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Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar www.conference.qatar-ccs.org This activity is an Accredited Group Learning Activity (Category 1) as defined by the Qatar Council for Healthcare Practitioners - Accreditation Department and is approved for a maximum of 12.5 hours.

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Page 1: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

Qatar Critical CareConferenceMonday to Thursday28 to 31 October 2019Sheraton Grand Resort & Convention HotelDoha, Qatar

www.conference.qatar-ccs.org

This activity is an Accredited Group Learning Activity (Category 1) as defined by the Qatar Council for Healthcare Practitioners - Accreditation Department and is approved for a maximum of 12.5 hours.

Page 2: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

| Qatar Critical Care Conference1

7am Registration

Extracorporeal Membrane

Oxygenation (ECMO)

Cannulation

Advanced Airway

Management

Emergency Neurological Life

Support (ENLS)

Pediatric Mechanical

Ventilation Course

Rapid Response Team (RRT)

Training Simulation Course

Acute Care Ultrasound

(ACUS) Course

Mechanical Ventilation:

Physiology to Advanced

Management

Duration: 1 DayTime: 8am to 3.45pmVenue: 1st Floor, ITQAN

Duration: 1 DayTime: 7.30am to 3:15pmVenue: Ground Floor, ITQAN

Duration: 1 DayTime: 7.45am to 4.30pmVenue: 2nd Floor, ITQAN

Duration: 1 DayTime: 7.30am to 3pmVenue: 2nd Floor, ITQAN

Duration: 1 DayTime: 7.30am to 4pmVenue: HITC

Duration: 2 DaysTime: 8am to 3.50pmVenue: 2nd Floor, ITQAN

Duration: 2 DaysTime: 7am to 4pmVenue: 1st Floor, ITQAN

12pm Lunch Break

DAY 1 – Monday, 28 October 2019

7am Registration

Multimodal Neuroimaging for

Neurocritical Care: From

Basics to Practice

Prone Positioning Ventilation

Technique

Hemodynamic Monitoring

Workshop

ECMO Simulation by ELSO Extracorporeal

Cardiopulmonary

Resuscitation (E-CPR)

Acute Care Ultrasound

(ACUS) Course

Mechanical Ventilation:

Physiology to Advanced

Management

Duration: Half DayTime: 7.45am to 12pmVenue: 2nd Floor, ITQAN

Duration: 1 DayTime: 7.30am to 2.30Venue: Ground Floor, ITQAN

Duration: 1 DayTime: 8am to 4pmVenue: 1st Floor, ITQAN

Duration: 1 DayTime: 7.30am to 4pmVenue: 2nd Floor, ITQAN

Duration: 1 DayTime: 8am to 4pmVenue: 2nd Floor, ITQAN

Duration: 2 DaysTime: 8am to 3.50pmVenue: 2nd Floor, ITQAN

Duration: 2 DaysTime: 7am to 4pmVenue: 1st Floor, ITQAN

12pm Lunch Break

6pm Opening Ceremony

DAY 2 – Tuesday, 29 October 2019

Pre-Conference WorkshopsSchedule at a Glance

Page 3: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

2 | Qatar Critical Care Conference

Tuesday, 29 October 2019Opening Ceremony

5pm to 6pm Welcome Reception AL MAJLIS

6pm to 6.05pm Introduction

6.05pm to 6.10pm Welcome Speech Dr. Ibrahim Fawzy

6.10pm to 6.30pm History of Critical Care in Qatar Dr. Faisal Malmstrom

6.30pm to 6.45pm Recognition and Award of the 10 Most Influential Critical Care Clinicians in Qatar

