ABOUT LIVE WEBCAST

A live webcast means taking the media and broadcasting it in real time over the Internet.

If you cannot attend this Conference in person, live webcast makes it possible to hear the sessions in real time while simultaneously watching the presentation slides from your own device.

Further, a live instant message / chat box is available on your screen during the webcasting. It allows you to submit questions in real time, interacting with session speakers during each Q&A.

A device (desktop, laptop, tablet, or cellphone) with a stable Internet connection is required to watch the live webcast.

Overview

The live webcast of this intensive, one- day clinical toxicology course will be of interest to anyone who provides care to poisoned patients. Physicians, nurses, pharmacists and paramedics whose practice includes emergency medicine, critical care medicine or internal medicine will find this course useful.

Objectives

At the end of this program participants will be able to:

� Describe the diagnosis and management of common toxicological conditions

� Illustrate the evidence used to guide treatment of the poisoned patient

� Examine current controversies in the use of antidotes in patient care

FACULTY OF MEDICINE Office of Continuing Medical Education and Professional Development

FAcULtY OF MeDiciNe Office of continuing Medical education and Professional Development

Poison and Drug information service (PADis) conference 2014 (Live webcast)beyond Good supportive care

saturday, November 15, 2014

PrOGrAM*0830 welcome/About PADis/

introduction of Keynote Speaker(s): Mark Yarema

0845 Keynote the Newest Opium war: the epidemiology of Prescription Opioid Misuse The ever-increasing epidemic of prescription opioid misuse, abuse, addiction, and death that we are witnessing in both the US and Canada, is sparing the majority of the world. Legislators, regulators and healthcare providers in our countries are each doing their part to understand and ameliorate the devastating personal and public health effects, while attempting to allow access to these medications for those whom they are deemed effective. The balance of providing quality healthcare with protecting the public health is complicated by competing influential constituencies (pain and addiction), regulatory inconsistencies, and perverse incentives. This talk will highlight how we created this epidemic and where we currently stand, as well as some of the potential solutions that are being implemented or considered. Speaker(s): Lewis Nelson

1030 breAKOUt sessiONs 1**

Poisoned Patients and Nephrology: when Do they Need to Meet? This talk is on various clinical situations when medical toxicologists and emergency physicians need to involve nephrologists to help manage poisoned patients. Discussion on which toxins are amenable to extracorporeal removal (ECTR), the timing of nephrology consultations, and discussion on expected complications of ECTR will be included. Speaker(s): Sophie Gosselin

1115 breAKOUt sessiONs 2

Advances in Antidotes Designed for those looking for an in-depth, advanced, evidence-based review, this presentation will discuss two antidotes for common poisonings: intravenous lipid emulsion therapy for lipophilic cardiotoxic drugs and N-acetylcysteine for acetaminophen toxicity. Speaker(s): Mark Yarema

KeYNOte sPeAKer

Dr. Lewis Nelson

Professor of Emergency Medicine, New York University School of Medicine Director of the Medical Toxicology Fellowship Program at NYUSOM and the New York City Poison Control Center Past President of the American College of Medical Toxicology

“The Newest Opium War: The Epidemiology of Prescription Opioid Misuse”Dr. Lewis Nelson is an Emergency Physician at Bellevue Hospital Center and New York University Medical Center. He is a member of the Editorial Board of Annals of Emergency Medicine, an author on over 100 peer reviewed publications and numerous textbook chapters, and an editor of Goldfrank’s Toxicologic Emergencies, the premier textbook of Medical Toxicology. His interests include medication safety, alcohol withdrawal, and opioid misuse.

* The program schedule is displayed with Mountain Standard Time (MST).

** In terms of breakout sessions, only the sessions at one of the lecture rooms will be webcasted; the others will be recorded for review afterwards online.

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

cOUrse PrOGrAM - cONtiNUeD

1300 breAKOUt sessiONs 3

Little Hands and Mouths: the risk of common childhood ingestions Ingestion by toddlers account for the majority of all reported poisonings. The epidemiology and outcomes for some of the most common ingestions in pre-school children will be reviewed. Speaker(s): David Johnson

1345 breAKOUt sessiONs 4

remote Poisonings: “A Lot can Happen in the Middle of Nowhere” This session will include a case-based discussion of poisoned patients in rural or remote areas, with a focus on lab capabilities, antidote access and transport decisions. It is primarily directed toward those who work in rural areas or have an interest in the challenges of managing remote poisoning cases. Speaker(s): Brooke Button

1500 PANeL DiscUssiON

Keep calm and Ask a toxicologist This moderated panel discussion will feature two experienced medical toxicologists discussing management of common toxicologic issues such as toxin-induced seizures and the agitated, delirious patient. It is geared towards medical professionals at all levels of experience. Ample time will be provided for audience members to ask their own questions of the panel. Moderator: Fiona Garlich Discussants: Lewis Nelson & Sophie Gosselin

1545 cLOsiNG PLeNArY Not for Human consumption: incense, bath salts, and synthetic Marijuana With advances in non-commercial synthetic chemistry and with the help of easy information availability on the Internet, illicit drug manufacturers can stay steps ahead of regulatory and drug authorities. Simple changes in a drug’s chemical makeup produce not only changes in the anticipated clinical effects but also allow circumventing of controlled substances laws. This talk will focus on the history of synthetic “substitutes” for more conventional drugs of abuse (such as for amphetamines and cannabis), discuss some of the regulatory aspects, and describe the clinical management of patients exposed to these unpredictable substances. Speaker(s): Lewis Nelson

1630 ADjOUrNMeNt Speaker(s): Mark Yarema

* The program schedule is displayed with Mountain Standard Time (MST).

