Related
Information

Certified Intensive Care Paramedic:
Setting a New Education Standard in Paramedic Advanced Practice

 

Estimated Time of Completion

1 hour 30 minutes

Overview

This webcast is comprised of 3 presentations, intended for Emergency Medical Service (EMS) and emergency department (ED) practitioners.

Medical complications associated with cardiac, respiratory, and dialysis issues create significant health care risks in prehospital and ED patients. The assessment, diagnosis, and treatment of patients with these conditions pose substantial challenges to both EMS personnel and emergency medicine physicians.

The webcast focuses on cardiology, respiratory, and renal complications in prehospital and emergency department patients, as follows:

• Cardiology: Prehospital use of thrombolytics and 12-lead EKGs.
• Respiratory: congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), non-invasive ventilation (eg, continuous positive airway pressure [CPAP], bilevel positive airway pressure [BiPAP]), and pneumonia.
• Renal complications: Basic and advanced prehospital management of dialysis patients.

Objectives

At the conclusion of this activity, the participant will be able to:

1. Discuss the indications and contraindications of thrombolytic therapy in the prehospital setting.
2. Explain the effect of prehospital thrombolytic use on patient outcomes.
3. Detail the beneficial outcomes from obtaining a 12-lead EKG in the prehospital setting.
4. List the prehospital and field presentations of dyspnea.
5. Review evidence-based rationale for the assessment and management of CHF, COPD, and pneumonia in the prehospital patient and in the ED.
6. Provide a list of medical indications for dialysis treatment and describe the procedure.
7. Review how common medical emergencies seen in the prehospital setting (eg, dyspnea, bleeding from shunt, fluid overload, electrolyte imbalances) affect dialysis patients.
8. Describe the evidence-based rationale for the assessment and treatment of hyperkalemia in the prehospital and ED setting.

Target Audience

This educational offering is intended for all levels of EMS professionals, as well as physicians, nurses, nurse practitioners, and physician assistants providing Emergency Room care.

Accreditation

The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Cleveland Clinic Foundation Center for Continuing Education designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This activity may be submitted for American Osteopathic Association Continuing Medical Education credit in Category 2.

Information for EMS Professionals

The Academy offers this series of three half-hour webcast presentations for a
total 1.5 AMA PRA Category 1 Credit(s)™. EMS professionals taking the course are encouraged to check with their respective State to make sure they accept the AMA PRA Category 1 CME. Its acceptance is in accordance with the State of Ohio Revised Code 4765-19-01. The Cleveland Clinic EMS Academy is accredited by Ohio’s State Board of Emergency Services (accreditation #389) for all levels of EMS training. Please call 216-523-7040 with any questions.

Activity Directors

W. Frank Peacock, MD, FACEP
Vice Chief, Emergency Medicine
The Cleveland Clinic Foundation
Cleveland, Ohio

David A. Yarmesch, AAS, EMS-I
Coordinator, Continuing Education
Cleveland Clinic EMS Academy
Cleveland, Ohio

Daniel N. Zezena, NREMT-P, EMS-I
Director
Cleveland Clinic EMS Academy
Cleveland, Ohio

Faculty

W. Frank Peacock, MD FACEP; Thomas Tallman, MD;
Damon Kralovic, MD

Faculty Disclosure

In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.

The following faculty has indicated that he may have a relationship, which in the context of his presentation(s), could be perceived as a potential conflict of interest:

The following faculty have indicated they have no relationship which, in the context of their presentation(s), could be perceived as a potential conflict of interest:

Damon Kralovic, DO
Thomas Tallman, MD
David Yarmesch, AAS, EMS-I
Dan Zezena, NREMT-P, EMS-I