A few words about it…

HR2025 is about putting it all together. We’ve been talking about the venous side for a long time and it has been fantastic seeing how much it has taken off – at least in the #medtwitter #foamed and PubMed community. There’s enough data out there to show a real clinical utility of consciously examining the venous compartment. This applies to any hospitalized patients, whether in the ED, the wards or the ICU, so that’s why this year, the H and the R will spend the first day together doing all things VExUS and venous congestion, along with the corresponding workshops, again so that participants can leave with some actionable knowledge and skills. Whether you’re a beginner at this or a seasoned veteran, there should be something to learn.

On Day 2, we’ll divide into two tracks. The R side will deep-dive bedside hemodynamics and our 4-interface model of shock management. Of course there will also be some pearls and late-breakers as this is still a year away and there will undoubtedly be some really interesting things cooked up by the crew by then! 

Meanwhile on the H side, Katie and Gigi are thrilled to have put together a top-notch lineup of speakers to teach everyone how to become Inpatient Medicine Jedis. We have some big names in attendance this year, including both new and familiar faces – The Clinical Problem Solvers themselves will take us through some challenging cases; Frederik Verbrugge will drop diuretic truth-bombs; the ever-fabulous @NephroPOCUS will discuss a Bedside Approach to AKI; and Allison Bond will share the Top 10 Infectious Disease Mistakes on the ward, among many others! Day 2 Workshops will be focused on high-yield test interpretation: think EKGs, PFTs and sleep studies, urine microscopy, peripheral blood films, and more! 

https://player.vimeo.com/video/1022725950?h=825106f34a&badge=0&autopause=0&player_id=0&app_id=58479

And as always, the ethos of H&R is about putting together physiological clinicians who love to both push the envelope and share their knowledge and experience. The energy that comes out of this is really quite unique, and the sheer number of successful collaborations that have stemmed from it since 2018 is really impressive. The unplanned, unscheduled small group discussions are the true gems of this conference… Many of the usual suspects will be there, and as always some new additions to the H&R family!

Who? I can’t say enough about the H&R crew. Brilliant, open minded, eager to both learn and teach, no large fragile egos here. So expect to learn from and hang with Sara Crager, Korbin Haycock, Rory Spiegel, Matt Siuba, Eduardo Argaiz, Gigi Liu, Ross Prager, Frederic Verbrugge, Vimal Bhardwaj, Glenn Hernandez, Andre Denault, Jon-Emile Kenny, Ashley Miller, Segun Olusanya, Max Hockstein, Ben Daxon, Abhilash Koratala, as well as some new faces to the live event, very much looking forward to meeting Trina Augustin from Mayo as well as another critical care icon, Professor Jan Bakker, and I’m happy to announce the return of the true father of POCUS, Daniel Lichtenstein, and we will even have the amazing opportunity to (virtually) hear from Dr. Geoff Parkin, one of the pillars of hemodynamic physiology! There are a few more to confirm and we promise they will bring the same enthusiasm and unique experience to the event!

So the most important thing for you to do is to mark your calendars and make sure you don’t miss being a part of it! Bookmark this page as the registration link (november 1) will appear as well as developing programme information! Note that registration fees will be in USD given the international nature of the conference.

Montreal, May 21-24. Core conference May 22-23, Pre and Post-courses May 21 and 24.

Pre/Post congress preliminary courses

1. BJJ or Self-Defense for Humans & Health Care Workers (May 21st pm)
2. The VExUS Course (May 21st am)
3. ArrestTEE Sim Cases (May 21st)
4. The Great Presenter by Marco Garrone (May 21st am)
5. Sauv Life (eCPR) by Paris’ Lionel Lamhaut! (May 24th)
6. Bedside EEG for EDCritters? (TBA)
7. SEVA Ventilator Course by The Cleveland Clinic’s Eduardo Mireles-Cabodevila! (May 24th)
8. ResuscitativeTEE Workshop by Felipe Teran (May 24)

for more on these see https://thinkingcriticalcare.com/2024/10/26/hr2025-pre-and-post-courses-hr25/

if there’s a course you want, go ahead and get in touch with us! hospresusconference@gmail.com or via twitter with #HR25 tag.

Schedule 

Day 1 – May 22 

Time	Talk/Workshops	Faculty
0800-0815	The Concept of Fluid Tolerance	Rory Spiegel
0815-0845	Bedside Cheat Code – Femoral Doppler	Vimal Bhardwaj and Andre Denault
0845-0915	An update on the Hepatic Vein	Eduardo Kattan
0915-0945	Understanding Portal Vein Doppler	William Beaubien-Souligny
0945-1015	Coffee Break
1015-1045	Renal Venous Doppler – RVSI and VExUS	Eduardo Argaiz (virtual)
1045-1115	eCPR and Organ Donation	Lionel Lamhaut
1115-1215	Workshops:Mastering the IVC assessment Hepatic and Portal vein assessments  Intrarenal hemodynamics Femoral vein How I assess congestion at the bedside (Virtual workshop)	Rory Spiegel, Juliana Kan and Audrey Lacasse Eduardo Kattan and William Beaubien-Souligny Abhilash Koratala and Korbin Haycock  Vimal Bhardwaj and Andre Denault  Ross Prager
1215-1300	Lunch
1300-1330	Keynote Lecture – The Evolution of Venous Congestion Assessment	Andre Denault
1330-1400	Pulmonary congestion: Mastering lung US	Daniel Lichtenstein
1400-1430	Practical Diastology: Will my Pt get Pulmonary Edema?	Frederik Verbrugge
1430-1530	Workshops:Diastology, E/e’ and LA size CVP using Jugular POCUS  (Virtual and in person workshop)  Lung US RV assessment (TAPSE, S’, RVH, PASP) Beside Cerebral Oximetry in congestion	Frederik Verbrugge and Max Hockstein Jon Emilie Kenny and Korbin Haycock Daniel Lichtenstein and Marco Garrone  Matt Siuba, Andre Denault, Juliana Kan and Audrey Lacasse Phil Rola and Masimo
1530-1545	Coffee break
1545-1615	Fluid Tolerance in the ED – Is It Pertinent?	Marco Garrone
1615-1645	Minute Ventilation: Physical Exam Hack?	Rory Spiegel
1645-1715	Clinical Cases: Congestion	Abhilash Koratala

