Code : 9345-345078      Created Date : Tuesday, February 17, 2015   Update Date : Tuesday, February 17, 2015    Visit : 2144

Eighth European Congress on Emergency Medicine

The report of Eighth European Congress on Emergency Medicine by Dr. Arash Safaie
 
Application Code :
306-0115-0008
 
Created Date : Wednesday, October 8, 2014 22:57:32Update Date : Tuesday, February 10, 2015 10:08:19IP Address :37.63.132.75
Submit Date : Tuesday, February 10, 2015 10:08:41Email : dr.safaie@yahoo.com
Personal Information
Name : Arash
Surname : Safaie
School/Research center : School of Medicine
If you choose other, please name your Research center :  
Possition : Assistant professor
Tel : +98-21-66512479
Information of Congress
Title of the Congress : Eighth European Congress on Emergency Medicine
Title of your Abstract : Adding intranasal ketamine to intravenous morphine sulfate in patients with acute limb trauma: a double blinded randomized clinical trial
country : Amsterdam/ The Netherlands
From : Sunday, September 28, 2014
To : Wednesday, October 1, 2014
Abstract(Please copy/paste the abstract send to the congress) : Objective: The present study was conducted to determine effect of adding low-dose intranasal ketamine to standard pain treatment in decreasing patients’ opioid need in setting of acute limb trauma.
Methods: This was a double blinded randomized clinical trial that was conducted in patients over 18 years old suffering acute isolated limb trauma with pain severity ≥ 7/10 in emergency department. Patients randomly assigned to two groups. Control group patients received 0.05 mg/kg intravenous morphine sulfate and 0.02 ml/kg intranasal distilled water. Ketamine group patients received 0.05 mg/kg intravenous morphine sulfate and 0.02 ml/kg (equal to 1 mg/kg) intranasal ketamine. Patients who requested additional analgesic received another dose of 0.5 mg/kg IV morphine sulfate. Pain severity was measured by 11 points numeric rating scale (NRS) at 0, 10, 30, 60, 120 and 180 minutes. Primary outcome was additional analgesic request. Secondary outcomes were pain severity decrement, hemodynamic changes and possible adverse events in two groups.
Results: Forty patients included in each groups. Ketamine group patients pain were less than control group patients at the beginning of the study (8.50 vs. 9.05, P:0.034). Twenty seven patients (67.5%) in control group and 12 patients (20.0%) in ketamine group requested additional analgesic (P:0.001). NRS changes in two groups over the time were not significant. Hemodynamic changes in two groups were not clinically significant. Seven patients (17.5%) in ketamine group and 6 patients (15.0%) in control group had adverse events (P:0.769). No patient suffered serious adverse events.
Conclusion: Low-dose intranasal ketamine is effective in reducing opioid need in patients suffering acute limb trauma; but didn't have any spare effect over morphine sulfate in reducing pain of these patients. Adding of low-dose ketamine to intravenous morphine sulfate does not increase adverse events.
Keywords of your Abstract : ketamine, morphine, analgesics
Acceptance Letter :
The presentation : Oral
The Cover of Abstract book :
Published abstract in the abstract book with the related code :
Where has your abstract been indexed? : none
If you choose other, please name :  
The Congress Reporting Form
How many volunteers were present at the Congress? : I do not know the number of volunteers who were presented at the congress.
Delegates from which countries presented in the congress? : Most of the delegates were from European countries. But there were delegates from all around the world in the congress. There were delegates from US, Canada, Turkey, Saudi Arabia, Hong Kong, Japan, Taiwan, ...
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box : MUMS, IUMS, SBMU, ...
What were the responses to your talking points? Were specific questions or concerns raised? : The responses were positive mostly. My abstract was chosen as overall first prize winner of the congress. The board asked me why we excluded patients under eighteen from our study and why we used intranasal route for drug administration which I answered both.
If you met staff members, please list their full names & positions. : I did not meet any TUMS staff member there.
Please inform us if there are any follow up actions we need to talk with the members of the congress : I think you can talk with Carine Doggen, abstract representative of the congress and Colin Graham editor-in-chief of European journal of emergency medicine. As well you can contact with Serra Pitts, EuSEM Congress Organisational Lead and Education Officer, at serrapitts@eusem.org. You can review volume 21- Issue 6 of European journal of emergency medicine which contains an article (Best Abstracts from the Eight European Congress on Emergency Medicine held in Amsterdam, The Netherlands, 28 September to 1 October 2014) publishing my abstract as the overall first prize winner of the congress.
Your experiences about the travel processes(Providing ticket, accommodation,...) : I provided flights and accommodation myself, which was most cheaper than what traveling agencies offered. International affair office of TUMS had great collaboration with me.
Please give a briefing of your own observations and outcomes of the congress: : It was my first international congress. Delegates were mostly from European countries but about a quarter of delegates were from outside the Europe. There were 310 oral abstract presentations and 750 posters. The congress main theme was "connecting for excellence". The program included hand-picked leading international experts who have contributed valuable recent search in emergency medicine internationally. The program contrasted the general principles of treating common emergencies such as resuscitation, cardiovascular and respiratory complaints, pediatric patients and trauma. As well, general principles of disaster and pre-hospital care and the basic principles of triage and stabilization were utilized.

 

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