Medical Tourism - The Role of Intervals inCardiovascular Cancer

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1 Acute Decompensated Heart Failure: Time Critical Interventions MO-51 / 1 Hour Faculty: Matthew Strehlow, MD, FACEP Monday, 10/26/2015 / 3:30 PM - 4:20 PM The treatment of congestive heart failure (CHF) has remained relatively static for years. Not anymore! Utilization of cardiac biomarkers assists in both the diagnosis and treatment of CHF. The presenter will focus on cutting-edge therapies for decompensated CHF such as controversial nesiritide, high-dose nitroglycerin, ACE inhibitors, and noninvasive ventilation. Using aggressive management protocols not only reduces morbidity and mortality in the short-term but long-term in the form of reduced re-admission rates. Advanced Electrocardiography Part I: Myocardial Ischemia and Its Mimics WE-203 / 2 Hour Wednesday, 10/28/2015 / 8:00 AM - 9:50 AM One of the first priorities in ECG analysis is to look for patterns of injury. Myocardial ischemia can be subtle on an ECG and can be mimicked by several pathological processes. The speaker will focus on a diagnostic approach to the recognition of myocardial ischemia. Differentiation from other diseases and normal variants also will be reviewed. By the time you are finished, you won t be fooled by mimickers of ischemia, and recognition of acute coronary syndromes on ECG will be second nature. Advanced Electrocardiography Part II: Dysrhythmias and Syncope WE-251 / 2 Hour Wednesday, 10/28/2015 / 12:30 PM - 2:20 PM The ECG is an essential tool not only for arrhythmia detection and analysis but can also risk stratify for disorders like syncope. Having the tools to diagnose a dysrhythmia is essential for the emergency physician with implications of not only treatment but disposition as well. Using a case-based approach, the speaker will review advanced dysrhythmia analysis. Advanced Recognition and Treatment of Tachycardias WE-243 / 1 Hour Faculty: David F. M. Brown, MD, FACEP Wednesday, 10/28/2015 / 12:30 PM - 1:20 PM Through an interactive session of clinical cases and ECGs, the speaker will review identification, management, and disposition of patients with atrial and ventricular tachycardias. Particular emphasis will be placed on accepted management modalities and comments will be made on therapeutic controversies. Aortic Dissection: Are You Missing This Diagnosis? WE-269 / 0.5 Hour Faculty: George C. Willis, MD, FACEP Wednesday, 10/28/2015 / 2:00 PM - 2:25 PM Thoracic aortic dissection is an uncommon but extremely lethal condition that emergency physicians should be keenly aware of. Aortic dissection has a high mortality rate, and is commonly missed for a number of reasons. This presentation will highlight why the diagnosis is missed and what emergency physicians can do to decrease their miss rates.

2 Atrial Fibrillation Update 2015: Don t Miss a Beat TU-112 / 0.5 Hour Faculty: Corey M. Slovis, MD, FACEP Tuesday, 10/27/2015 / 9:30 AM - 9:55 AM Atrial fibrillation is the most common arrhythmia seen in emergency department patients. Several important clinical issues arise when discussing this important arrhythmia. First, is rate control superior to rhythm control? When and should patients with atrial fibrillation be cardioverted? What is the best rate control agent in clinical practice? When should patients be anticoagulated? Can patients receive cardioversion and then be discharged home? These questions and more will be discussed by the speaker who will review the pertinent findings of the 2014 Atrial Fibrillation Guidelines from the American College of Cardiology (ACC). Broken Hearts: The LVAD Patient! TU-80 / 0.5 Hour Faculty: Matthew Strehlow, MD, FACEP Tuesday, 10/27/2015 / 8:00 AM - 8:25 AM End-stage congestive heart failure and other severe cardiac conditions are increasingly being treated with the use of left ventricular assist devices (LVAD). Patients with complications related to these devices will obviously seek medical attention in the emergency department, so it is crucial for emergency physicians to be aware of the complications associated with LVAD use. Armed with some basic, yet very important information, the EP will be in a position to provide cutting edge care to our most complicated cardiac patients. Cardiac CTA: Useful Tool Or Useless Stool TU-191 / 0.5 Hour Faculty: Benjamin J. Lawner, DO, MS, EMT-P, FACEP Tuesday, 10/27/2015 / 5:00 PM - 5:30 PM Evaluation of chest pain patients is commonplace in emergency departments. A key issue for emergency physicians relates to the disposition of the lower risk chest pain patient. CT coronary angiography has been touted as a diagnostic strategy to help risk stratify patients who present to the ED with chest pain. What chest pain patients, if any, should get a coronary CT scan? Is it cost effective to perform this study on ED chest pain patients? What types of findings predict good outcomes? What dose of radiation is imparted with CT coronary angiography? Should we even be ordering this test in the emergency department? Chest Pain in the ED: Is One Troponin Enough? WE-210 / 0.5 Hour Faculty: David H. Newman, MD, FACEP Wednesday, 10/28/2015 / 8:30 AM - 8:55 AM Chest pain is a constant challenge for emergency physicians, and the literature on how best to handle potential coronary chest pain patients continues to emerge. Unfortunately, guidelines have failed us, while the pressure to find safe, efficient solutions to the problem is mounting. During this course the speaker will review the most recent literature on the topic, and we will generate a portable, reasonable, safe approach to chest pain that can be individualized to patients and settings. Familiarity with the emerging literature and the most current risk data is the best way to ensure that your patients benefit. The speaker will review a strategy for utilizing troponin and provocative testing in the emergency department.

