid induced harm in the hospital - start considering sodium

Thyrotoxic hypokalaemia paralysis

For audit purposes - 50% paediatrics

Rotational deformity

Facilitator - Richard

0830 - Case based discussions | ECGs | radiology

0930 - Vertigo: BPPV / AVS / STROKE

For auditing purposes - TBC% paediatrics

Breathe easy

Facilitator - Tom

0830 - Case based discussions | ECGs | radiology

0930 - Ventilator circuit setup

0945 - Basic ventilator concepts and setup workshop

1030 - Coffee

1045 - Breath Easy: ventilation dogmas that need to die

1145 - Ventilator setups for different clinical scenario

1200 - Emergency action checklist scenarios

• unexplained hypotension

• unexplained hypoxia

• unexplained high CO2

• high airway pressure

Paper Chase:

Mechanical ventilation in obese ICU patients - from intubation to extubation

For auditing purposes - 15% paediatrics

Older Wiser Stronger

Facilitator - Steph

0830- 0930: Interesting cases, great saves, and what we have learned last week

0930: COFFEE

0935-1000: Geriatric EM - “Why to have some passion” - Steph

1000- 1030: “The Weak and the Dizzy- Pearls and Pitfalls” - Volunteer please

1030- 1100: “Mechanical fall? What’s the big deal?!” - Volunteer please

1100- 1130: “Managing agitation and pain in the elderly- or how to make ‘em better”. - Volunteer please

1130- 1200: Lunch

1200- 1230: Safe to discharge? (Home Safe Team)

Guests: Home Safe Team

For auditing purposes - 0% paediatrics

Non-coronary heart aches

Facilitator - Tom

0830 - Case based discussions | ECGs | radiology

0930 - Pulmonary embolus and pulmonary HTN

1030 - POCUS - lower limb DVT

1130 - Myocarditis / advanced haemodynamic management

1230 - Simulation: a pregnant pause

For auditing purposes - 10% paediatrics

Anaemia, haematological malignancy

Facilitator - Elise

0830 - Case based discussions | ECGs | radiology

0930 - Core content

For auditing purposes - TBC% paediatrics

Agitated Patients and Psychiatric Emergencies

Facilitator - Steph

Lesson Plan:

0830- 0900 Case discussions- “What we have learned last week”

Interesting Imaging/Labs/ECGs to share

0900-1015 The Agitated Patient in ED

“Pass the Problem?!”

Outline your approach to the agitated patient in the ED

1015 COFFEE

1030- 1130 Psychiatric Emergencies- Q & A session with the experts (Dr Kelly Ridley & Team)

… and anything else YOU want to know….

Please bring your pre-prepared questions to this session!!!

1130 -1215 Tricky concepts we need to know-… Not just for the exam!

  “Duty of Care”

“Doctrine of Necessity”

“DAMA- when is it ok?”

Volunteers needed for all sessions – 15 min max.

1215 LUNCH

1230 OSCE Practice session

For auditing purposes - 15% paediatrics

Fingers crossed, it’s handy

Facilitator - Richard

0830 - Case based discussions | ECGs | radiology

0930 - LIMB TRAUMA / HAND AND WRIST INJURIES / AMPUTATION MX/ RING BLOCKS/ FISH HOOKS

For auditing purposes - TBC% paediatrics

SMART EM

Facilitator - Self-guided

0830 - OVERDIAGNOSIS

Overdiagnosis: when good intentions meet vested interests (Iona Heath)

• Reflection:

  • If definitions of disease are broadened to incorporate people previously deemed healthy, what will be the impact on pharmaceutical efficacy for treating the disease?

The inverted U curve and emergency medicine: Overdiagnosis and the law of unintended consequences (Daniel Fatovitch)

• Reflection

  • Why is it unwise to make diagnoses in the absence of symptoms?

Overdiagnosis: How Our Compulsion for Diagnosis May Be Harming Children (Coon et al)

• Reflection:

  • When did you last admit a child to hospital that didn’t need admission? What the factors surrounding the presentation that led to admission?

