POWER POINT PRESENTATIONS
Related to Respiratory Care. Many thanks to those Contributing

35th Annual Pacific Northwest Regional Respiratory Care Conference And

Scientific Assembly April 27th- 29th, 2008
Seattle, Washington

AARC talk presented Dec 3, 2007

3:35 pm – 4:05 pm

Capnography Trends in Procedural Sedation

Jim Fielder RRT Bellevue, WA

There is increased awareness of ventilation management issues during short duration procedures.  Often respiratory therapists are asked to assist or educate.  This presentation discusses how capnography is an important tool beginning to be adopted during these procedures to give the earliest indication of airway compromise.

 Contact for more info: jim.fielder@overlakehospital.org

34^th Annual Pacific Northwest Regional Respiratory Care Conference 2007 Seattle Washington

Access here the PowerPoint Presentations by day and time presented.

Pictures of FEATURED SPEAKERS FOR THE RCSW(1).ppt

Pictures of RCSW Officers

Pictures used in-between sessions

33^rd Annual Pacific Northwest Regional Respiratory Care Conference

These are from the RC 33rd Annual conference in Spokane WA April 23 -25  2006 (As I receive files talks will have a link to them, some present now) PICTURES OF CONF.

 0850-0930      “Respiratory Care Professionals role during a Pandemic disaster” Gerry Bozarth,, Director, Continuing Medical Education & Medical Reserve Corps of Eastern Washington, Spokane Country Medical Society.  Found on the    front page of the Spokesman Review and contacted directly..  

 This presentation will describe the subtypes of influenza and how Respiratory Therapists would be involved should a predicted Pandemic Occur etc…..

 0930-1010       Which COPD patients Should be Considered for Surgery, Joshua O. Benditt,  MD, Professor of Medicine, University of Washington Medicine, Director of  Respiratory Care Services, University of Washington Medical Center, Seattle WA   Co-Medical Director for the RCSW.  Dr. Benditt is a graduate himself of the University of Washington  and also Associate Editor, Respiratory Care  This talk was presented in San Antonio, Texas on December 5, 2005 as a part of a series of presentations entitled “Current controversies in COPD management”, and then appeared in the RC Journal, March 2005 COPD is a common disease that affects millions of individuals in the United States and is a growing healthcare problem.  There is no cure for COPD etc…

 1010-1050       Evidence Based Aerosol Therapy, Dean Hess, RRT, PhD, FAARC, Associate  Professor of Anesthesia, Harvard Medical School, Assistant Director of Respiratory Care, Massachusetts General Hospital, Boston, MA, Associate Editor   of the Respiratory Care Journal, when asked to speak at our conference over lunch in Antonio at the AARC national convention, well published, numerous honors, textbook author, frequently seen in the RC journal (CV 57 pages)  An increasing variety of aerosol delivery devices has become available in recent  years.  The selection of an appropriate aerosol delivery device has been the focus of 2 recent conferences published in RESPIRATORY CARE etc…. 

1105-1155       Ventilator Waveforms in ALI/ARDS, Dean Hess, RRT, FAARC, Massachusetts General Hospital, Boston, MA,     The pathophysiology behind ALI/ARDS is discussed.  Ventilator waveforms that reflect ALI/ARDS are presented and you will be able to discuss how waveforms can guide the treatment of ALI/ARDS patients.. 

 1345-1435       Neuromuscular Disorders and the Respiratory Patient, Joshua O. Benditt, MD, Professor of Medicine, University of Washington Medicine, Director of Respiratory Care Services, University of Washington Medical Center, Seattle WA, on Editorial  Board for the Respiratory Care Journal Reviews the relevant anatomy and physiology, focusing on the respiratory muscles and dividing them into inspiratory, expiratory and glottic function etc….                        

1435-1525      Advanced ABG interpretations, Donald Howard, MD, Spokane Respiratory  Consultants, Spokane WA. Director of Respiratory Care, Sacred Heart Medical Center and Co-Director of RCSW, came to Spokane in 1999, prior to that he was a Staff Pulmonary Critical Care Physician at Lackland ARF in San Antonio TX, his wife is an elementary school teacher, no wonder he’s such a great teacher himself.

