Sunday, May 27, 2018 • 10:15 - 11:45
Track 2 - STARS/STABILIZATION AND TRANSPORT
Track Chair: Dr. Mike Betzner
Exit Strategies: Preparing the Acutely Ill Patient for Transport - Dr. Paul Tourigny
Description: We will discuss preparation and stabilization of acutely unwell patients so they can be transported as safely as possible.
- Summarize the factors that impact transport decision making.
- Prepare your patient for optimal transport by ground, fixed wing, or helicopter transport
- Minimize the time spent by a transport crew in your facility
- Tell the transport physician if this is a time sensitive problem
- Know what resources you have available to help you prepare/stabilize your patient
- Tell the transport physician about the relative rate of deterioration
Biography: Medical school/FRCPC EM Queen’s University
Clinical Associate Professor University of Calgary
Transport Physician/PHRM Education Director STARS
Post-intubation Care and Ventilator Management in the ED - Dr. Mike Betzner
Description: We focus a lot on successfully intubating patients in Emergency Medicine, but very little on their care needs after the tube is successfully passed. This talk will focus on the critically important care needs in terms of basic ventilator management as well as critically important post-intubation care needs that all patients require.
- The learner will be able to manage initial ventilator settings for the vast majority of emergency medical conditions.
- The learner will be able to identify and manage post-intubation patient care needs while in the ED.
- The learner will be encouraged to think about measures to prevent lung trauma and infection post intubation.
- This talk will allow you to have more informed conversations with your respiratory therapists post intubation.
- 3 basic and easy to understand ventilation strategies will be presented to will cover the vast majority of emergency patient presentations.
- Safe post-intubation comfort and care measures will be reviewed.
Biography: Emergency Physician Calgary Transport Physician STARS Medical Director STARS Calgary
Awake Intubation - Dr. Gavin Greenfield
Description: “Awake” intubations are gaining momentum in the emergency department world. Airway management has evolved from a task-focused procedure to a physiology-focused procedure. During this session we will discuss both the general indications for intubation and the types of patients that may benefit from an awake (topicalization only) approach. Finally, the topicalization approach adopted by STARS may be demonstrated.
- an increased depth of understanding around the indications for intubation
- an increased understanding of the types of patients who may benefit from an awake approach to intubation
- increased confidence with how to adequately topicalize an airway, thus allowing laryngoscopy and intubation
- topicalizing an airway is easier than you think
- performing an intubation without systemic medication allows patients to maintain anatomy and physiology
- topicalizing an airway is also a great way to retrieve foreign bodies
Biography: Full time emergency physician at multiple sites in Calgary. STARS Transport Physician since 2005. Actively involved in airway and ventilator/ventilation education.