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brochure PDF - Health Care Professionals - Dartmouth-Hitchcock

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<strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center<br />

in cooperation with<br />

American College of Emergency Physicians<br />

New Hampshire Chapter<br />

MANAGING<br />

MEDICAL<br />

EMERGENCIES<br />

A Program For Physicians<br />

Working in Emergency Departments<br />

May 15, 2006<br />

<strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center<br />

Lebanon, New Hampshire


Dear Colleague,<br />

Welcome back to the Spring edition of Managing Medical Emergencies.<br />

With nationally recognized speakers, our current line up of nine topics is<br />

very exciting. The emphasis, as always, will be on clinical care in the ED,<br />

which you can take home and apply immediately. But, we are also<br />

continuing to vary the length and format of the lectures: Two will be totally<br />

case based, one will be a completely hands on workshop type, and all of them<br />

will utilize our interactive audience participation system getting you even<br />

more involved. A super cadre of faculty has been assembled who are experts<br />

in Emergency Medicine and specialists in the areas being addressed. I<br />

cannot tell you how excited I am about this conference. Top lectures, great<br />

attendance, and an excellent deal.<br />

We are expecting a boost in attendance since the New Hampshire Chapter of<br />

the American College of Emergency Physicians (NH ACEP) is now<br />

sponsoring their members to attend (if you are not a member and want to<br />

check eligibility to join you can call Joy Potter at the business office 603-224-<br />

1909). NH ACEP will be holding a dinner and business meeting following<br />

the conference, and everyone is welcome to attend. There should also be<br />

plenty of networking time to spend with your colleagues and to make new<br />

friends. You will also have time to learn what is new in the pharmaceutical<br />

industry from the companies supporting our conference.<br />

The Managing Medical Emergencies series will, of course, continue with<br />

the fall conference to be held November 9, 2006 in the Southern area of New<br />

Hampshire (site still to be determined between Frisbie Memorial Hospital<br />

and Concord Hospital). Mark your calendars now and join us there as well.<br />

The New Hampshire Chapter of the American College of Emergency<br />

Physicians’ Website, www.NHACEP.org, has the meeting schedule for the<br />

next several years. Thanks to all of you, and your support, this conference<br />

series remains a favorite with participants.<br />

Please plan to join us for Managing Medical Emergencies. We look<br />

forward to seeing you at <strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center, Lebanon,<br />

New Hampshire, May 15, 2006. Don’t miss these lectures. They will<br />

improve your practice.<br />

Reed Brozen, MD, FACEP, Program Co-Chair<br />

Robert Anthony, MD, FACEP, Program Co-Chair<br />

The <strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center is accredited by the<br />

Accreditation Council for Continuing Medical Education<br />

to provide continuing medical education for physicians.<br />

PROGRAM<br />

7:45 Registration, Continental Breakfast<br />

8:20 Opening Remarks and Introduction<br />

- Reed Brozen, MD<br />

8:30 Propofol in the ED: Safety and Efficacy<br />

- Patricia Lanter, MD<br />

9:30 Is it a Seizure or Syncope<br />

- James Bernat, MD<br />

10:00 Refreshment Break<br />

10:20 DKA: Adults Versus Kids<br />

- Richard Comi, MD<br />

11:10 Changing Paradigms in Use of Pressor Agents<br />

- Matthew Koff, MD<br />

12:00 Lunch<br />

1:00 Dental Emergencies That You Can Handle<br />

- Craig Cohen, DMD<br />

1:45 The Diagnosis and Treatment of Pulmonary Embolus in<br />

the Emergency Department<br />

- Kevin Curtis, MD<br />

2:35 Pediatric Abuse: Physical and Sexual<br />

- Wendy Gladstone, MD<br />

3:25 Break<br />

3:35 To Pee or Not to Pee: Managing Urinary Retention<br />

- Lori Lerner, MD<br />

4:25 Splinting Workshop: SAMs, Plaster, Fiberglass, and<br />

Preformed Material<br />

- Scott Rodi, MD<br />

5:30 Evaluation and Adjournment<br />

6:00 NH ACEP Dinner Meeting at Jesse's in Hanover


GUEST FACULTY<br />

CRAIG COHEN, DMD<br />

Oral Surgeon<br />

The Center for Oral and Maxillofacial Surgery<br />

Hanover, New Hampshire<br />

WENDY GLADSTONE, MD<br />

Exeter Pediatric Associates, Exeter, New Hampshire<br />

Chair, New Hampshire Pediatric Society’s Committee on Child Abuse and<br />

Neglect and CARE (Child Abuse Referral and Evaluation) Network<br />

Clinical Instructor in Pediatrics, Harvard Medical School<br />

Adjunct Associate Professor of Pediatrics, <strong>Dartmouth</strong> Medical School<br />

JAMES BERNAT, MD<br />

Professor of Medicine (Neurology)^<br />

Staff Physician, Neurology*<br />

FACULTY<br />

REED BROZEN, MD, FACEP, Program Co-Chair<br />

Associate Professor of Medicine (Emergency Medicine)^<br />

Staff Physician, Emergency Department*<br />

Director, Air Transport*<br />

RICHARD COMI, MD<br />

Associate Professor of Medicine (Endocrinology)^<br />

Section Chief, Endocrinology, Diabetes and Metabolism*<br />

KEVIN CURTIS, MD<br />

Assistant Professor of Medicine (Emergency Medicine)^<br />

Research Director, Section of Emergency Medicine*<br />

MATTHEW KOFF, MD<br />

Resident, Section of General Anesthesiology*<br />

Board Certified Emergency Physician<br />

PATRICIA LANTER, MD<br />

Assistant Professor of Medicine^<br />

Staff Physician, Emergency Department*<br />

LORI LERNER, MD<br />

Assistant Professor of Surgery (Urology)^<br />

Staff Physician, Urology Department<br />

VA Medical Center, White River Junction, Vermont<br />

SCOTT RODI, MD<br />

Assistant Professor of Medicine (Emergency Medicine)^<br />

Staff Physician, Emergency Department*<br />

^<strong>Dartmouth</strong> Medical School, Hanover, New Hampshire<br />

*<strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center, Lebanon, New Hampshire<br />

