Pediatric Nursing Continued Education


Scott Deboer
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Pediatric Trauma Lectures

Airway Management Workshop
Back to Basics:  Emergency Assessment of "Neuro Nightmares"
Blood Goes. . . Air Goes. . . and Death By Diagnosis:  Pediatric Chest and Abdominal Trauma
Bumps, Bruises and Breaks:  Pediatric Extremity Trauma
"Dead, Dead and Dead"  Emergency Burn Care:  What You Really Need to Know
Dispelling the Myths:  Pediatric Acute Care Issues
Emergency Nursing Pediatric Course (ENPC)
Packaging the Pediatric Patient
"Pediatric Pearls and Jeopardy Jewels"
Pediatric Neuro Nightmares I:  Head Trauma
Pediatric Neuro Nightmares II:  Spinal Cord Trauma
Pediatric Preparations, Practice and Play Time
Pediatric Skills Lab
Sick Kids:  Basics and Beyond
Stabilization and Resuscitation Prior to Transport
Suspected Non-Accidental Trauma
Taking the Ouch Out of Emergency Department Procedures
Tales from the Edge:  Pediatric and Neonatal Case Studies
Tattoos, Tongues, and Trauma:  Emergency Implications of Body Modification
Tiny Tots Trauma Training:  A Course that Deals Only with Aspects of Pediatric Trauma
"To Tube or not to Tube. . . " Pediatric Advanced Airway
Trauma Nurse Core Course (TNCC)
Treating Tiny Trauma:  Pediatric Trauma Update
"Unbelievable But True Case Studies":  You Made the Difference
The Use of Simulator Technology in Pediatrics
"When in Doubt. . . Knock 'em Out":  Pediatric Sedation and Pain Management Update
When the Injury is Intentional--Child Abuse and Non-Accidental Trauma
"The Worst Ways to Die"  Burns and Near-Drowning




Airway Management Workshop

This workshop is designed to lead participants in a comprehensive airway immersion experience. The workshop will be led by expert instructors and will focus on critical knowledge enhancement, decision making and technical skills. Participants will receive special instruction in the pediatric airway, the trauma airway, difficult airway situations, and rescue/salvage airway techniques. Airway management is the most important skill in EMS. The Airway Management Workshop will challenge you in skill and theory!

 

The curriculum is geared towards the advanced provider yet the workshop is open to 
all skill levels. The workshop will be dedicated to lecture, case scenarios and skill stations. Theory, anatomy, physiology and skills will be stressed. 

Covered Skills & Techniques Include:

·         Combitube 

·         LMA

·         Needle Cricothyrotomy

·         Percutaneous Cricothyrotomy

·         Pediatric Airway Skills

·         Endotracheal tube changers 

·         End-tidal CO2 detection

·         Esophageal Detector Device

·         Gum Elastic Bougie

·         Salvage BVM Ventilation

 

This workshop is intended to be a very general overview of airway management. It in no way certifies, entitles, or endorses the participant to perform any specific procedure.

Speaker: Kevin High RN,MPH,EMT
Course length: 4-hours
Class size limited to 20 participants
Intended audience: Paramedics, E.R. & Critical Care nurses Respiratory Therapists, & Transport Teams

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Back To Basics
Emergency Assessment of “Neuro Nightmares”

Every five minutes, one person’s life is permanently altered in the United States due to head trauma. As prehospital, emergency, and critical care sciences progress, along with newer medical and surgical therapies, the prognosis for those acutely injured continues to become more favorable. This lecture will review assessment techniques utilized with neurologically injured pediatric patients, along with disputing those “we’ve always done it this way” methods. Throughout this comprehensive lecture, attendees will refine their assessment proficiencies, while learning of the latest research.

 

§         Learn what paramedics, not books, teach about motor vehicle crashes

§         Saturday night, 2AM “real-life” neuro exams

§         Spinal cord injuries: Beyond “can’t move & can’t feel”

 

Course length: 60 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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Blood Goes… Air Goes… & Death By Diagnosis
Pediatric Chest & Abdominal Trauma

After head injuries, the most common areas that are injured in a child are the chest & abdomen. Many of the common injuries in the adult population, also can occur in children, but the assessment findings & management techniques definitely are different.

 

§         What thoracic injuries can kill you & what can you fix in 2 minutes or less?

§         CT scans for everyone?

