Online Critical Care Medicine Course
CE Information
22.0 CME credits (4.5 pharmacology)Completion Time
22 hoursAvailable Until
September 22, 2028Posted By
Pulmonary and Sleep AcademyNavigate
Overview
Specialties
AdultSubspecialties
Cardiovascular, Respiratory/Pulmonology, and SepsisIn Critical Care Medicine Academy, Dr. Peter Sloane starts with an in-depth review of the pathophysiology of respiratory failure and ARDS, ventilator management strategies, acid-base disorders, sepsis syndrome and cardiovascular emergencies. This is followed by a mini-course on basic point-of-care-ultrasound (POCUS) by Dr. David Weisman, with focus on pulmonary and cardiac ultrasound imaging. Finally, Dr. Brian Bohner provides an overview of neurologic, gastrointestinal, hematologic/oncologic, and endocrine emergencies. This course provides the student with a broad knowledge base of the pathophysiology of the critically ill patient and the tools to assess and manage this challenging population.
Learning Objectives
Session 1
- Summarize the indications for mechanical ventilation and ventilation goals
- Describe basic lung mechanics
- Recognize and prevent ventilator-induced lung injury
- Appreciate the benefits and deleterious effects of PEEP and auto-PEEP
- Understand modes of mechanical ventilation
- Manage ventilator-patient asynchrony and basic ventilator alarms
- Differentiate between weaning and extubation strategies
- Describe the principles of non-invasive ventilation
Session 2
- Describe clinical, radiographic, pathologic and physiologic characteristics of ARDS
- Recognize types of ventilator-induced lung injury (VILI)
- Apply ventilator strategies to minimize VILI
- Understand therapeutic options for advanced therapy for patients with severe ARDS
- Appreciate the clinical manifestations, diagnostic algorithm, and management of pulmonary emboli and pneumothorax
Session 3
- Identify a simple (single) acid-base disorder
- Understand the appropriate acute and chronic compensation to single disorder
- Discern difference between uncompensated, acutely compensated, partially compensated and fully compensated disorders
- Recognize a second primary (double) disorder
- Expose “hidden” and “complex” acid-base disorders
- Know the differential diagnosis of the six primary acid-base disorders
- Use patient history to more accurately identify acid-base disorders
- Appreciate the pathophysiology, diagnostic strategy, and management of acute lung injury in the ICU setting
Session 4
- Recall the international consensus definition of sepsis and septic shock
- Describe the continuum of sepsis from mild to shock
- Understand the recommendations from the Surviving Sepsis Campaign
- Synthesize these recommendations to competently manage patients with sepsis
- Appreciate the pathophysiology, diagnostic strategy, and management of nosocomial ICU infections
Session 5
- Understand the physiology and application of invasive hemodynamic monitoring and its application to fluid and vasoactive support
- Competently interpret EKGs and recognize ischemia, injury and infarction
- Define HTN emergency and its management
- Recognize common brady and tachyarrhythmias
- Understand the pathophysiology and management of CHF
Session 6
- Understand the underlying physics, transducers and orientation of ultrasound
- Identify normal anatomic structures on cardiac and pulmonary ultrasound
- Recognize basic sonographic pathology for cardiac and lung imaging
- Putting it altogether with POCUS cases
Session 7
- Understand treatment of the patient with traumatic brain injury (TBI)
- Develop skills to workup and treat patient with status epilepticus
- Recognize time sensitive steps in managing patient with acute stroke syndrome
- Differentiate the causes and management of neuromuscular disease in the ICU patient
- Describe criteria for establishing brain death
Session 8
- Prioritize management of acute GI bleed
- Differentiate the approach in managing acute and chronic liver failure
- Understand assessment and treatment of acute pancreatitis
- Understand appropriate indications for blood product replacement and reversing coagulopathy
- Review treatment for sickle cell crises
- Recognize oncologic related emergencies and how to initiate the appropriate therapy
Session 9
- Understand management of hyperglycemia and hypoglycemia in hospitalized patients
- Recognize clinical presentation and treatment priorities for patients with life-threatening diseases of the pituitary, adrenal, and thyroid glands
- Understand the causes and acute management of electrolyte derangements in ICU patients
Session 10
- Recognize patients in ICU at specific outcome risk based on nutritional status
- Understand the strategies in providing nutrition that impact on outcome
- Review advantages of enteral over parenteral nutrition in first several days of critical illness
- Understand changing nutritional requirements over first several days in ICU
- Recognize the role of the palliative care team in supporting patients in ICU as well as their caregivers
- Understand specific ICU patients who will derive most benefit from these services
