ACES (Advanced Critical Emergency Skills) Procedures Course

The Advanced Critical Emergency Skills Procedures Course

Critically ill patients require acute resuscitation interventions in the emergency department setting that can mean the difference between life and death. The challenge in emergency medicine (EM) practice is that some procedures are done infrequently, which can result in stressful situations. Emergency practitioners face multiple challenges related to procedural skills, including the availability of local educational resources for regular practice of skills they have already been taught, and also accessing continuing medical education to keep up with advances in technique and equipment used in acute care medicine.

The Advanced Critical Emergency Skills (ACES) Procedures Course was created to help emergency healthcare practitioners learn and maintain basic and advanced acute care procedural skills. ACES is a practical, hands-on course that offers the unique opportunity for physicians to learn in a state of the art surgical skills centre using moderate and high-fidelity simulation models. Through interactive, small-group learning, participants have the opportunity to improve their acute care procedural skills in a safe and supportive environment with expert faculty, enabling them to effectively manage common and life-threatening conditions.

On completion of the course, participants should be able to describe basic principles and anatomical considerations for the basic and advanced EM procedures covered, practice safe and effective techniques for performing EM procedures, and be able to recognize potential complications related to the EM procedures practiced.

The first ever SREMI ACES Procedures Course was held on November 1st 2015 and presented to a sold out audience.

The following procedures were taught:

1. Central venous access by internal jugular, subclavian, and femoral approach (anatomical and ultrasound-guided where indicated)

2. Tube thoracostomy

3. Percutaneous pigtail catheter thoracostomy

4. Thoracentesis (anatomical and ultrasound-guided)

5. Cricothyrotomy (open and closed technique)

6. Intraosseous catheter placement

7. Lumbar puncture with demonstration of ultrasound land-marking

Future courses will include a menu format for additional procedures to be taught, based on learning needs of the participants. Other procedures that will be available in future course iterations include: otolaryngology emergency procedures, ophthalmologic emergency procedures, advanced difficult airway and intubation techniques, arterial line insertion, and advanced ultrasound-guided procedures.

The ACES Procedure Course is accredited for Mainpro-C credits and Royal College of Surgeons and Physicians of Canada Section 1 Group Learning Activities credits, approved by the Canadian Association of Emergency Physicians.


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