Operational Medicine Consultants, in Partnership with Virginia Commonwealth University, is pleased to offer CME/CEU credits in the field of operational medicine.
OMC’s current VCU offering: Advanced Deployed Emergency Practitioner Training (ADEPT) Online
More information & registration:
Currently available ADEPT online streaming video training modules include:
Module 1: Understanding tactical combat / emergency casualty care and controlling massive hemorrhage: An introduction to the essentials of TCCC and TECC and the fundamentals of controlling massive hemorrhage in the prehospital environment. This course is intended to be a prerequisite for all other courses of the ADEPT online training series for those who have not worked in the tactical medicine environment or who have not had previous formal training in TCCC or TECC.
Module 2: Management of adult and pediatric emergency airway: This module explores options in the prehospital management of adult and pediatric management with airway devices including nasopharyngeal airways and extraglottic airways including videos of the new supraglottic iGels being used. We discuss rapid sequence intubation in the field with usage of Ketamine and sugammadex. Front of neck access and surgical airway, cricothyroidotomy is discussed and the importance of the limitations and alternatives with pediatric patients is covered in this module.
Module 3: Shock, Fluids and Field Whole Blood Transfusions /Remote Damage Control Resuscitation (RDCR): In addition to reviewing the appropriate usage of crystalloids and synthetic and natural colloids in the prehospital environment, this module goes into the details of the return of field whole blood transfusions (remote damage control resuscitation) and the utility of such a lifesaving intervention for a trauma casualty in impending shock in the austere environment.
Module 5: Management of adult and pediatric traumatic brain injury (TBI) in the prehospital environment: Prehospital management of traumatic brain injury (TBI). This module guides the provider through identification of mild TBI; the most commonly missed TBI. Updated for 2018 with CPG, guidelines for the use of hypertonic saline, ketamine, fentanyl, midazolam and ventilator settings for the prehospital environment for the treatment of moderate and severe TBI. This module is new for all listeners. It also looks at new recommendations for the use of plasma and blood products in traumatic brain injury casualties. Additionally, this module covers Arizona EPIC pediatric TBI guidelines so the user is exposed to pediatric management parameters.
Module 6: Adult and Pediatric Field Pain Management: This module focuses on providing a multi-modal pain management approach, using novel methods and maximizing traditional methods to manage the severely injured casualty in the austere environment. Including the proper and safe usage of ketamine and fentanyl by the medical provider.
Module 7: Management of Traumatic Chest Injuries in the Prehospital Environment: This module looks at updated information regarding management of chest injuries in the field, including recent findings using occlusive chest seals. We discuss reasons for choosing anterior axillary line decompression versus midclavicular line decompression sites for decompression of tension pneumothorax. Explore management of recurrent tension pneumothorax and alternatives to needle decompression. Look at modern point of care ultrasound use for chest injuries in the field. Additionally, this module inspects options for management of flail chest and blast lung in the prehospital environment.
Module 11: Tropical medicine: Due to the tug of war between natural phenomena and man-made conditions of the urban expansion into undeveloped land, tropical illness is becoming a common challenge for the medical provider. In this tropical medicine module, we will look at Malaria and discuss identification and the different options for prophylaxis and treatment. We will look at the neglected tropical diseases (NTDs) Dengue, Schistosomiasis, and Leishmaniasis. We will focus on key indications for aggressive treatment of Dengue. The participant will be able to formulate a plan for the prevention of Leishmaniasis when traveling to endemic areas. You will be able to identify signs and symptoms of Schistosomiasis and prepare a questionnaire for travelers returning from areas at risk of Schistosomiasis to identify those in need of further screening. The listener will also be able to specify the appropriate prophylaxis and empiric treatment for bacterial diarrhea for southeast Asia vs other developing regions.
Module 12: Point of Care Ultrasound: The vast use of point of care ultrasound (POCUS) in the modern day environment has been likened to it being called the modern day stethoscope. In the prehospital environment the demand for safe, timely diagnostic capability and technological innovation has led to the advent of point of care ultrasound (POCUS).
POCUS gives invaluable clinical information with accuracy that leads to better decision making and improvements in patient safety. The need for early and fast intervention has incorporated POCUS into the prehospital environment to help mitigate otherwise impending death. In this module we will cover how point of care ultrasound augments management of massive hemorrhage, airway management, chest Injuries, circulation and head injuries. We will look into the specifics of IV access and POCUS with resuscitative endovascular balloon aorta occlusion (REBOA). We will also look cover pitfalls of common ultrasound procedures such as the extended Focused assessment with sonography for Trauma, Rapid ultrasound for Shock and hypotension or (RUSH) exam and the Fluid Status Exam.