5 th. 13/17 OCTOBER 2014 Rome, Scuola Superiore di Polizia UNDER THE HIGH PATRONAGE OF THE PRESIDENT OF THE ITALIAN REPUBLIC

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1 UNDER THE HIGH PATRONAGE OF THE PRESIDENT OF THE ITALIAN REPUBLIC 13/17 OCTOBER 2014 Rome, Scuola Superiore di Polizia WITH A N UN R ES T R IC T ED EDUCATI ONA L GRANT OF: 5 th I TA L I A N G R E AT N E T WO R K C O N G R E S S Fo c u s o n i n n ova t i o n s a n d t ra n s l a t i o n a l re s e a rc h i n E m e rg e n c y M e d i c i n e WITH THE PATRONAGE OF 13th October - ID FACULTY OF MEDICINE AND PSYCHOLOGY Segretariato Sociale

2 WELCOME LETTER Dear All, The 5 th ITALIAN GREAT NETWORK CONGRESS Focus on innovations and translational research in Emergency Medicine will be held in Rome from 13 th to 17 th October 2014, again in the beautiful Police Academy (Scuola Superiore di Polizia). During last 2013 edition, the outstanding speakers coming from all over the world and the innovative scientific topics attracted 700 attenders with a 60% increase from the previous year. 77 posters were presented (90% more than in 2012), 4 of which were awarded with a research grant, demonstrating the fast growing interest that the event developed within young Researchers. Morevover, 18 papers were published as congress proceedings in international impacted journals. Even for the 2014 edition, the watchwords are Innovation, Research, and Network: 200 outstanding experts from the 40 GREAT Network countries will debate on the newest issues and solutions in critical care. We will also have an opening joint sessions with experts of Emergency Medicine, Psychology and Prevention&Security, debating on a very current worldwide issue: Drugs and alcohol in young people. Moreover during the congress, we will make a one year later update on Violence on Women. VENUE Scuola Superiore di Polizia Via Pier della Francesca, Rome - Italy SCIENTIFIC SECRETARIAT GREAT Italy Via Antonio Serra, Roma - Italy info@greatnetwork.org Web: ORGANISING SECRETARIAT AIM Group International Rome Office Via Flaminia, Rome - Italy Phone: Fax: great2014.rome@aimgroup.eu PROVIDER E.C.M. AIM Education Via G. Ripamonti, Milano Tel Fax cme@aimgroup.eu For those who do not know us, the GREAT is an Academic Research Organization, operating as an International Network between experts in the management of acute diseases. The GREAT Network also aims at standardizing the clinical and organizational approach in acute conditions management, developing the globalization of health care. The main objective of our team is to let the researchers networking with the concept of Translational Medicine. It integrates basic and clinical research inputs to optimize both patient and preventive care. In this attempt this year again, a particular attention will be dedicated to cardiovascular acute conditions and biomarkers utility in the Emergency Room. Moreover we will have a special focus on innovation in education and research in Emergency Medicine. Every day there will be multidisciplinary sessions where the best international experts from different backgrounds (Emergency physicians, cardiologists, intensivists, clinical biochemists, radiologists, neurologists, nephrologists, gastroenterologists, surgeons, orthopaedists, pediatricians, lung specialists, basic researchers, nurses, engineers, patients, etc.) will work together. We will also host this yearthe first national meeting of AISC (Associazione Italiana Scompensati Cardiaci - Italian Heart Failure Patients Association), dedicated to heart failure patients, where we will share with patients important information on health care and life style, in order to help them to improve their quality of life. As for past editions, again a large space will be given to the contributions of young researchers, also in dedicated Fellows on stage and poster sessions, with the possibility to obtain research grants and publication of contributions, and to present research proposals in order to start new international multicenter trials under the umbrella of the great network. During the GREAT Gala evening on October 16th, we will have the Award Ceremony for the best fellows and researchers, plus music and folks for all of you to sing, play and enjoy! On behalf of the GREAT Network I invite you all to participate in the 5th ITALIAN GREAT NETWORK CONGRESS and to enjoy the beauties of Rome. Prof. Salvatore Di Somma GREAT Network President GREAT Italy President 1

3 GREAT NETWORK IN THE WORLD 2 GREAT NETWORK IN THE WORLD Argentina Netherlands Austria New Zealand Australia Norway Belgium P.R. of China Belarus Poland Brazil Portugal Czech Rep. Rep. of Serbia Denmark Romania Egypt Russia Finland Singapore France South Africa Germany South Korea India Spain Ireland Sweden Italy Switzerland Japan Tunisia Kenya Turkey Lebanon UK Lithuania USA Luxembourg Uzbekistan 3

4 GREAT NETWORK OPERATING IN ITALY GREAT NETWORK ON THE WEB From January 2013, a brand new GREAT Network website is online: Through this new website, information sharing between all GREAT members will be much easier. It has a public area with general information on the GREAT Network activities, while registered Members can have access to some important information (like meeting documents or ongoing researches) just logging in the website, and receive the GREAT Newsletter with updates on the Network activities and scientific news. Also, registered Members have the possibility to write articles on their research activities directly through the website, that will be subject to the approval of the Scientific Board before publication on the website. If there is something you wish to propose for publication on the website (links, documents, pictures, etc.), just please send it via to info@greatnetwork.org The GREAT Network is also on Twitter now, please follow us: GREAT_Network so that you can receive updates there also! If you wish to suggest your colleagues to register to the GREAT Network, you can tell them to visit the website and fill in the registration request here: Waiting for you online! Alessandria Fidenza Novara Siena Altamura Florence Padoa Siracusa Bari Genoa Palermo Turin Bologna L Aquila Parma Trieste Brescia Lodi Pavia Udine Cagliari Milan Perugia Varese Catania Modena and Pisa Verona Chioggia Reggio Emilia Rome Venice Cuneo Naples Sassari Vibo Valentia 4 5

5 PATRONAGES GREAT REPRESENTATIVES President of the GREAT Congress Salvatore Di Somma With the patronage of: GREAT Executive Committee Salvatore Di Somma President Christian Mueller Vice President Alexandre Mebazaa Past President Croce Rossa Italiana Congress Italian Track Scientific Board Vincenzo Ziparo - Honorary President Giovanni Antonini Gianni Biolo Enzo Calabria Patrizia Cardelli Mario Cavazza Gianfranco Cervellin Chiara De Dominicis Nicola De Luca Angela Emanuele Pietro Lentini Maria Teresa Letta Giuseppe Lippi Riccardo Maurizi Enrici Paolo Moscatelli Giovanni Ricevuti Roberto Sgalla Marco Tubaro Angelo Vacca Cristiano Violani Congress International Track Scientific Board Salvatore Di Somma - President Christian Mueller - Vice President Alexandre Mebazaa - Past President Paola Antonini David Brenner Héctor Bueno Anna Maria Giannini Veli-Pekka Harjola Mina Hur Alan S. Jaffe Amin Antoine Kazzi Jacek Kubica Philip Levy Clifford Mann Alan Maisel Alfonso Martin Martinez Josep Masip Marco Metra Prabath Nanayakkara Richard Nowak Youry Ostrovsky Frank Peacock Petar Seferovic Jindrich Spinar Andrea Stella 6 GREAT Italy Committee Enrico Ferri Angelo Ianni Laura Magrini Rossella Marino Ornella Piras Francesco Travaglino 7

