PC 12: Geriatric Emergency Medicine

Course Directors

  • Christian Nickel (Switzerland)
  • Jacinta Lucke (The Netherlands)

Faculty 

  • Simon Conroy (UK)
  • Arjun Thaur (UK)
  • James van Oppen (UK)
  • Bas de Groot (The Netherlands)
  • Laura Blomaard (The Netherlands)
  • Rosa McNamara (Ireland)
  • Ruth Sneep (The Netherlands)

Participants

The course is designed for 24 participants (Emergency clinicians, nurses and paramedics welcome).

Course description  

The number of older patients in the Emergency Department is rising. Many of these older patients suffer from complex comorbidities, frailty and are at risk of adverse outcomes. Working with frail older patients can be difficult for those working in Emergency Medicine, however it is becoming more and more important.

This  ‘hands on’ pre-course has the goal to improve the knowledge and skills regarding Geriatric Emergency Medicine of the participants. We start with one lecture after which the rest of the day will be filled with working groups and scenario’s with small groups.

The participants will be provided with practical tips and clinical education points with which they can start working when they are back in their own hospital.

Using several themes the main issues of working with older patients in the ED will be discussed, such as frailty, the older trauma patient, sepsis, pain management, syncope, polypharmacy, cognitive impairment and end-of-life care.

Learning objectives

  • To teach participants about general concepts of Geriatric Emergency Medicine such as frailty and its implications when working in the ED
  • To give participants clinical education about older patients with:
    • Trauma
    • Sepsis
    • Deprescribing / polypharmacy
    • Pain management
    • Abdominal pain
    • Syncope
    • Delirium and cognitive impairment
  • To give participants training on how to discuss end of life care in the ED

 

Schedule

08:30– 08:40 General introduction (program, general notices)
08:40-09:00

General introduction into Geriatric Emergency Medicine

09:00-10:40

Working groups 4x25 minutes 

 

Station 1: Scenario 

  Station 2: Scenario 
  Station 3: Table top discussion
 

Station 4: Table top discussion 

10:40-11:00

Coffee break 

11:00-12:40

Working groups 4x25 minutes 

 

Station 1: Scenario 

  Station 2: Scenario 
  Station 3: Table top discussion
  Station 4: Table top discussion
12:40-12:55 Summary of key-learning points
12:55-13:00 Closing & evaluation 

PC 11: Simulation Master: Train the Trainers Precourse

Course Directors

  • Anne Laure Philippon (France)
  • Pierluigi Ingrassia (Italy)

Faculty

  • Youri Yordanov (France)
  • Abdo Khoury (France)
  • Mohammed Mouhaoui (Morocco)
  • Felix Lorang (Germany)
  • Guillem Bouilleau (France)

Participants

The course is designed for 15 participants.

Course description & learning objectives

  1. To learn the basis on medical education, medical error and human factor.                                                                  
  2. To get knowledge on Simulation in Healthcare: definition, tools, scenarios, briefing, debriefing.
  3. To learn the concept of Crisis Management (CRM) and team work and multi-disciplinary approach in Simulation.
  4. To practice Simulation by producing scenarios in small trainee groups.

Schedule

Saturday 12 October

09:15-09:30

Welcome and Introduction
Objectives: Introduction of participants (instructors and trainees)

09:30-10:10 What is simulation education? From standardized patient to high fidelity simulation. Crisis Resource Management
Objectives: Basis in medical education, medical error and human factor; simulation: definition, description of simulation tools. Intro to CRM
10:10-10:30 Preparing and running a simulation and debriefing session: Key principles
Objectives: Scenarios, briefing, simulation session, debriefing, learning objectives
10:30-11:00 Coffee Break
11:00-11:30 Presentation of one patient simulator / Prebriefing
Objectives: Practical presentation of simulation room and principles to learners
11:30-12:30 Scenario design and preparation
Objectives: Creation of two simulation scenario (one with manikin and one simulated patient)
12:30-13:30 Lunch
13:30-15:30 Hands on opportunity (1): Running and taking part in a scenario
15:30-16:00 Coffee Break
16:00-16:45 Hands on opportunity (2): Running and taking part in a scenario
16:45-17:30 Q&A, discussion, workshop evaluation
Objectives: How to implement simulation in initial and continuous education

