Washington State Cardiac & Stroke Conference

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1 American Heart Association/American Stroke Association Western States Affiliate Washington State Cardiac & Stroke Conference June 9, :00AM-12:00PM June 10, :00AM-4:30PM Monterey/Phoenix Conference Room DoubleTree Suites by Hilton Southcenter Parkway $50 Registration Fee Continuing Education Units Available for Physicians, Nurses, & EMS For more information, please contact:

2 W A S T A T E C a r d i a c & S t r o k e C o n f e r e n c e J u n e 9, Time Presentation Title Faculty 7:30am - 8:00am Registration & Heart Healthy Breakfast 8:00am - 8:15am Welcome Elizabeth Peterson, RN, BSN, MPH, CHES Regional Director, Quality & Systems Improvement American Heart Association/ American Stroke Association 8:15am - 9:15am Checklists for Enhancing Performance and Reducing Errors During High Acuity EMS Responses Describe how medicine has changed over the years. Shaughn Maxwell, EMS Captain Snohomish Co Fire District 1 Everett, WA Describe how increasing complexity has influenced the delivery of EMS care. Describe the influence of human fallibility and errors in relation to emergency medical services. Explain how EMS checklists can reduce errors and enhance the delivery of EMS care. 9:15am-9:30am 9:30am-10:00am BREAK CPR: What Really Matters Understand the core components of cardiac arrest resuscitation. David Carlbom, MD Describe the current science and research to improve cardiac arrest survival rates. 10:00am-11:30am High-Performance CPR Demo Explain the principles of HP CPR. Mike Helbock, M.I.C.P., NREMT-P Seattle/King Co Resuscitation Academy Conduct a demonstration to illustrate effective HP CPR both in the field and in the hospital. 11:30am-12:00pm Closing Remarks and Networking Ellen Friedman Program Director, Quality & Systems Improvement American Heart Association/ American Stroke Association

3 W A S t a t e C a r d i a c & S t r o k e C o n f e r e n c e J u n e 1 0, Time Presentation Title Faculty 7:30am-8:00am Registration & Heart Healthy Breakfast 8:00am-8:15am Welcome Cheryl Dale Executive Director, Puget Sound American Heart Association/ American Stroke Association 8:15am-9:15am 9:15am-10:00am Key Performance Indicators: Working with EMS to improve outcomes Identify essential quality performance metrics for cardiac events. Identify data reporting and feedback among hospitals and EMS to enhance care delivery and outcomes. Time Criticality and Acute Stroke and ACS: How much do minutes matter and what should be done for the patient at the point of first medical contact, as well as critical strategies to expedite definitive care Review the evidence for the importance of prehospital and hospital elements of acute coronary syndrome and stroke care. Karen Dionne Stroke Survivor and Founder of Reclaiming Ourselves Facebook.com/ReclaimingOurselves Michael Sayre, MD Seattle Fire Department Jamie McCabe, MD University of Washington Medical Center James Nania, MD Spokane County Emergency Medical Services Spokane, WA Assess the relative importance of "time to treatment" intervals for acute coronary syndromes and stroke on outcomes. 10:00am-10:15am 10:15am-11:00am BREAK Managing the Complex Stoke Patient with Medical Comorbidities Identify common risk factors for the crossover stroke patient (cardiac, stroke, sepsis). Sheila Smith, MD Swedish Medical Center Identify challenges in diagnosing and co-managing multiple critical pathologies in the crossover stroke patient.

4 W A S t a t e C a r d i a c & S t r o k e C o n f e r e n c e J u n e 1 0, Time Presentation Title Faculty 11:00am-11:45am 11:45am-12:45pm 12:45pm-1:30pm 1:30pm-2:30pm To Cool or Not to Cool after Cardiac Arrest: What's the Evidence? Discuss the current literature surrounding targeted temperature management in the post-care of cardiac arrest patients. Heart Healthy Lunch/ Stroke Hero Award Acute Ischemic Stroke Care 2015 Describe standards of care for acute ischemic stroke. Discuss recent evidence suggestive the benefit of mechanical thrombectomy for acute ischemic stroke. The Non-tPA Stroke Patient Recognize the causes and factors associated with patients who do not receive tpa. Nicole Kupchik, RN, MN, CCNS, CCRN, PCCN and Critical Care Specialist Nicole Kupchik Consulting, Inc. David Tirschwell, MD Patricia Blissitt, RN, PhD, CCRN, CNRN, CCNS, CCM, ACNS-BC University of Washington School of Nursing Discuss the options, care management, outcomes, and expectations for both hemorrhagic stroke patients and ischemic stroke patients who do not receive tpa. 2:30pm-2:45pm 2:45pm-3:30pm 3:30pm-4:15pm BREAK Current Discussion on tpa Labeling Changes Review the FDA changes to the contraindications/ warnings on tpa labels. Identify the implications and best practices surrounding these labeling changes. Sepsis Connection to Vascular Disease Describe factors associated with sepsis and stroke conditions that may present as comorbidities. Vicki Johnson, DNP, MHSEd., ARNP Michael Previti, MD Valley Medical Center Renton, WA Distinguish factors affecting mortality when sepsis-related conditions occur with stroke. Utilize data to clarify incidence and outcomes for stroke complicated by sepsis. 4:15pm-4:30pm Closing Remarks Elizabeth Peterson

