A CONCISE REVIEW OF THE ESSENTIAL SKILLS OF VENTILATION MANAGEMENT
As communities across the world are facing or preparing for increasing numbers of patients in respiratory distress from COVID-19, MedCram has packaged this video series for clinicians and hospitals on the frontlines.
We understand that medical professionals (and students) that don't have significant experience with mechanical ventilation may be called upon to help ventilator management teams in critical care settings. And clinicians with extensive ventilator experience may want a refresher or a tool to aid in teaching mechanical ventilation strategies to other clinicians.
This video series is a collection of previously recorded MedCram videos on mechanical ventilation with the addition of some COVID-19 specific videos.
This course will remain free, please share it with anyone you think may be interested. We hope you find it helpful, and we welcome feedback.
We appreciate you - medical professionals, students, and volunteers around the world. We are in this fight together.
Part 1 - Key Concepts:
- Brief Course Overview
- Mechanical Ventilation Introduction and Compliance
- Pressure-Volume Relationships and Modes
- Plateau and Peak Pressure, PEEP, and Other Vent Settings
- How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & Treatment
- Vent Changes with ARDS and COPD
- Update: Consideration of Dr. Gattinoni's Research: Possible "COVID-19 Phenotypes" and Atypical ARDS
- Liberation From the Ventilator - Checklist
- Quiz 1
Part 2 - Mechanical Ventilation "Pearls":
- Heart Lung Interactions
- Quiz 2
- Ventilation in Metabolic Acidosis
- Quiz 3
- Ventilating COPD Part 1
- Quiz 4
- Ventilating COPD Part 2
- Quiz 5
- Bilevel Ventilation
- Quiz 6
Post-Course Quiz (Required for CME/CE Credits)
- Post-Course Quiz
Congratulations! CME Certificate
- Your CME Certificate
The COVID-19 Ventilator Course: Learn or Review Mechanical Ventilation is a course designed to clarify, review, and augment the training and understanding of primary care clinicians in the use of mechanical ventilation, especially as it pertains to COVID-19. The modules included in this course take a departure from the traditional slide presentation style lecture. Instead, the course is comprised of a series of video lectures aided by real-time instructor-led chalkboard visuals. This method of learning allows for the subject matter to be broken down to the basics and is designed to increase learning and retention.
Mechanical ventilation is a critical life-support treatment for patients in respiratory distress; however, many clinicians lack training, understanding, and skill in the use of mechanical ventilators. Clinicians need to be able to understand the modes of mechanical ventilation and how to communicate their goals for the mechanically ventilated patient. This CME course will utilize a combination of videos and systematic discussion of clinical scenarios and practice cases to effectively deliver the course content.
As a result of this educational activity, participants should be better able to:
- Follow a step-by-step approach to ventilate and oxygenate ICU patients with respect to patient physiology and pathophysiology.
- Use the appropriate ventilation mode for a patient with regards to that patient's pathophysiology and the limiting factors of that patient's condition.
- Explain the heart-lung interaction with regards to positive pressure ventilation.
- Summarize the significance of intrinsic PEEP and dynamic hyperinflation
Post-Test and Evaluation:
After completing the CME activity, you must successfully complete a post-test and fill out a program evaluation form. You will then be able to view and print your CME certificate.
Roger D. Seheult, MD
Pulmonary, Critical Care, and Sleep Medicine
Beaver Medical Group, Redlands, CA
Associate Clinical Professor
UC Riverside School of Medicine, Riverside, CA
Assistant Professor of Medicine
Loma Linda University School of Medicine
Loma Linda, CA
AMA PRA Category 1 Credits™: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Continuing Education Company, Inc. and MedCram, LLC. Continuing Education Company, Inc. (CEC) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Continuing Education Company, Inc. designates this enduring material for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 4 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
To receive CME credit and/or MOC points, you MUST complete the activity and the evaluation form. For ABIM MOC points, your information will be shared with the ABIM through the ACCME Program and Activity Reporting System (PARS). Please allow 6-8 weeks for your MOC points to appear on your ABIM records.
AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 4 hours of Category I credit for completing this activity.
AANPCB: The American Academy of Nurse Practitioners Certification Board (AANPCB) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
Release Date: 5/15/2020
Expiration Date: 5/15/2023 (Date after which this enduring material is no longer certified for credit.)
