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STAVANGER NORWAY

May 24-26 2007


Meet, have fun, share ideas and look into the future of trauma, resuscitation and emergency medicine!

Final program
Download the final program


May 21-22
European Trauma Course
(Invitation only)
Held at SAFER (Stavanger Acute medicine Foundation for Education and Research)
May 22-23
Utstein Consensus Meeting on trauma registries and trauma education
(Invitation only)
Arranged by: Scantem - Scandinavian Networking Group for Trauma and Emergency Management


WEDNESDAY MAY 23
18.00 Welcome reception.  For those of you who arrive on Wednesday; meet us at the Conference Pub Hall Toll downtown to an informal Welcome reception and pre-registration. Grab a beer or discover the nightlife of Stavanger!




THURSDAY MAY 24

09.00-12.00 PLENARY HALL (HALL A+ HALL B + HALL C) 1A
KARIBU: Opening session with awards
Moderators: Tina Gaarder, Norway and Eldar Søreide, Norway
Scandinavian update on trauma, resuscitation and emergency medicine 2005-2007
Maaret Castrén, Finland
The Scandinavian Update Awards

Best Educational Program                      
Sponsored by Laerdal Medical

Best System Implementation                  
Sponsored by Stavanger University Hospital, Acute Care Division

Best Scientific Paper                                 
Sponsored by Akuttjournalen - The Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Scandinavian Update Prize of Honour   
Sponsored by Fresenius Kabi
Winner: Per Örtenwall
Prizewinner lecture

The Axel Cappelen Award for Excellence in Trauma Care and Education    
Sponsored by the Norwegian Air Ambulance Foundation
Axel Cappelen - Who was he?
Kjetil Søreide, Norway
What have we learnt from him? 110 years later
Helga Loose, Norway
Organised trauma care and education - is there an European perspective?
Prize winner Lecture: Karim Brohi

12.30-14.00 Lunch. Visit exhibits.

14.00-15.00 HALL A 2A - PART 1

The bleeding trauma patient – does “he” continue to bleed or have we become much better during the last 5 years?
Moderators: Anders Östlund, Sweden and Tim Coats, United Kingdom
An international  view, including the CRASH2 trial.
Tim Coats, United Kingdom
Critical bleeding - the Swedish experience.
Anders Östlund, Sweden
Critical bleeding - the Finnish experience.
Pertii Hakala, Finland 
HALL B 2B - PART 1

Emergency medicine in Scandinavia – an update on recent developments and controversies.
Moderators: Bosse Erwander, Sweden and Sindre Mellesmo, Norway
Emergency medicine - a new speciality in Scandinavia.
Jacob Lundager Forberg, Sweden
Emergency medicine in Scandinavia  - should anaesthesiologist still be involved?
Freddy Lippert, Denmark
Specialty training in emergency medicine: The Icelandic perspective.
Jón Baldursson, Iceland
HALL C 2C - PART 1

Airway management in emergencies.
Moderators: Charles Deakin, United Kingdom and Jouni Kurola, Finland
Pre-hospital airway management: Why all the controversy?
David Lockey, United Kingdom
The new Scandinavian guidelines for prehospital airway management.
Jouni Kurola, Finland
A critical view at the same guidelines.
Volker Dörges, Germany

15.00-15.30 Coffee-break. Visit exhibits

15.30-17.30 HALL A 2A - PART 2

Has there been a shift in the surgical approach? -The operative management view.
Lauri Handolin, Finland
Has there been a shift in the surgical approach? -The non-operative management view.
Pål Aksel Næss, Norway
The role of the new Scandinavian Guidelines?
Tina Gaarder, Norway
Novel agents for haemostasis – not so novel anymore, but still interesting? Pro-Con.
Tina Gaarder, Norway
Karim Brohi, United Kingdom
Interactive case discussion 1
Interactive case discussion 2
Tina Gaarder, Norway
Pål Aksel Næss, Norway

