CRITICAL CARE MEDICINE AND TRAUMA

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University of California San Francisco Presented by the Departments of Anesthesia and Perioperative Care, Medicine, and Surgery University of California, San Francisco School of Medicine CRITICAL CARE MEDICINE AND TRAUMA Fairmont Hotel THURSDAY - SATURDAY June 7-9, 2007 COURSE DIRECTOR Michael A. Gropper, MD, PhD Professor and Vice Chair, and Perioperative Care Director, Critical Care Medicine UCSF Medical Center CO-CHAIRS Rochelle Dicker, MD Assistant Professor in Residence, Mark Eisner, MD, MPH Associate Professor, Departments of Medicine and Anesthesia; Division of Occupational and Environmental Medicine & Division of Pulmonary and Critical Care Medicine UCSF Medical Center Julin Tang, MD, MS Director, Critical Care Medicine

CRITICAL CARE MEDICINE AND TRAUMA This course is designed for practicing physicians, nurses, and therapists caring for the critically ill, including physicians in pulmonary medicine, surgery, emergency medicine, anesthesia, hospital medicine, internal medicine, nurses, and respiratory therapists. Its purpose is to discuss recent advances and state-of-the- art information pertinent to critical care medicine and trauma. Updated information on the pathophysiology and management of disorders commonly encountered in the practice of critical care medicine and trauma. Multidisciplinary faculty from the UCSF School of Medicine will present the latest data on both pathophysiology and practical management aspects of care of the critically ill. EDUCATIONAL OBJECTIVES An attendee completing this course should be able to describe: Current pathophysiology and diagnosis of ventilatorassociated pneumonia; Limitations of plain film radiography in the intensive care unit; Current approaches to pain and sedation in the intensive care unit; Optimal use of low tidal volume ventilation in critically ill patients; Appropriate use of noninvasive ventilation for acute respiratory failure; Approach to acute renal failure in the intensive care unit; Goals of early goal-directed therapy for septic patients; Principles of fluid resuscitation; Basic approach to the trauma patient; Rapid Response Teams; Disaster planning; Presentation of necrotizing fasciitis; Evaluation and treatment of the patient with acute liver failure; Antimicrobial therapy in the ICU. June 7-9, 2007 The Fairmont Hotel San Francisco California ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of 19.25 AMA PRA Category 1 Credits TM. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit TM issued by organizations accredited by the ACCME. Pain Management and End-of-Life Care: The approved credits shown above include 1.25 credits toward meeting the requirement under California Assembly Bill 487, Pain Management and End-of-Life Care Trauma: The approved credits shown above include 4.25 credits toward satisfying the American College of Surgeons Committee on Trauma requirement for trauma-related continuing medical education.

Critical Care Medicine and Trauma J THURSDAY, JUNE 7, 2007 7:00 am Registration & Continental Breakfast 7:50 am Welcome and Introduction 8:00-8:35 am Ventilator-Associated Pneumonia Jeanine Wiener-Kronish, MD 8:40-9:15 am Acute Renal Failure in the ICU Kerry Cho, MD 9:20-9:55 am Obstetric Emergencies Mari-Paule Thiet, MD 9:55-10:15 am Break 10:15-10:50 am Critical Care Radiology Theodore Lee, MD 10:55-11:30 am Stroke J. Claude Hemphill, MD 11:30 am Lunch on your own 1:00-1:35 pm Pain Control and Sedation Peter Schulman, MD 1:40-2:15 pm Mechanical Ventilation: Reducing John Taylor, MD Complications 2:20-2:55 pm ARDS Mark Eisner, MD 2:55-3:15 pm Break 3:15-3:50 pm Transfusion Related Acute Lung Injury Mark Looney, MD 