Learning Objectives
At the end of this session, participants will be able to:

• Discuss the current status of the COVID-19 outbreak 
• To review the infection prevention and control recommendations related to COVID-19 in the hospital and community settings
• To provide an overview of COVID-19 in children, including the presenting features and risk factors for severe disease
• Overview of current evidence for the management of cases of COVID-19 in children 

Vaping disproportionally impacts young people. Paediatricians need to have a basic understanding of the mechanisms of vaping and why it is a relevant health concern for the patients they see. This session will outline the current knowledge about pediatric vaping epidemiology and also will explore the risks of vaping relevant to the pediatric emergency room.

Learning Objectives

At the end of this session, participants will be able to:

• Learn more about the epidemiology of pediatric vaping.
• Know about the potential harms associated with pediatric vaping relevant to the Emergency Room.

In 2020 the Surviving Sepsis Campaign released their first set of paediatric-specific guidelines. The document aims to guide best practice and provide guidance for clinicians managing infants and children with septic shock and sepsis-associated organ dysfunction. This talk will review the key recommendations and evidence-based guidelines for the resuscitation and management of pediatric patients with sepsis and highlight areas of uncertainty and ongoing research.

Learning Objectives

• Reference the most up to date pediatric sepsis guidelines
• Identify key evidence-based recommendations for the management of pediatric septic shock and sepsis-associated organ dysfunction
• Recognize areas of controversy and ongoing research

This case-based presentation will bring a panel of three physicians, Dr. Beno, Dr. Halabi and Dr. LeBlanc, to discuss pitfalls and indication of advance imaging in pediatric trauma.

Learning Objectives

• Adopt a systematic approach to trauma in the pediatric population.
• Review specifics indications on advance imaging in pediatric trauma.
• Recognize pitfalls in a case-based presentation in pediatric trauma.

In this interactive, case-based breakout session, participants will have the opportunity to reflect on their antibiotic prescribing practices and hear the latest evidenced-based antimicrobial treatment recommendations for common paediatrics infections. Recognizing the growing problem of antimicrobial resistance worldwide, clinicians will learn strategies to advance antibiotic stewardship both individually and in their local work environments.

Learning Objectives

• Review antimicrobial treatment recommendations that support both effective and judicious use of antibiotics for common pediatric infections.
• Discuss the efficacy of intravenous versus oral antibiotics for the treatment of some common pediatric infections.
• Highlight tools that support antimicrobial stewardship in pediatric emergency medicine.

Hand injuries comprise a large number of traumatic presentations to the pediatric emergency department. This talk is intended to assist clinicians with identification of common patterns of hand injuries, how they can be treated or temporized in the emergency department, and stratification of urgency when requesting a consultation from plastic surgery.

Learning Objectives

At the end of this presentation, attendees should be able to:

• Recognize common patterns of pediatric hand injuries presenting to the emergency department
• Identify procedures which can be performed in the emergency department setting to manage acute pediatric hand injuries
• Determine the most appropriate method for immobilizing a hand injury
• Identify the indications for urgent plastic surgery consultation in the context of pediatric hand injuries

Our presentation includes 6 interesting cases that were seen in the ER this past year. We will review patient presentations, review differential diagnoses and then discuss in detail the management of each patient.

Learning Objectives

At the end of this session, participants will be able to:

• Review 6 interesting cases seen in the ER department.
• Discuss the community vs ER treatments of each case.
• Become familiar with common mimickers for each case.

This case-based presentation will bring a panel of three physicians, Dr. Beno, Dr. Halabi and Dr. LeBlanc, to discuss pitfalls and indication of advance imaging in pediatric trauma.

Learning Objectives

• Adopt a systematic approach to trauma in the pediatric population.
• Review specifics indications on advance imaging in pediatric trauma.
• Recognize pitfalls in a case-based presentation in pediatric trauma.

In this interactive, case-based breakout session, participants will have the opportunity to reflect on their antibiotic prescribing practices and hear the latest evidenced-based antimicrobial treatment recommendations for common paediatrics infections. Recognizing the growing problem of antimicrobial resistance worldwide, clinicians will learn strategies to advance antibiotic stewardship both individually and in their local work environments.

