Courses by Track

Airway, Anesthesia, Analgesia

The Unexpected Difficult Airway: How to Avoid It and How to Manage It
SU - 047 / 1 Hour
10/16/2016 │ 1:30 PM – 2:20 PM
Faculty: Michael A. Gibbs, MD, FACEP
Nothing is more stressful for the emergency physician than a “cannot intubate, cannot ventilate” airway
scenario. To stay out of trouble, the emergency physician must possess the skills to identify the
potentially difficult airway before a management approach is chosen and skillfully executed. In addition, a
sophisticated understanding of contemporary airway rescue devices and techniques is crucial. (This
course is a prerequisite to the "Advanced Airway Techniques Lab").

Avoiding Pediatric Airway Panic: Advanced Pediatric Airway Management

SU - 053 / 1 Hour
10/16/2016 │ 3:30 PM – 4:20 PM
Faculty: Alfred D. Sacchetti, MD, FACEP
Do you panic when there is an agitated, semiconscious infant or toddler with a compromised airway? The
ability to manage a child's airway quickly is one of the most important lifesaving skills an emergency
physician can possess. The speaker will address indications for invasive vs. non-invasive airway
management, RSI, correct drug dosages, unique indications for pharmacologic agents, and tube
dimensions for children of various ages. Airway management in neonates and other useful airway
management tips will also highlight how to provide meaningful quality care for this special population.

Difficult Airway Cases Workshop: Staying Out of Hot Water

SU - 070 / 1 Hour
10/16/2016 │ 4:30 PM – 5:30 PM
Faculty: Michael A. Gibbs, MD, FACEP
This workshop will afford participants the opportunity to improve their cognitive skills around developing
a sophisticated airway management plan in the dying ED patient. Using a case based format, anatomic
and physiologic hazards, as well as the strengths and weaknesses of individual rescue devices, will be
discussed. Case examples include: severe facial trauma, decompensated respiratory failure, angioedema,
severe TBI, penetrating neck trauma, the morbidly obese patient, pediatric status epilepticus and
aspirated foreign body.

1
 Courses by Track

Advanced Airway Techniques Lab

MO - 088; MO - 140; MO - 177/ 2 Hour
10/17/2016 │ 8:00 AM – 9:50 AM; 12:30 PM – 2:20 PM; 3:30 PM – 5:30 PM
Faculty: Michael A. Gibbs, MD, FACEP (Moderator); Darren A. Braude, MD, FACEP (+ others TBD)
Emergency physicians must be experts in airway management. This lab is designed to provide hands-on
experience in several key emergency airway management techniques and adjuncts including open and
percutaneous cricothyrotomy, intubating LMA, Bougie, Combitube, intubating stylet, and hand-held
fiberoptic technology (Glidescope, Shikani Optical Stylet, Levitan Scope, RIFL). (Prior attendance in
"Unexpected Difficult Airway: How to Avoid It and How to Manage It is" required. This lab is limited to 35
participants.)

Delayed Sequence Intubation? Rethinking Convention

MO - 118 / 1 Hour
10/17/2016 │ 10:00 AM – 10:50 AM
Faculty: Michael E. Winters, MD, FACEP
Conventional teaching is that emergency airway management is typically best accomplished with the use
of rapid sequence intubation (RSI). However, patients may experience rapid, and sometimes fatal,
decompensation in the peri-intubation period. This presentation will challenge standard dogma by
exploring the concept of delayed sequence intubation through review of pertinent respiratory physiology
and the latest medical literature. The speaker will cover practical pearls, as well as avoidable pitfalls,
useful for your very next shift.

Blocks Unblinded: Ultrasound-Guided Regional Anesthesia

MO - 132 / 1 Hour
10/17/2016 │ 12:30 PM – 1:20 PM
Faculty: Andrew Herring, MD
Regional anesthesia plays an important role in minor ED procedures, particularly in situations where
sedation or parenteral medication presents challenges. The tried and true landmark-based techniques
leave much to be desired. Increasingly, bedside ultrasound is being utilized as a visual adjunct for nerve
blocks, particularly of the extremities. The speaker will offer a wide range of examples where ultrasound
can truly guide your regional block, increasing success rates and decreasing dependence on options
incorporating procedural sedation. (This lecture is a prerequisite to the "Ultrasound-Guided Regional
Anesthesia Lab".)

Secured the Airway, Now What? Best Practices for Post-Intubation Sedation
MO - 191 / 1 Hour
10/17/2016 │ 4:30 PM – 5:30 PM
Faculty: Haney Mallemat, MD
Secured the airway – check. So, what next? Intubated patients require some form of sedation. What are
the best agents to reach for initially – opiates, benzos, perhaps both? What are the other effective
sedative options in our armamentarium? What about paralytics – what are the pearls and pitfalls of
paralyzing patients who have just been intubated? This presentation will provide useful pearls for
effectively managing patients in the immediate post-intubation period.
2
 Courses by Track

Ultrasound-Guided Regional Anesthesia Lab

TU - 208; TU - 257; TU - 293 / 2 Hour
10/18/2016 │ 8:00 AM – 9:50 AM; 12:30 PM – 2:20 PM; 3:30 PM – 5:30 PM
Faculty: Andrew Herring, MD (Moderator)
During this hands-on lab, participants will perform simulations of all the regional anesthesia blocks
described in the lecture: distal forearm, brachial plexus, femoral, cluneal, paraspinal, popliteal, etc.
Attendees will employ the use of phantoms, patient models, and their fellow participants themselves as
anatomic fodder. A representative sample of currently available ultrasound machines will be used. (Prior
attendance in "Blocks Unblinded: Ultrasound-Guided Regional Anesthesia" is required. This lab is limited
to 30 participants.)

Procedural Sedation: The Finer Points

TU - 306 / 1 Hour
10/18/2016 │ 4:30 PM – 5:30 PM
Faculty: Diane M. Birnbaumer, MD, FACEP
What are you using for procedural sedation? Ketamine? Propofol? Nitrous Oxide? Ketofol perhaps? There
are Medicare reimbursement standards for procedural sedation. Using a case-based approach, the
speaker will discuss the nuances of each analgesic and anesthetic therapy in common use. How important
is patient selection and pre-procedure evaluation for procedural sedation? Pearls and pitfalls in selecting
various agents will also be reviewed.

End-of-Life Emergency: When Intubation Is Not An Option

WE - 340 / 1 Hour
10/19/2016 │ 10:00 AM – 10:50 AM
Faculty: Sangeeta Lamba, MD, FACEP
This session will focus on identifying and treating respiratory distress at the end of life when intubation is
not an option. Regardless of the type of illness, patients at the end of life often suffer acute dyspnea
which can be stressful for patients, families, and providers. To aid the ED physician in providing comfort
and relief in the face of an impaired airway in the DNI patient, chronic disease dying trajectories, goals of
care assessment and troubleshooting for respiratory distress with medications and other therapies will be
discussed.

Been There, But Hope to Never Do That: Averting Common Airway Errors
WE - 349 / 1 Hour
10/19/2016 │ 11:00 AM – 11:50 AM
Faculty: Darren A. Braude, MD, FACEP
Through the use of real-life critical airway cases, this presentation will focus on strategies to avert
frequent/common errors in advanced ED airway management. Common airway pitfalls and strategies to
minimize the potential for errors and mistakes will be tackled. The presenter will also discuss error
disclosure, as well as strategies to prevent error scenarios in your practice.