In this pre-course we will give an introduction in to a structured approach for patient with an acute mental health emergencies. The APEx course is designed for emergency physicians, psychiatry and all other medical specialist who work in acute care – GP’s, acute internal medicine, or intensivist. This multi-disciplinary course gives a framework and necessary skills to handle crises involving patients with acute confused or suicidal behavior. Emergency physicians and other acute somatic specialist will especially develop a systematic approach to handling psychiatric emergencies and acquire essential techniques, while those in psychiatry and mental health services will gain insight into emergency medicine’s structured approach and benefit from shared learning with their acute care counterparts. And all will benefit from learning a shared model and ‘language’ when consultation over a patient is necessary. So join us in this pre-course to get the essentials of the APEx approach.

Do you want to take your ultrasound skills to the next level? Are your patients still suffering unnecessary in the Emergency Department? No IV access or arterial line in your critically sick patient and people are looking at you to get it? Come join this in-depth pearl-packed emergency ultrasound precourse using live models and realistic phantoms, with only hands-on scanning in small students-to-instructor groups lectured by an international faculty of POCUS-experts. Learn the tips-and-tricks directly at the bedside with the probe in your hand to master the skills of the latest nerve blocks (SAP, ESP. PENG), peripheral & central vascular access and several critical US-guided procedures while rotating between all the different stations.

Stations

• Neck: interscalene/supraclavicular/superficial cervical
• Chest: serratus anterior plane (SAP)/erector spinae plane (ESP)
• Arm: axillary/radial/ median/ulnar + arthrocentesis
• Hip: FICB (infra & suprainguinal/) femoral/PENG
• Knee & Ankle: popliteal sciatic/tibialis posterior + arthrocentesis
• Vascular access: peripheral iv/central iv/arterial
• US-guided procedures: thoracentesis/pericardiocentesis/paracentesis/LP/ETT

ATACC is coming to Egmond!

Are you ready for something totally unique that will educate you, prepare you and even change you?
ATACC is an advanced prehospital and in-hospital, trauma and critical care course. Candidates will be exposed to realistic scenarios and environments which are greatly enhanced by live actors and cutting edge simulation. This may sound like hell to those who prefer a rubber mannikin on a table in a classroom, but those who come to ATACC want far more. Developed almost 25 years ago, as an alternative to ATLS, the Anaesthesia Trauma & Critical Care Course or ATACC, has been described as the most comprehensive trauma course available. What is interesting is that whatever your background or level of experience in trauma and critical care, you will take something away from the course that is relevant to you.

There are skill stations and truly immersive simulations. For years, we have known that ATACC not only teaches trauma and critical care skills, but it also builds teams and develops leadership skills. Also in this precourse you will be educated in simulation and debriefing techniques, so also our more advanced colleagues will get the most out of this training.

This precourse has been developed by a team of leading doctors and health care professionals from disciplines ranging from pre-hospital care and emergency medicine to anaesthesia and critical care. It aims to immerse the learner in their own working environment, enabling them to deliver interventions and treat a wide range of time critical and potentially life changing features of trauma.

Come and see what all the fuss is about – you will love it!

Climate change brings many challenges for the future, including for us in the ED! By working well together, with clear goals and a strong vision, we are able to achieve sustainable solutions.
In a fun and creative way we’ll work with the students towards a climate-neutral future in the ED. During the day they’ll have interactive workshops and discussions and will be working on their personal project plan under experienced guidance. There will also be dedicated “in-depth sessions”, for those that are already quite invested in greening up their ED.

The “in-depth sessions”.

• Prevention & Nutrition
• Medication & Environment
• Ethics & Reduce Care
• Politics & Lobby

Take home: Practical tips & tricks; A project plan; The Green ER Toolkit, offering you great guidance for a “Green Future”!

The Emergency Mind Project: High Performance Resuscitation Team Workshop – by: Dan Dworkis

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Personal Stress Management as Critical Care Skill – by: Nienke Sonneveld, Remy van Gelder & Folkert Holzmann

How do medical teams operate under extreme pressure? How do we build (or grow) high-performing resuscitation teams? This half-day pre-course is designed to jumpstart discussion around these key challenges, facilitate collaborative inquiry into the critical issues resuscitation teams face, and develop experiments participants can run on improving high-performing teamwork at their home institutions. Focused on defining what “right” looks like, improving critical communication in and out of crisis, and working on augmenting leading / following / and teaming skills, this session will be a mix of experiential learning, collaborative inquiry, small group exercises and discussions. The instructor, Dan Dworkis, MD PhD, is the Chief Medical Officer at The Mission Critical Team Institute, the founder of The Emergency Mind Project, and a world-recognized expert in how teams and systems perform under pressure.

After focusing on team work during high performance resuscitation with Dan Dworkis, the afternoon will focus on how to manage your personal stress response in these situations. As emergency doctors we can all deal with a bit of adrenaline, but there is an optimum in the amount of stress you need to perform well. The human nervous system will react with a fight and flight or freeze response when suddenly confronted with a critically ill patient. Pilots are trained not to panic when lightning hits the wing of their plane and athletes learn to focus and stay calm before their olympic game. We as emergency doctors should also train ourselves to stay calm, focused and in control during resuscitations. The instructors are Nienke Sonneveld, emergency physician, and Remy van Gelder, mindfulness and leadership coach. In this practical workshop they will combine their expertise to provide you with skills that are actually suitable to use in the Emergency Department. Participants will leave with several tools and techniques that they can start using and practicing in their next resuscitation.

In this workshop, you will learn about the importance of procedural comfort. The trainers from the PROSA faculty will educate you on the significance of establishing a trusting relationship between healthcare provider and patient. This forms the basis for initiating a procedure between patient and healthcare provider to facilitate collaboration. Children may have more difficulty regulating pain and anxiety compared to adults. This can result in fear, pain, and stress, and sometimes even restraint. Consequently, patients may struggle more in the future to undergo procedures (including vaccinations or blood tests) easily. The faculty will explain how the complex brain functions during periods of stress, and more importantly, what can be done to reduce it. In addition to the importance of effective pain management, you will also receive non-farmalogical tips A hands on workshop, which will help you integrate a step-by-step tool to integrate into daily practice. This will not only make working with children more efficient and successful, but also considerably more enjoyable!

You will learn about:

• Pain and fear in the brain
• Positive language (focustaal)
• Preparing a child for a procedure
• Managing an ED proces around children
• Distraction techniques
• How to engage parents to ensure a successful procedure.

www.prosanetwork.com
www.prosaconference.com