Target audience: Surgeons
Number of participants: 30

Duration/Date: 2 days; 8 hours/day, (11 nov 08:00-17:00; 12 nov 08:00-14:30)

Description:
The Emergency Surgery Course® is a joint initiative of the European Society for Trauma & Emergency Surgery (ESTES) and the American Association for the Surgery of Trauma (AAST). ESC® aims to aid surgeons in non-trauma emergency surgery by providing the know-how and the decision-making skills necessary for daily practice. The course consists of theoretical sessions, case scenarios and state-of-the-art videos in an interactive format.

Goals:
– Confront surgeons with everyday scenarios
– Provide clear guidelines
– Hone decision-making skills pre-, intra-, and postoperatively

Course directors: Hayato Kurihara, Valeriu Șurlin
Tutors: Alan Biloslavo, Alexandru Carâp, Bogdan Diaconescu, Kristina Doklestić, Diego Mariani, Claudiu Turculeț, Alin Vasilescu

Location: CieH - UMFCD, Pitar Moș 18, Bucharest

Target audience: All Medical and Surgical Specialties
Number of participants: 40

Duration/Date: 1 day; 4 hours/day, 13 November (12:00-16:00)

Description:
The problem with medical presentations is that they fail. Simply put, they do not achieve their intended purpose, which is to educate. This is not for a lack of intention or a failure of the presenter to put in the effort. The reasons are "conformity to perceived standards, aspiration to the level of mediocrity displayed, education, defensive practices against performance anxiety, time pressures, a lack of value in the output and ultimately lack of alternative approaches" as Ross Fisher states. He also observes that we know what is wrong with them and we desire improvement but, when actually presenting, "we follow the practices of failure despite effort and care".

Ross Fisher will clarify these aspects and, in his humble words, he'll only offer you the truth. He will, however, also offer you a roadmap to better presentations. And if this is not much in your eyes I promise you that this workshop will change how you think about communication in all its aspects: presenting cases, presenting papers, educating juniors.

Most good people you will meet will teach you something, Ross Fisher will change your life. He'll give you the power to be better and the courage to start changing the world.

Course directors: Ross Fisher
Tutors: TBA

Location: CieH - UMFCD, Pitar Moș 18, Bucharest

Target audience: Surgeons, Intensive Care Physicians, Emergency Medicine Physicians
Number of participants: 15

Duration/Date: 1 day; 6 hours/day, 14 November, 1 edition, 09:00-15:00

Description:
FAST is an ultrasound protocol used in trauma patients for diagnosis and triage. Having all the advantages of ultrasound in general (speed, replicability, non-invasiveness) it is perfectly suited to offer quick information for traumatized patients. Its ease of use has led to the FAST exam becoming one of the adjuncts of the primary survey and being integrated in trauma algorithms in many practice guidelines.

While controversies about its use in mature trauma practices exist, the FAST exam, undeniably, offers the following benefits:
- it is a simple, widely available tool that can offer information in austere environments or in mass casualty situations.
- it teaches basic ultrasonographic knowledge that can be used in many other scenarios, outside trauma; the ultrasonographic windows of the FAST exam are integrated parts of other ultrasonographic protocols.
- it has a definite role in diagnosing cardiac trauma and is gaining importance in the decision-making process regarding resuscitative thoracotomy and blunt traumatic cardiac arrest.

Participants will be able to reliably perform a FAST exam in their practice the minute the course is over. Participants will also receive a curated list of papers and literature to further their understanding of the FAST exam.

Course directors: Călin Tiu, Bogdan Socea
Tutors: Alexandru Carâp

Location: CieH - UMFCD, Thomas Masaryk, nr. 19, Bucharest

Target audience: Surgeons
Number of participants: 30

Duration/Date: 11 nov, 09:00-15:00

Description:
Laparoscopic surgery has a significant and increasing role in emergency surgery. It also has the benefits generally associated with minimally invasive surgery - quicker recovery, less parietal trauma, a lower risk for intra-abdominal adhesions.

The range of emergent procedures laparoscopy is suited for is not as extensive as in elective settings - the distinction between procedures that are suited for laparoscopy and procedures that are not is an important decision. The pendulum swings more and more towards laparoscopic surgery but the choice of minimally invasive procedures should not be detrimental to the patients. At the same time, these procedures require a specific skill set that is only partially overlapping the skills developed during elective surgery.

This workshop will have the following teaching objectives:
- participants will understand when minimally invasive surgery is appropriate
- a case-based discussion will highlight the moments when minimally invasive surgery is no longer appropriate and conversion to open surgery is warranted
- participants will learn skills for laparoscopic appendectomy
- participants will learn skills for laparoscopic perforated peptic ulcer repair
- participants will learn skills for small bowel manipulation (running the bowel and creating a working space)

The goals of this workshop are to make participants comfortable with decision-making regarding laparoscopy in urgent settings and to teach the skills necessary to approach acute care surgery with minimally invasive techniques.

