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30 th Annual

TOPICS IN EMERGENCY MEDICINE

October 29 ­ November 2, 2001 Renaissance Parc 55 Hotel San Francisco, California

Department of Medicine Division of Emergency Medicine University of California San Francisco School of Medicine

Cover Photo: Courtesy of San Francisco Convention and Visitors Bureau

30 th Annual

TOPICS IN

EMERGENCY MEDICINE

October 29-November 2, 2001

Topics in Emergency Medicine, now in its 30th year is a practical review and update of emergency medicine for emergency physicians, family practitioners, internists, and pediatricians. The course covers a wide variety of emergencies seen in emergency departments, urgent care and office settings, in both adults and children. Cardiac, infectious disease, neurologic, toxicologic and airway emergencies are covered, as well as trauma, orthopedics, sports medicine, hand injuries, sedation and analgesia, and dermatological and gynecological problems. Lectures and workshops are taught by both emergency medicine physicians and specialists in a variety of disciplines with the emphasis on initial evaluation, treatment, and indications for consultation and referral. Topics in Emergency Medicine is presented by the Department of Medicine, Division of Emergency Medicine, and is sponsored by the Office of Continuing Medical Education, University of California San Francisco, School of Medicine.

Nurses: The California State Board of Registered Nursing accepts courses approved by the CMA for Category 1 credit as meeting the continuing education requirements for license renewal. Nurses from states other than California must check with their local State Board for specific continuing education policies.

REGISTRATION

Please use attached form for advance registration. Registration Information: (415) 476-5808 Course Information: (415) 476-5208 Date: Monday, October 29, 2001 Time: 7:00 AM Place: Renaissance Parc 55 Hotel 55 Cyril Magnin Street San Francisco, CA 94102 (415) 392-8000 telephone (415) 403-6602 fax Fees: $ 695/physicians; $ 430/allied health professionals. Medical house staff officers, residents and interns qualify for the lower fee but must provide a letter of status verification. Registration fee includes course syllabus, daily continental breakfast and refreshments, workshops and a hosted luncheon. Additional meals and accommodations are not included.

A block of guest rooms has been reserved at a rate of $229.00, single/double occupancy. These rates are exclusive of the current 14% San Francisco room tax. Reservations must be received by September 27, 2001 to guarantee availability of accommodations. After this date, rooms will be provided on a space-available basis only. A hotel reservation form is attached for your convenience. Alternatively, you may telephone the hotel, at (415) 392-8000 or toll free at (800) 468-3571. You must identify yourself as a member of this conference to receive the special rate.

AIR TRANSPORTATION

Corporate Travel Planners, Inc. (CTPI) is the travel agent for this CME course. Save 5% to 40% on United Airlines, and American Airlines, based on your dates of travel and availability at the time booking. (A $15 service fee will apply to all discounted fares quoted). Additional advantages when booking your air with CTPI: advance seat assignments, frequent flyer mileage recorded, $200,000 free flight insurance with each ticket purchased, and special meal requests. Call early for the best fares and schedules. Please refer to the UCSF Course number DMM10. Corporate Travel Planners, Inc. 7550 IH 10 West ­ Suite 1300 San Antonio, Texas 78229 Toll Free: (800) 810-2695 (210) 530-0857 8:30am-5:30pm, (Central Time) Monday­Friday Fax: (210) 308-7212 Email: [email protected]

OBJECTIVES

Upon completion of this program participants should: I Be familiar with current evaluation of ECG criteria for MI; I Know the recent literature on pediatric fever; I Have an understanding about the diagnosis and initial management of pediatric orthopedic emergencies; I Be familiar with common ENT based emergencies and treatment; I Be familiar with coagulation based emergencies and their treatment; I Be familiar with the imaging strategies in abdominal pain; I Be familiar with the diagnosis of various stroke syndromes and the emergency department neurology exam; I Know logical approaches to the difficult airway; I Understand current literature and approaches to spinal cord trauma; I Be familiar with the anatomy and examination of the hand; I Be able to effectively treat and evaluate infectious diarrhea; I Be familiar with the latest literature in Emergency Medicine; I Have a good understanding of herbal overdoses and their treatments.

