28th Annual Challenges in Critical Care: A Multidisciplinary Approach

D7013

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Pennsylvania Chapter of the Society of Critical Care Medicine (PASCCM) and Susquehanna Valley Chapter of the American Association of Critical Care Nurses (SVAACN)

This annual conference is designed to promote the scientific evaluation of methods of care and to translate current literature into strategies to optimize the care of the critically ill patient.

Physicians, Advanced Practice Clinicians, Nurses, Respiratory Therapists, Pharmacists, Dietitians and Health Care Professionals involved in critical care may benefit from attendance.

• Develop a plan to apply knowledge gained to promote quality care of critically ill patients as provided by the multi-professional team.
• Evaluate evidence-based management strategies in critical care for incorporation into practice.
• Identify areas in critical care for further study, improvement and research.

• 7 a.m. | Check-In/Posters/Exhibits
• 7:45 a.m. | Welcome

  Pennsylvania Chapter of the Society of Critical Care Medicine (PASCCM)
  Lori Demko MSN, ACNP-BC, CCRN
  Joshua Marks MD, FACS, FCCM

  Susquehanna Valley Chapter of the American Association of Critical Care Nurses (SVAACN)
  JoAnne Konick-McMahan, MSN, RN, PCCN-K
  Julia Kuzar, MSN, CCRN, AG/ACNP-BC

• 8 a.m. | Opening Plenary
  Transitions of Care to the Intensive Care Unit (ICU)
  Jose Pascual, MD, PhD, FRCS(C), FACS, FCCM

  Objectives

  • Differentiate the role of surgery versus anesthesia versus ICU in patient handoffs.
  • Describe the impact of effective communication on a multidisciplinary and multiprofessional handoff.
  • Recognize the importance of handoff choreography in reducing preventable adverse events in healthcare.
• 9 a.m. |
  

  1A Concurrent Session

  Pressing the Limits: Vasopressor, Push-Dose Pressors and Refractory Options Review
  Nicole Jankowski, PharmD, BCCCP

  Objectives

  • Describe the physiological principles of shock states.
  • Review the pharmacology of vasopressors, push-dose pressors and refractory options.
  • Apply literature and guidelines for the management of patients in shock states.

  1B Concurrent Session

  Hot Topics and Evidenced-Based Medicine in Critical Care
  Joshua Marks MD, FACS, FCCM

  Objectives

  • Describe what makes an impactful, practice changing manuscript, including negative studies.
  • Evaluate recent publications that should, at least, cause pause, if not alter practice.
  • Recognize the importance of remaining current and an active learner/reader of the critical care literature.
• 10 a.m. | Break/Exhibits/Posters
• 10:30 a.m. |
  

  2A Concurrent Session

  It’s All the Rage! Use of Corticosteroids in Sepsis, Acute Respiratory Distress Syndrome and Pneumonia
  Victoria Miklus, PharmD

  Objectives

  • Discuss the role of corticosteroids in sepsis, acute respiratory distress syndrome and pneumonia.
  • Review guidelines regarding the use of corticosteroids in sepsis, acute respiratory distress syndrome and pneumonia.
  • Evaluate corticosteroid choice and dosing in sepsis, acute respiratory distress syndrome and pneumonia.

  2B Concurrent Session

  Case Study Presentations

  Hyperammonemia Encephalopathy Linked to Zinc Deficiency in Small Bowel Syndrome
  Alejandra Perez-Chapman, DO

  Objectives

  • Discuss short bowel syndrome in patients with history of roux-en-y gastric bypass surgery (RYGB).
  • Identify hyperammonemia encephalopathy and interpretation of an ammonia level.
  • Describe the substrates and cofactors involved in the urea cycle.

  Neurogenic Shock in an Acute Stroke Patient: A Case Study
  Morgan Boyer, MPH, RN, NVRN-BC, CNRN, SCRN

  Objectives

  • Examine the signs and symptoms of brainstem infarction.
  • Relate brainstem injury and neurogenic shock.

  Pregnancy’s pH Paradox: Navigating Renal Tubular Acidosis
  Victoria Pierce, DO

  Objectives

  • Review causes and management of renal tubular acidosis (RTA) in critical care medicine.
  • Recognize that pregnancy is a physiologic state which can precipitate and exacerbate RTA.
  • Recognize the fetal complications of untreated metabolic acidosis from RTA.
• 11:30 a.m. | Move to Concurrent Session
• 11:35 a.m. |
  

  3A Concurrent Session

  Acute Laryngeal Injury in the Critical Care Setting: What the Clinician Needs to Know
  Hanel Eberly, BS
  John Gniady, MD, FACS

  Objectives

  • Describe acute laryngeal injury and its pathophysiology and risk factors.
  • Identify when critical care staff should be suspicious of acute laryngeal injury.
  • Articulate the steps that can be taken to prevent acute laryngeal injury in the critical care setting and minimize associated sequelae.
  • Describe the available interventions for treating acute laryngeal injury, and the utility of early otolaryngology consultation.
  • Discuss nursing interventions and medical management of patients with acute laryngeal injury.