** In terms of breakout sessions, only the sessions at one of the lecture rooms will be webcasted; the others will be recorded for review afterwards online.

PROGRAM MAY CHANGE DUE TO CIRCUMSTANCES BEYOND OUR CONTROL

brooke button RN BScN CSPI

Clinical Information Resource Specialist I, Poison and Drug Information Service, Alberta Health Services

ryan chuang MD DABEM

Associate Medical Director, Poison and Drug Information Service, Alberta Health Services

Clinical Lecturer, Department of Emergency Medicine, University of Calgary

Fiona Garlich MD DABEM

Medical Toxicologist, Poison and Drug Information Service, Alberta Health Services

Clinical Lecturer, Department of Emergency Medicine, University of Calgary

sophie Gosselin MD FRCPC

Director, Medical Toxicology Consultation Service, McGill University Health Centre

Medical Toxicologist, Centre antipoison du Québec and Poison and Drug Information Service, Alberta Health Services

james Huffman MD FRCPC

Emergency Physician, Department of Emergency Medicine, Alberta Health Services - Calgary Zone

Clinical Lecturer, Department of Emergency Medicine, University of Calgary

David johnson MD

Medical Toxicologist, Poison and Drug Information Service, Alberta Health Services

Professor, Departments of Pediatrics, and Physiology & Pharmacology, University of Calgary

scott Lucyk MD FRCPC

Medical Toxicology Fellow, New York City Poison Control Center, New York University School of Medicine, New York

Matt Mink BSP CSPI

Educator and Clinical Information Resource Specialist II, Poison and Drug Information Service, Alberta Health Services

Mark Yarema MD FRCPC

Medical Director, Poison and Drug Information Service, Alberta Health Services

Clinical Associate Professor, Departments of Emergency Medicine, Physiology & Pharmacology, and Critical Care Medicine, University of Calgary

FAcULtYPLANNiNG cOMMittee

cOUrse cHAir

Mark Yarema MD FRCPC

ryan chuang MD DABEM

ewa courvoisier MD CCFP-EM

Heather Gallant RN BN CSPI

Fiona Garlich MD DABEM

val Lee RN BN CSPI

Kristine Markieta RN BN CSPI

joanne Masur RN CSPI

Matt Mink BSP CSPI

colleen Noble RN BN CSPI

Amin rajwani BSc Pharm MSW CSPI

Farah saleh BSc Pharm

brandyn stevens BSP

Diane simpson PhD (CME Representative)

chloe wu MSc MEd (CME Representative)

DiscLOsUre OF POteNtiAL FiNANciAL cONFLicts OF iNterest

In keeping with accreditation guidelines, speakers participating in this event have been asked to disclose to the audience any financial involvement with industry or other organizations that may potentially influence the presentation of the educational material. Disclosure will be done verbally and using a slide prior to the speaker’s presentation.

cme.ucalgary.ca

Finally, PADIS is a centre of research in drug and poison information. Original research findings have been presented at many local, national, and international conferences. Areas of research interest include the epidemiology of poisoning, acetaminophen poisoning, antidotal therapy, pediatric toxicology and toxic alcohol poisoning. Our data collection system provides the capacity to monitor poisonings and trends in poisoning, target educational programs, recognize groups at highest risk, and identify high risk toxins.

cONtAct Us

1-800-332-1414 (AB and NWT)

1-866-454-1212 (SK)

website

www.padis.ca

The Poison and Drug Information Service (PADIS) provides a comprehensive system of patient care, education and research in the fields of clinical pharmacology and toxicology to the general public and health professionals throughout Alberta, Saskatchewan and the Northwest Territories.

Formed in 1986, PADIS is one of five provincial Poison Centres in Canada. PADIS is staffed by a multi-disciplinary group of health professionals who are cross trained in all areas and are supported by Medical Toxicologists. With intensive training and access to critical resources, our Information Specialists are able to treat, alert and advise both health care providers and the general public under three distinct services:

the Poison centre provides emergency advice and information about poisoning management and prevention to both the general public and health care professionals throughout Alberta, Saskatchewan and the Northwest Territories 24 hours a day, 7 days a week. Approximately 70% of calls received by the Poison Centre are managed safely and effectively at home without the need to refer to a health care facility.

