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Ultrasonography for Intensivists & Emergency Medicine Clinicians
 

Ultrasonography for Intensivists & Emergency Medicine Clinicians

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    Ultrasonography for Intensivists & Emergency Medicine Clinicians Ultrasonography for Intensivists & Emergency Medicine Clinicians Document Transcript

    • HARV ARD MEDICAL SCHOOL DEPARTMENT OF CONTINUING EDUCATION Ultrasonography for Intensivists & Emergency Medicine Clinicians Friday, April 25 – Sunday, April 27, 2014 offered by the Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care and Pain Medicine Under the direction of ACHIKAM OREN-GRINBERG, MD Co-Directors: Todd Sarge, MD, and Gabriele Via, MD Course Administrator Ronald Mayes at Carl J. Shapiro Clinical Center (Leventhal Conference Room) Beth Israel Deaconess Medical Center Course DesCription Specifically designed for Critical Care and Emergency Medicine Physicians, the course covers all current application of critical care ultrasound. It is targeted for absolute novices as well as clinicians more experienced with point-of-care ultrasound in the management of the critically ill patient. The course covers basic use of Transthoracic Echocardiography (TTE) in the setting of cardiac arrest/peri-resuscitation, and in the management of the patient in shock. It includes the internationally-known FEEL (Focused Echocardiographic Evaluation in Life support) format, which is key to the effective cardiac resuscitation. In addition to TTE, the course will cover emerging topics in critical care ultrasound, such as lung ultrasound for the diagnosis of pneuomothorax, pulmonary edema and pneumonia. It will review in detail the FAST Protocol (Focused Assessment with Sonography in Trauma), the international standard ultrasound protocol for the management of the patient with trauma. Additionally, the course will highlight pediatric critical care ultrasound and the difference between pediatric and adult critical care ultrasound. The course is conducted in collaboration with WINFOCUS (World Interactive Network Focused on Critical Ultrasound), an international not-for-profit organization dedicated and committed to development Point-of-Care Ultrasound practice, research, education, technology, and networking (www.winfocus.org). This interactive course will offer small group discussions, hands-on skills sessions, problem solving, case review and simulation experiences. The course is designed to increase knowledge, improve competence and learners performance in practice. Learning objeCtives Upon completion of this activity, participants will be able to: • Perform focused echocardiographic exams • Differentiate between normal and abnormal echocardiographic exams • Screen for and identify 6 major causes of shock: hypovolemic, septic, tamponade, pulmonary embolism, cardiogenic and pneumothorax • Perform chest ultrasound for the diagnosis of pneumothorax, pulmonary edema and pneumonia • Perform FAST exam for the diagnosis of intra-abdominal bleeding in the setting of trauma • Analyze the differences between pediatric and adult critical care ultrasound target auDienCe Physicians, Nurse Practitioners, Physician Assistants, Sonographers, Anesthesiologists, Critical Care Physicians, Pulmonologists, Emergency Medicine Physicians, Obstetricians, and Pediatricians aCCreDitation The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of 25.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. aCgMe CoMpetenCies This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies: • Patient care • Medical knowledge • Practice-based learning and improvement registration inForMation Physicians: $1,950 (USD) Reduced Fee for Trainees and/or Allied Health Professionals: $1,450 (USD) Registration by credit card (VISA or MasterCard) can be made at: www.cme.hms.harvard.edu/courses/echocardiography. Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School–Department of Continuing Education, PO Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information, including registration confirmation, evaluation, and certificate. inQuiries By phone 617-384-8600, Monday–Friday, 10 AM to 4 PM (EST) or by email at: hms-cme@hms.harvard.edu. onLine inForMation To register or view activity information online, visit: www.cme.hms.harvard.edu/courses/echocardiography. To ensure proper registration, please add the first three characters of the source code found at the bottom of this registration form. DisCLosure poLiCY Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS’s policy that those who have influenced the content of a CME activity (e.g., planners, faculty, authors, reviewers, and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations. reFunD poLiCY A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email, or fax one week prior to this activity. No refunds will be made thereafter. COURSE LOCATION All sessions for this activity will be held at Beth Israel Deaconess Medical Center, Carl J. Shapiro Simulation Center, 330 Brookline Avenue, Boston, MA. ACCOMMODATIONS/TRAVEL A limited number of rooms have been reserved at The Inn at Longwood (Telephone: 617-731-4700 or 1-800-GOT-BEST) until April 3, 2014. Please note, individual attendees must mention “Ultrasonography for Intensivists & Emergency Medicine Clinicians.” Please specify that you are enrolled in this course to receive a reduced room rate of $189 per night Single/Double. Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airline reservations contact the HMS Travel Desk toll free 1-877-4-HARVMD (1-877-442-7863) Monday–Friday 9 AM–8 PM (EST). From outside the U.S., Canada, and Virgin Islands, please call 617-559-3764.