3 Code Talkers: A Point-Counterpoint Dialogue of Cardiac Arrest Management and What They Don t Teach in ACLS MO-52 / 1 Hour Faculty: Jeffrey Tabas, MD, FACEP (Moderator); William Brady, MD; Sean Kivlehan, MD Monday, 10/26/2015 / 3:30 PM - 4:20 PM Confusion about cardiac arrest management and recent recommendations? Are there different interpretations of the guidelines and approaches to cardiac arrest care? This course is a friendly (and possibly not so friendly), high-level, dialogue of the major management strategies in the patient with cardiac arrest in the ED. The various issues discussed will include the importance of chest compressions and what CPR technique to employ, early defibrillation, airway management (when and if it is needed), the use of cardioactive (the code drugs ) medications, early post-resuscitative care, and factors influencing the decision to terminate resuscitative efforts. Cruising the Literature: Cardiology 2015 TU-152 / 1 Hour Faculty: Corey M. Slovis, MD, FACEP Tuesday, 10/27/2015 / 1:30 PM - 2:20 PM Medical journals abound with cardiology articles, and numerous multi-center trials have recently been published. New drugs are being introduced, existing medications have changing indications, and diagnostic and management strategies are being evaluated. Which of these articles should you integrate into your practice? The speaker will review the most important cardiology articles from the past year s literature that will directly impact your patients. ED ECMO: The Future is Now! TU-100 / 0.5 Hour Faculty: Haney Mallemat, MD Tuesday, 10/27/2015 / 9:00 AM - 9:25 AM Despite recent advances in CPR and therapeutic hypothermia, return of spontaneous circulation (ROSC) with a good neurologic outcome is a relatively uncommon event. What then, can emergency and critical care physicians do to save a patient from cardiac arrest? Select centers in the US and other countries have instituted emergency department ECMO, or ecpr, for patients with cardiac arrest refractory to usual measures. The speaker will take you on a journey of ED ECMO and describe how this may very well be the resuscitative tool we have been looking for to bring patients back from the brink of death. From Paper to Patient: Recent Advances in Emergency Electrocardiography That Will Save a Life TH-307 / 1 Hour Thursday, 10/29/2015 / 8:00 AM - 8:50 AM Tremendous advances have been made in the field of electrocardiography in the past several years. We are now able to detect subtleties that may literally mean either detection of disease and/or changing management that can save lives. Join this expert in finding and utilizing electrocardiographic pearls buried in years of bench studies. Once you have finished this review, you will not only have skills in new and improved methods of ECG analysis, but you will have the literature to back you up.

