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Scientific Information

PRE-FORUM

Details: Date: TBC
Time: TBC
Venue: MD6 Centre for Healthcare Simulation, 14, Medical Drive, National University of Singapore, Singapore 117599

*A bus has been arranged to transport ECMO workshop participants from Suntec Convention Centre to National University of Singapore for both days.
Participants who want to avail the facility should meet at Suntec Convention Centre, Level 1, Big Screen at 0715 hrs. The return trip to Suntec Convention Centre would be at 1700 hrs.

The highly acclaimed ECMO workshop at the SG ANZICS develops skills for doctors, nurses, perfusionists and respiratory therapists in the management of patients on ECMO and troubleshooting common problems with a simulated learning experience. The content of the Course will include pre-learning materials as well as overview summaries on ECMO indications and contraindications, ECMO physiology, emerging perspectives and other aspects of ECMO patient care and management, including anticoagulation and weaning. The didactic talks will be supplemented by water drills that cover the A to Z of the circuit and its components, plus common issues faced during day-to-day management of ECMO patients. The learning would be further enhanced by group simulation sessions to allow for hands-on learning and active instructions on basic and advanced topics such as circuit checks, equipment components, alarms, pressure monitoring, and emergency trouble-shooting procedures. Faculty and simulation educators will facilitate discussions on team training, clinical critical thinking and decision making.
Synopsis: VV ECMO: principles, practice, problems & troubleshooting
VA ECMO: principles, practice, problems& troubleshooting
ECMO circuit problems & hands-on troubleshooting
ECMO cannulation
Basic and Advanced ECMO simulation & scenarios
Learning Objectives:
  • Describe key indications and contraindications for ECMO.
  • Identify ECMO circuit components and prime a circuit.
  • Learn about common ECMO emergencies.
  • Troubleshoot problems on ECMO using high fidelity simulation.
Basic cannulation techniques would be taught on cannulation simulators during the hands-on sessions.
Schedule:

Preliminary Programme

Group 1Group 2
A B C
0800 - 0830 Pre-workshop questionnaire
0830 - 0900 Overview of Contemporary ECMO
(Dr MacLaren)
0900 - 1000
Introduction – equipmentWaterdrill – set up and priming
1000 - 1030 Tea break
1030 - 1100
Anticoagulation & Medical management
(Dr MacLaren)
Circuit maintenance (hands-on) Trouble shooting - hands on
1100 - 1130
Trouble shooting - hands on Anticoagulation & Medical management
(Dr MacLaren)
Circuit maintenance (hands-on)
1130 - 1200
Circuit maintenance (hands-on) Trouble shooting - hands on Anticoagulation & Medical management
(Dr MacLaren)
1200 - 1300 Tea break
1300 - 1330
ECMO (patho)physiology
(Dr MacLaren)
Trouble shooting - hands on Trouble shooting - hands on
1330 - 1400
Trouble shooting - hands on ECMO (patho)physiology
(Dr MacLaren)
Trouble shooting - hands on
1400 - 1430
Trouble shooting - hands on Trouble shooting - hands on ECMO (patho)physiology
(Dr MacLaren)
1430 - 1500 ECMO Initiation (Dr. Ramanathan)
1500 - 1530 Tea break
1530 - 1700 Combined Sim Session (Dr Ramanathan)

Participants will receive pre course learning material in the first week of April.