ACCREDITATION

The University of California San Francisco (UCSF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. UCSF takes responsibility for the content, quality, and scientific integrity of this CME activity. Physicians: UCSF designates this educational activity for a maximum of 28.5 hours in Category I Credit towards the American Medical Association (AMA) Physician's Recognition Award and the California Medical Association (CMA) Certificate Program. Each physician should claim only those hours of credit actually spent in the educational activity. This activity has been reviewed and is acceptable for up to 27.5 Prescribed credit hours by the American Academy of Family Physicians. This program is also approved by the American College of Emergency Physicians for 28.5 hours of ACEP Category I credit and the American Osteopathic Association for 28.5 hours, category 2A CME credit. Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts courses approved by the AMA for Category I Credit as meeting the continuing education requirements for license renewal.

REFUND POLICY

To request a refund, registrants must return their registration receipt with a written request to the OCME Registration Office, UCSF Box 0742, CA 94143-0742. There will be a $50 service charge on refunds requested up to one month prior to the course; a $100 service charge applies to refunds requested between one month and the first day of the course. No refunds will be given after the course begins.

GROUND TRANSPORTATION

Hertz is offering their services and special rates for participants of this course. For reservations, call (800) 654-2240 and refer to identification number 01YG0045 or call your travel agent. Advance reservations are recommended.

CONFERENCE LOCATION

The program will be held at the Renaissance Parc Fifty Five Hotel, 55 Cyril Magnin (Market at Fifth), San Francisco, in the heart of downtown San Francisco and two blocks from Union Square shopping and theaters. The hotel is across the street from the San Francisco Shopping Centre, historic cable cars, Bay Area Rapid Transit (BART) and municipal bus Stations. It is located three blocks from Moscone Convention Center, and four blocks from the Financial District and Civic Center, with convenient freeway access to airport and the bridge to East Bay.

C OURSE O UTLINE

MONDAY, OCTOBER 29, 2001

7:00 AM 8:00 Registration The Hand--Injuries and Exam Leonard Gordon, M.D. A hand surgeon takes you through the anatomy of the hand and the evaluation and management of hand injuries. Updates in Trauma Management Russ Braun, M.D., M.P.H., M.B.A., From fluids to chest tubes get updated on the latest in ATLS guidelines. Break Evaluation and Management of Acute Spinal Injuries William Whetstone, M.D. From pathophysiology to treatment, here's the latest on evaluation of cervical spine injuries and treatment of acute spinal injury. Common Dilemmas in Pediatrics Augusta Saulys, M.D. When are a few crying episodes really intussusception? How can you diagnosis appendicitis in a one-year-old? Update your management skills of common pediatric dilemmas. Lunch on your own CT Imaging in Acute Stroke and the Neuro Exam Wade S. Smith, M.D., Ph.D. The diagnosis and treatment of acute stroke is rapidly changing. Early and accurate diagnosis is essential. Learn how to use radiological testing and the ED neuro exam to facilitate your evaluation of acute stroke syndromes. Break The Critical ECG Jeffrey A. Tabas, M.D. Back by popular demand! Sharpen your skills at picking up the nuances of the critical ECG. Adjourn 1:45 2:45 3:00 Dermatological Emergencies Leslie G. Hilger, Jr., M.D. What are the rashes you really need to worry about? Break The Sexual Assault Patient: The Full Spectrum Hillary Larkin, P.A.-C. Nancy O'Malley, J.D. This experienced and multi-disclipinary presentation takes an in-depth look at sexual assault­its impact in the ED, details of evidence collection, and how it is used in prosecution. We'll also review the latest on STD prophylaxis. There'll be time for open discussion and questions. Adjourn

