Day 1 - Tuesday 24 November 2020
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09.25
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Welcome
Professor Angela Thomas OBE, Acting President, Royal College of Physicians of Edinburgh
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Session 1 - Acute medicine: Respiratory medicine and sepsis
Chair: Dr Anda Bularga, Trainees & Members' Committee, Royal College of Physicians of Edinburgh
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09.30
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How to manage acute severe and life threatening asthma
Dr Donald Noble, Consultant in Respiratory Medicine & Acute Medicine, St John's Hospital, Livingston
* fail or foul? *intensive care or ward
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10.00
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Lung infection: today and tomorrow
Professor James Chalmers, Professor & Consultant Respiratory Physician, School of Medicine, University of Dundee
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10.30
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Sepsis: the hidden medical emergency
Dr Monica Doyle, Consultant Physician and Clinical Director for Unscheduled Medicine
* assessment, management and treatment
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11.00
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Break (and virtual exhibition) |
Session 2 - Acute medicine: Issues to raise your blood pressure
Chair: Dr Conor Maguire, Vice-President (International), Royal College of Physicians of Edinburgh
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11.30
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Severe hypertension: managing hypertensive urgencies and emergencies
Professor David Webb, Christison Chair of Therapeutics and Clinical Pharmacology, University of Edinburgh
* risk factors * investigations * management * follow-up
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12.00
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SIR JAMES CAMERON LECTURE
Chair: Dr Conor Maguire, Vice-President (International), Royal College of Physicians of Edinburgh
Targeting treatment for COVID-19
Professor Sir Michael Jacobs, Clinical Director of Infection, Royal Free London NHS Foundation Trust & Honorary Senior Lecturer, Liverpool School of Tropical Medicine
*viral kinetics and disease pathogenesis *implications for treatment *what we have learnt from trials.
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12.45
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Lunch/Break (and virtual exhibition with opportunity to meet company representatives)
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Session 3 - Acute medicine: Rheumatology
Chair: Dr Vinod Ravindran, Editor, Journal of the Royal College of Physicians of Edinburgh, Consultant Rheumatologist, Calicut, Kerala, India and RCPE Overseas Regional Advisor
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13.45
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Recent onset polyarthritis and red hot joint
Dr Euan McRorie, Consultant Rheumatologist, Western General Hospital, Edinburgh
* presentation * assessment * management
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14.25
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Vasculitis for the generalist
Dr Paula Dospinescu, Consultant Rheumatologist, Aberdeen Royal Infirmary
* recognition * diagnosis * investigation * when to refer * acute treatment
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15.20
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Break (and virtual exhibition)
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Session 4 - Acute medicine: Dermatology
Chair: Dr Adelina McLeod, Chair,Trainees & Members' Committee, Royal College of Physicians of Edinburgh
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15.45
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The red leg: assessment in the acute medical unit
Dr Girish Gupta, Consultant Dermatologist, NHS Lothian
* the red skin: diffuse erythema/the red lower legs * is it cellulitis? * is it venous stasis? * could it be lipodermatosclerosis?
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16.20
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Skin cancers to recognise and refer
Dr Colin Fleming, Consultant Dermatologist and Macmillian Mohs Surgeon, Department of Dermatology, Ninewells Hospital & Medical School, Dundee
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16.55
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Close of day 1
Dr Adelina McLeod, Chair,Trainees & Members' Committee, Royal College of Physicians of Edinburgh
(Virtual exhibition remains open - with some company reps online for an hour after closing)
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Day 2 - Wednesday 25 November 2020
| 09.25 |
Welcome
Dr Conor Maguire, Vice President (International), Royal College of Physicians of Edinburgh |
Session 1 - Acute emergencies
Chair: Dr Arun Chaudhuri, Consultant Physician, Acute Medical Unit, Ninewells Hospital & Medical School, Dundee
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09.30
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Paracetamol Poisoning - new approaches to an old poison
Professor James Dear, Professor of Clinical Pharmacology and Consultant Toxicologist for NHS Lothian and the UK National Poisons Information Service
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10.00
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The hypotensive toxic patient
Dr Euan Sandilands, Consultant in Clinical Toxicology, National Poisons Information Service and Director, Edinburgh Unit, National Poisons Information Service
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10.30
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The ECG in the poisoned patient
Professor Michael Eddleston, Professor of Clinical Toxicology, University of Edinburgh and Consultant Physician, NHS Lothian
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11.00
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Break (and virtual exhibition)
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Session 2 - Acute emergencies
Chair: Dr Alison Falconer, Consultant Physician in Care of Elderly, Honorary Clinical Lecturer University of Glasgow, University Hospital Wishaw
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11.25
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The behaviourally disturbed patient
Dr Catriona Howes, Consultant Liaison Psychiatrist, NHS Lothian
* how to assess and manage * capacity
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11.55
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Diabetes
Dr Nicola Zammitt, Consultant Physician, NHS Lothian and Clinical Director, Edinburgh Centre for Endocrinology and Diabetes
*hypoglycaemia * diabetic ketoacidosis * hyperosmolar hyperglycaemic state
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12.25
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Melaena
Dr Sian Gilchrist, Consultant Gastroenterologist, NHS Fife
* managing the acute GI bleed state
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12.55
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Lunch/Break (and virtual exhibition with opportunity to meet company representatives)
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Session 3 - A phone call from the laboratory ....
