WINDHOEK NAMIBIA

For enquiries call:

+264 81 140 5050 +264 81 146 0683www.nms.com.na

EMERGENCY MEDICINEAND TRAUMA CONGRESS

UNIVERSITY OF NAMIBIASCHOOL OF MEDICINE

NAMIBIA MEDICALS O C I E T Y

EMERGENCY MEDICINEAND TRAUMA CONGRESS

Pre-conference Workshop onA I R W A Y M a n a g e m e n t and ECG’s0 2 O c t o b e r 2 0 1 4

03 - 04 OCTOBER 2014

NMS

EMERGENCY MEDICINE AND TRAUMA CONGRESS IN NAMIBIA

FOREWORD

A t Namibia Medical Society, we always strive to keep abreast with the health needs

and demands of a country that is changing before our eyes. In the past we have

placed emphasis on infectious diseases such as HIV and Tuberculosis and the

impact that these disease have on our population. Recently in 2012, we hosted a

Paediatric Congress, where we looked at plight of the vulnerable and defenceless in

our society. We looked at ways in which health care professionals at the frontline of

paediatric conditions could make an impact by equipping themselves with

knowledge and becoming advocates for their patients.

This year we have focussed our attention on two themes. The first is trauma, which

our Namibian culture is very accustomed to. We can all recollect images of loved

ones that have unexpectedly left us in the prime of their lives. Trauma ranges from

the employee injured at work, to the victims of the carnage that is being played out

on our national roads everyday including drivers and pedestrians.

Furthermore, scientific research points to the importance of the golden hour in

trauma management. This implies that the first responders which include

emergency medicine personnel should manage and stabilise patients properly

within the first hour to improve survival outcomes of victims of trauma. The recently

issued commission of Health Enquiry highlighted the many challenges facing the

health sector in the country particularly in the remote settlements and villages of

our beautiful land that do not have access to health facilities and personnel

adequately trained to handle trauma particularly in the golden hour. We hope that

by supporting this initiative that health professionals can equip themselves critically

save more lives as anyone at any time can be a victim of a tragic traumatic event. nd

The 2 concurrent theme is Emergency Medicine that can also strike at any time

without a moment's notice. We are witnessing the increasing trend of lifestyle

diseases in our country. These include diseases such as obesity, hypertension,

diabetes, asthma, strokes, ischaemic heart disease that can be silent killers. It is

vitally important that health professionals are competent in handling these

conditions and continue to educate the patients that they treat and encounter in

adopting a healthier life.

By supporting the 'Emergency Medicine and Trauma Congress in Namibia' you are

making a significant investment in improving the knowledge and skills of

emergency medicine personnel that work vigorously at the scene of an often

unpredictable and traumatic accident scene.

Chairman

Yours sincerely

Dr. Shitalenti C. Herman

EMERGE CY MEDICINE PROGRAM AT A GLANCEN

EMERGENCY MEDICINE TOPICS

1. Introduction to EM + approach to the critically ill patient

2. Basics of EM ECGs

3. Approach: Chest pain

4. Evaluate and Manage: ACS

5. Approach: Dyspnoea

6. Evaluate and manage: Asthma and COPD

7. Sepsis

8. Rapidly fatal infections: The Big 5

9. Approach: Altered LOC

10. Burns and inhalational injuries (+ RSI)

11. Facilitating procedures: PSA and Blocks

12. Principals of pre-hospital medicine and transport

TRAUMA TOPICS

1. Fluid resuscitation in the trauma patient

2. Initial Assessment of a multi injured patient

3. Initial Management of blunt abdominal trauma in adults

4. Updates in the management of Traumatic Brain Injury

5. A practical approach to penetrating chest trauma

6. Diagnosis and initial management of cervical spine injuries

7. Approach to pelvic fractures including initial assessment and management

8. An overview of traumatic bladder injuries

9. Management of the mangled extremity

10. Trauma in the elderly pearls and pitfalls

11. Brain death: medical, legal and ethical issues

12. Strategies to avoid blood transfusion

NMS

Part 1: Particulars of Delegate

Surname Title

First Names

Institution/Practice Name Occupation

Postal Address Town

Telephone Number Cellphone

Fax Number Email

Part 2: HPCNA/NMS Membership

NMS Number HPCNA Number

Part 3: How Did you Learn about the NMS Congress? Part 4 Congress Fees

Please cross (X) where applicable Please cross (X) where applicable

NMS Website Public Private

NMS Email/SMS NMS Member N$ 1000 N$ 1200

Colleagues MAN Member N$ 1800 N$ 1800

Print Media Non-Member N$ 2000 N$ 2000

Posters Paramedics/Nurses N$ 1500 N$ 1500

Others (specify)_______________________ Medical Student N$ 300 *

Late Registration N$ 2400 N$ 2400

*MAN Membership & * First 10 Students *Proof required

Late registration After 30 September 2014

Part 5: Method of Payment (Please Cross (X)