6 FACULTY FACULTY Sofia Abbolito (Rome, ITALY) Giancarlo Agnelli (Perugia, ITALY) Piergiuseppe Agostoni (Milan, ITALY) Gianfrancesco Alberto (Turin, ITALY) Gloria Angeletti (Rome, ITALY) Gerardo Ansalone (Rome, ITALY) Giovanni Antonini (Rome, ITALY) Paola Antonini (Philadelphia, USA) Foad Aodi (Rome, ITALY) Giuseppe Argento (Rome, ITALY) Nadia Aspromonte (Rome, ITALY) Giancarlo Avanzi (Novara, ITALY) Sergey Bagnenko (Saint Petersburg, RUSSIA) Mindaugas Balciunas (Vilnius, LITHUANIA) Genoveffa Balducci (Rome, ITALY) Paola Ballarino (Genoa, ITALY) Mario Balzanelli (Taranto, ITALY) Cynthia Bascara (New Jersey, USA) Antoni Bayes-Genis (Barcelona, SPAIN) Cecilia Berardi (Rome, ITALY) Daniela Berritto (Naples, ITALY) Giuliano Bertazzoni (Rome, ITALY) Karsten Bettels (Nienburg, GERMANY) Gianni Biolo (Trieste, ITALY) Mariacarla Bocchino (Rome, ITALY) Diane Borkowski (Middletown, VA, USA) Alessandro Bozzao (Rome, ITALY) David Brenner (San Diego, USA) Guglielmo Bruno (Rome, ITALY) Héctor Bueno (Madrid, SPAIN) Marco Buggi (Rome, ITALY) Francesco Burrai (Bologna, ITALY) Lucio Cagini (Perugia, ITALY) Enzo Calabria (Rome, ITALY) Leonardo Calo (Rome, ITALY) Patrizia Cardelli (Rome, ITALY) Emanuele Casciani (Rome, ITALY) Luigi Cattin (Trieste, ITALY) Mario Cavazza (Bologna, ITALY) Gianfranco Cervellin (Parma, ITALY) Domenico Cianflone (Milan, ITALY) Massimo Cicchinelli (Rome, ITALY) Massimiliano Corsino (Rome, ITALY) Paolo Cremonesi (Genoa, ITALY) Flavia Cristofano (Rome, ITALY) Raffaele D Amelio (Rome, ITALY) Carmelo D Arrigo (Rome, ITALY) Benedetta De Berardinis (Rome, ITALY) Roberto De Blasi (Rome, ITALY) Rudolf A. De Boer (Groningen, THE NETHERLANDS) Raffaele De Caterina (Chieti, ITALY) Chiara De Dominicis (Rome, ITALY) Nicola De Luca (Naples, ITALY) Gianfranco Delle Fave (Rome, ITALY) Giovambattista Desideri (L Aquila, ITALY) Salvatore Di Somma (Rome, ITALY) Alessandro Donati (Rome, ITALY) Angela Emanuele (Rome, ITALY) Mauro Facondo (Rome, ITALY) Giuseppe Familiari (Rome, ITALY) Mauro Feola (Cuneo, ITALY) Nicola Ferrara (Naples, ITALY) Nicola Fiotti (Trieste, ITALY) Christian Folli (Milan, ITALY) Hanna Kim Gaggin (Boston, USA) Alfonso Galati (Rome, ITALY) Michele Galluzzo (Rome, ITALY) Marcello Galvani (Forli, ITALY) Eugenio Gaudio (Rome, ITALY) Stefano Geniere Nigra (Pavia, ITALY) Cristina Giannattasio (Milan, ITALY) Anna Maria Giannini (Rome, ITALY) Mauro Giordano (Naples, ITALY) Paolo Girardi (Rome, ITALY) Nicola Glorioso (Sassari, ITALY) Danielle Gualandro (São Paulo, BRAZIL) Gianfranco Gualdi (Rome, ITALY) Maria Domenica Guarino (Rome, ITALY) Emanuele Guglielmelli (Rome, ITALY) David Guss (San Diego, USA) Veli Pekka Harjola (Helsinki, FINLAND) Oliver Hartmann (Hennigsdorf, GERMANY) Nick Hartshorne-Evans (Hapton, UK) Eveline Hitti (Beirut, LEBANON) Mina Hur (Seoul, SOUTH KOREA) Francesca Iacobellis (Naples, ITALY) Massimo Iacoviello (Bari, ITALY) Stefania Ianniello (Rome, ITALY) Manuela Impellizzeri (Rome, ITALY) Allan S. Jaffe (Rochester MN, USA) Steen Juul-Möller (Malmö, SWEDEN) Antoine Amin Kazzi (Beirut, LEBANON) Till Keller (Frankfurt, GERMANY) James Kisia (Nairobi, KENYA) Mark H.H. Kramer (Amsterdam, THE NETHERLANDS) Jacek Kubica (Bydgoszcz, POLAND) Alena Kurliankaya (Minsk, BELARUS) Irene Lalle (Rome, ITALY) Pietro Lentini (Rome, ITALY) Maria Teresa Letta (Rome, ITALY) Philip Levy (Detroit, USA) Giuseppe Lippi (Parma, ITALY) Enrico Lupia (Turin, ITALY) Massimo Magnanti (Rome, ITALY) Laura Magrini (Rome, ITALY) Andrea B. Maier (Amsterdam, THE NETHERLANDS) Alan Maisel (San Diego, USA) Dario Manfellotto (Rome, ITALY) Clifford Mann (London, UK) Giorgio Stefano Manzi (Rome, ITALY) Niccolò Marchionni (Florence, ITALY) Massimo Marignani (Rome, ITALY) Rossella Marino (Rome, ITALY) Salvatore Mariotta (Rome, ITALY) Matteo Marti (Ferrara, ITALY) Alfonso Martín Martínez (Madrid, SPAIN) Josep Masip (Barcellona, SPAIN) Riccardo Maurizi Enrici (Rome, ITALY) Alexandre Mebazaa (Paris, FRANCE) Paolo Mene (Rome, ITALY) Maria Merelli (Rome, ITALY) Marco Metra (Brescia, ITALY) Vittorio Miele (Rome, ITALY) Davor Miličic (Zagreb, CROATIA) Claudio Modini (Rome, ITALY) Paolo Moscatelli (Genoa, ITALY) Cristian Mueller (Basilea, SWITZERLAND) Maria Lorenza Muiesan (Brescia, ITALY) Terrence Mulligan (Maryland, USA) Mario Muto (Naples, ITALY) Prabath Nanayakkara (Amsterdam, THE NETHERLANDS) Vincenzo Natale (Reggio Calabria, ITALY) Eliano Pio Navarese (Bydgoszcz, ROMANIA) Alexandru Nechita (Bucarest, ROMANIA) Leong L. Ng (Leicester, UK) Claire Nicholl (Cambridge, UK) Richard Nowak (Detroit, USA) Francesca Orsini (Rome, ITALY) Francesco Orzi (Rome, ITALY) Youry Ostrovsky (Minsk, BELARUS) Giuseppe Pagano (Rome, ITALY) Adolfo Pagnanelli (Rome, ITALY) Kamran Paknegad Sahneh (Rome, ITALY) Lorenzo Paladino (New York, USA) Domingo A. Pascual-Figal (Murcia, SPAIN) Antonio Pavan (Rome, ITALY) Frank W. Peacock (Houston, TX, USA) Antonio Piccoli (Padua, ITALY) Giandomenico Protospataro (Rome, ITALY) Francesco Rocco Pugliese (Rome, ITALY) Giuseppe Pugliese (Rome, ITALY) Giovanni Pulignano (Rome, ITALY) Maurizia Rasura (Rome, ITALY) Giovanni Ricevuti (Pavia, ITALY) Francesco Rocca (Rome, ITALY) Luigia Romano (Naples, ITALY) Michele Rossi (Rome, ITALY) Philippe Rouet (Toulouse, FRANCE) Veronica Russo (Rome, ITALY) Adriano Salvati (Rome, ITALY) Simona Santarelli (Rome, ITALY) Iolanda Santino (Rome, ITALY) Mariano Scaglione (Castel Volturno, ITALY) Mauro Scenna (Rome, ITALY) Patrizio Schinco (Turin, ITALY) Georg Schroeckenfuchs (Origgio, ITALY) Julia Searle (Berlin, GERMANY) Leonardo Sechi (Udine, ITALY) Petar M. Seferovic (Belgrade, SERBIA) Jelena Seferovic (Belgrade, SERBIA) Roberto Sgalla (Rome, ITALY) Cinzia Sighieri (Rome, ITALY) Riccardo Sinatra (Rome, ITALY) Jindrich Spinar (Brno, CZECH REPUBLIC) Lenka Spinarova (Brno, CZECH REPUBLIC) Franco Stagnitti (Rome, ITALY) Andrea Stella (Monza, ITALY) Joachim Struck (Hennigsdorf, GERMANY) Robert Suter (Dallas, TX, USA) David Tarasi (Rome, ITALY) Peter Thompson (Rockhampton, AUSTRALIA) Mara Torrisi (Rome, ITALY) Guido Trasimeni (Rome, ITALY) Francesco Travaglino (Rome, ITALY) Massimo Triggiani (Salerno, ITALY) Stefano Trinchi (Rome, ITALY) Romeno Tripodi (Rome, ITALY) Marco Tubaro (Rome, ITALY) Angelo Vacca (Bari, ITALY) Nico van der Lely (Deft, THE NETHERLANDS) Louella Vaughan (London, UK) Giorgio Vescovo (Vicenza, ITALY) Cristiano Violani (Rome, ITALY) Lodovico Visone (Acciaroli, ITALY) Oberdan Vitali (Rome, ITALY) Tommaso Diego Voci (Turin, ITALY) Massimo Volpe (Rome, ITALY) Hyun Suk Yang (Seoul, SOUTH KOREA) Mehmet Birhan Yilmaz (Sivas, TURKEY) Vincenzo Ziparo (Rome, ITALY) 8 9

