POLISH SOCIETY FOR EMERGENCY MEDICINE CHAIR OF EMERGENCY MEDICINE WROCLAW MEDICAL UNIVERSITY

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1 POLISH SOCIETY FOR EMERGENCY MEDICINE CHAIR OF EMERGENCY MEDICINE WROCLAW MEDICAL UNIVERSITY 24 th WINTER SYMPOSIUM of EMERGENCY MEDICINE and INTENSIVE CARE FINAL PROGRAM

2 HONORARY PATRONAGE HM Rector of Wroclaw Medical University Professor Marek Ziętek, Md, PhD SCIENTIFIC COMMITTEE Andrzej Basiński (PL) Ashley Bean (USA) Leszek Brongel (PL) Michał Gaca (PL) Jan Godziński (PL) Jerzy Karski (PL) Jerzy Ładny (PL) Lisa Moreno-Walton (USA) Adam Nogalski (PL) Dan O Brien (USA) Andrzej Zawadzki (PL) INVITED SPEAKERS, MODERATORS AND SATELLITE COURSES INSTRUCTORS Alicja Borkowska (PL) Radosław Drozd (PL) Krzysztof Dudek (PL) Izabela Godlewska (PL) Waldemar Goździk (PL) Joanna Jakubaszko-Jabłońska (PL) Rakesh Jalali (PL) Bernarda Kazanowska (PL) Arkadiusz Kosowski (PL) Ks. Rafał Kowalski (PL) Andrzej Kübler (PL) Anthony Martin (IRL) Terrence Mulligan (USA) Chairman: Juliusz Jakubaszko (PL) Members: Klaudiusz Nadolny (PL) Kinga Niewińska (PL) Jacek Piechocki (PL) Tadeusz Pławiak (PL) Ewa Raniszewska (USA) Janusz Sokołowski (PL) Krystyn Sosada (PL) Lilianna Styka (PL) Ks. Artur Szela (PL) Dariusz Timler (PL) Iwona Urbanowicz (PL) Andrzej Witkowski (PL) Edmond Zaimi (AL) Headquarter of Polish Society for Emergency Medicine Chair of Emergency Medicine, Wroclaw Medical University Wrocław, Bujwida str. 44a tel. +48/ , fax. +48/ ptmr@umed.wroc.pl Bank account number: BZ WBK 35 O/Wrocław ORGNIZING COMMITTEE President: Professor Juliusz Jakubaszko, MD, PhD Vice-President: Professor Jan Godziński, MD, PhD Goutam Chourasia Krzysztof Dudek Joanna Jakubaszko-Jabłońska Kinga Niewińska Julian Rybak Tomasz Sikora Janusz Sokołowski Lilianna Styka Members: Marek Czajkowski Michał Rutkowski Ewa Polak Agnieszka Szklarz Barbara Wartenberg Marta Kwiatoń Aleksandra Berdzińska Student s Scientific Association for Emergency Medicine Chair of Emergency Medicine, Wroclaw Medical University Symposium s secretariat: Agnieszka Szklarz, Ewa Polak, Halina Kisielewska Chair of Emergency Medicine, Wroclaw Medical University Wrocław, Bujwida str 44a tel. +48/ , fax. +48/ kat.med.rat@umed.wroc.pl 2 3

