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Past Programs Each participant earns 1 CRCE credit for each topic and may earn up to 8 CRCE credits for participation in the entire 2006 series. We would like to thank our Sponsors for supporting Professor’s Rounds through unrestricted educational grants. The AARC has the sole responsibility of assuring appropriate educational content of Professor’s Rounds.
Program 1 Faced with the reality of terrorism and natural disasters, health care facilities are facing regulatory and other mandates to improve their ability to respond and provide care for the masses of people. This presentation reviews triage systems, surge capacity, the National Strategic Stockpile for ventilators and other topics germane to respiratory therapists. Presenters: Program
2 Medical Emergency Teams (also known as Rapid Response Teams or Critical Care Outreach Teams) operate as a mobile extension of the intensive care unit (ICU) to identify, evaluate and stabilize acutely ill patients in non-ICU hospital settings. The organization and function of these teams and the important role of respiratory therapists on them is highlighted. Presenters: Program
3 The cost of care rises with age, but research has shown that when patients become more involved in their self-care, the incidence of complications and medical interventions decreases. Patients with COPD often have co-morbid conditions, such as cardiovascular disease or diabetes. Consequently they can have complicated medical regimens such as taking multiple medications and drugs delivered by inhalation that require different delivery systems. This presentation will discuss clinical practice guidelines, effective education and training strategies to improve the quality of life of the COPD patient. Presenters:
Program
4 Although therapists are experts in measuring and interpreting gas exchange function and lung mechanics, they are typically vexed when it comes to treating a subjective sensation. This program introduces the complex interplay of physiology, psychology and sociology that produces respiratory sensations and transforms those sensations into symptoms. Practical assessment skills, descriptions of outpatient rehabilitation programs and pharmacologic approaches are addressed as well as the role of ventilator adjustments and oxygen therapy in the hospital and hospice setting. Presenters: Program
5 “We’ve always done it that way” is a frequent response when a rationale for practice is requested. This presentation provides an evidence-based look at some commonly held (and perhaps mistaken) beliefs about current respiratory therapy practices. Common respiratory practice and medical myths are debunked in light of evidence in the peer-reviewed literature. Presenters:
Program
6 This presentation reviews current approaches in liberating patients from mechanical ventilation in various situations ranging from the recovery phase of acute respiratory failure to long term ventilator-dependent patients. New technology incorporated into mechanical ventilators to assist in weaning is also discussed. Presenters: Program
7 The Neonatal Resuscitation Program (NRP) has been designed to teach a consistent and evidence-based approach to resuscitation of the newborn. The 5th edition of NRP was released in the summer of 2006 and includes several updates, changes and a few additions for premature infants and ethical considerations. In this presentation the causes, prevention, and management of mild to severe neonatal asphyxia are carefully explained so that the respiratory care practitioner may develop optimal knowledge and skill in resuscitation. Presenters:
Program
8 The National Asthma Education and Prevention’s The Expert Panel Report III is being released in 2007. This evidence-based document will present best practice of asthma management. This presentation reviews the highlights of this report and provides an overview of all four components of management. Participants will learn about opportunities to incorporate this information into their practice. Presenters:
Program 1 Reviews one hospital’s response to a natural disaster. Also reviews important issues that need to be addressed and identifies policies and procedures to maximize patient safety when respiratory therapy services must be delivered during disasters that may eliminate customary key patient care resources. Presenters: Program
2 Presents newer strategies to eliminate medical errors and improve patent safety. Specific strategies for reducing medication errors and unplanned extubations are discussed and ventilator bundles, Rapid Response Teams and other similar strategies and innovations are presented. Presenters: Program
3 Discusses the modern strategies in the management of ARDS including the efficacy of prone positioning, fluid management, PEEP, volume vs. pressure-targeted ventilation, monitoring mechanical ventilation, the role of bio-markers, and inhalation therapies for ARDS. Presenters: Program
4 The proliferation of an increasing variety of metered-dose inhalers and dry powder inhalers devices has resulted in a confusing number of choices for the clinician, as well as confusion for patients trying to use these devices correctly. This program will summarize the current information discussed at the 2005 Respiratory Care Journal Conference on Metered-Dose Inhalers (MDIs) and Dry Powder Inhalers (DPIs) in Aerosol Therapy. Presenters: Program
5 This evidence-based clinical update reviews therapy tenets held sacred by those who became respiratory therapists years ago but are now refuted by evidence-based practice. Examples include 6 vs. 10-12 ml/kg tidal volumes, the use of NPPV for COPD patients in ventilatory failure, substituting MDIs and DPIs for SVN's, and spontaneous breathing trials as an indicator for ventilator liberation attempts. Presenters: Program
6 Reviews the evidence supporting pharmaceuticals used in the treatment of asthma and presents an update on beta agonists, inhaled corticosteroids, anticholinergics, anti-lukotrienes, phosphodiasterase inhibitors, and Anti-IgE agents in the treatment of asthma. Presenters: Program
7 This program will discuss critical survival skills for respiratory therapists who do not customarily work with pediatric patients but occasionally must become involved in their emergency care when they are admitted with respiratory emergencies. Pathophysiology leading to pulmonary emergencies and approaches to treatment is addressed. Presenters: Program
8 Reviews current evidence supporting pulmonary rehabilitation; discusses key outcomes and the resources required for a successful program. Presenters:
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