Is The HEAVEN Assessment The New LEMON?
David Olvera, AS, FP-C, NREMT-P, CMTE Air Methods Corporation
This presentation will review the new HEAVEN assessment tool for difficult and emergent airways. This tool looks at evidence based practice in airway and resuitation practices to help improve first pass success and prevent adverse events,in relation to the HEAVEN assessment tool.
What’s That APP: Applications for Transport Clinicians
Catherine Robnett, RN, CFRN, CCRN Sutter Health and Michelle Oddi RN MSN CCRN CFRN C-NPT Univeristy of California-Davis Children’s Hospital
Technology, specifically mobile applications can be a tremendous help in the transport environment due to the vast knowledge needed to provide care to all patient populations in multiple situations. This lecture will focus on utilization of technologically advanced tools for provision of safer patient care and development of clinical knowledge.
Traumatic Arrest: When ACLS Just Isn’t Enough
Dustin Calhoun MD, Air Care and Mobile Care, University of Cincinnati
While traumatic and medical cardiac arrest share a common result, the physiology and epidemiology are very different. HEMS providers must thoroughly understand the distinctions and be facile with the indicated interventions. Though the basic algorithm is performed by ground EMS, potential for arrest en route and the handful of lifesaving interventions outside the standard EMS SOP, illustrate the importance of this knowledge to a HEMS audience.
Making the Positives and Negatives of Electrolytes and Acid-Base Add Up
Michael Gooch DNP, RN, ACNP-BC, FNP-BC, ENP-BC, CFRN, CTRN, CEN, TCRN, EMT-P Vanderbilt LifeFlight
Acid-base and electrolyte imbalances often complicate patient management during transport. Correctly identifying the imbalance and its cause are vital steps when managing these patients. This presentation will review the physiology of acid-base and electrolyte balance, their common disturbances, associated causes, clinical manifestations, and management implications for transport providers.
Ups & Downs of BP Management in Head Injuries
Rick Erickson NRP, FP-C AirMethods and Klint Kloepping NRP, FP-C, C-NPT Midwest Medair
In the ever growing debate of what is the best blood pressure for head injuries and stroke,we examine where to target blood pressure based on the type of bleed and/or injury. We will look at the current research to address hypertension and hypotension and implement it into clinical practice.
Waveform Capnography For The Win
Cynthia Griffin, DO , NREMT-P University of Wisconsin Hospital & Clinics
End tidal CO2 has vastly changed my practice and having waveform capnography has made the purple poo, yellow yay color metric devices almost obsolete. ETCO2 has more uses than simply intubation and it should be used for all critical care patients, even those not on oxygen.
Respiratory Management of the Pediatric Neuromuscular Patient 2.0t: Keeping Raggedy Ann& Andy from Getting Intubated
Stu McVicar RRT, FP-C, CCEMT-P American Family Children’s Hospital and Joie Hickenbottom RN, CEN, EMT-P American Family Children’s Hospital
We spend COUNTLESS hours learning HOW to intubate to secure an airway. What about the populations of patients that might be near imposible to wean off the vent? One of the hardest popultions to keep off the vent is the pediatric patient with a neuromuscular disorder. Spinal Muscular Atrophy is a disease that robs people of physical strengthby affecting the motor nerves in the spinal cord, taking away the ability to walk, eat or breathe. It is the number one genetic cause of death for infants. This session will discuss transport considerations of the pediatric patient wilh a neuromuscular disorder. Two cases will be presented as well as some of the specialty equipment will be demonstrated.
What’s New in Emergency Airway Management
Steven Bott, MD University of Utah
We’ll review new ideas, concepts, and data in emergency airway management. Using that information, we’ll discuss the pros and cons of applying it to your pre-hospital and in-hospital emergency airway management. Topics will include intubation stategies, RSI drug choices, pre-intubation hypoxia, pre-oxygenation/apneic oxygenation, and cricothyrotomy techniques.
Is Your Patient In Shock? If So, Fix It!
Steven Bott, MD University of Utah
Is your patient in shock? We’ll do a brief review of diagnosing shock, then discuss strategies and tools to diagnose why, and how to treat it. We’ll discuss diagnostic tools, review basic hemodynamic variables and their assesment, then use that information to work through several case studies of patients with different kinds of shock. Management options reviewed will include IV fluid and blood administration, vasopressors, inotropes, and other adjuncts. We’ll also discuss worst case scenarios.
