Fundamental Critical Care Support: Surgical

Mark Hamill, M.D., is a distinguished Associate Professor in the Division of Acute Care at the University of Nebraska Medical Center and a dedicated trauma surgeon, surgical intensivist and acute care surgeon. His career in medicine is rooted in a profound commitment to trauma surgery and surgical intensive care, fostered by his early experiences as an emergency medical technician for his local fire department and the New York City EMS System. Additionally, his tenure as a police officer for the New York City Police Department in the mid-1990s further solidified his interest in caring for trauma and critically ill patients.

Throughout medical school, Dr. Hamill balanced his studies with part-time work as both a paramedic and police officer, which reinforced his dedication to trauma and critical care. Today, he is renowned for his expertise in trauma and critical care education, drawing on his unique background in emergency services and law enforcement in both urban and rural settings.

Dr. Hamill’s research is centered on trauma, critical care and surgical outcomes, with a particular focus on educational processes within surgical and critical care. He harbors a special interest in the study of violence, especially firearm-related violence, and its impact on public health. His multifaceted experience and research endeavors contribute significantly to the advancement of trauma care and education.

Thursday, March 27

7:30 a.m. – Welcome/Course Announcements/FCCS: Surgical Overview

Continental breakfast will be provided.

7:45 a.m. – Diagnosis and Management of Acute Respiratory Failure

Definition and classification, pathophysiology and manifestations, and management principles will be reviewed.

8:30 a.m. – Mechanical Ventilation I

Attendees will be able to do the following in this lecture.

• • • describe the characteristics of different types of breaths and modes of invasive and noninvasive mechanical ventilation
    • discuss indications and techniques for noninvasive positive pressure ventilation
    • outline settings and monitoring for initiation of mechanical ventilation

9:15 a.m. – Mechanical Ventilation II

Attendees will be able to do the following in this lecture.

• • • review guidelines for initial ventilator management strategies in specific clinical situations
    • describe the interactions between ventilatory parameters
    • detail the modifications needed to avoid harmful effects of mechanical ventilation

10 a.m. – Break

10:15 a.m. – Monitoring of Oxygen Balance and Acid-base Status

Attendees will be able to do the following in this lecture.

• • • outline the determinants of oxygen balance
    • recognize disorders of oxygen delivery
    • identify principles and limitations of techniques for monitoring oxygen balance
    • explain the use of acid-base status to monitor the seriously ill patient

11 a.m. – Diagnosis and Management of Shock

Attendees will be able to do the following in this lecture.

• • • identify the primary categories of shock
    • discuss goals of resuscitation in shock
    • summarize principles of shock management
    • describe effects of vasopressor and inotropic agents
    • and discuss the differential diagnosis and management of oliguria

11:45 a.m. – Lunch (provided)

12:30 p.m. – Skill Stations A & B

1. Mechanical Ventilation I

Attendees will be able to do the following in this skill station.

• • • describe indications for initiation of mechanical ventilation
    • modify the ventilator prescription in response to patient data

Assessment of the Critically Ill Postoperative Patient

Attendees will be able to do the following in this skill station.

• • • identify common postsurgical conditions related to critical illness
    • identify and manage common postanesthetic complications in the surgical patient
    • prioritize and manage common postsurgical complications in a patient with complex medical comorbidities

1:15 p.m. – Skill Stations A & B

Mechanical Ventilation I

Attendees will be able to do the following in this skill station.

• • • describe indications for initiation of mechanical ventilation
    • modify the ventilator prescription in response to patient data

Assessment of the Critically Ill Postoperative Patient

Attendees will be able to do the following in this skill station.

• • • identify common postsurgical conditions related to critical illness
    • identify and manage common postanesthetic complications in the surgical patient
    • prioritize and manage common postsurgical complications in a patient with complex medical comorbidities

2 p.m. – Skill Stations C & D

Mechanical Ventilation II

Attendees will be able to do the following in this skill station.

• • • describe the approach to the patient with a high-pressure alarm
    • practice ventilation adjustments in response to changes in patient status

Hypotension After Abdominal Operation

Attendees will be able to do the following in this skill station.

• • • discuss causes of shock in the postoperative patient
    • identify risk factors for abdominal compartment syndrome
    • explain the diagnostic criteria for ACS

2:45 p.m. – Skill Stations C & D

Mechanical Ventilation II

Attendees will be able to do the following in this skill station.

• • • describe the approach to the patient with a high-pressure alarm
    • practice ventilation adjustments in response to changes in patient status

Hypotension After Abdominal Operation

Attendees will be able to do the following in this skill station.