§         Pediatric vs. big-people management of liver & splenic injuries

 

Course length: 90 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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Bumps, Bruises, & Breaks: Pediatric Extremity Trauma

Some of the most common reasons for seeking medical care in the pediatric population involve bumps, bruises, & breaks. This lecture will review the assessment & management of pediatric patients with orthopedic trauma, with special consideration given to wound care & pain management techniques.

Wound care… What really works?
Making “the shot” not hurt… It can be done!
Traumatic amputations & fine martinis

 

Course length: 45 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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“Dead, Dead, & Dead”
Emergency Burn Care: What You Really Need To Know

A child that is burned is a gut wrenching experience, but not knowing how to best care for them is almost as horrible. Burns that are thermal, chemical, or electrical in origin will change the lives of thousands of people forever each year. Prehospital and emergency personnel can be one of the first to care for these patients and proper interventions in the first few critical hours can truly be lifesaving. Current assessment and management principles of burn care, as well as their pathophysiologic rationales will be discussed. This interactive lecture will dispel many of the myths of burn care, thus allowing for a better understanding of the real-life ways to best manage these critically ill children & adults.

 

§         EMS vs. ER fluid resuscitation

§         Myths of Morphine

§         Dressings: Dry vs. wet? Goop or no goop?

§         Thermal, electrical, chemical, tar, & non-accidental burns

 

Course length: 60 minutes 
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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Dispelling the Myths
Pediatric Acute Care Issues

As with many areas in healthcare today we are faced with continued challenges. One of our greatest challenges in the area of pediatric care is conflicting orders. Often times care plans vary from physician to physician and can definitely lead to anxiety when caring for young patients. This presentation will detail what drugs are commonly administered to children for various medical emergencies, their routes & rates of administration, mechanisms of action, and common (& not so common) side effects. Acute management of pediatric patients presenting with seizures & diabetic ketoacidosis (DKA) and many of the complex associated issues will also be discussed. Lastly, new information on child abuse and non-accidental injuries will have you re-evaluating certain childhood injuries. This program will cover these as well as many other fascinating and essential pediatric facts in an attempt to dispel the myths of pediatric acute care.

 

Course length: 8-hours, One day 
Speaker: Sherri Dean RN,BSN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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Emergency Nursing Pediatric Course (ENPC)

While only five percent of pediatric emergency department (ED) visits represent true life-threatening medical or surgical emergencies, acute illness still remains a dominant source of unnecessary pediatric deaths. In many instances, these preventable pediatric deaths are the result of delayed recognition and treatment by emergency department personnel. Proper intervention by educated emergency care professionals may have prevented such deaths and disabilities. In spite of national pediatric trauma statistics, there are a limited number of medical centers throughout the country that have specialized pediatric centers. Nurses working in today's ED's must strengthen their pediatric emergency nursing skills in order to meet the needs of this diverse population and provide quality nursing care.


This two-day course through its lectures & interactive skill stations has become a standard certification for many emergency/critical care nurses across the world. 

 

Course Length: 16-hours, (2) 8-hour days
Course Coordinator: Gail Tagney RN,MSN,CEN,CCRN
Intended audience: E.R., Pediatric, and I.C.U. Nurses

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Packaging the Pediatric Patient

Preparing the critical pediatric patient for transport by air or ground can be a time-consuming venture. Because children’s responses to stress differs from adult patients, there are crucial pre-transport interventions that should be undertaken. This presentation will discuss the physiologic responses to the stressors of transport, “must haves” prior to departure, & how the referring facility can assist in expediting the transfer process with a critically ill or injured child.

 

Course length: 60 minutes
Speaker: Sherri Dean RN,BSN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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 “Pediatric Pearls and Jeopardy Jewels”

Education will never be the same, nor your expectations of how educational offerings are provided for healthcare professionals.   From classrooms to computers, from projects to presentations, simply standing behind a podium is no longer an option.   In this highly interactive game show format, you’ll come away asking, “does CE stand for “Continuing Education or Constantly Entertained!”  Scott DeBoer RN,MSN has combined both of these concepts into a fast paced learning experience.  While “playing Jeopardy,” this presentation will review and reinforce the assessment skills, clinical findings, and management priorities for successfully handling a wide variety of common and not so common pediatric emergencies.  Do you know the questions to these answers?  Come play and find out!

