SUMMARY

Advanced Cardiovascular Life Support (ACLS) is a video-based, Instructor-led, advanced course, builds on the foundation of basic life support (BLS) skills. It emphasizes the importance of continuous, high-quality CPR and takes healthcare provider training to the next level ─ highlighting the importance of high-performance team dynamics and communication, systems of care, recognition and intervention of cardiopulmonary arrest, immediate post-cardiac arrest, acute dysrhythmia, stroke, and acute coronary syndromes.

• Systematic approach
• High-quality BLS
• Airway management
• Rhythm recognition
• Defibrillation
• Intravenous (IV)/intraosseous (IO) access (information only)
• Use of medications
• Cardioversion
• Transcutaneous pacing
• Team dynamics

Target audience: Healthcare professionals who either direct or participate in the management of cardiopulmonary arrest or other cardiovascular emergencies.

For Oct. 26 & 27 dates, please register with Cathie Roth at acls.iemea@gmail.com.

For Nov. 16 date, please register at ubccpd.ca/course/acls-apls-2017.

SUMMARY

Learn to assess and manage critically ill children during the first hours in the emergency department. Participants are recommended to have previously completed at least one PALS or APLS Course successfully.

Learning objective:

• Assess and manage critically-ill children during the first hours in the emergency department
• Detect an imminently toxic child and institute treatment without delay

Skills Learned:

• Assisted and mechanical ventilation
• advanced airway
• vascular access (intraosseous and central)
• chemical/electrical cardioversion

Target audience: physicians who are routinely involved in the care of critically ill or injured children, including emergency room physicians, pediatricians, and senior emergency medicine and pediatric trainees.

SUMMARY

Advanced Trauma Life Support (ATLS) is an international course that teaches participants the basic skills necessary for timely management of traumatic injury. The course includes didactic and practical sessions.

Learning Objectives:

Participants will learn to identify injuries associated with major trauma, management of skills required for early resuscitation, and treatment of injured patients.

Skills:

• Assess the patient’s condition rapidly and accurately
• Resuscitate and stabilize the patient according to priority
• Determine if the patient’s needs exceed a facility’s capacity
• Arrange appropriately for the patient’s inter-hospital transfer (who, what, when, and how)
• Assure that optimum care is provided and maintained throughout the evaluation, resuscitation, or transfer processes

Target audience: physicians practicing emergency care

SUMMARY

The AIME course has been providing valued and practical hands-on airway management learning experiences for clinicians around the world for over 14 years. AIME educators are experienced (and entertaining) clinical instructors who understand the varied work environments of practicing clinicians. Whether you are a physician working in a large, high volume centre or a small remote setting, AIME will provide a practical approach for airway management in emergencies.

Learning Objectives:

• Be more confident and comfortable in making acute care airway management decisions.
• Have acquired a practical staged approach to airway management.
• Be able to choose the most appropriate method of airway management based on a variety of patient presentations.
• Make appropriate choices in the use of pharmacologic agents used to facilitate airway management.
• Know when and how to use various tools and adjuncts for managing the difficult airway.

Target audience: physicians practicing emergency care.

SUMMARY

The CRISP course is a two-day, high-acuity, high volume critical care training simulation program, designed to allow physicians and other emergency practitioners to acquire, review, and practice their skills in essential life-saving procedures.

The course travels to rural communities and provides a day of procedure training, procedural skills development and ‘actuation’, i.e. putting skills into action, followed by a day of in situ simulation training led by a team of experienced faculty. Participants are placed in interprofessional learning teams to encourage teamwork and communication. The main objective of the course is to bring high-quality simulation and procedural training to rural hospitals and provide an opportunity for emergency teams to practice management of infrequently encountered emergent scenarios.

Target audience: physicians, nurses and other practitioners who participate in patient care in a rural hospital.

SUMMARY

Learn to use ultrasound to detect global cardiac activity, pericardial effusions, AAA’s, intra-abdominal hemorrhage and intra-uterine pregnancies.

The course is unique in that it has continually evolved as the instructor team gained insight into the way beginners learn this skill. Numerous techniques were developed to help the learner acquire a basic understanding of ultrasound image generation and interpretation, making the EDE Course the most effective teaching vehicle for this modality.

Although the EDE Course is occasionally offered as part of a conference, it was mainly designed to come to you if there is enough interest in your centre. There are a number of “off-the-shelf” courses; however, groups can also design their own custom course.

Target Audience: physicians practicing emergency care

SUMMARY

The EDTU course is designed to provide physicians with a strong foundation in emergency ultrasound. The course emphasizes hands-on practical instruction to maximize participant learning. This is achieved with one-on-one bedside teaching on live models.

