Paediatric sepsis remains one of the leading causes of preventable mortality for children. Global incidence exceeds 50% for the neonatal and paediatric population, with up to one third developing ongoing, sometimes lifelong sequelae. Early recognition and management is key to optimising outcomes, however can be difficult to recognise in the early stages. Paediatric sepsis is not isolated to the Emergency Department, but rather a journey that begins at home and encompasses the multidisciplinary team and families. This session will contextualise the many elements of paediatric sepsis and provide you with the tools to ensure your patient arrives at the emerald city. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Hemodynamic monitoring in a critical care setting is very important to the individualized care of the patient.  Using heartrate and blood pressure is not enough to determine patients preload, afterload and contractility needs.  Utilizing hemodynamics of some sort (non-invasive, less – invasive) can really better outcomes in the critical care patient.  It is essential though if you are utilizing hemodynamic monitoring at the bedside that you understand what the numbers mean and how you can better implement care at the bedside.  To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Learning objectives for this talk: Discuss strategies for the timely treatment of the septic patient based on the evidenceReview the 2021 Guidelines for Sepsis and Septic ShockUnderstand the importance To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Learning objectives for this talk: Contrast use of human-centred co-design in healthcare with other co-design approachesDescribe common principles and methods for co-designAppraise factors expected to influence the success of human-centred co-design in a busy hospital settingCritique the relevance of human-centred co-design to knowledge translation and implementation science To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Learning objectives for this talk: Contrast use of human-centred co-design in healthcare with other co-design approachesDescribe common principles and methods for co-designAppraise factors expected to influence the success of human-centred co-design in a busy hospital settingCritique the relevance of human-centred co-design to knowledge translation and implementation science To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Learning objectives for this talk: Contrast use of human-centred co-design in healthcare with other co-design approachesDescribe common principles and methods for co-designAppraise factors expected to influence the success of human-centred co-design in a busy hospital settingCritique the relevance of human-centred co-design to knowledge translation and implementation science To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

This presentation describes the patient care priorities when receiving a post-operative cardiac surgery from the operating room. Newer surgical approaches are listed followed by a description of outcome predications based on two scoring systems. The effects of cardiopulmonary bypass are described. Standards for routine care of the post-operative patients are presented.  Complications are provided along with the recommendations for resuscitation should cardiac arrest occur. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

This presentation provides an overview of critical care nurse transition. It summarizes theoretical perspectives that provide useful lenses to understand transition in nursing practice.  A brief overview of synthesis studies on new nurse and new graduate nurse transition into critical care is provided.  Additionally, a recent longitudinal study with a cohort of new graduate nurses hired into an IC is discussed.  Recommendations that may be useful to consider for the recruitment and retention of nurses into critical care is also highlighted. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Learning objectives for this talk: Discuss instruments that capture frailty and identify a vulnerable populationReview the evidence of frailty and its impact on outcomes following critical illnessOutline opportunities to improve care of individuals assessed as frail in the ICU To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

In this lecture, you will learn about best practice guidelines informing the management of pain in the critically ill adult. The updated definition of pain, its prevalence and challenges in the adult population in the intensive care unit (ICU) are described. A stepwise approach to pain assessment in the patient unable to self-report is presented and various valid pain assessment tools are introduced along with new developments. Pain management guiding principles based on a multimodal analgesia approach are also discussed. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Bloodstream infections (BSI) are the most deadly healthcare associated infections, and 35% of these are caused by intravenous (IV) therapy through various types of IV catheter [1] . Such ‘catheter-associated BSI (CABSI)’ substantially increase risk of death, prolong ICU and hospital stay, and healthcare costs. Nurses are responsible for many aspects of catheter insertion, management, troubleshooting, and removal. To prevent CABSI, we must deny microorganisms entry into the blood via both the: (1) catheter insertion site, and (2) internal catheter lumen. This presentation reviews the concept of CABSI, core fundamentals of infection prevention, and reviews recent evidence from large randomised controlled trials. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

