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Intl. Congress form | International Congress Report | International Congress Report For Faculty | VIIth Mediterranean Emergency Medicine Congress – 8-11 September 2013

VIIth Mediterranean Emergency Medicine Congress – 8-11 September 2013
the Report of VIIth Mediterranean Emergency Medicine Congress – 8-11 September 2013 by Dr.seyed mohammad hosseini kasnavieh
seyed mohammad hosseini kasnavieh | International Congress Form
Application Code :
306-0213-0057
 
Created Date : Saturday, September 28, 2013Update Date : Saturday, November 23, 2013IP Address :178.131.168.194
Submit Date : Tuesday, November 19, 2013Email : mhoseini1346@gmail.com
Personal Information
Name : seyed mohammad
Surname : hosseini kasnavieh
School/Research center : Tehran university of medical scince
Possition : Associate professor
Tel : +98-21-26213771
E-mail : mhoseini1346@gmail.com
Information of Congress
Title of the Congress : VIIth Mediterranean Emergency Medicine Congress – 8-11 September 2013
Title of your Abstract : INTRAVENOUS LIPID EMULSION FOR TREATMENT OF
TRICYCLIC ANTIDEPRESSANT TOXICITY A
RANDOMIZED CONTROLLED TRIAL
Venue : marsaille-france
From : Sunday, September 08, 2013
To : Wednesday, September 11, 2013
Abstract(Please copy/paste the abstract send to the congress) : Title Intravenous lipid emulsion for treatment of tricyclic antidepressant toxicity a randomized controlled trial
Keyword 1 intralipid
Keyword 2 Tricyclic antidepressants
Keyword 3 TCA toxicity
Authors • 1-Mohammad Hosseini kasnavieh: Tehran University Of Medical Science.Tehran-Iran
• 2-Soudabeh Jalali Nodoushan: Tehran University Of Medical Science.Tehran-Iran
• 3-Hamed Basir Ghafori : Tehran University Of Medical Science.Tehran-Iran
• 4-Niloofar Abazarian : Tehran University Of Medical Science.Tehran-Iran
• 5-movahedi behnam : Tehran University Of Medical Science.Tehran-Iran
• 6-Yahyaza Omid: Tehran University Of Medical Science.Tehran-Iran
• 7-Amir mollaifar: Tehran University Of Medical Science.Tehran-Iran
Topic Toxicology
Your text Introduction: Tricyclic antidepressants are one the major causes of drug toxicity, and they can cause severe damage to cardiovascular and neurologic system. There has been some evidence which shows that intravenous lipid emulsions can effectively reverse TCA toxicity. This evidence is limited to some experimental animal studies and some case reports, so this study is the first randomized controlled trial on this issue. 
Methods: from February 2012 to July 2012 all patients with severe TCA toxicity who were eligible according to our exclusion and inclusion criteria and attended Loghman Hospital (a referral toxicology center) were randomly divided to intervention and control groups. The control group received the standard treatment with bicarbinate and the intervention group received standard treatment plus intravenus lipid emulosion. The outcomes which were compared in the two groups were time that EKG becomes normal, the time that systolic BP got over 90 in hypotensive patients, number of hospitalization days, mortality and disabilities at the end of hospitalization.
Results: 108 patients entered the study and divided to 54 interventions and 54 controls. Only one of the patients died during the time of follow up; he belonged to control group and died because of ventricular disrhythmia at the 5Th day of hospitalization. No statistically significant difference was observed at the two groups for time needed for EKG changes reversing however the evaluated time was 20 minutes shorter in intervention group. As well no statistically significant difference has been observed between the two groups for BP at the time of EKG reversal and days of hospitalization. No adverse reaction occurred to intralipid treatment which led to death or discontinuation of treatment. 
Discussion: since this study is the first one of its kind we cannot have a head to toe comparison with the previous studies. However animal experimental studies and case reports, which were all conducted in patients who did not respond to standard treatment, showed benefits for intralipid therapy, we did not observed any significant change in outcomes of TCA toxicity in patients who received intralipid as a part of initial treatment.