The course is a two-day program and will accommodate twenty learners. It is designed to facilitate the completion of most (if not all) of the required 50 supervised scans in each of the four areas (aorta, cardiac, abdomen, and pelvis). Target audience: Physicians practicing emergency care

Learning Objectives:

• Understand the basics of ultrasound physics, image generation and interpretation, and image artifact.
• Understand the different types of probes
• Complete most (if not all) of required 50 scans
• Generate limited focused images for all the primary applications of EDTU
• Understand the difference between EDTU and a formal ultrasound
• Understand how EDTU is to be used in the clinical assessment of patients and clinical algorithms for patient care.
• Identify anatomic structures on an ultrasound image that are necessary to interpret the primary examinations
• Understand the importance of establishing and maintaining a quality assurance program at your local ED.
• Learn the psychomotor skills necessary to generate accurate ultrasound images
• Understand the indications for and limitations of EDTU.

SUMMARY

The Hands-On Ultrasound Education (HOUSE) program gives rural physicians the training and confidence to integrate point-of-care ultrasound into their practice. This customizable, traveling, hands-on ultrasound training program was developed to meet the unique needs of rural physicians. By providing education that is customized for each community, the program meets the needs of learners with a wide range of pre-existing skills. HOUSE delivers learning in a relaxed and fun environment with an instructor to student ratio of 1:2.Target audience: Rural physicians practicing emergency care, ER and hospital based practitioners, critical care practitioners, rural locums, obstetrical care providers and rural specialists.

Skills:

• Classic and new indications for point-of-care ultrasound (POCUS)
• Skills to empower your practice and stay on the cutting edge
• Applications to expedite diagnosis and treatment of urgent or life-threatening conditions
• Entirely hands-on training modules for
  • Unstable patients, stable patient: heart, IVC/aorta, vascular access, extended fast, pneumothorax, rule out ectopic;
  • Stable patient: appendicitis, renal, gallbladder, procedures (IF, peripheral IV, thoracentesis, paracentesis), DVT, MSK (tendons, fractures), ocular.
    

SUMMARY

The IH Rural Mobile Simulation Program was designed to provide instruction on emergency medicine concepts and to provide an opportunity for rural providers of emergency care to practice potentially life-saving skills. Like emergency medicine, this program is designed to be flexible to varying levels of experience, knowledge, and background. The course facilitators create a non-threatening, informal environment in which emergency care scenarios can be practiced.

With the high‐fidelity human patient simulators, we are able to create close to real life experiences in sites’ own emergency or trauma room, utilizing their supplies, equipment, and staff while building or enhancing relationships within the inter-professional teams.

Skills:

Focus: to enhance medical skills and knowledge, teamwork, and communication by placing more emphasis on learning that involves real‐time assessment and feedback.

• Simulation can be used to improve clinical decision‐making and psychomotor skills (e.g., airway management, trauma, resuscitation) within a multi‐disciplinary environment
• Simulation reduces medical errors through improved teamwork
• Scenarios can be tailored to meet the needs of the learners
• Training can be conducted in a setting that minimizes time pressures present in the clinical environment

Target audience: physicians, RNs, LPNs, RTs, Lab, BCAS, Students, Residents, Managers, and Administrators.

SUMMARY

Pediatric Advanced Life Support (PALS) is a video-based, instructor-led, advanced course, that focuses on a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation and team dynamics to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.

This course is designed for healthcare providers who either direct or participate in the management of respiratory and/or cardiovascular emergencies and cardiopulmonary arrest in pediatric patients, as well as others who need a PALS course completion card for job or other requirements.

Skills:

• Perform high-quality cardiopulmonary resuscitation (CPR) per Heart and Stroke
• Foundation basic life support (BLS) recommendations
• Differentiate between patients who do and do not require immediate intervention
• Recognize cardiopulmonary arrest early and begin CPR within 10 seconds of recognition
• Apply team dynamics
• Differentiate between respiratory distress and failure
• Perform early interventions for respiratory distress and failure
• Differentiate between compensated and decompensated (hypotensive) shock
• Perform early interventions for the treatment of shock
• Differentiate between unstable and stable patients with arrhythmias
• Describe clinical characteristics of instability in patients with arrhythmias
• Implement post–cardiac arrest management

Target audience: physicians practicing emergency care

SUMMARY

The PATS course is a simulation-based course that has been developed by local trauma experts at BC Children’s Hospital to provide an interdisciplinary approach to the management of trauma in pediatric patients.

