Hands-on Workshops for R&R 2022

 107. Ultrasound Scanning Sessions - Cardiac Image Acquisition

Thursday, April 21st at 10:20 - 11:20

Description : Pre-workshop teaching material will be emailed to each participant prior to the workshop, courtesy of UBC's HOUSE course.  Pre-reading maximizes understanding and makes the best use of the hands on portion. This workshop consists of a 10-minute didactic slide portion, followed by 50 minutes of scanning.

Objectives

1. Understand the clinical questions that can be answered with cardiac POCUS.

2. Discuss basic ultrasonographic views of the heart and how to acquire.

3. Hands-on practice on models with POCUS instructors.

 108. Advanced Wound Assessment and Suturing Workshop

Thursday, April 21st at 10:20 - 11:20

Description : This workshop will look at more complex wound types (traumatic or surgical) and help with developing an approach to closure. We will discuss surgical planning for excisional biopsies, undermining, subcutaneous wound closure to reduce tension at the wound site and different flap repairs / considerations. Corner stitch and stellate wound repairs will also be reviewed.

Objectives

1. Surgical wound planning and closure.  

2. Traumatic wound assessment and closure of complex wounds.

3. Undermining wound edges and subcutaneous suturing technique to reduce tension and other considerations for the best cosmetic results.

 128. Advanced Wound Assessment and Suturing Workshop

Thursday, April 21st at 11:30 - 12:30

Description : This workshop will look at more complex wound types (traumatic or surgical) and help with developing an approach to closure. We will discuss surgical planning for excisional biopsies, undermining, subcutaneous wound closure to reduce tension at the wound site and different flap repairs / considerations. Corner stitch and stellate wound repairs will also be reviewed.

Objectives

1. Surgical wound planning and closure.  

2. Traumatic wound assessment and closure of complex wounds.

3. Undermining wound edges and subcutaneous suturing technique to reduce tension and other considerations for the best cosmetic results.

 129. Rural Critical Care - Cervical Spine

Thursday, April 21st at 11:30 - 12:30

Description : Using a round table method this workshop will review how to read C-Spine x-rays and practice reading them from normal to subtle to outright wacky.

Objectives

1. Review C-spine anatomy.

2. Increase comfort in clearing c-spine x-rays.

 144. Airway Management in Trauma

Thursday, April 21st at 13:30 - 14:30

Description : This will be a practical update on what's new in airway management in trauma, in addition to some practical tips and trick.

Objectives

Understand the current state of literature for best practices in airway management in trauma including:

-'C' before 'A' or resuscitate before you intubate.  

- Management of the soiled airway.  

- Airway checklist and algorithms - why are they worth the time.  

- CICO emergencies and how to train for the surgically inevitable airway.

 149. Rural Critical Care - Cervical Spine

Thursday, April 21st at 13:30 - 14:30

Description : Using a round table method this workshop will review how to read C-Spine x-rays and practice reading them from normal to subtle to outright wacky.

Objectives

1. Review C-spine anatomy.

2. Increase comfort in clearing c-spine x-rays.

 163. Lung PoCUS

Thursday, April 21st at 14:40 - 15:40

Description : Participants will learn an approach to using PoCUS to assess for pulmonary pathology in a patient with dyspnea.

Objectives

1. Understand the clinical questions that can be answered with lung PoCUS.

2. Describe PoCUS findings of pneumothorax, pleural effusion, and pulmonary edema.

3. Complete hands-on practice on models with PoCUS instructors.

 169. Rural Critical Care - Basic Airways

Thursday, April 21st at 14:40 - 15:40

Description : A practical approach to the occasional airway emergency in a ‘hands-on’ session on airways maneuvres, direct laryngoscopy and intubation.

Objectives

1. Review basic airway anatomy.

2. Practice airway maneuvers including BVM and supportive measures.

3. Practice direct laryngoscopy and intubation.

 189. Rural Critical Care - Basic Airways

Thursday, April 21st at 16:00 - 17:00

Description : A practical approach to the occasional airway emergency in a ‘hands-on’ session on airways maneuvres, direct laryngoscopy and intubation.

Objectives

1. Review basic airway anatomy.

2. Practice airway maneuvers including BVM and supportive measures.

3. Practice direct laryngoscopy and intubation.

 209. Ultrasound Scanning Sessions - Gallbladder and Liver

Friday, April 22nd at 10:20 - 11:20

Description : Pre-workshop teaching material will be emailed to each participant prior to the workshop, courtesy of UBC's HOUSE course.  Pre-reading maximizes understanding and makes the best use of the hands on portion. This workshop consists of a 10-minute didactic slide portion, followed by 50 minutes of scanning.