 
Keywords of your Abstract : intralipid, Tricyclic antidepressants, TCA toxicity
Acceptance Letter : http://gsia.tums.ac.ir/images/UserFiles/11521/Forms/306/invitation letter oral_4.docx
The presentation : Oral
The Cover of Abstract book :
Published abstract in the abstract book with the related code : http://gsia.tums.ac.ir/images/UserFiles/11521/Forms/306/Or197 article_8.pdf
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? : 2000
Delegates from which countries presented in the congress? : France, China, Japan, Russia, The US, India, Turkey, England, Australia, Pakistan, Afghanistan. 
Were the delegates of any other organizations present in the congress? : Yes
If yes, please write the names of the organizations in the box : The congress is organised on behalf of the European Society for Emergency Medicine (EuSEM), the American Academy for Emergency Medicine (AAEM) and the French Society for Emergency Medicine (SFMU).
What were the responses to your talking points? Were specific questions or concerns raised? : For participants, the effectiveness of intravenous lipid emulsions to treat poisoning with tricyclic antidepressants was interesting.Tricyclic antidepressants are one the major
causes of drug toxicity, and they can cause severe damage
to cardiovascular and neurologic system. There has been some evidence which shows that intravenous lipid emulsions can effectively reverse TCA toxicity.This evidence is limited to some experimental animal studies and some case reports, so this study is the first randomized controlled trial on this issue.
If you met staff members, please list their full names & positions. : Professor Judd Hollander (USA)
Doctor David Williams (UK)
Please inform us if there are any follow up actions we need to talk with the members of the congress : You can visit the SFMU website : www.sfmu.org.
To learn more about AAEM’s mission, please see
http://www.aaem.org/about-aaem/mission-statement.
Visit the EuSEM website: http://www.eusem.org/
The goals of above websites are as follows:
to foster and encourage education, training and research
in Emergency Medicine in Europe
to promote and facilitate the dissemination of information
on Emergency Medicine, through congresses,
courses, research and publications to encourage the
development of uniform information systems and
data banks in Emergency Medicine in Europe
to encourage the formation and the cooperation between
national associations for Emergency Medicine
to promote international collaboration in the field of
Emergency Medicine
Your experiences about the travel processes(Providing ticket, accommodation,...) : After my paper was accepted 
I applied for my visa and I made an appointment for the French Embassy. After getting visa, I tried to buy the ticket to Marseille, France. I prepared myself .
At least 3 months before traveling I made an appointmet for getting visa. You can buy tickets in lower prices if you apply earlier. It's better to reserve a room in hotel. It's better to be in group for staying at a hotel so you can save money and have the accompaniment of friends. It's better to take subway for transporting. I bought the food from supermarkets and chain restaurants, they were cheaper and with better quality. Trip Advisor is a good software for finding the places to visit. I prepared myself for my presentation. I practiced a lot.
Please give a briefing of your own observations and outcomes of the congress: : Participation in the Seventh Mediterranean Emergency Medicine Congress increased my knowledge about the latest methods and therapies.Simulation in Emergency Medicine’. A range of activities and sessions have been organized to explore, experience, and discuss various applications of simulation, its implementation and its evaluation in our professional domain.
collaboration between AAEM, EuSEM and SFMU promotes the specialty of Emergency Medicine and offers a wonderful opportunity for academic and scientific exchange.(EUSEM)
THE EUROPEAN SOCIETY FOR EMERGENCY MEDICINE
is a non-profit making scientific organisation with an
aim to promote and foster the concept, the philosophy
and the art of Emergency Medicine throughout
Europe. The main objective of EuSEM is to help and
support European countries to implement the speciality
of Emergency Medicine. Born as a society of
individuals in 1994 from a multidisciplinary group of
experts in Emergency Medicine, since 2005 EuSEM
also incorporates a Federation which currently includes
27 European national societies of Emergency
Medicine.
Our mission is to:
Promote and develop research, education, practice
and standards of the speciality of Emergency Medicine
throughout Europe.
Our goals are:
to foster and encourage education, training and research
in Emergency Medicine in Europe
to promote and facilitate the dissemination of information
on Emergency Medicine, through congresses,
courses, research and publications to encourage the
development of uniform information systems and
data banks in Emergency Medicine in Europe
to encourage the formation and the cooperation between
national associations for Emergency Medicine
to promote international collaboration in the field of
Emergency Medicine
Visit the EuSEM website: http://www.eusem.org/
(AAEM)
THE AMERICAN ACADEMY OF EMERGENCY MEDICINE
is a non-profit democratic organization of 7,000
members.
The Academy supports the establishment and recognition
of emergency medicine internationally as an
independent specialty and is committed to its role in
the advancement of emergency medicine worldwide.
In collaboration with EuSEM, AAEM will be co-sponsoring
their seventh MEMC promoting the specialty
of emergency medicine and offering a wonderful opportunity
for academic and scientific exchange.
AAEM is also partnering internationally to offer academic
and scientific exchange across the world.
AAEM entered in to a 10 year agreement with the Sociedad
Argentina de Emergencias (SAE) in offering a
jointly sponsored biennial meeting of the Inter-American
Emergency Medicine Congress (IAEMC). In
2012, AAEM and the Korean Society of Emergency
Medicine (KSEM) held the first Pan-Pacific Emergency
Medicine Congress (PEMC) in Seoul, South
Korea.
To learn more about AAEM’s mission, please see
http://www.aaem.org/about-aaem/mission-statement.
(SFMU)
THE FRENCH SOCIETY FOR EMERGENCY MEDICINE
aims at promoting emergency medicine through education
and research for trainees and professionals.
The society organises scientific conferences and regularly
elaborates professional and scientific recommendations
and guidelines to improve and regulate
the medical practice in emergency medicine. It also
contributes in editing books and journals to help
spread the scientific knowledge.