3:55-4:30 pm Fulminant Hepatic Failure Timothy Davern, MD FRIDAY, JUNE 8, 2007 7:30 am Continental Breakfast 8:00-8:35 am Rapid Response Teams Susan Ryan, MD, PhD 8:40-9:15 am The Multidisciplinary ICU Team Michael Gropper, MD, PhD and Hildy Schell, RN, MS, CRN, CCNS 9:20-9:55 am New Therapies for Severe Sepsis Kristina Sullivan, MD 9:55-10:15 am Break 10:15-10:50 am End of Life Issues Douglas White, MD, MAS 10:55-11:30 am Endocrine and Metabolic Complications Linda Liu, MD in the ICU 11:30 am Lunch on your own 1:00-4:00 pm Optional Workshop* or General Session** * Fiberoptic and Advanced Airway Robin Stackhouse, MD Management Techniques and Patricia Roth, MD Fee: $175 (maximum 12 attendees) * Ultrasound Techniques M. Margaret Knudson, MD and Fee: $50 (maximum 12 attendees) Rochelle Dicker, MD ** General Session continues for those not participating in the optional workshop 1:00-1:30 pm Update on Antimicrobial Therapy in the ICU Vicky Dudas, PharmD 1:35-2:05 pm Noninvasive Ventilation: Patient Selection Carolyn Calfee, MD and Techniques 2:10-2:40 pm Invasive Hemodynamic Monitoring Lundy Campbell, MD 2:40-3:00 pm Break 3:00-3:30 pm Rational Use of Blood Products in the ICU David Shimabukuro, MDCM 3:35-4:05 pm Life Threatening Asthma John Fahy, MD 4:10-4:40 pm Cardiology Emergencies in the ICU Michael Crawford, MD, FACC SATURDAY, JUNE 9, 2007 Trauma and Surgical Emergencies Moderator: Rochelle Dicker, MD and Julin Tang, MD, MS 7:30 am Continental Breakfast 8:00-8:25 am Pre-hospital Care of Trauma Patients Robert Rodriguez, MD 8:30-8:55 am Disaster Planning and Global Burden Rochelle Dicker, MD of Injury 9:00-9:25 am Fluid Resuscitation in Trauma Patients Mitchell Cohen, MD 9:30-9:50 am Break Satisfies the California requirement for Pain Management End-of-Life Care CME Satisfies the American college of Surgeons Committee on Trauma requirement for trauma-related CME

une 7-9, 2007 The Fairmont Hotel SATURDAY, JUNE 9, 2007 (CONTINUED) 9:50-10:15 am Necrotizing Soft Tissue Infections Jan Horn, MD 10:20-10:45 am Thoracic and Cardiac Trauma Arthur Hill, MD 10:50-11:15 am Abdominal Trauma Andre Campbell, MD 11:20-11:45 pm Interventional Management in Mark Wilson, MD Trauma Patients 11:50-12:15 pm Coagulation Issues in Trauma Jean Francois Pittet, MD 12:15 pm Lunch on your own 1:30-1:55 pm Pitfalls in the Management of Trauma Care Rochelle Dicker, MD 2:00-2:25 pm Current Management of Pelvic Fractures Robert Mackersie. MD 2:25-2:45 pm Break 2:45-3:10 pm Update on New Guidelines for Geoffrey Manley, MD, PhD Traumatic Brain Injury 3:15-3:40 pm Anesthetic Management of Traumatic Brain Julin Tang, MD, MS Injury Patients 3:45-4:10 pm Transfusion in the Trauma Patient Kristan Staudenmayer, MD 4:10 pm Adjourn GENERAL INFORMATION Pre-registration is preferred to ensure that registrants receive a syllabus and CME Certificate at the course. REGISTRATION INFORMATION Tuition: $625 Physicians $485 Allied Health Professionals, interns and residents with letter of status verification $260 UCSF/SFGH Nurses $35 Syllabus book (not included with registration fee) - The syllabus will be offered online complimentary for registered attendees Payment may be made by Visa, MasterCard, AmEx or check. REGISTER VIA: Online: www.cme.ucsf.edu Mail: Complete course registration form and send with payment to: UCSF Office of Continuing Medical Education P.O. Box 45368 San Francisco, CA 94145-0368 Fax: Fax completed registration form to: (415) 502-1795 (be sure to include your credit card number) Phone: To register by phone or to inquire about registration status, please call UCSF s CME Registration Office at (415) 476-5808. On-Site Registration: Generally we are able to accommodate on-site registration at our courses. Please