Full Course Description

Acute Cardiac Conditions: Quick Assessment & Rapid Action


Acute Cardiac Pathology

  • Differentiate between an ST elevation MI and a non ST elevation MI
  • What about the presentation based on different coronary vessel involvement?
  • Review angiogram films to identify specific pathology including culprit vs. chronic lesions
  • When are thrombolytics appropriate?
  • When should an invasive procedure like angioplasty or stenting be performed?
  • When to refer to surgery – including timing of urgent and elective surgery
  • See the changes of acute MV regurgitation caused by myocardial ischemia on echocardiogram
  • MR treatments: Pharmacology? When is it time for surgery or catheter-based interventions?
  • Find out how an intra-aortic balloon pump can stabilize a patient with ventral septal defect caused by MI prior to surgery
  • Review which drugs are most beneficial for specific conditions and adhere to AHA recommendations

Cardiogenic Shock

  • Understand the multiple causes of cardiogenic shock to identify early symptoms
  • Compare the function of diagnostic techniques, including echocardiogram and swanganz catheters
  • Gain insight into typical and more advanced treatments including fluid resuscitation, medication, interventions, intra-aortic balloon pumps, ECMO, and VADs

Aortic Dissection

  • Stanford types A and B – including common causes, which patients are at risk, and typical presenting symptoms
  • Review diagnostic techniques and images including echocardiogram, TEE, and CT scans for pathological findings
  • Which patients require emergency surgery vs. medical management?
  • Explore the latest surgical techniques used in treatment

Cardiac Tamponade

  • Identify the symptoms of cardiac tamponade including the components of Beck’s triad
  • Learn the causes of pericardial tamponade
  • Review diagnostic echocardiogram and CT images
  • Appropriate treatments including pericardiocentesis and pericardial window surgical procedures


  • Identify acute cardiac arrhythmias including atrial fibrillation/flutter, 3rd-degree heart block and ventricular tachycardia by EKG findings
  • Review common etiologies and risk factors
  • Explore treatment options including medication, electricity, and ablation procedures


  1. Analyze EKG, physiologic, vascular, and structural changes related to myocardial ischemia.
  2. Breakdown acute mitral regurgitation due to papillary muscle dysfunction, ventral septal defects, and the acute physiologic symptoms observed.
  3. Communicate acute cardiac interventions including pharmacological, percutaneous and surgical treatments.
  4. Point out the etiology and symptoms of cardiogenic shock and treatments utilized.
  5. Analyze Stanford type A and B aortic dissection and treatments for each including which type requires emergency cardiac surgery.
  6. Breakdown symptoms of cardiac tamponade and appropriate treatments.
  7. Evaluate acute cardiac rhythm changes, etiology, and treatments for each including pharmacological and invasive interventions. 

Copyright : 05/11/2017

The Complex Neuro Patient: Strategies to Take Your Practice to the Next Level ‚Äč


Neuro Assessments: Identifying the RED Flags

  • Challenging Mental Status Exams
    • The Patient with Existing Dementia
  • The Down-n-Dirty Cranial Nerve Assessment
  • Glasgow Coma Scale
  • Identifying Red Flags
  • Effectively Communicating Changes

Neuro Trauma: The Latest Evidence-Based Strategies

  • Blunt & Penetrating Injuries
  • Symptom Management for:
    • Hypoxemia
    • Hypotension
    • Prophylactic Hypothermia
    • Nutrition Replacement
    • Normoglycemia
    • Hyperventilation
  • Surgical Emergencies & Post-op Care
    • Craniotomy & Craniectomy
  • Associated Mental Status & Cognitive Changes

Managing Increased Intracranial Pressure

  • Early & Late Symptoms
  • Non-invasive vs. Invasive Monitoring
  • ICP Waveform Analysis Made Easy

Neuro Pharmacology: New Thoughts on Old Therapies

  • Steroids
  • Osmotic Diuretics
  • Hypertonic Saline
  • Anti-Seizure Prophylaxis
  • DVT Prophylaxis
  • Thrombolytics & Anticoagulation
  • Reversal Agents
  • Infection Prophylaxis
  • Anesthetics, Analgesics & Sedatives

Timely Recognition and Treatment Recommendations for Stroke Syndromes

  • Acute Ischemic Stroke
  • Intracerebral Hemorrhagic Stroke
  • Hemispheric Findings
  • NIH Stroke Scale
  • Clinical Presentation & Management of Seizures
  • Differentiation of Seizure Type
  • Psychogenic Non-Epileptic Seizures (PNES’s)
  • Sudden Unexplained Death in Epilepsy (SUDEP)

Neurodegenerative & Neuromuscular Disease

  • The Patient with Alzheimer’s Disease
  • Assessing Altered Mental Status
  • The Patient with Pre-Existing Dementia
  • Tips to Spot Subtle Clues
  • Differentiating Diagnosis by Symptom Onset

The Patient with Multiple Sclerosis

  • Physical Assessment Challenges
  • The Patient with Muscle Weakness & Wasting
  • Key Criteria for Assessing Baseline

The Patient with Amyotrophic Lateral Sclerosis

  • Anticipating Complications
  • Early Recognition of Life-threatening Symptoms
  • What equipment is a MUST have at the bedside?
  • Difficult Airway Management

The Patient with Parkinson’s Disease

  • Symptom Management Challenges
  • Interventions for the Agitated Patient
  • Strategies for Effective Patient Compliance
  • Team Approach: Role of the Interdisciplinary Team & Family


  1. Assess neuroanatomy as applicable to complex neurologic patients.
  2. Breakdown neurologic assessment strategies and changes associated with pathologic conditions.
  3. Choose between head injury types, associated mental status, and cognitive changes.
  4. Communicate the latest strategies for timely recognition and treatment of stroke syndromes.
  5. Specify the clinical presentation and treatment recommendations for seizure types.
  6. Correlate increased intracranial pressures with expected causes and critical care management.
  7. Evaluate post-op management of neurosurgical patients.
  8. Breakdown essential management strategies for patients with neurodegenerative and neuromuscular disorders. 

Copyright : 06/07/2017

Must Know Cardiac and Respiratory Lab Tests


  • Acute Coronary Syndrome
  • Components of Cardiac Lab Tests
  • BNP and Pro-BNP
  • Congestive Heart Failure
  • Blood Gases: Arterial and Venous
  • Acid/Base Compensation


  1. Decide when the Troponin implies a myocardial infarct and what else can cause modest elevation to this cardiac marker.
  2. Exploit the differences between ST elevation and ST depression on the EKG as it relates to cardiac insult.
  3. Explore four abnormal findings on the ABG and common causes of each.
  4. Utilize a tool for easy analysis of ABG findings
Copyright : 02/16/2017