  3B Concurrent Session

  Cardiogenic Shock: Medications to Machines
  Navitha Ramesh, MD, FCCP

  Objectives

  • Recognize clinical signs and symptoms associated with cardiogenic shock.
  • Discuss medical management for cardiogenic shock.
  • Review indications for escalation to mechanical circulatory support (MCS), including extracorporeal membrane oxygenation (ECMO).
• 12:35 p.m. – 1:50 p.m. | Lunch/Exhibits/Posters/Product Theater
• 1:05 p.m. – 1:50 p.m. | Product Theater (not for CME credit)

  Hospital-Acquired Bacterial Pneumonia (HABP) and Ventilator-Associated Bacterial Pneumonia (VABP) -Avycaz Review of the Clinical Profile
  Fariborz Rezai, MD, FCCP, FCCM
  System Director, Critical Care Medicine, RWJ Barnabas Health
  Chair, RWJ Barnabas Health ICU Collaborative Committee
  President, Society of Critical Care Medicine, New Jersey Chapter

• 1:50 p.m. | Death by Neurologic Criteria
  J. Christopher Zacko, MD

  Objectives

  • Explain new guidelines to determine brain death.
  • Review and highlight differences from previous editions.
  • Discuss possible pitfalls and controversies.
• 2:50 p.m. | Break/Exhibits/Posters
• 3 p.m. | Philip Drinker Society Lecture – To Fly or Not to Fly: Air Medical Transport of Injured and Critically Ill Patients
  Joshua Brown, MD, MSc

  Objectives

  • Describe the potential benefits of air medical transport.
  • Discuss patient selection for air medical transport.
  • Explain operational and system considerations for air medical transport.
• 4 p.m. | Closing Plenary and Multidisciplinary Panel Response
  Nurse Staffing and Work Environments: What the Latest Evidence Says
  Amanda Bettencourt, PhD, APRN, CCRN-K, ACCNS-P
  Multidisciplinary Panel: Aimee Lee Anderson, MSN, BS, RN, CCRN; Amanda Holyk, PharmD, MBA, BCCCP; and Jefferson Mixell, MBA, RRT-ACCS

  Objectives

  • Critique the latest evidence on nurse staffing and work environments.
  • Discuss where progress has been made.
  • Identify opportunities to integrate the evidence into staffing models.
• 5 p.m. | PASCCM Awards for Case Study and Scientific Poster
• 5:05 p.m. | Closing Remarks/Adjournment
• 5:10 p.m. | PASCCM Business Meeting

Lori Demko MSN, ACNP-BC, CCRN
Committee Chair
Chief Acute Care Nurse Practitioner UPMC Altoona
Pittsburgh Critical Care Associates, Inc.

Joshua Marks MD, FACS, FCCM
Committee Vice-Chair
Associate Professor
Medical Director, SICU
Medical Co-Director, Center for Operational Resource Efficiency (CORE) and Transfer Center
Program Director, Surgical Critical Care Fellowship Program
Associate Program Director, General Surgery Residency Program
Sidney Kimmel Medical College at Thomas Jefferson University

Barbara Birriel, PhD, ACNP-BC, FCCM
Assistant Research Professor
Penn State Nese College of Nursing

Sandralee Blosser, MD, FCCM
Professor Emeritus, Penn State
Chief of Intensivist Development
Pittsburgh Critical Care Associates, Inc.

Lori Cox, MSN, ACNP-BC, CCRN, FCCM
Program Director, Critical Care Advanced Practice Provider Fellowship
Penn State Health Milton S. Hershey Medical Center

Amanda Holyk, PharmD, MBA, BCCCP
Clinical Pharmacy Supervisor
Mount Nittany Medical Center

JoAnne Konick-McMahan, MSN, RN, PCCN-K
Staff Nurse
UPMC
SVAACN Board Member

Julia Kuzar, MSN, CCRN, AG/ACNP-BC
UPMC Critical Care Services
SVAACN Board Member

John Madara, MD
Assistant Professor of Medicine
Associate Program Director, Pulmonary/Critical Care Medicine Fellowship
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Niels Martin, MD, FACS, FCCM
Chief, Division of Traumatology, Surgical Critical Care, & Emergency Surgery
Vice Chair, Diversity Equity & Inclusion
Director, Traumatology & Surgical Critical Care Fellowship Programs
Associate Professor of Surgery
Department of Surgery; Perelman School of Medicine
University of Pennsylvania

Jefferson Mixell, MBA, RRT-ACCS
Manager Respiratory Care – Respiratory Therapy
Penn State Health Milton S. Hershey Medical Center

Ashley Quintili, PharmD, BCPS, BCCCP
Clinical Specialist – Surgical/Anesthesia ICU
Penn State Health Milton S. Hershey Medical Center

Navitha Ramesh, MD, FCCP
Program Director, Critical Care Medicine Fellowship
UPMC Harrisburg
ICU Medical Director, UPMC Community
UPMC Central PA

