Innovative Fast-Track Format a Hit

The fast-track sessions returned to Emergency Nursing 2018 with a value-add – attendees could select their own adventure from their session-room chairs.

At each designated start time, three presenters delivered talks simultaneously, while attendees listened along through headsets, toggling between each as desired with the press of a button.

Four sets of speakers presented, for a total of 12 presentations in a two-hour session. The new format provided more information in a shorter amount of time than in previous years.

Some attendees came for a specific session, while others clicked around until they found the session most interesting to them.

“The cool thing was that if you started listening and it wasn’t exactly what you thought it would be, you could switch to something different without leaving your seat,” said Carol Tulley of Winfield, Illinois. “I thought it was a really great setup.”

Her colleague Zankhana Desai, also of Winfield, echoed Tulley’s response, noting it was a more effective learning environment than she expected.

“I thought I’d be distracted by the other screens and presenters, but once I got into it and focused on the person, it wasn’t distracting at all,” she said.

Highlights of the fast-track sessions included:

“But It’s Healthier than Smoking: Vaping Emergencies”

There is a common misconception that smoking e-cigarettes, known as vaping, is not as dangerous as smoking conventional cigarettes. In fact, vaping comes with its own set of dangers according to presenter Justin Milici. He said it can present to the emergency department in a variety of ways, including “popcorn lung,” which can lead to respiratory failure, pneumonia or pneumothorax; ingestion of liquid nicotine, often by small children; and burns from exploding lithium batteries.

“Electronic cigarettes are not without their risks, so it is very important to educate patients, caregivers and the community on the long-term health consequences of e-cigarette use and the consequences that can lead to an emergent situation resulting in a patient being admitted to the emergency department,” Milici said.

“Management of Posterior Stroke: When FAST and NIHSS Fail You”

Posterior stroke accounts for approximately 20 percent of stroke patients, but their treatment rate is just 3 to 4 percent. This session presenter demonstrated the use of the BEFAST screening tool, which adds balance and eye evaluation to the assessment, and reviewed the “D’s”—dizziness, dysequilibrium, dystaxia, dysmetria, diplopia, dysarthria, and dysphagia—which can provide structure to an assessment.

“Screening for acute onset and sustained difficulties with balance and vision is both sensitive and specific for posterior stroke,” speaker Wanda Pritts said of the extended screening. “Adding the assessment of balance and vision, the effectiveness of screening for stroke rises to 85 percent.”

“Peds Needs: Tips and Tricks for Caring for our Pediatric Patients”

This session was full of tips and tricks and guidelines to make caring for small patients and their parents as easy as possible.

“When you understand the concept that play is the work of the child, it becomes easier to integrate that concept into daily care,” said presenter Joyce Foresman-Capuzzi. “This clearly helps with establishing trust, performing assessment, collecting specimens, providing treatment and administering medication. Most of these can incorporate playful activities so the child is more cooperative, the family comforted and the nurse less stressed.”