    • ULTRASONOGRAPHY FOR INTENSIVISTS & EMERGENCY MEDICINE CLINICIANS Beth Israel Deaconess Medical Center • April 25–27, 2014 DAY ONE 6:30 – 7:00 7:00 – 7:15 7:15 – 7:45 7:45 – 8:10 8:10 – 8:30 8:30 – 9:00 9:00 – 9:20 9:20 – 9:30 9:30 – 12:00 12:00 – 1:00 1:00 – 1:20 1:20 – 1:45 1:45 – 2:10 2:10 – 2:30 2:30 – 2:50 2:50 – 3:00 3:00 – 5:30 5:30 – 7:30 DAY TWO (continued) Registration/Continental Breakfast Introduction Achikam Oren-Grinberg, MD Ultrasound Anatomy of the Heart: Basic TTE Views Steve Odom, MD Principles of Doppler Ultrasound José Diaz-Gomez, MD Basic Knobology Gerardo Rodriguez, MD Basic Assessment of Left Ventricular Systolic Function Todd Sarge, MD Basic Assessment of Right Ventricular Systolic Function Sajid Shahul, MD Coffee Break Hands-on training (Hot #1) (18 Workstations) Lunch (on your own) Hypovolemic Shock James Hwang, MD Tamponade Physiology Colin Grissom, MD Pulmonary Embolism Sam Brown, MD Chest Ultrasound: Pneumothorax Mark Hamlin, MD Focused Echocardiographic Evaluation in Life Support (FEEL) Algorithm Gabriele Via, MD Coffee Break Hands-on Training (HOT #2) (18 Workstations) simulator: applying FeeL in resuscitation (6 groups) Reception 9:00 – 11:30 11:30 – 12:30 12:30 – 1:45 1:45 – 4:15 4:15 – 4:30 4:30 – 5:00 5:00 – 5:45 7:20 – 7:45 7:45 – 8:05 8:05 – 8:25 8:25 – 8:45 8:45 – 9:00 (18 Workstations, 2 pediatric stations*) simulator: applying FeeL in resuscitation (6 groups) Lunch (on your own) Adult Clinical Cases Hands-on Training (HOT #4) (18 Workstations, 2 pediatric stations*) simulator: applying FeeL in resuscitation (6 groups) Coffee Break Pediatric Critical Care Ultrasound Caveats Eric Su, MD Pediatric Clinical Cases Ellie Hirshberg, MD, and Eric Su, MD DAY THREE 6:30 – 7:00 7:00 – 7:25 7:25 – 7:50 7:50 – 8:15 8:15 – 8:40 8:40 – 9:00 9:00 – 9:20 9:20 – 9:35 9:35 – 12:00 12:00 – 1:00 1:00 – 1:30 DAY TWO 6:30 – 7:00 7:00 – 7:20 Hands-on Training (HOT #3) Breakfast FAST Exam Keith Boniface, MD Echocardiographic Approach to the Patient in Shock Patrick Bender, MD Regional Wall Motion Abnormalities Anne-Sophie Beraud, MD Chest Ultrasound: Pulmonary Edema Colin Grissom, MD Chest Ultrasound: Pneumonia Beatrice Hoffmann, MD Coffee Break 1:30 – 1:55 1:55 – 2:20 2:20 – 2:35 2:35 – 4:00 4:00 Breakfast The Non-Invasive Cath: Measurement of CVP, Pulmonary Artery Pressures and Cardiac Output Sajid Shaul, MD Introduction to Diastolic Dysfunction and Estimation of Left-Sided Filling Pressure Sam Brown, MD Evaluation of Septic Shock Mark Hamlin, MD Assessment of Fluid Responsiveness Lior Fuchs, MD Evaluation of Chest Trauma Keith Boniface, MD Basic Assessment of Valvular Dysfunction Shahzad Shaefi, MD Coffee Break Hands-on Training (HOT #5) (18 Workstations) Lunch (on your own) Acute Cor Pulmonale: Pulmonary Embolism and ARDS Achikam Oren-Grinberg, MD Pitfalls and Limitations of Focused Echocardiography Todd Sarge, MD Implementation and Organization of an Ultrasound Program Achikam Oren-Grinberg, MD Coffee Break Adult Clinical Cases Adjourn * Pediatric stations are subject to availability of pediatric models; otherwise adult models will be available in stations. Registration for pediatric hands on station is on first-come first-serve basis. Program changes/substitutions may be made without notice. FACULTY Patrick Bender, MD, Assistant Professor of Anesthesia, University of Vermont; Associate Residency Director, Department of Anesthesiology, Fletcher Allen Health Care, Burlington, VT Anne-Sophie Beraud, MD, Staff Cardiologist, Clinique Pasteur, Toulouse, France; Adjunct Instructor, Division of Cardiovascular Medicine, Stanford School of Medicine, CA Keith Boniface, MD, RDMS, RDCS, Associate Professor, George Washington University; Director, Emergency