Date Reviewed: 5/15/2022
Medium: Enduring Material, Video/Audio
Faculty/Planning Committee Disclosures
The following individuals have indicated that he/she (nor spouse/partner) have no relevant financial relationships with a commercial interest that may impact upon this CME activity:
- Beth Townsend, HMCC – Reviewer (Continuing Education Company)
- Roger Seheult, MD- Faculty
- Kyle Allred, PA – Planner & Content Developer (MedCram)
Roger Seheult, MD (Faculty) has no relevant financial relationships to disclose.
Unlabeled Use Declaration:
During their presentation, faculty may discuss unlabeled or investigational use which is not approved for a commercial product. Faculty members are required to disclose this information to the audience when referring to an unlabeled or investigational use.
Statement of Disclosure and Independence:
It is the policy of Continuing Education Company (CEC) to ensure all of its accredited educational activities are designed, implemented, and evaluated in accordance with the Accreditation Council for Continuing Medical Education’s (ACCME) Criteria and Policies. In accordance with ACCME requirements, CEC has Conflict of Interest (COI) and Disclosure Policies that are designed to ensure that accredited educational activities are fair, balanced, independent, evidence-based, and based on scientific rigor.
All individuals who are in position to influence and/or control content of a CEC accredited Continuing Medical Education (CME) activity must disclose any relevant financial interest or other relationships which they or their spouse/partner have with (a) with the manufacturer(s) of any commercial products(s) and/or provider(s) of commercial services discussed in an educational presentation and (b) with any commercial supporters of the activity. (Relevant financial interest or other relationship includes such things as grants or research support, employee, consultant, major stockholder, member of speakers’ bureau, etc.) The intent of this disclosure is to provide activity participants with information to determine whether the speaker’s interests or relationships may influence the presentation with regard to exposition or conclusions. All potential conflicts of interest have been identified and resolved, and are listed above.
The opinions, ideas, recommendations, and perspectives expressed in the syllabus and accompanying presentations at this activity are those of the program authors and presenting faculty only and do not necessarily reflect the opinions, ideas, recommendations or perspectives of their affiliated institutions, Continuing Education Company, advisory boards or consultants.
Flash Player 10 or later, and one of the following browsers:
- Windows: Internet Explorer 6 and later, Microsoft Edge (latest version), Firefox 1.x and later, Google Chrome (latest version), Opera 9.5 and later
- Mac: Safari 3 and later, Firefox 1.x and later, Google Chrome (latest version)
- Linux: Firefox 1.x and later
HTML5 via one of the following browsers:
- Windows: Google Chrome (latest version)
- Mac: Safari 6.0.5 or later, Google Chrome (latest version)
- Mobile: Safari in Apple iOS 6 or later
Roger Seheult M.D. is approved by the California Board of Registered Nursing, Provider # CEP16824. This course is approved for CE contact hours.
LAURA WAIT, RN
I am a registered ER nurse and work closely w/ RT and pulmonologists like yourself. This course has helped me better understand the reasons for the ventilator settings. Thank you
VARA UDUPA, MD
KAREN PULLEN, NP
An excellent, clear and concise ventilation course, thank you. It was informative and easy to understand
KEHLLEE POPOVICH, NP
Stellar course. Great review on basics and explanations on the L & H phenotypes in COVID-19 respiratory failure.
SHANNON TONKINS, RN
Excellent, clear, concise and applicable.
NICK LAKEY, Paramedic
RANIA APORELLI, MD
PINAKI SEN, MD
EMILY SEEWALD, NP
at times overly simplistic, other times helpful
ANGELA KLINKHAMMER, NP
This course really targeted my educational level as a nurse practitioner and was easy for me to follow and understand. You can tell that the educator is an expert in the field by how he is able to break the parts down into meaningful information that most persons could understand. This course left me feeling excited about caring for my vent patients with COPD, COVID ARDS. THANK YOU!!
- Quadruple Board Certified in Internal Medicine, Pulmonary Medicine, Critical Care, and Sleep Medicine.
- Over 20 years teaching experience as both an exam preparation instructor and an assistant professor of medicine.
- Experience as a medical director for both a Southern California Physician Assistant Program and a Respiratory Therapy Program.
Click here for full bio