Infomed Research & Training Limited

Based on the highly successful First Four Hours series in the UK and Ireland The First Critical Hours Lectures and Clinical Case Scenarios focusing on the management of patients presenting to Emergency Departments and MAU’s on Thursday 22 and Friday 23 January 2009, at Conference Centre, Russell Square House, 10-12 Russell Square, London, WC1B 5EH
Associate Advisors: Dr Tim Harris, Consultant in Emergency Medicine, Royal London Hospital Dr Dan Ellis, Consultant in Emergency and Intensive Care Medicine, Lister Hospital, Stevenage The Faculty includes:		Delegate Fee: Both Days: £485 (incl. VAT) Daily rate: £295 (inc.VAT) Conference fee includes CD with copies of the lectures, lunch & refreshments.
Prof Colin Robertson, Consultant in Emergency Medicine, Royal Infirmary of Edinburgh Prof Lalit Kalra, Professor of Stroke Medicine, King’s College Hospital, London Prof. Stephen Ash, Consultant in Infectious Diseases & Acute Medicine, Ealing Hospital, UK; Professor of Medicine, University of Buckingham, UK Prof. Steve Goodacre, Professor in Emergency Medicine, University of Sheffield Dr Kim Rajappan, Consultant Cardiologist, John Radcliffe Hospital, Oxford Dr Luke Howard, Consultant Chest Physician, Hammersmith Hospital, London Dr Simon Shields, Consultant Neurologist, Consultant Neurologist, Norfolk and Norwich University Hospital Dr Rob Taylor, Consultant in Emergency Medicine, Royal Cornwall Hospital Dr Jack Parry-Jones, Consultant in Intensive Care Medicine, University Hospital of Wales, Cardiff Dr Anton Saayman, Consultant in Intensive Care Medicine, University Hospital of Wales, Cardiff			PDF copy of the Course programme ▼
About the conference: Practical focus on the most difficult aspects of Emergency, Acute and General Medicine in the first critical hours Aimed at Consultants, Registrars and Middle Grades in Emergency, Acute and General Medicine, and Specialist Physicians with an Acute Medical ‘take’ Two Modules per day: Cardiac/Respiratory, Shock, Critical Care and Metabolism, CNS and Advanced Pearls and Pitfalls with the Experts Each Module includes three state-of-the-art lectures and extended discussion of clinical case scenarios, presenting opportunities to explore in depth the most important practical clinical issues raised by the lectures Lecturers are all leading specialists in the field who actually see the patients at the time of initial assessment and can pass that expert knowledge to front-line clinicians Contributes to developing effective expert team management for doctors from a variety of backgrounds who are actively delivering emergency and acute care Conference Programme▼
Day One: Thursday 22 January 2009	Day Two: Friday 23 January 2009
MODULE 1: Cardiac/Respiratory Tachyarrhythmias and NICE AF Update Dr Kim Rajappan, Consultant Cardiologist & Electrophysiologist, John Radcliffe Hospital, Oxford Fast AF – can anybody be sent home from the ED? Broad complex tachycardias – treatment tricks of the trade Pre Excitation States – why you should not miss them Atrial Flutter, Supraventricular Tachycardia or Sinus Tachycardia? ED – Cardioversion – chemicals or electrical Short Approach to Shortness of Breath Dr Jack Parry-Jones, Consultant in Intensive Care Medicine, University Hospital of Wales, Cardiff Is it a Q problem rather than a V problem? Asthma update and novel caveats Not all wheeze is asthma Identifying heart failure at the ED COPD – Maximal therapy, NIV & second line therapy Chest Pain in the Emergency Patient Cohort Prof. Steve Goodacre, Professor of Emergency Medicine, University of Sheffield Stress testing in the acute setting Risk Scoring in chest pain Making sense of cardiac markers Essential early treatment strategies within the 4 hours window – so much more than aspirin Who to admit and who to send home? Likelihood Ratios in Symptoms and Signs interpretation Case Scenarios Discussion Panel including all three lecturers, structured around challenging cases, offering opportunities to explore and discuss some of the most important clinical issues raised by the lectures. MODULE 2: Shock, Critical Care and Metabolism Management Tips from an Intensivist’s Perspective on the Wards and Resus Room Dr Dan Ellis, Consultant in Emergency and Intensive Care Medicine, Lister Hospital, Stevenage Creatine 1000 and oliguric - How to keep the patient going until renal replacement therapy NIV/CPAP – advanced use Decreasing Oxygen demand, increasing Oxygen supply Fluid balance – trying to get it right Metabolic acidosis – clinical caveats Inotropes Electrolyte and Endocrine Emergencies: The Initial Response Prof Colin Robertson, Consultant in Emergency Medicine, Royal Infirmary of Edinburgh High and low Sodium – assessment and safe correction Potassium problems – assessment and safe correction Calcium problems – when is emergency treatment essential? Some common endocrine problems Sepsis in the ED and Wards Dr Anton Saayman, Consultant in Intensive Care Medicine, University Hospital of Wales, Cardiff Early Goal Directed Therapy Concept of “Cryptic Shock” Jargon – Bundles, Septic Attacks, etc. When to refer for Post Resuscitation Bundle Atypical causes of sepsis Identifying early sepsis in the ED Case Scenarios Discussion Panel including all three lecturers, structured around challenging cases, offering opportunities to explore and discuss some of the most important clinical issues raised by the lectures	MODULE 3: CNS Minor and Major Brain Attacks: The Way Forward Professor Lalit Kalra, Professor of Stroke Medicine, King’s College Hospital, London “Fast-track” stroke patients in the ED Department Risk stratification of TIA’s Not missing TIA’s Thrombolysis – when, who, outcomes, etc. ROSIER scoring by Emergency Physicians Episodic Loss of Consciousness Dr Tim Harris, Consultant in Emergency Medicine, Royal London Hospital ED evaluation Who stays, who goes Rarities worth knowing Headaches: Essential Diagnosis and Treatment in the ED Dr Simon Shields, Consultant Neurologist, Norfolk and Norwich University Hospital Atypical migraines – diagnoses and treatment What headaches must be excluded before discharge? GCA – how not to miss it Who requires CTA or MRA? Case Scenarios Discussion Panel including all three lecturers, structured around challenging cases, offering opportunities to explore and discuss some of the most important clinical issues raised by the lectures. MODULE 4: Advanced Pearls and Pitfalls with the Experts Respiratory Medicine: What the Guidelines Don't Tell You Dr Luke Howard, Consultant Chest Physician, Hammersmith Hospital, London Rebound hypoxia in COPD Pitfalls in asthma management and lesser known bronchodilators Hints in managing effusions and pneumothoraces Managing the acutely vs chronically hypertensive pulmonary circulation Massive haemoptysis Pitfalls in the Emergency Presentation of Infection Prof. Stephen Ash, Consultant in Infectious Diseases and Acute Medicine, Ealing Hospital, UK Foreign traveller returns The immunocompromised patient CNS sepsis When Shingles needs more than acyclovir and discharge home HIV – What is new? Toxicolgy Pearls: Getting it Right with Poisoning Dr Rob Taylor, Consultant in Emergency Medicine Royal Cornwall Hospital Cocaine, heroin, ectasy, ketamine, ampetamines Overdoses of high risk, e.g. TCAs, CO, B blockers, Ca blockers, etc. Alcohol poisoning and ketoacidosis Case Scenarios Discussion Panel including all three lecturers, structured around challenging cases, offering opportunities to explore and discuss some of the most important clinical issues raised by the lectures.
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