Learning Objectives

• Review antimicrobial treatment recommendations that support both effective and judicious use of antibiotics for common pediatric infections.
• Discuss the efficacy of intravenous versus oral antibiotics for the treatment of some common pediatric infections.
• Highlight tools that support antimicrobial stewardship in pediatric emergency medicine.

Hand injuries comprise a large number of traumatic presentations to the pediatric emergency department. This talk is intended to assist clinicians with identification of common patterns of hand injuries, how they can be treated or temporized in the emergency department, and stratification of urgency when requesting a consultation from plastic surgery.

Learning Objectives

At the end of this presentation, attendees should be able to:

• Recognize common patterns of pediatric hand injuries presenting to the emergency department
• Identify procedures which can be performed in the emergency department setting to manage acute pediatric hand injuries
• Determine the most appropriate method for immobilizing a hand injury
• Identify the indications for urgent plastic surgery consultation in the context of pediatric hand injuries

Learning Objectives

At the end of this session, participants will be able to:

• Discuss highlights from a selection of methodologically strong PEM articles from 2020.
• Incorporate new key learning points in your practice setting.

Description

Presenters will go head-to-head presenting their selection of the best, practice-changing, Pediatric Emergency Medicine articles of 2020. Ultimately, YOU decide the winner!

Children presenting with COVID-19 associated multisystem inflammatory syndrome in children (MIS-C), with hyperinflammation-like Kawasaki disease (KD), have dominated public discussion in recent months.  An alarming increase in KD shock and cytokine storm syndrome (CSS) is being reported in children. Between March and June 2020, cases of COVID-19-associated hyperinflammation/KD/shock have been reported worldwide in at least 783 children predominantly in Europe and North America, many with KD or KD-like presentation and often requiring ICU admission. News reports worldwide have documented a rapidly increasing number of deaths of previously healthy children developing KD complicated by CSS. Although it resembles KD, the severity of cardiovascular involvement and other non-overlapping features suggest that this may be a novel syndrome. It was initially coined “Paediatric Multisystem Inflammatory Syndrome Temporally associated with COVID-19” (PMIS-TS), by the Royal College of Paediatric and Child Health in the UK. Different names and case definitions have been issued by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) in the USA, the European Centre for Disease Prevention and Control, and the Canadian Paediatric Society (CPS). The name “MIS-C” is now used by the WHO and CDC, adding to the definitions debate and difficulty with direct comparisons between countries. Common elements to all definitions are prolonged fever, (multi)-organ dysfunction, and laboratory evidence of hyperinflammation. The CPS case definition casts a wider net and acknowledges the reality that serologic testing for SARS-CoV-2, a requirement in some definitions, is not readily available in Canada.  Although many questions remain, we do know that hyperinflammation syndrome (KD/MIS-C/PIMS) is temporally associated with COVID-19, and that there is a wide spectrum of clinical disease ranging from: 1) MIS-C/PIMS (including shock and cytokine storm syndrome/MAS and multiorgan involvement) to 2) KD (including KD shock and MAS) and 3) Fever and hyperinflammation.  We will review the spectrum of clinical presentation and investigative algorithm and management pathways proposed to help direct clinical care of children with suspected MIS-C/KD.

Learning Objectives

• To review the clinical spectrum presenting as Kawasaki Disease (KD)
• To review the clinical spectrum presenting as multisystem inflammatory syndrome of childhood (MIS-C)
• To review the emergency department evaluation algorithm for children with suspected KD/MIS-C
• To review the management pathway for children with suspected KD/MIS-C

Paediatric Emergency Medicine Physicians are the front line providers for a breadth of undifferentiated clinical problems. Many of these presenting complaints, fall in the realm of allergic conditions. This session will explore the top 5 allergy misconceptions through the lenses of both patients and health care providers, providing the best available evidence around our understanding of the concepts, diagnosis and management.

Learning Objectives

 By the end of this session, participants will:

•  Be able to discuss common myths and misconceptions about common allergic problems.
• Develop an approach to educating patients/families and colleagues about these misconceptions.
• Discuss evidence-based approaches to problems where misconceptions exist.

