Sunday 13 October
Time CONGRESS HALL FORUM HALL SOUTH HALL 3AB SOUTH HALL 3C CHAMBER HALL TERRACE 2B CLUB A
09:00
09:00-10:30
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G09
NATIONAL TRACK - Prehsopital care - Alone in the field
Přednemocniční péče - sám vojákem v poli

NATIONAL TRACK - Prehsopital care - Alone in the field
Přednemocniční péče - sám vojákem v poli
Pre Hospital

Moderators: Ondrej FRANEK (senior physician) (PRAHA, CZECH REPUBLIC), Anatolij TRUHLAR (Medical Director EMS) (Hradec Kralove, CZECH REPUBLIC)
09:00 - 10:30 Specifika urgentní péče o pacienty s kardiovaskulárními implantáty. Roman SKULEC (Head of research and science department) (Kladno, CZECH REPUBLIC)
09:00 - 10:30 Současné trendy v péči o závažné úrazy. Anatolij TRUHLAR (Medical Director EMS) (Hradec Kralove, CZECH REPUBLIC)
09:00 - 10:30 Moderní analgetika v přednemocniční neodkladné péči. Ondrej FRANEK (senior physician) (PRAHA, CZECH REPUBLIC)
09:00 - 10:30 Máme se bát dětí nebo děti nás? Jana DJAKOW (CZECH REPUBLIC)

10:30
10:30-12:00
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G10
NATIONAL TRACK - Welcome at ED!
Vítejte na urgentním příjmu!

NATIONAL TRACK - Welcome at ED!
Vítejte na urgentním příjmu!
General EM

Moderators: Jaromír KOČÍ (CZECH REPUBLIC), Vladislav KUTĚJ (CZECH REPUBLIC)
10:30 - 12:00 Zásady fungování urgentního příjmu ve 21. století. Jaromír KOČÍ (CZECH REPUBLIC)
10:30 - 12:00 Umění triáže a její kouzla na urgentním příjmu. Jakub DĚDEK (CZECH REPUBLIC)
10:30 - 12:00 Pacient přichází s bolestí břicha. Jana BERKOVÁ (CZECH REPUBLIC)
10:30 - 12:00 Tripple killer - pacient přichází s bolestí na hrudi. Tomáš VELETA (CZECH REPUBLIC)

11:30 - 13:00 OPENING REGISTRATIONS
13:00
13:00-14:30
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A11
Toxicology

Toxicology
Toxicology

Moderators: Kurt ANSEEUW (Medical doctor) (ANTWERP, BELGIUM), Christian HOHENSTEIN (PHYSICIAN) (Madgeburg, GERMANY)
13:00 - 14:30 Palytoxin, tetrodotoxin and ciguatera poisoning in Europe. Luc DE HARO (Marseille, FRANCE)
13:00 - 14:30 Mushroom poisonings in Europe. Davide LONATI (MD, Clinical Toxicologist, Invited speaker) (Pavia, ITALY)
13:00 - 14:30 Rare but deadly plant poisonings. Robin FERNER

13:00-14:30
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B11
Research trail blazers

Research trail blazers
Research

Moderators: Rick BODY (Manchester, UK), Simon CARLEY (Manchester, UK)
13:00 - 13:30 Research is everyone's business. Barbra BACKUS (dordrecht, THE NETHERLANDS)
13:30 - 14:00 Is science dead in the era of charisma based medicine? Yonathan FREUND (Paris, FRANCE)
14:00 - 14:30 Evidence and commerce: clash of the titans or a match made in heaven? Colin GRAHAM (Hong Kong, HONG KONG)

13:00-14:30
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D11
YEMD - Other countries - other ideas
Important lessons from all over the world

YEMD - Other countries - other ideas
Important lessons from all over the world
International EM, Young Emergency Medecine

Moderators: Eva DIEHL-WIESENECKER (Physician) (Berlin, GERMANY), Rok PETROVCIC (Resident) (Maribor, SLOVENIA)
13:00 - 14:30 EM far from home. Eva DIEHL-WIESENECKER (Physician) (Berlin, GERMANY)
13:00 - 14:30 First EM residents in croatia. Bojana RADULOVIC (CROATIA)
13:00 - 14:30 Tunisa - daily struggle. Ikhlass BEN AICHA (résidente troisième année medecine d'urgence, étudiante en instance de thèse de doctorat en medecine) (TUNISIA, TUNISIA)

13:00-14:30
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F11
ABSTRACTS SESSION

ABSTRACTS SESSION

13:00-14:30
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G11
NATIONAL TRACK - Rare situations - really uncommon?
Mimořádné situace - opravdu mimořádné?

NATIONAL TRACK - Rare situations - really uncommon?
Mimořádné situace - opravdu mimořádné?
Disaster medicine

Moderators: Petr JASSO (Chief of education) (Ostrava, CZECH REPUBLIC), Jana KUBALOVÁ (CZECH REPUBLIC)
13:00 - 14:30 Bariatrický pacient - fenomén doby. Tomáš JEŽEK (HORICE, CZECH REPUBLIC)
13:00 - 14:30 Mimořádné události v seniorském prostředí. Petr JASSO (Chief of education) (Ostrava, CZECH REPUBLIC)
13:00 - 14:30 Handicapovaní v roli zachránce a pacienta - umíme komunikovat? Jana KUBALOVÁ (CZECH REPUBLIC)
13:00 - 14:30 Vliv infekčních nemocí na poskytování přednemocniční neodkladné péče. Aleš RYBKA (CZECH REPUBLIC)

14:30 - 15:00 COFFEE BREAK AND EXHIBITION - E-POSTER SESSION
15:00
15:00-16:30
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A12
Emergency ultrasound

Emergency ultrasound
Ultrasound

Moderators: James CONNOLLY (Newcastle upon Tyne, UK), Senad TABAKOVIC (Zürich, SWITZERLAND)
15:00 - 16:30 Ultra smart and sound approach to kids. Kasia HAMPTON (USA)
15:00 - 16:30 Nerve Blocks that you should learn in the ED - "No pain.. No pain". Nicolas LIM (Resuscitation Fellow) (Dublin, IRELAND)
15:00 - 16:30 Low cost US simulation. Nils Petter OVELAND (NORWAY)
15:00 - 16:30 FAST is not FAST enough for 2019. Joseph OSTERWALDER (Head of Hospital) (St. Gallen, SWITZERLAND)

15:00-16:30
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B12
Sex and the Emergency Department
How the Emergency Physician Can be Involved

Sex and the Emergency Department
How the Emergency Physician Can be Involved
Genitourinary

15:00 - 16:30 One night stand - post exposure prophylaxis - case scenarios. Christian BACKER-MOGENSEN (ass. professor) (Aabenraa, DENMARK)
15:00 - 16:30 Techniques that went wrong - challenging procedures for the Emergency Physician. Andy NEILL (IRELAND)
15:00 - 16:30 Lecture 3. To Be CONFIRMED

15:00-16:30
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C12
Fake news, fake science, fake quality - true leadership
Leadership and quality in Emergency Medicine

Fake news, fake science, fake quality - true leadership
Leadership and quality in Emergency Medicine
Leadership, Quality, Research

Moderators: John HEYWORTH (UK), Barbara HOGAN (Past President of the European Society for Emergency Medicine, EuSEM) (HAMBURG, GERMANY)
15:00 - 16:30 Goal framing from in the Senate of Ancient Rome to the floor of a modern ED. Jan STROOBANTS (Head of the Emergency Department) (Brecht, BELGIUM)
15:00 - 16:30 Abuse of the "science“ label. Colin GRAHAM (Hong Kong, HONG KONG)
15:00 - 16:30 Abuse of the "quality" label. Ian HIGGINSON

15:00-16:30
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D12
YEMD - Doing the basics right
Everything starts with the basics - here you will learn stuff to change your daily practice.

