Robin Gilbert – Managing Patient Emergencies: Critical Care Skills Every Nurse Must Know

Outline

Identifying the RED FlagsIdentifying the RED Flags

• Critical Thinking During a CrisisCritical Thinking During a Crisis
• Vital Signs & ABCDsVital Signs & ABCDs
• Methods for Establishing and Maintaining AirwayMethods for Establishing and Maintaining Airway
• Breathing: More Than a Rate Issue Circulation & PerfusionBreathing: More Than a Rate Issue Circulation & Perfusion
• Rapid Assessment TechniquesRapid Assessment Techniques
• Critical Questions to Ask Your PatientCritical Questions to Ask Your Patient
• Identifying High-Risk PopulationsIdentifying High-Risk Populations
• Sick or Not Sick…Who would you see first?Sick or Not Sick…Who would you see first?

Cardiovascular Prevention, Presentation, Action for: “I’m having chest pain” Cardiovascular Prevention, Presentation, Action for: “I’m having chest pain”

• Recognizing Arrhythmias – Stable, Unstable and LethalRecognizing Arrhythmias – Stable, Unstable and Lethal
• Rhythm Recognition & Treatment for: VT, VF, SVT, and Heart BlocksRhythm Recognition & Treatment for: VT, VF, SVT, and Heart Blocks
• Acute Myocardial Infarction: STEMI/ NSTEMIAcute Myocardial Infarction: STEMI/ NSTEMI
• Key Assessments & Interventions​ tPA GuidelinesKey Assessments & Interventions​ tPA Guidelines
• Laboratory ParametersLaboratory Parameters
• Recognizing Subtle ChangesRecognizing Subtle Changes
• Hemodynamic Monitoring: Hemodynamic Monitoring:
  • MAP, CO, SV, CIMAP, CO, SV, CI
  • Preload, Afterload, ContractilityPreload, Afterload, Contractility
• Skills Practice: EKG InterpretationSkills Practice: EKG Interpretation

Respiratory Prevention, Presentation, Action for: “I can’t breathe”Respiratory Prevention, Presentation, Action for: “I can’t breathe”

• Capnography BasicsCapnography Basics
• Assessment & Critical Interventions for: Assessment & Critical Interventions for:
  • Pulmonary EmbolismPulmonary Embolism
  • Respiratory FailureRespiratory Failure
  • COPDCOPD
  • ARDSARDS
  • The Patient Who Needs AssistanceThe Patient Who Needs Assistance
  • O2, CPAP, BiPAPO2, CPAP, BiPAP
  • Indications for IntubationIndications for Intubation
  • Positive Pressure VentilationPositive Pressure Ventilation
  • Chest Tube ManagementChest Tube Management
  • Easy ABG Analysis…Really!Easy ABG Analysis…Really!

Endocrine Prevention, Presentation, Action for: “I don’t feel right”Endocrine Prevention, Presentation, Action for: “I don’t feel right”

• The Differences of DKA and HHNKThe Differences of DKA and HHNK
• Early Recognition of HypoglycemiaEarly Recognition of Hypoglycemia
• Critical Lab FindingsCritical Lab Findings
• Differentiating the Diagnosis – Case StudiesDifferentiating the Diagnosis – Case Studies
• Which Intervention Should you do FIRSTWhich Intervention Should you do FIRST
• What is the Likely ProblemWhat is the Likely Problem
• Anticipating the SolutionsAnticipating the Solutions

Neurological Prevention, Presentation and Action for: “My head hurts!”Neurological Prevention, Presentation and Action for: “My head hurts!”

• Elevated Intracranial PressureElevated Intracranial Pressure
• Clues When you Don’t have a MonitorClues When you Don’t have a Monitor
• Ischemic vs. Hemorrhagic StrokeIschemic vs. Hemorrhagic Stroke
• Inclusion/Exclusion for tPAInclusion/Exclusion for tPA
• Critical LabsCritical Labs
• Malignant HeadacheMalignant Headache
• DeliriumDelirium
• Autonomic DysreflexiaAutonomic Dysreflexia
• Simulation Lab Review Simulation Lab Review
  • Interpreting the Patient’s PresentationInterpreting the Patient’s Presentation

Fluid Imbalance/Circulatory EmergenciesFluid Imbalance/Circulatory Emergencies

• SepsisSepsis
• ShockShock
• GI BleedGI Bleed
• Abdominal Aortic AneurysmAbdominal Aortic Aneurysm
• Compartment SyndromeCompartment Syndrome

Managing the Decompensating PatientManaging the Decompensating Patient

• No Pulse, No Blood Pressure, No Respirations…Now What? No Pulse, No Blood Pressure, No Respirations…Now What?
  • Common MedicationsCommon Medications
  • Monitor/Defibrillator ReviewMonitor/Defibrillator Review
  • Roles & Responsibilities During a CodeRoles & Responsibilities During a Code

What’s New & TrendingWhat’s New & Trending

• Ethical ConsiderationsEthical Considerations
• Documentation PitfallsDocumentation Pitfalls
• Staffing Considerations & High Acuity PatientsStaffing Considerations & High Acuity Patients