Speaker@WACEM21

• @WACEM21 every delegate will have an opportunity to present and discuss.
• Submitting a Summary of the Presentation is Mandatory for everyone who wants to present.
• There are three formats under which presentations can be submitted.
• You will be notified via email of your selection as a speaker.
• A Delegate can submit in one or more of the three areas.

Research Submission
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Case Discussion Submission
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Case Based Expert Opinion/Point of View/Management Pearl Submission WACEM21 Registration Number

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HYPOTHETICAL EXAMPLES
Research
Registration Number: XyX2019

Title: Home Fall injuries: A study on severity and outcome among inpatients of a tertiary care level hospital of West Bengal, India

Presenter: SamnitMoitra

Institution: Department of Emergency Medicine, BandupaSilona Medical College, Kinzonia

Co-Authors: AP Chukar, AN Simar

Background: Home Fall injuries (HFIs) are a complex phenomenon caused by nonlinear combination and interaction of man, Floor, and environment.

Aim: This study aims to find out the outcome and severity of HFI in our region.

Settings and Design: A cross-sectional study was conducted among inpatients of Department of EM at our Institution.

Materials and Methods: The study was conducted for 1 year interviewing 295 HFI selected through scheduled sampling. Information pertaining to demographic and correlates of HFI was collected by face to face and over telephone using semi-structured questionnaire. Nine-item Simplified Injury Severity Scale (SISS) was used to assess injury severity. Internal consistency of SISS scale was showed by Cronbach’s alpha and association with the correlates was done by Mann–Whitney U-test.

Statistical Analysis Used: With SPSS version 22.0, binary logistic regression, and Mann–Whitney U-test.

Results and Conclusion: Fatal outcome in terms of death and permanent disability was 34.24% and they had higher marginally significant (P = 0.06), SISS score (45.17 ± 12.59). Participants with absence of protective devices, presence of comorbidities, drunkenness, with Falls at Home, in-between 6 am and 6 pm, and no receipt of first aid were found to have significantly high scores compared to their counterpart. SISS, as a proxy measure of severity assessment, could throw a light on it and awareness generation and legislative stringency might be need of the hour for the country.

Case Discussion Submission Registration Number: XyM1019

Title: An unusual case of commotio cordis resulting in ventricular flutter

Speaker: BT Madho

Institution: Division of Emergency Medicine, Titola Children’s Medical Center, University of Chinosa, Chinosa

Case Summary: A 36-year-old female developed palpitations immediately following chest impact with a direct fall on a sofa with a hard box which directly hit the chest. The patient presented after 5 days for sternal pain and tenderness and was found to have stable ventricular flutter as a delayed presentation that was successfully treated.

Teaching Points: Ventricular fibrillation is the predominant arrhythmia following commotio cordis, but we found that our patient had ventricular flutter. Ventricular flutter may be better tolerated in a young patients with structurally normal hearts and may lead to a delayed presentation often found incidentally. Case Based Expert Opinion/Point of View/Management Pearl Submission Registration

Case Based Expert Opinion/Point of View/Management Pearl Submission Registration Number: XyL4019

Title: Treatment of Simultaneous Alcoholic Ketoacidosis & Diabetic Ketoacidosis

Speaker: Shikhar Bhartiya

Institution: Department of Emergency Medicine, Best Medical University, Bestpur

Discussion of Topic: There are many diabetic alcoholics who often present in DKA and have alcohol withdrawals because they have not been drinking alcohol because of DKA associated syndrome of sepsis, nausea vomiting and many other causes. Emergency Management of such patients is complex and focused. I will be discussing the management pearls in resuscitation and evaluation of such cases as well as discuss the rationale for ordering investigations, fluid management, vital signs management, antibiotics, Insulin Therapy and other added treatments based on an Interesting similar case which I have managed. I will be presenting the case and then discussing the above.

Evidence Based Teaching Points: A Precise investigation pathway with aggressive ordering of labs and aggressive fluid management is key to treating these patients. Ruling out other causes of acidosis including sepsis, toxin exposure, ACS, Ischemia of Mesentry, CVA and or injuries is very important.