0800 - 0810 Reorientation and Introduction
0810 - 0845 Nursing management (Sr Pauline)
0845 - 0900 Weaning ECMO (Dr MacLaren)
0900 - 1030
A B C
Trouble shooting - hands on Trouble shooting - hands on Cannulation**
Trouble shooting - hands on Cannulation** Trouble shooting - hands on
Cannulation** Trouble shooting - hands on Trouble shooting - hands on
1030 - 1100 Tea break
1100 - 1230
A B C
Troubleshooting Troubleshooting Cannulation**
Cannulation** Waterdrill – troubleshooting Waterdrill – troubleshooting
Waterdrill – troubleshooting Cannulation** Waterdrill – troubleshooting
1230 - 1315 Lunch
1315 - 1330 Organization and Outcomes (Dr MacLaren)
1330 - 1500 Combined Sim Session (Dr Ramanathan)
1500 - 1515 Tea Break
1515 - 1600
Simulated evaluationPost-workshop test
1600 - 1645
Post-workshop testSimulated evaluation
1645 - 1700 Certification
Faculty: TBC
Targeted Participant No.: 20
Price per participant: Early bird- Doctors S$990; Others S$640
Regular rates (TBC) – Doctors S$1240; Others S$840
Details: Date: Friday, 3rd April 2020
Time: 0830 – 1730 hrs
Venue: Conference Room 1 and 2, Level 9, Mount Elizabeth Novena Hospital, 38 Irrawaddy Road, Singapore
Synopsis:

Here we are again! Last year’s Bare bones course our first, was met with a very positive response. This year we have reviewed our course content taking into account the valuable feedback from our participants and faculty. This year the course will allow more time at the practical stations so you get more hands on.

We all know that ultrasound use in the ICU is now routine. It has clearly proven its usefulness in the managing of critically ill patients. The use of ultrasound in the diagnosis and management of shock states has resulted in better outcomes. No more guess work. The use of ultrasound to guide invasive procedures have also improved patient safety and minimised the need to move patients around for procedures like drainage of effusions or PICC insertion.

Learning Objectives::

The aim of this course is to introduce participants to the basic use of ultrasound in its simplest form to aid patient management. We aim to minimise complex jargon and measurements to introduce easy to remember algorithms and skills that anyone can learn and use while at the same time providing sufficient scientific background. Emphasis is on the things that make a difference. More emphasis will be placed on cardiac ultrasound and common procedural ultrasound.

This course is aimed at all who are interested in ICU ultrasound especially the total newbie, resident or consultant new to ultrasound. We hope to be able to impart practical skills that you can immediately use in your ICU. More practical time will be devoted for you to learn the most crucial skills of good reproducible image acquisition and simple but reliable and usable interpretation to aid you in your work.

Schedule:

General

0830 – 0840Introduction to ICU ultrasound

By: Dr David TAN/Dr Kenneth TAN
0840 – 0850Basic physics of ultrasound, B mode and doppler– what makes a difference

By: Dr David TAN
0850 – 0900Learning the machine: image optimisation and artifacts

By: Dr David TAN
0900 – 0920Tea

Cardiac Ultrasound

0930 – 0940Basic views and anatomy and how to get them

By: Dr TAN Wah Tze
0940 – 0950Assessment of LV function and wall assessment

By: Dr TAN Wah Tze
0950 – 1000Assessment of RV function and PE

By: Dr Alvin TEO
1000 – 1010Use of doppler – Just the bare necessities

By: Dr LEE Tze Wee
1010 – 1020Basics of valve anatomy and assessment.

By: Dr LEE Tze Wee
1020 – 1030Pericardial disease, Pericardial effusion and tamponade

By: Dr Alvin TEO
1030 – 1050Clinical case study illustration of shock – interactive

By: Dr Francis LEE, Dr Alvin TEO, Dr LOH Meng Woei

Lung Ultrasound

1100 – 1110Basic Lung Ultrasound

By: Dr Francis LEE
1110– 1120Assessment of pneumothorax, consolidation and effusion

By: Dr Francis LEE
1120 – 1200Lunch

Abdominal Ultrasound

1200 – 1210Basic abdominal ultrasound – anatomy

By: Dr TOH Hong Chuen
1210 – 1220FAST assessment

By: Dr TOH Hong Chuen
1220 – 1230Distended organs – bladder, gallbladder and kidneys

