Preconference A
Saturday, November 8 • Morning
Keeping Cool: Induced Hypothermia
ACPE #263-000-08-983-L04-P (3.75 contact hrs.)

In recent years, a new and sometimes controversial therapy, referred to as therapeutic hypothermia, has met with great success. This treatment, which involves reducing the core temperature of patients who have survived cardiac arrest or who have sustained isolated head or spinal cord injuries, has been endorsed by the American Heart Association and become a standard of care. Induced hypothermia became national news when it was successfully utilized on Kevin Everett following a spinal cord injury during an NFL football game in 2007. This Preconference will look at the physiology of this treatment, the indications and contra-indications for its use, as well as the process of implementing and discontinuing it.

This Preconference, will enable you to better:

• Verbalize indications and contra-indications for therapeutic hypothermia.
• Describe the benefits and risks of reducing a patient’s core temperature.
• Outline the key points of caring for a patient undergoing therapeutic hypothermia.

What and Why: Induced Hypothermia in Critical Care
Barry M. Barnhill, BA, RN, CNRN

Refreshment Break

Freezing Patients to Death: When Hypothermia is Detrimental
Jeff Solheim, RN, BRE, CEN, CFRN

Adjourn

This Preconference is designed to update the clinician on the latest evidence-based strategies for managing ventilated patients from the acute to weaning phases. The use of therapies to improve selected conditions (i.e., ARDS and asthma), selected ventilator modes (advanced and non-traditional), augmented assessment tools (i.e. respiratory waveform graphics) and the use of protocols and other strategies for weaning will be covered. And, because weaning is not “just about the ventilator”, selected key clinical management topics linked to weaning outcomes will also be discussed. The role of the clinician in assuring that these strategies are applied effectively is essential and to that end, participants will be engaged in evaluating how the strategies are best applied as well as the role of the clinician in making it all happen.

This Preconference, will enable you to better:

• Discuss the role of the clinician in managing the ventilated patient from the acute to weaning stages.
• Describe the selection, application and assessment of advanced and non-traditional modes of mechanical ventilation.
• Evaluate selected respiratory waveforms as they relate to ventilator modes and patient tolerance.
• Identify key essentials of weaning and the use of protocols and methods.
• Discuss the management of sedation, glucose control and timing of tracheostomy as they relate to weaning and other clinical outcomes.

New Modes of Ventilation and How to Use Them

Respiratory Waveform Graphics

Refreshment Break

Other Management Strategies for Improving Outcomes: Sedation, Glycemic Control and Timing of Tracheostomy

Questioning Our Practice: How Do We Do All of This?

Preconference C
Toxicology in Critical Care: Recognition and Management of Poisonings and Overdoses
Saturday, November 8 • All Day
ACPE #263-000-08-985-L01-P (7 contact hrs.)

Every 13 seconds someone in the U.S. is poisoned, either by accidental exposure or intentional overdose. Adolescents experiment with substances of abuse. Adults are exposed to chemicals at work or attempt self-harm with a medication. Senior citizens are vulnerable to medication errors and the effects of polypharmacy. Everyone is at risk, and many will end up as critically ill patients in your ED or ICU!

It is imperative that clinicians gain awareness of critical information about contemporary toxicology issues that impact patient morbidity and mortality. Through lectures and challenging interactive case reviews presented by leading clinical toxicologists, you will gain cutting edge knowledge that will enable you to manage patients suffering from potentially lethal toxicities and to understand the role that antidotes play in patient care.

This Preconference, will enable you to better:

• Identify agents that produce significant morbidity and mortality.
• Outline the critical care management of poisoned and overdosed patients.
• Recommend appropriate antidotes and their safe administration.

Preconference C Registration • Check-In

Treatment of the Critically Ill Patient and the Appropriate Use of Antidotes

Critical Care Management of the Poisoned Patient: Treat the Patient, Not the Poison
William Banner, Jr., MD, PhD, FAACT, ABMT
( = 1.5 hrs.)

Refreshment Break

Acetaminophen Overdosage: Oral versus Intravenous Acetylcysteine
Edward P. Krenzelok, PharmD, FAACT, DABAT
( = .75 hr.)

Lunch Break
Interesting Dilemmas in Toxicology

Substances of Abuse: The Old Standards and New Trends
Edward P. Krenzelok, PharmD, FAACT, DABAT

Chemical Terrorism: Myth or Reality
Edward P. Krenzelok, PharmD, FAACT, DABAT
( = .75 hr.)

Adjourn