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