In this talk, I will discuss a paradigm shift in thinking about oral health and care in the intensive care unit (ICU) i.e. what goes wrong and how we should intervene. I will discuss the oral microbiome, dysbiosis, the chlorhexidine controversy, and expert/patient recommendations for the delivery of an oral care bundle including toothbrushing. I will emphasize recent evidence about de-adopting oral chlorhexidine use and implementing an oral care bundle. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

This presentation describes the patient care priorities when receiving a post-operative cardiac surgery from the operating room. Newer surgical approaches are listed followed by a description of outcome predications based on two scoring systems. The effects of cardiopulmonary bypass are described. Standards for routine care of the post-operative patients are presented.  Complications are provided along with the recommendations for resuscitation should cardiac arrest occur. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

The importance of the neurologic assessment for patients in the intensive care unit cannot be overstated. All patients are at risk for neurologic deterioration, whether from a primary neurologic process, or from metabolic complications associated with systemic organ failure. Notable change in the level of consciousness during serial neuro exams is the most sensitive indicator of neurologic decline. Nurses performing a thorough neurologic assessment will examine consciousness and cognition, language and speech, the cranial nerves, and movement and sensation. Although the neurologic assessment can be complicated, using a standardized approach allows the rapid identification of neurologic decline allowing for rapid intervention to prevent further neurologic deterioration. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Sternal Wound Infections (SWI) are one of the major complication post-surgical interventions that have a negative effect on LOS, health costs morbidity and mortality.  This is why it’s important that an early active surveillance program is put in place in all cardiothoracic surgical units.  A task force must analyze cause of infections and put forth all the guidelines and recommendation on the prevention of SWI as well as having a clear knowledge on how to classify infections according to the CDC definitions .Our hospital experience has shown that standardization of processes is of fundamental importance, that active surveillance  plays a key role in monitoring implemented measures and promote changes as well as keeping staff attention high. A multimodal and multidisciplinary approach is highly recommended. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Learning objectives for this talk: Describe the factors that contribute to loss of skin integrity for patients in the ICUDiscuss appropriate pressure injury/ulcer staging and risk assessmentImplement evidence-based strategies in the ICU to assist in improving patients’ skin integrity To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

In this presentation, Dr Gillian Ray-Barruel reviews the evidence-based nursing actions for CVAD insertion, maintenance, and safe removal in the ICU patient, including potential complications that may occur. Recent evidence is also discussed to enable nurses to question their own local practice for infusion management. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

Low-flow oxygen therapy devices are often the first choice when giving supplemental oxygen to critically ill patients. Ensuring the oxygen is administered in a timely and appropriate way, using the right device, is an important aspect of care. This presentation provides an overview of basic oxygen therapy principles, describes the indications for and care requirements of nasopharyngeal oxygen catheters, nasal prongs and simple face mask devices. Importantly, a practical algorithm for the management of mild-moderate hypoxaemia is provided, so that, where possible, the simplest, most effective form of therapy can be given. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

The topic of neonatal resuscitation is vast and complicated. These 3 short lectures are aimed at providing a snapshot of 1. the normal birth process; 2. how this process can be interrupted and the impact on the newly born (especially the preterm neonate); and 3. a step by step review of resuscitation of the newborn at birth.   Emphasis is given to the equipment required, new ideas in neonatology and the important steps when resuscitating the newly born compared to an adult or paediatric patient. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com

The topic of neonatal resuscitation is vast and complicated. These 3 short lectures are aimed at providing a snapshot of 1. the normal birth process; 2. how this process can be interrupted and the impact on the newly born (especially the preterm neonate); and 3. a step by step review of resuscitation of the newborn at birth.   Emphasis is given to the equipment required, new ideas in neonatology and the important steps when resuscitating the newly born compared to an adult or paediatric patient. To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com