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Intro to Critical Care and Anesthesia

Sponsored by AAEM/RSA

Online course prep: February 13 - April 10, 2022 | 5:00pm PT / 6:00pm MT / 7:00pm CT / 8:00pm ET
In-Person Training: April 23, 2022 1:00 - 5:00pm ET

Due to the consistent need for early critical interventions in the Emergency Department, the relevance of critical care and anesthesia topics for third and fourth-year medical students and EM interns arises as a necessity for primary treatment centers and rural Emergency Departments who transport ICU-bound patients to a higher-level of care. Practical hands-on learning coupled with a flipped theoretical classroom drives this course. The learning strategy will ensure consistent, evidence-based care with the most up-to-date and relevant knowledge applicable to these fields.

Registration is now closed.

 

Online Prep

Sundays, February 13 - April 10  | 8:00pm ET
Virtual - Zoom

The theoretical/didactic portion of this course will be completed in advance of attending Scientific Assembly as participants will attend a one-hour zoom session once a week, for a total of eight sessions, with an optional ninth session covering POCUS in EM. Participants will be required to complete quizzes for each module of 5-10 multiple-choice questions (except for the optional POCUS component) with a minimum pass rate of 80%. Participants are allotted a maximum of two attempts at each quiz to achieve the minimal passing grade. Only after understanding of the incorrect questions is accomplished may you attempt the quiz a second time. Quizzes will be graded by course co-directors and faculty.

Participants will be provided with links to course content on Mondays and are required to have viewed the content prior to attending the weekly Zoom meeting the following Sunday evening. Participants are required to attend the Sunday Zoom sessions.

Hands-On Course

April 23, 2022 | 1:00-5:00pm ET 
AAEM22 - Baltimore, MD

The kinesthetic portion of the course is required for completion. This section of the course will be held at Scientific Assembly where skills training in Advanced Airway Management/Intubation and mechanical ventilator use/knobology will occur. At the end of the course, students will receive a Certificate of Completion titled “Introduction to Critical Care and Anesthesia Course Completion” (with or without the “POCUS in EM” component) from the AAEM/RSA.  

CME is not available for this course.

Course Registration

Course fees cover both online and in person pre-conference registration costs. Registration to attend AAEM22 Scientific Assembly is not included.

CCMS-AAEM members receive free course registration!

The AAEM Critical Care Medicine Section (CCMS-AAEM) is proud to sponsor RSA CCMS members to attend this course! To join CCMS-AAEM, visit our website.

  • AAEM/RSA Member: $40
  • Resident or Student Non-Member: Early Bird: $80
  • CCMS-AAEM Resident and Student Members: Free

Participant Information

Course Registration Limit: 40 participants

Target Audience: Third and fourth year medical students and emergency medicine interns

Tentative Course Schedule

Online

Sundays, February 13 - April 10

  • February 13: Analgesics, Sedatives and Paralytics
  • February 20: Arterial Blood Gas (ABGs), Basic Chemistry Panel, and CBC Interpretation
  • February 27:  Oxygen Therapy and Ventilation
  • March 6: Intra-aortic Balloon Pumps (IABP) and Extracorporeal Membrane Oxygenation (ECMO) and Central Line Insertion
  • March 13: Hemodynamic and Intracranial Pressure Monitoring
  • March 20: Pediatric and Neonatal Critical Care
  • March 27: Fluid Therapy and Massive Transfusion
  • April 3: Cardiac Pacing and Implantable Cardiac Devices
  • April 10: POCUS Course (Optional)

In Person

Saturday, April 23, 2021

  • 1:00-1:15pm ET: Welcome - Matthew Carvey and Ava Omidvar
  • 1:15-1:30pm ET: Setup of Stations and Group Assignment - Matthew Carvey and Ava Omidvar
  • 1:30-2:00pm ET:  Advanced Airway Management - Theory - Matthew Carvey and Ava Omidvar
  • 2:00-3:00pm ET:  Advanced Airway Management - Practical - Matthew Carvey, Ava Omidvar and Faculty
  • 3:00-3:15pm ET:  Break
  • 3:15-3:45pm ET:  Ventilator Management - Theory - Matthew Carvey and Ava Omidvar
  • 3:45-4:50pm ET: Ventilator Management - Practical - Matthew Carvey, Ava Omidvar and Faculty
  • 4:50-5:00pm ET: Wrap-Up - Matthew Carvey and Ava Omidvar

Learning Objectives

Analgesics, Sedatives and Paralytics

  • List the three types of NSAIDS and their mechanism of action
  • List the non-narcotic analgesics and their mechanism of action
  • Rationalize Mucomyst (N-acetylcysteine) as a reversal medication for acetaminophen overdose
  • List the various narcotic analgesics, along with their mechanism of action and reversal medication
  • Explain the purpose behind inhaled anesthetics, and the various drugs in this category
  • List the various benzodiazepines, and their mechanism of action and reversal medication
  • List the various barbiturates and non-barbiturates along with their own mechanism of action
  • List the primary depolarizing paralytic, its mechanism of action and reversal medication
  • Explain malignant hyperthermia, and the procedure to manage its onset
  • List the various non-depolarizing paralytics, their mechanism of action, and reversal medication