4 Hypertensive Emergencies: Drugs, Drips, and Drops WE-257 / 0.5 Hour Faculty: Michael E. Winters, MD, FACEP Wednesday, 10/28/2015 / 1:00 PM - 1:25 PM Hypertension is an extremely common condition that is treated by emergency physicians on a daily basis. Several hypertensive emergencies necessitate the use of antihypertensive drip medications. The speaker will highlight common hypertensive emergencies and what antihypertensive drip medications to use. Useful pearls and pitfalls when dealing with the hypertensive patient will also be discussed. Pacemakers and AICDs: Shock Through the Heart - You Give the Node a Bad Name MO-75 / 1 Hour Monday, 10/26/2015 / 4:30 PM - 5:30 PM The expanding use of technology for acute and chronic electrical therapy of dysrhythmias is complex. Emergency physicians must have an understanding of the various devices that utilize electrical therapy for either rate-related control or cardioversion/defibrillation for malignant dysrhythmias. Using a case-based approach, the presenter will review the identification and management of normal and abnormal function of implantable electronic devices. Severe, Asymptomatic Hypertension in the ED: Don t Just Do Something, Stand There! TH-302 / 0.5 Hour Faculty: Philip H. Shayne, MD, FACEP Thursday, 10/29/2015 / 8:00 AM - 8:25 AM How many times a day do we see an elevated blood pressure recorded on a patient s chart? When should you treat it, and when should you refer the patient for follow-up? Should a patient be started on antihypertensive medications or a new one added to the regimen? Based on the latest literature, the speaker will discuss the spectrum of hypertensive disease, particularly asymptomatic hypertension, and its ED evaluation and treatment. Syncope with a Lethal Twist WE-235 / 1 Hour Faculty: Benjamin J. Lawner, DO, MS, EMT-P, FACEP Wednesday, 10/28/2015 / 10:00 AM - 10:50 AM Life-threatening conditions can present as fainting or syncope in children and young adults. Patients often present to the ED with no complaints after a syncopal episode. If not identified appropriately, these conditions can result in morbidity and death. Using a case-based approach, the speaker will discuss how to identify these rare but important syndromes including Brugada syndrome, subarachnoid hemorrhage, subaortic stenosis, long QT syndrome, congenital heart disease, pulmonary embolus, and aortic dissection. Therapy for Non-ST Elevation ACS: Update 2015 TU-182 / 0.5 Hour Tuesday, 10/27/2015 / 4:30 PM - 4:55 PM A number of established and new therapies exist in the management of patients with non-st elevation myocardial infarction and unstable angina. Every year, however, these therapies are updated or changed completely. The speaker will review the most recent literature on risk stratification and treatment of NSTEMI. Therapies, such as heparin, nitrates, antiplatelet agents, antithrombins, and percutaneous coronary interventions will be reviewed, using the latest literature and guidelines.

5 Therapy STEMI: Update 2015 TU-192 / 0.5 Hour Tuesday, 10/27/2015 / 5:00 PM - 5:30 PM Outcomes in patients with ST elevation myocardial infarction (STEMI) have improved significantly over the past decade. Each year new therapies are developed and existing therapies modified to improve outcome in these patients. The speaker will review the support for the use of therapies specific to STEMI, such as reperfusion strategies, antiplatelet agents, anticoagulation medications, and antithrombin therapies. Transvenous Pacemaker Lab TU-94; TU-143; TU-175 / 2 Hour Faculty: William Brady, MD; Jeffrey Tabas, MD, FACEP; Ernest E. Wang, MD, FACEP Tuesday, 10/27/2015 / 8:00 AM - 9:50 AM; 12:30 PM - 2:20 PM; 3:30 PM - 5:30 PM Patients with unstable bradycardias frequently require insertion of a transvenous pacemaker as part of their initial ED resuscitation. Although this is a relatively common procedure in the hospital setting, it isn t done all that often in the emergency department. The procedure for insertion of a transvenous pacemaker is straightforward, but creates quite a bit of anxiety for providers who haven t inserted one in a while. This lab will teach you the steps of pacemaker insertion and what to do once it has been placed. Participants completing this workshop will gain confidence in taking care of this group of critically ill patients. (This Lab is limited to 25 participants.) What Does a Negative Cardiac Workup Mean Anyway? TH-356 / 1 Hour Faculty: Trevor J. Lewis, MD, FACEP Thursday, 10/29/2015 / 12:00 PM - 1:00 PM Chest pain is a frequent emergency department presentation, and many of these patients have recently undergone some form of prior stress testing or even cardiac catheterization. Utilizing cardiac testing results can be challenging. Does a recent normal stress test mean that a chest pain patient doesn t need an ED workup and admission? Does a negative or normal cardiac catheterization mean there are no vulnerable plaques present that put the patient at risk for ACS? How does the cardiac CT angiogram (CCTA) factor into this picture?

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