7 CONGRESS VENUE CONGRESS VENUE General Congress Venue Plan Palazzina Trevi - Ground Floor PALAZZINA STUDI / CONFERENCE HALLS PARTICIPANTS AND FACULTY REGISTRATION 2 FLOOR - AULA 205 EXHIBITION AREA LUNCH AREA VIA GUIDO RENI 1 FLOOR - AULA CALIPARI GROUND FLOOR - CENTRAL COURTYARD PALAZZINA DIREZIONE POSTERS AREA PEDESTRIAN ENTRY - VIA PIER DELLA FRANCESCA 3 FACULTY PARKING AREA PALAZZINA TREVI GROUND FLOOR REGISTRATION,EXHIBITION AND LUNCH AREA 2 FLOOR AULA DE GASPERI PARKING ENTRY - VIALE VIGNOLA 60 DA FORLÌ PIAZZA MELOZZO ENTRANCE Palazzina Trevi - Second Floor TO THE UPPER FLOORS AULA DE GASPERI 10 11

8 CONGRESS VENUE CONGRESS VENUE Palazzina Direzione Palazzina Studi / Conference Hall - First Floor PALAZZINA TREVI / EXHIBITION AND REGISTRATION AREA POSTERS AREA POSTERS AREA TO THE UPPER FLOORS AULA CALIPARI ENTRANCE PEDESTRIAN ENTRY Palazzina Studi / Conference Hall - Ground Floor Palazzina Studi / Conference Hall - Second Floor FLOOR ENTRANCE TO THE UPPER FLOORS CONFERENCE HALL SLIDE CENTRE AULA 205 ENTRANCE 12 13

9 TIMETABLE TIMETABLE OCTOBER 13, 2014 PALAZZINA TREVI AULA DE GASPERI PALAZZINA DIREZIONE 8:00 a.m. REGISTRATION 8:45 a.m. - 10:00 a.m. 10:00 a.m. - 12:00 p.m. 12:00 p.m. - 1:30 p.m. 1:30 p.m. - 2:30 p.m. LUNCH 2:30 p.m. - 4:30 p.m. MEDICAL EMERGENCY BETWEEN HOSPITAL AND TERRITORIAL HEALH CARE: ORGANIZATIONAL ISSUES (page 19) MEDICAL EMERGENCY BETWEEN HOSPITAL AND TERRITORIAL HEALTH CARE: THERAPEUTICAL ISSUES (page 20) CARDIOVASCULAR EMERGENCIES BETWEEN CARDIOLOGISTS AND EMERGENCY PHYSICIANS (page 22) CARDIOVASCULAR EMERGENCIES BETWEEN CARDIOLOGISTS AND EMERGENCY PHYSICIANS ALSO REFERRING TO MULTICULTURAL ISSUES (page 23) 4:30 p.m. - 5:00 p.m. Conclusion CME test 5:00 p.m. - 7:30 p.m. HEART FAILURE FROM THE IN-HOSPITAL PHASE TO EVERYDAY LIFE: IT IS ESSENTIAL THAT THE PATIENT IS MORE INFORMED (page 42) 1:30 p.m p.m. POSTER SESSION OCTOBER 14, 2014 PALAZZINA TREVI AULA CALIPARI PALAZZINA DIREZIONE 10:00 a.m. REGISTRATION 10:30 a.m. - 1:00 p.m. ROUND TABLE: INNOVATIVE APPROACH TO TRAUMATIC PATIENTS IN THE EMERGENCY DEPARTMENT FOR MAXI EMERGENCIES, CATASTROPHES AND CBRN MANAGEMENT (page 44) 1:00 p.m. - 2:30 p.m. LUNCH 2:30 p.m. - 3:30 p.m. DRUGS AND ALCOHOL IN YOUNG PEOPLE: NETWORK AMONG EMERGENCY DEPARTMENT, PSYCHOLOGICAL SUPPORT AND OPERATIONS (page 44) 3:30 p.m. - 4:30 p.m. INSIDE THE EMERGENCY ROOM (page 45) 4:30 p.m. - 5:20 p.m. THE POLICE ROLE (page 46) 5:20 p.m. - 6:30 p.m. PSYCHOLOGICAL SUPPORT (page 47) 6:30 p.m. 5TH ITALIAN GREAT NETWORK CONGRESS OPENING CEREMONY 1:00 p.m p.m. POSTER SESSION OCTOBER 15, 2014 PALAZZINA TREVI AULA CALIPARI PALAZZINA DIREZIONE 8:00 a.m. REGISTRATION 8:30 a.m. - 10:45 a.m. HIGH SENSITIVE TROPONIN IN THE EMERGENCY ROOM: NO ROOM FOR MISTAKES (page 25) 10:45 a.m - 11:00 a.m BREAK 11:00 a.m. - 12:45 p.m. HOW TO ASSESS THE PROGNOSIS IN THE EMERGENCY ROOM: A NOVEL BIOMARKER ST2 (page 26) 12:45 p.m. - 2:30 p.m. LUNCH 2:30 p.m. - 4:30 p.m. NEW PERSPECTIVES IN CHEST PAIN MANAGEMENT, USING COPEPTIN TO OPTIMIZE THE MANAGEMENT OF PATIENTS IN EMERGENCY (page 27) 4:30 p.m. - 4:55 p.m. Lectio Magistralis Non-Invasive Ventilation (page 27) 4:55 p.m. - 6:45 p.m. FELLOWS ON STAGE (page 49) IMAGING IN THE EMERGENCY ROOM: THE FUTURE IS NOW I session - CNS / II session - Thorax (page 28) IMAGING IN THE EMERGENCY ROOM: THE FUTURE IS NOW III session - Abdomen / IV session - Focus on trauma (page 29) Symposium - NOVEL BIOMARKERS FOR ACUTE DISEASES: EVENTUAL TARGETS FOR THERAPY (page 48) THE INNOVATIVE ROLE OF GALECTIN-3 BETWEEEN PREVENTIVE MEDICINE, DIABETES, HEART FAILURE AND TARGET FOR TREATMENT (page 30) a.m a.m. POSTER SESSION OCTOBER 16, 2014 PALAZZINA TREVI AULA CALIPARI PALAZZINA DIREZIONE 8:00 a.m. REGISTRATION 8:15 a.m. - 10:45 a.m. HEART FAILURE FROM PHYSYOPATHOLOGY TO PHARMACOLOGICAL INNOVATION: FROM THE ACUTE PHASE TO DISCHARGE TO FOLLOW UP (page 31) 10:45 a.m. - 12:45 p.m. HOW TO OPTIMIZE TIMING FOR APPROPRIATE TREATMENT IN PATIENTS WITH ACUTE CORONARY SYNDROME IN THE EMERGENCY ROOM (page 32) 12:45 p.m. - 1:10 p.m. Lectio Magistralis State of the art in cardiogenic shock: the GREAT CardShock Study (page 33) 1:10 p.m. - 2:10 p.m. LUNCH 2:10 p.m. - 2:35 p.m. Lectio Magistralis Telemedicine, means of Just in Time Staffing during periods of ED overcrowding (page 33) 2:45 p.m. - 7:00 p.m. 2:45 p.m. - 4:45 p.m. VIOLENCE ON WOMEN: THE NETWORK ONE YEAR LATER (page 51) 2:45 p.m. - 5:00 p.m. INNOVATION IN EDUCATION AND RESEARCH IN ACUTE MEDICINE (page 53) 5:00 p.m.- 7:00 p.m. INTERNATIONAL INNOVATIVE ACTIVITIES IN TEACHING AND RESEARCH (page 54) 1:10 p.m p.m. POSTER SESSION OCTOBER 17, 2014 PALAZZINA TREVI AULA CALIPARI AULA 205 8:00 a.m. REGISTRATION 8:15 a.m. - 10:30 a.m. END STAGE HEART FAILURE BETWEEN CARDIORENAL SYNDROME, HEART TRANSPLANTATION, INNOVATIVE DEVICE AND CACAEXIA (page 34) 10:30 a.m. - 1:30 p.m. ELDERLY PATIENTS IN THE EMERGENCY ROOM: BE PREPARED FOR A TSUNAMI OF OVER 75s IN THE NEXT YEARS (page 35) 1:30 p.m. - 2:30 p.m. LUNCH 2:30 p.m. - 4:30 p.m. MANAGEMENT OF INFECTIOUS DISEASES AND SEPSIS IN THE EMERGENCY DEPARTMENT: HOW TO AMELIORATE IT (page 36) 4:30 p.m. - 5:00 p.m. THE ART OF COMMUNICATION IN THE EMERGENCY ROOM (page 37) 5:00 p.m. - 5:15 p.m. CONGRESS CLOSING REMARK ECM ACCREDITATION NON ECM 10:30 a.m. - 11:30 a.m. WHAT IS NEW IN ANAPHYLAXIS IN THE EMERGENCY ROOM (page 38) 11:30 a.m. - 1:30 p.m. COMPLEX ARRHYTHMIAS IN THE EMERGENCY ROOM: BETWEEN STANDARDS OF CARE AND INNOVATIONS (page 39) EDUCATION AND RESEARCH IN EMERGENCY MEDICINE (page 40) MANAGEMENT OF TOTAL FLUID BODY CONTENT IN HEART FAILURE: THE BIOIMPEDANCE VECTOR ANALYSIS UTILITY (page 41) 14 15