A review of the four main acid-base imbalances with a review of the rules for expected compensation for each.  The role of the anion and delta gaps etc…

 1525-1615       Practical Problems with Aerosol Therapy in Respiratory Patients, Joseph Rau, PhD, RRT, FAARC, Atlanta GA,  currently professor Emeritus, Cardiopulmonary  Care Sciences at Georgia State University, stated out as an OJT (on the job trained), his educational and research interests are primarily respiratory care  pharmacology and aerosol delivery, and secondarily, respiratory care product  evaluation.  He presented in San Antonio, at the AARC national conference,       December 5^th, 2005 as a part of the Current Controversies in COPD Management with Dr. Benditt (hat we heard earlier in the morning)

1615-1710             What is your Emotional Intelligence at Work, Maureen Shogan, RNC, MN (masters in Nursing), Neonatal Clinical Nurse Specialist, Deaconess Medical Center, Spokane, WA, started our with her diploma in Nursing from the Sacred Heart School of Nursing here in Spokane where she received the honor of Washington State Student Nurse of the Year and she hasn’t stopped yet.  

                        Exploration of Goleman’s work based upon empathy, social skills, gratification delay, tests of hope, resiliency, and integrity.  Improving guest relations versus improving technological approach to caring.  Learners will be able to:  differentiate Intelligence Quotient (IQ) from Emotional Quotient (EQ) ect….

  33^rd Annual Pacific Northwest Regional Respiratory Care Conference April 23-25, 2006  Red Lion hotel at the Park, Spokane WA  Neonatal/Pediatric April 23 Sunday      

1345-1435       Paradise of Poisons, Crack, Crank, Weed, Speed and Ecstasy, Maureen Shogan,  RNC, MN, Neonatal Clinical Nurse Specialist, Deaconess Medical Center, Spokane   WA, icon here in the Inland Empire of Spokane, has Adjunct Faculty appointments at the Intercollegiate College     of Nursing, Washington State University as well as the Respiratory Care Program at Spokane Community College (since 1985).    

  A review of cocaine and methamphetamines, uppers, vasoconstrictors,   etc..

1435-1525       Evidence Based Bronchiolitis, John Salyer, MBA, RRT, FAARC, Director of Respiratory Care, Children’s Hospital and Medical Center, Seattle, WA since 2001,                 prior to that he was Director Outcomes Research Service Primary Children’s Medical Center in Salt Lake City Utah and an Educational Coordinator at Rainbow  Babies and Children’s Hospital in Cleveland Ohio. John presented several Posters in the Open Forum and delivered presentations at the AARC national convention, in San Antonio. 

 1525-1615       Ventilation Strategies in Today’s ICU, Dennis Bing, BS, RRT, Dräger Medical, Seattle WA since 1998, Recent past president for the RCSW, a true leader with  vision, several publications, including Airway Pressure Release.  Dennis came to us via  Minnesota where he spent about 21 years in roles such as Neonatal – Pediatric                 Clinical Specialist, Area Manager of Infant Pulmonary Research center and   Development Leader.  Dennis has adapted well to the Pacific NW. 

Neonatal RDS overview, neonatal mortality & morbidity, hazards of Mechanical  ventilation in preterm infants.  The modes from CMV to RSV +VG as a “designer”

1525-1615       Inhaled aerosolized Prostacyclins in the treatment of Pulmonary Hypertension, John Salyer, MBA, RRT, FAARC, Director of Respiratory Care, Children’s  Hospital, Seattle WA,            

A possible alternative to the use of inhaled nitric oxide is emerging.  Inhaled nebulized prostacyclins are being reported in the literature as possibly as effective              as inhaled nitric oxide in the treatment of pulmonary hypertension, etc….

33^rd Annual Pacific Northwest Regional Respiratory Care Conference

General Session     April 24, Monday    

0820-0910       “Professionalism:  The Key to Recruitment and Retention”, Kevin  Shrake, MA, RRT, FACHE, FAAMA,  he was an Instructor on Smoking  Cessation from 1984-1990 before it became popular,  recent past the Chief  Operating Officer of the AARC in Dallas, Texas and “famous” for the video on membership, talk about when you met him and again in San Antonio. 

