1. Assessing the management of airway, breathing, and circulation
    1. Provision of oxygen
    2. Bag valve mask technique
    3. Circulation and rhythm evaluation
    4. Recognizing physiological abnormalities
    5. How to set a mechanical ventilator and problem solve alarms
  2. Assessing the management of typical, acutely ill in-hospital patient case scenarios, including:
    1. Acute coronary syndrome and acute myocardial infarction
    2. Decompensated congestive heart failure
    3. Rapid atrial fibrillation
    4. Brady and Tachyarrhthmias
    5. Bronchospasm – asthma and COPD
  3. Assessing the management of the acutely, critically ill intensive care unit patient – case scenarios include:
    1. Scenario 1: 65 year-old woman with pneumonia and sepsis who develops hypoxemia, respiratory failure, hypotension, and acute respiratory distress syndrome.
      1. ABC’s (airway, breathing, and circulation)
      2. Manage hypoxemia
      3. Prepare for intubation
      4. Understand the three basic forms of shock
      5. Manage hypotension with intravenous fluids and vasopressors
      6. Understand the pathophysiology behind sepsis
      7. Differentiate ARDS from Cardiogenic Pulmonary Edema
    2. Scenario 2: 35 year-old male with wheezing develops respiratory failure, dynamic hyperinflation, tension pneumothorax, and unstable rapid atrial fibrillation.
      1. Assess severity of an asthma exacerbation
      2. Manage a severe asthma exacerbation
      3. Provide appropriate ventilator settings for various clinical settings, including status asthmaticus and ARDS
      4. Understand the pathophysiology behind dynamic hyperinflation
      5. Manage a tension pneumothorax
      6. Manage unstable rapid atrial fibrillation
  4. ACLS review
  5. Crisis management and leadership skill training and assessment – Learn how to:
    1. Identify yourself – exercise immediate leadership
    2. Position yourself and patient
    3. Assign teams – distribute workload, mobilize resources, communicate effectively, use teamwork
      1. Airway Crew – 2 people
      2. Circulation/Pump Crew – 1 person
      3. Therapy Crew – 1-2 people
      4. Procedure (line) Crew – 1 person
    4. Set priorities and allocate attention
    5. Repeat speak back
    6. Crowd control
    7. Monitor crew – double check, reorganization, identify mistakes, evaluate new information
    8. Summaries - evaluating overall progress, or lack of progress
    9. Complete task – goals met, or not met
    10. Debriefing session