10 SCIENTIFIC INFORMATION GENERAL INFORMATION Posters Session Posters are displayed in the posters area in Palazzina Direzione. POSTER PRESENTERS have to stand by their poster in order to discuss it with the Evaluating Committee and with the Congress delegates according to the following schedule: Monday October 13th from 1.30 p.m. to 2.30 p.m. Tuesday October 14th from 1.00 p.m. to 2.00 p.m. Wednesday October 15th from a.m. to a.m. Thursday October 16th from 1.10 p.m. to 2.10 p.m. The Evaluating Committee will analyze the posters during the above mentioned timing and the 10 BEST POSTERS will be awarded with a 250 grant. GUIDELINES FOR POSTER DISPLAY * Posters must be hanged on in the posters area from October 13th at 9.00 a.m. and removed from October 17th at 2.00 p.m. * Poster size must be: cm 90 width x cm 150 height. * All presentations, discussions and questions are expected to be in English. * Authors must strictly respect the above mentioned timing for hanging and removing posters. * Posters that have not been removed by the scheduled time will be removed by the Organising Secretariat and destroyed. * The Organising Secretariat is not responsible for the loss of a poster. We remind you that registration is compulsory in order to present a poster at the Congress. Italian CME Credits (for Italian participants only) ECM Educazione Continua in Medicina L evento è inserito nel Piano Formativo anno 2014 AIM Education - Provider n.93 ( ed è stato accreditato presso la Commissione Nazionale per la Formazione Continua con Obiettivo Formativo Documentazione clinica. Percorsi clinico-assistenziali diagnostici e riabilitativi, profili di assistenza - profili di cura per le seguenti figure professionali: Biologo, Tecnico sanitario di laboratorio biomedico, Tecnico sanitario di radiologia medica, Psicologo (Discipline: Psicoterapia; Psicologia) Medico chirurgo (tutte le discipline), Assistente sanitario, Infermiere pediatrico, Tecnico della fisiopatologia cardiocircolatoria e perfusione cardiovascolare, Chimico (Disciplina: Chimica analitica), Infermiere, Tecnico della riabilitazione psichiatrica, Tecnico di neurofisiopatologia. Il numero massimo di partecipanti è di 250. Oltre tale numero e per professioni/discipline differenti da quelle accreditate non sarà possibile rilasciare i crediti formativi. Si precisa che i crediti verranno erogati a fronte di una partecipazione del 100% ai lavori scientifici e del superamento della prova di apprendimento con almeno il 75% delle risposte corrette. L evento è stato accreditato come segue: 13 ottobre 2014 (ID ) n. crediti formativi ottenuti 3, ottobre 2014 (ID ) n. crediti formativi ottenuti 10 Il giorno 14 ottobre non è stato accreditato. Il questionario finale (TEST ECM) del giorno 13 ottobre sarà in lingua italiana. Il questionario finale (TEST ECM) dei giorni ottobre sarà in lingua inglese. Gli attestati ECM saranno inviati dopo il congresso. Potranno essere richiesti durante il congresso solo gli attestati di partecipazione. Congress Venue The Meeting will take place in Rome, at: Scuola Superiore di Polizia Via Pier della Francesca, Rome Italy. How to reach the venue From Termini Railway Station: Bus n. 910 direction MANCINI, after 20 stops get off at stop MELOZZO DA FORLI, take the first road on the right and you are on Via Pier della Francesca, 3 (100 meters from the bus stop). From Fiumicino Airport: Train to Termini Railway Station, then follow the above mentioned directions (bus n. 910). Parking Participants can easily park at the big parking in Piazza Antonio Mancini, just 7 mins walking distance from the Congress Venue (Fares: 0.5 per hour, 2:00 for 12 hours, 3:00 for 16 hours). Language The official language of the Congress is English - without simultaneous translation. Sessions on October 13th and 14th will be in Italian and English. Sessions on October 15th, 16th and 17th will be in English. La lingua ufficiale del Congresso è l inglese senza traduzione simultanea. Le sessioni del 13 ottobre e del 14 ottobre saranno in italiano e in inglese. Le sessioni del Ottobre saranno in inglese. Attendance Certificates Certificate of attendance will be issued on request to all registered participants at the end of the Congress. Hotel Reservation For information and /or reservation please contact the Official Housing Bureau: AIM Group International - Milan Office Via G. Ripamonti, Milan T F great2014.rome.hotel@aimgroup.eu 16 17