THURSDAY, NOVEMBER 1, 2001

8:00 AM Rheumatologic Emergencies Kenneth E. Sack, M.D. When the patient complains of joint swelling and fever, how do you know it is rheumatological? Includes the most common emergencies in patients with rheumatic illness. The Emergent Treatment of Shock Michael A. Gropper, M.D., Ph.D. Research on shock is leading to new and exciting approaches. Learn to recognize and emergently treat the 4 causes of shock and understand the latest in shock pathophysiology and therapy. Break Sports Medicine Lesley J. Anderson, M.D. From shoulders to ankles, the diagnosis and management of common sports related injuries and overuse syndromes. Lunch on your own 11:15

FRIDAY, NOVEMBER 2, 2001

8:00 AM Subspecialty Case Series Greg Hendey, M.D. This series will take you though the surgical subspecialty world. Learn common pitfall and management options for urology, neurosurgery and vascular emergencies though case-based learning. Cardiac Arrhythmias Melvin Scheinman, M.D., F.A.C.C. ACLS has totally changed, do you know the latest recommended treatments of arrhythmias? Break Clotting Disorders and Their Emergent Treatment Julie Hambleton, M.D. The indications for anti-coagulation are expanding, and so are the complications. Learn the treatment options for both anti-coagulation and clotting emergencies. Acute Diarrhea Gary W. Tamkin, M.D. It's so common, it should be simple, but it isn't. Our speaker, however, can guide you through the myriad of diseases and approaches to treatment. Adjourn

9:00

9:00

9:00

10:00 10:15

4:30 PM

10:00 10:15

WEDNESDAY, OCTOBER 31, 2001

8:00 AM Pediatric Orthopedics Scott Hoffinger, M.D. Review of common pediatric orthopedic emergencies: diagnosis, treatment and pitfalls. The Difficult Airway Alan J. Stesin, M.D., FACEP How to evaluate the patient, choose appropriate interventions and most of all, stay out of trouble. Break Annals Update Michael L. Callaham, M.D., FACEP From the new Editor-in-Chief of the Annals of Emergency Medicine: the best (and worst) of research that is changing the way we work. Herbal Overdoses Kent R. Olson, M.D., FACEP Your patients don't tell you they are taking these "harmless" substances. From the director of the San Francisco Poison Control Center, learn about the common herbal remedies and how to recognize an overdose. Adjourn Optional Tours See description

10:00 10:15

11:15

9:00

12:15 PM

12:15 PM 1:30

THURSDAY AFTERNOON WORKSHOPS

Thursday afternoon workshops run concurrently from 1:30 to 3:00 pm and repeat from 3:15 to 4:45 pm. Participants may choose two workshops. There is a short refreshment break at 3:00. 1:30- 1. Medical-Legal Aspects of Wound Care 3:00 Barry C. Simon, M.D., FACEP Wound Care is one of the most common causes of malpractice. Learn basic tenets of wound care and the pitfalls that can get you in trouble. 2. Joint Aspiration Techniques (limited enrollment) Steve Polevoi, M.D., FACEP Hands-on technique and evaluation of joint aspiration in the shoulder, knee and ankle. 3. Local Anesthesia (limited enrollment) Daniel A. McDermott, M.D. Review the anatomy for local blocks and practice idetifying injection sites. 4. Diagnosis of the Acute Abdomen: Imaging Strategies Martin Kernberg, M.D. Alan Stesin, M.D., FACEP Fine tune your ability to evaluate the abdominal series and learn pearls of the Abdominal CT. 5. Splinting (limited enrollment) Lorainne F. Petti, PA-C. A review of the type of splints needed for common injuries and hand-on practice in design and application. 3:00 Break 3:15 Workshops Repeat 4:45 Adjourn

10:00 10:15

12:15 PM

2:30 2:45

11:15

4:45 PM

TUESDAY, OCTOBER 30, 2001

8:00 AM The Ophthalmologic Emergency Todd P. Margolis, M.D., Ph.D. A complete and practical review of the assessment and management of eye emergencies. Break ENT Emergencies John S. Rose, M.D. From epistaxis to peritonsillar abscess, learn practical management and treatment of ENT emergencies. The Febrile Child Nathan Kuppermann, M.D., M.P.H. The literature in the acutely febrile child is rapidly growing. Hear from this expert about the latest guidelines and literature on febrile infants. Hosted Luncheon

