Target Audience
Physicians, Residents, Fellows, Nurses, Allied Health Professionals, EMTs and Full Time Students
Lifelong Learning
Please click learn.heart.org to learn more about educational opportunities provided by the AHA
Learning Objectives
Apply appropriate drug therapy regimens (epinephrine, antiarrhythmics) and airway management strategies for patients with cardiac arrest
Discuss the advantages and disadvantages of using eCPR and ECMO for resuscitation from shock states
List newly-identified risk factors for cardiac arrest in the ICU and apply specific tools for prevention
Provide appropriate interventions for shock states including vasopressors, fluids and metabolic interventions
Provide appropriate interventions for hemorrhagic shock and associated coagulopathic states
The diagnosis and management of shock, critical illness, and cardiac arrest remains a constant challenge. Both the basics of management and the latest advances in the literature require continued review and updating. In this symposium, we will provide up-to-date and cutting edge information for clinicians and investigators alike. The concise didactic sessions and interactive discussions will provide current best practices in diagnosis and treatment of shock/critical illness to assist the learners in development of new strategies they can apply in practice. Individual participants will also have the opportunity to assess how new forms of treatment can best serve the care of their patients through shared dialogue.
The Symposium will also provide the knowledge base and practical experience of experts in the field to address the challenges of managing critically ill patients. The information imparted by these experts will provide the opportunity for caregivers of patients with shock/critical illness to build up their own expertise and ability to implement treatments.
| Time | Presentation Title | Faculty |
| 7:30-8:00 am | Continental Breakfast and Registration | n/a |
| 8:00-8:05 am | Welcome and Introductions | n/a |
| 8:05-9:20am | Updates in Cardiac Arrest: The Max Harry Weil Memorial Session | Moderator: Michael N. Cocchi MD |
| 8:05-8:25 am | Epinephrine (Intra- and Post-Arrest) | Michael W. Donnino MD |
| 8:25-8:45 am | Antiarrhythmics in Cardiac Arrest | Katherine Berg MD |
| 8:45-9:05 am | Intubation, SGA, or BVM – which should I do? | Jerry Nolan MD |
| 9:05-9:20 am | Panel Discussion, Audience Q and A | All |
| 9:20-9:35 am | Break and Visit with Exhibitors | n/a |
| 9:35-11:00 am | Advanced Therapies in Shock (ECMO, Impella) Case Presentations and Discussion | Moderator: Kathryn Hibbert MD |
| 9:35-9:45 am | Introduction | Jason Bartos MD |
| 9:45-10:45 am | Case Studies for Advanced Therapies in Shock: Case 1: 43 year old with refractory VF Arrest Case 2: 55 year old presents with severe ARDS | Panelists: Jason Bartos MD (Case Presenter) Edward Grandin MD Michael N. Cocchi MD Nathalie Roy MD Katelyn Rick RN |
| 10:45-11:00 am | Audience Q and A | All |
| 11:00 am-12:00 pm | Prevention of Cardiac Arrest and Adverse Events in the ICU | Introduction: Michael W. Donnino MD |
| 11:00-11:45 am | Case Presentation: Prevention of Cardiac Arrest and Adverse Events in the ICU: The I-CAP program at BIDMC | Panelists: Jennifer Sarge RN Ari Moskowitz MD Michael N. Cocchi MD Michael Silverman MD Catherine Ross MD |
| 11:45 am-12:00 pm | Audience Q and A | All |
| 12:00-1:00 pm | Lunch, Poster Presentations and Visit with Exhibitors | n/a |
| 1:00-1:30 pm | Oral Abstract Presentations | |
| 1:30-2:45 pm | Management in Distributive Shock | Shelley Calder DNP |
| 1:30-1:50 pm | Which Vasopressor to Use? Advantages and Disadvantages of Methylene Blue, Angiotensin II | Margaret Hayes MD |
| 1:50-2:10 pm | Metabolic Resuscitation | Ari Moskowitz MD |
| 2:10-2:30 pm | Is there an emerging role for midodrine? | Shahzad Shaefi MD |
| 2:30-2:45 pm | Panel Discussion, Audience Q and A | All |
| 2:45-3:00 pm | Break | n/a |
| 3:00-4:15 pm | Hemorrhagic Shock | Moderator: Maureen Chase MD |
| 3:00-3:20 pm | REBOA for trauma and cardiovascular emergencies | David King MD |
| 3:20-3:40 pm | Optimal Resuscitation Strategies | Noelle Saillant MD |
| 3:40-4:00 pm | Reversal agents for life-threatening hemorrhage – what do I use? | TBD |
| 4:00-4:15 pm | Panel Discussion, Audience Q and A | All |
| 4:15-4:30 pm | Closing Remarks | Michael W. Donnino MD Michael N. Cocchi MD |
Faculty
Jason Bartos, MD, PhD
Assistant Professor of Medicine
Dr. Bartos is a Cardiology and Critical Care physician at the University of Minnesota Medical School who is board certified in Internal Medicine, Cardiology, Critical Care Medicine, and Interventional Cardiology. His research interests include resuscitation, advanced hemodynamic support, and recovery from cardiac arrest. He has performed research in the field of ischemia and reperfusion injury for 15 years describing the molecular pathways of injury in models of cerebral ischemia and investigating potential therapies to mitigate the effects of reperfusion injury in heart transplantation and myocardial infarction.