YEMD - Doing the basics right
Everything starts with the basics - here you will learn stuff to change your daily practice.
Basics, Burns, Drugs, Psychiatric, Pulmonary, Young Emergency Medecine

Moderator: Aleks SUSTAR (SLOVENIA)
15:00 - 16:30 Dealing with IV drug users. Tereza RADL ONDRICHOVA (Doctor) (Prague, CZECH REPUBLIC)
15:00 - 16:30 Out of my mind - psychiatric emergencies. Wilma BERGSTRÖM (Berlin, GERMANY)
15:00 - 16:30 Oh baby! Rule out PE in pregnany. Thomas MOUMNEH (Fellow) (Angers, FRANCE)
15:00 - 16:30 Treating burns right! Katarina VESELA (doctor) (Prague, CZECH REPUBLIC)

15:00-16:30
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F12
ABSTRACTS SESSION

ABSTRACTS SESSION

15:00-16:30
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G12
NATIONAL TRACK - Forever young?
Věčně mladí?

NATIONAL TRACK - Forever young?
Věčně mladí?
Geriatric, Wellbeing

Moderators: Roman GREGOR, MBA (Director) (Ostrava, CZECH REPUBLIC), Jiří KNOR (medical doctor with specialisation) (Kladno, CZECH REPUBLIC)
15:00 - 16:30 Věkové (a jiné) limity pro specifické léčebné postupy u seniorů - PRO. Jiří KNOR (medical doctor with specialisation) (Kladno, CZECH REPUBLIC)
15:00 - 16:30 Věkové (a jiné) limity pro specifické léčebné postupy u seniorů - CON. Jana SEBLOVA (Emergency Physician) (PRAGUE, CZECH REPUBLIC)
15:00 - 16:30 Nároky na poskytovatele nad rámec zákonů - PRO. Jaroslav PEKARA (lecturer, paramedic) (Praha 10, CZECH REPUBLIC)
15:00 - 16:30 Nároky na poskytovatele nad rámec zákonů - CON. Roman GREGOR, MBA (Director) (Ostrava, CZECH REPUBLIC)

16:40
16:40-18:10
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A13
Infectious Disease & Sepsis
Common questions in the Emergency Department

Infectious Disease & Sepsis
Common questions in the Emergency Department
Antibiotics, Sepsis

Moderators: Christian BACKER-MOGENSEN (ass. professor) (Aabenraa, DENMARK), Maaret CASTREN (Professor) (HELSINKI, FINLAND)
16:40 - 18:10 Tropical diseases in travellers. Christian BACKER-MOGENSEN (ass. professor) (Aabenraa, DENMARK)
16:40 - 18:10 Antibiotics are not automatic: how can we target antibiotic treatment? Jim DUCHARME (President) (Mississauga, CANADA)
16:40 - 18:10 My Career in Pictures. David CARR (Associate Professor of Emergency Medicine) (Toronto, CANADA)
16:40 - 18:10 Rapid diagnosis in sepsis: is molecular pathogen identification the future? Frank BLOOS (Consultant) (Jena, GERMANY)

16:40-18:10
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B13
Medicolegal Emergency Medicine
Crime and dime: when the law meets Emergency Medicine

Medicolegal Emergency Medicine
Crime and dime: when the law meets Emergency Medicine
Medicolegal, Toxicology

16:40 - 18:10 Perfide techniques of criminal poisoning. Andy NEILL (IRELAND)
16:40 - 18:10 Illegal Substances. To Be CONFIRMED
16:40 - 18:10 Forensic Emergency Medicine. Susie HEWITT (Nottingham, UK)

16:40-18:10
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C13
Open mic session - Innovations in emergency medicine
Most innovative new tools, ideas and concepts in emergency medicine

Open mic session - Innovations in emergency medicine
Most innovative new tools, ideas and concepts in emergency medicine
Innovation, Research

16:40-18:10
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D13
YEMD - Revolutionaries! Go change EM!
We can shake things up - what do we need to know and do?

YEMD - Revolutionaries! Go change EM!
We can shake things up - what do we need to know and do?
Management, Mythbusters, Young Emergency Medecine

Moderators: Martin FANDLER (Consultant) (Germany, GERMANY), Eeva TUUNAINEN (Helsinki, FINLAND)
16:40 - 18:10 Change the system now! Aneesah ROAST (UK)
16:40 - 18:10 This is how it always has been done! Eeva TUUNAINEN (Helsinki, FINLAND)
16:40 - 18:10 Mythbusters. Justus WOLFF (GERMANY)

16:40-18:10
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F13
ABSTRACTS SESSION

ABSTRACTS SESSION

16:40-18:10
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G13
NATIONAL TRACK - EM in questions, riddles and quizes
Urgentní medicína v otázkách, hádankách a kvízech

NATIONAL TRACK - EM in questions, riddles and quizes
Urgentní medicína v otázkách, hádankách a kvízech
Education, INTERACTIVE SESSION

Moderators: Vladislav KUTĚJ (CZECH REPUBLIC), Jana SEBLOVA (Emergency Physician) (PRAGUE, CZECH REPUBLIC)
Take the quiz
16:40 - 18:10 Jak umíme řešit krize na urgentním příjmu? Jana SEBLOVA (Emergency Physician) (PRAGUE, CZECH REPUBLIC), Vladislav KUTĚJ (CZECH REPUBLIC)
16:40 - 18:10 Interaktivní kazuistiky. Roman SKULEC (Head of research and science department) (Kladno, CZECH REPUBLIC)
16:40 - 18:10 Umíme si poradit s pacientem v bezvědomí? Jaromír KOČÍ (CZECH REPUBLIC)
16:40 - 18:10 Infekční a dermatologické hádanky. Roman SÝKORA (CZECH REPUBLIC)

18:10
18:10-19:00
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A14
OPENING CEREMONY

OPENING CEREMONY

Monday 14 October
Time CONGRESS HALL FORUM HALL SOUTH HALL 3AB SOUTH HALL 3C CHAMBER HALL TERRACE 2B CLUB A
08:30
08:30-09:00
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A20
KEYNOTE LECTURE 1

KEYNOTE LECTURE 1

08:30 - 09:00 Lecture. Maaret CASTREN (Professor) (HELSINKI, FINLAND)

09:10
09:10-10:40
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A21
The Tantalising Travelling Troponin Tour: A Masterclass
Insights from the International Federation for Clinical Chemistry Committee for Cardiac Biomarkers

The Tantalising Travelling Troponin Tour: A Masterclass
Insights from the International Federation for Clinical Chemistry Committee for Cardiac Biomarkers
Cardiovascular

Moderator: Rick BODY (Manchester, UK)
09:10 - 10:40 IFCC practice recommenations for hs-troponin. Rick BODY (Manchester, UK)
09:10 - 10:40 Lecture 2. Fred APPLE
09:10 - 10:40 Lecture 3. To Be CONFIRMED

09:10-10:40
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B21
The Mood Zone
Workshop on resilience in the emergency department

The Mood Zone
Workshop on resilience in the emergency department
Resilience, Wellbeing

Speakers: Shweta GIDWANI (UK), Greg HENRY (USA), Ahmed KAZMI (UK)

09:10-10:40
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C21
Traumatic Cardiac Arrest

Traumatic Cardiac Arrest
ARRHYTHMIAS, Stroke, Trauma

Moderators: Christian HOHENSTEIN (PHYSICIAN) (Madgeburg, GERMANY), Bernd A. LEIDEL (Vice Head) (Berlin, GERMANY)
09:10 - 10:40 Cardiac arrest following blunt trauma – no dead end. Bernd A. LEIDEL (Vice Head) (Berlin, GERMANY)
09:10 - 10:40 Thoracotomy in the prehospital field. Gareth DAVIES (UK)
09:10 - 10:40 REBOA - Who and When? Zaffer QASIM (Speaker) (Philadelphia, USA)

09:10-10:40
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D21
YEMD - Surviving daily live in EM
Sometimes just survinig the daily struggle is a challenge