Course length: 60 minutes

Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended Audience: Paramedics, ER, Pediatric, Critical care nurses, respiratory therapists, & transport teams

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Pediatric Neuro Nightmares I: Head Trauma

Every five minutes, one person’s life is permanently altered in the United States due to head trauma. As prehospital, emergency, and critical care sciences progress, along with newer medical and surgical therapies, the prognosis for those acutely injured continues to become more favorable. This lecture will review assessment & management techniques utilized with neurologically injured pediatric patients, along with disputing those “we’ve always done it this way” methods. Throughout this comprehensive lecture, attendees will refine their assessment proficiencies, while learning of the latest research.

 

§         “Real-life” neuro examinations tools

§         What do we do for head injuries that actually works?

§         What we still do for head injuries that doesn’t work?

 

Course length: 100 minutes 
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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Pediatric Neuro Nightmares II: Spinal Cord Trauma

Though rare in the pediatric population, spinal cord injuries are truly devastating and change the life of the patient & their family forever. As emergency & critical sciences continue to advance, along with newer medical, surgical, and rehabilitative therapies, the prognosis for those acutely injured continues to become more favorable. This lecture will review assessment & management techniques utilized with pediatric spinal cord injury patients.

 

§         “Real-life” neuro examinations tools

§         What do we do for spinal cord injuries that actually works?

§         What we still do for spinal cord injuries that doesn’t work?

 

Course length: 45 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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 “Pediatric Preparations, Practice, & Play Time”

Proper planning prevents… When one is confronted with only a “three minute ETA” of a critically ill or injured child, preparation is the key.  This highly interactive presentation, through the use of several real-life scenarios, will focus on the “ideal” versus “what can I really have ready in three minutes” issues involving equipment, medications, & staff.  So bring your Pedi-Wheels, Palm Pilots, & come play! 

 

Course length: 60 minutes 

Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended Audience: Paramedics, ER, Pediatric, Critical care nurses, respiratory therapists, & transport teams

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 “Pediatric Skills Lab”

½ day, hands-on pediatric emergency procedures skills lab:

 

·  Intraosseous line placement

·  Airway management

·  Resuscitation

·  Spinal immobilization

          * This program is customized to the educational needs/skill level of the group.

 

Course length: 4-hours,   (Can be repeated twice in one day) Maximum 16 per group
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended Audience: Paramedics, ER, Pediatric, Critical care nurses, respiratory therapists, & transport teams

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Sick Kids: Basics & Beyond

These intensive seminars have been designed to offer the participant an intermediate to advanced level review of "real life" assessment and management principles of pediatric patients with medical & traumatic emergencies. 

"Sick Kids": Basics & Beyond is a 2-day course that combines our "Treating Tiny Trauma" Pediatric Trauma Update course and "Crashing Kids" Pediatric Medical Emergencies course. These programs will cover multi-system trauma and commonly encountered pediatric medical emergencies. Attendees will learn the current as well as future treatment methodologies of "sick kids" in the EMS & medical center settings. 

Day 1 - "Treating Tiny Trauma" is designed for emergency, pediatric and critical care nurses. Field Paramedics & Respiratory Therapists will also want to attend this day of lecture.

Day 2 - "Crashing Kids" Pediatric Medical Emergencies is designed for emergency, pediatric and critical care nurses. Paramedics are welcome to attend & will certainly benefit from the diverse course information, however, the content is primarily presented from the perspective of the hospital environment.

 

Course length: 16-hours, (2) 8-hour days
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists 

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Stabilization and Resuscitation Prior To Transport

Transporting the critically sick neonate or child is a challenge to emergency personnel requiring specialist knowledge, skills and age appropriate equipment suitable for all ages. In Sydney regionalized tertiary centers provide specialized care for specific illnesses in specific age groups. Often, it is imperative to transport a sick child or neonate to one of these centers where specialized medical and nursing care plus particular technical and diagnostic facilities are provided. This three hour session explores some of the pitfalls associated with transporting critically sick infants and children alongside essential stabilization measures to avoid disastrous consequences. Case scenarios will be examined and critiqued to enhance learning outcomes.

Course length: 3-hours 
Speaker: Ella Scott RN,RSCN,BA,MA
Intended audience: Paramedics, ER, Pediatric, Critical Care Nurses, & Respiratory Therapists

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Suspected Non-Accidental Trauma

When caring for children, it is important to be able to recognize when trauma is not accidental. During this presentation, you will learn the ‘keys’ to recognition or suspicion of suspected non-accidental trauma, injury patterns associated with suspected non-accidental trauma, as well as the initial management and medical legal aspects of these situations.

