Education

Multidisciplinary Emergency Critical Care Program

Objective

We provide an evidence based and practical critical care education to emergency medicine trainees and nurses. We use innovative and multidisciplinary approaches to maximize the quality of teaching and to continue to improve the curriculum by incorporating the voices of the trainees.

Our educational collaboration is not only with other passionate educators among EM physicians, intensivists, and subspecialists, but also with other healthcare professionals, such as palliative care providers, FLEX nurses, advanced practice providers, respiratory therapists, and pharmacists. As a team, we will push the boundaries of knowledge in the field of emergency critical care in order to provide the best care for our critically ill patients in our emergency department.

Planned 2016-2017 Events

EMCCM Joint Educational Conferences (20+ Topics over 2-year Curriculum)

July 27th Casey Dart/Julian Villar: "OB Critical Care" (Amniotic Fluid Embolism Case)
August 24th Carter Neugarten/Sara Crager: "Sepsis 2016"
October 5th Kaiser ICU Talk 1: Tom Gildea/Philip Bus/Lisa Rapoport: "Necrotizing soft tissue infection"
October 5th Kaiser ICU Talk 2: Dr. John Peterson (Anesthesia/CCM attending) "Role of sodium bicarbonate  in septic shock and cardiac arrest: Review of literature"
October 26th June Gordon: Assisting during "Critical Care Education Day" 
November 23rd Siobhan Smith/Sara Crager: "Fluid status assessment"
February 1st Kristina Evans/William Dixon/Lisa Rapoport: "Cardiogenic Shock / Pulm Edema"
March 22nd Colin Little/Andrew Phillips: "Massive GI bleed/hemorrhagic shock"
May 24th Megan Storm/Andrew Phillips: "Peri/post cardiac arrest"
May 31st Kaiser ICU Talk 3: Brian Ichwan/Alex Zozula/Lisa Rapoport: "Hypoxemic respiratory failure/ARDS"
June 28th Kirsten Hornbeak/Julian Villar: "ECMO"

Contact person:
Tsuyoshi Mitarai, tmitarai@stanford.edu

Carter Neugarten and Sara Crager presenting in EMCCM Joint Conference


EMCCM Joint Journal Clubs

September 13th Joint Journal Club 1
Role of thrombolysis in submassive pulmonary embolism (PEITHO & MOPETT):
Presenters: Brian Ichwan, William Dixon, Christina Evans, Julian Villar, Tsuyoshi Mitarai. Faculty
Panelists: Dr. Rogers, Dr. Pearl, Dr. Ruoss, Dr. Lorenzo, Dr. Klofas, Dr. Williams.
November 8th Joint Journal Club 2
TBA: Andrew Phillips

Contact person:
Tsuyoshi Mitarai, tmitarai@stanford.edu

The first combined EMCCM Journal Club
Photos of Julian Villar, MD and Kristina Evans, MD


Critical Care Education Day (October 26, 2016)

TIME LOCATION TITLE STATION LEADER/SUPPORT NOTES
7:30am-8:00am LK005 Rapid-Fire Critical Care Cases: Game style Dr. Sara Crager
Dr. Andrew Phillips
Resident Assistant in CC education day:
Dr. June Gordon
8:00am-8:50am LK005 Panel: Peri-intubation strategy of the critically ill (i.e. severe metabolic acidosis, refractory hypoxemia with agitation, profound hypotension, RV failure)
Panelists: Drs. John Peterson, Carlos Brun, Vidya Rao and Ed Klofas
Dr. Andrew Phillips
Dr. Tsuyoshi Mitarai
Modulator: Matt Strehlow
9:00am-12:00pm See Below Critical Care rotating small group stations   25 mins. each, 5 min. buffer and rotation time
  LK009 (1) CCU/CVICU: Cardiac Arrest Dr. Julian Villar  
  LK062 (OR Sim Room) (2) MICU: Ventilator Troubles + Experiencing different vent on themselves Dr. Andrew Phillips

RT Clinical Education Coordinator: 
Mr. Karstein Roberts

Faculty Support:
Dr. Steve Ruoss
Dr. Lisa Rapoport
 
  LK005 (3) MICU #2: ABG/VBG +/- various O2 delivery devices Dr. Sara Crager  
  LK005 (4) NeuroICU: Neuroresuscitation in ED Dr. Karen Hirsh

Fellow Support:
Dr. Jodh Bigler
 
  LK064 (5) EDICU: Undifferentiated Shock Dr. Tsuyoshi Mitarai

Fellow Support:
Dr. Natalie Htet
 
  LK013 (6) PICU: TBD Dr. Jason Lowe  

The theme of the day is a promotion and celebration of multidisciplinary critical care education for our EM residents. It is truly "multidisciplinary" in that we will have EM attending, EMCCM attending, EMIMCCM attending, PedsEM attending, Neurocritical care attending, Anesthesia/CCM attending, Anesthesia/IM/CCM attending, Cardiac anesthesia/CCM attending, Pulm/CCM attending from Stanford, Kaiser Santa Clara, and Palo Alto VA. We will also collaborate with Stanford Simulation team, pharmacy, and respiratory therapy team to maximize the quality of education for our residents.

Contact persons:
Tsuyoshi Mitarai, tmitarai@stanford.edu 
Andrew Phillips, warejko1@gmail.com


EMCCM MD/RN Collaborative Education Session

EMCCM fellows/Mitarai to discuss the challenging ICU cases seen in ED with FLEX RNs. The cases are chosen by FLEX RN with sets of questions, and MDs go over rationale/evidence/pearls.  It is held during FLEX RN meeting on the 1st Tuesday of the month.

Contact persons:
Tsuyoshi Mitarai, tmitarai@stanford.edu 
Jim Mobley, flightnursejim@aol.com

Dr. Yoshi Mitarai with Flex Nurse group discussing a challenging Critical Care patient in the ED


Critical Care for Emergency Medicine Conference Content Library Development

Development of open-source critical care library of content specifically targeted for presentation at emergency medicine resident conference. We hope that this project will ultimately serve as a template for the development of a broader, open source critical care lecture content library for emergency medicine residency programs.

Contact person:
Sara Crager, sara.crager@gmail.com


Stress Inoculation Educational Program for Multidisciplinary Team Training in the Acute Resuscitation of Critically Ill Patients

The goal of this project is to develop a set of comprehensive multidisciplinary team training modules with the goal of optimizing team performance in high stress resuscitation scenarios.

Contact person:
Sara Crager, sara.crager@gmail.com

Possible Future Projects

FLEX RN Team to teach ultrasound guided peripheral IV to R1

For more details, please contact:
Jim Mobley, flightnursejim@aol.com

Contact Information

For questions, additional details, project ideas or if you would like to be involved in the education committee/committee activities, please contact:
Tsuyoshi Mitarai, tmitarai@stanford.edu
Jim Mobley, flightnursejim@aol.com

Vision

To become a leader in critical care education for emergency medicine care providers through a comprehensive and multidisciplinary training curriculum.

Education Committee Chairs

Tsuyoshi Mitarai, MD, FACEP
ED/MICU Attending, EMIMCCM
Clinical Assistant Professor, Dept of EM
Faculty Director, ACCEL Critical Care Medicine Track


Jim Mobley
Critical Care/Emergency RN