Sean Smith – Subtle Clues of Impending Doom: Prioritizing Action

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Speaker: Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)

Duration: 3 Hours 15 Minutes

Format: Audio and Video

Copyright: Aug 15, 2023 

Media Type: Digital Seminar

Description

You’ve been there before, caring for a patient…when you get that pit in your stomach feeling that something is going to take a turn for the worse. 

It all happens so quickly! Soon you are calling for the rapid response team to provide some backup.  Those minutes feel long until others arrive to lend a clinical hand.  You’ve worked hard to accumulate experience and important patient insights.  However, in these critical moments when a patient begins to deteriorate, are you confident in your next steps? 

Join Sean G. Smith MSc, FP-C, C-NPT, CEN, CFRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), for this practice changing session.  Sean is a flight nurse-paramedic who has practiced in Rapid Response teams, Emergency Medicine, Critical Care, and Aero-Medical Transport (military and civilian) for over 25 years. His extensive and on-going clinical expertise will be evident! 

Fear of the unknown is often the biggest problem we face in our professional work, and few patients are more terrifying or difficult than the patient facing impending doom.  This session will provide new clinical problem-solving skills, so you won’t need to feel uncertain, scared or at risk anymore. The ability to assess, intervene and advocate will be reinforced through exciting – and real! – cases.   

Speaker

Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric)

 
Sean G. Smith, MSc, FP-C, C-NPT, CEN, CFRN, CTRN, TCRN, CPEN, CCRN-CMC (Adult), CCRN-K (Neonatal), CCRN-K (Pediatric), is a humanitarian/flight nurse-paramedic who is triple board-certified in neonatal, pediatric, and adult critical care and emergency medicine. He brings 30+ years of education and team/leadership experience to his presentations from a career that includes global health, tropical medicine, research molecular neuroendocrinology, nuclear engineering technology, US Navy aviation/NASA manned space flight support, and high-performance teams/high-yield pedagogy, dozens of national/international conference presentations and various awards and honors. Author/co-author/review credits include a best-selling laboratory medicine textbook, a chapter on shock in Nursing Core Curriculum a section in the newly released Resuscitation Crisis Manual, numerous other industry-standard textbooks, and several professional association critical care/emergency medicine curriculums and board certification review courses (AACN, ANN, ENA, SCCM, etc.). Additionally, Sean routinely consults on clinical, legal, and certification matters for numerous high-profile hospital systems (Yale, Mayo, etc.). He holds an MSc in Pharmacy/Forensic Science, bachelor’s degrees in business administration, nursing, and molecular biology, and post graduate certificates in Forensic Death Investigation, Legal Consulting, and Tropical Medicine. In addition to being active in a number of professional associations (SCCM, AACN, WADEM, etc.), Sean is a life member of Mensa, The Emergency Nurses Association, and the Air Surface Transport Nurses Association. He has served on the executive committees and in various leadership roles of numerous charities and professional associations and has led/participated in 50+ medical missions (Dominican Republic, Honduras, Morocco, Liberia, Nepal, Iraq, Democratic Republic of Congo, and Haiti). Sean served as a clinician and educator during the largest Ebola and Cholera outbreaks in recent history and is currently active in building sustainable neonatal-pediatric cardiac critical care capacity in Iraq, as well as serving as part of a national-level multidisciplinary child sexual assault forensics team in Guyana, South America. Hobbies include Scuba diving and vintage science kits, tube amplifiers, and motorcycles.

Speaker Disclosures:
Financial: Sean Smith is an independent contractor. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Sean Smith is a member of the American Association of Critical Care Nurses, the Emergency Nurses Association, and the Society for Critical Care Medicine.

Objectives

1. Develop a proactive high performance rapid response team approach to respond to deteriorating patients. 
2. Identify determinants of cerebral and end organ perfusion. 
3. Understand how reversible causes impact cardiac output and can exacerbate patient deterioration. 
4. Apply best practice assessment and interventional approaches for a variety of emergent cardiac and respiratory scenarios. 
5. Incorporate pharmacological interventions into your current clinical practice with respect to the pre, peri, and post arrest management of the medically fragile patient.

Outline

High Performance Resuscitation Teams During a Rapid Response 

• Physical and psychological components 
• Skills maintenance strategies 
• 2023 AHA Guidelines for CPR and Emergency Cardiovascular Care 

Worst Case Scenarios & Proactive Planning 
 

• Proactive risk assessments
 
• Lab test clues that a crisis is looming 

Crucial Patient Assessments & Interventions 

• Anticipate needs of high-risk populations (neuro, cardiac, respiratory, oncologic) 
• Incorporate rapid assessment techniques and ask the critical questions 

Pharmacological Guidelines for Emergent Patient Scenarios 

• Pharmacokinetic and pharmacodynamic considerations in the rapid response patient 
• Pharmacologic pearls and pitfalls in medically fragile patients 

Rapid Cardiac Assessment and Stabilization During Cardiac Emergencies 

• Identify determinants of cardiac output and end organ perfusion 
• Current interventions for reversible causes of cardiac emergencies 
• Rapidly assess and treat concomitant reversible causes contributing to decreased cardiac output 

Optimize Response in Respiratory Distress and Cardio-Pulmonary Resuscitation 

• Apply best practice methods to assess oxygenation and ventilation (Sao2, ETCO2, ABGs…) 
• Critical thinking strategies for ABG analysis  
• Must have components of high-quality CPR  

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physician Assistants

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