By: Dr TOH Hong Chuen

Vascular Ultrasound

1230 – 1240Vascular access

By: Dr LEONG Kwok Wah
1240 – 1250Drainage of pleura or abdomen

By: Dr LEONG Kwok Wah
1250 – 1310Clinical case discussion – Trauma

By: Dr TAN Wah Tze, Dr TOH Hong Chuen, Dr LEE Tze Wee
1310 – 1330Tea

Practical Stations

1340 – 1740 Live patient demo and hands on:
Cardiac ultrasound 1 (40 mins)
Cardiac ultrasound 2 (40 mins)
Lung ultrasound (40 mins)
Abdominal (40 mins)
By: Dr TAN Wah Tze, Dr LEE Tze Wee, Dr Francis LEE, Dr David TAN, Dr TOH Hong Chuen, Dr Kenneth TAN, Dr LOH Meng Woei

Phantoms for vascular access practice 1 (40 mins)
 Phantoms for vascular access practice 2 (40 mins)
By: Dr Dave KANG, Dr TAN Tee Yong, Dr LEONG Kwok Wah, Dr WONG Her Shann, Dr Kenneth TAN, Dr LOH Meng Woei

4-5 participants per station.
Faculty: TBC
Targeted
Participant No.
30
Price per participant Full Registration: SGD 550
Resident/Trainee: SGD 400

POST-FORUM

Details: Date: 7th April 2020, Tuesday
Time: 0830 - 1730 hrs
Venue: Philips Health Tech APAC Centre | 622, Lorong 1, Toa Payoh, Singapore 319763
Synopsis: Complex Home Ventilation is the term proposed by an NHS workgroup to denote
  1. Invasive ( Tracheostomy) ventilation
  2. Patients dependent on noninvasive ventilation ( > 14 hours in 24 hours)
  3. Patients assisted by non-invasive ventilation ( <14 hours/day), but having complex medical conditions - neuromuscular disorders, cardiomyopathy etc
  4. Transition from paediatric home ventilation.

The goal of complex home ventilation is to maximise function and QoL of such patients while maintaining a high standard of safety and preserving survival as far as possible.

Success in complex home ventilation depends on attention to the multi-faceted needs of such patients, preferably delivered by a dedicated multidisciplinary team. 

This year’s course faculty includes specialists from National University Hospital Paediatrics Department and Kandang Kerbau Children’s Hospital. The content will include aspects of Complex Home Ventilation relevant for the paediatric age group.

Target audience: Physicians, Nurses and Therapists with interest in provision of Complex Home Ventilation
Learning Objectives:

This workshop will cover the physiology and pathophysiology of respiratory failure, mechanical ventilation tips applied to the complex patient; advanced tracheostomy care - breathing / speaking / eating with a trach; airway clearance; setting up a patient for long term ventilation; emergency drills.

Special considerations for the paediatric home ventilation patients and their families will also be touched upon

Schedule: To be advised
Faculty:

Doctors, Nurses and Therapists from Tan Tock Seng Hospital - Home Ventilation and Respiratory Support Service; Woodlands Health, Kandang Kerbau Childrens’ Hospital – Complex Home Care Service; and National University Hospital Paediatrics Complex Home Care Service

Faculty convened upon invitation of Society of Intensive Care Medicine ( SICM) , Singapore. Proceeds from the course will be channelled to SICM to help support registration of delegates from Low-Middle income countries .

Course convenor – Dr Chan Yeow

Targeted Participant No.: 80
Price per participant:
(before GST)
  1. Local Doctors = S$60 
  2. Foreign Doctors, Trainee Physicians, Nurses, Allied Health Professional = S$40
Title: Fundamental Critical Care Support (FCCS)
Details: Date: Tuesday – Wednesday, 7-8 April 2020 Time: 0800 – 1700 hrs
Venue: L2-T1, 20 College Road, Singapore 169856 (Located in SGH Campus)
Synopsis:

A 2-day intensive course that prepares participants to manage critically ill patients for the first 24 hours until transfer or appropriate critical care consultation can be arranged.

