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 resuscitation 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 University 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.
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 Blood Pressure 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.
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.
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.
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.
It Takes a Village…Adult CPS transports
Judi Carpenter RN MSN DNP Intermountain Health Care
The cardiopulmonary support system (CPS) is used to assist patients whose cardiac and pulmonary function if failing. CPS is used to help in emergency situations, to treat adult respiratory distress syndrome, pulmonary edema and as a bridge for cardiogenic shock or as a therapeutic procedure to install other support systems such as a ventricular assist devices. Stabilizing and transporting these complicated patients requires a specialized team that has the knowledge and skills and equipment to manage all types of scenarios. Life Flight in Salt Lake City has been transporting CPS patients for over 15 years and we have had no deaths during transport.
Tight Head: An Etc02 Of 40 With A Square Wave Form May Not Be A Good Thing
Chad Hegge EMT-P, BHSc Shock Trauma Air Rescue Service (STARS)
End tidal carbon dioxide (Etc02) is notoriously unreliable in situations with increased shunt or dead space. Venous blood gases have significant limitations in shock states. A large percentage of the patients transported with traumatic brain injury (TBI) have been poly-traumatized, and neither Etc02 nor pvC02 will be reliable. This talk will review the brain injury mechanical ventilation protocol that our organization (STARS) uses to address this exact scenario.
The Top Ten List: Articles from 2016-2017 That May Influence Your Practice
Russell MacDonald, MD, MPH, FRCPC, Ornge Transport Medicine / University of Toronto
This presentation provides a summary and critical appraisal of ten articles taken from the EMS and transport medicine literature in 2016-2017 that may influence your transport medicine practice.