 While the world has been challenged by COVID-19, there is a worry that other vaccine-preventable illness will also increase in prevalence with ongoing vaccine hesitancy and inability to see care providers for routine immunizations. Using cases, images and epidemiology, this talk with giving clinicians the tools to identify, diagnose and manage vaccine-preventable illnesses

Learning Objectives

At the end of this session, participants will be able to:

1) Identify and diagnose previously ‘rare’ vaccine-preventable illnesses

2) Discuss pearls, tips and tricks to identify illnesses that may present despite vaccines

Paediatric distal radius fractures are very common. The spectrum of injury ranges from fairly benign to more significant fractures that may require reduction and/or molding. During this workshop, review the breadth of injuries, understand the pros and cons of various ED treatment modalities, and appreciate why, when and how to mold. A splinting demonstration will be included.

Learning Objectives

• Describe the spectrum of pediatric distal radius fractures.
• Identify which fractures are less stable (more likely to shift).
• Describe various ED immobilization options for distal radius fractures.
• Match the various fractures with the appropriate splint.

This 50-minute breakout session will review the most prominent POCUS applications in pediatric patients. Through a case-based approach, we will review the key pearls and pitfalls for these applications to help you optimize the utility and integration of pediatric POCUS into your clinical practice.

Learning Objectives

At the end of this session, participants will be able to:

• Demonstrate knowledge and understanding of several core POCUS applications for PEM (lung, cardiac, ocular, abdomen, airway, etc)
• Recognize the common pearls and pitfalls when using POCUS clinically in children

A child walks into the emergency department with a rash – what do I do? This lecture aims to differentiate various presentations of common and life-threatening skin eruptions in the pediatric population, including important distinguishing features and initial management.

Learning Objectives

• Recognize common childhood skin conditions presenting to the emergency department
• Delineate between benign and life-threatening skin presentations
• Provide initial management, including referral where needed, for acute cutaneous eruptions in children

Our presentation includes 6 interesting cases that were seen in the ER this past year. We will review patient presentations, review differential diagnoses and then discuss in detail the management of each patient.

Learning Objectives

At the end of this session, participants will be able to:

• Review 6 interesting cases seen in the ER department.
• Discuss the community vs ER treatments of each case.
• Become familiar with common mimickers for each case.

Paediatric distal radius fractures are very common. The spectrum of injury ranges from fairly benign to more significant fractures that may require reduction and/or molding. During this workshop, review the breadth of injuries, understand the pros and cons of various ED treatment modalities, and appreciate why, when and how to mold. A splinting demonstration will be included.

Learning Objectives

• Describe the spectrum of pediatric distal radius fractures.
• Identify which fractures are less stable (more likely to shift).
• Describe various ED immobilization options for distal radius fractures.
• Match the various fractures with the appropriate splint.

This 50-minute breakout session will review the most prominent POCUS applications in pediatric patients. Through a case-based approach, we will review the key pearls and pitfalls for these applications to help you optimize the utility and integration of pediatric POCUS into your clinical practice.

Learning Objectives

At the end of this session, participants will be able to:

• Demonstrate knowledge and understanding of several core POCUS applications for PEM (lung, cardiac, ocular, abdomen, airway, etc)
• Recognize the common pearls and pitfalls when using POCUS clinically in children

A child walks into the emergency department with a rash – what do I do? This lecture aims to differentiate various presentations of common and life-threatening skin eruptions in the pediatric population, including important distinguishing features and initial management.

Learning Objectives

• Recognize common childhood skin conditions presenting to the emergency department
• Delineate between benign and life-threatening skin presentations
• Provide initial management, including referral where needed, for acute cutaneous eruptions in children

Nonspecific signs and symptoms can make the evaluation of young febrile children challenging. We will review tools to help stratify an infant’s risk of viral versus bacterial infections, as well as review the can’t miss causes of fever in this age group and risk factors for antibiotic-resistant pathogens. 

Learning Objectives

• Identify the ‘can’t miss’ causes of fever unique to early infancy
• Differentiate between viral and bacterial pathogens using scoring systems
• Recognize circumstances in which antibiotic resistance should be considered. 

Moderator: Jonathan Pirie

Paediatric emergency medicine is ever-changing with new approaches, guidelines and pathways.  In this final session, you will have the opportunity to ask our diverse panel of experts your burning questions. Questions can be posted throughout the conference on the online platform as well as during the session.