Course directors: Adrian Bartoş
Tutors: Bogdan Socea, Octavian Andronic

Location: CieH - UMFCD, Thomas Masaryk, nr. 19, Bucharest

Target audience: Surgeons, Intensive Care Physicians, Emergency Medicine Physicians
Number of participants: 24

Duration/Date: 1 day; 6 hours/day, 13 November, 09:00-15:00

Description:
Ultrasound guidance is increasingly used for a variety of procedures in emergency departments, operating rooms and intensive care units. From placing iv catheters to biopsies and peripheral nerve blocks, ultrasound makes these procedures safer and increases their success rate.

The workshop has the following learning objectives:
- familiarizing participants with biopsy devices
- familiarizing participants with the basic ultrasound equipment used for ultrasound guided procedures
- needle tracing using ultrasound
- performing safe needle access in vascular structures
- performing safe ultrasound guided cavity drainage
- performing safe ultrasound guided biopsies.

The workshop focuses heavily on the practical part. After a short introduction participants will go through guided exercises that will gradually enhance their skills. Tutors will observe and guide the participants and expose them to different procedures and different ultrasound machines and settings. The formula of this workshop has been tested in local and European meetings and provides a high degree of skill acquisition and gives participants the knowledge and confidence to start using ultrasound in their daily practice.

Course directors: Gerald Filip, Anca Nica
Tutors: Cristiana Bogaciu, Ana Iordache, Roxana Crăciun

Location: CieH - UMFCD, Thomas Masaryk, nr. 19, Bucharest

Target audience: Surgeons, Intensive Care Physicians, Emergency Medicine Physicians
Number of participants: 15

Duration/Date: 1 day; 6 hours/day, 14 November, 09:00-15:00

Description:
Pleural drainage is an essential skill in emergency medicine, acute care surgery and critical care. It is one of the most common procedures performed in emergency departments and ICUs. It is useful for diagnostic and therapeutic purposes. Whether done formally or using a Seldinger technique it can be one of your best friends when you're on-call.

The workshop will teach pleural drainage in its various technical methods and will also highlight the special considerations for different indications: tension pneumothorax, simple pneumothorax, hemothorax, empyema, and simple pleural effusions in various medical conditions.

Aside from the techniques for insertion, the workshop will teach the basic physics of underwater seal drainage, diagnosing and troubleshooting drainage system malfunctions, and cues for escalating care or removing the drain.

The workshop will heavily feature the practical side of things, with a clear aim to teach participants to safely and efficiently insert a chest tube and connect it to a drainage system. Every step will be guided by expert tutors with hundreds of procedures in the backpack.

Course directors: Mihai Dumitrescu
Tutors: Andrei Bobocea

Location: St. Pantelimon Emergency Clinical Hospital, Bucharest

Target audience: Surgeons, Intensive Care Physicians, Emergency Medicine Physicians
Number of participants: 30

Duration/Date: 1 day; 6 hours/day, 12 November, 09:00-15:00

Description:
The use of ultrasound in the Intensive Care Unit and Emergency Department has multiple benefits. In life-threatening circumstances it can offer quick answers to many clinical questions. The patient does not need to leave the ICU or ER and is examined by the clinician - the person most invested in the case and the person that has the most information about the patient. This is a prime example of Point Of Care UltraSound - a clinician performed diagnostic procedure that delivers timely and valuable information. Clinicians that are versed in ultrasound can find other applications outside diagnosis: ultrasound guided drainage, peripheral nerve blocks and ultrasound guided catheter placement.

Participants will learn:
- basic knobology and ultrasound physics
- basic semiology
- the RUSH protocol
- the BLUE protocol
- integrating the information obtained in clinical diagnostic and management protocols

Course directors: Alexandru Carâp
Tutors: Bogdan Dumbravă

Location: CieH - UMFCD, Thomas Masaryk, nr. 19, Bucharest

Target audience: Surgeons
Number of participants: 12

Duration/Date: 2 days; 8 hours/day, 12-13 November, 08:00-16:00

Description:
Damage control surgery can be described as "the great equalizer". It avoids technically challenging and time-consuming procedures for rapid hemorrhage and contamination control. However, even if it does avoid difficult procedures, damage control surgery is not simple. It has a specific skill set that is not found in other branches of surgery - for efficient damage control surgery certain techniques, clinical pathways, and postoperative care protocols must be mastered. Participants will learn decision-making in emergent traumatic situations and understand when to use damage-control techniques and its core components.

During the workshop participants will learn the following techniques, all components of efficient hemorrhage control:
- trauma laparotomy and thoracotomy;
- simple techniques for vascular repair; placing vascular shunts;
- hemorrhage control from solid organ injuries; pelvic packing;
- exposure of great vessels;
- contamination control;
- temporary abdominal closure.

The mindset and techniques used during damage-control surgery are essential for an acute care surgeon. A clear understanding of these skills saves lives and gives a young surgeon building blocks for technical excellence.

Course directors: Mansoor Khan
Faculty:
- Shahin Mohseni
- Cristina Rey Valcarcel
- Ameera AlHasan
- Bogdan Socea

Locations: St. Pantelimon Emergency Clinical Hospital, Bucharest