PATS makes use of online modules, simulation cases as well as skill stations to provide healthcare providers with high-yield and up-to-date information in a safe learning environment. Local BCCH protocols and resources are also reviewed and emphasized. This one-day course includes the use of expert role-modelling vignettes and hands-on practice. Each participant will be allocated to an interdisciplinary team consisting of physicians, nurses and respiratory therapists.

As there are no didactic lectures provided during the course, prerequisite online modules must be completed in advance. Access the course materials by logging in to the PHSA Learning Hub at http://learninghub.phsa.ca and search for “PATS” or “Pediatric Advanced Trauma Simulation”.

Target audience: physicians practicing emergency care, ED and ICU RNs, and RTs.

SUMMARY

This course is designed to allow physicians to acquire and review their skills in essential life-saving emergency procedures including:

• Needle Cricothyrotomy and transtracheal jet ventilation
• Open Cricothyrotomy
• Needle Thoracostomy
• Chest Tube insertion
• Intraosseous Vascular access
• Pericardiocentesis
• Central line Vascular access, landmark technique
• Ultrasound-guided Central line vascular access
• Crisis Resource Management and cognitive error mitigation

PEMP combines online modules with an intensive immersive hands-on simulation experience that allows for realistic and clinically relevant practice of the procedures followed by integration of the procedures into the overall care of a simulated critically ill child.

Target audience: physicians practicing emergency care

SUMMARY

A one-day simulation-based course involving the team-based resuscitation of critically injured trauma patients. Principles of crisis resource management and resuscitation management priorities and skills will be highlighted, as well as reviewing latest evidence and clinical practice guidelines, taking into account available resources and regional trauma guidelines. Knowledge of ATLS (Advanced Trauma Life Support) based principles are essential and this course will build on the basics of ATLS.

Target Audience: Urban or Rural Emergency physicians, emergency RN’s and RT’s involved in the initial management of severe trauma patients.

SUMMARY

The SEMP course allows physicians providing emergency care to acquire, review and practice their skill in essential life-saving emergency procedures including:

• Needle cricothyrotomy and transtracheal jet ventilation
• Open cricothyrotomy
• Needle thoracostomy
• Guide-wire chest tube placement
• Intraosseous vascular access in adults
• Intraosseous vascular access in children
• Pericardiocentesis
• Central line vascular access, landmark technique
• Ultrasound-guided central line vascular access
• Crisis resource management and strategies to reduce cognitive errors.

Course Format: Hands-on simulation course using highly-realistic task-trainers and human patient simulators combined with pre-course online modules. 24 participants maximum.

Target audience: physicians practicing emergency care; also open to interprofessional teams of physicians, nurses, paramedics, and respiratory therapists

SUMMARY

This course is a one-day, hands-on workshop designed for rural emergency healthcare teams.  Participants will review the management of the hemodynamically unstable patient and discuss the specific steps that must be taken by each member of the health care team in the workup and treatment of these patients. It is a case-based course that is interactive, with lots of hands-on time practicing with ultrasound, as well as central line insertion and management. Instructors are all rural physicians and nurses with experience in critical care. To date, the Shock Course has visited 30 communities across BC.

Skills:

• Diagnosing and managing the hemodynamically unstable patient using tools typically available in a rural setting.
• Recognizing different types of shock.
• How to apply early goal-directed therapy for sepsis in your community ER.
• Hands-on training in using point-of-care ultrasound on live models for shock diagnosis (FAST exam, RUSH protocol).
• Hands-on practice in procedures such as CV catheter insertion, ultrasound-guided central lines, peripheral lines, and intraosseous needle placement on mannequins.
• Specific training for nurses in managing fluids and tubing, administering vasopressors, etc.

Target Audience: Rural emergency healthcare teams

SUMMARY

The use of bedside ultrasound by clinicians to guide invasive emergency and critical care procedures has been proven to improve success and reduce complications and is rapidly becoming established as the standard of care. UGEMP provides an opportunity to acquire and maintain the skills required to perform such procedures using Ultrasound-guidance.

Human models will allow for demonstration of human surface landmarks, real-time ultrasound image generation, and human ultrasound anatomy. Ultrasoundable task-trainers that simulate the tactile feel of human tissue will allow for the repeated practice of invasive procedures without harming the human models. The instructors will demonstrate the procedure and will supervise the learners’ performance of the procedures in small groups. Formative evaluation in the form of immediate feedback provided by the instructor will help the learners to monitor their progress and guide their learning.

Skills:

• Thoracentesis
• Chest Tube Placement, open and Seldinger techniques
• Central venous line placement
• Peripheral intravenous line placement
• Pericardiocentesis
• Abscess drainage
• Subcutaneous Foreign Body localization and removal
• Arthrocentesis
• Lumbar Puncture
• Paracentesis

Target audience: physicians practicing emergency care