HALL B 2B - PART 2

Physicians in the pre-hospital setting - not only a matter of ALS vs BLS, but also quality of triage and decision-making?
Poul Kongstad, Sweden
Clinical decision units and triage in the Emergency Department.
Sven Lethvall, Sweden
Why are patient triage tools so important, and which one should we use?
Sven Lethvall, Sweden
An update on ultrasound and CAT scan for the non-experts: how to make best use of it in emergencies.
Otto Chan, United Kingdom
The development of the United Kingdom emergency medicine system - something the rest of us can learn from?
Peter Driscoll, United Kingdom
Emergency medicine in Europe - recent developments.
Bosse Erwander, Sweden

HALL C 2C - PART 2

Advanced airway management and use of capnography as examples of educational efficiency and local implementation.
Jon-Kenneth Heltne, Norway
Airway management in trauma patients with a smashed face is a real challenge! The ENT surgeon’s view.
Lynn Biserød, Norway
Airway management in trauma patients with a smashed face is a real challenge! The anaesthesiologist’s view.
David Lockey, United Kingdom
Old and new airway gadgets - are they really helpful and do we know how to use them?
Volker Dörges, Germany
Rapid sequence induction intubation outside the OR - is it clear cut? Is my way as good as your way of doing it?
Nils Oddvar Skaga, Norway
Airway management in emergencies - still room for improvement?
PANEL DISCUSSION

HALL D 2D

Posterwalk
Moderators:   Åsa Axelsson, Sweden and Torben Wisborg, Norway
012 Rescue 1122, First well equipped and trained rescue and disaster management team in Pakistan-Initiative by Government of Punjab, Pakistan
Sheikh Muazzam Nasrullah, Sweden
013 There Are Too Many Xrays Are Done In The Emergency Department?
Jeremy Johnston, United Kingdom
014 Needlestick Inuries And The Emergency Department.
Jeremy Johnston, United Kingdom
015 Chest Xrays in the Emergency Department?
Jeremy Johnston, United Kingdom
016 Alcohol And Head Injury.
Jeremy Johnston, United Kingdom
017 Brain Injury and Head Injuries.
Jeremy Johnston, United Kingdom
018 Childhood Poisoning.
Jeremy Johnston, United Kingdom
027 Fitting into Plan: Managing Eclampsia in the Emergency Department of a Non-Obstetric Community Hospital
Ling Tiah, Singapore 
033 HyperBaric Oxygen therapy of Carbon Monoxide Poisoning cases
Bo Ravn, Denmark
043 How to get 5200 employees of a hospital through a course in Basic Heart-Lung Resuscitation in 6 months?
Ingvild Morken, Norway
005 Estimation of cerebral blood flow during resuscitation
Dag-Håkon Frantzen, Norway
038 Evaluation of resuscitation guideline change on no flow time and quality of cardiopulmonary resuscitation: A randomised controlled study on manikins
Helena Jäntti, Finland
18.30-23.00
Get Together Party. The Scandinavian Update will this year take you on a boat trip to one of the most popular places in the county of Rogaland, the ‘Sjernarøyane’ (Star Islands). The idyllic Sjernarøy is one island in the island groups that makes out the country borough of Finnøy and it is located only an hour from Stavanger. This evening the Sjernarøy Maritim restaurant will serve you a buffet where you will have the opportunity to enjoy every conservable delicacy from the sea and refreshment drinks. 

The Sjernarøy Island has its one 9-hole golf course situated in very picturesque surroundings. It is a perfect opportunity to challenge a colleague or improve your hole-in-one. The golf course is fitted in an old pare garden with a magnificent view of the fjord. An experience to be remembered. Join us and your colleague and friends on this evening.