Dr. Bartos is a Cardiology and Critical Care physician at the University of Minnesota Medical School who is board certified in Internal Medicine, Cardiology, Critical Care Medicine, and Interventional Cardiology. His research interests include resuscitation, advanced hemodynamic support, and recovery from cardiac arrest. He has performed research in the field of ischemia and reperfusion injury for 15 years describing the molecular pathways of injury in models of cerebral ischemia and investigating potential therapies to mitigate the effects of reperfusion injury in heart transplantation and myocardial infarction.
Katherine Berg, MD
Professor of Medicine
Dr. Berg is a Pulmonary and Critical Care physician in the Medical ICU at Beth Israel Deaconess Medical Center and an Associate Director of the Center for Resuscitation Science. She is a member of the AHA-GWTG committee, member of the AHA Science subcommittee, and member of writing group for AHA adult cardiac arrest guidelines. Her research focuses on shock and metabolic resuscitation in cardiac arrest and sepsis.
Dr. Berg is a Pulmonary and Critical Care physician in the Medical ICU at Beth Israel Deaconess Medical Center and an Associate Director of the Center for Resuscitation Science. She is a member of the AHA-GWTG committee, member of the AHA Science subcommittee, and member of writing group for AHA adult cardiac arrest guidelines. Her research focuses on shock and metabolic resuscitation in cardiac arrest and sepsis.
Maureen Chase, MD, MPH
Assistant Professor of Emergency Medicine
Dr. Chase is an Emergency Medicine physician and an Associate Director of the Center for Resuscitation Science at Beth Israel Deaconess Medical Center. She serves on the AHA ECC Committee. Dr. Chase’s research centers on early interventions for patients with critical illness.
Dr. Chase is an Emergency Medicine physician and an Associate Director of the Center for Resuscitation Science at Beth Israel Deaconess Medical Center. She serves on the AHA ECC Committee. Dr. Chase’s research centers on early interventions for patients with critical illness.
Michael N. Cocchi, MD
Director of Critical Care Quality
Dr. Cocchi is board certified in Emergency Medicine, Critical Care Medicine, and Neurocritical Care, and practices clinically in the Emergency Department and surgical ICUs at Beth Israel Deaconess Medical Center. He oversees quality and safety for all adult Critical Care at BIDMC. He is also an Associate Director of the Center for Resuscitation Science, where his research focuses on septic shock and cardiac arrest.
Dr. Cocchi is board certified in Emergency Medicine, Critical Care Medicine, and Neurocritical Care, and practices clinically in the Emergency Department and surgical ICUs at Beth Israel Deaconess Medical Center. He oversees quality and safety for all adult Critical Care at BIDMC. He is also an Associate Director of the Center for Resuscitation Science, where his research focuses on septic shock and cardiac arrest.
Michael W. Donnino, MD
Vice Chair of Resuscitation Science, Director of Center for Resuscitation Science
Dr. Donnino is an attending physician in the Department of Emergency Medicine and Division of Pulmonary/Critical Care Medicine at Beth Israel Deaconess Medical Center. His clinical practice spans both the intensive care unit as well as the emergency department. Dr. Donnino was the first person in the country to train in a 6-year combined emergency medicine, internal medicine, and critical care program leading to board certification in all three areas. Dr. Donnino is also the Director of the Center for Resuscitation Science and Director of Critical Care in Emergency Medicine.