Ultrasound, Department of Emergency Medicine, George Washington University Medical Center, Washington, DC Samuel Brown, MD, MS, Assistant Professor, University of Utah School of Medicine, Pulmonary and Critical Care, Intermountain Medical Center, UT José L. Díaz-Gómez, MD, Assistant Professor of Anesthesiology, Mayo Clinic College of Medicine; Medical Director, Surgical Intensive Care Unit, Mayo Clinic Hospital, Jacksonville, FL Emily Fish, MD, Research Fellow in Critical Care, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA Lior Fuchs, MD, Assistant Professor in Medicine, Ben Guriun University; Staff Intensivist, Medical Intensive Care Unit, Soroka Medical Center, Beer Sheva, Israel Melanie Loberman, MD, Instructor in Anaesthesia, Harvard Medical School; Staff Anesthesiologist, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA Stephen Odom, MD, Instructor in Surgery, Harvard Medical School; Staff Surgeon, Acute Care Surgery/Critical Care, Beth Israel Deaconess Medical Center, Boston, MA Achikam Oren-Grinberg, MD, MS, Assistant Professor in Anaesthesia, Harvard Medical School; Director of Critical Care Ultrasound, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA Marilyn Riley, BS, RDCS, Clinical Manager, Cardiac Echo Lab, Beth Israel Deaconess Medical Center, Boston, MA Gerry Rodriguez, MD, Assistant Professor, Boston University School of Medicine; Director, East Newton SICU, Department of Anesthesiology, Boston Medical Center, Boston, MA Todd Sarge, MD, Instructor in Anaesthesia, Harvard Medical School; Program Director for Critical Care Fellowship, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA Colin Grissom, MD, Professor of Medicine, University of Utah; Associate Medical Director Shock Trauma ICU, Director Critical Care Echocardiography, Intermountain Medical Center, Murray, UT Shahzad Shaefi, MD, Instructor in Anaesthesia, Harvard Medical School; Associate Program Director for Critical Care Fellowship, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA Mark Hamlin, MD, MS, Associate Professor of Anesthesiology, University of Vermont College of Medicine; Director of Anesthesia Critical Care and Medical Director of Respiratory Care Services, Fletcher Allen Health Care, Burlington, VT Eliotte L. Hirshberg, MD, Assistant Professor, Department of Internal Medicine; Adjunct Assistant Professor, Department of Pediatrics, University of Utah Intermountain Medical Center, Salt Lake City, Utah, Primary Children’s Hospital, Salt Lake City, Utah Beatrice Hoffmann, MD, Assistant Professor in Internal Medicine, Harvard Medical School; Emergency Ultrasound and Fellowship Director, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA Sajid Shahul, MD, Assistant Professor in Anaesthesia, Harvard Medical School; Staff Anesthesiologist, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA Erik Su, MD, Assistant Professor, Johns Hopkins University School of Medicine; Ultrasound Instructor, Division of Pediatric Anesthesia and Critical Care, Johns Hopkins Hospital, Baltimore, MD Daniel Talmor, MD, MPH, Associate Professor in Anaesthesia, Harvard Medical School; Vice Chair, Critical Care Division, Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA James Hwang, MD, RDMS, RDCS, FACEP, Attending Emergency Physician, Director of Emergency Ultrasound, Department of Emergency Medicine, Scripps Memorial Hospital La Jolla, La Jolla, CA Gabriele Via, MD, Consultant Intensivist, 1st Department of Anesthesiology and Intensive Care, IRCCS Policlinico San Matteo Foundation, Pavia, Italy Jacek Wojtczak, MD, PhD, Professor of Anesthesiology, University of Rochester School of Medicine and Dentistry; Staff Anesthesiologist, Strong Memorial Hospital, Rochester, NY Code: WEB