FRIDAY MAY 25
09.00-10.30 HALL A 3A - PART 1

Trauma registries – a lot of fun or just endless work?
In co-operation with: Norwegian Air Ambulance Foundation
Moderators:  Olav Røise, Norway and Per Örtenwall, Sweden
The Norwegian Ullevål registry – what have we learnt so far? And, what can others learn from it?
Nils Oddvar Skaga, Norway
The Helsinki trauma outcome study 2005.
Lauri Handolin, Finland
The First Italian Trauma Registry: methodology and initial results.
Stephano di Bartolomeo, Italy
The United Kingdom trauma registries – do we still need them?
Tim Coats, United Kingdom

 
HALL B 3B - PART 1

Resuscitation – an update on recent developments and controversies. Interactive session with case discussions and voting
Moderators:  David Zideman, United Kingdom and Tom Silfvast, Finland
Compression machines in cardiac arrest - the end of a short story or just the beginning of a new era? What’s your opinion?
Christer Axelsson, Sweden
Postresuscitation care: 1986 vs. 2006. How much better are we?
Jouni Kurola, Finland
Drowning and accidental hypothermia - current guidelines need urgent improvement?
Joost JLM Bierens, The Netherlands
When is the trauma patient really dead and beyond saving, and when not? Real cases from the streets of London.
Gareth Davies, United Kingdom

HALL C 3C - PART 1

Free Papers - Emergency Medicine
Moderators: Freddy Lippert, Denmark and Maaret Castrén, Sweden
045 ”The chain of survival” A case report from a Motor Vehicle Accident     
Rune Fystro, Norway
039 How do emergency dispatchers handle calls regarding unconscious intoxicated patients?
Tonje Lorem, Norway
019 Is there time for a national standard for Emergency Flight Physicians?
Stephen JM Sollid, Norway
024 General practitioners’ experience with emergency cases and emergency procedures in Norway
Erik Zakariassen, Norway
034 The use of a physiological scoring system in the emergency department 
Soren Rudolph, Denmark
002 Evaluation of extrication techniques. - Is there any other quality measurement then time?
Pontus Albertsson, Sweden
011 Prevalence of transmural myocardial infarction and need of primary percutaneous coronary intervention among patients transported by ambulance to the emergency department in a system with a pre-hospital   triage strategy
Jakob Lundager Forberg, Sweden
028 Pre-hospital use of ketamine in a paediatric population
Per P Bredmose,United Kingdom
004 Saline filled endotracheal tube cuffs for air-medical retrieval; friend or foe?
Per P Bredmose,United Kingdom


10.30-11.00 Coffee-break. Visit exhibits

11.00-12.30 HALL A 3A - PART 2

EuroTARN - an update.
Antoinette Edwards, United Kingdom
Trauma scoring and survival analysis - raise and fall of the TRISS methodology - will Europe be in the lead of the revision process?
Fiona Lecky, United Kingdom
Trauma outcome - more than just survival!
Ernestina Gomes, Portugal
The Scandinavian Major Trauma Outcome Study - an update.
Kjetil Ringdal, Norway

HALL B 3B - PART 2

The new ERC guidelines on resuscitation will save more lives and brains in neonates: fact or fiction?
Bjørn Øglænd, Norway
The new ERC guidelines on resuscitation  will save more lives and brains in children: fact or fiction?
Ffion Davies, United Kingdom
Cardiopulmonary resuscitation research - hot topics.
Charles Deakin, United Kingdom
What new can the 2010 international guidelines on resuscitation and emergency cardiac care bring?
David Zideman, United Kingdom

HALL C 3C - PART 2

Free Papers - Resuscitation
Moderators: Erika F. Christensen, Denmark and Tom Silfvast, Finland
003 Chest compression only is as effective as standard treatment in out-of-hospital bystander cardiopulmonary resuscitation!  
Katarina Bohm, Sweden
031 Placement of automatic external defibrillators in public: Theory versus reality.
Fredrik Folke, Denmark
001 Long-term Survival after Out-of-Hospital Cardiac Arrest
Nana Gitz Holler, Denmark
008 Survey of junior doctors’ knowledge and skills within resuscitation
Christian S. Høyer, Denmark
009 Cardiac arrests in Aarhus: Successful defibrillations by Fast Response Vehicle         
Christian S. Høyer, Denmark
010 Automated Voice Advisory Module in Basic Life Support Training 
Dan Isbye, Denmark
032 Evaluation of a Cardiac Support Pump 
Steen Barnung, Denmark
040 Is it possible to educate 200000 lay rescuers by distributing a 30 minute self- training kit to 60000 7th graders in Norway?  
Tonje Lorem, Norway
044 Time used for ventilation in two-rescuer CPR with bag-valve-mask device during out-of-hospital cardiac arrest
Silje Ødegaard, Norway
041 Guideline quality CPR is achievable out- of-hospital
Theresa Mariero Olasveengen, Norway