Learning Objectives::
  • To prioritize assessment needs for the critically ill patients
  • Identify appropriate diagnostics tests for the critically ill patient
  • Identify and respond to significant changes in the unstable patient
  • Be able to recognise and initiate management of acute life-threatening conditions
  • Determine the need for expert consultation and / or patient transfer and prepare the practitioner for optimally accomplishing transfer
Schedule:

Tuesday, 7 April 2020

0800 – 0830Recognition & Assessment of Seriously Ill Patient
0830 – 0900Special Considerations
0900 – 0930Ethics in Critical Care Medicine
0930 – 0945BREAK
0945 – 1015Basic Trauma & Burn Support
1015 – 1045Airway Management
1045 – 1115Acute Coronary Syndrome
1115 – 1145Life-Threatening Infections: Diagnosis & Antimicrobial
Therapy Selection
1145 – 1245LUNCH
1245 – 1315Mechanical Ventilation l
1315 – 1345Mechanical Ventilation ll
1345 – 1400Introduction to Skill Stations
1400 – 1700 Skill Stations:
- Mechanical Ventilation l
- Mechanical Ventilation ll
- Integrated Haemorrhagic Shock Scenario
- Recognition & Assessment of the Seriously Ill Patient

Wednesday, 8 April 2020

0800 – 0845Critical Care in Infants & Children
0845 – 0915Diagnosis/Management of Acute Respiratory Failure
0915 – 0945Diagnosis & Management of Shock
0945 – 1000BREAK
1000 – 1030Monitoring Oxygen Balance & Acid Base Status
1030 – 1100Management of Life-Threatening Electrolyte and Metabolic
Disturbances
1100 – 1130Critical Care in Pregnancy
1130 – 1200Neurologic Support
1200 – 1230Cardiopulmonary/Cerebral Resuscitation
1230 – 1310LUNCH
1310 – 1610 Skill Stations:
- Non-invasive Positive Pressure Ventilation
- Integrated Severe Sepsis Scenario
- Integrated Traumatic Brain Injury Scenario
- Integrated Airway Management & Hypovolemic Shock
Scenario
1610 – 1710Test & Evaluation
Faculty: TBC
Targeted
Participant No.
TBC
Price per participant
(before GST)
TBC

MASTER-CLASSES

Sponsored by:
Title: Advanced Ventilation Workshop
Details: Date: TBC
Time: 1230 – 1600, 0945 – 1700
venur: Swissotel The Stamford, Singapore 178882
Synopsis:

This workshop seeks to take participants beyond standard ventilation practices. We will review ventilator asynchrony, lung protective ventilation and the current understanding of ventilator induced lung injury. The workshop will focus on equipping participants with knowledge and hands on skills to recognize and manage complex scenarios at the extremes of pulmonary physiology, including the role of PEEP, lung recruitment and adjunctive pharmacological interventions. The program will include lectures (including keynote international guest speakers), hands on simulation stations and group discussion with international experts.

Learning Objectives: At the end of the course, participant should be able to:
  • Describe the physiology of asynchrony
  • Describe the types of asynchrony and how to recognise them with ventilator waveforms.
  • Describe the practice and approaches to lung protective ventilation.
  • Describe the mechanisms by which the mechanical breath causes tissue damage at the alveolar level
  • Describe how the parameters of a mechanical breath (i.e. lung volumes, pressures, rates, flows and the duration they are applied to the lung at inspiration and expiration) can be adjusted to minimize VILI.
  • Describe available pharmacological interventions for ventilated patients.
  • Describe the management of hypoxia and adjunctive approaches.
Schedule:

Advanced Ventilation Workshop Day 1, Asynchrony

1230 – 1300 Registration
1300 – 1310Opening Address
1310 – 1335Respiratory System Mechanics
1335 – 1400Control of Breathing and Lung Protection
1400 – 1420Recognising and Managing Patient Ventilator Asynchrony
1420 – 1445Lunch
1445 – 1510Patient Ventilator Asynchrony: Does it matter?
1510 – 1535Proportional Assist Ventilation: Any role in your practice?
1535 – 1600Workshop Rotation #1