Dr. Donnino is an attending physician in the Department of Emergency Medicine and Division of Pulmonary/Critical Care Medicine at Beth Israel Deaconess Medical Center. His clinical practice spans both the intensive care unit as well as the emergency department. Dr. Donnino was the first person in the country to train in a 6-year combined emergency medicine, internal medicine, and critical care program leading to board certification in all three areas. Dr. Donnino is also the Director of the Center for Resuscitation Science and Director of Critical Care in Emergency Medicine.
Edward Grandin, MD, MPH
Instructor in Medicine
Dr. Grandin is an Instructor in Medicine at Harvard Medical school and a specialist in advanced heart failure, ECMO, and cardiac transplant, with over 10 years of diverse experience in these areas. He is the Director of the ECMO service at Beth Israel Deaconess Medical Center. His research interests include advanced heart failure, and cardiac transplant cardiology. Dr. Grandin is currently the Spina Scholar in Cardiovascular Outcomes Research in the Smith Center for Outcomes Research in Cardiology.
Dr. Grandin is an Instructor in Medicine at Harvard Medical school and a specialist in advanced heart failure, ECMO, and cardiac transplant, with over 10 years of diverse experience in these areas. He is the Director of the ECMO service at Beth Israel Deaconess Medical Center. His research interests include advanced heart failure, and cardiac transplant cardiology. Dr. Grandin is currently the Spina Scholar in Cardiovascular Outcomes Research in the Smith Center for Outcomes Research in Cardiology.
Margaret "Molly" Hayes, MD
Assistant Professor of Medicine
Dr. Hayes is an Assistant Professor of Medicine at Harvard Medical School and a Pulmonary and Critical Care attending at Beth Israel Deaconess Medical Center. Dr. Hayes’ research interests are in best practices for teaching critical thinking and communication around end of life issues in the intensive care unit, as well as medical simulation and procedural training. Dr. Hayes is an accomplished educator and speaker, having received the 2018 Emerging Educator Award from the Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD) and the Hermann L. Blumgart Faculty teaching award from the Department of Medicine at BIDMC in 2017.
Dr. Hayes is an Assistant Professor of Medicine at Harvard Medical School and a Pulmonary and Critical Care attending at Beth Israel Deaconess Medical Center. Dr. Hayes’ research interests are in best practices for teaching critical thinking and communication around end of life issues in the intensive care unit, as well as medical simulation and procedural training. Dr. Hayes is an accomplished educator and speaker, having received the 2018 Emerging Educator Award from the Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD) and the Hermann L. Blumgart Faculty teaching award from the Department of Medicine at BIDMC in 2017.
Kathryn Hibbert, MD
Instructor in Medicine
Dr. Hibbert is an Instructor in Medicine at Harvard Medical School who is board certified in Internal Medicine, Pulmonary Disease, and Critical Care Medicine. She is Director of the MGH’s Medical Intensive Care Unit, and Site Director for the Harvard Pulmonary and Critical Care fellowship. She is also the MGH site PI for the NHLBI Prevention and Early Treatment of Acute Lung Injury (PETAL) Clinical Trials Network.
Dr. Hibbert is an Instructor in Medicine at Harvard Medical School who is board certified in Internal Medicine, Pulmonary Disease, and Critical Care Medicine. She is Director of the MGH’s Medical Intensive Care Unit, and Site Director for the Harvard Pulmonary and Critical Care fellowship. She is also the MGH site PI for the NHLBI Prevention and Early Treatment of Acute Lung Injury (PETAL) Clinical Trials Network.
Ari Moskowitz, MD
Instructor in Medicine
Dr. Moskowitz is an Assistant Director of the Center for Resuscitation Science at Beth Israel Deaconess Medical Center, Attending Physician in Pulmonary, Critical Care, and Sleep Medicine, and Instructor of Medicine at Harvard Medical School. Dr. Moskowitz's clinical and research interests are in the initial resuscitation of patients with sepsis and cardiac arrest. He presently holds leadership responsibilities for a multi-center trial studying neuromuscular blockade for post-cardiac arrest care and the Ascorbic Acid, Corticosteroids, and Thiamine in Sepsis (ACTS) trial.