Objectives

1. Review anatomy and indications for gall bladder and liver ultrasound.

2. Discuss ultrasound findings of cholecystitis and cholelithiasis.

3. Hands-on practice on models with POCUS instructors.

 223. Procedural Skills in a 3D Printed World (Fishhook Removal, Adult IO, Peds IO)

Friday, April 22nd at 11:30 - 12:30

Description : 3 X 3-5 mins PowerPoint for overview of the 3 procedure topics

Then Rotate through 3 stations of 15 mins each of a 3D printed: Fishhook Removal Task Trainer, Pediatric Intraosseous Injection Simulator, Adult Tibia for Intraosseous

Rural emergency departments (ED) represent a challenging clinical environment often lacking access to resources and subspecialty assistance. Typically staffed by local family physicians, this environment requires technically-skilled practitioners with the confidence to perform procedures effectively. Some procedures in rural medicine happen infrequently, therefore requiring hands-on training to refresh skills. Unfortunately, there is a scarcity of cost-effective, anatomically correct trainers to improve physician confidence and competency in procedural skills. In this workshop, we promote 3D-printed models for simulation-based medical education (SBME), to build confidence and competence in rural skills.   

Three medical students from Memorial University of Newfoundland, in conjunction with CIRRIS (Carbonear Institute for Rural Reach and Innovation by the Sea), designed and field-tested three models for SBME - Fishhook Removal FISH-ER, Adult Intraossessus and Pediatric Intraossessus.

Objectives

1. Attendees will have an overview of each technique then an opportunity to use the 3D-printed models for experience with the procedures.

2. This interactive session will encompass specific, immediately applicable procedural skills experience for rural physicians. Attendees will be able to immediately employ methods in their own community ED’s.

 227. Wounds, Biopsies & Skin Closures

Friday, April 22nd at 11:30 - 12:30

Description : Hands on skin workshop to go through everything from simple wound closures, ellipses, rotational, advancement flaps, suturing techniques (buried sub-cuticular/ simple interrupted/ running mattresses, and more).  Extensor tendon repairs and other considerations depending on time.

Objectives

1. Manage acute simple and complex wounds secondary to trauma.

2. Excisional biopsies - planning, procedure and closure techniques including rotational and advancement flaps.

3. Suture selection and use for best cosmesis.

4. If time permits, extensor tendon repairs.

 228. Joint Reduction

Friday, April 22nd at 11:30 - 12:30

Description : I will present an overview of the most common joint reductions from finger to hip. I will discuss what to watch out for, how to reduce, and how to follow up. We will practice hands-on on each other the various techniques. I will welcome discussion of the cases and challenges you have experienced.

Objectives

1. Review the clinical presentation of major joint dislocations.

2. Present and practice reduction techniques.

3. Some tips and pearls.

4. Discuss post-reduction management.

 247. Wounds, Biopsies & Skin Closures

Friday, April 22nd at 13:30 - 14:30

Description : Hands on skin workshop to go through everything from simple wound closures, ellipses, rotational, advancement flaps, suturing techniques (buried sub-cuticular/ simple interrupted/ running mattresses, and more).  Extensor tendon repairs and other considerations depending on time.

Objectives

1. Manage acute simple and complex wounds secondary to trauma.

2. Excisional biopsies - planning, procedure and closure techniques including rotational and advancement flaps.

3. Suture selection and use for best cosmesis.

4. If time permits, extensor tendon repairs.

 249. Hands-on Practice on Three Dimensionally (3D) Printed Simulators in the Context of Training for Rural and Remote Practice (3 hours)

Friday, April 22nd at 13:30 - 17:00

Description : Additive manufacturing (AM), such as 3D printing, is disrupting simulation based education. The benefits include customization of simulators to fit any context while reducing costs. The overarching purpose of this workshop will be to allow the attendees to practice four (4) technical skills on 3D printed simulators.

This will be a 3-hours hands on experience (40 minutes per skills/station). Specifically, a group of 32 participants will be divided into four small sub groups (8 participants per group) and each group will be able to practice skills on four (4) simulators: suturing, cricothyrotomy, perineal repair, and tibial IO. Each group of eight will consist of four practicing physicians, two residents and two medical students. The instructions and feedback will be provided by a faculty member. Peer assisted learning (PAL) strategies will also be employed within each group.

