Sean G. Smith – 2-Day: Rapid Response Certificate Course: Conquer the Crashing Patient

Outline

• Proactive Planning: Begin with the End in Mind
  • Pre-Planning for the worst at every patient encounter
    • Mental strategies for success
    • Failure to rescue and how to avoid it
    • Proactive risk assessment of practice environment/patient populations
    • Clear coherent communication of high-risk information
    • Concise comprehensive management of the crashing patient: Before, during and after the code
• Advanced Assessment: Next-Level Connection of Form and Function
  • Review of Major Systems (Neurologic, Cardiovascular, Pulmonary, Multisystem)
    • Integrated advanced laboratory medicine/Clinical implications
    • Differential diagnosis/Consults/Follow up studies
• Pathology: Priority Problems, Rapid Recognition and Rescue
  • For each of the 25+ pathologies below, the following will be discussed:
    • Presentation: Rapid review of form and function
    • Pathophysiology: Complications/Comorbidities
    • Projected clinical course: Where are we going with this?
    • Palliation and pharmacology: Cutting-edge practice guidelines
• Neurology
  • Neuromuscular Disorders, Meningitis, Toxicology (Overdose), Traumatic Brain Injury/Concussion, Stroke/TIA, Dementia/Delirium, Agitated/Combative Patients
• Cardiovascular
  • Dysrhythmias, Acute Coronary Syndrome, CHF, Heart Failure, Cardiomyopathies
  • Endocarditis, Pericarditis, Peripheral Vascular Disease
• Pulmonary
  • Asthma/Upper Respiratory, Anaphylaxis, Aspiration/Dysphagia, COPD, Pneumonia
• Metabolic/Endocrine Complex Comorbidities and Emergencies
  • Chronic/Acute Kidney Disease, Renal Calculi, Hypertension, Diabetes
• Gastrointestinal/Genitourinary
  • Cholecystitis, Pancreatitis, Cirrhosis, Hepatitis, Infection (UTI, STI, etc.)
• Psychosocial
  • Screening for: Abuse, Neglect, Depression/Suicidal Ideation
• Shock States, Sepsis, and Trauma
  • Hypovolemic, Distributive, Obstructive
  • Multisystem Management of the Poly-trauma Patient
• Legal Lessons: Protect Your Practice… Tips, Tricks, Pearls, and Pitfalls
  • Professional issues/Potential pitfalls (Delegation, Scope, EMTALA, etc.)
  • Rapid risk assessment and analysis
  • Limit liability
  • Defensible documentation
• Putting It All Together: Case-Based Review
• Identify Key Missed Moments, Lessons Learned and Best Practices
  • Assessment
  • Intervention
  • Documentation