6.45pm to 7.30pm Keynote Speech Prof. Richard Beale

7.30pm Closing Remarks followed by Dinner Exhibition Area

8pm to 10pm Invited Guests Gala Dinner Al Rayyan Hall

AL MAJLIS

Page 4: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

3Qatar Critical Care Conference |

Main Conference

DAY 1 - Wednesday, 30 October 2019

Schedule at a Glance

7am to 7.45am Registration

7.45am to 8.15am Keynote Speech

SESSION 1 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

8.15am to 9.35am TRACK A - ADULT TRACK B - ADULT TRACK C - PEDIATRIC

AND NEONATES

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

SESSION 2 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

10am to 11am TRACK A - ADULT TRACK B - ADULT TRACK C - PEDIATRIC

AND NEONATES

11am to 11.10am Q & A

11.10am to 11.40am Industry Symposia &Poster Viewing

11.40am to 12.45pm Lunch Break

SESSION 3 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

12.45pm to 2.25pm TRACK A - ADULT TRACK B - ADULT TRACK C - PEDIATRIC

AND NEONATES

2.25pm to 2.35pm Q & A

2.35pm to 2.55pm Poster Viewing & Coffee Break

SESSION 4 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

2.55pm to 4.35pm TRACK A - ADULT TRACK B - ADULT TRACK C - PEDIATRIC

AND NEONATES

4.35pm to 4.50pm Q & A

4.50pm to 5.50pm Poster Round

Page 5: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

4 | Qatar Critical Care Conference

Main Conference

DAY 2 - Thursday, 31 October 2019

Schedule at a Glance

7am to 8am Registration

8am to 8.35am Keynote Speech

SESSION 5 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

8.35am to 9.35am TRACK A - ADULT FREE PAPER SESSION TRACK C - GENERAL

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

SESSION 6 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

10am to 11.20am TRACK A - ADULT TRACK B - ADULT TRACK C - GENERAL

11.20am to 11.35am Q & A

11.35am to 12.05pm Industry Symposia & Poster Viewing

12.05am to 1pm Lunch Break

SESSION 7 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

1pm to 2.25pm TRACK A - ADULT TRACK B - ADULT TRACK C - GENERAL

2.25pm to 2.35pm Q & A

2.35pm to 2.50pm Poster Viewing & Coffee Break

SESSION 8 AL MAJLIS AL RAYYAN AL NAKHIL / AL BASIR

2.50pm to 3.50pm TRACK A - ADULT TRACK B - ADULT FREE PAPER SESSION

3.50pm to 4pm Q & A

4pm to 4.45pm CLOSING PLENARY

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5Qatar Critical Care Conference |

Day 1 – Wednesday, 30 October 2019TRACK A - ADULT

7am to 7.45am Registration

7.45am to 8.15am Keynote Speech

8.15am to 9.45am SESSION 1 AL MAJLIS

8.15am to 8.35am Time to Revisit Critical Care KPIs Richard Beale

8.35am to 8.55am Rapid Response Team, Is it still helpful?Sayed Tarique Kazi

Emad Mostafa

8.55am to 9.15am Critical Care Registry in Qatar Abdul Salam Saif Ibrahim

9.15am to 9.35am Science of Flow Christopher Johnson

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

10am to 11.10am SESSION 2 AL MAJLIS

10am to 10.20am Antimicrobial Stewardship: Pro & Con Hisham Ziglam

10.20am to 10.40am Biomarkers for Sepsis – Past, Present, and Future Mervyn Singer

10.40am to 11am Can We Stop the Rise of Multidrug Resistance? Hani Jaouni

11am to 11.10am Q & A

11.10am to 11.40am Industry Symposium 1 & Poster Viewing

11.40am to 12.45pm Lunch Break

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6 | Qatar Critical Care Conference