Margaret Wojnar, MD, MEd, FCCM
Professor of Medicine
Division of Pulmonary and Critical Care Medicine
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Daniel Wu, DO, FACOS, FACS, FCCM
Trauma & Acute Care Surgery
Penn Medicine – Lancaster General Health
ICU Surgical Co-Director
Trinity Health – St. Mary Medical Center

Aimee Lee Anderson, MSN, BS, RN, CCRN
Nurse Manager, Intensive Care Unit
Penn Medicine Lancaster General Hospital
SVAACN Board Member

Amanda Bettencourt, PhD, APRN, CCRN-K, ACCNS-P
Assistant Professor
Immediate Past President
University of Pennsylvania, School of Nursing
American Association of Critical-Care Nurses

Morgan Boyer, MPH, RN, NVRN-BC, CNRN, SCRN
Stroke Data Manager
Neuroscience Intensive Care Unit Staff Nurse
University of Louisville Health
Penn State Health St. Joseph Medical Center

Joshua Brown, MD, MSc
Samuel P. Harbison Endowed Assistant Professor of Surgery
Assistant Professor of Critical Care Medicine
Departments of Surgery & Critical Care Medicine
University of Pittsburgh

Hanel Eberly, BS
Medical Student
Penn State College of Medicine

John Gniady, MD, FACS
Assistant Professor of Otolaryngology – Head and Neck Surgery
Chief, Division of Communication Sciences and Disorders
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

Amanda Holyk, PharmD, MBA, BCCCP
Clinical Pharmacy Supervisor
Mount Nittany Medical Center

Nicole Jankowski, PharmD, BCCCP
Clinical ED and ICU Float Pharmacist
Department of Pharmacy
Penn State Health Milton S. Hershey Medical Center

Joshua Marks MD, FACS, FCCM
Committee Vice-Chair
Associate Professor
Medical Director, SICU
Medical Co-Director, Center for Operational Resource Efficiency (CORE) and Transfer Center
Program Director, Surgical Critical Care Fellowship Program
Associate Program Director, General Surgery Residency Program
Sidney Kimmel Medical College at Thomas Jefferson University

Victoria Miklus, PharmD
Clinical Pharmacist
Department of Pharmacy
Hospital of the University of Pennsylvania

Jefferson Mixell, MBA, RRT-ACCS
Manager Respiratory Care, Respiratory Therapy
Penn State Health Milton S. Hershey Medical Center

Jose Pascual, MD, PhD, FRCS(C), FACS, FCCM
Professor of Surgery and Neurosurgery
Section Chief, Penn Surgical Critical Care
Clinical Associate, School of Nursing
Associate Director, Office of Life Support Education
Trauma, Emergency Surgery, Surgical and Neurocritical Care
Perelman School of Medicine at the University of Pennsylvania

Alejandra Perez-Chapman, DO
Resident Physician
Internal Medicine
Geisinger Medical Center

Victoria Pierce, DO
Resident Physician
Internal Medicine
Geisinger Medical Center

Navitha Ramesh, MD, FCCP
Program Director, Critical Care Medicine Fellowship
UPMC Harrisburg
ICU Medical Director, UPMC Community
UPMC Central PA

J. Christopher Zacko, MD
Professor and Vice Chair for Quality
Department of Neurosurgery
Penn State College of Medicine
Penn State Health Milton S. Hershey Medical Center

AMA

Penn State College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Penn State College of Medicine designates this live activity for a maximum of 7 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Association for Respiratory Care (AARC)

This activity has been approved for a maximum of 7.00 contact hours Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425 North MacArthur Blvd Suite 100, Irving, TX 75063. Course #192541000

The American Association of Critical-Care Nurses (AACN)

This nursing continuing professional development individual activity is approved for 7.00 contact hours. File Number: 25125

This nursing continuing professional development activity was approved by the American Association of Critical-Care Nurses, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Patient Safety

This program includes 7 hours of patient safety/risk management education as required by the Pennsylvania State Board of Medicine.

Accreditation Council for Pharmacy Education (ACPE)

In support of improving patient care, the University of Pittsburgh 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 healthcare team.

Pharmacy (CPE)

This knowledge-based activity provides 7.0 contact hours of continuing pharmacy education credit.

The fee is $165 per person and includes the cost of instruction, online handout materials and all listed meals.

PASCCM fee is $65

SVAACN fee is $125

Payment is required at the time of registration. If you have any questions or concerns, please email us at ContinuingEd@pennstatehealth.psu.edu.

Registrations received after Thursday, Aug. 15, will incur a $25 late fee.

Cancellations received after Friday, Aug. 9, will be assessed a $25 processing fee.

No refunds will be made for cancellations received after Tuesday, Aug. 13.

Accommodations are the responsibility of the program participant. A list of Hershey area lodging is available upon request or online at ce.med.psu.edu/lodging.

Join us in Hershey

Hershey is conveniently located in central Pennsylvania, just 90 minutes from Baltimore and Philadelphia, two hours from Washington, D.C., and three hours from New York City.

• Harrisburg-Area Attractions
• Hershey Attractions
• Tanger Outlets in Hershey
• Historic Gettysburg
• Pennsylvania Dutch and Amish Country

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