OBJECTIVES<br />

After the successful completion of attending this conference,<br />

participants will be able to:<br />

• Demonstrate increased awareness of medical problems and<br />

treatments unique to the emergency department.<br />

• Identify cutting edge up-to-date treatments for various medical<br />

and traumatic emergencies.<br />

• Use Propofol/Diprivan in a safe and efficacious manner for<br />

procedural sedation and compare it to other sedatives.<br />

• Describe the indication/contraindications, dosing, and subtleties<br />

of using Propofol for procedural sedation.<br />

• Differentiate the subtleties of seizure and syncope.<br />

• Determine if the “spells” their patients have are seizures or syncope.<br />

• State current concepts on treatment of DKA; state differences in<br />

pediatric versus adult pathophysiology and identify what this<br />

means to treatment options.<br />

• Diagnose and care for DKA patients of all ages for the first several<br />

hours.<br />

• Discuss why agents besides Dopamine should be first line for<br />

many hypotensive/shock states; identify which receptors are<br />

involved; state how they work; state which pressor agent to use,<br />

and why.<br />

• Identify dental emergencies that can be completely handled in<br />

the ED; how to appropriately temporize the others, and the timeline<br />

appropriate for follow up.<br />

• Use the latest tests, their sensitivity/specificity, in the work up of<br />

thromboembolic disease, as well as techniques to avoid missing<br />

the diagnosis and determining which PE patients can be safely<br />

treated on an outpatient basis.<br />

• Describe the subtle signs and findings of pediatric abuse; take an<br />

appropriate and sensitive history and physical.<br />

• State key differential diagnosis and treatment guidelines for<br />

patients who cannot urinate; what measures to take immediately<br />

and when they need to be referred.<br />

• State multiple techniques and materials for splinting the most<br />

common orthopedic injuries that present regularly to the ED, clinic,<br />

and office setting.<br />

• Demonstrate splinting various high presentation injuries using<br />

multiple types of materials.<br />

--------✁----------------------------------------------------------------------------------------------------------<br />

INFORMATION<br />

DATE - Monday, May 15, 2006<br />

TIME - 7:45 a.m. - 5:30 p.m.<br />

PLACE - Auditoria E and F, <strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center,<br />

Lebanon, New Hampshire.<br />

DIRECTIONS/PARKING - Information will be sent with your receipt.<br />

AUDIENCE - Physicians working in emergency departments.<br />

ACCREDITATION - The <strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center<br />

designates this educational activity for a maximum of 7.5 AMA<br />

PRA Category 1 Credit(s). Physicians should only claim credit<br />

commensurate with the extent of their participation in the activity.<br />

REGISTRATION FEE: $99 per person. This covers educational<br />

materials, refreshment breaks, lunch. New for 2006 all New<br />

Hampshire ACEP members who register and attend the conference<br />

will receive a $99 rebate. If you are not currently a member and<br />

wish to join, contact Joy Potter at joy.potter@nhms.org. The<br />

deadline for registration is May 1, 2006. Registration at the door<br />

is $120. Space is limited. Please register early.<br />

REFUNDS - No refunds after May 1, 2006. A $15.00 fee will be<br />

retained on all refunds.<br />

FURTHER INFORMATION/SPECIAL NEEDS - For registration<br />

information, or if you have special needs because of a disability, contact<br />

the Center for Continuing Education in the <strong>Health</strong> Sciences,<br />

<strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center, Lebanon, NH 03756-0001 -<br />

(603) 653-1526.<br />

*PRIVACY OF INFORMATION - If you do NOT want to be<br />

included on the conference participant list, please call 603-653-1526<br />

and inform us.<br />

REGISTRATION FORM<br />

Managing Medical Emergencies - May 15, 2006<br />

<strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center, Lebanon, NH<br />

*Name ________________________________________________________<br />

MD, DO<br />

Other ________________________________________________<br />

Daytime Phone _______________________ Email_____________________<br />

Job Title________________________________________________________<br />

Place of Employment_____________________________________________<br />

Work Address___________________________________________________<br />

Mailing Address (if different than above)______________________________<br />

______________________________________________________________________________<br />

❑ Yes ❑ No This is the first time I have attended this conference.<br />

❑ Yes ❑ No I am a NH ACEP member.<br />

❑ Yes ❑ No I plan to attend the NH ACEP Dinner Meeting.<br />

REGISTRATION FEE: $99.00 or $120.00 at the door<br />

Please make check payable to CCE and return with this form to:<br />

Center for Continuing Education in the <strong>Health</strong> Sciences<br />

<strong>Dartmouth</strong>-<strong>Hitchcock</strong> Medical Center<br />

One Medical Center Drive<br />

Lebanon, New Hampshire 03756-0001<br />

THIS SECTION FOR CHARGE CARD PAYMENTS ONLY<br />

Fax No. 603-653-1507<br />

Charge Payment to: ____ VISA ____ MasterCard ____ AMEX ____ Discover<br />

Card Number ___________________________________________________<br />

Expiration Date _________________________________________________<br />

Signature ______________________________________________________

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