Day 1 – Wednesday, 30 October 2019TRACK A - ADULT

12.45pm to 2.35pm SESSION 3 AL MAJLIS

12.45pm to 1.05pm What Matters in Shock? Flow or Pressure? Jean Louis Vincent

1.05pm to 1.25pm Right Ventricle Dysfunction in Critically Ill

Patients

Abdurrazzak Gehani

1.25pm to 1.45pm Venous Return During Mechanical Ventilation David Berlin

1.45pm to 2.05pm Mechanical Cardiac Support When and Who? Abdulaziz AlKhulaifi

2.05pm to 2.25pm Performing Cardiac Investigations after VA

ECMO Implementation

Nicholas Barrett

2.25pm to 2.35pm Q & A

2.35pm to 2.55pm Poster Viewing & Coffee Break

2.55pm to 4.50pm SESSION 4 AL MAJLIS

2.55pm to 3.15pm “Critical Care Plumbing” - Securing Upper GI

Hemostasis

Saibu Georges

3.15pm to 3.35pm PPI Should I Still Use it? Fernando Ruiz

3.35pm to 3.55pm Do the Calories Matter? Abhiram Mallick

3.55pm to 4.15pm Parenteral Nutrition for Which Patients? Edin Karic

4.15pm to 4.35pm Management of the Open Complicated Abdomen Gustav Strandvik

4.35pm to 4.50pm Q & A

4.50pm to 5.50pm Poster Round

Page 8: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

7Qatar Critical Care Conference |

TRACK B - ADULTDay 1 – Wednesday, 30 October 2019

7am to 7.45am Registration

7.45am to 8.15am Keynote Speech

8.15am to 9.45am SESSION 1 AL RAYYAN

8.15am to 8.35am Update of Organ Donation Program in Qatar Riadh Fadhil

8.35am to 8.55am Role of the Intensivist for Organ Donation Stefan Rohrig

8.55am to 9.15am Muslim Religious Scholars on Organ Donation Mohammed Ghaly

9.15am to 9.35amDo We Have to Tell the Patient’s Family

Everything?Somaya Mohammed Ibrahim

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

10am to 11.10am SESSION 2 AL RAYYAN

10am to 10.20am Role of ECCO2R in the ICU Nicholas Barret

10.20am to 10.40am Does Timing of RRT Matter? Omar Fituri

10.40am to 11am Which Technique for Which Patient? Eric Hoste

11am to 11.10am Q & A

11.10am to 11.40am Industry Symposium 2 & Poster Viewing

11.40am to 12.45pm Lunch Break

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8 | Qatar Critical Care Conference

Day 1 – Wednesday, 30 October 2019TRACK B - ADULT

12.45pm to 1.05pm SESSION 3 AL RAYYAN

12.45pm to 1.05pm ARDS: The Good Practice Giorgio Iotti

1.05pm to 1.25pmProne Positioning in ARDS: Physiology, Evidence

and Challenges

Hussain Shabir Ali

& Megha Kamble

1.25pm to 1.45pmECMO in Pulmonary Embolism: Evidence and

IndicationsMohamed Shamsah

1.45pm to 2.05pm Diaphragm Dysfunction: Weaning Perspective Nadir Kharma

2.05pm to 2.25pm Intermediate Pulmonary Embolism: Diagnosis and

ManagementBruce L. Davidson

2.25pm to 2.35pm Q & A

2.35pm to 2.55pm Poster Viewing & Coffee Break

2.55pm to 4.30pm SESSION 4 AL RAYYAN

2.55pm to 3.15pmLiving Will in the Critical Care Context: Islamic

Ethical PerspectivesMohammed Ghaly

3.15pm to 3.35pm

Do Not Attempt Resuscitation (DNAR)

Conversation is Not Only ICU Responsibility -

Experience as an Emergency Physician in Qatar

Alhady Yusof

3.35pm to 3.55pm End of Life... The Nurses’ View Saumya Boby

3.55pm to 4.15pm Tiny Baby Units concept Nuha Nimeri

4.15pm to 4.30pm Q & A

4.30pm to 5.30pm Poster Round

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9Qatar Critical Care Conference |

TRACK C - PEDIATRIC AND NEONATESDay 1 – Wednesday, 30 October 2019

7am to 7.45am Registration

7.45am to 8.15am Keynote Speech

8.15am to 9.45am SESSION 1 AL NAKHIL / AL BASIR

8.15am to 8.35am Pediatric Critical Care - Back to Basics Angela Krizan

8.35am to 8.55am Pediatric Sepsis Update Patricia A. Abboud

8.55am to 9.15amSecondary HLH and Hyperferritinemic Sepsis-

Induced MODS in PICUImran Ibrahim

9.15am to 9.35am Intravenous Fluids, is it risky? Baha Eldin Juma

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

10am to 11.10am SESSION 2 AL NAKHIL / AL BASIR

10am to 10.20am Currents on Pediatric ARDS Ikram Haque

10.20am to 10.40amPromoting noninvasive Ventilation Using ICEMAN

MethodologyManu Sundaram

10.40am to 11amPermissive Hypercapnia for Preterm Infants:

What’s the Evidence?Sanoj KM Ali

11am to 11.10am Q & A

11.10am to 11.40am Poster Viewing

11.40am to 12.45pm Lunch Break

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10 | Qatar Critical Care Conference

TRACK C - PEDIATRIC AND NEONATESDay 1 – Wednesday, 30 October 2019

12.45pm to 2.35pm SESSION 3 AL NAKHIL / AL BASIR

12.45pm to 1.05pmApproach to Circulation after Cardiac Surgery in

ChildrenJai Udassi

1.05pm to 1.25pm Single Ventricle: Postoperative Management Said Ali Masoud Al Hanshi