Day 2 – May 23

Time	H side talks	Faculty	R side talks	Faculty
0800-0830	Clinical Problem Solvers: Challenging Cases	Reza Manesh and Rabih Geha	Intro to the circuit & interfaces	Sara Crager
0830-0900	Clinical Problem Solvers: Challenging Cases	Reza Manesh and Rabih Geha	0830-0850: What is Coupling?	Jon Emilie Kenny
0900-0930	Immune Checkpoint Inhibitor Toxicity 0930-0940: Buffer	Laura Cappelli	0850-0910: Understanding MSFP 0910-0940: Resurrecting Blood Pressure. Curious Cases of B12 for Vasoplegia	Ashley Miller and Korbin Haycock  Ben Daxon
0940-1040	Workshops:Approach to acid-base problems (Virtual and in person workshop)	Rory Spiegel	Workshops:LVOT VTI  Capillary refill time POCUS AMA Hemodynamic Pearls Part 1	Sara Crager, Trina Augustin and Jeff Scott   Glenn Hernandez and Eduardo Kattan Jay Chatterjee, Jon Emilie Kenny and Marco Garrone Ashley Miller
1040-1110	Coffee break
1110-1140	Oncologic Emergencies	Aditi Singh	Interface 1: LV-VA coupling & How I Measure it	Max Hockstein
1140-1210	Bedside Approach to AKI	Abhilash Koratala	Interface 2: Macro-Micro	Glenn Hernandez
1210-1300	Lunch
1300-1330	Keynote Lecture –  “Fill him up to his eyeballs.”	Jan Bakker
1330-1400	Acute decompensated heart failure	Frederik Verbrugge	Interface 3: Capillary-Venular	Eduardo Kattan
1400-1430	High output heart failure	Eduardo Argaiz – (virtual)	Interface 4: RV to PA	Matt Siuba
1430-1530	Workshops: Urine electrolytes and microscopy   POCUS AMA	Abhilash Koratala  Daniel Lichtenstein and Sara Crager	Workshops: POCUS RV-PA coupling PA catheter (3 simulators) Hemodynamic Pearls Part 2 (Virtual and in person workshop)	Matt Siuba and Korbin Haycock  Katrina Augustin, Jeff Scott and Andre Denault Ashley Miller
1530-1545	Coffee break
1545-1615	Management of Non-Insulin medications in the hospitalized patient	Elias Spanakis	Can Starling and Guyton Collaborate at the Bedside?	Geoff Parkin and Segun Olusanya (virtual)
1615-1645	Next level BiPAP and CPAP	Segun Olysanya (virtual)	Impella in Cardiogenic Shock – What Every ER and ICU Doc oughtta know!	Katrina Augustin
1645-1715	Top 10 Infectious Disease Mistakes on the Wards	Allison Bond	Putting it All Together	Rory Spiegel

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

There will be a number of different registration options so please select carefully. Please note that for online-only registrants, we will follow a fee scale using the World Bank country classification system, so click the link below if you’re not sure what applies to you (this applies to where you live/work, not your country of origin).

https://blogs.worldbank.org/en/opendata/world-bank-country-classifications-by-income-level-for-2024-2025#:~:text=Explore%20the%20updated%20World%20Bank%20country%20income%20classifications%20for%202024-2025,

Scientific Committee – Dr. Philippe St-Arnaud (Santa Cabrini Hospital, Montreal), Dr. Benjamin Daxon (Mayo Clinic, Minnesota), Dr. Rory Spiegel (Medstar Health, Washington, DC), Dr. Katie Wiskar, (University of British Columbia).

Cancellation policy: Cancellations until April 15th will be accepted and refunded minus a 5% administrative fee. Cancellations until May 1st st will receive 50% refund, and after that date no cancellations will be possible.

Hotel Information: as the hospital is in a residential area there really isn’t very much around. We suggest finding a hotel on the east side of downtown Montreal (east of University ave) or in Old Montreal, for the enjoyment of the city after the conference, especially if travelling with companions. We have found that better deals can be had using websites rather than for us to secure a conference rate (usually +30%). Priceline/expedia/booking.com are fairly reasonable. The hospital is about 20 minutes by uber/cab from these areas.

Thanks to our Sponsors!!!!!