Drug consultation for Health Professionals Line provides advice to healthcare professionals throughout Alberta and the Northwest Territories. Types of calls include questions regarding therapeutic use of medications, adverse drug reactions, use of drugs in pregnancy, lactation, and drug identification. This service is available from 0800-1615 Monday to Friday, excluding statutory holidays. Calls on this line are from pharmacists, nurses, physicians, midwives, paramedics, dentists, dental hygienists, as well as other health care professionals.

Medication and Herbal Preparation Advice Line is dedicated to helping patients make informed decisions about their medications. Types of calls include questions regarding therapeutic use of medications, adverse drug reactions, use of drugs in pregnancy, lactation, and drug identification. This service provides advice to Albertans 24 hours a day, seven days a week.

PADIS provides accurate, complete, current and timely information about drugs and poisons to the public and health professionals. For patients in a healthcare facility, PADIS partners with the healthcare professionals at the bedside to support patient care throughout the patient’s entire hospital stay. Our city-wide Medical Toxicology consultation service in Calgary covers the five acute care hospitals and provides bedside consultations by PADIS.

PADIS also operates a monthly outpatient Medical Toxicology Clinic at the Rockyview General Hospital in Calgary where patients with exposures to potentially toxic substances such as metals (e.g. lead, arsenic, mercury, cobalt, chromium), gases (e.g. carbon monoxide) and other hazardous materials or requiring interpretation of toxicologic testing already performed are seen by a Medical Toxicologist.

PADIS takes a leadership role in poison and drug education programs through formal clinical placements for undergraduate, graduate and post-graduate students, on-site training for current healthcare practitioners, and other partnerships with professional and licensing bodies, community groups, and the media.

AbOUt PADis

cme.ucalgary.cacme.ucalgary.ca

AbOUt cOUrse cONteNt

Gillian Liston Phone 403.220.6493 Email gcliston@ucalgary.ca

AbOUt reGistrAtiON

Phone 403.220.7032 Email cmereg@ucalgary.ca

tO reGister

On-line, by mail or by fax 403.270.2330 (see Registration Form for details)

cONFirMAtiON OF reGistrAtiON

On-line registration confirmation is automatic after registering on-line. A tax receipt will be sent approximately 2 weeks after registering.

For all other methods of registration (mail, fax) confirmation will be in the form of a tax receipt. No other confirmation will be sent. Please allow 2 weeks for registration processing.

Registrants will receive an email regarding how to access the live webcast online.

reFUND POLicY

A registration refund will be made upon written request on or prior to October 31, 2014. However $50 will be retained for administrative costs. No refund will be made for cancellation after October 31, 2014. NOTE: Refunds are processed only on the return of original receipt. All receipts must be returned within 30 days after program date.

reiMbUrseMeNt OF reGistrAtiON Fees

Physicians may be eligible for reimbursement of registration fees and expenses to attend CME courses from a fund administered by the Alberta Medical Association. For more information regarding this, please visit https://www.albertadoctors.org/leaders-partners/quality-and-education-programs/cme/claim .

cOUrse cANceLLAtiON POLicY

The Office of Continuing Medical Education and Professional Development reserves the right to cancel the course if there are insufficient registrations.

AccreDitAtiON

The University of Calgary – Office of Continuing Medical Education and Professional Development is fully accredited by the Committee on Accreditation of Canadian Medical Schools (CACMS).

stUDY creDits

This program meets the accreditation criteria of The College of Family Physicians of Canada and has been accredited by University of Calgary Continuing Medical Education and Professional Development for up to 5.75 MAINPRO-M1 credits.

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada and approved by University of Calgary Continuing Medical Education and Professional Development. Participants can claim up to a maximum of 5.75 study credits.

Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™. Information on the process to convert Royal College MOC credit to AMA credit can be found at www.ama-assn.org/go/internationalcme.

FOr FUrtHer iNFOrMAtiON

Office of Continuing Medical Education and Professional Development Faculty of Medicine University of Calgary TRW Building, 3280 Hospital Drive NW Calgary, AB T2N 4Z6

GeNerAL iNFOrMAtiON

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reGistrAtiON FOrM

reGistrAtiON Fee Includes GST - UCalgary GST REGISTRATION #108102864RT0001

$99.75

FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT Registration information is collected under the authority of the Freedom of Information and Protection of Privacy Act. The contact information you provide is required by our Office to register you in the course, prepare material and courses for your use, plan for future courses and notify you of similar, upcoming courses offered by our Office. Financial information is used to process applicable fees and is retained for future reference. Call the Conference and Program Manager at the Office of Continuing Medical Education and Professional Development, 403.220.4251, if you have questions about the collection or use of this information.

Poison and Drug information service (PADis) conference 2014 (Live webcast) - November 15, 2014

Course number - 91086

reGistrAtiON iNFOrMAtiONPhone 403.220.7032, Email cmereg@ucalgary.ca

reGister ON-LiNehttps://cmeregistration.ucalgary.ca

reGister bY MAiLMail Registration Form with payment toOffice of Continuing Medical Education andProfessional Development, Faculty of Medicine,University of Calgary, TRW Building,3280 Hospital Drive NW, Calgary, AB T2N 4Z6Cheque payable to UNIVERSITY OF CALGARY

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