Fifth Biennial Midwest Mechanical Ventilation and Critical Care Conference
Friday, September 20, 2013 at 7:30 AM - Saturday, September 21, 2013 at 12:30 PM (CDT)
San Francisco, California
London, United Kingdom
PROGRAM DESCRIPTION AND TARGET AUDIENCE
Striving for positive outcomes for patients on mechanical ventilation continues to be a challenge for healthcare providers. Patients experiencing respiratory failure from acute or chronic illness, trauma, and post-surgical care continue to grow in numbers and complexity. Chronic respiratory diseases, unintentional injury, (which includes trauma), influenza/pneumonia, and septicemia are still in the top 10 leading causes of death for all age groups in the United States.1 Mechanical ventilation is used as an adjunct to keep patients alive while other interventional procedures can be used to reverse the injury or disease process.
This conference is designed to enhance the multi-disciplinary team approach and continuing professional development to effectively manage all respiratory failure patients needing mechanical ventilation. Target audience is respiratory therapists, nurses, pre-hospital, chaplains, and all other healthcare personnel working with this patient population. It is the goal of the multi-disciplinary team to provide the best care in order to facilitate the best possible recovery and patient outcomes.
1Centers for Disease Control and Prevention, WISQARS™, www.cdc.gov/injury/wisqars.
Respiratory therapists, nurses, and all other healthcare personnel working with this patient population will benefit from this activity.
For more conference information, contact Lisa Boyer, RN, firstname.lastname@example.org or the education department at 417-269-4117, email@example.com.
PROGRAM AND OBJECTIVES
By attending this educational activity participants should be able to integrate some or all of the objectives as listed.
FRIDAY, SEPTEMBER 20, 2013
7:30 – 8:00 Registration/Continental Breakfast/Vendor Exhibits
8:00 – 8:10 Welcome/Overview of the Day - James Coulter, MD, FACP
8:10 – 9:10 Economics of an ICU Stay - Charles Dunn, MD, FACS
- Discuss costs of ICU care in the United States
- Examine strategies for decreasing costs of ICU Care
9:10 – 10:10 Mechanisms of VILI at the Alveolar Level - Gary Nieman, BA
- Discuss the proper preemptive ventilation strategy to prevent ARDS development
10:10 – 10:40 Break/Vendor Exhibits
10:40 – 11:40 Hemodynamic Monitoring for Respiratory Therapists - Dana Oakes, BA, RRT-NPS
- Describe why RTs should be employing hemodynamic monitoring
- Describe what RTs should know about hemodynamic monitoring
11:40 – 12:40 Lunch (provided on site)
12:40 – 1:40 Pulmonary Embolus/Deep Vein Thrombosis - Mitchell Ahrens, MD
- Identify the risk factors for thromboembolic disease in hospitalized patients
- Recognize symptoms a patient might exhibit during a thromboembolic event
1:40 – 2:40 Alveolar Physiology and Using the Ventilator as a Drug - Gary Nieman, BA
- Describe the mechanism of ventilator induced lung injury at the alveolar level
2:40 – 3:00 Break/Vendor Exhibits
3:00 --4:00 Sepsis – Identification and Management of the Patient - Tom Ahrens RN, MSN
- Define sepsis and describe it’s epidemiology
- Examine the role of inflammation, endothelial cell dysfunction and altered homeostasis in severe sepsis
- Identify the role of the nurse in the identification and assessment of the patient in severe sepsis
- Discuss how use of lactate, ScvO2 and potentially StO2 can aid in evaluation of the severity of sepsis
4:00 – 5:00 Bath Salts - Terry Coulter, MD, FACP
- Determine treatment and interventions that are required based on the patient's signs and symptoms
5:00 – 5:30 Evaluations/Statements of Credit/Adjourn
SATURDAY, SEPTEMBER 21, 2013
7:30 – 8:00 Registration/Breakfast Buffet/Vendor Exhibits
8:00 – 8:05 Welcome/Overview of the Day - James Coulter, MD, FACP
8:05 – 9:05 Management of Adult Respiratory Distress Syndrome (ARDS) – ARDSnet, Open Lung or High Flo Oxygen (HFO) - Robert M. Kacmarek, PhD, RRT, FCCM, FCCP, FARC
- Discuss the specific physiologic concerns when evaluating lung protective ventilation in ARDS patients
- Discuss the advantages and disadvantages to the use of the ARDSnet Protocol, the Open Lung approach and HFO in ARDS.