Dr. Moskowitz is an Assistant Director of the Center for Resuscitation Science at Beth Israel Deaconess Medical Center, Attending Physician in Pulmonary, Critical Care, and Sleep Medicine, and Instructor of Medicine at Harvard Medical School. Dr. Moskowitz's clinical and research interests are in the initial resuscitation of patients with sepsis and cardiac arrest. He presently holds leadership responsibilities for a multi-center trial studying neuromuscular blockade for post-cardiac arrest care and the Ascorbic Acid, Corticosteroids, and Thiamine in Sepsis (ACTS) trial.
Jerry Nolan, MD, FRCA, FRCP, FFICM, FCEM (Hon)
Professor, School of Clinical Sciences, University of Bristol, Bristol, UK
Dr. Nolan is a consultant in anaesthesia and intensive care medicine at the Royal United Hospital, Bath and Honorary Professor of Resuscitation Medicine at the University of Bristol. Jerry is Chair of the European Resuscitation Council (ERC), past Chair of the Resuscitation Council (UK), and the immediate past Co-Chair of the International Liaison Committee on Resuscitation (ILCOR). He received a Lifetime Achievement Award in Cardiac Resuscitation Science from the American Heart Association in 2016. Dr. Nolan is Editor-in-Chief of the journal Resuscitation. His research interests are in cardiopulmonary resuscitation, airway management, and post-cardiac arrest treatment.
Dr. Nolan is a consultant in anaesthesia and intensive care medicine at the Royal United Hospital, Bath and Honorary Professor of Resuscitation Medicine at the University of Bristol. Jerry is Chair of the European Resuscitation Council (ERC), past Chair of the Resuscitation Council (UK), and the immediate past Co-Chair of the International Liaison Committee on Resuscitation (ILCOR). He received a Lifetime Achievement Award in Cardiac Resuscitation Science from the American Heart Association in 2016. Dr. Nolan is Editor-in-Chief of the journal Resuscitation. His research interests are in cardiopulmonary resuscitation, airway management, and post-cardiac arrest treatment.
Katelyn Rick, RN
Clinical Coordinator
Katelyn Rick is the Temporary Mechanical Circulatory Support/ Shock Team Coordinator, as well as the Coordinator for the LVAD and cardiac transplantation program at Beth Israel Deaconess Medical Center.
Katelyn Rick is the Temporary Mechanical Circulatory Support/ Shock Team Coordinator, as well as the Coordinator for the LVAD and cardiac transplantation program at Beth Israel Deaconess Medical Center.
Nathalie Roy, MD
Instructor in Surgery
Dr. Roy is an Instructor in Surgery at Boston Children’s Hospital who has trained in general surgery, cardiac surgery, congenital cardiovascular and thoracic surgery, and surgical critical care. She is well known in the field of cardiac critical care from her work on adult congenital heart disease, ECMO and mechanical circulatory support, and research in organ resuscitation for heart and lung transplantation at Massachusetts General Hospital. She is currently leading the development of the enhanced recovery after surgery (ERAS) initiative at the Heart Center at Boston Children’s Hospital.
Dr. Roy is an Instructor in Surgery at Boston Children’s Hospital who has trained in general surgery, cardiac surgery, congenital cardiovascular and thoracic surgery, and surgical critical care. She is well known in the field of cardiac critical care from her work on adult congenital heart disease, ECMO and mechanical circulatory support, and research in organ resuscitation for heart and lung transplantation at Massachusetts General Hospital. She is currently leading the development of the enhanced recovery after surgery (ERAS) initiative at the Heart Center at Boston Children’s Hospital.
Catherine Ross, MD
Instructor in Pediatrics
Dr. Ross is an instructor in Pediatrics and attending physician in the Division of Critical Care Medicine at Boston Children’s Hospital. Her research interests center on the appropriate timing and dosage of epinephrine after cardiac arrest in children as well as other aspects of peri-arrest management. Dr. Ross is also the Pediatric Liaison at the Center for Resuscitation Science.
