Robin Gilbert – Progressive Care Certificate Course: Conquer the High Acuity Patient

Outline

Neurology: Starting at the Top

• ICP
• Traumatic Brain Injury
• Stroke
• Seizures

Cardiovascular: Keeping in Rhythm

• Acute Coronary Syndrome (STEMI, NON-STEMI, Angina)
• EKG interpretation (The down and dirty)
• Diagnostics
• Heart failure
• Pericarditis, Myocarditis, Endocarditis
• Valve disease

Pulmonary

• Acute respiratory failure
• Acute respiratory distress syndrome
• COPD, Asthma, Asthma COPD
• Overlap Syndrome
• Pulmonary embolism
• BiPAP, CPAP, mechanical ventilation

Acid Base in a Nutshell: ABG’s

• Buffer to Blame: Who’s Guilty? (Respiratory or Metabolic)
• Is there an accomplice involved? (Compensating/Not compensating)

Renal System

• Assessment
• Acute Kidney Injury
• Potassium, Sodium, Calcium, Magnesium Imbalance

Gastrointestinal System

• Bowel obstructions
• Abdominal Compartment Syndrome
• Acute abdomen
• GI Bleed
• Pancreatitis

Hematologic & Immune System

• DIC
• Thrombocytopenia
• Anaphylactic reactions

Endocrine

• Hyperglycemic states
• SIADH
• Diabetes
• Thyroid storm

Hemodynamic Basics

• Parameters
• Monitoring systems

Pharmacology

• Vasopressors & Inotropes
• Insulin drips
• Antiarrhythmics
• Pulmonary medications
• Sedation
• Sink or swim: IV fluids in critically ill
• TXA

Multisystems

• Sepsis
• Multisystem trauma

Critical Care Patients with Special Needs

• Bariatric patient
• High risk obstetric
• Assistive devices

Preparations for the Future

• CardioMEMS HF system
• Watchman
• Impella
• Extracorporeal cardiopulmonary resuscitation (ECPR)
• Resuscitative endovascular balloon occlusion of the aorta (REBOA)
• Tandem heart

Pulling it all Together

• Case based presentations & discussion