30th Annual Mammoth EM Conference - Setting the Bar Extremely high!

The 30th Annual Mammoth EM Conference brought together 160 Emergency Medicine providers including faculty, physicians, physician assistants, nurse practitioners, nurses, and EMTs. From March 4th to March 7th, attendees participated in lectures, workshops, ultrasound studies, and tourniquet trainings. During down time, speakers and attendees alike hit the slopes to take advantage of the incredible Mammoth snow. The conference featured many of our UCI Emergency Medicine faculty.

Dr. Christian Fox, Dr. Chanel Fischetti, and Dr. John Moeller used the high altitude of the conference to conduct a research study at the top of the mountain on the use of ultrasound in high altitude pulmonary edema (HAPE) detection.
The primary objective of the study is to identify the utility of point-of-care ultrasound (POCUS) in early detection of interstitial edema as a precursor to HAPE. The aim of the current investigation is to document a quantitative assessment of development of interstitial edema (as B-lines) in a healthy patient population at altitude over four consecutive days.

Dr. Christian Fox presented

1. “Blocks Unblinded: Ultrasound guided Regional Anesthesia”
2. “Close Calls with the Executioner: Real Cases in Which POCUS Avoided Morbidity and Mortality”
3. Update on 2018 LLSA Articles

Dr. Chanel Fischetti presented on The Crashing LVAD.

Dr. Bharath Chakravarthy and Dr. Michael Menchine presented EM and EMS literature updates.

Dr. Bharath Chakravarthy presented on Drugs of Abuse.

Dr. Michael Menchine presented “Medical Error: What do we know? What do we do?”

Dr. Shannon Toohey presented on the Visual Diagnosis of Rashes and Environmental Emergencies.

Dr. Sara Paradise presented

1. “Case-based Conundrums in Liver Cirrhosis. Review of Cases Related to Liver Cirrhosis and Best Practices for Management”
2. “Shocking! How to Maximize Compressions during CPR. Hands on Defibrillation, Mechanical Compression Devices, and Minimizing Perishock Pauses.”
3. “A Bloody Mess: Tips and Tricks in Epistaxis Management and Evidence-based Approaches to Stop the Nosebleed.”

Dr. Alisa Wray presented

1. “Bring the Joules: 200 up to 360? Double sequential defibrillation”
2. “Helpful? Safe? Push Dose Pressors in the ED”

Dr. Megan Boysen Osborn presented

1. Thinking Twice About Transfusions
2. The Acute Red Eye
3. Five Can’t Miss Oncologic Emergencies

Dr. Sangeeta Sakaria presented “Wilderness Medicine Tricks and Techniques”

Dr. Michael Habicht (residency alumni) presented “High Altitude Emergencies”

Dr. Michael Burns presented

1. “Optimizing Your Antibiotic Prescribing in the ED in the Era of Resistance and Stewardship”
2. “How to Influence Your Physicians to Prescribe Antibiotics Wisely”

Dr. Robert Katzer presented

1. The Future of Stroke Care and What That Means in the Field
2. GCS: On the way out or here to stay?
3. Putting it all Together, the Future of Out of Hospital Cardiac Arrest Care
4. Epinephrine in Out-of-Hospital Cardiac Arrest

Dr. Shahram Lotfipour presented and ran a workshop on supraglottic airways.

Dr. Linda Herman presented

1. Intrathecal Delivery Device Complications
2. IV Fluid Management in the ED

Stop the Bleed is a national program aimed at training bystanders to use direct pressure, wound packing, and tourniquets to reduce fatal hemorrhages before advanced medical personnel arrive.

Dr. Robert Katzer, Dr. Shannon Toohey, and Dr. Alisa Wray trained and certified 11 attendees to teach these life saving courses to their communities.

Several UCI medical students attended and acted as Ultrasound models for the ultrasound workshops.

1. Tara Zand
2. William Minteer
3. Joseph Zakaria
4. Jonathon Lee
5. Brian Knight
6. Thomas Keown
7. Pejman Majd

Thank you for the special assistance of Jamie Glenn Collins, MS3, in preparation of this report.