12:15 1:30

10:00 10:15

Optional Wednesday Afternoon City and Muir Woods Tours

We have arranged for a City Tour at $34 per adult and a Muir Woods Tour at $36 per adult. Please indicate on the course registration form if you are interested in either tour. Reservations will be made on the first day of the course. Tour busses will pick up at 1:30 pm at the Renaissance Parc 55 Hotel. Lunch is on your own.

San Francisco Convention & Visitors Bureau photo

Photo: San Francisco Convention & Visitors Bureau

11:15

12:15

CHAIR

Flavia Nobay, M.D. Assistant Clinical Professor of Medicine, Division of Emergency Medicine, University of California San Francisco

CO-CHAIRS

Ellen J. Weber, M.D., FACEP Associate Clinical Professor of Medicine, Division of Emergency Medicine, University of California San Francisco; Associate Director, Emergency Department, UCSF Moffitt-Long Hospital, San Francisco, CA Bruce Jones, M.D. Clinical Instructor, Division of Emergency Medicine, UCSF/San Francisco General Hospital Martin Kernberg, M.D. Assistant Clinical Professor of Medicine; Chief of Emergency and Trauma Radiology, Bay Imaging Consultants, Northern California

FACULTY

(University of California, San Francisco, School of Medicine, unless otherwise noted.) Lesley J. Anderson, M.D. Department of Orthopedic Surgery, California Pacific Medical Center Russ Braun, M.D., M.P.H., M.B.A., Assistant Clinical Professor, Department of Emergency Medicine Michael L. Callaham, M.D., FACEP Professor of Medicine; Chief, Division of Emergency Medicine, Moffitt-Long Hospitals; Deputy Editor in Chief, Annals of Emergency Medicine Leonard Gordon, M.D. Associate Clinical Professor of Orthopedics, Adjunct Associate Professor of Anantomy, UCSF; Chief Hand Surgeon, California Pacific Medical Center, San Francisco Michael A. Gropper, M.D., Ph.D. Associate Professor of Anesthesia and Physiology; Associate Director, Critical Care Medicine Julie Hambleton, M.D. Associate Clinical Professor of Medicine; Director UCSF Thrombosis Center and Adult Hemophilia Treatment Center Greg Hendey, M.D. Assistant Clinical Professor of Emergency Medicine, UCSF; Research Director, Emergency Medicine Residency Program, UCSF Fresno Leslie G. Hilger, Jr., M.D. Clinical Instructor of Dermatology Scott Hoffinger, M.D. Assistant Clinical Professor; Director of Orthopedics, Children's Hospital, Oakland Nathan Kuppermann, M.D., M.P.H Associate Professor, Division of Emergency Medicine, Departments of Internal Medicine and Pediatrics, University of California Davis -- Medical Center, Davis CA; Research Director, Division of Emergency Medicine, UC Davis School of Medicine Hillary Larkin, P.A.-C. Lead Mid-Level Practitioner, Certified Forensic Examiner; Director, Sexual Assault Services, HGH, Department of Emergency Medicine, Alameda County Todd P. Margolis, M.D., Ph.D. Professor of Ophthalmalogy; Director, F. I. Proctor Foundation, UCSF School of Medicine Daniel A. Mc Dermott, M.D. Assistant Clinical Professor of Medicine, Division of Emergency Medicine, Moffit Emergency Department Nancy O'Malley, J.D. Chief Assistant District Attorney, Alameda County Kent R. Olson, M.D., FACEP Professor of Medicine, Pharmacy, and Pediatrics, San Francisco General Hospital; Medical Director, California Poison Control System -- San Francisco Division Lorraine Petti, PA-C Physician Assistant, Emergency Department Steven K. Polevoi, M.D. Assistant Clinical Professor of Medicine, Division of Emergency Medicine John S. Rose, M.D. Assistant Clinical Professor, Division of Emergency Medicine, University of California Davis; Associate Residency Director in Emergency Medicine, UC Davis Kenneth E. Sack, M.D. Professor of Clinical Medicine; Director, Clinical Programs in Rheumatology Augusta Saulys, M.D. Assistant Clinical Professor, Department of Pediatrics, Children's Hospital, Oakland, CA Melvin M. Scheinman, M.D., FACC Professor of Medicine; Chief, Cardiac Electrophysiology Barry C. Simon, M.D., FACEP Assistant Clinical Professor of Medicine; Chairman, Department of Emergency Medicine, Highland General Hospital, Oakland, CA Wade S. Smith, M.D., Ph.D. Assistant Clinical Professor, Department of Neurology; Director, Stroke Service Alan J. Stesin, M.D., FACEP Clinical Professor of Medicine, Division of Emergency Medicine Jeffrey A. Tabas, M.D. Assistant Clinical Professor of Medicine, Emergency Services, San Francisco General Hospital Gary W. Tamkin, M.D. Assistant Clinical Professor of Medicine, UCSF; Medical Director, Emergency Services, North Bay Medical Center, Fairfield, CA; Attending Physician, Highland General Hospital, Oakland, CA William Whetstone, M.D. Assistant Clinical Professor, Division of Emergency Medicine

