The Dermatological Emergencies, organized by the Med Ed will take place on 7th May 2016 at the Movenpick Hotel JBR in Dubai, United Arab Emirates. The conference will cover areas like Dermatology is “not a specialty that has been structured to have 24-hour-a-day access outside the university settings,” Dr. Jorizzo says. In most cases of a true cutaneous emergency, “the patient needs to be managed jointly, where the dermatologist is the advisor. We’re very good at co-managing patients with lots of input to other specialists.” The impact a dermatologist has on diagnosing these types of diseases “will vary tremendously with the patient setting and the hospital setting,” Dr. Buka says, adding that the relationship the dermatologist has with the local community hospital will dictate the role the dermatologist will play. “If a hospital has a very good relationship with a dermatology department, they’ll call on a moment’s notice if they’re unsure about the diagnosis. But community-based clinics may only have one or two people who spend a couple of hours a month at the hospital. Those dermatologists are not going to be at the forefront during an in-patient consultation.” Where multiple specialties are needed to manage more difficult cases, “reaching out and speaking to the other teams in addition to writing your note in the chart helps facilitate a professional relationship and an open dialogue regarding treatment,” claims Dr. Paraskevas. “It also helps to be available. Being on staff at a hospital that has close proximity to one’s practice is ideal to see inpatient consults expeditiously. My affiliated hospital where I see most of my inpatient consults is on my way home, so usually I can see the patients that same evening. I often leave my number with my note and encourage others on the team to contact me with questions,” she says. According to Dr. Paraskevas, even dermatitis as commonplace as stasis dermatitis can be alarming when it is acute and the erythema and swelling seen in the lower extremities can be confused with cellulitis. “This case truly requires multiple disciplines work together,” she says, and explains that she will consult with vascular for evaluation of the arterial and venous circulation of the lower extremities and for clearance for compression of the legs, as stasis improves with compression; cardiology is involved if the swelling is secondary to congestive heart failure. “A nutritionist,” she says, “is needed to get the patient started on a weight loss program and maybe even a physical therapy and rehabilitation doctor must consult on how to get the person moving again, since often patients with chronic, extreme stasis have a hard time moving.