YEMD - Surviving daily live in EM
Sometimes just survinig the daily struggle is a challenge
Stereotypes, Wellbeing, Young Emergency Medecine

Moderators: Ross EVANS (UK), Aneesah ROAST (UK)
09:10 - 10:40 Family compatibility & EM? What? Tereza RADL ONDRICHOVA (Doctor) (Prague, CZECH REPUBLIC)
09:10 - 10:40 Everybody is a stereotype. Aleks SUSTAR (SLOVENIA)
09:10 - 10:40 Surviving mental and physical harm. Jenny GAIAWYN (UK)

09:10-10:40
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E21
PAEDIATRICS
Paediatric Emergencies#1

PAEDIATRICS
Paediatric Emergencies#1
Pediatric, Pulmonary, Sepsis

09:10 - 10:40 Infections in the PED - how to diagnose (biomarkers). Alain GERVAIX (SWITZERLAND)
09:10 - 10:40 Fever without source in infants 0-90 days in the emergency department. Santiago MINTEGUI (Barakaldo, SPAIN)
09:10 - 10:40 Bronchiolitis. Franz BABL (Professor) (Melbourne, AUSTRALIA)
09:10 - 10:40 e-Health. How technologies applied to emergency medicine may help physicians? Cécile MONTEIL (FRANCE)

09:10-10:40
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F21
ABSTRACTS SESSION

ABSTRACTS SESSION

10:40 - 11:10 COFFEE BREAK AND EXHIBITION - E-POSTER SESSION
11:10
11:10-12:40
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A22
Prehospital
Changing Views Outside the ED

Prehospital
Changing Views Outside the ED
Pre Hospital

Moderators: Erica CHRISTENSEN (Aalborg, DENMARK), Jana SEBLOVA (Emergency Physician) (PRAGUE, CZECH REPUBLIC)
11:10 - 12:40 Pain, dyspnea and other frequent but underestimated symptoms in prehospital care. Erica CHRISTENSEN (Aalborg, DENMARK)
11:10 - 12:40 New ethical (and other) challenges in prehospital emergency care. Jana SEBLOVA (Emergency Physician) (PRAGUE, CZECH REPUBLIC)
11:10 - 12:40 New technologies in prehospital conditions. Eric REVUE (Praticien Hospitalier Adjoint Chef de Service) (Paris, FRANCE)

11:10-12:40
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B22
True stories from the E.R.
Sharing wisdom through stories

True stories from the E.R.
Sharing wisdom through stories
General EM

Moderators: Katrin HRUSKA (Emergency Physician) (Stockholm, SWEDEN), Senad TABAKOVIC (Zürich, SWITZERLAND)
11:10 - 12:40 Story 1. Greg HENRY (USA)
11:10 - 12:40 Story 2. Colin GRAHAM (Hong Kong, HONG KONG)
11:10 - 12:40 Story 3. Katrin HRUSKA (Emergency Physician) (Stockholm, SWEDEN)
11:10 - 12:40 Story 4. Judith TINTINALLI (Chapel hill, USA)
11:10 - 12:40 Panel Discussion.

11:10-12:40
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C22
Cardiovascular Pros and Cons

Cardiovascular Pros and Cons
Cardiovascular, Decision making

Moderators: Barbra BACKUS (dordrecht, THE NETHERLANDS), Rick BODY (Manchester, UK)
11:10 - 12:40 How do we use decision aids AND our brains? Barbra BACKUS (dordrecht, THE NETHERLANDS), Steve SMITH (USA)
11:10 - 12:40 Do we still need the ECG in the high-sensitivity troponin era? Steve SMITH (USA)
11:10 - 12:40 How can we best use biomarkers and imaging to diagnose acute heart failure? Tomas VILEN

11:10-12:40
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D22
YEMD - Surviving a terror attack - a practical guide for YOU
A spectacular, interactive experience prepared by special forces professionals

YEMD - Surviving a terror attack - a practical guide for YOU
A spectacular, interactive experience prepared by special forces professionals
Disaster medicine, Mass casualty, Sonography, Ultrasound, Young Emergency Medecine

Moderators: Kasia HAMPTON (USA), Mr MANIEK (POLAND)
11:10 - 12:40 Interactive - what if YOU are under attack? Mr MANIEK (POLAND)
11:10 - 12:40 Interactive - what if YOU are under attack? Marcus CALISSENDORFF (SWEDEN)
11:10 - 12:40 Ultrasound for triage in mass casualty. Kasia HAMPTON (USA)

11:10-12:40
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E22
PAEDIATRICS
Paediatric Emergencies#2

PAEDIATRICS
Paediatric Emergencies#2
Pediatric, Resuscitation

11:10 - 12:40 Paediatric resuscitation: what to expect from the 2020 ERC guidelines. Patrick VAN DE VOORDE (Ghent, BELGIUM)
11:10 - 12:40 Vital signs in the Paediatric ED: what's the score? Damian ROLAND (Paediatric EM) (Leicester, UK)
11:10 - 12:40 Jack and Jill went up a hill. What happened after and how were they looked after. Epidemiology, nature and outcomes for children suffering major trauma. Ross FISHER (Consultant Paediatric Surgeon) (Sheffield, UK)

11:10-12:40
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F22
ABSTRACTS SESSION

ABSTRACTS SESSION

12:40 - 14:10 LUNCH BREAK AND EXHIBITION
14:10
14:10-15:40
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A23
Resuscitation
Evidence-based cardiac arrest management, guided by a simulated case

Resuscitation
Evidence-based cardiac arrest management, guided by a simulated case
Resuscitation

Moderators: Wilhelm BEHRINGER (Director) (Jena, GERMANY), Maaret CASTREN (Professor) (HELSINKI, FINLAND)
14:10 - 15:40 Intubation - Airway (AIRWAY II). Lars ANDERSEN
14:10 - 15:40 IV/IO Access - epinephrine (PARAMEDIC II). Mathias HOLMBERG
14:10 - 15:40 Other aspects that can challenge you. Maaret CASTREN (Professor) (HELSINKI, FINLAND)

14:10-15:40
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B23
Court Room
You don't want to be part of this in real life

Court Room
You don't want to be part of this in real life
Human factors, Management, Medicolegal

14:10 - 15:40 3 Cases. Greg HENRY (USA), John HEYWORTH (UK), Susie HEWITT (Nottingham, UK)

14:10-15:40
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C23
The Heart of the Matter

The Heart of the Matter
ARRHYTHMIAS, Stroke, Cardiovascular

Moderator: Steve SMITH (USA)
14:10 - 15:40 ECG arrhythmias you don't want to miss. Steve SMITH (USA)
14:10 - 15:40 The devil and the deep blue sea: balancing stroke and bleeding risk in AFib. To Be CONFIRMED
14:10 - 15:40 Lecture 3. To Be CONFIRMED

14:10-15:40
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D23
YEMD - Unique circumstances, challenge accepted
Listen to unique stories from unique people

YEMD - Unique circumstances, challenge accepted
Listen to unique stories from unique people
Conflict, Disaster medicine, International EM, MSF, Young Emergency Medecine

Moderators: Wilma BERGSTRÖM (Berlin, GERMANY), Youri YORDANOV (Médecin) (Paris, FRANCE)
14:10 - 15:40 From Peking to Paris. Tom ROBERTS (Doctor) (Bristol, UK)
14:10 - 15:40 In the midst of Paris during the attacks. Youri YORDANOV (Médecin) (Paris, FRANCE)
14:10 - 15:40 EM in a conflict zone (Congo). Steven VAN DEN BROUCKE (Internal Medicine) (Kortrijk-Dutsel, BELGIUM)

14:10-15:40
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E23
PAEDIATRICS
Research in PEM - Best PEM abstract AWARD

PAEDIATRICS
Research in PEM - Best PEM abstract AWARD
INTERACTIVE SESSION, Pediatric, Research

Moderators: Silvia BRESSAN (Moderator) (Padova, ITALY), Rianne OOSTENBRINK (pediatrician) (Rotterdam, THE NETHERLANDS)
Take the quiz
14:10 - 14:40 Fast track in PEM. Rianne OOSTENBRINK (pediatrician) (Rotterdam, THE NETHERLANDS), Ruud NIJMAN (academic clinical lecturer) (London, UK)
14:40 - 15:10 PSA in the ED. Cyril SAYOUN, Silvia BRESSAN (Moderator) (Padova, ITALY)
15:10 - 15:40 Best PEM abstract AWARD.
15:10 - 15:20 #18296 - OP118 A NICE combination predicting hospitalisation at triage: a European multicentre prospective observational study of febrile children presenting to the Emergency Department.
OP118 A NICE combination predicting hospitalisation at triage: a European multicentre prospective observational study of febrile children presenting to the Emergency Department.