call or refer to our website for course status. REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. CONFERENCE LOCATION Enjoy San Francisco s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco s culinary hub at the Ferry Building. The Fairmont Hotel, San Francisco is just steps from Union Square and the Theatre District. A block of guestrooms has been reserved at the special UCSF conference rate of $199 single/double. CONFERENCE LOCATION (CONTINUED) You are urged to make your reservations early. The cut off date is May 7, 2007, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. If you prefer to phone in your reservation, please identify yourself as a member of this conference to receive the special rate. To make hotel reservations on-line, go to www.fair mont.com/sanfrancisco, use the booking code: GRSPU1. If you prefer to telephone in your reservation, call (415) 772-5000, please identify yourself as a member of this UCSF conference to receive the special rate. **Hotel Policies: All reservations must be guaranteed by a valid major credit card. Reservations must be cancelled by 12:00PM the day of arrival or a subsequent room and tax charges will be charged to the credit card on file. Check-in is 3:00 pm; Check-out is 12:00 noon. Reservation requests made after the contracted cutoff will be honored at the conference room-rates on a space-available basis. Room rates are subject to all state and local taxes (currently 14%, subject to change without notice). By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. Please take this into consideration when making your accommodation decisions. RENTAL CAR Hertz is offering special rates for participants of this conference; simply call 800/654-2240 and refer to identification number #03BW0113, or call your travel agent. You may also make reservations at www.hertz.com. Advance reservations are recommended AIR TRANSPORTATION Special arrangements have been made with Montgomery Travel. Simply call 800-391-2287 or complete the form on the UCSF web page at www.montgomerytravel.com. In addition to offering lower rates than published airfares, ticketed passengers may take advantage of the 24 hour emergency service. There is a $35 service fee. UCSF has negotiated special fares with American and United Airlines for our course attendees. You may use the following tour codes to book on your own: American 800-433-1790 code: 15273 United 800-521-4041 code: 510CF

COURSE REGISTRATION FORM www.cme.ucsf.edu Critical Care Medicine and Trauma June 7-9, 2007 The Fairmont Hotel, San Francisco Mail to : Dr. Mr. Mrs. Ms. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Email Address Label Code Letter (see address label: example, A, B, C, D, etc.) Would you like to be on our priority email list? Yes No Would you like to be on our priority fax list? Yes No Date of birth to be used as OCME registrant number: / / X X Please indicate if you have any special needs: Month Registration Fees (add $55 for registration at the door): $625 Physicians $485 Allied Health Professionals/Interns and Residents with letter of status verification $260 UCSF/SFGH Nurses with letter of status verification $35 Printed Syllabus $175 Fiberoptic and Advanced Airway Management Techniques (maximum 12 attendees) UCSF Office of CME P.O. Box 45368 San Francisco, CA 94145-0368 $50 Ultrasound Techniques (maximum 12 attendees) Make checks payable to UC Regents Please charge my credit card: Visa MasterCard American Express for $ / Card # Expiration date Name on Card (Please Print) Authorized Signature Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up to date information on the course: www.cme.ucsf.edu The Fairmont Hotel 950 Mason Street San Francisco, CA 94108 (415) 772-5000 www.fairmont.com/ sanfrancisco Day MDM07B01 Fax: (415) 502-1795 Registration Information: (415) 476-5808 Course Information: (415) 476-4251 www.cme.ucsf.edu

