Managing the Emergency and Trauma Patient: Secrets to Improving Your Practice in the Emergency Department – Marcia Gamaly

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Author: Marcia Gamaly

• Improve management of medical emergencies in the ED bay
• Latest updates in AMI management in the ED
• What EVERY nurse should know about sexual assault victims
• Facts about antiplatelets and anticoagulants
• Demonstration of emergency nursing skills
• Everything you need to know about obstetrical emergencies
• Sepsis management in five simple steps

You can achieve these professional goals…

• You are ten hours into your 12-hour shift. You have had challenging cases all day, and get a report that you will be receiving a Level 1 trauma patient in 6 minutes. Imagine approaching this patient with improved confidence in your ability to accurately assess the patient, anticipate their care needs, and manage complications when they arise.
• Don’t fear calls from risk management or the patient safety officer! Develop confidence in the care you provide and document on each and every patient.
• Improve patient outcomes and your ability to provide care by learning essential skills EVERY emergency nurse needs to know!
• Immediately apply content learned using real-life critical thinking scenarios that are easily remembered!

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1. Compare and contrast spinal cord syndromes.
2. Plan care for the patient experiencing chest pain.
3. Distinguish differences between life-threatening maxillofacial and neck traumas.
4. Recommend management strategies for the patient presenting with acute stroke symptoms.
5. Determine the hemorrhagic risk of patients receiving anticoagulants.
6. Evaluate the effectiveness of interventions to treat acute and chronic pain.
7. Formulate appropriate nursing care for the transgender victim of sexual assault.
8. Choose appropriate patient-specific interventions for the bariatric patient.

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Trends in Emergency and Trauma Nursing

• Current trends
• Core measures
• Hospital scorecards

Head and Neck Trauma

• Neurological trauma
• ESSENTIAL SKILL:
  • ED management of the stroke patient
  • Maxillofacial and neck trauma
• HANDS-ON SKILL VIDEO:
  • Proper application and management of cervical collar
• ESSENTIAL SKILL:
  • NIHSS scoring

Thoracic/Abdominal/Genitourinary Trauma

• Thoracic trauma
• ESSENTIAL SKILL:
  • Assessment of the patient with a chest tube
  • Abdominal trauma
• HANDS-ON SKILL VIDEO:
  • Intra-abdominal pressure assessment and management
  • Genitourinary trauma
• HANDS-ON SKILL VIDEO:
• Chest tube insertion and chest tube management
• HANDS-ON SKILL VIDEO:
• Chest auto-transfusion
• ESSENTIAL SKILL:
• Pelvic fractures

Extremity Trauma

• Musculoskeletal trauma
• HANDS-ON SKILL VIDEO:
  • Hare traction
• HANDS-ON SKILL VIDEO:
  • Conversion of Hare traction to Bucks traction
• ESSENTIAL SKILL:
  • Hemorrhage management

Special Considerations

• Psychosocial issues
• Obstetrical emergencies
• The bariatric patient
• Pediatric emergencies
• Shock
• HANDS-ON SKILL VIDEO:
  • Defibrillation, cardioversion and pacing
• HANDS-ON SKILL VIDEO:
  • Rapid infuser
• HANDS-ON SKILL VIDEO:
  • Essential dysrhythmia recognition & treatment

Trends in Care

• Chest pain
• Antiplatelets versus anticoagulants
• Pre-hospital care
• Sexual assault
• Sexual assault of the transgender patient
• Forensic issues
• Ultrasound guided peripheral IV placement
• Pressure injuries
• Insulin pumps

Skills Demonstration

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