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MEETING PROGRAM BY SUBSPECIALTY/TRACK


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EMERGENCY MEDICINE

Saturday, May 4, 2002

12:00pm-3:00pm
Mini Course
4105 Update on Injury Control
Chair: Gary A. Smith, Children's Hospital, Columbus, OH
The field of injury control continues to evolve. Over the past decade new sources of injuries have arisen, new information on old or overlooked causes has been obtained, and new techniques for preventing and minimizing the impact of certain injuries have been developed and evaluated. This session will review these advances and outline pertinent next steps for health policy, research and clinical care.

Overview
Gary A. Smith, Columbus Children's Hospital, Columbus, OH
Firearm Injuries: Just the Facts
M. Denise Dowd, Children's Mercy Hospital, University of Missouri, Kansas City, MO
Update on Product-Related Injuries
Gary A. Smith, Columbus Children's Hospital, Columbus, OH
Break
Prevention of Motor Vehicle-Related Injuries
Phyllis F. Agran, Pediatric Injury Prevention Research Group, Health Policy and Research, University of California, Irvine, CA
Current Federal Agency Priorities in Childhood Injury Prevention Research
Richard A. Schieber, Centers for Disease Control and Prevention, Atlanta, GA

3:15pm-5:15pm
Topic Symposium
4200 Cloning and Embryonic Stem Cells
Chair: Judith Hall, University of British Columbia, Vancouver, Canada
There is enormous public interest in cloning and embryonic stem cells. This symposium will update the pediatric community on recent developments and raises a variety of policy and ethical issues.

Overview
Judith G. Hall, University of British Columbia, Vancouver, Canada
Imprinting and Reprogramming
Arthur L. Beaudet, Baylor College of Medicine, Houston, TX
Cloning
Brigid Hogan, Vanderbilt University Medical Center and the Howard Hughes Medical Institute, Nashville, TN
Embryonic Stem Cells
Janet Rossant, Samuel Lunenfeld Research Institute, Mount Sinai Hospital ON, Canada

3:15pm-5:15pm
Platform Session
4254 Inflicted Trauma/Child Abuse
Chairs: M. Denise Dowd and John M. Leventhal

5:15pm-7:15pm
Poster Session I (Author Attended)
and Opening Reception
Emergency Medicine: Risk Assessment/Diagnosis

Sunday, May 5, 2002

8:00am-11:00am
Workshops
5106 Reducing Medication Errors – Time To Take Action
Each year there are thousands of injuries and deaths in U.S. hospitals from medication errors. These blunders cost millions of dollars and result in loss of public confidence in our health care system. Medication errors are the second most frequent and the second most expensive event causing liability claims. Errant orders on the inpatient unit and incorrect prescriptions in the ED and clinics are common. Physicians, nurses, pharmacists, students, manufacturers and even caregivers all share responsibility. Many errors are preventable.

This workshop will focus on common sources of medical errors and ways to prevent them. Workshop leaders will discuss specific issues including:

  • Root cause analysis looking at systems issues rather than individuals
  • Moving toward non-punitive approaches to reporting errors
  • Developing teaching programs for housestaff and students
  • The role of the pharmacist—how can they help?
  • New technology—are computer systems useful? Are the programs affordable?
  • Creating multidisciplinary medication use process improvement teams
  • Approaching the family after a medical error—legal and ethical implications

Participants will be asked to share their ideas and experiences. It is hoped that participants will be able to develop a multidisciplinary program in their own institutions to reduce and manage medical errors.
S. Selbst, S. Levine, A.I. duPont Hospital for Children, * Wilmington, DE, and J. Fein, J. Gould, M. Friedman, C. Mull, Children’s Hospital of Philadelphia, Philadelphia, PA

