The 2010 Ontario Society of Clinical Perfusion –Annual General Meeting is going to be held in Kingston, Ontario September 10-12, 2010

Kingston General will host the Friday evening session with dinner to follow at a local establishment.
Saturday sessions and business meeting will run from 8-5. Saturday evening we will be taking an entertaining tour of Fort Henry. Tickets - Member: $70.00, Guest: $90.00.
We will wrap up on Sunday by noon.

Accommodations: Confederation Place Hotel, 237 Kingston, ON, K7L 2Z4, Telephone 888-825-4656 www.confederationplace.com
Meeting rates: double occupancy $119.00, 3 people per room $129.00 and a room with a king bed $139.00

To register for this meeting and purchase tickets to the Fort Henry please visit the OSCP online payment page. AGM payments are found at the bottom of that page.

For more information on Kingston please visit www.kingstoncanada.com

Agenda to follow

For further information or if you would like to present at this meeting please contact me at www.jacqueline.stokoe@sickkids.ca

Calling for abstract submissions for the Ontario Society of Clinical Perfusion-Annual General meeting and Scientific Sessions to be held in Kingston, ON, September 10,11,12, 2010
This meeting is open to perfusionists, cardiovascular surgeons, anesthetists, nurses and allied health professionals
Abstracts must be submitted to agm@oscp.ca

Kingston, Ontario is the oldest community in canada.
It was actually the first capital of Canada.
Kingston is a place to "awaken your senses"
It has a major freshwater port presently used for scenic entertainment cruises of the breathtaking Thousand Islands
These islands occupy the St. Lawrence River that is shared by both Ontario and New York State
Kingston is rich in history, culture, natural beauty and hosts critically acclaimed attractions and cuisine

For further information on Kingston please visit www.kingstoncanada.com

The 2010 OSCP-AGM is scheduled to be held in Kingston, ON
This meeting will be held over 3 days this fall, September 10,11,12, 2010
We plan on having a few sessions Friday evening with dinner to follow at a local establishment
The meeting will run from 8-5 on Saturday with an organized event in the evening, possibly a boat cruise through the Thousand Islands
We will then wrap up on Sunday by 12:00
This three day event for the OSCP-AGM is new to all of us here in Ontario
We will strive to provide a strong scientific program that will attract colleagues from the eastern provinces and the state of New York
Continuing education credits should be significantly higher than previous meetings

Meeting venue, hotel information/accomodation to follow

For further information on Kingston please visit www.kingstoncanada.com

There is an education link now that some may find interesting. If others have presentations, articles etc., that may be of interest to students, or fellow clinicians it would be greatly appreciated if you would share by posting them!

If you click on "Education" in the top blue bar, and then scroll down on that page you will find a sub-page on presentations, clinical tools, and research.

There is also room for questions, comments and suggestions for readings if you have ideas for further developing these topics.

Thanks as always,

Maggie

Please call Mike Aubin and/or Karim Bandali to provide your services to teach in the lab. This is an urgent request. Thanks

Hi Everyone,

While it is hard to sometimes keep up-to-date, I thought I would post a few excerpts from the latest Michener News Magazine. Being supportive of the upcoming students, to me, also means being aware of the advancements taking place at the institution from which they come. So here are a few tidbits.

"Building Knowledge, Relationships and Awareness"; page 15 of the Holiday 2009 Edition 

"Michener was well represented at the Association for Medical Education in Europe (AMEE) Annual Conference , August 29-September 2, 2009, Malaga, Spain. Dr. Paul Gamble, President and CEO; Dr. Karim Bandali; Associate Vice President, Business Development; and Brad Niblett, Chief Information Officer delivered two presentations. The first was titled "A Revolutionary Alliance Between Aviation and Medical Simulation: Working Towards Creating an International Standard in Health Simulation", K. S. Bandali, G Herve, P. Gamble, and A Ziv. The second was "Politics Meets Medicine:Electronic Magic Board Revolutionizes Healthcare Education", B. Niblett, J. Robertson, P. Gamble, J. Verbovszky and K Bandali.

"Building Knowledge, Relationships and Awareness"; page 12 of the Michener News Fall 2009

.... Dr K. Bandali, Associate Vice President, Business Devleopment and Chair, Cardiovascular Perfusion, was invited to speak at a few conferences over the last months. At the International Consortium for Evidence Based Perfusion, held in New Orleans, Louisiana,  June 24-27, 2009 Karim gave two presentations titled "Using Simulation-Based Education for Incident Prevention" and "Simulation-Based Education and Continuous Improvement Process." AmSECT's Perfusion Safety/Best Practices 2009 Meeting marks a unique union in perfusion that combines the evolution of perfusion safety through simulation training and the translation of the evidence surrounding perfusion to the clinician. He also spoke at a special meeting at the Mayo Clinic in Rochester, N.Y., in the spring of 2009; his talk focused on "Inspiring Innovation and Collaboration Through Healthcare Simulation".

