Can’t-Miss Thursday Sessions

For those looking to improve your trauma nursing skills, Emergency Nursing 2018 has you covered. Don’t miss these Thursday sessions that run the gamut from general and geriatric trauma to pediatric mental health and critically ill newborns.

Heading Down the Wrong Path: Trauma Cases That Surprised Us

2:30 – 3:30 p.m.

Rooms 403, 404, 405

Have you ever been surprised when a stable trauma patient starts to clinically deteriorate? Emergency nurses tend to place patients on a fixed clinical path during their trauma work-ups, sometimes before all injuries have been discovered. This session discusses case-based scenarios of adult and pediatric trauma patients with changing physical exams during their work-up in the emergency department.

Pediatric Altered Mental Status: An Interactive ED Case-Based Adventure!

2:30 – 3:30 p.m.

Rooms 408, 409, 410

This case series of pediatric patients with altered mental status is designed to teach by working through each case. When is deviation from the ABCDEs necessary? How has the ALTE work-up changed? What are critical actions in a pediatric patient with a focal neuro deficit? This presentation allows the audience to take a timeout, discuss what is going on with the presenting patient, consider the patient and then proceed through the remainder of each case to its conclusion. Session leaders will emphasize the importance of obtaining history from multiple sources.

Case Studies in Trauma: Spines, Brains, and Missing Legs

3:45 – 4:45 p.m.

Rooms 403, 404, 405

This session will review a number of trauma topics through interactive case studies. Using mobile phones, participants will be able to respond to questions that will prompt discussions in trauma management. The presenter will then review the latest studies and literature, as well as available management guidelines. Discussion topics might include interventions for the critically brain-injured patient, controversy surrounding spinal immobilization and trauma system preparation for farm incidents and out-of-hospital amputations.

From Door to Disposition: Geriatric Trauma Triage Considerations and Pitfalls

3:45 – 4:45 p.m.

Room 406

Geriatric trauma patients have increased mortality risk and are under-triaged more frequently than their younger counterparts. In this session, participants will review physiologic considerations in assessing and evaluating geriatric trauma patients and explore best practices that can improve outcomes for this ever-growing patient population.

Bad Things in Small Packages

3:45 – 4:45 p.m.

Rooms 317, 318

The neonatal period extends to 28 days of life, and nearly all emergency nurses will be called to manage critically ill babies who are born outside the hospital or who are discharged and return for emergency care. This presentation will help prepare for this eventuality by providing a physiological foundation and simple algorithmic approach to the resuscitation, differential diagnosis and initial management of very young, very ill patients.

Granny! Where’s Your Helmet!? 

5 – 6 p.m.

Room 407

An increasing number of motorcyclists and bicyclists are dying or suffering significant injuries due to their age. Some attribute this to “mid-life crises” and increased discretionary income. Others think it is related to change in body physiology, strength and inability to compensate when injured. This session will look at the risks older adults take when hitting the road on two wheels.

Because We Asked … Pediatric Emergency Department Suicide Screening

5 – 6 p.m.

Rooms 413, 414, 415

The rates of suicide for children and adolescents has significantly increased over the past decade. This session discusses one pediatric hospital’s journey of identifying a best practice for screening all ED and urgent care patients 10 years of age and older for suicide, regardless of chief complaint. The session will also explore lessons learned for overcoming the biggest obstacle—team members’ reluctance to discuss suicide with pediatric patients and families.