Background and aims:

A large proportion of paediatric Emergency Department (ED) visits consists of febrile children. A prolonged process between arrival at the ED and hospital admission can negatively influence ED crowding and subsequent quality of care for the individual patient. 

While several studies have focused on predicting hospital admission, many of those either focused on adults, on specific diseases (e.g. asthma only) or were performed in a single setting, thus limiting the generalizability of the result to other settings with a different case mix and different admission rates. Furthermore, many models included variables that were not available at triage, such as laboratory results.

We aimed to investigate early risk factors for hospital admission in febrile children attending different EDs in Europe, and to develop and validate a prediction model identifying those children needing hospitalisation, thereby improving patient flow and quality of care.

 

Methods:

In the MOFICHE study (Management and Outcome of Fever in children in Europe, January 2017-April 2018) data were collected on febrile children aged 0–18 years presenting to 12 European. MOFICHE is part of the PERFORM study (http://www.perform2020.eu). Routine data were prospectively collected and included general patient characteristics, markers of disease severity (abnormal vital signs according to the APLS reference ranges, Paediatric Early Warning Score (PEWS) and NICE fever guideline red alarming signs) and disposition (discharge, admission, ICU admission). 
A prediction model for hospitalisation was constructed using multivariable logistic regression analysis. We used a stepwise approach in which models with general patient characteristics, vital signs, PEWS and NICE alarming signs were tested separately, and were subsequently combined in the final model. The prediction model was derived in a random sample of half of the cases and validated in the remaining set. We determined the discriminative value of the model by calculating the receiver operating curves (ROCs) and assessed the predictive performance (sensitivity, specificity) at a high specificity level as our aim was to identify children at high risk for admission. 

 

Results:

38,496 children were included. Of those, 13.397 (34,9%) children were admitted to a general ward and 156 to the ICU. 
When testing patient characteristics and markers of disease severity separately, only the NICE alarming signs performed well with an AUC of 0.77 (95% CI 0.77-0.77), while patient characteristics, vital signs and PEWS performed poorly (AUC’s all below <0.70). 

However, combining patient characteristics, vital signs and NICE alarming signs yielded an AUC of 0.82 (95% CI 0.82-0.82). The model performed equally well in the validation set.
A “rule-in model” was created, which was highly specific (95%) with low sensitivity (37%), a positive likelihood ratio of 7.5 and a positive predictive value of 72%.

A digital calculator was constructed to facilitate clinical use.

 

Conclusion:

The combination of patient characteristics and markers of disease severity available at triage can be used to identify children at high risk for hospitalisation at an early stage and improve ED patient flow.

Dorine BORENSZTAJN (Rotterdam, THE NETHERLANDS), Nienke HAGEDOORN, Ulrich VON BOTH, Enitan D. CARROL, Manuel DEWEZ, Marieke EMONTS, Michiel VAN DER FLIER, Ronald DE GROOT, Jethro HERBERG, Benno KOHLMAIER, Emma LIM, Ian MACONOCHIE, , Federico MARTINON-TORRES, Ruud NIJMAN, Marko POKORN, Franc STRLE, Maria TSOLIA, Clementien VERMONT , Shunmay YEUNG, Dace ZAVADSKA, Werner ZENZ, Michael LEVIN, Henriëtte A MOLL
15:20 - 15:30 #18493 - OP119 A randomised, double-blind, placebo controlled trial of ondansetron to reduce vomiting in children receiving intranasal fentanyl and nitrous oxide for procedural sedation and analgesia.
OP119 A randomised, double-blind, placebo controlled trial of ondansetron to reduce vomiting in children receiving intranasal fentanyl and nitrous oxide for procedural sedation and analgesia.

Background:

Intranasal fentanyl and nitrous oxide are frequently combined for procedural sedation and analgesia in children. This approach is advantageous for its non-parenteral administration, but is associated with a higher incidence of vomiting than nitrous nitrous used as a sole agent. We sought to assess whether the preprocedural use of ondansetron reduces the incidence of vomiting associated with the combination of intranasal fentanyl and nitrous oxide for procedural sedation compared with placebo.

 Methods:

This was a double-blind, randomised, placebo controlled superiority trial conducted between October 2016 and January 2019 at a single tertiary care paediatric emergency department. Eligible patients were children aged 3-18 years with planned sedation with intranasal fentanyl and nitrous oxide. Participants were randomised to receive ondansetron or placebo 30-60 minutes prior to nitrous oxide administration. The primary outcome was early vomiting associated with procedural sedation defined as occuring during or up to 1 hour after nitrous oxide administration. Secondary outcomes were: number of vomits and retching during procedural sedation, vomiting 1 to 24 hours post procedural sedation, procedural sedation duration, adverse events and quality of sedation across the two groups.

 

Results:

442 participants were randomised and outcome data were available for analysis in 436 participants. There was little evidence of a difference in the primary outcome, early vomiting associated with procedural sedation, between the groups: ondansetron 12% vs. placebo 16%, difference in proportions -4.6% (95% confidence interval [CI] -11 to 2.0; P=.18). However, the overall vomiting incidence up to 24 hours after the procedure was lower in ondansetron treated patients 21% vs. placebo 31% (-10%, 95%CI -19 to -1.4; P=.02), number needed to treat of 10. All other secondary outcomes were similar between the groups. Most sedations were reported as optimal by the treating clinician (91%). There were only two minor adverse events, both in the placebo group. There were no serious adverse events.

 

Discussion & Conclusions:

This is the first study reporting on premedication to prevent vomiting associated with the combination of intranasal fentanyl and nitrous oxide for procedural sedation in children. In this trial, the incidence of early vomiting was lower than previously reported in the literature, which may explain our null findings. We found little evidence that ondansetron reduces the incidence of early vomiting related to procedural sedation with the combination of intranasal fentanyl and nitrous oxide. This trial adds further evidence regarding safety of this sedation strategy.

Emmanuelle FAUTEUX-LAMARRE, Franz E BABL (Melbourne, AUSTRALIA), Michelle MCCARTHY, Nuala QUINN, Andrew DAVIDSON, Donna LEGGE, Katherine J LEE, Greta M PALMER, Sandy M HOPPER
15:30 - 15:40 #18769 - OP120 Clinical prediction to target new biomarkers in febrile children at the ED, a European observational study.
OP120 Clinical prediction to target new biomarkers in febrile children at the ED, a European observational study.

Background: Early detection and treatment of invasive bacterial infections reduces morbidity and mortality. Distinguishing between invasive bacterial and self-limiting viral infections solely based on clinical signs and symptoms is unreliable. Therefore, overtreatment with antibiotics in febrile illnesses is common. In Europe, antibiotic prescription rates for febrile illness vary from 19% to 64%.

Aim: To externally validate and update a clinical prediction model to identify invasive bacterial infections and define risk thresholds where new biomarkers could improve accurate diagnosis.

