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

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