• • • discuss causes of shock in the postoperative patient
    • identify risk factors for abdominal compartment syndrome
    • explain the diagnostic criteria for ACS

3:30 p.m. – Break

3:45 p.m. – Approach to the Surgical Patient, Part 1: Overview of the Care for the Critically Ill Patient

Attendees will be able to do the following in this lecture.

• • • describe the physiologic derangements that occur with surgical care
    • identify common complications that occur in the critically ill surgical patient
    • identify adverse events and drug interactions from anesthetics in the postoperative period
    • describe the factors involved in a successful handoff of a critically ill surgical patient to the ICU team.

4:30 p.m. – Approach to the Surgical Patient, Part 2: Surgical Emergencies

Attendees will be able to do the following in this lecture.

• • • recognize the signs and symptoms of a surgical emergency based on a patient’s history and clinical presentation
    • prioritize appropriate treatment and management of a surgical emergency
    • optimize the use of damage control techniques
    • use frailty assessment to stratify perioperative risk.

5:15 p.m. – Wrap up Day 1

5:30 p.m. – Adjourn

Friday, March 28

7:30 a.m. – Welcome and Announcements

Continental breakfast will be provided.

7:45 a.m. – Surgical Airway Emergencies

Attendees will be able to do the following in this lecture.

• • • recognize tracheostomy complications and take immediate action
    • recognize postoperative neck hematoma and take immediate action
    • discuss management of upper airway obstruction due to angioedema
    • review techniques for needle and surgical cricothyroidotomies

8:30 a.m. – Neurosurgical ICU

Attendees will be able to do the following in this lecture.

• • • review principles of brain insult and mechanisms of neuronal injury
    • apply concepts of intracranial hypertension and brain oxygen delivery and consumption to management of the brain-injured patient
    • review the clinical and diagnostic assessment of the brain-injured patient
    • list general treatments that are common in brain injury
    • review management principles for selected pathophysiologic conditions

9:15 a.m. – Abdominal Surgical Emergencies: Part 1

Attendees will be able to do the following in this lecture.

• • • recognize various abdominal emergencies and the importance of early surgical consultation
    • identify the signs, symptoms and risk factors of megacolon, and the importance of early consultation of surgical and other specialty services
    • describe the various causes of small bowel obstruction including surgical versus nonsurgical management
    • define primary, secondary and tertiary peritonitis, and discuss its clinical manifestations and treatment
    • describe the diagnosis and treatment options for acute cholecystitis and biliary urgencies
    • explain the etiology, presentation, diagnosis and treatment of esophageal perforation

10 a.m. – Break

10:15 a.m. – Abdominal Surgical Emergencies: Part 2

Attendees will be able to do the following in this lecture.

• • • classify and predict severity of acute pancreatitis
    • outline management of acute pancreatitis and its complications
    • explore the differences between upper and lower gastrointestinal bleeding
    • review the diagnostic methods and management principles of gastrointestinal bleeding
    • review diagnosis and management of intra-abdominal hypertension and ACS

11 a.m. – Cardiovascular Surgical Emergencies

Attendees will be able to do the following in this lecture.

• • • identify patients with bleeding after cardiovascular surgical procedures, including cardiopulmonary bypass grafting, percutaneous coronary interventions or percutaneous arterial interventions
    • outline basic management and interpretation of chest tubes placed during CABG
    • identify signs, symptoms and therapeutic options for cardiac tamponade after CABG
    • identify signs, symptoms and therapeutic options for the following:
      • • • patients with suspected complications from insertion of intravascular sheaths, lines and other devices
          • pulseless extremity
          • vasoplegia

11:45 a.m. – Lunch (provided)

12:30 p.m. – Skill Stations E & F

ICU Care for Multisystem Trauma Patient

Attendees will be able to do the following in this skill station.

• • • interpret, troubleshoot and manage elevated intracranial pressure
    • discuss chest tube basics and troubleshooting
    • diagnose and manage ACS
    • diagnose and manage ACS of extremities

Integrated Abdominal Sepsis

Attendees will be able to do the following in this skill station.

• • • recognize surgical emergencies in patients without surgical illness
    • interpret, troubleshoot and manage abdominal pain in the critically ill patient

1:15 p.m. – Skill Stations E & F

ICU Care for Multisystem Trauma Patient

Attendees will be able to do the following in this skill station.

• • • interpret, troubleshoot and manage elevated intracranial pressure
    • discuss chest tube basics and troubleshooting
    • diagnose and manage ACS
    • diagnose and manage ACS of extremities

Integrated Abdominal Sepsis

Attendees will be able to do the following in this skill station.

