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Harvard Medical School

Principles of Critical Care Medicine for Non-Intensive Care Specialists

Next dates

Sep 18—21
4 days
Boston, Massachusetts, USA
USD 945
USD 236 per day

Description

Featuring hands-on training, live demonstrations and small-group interactive sessions to enhance your skills

Keeping pace with the rapid changes in evidence-based critical care medicine is a challenge for specialty-trained intensivists; for non-intensivists, the challenge of staying up to date may be overwhelming. This cutting-edge CME course is intended to provide core clinical critical-care skills to health care providers who are not trained as intensivists but whose clinical duties involve taking care of critically ill patients. The focus of this course will be to highlight recent important evidence-based advances in the practice of modern critical care medicine.

Our outstanding faculty, recognized as experts in the field, will use diverse teaching methodologies including: didactic sessions, interactive case-based discussions, Q&As and procedural, clinical management and hands-on simulation practice sessions. These sessions will assess your reasoning and strategies for incorporating, synthesizing and applying core critical knowledge.

Master the skills you need to practice modern critical care medicine by customizing your learning experience Choose from a variety of specific-population workshops that are included in your tuition, or take advantage of the hands-on and advanced training sessions to enhance your medical and procedural skills. The following intensive care problems and techniques will be addressed in this comprehensive course:

  • Mechanical ventilation
  • Ultrasound
  • End-of-life care in the ICU
  • Shock and vasopressors
  • Toxicology
  • Bleeding and transfusions
  • Sedation
  • Delirium
  • ARDS
  • Infections and antimicrobials

Learning Objectives

  • At the end of this course, you will be able to:
  • Review the basic principles of mechanical ventilation and describe indications for noninvasive and invasive ventilation
  • Identify specific causes of delirium in critically ill patients, interpret signs of delirium in the critically ill and characterize appropriate sedation goals to prevent delirium
  • Describe evidenced-based utilization of blood transfusions in the ICU
  • Categorize different types of shock, describe the pathophysiologic mechanism behind each and formulate appropriate treatment strategies
  • Rapidly assess causes and determine appropriate initial treatment for patients in cardiopulmonary arrest and identify best practices for post-arrest treatment
  • Identify appropriate steps for ultrasound-guided cannulation of the internal jugular vein
  • Demonstrate increased understanding of contemporary evidence-based practice in critical care
  • Integrate point-of-care ultrasound in the ICU
  • Describe treatment options for critically ill patients with pulmonary emboli
  • Diagnose and treat commonly encountered electrolyte abnormalities

SCHEDULE

Day 1

ADVANCED TRAINING (OPTIONAL SESSION)

  • 7:00 AM 8:00 AM Troubleshooting the Ventilator: A Hands-On Live Ventilator Demonstration to Move Your Knowledge from Plateau to Peak (breakfast provided)
  • 7:00 AM 8:00 AM General Registration and Continental Breakfast
  • 8:00 AM 8:05 AM Break
  • 8:05 AM 8:15 AM Introduction and Welcome
  • 8:15 AM 9:00 AM The Physiology of Shock and Vasopressors
  • 9:00 AM 9:50 AM Pick Your Poison: Update in Toxicology for the Critical Care Provider in 2019*
  • 9:50 AM 9:55 AM Burning Clinical Question #1: How Do I Manage Unstable A-Fib with RVR?
  • 9:55 AM 10:15 AM Refreshment Break and Stretch
  • 10:15 AM 10:45 AM Management of STEMI and NSTEMI in the ICU
  • 10:45 AM 10:50 AM Burning Clinical Question #2: Should I Stop Tube Feeds for High Gastric Residuals?
  • 10:50 AM 11:25 AM Recognition and Management of Hemorrhagic Shock in Critically Ill Patients*
  • 11:25 AM 12:10 PM Critical Considerations for Patient Transfers: A Case-Based Panel Discussion
  • 12:10 PM 2:40 PM Lunch Break (unless attending optional sessions)

ADVANCED TRAINING (OPTIONAL SESSION)

  • 12:40 PM 2:40 PM Critical Care Procedures: Hands-On Workshop
  • 12:40 PM 1:35 PM Workshop 1: The Basics of ECMO: What the Novice Needs to Know in 2019
  • 1:35 PM 1:40 PM Transition
  • 1:40 PM 2:35 PM Workshop 2: How Intensivists Think: Critical- Thinking Strategies to Minimize Cognitive Errors in the ICU
  • 2:35 PM 2:40 PM Transition
  • 2:40 PM 3:25 PM Pearls and Pitfalls of Heart Failure Management
  • 3:25 PM 3:55 PM Sugar Rush: Evidenced-Based Tips for Managing Hypo- and Hyperglycemia in the ICU
  • 3:55 PM 4:15 PM Refreshment Break and Stretch
  • 4:15 PM 5:15 PM Bugs and Drugs: A Case-Based Review of Common Infections in the ICU
  • 5:15 PM 5:20 PM Burning Clinical Question #3: Does My Patient Need a Head CT?
  • 5:20 PM 5:25 PM Stretch
  • 5:25 PM 5:30 PM Burning Clinical Question #4: How Do I Treat Severe Alcohol Withdrawal?
  • 5:30 PM 6:05 PM Principles of Pigtails: A Primer on Chest Tubes
  • 6:05 PM 6:10 PM End of Day Wrap-up