12.30-14.00 Lunch. Visit exhibits.

14.00-15.00 HALL A 4A - PART 1

Air ambulance services – cool guys, fancy toys, but also more?
In co-operation with: Norwegian Air Ambulance Foundation
Moderators: Jan Erik Nilsen, Norway and Gareth Davies, United Kingdom
Air ambulance services - do they really make any difference?
Hans Morten Lossius, Norway
15 years with Helicopter Emergency Medical Services (HEMS) in Southern Finland - lessons learned.
Tom Silfvast, Finland
HEMS worldwide - a view from both down-under and up north!  Are we able to learn anything from each other?
Per Bredmose, Denmark

HALL B 4B - PART 1

From science to survival – the essential roles of educational efficiency and local implementation to improve outcome. An interactive session around specific questions.
Moderators: Anne Lippert, Denmark and Eldar Søreide, Norway
From best practice to best education: where are we now and where should we be heading?
Anne Lippert, Denmark
Best education in trauma, resuscitation and emergency care - an international perspective.
Jannicke Mellin-Olsen, Norway
Resuscitation research in Sweden – lessons learned about educational efficiency and local implementation.
Åsa Axelsson, Sweden

HALL C 4C - PART 1

Free Papers - Trauma
Moderators: Karim Brohi, United Kingdom and Tina Gaarder, Norway
006 How the Presence of Neurosurgical Residents (Registrars) affects the Frequency of Invasive ICP Monitoring in a Level II Trauma Center.
Jonathan Enlow, USA
020 Adverse events in BASE-jumping: analysis of 20,850 jumps from Kjerag, Norway.
Kjetil Søreide, Norway
035 Improving the efficiency of trauma data collection and reporting
Maralyn Woodford, United Kingdom
023 Acute endovascular repair of right subclavian arterial perforation from clavicular fracture after blunt trauma 
Pål J Stokkeland, Norway
025 Making the public aware of hospital trauma performance
Maralyn Woodford, United Kingdom


15.30-17.30 HALL A 4A - PART 2

Trying to establish a new air ambulance service. Experiences from the United Kingdom
Charles Deakin, United Kingdom
Implementing a national air ambulance service in Denmark - why?
Erika F. Christensen, Denmark
When nurses man the Swedish rapid response cars, why can´t they replace the physician in the air ambulance service?
Bjørn Suserud, Sweden
Rural vs urban HEMS - different concepts, different results?
Audun Langhelle, Norway
Surgical procedures by non-surgeons in HEMS - how to secure quality of care and patient safety
Gareth Davies, United Kingdom
After 20 years of a national air ambulance service in Norway - time to discuss the future?
Torben Wisborg, Norway

HALL B 4B - PART 2

”Just push on the chest while I do the important stuff” -  time to change focus to good quality chest compressions.
Jo Kramer-Johansen, Norway
Advanced airway management – how to secure the right persons get the right training in the right things in the right patients?
Jouni Kurola, Finland
Therapeutic hypothermia – a good example to illustrate the “Formula of Survival” concept.
Kjetil Sunde, Norway
When trying to save more lives, do we need to pay more attention to ”first, do no harm”? An update on patient safety.
Guttorm Brattebø, Norway
If correct and timely CPR is so important, how do we make sure lay people and health professionals learn it, remember it and use it?
Jo Kramer-Johansen, Norway
Is the Formula of Survival a valid concept?