• • • recognize surgical emergencies in patients without surgical illness
    • interpret, troubleshoot and manage abdominal pain in the critically ill patient

2 p.m. – Break

2:15 p.m. – Management of Special Populations

Attendees will be able to do the following in this lecture.

• • • outline the diagnosis and management of pulmonary embolism
    • describe prophylactic therapy for venous thromboembolism
    • list general management principles for severe gastrointestinal hemorrhage
    • describe appropriate prophylactic therapy for the prevention of stress-related gastritis
    • summarize the principles of poisoning management
    • outline the diagnosis and management of frequent hematologic and oncologic emergencies

3 p.m. – Surgical Soft Tissue Complications and Urgencies

Attendees will be able to do the following in this lecture.

• • • identify a normal healing wound
    • recognize wound dehiscence and infection
    • recognize and manage necrotizing soft tissue infection
    • recognize and manage compartment syndrome

3:45 p.m. – Wrap up Day 2

4:30 p.m. – Adjourn

Lecture content is consistent with requirements of the Society of Critical Care Medicine.

Details coming soon!

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and MHA Health Institute. AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

This activity was planned by and for the health care team, and learners will receive 5.0 Interprofessional Continuing Education (IPCE) credit for learning and change.

Credit Designation for Pharmacists
This knowledge-based activity is approved for 1.0 contact hour each of continuing pharmacy education credit.

PENDING

AXIS Contact Information
For information about the accreditation of this program, please contact AXIS at info@axismeded.org.

Disclosure of Relevant Financial Relationships
AXIS Medical Education requires faculty, instructors, authors, planners, directors, managers, peer reviewers and other individuals who are in a position to control the content of this activity to disclose all personal financial relationships they may have in the past 24 months with ineligible companies. An ineligible entity is any organization whose primary business is producing, marketing, selling, re-selling or distributing health care products used by or on patients. All relevant financial relationships are identified and mitigated prior to initiation of the planning phase for an activity.

AXIS has mitigated and disclosed to learners all relevant financial relationships disclosed by staff, planners, faculty/authors, peer reviewers, or others in control of content for this activity. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation or activity. Disclosure information for faculty, authors, course directors, planners, peer reviewers, and/or relevant staff is provided with this activity.

The faculty reported the following relevant financial relationships or relationships they have with ineligible companies of any amount during the past 24 months.

Faculty	Relevant Financial Relationship(s)
Jim Eckler	Pending
Eugene S. Schneller, Ph.D.	Pending
Kari DiCianni	Pending
Linda Rouse O’Neill	Pending
Tim House	Pending
Steve Hoeger, CHEP	Pending
Greg Teale, PharmD., BCPS	Pending

 

The following directors, planners, managers, peer reviewers and relevant staff reported no financial relationships and no relationships they have with any ineligible company of any amount during the past 24 months.

Name of Directors, Planners, Managers, Reviewers and Staff

Margaret Alexander

Alex Shikles

Kara Amman-Kale

Robert Loseman

Greg Teale, PharmD, BCPS

Dee Morgillo, MEd, MT(ASCP), CHCP

Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information and comparison with recommendations of other authorities.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings.

Requirements for credit:  

• Attend/participate in the educational activity and review all course materials.
• Complete the CE Declaration form online by 11:59 p.m. ET Sept. 30, 2024. Instructions will be provided. If you do not enter the online portal by the above date, you will not be able to retrieve your statement of participation.
• Upon successful completion of the online form, your statement of completion will be presented to you to print. For pharmacists, your record will be automatically uploaded to CPE Monitor.

 

This educational activity is jointly provided by AXIS Medical Education and Missouri Hospital Association.

The Lodge of Four Seasons
315 Four Seasons Drive
Lake Ozark, MO 65049

Group Direct Booking Link: https://reservations.travelclick.com/17336?groupID=4477887
Hotel Cutoff Date: Monday, Feb. 24, 2025  No login or Attendee Code needed.

These courses are being made available to Missouri hospital clinicians through grant funding however, travel, meals and lodging will be the responsibility of the registrant. 

Please note that your registration request will be submitted to the organizer for approval. Upon approval, instructional materials will be sent to the email address indicated on the registration form.

A complimentary eBook also will be available upon registration and you may request a printed version by contacting Keri Barclay. 

If you have special needs addressed by the Americans With Disabilities Act, please contact the Missouri Hospital Association.

MHA Health Institute
P.O. Box 60
Jefferson City, MO 65102
Phone: 573-893-3700
Fax: 573-893-2809