Day 2

ADVANCED TRAINING (OPTIONAL SESSION)

  • 7:00 AM 8:00 AM Troubleshooting the Ventilator: A Hands-On Live Ventilator Demonstration to Move Your Knowledge from Plateau to Peak
  • (breakfast provided)
  • 7:00 AM 8:00 AM Continental Breakfast
  • 8:00 AM 8:05 AM Break
  • 8:05 AM 8:55 AM The Basics of Mechanical Ventilation: A Primer on What You NEED to Know
  • 8:55 AM 9:05 AM Burning Clinical Question #5: The Trach Fell Out! Can I Just Put It Back In?
  • 9:05 AM 9:45 AM Beyond Your Certification: Practical ACLS for Critical Care Providers
  • 9:45 AM 10:05 AM Refreshment Break and Stretch
  • 10:05 AM 10:35 AM Update in ARDS
  • 10:35 AM 11:00 AM What’s New in Pneumonia?
  • 11:00 AM 11:40 AM Challenging Critical Care Cases: What You Must Know to Save a Life
  • 11:40 AM 12:15 PM Pulmonary Hypertension and Right Heart Failure: Practical Clinical Management of a Worrisome Physiology
  • 12:15 PM 2:45 PM Lunch Break (unless attending optional sessions

ADVANCED TRAINING (OPTIONAL SESSION)

  • 12:45 PM 2:45 PM Critical Care Procedures: Hands-On Workshop
  • 12:45 PM 1:40 PM Workshop 3: Life After the ICU: Should the Intensivist Care?
  • 1:40 PM 1:45 PM Transition
  • 1:45 PM 2:40 PM Workshop 4: An Interprofessional Approach to Delirium in the ICU: A Round Table Multidisciplinary Discussion
  • 2:40 PM 2:45 PM Transition
  • 2:45 PM 2:50 PM Burning Clinical Question #6: Should I Check a Cuff Leak on My Patient?
  • 2:50 PM 3:40 PM Management of Massive and Submassive Pulmonary Emboli at Your Institution: An Interactive Case-Based Panel Discussion of Challenging Cases
  • 3:40 PM 3:45 PM Burning Clinical Question #7: Should I Send a HIT Panel for This Thrombocytopenic Patient?*
  • 3:45 PM 4:30 PM Beyond the Basics of the Basic Metabolic Panel: Management of Electrolyte Abnormalities in Your
  • 4:30 PM 4:50 PM Refreshment Break and Stretch
  • 4:50 PM 5:45 PM Approach to the Abnormal CBC in the ICU: When to Watch and When to Worry*
  • 5:45 PM 6:15 PM Personalized Fluid Resuscitation: Strategies for Predicting Volume Responsiveness
  • 6:15 PM 6:20 PM End-of-Day Wrap-Up

Day 3

ADVANCED TRAINING (OPTIONAL SESSION)

7:00 AM 8:00 AM Troubleshooting the Ventilator: A Hands-On Live Ventilator Demonstration to Move Your Knowledge from Plateau to Peak (breakfast provided)

  • 7:00 AM 8:00 AM Continental Breakfast
  • 8:00 AM 8:05 AM Break
  • 8:05 AM 8:55 AM The Basics of Mechanical Ventilation: A Primer on What You NEED to Know
  • 8:55 AM 9:05 AM Burning Clinical Question #5: The Trach Fell Out! Can I Just Put It Back In?
  • 9:05 AM 9:45 AM Beyond Your Certification: Practical ACLS for Critical Care Providers
  • 9:45 AM 10:05 AM Refreshment Break and Stretch
  • 10:05 AM 10:35 AM Update in ARDS
  • 10:35 AM 11:00 AM What’s New in Pneumonia?
  • 11:00 AM 11:40 AM Challenging Critical Care Cases: What You Must Know to Save a Life
  • 11:40 AM 12:15 PM Pulmonary Hypertension and Right Heart Failure: Practical Clinical Management of a Worrisome Physiology
  • 12:15 PM 2:45 PM Lunch Break (unless attending optional sessions)

ADVANCED TRAINING (OPTIONAL SESSION)

