Full Course Description

2-Day Intensive Trauma Course: Conquer the Deteriorating Patient

Program Information

Objectives

  1. Conduct a Rapid Trauma Assessment, including FAST and EFAST, focused abdominal sonogram for trauma and ultrasound assessment of trauma.
  2. Analyze physiological presentations and clinical signs indicative of specific trauma diagnoses.
  3. Distinguish key palliative interventions in the stabilization and projected continuum of care for selected pediatric and adult traumatic injuries.
  4. Plan for trauma specific issues in airway management and pulmonary pathophysiology.
  5. Assess to determine the most appropriate critical-care stabilization, ongoing care, and transport for a neurological trauma patient.
  6. Apply new insights related to the anatomy and physiology of the cardiac system to trauma care.
  7. Evaluate physiological presentations and clinical signs indicative of specific trauma diagnoses.
  8. Integrate knowledge, skills and abilities to enhance the clinical practice of providers caring for the multi-system trauma patient.
  9. Plan appropriate clinical interventions for common clinical problems encountered in the management of the complex, multi-system trauma patient.
  10. Choose best responses to patients in crisis using trauma resuscitation algorithms.
  11. Determine interventions based upon current research and updates in clinical practice that supersede curriculums.
  12. Demonstrate critical thinking skills necessary to successfully complete the TCRN examination.

Outline

Trauma Assessment

  • Head to toe physical exam
  • Rapid trauma assessment (EXTERNAL trauma)
  • Point of Care Ultrasound (POCUS): An evolving role in INTERNAL trauma assessment
Hemorrhage Control
  • Pathophysiology and palliation in hemorrhage control
  • Battlefield best practices brought to the bedside
  • TXA, Tourniquets, Transfusion, Thoracotomies, the Trauma Triad of Death and more…
Emergent and Ongoing Pain Management in Traumatic Injuries
  • Pain pathways: Transduction, transmission, modulation, and perception
  • Rapid pain management relative to specific mechanisms of injury
  • The underlying physiologies to consider
Head to Toe Review of Systems
  • Traumatic Brain Injury, Spinal Cord Injury, Diffuse Axonal Injury
  • Ocular Trauma
  • Intubation in Trauma and Emergent Surgical Airways
  • Blunt and Penetrating Mechanisms of Cardiac Injury
  • Thoracic Cavity Injuries and Pulmonology Considerations
  • Eviscerations and Other Peritoneal Cavity Concerns
  • Traumatic Considerations Within the Pelvic Girdle
  • Long Bone and Extremity Fractures
Specific Complex Mechanisms of Injury
  • Motor vehicle trauma
  • Gun shot wounds
  • Kinematics of explosion related injuries
  • Burn resuscitation management
Not Just Little Adults: Pediatric Trauma Review
  • Rapid head to toe assessments
  • Can’t miss differences between adult and pediatric patients
Putting It All Together: Case Based Review
  • Identify Key Missed Moments, Lessons Learned, and Best Practices
    • Assessment
    • Intervention
    • Documentation

Target Audience

  • RNs, NPs, PAs, and Paramedics from:
    • Emergency Departments
    • Critical Care
    • Medical-Surgical floors
    • Cardiology
    • Neurology
    • Urgent Care
  • Anyone desiring next level skills to proactively assess and intervene in the crashing trauma patient!

Copyright : 05/11/2020

Think Like an Emergency Nurse: Deliver Critical Care in Any Department

Program Information

Outline

How will you improve patient outcomes?

  • Failure to rescue and how to avoid it
  • Increasing your confidence in emergent situations
  • Planning for the worst at every patient encounter
  • Advocating for your patient
  • Communicating high-risk information clearly
  • Mental strategies for success
  • Cognitive pre-planning
  • How the fire service relates to preparation for success

Risk Reduction

  • Recognizing risk for clinical decline
  • How to intervene before an event
  • Why respiratory rate matters
  • Know your strengths and have a plan to handle your weaknesses
  • Assemble your team

Common Emergency Conditions

  • The steps you can take to save lives
  • The 3 highest priority interventions for each
  • Common Emergency Conditions
    • Cardiac Arrest
    • Choking/Dislodged tracheostomy
    • Major Trauma
    • Control of hemorrhage
    • Sepsis
    • GI Bleed
    • Neurology
      • CVA/TIA: Acute Ischemic & Hemorrhagic
      • Seizure
      • Subarachnoid bleed
      • Intracranial hypertension
      • Is that blood pressure of 170/90 truly dangerous?
    • Cardiology
      • Dysrhythmias
      • Ventricular fibrillation
      • Ventricular tachycardia vs. Asystole
      • SVT
      • Rapid atrial fibrillation/flutter
      • Why is my patient tachycardic?

Prioritization & Practice

  • What matters most when the patient crashes
  • How to practice every day in 2 minutes or less
  • Why sick is sick until proven otherwise

Team Preparation

  • Who is coming to help you?
  • Team dynamics
  • What if you’re alone?

Cognitive Error

  • Which came first, the MI or the MVA?
  • Don’t put the cart before the horse

Putting it Together: Skills Lab & Clinical Scenarios

  • Group review of patient cases
  • Practice with instructor feedback
  • Use of “preparation sheet”

Objectives

  1. Develop a plan to respond to a crashing patient.
  2. Practice what is needed to respond quickly to help your sickest patients.
  3. Determine the immediate interventions necessary to save lives.
  4. Practice the mental strategies necessary for success.
  5. Distinguish between “sick” vs. “not sick”.
  6. Analyze clinical scenarios presented.
  7. Formulate a plan of action to deal with an emergency.

Target Audience

Nurses, and other Healthcare Professionals

Copyright : 10/19/2017