Lung Protective Workshop

0845 – 0900Registration
0900 – 0910Opening Address
0910 – 0945Mechanisms of Ventilator Induced Lung Injury
0945 – 1015ARDS: New Insights
1015 – 1045Coffee Break
1045 – 1115PEEP and Lung Recruitment in ARDS
1115 – 1145Pharmacological interventions for ARDS
1145 – 1215Rescue Interventions for Hypoxia
1215 – 1330Lunch
1330 – 1450Continue Workshop and Group Discussion 1 & 2
1450 – 1520Coffee Break
1520 – 1650Continue Workshop and Group Discussion 3 & 4
1650 – 1700Wrap up & Closing
Faculty: TBC
Targeted Participant No.: 30
Price per participant:
(before GST)
TBC
Details: Date: TBC
Time: TBC
Learning Objectives: To facilitate critical care ultrasound learning in an interactive small group environment, with emphasis on hands on experience.
Schedule:

1st Session (1020 – 1120)

1020 – 1030Introduction and instructor demonstration of basic ultrasound views
1030 – 11153 stations of cases
  • Tamponade
  • LV assessment – cardiogenic shock
  • RV assessment – acute PE
1115 – 1120Debrief

2nd Session (1410 – 1510)

1410 – 1420Introduction and instructor demonstration of basic ultrasound views
1420 – 15053 stations of cases
  • Tamponade
  • LV assessment – cardiogenic shock
  • RV assessment – acute PE
1505 – 1510Debrief
Faculty: TBC
Targeted Participant No.: 18 per session
Price per participant:
(before GST)
$15

Affiliated Workshops

Details: Date: TBC
Time: TBC
Venue: Simulation Training Centre (STC), Level 2, Women’s Tower, KK Women’s and Children’s Hospital
Click here to download the registration form and upon completion, please email it to: Maggie.Tan.M.N@kkh.com.sg

The curriculum is presented as a 2-day series of integrated lectures and didactic in-person skill stations that provides knowledge, guidance for decision making, and limited practice in some clinical procedures.
Synopsis: The PFCCS course is an in-depth and comprehensive programme aimed at improving paediatric care. Using the same hands-on, high-quality approach as Fundamental Critical Care Support (FCCS), this programme focuses intensely on the paediatric population. PFCCS accomplishes these goals by providing a balance of didactic lectures and hands-on skill stations while building on the participant’s basic paediatric knowledge. Those who have completed Basic Life Support (BCLS) and Advanced Paediatric Life Support (APLS) or their equivalents will benefit from PFCCS, because much of the material covers the transition from initial patient resuscitation to arrival in the intensive care unit. Some of the unique features of the course include interactive case scenario-based lectures and skill stations specific to critically ill or injured children.
Learning Objectives:
  1. Prioritise assessment needs for the critically ill or injured infant and child
  2. Select appropriate diagnostic tests
  3. Identify and respond to significant changes in the unstable paediatric patient
  4. Recognise and initiate management of acute life-threatening conditions
  5. Determine the need for expert consultant and/or patient transfer and prepare the practitioner for completing optimal transfer
Schedule: Day 1 : TBC
Day 2 : TBC
Faculty: TBC
Targeted Participant No.: 24
Price per participant:
(before GST)
SGD850 for local participants
SGD1,100 for overseas participants
Details: Date: TBC
Time: TBC
Venue: Singapore General Hospital, Academia
Click here to register.
Synopsis:

A one-day workshop for the paediatric specialist or trainee interest to learn or refresh their knowledge in paediatric airway and ventilation.

The workshop consists of basic and advanced skills stations (both wet and dry) and problem-based learning scenarios for discussion.

Learning Objectives:
  1. Learn and refresh advanced airway skills in animal models
  2. Demonstration of ventilation strategies in animal models
  3. Practice bronchoscopy/one lung ventilation in manikin lung models
  4. Round table discussions
Faculty: TBC
Targeted Participant No.: 36 maximum
Registration fee
(before 7% GST)
$600 (Trainee)
$700 (Specialist)