  • 12:45 PM 2:45 PM Critical Care Procedures: Hands-On Workshop
  • 12:45 PM 1:40 PM Workshop 3: Life After the ICU: Should the Intensivist Care?
  • 1:40 PM 1:45 PM Transition
  • 1:45 PM 2:40 PM Workshop 4: An Interprofessional Approach to Delirium in the ICU: A Round Table Multidisciplinary Discussion
  • 2:40 PM 2:45 PM Transition
  • 2:45 PM 2:50 PM Burning Clinical Question #6: Should I Check a Cuff Leak on My Patient?
  • 2:50 PM 3:40 PM Management of Massive and Submassive Pulmonary Emboli at Your Institution: An Interactive Case-Based Panel Discussion of Challenging Cases
  • 3:40 PM 3:45 PM Burning Clinical Question #7: Should I Send a HIT Panel for This Thrombocytopenic Patient?
  • 3:45 PM 4:30 PM Beyond the Basics of the Basic Metabolic Panel: Management of Electrolyte Abnormalities in Your
  • 4:30 PM 4:50 PM Refreshment Break and Stretch
  • 4:50 PM 5:45 PM Approach to the Abnormal CBC in the ICU: When to Watch and When to Worry
  • 5:45 PM 6:15 PM Personalized Fluid Resuscitation: Strategies for Predicting Volume Responsiveness
  • 6:15 PM 6:20 PM End-of-Day Wrap-Up

ADVANCED TRAINING (OPTIONAL SESSION)

7:00 AM 8:00 AM Troubleshooting the Ventilator: A Hands-On Live Ventilator Demonstration to Move Your Knowledge from Plateau to Peak (breakfast provided)

7:00 AM 8:00 AM Continental Breakfast

8:00 AM 8:05 AM Break

8:05 AM 8:55 AM Sedation and Paralysis in the ICU: Where Are We in 2019?

8:55 AM 9:30 AM Top Ten Pearls for Appropriate Use of Noninvasive Ventilation in Your ICU

9:30 AM 9:35 AM Burning Clinical Question #8: Should I Reverse the DOAC? *

9:35 AM 9:50 AM Refreshment Break and Stretch

9:50 AM 10:40 AM Special Presentation: Use of POC Ultrasound in the ICU: A Live Patient Demonstration

10:40 AM 11:00 AM Rapid-Fire Management of GI Bleeds*

11:00 AM 11:35 AM Making Sense of Sepsis in 2019

11:35 AM 12:05 PM Neurocritical Care Pearls for the Intensivist

12:05 PM 12:10 PM Burning Clinical Question #9: How Can I Promote Healing Sleep in the ICU?*

12:10 PM 12:45 PM Getting Comfortable with Comfort-Focused Care*

12:45 PM 1:00 PM Closing Remarks

ADVANCED TRAINING (OPTIONAL SESSION) Critical Care Ultrasound 101: A Hands-On Workshop for Novices

2:00 PM 6:00 PM Small Group Rotations

  • Basic Echo 101: Parasternal – Long and Short
  • Basic Echo 101: Subcostal and IVC
  • Basic Echo 101: Apical 4 Chamber

  • The Basics of Pleural Ultrasound

  • Ultrasound Clip Review: Using Your Skills to Make Management Decisions

  • Shock Assessment

Day 4

ADVANCED TRAINING (OPTIONAL SESSION) * Critical Care Ultrasound 101: A Hands-On Workshop for Novices

8:00 AM 12:00 PM Small Group Rotations

  • Basic Echo 101: Parasternal – Long and Short
  • Basic Echo 101: Subcostal and IVC
  • Basic Echo 101: Apical 4 Chamber
  • The Basics of Pleural Ultrasound
  • Ultrasound Clip Review: Using Your Skills to Make Management Decisions
  • Shock Assessment
  • Vascular Ultrasound
  • Critical Care Ultrasound 101: A Hands-On Workshop for Novices

1:00 PM 5:00 PM Small Group Rotations

  • Basic Echo 101: Parasternal – Long and Short
  • Basic Echo 101: Subcostal and IVC
  • Basic Echo 101: Apical 4 Chamber
  • The Basics of Pleural Ultrasound
  • Ultrasound Clip Review: Using Your Skills to Make Management Decisions
  • Shock Assessment
  • Vascular Ultrasound
  • * Vascular Ultrasound

Who should attend

All healthcare professionals who are not trained as intensivists, but whose clinical duties involve the care of critically ill patients including:

  • Emergency Medicine Physicians
  • Hospitalists and Nocturnists at community hospitals
  • Family Practitioners
  • Critical Care Physicians
  • Cardiologists
  • Obstetricians-Gynecologists
  • Surgeons
  • Anesthesiologists
  • Physician Assistants
  • Nurse Practitioners
  • Health care professionals who are commonly involved in the care of critically ill patients in intensive care settings

Experts

Dr. Donnino is the Founder and Director of the Center for Resuscitation Science (CRS), Vice Chair of Resuscitation Science for the Beth Israel Deaconess Medical Center Emergency Department, and Director of Faculty Research Development. He is an Associate Professor of Emergency Medicine and Medic...
John Marshall, Pharm.D., BCPS, is Clinical Pharmacy Coordinator – Critical Care at Beth Israel Deaconess Medical Center in Boston, Massachusetts. Dr. Marshall completed his Doctor of Pharmacy at the University of Texas at Austin and a pharmacy practice residency at the University of Massachusetts...
Dr. Pinto received his B.A., cum Laude, from Dartmouth College in Hanover, NH and M.D. degree from the Georgetown University, cum Laude and Alpha Omega Alpha. He was an Intern, Resident, Chief Resident, General Cardiology Fellow and Interventional Cardiology Fellow at Harvard Medical School and B...

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