0569 University of California, San Francisco Office of Continuing Medical Education UCSF Box 0742 San Francisco, CA 94143-0742 UPCOMING CME COURSES 35th Annual Advances in Internal Medicine May 21-25, 2007 Topics in Emergency Medicine October 1-4, 2007 Management of the Hospitalized Patient October 4-6, 2007 POSTAGE FPO For more information or to register online visit our website at www.cme.ucsf.edu. You may also reach us by calling the Office of Continuing Medical Education at (415) 476-4251 or email info@ocme.ucsf.edu. COURSE DIRECTOR Michael A. Gropper, MD, PhD Professor and Vice Chair, and Perioperative Care; Director, Critical Care Medicine, Associate Investigator, Cardiovascular Research Institute UCSF Medical Center COURSE CO-CHAIRS Rochelle Dicker, MD Assistant Professor in Residence, Mark Eisner, MD, MPH Associate Professor, Departments of Medicine and Anesthesia; Division of Occupational and Environmental Medicine & Division of Pulmonary and Critical Care Medicine UCSF Medical Center Julin Tang, MD, MS ; Director, Critical Care Medicine, UCSF FACULTY University of California, San Francisco Carolyn Calfee, MD Senior Fellow, Division of Pulmonary and Critical Care Medicine Andre Campbell, MD Professor,, Co-Director of the Trauma ICU, Lundy Campbell, MD Kerry Cho, MD Assistant Clinical Professor, Division of Nephrology Mitchell Cohen, MD Assistant Professor in Residence Michael Crawford, MD, FACC Professor, Department of Medicine, Division of Cardiology; Chief of Clinical Cardiology Timothy Davern, MD Professor, Division of Gastroenterology UCSF FACULTY (CONT.) UCSF FACULTY (CONT.) Vicky Dudas, PharmD Robert Rodriguez, MD Associate Clinical Professor of Clinical Associate Professor of Pharmacy, Department of Clinical Medicine and Emergency Medicine Pharmacy Patricia Roth, MD John Fahy, MD Professor, Division of Pulmonary and Critical Care Medicine Susan Ryan, MD, PhD J. Claude Hemphill, MD Associate Professor, Department of Neurology; Director, Neurocritical Hildy Schell, RN, MS, CCRN, CCNS Care, San Francisco General School Hospital of Nursing; Clinical Nurse Specialist, Arthur Hill, MD Adult Critical Care Peter Schulman, MD Jan Horn, MD, FACS Professor of Clinical Surgery, David Shimabukuro, MDCM M. Margaret Knudson, MD Professor, Robin Stackhouse, MD Theodore Lee, MD Professor, Assistant Clinical Professor, Kristan Staudenmayer, MD Department of Radiology; Chief of Trauma/Surgical Critical Care Fellow Thoracic Imaging, San Francisco Kristina Sullivan, MD General Hospital Linda Liu, MD Associate Professor, Department John Taylor, MD of Anesthesia; Director, Multidisciplinary Critical Care Medicine Fellowship; Director, Respiratory Care Mari-Paule Thiet, MD Mark Looney, MD Department of Obstetrics, Department of Gynecology & Reproductive Medicine, Division of Pulmonary and Sciences; Chief of Obstetrics Critical Care Medicine Douglas White MD, MAS Robert Mackersie, MD Assisant Professor, Department of Professor,, Medicine, Division of Pulmonary and Director of Trauma Services, Critical Care Medicine; Investigator, UCSF Program in Medical Ethics Geoffrey Manley, MD, PhD Jeanine Wiener-Kronish, MD Associate Professor, Department Professor, Departments of of Neurological Surgery; Anesthesia and Medicine; Vice- Chief of Neurotrauma, Chairman, Department of Anesthesia; Investigator, Jean Francois Pittet, MD Cardiovascular Professor in Residence, Research Institute Departments of Anesthesia and faculty Mark Wilson, MD Surgery; Associate Investigator, Associate Professor, Cardiovascular Research Institute Department of Radiology