8:00am-11:00am
Special Interest Groups

5111 Emergency Medicine
The Pediatric Emergency Medicine SIG meeting is planning an excellent meeting in Baltimore this year. Our first topic for discussion will be the "management of febrile children in the post pneumococcal vaccine era: Should we change our practice." Each member of the panel of experts will give a brief presentation followed by a panel discussion. In the second part of the meeting we will, again, have a formal presentation on "teaching cost-effective medicine in the emergency department." The presentations and discussion of each topic will be one hour and fifteen minutes long. Pediatric Emergency Medicine fellows and junior faculty will have the opportunity to present their research posters during the break between the two discussion topics.
Chair: Halim Hennes, hhennes@post.its.mcw.edu

5114 Pain
The Special Interest Group on Pain in Children focuses each year on an emerging area in the management of children's pain. Topics at previous meetings have included long-term consequences of inadequately treated pain and development of institutional approaches to promote pain management. The focus this year will be on minimizing injection pain. It is particularly relevant given immunization schedules which cluster multiple injections at the same visit. The session will attempt to address behavioral and pharmacological approaches that decrease injection pain as well as strategies for implementing such approaches in busy ambulatory settings.
Chair: Neil Schechter, nschecht@stfranciscare.org

1:45pm-2:30pm
State of the Art Plenary
5590 Children as Victims of Bioterrorism: Protecting the Fragile Host
Chairs: Phyllis Dennery, Stanford University School of Medicine, Palo Alto, CA and Tina Lee Cheng, Johns Hopkins University School of Medicine, Baltimore, MD
With the recent world events and new threats of biowarfare, what should pediatricians know? Due to their size and physiology, children are at higher risk of injury from bioterrorism. This session will address the biology, clinical manifestations, and possible preventive strategies for likely biowarfare agents. The unique vulnerability of the child will be addressed.

Overview
Phyllis A. Dennery, Stanford University School of Medicine, Palo Alto, CA
Children as Victims of Bioterrorism: Protecting the Fragile Host
Ralph D. Feigin, Baylor College of Medicine, Houston, TX
Discussion

2:00pm-4:00pm
State of the Art Plenary
5701 Children as Research Subjects: Ethical and Regulatory Issues
Chair: Myron Genel, Yale University School of Medicine, New Haven, CT
A number of highly publicized adverse events, including the death of two volunteers participating in non-therapeutic research, and the federal shutdown of research at many well-recognized academic institutions because of inadequate compliance with regulatory requirements have intensified scrutiny of the protection afforded to human subjects participating in research, including children. Furthermore a Maryland court has recently decreed that children cannot participate in research without the potential for direct benefit. As a consequence there has been increasing media attention and Congressional concern regarding the adequacy of institutional oversight and investigator attentiveness to established standards and regulations. In addition, new regulations issued under the Health Insurance Portability and Accountability Act of l996(HIPAA) threaten the capacity to conduct health services and outcomes research. These issues will be addressed in the 9th annual Public Policy Plenary Symposium in an interactive format intended to stimulate dialogue among the members of the panel and with the audience.

Overview
Myron Genel, Yale University School of Medicine, New Haven, CT
Overseeing Research in Children: New Concerns and New Regulations
Alan R. Fleischman, The New York Academy of Medicine, New York, NY
International Health Research: Where Bioethics, Politics and Economics Converge
Eric M. Meslin, Indiana University Center for Bioethics, Indianapolis, IN
Compliance: What You and Your Institution Need to Know (and Do)
Pearl O'Rourke, Partners HealthCare System, Inc., Boston, MA
HIPAA, Privacy & Confidentiality and Research In Children?
Brian Kamoie, The George Washington University, Washington, DC
Discussion

Sponsored jointly with the Public Policy Council of the APS, AMSPDC, SPR and the Public Policy Committee of the APA
Partially supported by an educational grant from Columbus Children's Hospital

4:15pm-6:15pm
Platform Session
5904 Emergency Medicine/Infectious Diseases
Chairs: David M. Jaffe and Kathy N. Shaw

