2025 AAENP National Conference: EmergNP Speakers

Session Details will be added as we receive them. Please continue to check back.

Empowering Nurse Practitioners in Policy and Innovation

Cindy Weston, DNP, APRN, FNP-BC, FAANP, FAAN - Dean & Professor, University of North Texas Health Science Center

Dr. Cindy Weston, DNP, APRN, FNP-BC, CHSE, FAANP, FAAN is Founding Dean & Professor for the University of North Texas Health Science Center College of Nursing and a Family Nurse Practitioner. She has been a co-recipient of more than $25 million in funding to implement nurse-led interprofessional care delivery models, innovative simulation, and integrated behavioral health care models, and a mobile school-based clinic. She is a Fellow of the American Association of Nursing Practitioners and the American Academy of Nursing and is past president of the Texas Nurse Practitioners Association, the largest state NP organization in the county./p>

General Session

Elda Ramirez, PhD, RN, FNP-BC, ENP-C, FAANP, FAEN, FAAN - Associate Dean Strategic Initiatives & Community Engagement, Cizik SON UTHealth

Elda Ramirez, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN, is the founder of the American Academy of Emergency Nurse Practitioners. She was co-director of the first emergency Nurse practitioner program in the country, in Houston, Texas in 1994. Over the past ten years she has secured over six million dollars in educational finding from the State of Texas to educate emergency nurse practitioners. Dr. Ramirez is still in practice as an ENP.

The Problem Is All In Your Head: Brain and Cranial Nerve Disorders

Michael Sharma, MPAS, PA-C - Emergency Medicine PA; Adjunct Professor, UT Southwestern Medical Center, Dallas, TX

Abstract

Altered mental status, the worst pain of their lives, problems moving their face or extremities... sometimes the presentation of a patient with brain and cranial nerve disorders is as distressing to the patient as it is to the treating clinician. We'll review some common brain and cranial nerve pathology, the emergent work-up required to confirm your working diagnosis, and when a patient needs urgent or emergent treatment to prevent morbidity and mortality

Learning Objectives

• Utilize a novel mnemonic to remember the risk factors of cerebral venous thrombosis and understand how to best diagnose this life-threatening problem.
• Discuss the broad differential diagnosis for a patient with facial palsy and why "Bell's palsy" is probably the incorrect diagnosis at the patient's first presentation with this problem.
• Differentiate between different kinds of hearing loss and know when emergency treatment and consultation is indicated.

Medical Aesthetic Emergencies: Identification and Management in the Emergency Department

Kathleen Richardson, DNP, ARNP, FNP-C, ENP-BC, CEN, FAEN, FAWM, FAAN - Medical Director, Cossmedic Wellness and Aesthetics

Dr. Kathleen Richardson, ARNP is a seasoned healthcare leader with nearly 30 years of experience in clinical practice, education, and advanced nursing roles. She has spearheaded numerous academic and clinical initiatives, including the integration of nurse-run clinical practices and the development of advanced nursing curricula.

An accomplished speaker and educator, Dr. Richardson brings a wealth of knowledge to her presentations, grounded in her clinical experience and leadership in emergency and aesthetic medicine. She is the owner of Cossmedic Wellness and Aesthetics, where she oversees advanced aesthetic treatments and training programs.

Abstract

With the growing popularity of medical aesthetic procedures, emergency departments (EDs) increasingly encounter patients presenting with complications resulting from treatments such as injectable fillers, laser therapies, microneedling, and chemical peels. While most aesthetic procedures are performed safely, adverse events can range from mild allergic reactions to severe vascular occlusions, infections, and life-threatening anaphylaxis. This presentation aims to enhance the knowledge and preparedness of emergency clinicians in recognizing, assessing, and managing these unique medical aesthetic emergencies.

The session will provide an overview of common and uncommon complications arising from medical aesthetic procedures, including their pathophysiology, clinical presentations, and evidence-based management strategies. Key topics will include identifying early signs of filler-related vascular compromise, appropriate use of hyaluronidase in emergent cases, managing laser and chemical-induced burns, addressing infections following microneedling or non-ablative laser treatments, and the immediate treatment of allergic and anaphylactic reactions.