Arterial Blood Gas (ABG’s), Basic Chemistry Panel, and CBC Interpretation

  • Explain the rationale for completing an ABG
  • Explain the procedure for completing an ABG
  • Determine the normal values found when reading an ABG
  • Interpret pathological values found in an ABG
  • Explain the rationale for completing a basic chemistry panel
  • Explain the procedure for completing a basic chemistry panel
  • Determine the normal values found in a basic chemistry panel
  • Interpret pathological values found in a basic chemistry panel
  • Explain the rationale for a complete blood count
  • Explain the procedure involved in obtaining a complete blood count
  • Interpret the normal values involved in a complete blood count
  • Interpret pathological values found in a complete blood count
  • Explain the general rules involved with pH, CO2 and K+

Oxygen Therapy and Ventilation

  • Understand the difference between basic and advanced airway management
  • Explain the uses of both CPAP and BiPAP and their differences
  • Discuss the 7P’s of rapid sequence intubation
  • Rationalize the difference between a cricothyroidotomy and tracheostomy
  • Explain the purpose of using a ventilator
  • Locate the various parameters on both a transport and in-hospital ventilator
  • Explain each parameter on a ventilator
  • Differentiate between the various modes of artificial ventilation
  • Differentiate the various pathologies due to a high or low-pressure alarm
  • Explain a plan of action for acute respiratory decompensation while on a ventilator
  • Understand the various special circumstances during artificial ventilation

Intra-aortic Balloon Pumps (IABP) and Extracorporeal Membrane Oxygenation (ECMO) and Central Line Insertion

  • Describe the goals of Intra-aortic balloon pump therapy
  • Describe the procedure of intra-aortic balloon pump placement
  • Describe the uses and contraindications of intra-aortic balloon pump therapy
  • Demonstrate the ability to understand an IABP waveform
  • Describe the different timing errors involved with IABP therapy
  • Describe the two forms of ECMO therapy
  • Describe the indications and contraindications for ECMO therapy
  • Describe the indications and contraindications for central line insertion
  • Determine the various locations and landmarks for central line insertion
  • Define the Seldinger technique of central line insertion

Hemodynamic and Intracranial Pressure Monitoring

  • Describe the purpose and concepts behind arterial hemodynamic monitoring
  • Describe the indications for arterial hemodynamic monitoring
  • Illustrate the normal arterial line waveform
  • Review the intracranial hemorrhages
  • Differentiate between ischemic vs. hemorrhagic strokes
  • Describe the indications and execution of intracranial pressure monitoring
  • Describe the ICP waveform and any pathologies that may occur with it

Pediatric and Neonatal Critical Care

  • Describe the pediatric triangle and the three factors it entails
  • Describe adult vs. pediatric anatomical differences
  • Describe various respiratory and cardiovascular interventions used in pediatrics
  • Describe the general rule for pediatric care
  • Describe common injury patterns in pediatrics
  • Demonstrate understanding of mechanical ventilation specific to pediatrics
  • Describe the APGAR score
  • Compare and contrast cyanotic vs. acyanotic lesions in neonates
  • Describe the various diseases in neonates
  • Follow the resuscitation guideline for neonates
  • Describe mechanical ventilation techniques for neonates

Fluid Therapy and Massive Transfusion

  • Describe the bodies intrinsic mechanisms for hemostasis during trauma
  • Describe indications for fluid therapy and massive transfusion in the emergent and critical care setting
  • Identify the differences between normal saline (0.9% and 0.45%) and Ringers’ lactate
  • Describe indications and the complications from administering Packed Red Blood Cells (PRBC’s)
  • Describe indications for administering Fresh Frozen Plasma (FFP)
  • Describe indications for administering Platelets
  • Describe indications for administering Cryoprecipitate
  • Describe the indications for administering Albumin
  • Describe the indications for administering Tranexamic acid
  • Briefly describe the transition of an acute infection progressing to sepsis and ultimately disseminated intravascular coagulation if untreated
  • Discuss obstetrical related complications as it pertains to hemorrhage
  • Describe the various transfusion reactions that can occur and the signs and symptoms that underlie them

Cardiac Pacing and Implantable Cardiac Devices

  • Describe the indications for pacing
  • Differentiate between voltage, rate, pacing spike, and capture
  • Differentiate between the two modes of pacing
  • Describe the indications and execution of non-invasive cardiac pacing
  • Describe the indications and execution of invasive cardiac pacing
  • Describe the pulse generator
  • Describe reasons to consider and implement temporary epicardial pacing
  • Define NASPE and NBG codes 
  • Determine normal and abnormal atrial and ventricular pacing strips

POCUS (Optional)

  • Physics of ultrasonography
  • Knobology
  • Cardiac ultrasound
  • Pulmonary ultrasound
  • Abdominal ultrasound
  • Pelvic ultrasound
  • Vascular ultrasound
  • Soft tissue ultrasound
  • Peripheral IV access utilizing ultrasound
  • RUSH exam
  • e-FAST exam
  • Advanced topics: TEE, MSK, DVT and Ocular ultrasound

Course Co-Directors

Matthew Carvey, MSIV EMT-P FP-C
Critical Care Flight Paramedic and Medical Student, St. George’s University, St. George, Grenada

Ava Omidvar, MSIII MPH FP-C
Critical Care Flight Paramedic and Medical Student, St. George's University, St. George, Grenada

Faculty (8 station leaders for onsite course)
Group leaders/faculty will be made up of members from AAEM’s Critical Care Medicine Section (CCMS), as well as other individuals with considerable experience in emergency medicine and critical care who will be volunteering their time.

 

 

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