EM rounds Dec 14 - MGH Day

Unfortunately du to some technical issues, the video starts in the middle of the 1st presentation.
Thank you to all the speakers for their time and their generosity.
A special thank you to Dr Robert Primavesi who organized this wonderful day.
We do hope you enjoy this one.
0:00:00 Top Articles in Emergency Medicine
0:17:25 Minor Complex TBI: How BIG does it need to be to require transfer to a level one trauma centre?
0:48:01 A Practical Approach to Prescribing Anticoagulation to AF Patients
1:35:04 **break**
1:41:21 Strategies for Patients with Chest Pain
2:15:01 Evidence-Based Ways to Make the Diagnosis and Management of Pediatric Fractures Easy
2:50:49 Peer Support in the ED: How Can a Community Hospital Collaboration Improve the Healthcare of People Experiencing Homelessness
"Top Articles in Emergency Medicine" by Dr. Suneel Upadhye, MD MSc FRCPC
Associate Professor, Emergency Medicine, McMaster University
Associate Member, Health Research Methods/Evidence/Impact, McMaster
Research Lead, EM Researchers of Niagara (EMRoN)
Objectives:
1. Critically appraise the articles presented, including an understanding of methodology, analysis, and bias
2. Identify the clinical practice change suggested by the new research / article
3. Implement recent evidence-based findings in improving the clinical care of ED patients
"Minor Complex TBI: How BIG does it need to be to require transfer to a level one trauma centre?" by Dr Marcel Émond, MD CCFP(EM), FRCP(C), MSc
Full Professor at Université Laval
Emergency Physician and TTL at CHU de Québec Level-1 trauma center
Senior Clinician-scientist at FRQS
Objectives
1. Critique the Brain Injury Guidelines
2. Describe how these guidelines could improve the management of mild complex TBI
3. Identify the patients that need specialized neurotrauma care
"A Practical Approach to Prescribing Anticoagulation to AF Patients" by Dr Clare L. Atzema MD, MSc, FRCPC
Program Research Director, Integrated Community Care, Sunnybrook Research Institute
Senior Scientist, ICES and Sunnybrook Research Institute
Associate Professor, University of Toronto
Staff Emergency Physician, Sunnybrook Health Sciences Centre
Objectives
1. To briefly review the evidence for initiating oral anticoagulation (OAC) in the ED
2. To explore the OAC options for patients being discharged
3. To provide a practical approach to prescribing OAC in the ED
"Strategies for Patients with Chest Pain" by Dr Andrew McRae MD, PhD, FRCPC
Associate Professor, Emergency Medicine and Community Health Sciences of University of Calgary
Objectives
1. Present an evidence-based approach to the rapid evaluation of patients with suspected acute coronary syndromes
2. Discuss optimal troponin testing strategies in different practice settings
3. Review evidence-based clinical risk stratification strategies and indications for noninvasive or invasive testing after ED evaluation
"Evidence-Based Ways to Make the Diagnosis and Management of Pediatric Fractures Easy" by Dr Kathy Boutis, MD FRCPC MSc
Staff Emergency Physician, Division of Emergency Medicine
ImageSim, Academic Director
Senior Associate Scientist, Research Institute at The Hospital for Sick Children, Centre Researcher, Wilson Center
Professor of Pediatrics, University of Toronto
Objectives
1. Identify diagnostic challenges in pediatric musculoskeletal image interpretation
2. Understand which pediatric fractures are low, medium, or high risk with respect to management
3. Apply clinical guidelines for the emergent and outpatient management of pediatric fractures
"Peer Support in the ED: How Can a Community Hospital Collaboration Improve the Healthcare of People Experiencing Homelessness" by Dr Jennifer Hulme MD CM, MPH, CCFP(EM)
Emergency Physician, University Health Network
Clinician Investigator, Toronto General Hospital Research Institute
Assistant Professor, Dept. of Family and Community Medicine, University of Toronto
Objectives
1. Describe the community-hospital collaborative structure, including strengths and challenges of the current model
2. Describe benefits of the Peer Support Worker program, for both patients and ED team functioning
3. Provide guidance to attendees looking to include people with lived experience in hospital-based care