PC 10: Young Investigators pre-course on Research

Course Directors

  • Said Laribi (France)

Faculty

  • Zerrin Defne Dundar (Turkey)
  • Luis Garcia-Castrillo (Spain)
  • Mehmet A. Karamercan (Turkey)
  • Martin Mockel (Germany)
  • Anna Slagman (Germany)

 

Participants

Maximum number : 20
EM residents and young EM researchers

 

Course description & Objectives:

Welcome to this training course on research for young EM residents and fellows. Our goal is to develop a common understanding and language for developing and implementing research in the field of Emergency Medicine. This course will increase your knowledge of current best practices, improve your skills and offer practical applications that will benefit you and your organization. Take advantage of being part of the enthusiastic community of EM researchers. We look forward to meeting you in Prague!

 

Schedule

Saturday October 12th

09:00-09:15 Opening remarks and Faculty introduction  
09:15-10:00 How to identify a research question? Mehmet Karamercan
10:00-10:30

Ethical and regulatory rules, practical situations

Said Laribi

10:30-11:00

Coffee Break

 
11:00-12:30

Different types of studies

 
  1. Observational studies Said Laribi
  2. Data collection in the ED Anna Slagman
  3. Secondary data analysis Anna Slagman
12:30-13:30 Lunch  
13:30-14:30 Different types of studies  
  1. Diagnostic evaluation Luis Garcia-Castrillo
  2. Tips and tricks on literature search Martin Mockel
14:30-15:30 Which statistical tests to use? Zerrin Defne Dubdar
  1. Differentiate qualitative from quantitative variables   
  2. Determine risk of errors  
  3. Parametric or non-parametric?  
15:30-16:00 Coffee Break  
16:00-16:30 Tips to publish your research and scientific writing Martin Mockel
16:30-17:00 Discussion between attendees and faculty members and Conclusions  
 

PC 9: Airway Management Precourse for inner-clinical Emergency Medicine

Course Directors

  • Sabine Merz (Germany)
  • Christian Hohenstein (Germany)

Participants

The course is designed for 20 participants (Emergency Physicians).
Skill stations will be coconducted in small groups.

Course description & learning objectives

Airway Management is a major topic in the Emergency Department. Anesthesiologists are not always available; therefore each member of the ED needs to be able to perform Airway Management. To secure the airway of a patient, it is necessary to know the different devices and techniques and also to consider, that the algorithm is different to the familiar pre-hospital and OR airway algorithm.

In this course, participants will learn about basic and difficult Airway Management. Furthermore, the technique of anaesthetization will be taught.

All participants will be able to train the different techniques and devices on intubation trainers. 

Schedule

Coffee break will served at Lomond Auditorium Mezzanine from 10:30 to 11:00.

08.30– 09.30 Lecture Dr Christian Hohenstein
 

Oxygenation of the patient

 

Induction of Anesthesia 

 

Intubation of the emergency patient in the trauma room (plan A)

  Research update
09.30 – 10.30 Lecture Dr Sabine Merz
 

Specifics of airway management in the Emergency Department 

 

Recognizing difficult airways 

 

Explanation of  techniques & description of devices for Airway Management (plan B) 

 

Verification of tube position 

10.30 – 12.30 Workstations on Trainers 
  Direct and indirect laryngoscopy
  Intubation with the flexible intubation endoscope with and without additional tools
  Supraglottic devices
  Surgical Airways

PC 8: Immobilization & Wound Closure (Non-Vital Trauma)

Course Directors

  • Jean-Jacques Banihachémi (France)

Faculty

  • Abdelouahab Bellou (USA)
  • Alberto Gregori (Scotland)
  • Patricia O'Connor (Scotland)
  • Régis Pailhé (France)
  • Franck Verschuren (Belgium)
  • Francis Launois (France)
  • Mohamed Ben Aissa (Belgium)

Participants

Maximum number : 30
All professionals involved in the management of non-vital traumatology: EPs, orthopedists, nurses, immobilization technicians, medical students.

