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1. Interpret patterns of ischemia, injury and infarction on a 12-lead EKG.
2. Discuss cardiac disorders which carry an increased risk for sudden death.
3. Describe the relationship between ventilation and perfusion.
4. Identify conditions which would require a chest tube.
5. Recognize assessment findings in clinical syndromes that may progress rapidly and cause life-threatening conditions.
6. Define the anatomy and physiology of the neurological system and how this manifests in physical symptoms.
7. Recognize life-threatening electrolyte imbalances, potential causes and remedies.
8. Interpret arterial blood gasses using a three-step method.
9. Compare and contrast the oxyhemoglobin dissociation curve to pulse oximetry readings, So2 and pO2 values.
10. Evaluate signs, symptoms and treatment modalities for four different classifications of shock.
11. Describe systemic inflammatory response syndrome and the spectrum of septic shock.
12. Correlate clinical presentations of patients during the continuum of SIRS to septic shock.
13. Discuss the coagulation cascade and laboratory values associated with disruption of normal function.

Trauma’s Lethal Triad: Hypothermia, Acidosis & Coagulopathy Hypothermia

• Correct Classification of the Trauma Patient
• Contributing Risk Factors
• Volume Resuscitation
  • Why, When & How to Use IV Fluids

Acidosis

• What is Happening & Why?
• Panic Values & Lethal Levels
• Oxyhemoglobin Dissociation Curve
  • Left & Right Curves
  • Why it Matters

Coagulopathies

• Understanding a Very Complex Process
• Effect on Body Systems
• When it Goes Wrong
• DIC: Disseminated Intravascular Coagulopathy
  • Understanding the Lab Values
    • CBC, Platelets, PT, PTT, D-dimer, Fibrin
  • Hemorrhagic Shock
    • Permissive Hypotension
  • Damage Control Resuscitation

Putting it All Together

• Simple Steps that SAVE Lives
• Management & Treatment Options

Burn Trauma

• Critical Assessments during the Primary Survey
• Key Components of the Secondary Survey
• Fluid Resuscitation Formulas
• American Burn Association Evaluation Criteria
• Treatment Strategies for Chemical, Electrical & Thermal Burns
• ‘Never Miss’ Clues for Identifying Inhalation Injuries

The Septic Patient

• SIRS: Systemic Inflammatory Response Syndrome & SEPSIS
• Inflammatory Response: A Good Thing
• SIRS: Too Much of a Good Thing
• Sepsis & Severe Sepsis: Too Much of a Good Thing Comes to a Bad End
• Patient Presentations along the Continuum
  • Sepsis Surveillance
  • Emergent Interventions: Time is Tissue

Penetrating Chest Traumas

• FAST Evaluation & Ultrasound
• Pneumothorax
  • Variations & Identifying Symptoms
  • Emergency Interventions
• Flail Chest
  • Dos & Don’ts of Initial Management
  • Special Populations at Risk
• Cardiac Tamponade
  • Thoracotomy in the ED

Cardiovascular Emergencies

• Advanced Hemodynamics
  • SVR: Systemic Vascular Resistance
  • CVP Monitoring
• The Spectrum of Acute Coronary Syndrome
  • Key Assessments & Interventions for:
  • Unstable Angina
  • STEMI
  • Non-STEMI
• Recognizing Arrhythmias
  • Stable, Unstable and Lethal

Neuro Emergencies: Time is Brain

• Concepts of Volume & Pressure
• Rapid Neuro Assessment
• Critical Interventions for:
  • TBI
  • Spinal Cord Injuries
  • Diffuse Axonal Injury

Toxicology Challenges

• Identifying the Toxin
• Assessment of Intentional & Unintentional Overdose
• ABGs - a Critical Key
• Treatment Options: Removing & Reducing Causative Agent
• Symptom Management Strategies When There is No Curative Agent
• Toxicology Arrhythmias: Expected & Unexpected
• Today’s Street Drugs

Life-Threatening Electrolyte Imbalances

• Critical Clues for Quick Identification
• Panic Values
• Interventions that Improve Outcomes
• Potential Causes & Treatments

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.

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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.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 5/16/2020
No CE available for this board.

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 12.6 self-study contact hours.

Copies of the evaluation may be sent to the IBON. 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.

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Other Professions
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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.
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Nurses