4:15pm-6:15pm
Platform Session
5910 Pain: Opportunities and Outcomes
Chair: Robert M. Kennedy
FEATURED SPEAKER:
Jeffrey L. Blumer

Monday, May 6, 2002

8:00am-10:00am
Platform Session
6056 Injury
Chairs: Katherine Kaufer Christoffel and Alan D. Woolf

10:15am-12:15pm
Platform Session
6200 Emergency Medicine/Respiratory Disorders
Chairs: Louis M. Bell and Halim Hennes

10:15am-12:15pm
Platform Session
6201 Emergency Medicine—Psychiatric/General
Chairs: Jane F. Knapp and Linda Quan

2:45pm-4:45pm
Topic Symposium
6500 Antibiotic Resistance: The Race Is On (PIDS Symposium)
Chairs: Joseph W. St. Geme III, Washington University, St. Louis, MO and Richard F. Jacobs, University of Arkansas, Arkansas Children's Hospital, Little Rock, AR
In recent years there has been an explosion in the prevalence of antibiotic resistance. As a consequence, treatment decisions now are often complicated, and treatment is more and more commonly unsuccessful. In this symposium, speakers will review the epidemiology of antibiotic resistance, the current state in treating resistant Staphylococcus aureus and resistant gram-negative bacteria, and new approaches to antibiotic discovery.

The Evolving Epidemiology of Antibiotic Resistance
Daniel Sahm, Focus Technologies, Inc., Herndon, VA
The Challenge of Antimicrobial Therapy for the Staphylococci: Our Backs to the Wall
Robert S. Daum, The University of Chicago, Chicago, IL
Increasing Resistance in Gram-Negative Bacteria: The Role of Extended Spectrum Beta Lactamases
David L. Paterson, University of Pittsburgh Medical Center, Pittsburgh, PA
Genomic Approaches to Antibiotic Discovery
Molly B. Schmid, Integrative Proteomics, Inc., Toronto, Canada

Sponsored jointly with the Pediatric Infectious Diseases Society

Tuesday, May 7, 2002

8:00am-10:00am
Platform Session
7057 Injury: Motor Vehicle
Chair: Flaura Koplin Winston

8:00am-10:00am
Poster Symposium
7058 Modeling To Detect Bioterrorism and Other Threats to Public Health
Chairs: Stephen M. Downs and Sarah S. Long

8:45am-11:45am
Mini Course
7090 Controlling Asthma in the New Millennium
Chair: James S. Seidel, Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance, CA
Although we have an understanding of the pathophysiology and treatment of asthma, the incidence, severity, and mortality from the disease is increasing. Twice in the past 10 years the National Heart Lung and Blood Institute has issued Guidelines for Diagnosis and Management of Asthma. These have not been widely adopted nor used. This mini course will explore the management of asthma in the emergency department and office setting and explore new methods to form care partnerships between practitioners, families and children to improve the care of asthma.

The NHLBI Guidelines on the Diagnosis and Management of Asthma; Why Have We Failed to Use Them. Results of a National Qualitative Study
James Seidel, Harbor-UCLA Medical Center, UCLA School of Medicine, Torrance, CA
Management of Acute Asthma in the Emergency Department
Ellen F. Crain, Albert Einstein College of Medicine, Bronx, NY
Managing Asthma Over Time: Rescue Medication Versus Therapeutic Interventions
Shirley A. Murphy, University of New Mexico School of Medicine, Albuquerque, NM
Forming Care Partnerships with Patients and Families
David Evans, Columbia University College of Physicians & Surgeons, New York, NY