1030 - PREGNANCY

South Australian Coroner - Splenic artery aneurysm inquest findings

• Reflection:

  • How would you establish this time-critical diagnosis on a night shift?

Managing Acute Headache in Pregnant and Postpartum Women (Greige, Edlow)

• Reflection

  • What are you clinical test thresholds for further working up the pregnant patient with headache?

For auditing purposes - 20% paediatrics

Come on baby light my fire

Facilitator - Elise

0830 - Case based discussions | ECGs | radiology

0930 - PREMATURE LABOUR/PRECIPITOUS DELIVERY/PRE-ECLAMPSIA/MATERNAL COLLAPSE

For auditing purposes - 15% paediatrics

Feeling territorial

Facilitator - Rich

0830 - Case based discussions | ECGs | radiology

0930 - Stroke syndromes; tPA in acute ischaemic stroke

For auditing purposes - 0% paediatrics

A better way to get plastered

Facilitator - Steph

0830 - Case based discussions | ECGs | radiology

0930 - Plaster masterclass

For auditing purposes - 30% paediatrics

Hybrid - life in the slow lane + Broken Hearts

Facilitator - Tom

0830 - Case based discussions | ECGs | radiology

0930 - Haemodynamic assessment

1030 - Coffee

1045 - haemodynamic assessment practical

1130 - fast track medicine

For auditing purposes - 35% paediatrics

Upper GI badness

Facilitator - Elise

0830 - Case based discussions | ECGs | radiology

0930 - UGIB etc

For auditing purposes - 0% paediatrics

Small Parts / Life in the Slow Lane

Facilitator -

0830 - Case based discussions | ECGs | radiology

0930 - Fingers + noses

0950 - Dental anaesthesia + emergency dental care

1030 - Coffee

1045 - Ocular ultrasound

1100 - Eye trauma

1145 - Joint aspiration

1200 - Penile problems

1220 - Throat problems

Paper Chase:

Penile Mondor’s Disease

For auditing purposes - 30% paediatrics

NB session cancelled due to illness - for incorporation into teaching session on 29th May 2024

Upper Gi Badness

Facilitator - Elise

0830 - Case based discussions | ECGs | radiology

0930 - Food bolus, bleeding, foreign bodies, dysmotility

For auditing purposes - 25% paediatrics

Cutting edge cardiac arrest management

Facilitator - Rich

0830 - Case based discussions | ECGs | radiology

0930 - Cutting edge cardiac arrest management

For auditing purposes - 0% paediatrics

All Hands on

Facilitator - Steph

***** PLEASE DOWNLOAD AND DIGEST THE ESSENTIAL PRE-READING / PRE-VIEWING HERE *****

For auditing purposes - 10% paediatrics

Diary of dreams

Facilitator - Tom

Location - AHC

0830 - Case based discussions | ECGs | radiology

0930 - How to give a safe anaesthetic

1030 - Registrar talks

• Killing off ketorolac

• IV lignocaine

• Is there anything fentanyl can do, that morphine can’t do better?

• Tramadol is evil (and tapentadol is its evil cousin)

• GABA drugs for pain don’t work / pregabalin is evil

1200 - Simulation: Sending off to sleep…

• the exploding head

• the broken body

• the faint heart

Supporting papers

Killing off ketorolac

IV Lignocaine for sepsis RSI

IV Lignocaine for pain

IV Lignocaine for larygnospasm prevention

Pregabalin for sciatica

Gabapentin for rib fractures

Tramadont

Tramadol vignette

Tapentadol worse than ibuprofen, about the same as placebo in dodgy drug company study with a dozen end-points

Trauma masterclass

Facilitator - Steph

0830-0900: Interesting cases, great saves, and what we have learned last week.

