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EMERGENCIES IN THE CANCER PATIENT 2018 JUNE 22-23, 2018 Memorial Sloan Kettering Cancer Center Zuckerman Research Center 417 East 68th Street New York, NY 10065 mskcc.org/emergenciescourse

Transcript of EMERGENCIES IN THE CANCER PATIENT 2018 - mskcc.cloud …€¦ · EMERGENCIES IN THE CANCER PATIENT...

EMERGENCIES IN THE CANCER PATIENT2018

JUNE 22-23, 2018

Memorial Sloan Kettering Cancer CenterZuckerman Research Center417 East 68th StreetNew York, NY 10065

mskcc.org/emergenciescourse

mskcc.org/EmergenciesCourse

Oncologic emergencies has become a rapidly evolving field in medicine over the last ten years. In addition to the treatment of complications related to the standard and traditional chemotherapies, the development of numer-ous new cancer treatment modalities present a whole new field of patient complaints that are just now starting to be seen at emergency rooms across the country. With very few dedicated cancer hospital emergency rooms across the country, patients presenting with cancer emergencies are often inappropriately diagnosed, undertreated, or often times simply referred back to their respective oncologist without resolution of their emergent complaints. We bring together specialists from across all areas of the cancer treatment spectrum in order to update and enhance emergency room providers and staff on how to prepare for common & not-so-common emergency scenarios with which the patient could present.

Educational Objectives

• Identify and recognize the most common presenting complaints of a cancer patient in the emergency room.

• Identify current and developing cancer therapeutics with respect to their side-effects and complications.

• Recognize the current limitations and challenges that remain in efficiently addressing the emergent needs of the cancer patient.

Target Audience

This course is intended for physicians, nurse practitioners, physician assistants, and registered nurses involved in the treatment and management of patients with active malignancies/cancers who present with acute illnesses in an emergency type setting.

Mark Bilsky, MDAttending Physician Department of NeurosurgeryVice Chairman for Clinical Affairs in NeurosurgeryProfessor of Neurological Surgery,

Weill Cornell Medical College

Yolanda Bryce, MD, RPVI Assistant Attending PhysicianBreast Imaging and Interventional ServiceDepartment of RadiologyInstructor of Radiology,

Weill Cornell Medical College

Alan Carver, MD Attending PhysicianDepartment of NeurologyAssociate Clinical Professor of Neurology,

Weill Cornell Medical College

Sanjay Chawla, MD, FCCP, FACP, FCCMAssociate Attending Physician Critical Care Medicine ServiceDepartment of Anesthesiology-Critical CareAssistant Professor of Clinical Anesthesiology,

Weill Cornell Medical College

Marc Cohen, MD, MPHAssociate Attending Physician Director of Endoscopic Skull Base SurgeryHead & Neck Surgery ServiceDepartment of Surgery

Andrew S. Epstein, MDAssistant Attending Physician Gastrointestinal Oncology ServiceDepartment of MedicineAssistant Professor of Medicine,

Weill Cornell Medical College

Yvona Griffo, MDAssociate Attending PhysicianSupportive Care ServiceDepartment of MedicineAssistant Professor of Neurology,

Weill Cornell Medical College

Bob Li, MD, MPHAttending Medical OncologistThoracic Oncology ServiceDepartment of Medicine

Alina Markova, MDAssistant Attending Physician Dermatology ServiceDepartment of MedicineInstructor in Dermatology,

Weill Cornell Medical College

Peter Mead, MD Assistant Attending PhysicianInfectious Disease ServiceDepartment of MedicineAssistant Professor of Clinical Medicine,

Weill Cornell Medical College

Elena Mead, MDAssistant Attending Physician Critical Care Medicine ServiceDepartment of Anesthesiology-Critical Care

Christian Otto, MD, MMScAssociate Attending PhysicianDirector of TeleOncology

Vinay Puttanniah, MDAssistant Professor Director of Regional Anesthesia and

Perioperative Pain MedicineDepartment of Anesthesiology-Critical CareAssistant Professor in Clinical Anesthesiology,

Weill Cornell Medical College

Bianca D. Santomasso, MD, PhDAssistant Attending Physician Department of Neurology

Michael Scordo, MDAssistant Attending Physician Adult Bone Marrow Transplant ServiceDepartment of Medicine

Gerald A. Soff, MDChief, Hematology Service Department of MedicineProfessor of Clinical Medicine,

Weill Cornell Medical College

Robin Stutman, MDAssistant Attending Physician Urgent Care ServiceDepartment of Medicine

Howard Weinstein, MDAssociate Attending PhysicianCardiology ServiceDepartment of Medicine

Nandini Yadav, MDAssistant Attending Physician Urgent Care ServiceDepartment of Medicine

MSK Faculty

Elie Azoulay, MD, PhDProfessor of Medicine, Pulmonary, and Critical Care Director of the Medical Intensive Care UnitSaint Louis Teaching HospitalParis, France

Invited Faculty

EMERGENCIES IN THE CANCER PATIENT2018

MSK Course Directors

George K. Wang, MD, PhDAssistant Attending PhysicianUrgent Care ServiceDepartment of MedicineAssistant Clinical Professor of Medicine,

Weill Cornell Medical College

Jeffrey S. Groeger, MDChief, Urgent Care ServiceDepartment of MedicineProfessor of Medicine,