11 GENERAL INFORMATION PROGRAMME - Monday 13 th October 2014 ITALIAN TRACK Exhibition and Sponsorship A technical, pharmaceutical and publication exhibition will take place in the Congress Venue throughout the scientific sessions. On-site Registration Fees REGISTRATION WHOLE CONGRESS.. 350,00 REGISTRATION SINGLE DAY ,00 REGISTRATIONE FELLOWS / STUDENTS* - WHOLE CONGRESS ,00 REGISTRATIONE FELLOWS / STUDENTS* - SINGLE DAY... 70,00 *A document certifying university attendance is requested The registration fee includes: - participation to the scientific sessions - welcome cocktail on October 14th - coffee breaks and lunches (the daily registration includes coffee break and lunch of that day only) - conference kit - attendance certificate - CME accreditation Payment Onsite payments are accepted by credit cards only. Cash payments are accepted only for exceptional reasons and only for amount not exceeding 999,99, as due to Italian Law, Decree 6.12:2011 No it is forbidden to transfer cash between different subjects for greater amounts. Personal cheques, company cheques or Euro cheques will not be accepted. Credit cards All major credit cards are accepted (American Express, VISA, Eurocard/Master Card). Name Changes Name changes on site are charged a handling fee of 50,00 (VAT included). GREAT ITALY DAY» MEDICAL EMERGENCY BETWEEN HOSPITAL AND TERRITORIAL HEALTH CARE: ORGANIZATIONAL ISSUES L EMERGENZA MEDICA TRA OSPEDALE E TERRITORIO: ASPETTI ORGANIZZATIVI Chairpersons: Nicola Glorioso (Sassari, Italy), Claudio Modini (Rome, Italy) 8:45 a.m. Healthcare and multiculturalism in Emergency Medicine Sanità e Multiculturalismo in Medicina d Emergenza Paknegad Sahneh Kamran (Rome, Italy) 9:00 a.m. Innovative hypothesis for improving the organization between hospital and territorial health care, to reduce Emergency Department overcrowding Ipotesi innovative di un miglioramento dell organizzazione tra ospedale e territorio per ridurre l affollamento del Pronto Soccorso Adolfo Pagnanelli (Rome, Italy) 9:15 a.m. Overcrowding in the Emergency Room and clinical risk Overcrowding in Pronto Soccorso e rischio clinico Massimo Magnanti (Rome, Italy) 9:30 a.m. How to improve the skills of the Police doctor in the daily practice: the experience of the Master between the Sapienza University of Rome and the Police Academy Come migliorare gli skill del medico della Polizia nella pratica clinica quotidiana: l esperienza del Master tra la Sapienza Università di Roma e la Scuola Superiore di Polizia Angela Emanuele (Rome, Italy) 9:45 a.m. Discussion 18 19

12 PROGRAMME - Monday 13 th October 2014 PROGRAMME - Monday 13 th October 2014 ITALIAN TRACK ITALIAN TRACK» MEDICAL EMERGENCY BETWEEN HOSPITAL AND TERRITORIAL HEALTH CARE: THERAPEUTICAL ISSUES L EMERGENZA MEDICA TRA OSPEDALE E TERRITORIO: ASPETTI TERAPEUTICI Chairpersons: Rossella Marino (Rome, Italy), Francesco Rocco Pugliese (Rome, Italy) 10:00 a.m. New anticoagulant therapies: improving the therapeutic continuum of atrial fibrillation between hospital and territorial health care Le nuove terapie anticoagulanti: un miglioramento nel continuum terapeutico della fibrillazione atriale tra ospedale e territorio David Tarasi (Rome, Italy) 11:15 a.m. Pain at triage: immediate evaluation and treatment Il dolore al triage: la valutazione e trattamento immediati Marco Buggi (Rome, Italy) 11:30 a.m. A fragile patients in Emergency Room, the child with temperature: is it possible to improve the approach? Il paziente fragile in Pronto Soccorso: il bambino con febbre, è possibile migliorare l approccio? Emanuele Guglielmelli (Rome, Italy) 11:45 a.m. Discussion 10:15 a.m. Hyperuricemia: a risk factor which is underrated in the healthcare continuity between hospital and territorial health care L iperuricemia, un fattore di rischio sottovalutato nella continuità assistenziale tra ospedale e territorio Francesco Travaglino (Rome, Italy) 10:30 a.m. Diarrhea from clostridium difficile: an antibiotic-associated pandemic between hospital, post-acute care and long-term hospitalization Diarrea da clostridium difficilis: una pandemia da antibiotici tra ospedale, post-acuzie e lungodegenza Iolanda Santino (Rome, Italy) 10:45 a.m. Therapy for acute gastroenteric infections, old systems for a modern approach: probiotics Terapia delle infezioni gastroenterologiche acute, vecchi sistemi per un approccio moderno: i probiotici Massimo Marignani (Rome, Italy) 11:00 a.m. Pharmacological treatment of COPD between hospital and territorial health care, a continuum between hospital discharge and outpatients clinic monitoring Il trattamento farmacologico della BPCO tra ospedale e territorio, un continuum tra dimissione ospedaliera e monitoraggio ambulatoriale Massimo Cicchinelli (Rome, Italy) 20 21

13 PROGRAMME - Monday 13 th October 2014 PROGRAMME - Monday 13 th October 2014 ITALIAN TRACK ITALIAN TRACK ACSA-GREAT Italy joint session Sessione congiunta ACSA GREAT Italy» CARDIOVASCULAR EMERGENCIES BETWEEN CARDIOLOGISTS AND EMERGENCY PHYSICIANS EMERGENZE CARDIOVASCOLARI TRA CARDIOLOGI E MEDICI D URGENZA Chairpersons: Diego Tommaso Voci (Turin, Italy), Francesco Travaglino (Rome, Italy) 12:00 p.m. Heart Failure patients risk profiles and paths from ER to Departments Profili di rischio dei pazienti scompensati e percorsi tra Pronto Soccorso e reparti Nadia Aspromonte (Rome, Italy) 12:15 p.m. Stable angina treatment today from the territory to the Emergency Room: nitro-derived renolazine Trattamento dell angina stabile oggi dal territorio al Pronto Soccorso: ranolazina nitroderivato Sofia Abbolito (Rome, Italy) ACSA-AMSI-GREAT Italy joint session Sessione congiunta ACSA-AMSI-GREAT Italy» CARDIOVASCULAR EMERGENCIES BETWEEN CARDIOLOGISTS AND EMERGENCY PHYSICIANS ALSO REFERRING TO MULTICULTURAL ISSUES EMERGENZE CARDIOVASCOLARI TRA CARDIOLOGI E MEDICI D URGENZA ANCHE ALLA LUCE DEGLI ASPETTI MULTICULTURALI Chairpersons: Foad Aodi (Rome, Italy), Laura Magrini (Rome, Italy) 2:30 p.m. Cardiovascular diseases incidence in Italian Emergency Rooms: differences between immigrants Incidenza delle patologie cardiovascolari nei Pronto Soccorso italiani: differenze fra le etnie Veronica Russo (Rome, Italy) 2:45 p.m. Acute atrial fibrillation management today Gestione della fibrillazione atriale acuta oggi Leonardo Calò (Rome, Italy) 12:30 p.m. The alliance between scientific societies and sudden death Alleanza tra società scientifiche e morte improvvisa Pietro Lentini (Rome, Italy) 3:00 p.m. Sudden death: how to avoid it with two hands on the chest La morte improvvisa: come evitarla con due mani sul torace Mario Balzanelli (Taranto, Italy) 12:45 p.m. Syncope: between arrhythmias and cerebrovascular diseases La sincope: tra aritmie e patologie vascolari cerebrali Vincenzo Natale (Reggio Calabria, Italy) 1:00 p.m. Discussion 3:15 p.m. Culprit lesion: critical revision of procedural aspects and follow up in patients Culprit lesion: revisione critica di aspetti procedurali e follow up nei pazienti extracomunitari Gerardo Ansalone (Rome, Italy) 1:30 p.m. LUNCH 3:30 p.m. Pregnancy hypertensive emergencies: how to treat them Emergenze ipertensive in gravidanza: come trattarle Dario Manfellotto (Rome, Italy) 22 23