8:45am-11:45am
Special Interest Group
7111 Pediatric Emergency Medicine Program Directors
The program for Baltimore will continue the theme of development of programs to mentor young faculty in their career paths of becoming scholars and excellent clinical educators. There will be discussion on goal setting and issues to improve professional growth. The second part of the program will discuss the initial data entered in the ED benchmarking data that is currently being collected with your assistance. This includes characteristics of PEDs and descriptions/demographics of our programs and faculty. We look forward to a strong contingent at the meeting. For information contact Richard Ruddy, MD Cincinnati, Ohio 513-636-7973 or richard.ruddy@chmcc.org
Chair: Richard Ruddy, richard.ruddy@chmcc.org

10:00am-11:45am
State of the Art Plenary
7200 Pediatric Pain
Chairs: K. J. S. Anand, Arkansas Children's Hospital, Little Rock, AR and R. Whit Hall, University of Arkansas for Medical Sciences, Little Rock, AR
Critical periods for early brain development are associated with neurogenesis, neuronal migration, exuberant synaptogenesis, and developmental regulation of cell differentiation and apoptosis. Exposure to repetitive or prolonged pain during critical windows in development can permanently alter the neural substrates associated with pain processing as well as other behavioral domains. This symposium will describe age related changes in pain processing, recent advances in analgesic pharmacology for pediatric patients, and the long-term effects of neonatal pain on subsequent cognition and behavior. Translational research applied to pain processing and analgesic management will be emphasized, to provide the practicing pediatrician with the scientific rationale for current clinical practice.

Introduction and an Overview of Pediatric Pain Research
K. J. S. Anand, Arkansas Children's Hospital and University of Arkansas for Medical Science, Little Rock, AR
R. Whit Hall, University of Arkansas for Medical Sciences, Little Rock, AR
Repetitive Neonatal Pain: Long-Term Effects in Human Infants?
Ruth Eckstein Grunau, University of British Columbia, Vancouver, Canada
Advances in Pediatric Analgesic Pharmacology for the Management of Acute and Chronic Pain
Charles Berde, Children's Hopsital, Boston, MA
Managing the Pain of Emergency Procedures: Sedation, Schizophrenia and Senility
David M. Jaffe, Washington University School of Medicine, St. Louis Children's Hospital, St. Louis, MO
Pain, Plasticity, and Preterm Birth: Findings From the Bench and Bedside
K. J. S. Anand, Arkansas Children's Hospital and University of Arkansas for Medical Science, Little Rock, AR
Conclusions
R. Whit Hall, University of Arkansas for Medical Sciences, Little Rock, AR

1:45pm-3:45pm
Hot Topic
7702 Disaster Preparedness: Beyond 9/11
Chairs: Tina L. Cheng, Johns Hopkins University School of Medicine, Baltimore, MD; Danelle Laraque, Mount Sinai School of Medicine, New York, NY; and Benard Dreyer, New York, NY
The impact of 9/11 and the public health aftermath have affected us personally and professionally. This session will address what the child health professional needs to know regarding disaster planning and preparedness. Speakers will review and provide updates on national and regional systems for emergency management and how those systems interact with local public health agencies, the pediatrician's role in the community's preparedness including what the school system, the pediatric office and the patient should be doing to prepare and respond, recognition and management of chemical and biologic agents of terrorism, and the psychological reactions to disaster and stress.

Disaster Planning and Preparedness for Child Health Professionals
George L. Foltin, New York University School of Medicine and Bellevue Hospital Center, New York, NY
Biologic Agents of Terrorism
Anne Fine, New York City Department of Health, New York, NY
Chemical Agents of Terrorism
Fred Henretig, University of Pennsylvania School of Medicine and Children's Hospital of Philadelphia, Philadelphia, PA
Helping Children Cope with Terrorism and Disasters
David J. Schonfeld, Yale University School of Medicine, New Haven, CT
Discussion

1:45pm-3:45pm
Platform Session
7800 Asthma
Chairs: Ellen F. Crain and Richard M. Ruddy
Includes Ludwig–Seidel Award:
Does End-Tidal Capnography Predict the Need for Hospitalization in Acute Childhood Asthma?
Sergey Kunkov

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Last Updated: September 27, 2006