 

Course description:

Non-vital trauma represents 40-60% of chief complaints in the ED. There are many pitfalls in the diagnosis of lesions generating therapeutic delays that can be dramatic in terms of functional prognosis for the patient. To avoid complications, it is essential to develop strong collaboration between orthopedic surgeons involved in trauma emergencies and emergency physicians (EPS). This course will be led by EPs and ED nurses in collaboration with orthopedic surgeons. 

Objectives:

1. To learn the relevant immobilization techniques of the upper and lower limbs:
a. Plaster
b. Resin
c. Strapping
d. Specific assets: shoulder, finger.

2. To learn how to manage sutures of wound injuries in the ED.

Methodology

This session will take place over 2 days involving EPs, orthopedic surgeons and immobilization technicians ED nurses. This session will be exclusively practical and interactive. Experts will show how to carry out the various fixed assets and answer the trainees' questions. Trainees will be distributed into 3 groups.

1- Immobilization workshop with 2 groups:  All trainees will practice with each other with the support of the trainers. The goal is to provide skills in all types of immobilization of limbs.

2- Sutures workshop: trainees will practice on simulation tool.

 

Schedule

Saturday 12 October

09:00 Welcome
09:10-09:30

Introduction of the course and presentation of the basic rules on immobilization techniques

9:30-12:30

Practice on immobilization workshop (upper limbs):
a) Circular cast
b) Synthetic cast (resin cast)
c) Plaster splint

12:30-13:30 Lunch
13:30-17:00

Practice on immobilization workshop (lower limbs):
a) Circular cast
b) Synthetic cast (resin cast)
c) Plaster splint

17:00-18:00 Clinical Cases series with quiz MCQ

Sunday 13 October

08:00-08:30 Basic rules on suture techniques
08:30-10:30

Sutures workshop synthetic surgical glue

10:30-11:00 Conclusion and Diploma
 

PC 7: SafeER PSA - Procedural sedation and analgesia for Emergency Physicians

Course Director

  • Christian Heringhaus (The Netherlands)

Faculty

  • Linda Bel (The Netherlands)
  • Yannick Groutars (The Netherlands)
  • Harald Hennig (Germany)
  • Ruth Sneep (UK)
  • Rebekka Veugelers (The Netherlands)
  • Egon Zwets (The Netherlands)

Participants

The course is designed for 16 participants (Emergency Physicians).
Doctors who will follow the pre-course must be adequately trained in advanced life support and airway management skills.

Course description & learning objectives

Patients in the emergency department often need to undergo painful, distressing, or unpleasant diagnostic and therapeutic procedures as part of their acute care process.  Therefore Procedural Sedation and Analgesia (PSA) performed by emergency physicians is a necessary skill to reduce discomfort, apprehension, and potential unpleasant memories.

PSA is potentially associated with complications and must be seen as a high-risk procedure. Due to the inherent risks, it is important that doctors are aware of and follow available national, international and local guidelines.

PSA must only be performed under absolutely safe condition by health care providers who are trained in monitoring sedated patients and who are trained in recognizing and handling all possible adverse events to avoid complications.

Furthermore it is crucial that adequate training should be followed to ensure the knowledge and skills to safely administer PSA and to treat possible adverse events to avoid complications.

With the SAFE ER PSA course we will give the participants an overview over existing national and international guidelines, show them how to prepare the patient and the environment to perform safe PSA on the Accident and Emergency Department and how to treat the most common adverse events to avoid complications related to PSA.

After an introduction with some short presentations we will mainly train with simulated patients in hands-on workshops.