Methods: Data of febrile children <18 years attending 12 European EDs were collected between January 2017-April 2018. The main outcome measure was invasive bacterial infection (IBI) defined as bacteremia, sepsis or bacterial meningitis. For this analysis, we excluded children without C-reactive protein (CRP) measurement and children with urinary tract infection. We externally validated and updated an existing clinical prediction model (Feverkidstool which includes vital signs, clinical symptoms and CRP) and extended the model by including level of consciousness. We determined the discriminative value by the C-statistic and assessed the predictive performance (sensitivity, specificity, negative and positive likelihood ratios) at different thresholds.

Results: 16,225 patients were included (median age 2.8 years (IQR 1.4-6.0), 29% ill appearing) of whom 155 had an IBI. The discriminative ability of IBI versus no IBI was moderate for the original model (0.73 (95% CI 0.69-0.77) and improved in the updated model with consciousness (0.79 (95% CI 0.75-0.83). The updated model for IBI performed well for the low-risk threshold of 2.5% (sensitivity 0.93 (95% CI 0.86-0.97), negative likelihood ratio 0.39 (95% CI 0.2-0.8)) and was moderate for the high-risk threshold of 30% (specificity 0.88 (95 % CI 0.87-0.89), positive likelihood ratio 3.5 (95% CI 2.7-4.6). The intermediate thresholds of 5-30% performed poorly (ranges: sensitivity 0.58-0.85, negative likelihood ratio 0.46-0.59, specificity 0.33-0.71, positive likelihood ratio 1.26-1.99).

Conclusion: The low-risk threshold of the updated clinical prediction model is useful to rule- out patients with IBI at the ED. The intermediate and high-risk thresholds are lacking excellent rule-in value for IBI to target treatment. The number of unnecessary treated patients could potentially be reduced by addition of other new sensitive biomarkers.

Nienke HAGEDOORN (Rotterdam, THE NETHERLANDS), Dorine BORENSZTAJN, Ian MACONOCHIE, Ruud NIJMAN, Federico MARTINON-TORRES, Jethro HERBERG, Enitan CARROL, Emma LIM, Maria TSOLIA, Marieke EMONTS, Ronald DE GROOT, Michiel VAN DER FLIER, Werner ZENZ, Benno KOHLMAIER, Franc STRLE, Marko POKORN, Dace ZAVADSKA, Ulrich VON BOTH, Clementien VERMONT, Shunmay YEUNG, Michael LEVIN, Henriëtte MOLL

14:10-15:40
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F23
ABSTRACTS SESSION

ABSTRACTS SESSION

15:40 - 16:10 COFFEE BREAK AND EXHIBITION - E-POSTER SESSION
16:10
16:10-17:40
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A24
Major trauma
Changing the alphabet of trauma care

Major trauma
Changing the alphabet of trauma care
Trauma

16:10 - 17:40 A Primary Survey fit for the 21st Century. James CONNOLLY (Newcastle upon Tyne, UK)
16:10 - 17:40 A is for archaic? Did the ATLS 10 go far enough? Zaffer QASIM (Speaker) (Philadelphia, USA)
16:10 - 17:40 The one before A-Managing catastrophic hemmorrhage. Clare BOSANKO

16:10-17:40
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B24
What characteristics does a good emergency physician have?
What does it take to be excellent in Emergency Medicine? Tips from the experts

What characteristics does a good emergency physician have?
What does it take to be excellent in Emergency Medicine? Tips from the experts
General EM, Human factors, Soft skills

Moderators: Christian HOHENSTEIN (PHYSICIAN) (Madgeburg, GERMANY), Senad TABAKOVIC (Zürich, SWITZERLAND)
16:10 - 16:20 The 7 habits of a highly effective emergency physician (15 minute introduction talk). Thomas FLEISCHMANN M.D. (Medical Director) (Rendsburg, GERMANY)
16:20 - 16:40 Panel Discussion 1. Greg HENRY (USA), Thomas FLEISCHMANN M.D. (Medical Director) (Rendsburg, GERMANY)
16:40 - 16:50 Carry on erring: Would routinely cross-checking cases improve safety? Yonathan FREUND (Paris, FRANCE)
16:50 - 17:10 Panel Discussion 2. Greg HENRY (USA), Yonathan FREUND (Paris, FRANCE), Thomas FLEISCHMANN M.D. (Medical Director) (Rendsburg, GERMANY)
17:10 - 17:20 Lecture 3. Greg HENRY (USA)
17:20 - 17:40 Panel Discussion 3. Greg HENRY (USA), Judith TINTINALLI (Chapel hill, USA), Thomas FLEISCHMANN M.D. (Medical Director) (Rendsburg, GERMANY), Yonathan FREUND (Paris, FRANCE)

16:10-17:40
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C24
Resuscitation in different colors
Soft skills and philosophy of resuscitation

Resuscitation in different colors
Soft skills and philosophy of resuscitation
ARRHYTHMIAS, Stroke, Human factors, Wellbeing

Moderators: Wilhelm BEHRINGER (Director) (Jena, GERMANY), Marie-Laure BOUCHY JACOBSSON (Consultant) (Hellerup, DENMARK)
16:10 - 17:40 What is a good resuscitation? Maaret CASTREN (Professor) (HELSINKI, FINLAND)
16:10 - 17:40 Debriefing after a disaster in the resus room. Simon CARLEY (Manchester, UK)
16:10 - 17:40 Are we still performing inappropriate CPR attempts at the end of life? Suzanne MASON (Professor of Emergency Medicine) (Sheffield, UK)

16:10-17:40
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D24
YEMD - Newest kids on the block
Prepared fresh just for you!

YEMD - Newest kids on the block
Prepared fresh just for you!
Communication, Fringe, Young Emergency Medecine

Moderators: Tom ROBERTS (Doctor) (Bristol, UK), Patricia VAN DEN BERG (Academic Clinical Fellow Emergency Medicine) (Manchester, UK)
16:10 - 17:40 Headache - cool new ideas for treatment. Andrea DUCA (Milano, ITALY)
16:10 - 17:40 Cell salvage on the street? Ross EVANS (UK)
16:10 - 17:40 The best of the best (yemd) abstracts. Youri YORDANOV (Médecin) (Paris, FRANCE)

16:10-17:40
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E24
PAEDIATRICS
Paediatric emergencies. Take your decision

PAEDIATRICS
Paediatric emergencies. Take your decision
INTERACTIVE SESSION, Pediatric, Trauma, Ultrasound

Take the quiz
16:10 - 17:40 Total body CT scan in trauma patients: Yes or No. To Be CONFIRMED, Said HACHIMI IDRISSI (head clinic) (Ghent, BELGIUM)
16:10 - 17:40 Tranexamic acid in pediatric trauma patients: Yes or No. Tom BEATTIE (UK), Itay SHAVIT (ISRAEL)
16:10 - 17:40 Head CT scan in headache: Yes or No.
16:10 - 17:40 Lung ultrasound for pneumonia in the PED: Yes or No.

16:10-17:40
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F24
ABSTRACTS SESSION

ABSTRACTS SESSION

17:40
17:40-18:45
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B25
DIPLOMA & CERTIFICATE

DIPLOMA & CERTIFICATE

Tuesday 15 October
Time CONGRESS HALL FORUM HALL SOUTH HALL 3AB SOUTH HALL 3C CHAMBER HALL TERRACE 2B CLUB A
08:30
08:30-09:00
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A30
KEYNOTE LECTURE 2

KEYNOTE LECTURE 2

08:30 - 09:00 Keynote Lecture. Greg HENRY (USA)

09:10
09:10-10:40
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A31
Disaster medicine
Climate change impacts on health

Disaster medicine
Climate change impacts on health
Disaster medicine

Moderators: Francesco DELLA CORTE (ITALY), Ives HUBLOUE (Chair) (Brussels, BELGIUM)
09:10 - 10:40 Heat Waves. Joris VAN LOENHOUT (Senior Research Fellow) (Brussels, BELGIUM)
09:10 - 10:40 Air Pollution. Paul WILKINSON (UK)
09:10 - 10:40 Floods. Dell SAULNIER (PhD student) (Stockholm, SWEDEN)

09:10-10:40
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B31
Palliative Care and Ethics
Do We Always Have to Save the Life?