Dr. Ross is an instructor in Pediatrics and attending physician in the Division of Critical Care Medicine at Boston Children’s Hospital. Her research interests center on the appropriate timing and dosage of epinephrine after cardiac arrest in children as well as other aspects of peri-arrest management. Dr. Ross is also the Pediatric Liaison at the Center for Resuscitation Science.
Noelle Saillant, MD
Instructor in Surgery
Dr. Saillant is an Instructor in Surgery and attending physician in the Division of Surgery, Critical Care and Trauma at Massachusetts General Hospital. She is board certified in Surgery and Surgical Critical Care. Some of her most recent research involves the development of a novel nanomaterial which can aid clotting at sites of injury. Dr. Saillant is also the Director of the Surgical Clerkship at Harvard Medical School and has won multiple teaching awards for medical education.
Dr. Saillant is an Instructor in Surgery and attending physician in the Division of Surgery, Critical Care and Trauma at Massachusetts General Hospital. She is board certified in Surgery and Surgical Critical Care. Some of her most recent research involves the development of a novel nanomaterial which can aid clotting at sites of injury. Dr. Saillant is also the Director of the Surgical Clerkship at Harvard Medical School and has won multiple teaching awards for medical education.
Jennifer Sarge, RN
ICU Educator
Jennifer Sarge is a clinical nurse and a Unit Based Educator in the Medical ICUs at Beth Israel Deaconess Medical Center. She has been a key member of the team at BIDMC working on the I-CAP program to reduce cardiac arrest in the ICU.
Jennifer Sarge is a clinical nurse and a Unit Based Educator in the Medical ICUs at Beth Israel Deaconess Medical Center. She has been a key member of the team at BIDMC working on the I-CAP program to reduce cardiac arrest in the ICU.
Shahzad Shaefi, MD, MPH
Assistant Professor of Anaesthesia
Dr. Shaefi is an Assistant Professor of Anaesthesia at Harvard Medical School based at Beth Israel Deaconess Medical Center (BIDMC) who is board certified in Anaesthesia, Anaesthesia Critical Care Medicine, and Electrodiagnostic Medicine. His current research interests include hyperoxia and neurocognitive effects in cardiac event-related anesthesia and also innate immune responses in critical illness. Dr. Shaefi is also an accomplished educator and currently serves as the Program Director for both the Adult Cardiothoracic Anesthesia and the Anesthesia Critical Care Medicine Fellowships in the Department of Anesthesia, Critical Care and Pain Medicine at BIDMC.
Dr. Shaefi is an Assistant Professor of Anaesthesia at Harvard Medical School based at Beth Israel Deaconess Medical Center (BIDMC) who is board certified in Anaesthesia, Anaesthesia Critical Care Medicine, and Electrodiagnostic Medicine. His current research interests include hyperoxia and neurocognitive effects in cardiac event-related anesthesia and also innate immune responses in critical illness. Dr. Shaefi is also an accomplished educator and currently serves as the Program Director for both the Adult Cardiothoracic Anesthesia and the Anesthesia Critical Care Medicine Fellowships in the Department of Anesthesia, Critical Care and Pain Medicine at BIDMC.
David R. King, MD
Assistant Professor of Surgery
Dr. King is an attending trauma and acute care surgeon with military combat experience at the Massachusetts General Hospital Trauma Center. His practice focuses on caring for the acutely injured and traumatized, emergent surgical illnesses, as well as surgical critical care. His research is mainly devoted to novel hemostatics for intracavitary hemmorrhage control and novel monitoring technologies for detection of occult injury. He has funded research support and grants from the Department of Defense and the Defense Advanced Research Projects Agency, as well as industry support for clinical trials of wound healing.
Dr. King is an attending trauma and acute care surgeon with military combat experience at the Massachusetts General Hospital Trauma Center. His practice focuses on caring for the acutely injured and traumatized, emergent surgical illnesses, as well as surgical critical care. His research is mainly devoted to novel hemostatics for intracavitary hemmorrhage control and novel monitoring technologies for detection of occult injury. He has funded research support and grants from the Department of Defense and the Defense Advanced Research Projects Agency, as well as industry support for clinical trials of wound healing.