Worst Case Scenario: A Review Of Pediatric Traumatic Arrest
Robert Grabowski MSN, RN, AGACNP-BC, CPNP-AC, CEN, CCRN, CFRN, EMT-P Metro Life Flight – MetroHealth Medical Center
This session will review the current epidemiology and survival statistics of pediatric traumatic cardiac arrest, the critical action steps and interventions and the current evidence to support or negate current standards of practice.
Video Laryngoscopy: Why Should I Care?
Frank Tift MD Life Force Air Medical Service
This lecture will be a review of the evidence behind the use of Video Laryngoscopy versus Digital Laryngoscopy and its potential benefit with regard to safety and success rates. The overall focus will be to discuss pros and cons to help providers decide which modality is best.
Too Sick for Transfer: Our Failure, Our Fallacy
Vahe Ender NRP, FP-C, C-NPT Boston MedFlight
No one should be left to die at a community hospital because of instability. We will explore the fallacy of instability as an exclusion for transport and explore the duty we have towards our most critically ill and injured patients.
Implementing an RSI Time-Out
Kevin Collopy BA, FP-C, CCEMT-P, NR-P, CMTE New Hanover Regional Medical Center
Three years ago, our team sought a method to improve our RSI success rates. Understanding that the Joint Commission requires hospitals to take a time out before high risk interventions, the same approach was taken for RSI. Our programs 10 question peer to peer challenge and response time-out checklist was implemented in the fall of 2014. Join a discussion on how to develop an equipment and team readiness checklist before performing RSI and discover how this 30 second check has helped drive a nearly 20% improvement in 1st attempt intubation success.
Anger Management: Principles for Assessing and Managing the Combative Patient
Craig Bates MD, MS, FACEP Metro Life Flight – MetroHealth Medical Center
Combative patients represent a significant danger to themselves and to healthcare providers. There are a diverse variety of reasons why patients become combative and understanding those reasons will help providers appropriately manage patients to avoid violent episodes or to manage them as safely as possible once they occur. There are often (but not always) a series of warning signs that violence in more likely to occur and it is critical that providers are able to recognize those signs and intervene appropriately before events escalate. This session will provide insight into understanding the underlying causes to combative behavior and provide intervention options specifically tailored to the critical care transport environment. The discussion will include considerations for safe physical restraint of patients, pharmacological interventions, and legal considerations when managing these patients. Because there can be significant variation in scope of practice, medication availability, and practice settings this presentation will provide a variety of options that can be tailored to your specific needs.
Initiation of a Brain Dead Transplant Donor Transport Program
Laura Lee Demmons RN, MBA University of Alabama at Birmingham Hospital – Critical Care Transport, Garry Taylor Certified Respiratory Therapist, Certified Transplant Preservationist Alabama Organ Center, Randal Minton RN, CCRN University of Alabama at Birmingham Hospital – Critical Care Transport
Follow the journey of implementing transport of brain dead donors from the perspectives of the Organ Center and transport management and team. Each will share their experience to accommodate a very different kind of patient with the unique demands of organ procurement and recovery, a fascinating world of its own.
Flying Elvis: Transport Considerations for the Patient with a Trach
Stu McVicar RRT, FP-C, CCEMT-P American Family Children’s Hospital
When asking about airway considerations for a patient with a trach as a medic student, I was told you have a better chance of picking up Elvis than a patient with a trach… Trachs are out there and can be the most stable airway however in this talk we’ll discuss when a very stable airway can turn into a nightmare. Broken down into a nice to know vs. NEED to know format, many of the small idiosyncrasies of trachs will be discussed as well as two case presentations of trached flights that could have gone horribly wrong.
Today’s Heroin Epidemic
Frank Tift MD Life Force Air Medical Service
This lecture will review the current Centers for Disease Control (CDC) (US) data of mortality from heroin and opiate overdoses in the USA. It will then discuss the CDC recommendations of what should be done and will emphasize the importance of prehospital naloxone use, expanded naloxone use to non-EMS providers and the need for high doses with some emerging synthetic opiates.