Using a soft approach to creating an “engaged workforce” can lead to hard results when the creative energy of employees is unleashed.

0910-0950       What’s up with Legislation on the State and National Level, Gary Wickman, BS, RRT, Director of Respiratory Care, Providence General Medical Center, Everett WA, Involvement with AARC, mention trip to Washington DC.  

A review of what’s happening on the National and State level.  Some of our wins, loses and upcoming challenges will be presented. . 

1050-1145       21^st Phil Kittredge Memorial Lecture, A Dose of Reality, James B. Fink MSc  RRT FAARC,  Fellow, Respiratory Science, Nektar Therapeutics, Mountain View CA, past positions include administrative analyst Medical Services, Edward Hines,   Jr. VA Hospital and Research Associate, Department of Pulmonary and Critical  Care Medicine, Loyola university, on the Editorial Board for the Respiratory Care Journal and Guest Editorial in June in the RC Journal all about Heliox!.  One of his  textbooks is in my home and office library, titled ”Clinical Practices in Respiratory Care”.  This talk was presented in San Antonio, during the AARC National  conference in December 2005 (Phil Kittredge was the editor of the RC Journal and            inspired many a young mind). 

1400 – 1450    Introduction of Volumetric Capnography (NICO); One hospital experience,  Michael Powers MS, RRT, Director, Lung Center, University of Tennessee Medical  Center, Knoxville, TN, Michael has a varied background with honors and   publications as well as presentations, one that sounds out was when he was a feature speaker during a Pulmonary Conference at University Medical Center, Ho Chi Minh, Vietnam in August of 2005.             

Our hospital introduced a mechanical ventilator management and protocols in 2002  with very positive outcomes.  HLOS and VLOS were reduced by 1.5 days  etc…                      

1450-1535       Bacterial Pneumonia (including VAPS), Richard D. Sheldon, MD, FAARC  Beaver Clinic, Redlands, CA, Dr. Sheldon graduated from Loma Linda University School of Medicine and interned in Denver Colorado prior to being drafted in the Army as a Major.  He returned to Loma Linda University holding many positions,including the President of the Medical Physicians, Inc   He has authored and co-  authored many articles, editorials and RC textbook contributions and was honored in 2001 with the Jimmy A. Young Medalist (past AARC president) – the AARC’s  most distinguish honor.  He is currently the Medical Director of California State’s  Respiratory Care Board. Dr. Sheldon spoke at SCC in January of 2005 on Evidence  Based Medicine, welcome back to Spokane. 

 1545-1635       Pet Scan and Pulmonary Disease, Randy Opp, MD, Radiology Department, Kootenai Medical Center, Coeur d A’lene, ID, Dr. Opp graduated from Loma Linda University School of Medicine, but prior to that got his BS degree at Walla Walla College, College Place, WA. While at LLU he did his residency in Diagnostic  Radiology and Vascular and Interventional Radiology Fellowship.  He’s found a home now in Northern Idaho where his southern California family can visit.                               

 Identifying the PET Scan importance in Pulmonary Disease begins with a review of the basics of Radiology imaging followed by a comparison of PET Scan etc….

1635-1725       Is it the flu or CO (non invasive Co-Oximetry), Barry Hickerson, EMT-P, FP-C  Currently a Marketing & Business Manager for REACH Air Medical Services in Santa Rosa, CA  and Marketing Director for Masimo Corporation in Irvine,he tolds a Bachelor’s and Master’s Degree from Cambridge University and has a strong background in Flight paramedic background,  starting in  Saudi Arabia. 

Identifying patients would benefit from Co-oximetry instead of routing pulse etc..                       

33^rd Annual Pacific Northwest Regional Respiratory Care Conference 

Home Care and Sleep Medicine  April 24 Monday         

820-905                     Changing the Image: Providers not just dealers, Joan Kohorst, MA, RRT, Apria Healthcare, St. Louis, MO, currently the Region Clinical Manager, also a past Educator at the University of Missouri, Columbia and the AARC Home Care Section Chair in 2005-present as well as past president for the MSRC (Missouri Society for Respiratory Care).  In December she presented this talk in San Antonio at the AARC national conference.