Schedule

08.00 – 08.30 Welcome and introduction
08.30 – 09.00 Lecture: SafeER PSA -  The course
09.00 – 09.15 Lecture: PSA a continuum
09.15 – 09.50 Lecture: PSA – a routine procedure?
09.50 – 10.05 Lecture: Risk assessment and pre-sedation screening
10.05 – 10.20 Lecture: Airway
10.20 – 10.30 Lecture: Patient characteristics and positioning
10.30 – 11.00 Coffee Break
11.00 – 11.20 Lecture: Monitoring
11.20 – 12.30 Lecture: Pharmacology
12.30 – 13.30 Lunch
13.30 – 13.50 Table Top exercise
13.50 – 14.00 Demonstration
14.00 – 15.30 Sedation workshops
15.30 – 16.00 Break
16.00 – 17.30 Sedation workshops
17.30 – 18.00 Quiz

 

PC 6: EUSEM leadership course in cooperation with IEDLI and RCEM

Course Directors & Faculty

  • J. Stroobants (Belgium)
  • B. Hogan (Germany, EUSEM)
  • P. Anderson (IEDLI)
  • T. Hassan (UK, RCEM)
  • R. Arafat (Romania)
  • R. Leach (Belgium)
  • J. Heyworth (UK)
  • R. Petrino (Italy)
  • I. Higginson
  • C. Moulton
  • D. Chung
  • R. Leto (Belgium)
  • S. Kayden (IEDLI)
  • L. Lobon (IEDLI)

Participants

The course is designed for 30 participants. It will be organised in 5 small groups of 6 persons.

Course description & learning objectives

This workshop has been developed and presented jointly by EUSEM (EUSEM Professional Committee), the International Emergency Department Leadership Institute (IEDLI) and the Royal College of Emergency Medicine (RCEM). 

The goal of the workshop is to teach leadership skills that are relevant for current ED leaders and directors, individuals who have mid-level leadership roles, and individuals who are interested in taking on leadership roles. 

The workshop will be a seminar-style format that will focus on 4 topics. Each topic will include some interactive presentation of content by the faculty followed by activity in small groups in which the participants will interact with each other and the faculty to analyse data, work through challenges, develop plans. 

Schedule

Saturday 12 October

08:30-08:45 Welcome words EUSEM, RCEM, IEDLI  L. Garcia Castrillo, T. Hassan, P. Anderson
08:45-09:00 Course introduction    J. Stroobants
09:00-09:15 Module 1 - Introductory lecture

Team building 

 B. Hogan
09:15-10:30

Module 1 - Individual working groups

   R. Arafat, J. Stroobants, R. Leach, J. Heyworth, R. Petrino, I. Higginson, B.   Hogan
10:30-11:00 Coffee break    
11:00-11:15 Module 2  - Introductory lecture  

Caring for Self, Team, Vision

 T. Hassan 
11:15-12:30 Module 2 - Individual working groups    T. Hassan, C. Moulton, D. Chung, and Prof. Com. members
12:30-13:30

Lunch break

   
13:30-13:45 Module 3 - Introductory lecture Negotiations  J. Stroobants
13:45-15:00

Module 3 - Individual working groups

   J. Stroobants, R. Arafat, R. Leach, J. Heyworth, R. Petrino, R. Leto, I. Higginson, B. Hogan
15:00-15:30  Coffee break    
15:30-15:45 Module 4 - Introductory lecture  Difficult conversation, dealing with the media   P. Anderson, S. Kayden, L. Lobon
15:45-17:00

Module 4 - Individual working groups

   P. Anderson, S. Kayden, L. Lobon
17:30-18:00

Summary, wrap up

   J. Stroobants, T. Hassan, P. Anderson

PC 5: Non-Invasive Respiratory Support in the Pandemic Era

Course Directors

 Roberto Cosentini

Faculty

  • Paolo Groff, Italy
  • Patrick Plaisance, France
  • Roberta Marino, Italy
  • Rodolfo Ferrari, Italy
  • Erwan L’Her, France
  • Nicolas Peschansky, France

Participants

The course is designed for 25 participants (EM residents and physicians).

GOALS

  1. Understand pathophysiology of acute respiratory failure and the effects of
    Non-Invasive respiratory support in COVID19 and non-COVID19 acute
    respiratory failure.
  2. Understand indications and contraindications of the various methods.
  3. Apply problem-solving to manage ventilators troubleshooting.
  4. Understand pros and cons of Non-Invasive respiratory support in COVID19 patients.