3 GENERAL INFORMATION Symposium s Venue: Mercure Karpacz Resort Karpacz, Obrońców str 5 tel./fax. +48/ Secretariat: During the Symposium secretariat will be located in hotel s main lobby Mercure Karpacz Resort Karpacz, Obrońców str 5 tel./fax. +48/ Office Hours: Wednesday: 12:00 18:30 Thursday, Friday: 8:00 18:00 Saturday: 8:00 11:00 Conference Languages: Polish, English ORGANIZATIONAL INFORMATION BADGES Participation at Congress Sessions, Medical exhibitors and special events is allowed for the participants with Congress badges exclusively. ARTICLES AND ABSTRACTS Articles and abstracts delivered by the authors are published in Polish Journal of Emergency Medicine. EDUCATIONAL POINTS Participant of this Congress will obtain the following educational points: Doctor 23 educational points Medical rescuer 8 educational points Participant of Workshop 2 educational points Participant of Prologue Symposium Workshop 4 educational points PRESENTATIONS Preferred languages of congress presentations are English and Polish. Preferred language of presentation is English. All audiovisual illustrations and slides should be prepared in English. All the audiovisual materials, prepared in electronic version should be delivered to technical Staff in Auditorium room at least 2 hours before presentation or the day before for morning sessions. Because of the technical reasons author s laptops can t be used for the presentation SYMPOSIUM SPECIAL EVENTS WEDNESDAY, February 25 th, Welcome cocktail THURSDAY, February 26 th, Concert The History of Dowland Songs SPA Theatre Cieplice Bus departure from hotel Mercure Karpacz Resort at 18.30, price 20 PLN/person FRIDAY, February 27 th, Gala dinner Banquet Hall Mercure Karpacz Resort 4 5

4 CONCERT THE HISTORY OF DOWLAND SONGS SYMPOSIUM S PROLOGUE Old English, Renaissance music by John Dowland in the new expressive arrangement and interpretation: Bożena Bujnicka soprano Michał Sławecki counter tenor and String Quartet Sans-Renessans : I violin Kornelia Grądzka II violin Michał Piotrowski Viola Maria Skarbek-Kiełłczewska Cello Dobrawa Czocher Arrangement and conducting Hanna Raniszewska ORGANIZERS: Polish Society For Emergency Medicine Chair of Emergency Medicine Wroclaw Medical University Emergency Medical System, Wroclaw Wincenty Mazurec Frączak Ltd Official Mercedes-Benz Dealer Mercedes-Benz G-Club Wrocław Solter 4x4 Off-Road Vehicles Service Rescue Center Student s Association for Emergency Medicine Wroclaw Medical University Commander: dr Julian Rybak Supporting Persons: Rafał Rybak, Piotr Drezner, Aleksandra Berdzińska, Monika Kicińska SPONSORS: OutdoorPro MacTronic Mocek i s-ka s.j., Rakowski-Kaglik Insurance Brokers Ltd. FERITA Medical Dressing Manufacturer Bewa Racing Team TUESDAY, WEDNESDAY, February 24 th -25 th, 2015 Route: WROCŁAW KARPACZ OFFICIAL START: February 24 th, 2015 at 9.00 Chair of Emergency Medicine, Wroclaw Medical University, Bujwida str 44a Wroclaw OFF ROAD START: Parking at Bolków Castle. Ambulances start every 20 minutes FINISH: February 25 th, 2015 at 14:00 Mercure Karpacz Resort, Obrońców Pokoju str 5, Karpacz 6 7

5 1 pkt MNiSW 2,83 pkt MAIN SPONSOR PARAMEDICA POLSKA SP. Z O.O. WARSZAWA EXHIBITORS AIR LIQUIDE POLSKA SP. Z O.O. KRAKÓW ALUNA ANNA ŁUCZYŃSKA KONSTANCIN JEZIORNA BIOMEDICA POLAND SP. Z O.O. BOXMET MEDICAL SP. Z O.O. PIESZYCE CREATOR WROCŁAW ELAMED KATOWICE FAMED ŻYWIEC SP. Z O.O. ŻYWIEC FARUM S.A. WARSZAWA KARL STORZ ENDOSKOP POLSKA Sp. z o.o. GLIWICE LINDE GAZ POLSKA SP. Z O.O. WARSZAWA MEDEMA JAROSŁAW PRZYŁOGA GDAŃSK MEDFINANCE S.A. ŁÓDŹ PHYSIO-CONTROL POLAND SALES SP. Z O.O. WARSZAWA TREELOGIC HISZPANIA / SPAIN MEDIA PATRONS Na Ratunek 6/2013 Zatrucie dekstrometorfanem Drogi oddechowe Wyposażenie ambulansu ratunkowego Szpitalny Oddział Ratunkowy 8 Zatrucie Wyposażenie