Chair: Dr Rachel Sutherland, Trainees & Members' Committee, Royal College of Physicians of Edinburgh
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13.55
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Deranged sodium
Dr Stuart Ritchie, Consultant Physician Diabetes, Endocrinology & General Medicine, Western General Hospital & Clinical Director for Acute and General Medicine
*causes * immediate management * treatment algorithm
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14.25
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The abnormal potassium
Dr Matt King, Consultant in Acute and General Medicine, Western General Hospital, Edinburgh
* causes * immediate management * treatment algorithm
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14.55
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Hypercalcaemia
Dr Rachel Williamson, Consultant Endocrinologist, Department of Diabetes & Endocrinology, Borders General Hospital, Melrose
*causes * immediate management * treatment algorithm
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15.25
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Break (and virtual exhibition)
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Session 4 - A phone call from the laboratory ....
Chair: Dr Rachel Sutherland, Trainees & Members Committee, Royal College of Physicians of Edinburgh
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15.50
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The abnormal blood gas
Dr Mark Longshaw, Consultant in Respiratory Medicine, Barnsley Hospital NHS Foundation Trust and Honorary Senior Lecturer, University of Manchester
*causes * immediate management * treatment algorithm
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16.20
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Deranged thyroid function tests
Dr Fraser Gibb, Consultant Physician, Royal Infirmary of Edinburgh and Honorary Clinical Reader, University of Edinburgh
* causes * immediate management * treatment algorithm
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16.50
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Close of day 2
Dr Rachel Sutherland, Trainees & Members Committee, Royal College of Physicians of Edinburgh
(Virtual exhibition remains open - with some company reps online for an hour after closing)
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Day 3 - Thursday 26 November 2020
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09.25
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Welcome
Professor Sunil Bhandari, Vice President (England and Wales), Royal College of Physicians of Edinburgh
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Session 1 - Safe for discharge? Common pitfalls of common presentations - interactive case discussions
Chair: Dr Gordon Duncan, Co-chair of Organising Committee & Consultant Physician, NHS Lothian, Edinburgh
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09.30
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Chest pain
Dr Anne Scott, Consultant Cardiologist, Borders General Hospital, Melrose
* diagnoses to consider * diagnostic pathways to safe discharge * pitfalls when interpreting troponin * real case vignettes.
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10.00
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Syncope
Dr John Davison, Consultant Physician, Newcastle upon Tyne Hospitals NHS Foundation Trust
* who to admit * cardiac causes not to be missed * older people and amnesia for symptoms * atypical symptoms * role of cardiac monitoring – what test for who?
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10.30
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Breathlessness
Dr Gerry Carr-White, Consultant Cardiologist, Guys and St Thomas’ NHS Foundation Trust, London
* what’s causing the breathlessness? * heart failure with preserved ejection fraction * neurological causes * pulmonary embolism
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11.00
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Break (and virtual exhibition)
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Session 2 - Complications of specialist care: what YOU need to know
Chair: Dr Kathy Strachan, Consultant Physician, Royal Infirmary of Edinburgh, NHS Lothian
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11.30
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Acute medical problems in pregnancy
Miss Joanna Girling, Consultant Obstetrician, Chelsea and Westminster Hospitals NHS Trust, London
* why do pregnant women present to the medical unit? * pregnancy in high risk patients * getting expert help
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12.00
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JOHN HAMILTON BROWN LECTURE
Chair: Professor Angela Thomas OBE, Acting President, Royal College of Physicians of Edinburgh
Oncology emergencies: new drugs, new problems
Professor Ruth Plummer, Northern Cancer Centre, Newcastle University
* why do oncology patients present to the Acute Medical Unit? * complications of new therapies * immunocompromised patients * models of acute cancer care
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12.45
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Lunch/Break (and virtual exhibition with opportunity to meet company representatives)
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Session 3 - Global medicine
Chair: Dr Nikhil Premchand, Consultant Physician, Northumbria Healthcare NHS Foundation Trust
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13.45
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Acute kidney injury in a hospital near you (wherever that may be)
Professor Nicholas Selby, Associate Professor of Nephrology, University of Nottingham
* infection * crush injury * toxins * point of care diagnostics
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14.15
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Acute liver failure: my local – your global
Professor Debbie Shawcross, Professor of Hepatology, King’s College, London
* hepatitis * hypotension * toxins * infection
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14.45
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HIV in the UK
Dr Naomi Bulteel, Consultant in Infectious Diseases & Acute Medicine, NHS Fife
* undetectable and untransmissible * complications of treatment * ageing with HIV * drug interactions
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15.15
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Break (and virtual exhibition)
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Session 4 - Changing and challenging: it takes two...
