Lecture

"PERUSING A PANORAMIC POTPOURRI OF A P=0.06 PERIPATETIC"

Shock trauma Auditorium

In this state-of-the-art presentation, the speaker will provide a potpourri of his most recent research such as: 1) an improved approach to treating status epilepticus, 2) the value of a bundled approach to cardiac arrest, 3) recommendations for improved life-saving in pediatric cardiac arrest using sound physiological approaches; 4) precision management of hypercoagulable states and cardiac arrest in COVID-19 to tailor therapy and improve outcomes -- including the use of thromboelastography (TEG) with platelet mapping and 5) a myriad of other recent explorations that will each be presented in an “Eagles” style format.

Critical Care

• 

  Dr. Paul Pepe

  Professor of Management, Policy and Community Health, School of Public Health, The University of Texas Health Sciences Center, Houston, USA

Mar 31, 2021 - 8:45 am

45 minutes

1 hour

Dr Paul Pepe serves as the Emergency Medical Services/Public Safety Medical Director for Dallas County (TX, USA) and also as Medical Director for Research/Education/Special Operations for numerous south Florida public safety agencies and S.W.A.T. teams. He is also the global coordinator for the metropolitan EMS medical directors alliance, its day-to-day networking, and the renowned Eagles EMS State of the Sciences conferences. Before retiring form University of Texas Southwestern Medicine and the affiliated Parkland Trauma Center in 2019, he was the academic/administrative chair for two medical school-affiliated Emergency Medicine (EM) programs and he served as a tenured Professor of Internal Medicine, Surgery, Pediatrics, EM, Public Health and Riggs Family Chair in EM. Currently a Professor of Management, Policy and Community Health at the University of Texas Public Health School in Houston, he remains a prolific, award-winning researcher whose 4-decade long track in critical care includes >500 peer-reviewed papers and many landmark publications introducing the “Chain of Survival”, “Auto-PEEP”, “permissive hypotension” in trauma, re-appraisal of mouth-to-mouth breathing, the Chicago airport public-use AED study, and the first clinical translation of “heads-up CPR”. Personally presenting >2-dozen scientific-papers over the last 2-years, he continues to receive best abstract and paper recognitions from major professional societies including back to back (2020 and 2021) Star Research Achievement Awards from the Society of Critical Care Medicine (SCCM). Board-certified in Internal Medicine, Pulmonary/Critical Care Medicine, EM and subspecialty of EMS, he has forged multi-specialty approaches to research engendering many international honors such as the Society for Academic Emergency Medicine Silver Anniversary Award for Research Excellence and designation as a Master of both the American College of Critical Care Medicine and the American College of Physicians (MCCM, MACP). When receiving a lifetime achievement award from the American College of Emergency Physicians presented in 2005 in Washington, D.C. by the U.S. Surgeon General, Dr. Pepe was already being cited as the “most accomplished emergency medical services physician of our generation.”

1. Describe the physiological rationale and value of using ketamine in status epilepticus. 2. Articulate the limitations and potential harm of using traditional resuscitation guidelines, particularly in terms of understanding and optimizing ventilatory and circulatory interventions for adult and pediatric patients with cardiac arrest. 3. Explain why profound increases in cardiac arrest during the COVID-19 crisis were likely due to the virus and why COVID-19 deaths have been under-tallied. 4. Recount the rationale for routinely using thromboelastography with platelet mapping (TEG-PM) in both COVID-19 and trauma management. 5. Articulate the rationale and limitations for using a heads-up approach to cardiac arrest management as well as the accompanying concept of needing to use a bundled, synergistic approach.

Yes