6 Wednesday, February 25 th FINAL PROGRAM Wednesday OPENING SESSION Moderators: Juliusz Jakubaszko, Adam Nogalski Welcome Addresses Juliusz Jakubaszko, Adam Nogalski Inauguration Lecture Emergency Medicine PL Challenges 2015 Juliusz Jakubaszko Rescue Trophy Extreme 2015 Results Julian Rybak Rally Commander 9

7 Thursday, February 26 th Thursday PANEL SESSION 1. Moderators: Juliusz Jakubaszko, Ewa Raniszewska 30 Ultrasound for Shock Diagnostics 30 Use of Ultrasound to avoid CT imaging in suspected renal colic 30 Mechanical circulation support in cardiac shock 30 Emergency Medicine Financial Models Refreshment Break Ashley Bean Dan O Brien Waldemar Goździk Terrence Mulligan Thursday Auditorium B SESSION 1.A. SESSION 1.B. Chair: Leszek Brongel, Andrzej Witkowski Chair: Andrzej Basiński, Dariusz Timler New method of financing ED Polish Society for Emergency Medicine s expectations 20 New method of financing ED Natioonal Health Fund s proposal 15 Current trauma system in Poland does it meet our expectations? Leszek Brongel 15 Upper gastrointestinal tract bleeding. Emergency endoscopic management in a district hospital. Arkadiusz Kosowski, Zbigniew Teter, Tadeusz Pławiak Adam Nogalski, Tomasz Lübek, Mariusz Jojczuk, Marcin Grabowski 15 Trauma Center trauma centers activity in Poland, on silesian voivodship example. 15 Security System adaptation in public places in terms of personnel preparedness for delivering of first aid on example of Warsaw Fryderyk Chopin s airport. Artur Witkowski, Dariusz Lewandowicz, Mieczysław Pietrzyk Klaudiusz Nadolny Ryszard Stykowski, Żaneta Kulerska, Bartłomiej Ruszkowski, Sebastian Michalkiewicz, Cezary Wieński Diagnostic Ultrasound RUSH Exam in Shock: Part 1. Thoracic Instructors: Ashley Bean Dan O Brien Supporting company: Siemens / Paramedica Polska Representative: Krzysztof Kielar NOTES 10 11

8 Thursday, February 26 th Thursday Auditorium B SESSION 1.A. SESSION 1.B. 15 A retrospective analysis of clinical documentation including autopsy fatalities identifying errors in diagnoses and therapeutic processes in the delivery of care 15 Case of acute ischaemic shin crush syndrome race against time Andrzej Witkowski, Juliusz Jakubaszko, Rafał Mańka, Tomasz Witkowski, Jan Gessek Marek Detko, Aleksandra Tańska, Adam Nogalski 15 Training in psychological crisis management for first aid personnel at Warsaw Chopin s airport 15 AED a chance for the heart 15 Integrated Emergency Teams Dispatch Center legislation changes. Żaneta Kulerska, Ryszard Stykowski, Sebastian Michalkiewicz, Cezary Wieński Ryszard Stykowski Klaudiusz Nadolny, Wojciech Miciński Point Of Care diagnostic Critical Parameters Instructors: Lisa Moreno-Walton, Iwona Urbanowicz Supporting company: Siemens / Paramedica Polska Representative: Katarzyna Mazurek-Śrutwa Stay & Play: Part 1 Instructors: Andrzej Zawadzki, Rakesh Jalali, Iza Godlewska Supporting company: Paramedica Polska Representative: Mirosław Chabin Chojnik level Lunch Break 12 13