0900- 0930: “I can’t move my…” (Focus:  Major Spinal Cord Trauma) volunteer please

0930-1000: “Hard to get to injuries”. (Focus: Junctional Trauma) volunteer please

1000-1015: COFFEE

1015- 1045: “A Pain in the neck” (Focus: Blunt and Penetrating Neck Trauma (incl. NFS)) volunteer please

1045-1130: SIMULATION

1130 -1300: M&M

Pre-reading/ Pre-watching/ Pre-Listening

https://trauma.reach.vic.gov.au/podcasts

• One stop shop--Podcast series on all things trauma.

• Made in Australia

https://trauma.reach.vic.gov.au/guidelines/spinal-trauma/introduction

https://www.orthobullets.com/spine/2006/spinal-cord-injuries

https://intensivecarenetwork.com/144-podcast-3-the-acute-management-of-spinal-cord-injury/

https://www.sciencedirect.com/sdfe/pdf/download/eid/1-s2.0-S0733862722000724/first-page-pdf

For auditing purposes - 15% paediatrics

POST-EDUCATION REFERENCES

https://asia-spinalinjury.org/wp-content/uploads/2019/04/ASIA-ISCOS-IntlWorksheet_2019.pdf

https://intensivecarenetwork.com/747-smacc-flower-time-is-spine-acute-spinal-cord-injury/

https://intensivecarenetwork.com/media/podcasts/trauma-podcasts/

https://litfl.com/necrotising-fasciitis/

https://www.youtube.com/watch?v=Ce_WyIBOmGw

https://www.youtube.com/watch?v=v6n-mDTsNg8

https://www.youtube.com/watch?v=36-mIuIKXmY

Dangerous or dead

Facilitator - Tom

0830 - Cases

0920 - Faster: brady/tachyarrhythmias

0940 - Transcutaneous pacing

1000 - Stronger: tailoring intervention to phenotypes of systolic failure

1030 - Morning tea

1045 - Dangerous or Dead

1145 - Echo practice

1215 - Harder: making sense of diastolic dysfunction

1230 - Better: valvular heart disease

1245 - Better: RV failure

1300  - Get lucky

Paper chase: Review article: Accuracy of emergency physician performed point-of-care ultrasound of the thoracic aorta: A systematic review and narrative synthesis of the literature

For auditing purposes - 10% paediatrics

WOMEN’S BUSINESS (MEN INVITED TOO)

Facilitator - Elise

Location - AHC

0830-0930 radiology etc

0930-1015 Managing miscarriages

1015-1045 emergency contraception (volunteer presenter)

1045-1130 STI Jeopardy

1130-1200 ectopic pregnancies (Tara Brown)

1200-1230 acute management of chronic pelvic pain (Tara Brown)

1230-1300 questions and lunch

For auditing purposes - 0% paediatrics

WANT OF AIR

Facilitator - Tom

Location - AHC

0830 - Case based discussions | ECGs | radiology

0930

• Pneumothorax mini journal club

  • Spont pneumo NEJM paper (Will Macdonald)

  • Traumatic PTX Chest paper (Sam Dixon)

  • Cochrane Review CXR vs POCUS paper (Alessandro)

1000 - NIV foundations - hypoxia, CO2 retention

1030 - NIV and HFNC concurrent workshops (30min each)

1130 - HFNC mini journal club (Emily)

• FLORALI

• HIGH

• Peri-intubation neonatal high-flow

1150 - Negative pressure pulmonary oedema

1200 - The asthma kitchen sink brainstorm and simulation

Supporting papers

Spont pneumo NEJM paper

Traumatic PTX Chest paper

Cochrane Review CXR vs POCUS paper

FLORALI (HFNC)

HIGH (HFNC)

Peri-intubation neonatal high-flow

For auditing purposes - 50% paediatrics

The Blind leading the blind

Facilitator - Richard

0830 - Case based discussions | ECGs | radiology

0930 - Red eye, visual loss, slit lamp technical proficiency, occular POCUS

For auditing purposes - 10% paediatrics

Child’s play

Facilitator - Tom

830 - CBDs | ECGs | radiology

0930 - Collapsed neonate and clinical scenarios

1015 - Coffee

1030 - UVC instruction and practice

1115 - Bronchiolitis refresher

1145 - Neo resus refresher

1200 - Simulation + paper chase

Paper Chase:

High-Flow Nasal Oxygen vs Standard Oxygen Therapy on Length of Hospital Stay in Hospitalized Children With Acute Hypoxemic Respiratory Failure (PARIS2)

What is the colour of bilious vomit in a newborn?

