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1. Differentiate current challenges relative to your specific practice environment and patient populations.
2. Develop a proactive plan to respond to your deteriorating patient.
3. Utilize the mental strategies necessary for success, self-care, and process improvement when dealing with critically ill patients.
4. Integrate a comprehensive review of systems, with subtle but key red flag clinical assessment findings.
5. Incorporate a graduate level understanding of pharmacology into your current clinical practice with respect to the pre-, peri-, and post-arrest management of the medically fragile patient.
6. Apply advanced laboratory medicine concepts into your current clinical practice with respect to the “at risk” patient.
7. Distinguish the subtle signs from the “perfect storm” patient.
8. Choose the best interventions for stabilization of the deteriorating patient.
9. Determine the key interventions to stabilize the successfully resuscitated patient prior to or post transfer.
10. Analyze the latest clinical practice guidelines for common pathologies and comorbidities.
11. Evaluate landmark case studies to identify key failures in recognition and rescue of the crashing patient.
12. Assess legal documentation strategies to protect yourself and your practice.

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: CaseBased Review

Identify Key Missed Moments, Lessons Learned and Best Practices

• Assessment
• Intervention
• Documentation

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds a MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers and motorcycles. Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Continuing Education Information
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others. Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards. For Planning Committee disclosures, please see statement above. For speaker disclosures, please see the faculty biography.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 12.5 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 12.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 12.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 12.5 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 12.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• RNs, RTs, NPs, and PAs from Medical-Surgical floors
• Cardiology
• Neurology
• Critical Care
• Emergency
• Urgent Care
• Skilled Nursing Facilities
• Anyone desiring next-level skills to proactively assess and intervene in the crashing critically ill patient!