Sun 12/6 Cont.

Sun 12/6 Cont.

The Unwelcome Family Reunion: Hypothermia, Acidosis, and Coagulopathy
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Allen Wolfe

Trauma is the major cause of death worldwide. The trauma triad of death is a term describing the combination of hypothermia, acidosis and coagulopathy. This combination is commonly seen in patients who have sustained severe traumatic injuries and results in a significant rise in the mortality rate.  The three conditions share a complex relationship; each factor can compound the others, resulting in high mortality if the cycle continues uninterrupted. The vicious cycle of the trauma triad should be intercepted and subsequently physiological imbalance corrected by resuscitation. The relationship between hypothermia, the degree of shock (acidosis) and to the development of coagulopathy produces increases the mortality by 90.

OBJECTIVES

List the components of the Trauma Triad and focused areas of the nursing assessment.

Describe the complex relationship between hypothermia, acidosis and coagulopathy.

Analyze overt and covert patient data to drive resuscitation decisions at the bedside.

Integrate laboratory data and evidence based practice in predicting outcomes.

When the Shunt Hits the Fan…Pediatric Cardiac Disorders
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Theresa Bowden

Have you ever been dispatched to a call, to find a pediatric patient in distress with a “unknown cardiac history” and a surgical scar on their sternum? This class will review common pediatric cardiac conditions and discuss treatment modalities for EMS providers. 

Learning Objectives:

Recognize signs and symptoms of cardiac disorders in pediatric populations.

Discuss management of pediatric cardiac patients in EMS.

Review available resources for EMS providers responding to pediatric cardiac emergencies.

Lunch Break
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On your own.

Pull the Trigger
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Jess Fulkerson

Decision Making in Airway Management

Airway management is a skill even the newest EMT needs to master.  But even to the most seasoned EMS professionals, HOW to best accomplish airway management can be difficult.  This class will discuss the DECISION MAKING needed in order to evaluate a patient and decide to employ aggressive techniques, vs. using more conservative skills.

It’s about patient evaluation, and applying your skills to those patients that need you the most.  We could just intubate everybody…but is that really necessary?

Designed for First Responder, EMT, EMT-I, and Paramedics, this case-study presentation will provide and interactive environment where together we can explore when it’s best to “pull the trigger”.

Learner Objectives:

Define “difficult airways” and explore options for management

Understand critical facets of patient assessment, pertinent to airway maintenance

Discuss assessment tools currently used by EMS and how to best employ them

Explore the attitude and judgment necessary to be confident and competent

Crichy! The Realities of Surgical Airway Access
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Stephen Rahm

The pathway to mitigation of a true “can’t intubate, can’t oxygenate” situation is very short and very direct—a cricothyrotomy. Emergent surgical airway access via the cricothyroid membrane is a procedure that many paramedics will never perform in their career; are YOU the next one who will be faced with this task? The low-frequency, high-risk nature of this skill mandates absolute knowledge of the anatomy of the anterior neck, frequent practice, and procedural confidence. When cricothyrotomy fails, it is often the result of an inability to properly locate the anatomic structures of the larynx.

This presentation explores the realities of cricothyrotomy in a manner that you have likely never seen before. Utilizing high-resolution cadaveric images, the anterior neck will be procedurally dissected and critical anatomic structures will be identified. A step-by-step approach—based on the latest evidence and best practices—will be followed in order to maximize your success in performing this time-sensitive, final option procedure. No patient should go to the morgue (for lack of an airway) without a hole in their neck!

Learner Objectives:

Recognize a true “can’t intubate, can’t ventilate” situation.

Identify key anatomic landmarks of the anterior neck and larynx.

Describe the various barriers to gaining emergent surgical airway access.

Describe the current best practices in gaining emergent surgical airway access.

General Topics Breakout Session
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Rob Luckritz

Physician / APP Breakout Session
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More information coming soon.

Thoracic Trauma: The Emergent Truth
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Stephen Rahm

Thoracic injuries are a common cause of untimely death; however, many of these deaths are preventable with prompt recognition and immediate treatment. Your understanding of the anatomy, as well as the lifesaving evidence that supports current interventions, is imperative. This presentation begins with a review of the “anatomic truth,” using cadaveric images that distinguish mythology from reality. Complimented by videos of actual injuries and high- resolution cadaveric images, the discussion continues with common (and not so common) clinical presentations, complications, and current management options.

Session Objectives:

Identify critical anatomy within the thoracic cavity.

Recognize the signs and symptoms of lethal thoracic injuries.

Understand current treatment strategies and the evidence that supports them.

Closing Remarks
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More information coming soon.