The historical image of the home care industry has been less than stellar.  Fraud and abuse continue this presentation will explore how  home care can change that .

 0905-0950       Central Sleep Apnea, Keith Knittle, RRT, RPFT, RPSGT. Co-Owner and Technical Director of Aspen Sleep Centers, Spokane WA,  graduate of Walla Walla   Community College, previously the manager of Holy Family Sleep Center, he continues to help set-up our sleep labs and sleep centers  as well as works as an RC in Bonners Ferry and St. Maries ID, all in his spare time     

Identification of Central Sleep Apnea and the differentiation between OSA, Mixed and CSA will be discussed. etc….

1050-1140             The Homecare RCP, Past, Present and Future, Bill Nehring, LRCP, Fisher Paykel Healthcare, Homecare Sales Representative, Washington State and Alaska, starting out at the Institute for Medical Studies Respiratory Program in Long Beach CA, previously Director of Respiratory/CME services for Healthteam NW in Bothell and the Clinical and Sleep Disorders Coordinator for Apria Healthcare in Redmond WA.  Active in the RCSW, past president for the Cascade Chapter & State Secretary a few times

1140-1200             Legislative update – Gary Wickman, BS, RRT, Director of Respiratory Care, Providence General Medical Center, Everett WA, Gary has held the RCSW Past President position, Delegate to the AARC, and currently serves on the state Legislative Committee as an active PACT member, traveling to Washington DC to with AARC to speak on behalf of the Respiratory Therapy. 

A review of what’s happening on the National and State level.  Some of our wins, loses and upcoming challenges.

1400-1450       “Why Heated Humidity is Vital to CPAP”, Bill Nehring, LRCP, Fisher Paykel,  Washington State and Alaska– repeat introduction of Bill, add his volunteer  work with the ALA add past positions in both Anaheim CA and Little Rock  AR (there must be a   story in there somewhere?)

The indications for heated humidity for CPAP will be presented etc…. 

1450-1545              Neurocognitive Dysfunction and Obstructive Sleep Apnea:  The Apnea, Richard Simon, MD, St. Mary Medical Center, Walla Walla WA, Board certified by the American Board of Internal Medicine and Sleep Medicine. Attended Pritzker School of Medicine, University of Chicago, currently Clinical Assistant Professor of Medicine, University of Washington, other interest include the symphony as current President in Walla Walla.

1535-1645             Pediatric OSA and Sleep-Disordered Breathing, Jeff Elmer, MD, DABSM, Diplomat American Board of Sleep Medicine, Spokane Respiratory Consultants, Spokane WA,  Medical School, University of Texas Health Science Center, San Antonio, TX with Pulmonary Fellowship, University of Utah & Affiliated Hospitals, Board Specialties in Internal Medicine, Sleep Disorder Medicine, Pulmonary Medicine and Critical Care.  

The difference between adult and children with sleep issues vary greatly.  Strategies for working with the child patient with sleep disordered breathing will be presented.

 1645-1735       Insomnia Pharmacologic Therapy, Richard D. Simon, MD, St. Mary Medical Center, Walla Walla, WA,

The types of patients with insomnia vary.  Almost all Respiratory Therapist are familiar with shift work during the night time, etc…

                        33^rd Annual Pacific Northwest Regional Respiratory Care Conference

General Session      April2 5 Tuesday         

0820-0910      The Role of the RT in Patient Assessment, Robert L. Wilkins PhD, RRT,  FAARC, Professor of Cardiopulmonary Sciences, School of Allied Health Professions, Loma Linda University, Loma Linda CA, Bachelors of Science Degree in Respiratory Therapy from Loma Linda University and Ph.D. from University of Southern California, in Psychology.  On the Editorial Board, Respiratory Care               Journal, numerous publications and textbooks, such as Egan’s Fundamentals of  Respiratory Care (now in the 8^th edition). 