- Appreciate barriers to providing this care
- Review outcomes that improve with Palliative Care integration into critical care team
Speakers
Dr. Peter Sloane is board certified in internal medicine, pulmonary medicine, and critical care medicine. He earned his medical degree from the Cornell University Medical College in New York and completed his specialty training at Thomas Jefferson University Hospital in Philadelphia. Prior to entering practice in 1991, he had participated in clinical and basic laboratory research in acute respiratory distress syndrome; this research continued over the years as a site investigator in the National Institute of Health’s ARDS Network. He also has a special interest in the application of information technology to enhance patient care and medical education. Dr. Sloane was a founding partner, prior managing partner, and past president of Pulmonary and Critical Care Associates of Baltimore (PCCAB). He is currently Chief of Pulmonary Medicine and Director of Respiratory Care at MedStar Union Memorial and Good Samaritan Hospitals. He is also on the teaching faculty of Johns Hopkins School of Medicine. Dr. Sloane has garnered seven Top Doctor recognitions from Baltimore magazine and two Golden Apple Teaching Awards from MedStar Union Memorial Hospital. He was elected a fellow of the American College of Physicians and the American College of Chest Physicians. Prior to joining PCCAB, Dr. Sloane was the Ward Melville Valedictorian of the State University of New York at Stony Brook and a National Institute of Health National Research Service Award recipient.
Dr. Brian Bohner is board-certified in sleep medicine by the American Board of Sleep Medicine (ABSM) and with the American Board of Internal Medicine (ABIM). He also is certified with ABIM in internal medicine, pulmonary and critical care medicine. He earned his medical degree from Penn State University College of Medicine and completed his specialty training at USAF Medical Center Keesler and Ochsner Clinic in New Orleans. He provided pulmonary and sleep medicine services during his career in the United States Air Force at Carswell USAF Base Hospital where he served as the intensive care unit and sleep center director. Dr. Bohner is an Adjunct Associate Professor in Dept. of Medicine at University of Maryland. He is the medical director at the St. Joseph Medical Group University of Maryland Sleep Center where he oversees clinical and research service lines. Dr. Bohner had been recognized as “Top Doc” by Baltimore Magazine. He is a past president of the Maryland Sleep Society, and in 2018 was awarded the society’s Distinguished Service Award. He is a past president of the Maryland Sleep Society, and in 2018 was awarded the society’s Distinguished Service Award. Dr. Bohner lives in Sparks Maryland with his wife Wendy. They enjoy traveling and managing a small animal farm. In the Sleep Academy series, you will be introduced to a different member of the farm at the end of each session!
Dr. David Weisman is an associate program director and assistant professor of medicine at Georgetown School of Medicine. He is a graduate of the Chicago College of Osteopathic Medicine and completed his internal medicine residency training at the University of Illinois at Chicago. After serving as a fourth-year chief resident at the University of Illinois at Chicago he remained as faculty member until 2002 when he moved to Baltimore. Since that time, he has worked at MedStar Health and became a teaching core faculty member in 2003. Dr. Weisman’s scholarly work focuses on improving residency training in evidence-based medicine, residents’ engagement in quality improvement activities and research that involves experiential learning and hypothesis testing. He has completed a certificate in point of care ultrasound training through SHM/CHEST and has developed a point of care ultrasound curriculum focused on enhancing resident clinical assessments. At MedStar Good Samaritan and MedStar Union Memorial Hospitals, he is the committee chair of the Mortality Committee; and former President of the Medical Staff at MedStar Good Samaritan Hospital. In addition, he has a special interest in teaching students and residents about interpretation of the medical literature. He oversees the evidence-based medicine curriculum and monthly Journal Clubs. He has helped to develop a resident research curriculum and has published in several peer-reviewed journals with residents and students. He is a triple recipient of the Golden Apple Teaching Award and the Dr. Conley Award recipient for recognition for resident teaching and research, Maryland ACP in 2019.
CE Information
This activity offers 22.0 CME credits (4.5 pharmacology) to attendees.
Accredited by AAPA / AMA.
AANP recognizes both AMA Category 1 and AAPA Category 1 credits towards nurse practitioner CE requirements.
Disclosures
Drs. Sloane, Bohner and Weisman have no actual or potential conflicts of interest or financial disclosures to report in relation to this program.
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