Chair: Dr Kerri Baker, Consultant Physician, Victoria Hospital Kirkcaldy, NHS Fife
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15.45
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Reducing admissions and changing behaviours
Dr James Marple, GP, NHS Lothian
* behavioural changes in high frequency attendees * ambulance service * reducing conversion to admission
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16.15
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Could it be functional? A positive approach to negative tests
Dr Elizabeth Visser, Consultant Neurologist, NHS Grampian
* diagnosing functional disorders * how to have a conversation with a patient whose symptoms are medically unexplained * how to manage a patient with medically unexplained symptoms during an acute admission * useful resources for patients and clinicians * case discussions
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16.45
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Close of day 3
(Virtual exhibition remains open - with some company reps online for an hour after closing)
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Day 4 - Friday 27 November 2020
| 09.25 |
Welcome
Dr Susan Pound, Vice President (Scotland and Northern Ireland), Royal College of Physicians of Edinburgh |
Session 1 - What’s new in...
Chair: Dr Una Clancy, Specialty Training Registrar, Medicine for the Elderly, Edinburgh
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09.30
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Point of care testing
Dr Kate Templeton, Consultant Clinical Scientist, NHS Lothian, Edinburgh
* point of care testing in the acute medical unit * the test was negative, so what? * molecular diagnostics and implications for point of care testing and patient care * managing an epidemic
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10.00
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Stroke
Professor Tom Robinson, Professor of Stroke Medicine, University of Leicester
* clinical assessment * investigations * models of care * who can safely go home and risk assessment * medication
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10.30
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Intracerebral haemorrhage
Professor Nikola Sprigg, Professor of Stroke Medicine, University of Nottingham
* when to discuss with a neurosurgeon * managing blood pressure * anticoagulation and antiplatelet therapy: stopping and starting
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11.00
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Break (and virtual exhibition)
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Session 2 - Are you treating me right doc?
Chair: Dr Nicola Zammitt, Consultant Physician, Royal Infirmary of Edinburgh, NHS Lothian
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11.25
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Pain in advanced disease: assessment and management in the Acute Medical Unit
Dr Fiona Finlay, Consultant in Palliative Medicine, Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde
* case studies * matching analgesia to indication * specials groups e.g. elderly, liver disease and polypharmacy
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11.55
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Anticoagulation for venous thromboembolism
Dr Ryan Rodgers, Consultant Haematologist, NHS Greater Glasgow & Clyde
* indications * duration * risk scoring * venous thromboembolism associated with malignancy * dose adjusting * reversal agents
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12.25
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Too much medicine?
Dr Martin Wilson, Consultant Physician, Raigmore Hospital, NHS Highland, Inverness
* a rational approach to polypharmacy * complications of medication * applying guidelines in the frail elderly * prescribing pitfalls
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12.55
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Break (and virtual exhibition with opportunity to meet company representatives)
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Session 3 - Common clinical conundrums: unknown unknowns - interactive case discussions
Chair: Dr Euan Sandilands, Consultant Physician, Royal Infirmary of Edinburgh, NHS Lothian
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13.55
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Cancer of unknown primary
Dr Sally Clive, Consultant Medical Oncologist, Edinburgh Cancer Centre, Western General Hospital, NHS Lothian, Edinburgh
* definitions * investigation * pathways of care * prognosis
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14.35
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Anaemia
Dr Fiona Scott, Consultant Haematologist, Western General Hospital, Edinburgh
* drug causes * medical causes * the presentations of myeloma * myelodysplasia
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15.15
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Break (and virtual exhibition)
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Session 4 - Difficult decisions, difficult discussions - interactive case discussions
Chair: Professor Mark Strachan, Consultant Physician, Western General Hospital, Edinburgh
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15.35
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Sexual health in the acute medical unit: the Great Pretender and the magic curtain?
Dr Sarah Allstaff, Consultant Physician, Genitourinary Medicine, NHS Tayside
* sexual history taking in acute medicine *screening *presentations *case based discussions
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16.05
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Decision making for the intensive care unit
Dr Nazir Lone, Senior Clinical Lecturer & Hon Consultant, Critical Care Medicine, University of Edinburgh
* who to refer – case discussions * when to refer * communication of risk * legal aspects and practicing within the law
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16.35
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Close of day 4
Dr Gordon Duncan, Co-chair of Organising Committee & Consultant Physician, NHS Lothian, Edinburgh
(Virtual exhibition remains open - with some company reps online for an hour after closing)
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