PANEL DISCUSSION

HALL C 4C - PART 2

Free Papers - Trauma
Moderators:   Pål Aksel Næss, Norway and Per Örtenwall, Sweden
026 Splenic artery embolization: a multidisciplinary approach
Annalisa Volpi, Italy
029 Pre-hospital use of ketamine in 1097 trauma patients
Per P Bredmose, United Kingdom
030 Survival and outcome of paediatric trauma patients in cardiac arrest: Results from a physician-led system
Kate Crewdson, United Kingdom
036 Old age is associated with undertriage for trauma team activation.
Marius Rehn, Norway
042 Injurypatterns and deathmode in sub-acute (≤4 hrs from injury) trauma deaths.
Andreas J Krüger, Norway
007 Establishing the radical intervention of pre-hospital thoracotomy as part of normal physician pre-hospital practice
Gareth Davies, United Kingdom
021 Pediatric trauma deaths: a plea for prevention
Kjetil Søreide, Norway
037 Undertriage among transferred patients.
Marius Rehn, Norway


19.00- Stand-up Science
Venue: Hall Toll, 2nd floor (Skansengaten 2), see map on page 15
An informal session with Free Papers presentations. Each presenter will be given just four minutes to outline their research, with nothing more than a flip chart to help them. The participants will range from medical students to senior clinicians. They have to convince a panel of experts and the audience that their research project was worth listening to. You and the expert panel will make sure this becomes an entertaining as well educational evening. The debate will continue well into the evening in the bars and restaurants of Stavanger!

Meet-the-Faculty-Pub 
Venue: Hall Toll, 2nd floor (Skansengaten 2), see map on page 15
After the Stand-up Science you will be able to meet the faculty to an informal chat in the bar. They will be there to discuss hot topics or to answer your questions.






SATURDAY MAY 26
09.00-10.30 HALL A 5A

Recent controversies and unsolved issues in disaster medicine and emergency care.
In co-operation with: Norwegian  Association for Disaster and Emergency Medicine
Moderators: Jan Erik Nilsen, Norway and Per Örtenwall, Sweden
Tips and tricks to start research in emergency and disaster medicine.
Joost JLM Bierens, The Netherlands
Chemical and biological incidents in Scandinavia - medical and organisational implications.
Steen K. Barnung, Denmark
Alarm- and dispatch-centres in Scandinavia - different organisation, different staffing, but the same quality?
Freddy Lippert, Denmark
Organising and running the hospital and pre-hospital EMS system - the United Kingdom point of view.
Tim Coats, United Kingdom

HALL B 5B

Recent controversies and unsolved issues in trauma care.
Moderators:  Lauri Handolin, Finland and Tina Gaarder, Norway
Optimal management of orthopaedic injuries - still controversial?
Olav Røise, Norway
Turning ABC into CABC - time to upgrade from the time of Marie Curie.
Otto Chan, United Kingdom
The new National Trauma System in Norway - a model for other  Scandinavian countries?
Olav Røise, Norway
Trimodal distribution of trauma deaths - fact or fiction?
Kjetil Søreide, Norway

HALL C 5C - PART 1

Patient safety - first do no harm.
Moderators:  Jannicke Mellin-Olsen, Norway and Eldar Søreide, Norway
If clinical practice guidelines  improve quality of care and patient safety - why do we ignore them?
Eldar Søreide, Norway
Traumatic brain injury -first do no harm! But how?
Ernestina Gomes, Portugal
The new Scandinavian guidelines for prehospital management of patients with severe brain injury - will they save lives and reduce brain damage?
Niels Juul, Denmark
The ICU - a safe place to be?
Pertii Hakala, Finland

10.30-11.00 Coffee-break. Visit exhibits.