5 Meet Your Quality & Systems Improvement Team ReaAnne Arcangel Vice President Ellen Friedman Elizabeth Peterson Program Director Regional Director JoAnne Pineda Senior Program Director Cheryl Dale Executive Director

6 Program Purpose In alignment with the impact goal of the American Heart Association, focused on improving the cardiovascular health of all Americans by 20% while reducing deaths from cardiovascular diseases and stroke by 20% by 2020, the Get With The Guidelines programs are designed to assist healthcare professionals in institutions implementing the American Heart Association treatment and prevention guidelines for patients with myocardial infarction, cardiac arrest, or stroke diagnoses. Course Learning Objectives Attendees will be able to: Provide examples of evidence for the importance of pre-hospital and hospital elements of acute coronary stroke syndrome, cardiac arrest, and stroke care Describe standards of care for acute ischemic stroke List proven and potential future strategies in reducing the time interval to definitive care for CAD, cardiac arrest, and stroke patients Describe standards of care for resuscitation and list new interventions with high-performance CPR Describe examples of how increasing complexity of patients influences EMS settings Discuss human fallibility examples and errors in relation to EMS services Identify ways to improve EMS handoff communication Identify common risk factors for the cross over patient and challenges in diagnosing and co-managing multiple critical pathologies Describe FDA changes to contraindication labeling and best practices surrounding label changes Describe factors associated with sepsis and stroke conditions

7 Continuing Medical Education Accreditation - Physicians The American Heart Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Heart Association designates this live activity for a maximum of 6.25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. All persons who develop and/or control educational content in CME/CE activities sponsored by the American Heart Association will disclose to the audience all financial relationships with any commercial supporters of this activity as well as with other commercial interests whose lines of business are related to the CME/CE-certified content of this activity. In addition, presenters will disclose unlabeled/unapproved uses of drugs or devices discussed in their presentations. Such disclosures will be made in writing in course presentation materials. Continuing Medical Education Accreditation Physician Assistants AAPA accepts Category I credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit from organizations accredited by ACCME. **ACCME credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after December 9, Continuing Education Accreditation - Nurses The American Heart Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. The maximum number of hours awarded for this CE activity is 6.25 contact hours. Accredited status does not imply endorsement by the American Heart Association or the American Nurses Credentialing Center of any commercial products displayed in conjunction with an activity. **ANCC credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after December 9, Continuing Education Accreditation Emergency Medical Services This continuing education activity is approved by the American Heart Association, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 6.25 Advanced CEHs, activity number 15- AMHA-F **CECBEMS credit must be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after December 9, Steps for Successful Completion To successfully complete this activity, learners must fully participate in the sessions. In addition, learners must provide feedback that will be used for evaluative and outcomes measurement purposes. Learners will check-in onsite for attendance verification purposes and will be required to provide evaluative feedback before CME/CE credit can be claimed. Credit MUST be claimed within 6 months of attendance. CME/CE credit will no longer be available to claim for this activity after August 5, Following the workshop, all attendees will be sent an with a link to the Professional Education Center (PEC). Sign-in to the system using your AHA username and password. (If you did not receive the containing your AHA username/password, please go to learn.heart.org. Click Sign In, then Forgot username/password? Enter your first name, last name and address in the space provided, your account information will be ed to you or call (888) to retrieve the information). Complete the required evaluation survey online. Select the type of CME/CE certificate you need from the drop-down list. Modify the time you spent in the workshop if applicable or leave it defaulted to the maximum available. Claim and print your CME/CE certificate on your own printer.

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