9 Thursday, February 26 th Thursday PANEL SESSION 2. Moderators: Adam Nogalski, Janusz Sokołowski 30 Pulmonary Ultrasound Ashley Bean 30 Stabilizing the Pediatric Trauma Patient 30 Post resuscitation care within ED Lisa Moreno-Walton Dan O Brien 30 ED Quality Monitoring Terrence Mulligan Refreshment Break Thursday Auditorium B SESSION 2.A. SESSION 2.B. NOTES Chair: Adam Nogalski, Iwona Urbanowicz Chair: Lilianna Styka, Rakesh Jalali Aged patient in emergency medicine practice 20 Emergency medicine treatment of severe frost bites. Proposal for Polish frost bites management consensus. Jerzy Karski, Adam Nogalski Adam Domanasiewicz, Anna Chrapusta, Jacek Piechocki, Paweł Podsiadło, Piotr Szetelnicki, Paweł Jonek 10 The behavior of the students who attend non-medical studies facing traffic accidents 10 Already forgotten or underrated? Clinical usage of ketamine in ED. Katarzyna Ślusarek, Marta Rojecka, Łukasz Straszewski, Bartosz Wróbel Rakesh Jalali, Kamil Grabowski, Andrzej Zawadzki Triage within Emergency Department Instructors: Terrence Mulligan, Ewa Raniszewska, Goutam Chourasia, Alberto Alonso Supporting company: Paramedica Polska, Treelogic 20 Acute ophtalmological emergencies. 15 Vascular surgery emergencies. Joanna Jakubaszko- Jabłońska Bartłomiej Czapla, Tomasz Sikora, Judyta Ogrodnik 10 Unusual causes of abdominal pain in emergency medicine 10 Evaluation of sinus rythm restoration in AFib patients. Rakesh Jalali, Bartosz Bohdankiewicz, Maciej Kałużny Rafał Hulak Videointubation, endoscopy Instructors: Krzysztof Dudek, Anthony Martin, Jacek Piechocki Supporting company: MEDIM, Karl Storz Representative: Tomasz Hajda Chojnik level

10 Thursday, February 26 th Thursday Auditorium B SESSION 2.A. SESSION 2.B. 15 Mortality in alcohol intoxication in ITU from 2004 to 2013 Elżbieta Mach- Lichota, Marek Wojtaszek, Monika Wielgos, Dorota Owsianik, Dorota Ozga 10 Elbow injury not as easy as you think 10 Emergency Medicine on Facebook: Ebola. Survey among doctors and medical Students. 10 Knowledge of the principles of first aid among students from different types of colleges Rakesh Jalali, Anna Drynkowska, Izabela Godlewska Piotr Pałczyński, Maciej Kaczor, Ewa Raniszewska Maciej Tyszko, Remigiusz Chrostek, Lilianna Styka 16 17

11 Friday, February 27 th Friday PANEL SESSION 3. Moderators: Andrzej Zawadzki, Kinga Niewińska 30 Updates on Genitourinary Trauma Lisa Moreno-Walton 30 Updates on Hypothermia protocols Dan O Brien 30 Art of Successful Leadership Antony Martin 15 Implementation of supar in clinical routine: association with disease severity, readmission, and mortality in the acute medical patient 15 The characteristic of highly frequent users in the emergency department at University Hospital Center Mother Teresa in Tirana Refreshment Break Friday SESSION 3.A. Line Jee Hartmann Rasmussen, Steen Ladelund, Thomas H. Haupt, Gertrude Ellekilde, Jørgen Hjelm Poulsen, Ove Andersen, Jesper Eugen-Olsen Edmond Zaimi, Elizana Petrela Chair: Juliusz Jakubaszko, Ewa Raniszewska Chosen fate for emergency medicine specialists? Juliusz Jakubaszko Diagnostic Ultrasound RUSH Exam in Shock: Part 2. Abdominal and DVT 20 How not to get mad in emergency medicine. Poor performance points enforcement, career, team work, comfort, safety, finance. Ewa Raniszewska, Iwona Urbanowicz, Juliusz Jakubaszko, Krzysztof Jarzyński 20 Patient as Your Brother Fath. Rafał Kowalski, Fath. Artur Szela 20 Neuropsychiatric disorders in emergency medicine. Alicja Borkowska Stay & Play: Part 2 20 Risk of right to do in EM practice Radosław Drozd, Tomasz Jurek Lunch Break NOTES Instructors: Ashley Bean Dan O Brien Supporting company: Siemens / Paramedica Polska Representative: Krzysztof Kielar Rapid ophthalmologic evaluation for Emergency Physician Instructors: Lisa Moreno-Walton, Joanna Jakubaszko-Jabłońska Supporting company: Paramedica Polska Representative: Piotr Orkiszewski Instructors: Andrzej Zawadzki, Rakesh Jalali, Iza Godlewska Supporting company: Paramedica Polska Representative: Mirosław Chabin Chojnik level