14 PROGRAMME - Monday 13 th October 2014 PROGRAMME - Wednesday 15 th October 2014 ITALIAN TRACK PARALLEL SESSION 3:45 p.m. Heart Failure: a multiethnic disease Lo scompenso cardiaco: una malattia multietnica Cinzia Sighieri (Rome, Italy) 4:00 p.m. Acute heart failure from the hospital to cardiologic rehabilitation Lo scompenso cardiaco dall ospedale alla riabilitazione cardiologica Alfonso Galati (Rome, Italy) 4:15 p.m. Discussion 4:30 p.m. Conclusion and CME test Conclusioni e Questionario ECM LABORATORY DAY: BIOMARKERS IN THE EMERGENCY ROOM, A MULTIDISCIPLINARY APPROACH» HIGH SENSITIVE TROPONIN IN THE EMERGENCY ROOM: NO ROOM FOR MISTAKES Chairpersons: Christian Mueller (Basel, Switzerland), Giuseppe Lippi (Parma, Italy) 8:30 a.m. Differences between high sensitive troponins Patrizia Cardelli (Rome, Italy) 8:45 a.m. Decision making with high sensitive troponin: the Emergency physician point of view Gianfranco Cervellin (Parma, Italy) 9:00 a.m. Copeptin and high sensitive troponin for the fast diagnosis of Acute Coronary Syndrome in the Emergency Room Christian Folli (Milan, Italy) 9:15 a.m. Decision making with high sensitive troponin: the Cardiologist point of view PRO Marco Tubaro (Rome, Italy) 9:30 a.m. Decision making with high sensitive troponin: the Cardiologist point of view CONTRA Marcello Galvani (Forlì, Italy) 9:45 a.m. Decision making with high sensitive troponin: the Cardiologist point of view REBUTTAL Marco Tubaro (Rome, Italy) 9:50 a.m. Decision making with high sensitive troponin: the Cardiologist point of view REBUTTAL Marcello Galvani (Forlì, Italy) 9:55 a.m. Lectio Magistralis Chairperson: Christian Mueller (Basel, Switzerland) Significance of the increase of high sensitive troponin in the blood Allan S. Jaffe (Rochester MN, USA) 10:20 a.m. Discussion 24 10:45 a.m. BREAK 25

15 PROGRAMME - Wednesday 15 th October 2014 PROGRAMME - Wednesday 15 th October 2014 PARALLEL SESSION PARALLEL SESSION» HOW TO ASSESS THE PROGNOSIS IN THE EMERGENCY ROOM: A NOVEL BIOMARKER ST2 Chairpersons: Piergiuseppe Agostoni (Milan, Italy), Christian Mueller (Basel, Switzerland)» NEW PERSPECTIVES IN CHEST PAIN MANAGEMENT, USING COPEPTIN TO OPTIMIZE THE MANAGEMENT OF PATIENTS IN EMERGENCY Chairpersons: Jacek Kubica (Bydgoszcz, Poland), Philippe Rouet (Toulouse, France) 11:00 a.m. How to assess soluble circulating ST2 and its significance Patrizia Cardelli (Rome, Italy) 11:15 a.m. Clinical relevance of ST2 Domingo A. Pascual-Figal (Murcia, Spain) 11:30 a.m. ST2 value in patients with cardiovascular diseases Antoni Bayes-Genis (Barcelona, Spain) 11:45 a.m. Utility of prognostic role of ST2 in patients with acute cardiovascular diseases in the Emergency Room Salvatore Di Somma (Rome, Italy) 2:30 p.m. Cardiac Biomarkers in the laboratory Patrizia Cardelli (Rome, Italy) 2:45 p.m. Chest Pain: Common ED problems during the management of patients with suspected ACS management Benedetta De Berardinis (Rome, Italy) 3:00 p.m. Copeptin: an added value for AMI rule out Raffaele De Caterina (Chieti, Italy) 3:15 p.m. A routine experience using Copeptin in ED Till Keller (Frankfurt, Germany) 12:00 p.m. ST2: a target biomarker for treatment in heart failure patients Hanna Kim Gaggin (Boston, USA) 12:15 p.m. Has ST2 a role for prognosis in patients with sepsis? Mina Hur (Seoul, South Korea) 12:30 p.m. Discussion 3:30 p.m. Cost/benefit aspects using Copeptin Gianfrancesco Alberto (Turin, Italy) 3:45 p.m. Copeptin plus troponin in the management of chest pain Alan Maisel (San Diego, USA) 4:00 p.m. Differential diagnosis of chest pain in ER, the pulmonary embolism case: is d-dimer still useful? Giancarlo Agnelli (Perugia, Italy) 12:45 p.m. LUNCH 4:15 p.m. Discussion 4:30 p.m. Lectio Magistralis (Plenary Session) Chairperson: Veli-Pekka Harjola (Helsinki, Finland) Non Invasive Ventilation Josep Masip (Barcelona, Spain) 4:55 p.m. End of CME Activities 26 27

16 PROGRAMME - Wednesday 15 th October 2014 PROGRAMME - Wednesday 15 th October 2014 AULA CALIPARI PARALLEL SESSION AULA CALIPARI PARALLEL SESSION» IMAGING IN THE EMERGENCY ROOM: THE FUTURE IS NOW I SESSION - CNS Chairpersons: Raffaele D Amelio (Rome, Italy), Maurizia Rasura (Rome, Italy) 8:30 a.m. Stroke Alessandro Bozzao (Rome, Italy) 8:45 a.m. Spinal trauma Guido Trasimeni (Rome, Italy) 9:00 a.m. Head trauma Mario Muto (Naples, Italy) 9:15 a.m. Interventional radiology in Emergency Michele Rossi (Rome, Italy) 10:45 a.m. BREAK III SESSION ABDOMEN Chairpersons: Gianfranco Delle Fave (Rome, Italy), Prabath Nanayakkara (Amsterdam, The Netherlands) 11:00 a.m. Acute abdomen Gianfranco Gualdi (Rome, Italy), Emanuele Casciani (Rome, Italy) 11:15 a.m. Mesenteric ischemia Francesca Iacobellis (Naples, Italy), Daniela Berritto (Naples, Italy) 11:30 p.m. Abdominal trauma Michele Galluzzo (Rome, Italy) 11:45 a.m. Discussion 9:30 a.m. Discussion II SESSION - THORAX Chairpersons: Riccardo Maurizi Enrici (Rome, Italy), Salvatore Mariotta (Rome, Italy) IV SESSION - FOCUS ON TRAUMA Chairpersons: Giuseppe Argento (Rome, Italy), Carmelo D Arrigo (Rome, Italy) 12:00 p.m. Major trauma. From imaging to management Mariano Scaglione (Castel Volturno, Italy) 9:45 a.m. Thoracic aortic injuries Luigia Romano (Naples, Italy) 12:15 p.m. Trauma and polytrauma in pediatric patients Vittorio Miele (Rome, Italy) 10:00 a.m. Lung trauma Stefania Ianniello (Rome, Italy) 12:30 p.m. Discussion 10:15 a.m. Pulmonary embolism Chiara De Dominicis (Rome, Italy) 12:45 p.m. LUNCH 10:30 a.m. Discussion 28 29

