2-Day Emergency Nursing Boot Camp

Credits

Handouts/Brochure

Speaker

Sean G. Smith, MSc, FP-C, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric) Related seminars and products

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Sean G. Smith,  MSc, FP-C, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a flight nurse-paramedic who has practiced and taught Trauma Care, Tactical Medicine, Emergency/Critical Care and Prehospital Emergency Medical Services, both in the military and the civilian world. He holds degrees in nursing and molecular biology, is a graduate of Duke University’s Legal Nurse Consulting program and is currently pursuing a master’s degree through the University of Florida College of Pharmacy. He holds multiple advanced specialty certifications as well as extensive instructor qualifications in critical care and emergency medicine.

Career highlights include numerous author/co-author credits, including: a best-selling Laboratory Medicine textbook, a chapter on Shock in Trauma Nursing Core Curriculum, and a section in the newly released Resuscitation Crisis Manual. Sean consults on clinical, legal and certification prep for numerous high-profile hospital systems (Yale, Mayo…). He routinely lectures at national/international conferences, has completed 50 + medical missions (Dominican Republic, Honduras, Morocco, Liberia, and Haiti), and provided medical support to the NASA Space Shuttle Program.

 

Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses.

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Outline

OUTLINE – DAY ONE

Trauma’s Lethal Triad: Hypothermia, Acidosis & Coagulopathy Hypothermia

• Correct Classification of the Trauma Patient
• Contributing Risk Factors
• Volume Resuscitation
  • Why, When & How to Use IV Fluids

Acidosis

• What is Happening & Why?
• Panic Values & Lethal Levels
• Oxyhemoglobin Dissociation Curve
  • Left & Right Curves
  • Why it Matters

Coagulopathies

• Understanding a Very Complex Process
• Effect on Body Systems
• When it Goes Wrong
• DIC: Disseminated Intravascular Coagulopathy
  • Understanding the Lab Values
    • CBC, Platelets, PT, PTT, D-dimer, Fibrin
  • Hemorrhagic Shock
    • Permissive Hypotension
  • Damage Control Resuscitation

Putting it All Together

• Simple Steps that SAVE Lives
• Management & Treatment Options

Burn Trauma

• Critical Assessments during the Primary Survey
• Key Components of the Secondary Survey
• Fluid Resuscitation Formulas
• American Burn Association Evaluation Criteria
• Treatment Strategies for Chemical, Electrical & Thermal Burns
• ‘Never Miss’ Clues for Identifying Inhalation Injuries

The Septic Patient

• SIRS: Systemic Inflammatory Response Syndrome & SEPSIS
• Inflammatory Response: A Good Thing
• SIRS: Too Much of a Good Thing
• Sepsis & Severe Sepsis: Too Much of a Good Thing Comes to a Bad End
• Patient Presentations along the Continuum
  • Sepsis Surveillance
  • Emergent Interventions: Time is Tissue

OUTLINE – DAY TWO

Penetrating Chest Traumas

• FAST Evaluation & Ultrasound
• Pneumothorax
  • Variations & Identifying Symptoms
  • Emergency Interventions
• Flail Chest
  • Dos & Don’ts of Initial Management
  • Special Populations at Risk
• Cardiac Tamponade
  • Thoracotomy in the ED

Cardiovascular Emergencies

• Advanced Hemodynamics
  • SVR: Systemic Vascular Resistance
  • CVP Monitoring
• The Spectrum of Acute Coronary Syndrome
  • Key Assessments & Interventions for:
  • Unstable Angina
  • STEMI
  • Non-STEMI
• Recognizing Arrhythmias
  • Stable, Unstable and Lethal

Neuro Emergencies: Time is Brain

• Concepts of Volume & Pressure
• Rapid Neuro Assessment
• Critical Interventions for:
  • TBI
  • Spinal Cord Injuries
  • Diffuse Axonal Injury

Toxicology Challenges

• Identifying the Toxin
• Assessment of Intentional & Unintentional Overdose
• ABGs - a Critical Key
• Treatment Options: Removing & Reducing Causative Agent
• Symptom Management Strategies When There is No Curative Agent
• Toxicology Arrhythmias: Expected & Unexpected
• Today’s Street Drugs

Life-Threatening Electrolyte Imbalances

• Critical Clues for Quick Identification
• Panic Values
• Interventions that Improve Outcomes
• Potential Causes & Treatments

Objectives

1. Interpret patterns of ischemia, injury and infarction on a 12-lead EKG.
2. Discuss cardiac disorders which carry an increased risk for sudden death.
3. Describe the relationship between ventilation and perfusion.
4. Identify conditions which would require a chest tube.
5. Recognize assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
6. Define the anatomy and physiology of the neurological system and how this manifests in physical symptoms.
7. Recognize life-threatening electrolyte imbalances, potential causes and remedies.
8. Interpret arterial blood gasses using a three-step method.
9. Compare and contrast the oxyhemoglobin dissociation curve to pulse oximetry readings, So2 and pO2 values.
10. Evaluate signs, symptoms and treatment modalities for four different classifications of shock.
11. Describe systemic inflammatory response syndrome and the spectrum of septic shock.
12. Correlate clinical presentations of patients during the continuum of SIRS to septic shock.
13. Discuss the coagulation cascade and laboratory values associated with disruption of normal function.

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