11.00-13.00 HALL A 6A

How to organise and secure quality in pre-hospital care? Staffing, use of physicians, protocols, decision-making, successes and pitfalls
In co-operation with: Norwegian Air Ambulance Foundation
Moderators:  Maaret Castrén, Finland and Hans Morten Lossius, Norway
Århus, Denmark
Erika F. Christensen, Denmark
Lund, Sweden
Poul Kongstad, Sweden
Drøbak, Norway
Jan Erik Nilsen, Norway
Copenhagen, Denmark
Søren Loumann Nielsen, Denmark
Kiel, Germany
Volker Dörges, Germany
Panel discussion

HALL B 6B

Trauma Education: Can we reach consensus in the Scandinavian countries?
In co-operation with: Norwegian Air Ambulance Foundation
Moderators:  Olav Røise, Norway, Freddy Lippert, Denmark and Jan Erik Nilsen, Norway
ATLS
Per Örtenwall, Sweden
PHTLS
Sindre Mellesmo, Norway
TNCC
Ole-Petter Vinjevold, Norway
ETC
Guiseppe Nardi, Italy
Ernestina Gomes, Portugal
BEST
Torben Wisborg, Norway
DSTC and national courses like the Norwegian War Surgery Course
Tina Gaarder, Norway
DSTC and national courses like the Norwegian War Surgery Course
Pål Aksel Næss, Norway
Panel discussion

HALL C 5C - PART 2

Patient safety - first do no harm
Moderators:  Jannicke Mellin-Olsen, Norway and Eldar Søreide, Norway
The role of continuous education and work place issues in patient safety
Jannicke Mellin-Olsen, Norway
Patient safety and simulation based training - have we really understood the full potential of these new words?
Anne Lippert, Denmark
Simulation centres - what they offer and not.
Stephen Sollid, Norway
Emergency medicine and patients safety – what can we learn from the US and vice versa?
Jón Baldursson, Iceland
How to make pre-hospital care safer?
Christer Axelsson, Sweden
Where do we go from here? Will things improve before we meet  2 years from now?

Panel discussion

12.30-14.00 Lunch. Visit exhibits.






HOT TOPICS!
When is the Trauma patient really dead and beyond saving?
An update on massive bleeding, exsanguination, volume therapy, transfusion, life saving haemostatic surgery and more!! With input from leading international trauma surgeons, radiologists, anaesthesiologists, emergency physicians, intensivists and researchers.

Compression machines in cardiac arrest - the end of a short story or just the beginning?
Panel debate, -  Pro-Con.

Patient safety and simulation based training - have you really understood the full potential of these new words in your own system?
Check it out!

Hypothermia in the trauma patients - always bad?
An overview on temperature management in different kinds of trauma.

Helicopter Emergency Medical Services (HEMS) worldwide - a view from both down-under and up north!
Are we able to learn anything from each other’s good and bad experiences?

Emergency clinical decision units - the next step in Scandinavia?

Triage and METTS - more than just buzz words!

The prehospital emergency team improves patient safety and over all efficiency - experiences from Denmark and Sweden.

Case presentations of real patients with a life-threatening illness or injuries with an expert panel and yourself voting and interacting on what to do next!

What has happened in trauma, resuscitation and emergency medicine since we met in 2005?
Be updated on the most important changes and break-throughs in less than an hour!

Post-resuscitation care - always PCI and therapeutic hypothermia?

Or, are we just wasting time, money and lives trying to improve care? Different views and different approaches. - Involve yourself in this Pro-Con debate over real cases!

Trauma scoring and survival analysis - the raise and fall of the TRISS methodology
- will Scandinavia be in the lead of the revision process

Pre-congress Utstein symposium
The second Utstein symposium on trauma terminology


Stand-up Science
On Friday evening the venue will switch to the conference bar for an informal session of academic presentations. Each presenter will be given just four minutes to outline their research, with nothing more than a flip chart.
>> Read more about Stand-up Science


SCANTEM Ad hoc working committee meeting
Multi-disciplinary meeting
Interactive learning
International expert faculty
Entertaining pro-con debates - panel discussions
Hot topics - scientific breakthroughs
Consensus process and Utstein meeting
Simulation and workshops
Meet-the-experts

Please keep me updated and put me on the mailinglist for Scandinavian Update 2007
>>Go to mailinglist

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