Through case studies and practical examples, participants will learn to differentiate between urgent and non-urgent presentations, prioritize interventions, and understand the role of collaboration with dermatologists and plastic surgeons. This knowledge is vital for reducing morbidity and improving outcomes in patients presenting to the ED with complications from aesthetic procedures.

By the end of this presentation, attendees will be equipped with a comprehensive understanding of medical aesthetic emergencies and gain confidence in delivering prompt and effective care in the emergency setting.

Learning Objectives

• Analyze and Differentiate Aesthetic Emergencies: Attendees will be able to analyze clinical presentations of complications from medical aesthetic procedures and differentiate between urgent and non-urgent cases in the emergency department.
• Apply Evidence-Based Management Protocols: Attendees will be able to apply appropriate evidence-based management protocols for various aesthetic emergencies, including the administration of hyaluronidase, wound care techniques, and emergency management of allergic reactions.
• Collaborate Effectively for Patient Care: Attendees will be able to collaborate effectively with interdisciplinary teams, including dermatologists and plastic surgeons, to develop comprehensive care plans that improve patient outcomes in medical aesthetic emergencies.

Applying a clinical practice guideline for the management of acute nontraumatic dental pain

Erica May, DNP, APRN, AGACNP-BC, FNP-BC, ENP-C - Assistant Professor of Nursing, Vanderbilt University School of Nursing

Abstract

Managing acute dental pain effectively while minimizing opioid use remains a key challenge in clinical practice. Dentists, emergency medicine physicians, and other healthcare providers frequently prescribe medications for pain relief. This presentation will explore the application of a clinical practice guideline developed jointly by the American Dental Association Science and Research Institute, the University of Pittsburgh, the University of Pennsylvania, and McMaster University in managing acute nontraumatic dental pain, emphasizing evidence-based strategies to reduce opioid prescriptions while ensuring adequate pain control. The focus will be on practical approaches for Emergency Nurse Practitioners to recognize and treat acute nontraumatic dental pain, while highlighting the importance of non-opioid alternatives and multidisciplinary collaboration in managing dental pain effectively and safely.

Learning Objectives

• Define non-traumatic acute dental pain.
• Review common patient presentations of acute nontraumatic dental pain in the Emergency Department.
• Discuss the application of an evidence based clinical practice guideline developed by the American Dental Association Science and Research Institute, the University of Pittsburgh, the University of Pennsylvania, and McMaster University for treatment of acute nontraumatic dental pain.

Almost There: Exploring the Hidden Risks of the Late Preterm Infant

LeAnn Baker, DNP, APRN, NNP-BC, C-ONQS - Assistant Professor/Neonatal Advanced Practice Provider Lead, University of Louisville/Norton Children's Hospital

Dr. Leann Baker began her career in healthcare as a registered nurse 30 years ago.

In 2008, she graduated with her Master's degree as a neonatal nurse practitioner.

In 2018, she graduated with a Doctor of Nursing Practice degree – this degree concentrates on leadership, evidence-based practice, and quality improvement, therefore, her doctoral work was focused on Interprofessional Collaborative Practice in the Perinatal Healthcare Environment.

In 2019, Leann became an assistant professor at UofL with a joint faculty appointment with the SOM Dept of Pediatrics and the School of Nursing as the Neonatal NP Program coordinator.

Leann serves as the lead for the Norton Children’s Medical Group Neonatal APP group and is part of the NCMG Neonatal Leadership team. She is the inaugural recipient of the Norton Healthcare 2024 PRISM Award for Exceptional Advanced Practice Provider Leadership.

She received national certification in 2022 in Obstetric and Neonatal Quality and Safety, which is very beneficial as she is involved locally, regionally, and nationally in initiatives to improve the care of mothers and babies.

Leann is in her second term as a member of the leadership Council for the National Association of Neonatal Nurses - Advanced Practice (NANN-AP), which is division of the National Association of Neonatal Nurses (NANN).

Leann has been married to her husband Brett for – a long time! They have 3 grown and married children, and 6 of the most amazing grandchildren who put lots of joy in Mimi’s heart.