- Discuss the literature supporting the use of the ARDSnet Protocol, the Open Lung Approach and HFO in the management of ARDS
9:05 – 10:05 Ventilator Associated Events – A New Approach to Ventilator Associated Pneumonia (VAP) Surveillance - Robert M. Kacmarek, PhD, RRT, FCCM, FCCP, FARC
- Discuss the new CDC algorithm for the identification of VAP and be able to explain the rationale used in developing the algorithm
- Discuss the basic components of the ventilator bundles used to minimize the risk of VAP
- Discuss the reasons why VAP should more specifically be called artificial airway associated pneumonia
10:05 – 10:20 Break/Vendor Exhibits
10:20 – 11:20 Panel Discussion - Robert M. Kacmarek, PhD, RRT, FCCM, FCCP, FARC, Terry Coulter, MD, FACP, Tom Ahrens RN, MSN, DNSc, CCRN, FAAN
- Actively participate in discussion and interact with experts in the fields of respiratory care and critical care to further clinical knowledge of caring for the respiratory and critical care patient.
11:20 – 12:20 Avoiding Occult Hypoperfusion – Stroke Volume Optimization - Tom Ahrens, RN, MSN, DNSc, CCRN, FAAN
- Describe why stroke volume optimization can improve patient outcome
- Discuss the limitations of physical assessment and blood pressure measurement
- Discuss the issue of whether current non invasive measures of cardiac output are ready to be used to replace the pulmonary artery catheter
- Describe how occult hypoperfusion can occur in the presence of normal vital signs and urine output
12:20 – 12:30 Final Questions and Summation
12:30 Evaluations/Statements of Credit/Adjourn
We reserve the right to substitute speakers and topics in case of emergency or cancellation. Information presented during this conference represents the views and opinions of the presenters and does not necessarily constitute the opinion, endorsement of, or promotion by CoxHealth.
Planning committee members and speakers have created this activity without bias or influence from all external commercial entities.
CoxHealth-Educational Services is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
11.0 Contact Hours
Day 1 is 7.0 Contact Hours and Day 2 is 4.0 Contact Hours
This program has been approved for 11 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 N. MacArthur Blvd. Suite 100, Irving TX 75063. Credit is for 7.0 contact hours for Day 1 and 4.0 contact hours for Day 2.
This program has been deemed appropriate for chaplains to list 11.0 contact hours of continuing education credit. Credit should be listed on the Association of Professional Chaplains Annual Summary of Continuing Education Hours Form in the area of Workshops/Conferences/Seminars/Symposia.” Day 1 is 7.0 contact hours and Day 2 is 4.0 contact hours.
CoxHealth – Educational Services is an approved provider of continuing education by the Missouri Department of Health and Senior Services, Unit of EMS. This activity has been approved for 11.0 contact hours. The Training Center number is 07710C. Day 1 is 7.0 contact hour and Day 2 is 4.0 contact hours.
This program has been approved by CoxHealth for 2 trauma contact hours for CoxHealth employees for the following lectures: Pulmonary Trauma Care (Day 1).
For questions regarding educational credit please contact Lisa Boyer, RN at 417-269-4124, firstname.lastname@example.org.
Accreditation approval only refers to this educational activity and does not imply endorsement of any commercial products by CoxHealth or any proprietary entity producing health care goods or services.
STATEMENT OF CREDIT AND REPLACEMENT FEE
Participants will receive statements of credit at the end of the program when all requirements for credit have been met. Satisfactory completion of objectives will occur through program attendance. Therefore contact hours will be given only for hours the participant attends. In order to receive a statement of credit, all participants must sign-in at the registration desk and turn in a completed evaluation form at the end of the program.
Participants who need a statement of credit replaced at a later date will be charged a $5.00 replacement fee. To request a duplicate statement of credit please contact the main education office at 417-269-4117 or email email@example.com.
Americans with Disabilities Act: If you have special needs addressed by this act, please notify us at least two weeks before this offering so that reasonable efforts will be made to accommodate your needs.
Note: Please bring a sweater or jacket due to variations in temperature and personal preferences.
CANCELLATION, NO SHOW, AND REFUND POLICY
Cancellations received in writing to EducationCenter@coxcollege.edu by September 13, 2013 will be entitled to a full refund. After this time, a $25 processing fee will be withheld. No refunds will be made the day of the conference. No shows will be charged the full conference fee.
In the event the Education Center cancels or reschedules a course, participants are entitled to a full refund or the participant may transfer registration to the next scheduled activity.
CoxHealth is not responsible for travel, hotel, booking fees, or other cancellation fees for registrants when an activity is cancelled.
All refunds must be received in writing via email or by calling the Education Center firstname.lastname@example.org or 417-269-4117.
The entire Refund and Cancellation Policy can be viewed at http://coxcollege.edu under the Continuing Education and Life Support tab.
Special rates are available for CoxHealth conference participants at the following hotels. You must call and ask for the CoxHealth Conference or CoxHealth room block in order to secure the negotiated rates. Hotels book quickly in the Branson area; it is recommended to reserve rooms early.