1.25pm to 1.45pm

Optimizing Knowledge and Skills Through

Protocol Based ECMO Management and

Simulation Based Training, A Key to A Successful

ECMO Program: A Novice Clinician Perspective

Mohammed Elkhwad

1.45pm to 2.05pmAdvanced Hemodynamic Monitoring in Critically

Ill NeonatesSamir Gupta

2.05pm to 2.25pm Cardiopulmonary Interactions: Implications for

PICUJana Assy

2.25pm to 2.35pm Q & A

2.35pm to 2.55pm Poster Viewing & Coffee Break

2.55pm to 4.50pm SESSION 4 AL NAKHIL / AL BASIR

2.55pm to 3.15pm Delirium in the PICU Tejas Mehta

3.15pm to 3.35pm5 New Developments in Care of Neonates with

HIENicola Jayne Robertson

3.35pm to 3.55pm Concept of Neuro NICUMohammed Gaffari

& Jisha Elizebeth Mathew

3.55pm to 4.15pmThe Child’s Brain on ECLS: Insights Into

Neurologic Effects, Outcomes and MonitoringMark Ogino

4.15pm to 4.35pmThe Critically ill Mother: Recognition and

Management (WHO, WHERE and HOW?)Huda AlFoudri

4.35pm to 4.50pm Q & A

4.50pm to 5.50pm Poster Round

Page 12: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

11Qatar Critical Care Conference |

TRACK A - ADULTDay 2 – Thursday, 31 October 2019

7.30am to 8am Registration

8am to 8.35am Keynote Speech

8.35am to 9.45am SESSION 5 AL MAJLIS

8.35am to 9.05am Panel Discussion: Sepsis Controversies

Jean Louis Vincent, Mervyn

Singer & Bruce Davidson

Greg Martin & Tasleem Raza

9.05am to 9.35amPanel Discussion: Is the Role of Intensivist only

for ICU?

Jean Louis Vincent, David Berlin

& Nick Barett

Bruce Davidson, Eric Hoste &

Ashraf Molokhia

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

10am to 11.35am SESSION 6 AL MAJLIS

10am to 10.20am Delirium in ICU Jo Wilson

10.20am to 10.40am Multimodality Monitoring in Neurocritical Care Vishwajit Verma

10.40am to 11amMechanical Thrombectomy in Acute Ischemic

Stroke

Ahmad Lutfe Mohamed

Abdussalam

11am to 11.20am Blood Pressure Targets for Neuropatients Arshad Hussein Achanda

11.20am to 11.35am Q & A

11.35am to 12.05pm Industry Symposium 3 & Poster Viewing

12.05pm to 1pm Lunch Break

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12 | Qatar Critical Care Conference

TRACK A - ADULT

Day 2 – Thursday, 31 October 2019

1pm to 2.35pm SESSION 7 AL MAJLIS

1pm to 1.20pm Adrenaline in Cardiac Arrest Nicholas Castle

1.20pm to 1.40pm Which Cardiac Arrest Patient Need PCI? Abdulrahman Arabi

1.40pm to 2pm e-CPR Ali Ait Hssain

2pm to 2.20pm Is it Cool to Cool Comatose Survivor of Cardiac

Arrest?

Mark Julian Gerald Dunn

2.20pm to 2.35pm Q & A

2.35pm to 2.50pm Poster Viewing & Coffee Break

2.50pm to 4pm SESSION 8 AL MAJLIS

2.50pm to 3.10pmOutcomes of Hemaetology-Oncology Patients

Admitted to ICUAlhareth Alkhater

3.10pm to 3.30pm DVT Prophylaxis in Critical Care: Role of NOACS Marcus D. Lance

3.30pm to 3.50pm Rheumatology in ICU Tasleem Raza

3.50pm to 4pm Q & A

4pm to 4.45pm Closing Plenary

Page 14: Qatar Critical Care Conference...Qatar Critical Care Conference Monday to Thursday 28 to 31 October 2019 Sheraton Grand Resort & Convention Hotel Doha, Qatar This activity is an Accredited

13Qatar Critical Care Conference |

TRACK B - ADULT

Day 2 – Thursday, 31 October 2019

7.30am to 8am Registration

8am to 8.30am Keynote Speech

8.35am to 9.45am SESSION 5: FREE PAPER AL RAYYAN

8.35am to 8.45am Factors Contributing to Patients’ Presentation

to the Emergency Department of an Academic

Hospital in Oman After Leaving Other Hospitals

Against Medical Advice

Mohamed Khamis Albadri

8.45am to 8.55am Nutritional Management of Critically Ill Patients:

Outcomes Associated with the Implementation

of a Clinical Dietetic Service within a High-

Volume Intensive Care Unit in Kuwait

Tala Al- Dabbous

8.55am to 9.05am Hyponatremia Induced Compartment Syndrome

of All Extremities: Case Report and Review

Nissar Sheikh Sheikh

9.05am to 9.15am Analgesic Sparing Effects of Dexmedetomidine:

Surgical Intensive Care Patients

Nissar Sheikh Sheikh

9.15am to 9.25am A Rare Case of Propofol Related Infusion

Syndrome in A Neurosurgical Patient

Abdelrhman Mahmoud

9.25am to 9.35am Safety of Prone Positioning in Critically Ill Patients Anzila Akbar