Objectives

Demonstrates proficiency, as determined by the application of formative Objective Structured Assessment of Technical Skills (OSATS) global rating scales and skills specific checklists, when performing the following skills on 3D printed models:

a. Suturing

b. Cricothyrotomy

c. Perineal repair

d. Interosseous (Tibial)

 265. Back to Basics: Techniques for Improving Fundamental Airway Skills

Friday, April 22nd at 14:40 - 15:40

Description : This hands-on session will provide a review of the fundamental airway skills of bag mask ventilation, laryngeal mask insertion and endotracheal intubation.  Designed for the occasional airway manager, the session will provide high yield pearls for improving success with these vital skills.

Objectives

1. List the appropriate steps to optimizing bag mask ventilation, LMA insertion and first pass success with direct and video laryngoscopy.

2. Demonstrate incremental laryngoscopy on an airway task trainer.

3. Demonstrate deliberately restricted laryngeal view for optimization of endotracheal tube delivery.

 285. Back to Basics: Techniques for Improving Fundamental Airway Skills

Saturday, April 23rd at 16:00 - 17:00

Description : This hands-on session will provide a review of the fundamental airway skills of bag mask ventilation, laryngeal mask insertion and endotracheal intubation.  Designed for the occasional airway manager, the session will provide high yield pearls for improving success with these vital skills.

Objectives

1. List the appropriate steps to optimizing bag mask ventilation, LMA insertion and first pass success with direct and video laryngoscopy.

2. Demonstrate incremental laryngoscopy on an airway task trainer.

3. Demonstrate deliberately restricted laryngeal view for optimization of endotracheal tube delivery.

 305. Don't Fear the Cric!  A Deliberate Practice Workshop

Saturday, April 23rd at 10:20 - 11:20

Description : The cricothyrotomy - a once-in-a-career procedure that many of us dread.

Using deliberate practice, we have developed a robust method of remote teaching of this critical skill. Come to build your confidence and learn how to bring this education back to your colleagues!

Objectives

1. Recognize the indications for performance of an emergency cricothyrotomy.

2. Perform an emergency cricothyrotomy with technical proficiency.

3. Implement the teaching from this workshop in your own community.

 309. Ultrasound Scanning Sessions - IVC & Abdominal Aorta

Saturday, April 23rd at 10:20 - 11:20

Description : Pre-workshop teaching material will be emailed to each participant prior to the workshop, courtesy of UBC's HOUSE course.  Pre-reading maximizes understanding and makes the best use of the hands on portion. This workshop consists of a 10-minute didactic slide portion, followed by 50 minutes of scanning.

Objectives

1. Review abdominal great vessel anatomy.

2. Review ultrasound findings of aortic aneurysm.

3. Discuss use of IVC in fluid assessment and management.

4. Hands-on practice on models with POCUS instructors.

 326. Suturing for Learners

Saturday, April 23rd at 11:30 - 12:30

Description : Two instructors, using video and slide material, will describe the equipment required for suturing, common suture material, and demonstrate frequently used suture techniques. Participants will have the opportunity to perform these techniques on pigskin under supervision.

Objectives

1. Learn equipment and basic suturing techniques for lacerations and minor surgery.

2. Learn appropriate application of the various techniques.

3. Have an opportunity to practice techniques under supervision.

 329. Chest Tubes

Saturday, April 23rd at 11:30 - 12:30

Description : We will discuss the indications for chest tube drainage, the rationale for using small diameter tubes and those inserted via Seldinger technique.  We will spend a significant amount of time inserting chest tubes in models and review the mechanics of chest tube drainage.

Objectives

1. To understand the indications and contraindications for chest tubes.

2. To understand the pros and cons of small diameter tubes and those inserted via Seldinger technique.

3. To practice the insertion of Seldinger technique chest tubes in relatively realistic models.

4. To discuss various aspects of the mechanics of chest drainage.

 346. Suturing for Learners

Saturday, April 23rd at 13:30 - 14:30

Description : Two instructors, using video and slide material, will describe the equipment required for suturing, common suture material, and demonstrate frequently used suture techniques. Participants will have the opportunity to perform these techniques on pigskin under supervision.

Objectives

1. Learn equipment and basic suturing techniques for lacerations and minor surgery.

2. Learn appropriate application of the various techniques.

3. Have an opportunity to practice techniques under supervision.

349. Chest Tubes

Saturday, April 23rd at 13:30 - 14:30

Description : We will discuss the indications for chest tube drainage, the rationale for using small diameter tubes and those inserted via Seldinger technique.  We will spend a significant amount of time inserting chest tubes in models and review the mechanics of chest tube drainage.

Objectives

1. To understand the indications and contraindications for chest tubes.

2. To understand the pros and cons of small diameter tubes and those inserted via Seldinger technique.

3. To practice the insertion of Seldinger technique chest tubes in relatively realistic models.

4. To discuss various aspects of the mechanics of chest drainage.