Full Course Description
2-Day Intensive Trauma Course: Conquer the Deteriorating Patient
- Conduct a Rapid Trauma Assessment, including FAST and EFAST, focused abdominal sonogram for trauma and ultrasound assessment of trauma.
- Analyze physiological presentations and clinical signs indicative of specific trauma diagnoses.
- Distinguish key palliative interventions in the stabilization and projected continuum of care for selected pediatric and adult traumatic injuries.
- Plan for trauma specific issues in airway management and pulmonary pathophysiology.
- Assess to determine the most appropriate critical-care stabilization, ongoing care, and transport for a neurological trauma patient.
- Apply new insights related to the anatomy and physiology of the cardiac system to trauma care.
- Evaluate physiological presentations and clinical signs indicative of specific trauma diagnoses.
- Integrate knowledge, skills and abilities to enhance the clinical practice of providers caring for the multi-system trauma patient.
- Plan appropriate clinical interventions for common clinical problems encountered in the management of the complex, multi-system trauma patient.
- Choose best responses to patients in crisis using trauma resuscitation algorithms.
- Determine interventions based upon current research and updates in clinical practice that supersede curriculums.
- Demonstrate critical thinking skills necessary to successfully complete the TCRN examination.
- Head to toe physical exam
- Rapid trauma assessment (EXTERNAL trauma)
- Point of Care Ultrasound (POCUS): An evolving role in INTERNAL trauma assessment
Emergent and Ongoing Pain Management in Traumatic Injuries
- Pathophysiology and palliation in hemorrhage control
- Battlefield best practices brought to the bedside
- TXA, Tourniquets, Transfusion, Thoracotomies, the Trauma Triad of Death and more…
Head to Toe Review of Systems
- Pain pathways: Transduction, transmission, modulation, and perception
- Rapid pain management relative to specific mechanisms of injury
- The underlying physiologies to consider
Specific Complex Mechanisms of Injury
- 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
Not Just Little Adults: Pediatric Trauma Review
- Motor vehicle trauma
- Gun shot wounds
- Kinematics of explosion related injuries
- Burn resuscitation management
Putting It All Together: Case Based Review
- Rapid head to toe assessments
- Can’t miss differences between adult and pediatric patients
- Identify Key Missed Moments, Lessons Learned, and Best Practices
Think Like an Emergency Nurse: Deliver Critical Care in Any Department
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
- 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
- GI Bleed
- CVA/TIA: Acute Ischemic & Hemorrhagic
- Subarachnoid bleed
- Intracranial hypertension
- Is that blood pressure of 170/90 truly dangerous?
- Ventricular fibrillation
- Ventricular tachycardia vs. Asystole
- 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
- Who is coming to help you?
- Team dynamics
- What if you’re alone?
- 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”
- Develop a plan to respond to a crashing patient.
- Practice what is needed to respond quickly to help your sickest patients.
- Determine the immediate interventions necessary to save lives.
- Practice the mental strategies necessary for success.
- Distinguish between “sick” vs. “not sick”.
- Analyze clinical scenarios presented.
- Formulate a plan of action to deal with an emergency.