Effects of oximetry on hospitalisation in bronchiolitis

HFNC in bronchiolitis

Bronchiolitis of Infancy Discharge Study

For auditing purposes - 100% paediatrics

FOundations of rural trauma care

Facilitator - Steph

0830-0930 Interesting cases, great saves, and what we have learned last week.

Case/ECG/Image/VBG of the week

0930- 1000 Doing the basics well (Steph)

Rural Major Trauma Care… in Albany

1000-1015 COFFEE

1015- 1045 If air goes in & out, blood keeps going round and round…usually (VOLUNTEER PLEASE)

>>> The Airway in Trauma

• When & why to take it?

• Who to take it?

• How to take it?

• Challenges?

• Optimisation?

• Cases

1045-1115 I feel the need for speed… (VOLUNTEER PLEASE)

>>> Chest Trauma-Pearls & Pitfalls

• B- assessment

• B- killers

• B- management

• Speed holes & tubes.

• Myth busting

1115- 1145 All bleeding stops…. eventually (VOLUNTEER PLEASE)

>>> Massive Haemorrhage & Shock in trauma

• <C> and C

• Find the bleeding-Stop the bleeding.

• MHP- how to use it

• CAT, Pelvic binder & CT6- practical***

1145- 1215 LUNCH

1215 Celebration of Knowledge aka Simulation

--Steph

Pre-reading/ Pre-watching/ Pre-Listening

https://trauma.reach.vic.gov.au/podcasts

• One stop shop--Podcast series on all things trauma.

• Made in Australia

Airway- oldies but goodies

Preoxygenation and Prevention of Desaturation During Emergency Airway Management

Weingart SD, Levitan RM

https://www.annemergmed.com/action/showPdf?pii=S0196-0644%2811%2901667-2

The importance of first pass success when performing orotracheal intubation in the ED

Sakles et al.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530518/pdf/nihms705574.pdf

Airway Management after major trauma, Canshaw J. et al. https://academic.oup.com/bjaed/article/6/3/124/375420

Breathing- old and new(er)

Pleural Decompression- Fitzgerald et al.

https://emcrit.org/emcrit/needle-finger-thoracostomy/

https://trauma.reach.vic.gov.au/sites/default/files/Thoracic%20Trauma_Ver%201.0_30102017.pdf

Circulation

https://emcrit.org/wp-content/uploads/resus-of-crit-ill-trauma-patients.pdf

A review of transfusion- and trauma-induced hypocalcemia: Is it time to change the lethal triad to the lethal diamond? Siegler J. et al

For auditing purposes - 15% paediatrics

AMAX4

Facilitator - Tom

0830 - Case based discussions | ECGs | radiology

0930 - A story of anaphylaxis

1000 - Break

1015 - Anaphylaxis and AMAX 4 lecture

1130 - registrar talks

• Everything an emergency physician needs to know about angioedema in 6 minutes or less - Emily Earnshaw

• Biphasic reactions in anaphylaxis: real or imaginary (6 min) - Tom Devine

• Cough mixture, anaphylaxis to muscle relaxants and sux vs roc for allergic potential (12 min) - Alessandro Cengale

• Is there an optimal time for observation post-anaphylaxis (6 min) - Will Macdonald

• Kounis syndrome (6 min) - Ash Evans

1215 - Simulation - An arrest in the community

Paper Chase:

Angioedema

Kounis Syndrome

Evidence update anaphylaxis

For auditing purposes - 30% paediatrics