Skills Lab Boosts Critical Care Expertise

The Skills Lab patient presented with burns, a traumatic brain injury with hypertension and signs of elevated intracranial pressure.

In last week’s Skills Lab, “Critical Care for the Emergency RN,” paramedics responded to a mock call about a 35-year-old male who was injured in a flash fire while refueling his lawnmower.

In addition to burns across his face, the patient presented with a traumatic brain injury with hypertension and signs of elevated intracranial pressure.

After watching a demonstration on calming the patient and administering aid, Skills Lab participants  practiced the necessary artistry themselves. Attendees were split into three groups:

Airway/Ventilation: Participants practiced tube management, waveform capnography monitoring, vent management and — for the experts — bougie intubation/tube exchange and managing pulmonary injury.

Vascular Access: Participants practiced central line insertion, vasopressor mixing/titration and — for the experts — arterial line insertion and monitoring.

Acute Neurologic Management: Participants practiced mixing/administering tissue plasminogen activator, managing hypertension in acute ischemic stroke and — for the experts — monitoring ICP, managing hypertensive emergencies in a TBI scenario and mannitol and hypertonic saline for elevated ICP.

Carrie Benson from UC Health in Colorado said she enjoys learninig how other facilities do things to see if those practices would be possible to take back to her own hospital.

“I’m an educator, and I’m always looking for new and innovative ways to do education,” she said.

Top