Weill Cornell Medical College

7:30 am Registration & Breakfast

8:00 am DEPARTMENT OF MEDICINE GRAND ROUNDSImproving Survival in Cancer Patients with Acute Respiratory FailureElie Azoulay, MD, PhD

9:00 am Introductory RemarksJeffrey S. Groeger, MD George K. Wang, MD, PhD

Neutropenia & Sepsis 9:10 am Antibiotic Usage & Neutropenic Patients

Peter Mead, MD

9:30 am Prognosis of Critically Ill Cancer Patients Elie Azoulay, MD, PhD

10:00 am Resuscitation in the Cancer Patient Sanjay Chawla, MD, FCCP, FACP, FCCM

10:30 am Panel Discussion Elie Azoulay, MD, PhDSanjay Chawla, MD, FCCP, FACP, FCCMAndrew S. Epstein, MD

11:00 am Break

Pain Control & Management 11:15 am PCA and Emergent Pain Management

Yvona Griffo, MD

11:45 am Interventional Pain Control Options Vinay Puttanniah, MD

12:15 pm Q&A Session

12:30 pm Lunch Break

Thrombosis & Hypercoagulation 1:30 pm Thrombophilia & Anticoagulation

Gerald A. Soff, MD

2:00 pm Emergent IR Procedures in Cancer Patients Yolanda Bryce, MD, RPVI

2:30 pm Q&A Session2:45 pm Break

Dermatological Complications of Patients & Treatment

3:00 pm Dermatologic Side EffectsAlina Markova, MD

3:30 pm Q&A Session

Head/Neck Cancer Complications 3:40 pm Head/Neck Surgery Bleeding Complications

Marc Cohen, MD, MPH

4:10 pm Q&A Session4:20 pm Adjourn

7:30 am Breakfast

Brain & Spine Complications 8:00 am Headache/Back Pain Evaluation

Alan Carver, MD

8:30 am Spinal Cord Compression Mark Bilsky, MD

9:00 am Q&A Session

9:15 am Break

Newer Cancer Therapies & Complications 9:30 am Immunotherapy/Targeted Therapy Side Effects

Bob Li, MD, MPH

10:00 am CAR T Cell Therapy Complications Elena Mead, MD / Bianca D. Santomasso, MD, PhD

11:00 am BMT Complications Michael Scordo, MD

11:30 am Q&A Session

11:45 am Lunch Break

Cardiology Complications 1:00 pm Pericardial Effusions/Arrythmias/Atypical Chest Pain

Howard Weinstein, MD

1:30 pm Cardiotoxicity in Chemotherapeutic Patients Nandini Yadav, MD

2:00 pm Q&A Session2:15 pm Break

Cancer Emergency Room Updates 2:30 pm Telemedicine

Christian Otto, MD, MMSc

3:00 pm Primary & Secondary Triage and True Emergencies in Oncology Patients Robin Stutman, MD

3:30 pm Q&A Session3:45 pm Symposium Adjourn

SYMPOSIUMAGENDA FRIDAY, JUNE 22

SATURDAY, JUNE 23

EARLY* GENERAL

Physicians (MDs, DOs and PhDs) $450 $500

Fellows, Residents, PAs, NPs, RNs and Other Healthcare Providers $200 $250

Industry Professionals** $825 $875

*Special early rate expires April 6, 2018**Industry professionals may attend CME activities for their own education. Marketing, sales, and promotion of products and services is strictly prohibited at MSK CME activities.

Register Online:mskcc.org/emergenciescourseRegistration includes continental breakfast, lunch, and refreshment breaks. Please contact [email protected] at least one week prior to the course if you have any special dietary needs.

30% Discounted Rate for MSK Alumni and MSK Alliance Members: MSK offers a 30% discounted rate to all MSK Alumni and MSK Alliance members to attend a course. Please contact [email protected] for a promotion code or more information.

MSK Staff Registration: Registration is complimentary for MSK staff. However, you must register online: mskcc.org/emergenciescourse

AccreditationMSK is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA Credit Designation StatementMSK designates this live activity for a maximum of 12.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ABIM MOC Recognition StatementSuccessful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 12.75 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

CE CreditsThis course will not offer nursing CE credits. Nurses will receive a non-physician CME certificate for AMA PRA Category 1 Credit(s)™. Certain nursing certification providers (such as ANCC) may accept this certificate for CE requirements. Please check with your certification providers for more information.

Faculty Disclosure It is the policy of MSK to make every effort to insure balance, independence, objectivity, and scientific rigor in all continuing medical education activities which it provides as an ACCME accredited provider. In accordance with ACCME guidelines and standards, all faculty participating in an activity provided by MSK are expected to disclose any significant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services which are discussed by the faculty members in an educational presentation. As required by the ACCME, when an unlabeled use of a commercial product or an investigational use not yet approved for any purpose is discussed during an educational activity, MSK requires the speaker to disclose that the product is not labeled for the use under discussion or that the product is still investigational.

Location & AccommodationsConference LocationMemorial Sloan Kettering Cancer Center Mortimer B. Zuckerman Research Center417 East 68th Street New York, NY 10065

AccommodationsMSK has negotiated special rates and amenities at select hotels in Manhattan. For information on hotels in the area of MSK with discounted rates, please visit: mskcc.org/cme.

Contact Memorial Sloan Kettering Cancer CenterOffice of Continuing Medical Education

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REGISTRATION & DETAILS Registration Fees

mskcc.org/[email protected]

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