2-Day Emergency Nursing Boot Camp – Sean G. Smith

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Critical Interventions & Actions for:Critical Interventions & Actions for:

• Trauma’s Lethal TriadTrauma’s Lethal Triad
• Penetrating Chest TraumasPenetrating Chest Traumas
• SIRS & SepsisSIRS & Sepsis
• Burn TraumaBurn Trauma
• Toxicology ChallengesToxicology Challenges
• Cardiovascular & Neuro EmergenciesCardiovascular & Neuro Emergencies

You have the daunting challenge of recognizing subtle changes in a patient’s condition that can lead serious complications or even death. Are you sure you have the knowledge and skills you need to handle these difficult situations?You have the daunting challenge of recognizing subtle changes in a patient’s condition that can lead serious complications or even death. Are you sure you have the knowledge and skills you need to handle these difficult situations?

Working in the rapidly-changing emergency department and caring for the most complex patients means you have to be able to recognize these changes and respond appropriately. You’re dealing with life-threatening conditions and you need to be up to date on the most current and cutting-edge strategies. During this comprehensive program you will gain the skills you need to manage any situation. Drawing on over 20 years of experience, Sean G. Smith, RN, BSN, NREMT-P, C-NPT, CCRN, CMC, CEN, CFRN, FP-C, CPEN, will challenge you to take your knowledge to the next level!Working in the rapidly-changing emergency department and caring for the most complex patients means you have to be able to recognize these changes and respond appropriately. You’re dealing with life-threatening conditions and you need to be up to date on the most current and cutting-edge strategies. During this comprehensive program you will gain the skills you need to manage any situation. Drawing on over 20 years of experience, Sean G. Smith, RN, BSN, NREMT-P, C-NPT, CCRN, CMC, CEN, CFRN, FP-C, CPEN, will challenge you to take your knowledge to the next level!

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OUTLINE – DAY ONEOUTLINE – DAY ONE

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

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

AcidosisAcidosis

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

CoagulopathiesCoagulopathies

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

Putting it All TogetherPutting it All Together

• Simple Steps that SAVE LivesSimple Steps that SAVE Lives
• Management & Treatment OptionsManagement & Treatment Options

Burn TraumaBurn Trauma

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

The Septic PatientThe Septic Patient

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

OUTLINE – DAY TWOOUTLINE – DAY TWO

Penetrating Chest TraumasPenetrating Chest Traumas

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

Cardiovascular EmergenciesCardiovascular Emergencies

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

Neuro Emergencies: Time is BrainNeuro Emergencies: Time is Brain

• Concepts of Volume & PressureConcepts of Volume & Pressure
• Rapid Neuro AssessmentRapid Neuro Assessment
• Critical Interventions for: Critical Interventions for:
  • TBITBI
  • Spinal Cord InjuriesSpinal Cord Injuries
  • Diffuse Axonal InjuryDiffuse Axonal Injury

Toxicology ChallengesToxicology Challenges

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

Life-Threatening Electrolyte ImbalancesLife-Threatening Electrolyte Imbalances

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

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OBJECTIVESOBJECTIVES

1. Interpret patterns of ischemia, injury and infarction on a 12-lead EKG.Interpret patterns of ischemia, injury and infarction on a 12-lead EKG.
2. Discuss cardiac disorders which carry an increased risk for sudden death.Discuss cardiac disorders which carry an increased risk for sudden death.
3. Describe the relationship between ventilation and perfusion.Describe the relationship between ventilation and perfusion.
4. Identify conditions which would require a chest tube.Identify conditions which would require a chest tube.
5. Recognize assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.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.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.Recognize life-threatening electrolyte imbalances, potential causes and remedies.
8. Interpret arterial blood gasses using a three-step method.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.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.Evaluate signs, symptoms and treatment modalities for four different classifications of shock.
11. Describe systemic inflammatory response syndrome and the spectrum of septic shock.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.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.Discuss the coagulation cascade and laboratory values associated with disruption of normal function.

ADA NeedsADA Needs

We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

Satisfaction GuaranteeSatisfaction Guarantee

Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

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