Here are a few photos from the CSCP AGM 2009 in Edmonton.

Click here to see the photos

Although it is important to collect all of the inventory data available I am going to throw out the idea, that it may be equally important to have some form/attempt at planning in preparation of an H1N1 pandemic. As perfusionists, we bring not only to the table our skilled abilities in ECMO specialists, but also our expertise in the field (well the majority of you moreso than myself, as a new graduate, but nonetheless..) and as such, to participate in the brainstorming of issues surrounding the provision of ECMO to a large number of people is something I would think we are somewhat responsible for. I may be wrong and there are others which are already taking this all into account. But as a society, I feel that it still may be fun and informative and somewhat necessary to think about some of these things. Here are some things that came to mind:

1. Adequate Blood Products:

a) The ability of Canadian Blood Services to keep up with the demands of 2-8% (quoted from Perflist posting) of hospitalized H1N1 patients being on ECMO?
b) ECMO is resource intensive. Should an estimated hospital cost per potential ECMO case be determined to eitheri) request appropriate funding or ii) address adequacy of proposed government funding?
b) Will there be enough blood for other services, i.e. ortho? How will that be prioritized?

2. Indications for H1N1 Requiring ECMO:

a) In order to aid in the prioritization and best utilization of limited ECMO products, staffing over an underdetermined period of time, precise indications for the use of ECMO in H1N1 patients should be outlined.
This would require a committee of surgeons, anesthetists, intensivists, nurses, and perfusionists. ECMO is a method of support and not a treatment. Specific guidelines do need to be set in order that the most severely ill subset of patients with novel influenza A virus (H1N1) be treated with the most advanced methods of care. How do we identify those which are high risk and may require ECMO?

i. The Center for Disease Control and Prevention (CDC) had an article posted on the use of ECMO on novel A H1N1 patients. This article and other cases need to be evaluated and indications for ECMO outlined.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm58d0710a1.htm

ii. Is there a role for ICEBP (International Consortium for Evidence Based Perfusion).
On the ICEBP website it says “The ICEBP has chosen to focus its efforts on systematically reviewing the literature pertinent to our profession.” Is there already evidence based literature being collected and reviewed on this topic that we may be privy to?
- I believe Dwayne Jones is the liason between the ICEBP and the CSCP. Is there such project?

b) Should a committee at the National level be formed to address preparation issues, has this already been formed?

i. In a posting by one American nurse on http://allnurses.com/pandemic-flu-forum/ecmo-will-we-410682-page2.html they suggest that in their estimation 200-300 ECMO services will be able to be provided at any given time spread across the USA in the case of an H1N1 flu pandemic.

ii. Can we or will we be expected to provide a similar number to the Canadian/Ontario government? This would be necessary in order to evaluate required funding.

3. Reporting:

a) In order to monitor, at a provincial level, the number of ECMO services being provided for H1N1 should there not be a registry of some sort?
a) Allows for better resource management (have resources where they need to be).

b) Anticipate rate at which resources are being used, to make projections as to how long provincial inventory will last?

c) Should an international registry such as ELSO (Extracorporeal Life Support Organization) be our medium for reporting? So that we are participating at all levels in helping to monitor, track and project health, economic, etc., effects of H1N1. See link below: http://www.elso.med.umich.edu/Default.htm

d) Should we be reporting inter-hospital ECMO product transfers? In order to monitor effectiveness of the OHPIP on OSCP site?

4. Centralization of ECMO Services:

a) Possible centralization of ECMO services to specific hospital sites in Ontario was mentioned by Patrick Weighell as a notion floating about, as a method of dealing the an overwhelming need for resources, skill, ICU/CVISU/CSU staff etc.

- Again would have to deal with the transfer of products and the liability thereof potentially.

- Would there be an assembly of those perfusionists more familiar and proficient in ECMO services, transport, and management at these centers? How would these perfusionists be covered if their services were required at another hospital? How long would that process take in the respective HR departments, especially with additional or extra staff not at work?

H1N1 Product Inventory Project (OHPIP) Update #1: Sept 22, 2009

1.At the 2009 OSCP AGM it was suggested that a collective product inventory be established.
This inventory has been launched for about one week now, by Andrew Zajac, and as previously
posted can be found under the tab [OHPIP].

2.All Ontario perfusion department leaders were contacted through email and were invited to participate.
To date, three sites (Trillium Health Centre, London Health Sciences Centre, and Kingston General Hospital)
have posted their ECMO related product inventory. Thank you to all who have posted so quickly!

3.Updates were to be provided as progress was made through the OSCP website. So we are updating. :)

4.Suggestions, recommendations and alterations are still welcomed and encouraged, however none have been
received to date. But that is alright. They say no news is good news right?

Please feel free to make comments.