DAY ONE - Wednesday 26 June 2024

10:00 - 10:50

Resuscitation end points - how to recognise shock and guide resuscitation in the ED

Dr Martin Dachsel

Consultant in Acute and General Medicine, Surrey and Sussex Healthcare Trust

  • What is shock?
  • What is resuscitation and who needs it?
  • Resuscitation guidelines any updates?
  • Can we change outcomes?
  • How do we assess the adequacy of resuscitation?
  • Lactate clearance

10:50 - 11:40

Airway, hot topics and tips

Dr Orla Lacey

Consultant Anaesthetist, specialising in anaesthesia for head and neck/maxillofacial cancers, the Royal Marsden NHS Foundation Trust, London

  • Rapid assessment and potential interventions beyond routine
  • Real time USS tips for abnormal airway/FONA Assessments
  • Food for thought: video laryngoscopy instead of direct laryngoscopy as standard approach - the impact on the ED and pre-hospital setting

11:40 - 12:00

Break

12:00 - 12:40

Acid-base disturbances: How best to assess in the ED

Dr Lucy Bingham

Consultant in Emergency Medicine, Imperial College Healthcare NHS Trust

  • Different interpretation methodologies
  • Using blood gas analysis as risk stratification

12:40 - 13:20

Venous Gas - All we need?

Dr Luciano Gattinoni

Consultant in ICU and Emergency Medicine

  • The difference between arterial and venous pH, CO2, bicarbonate and lactate
  • How to interpret venous CO2 and lactate

13:20 - 14:00

Lunch

14:00 - 14:50

The role of blood and blood products in resuscitation

Dr Rocio Santamaria

Consultant in Emergency Medicine, Guy’s and St Thomas’ NHS Foundation Trust, London

  • Should we have a massive transfusion protocol for all significant bleeds?
  • FFP as the first resuscitation fluid in all bleeding patients?
  • 20 mlkg crystalloid then blood?

14:50 - 15:40

Echo guided diagnosis and fluid resuscitation in shock

Dr Michael Trauer

Consultant in Emergency Medicine, St Thomas’ Hospital, London

  • The role of echo in identifying LV function
  • Echo guided fluid responsiveness.
  • Echo guided assessment of filling pressures

15:40 - 16:00

Break

16:00 - 17:00

Trauma Resus and Clinical Scenarios

Consultant TBC

DAY TWO - Thursday 27 June 2024

09:30 - 10:20

PE and resuscitation

Dr Michael Trauer

Consultant in Emergency Medicine, St Thomas’ Hospital, London

  • Point-of-care ultrasound in PE
  • How to interpret RV dilation in different groups and in arrest
  • How to quickly identify DVT (and effectively rule in PE)

10:20 - 11:10

Resuscitation in GI haemorrhage

Dr Bernard Foex

Consultant in Emergency Medicine and Critical Care, Manchester Royal Infirmary

  • Should you use PPIs and Tranexamic acid?
  • What is an adequate Hb?
  • When is an endoscopy needed?

11:10 - 11:30

Break

11:30 - 12:20

Resuscitation in cardiogenic shock

Dr Bernard Foex

Consultant in Emergency Medicine and Critical Care, Manchester Royal Infirmary

  • Drug treatment: is levosimendan the drug of the future?
  • Mechanical circulatory support: intra-aortic balloon counter pulsation or ventricular assist devices?

12:20 - 13:00

Break

13:00 - 14:00

Use of fluids in resuscitation of trauma/non-trauma patients?

Professor Tim Harris

Consultant in Critical Care and Emergency Medicine, Barts Health NHS Trust

  • Deciding on how much fluid to use in resuscitation.
  • Is there a place for colloids in the ED?
  • Plasmalyte, Saline, Hartmanns or Dextrose – are all crystalloids equal?
  • What is the effect of differing crystalloids on acid-base disturbance?

14:00 - 14:50

New perspectives on Cardiogenic shock

Dr Alastair Proudfoot

Consultant in Critical Care & Lead for Cardiogenic Shock
Barts Heart Centre, London

  • Medical therapy
  • Mechanical support
  • Role of imaging
  • Fluid balance – getting it right!

14:50 - 15:10

Break

15:10 - 16:00

Resuscitation in severe sepsis and septic shock

Dr Andrew Leitch

Consultant Intensivist and Anaesthetist, Royal London Hospital

  • What is current best practice?
  • What is new since the surviving sepsis campaign guidelines?
  • Lessons from the Covid-19 outbreak.

16:00 - 17:00

Regional Approach to the Management of Cardiac arrest

Dr Mamoun Abu-Habsa

Consultant in Critical Care and Emergency Medicine Bart's Health NHS Trust, London

  • Resus bundles
  • The changing landscape of Critical Care
  • Role of ECLS

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