Cheque EFT Cash Direct Deposit

Part 6: Terms and Conditions Part 7 Banking

By Signing this form, I agree to be bound Account Name: Namibia Medical Society

by the terms and conditions as outlined Bank : First National Bank Acc Number: 62210921327

at the back of this form Branch Name: Exclusive Banking Suite Code: 280174

NB: Please Fax Proof of Payment with Registration form to 088637943

Signature

Part 8 For Office Use Only

Date _____/______/2014 Payment Confirmed Yes/No Approved Yes/No

Approved by _________ Date ____/_____/2014

Congress Registration Form

NAMIBIA MEDICAL SOCIETYEmergency Medicine & Trauma Congress 03 & 04th October 2014

NMS

"United in Health"

NAMIBIA MEDICAL SOCIETY

PRECONFERENCE WORKSHOP Registration Form

Thursday 02 October 2014 Due to limited space we can only accommodate a maximum of 30 people each.

So register early to avoid disappointment. Due to the ECG and Airway Management running only register for 1 event.concurrently, you can

Part 1: Particulars of Delegate

Surname Title

First Names

Institution/Practice Name Occupation

Postal Address Town

Telephone Number Cellphone

Fax Number Email

Part 2:

HPCNA/NMS Membership

NMS Number HPCNA Number

Part 3:

Please select desired workshop Part 4

Workshop Fees

Please cross (X) where applicable Please cross (X) where applicable

ECG Workshop

NMS Member NON Member

ECG N$ 900 N$ 1100

Airway Workshop

Airway Management N$ 900 N$ 1100

Part 5: Method of Payment (Please Cross (X)

Cheque EFT Cash Direct Deposit

Part 6: Terms and Conditions Part 7 Banking

By Signing this form, I agree to be bound Account Name: Namibia Medical Society

by the terms and conditions as outlined Bank : First National Bank Acc Number: 62210921327

at the back of this form Branch Name: Exclusive Banking Suite Code: 280174

NB: Please Fax Proof of Payment with Registration form to 088637943

Signature

Part 8 For Office Use Only

Date _____/______/2014 Payment Confirmed Yes/No Approved Yes/No

Approved by Date ____/_____/2014

NMS

"United in Health"

These terms and conditions apply to all Congress delegates. Please read them carefully as they contain important

information. By signing and submitting your registration you agree to be bound by these terms. If you do not agree to

be bound by these terms NMS will be unable to accept your registration.

1. Your registration constitutes an offer to NMS to attend the Emergency Medicine and Trauma Congress from 03 to 04

October 2014. All registrations are subject to acceptance by the NMS Congress Secretariat which will be confirmed in

writing (including but not limited to email). A contract between NMS and you will only be formed when this

confirmation is sent to you (whether or not it is received) provided that if confirmation is not sent within 14 days of us

receiving your registration, it will be deemed to be confirmed unless we notify you otherwise. The NMS Congress

Secretariat reserves the right to refuse to accept any registration.

2. If you are unable to attend the event and you have already paid the registration fee, your registration may be

transferred to another individual provided that notification of such a transfer is done in writing to the NMS Congress

Secretariat at least 14 days before the Congress. For notifications received less than 14 days before the congress,

such notification will be deemed as a cancellation and condition 4c below will apply.

3. You may not exploit the registration commercially or non-commercially in any way. We regret that we cannot accept

the transfer of registrations between congresses.

4. Where the delegate is unable to attend, and is not in a position to transfer his/her place to another person, then the

following refund arrangements apply:

a) Registrations cancelled more than 30 days before the event will be refunded 80% of the registration fees.

b) Registrations cancelled less than 30 days but more than 14 days before the event will be refunded 50% of the

registration fees.

c) Registrations cancelled less than 14 days before the event will not be eligible for a refund.

5. The NMS Congress Secretariat reserves the right at any time to change the format, participants, content, location

and timing or any other aspect of the Congress, in each case without liability. The NMS Congress Secretariat reserves

the right to cancel any registration after confirmation without liability.

6. The NMS Congress Secretariat reserves the right to postpone or cancel the congress without liability at any time for

any reason whether or not due to causes beyond its reasonable control. In the event that the congress is postponed,

your registration will be valid for the postponed Event and in the unlikely event that the congress is cancelled; your full

registration fee will be refunded.

7. The NMS Congress Secretariat reserves the right without liability to refuse admission to, or to eject from the Event,

any person in its absolute discretion, including (without limitation) any person who fails to comply with these terms

and conditions or who in the opinion of NMS represents a security risk, nuisance or annoyance to the running of the

Event. You agree to comply with all reasonable instructions issued by NMS or the venue owners at the Event.