The role of the RT is continually evolving and changing.  This presentation is an overview of how the expectations have changed over the last 30 years etc…

 910-1000                  Clinical Cases using the Open Lung Tool in Lung Recruitment, Mark Martinez RRT, CardioPulmonary Educator with advanced Critical Care skills in Adult Trauma, Pediatric Trauma and High Risk Neonatal Delivery, Sutter Roseville Medical Center, Roseville, CA, Initial RC training at Albuquerque TVI Community College with additional studies at the University of New Mexico.                         

Review of clinical cases using the OLT for Lung Recruitment.  Also, Review of  OLT Protocol used at Sutter Rosseville Medical Center.

 1000-1045       Interventional Bronchoscopy, Steve Kirtland, MD, Virginia Mason Medical  Center, Seattle WA, University of California at San Diego School of Medicine graduate before Interning, Residency and Fellowships at Virginia Mason Medical Center and University of Washington, Seattle WA, he is a practicing physician, Pulmonary Critical Care and Sleep Medicine as well as Hyperbaric Medicine today.   

The breadth of interventional bronchoscopy (IB) will be reviewed along with the  indication and relative therapeutic studies.

DENNIS CRISWELL or DEE – review as above, add a few more such as author of Lung Sounds:  A Practical Guide and Clinical Assessment in Respiratory Care in 5^th edition, co authored by Dr. Richard Sheldon, who spoke yesterday, both                        widely used in Respiratory Care training programs.

1045-1130       The role of the CBC in Patient Assessment, Robert L. Wilkins PhD, RRT, FAARC, Loma Linda University, Loma Linda, CA 

Interpreting the CBC’s in RT patients involves defining normal way in which white and red cells are produced, and the function of the specific white cells. 

 1245-1335       HFOV – What’s different in the treatment of the Adult, John Davies, MA, RRT,   Duke University Medical Center, Durham NC                       

 A discussion of the clinical indications for HFOV is presented.  The importance and the calculation of the oxygenation index is reviewed.  The management techniques for HFOV are reviewed.  The differences between the adult and pediatric patient will be covered and finally the weaning process for HFOV.

 1335-1425       What’s up with Asthma Educator Credentialing, Dan Robison, MS, PE, AE-C,  Inland NorthWest Asthma Coalition Coordinator, American Lung Association,   Spokane, WA, Dan’s past includes working as a drinking water program engineer  in Sydney Australia and Yakima WA.  He is also an Amateur Radio Operator. This year he is the ASTHMA WALK Coordinator for May 20^th (did you pledge yet?)

Certified is still relatively new within health services community, National certification is provided by the National Educator Certification Board.

 1425-1515       Avoiding the Courtroom, Anthony L. DeWitt, RRT JD FAARC,        his AARC fellow was awarded on the basis of significant contributions to the field of respiratory care for legal advocacy on behalf of profession in 2002.  Currently Associate Attorney for Bartimus, Frickleton Robertson & Obetz, PC, in Jefferson City, MO.  He was the Administrative Director, CardioPulmonary and Occupational  Medicine at St. Charles Hospital in Oregon Ohio prior to his distinguished career as an attorney.  Maybe BEST known for his columns in the Advance Journals as a  Legal Columnist and now an author with a text for Respiratory Therapist  on the Legal System.

 Today’s manager faces many challenges with the work force.  This presentation will illustrate the problems inherent in complying with Federal anti-discrimination law.

1515-1600       Can You Handle the Truth, Mock Courtroom Trial, Anthony L. DeWitt, RRT  JD FAARC and John Salyer, MBA, RRT, FAARC

Anthony DeWitt is joined now by John Salyer.  John spoke on Sunday afternoon in our Neonatal/Pediatric Session on EvidenceBased Bronchiolitis and Inhaled Prostacyclins in the tx of Pulmonary Hypertension.  He is the Director of  Respiratory Care, Children’s Hospital and Medical Center, Seattle WA, prior to that he Directed Outcomes Research Service Primary Children’s Medical Center in Salt  Lake City, Utah and an Educational Coordinator at Rainbow Babies and Children’s   Hospital in Cleveland Ohio.

Two exceptional Respiratory Care supporters take a point and counterpoint on a mock courtroom trial with the audience joining in.

These are from the "Respiratory Care in Infants and Children: A Clinical Update" conference in Seattle WA Children’s Hospital and Regional Medical Center Oct. 22nd 2005