HR2025 – Pre- and Post-Courses #HR25

These are without a doubt some of the hidden gems of any boutique conference. At H&R we’ve always had a great time with these, time for instructors to pass on some really actionable, hands-on skills to a small group of really motivated clinicians.

BJJ or Self-Defense for Humans & Health Care Workers – we feel that BJJ is a natural companion to medicine. On all levels the mental and physical benefits far transcend its martial core, and we’re happy to see more and more practitioners in medicine. We always have a lot of fun with it and are fortunate to have some black belts to lead this activity along with a few other aficionados. Even if you have no experience, join us for some basics and learn a few tips to protect yourself and buy time in a few bad scenarios. (Max 30 participants, FREE) – Faculty – SPIEGEL/MILLER/ROLA May 21st

The VExUS Course & Doppler Masterclass – Unbelievable how much VExUS has exploded. This is the original course, given by some of the absolute very best instructors on the plant, including several of its creators. It’s a 3-4 hour hands on course after participants have gone thru the online material. Here we not only show you how to perform it, but more importantly the nuances. Participants will get plenty of Q&A time with the leaders of the field of venous congestion, and will also explore other Doppler techniques which complements the venous side such as VTI, carotid Doppler, splenic Doppler and more. There may be many VExUS courses and workshops going on but this is THE One. Faculty – ARGAIZ/HAYCOCK/SPIEGEL/ROLA/DENAULT/KENNY/ASSAVAPOKEE & more (Half-day, MAX 40 participants) Wednesday May 21st Morning.

ArrestTEE Sim Cases – You’ve done your ResusTEE Course, hopefully a few live cases in your practice. Come and warm up those skills with a series of SIM cases and sharpen up not only your image generation, but also your clinical interpretation skills. Gotta get that muscle memory! FACULTY TBA (Half-day, MAX 12 participants) Wednesday May 21st Afternoon.

The Great Presenter – ED doc and educator extraordinaire Marco Garrone of Italy goes thru the science and skills to up your presentation game! Wednesday May 21 afternoon.

Sauv Life (eCPR) by Paris’ Lionel Lamhaut! – The French experience in prehospital ECPR is unparalleled. Participants will get to tap into these pioneers’ extensive experience and learn the ins and outs of starting an ECPR programme and the required skills! Specific programme TBA! FACULTY: LAMHAUT, TBA, Saturday May 24th Full Day.

SEVA Ventilator Course by The Cleveland Clinic’s Eduardo Mireles-Cabodevila – His social media vent rounds have an immense following on X/MedTwitter, and for good reason! No one breaks it down like Eduardo does. And he’s distilled it into one of the top courses in the world on mechanical ventilation. No matter your level, take your vent curve analysis to a whole other level with this full-day course. FACULTY: MIRELES-CABODEVILA/CHATTERJEE Saturday May 24th Full Day.

Basic Bedside EEG for Intensivists – Technology is rapidly bringing the EEG to the point-of-care realm. With several devices having the ability to provide the raw EEG signal, it is time for the clinicians to have some understanding of brain waves! Half day, May 21. FACULTY: TBA

Resuscitative TEE course by Felipe Teran – May 24th full day, follow resuscitativetee.com/workshop for registration which is opening soon!

Bookmark this page for more info, programs and further additions to the courses!

Registration is open! https://ccusinstitute.wixsite.com/ccus/events/hr2025-fluid-tolerance-all-things-vexus-shock-hemodynamics

For link to registration and main conference day info: https://thinkingcriticalcare.com/2024/06/05/hr2025-the-hospitalist-the-resuscitationist-montreal-may-21-24-2025-hr25/

The HR25 Scientific Committee

VExUS/POCUS/Resus Mini-Fellowships

In the last couple of years VExUS has seemingly sparked a number of clinicians to focus on right-sided or venous congestion and its deleterious consequences. Many of us feel there is sufficient associative evidence and physiological basis to use VExUS to manage patients on a daily basis and do so routinely. Currently, several studies we know of (and probably many we don’t!) are on track to show that a VExUS-based approach is likely to be superior to a highly variable traditional approach. In teaching it at the bedside, however, we emphasize the fact that this tool should not be used in a brain-bypass, monosynaptic fashion – all elevated VExUS scores should NOT blindly be diuresed… These ways on how to integrate VExUS in clinical decision-making is what we will emphasize in this part of the Mini-Fellowship.

So due to demand, we have added this specific skill to our Mini-Fellowships which have been going strong for over a decade. The idea (just like in resuscitation!) is to tailor these days to what you need the most. Whether you want to focus on advanced POCUS, looking at coupling parameters and TDI or whether you want to learn to integrate these findings into a resuscitation approach, we will do our best to fill the gaps you may have.

We’ve been organizing mini-fellowships now for over a decade (obviously slowed by the whole pandemic business), because while learning the technical aspect of scanning is one thing, the translation into clinical application and decision-making is altogether another step that, for many, is achieved more readily by witnessing live clinical management.

This year, for the first time, we are adding a specific VExUS element. Participants will be able to pre-emptively watch the online VExUS Course, and then follow a senior instructor for 2-5 days of clinical practice (avg 4-6h/day) where they will be able to observe live scanning and management of real patients both in outpatient, inpatient, ED and ICU settings.

Tuition – Montreal Mini-Fellowships: 600$ CAN / 500$ USD per day for 1 physician, 400$ CAN / 350$ USD per person per day for additional days, and 400$ CAN / 350$ USD per person per day for a 2 to maximum 3 physician group. For physicians who are not from high income countries, do let us know, we will try to help get some industry sponsorship to make it possible.

CME : For Canadians, from the Royal College of Physicians standpoint, the Mini-Fellowships qualify for 25 Section 2 credits (regardless of the length) and 3 hours of Section 3 credits (per day of fellowship). For you Americans:

Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™. 

Please see the prior posts for participant feedback (https://thinkingcriticalcare.com/2018/05/09/ccus-institute-pocus-resuscitationist-mini-fellowship-evolution/), and if interested, please email hospresusconference@gmail.com and we will put you in touch with one of the senior instructors whose time matches your availability.

cheers!

The H&R Team

Ultrasound MedED at CCUS 2014: for educators! #FOAMed, #FOAMcc

This year, as part of the pre-congress courses being held prior to the main symposium (may 10th and 11th), we are introducing a half-day symposium entitled: “The Educators‘ Symposium: How to integrate Bedside Ultrasound into Ungergraduate and Graduate Programs,” coordinated by Dr. Catherine Nix of the University of Toronto who has been the driving force behind U of T’s implementation of an ultrasound program for undergraduates.

Here is the preliminary programme, really good stuff for anyone involved in education, whether at the institutional level or even at the departmental level.

Screen Shot 2013-12-18 at 3.53.07 PM

program subject to (minor) changes…

Attendants may register for this independently or as part of the whole symposium. You can register at:

http://www.ccusinstitute.org/Symposium6.html

Stay tuned for more updates, and the final programme of the main conference should be out by next week.  Guess what, it’ll be a great place to meet @criticalcarenow, @bedsidesono, @EGLS_JFandMax, @nobleultrasound, and many more not yet deep into the #FOAMed or twitter-verse, but soon to be.

See you there!

Philippe