17 PROGRAMME - Wednesday 15 th October 2014 PROGRAMME - Thursday 16 th October 2014 AULA CALIPARI PARALLEL SESSION PLENARY SESSION» THE INNOVATIVE ROLE OF GALECTIN-3 BETWEEEN PREVENTIVE MEDICINE, DIABETES, HEART FAILURE AND TARGET FOR TREATMENT Chairpersons: Allan S. Jaffe (Rochester MN, USA), Philip Levy (Detroit, USA) ACUTE CARDIOVASCULAR DISEASES: NEED FOR STRONG COOPERATION BETWEEN EMERGENCY PHYSICIANS AND CARDIOLOGISTS» HEART FAILURE FROM PHYSYOPATHOLOGY TO PHARMACOLOGICAL INNOVATION: FROM THE ACUTE PHASE TO DISCHARGE TO FOLLOW UP 2:30 p.m. Clinical application of Galectin-3 in Heart Failure Rudolf A. De Boer (Groningen, The Netherlands) 2:45 p.m. Diabetic cardiomyopathy Petar M. Seferovic (Belgrade, Serbia) 3:00 p.m. Galectin-3 role in patients with Heart Failure and preserved ejection fraction Alan Maisel (San Diego, USA) 3:15 p.m. The role of Galectin-3 in diabetes Giuseppe Pugliese (Rome, Italy) 3:30 p.m. Structural myocardial alterations in diabetes and hypertension: the role of galectin-3 Jelena P. Seferovic (Belgrade, Serbia) Chairpersons: Héctor Bueno (Madrid, Spain), Youry Ostrovsky (Minsk, Belarus) 8:15 a.m. Heart Failure: clinical approach in the acute phase Salvatore Di Somma (Rome, Italy) 8:30 a.m. Clinical presentation and different risk profiles in AHF Josep Masip (Barcelona, Spain) 8:45 a.m. Procalcitonin and Heart Failure guiding chest x ray Alan Maisel (San Diego, USA) 9:00 a.m. Echocardiography in the Emergency Department in patients with acute heart failure Hyun Suk Yang (Seoul, South Korea) 9:15 a.m. Today s therapy with vasodilators in acute heart failure Philip Levy (Detroit, USA) 9:30 a.m. Pharmacological innovation in the therapy Marco Metra (Brescia, Italy) 3:45 p.m. Daily experience using Galectin-3 in cardiovascular diseases in the Emergency Room Laura Magrini (Rome, Italy) 4:00 p.m. Discussion 9:45 a.m. How to properly manage outpatients in heart failure clinic Massimo Volpe (Rome, Italy) 10:00 a.m. Monitoring Biomarkers after hospital discharge in chronic heart failure patients Alan Maisel (San Diego, USA) 10:15 a.m. ST2 as a biomarker of different kind of intra myocardial fibrosis in heart failure patients Alena Kurliankaya (Minsk, Belarus) 10:30 a.m. Discussion 30 31

18 PROGRAMME - Thursday 16 th October 2014 PROGRAMME - Thursday 16 th October 2014 PLENARY SESSION» HOW TO OPTIMIZE TIMING FOR APPROPRIATE TREATMENT IN PATIENTS WITH ACUTE CORONARY SYNDROME IN THE EMERGENCY ROOM Chairpersons: Héctor Bueno (Madrid, Spain), Paolo Moscatelli (Genoa, Italy) 10:45 a.m. Chest Pain management in the Emergency Room: state of the art from a Registry in Italy Paola Ballarino (Genoa, Italy) 11:00 a.m. Rule out/rule in of Acute Coronary Syndrome in the Emergency Room Frank W. Peacock (Houston, TX, USA) 11:15 a.m. Decision making for immediate PTCA Eliano Navarese (Bydgoszcz, Poland) 11:30 a.m. Antiplatelet treatment in the Emergency Room for non Stemi patients Salvatore Di Somma (Rome, Italy) 12:45 p.m. Lectio Magistralis Chairperson: Alexandre Mebazaa (Paris, France) State of the art in cardiogenic shock: the GREAT CardShock Study Veli-Pekka Harjola (Helsinki, Finland) 1:10 p.m. LUNCH 2:10 p.m. Lectio Magistralis Chairperson: Mara Torrisi (Rome, Italy) Telemedicine, a means of Just in Time Staffing during periods of ED overcrowding David Guss (San Diego, USA) 2:35 p.m. End of CME activities 11:45 a.m. Antiplatelet treatment in the Emergency Room for Stemi patients Marco Tubaro (Rome, Italy) 12:00 p.m. Follow up antiplatelet treatment for patients after Acute Coronary Syndrome Jacek Kubica (Bydgoszcz, Poland) 12:15 p.m. Resistance to antithrombotic drugs in acute coronary syndromes a myth or truth? Davor Miličic (Zagreb, Croatia) 12:30 p.m. Discussion 32 33

19 PROGRAMME - Friday 17 th October 2014 PROGRAMME - Friday 17 th October 2014 PLENARY SESSION PARALLEL SESSION» END STAGE HEART FAILURE BETWEEN CARDIORENAL SYNDROME, HEART TRANSPLANTATION, INNOVATIVE DEVICE AND CACAEXIA Chairpersons: Riccardo Sinatra (Rome, Italy), Mindaugas Balciunas (Vilnius, Lithuania) 8:15 a.m. How to evaluate promptly the occurrence of acute kidney injury in patients with cardiovascular disease Andrea Stella (Monza, Italy) 8:30 a.m. Therapeutic Hypothermia Post Cardiac Arrest: Are We There Yet? Cynthia Bascara (New Jersey, USA) 8:45 a.m. How to detect the presence of end stage heart failure in clinical practice Jindrich Spinar (Brno, Czech Republic) 9:00 a.m. How to select the perfect candidate for heart transplantation Youry Ostrovsky (Minsk, Belarus) 9:15 a.m. Projects for improving heart transplantation results Lenka Spinarova (Brno, Czech Republic) 9:30 a.m. Cardiorenal Syndrome = end stage heart failure patients? Giorgio Vescovo (Vicenza, Italy) 9:45 a.m. Why low sodium levels are linked with poor prognosis in severe heart failure patients Mauro Feola (Cuneo, Italy)» ELDERLY PATIENTS IN THE EMERGENCY ROOM: BE PREPARED FOR A TSUNAMI OF OVER 75s IN THE NEXT YEARS Chairpersons: Mario Cavazza (Bologna, Italy), Clifford Mann (London, UK) 10:30 a.m. Miss Marple and the hidden secrets of ageing Andrea Maier (Amsterdam, The Netherlands) 10:45 a.m. The elderly patient in the emergency room: a very complex one Giancarlo Avanzi (Novara, Italy) 11:00 a.m. Do we need a special code for over 75s in the Emergency Room Giovanni Ricevuti (Pavia, Italy) 11:15 a.m. Cardiovascular diseases in elderly patients: is there the need for a specific approach? Nicola Ferrara (Naples, Italy) 11:30 a.m. Acute and Emergency management of elderly patients: new organizational models? Louella Vaughan (London, UK) 11:45 a.m. Acute confusional state in the elderly Claire Nicholl (Cambridge, UK) 12:00 p.m. Clinical research in the very elderly with acute coronary syndrome: between guidelines, ageism and outcome evaluation Niccolò Marchionni (Florence, Italy) 12:15 p.m. Heart Failure management in the elderly Giovanni Pulignano (Rome, Italy) 12:30 p.m. Management of the fragile elderly patient with co-morbidities after hospital discharge Lorenzo Paladino (New York, USA) 10:00 a.m. Anaemia in end stage heart failure: what can we do? Mehmet Birhan Yilmaz (Sivas, Turkey) 12:45 p.m. Risk stratifications of elderly people with acute diseases, what we need to know Mario Cavazza (Bologna, Italy) 10:15 a.m. Discussion 1:00 p.m. Discussion 1:30 p.m. LUNCH 34 35

20 PROGRAMME - Friday 17 th October 2014 PROGRAMME - Friday 17 th October 2014 PARALLEL SESSION PLENARY SESSION» MANAGEMENT OF INFECTIOUS DISEASES AND SEPSIS IN THE EMERGENCY DEPARTMENT: HOW TO AMELIORATE IT Chairpersons: Gianni Biolo (Trieste, Italy), Mina Hur (Seoul, South Korea) 2:30 p.m. How to promptly detect infectious diseases in the Emergency Room Francesco Travaglino (Rome, Italy)» THE ART OF COMMUNICATION IN THE EMERGENCY ROOM Chairperson: Cristiano Violani (Rome, Italy) 4:30 p.m. The role of psychological support for the improvement communication in the Emergency Room Anna Maria Giannini (Rome, Italy) 2:45 p.m. Procalcitonin vs white blood cell count in detecting infection diseases in the Emergency Room Laura Magrini (Rome, Italy) 4:45 p.m. Difficulties in communicating in the Emergency Room: practical experiences Salvatore Di Somma (Rome, Italy) 3:00 p.m. Hemodynamic assessment in patients with sepsis: do we need it Richard Nowak (Detroit, USA) 5:00 p.m. Congress closing remarks CME test 3:15 p.m. Novel biomarkers for septic patients Nicola Fiotti (Trieste, Italy) 3:30 p.m. An innovative tool for the promptly detection of urinary infection in the Emergency Room Giovanni Antonini (Rome, Italy) 3:45 p.m. Adrenomedullin and proenkephalin in septic patients: biomarkers of severity and kidney disease Rossella Marino (Rome, Italy) 4:00 p.m. BNP and endocarditis Danielle Gualandro (São Paulo, Brazil) 4:15 p.m. Discussion 36 37