5150 Gretna Road, Branson, MO 65616
Please call 1-877-746-8357 for reservations and ask for the CoxHealth room block to receive the negotiated rate of $75.00 plus tax* for a Standard Room (includes 2 queen beds). For more information visit their website at myerhotels.com. The room block will be held until August 29, 2013; after this time rooms are based on availability.
Thousand Hills Golf & Conference Resort, Cabins at Grand Mountain, and Majestic on Table Rock Lake
Please call 1-800-864-4145 for reservations and ask for the CoxHealth Respiratory Conference. The following negotiated rates have been extended to participants at the locations listed below. Rates are good for three days prior and three days after the conference dates. The room block will be held until August 29, 2013; after this time rooms are based on availability.
1-bedroom condominiums $121 plus tax*
2-bedroom/2-bath condominiums $158 plus tax*
1-bedroom cabins $137 plus tax*
2-bedroom/2-bath cabins $177 plus tax*
24 Downing Street, Hollister, Mo 65672
Please call 417-544-9056 for reservations and ask for the CoxHealth room block to receive the negotiated rate of $88.00 per night. The room block will be held until August 29, 2013; after this time rooms are based on availability.
1984 Missouri State Highway 165, Branson, MO 65616
Please call 1-800-505-9355 for reservations and ask for the CoxHealth room block to receive the negotiated rate of $91.00 plus tax* for a Standard Room with breakfast and their Splash-A-Torium (includes 2 queen beds; each additional person over 2 is $7.00 plus tax per person). The room block will be held until August 29, 2013; after this time rooms are based on availability.
*Check directly with hotel for other amenities or associated fees.
FOR YOUR ENTERTAINMENT
Enjoy a multitude of recreation, education, and culture in the Ozarks. For more information, contact the Springfield Tourist Information Center at 1-800-678-8767 or the Branson Tourism Center at 1-800-785-1550. You may also visit online at www.springfieldmo.org or www.bransontourismcenter.com for up-to-date activities.
Pulmonary Medicine, Ferrell Duncan Clinic, Springfield, Mo
Research Scientist, Barnes-Jewish Hospital, St. Louis, Mo.
Medical Director and Pulmonologist, Select Specialty Hospital, Springfield, Mo.
Medical Director CoxHealth Sleep Disorders Center, Medical Director CoxHealth Respiratory Services, Pulmonologist Ferrell-Duncan Clinic, Springfield, Mo.
Trauma & General Surgeon, Crighton Olive Dunn Surgical Associates, Springfield, Mo.
Professor of Anesthesia, Harvard Medical School, Director of Respiratory Care, Massachusetts General Hospital, Boston, Mass.
Associate Professor, Senior Research Scientist, Director, Cardiopulmonary and Critical Care Laboratory, Upstate Medical University, Syracuse, New York
Educational Consultant and Author, Health Educator Publications, Inc., Orono, Maine
COXHEALTH PLANNING COMMITTEE
Lisa Boyer, RN, Enterprise Educator, Educational Center
James Dameron, BA, RRT, CPFT, RCP, Operations Supervisor, Respiratory Care
Paul Luehrs, RRT, BSRT, BSEd, Adult Critical Care Supervisor, Respiratory Care
Martin Rohrer, BS, RRT, RCP, CPFT, Assistant Director, Respiratory Care
Christine Tibbs, MA, CPC, CME Program/Enterprise Educator, Education Center
Debbie West, BS, EMT-P, EMS Educator/PI, EMS Credit Consultant, Pre-Hospital Services
Karen Young, RN, BSN, CNOR, MONA Planner/Enterprise Educator, Education Center
All speakers and the following planning committee members: James Dameron, Martin Rohrer, Christine Tibbs, Debbie West, Karen Young for this activity have indicated they do not have any conflicts of interest or significant financial affiliations with any pharmaceutical or medical device companies. Planning committee members and speakers have created this activity without bias or influence from all external commercial entities. No conflicts were noted that would exclude the speakers or the planning committee members from this activity.
Planning committee member, Lisa Boyer has indicated she is a stockholder in the following companies: Express Scripts Holding Company, Human Incorporated, and Novartis AG ADR. She has indicated that she DOES NOT intend to discuss any uses of pharmaceutical products or medical devices not approved by the FDA. Ms. Boyer also indicated she would give a balanced view of therapeutic options, and will use generic name to contribute to impartiality during the planning process. There was no conflict identified that would exclude her from the planning process.
Planning committee member, Paul Luehrs has indicated he is a Clinical Specialist per diem with Masimo. He has indicated that he DOES NOT intend to discuss any uses of pharmaceutical products or medical devices not approved by the FDA. Mr. Luehrs also indicated he would give a balanced view of therapeutic options, and will use generic name to contribute to impartiality during the planning process. There was no conflict identified that would exclude him from the planning process.