8. All unauthorized photography and the recording or transmitting of audio or visual material, data or information is

expressly prohibited. You consent to filming and sound recording and photography of the Event as a delegate and you

consent to the use by NMS of any such recording or photography anywhere in the world for promotional, marketing

and other purposes.

9. The personal information which you provide to us will be held by us on a database and may be shared with

congress sponsors and selected third parties locally and internationally for direct marketing purposes.

10. The NMS Congress Secretariat excludes all liability for loss, injury or damage to persons or property at the Event.

All indemnities, warranties, terms and conditions (whether express or implied) are excluded. NMS accepts no liability

for any loss or damage whatsoever that you may suffer in connection with or arising from the Congress whether

direct, indirect or consequential (including but not limited to loss of profit, transport and accommodation costs, loss

of business or any other type of economic loss) or otherwise. The limitations and exclusions in this condition 10 only

apply to the extent permitted by applicable law.

11. The NMS Congress Secretariat reserves the right to amend these terms and conditions from time to time and you

will be subject to the terms and conditions in force at the time you submit your registration.

Terms and Conditions for Namibia Medical Society (NMS) EM&T Congress Delegates: 2014

NMS

AIRWAY MANAGEMENT: WHO SHOULD ATTEND?

This course would be of value to all practitioners regularly undertaking emergency airway intervention and ventilation techniques in the emergency environment, including the prehospital field.

Emergency Centre (Casualty Unit) doctors, medical officers, paramedics and paramedic students would derive enormous benefit from attending this course.

Techniques and devices discussed would of equal value in the operating theatre environment, and would be of similar benefit to anaesthetic medical officers

Detailed Course Outline

The course covers a discussion of the difficulties and pitfalls associated with prehospital and emergency room tracheal intubation, revisits the often under- estimated difficulty associated with facemask ventilation, and examines standard tracheal intubation in terms of the pre-intubation, intubation and post-intubation phases.

Prediction of the difficult airway is discussed, as is the management of the difficult and failed airway, and the detailed use of rescue airway devices. Emphasis is placed on rapid sequence intubation, confirmation of tracheal tube placement, and the avoidance of unrecognized oesophageal intubation. Emphasis is placed on the use of alternative and “assist” airway devices and emergency airway procedures.

Special cases are discussed in detail namely the paediatric, pregnant, obese and the trauma patient.

Emergency Medicine doctors, anaesthetists, paramedics and nurses would gain an understanding of the difficulties associated with facemask ventilation, learn how to overcome the difficulties of tracheal intubation, and learn how to avoid the nightmare of the missed oesophageal intubation.

The candidate will be offered new ideas through a fresh perspective, on the standard techniques of tracheal intubation. The associated concepts of ventilation, hypotension, sedation, analgesia and neuromuscular blockade will be enlightened upon.

Candidates will learn how to predict the difficult airway, and will learn how to manage the difficult and failed airway, including the “can’t intubate, can’t ventilate” scenario.

Candidates will gain insight and skill in the use of alternative and assist airway devices, and the use of rescue airway devices. Candidates will gain exposure to emergency procedures, and will gain insight into the critical pitfalls associated with airway management in special patient groups.

The course will be structured with lectures in the mornings and practical sessions in the afternoons.

NMS

This Emergency Medicine ECG course will guide you through a practical and systematic approach to many ECG abnormalities encountered in the Emergency Centre.

Teaching points relevant to the clinical practice of Emergency Medicine will be emphasized with a focus on clinical application and interpretation in cardinal presentations such as acute coronary syndromes, dysrhythmias, syncope and toxicology.

Who should attend this course?

This course is primarily aimed at doctor’s working in the emergency and critical care setting.

Why should someone attend this course?

Patient safety and outcome goals depend on clinicians being able to rapidly and accurately assess an ECG. This course will introduce the candidate to a systematic and practical approach to electrocardiographic interpretation through basic, complex and challenging ECG’s.

The Textbook

The recommended textbook is ‘’ECG2011 Pocket Brain’’ (5th Edition) by Ken Grauer. It is a compact, easy to read and understand book that covers the fundamentals, rhythm disturbances, typical and atypical presentations, ACS mimics, pacemaker dysfunction, metabolic abnormalities, pediatric considerations, and much more.

You will however also receive course notes from the course convenors.

Detailed Course Outline

Focus will be on The ECG in clinical practice and on the ECG in cardinal presentations:

Introduction and basic principles The ECG in the chest pain patient The ECG in the dyspnoeic patient The ECG in the syncope patient The Dysrhythmic ECG The Toxocologic ECG Metabolic Abnormalities The ECG in the patient with a pacemaker The ECG in Special situations, and cardiac arrest

NMS