Course format

This is highly interactive hybrid course split in 2 parts:

  1. One is online before the pre-course (asynchronous learning)
  2. The second one is the hands-on sessions that will be held at the Congress, and will be split in:

2a. A morning session 2b. An afternoon session

  1. Online (pre-course lectures, asynchronous learning)

Six brief pre-course lectures will give you the crucial concepts on Non-Invasive Respiratory Support. They can be accessed before the on-site pre-course whenever you want (asynchronous learning)

  1. Hands-on, during the Congress 2a (morning)

These are training sessions on 4 O2 devices/ventilators stations. All participants rotate to bring you cuting edge information on all Non-Invasive respiratory support, pros and cons, caveats, with a focus on most common cases and a specific session on COVID19 pneumonia management.

For each indication, a hands on session will be run on a different O2 devices, CPAP systems and ventilators stations with cognitive simulation of clinical scenarios.

2b. Hands-on, during the Congress (afternoon)

These are training sessions on 4 O2 devices/ventilators stations. All participants will be involved to take part in case simulation and clinical decision making on all Non-Invasive respiratory support, pros and cons, caveats, with a focus on most common cases and 2 specific sessions on COVID19.

Schedule

Wednesday 27 October

PC 4: Disaster Medicine

Course Directors

  • Massimo Azzaretto (Italy)
  • Luca Ragazzoni (Italy)
  • Eric Weinstein (USA)

Faculty

  • Francesco Della Corte
  • Jeffrey Franc
  • Sofie Pauwels
  • Eric Weinstein
  • Evert Verhoeven
  • Matteo Paganini

Participants

The course is designed for 30 participants.

Required materials

Participants should each bring their own laptop.

Course description 

Participants from various backgrounds and experience in mass casualty incident planning and response will collaborate similar to the constituents involved in the creation of an actual mass casualty incident response plan.  The class will be divided into three committees to work together and collectively to produce a hazard vulnerability analysis, resource analysis and a mass casualty incident plan of a fictional country. Participants will receive lessons from experts, breakout sessions to guide each of the committees to work towards completion of their assignments, and a computer simulation to exercise their plan.

Learning objectives

1. To identify and gather relevant constituents to research, create and implement a mass casualty incident response plan for a government or non-government organization.

2. To research, adapt and complete an appropriate hazard vulnerability analysis of risks facing a government or non-government organization.

3. To research necessary staff, stuff and structures already possessed by response agencies and to learn how to acquire or contract the remaining staff, stuff and structures to meet the demand of a mass casualty incident.

4. To collaborate with relevant constituents to research, create and implement effective and efficient exercises that stress the mass casualty incident response plan with critical review to then implement appropriate process and system improvement.

Schedule

Saturday 12 October

09:00-09:15 Intro to Riceland Game  L. Ragazzoni
09:15-09:45

Health Authority

E. Weinstein
09:45-10:15 Risk Assessment and Risk Management M.Paganini
10:15-10:45

Resource Analysis and Logistics

M. Azzaretto
11:00-11:30 Coffee Break  
11:30-12:00 Surge Capacity and Crisis Standard of Care F. Della Corte
12:00-12:30 ICS/HICS J. Franc
12:30-13:00 MCI Plan L. Ragazzoni
13:00-14:00 Lunch  
14:00-14:15 Explanation interactive map M.Paganini
14:15-14:30 Explanation Committee format E. Weinstein, M. Azzaretto
14:30-15:00

Breakout Committee establish structure 

All instructors
15:00-16:30 Committees start work All instructors
16:30-17:00 Break  
17:00-17:30

Each Committee presents preliminary work

All instructors
17:30-18:00 Committees continue work All instructors

Sunday 13 October

08:30-12:30

ISEE Simulation

Sofie Pauwels, Evert Verhoeven

12:30-13:00 Final thoughts and wrap up L. Ragazzoni, M. Azzaretto, E. Weinstein