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

10am to 11.35am SESSION 6 AL RAYYAN

10am to 10.20amPediatric Sepsis Improvement Pathway, Qatar

ExperienceAhmed Labib Shehatta

10.20am to 10.40am Optimal Fluid Management in Sepsis? Greg Martin

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14 | Qatar Critical Care Conference

TRACK B - ADULTDay 2 – Thursday, 31 October 2019

10.40am to 11amPharmacokinetic / Pharmacodynamic Variations

During Sepsis / Septic ShockDana Bakdach

11am to 11.20am Beta-Blockers in Sepsis Mervyn Singer

11.20am to 11.35am Q & A

11.35am to 12.05pm Industry Symposium 4 & Poster Viewing

12.05pm to 1pm Lunch Break

1pm to 2.35pm SESSION 7 AL RAYYAN

1pm to 1.20pm Debriefing in Critical Care Kapil Rajwani

1.20pm to 1.40pm Violence Towards Healthcare Professionals Mohammed Al Jonidi

1.40pm to 2pm Communicating with Patient’s Families Talat Saeed Chughtai

2pm to 2.20pm Why we don’t mobilize our patients early? Ashraf Molokhia

2.20pm to 2.35pm Q & A

2.35pm to 2.50pm Poster Viewing & Coffee Break

2.50pm to 4pm SESSION 8 AL RAYYAN

2.50pm to 3.10pm What is the Future of ICUs? Janice L. Zimmerman

3.10pm to 3.30pm

Bridging the Gap: Improving Patient Safety

Through Targeted In-Situ Simulation in CICU and

LFE

Prabhakar Nayak

3.30pm to 3.50pmChallenges in Critical Care Nursing: Dimensions

and LimitationsMajid Hijjeh

3.50pm to 4pm Q & A

4pm to 4.45pm Closing Plenary

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15Qatar Critical Care Conference |

TRACK C - GENERALDay 2 – Thursday, 31 October 2019

7.30am to 8am Registration

8am to 8.35am Keynote Speech

8.35am to 9.45am SESSION 5 AL NAKHIL / AL BASIR

8.35am to 8.55am Tele ICU Corey Scurlock

8.55am to 9.15am Information Technologies Richard Beale

9.15am to 9.35am Social Media in Critical Care Mamoon Yusaf

9.35am to 9.45am Q & A

9.45am to 10am Poster Viewing & Coffee Break

10am to 11.35am SESSION 6 AL NAKHIL / AL BASIR

10am to 10.20am Top 3 Critical Care Publications of 2019 Jean Louis Vincent

10.20am to 10.40am How to Do Clinical Trials in the ICU Bruce L. Davidson

10.40am to 11am Research in Acute Settings in Qatar Mohammad Asim

11am to 11.20am Evolution of Neonatal Research at HMC Husam EM Salama

11.20am to 11.35am Q & A

11.35am to 12.05pm Poster Viewing

12.05pm to 1pm Lunch Break

1pm to 2.35pm SESSION 7 AL NAKHIL / AL BASIR

1pm to 1.20pmBurnout Signals are Alarming Worldwide, The

Active Rule of LeadershipAmr Salah Omar

1.20pm to 1.40pm Leadership in Crisis Management Shakeel Riaz

1.40pm to 2pm ICU Cases Weird and Wonderful Mujahid Al Busaidi

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16 | Qatar Critical Care Conference

TRACK C - GENERALDay 2 – Thursday, 31 October 2019

2pm to 2.20pm 5 Myths in Critical Care Abdul Hakeem Al Hashim

2.20pm to 2.35pm Q & A

2.35pm to 2.50pm Poster Viewing & Coffee Break

2.50pm to 4pm SESSION 8: FREE PAPER AL NAKHIL / AL BASIR

2.50pm to 3pm Towards Next Generation Cannulation Simulators Abdelrhman Mahmoud

3pm to 3.10pm Incidence, Risk Factors and Outcome Of Delirium

in Surgical Intensive Care Unit Of Tertiary Care

Hospital

Sahira Ahmed

3.10pm to 3.20pm Risk Factors for Severe Bronchiolitis among

Children in the Emergency Department at Sultan

Qaboos University Hospital

Maitha Said Al Asmi

3.20pm to 3.30pm Reflective Learning Conversations as Approach

for Clinical Learning and Teaching in Critical Care

Emad Ali Al Momani

3.30pm to 3.40pm Sepsis Pathway 2019 Rasha Ashour

3.40pm to 3.50pm Posterior Reversible Encephalopathy Syndrome

and Eclampsia: An Intensive Care Experiences

Nissar Sheikh Sheikh

3.50pm to 4pm Q & A

4pm to 4.45pm Closing Plenary