12 Friday, February 27 th Friday PANEL SESSION 4. Moderators: Andrzej Zawadzki, Janusz Sokołowski Severe sepsis management in ED Andrzej Kübler Patient as Your Brother: 30 Therapeutic hypothermia Kinga Niewińska, ethical aspects in relations with patient and his family Juliusz Jakubaszko 20 Use of ECMO in respiratory failure patients treated in Military Hospital in Rzeszow 20 New strategy for post resuscitation syndrome treatment based on mitochondrial role in reperfusion injury. Marek Wojtaszek, Elżbieta Mach-Lichota, Dorota Ozga, Beata Horeczy, Kazimierz Widenka Ewa Raniszewska, Stefan Angielski 20 Fast neurological track in ED. Ewa Horoch-Łyszczarek, Goutam Chourasia, Janusz Sokołowski Refreshment Break Friday SESSION 4.A. Father Rafał Kowalski, PhD Father Artur Szela Mass Causalties simulation scenario Instructors: Klaudiusz Nadolny, Ireneusz Szafraniec Chair: Andrzej Basiński, Dariusz Timler Patient with a chest pain in Emergency Department - case report 20 Case report patient in Trauma Center. Piotr Woźniak Anna Koczaj, Kinga Grobelska, Ewa Zieliński, Anna Królikowska, Juliusz Jakubaszko 20 Legal responsibility for medical documentation. Judyta Ogrodnik, Bartłomiej Czapla, Tomasz Sikora 15 Correlation of emergency team response with results of acute coronary syndrome treatment on example of one Emergency Center. 15 Periods of highest frequency of new patient arrivals to Emergency Department during workdays and days off. Krystyna Ziółkowska, Michał Bohdan, Marcin Gruchała, Andrzej Basiński Marek Czajkowski, Izabela Wachowiak From the Courtroom Guilty or not? Instructor: Radosław Drozd Chair of Forensic Medicine, Wroclaw Medical University Hemostatic Dresssing Instructors: Andrzej Witkowski Supporting company: Boxmet Medical Representative: Michał Paszkowski Chojnik level 0 Chojnik level

13 Saturday, February 28 th Saturday PANEL SESSION 5. Moderators: Jan Godziński, Kinga Niewińska 30 Pediatric oncology emergencies protocol proposals 30 Pre-referral information exchange at prehospital phase of pediatric trauma management. Jan Godziński, Tomasz Sikora, Marta Kwiatoń, Michał Rutkowski Jan Godziński, Tomasz Sikora, Marta Kwiatoń, Michał Rutkowski 20 Trauma chain of survival case report Robert Gotner, Maciej Zwierucho, Janusz Springer, Agnieszka Gromadzka, Jacek Gwoździewicz 20 Pediatric oncohematological emergencies Bernarda Kazanowska NOTES 10 Pre-hospital Emergency Teams action characteristics in pediatric emergencies. 10 Pre-hospital and early hospital management in limb injuries in children Tomasz Sikora Marta Kwiatoń CLOSING REMARKS Lunch 22 23