COURSE REGISTRATION

Topics in Emergency Medicine October 29 ­ November 2, 2001

Mail to: UCSF Office of Continuing Medical Education Box 0742, L.H. 450 San Francisco, CA 94143-0742

DMO110

Fax: (415) 502-1795 Registration Information: (415) 476-5808

_______________________________________________________________________________________________________ (Please Print) Last Name First M.I. Degree _______________________________________________________________________________________________________ Address City State Zip Code ( ) ______________________________________________________________________________________________________ Daytime Phone Specialty Register me for Workshop ___ (1, 2, 3, 4 or 5) held 1:30-3:00 pm on Thursday Register me for Workshop ___ (1, 2, 3, 4 or 5) held 3:15-4:45 pm on Thursday Registration Fee: $695/physicians; $430/allied health professionals. Medical house staff officers, residents and interns qualify for the lower fee but must provide a letter of status verification with registration. Make checks payable to: UC Regents There will be a $50 service charge on all refunds requested up to one month prior to the course; a $100 service charge applies to refunds requested between one month and the first day of the course. No refunds will be provided after the course begins. Please charge my ____ Visa or ____ MasterCard for $_____________________ ______________________________________________________________________________________________________ Card Number Exp. Date Authorized Signature Indicate here if you are interested in participating in one of the following optional tours: I Deluxe City Tour at $34 per adult I Muir Woods/Sausalito Tour at $36 per adult Reservations will be made during the conference. Do not include payment for the tour.

HOTEL RESERVATIONS

UCSF / Topics in Emergency Medicine, October 29 ­ November 2, 2001

Mail to: Renaissance Parc 55 Hotel 55 Cyril Magnin Street San Francisco, CA 94102 (415) 392-8000

______________________________________________________________________________________________________ (Please Print) Last Name First M.I. _______________________________________________________________________________________________________ Address City ( ) ______________________________________________________________________________________________________________ State Zip Code Daytime Phone Arrival:___________________________________________________ Departure:______________________________________________ _ Date Time Date Time Length of Stay: _____ Nights. Note: Check-in time is 1:00 pm. Check-out time is 3:00 pm. Room Rates (Subject to 14% City Hotel Tax): $229

Single or Double Occupancy

Please check desired accommodations. Reservation requests must be guaranteed with a major credit card and must be received by September 27, 2001, to guarantee availability; after this date, rooms will be provided on a space-available basis at the prevailing rate. To receive the special rate, you must identify yourself as a member of this conference. Cancellations of reservations must be made at least 72 hours prior to arrival date. To pay with a credit card, please complete the following:

Type of Card

Card #

Exp. Date

Authorized Signature

Information

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