Palliative Care and Ethics
Do We Always Have to Save the Life?
Ethics, Palliative Care, Philosophy

Moderators: Helen ASKITOPOULOU (Chair Ethics Committee) (Heraklion, GREECE), Dorothea HEMPEL (GERMANY)
09:10 - 10:40 Ethical and Legal Restrictions. To Be CONFIRMED
09:10 - 10:40 Treatment Strategies and Case Scenarios with TED Questions. Dorothea HEMPEL (GERMANY)
09:10 - 10:40 Repeated Suicide Attempt - is there an obligation to live? Bernard FOEX (Consultant in Emergency Medicine and Critical Care) (Manchester, UK)

09:10-10:40
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C31
Education in emergency medicine
Tips, tricks and politics in EM education

Education in emergency medicine
Tips, tricks and politics in EM education
Education

Moderators: Cristian BOERIU (Assoc.Professor) (Targu Mures, ROMANIA), Senad TABAKOVIC (Zürich, SWITZERLAND)
09:10 - 09:25 Assessment. Greg HENRY (USA)
09:25 - 09:40 How to prove that what your teach makes a difference? Damian ROLAND (Paediatric EM) (Leicester, UK)
09:40 - 09:55 Implementing New Processes in Your ED: Tips from the Trenches. Eric DRYVER (Consultant) (Lund, SWEDEN)
09:55 - 10:10 Lecture 4. Judith TINTINALLI (Chapel hill, USA)
10:10 - 10:40 Panel discussion. Eric DRYVER (Consultant) (Lund, SWEDEN), Greg HENRY (USA), Damian ROLAND (Paediatric EM) (Leicester, UK), Judith TINTINALLI (Chapel hill, USA)

09:10-10:40
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D31
YEMD - Learn to lead!
Hear about personal experiences, learn why we need more women in EM and be part of the discussion!

YEMD - Learn to lead!
Hear about personal experiences, learn why we need more women in EM and be part of the discussion!
Leadership, Women in EM, Young Emergency Medecine

Moderators: Lina JANKAUSKAITE (MD, PhD) (Kaunas, LITHUANIA), Basak YILMAZ (Ankara, TURKEY)
09:10 - 10:40 Changing society and medicine. Martynas GEDMINAS (Senior resident) (Kaunas, LITHUANIA)
09:10 - 10:40 Leadership. Pieter Jan VAN ASBROECK (Consultant in Emergency Medicine) (Genk, BELGIUM)
09:10 - 10:40 Female rollercoaster in Emergency Medicine. Lina JANKAUSKAITE (MD, PhD) (Kaunas, LITHUANIA)
09:10 - 10:40 Women in Leadership in EM. Aneesah ROAST (UK)

09:10-10:40
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E31
NURSES
Organization of emergency nursing care

NURSES
Organization of emergency nursing care
Neurology, Nurses, Triage

Moderators: Kris BRAEKERS (Assistant Professor) (Hasselt, BELGIUM), Remco EBBEN (Lecturer/researcher) (Nijmegen, THE NETHERLANDS)
09:10 - 10:40 Integrated triage. Tessa POSTUMA (THE NETHERLANDS)
09:10 - 10:40 The organization of acute neurovascular care. Peter STAP (Nurse) (THE NETHERLANDS), Rianne LAM (THE NETHERLANDS)
09:10 - 10:40 What last years literature learned us about: ED crowding. Christien VAN DER LINDEN (Clinical Epidemiologist) (The Hague, THE NETHERLANDS)

09:10-10:40
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F31
ABSTRACTS SESSION

ABSTRACTS SESSION

10:10 - 10:20 #18334 - OP070 Prevalence and Utility of Point-Of-Care Ultrasound in the Emergency Department: a prospective observational study.
OP070 Prevalence and Utility of Point-Of-Care Ultrasound in the Emergency Department: a prospective observational study.

Abstract

 

OBJECTIVE: An observational study on the current diagnostic and procedural utility and impact of point of care ultrasound (POCUS) in Emergency Departments (ED).

 

BACKGROUND:Point of Care Ultrasound (POCUS) has been recognised as a useful noninvasive, bedside tool, providing additional information as well as it’s utility in procedural guidance for clinicians, However, its current use in the ED remains unknown.

 

METHODS: In October 2016, a 31-day prospective observational study was performed in three Monash Health Emergency Departments in Melbourne, Australia. Data regarding patients’ presenting complaints, frequency, operators’ qualifications, and POCUS module were collected and analysed. Factors associated with diagnostic impacts were identified.

 

RESULTS:A total of 390 (2.82%) POCUS examinations were performed among 13,822 adult presentationsin the three Monash Health EDs during the 31-day study period. 292 (74.9%) cases were retrieved from electronic medical records (Symphony), recorded as Clinician-Performed Ultrasound (CPU);and 98 (25.1%) cases from written records which were collected by research assistants. POCUS was performed as a diagnostic tool in 344 (88.2%) and procedural in 46 (11.8%) cases. eFAST/AAA and BELS were the two most frequently utilised diagnostic modalities. Overall, the majority of diagnostic POCUS cases were indicated for abdominal pain (35.3%), chest pain (14.0%) and trauma (5.8%). Procedural POCUS was most commonly used for vascular access (57.9%), where dyspnoea (21.6%) was the most common presenting complaint. Majority of the cases were performed by FACEMs (fellows of Australasian college of Emergency Medicine) (67.7%). 

 

CONCLUSIONS: Despite known diagnostic and procedural advantages, the prevalence of POCUS in our EDs was found to be lower than what was expected. However, as this is a sigle network/centre study in a limited period of time,it might have resulted in under-reporting of POCUS use. In our study, POCUS mostly served for diagnostic purposes. Prevalence was shown to be proportional to the level of clinical expertise among the operators. Training and utility of POCUS among physicians should be further advocated and supported.

 

Pourya POURYAHYA (Melbourne, AUSTRALIA), Koo MEI-PING

10:40 - 11:10 COFFEE BREAK AND EXHIBITION - E-POSTER SESSION
11:10
11:10-12:40
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A32
Airway
Beyond the Larynx: Airway management from the A team

Airway
Beyond the Larynx: Airway management from the A team
Airway

Moderators: Christian HOHENSTEIN (PHYSICIAN) (Madgeburg, GERMANY), Reuben STRAYER (Emergency Physician) (Brooklyn, USA)
11:10 - 12:40 Psychology in the difficult airway. Dorothea HEMPEL (GERMANY)
11:10 - 12:40 Alternatives to RSI: Contemporary Airway Management with Ketamine. Reuben STRAYER (Emergency Physician) (Brooklyn, USA)
11:10 - 12:40 Videolaryngoscopy vs. Direct Laryngoscopy / DSI+apnoeic vent. Clare BOSANKO

11:10-12:40
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B32
Disaster medicine
Mass casualty triage: panel discussion

Disaster medicine
Mass casualty triage: panel discussion
Disaster medicine, Pre Hospital

Moderators: Massimo AZZARETTO (Associate Researcher) (Novara, ITALY), Abdo KHOURY (SENIOR ATTENDING) (Besançon, FRANCE), Luca RAGAZZONI (Novara, ITALY)
11:10 - 12:40 Prehospital. Riccardo STUCCHI (ITALY)
11:10 - 12:40 Emergency Department. Eric WEINSTEIN (Disaster Medicine Researcher) (Summerville SC, USA)
11:10 - 12:40 Humanitarian Setting. Laura ARCHER (Senior Officer, Emergency Medical Services) (Geneva, SWITZERLAND)

11:10-12:40
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C32
Late breaking research? Bleeding and thrombosis?