Michael Silverman, MD, MPH
Instructor in Medicine
Dr. Silverman is triple board certified in internal medicine, cardiology, and critical care. He practices in the cardiac intensive care unit at Massachusetts General Hospital with special expertise in management of cardiac arrest and complex critically ill cardiac patients. Dr. Silverman's research examines predictors of the incidence of cardiac arrest as well as treatments and determinants of outcomes for patients following cardiac arrest.
Dr. Silverman is triple board certified in internal medicine, cardiology, and critical care. He practices in the cardiac intensive care unit at Massachusetts General Hospital with special expertise in management of cardiac arrest and complex critically ill cardiac patients. Dr. Silverman's research examines predictors of the incidence of cardiac arrest as well as treatments and determinants of outcomes for patients following cardiac arrest.
Shelley Calder, DNP, RN, CEN
Clinical Specialist, Emergency Department
Shelley Calder, a clinical nurse specialist in the BIDMC Department of Emergency Medicine, consults on educational program development for ED nursing staff and has extensive international consulting experience, specifically in the area of ED needs assessment. Ms. Calder is affiliated with the Emergency Nurses Association and is qualified by exam as a Certified Emergency Nurse (CEN). Ms. Calder is devoted to the development of a variety of education programs essential for staff nurses in the ED.
Shelley Calder, a clinical nurse specialist in the BIDMC Department of Emergency Medicine, consults on educational program development for ED nursing staff and has extensive international consulting experience, specifically in the area of ED needs assessment. Ms. Calder is affiliated with the Emergency Nurses Association and is qualified by exam as a Certified Emergency Nurse (CEN). Ms. Calder is devoted to the development of a variety of education programs essential for staff nurses in the ED.
Venue
Located within the New Research Building at Harvard Medical School, The Joseph B. Martin Conference Center is in the heart of Boston's Longwood Medical Area.
For a special rate on hotel booking, please click this link.
Directions to the conference center can be found at this link.
Information regarding parking can be found at this link.
ADA Statement
We encourage participation by all individuals. If you have a disability, advance notification of special needs will help us to serve you better.
CALL FOR ABSTRACTS
***Please note this portion of the program does not provide CMEs and is solely sponsored Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center***
2019 Shock Symposium – The Latest in Resuscitation and Critical Care
Friday, May 31, 2019 ~ 8:00 am - 4:30 pm
We are happy to announce that the 2019 Shock Symposium will be held on Friday, May 31, 2019 at the Joseph B. Martin Center at Harvard Medical School in Boston, MA. The target audience is clinicians and researchers focused on the diagnosis and management of critically ill patients with shock and cardiac arrest. This group includes but is not limited to Physicians (Hospital Medicine, Emergency Medicine, Critical Care, Surgery, Anesthesia); Registered Nurses/Nurse Practitioners/Physician Assistants; EMS Professionals (EMT, EMT-I/P); and other health care professionals who treat shock.
Topics include:
- Updates in Cardiac Arrest: Examining the latest science and guidelines to inform practice
- Advanced Therapies in Shock (ECMO, Impella): Case presentations and panel discussions focusing on mechanical support options for patients in severe shock or respiratory failure
- Prevention of Cardiac Arrest and Adverse Events in the ICU: Exploring elements of preventability of cardiac arrest and adverse events in the ICU, and testing a new strategy for identification and response
- Management of Distributive Shock: Reviewing the evidence on vasopressor choice, use of novel agents such as angiotensin II or methylene blue, the role of metabolic resuscitation, and more
- Hemorrhagic Shock: Addressing the use Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) for trauma and cardiovascular emergencies, optimal resuscitation strategies, and reversal agents for life-threatening hemorrhage
DEADLINE for Abstract Submissions: April 5th, 2019
The poster presentations will showcase original research projects in the field of shock, resuscitation, and critical care. The presenting author for each accepted abstract will receive a 25% tuition discount to attend the conference. Additionally, cash awards for the best abstracts will be presented at the day of the conference.
SUBMISSION GUIDELINES
- All abstracts must be submitted via the online submission form to the right
- Abstracts should not exceed 500 words (not inclusive of a table or figure); only one table or figure is allowed
- Previously presented abstracts/posters ARE permitted for this conference but published manuscripts are not eligible
- Presenting author must be listed in the body of the email upon submission