Course length: 60 minutes
Speaker: Angie Golden RN,MSN,CFRN,FNP
Intended audiences: Paramedics, E.R., I.C.U. Nurses, & Respiratory Therapists

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Taking the Ouch Out of Emergency Department Procedures

Over the past decade, new medication choices and combinations have revolutionized the way analgesia and sedation is delivered. Painful procedures are often carried out on children as a therapeutic necessity. Many of these children would have already experienced painful injuries enhanced by anxiety and fear. Inadequately relieved pain produces psychological and physiological reactions, which may carry long term consequences of a disturbing experience. By effective utilization of current pharmacological agents eradication of a child's pain, amnesia, and effective sedation lead the path to an ouchless Emergency Department. 

 

Advantages of effective analgesia and sedation include facilitation of procedures such as laceration repair, lumbar puncture, and burns dressings. Children undergoing investigations such as C.T. scanning may require sedation anxiolysis only as this procedure is uncomfortable but painless.
Parents stress levels are reduced in observing that their child is not experiencing unnecessary pain, this in turn improves their acceptance of rendered care. 


This two-hour session explores current pharmacological and non-pharmacologic options along with distraction techniques to help our patients through their hospital experience. 

 

Course length: 2-hours
Speaker: Ella Scott RN,RSCN,BA,MA
Intended audience: Paramedics, ER, Pediatric, Critical Care Nurses, & Respiratory Therapists 

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Tales from the Edge: Pediatric & Neonatal Case Studies

We all have to admit that we love to hear incredible stories, see amazing pictures, & learn from other’s experiences. While pediatric cases tend to tug at the heart strings, they also are filled with laughter, fun, & unsurpassed learning opportunities. This interactive presentation will discuss unusual pediatric & neonatal transport cases.

 

Course length: 60 minutes
Speaker: Sherri Dean RN,BSN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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Tattoos, Tongues, & Trauma
Emergency Implications of Body Modification

It’s happening more & more… Though body modification has been practiced for thousands of years, seemingly only recently has it become an “epidemic,” especially among teens & young adults. This presentation will review “what we really want to know” regarding body modification & implications for emergency care. Through real-life case studies, answers to questions involving airway management, defibrillation, obstetrics, & thrombolytics will be addressed.

- This is not a new “fad”
- Piercings from top to bottom
- Beyond just piercings… scarification, branding, & more
- Emergency/transport implications – Urban legend vs. research realities

Course length: 60 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended Audience: Paramedics, ER Nurses, Pediatric Nurses, Critical Care Nurses, & Respiratory Therapists

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Tiny Tots Trauma Training
A course that deals only with aspects of pediatric trauma

Injury is one of the most significant health problems affecting children in the western world and is the leading cause of death for all children over one year of age. The survival of children who sustain major trauma or life threatening trauma depends on the resuscitation in the emergency department and access to emergency surgery. 
The principles of managing pediatric trauma victims are much the same as for adult patients however particular aspects of resuscitation and management require detailed attention because of the anatomical differences encountered in children. The following objectives will be addressed throughout the day:

 

§         Early assessment, resuscitation and management of the injured child

§         Specific characteristics in managing the pediatric airway 

§         Practical skills in airway and vascular access

§         Specifics of pediatric burns management

§         An understanding of infant trauma

§         The role of the Trauma team in relation to communication, situational awareness and human performance factors. 

§         The use of ultrasound in children

 

Pediatric trauma is a disease entity that challenges our capacity for teamwork. This will be explored further in scenario based sessions.


The concept continuum of care facilitates an efficient and effective method of treating and managing these children from the initial site of injury to the resuscitation room through to the intensive care unit and the rehabilitation process. Essential components that contribute to continuum of care are education, research, and outcome analysis. It is our objective to enhance pediatric trauma training to assist medical, nursing and ambulance personnel involved with treatment management and care of these children.