Late breaking research? Bleeding and thrombosis?
Research

11:10 - 12:40 TXA in epistaxis. Adam REUBEN (UK)
11:10 - 12:40 New tools in the early diagnosis of acute coronary syndromes. Edd CARLTON (UK)
11:10 - 12:40 Sterile vs non-sterile sutures for wounds in the ED. Wouter RAVEN (Emergency Physician) (Leiden, THE NETHERLANDS)

11:10-12:40
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D32
YEMD - The Secret Session
pssst....

YEMD - The Secret Session
pssst....
Young Emergency Medecine

11:10-12:40
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E32
NURSES
Emergency nursing education

NURSES
Emergency nursing education
Education, Nurses

Moderators: Tessa POSTUMA (THE NETHERLANDS), Christien VAN DER LINDEN (Clinical Epidemiologist) (The Hague, THE NETHERLANDS)
11:10 - 12:40 Advanced practice nursing in prehospital care: how the curriculum was build. Wim BREEMAN (Nurse Practitioner Emergency Care) (Rotterdam, THE NETHERLANDS)
11:10 - 12:40 What last years literature learned us about: ED nursing education. Thordis K. THORSTEINSDOTTIR (Associate Professor) (Reykjavik, ICELAND)
11:10 - 12:40 What last years literature learned uw about: simulation as an educational intervention. Thorsteinn JONSSON (ICELAND)

11:10-12:40
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F32
ABSTRACTS SESSION

ABSTRACTS SESSION

12:40 - 14:10 LUNCH BREAK AND EXHIBITION
14:10
14:10-15:40
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A33
Psychology in the Emergency Department
All in the Mind: The Psychology of an Emergency Physician

Psychology in the Emergency Department
All in the Mind: The Psychology of an Emergency Physician
Psychology

Moderators: Simon CARLEY (Manchester, UK), Christian HOHENSTEIN (PHYSICIAN) (Madgeburg, GERMANY)
14:10 - 15:40 Frust and Anger among Patients and Relatives - Understand their Perception of Reality. Thomas FLEISCHMANN M.D. (Medical Director) (Rendsburg, GERMANY)
14:10 - 15:40 How to handle fear of failure and mutate from a fraidy-cat to a risk-taker. Simon CARLEY (Manchester, UK)
14:10 - 15:40 Dr. Greg´s Travalin Medical Magic Show. Greg HENRY (USA)
14:10 - 15:40 Communication in failure. Judith TINTINALLI (Chapel hill, USA)

14:10-15:40
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B33
Bohemian Sono Rhapsody

Bohemian Sono Rhapsody
Sonography, Ultrasound

Moderators: James CONNOLLY (Newcastle upon Tyne, UK), Eftychia POLYZOGOPOULOU (ATHENS, GREECE), Senad TABAKOVIC (Zürich, SWITZERLAND)
14:10 - 15:40 Interactive ultrasound game show. Tomas VILEN, Robert JARMAN (UK), Beatrice HOFFMANN (USA), Nils Petter OVELAND (NORWAY), Laila HUSSEIN (Specialist Emergency Medicine) (AbuDhabi, UNITED ARAB EMIRATES), Kasia HAMPTON (USA)

14:10-15:40
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C33
Geriatric emergencies
Hot topics in the care of the elderly

Geriatric emergencies
Hot topics in the care of the elderly

Moderators: Suzanne MASON (Professor of Emergency Medicine) (Sheffield, UK), Christian NICKEL (Vice Chair) (Basel, SWITZERLAND)
14:10 - 14:25 Education in Geri-EM. Don MELADY (Toronto, CANADA)
14:25 - 14:40 Risk stratification of older patients. Christian NICKEL (Vice Chair) (Basel, SWITZERLAND)
14:40 - 14:55 Short stay unit. Camilla STRØM (MD. PhD Research Fellow) (Copenhagen S, DENMARK)
14:55 - 15:10 Prehospital geriatric emergency medicine. Eric REVUE (Praticien Hospitalier Adjoint Chef de Service) (Paris, FRANCE)
15:10 - 15:40 Panel Discussion. Don MELADY (Toronto, CANADA), Christian NICKEL (Vice Chair) (Basel, SWITZERLAND), Eric REVUE (Praticien Hospitalier Adjoint Chef de Service) (Paris, FRANCE), Camilla STRØM (MD. PhD Research Fellow) (Copenhagen S, DENMARK)

14:10-15:40
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D33
YEMD - Very difficult situations, once in a lifetime?
The situations we don't see everyday - but need be prepared for!

YEMD - Very difficult situations, once in a lifetime?
The situations we don't see everyday - but need be prepared for!
Hematology, Resuscitation, Young Emergency Medecine

Moderators: Bulut DEMIREL (Emergency Department Chief) (Ankara, TURKEY), Dinka LULIC (Resident in Emergency Medicine) (Zagreb, CROATIA)
14:10 - 15:40 Surviving hematological emergencies. Eva DIEHL-WIESENECKER (Physician) (Berlin, GERMANY)
14:10 - 15:40 Jack in the box - uncommon presentations. Farah MUSTAFA (EMERGENCY MEDICINE CONSULTANT) (DUBLIN, IRELAND)
14:10 - 15:40 To treat or not to treat. Or: Mr. Bayes - Take over! Steven VAN DEN BROUCKE (Internal Medicine) (Kortrijk-Dutsel, BELGIUM)
14:10 - 15:40 Worst case: Resuscitating one of your own team - what now? Riccardo LETO (Chief of ED) (Overpelt, BELGIUM)

14:10-15:40
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E33
NURSES
Implementing evidence based care

NURSES
Implementing evidence based care
Nurses

Moderators: Wim BREEMAN (Nurse Practitioner Emergency Care) (Rotterdam, THE NETHERLANDS), Emmanuel ROHRBACHER (FRANCE)
14:10 - 15:40 Introduction to implementation science. Jochen BERGS (Post-doctoral researcher) (Hasselt, BELGIUM)
14:10 - 15:40 Protocol adherence in emergency care. Remco EBBEN (Lecturer/researcher) (Nijmegen, THE NETHERLANDS)
14:10 - 15:40 Implementing nursing handover: a hospitals journey. Christian GILOT (BELGIUM), Jochen BERGS (Post-doctoral researcher) (Hasselt, BELGIUM)

14:10-15:40
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F33
ABSTRACTS SESSION

ABSTRACTS SESSION

15:40 - 16:10 COFFEE BREAK AND EXHIBITION - E-POSTER SESSION
16:10
16:10-17:40
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A34
Geriatric emergencies
Is the care of the elderly the proof that we need generalists in the emergency department?

Geriatric emergencies
Is the care of the elderly the proof that we need generalists in the emergency department?
Geriatric

16:10 - 17:40 Lecture 1. Don MELADY (Toronto, CANADA)
16:10 - 17:40 Lecture 2. Suzanne MASON (Professor of Emergency Medicine) (Sheffield, UK)
16:10 - 17:40 Lecture 3. Simon. P. MOOIJAART (Internist-geriatrician) (LEIDEN, THE NETHERLANDS)

16:10-17:40
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B34
Disaster medicine
Hospital safety

Disaster medicine
Hospital safety
Disaster medicine, Mass casualty, Violence

Moderators: Luc MORTELMANS (PHYSICIAN) (Antwerp, BELGIUM), Sofie PAUWELS (BRUSSEL, BELGIUM)
16:10 - 17:40 Cybersecurity. Jeffrey FRANC (Clinical Professor) (Edmonton, CANADA)
16:10 - 17:40 Recovery of hospital functions after mass casualty incident. Pinchas HALPERN (department chair) (Tel Aviv, ISRAEL)
16:10 - 17:40 Violence towards personnel. Eric REVUE (Praticien Hospitalier Adjoint Chef de Service) (Paris, FRANCE)

16:10-17:40
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C34
Breaking the waves
What is the future of emergency ultrasound?

Breaking the waves
What is the future of emergency ultrasound?