21 PROGRAMME - Friday 17 th October 2014 PROGRAMME - Friday 17 th October 2014 AULA CALIPARI PARALLEL SESSION AULA CALIPARI PARALLEL SESSION» WHAT IS NEW IN ANAPHYLAXIS IN THE EMERGENCY ROOM Chairpersons: Leonardo Sechi (Udine, Italy), Angelo Vacca (Bari, Italy) 10:30 a.m. Hereditary angioneurotic edema: emergencies therapy Maria Domenica Guarino (Rome, Italy) 10:45 a.m. Acquired urticaria-angioedema syndrome: causes and treatments Massimo Triggiani (Salerno, Italy) 11:00 a.m. Anaphylaxis: treatment in emergency and prevention Guglielmo Bruno (Rome, Italy)» COMPLEX ARRHYTHMIAS IN THE EMERGENCY ROOM: BETWEEN STANDARDS OF CARE AND INNOVATIONS Chairpersons: Adriano Salvati (Rome, Italy), Mehmet Birhan Yilmaz (Sivas, Turkey) 11:30 a.m. Management of Atrial Fibrillation in the Emergency Room today Alfonso Martin Martinez (Madrid, Spain) 11:45 a.m. Management of Atrial Fibrillation in the Emergency Room today: Italian experience Simona Santarelli (Rome, Italy) 11:15 a.m. Discussion 12:00 p.m. Current guidelines for the treatment of atrial fibrillation in the acute phase Leonardo Calò (Rome, Italy) 12:15 p.m. How to immediately detect structural heart disease in patients with acute atrial fibrillation in ED Clifford Mann (London, UK) 12:30 p.m. Innovative pharmacological treatment for acute atrial fibrillation in ED: experience with Vernakalant Steen Juul-Möller (Malmö, Sweden) 12:45 p.m. Atrial fibrillation from the Emergency Room to territorial management Alexandru Nechita (Bucharest, Romania) 1:00 p.m. How to prevent stroke in atrial fibrillation patients: utility of new anticoagulant treatments Francesco Orzi (Rome, Italy) 1:15 p.m. Discussion 1:30 p.m. LUNCH 38 39

22 PROGRAMME - Friday 17 th October 2014 PROGRAMME - Friday 17 th October 2014 AULA CALIPARI PARALLEL SESSION AULA 205 PARALLEL SESSION AAEM-MAAEM-GREAT Joint Session» EDUCATION AND RESEARCH IN EMERGENCY MEDICINE Chairpersons: Veli-Pekka Harjola (Helsinki, Finland), Amin Antoine Kazzi (Beirut, Lebanon) 2:30 p.m. Global EM Development Terrence Mulligan (Maryland, USA) 2:45 p.m. Teaching Emergency Medicine in the New Degree Medical Course at Charité Berlin Julia Searle (Berlin, Germany) 3:00 p.m. Challenges in Establishing the Specialty of Emergency Medicine in the Middle East and Lebanon Amin Antoine Kazzi (Beirut, Lebanon) 3:15 p.m. The Great Network for implementing research in Emergency Medicine Salvatore Di Somma (Rome, Italy) 3:30 p.m. Quality Translation in the US: Cardiovascular Registry Research and Implementation Robert Suter (Dallas TX, USA) 3:45 p.m. Improving ED Throughput Eveline Hitti (Beirut, Lebanon) 4:00 p.m. Research integration between clinical disease and laboratory medicine: what s new Lorenzo Paladino (New York, USA)» MANAGEMENT OF TOTAL FLUID BODY CONTENT IN HEART FAILURE: THE BIOIMPEDANCE VECTOR ANALYSIS UTILITY Chairpersons: Massimo Iacoviello (Bari, Italy), Antonio Piccoli (Padua, Italy) 2:30 p.m. How to assess fluid congestion in patients with acute heart failure Marco Metra (Brescia, Italy) 2:45 p.m. The need to evaluate body fluid overload in acute heart failure patients Frank W. Peacock (Houston, TX, USA) 3:00 p.m. Why BIVA is so good in the management of heart failure patients Giancarlo Avanzi (Novara, Italy) 3:15 p.m. Is echocardiographic assessment enough accurate in determining circulating volume in heart failure patients Alexandru Nechita (Bucharest, Romania) 3:30 p.m. Experience with BIVA+biomarkers in acute heart failure patients Irene Lalle (Rome, Italy) 3:45 p.m. Why in Turkey we are starting to think to use BIVA in heart failure patients Mehmet Birhan Yilmaz (Sivas, Turkey) 4:00 p.m. BIVA utility for resistant diuretic patients Mauro Feola (Cuneo, Italy) 4:15 p.m. Discussion 4:15 p.m. Discussion 40 41

23 PROGRAMME - Monday 13 th October 2014 PROGRAMME - Monday 13 th October 2014 SALA DE GASPERI ITALIAN TRACK ITALIAN TRACK SALA DE GASPERI AISC-GREAT Italy Joint Session Sessione congiunta AISC GREAT Italy» HEART FAILURE FROM THE IN-HOSPITAL PHASE TO EVERYDAY LIFE: IT IS ESSENTIAL THAT THE PATIENT IS MORE INFORMED LO SCOMPENSO CARDIACO DALLA FASE INTRAOSPEDALIERA AL QUOTIDIANO: È INDISPENSABILE CHE IL PAZIENTE NE SAPPIA DI PIÙ Chairpersons: Salvatore Di Somma (Rome, Italy), Oberdan Vitali (Rome, Italy) 5:00 p.m. The Italian Heart Failure Patients Association: why? L Associazione Italiana Scompensati Cardiaci: perché? Manuela Impellizzeri (Rome, Italy) 5:15 p.m. Why and how pharmaceutical companies can cooperate with the patient organizations to support Heart Failure patients Perché e come le aziende farmaceutiche possono collaborare con le associazioni pazienti per dare supporto ai pazienti con scompenso cardiaco Georg Schroeckenfuchs (Origgio, Italy) 5:30 p.m. The international experience of Heart Failure Patients Organizations L esperienza internazionale delle associazioni pazienti scompensati di cuore Nick Hartshorne-Evans (Hapton, UK) 5:45 p.m. Improving the relationship between the nurse and the heart failure patient Il miglioramento del rapporto tra infermiere e paziente con scompenso cardiaco Marco Buggi (Rome, Italy) 6:15 p.m. Effect of music on heart failure patients: a study protocol for a randomized controlled trial L effetto della musica nei pazienti scompensati cardiaci: un protocollo per uno studio randomizzato Francesco Burrai (Bologna, Italy) 6:30 p.m. Mediterranean diet and patient with heart failure Dieta mediterranea e paziente con scompenso cardiaco Paola Antonini (Philadelphia, USA) 6:45 p.m. The heart patients, between Mediterranean culture and philosophy Il paziente cardiopatico, tra cultura e filosofia mediterranea Lodovico Visone (Acciaroli, Italy) 7:00 p.m. Innovative technology to help patients in every day management La tecnologia innovativa per aiutare il paziente nella sua gestione quotidiana Domenico Cianflone (Milan, Italy) 7:15 p.m. Telemedicine as the innovative methodology for distance management of the patient online connection with San Diego hospital La telemedicina come metodologia innovativa per la gestione a distanza del paziente - collegamento online con l ospedale di San Diego David Guss (San Diego, USA) 8:00 p.m. Discussion 6:00 p.m. Communicating with the heart failure patients and the family: an important task Comunicazione con il paziente con scompenso cardiaco e la famiglia: un compito importante Anna Maria Giannini (Rome, Italy) 42 NON ECM NON ECM 43