Course length: 8-hours 
Speaker: Ella Scott RN,RSCN,BA,MA
Intended audience: Paramedics, ER, Pediatric, Critical Care Nurses, & Respiratory Therapists 

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“To Tube or not to Tube...”
Pediatric Advanced Airway Management

Imagine for just a moment that you are three years old, intubated, paralyzed with Pavulon, and wide awake. You are able to feel everything, hear everything, but just not able to do anything about your situation. You try to cry, but not a sound is heard. The only clue that you are awake and hurting is the tear in your eye and your increasing tachycardia. Children, just like adults DO FEEL PAIN! Recent studies have demonstrated that neuromuscular blockers, and especially concurrent sedatives, continue to be used incorrectly, resulting in the horrific state of chemically induced, under sedated, paralysis. Rapid sequence intubation, which was once confined to the O.R. environments, is becoming a frequently utilized adjunct to airway management in prehospital, emergency, and critical care medicine, and consequently an understanding of the commonly administered medications is essential. Lastly, though emergency and critical care nurses are not typically responsible for actually performing intubations, the techniques and criteria for the different intubation options, such as LMA’s, oral/nasal intubation, & needle/surgical cricothyroidotomy will be reviewed through case studies.

 

§         “Not tubed” non-invasive oxygen delivery methods

§         Placing & keeping the tube in the “good spot”

§         “Better living through chemistry”: Which drug, when, & why?

 

Course length: 60 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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Trauma Nurse Core Course (TNCC)

The magnitude of trauma as a national and international problem is documented by data that identifies injury as being the primary cause of death in persons under age 45. The optimal care of the trauma patient is best accomplished within a framework in which all members of the trauma team use a systematic, standardized approach to the care of the injured patient. Emergency nurses are essential members of the trauma team. Morbidity and mortality of trauma patients can be significantly reduced by educating nurses to provide competent trauma care. This course through its lectures & interactive skill stations has become a standard certification for many emergency/critical care nurses across the world.

 

Course Length: 16-hours, (2) 8-hour days
Course Coordinator: Gail Tagney RN,MSN,CEN,CCRN
Intended audience: E.R., Pediatric, and I.C.U. Nurses

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Treating Tiny Trauma: Pediatric Trauma Update

This all day seminar combines the most current research available with “real-life” applications for a review of pediatric advanced airway management, head & spinal cord trauma, chest & abdominal trauma, burns, extremity trauma, and pain management. For more information or a course outline, please call 1-888-280-7337 or e-mail us at education@peds-r-us.com.

 

Course length: 8-hours, One day
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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“Unbelievable But True Case Studies” 
You Made the Difference

Medical personnel sometimes do not realize the impact that they have on patients and their families. In this current age of restructuring, floating, and downsizing, the patient’s outcome can be closed with the chart, and our contributions quickly forgotten. Through a review of unbelievable case studies, this lecture will help remind attendees about why they really went into EMS/nursing and the differences that we make every day.

Two-year old vs. Doberman & who “saved their daughter”
Conjoined “Siamese” twins & slinkies
Necrotizing fasciitis “the flesh eating disease”… You want me to fly what?

 

Course length: 60 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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The Use Of Simulator Technology In Pediatrics

Coming Soon.

 

Course Length: 60 minutes
Speaker: Ella Scott RN,RSCN, Grad Cert Ped Intensive Care, BA, MA
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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"When In Doubt... Knock 'em Out"
Pediatric Sedation & Pain Management Update

“Kids don’t feel pain… It will hurt more to give them something for pain, so let’s just get it done… they won’t remember it anyway…” Children, just like adults, do feel pain, anxiety, and fear. The utilization of appropriate “conscious”/procedural sedation measures is crucial for safe and humane patient care. This session will review current sedation and pain management techniques, as well as rationales for discarding many of the "way we've always done it" techniques.

§         Conscious sedation: They are deeper than you think

§         Crucial preparations for sedation

§         Local pain management: Start at triage

§         Alternative routes of medication administration: Nasal, oral, rectal, etc

§         Analgesics vs. sedatives vs. both

 

Course Length: 75 minutes
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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When the Injury is Intentional – Child Abuse & Non-Accidental Trauma

Caring for the child who is the victim of non-accidental trauma (NAT) can be the most emotionally challenging patient for a health care provider. This program will discuss recognition of NAT, documentation & evidence collection, mandatory reporting, family interactions, & CISD.

Course length: 60 minutes
Speaker: Sherri Dean RN,BSN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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“The Worst Ways To Die”
Burns & Near-Drowning

This lecture series combines two of our most popular courses, burns & near-drowning, to illustrate “ the worst ways to die!”

 

Course Length: 120 minutes (with 15 minute break between courses)
Speaker: Scott DeBoer RN,MSN,CEN,CCRN,CFRN
Intended audience: Paramedics, E.R., Pediatric, I.C.U. Nurses, & Respiratory Therapists

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