Moderators: Laila HUSSEIN (Specialist Emergency Medicine) (AbuDhabi, UNITED ARAB EMIRATES), Senad TABAKOVIC (Zürich, SWITZERLAND)
16:10 - 17:40 AI in POCUS - Artificial Intelligence or Actually Incompetent? Christopher YAP (Consultant) (Sheffield, UK)
16:10 - 17:40 How to use CEUS in the emergency department. Beatrice HOFFMANN (USA)
16:10 - 17:40 Lecture 3. To Be CONFIRMED

16:10-17:40
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D34
YEMD - Innovation in EM - check this out!
From the cutting edge directly to you!

YEMD - Innovation in EM - check this out!
From the cutting edge directly to you!
Fringe, Innovation, Young Emergency Medecine

Moderators: Dinka LULIC (Resident in Emergency Medicine) (Zagreb, CROATIA), Pieter Jan VAN ASBROECK (Consultant in Emergency Medicine) (Genk, BELGIUM)
16:10 - 17:40 Alternatives to aBGA - better, faster...? Stefano MALINVERNI (Emergency Consultant) (BRUSSELS, BELGIUM)
16:10 - 17:40 High flow nasal oxygen! Bojana RADULOVIC (CROATIA)
16:10 - 17:40 Follow me into the twittersphere. Dinka LULIC (Resident in Emergency Medicine) (Zagreb, CROATIA)
16:10 - 17:40 Squeeze the aorta where it hurts. Kasia HAMPTON (USA)

16:10-17:40
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E34
NURSES
Emerging topics in emergency nursing

NURSES
Emerging topics in emergency nursing
Nurses

Moderators: Thorsteinn JONSSON (ICELAND), Emmanuel ROHRBACHER (FRANCE)
16:10 - 17:40 Operations research & simulation: a case study. Kris BRAEKERS (Assistant Professor) (Hasselt, BELGIUM)
16:10 - 17:40 Pediatric sedation by nurses in the ED. Koen VANHONSEBROUCK (Nurse Specialist) (Leuven, BELGIUM)
16:10 - 17:40 Preventing Occupational Exposure to Health Care Workers in the ED. Saskia VAN KEMSEKE (PharmD) (Brussels, BELGIUM)

16:10-17:40
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F34
ABSTRACTS SESSION

ABSTRACTS SESSION

Wednesday 16 October
Time CONGRESS HALL FORUM HALL SOUTH HALL 3AB SOUTH HALL 3C CHAMBER HALL TERRACE 2B CLUB A
08:00
08:00-08:30
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A40
KEYNOTE LECTURE 3

KEYNOTE LECTURE 3

08:00 - 08:30 Lecture. Jim DUCHARME (President) (Mississauga, CANADA)

08:40
08:40-10:10
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A41
Neurologic emergencies
When time is brain and your brain shoots from the hip

Neurologic emergencies
When time is brain and your brain shoots from the hip
Neurology

Moderators: Christian HOHENSTEIN (PHYSICIAN) (Madgeburg, GERMANY), Jeff PERRY (CANADA)
08:40 - 10:10 Improving door to imaging time for stroke patients in the ED. Christian HOHENSTEIN (PHYSICIAN) (Madgeburg, GERMANY)
08:40 - 10:10 Stroke chameleons and mimics-how to do the right thing? Jeff PERRY (CANADA)
08:40 - 10:10 Stroke and TIA update 2019. David CARR (Associate Professor of Emergency Medicine) (Toronto, CANADA)

08:40-10:10
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C41
Black box belly
Science, experience and excellence when dealing with abdominal pain

Black box belly
Science, experience and excellence when dealing with abdominal pain
Gastro intestinal

Moderators: Beatrice HOFFMANN (USA), Senad TABAKOVIC (Zürich, SWITZERLAND)
08:40 - 10:10 Symptomatology of the Abdomen. Jim DUCHARME (President) (Mississauga, CANADA)
08:40 - 10:10 A pain in the A..bdomen... Assessment of the elderly with abdominal pain. Don MELADY (Toronto, CANADA)
08:40 - 10:10 Reading the black box... How to improve your work up of undifferentiated abdominal pain with ultrasound. Beatrice HOFFMANN (USA)

08:40-10:10
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D41
YEMD - Eye Opener Quiz (interactive)
Learn new things, enjoy and contribute what YOU know!

YEMD - Eye Opener Quiz (interactive)
Learn new things, enjoy and contribute what YOU know!
Diagnosis, INTERACTIVE SESSION, Young Emergency Medecine

Moderators: Blair GRAHAM (Research Fellow) (Plymouth, UK), Basak YILMAZ (Ankara, TURKEY)
Take the quiz
08:40 - 10:10 Big Interactive Quiz Session. Basak YILMAZ (Ankara, TURKEY), Blair GRAHAM (Research Fellow) (Plymouth, UK)

08:40-10:10
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F41
ABSTRACTS SESSION

ABSTRACTS SESSION

10:10 - 10:40 COFFEE BREAK AND EXHIBITION - E-POSTER SESSION
10:40
10:40-12:10
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A42
Global Emergency Medicine

Global Emergency Medicine
General EM, Global

Moderators: Stevan BRUIJNS (Senior lecturer) (Cape Town, SOUTH AFRICA), Shweta GIDWANI (UK)
10:40 - 12:10 Why should we care about global health? Giles CATTERMOLE (Consultant in Emergency Medicine) (London, UK)
10:40 - 12:10 Opportunities for everyone in global health. Claire CRICHTON (Emergency Medicine Trainee) (Edinburgh, UK)
10:40 - 12:10 Refugees in your ED. Anisa Jabeen Nasir JAFAR (Emergency Medicine trainee) (Manchester, UK)

10:40-12:10
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B42
No Risk no Fun
Looking at Risk and Fun from Different Perspectives

No Risk no Fun
Looking at Risk and Fun from Different Perspectives
Decision making, Human factors, Psychology

10:40 - 12:10 No risk no fun - the day to day risk in (un)concious decision making. Wilhelm BEHRINGER (Director) (Jena, GERMANY)
10:40 - 12:10 How to play with fire - behaviour to patients that can bring you to court. David CARR (Associate Professor of Emergency Medicine) (Toronto, CANADA)
10:40 - 12:10 How to Avoid Errors in Procedural Sedation. Reuben STRAYER (Emergency Physician) (Brooklyn, USA)

10:40-12:10
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C42
The EUSEM talk show
Past, present and future of emergency medicine in Europe

The EUSEM talk show
Past, present and future of emergency medicine in Europe
EUSEM, General EM

10:40-12:10
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D42
YEMD - Here they come... Science Busters!
Academia doesn't have to be boring!

YEMD - Here they come... Science Busters!
Academia doesn't have to be boring!
Academia, Research, Women in EM, Young Emergency Medecine

Moderators: Andrea DUCA (Milano, ITALY), Lina JANKAUSKAITE (MD, PhD) (Kaunas, LITHUANIA)
10:40 - 12:10 Academic emergencies. Rok PETROVCIC (Resident) (Maribor, SLOVENIA)
10:40 - 12:10 First: Learn to read (a paper). Lina JANKAUSKAITE (MD, PhD) (Kaunas, LITHUANIA)
10:40 - 12:10 Research is not for me!! Patricia VAN DEN BERG (Academic Clinical Fellow Emergency Medicine) (Manchester, UK)
10:40 - 12:10 Infographics to communicate science for EVERYONE! Tommaso SCQUIZZATO (Med Student) (Milan, ITALY)

10:40-12:10
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F42
ABSTRACTS SESSION

ABSTRACTS SESSION

12:10
12:10-12:40
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A43
HOT TOPIC SPEAKER LECTURE

HOT TOPIC SPEAKER LECTURE

12:10 - 12:40 Lecture. Greg HENRY (USA)

12:40
12:40-13:10
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A44
CLOSING CEREMONY

CLOSING CEREMONY