Toni Dobson, MSN, APRN, FNP-C, ENP-C - Nurse Practitioner, Pediatric Emergency Medicine Associates

Nurse practitioner working in Chattanooga, TN at Erlanger's Children's Emergency Department and Erlanger's OB Emergency Department. She additionally leads the APP educational team at PEMA and hosts a pediatric EM podcast called PEM Chatt.

Abstract

Late preterm infants (LPI) may look physically mature, but they are at increased risk for neonatal complications. Jointly presented by a NNP and ENP, we will discuss the 6 most common ED presentations of the LPI. We will review the evidence-based best practices for the management of hyperbilirubinemia, sepsis/infection, hypoglycemia, hypothermia, feeding difficulties, and respiratory distress. We will be discussing the differences between how these patients are managed in the NICU vs the ED and how we as ENPs, can learn from our NNP colleagues. This lecture is a unique opportunity to learn directly from another nursing specialty how to improve our care of neonates in the ED.

Learning Objectives

• Differentiate patients who are late preterm infants and identify common complications of this population.
• Using PediTools, assess your patient’s level of hyperbilirubinemia and develop a treatment plan.
• Develop a management plan for an acutely hypoglycemic late preterm infant.
• Distinguish between non-emergent and emergent feeding difficulties of the late preterm infant.

Essential ENT Knowledge for the ED: A Collaborative Perspective

Frederick Barton, MSN ENP-C FNP-C NREMT-P - Adjunct Faculty, Seattle University

Frederick Barton, MSN, ENP FNP is adjunct faculty at Seattle University School of Nursing and an Emergency Nurse Practitioner at both Logan Health in Shelby, MT and Southern Coos Hospital in Bandon, OR. He is on the Board of Directors for the American Association of Emergency Nurse Practitioners. Mr. Barton holds MSNs from Columbia University in New York as well as Emory University in Atlanta. He completed a fellowship in emergency medicine at Carilion Clinic in Roanoke, VA. He is the Nursing Education Director for Techies Without Borders. His interests include critical access and rural medicine, austere and international medicine, and point of care ultrasound.

Aaron Nakano, FNP - Nurse practitioner, Atlanta ENT Sinus & Allergy Associates, P.C.

Aaron Nakano is a family nurse practitioner who specializes in otolaryngology and currently works at Atlanta ENT, Sinus & Allergy Associates, P.C. since 2021.

Within this practice, he participates in the evaluation, diagnosis, and treatment of general ENT conditions. When needed, he also performs common ENT procedures including I&D of auricular hematomas, nasal cauteries, cerumen debridement, nasal endoscopies, flexible laryngoscopies, balloon sinuplasties, posterior nasal nerve ablations, inferior turbinate ablations, myringotomy and ventilation tube placements, intratympanic membrane steroid injections, foreign body removals, gelfoam myringoplasties, nasal valve reinforcement procedures, balloon eustachian tuboplasties, salivary duct marsupialization and sialolith extractions, and postoperative nasal and sinus debridements.

He graduated with his bachelor’s and master’s degrees from Emory’s Nell Hodgson Woodruff School of Nursing after completion of their dual family and emergency medicine training program. He has been working within the field of otolaryngology since 2014 where he started as a medical scribe.

In his off hours, he enjoys cooking, listening to music, building computers, and playing videogames.

Abstract

This lecture will address common ENT issues in the emergency department as well as PEARLS and PITFALLS. Specifically, an ED provider and ENT will share their management techniques for perforated eardrums, epistaxis, and peritonsillar abscesses

Learning Objectives

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Hitting the Bullseye on Pediatric Lyme Disease

Teresa Dodge, DNP, FNP-C, CEN - Nurse Practitioner, US Acute Care Solutions

Teresa Dodge is a Nurse Practitioner currently working in the Emergency Department at Guthrie Cortland Medical Center. She also still works perdiem in pediatric primary care and caring for newborns in the nursery. Previously she spent over eight years working in various EDs throughout NYS. She has volunteered with ENA; as a member of the Education Planning Committee and, recently Emergency Nursing Advanced Practice Advisory Committee. She is also a Board Member of Region 2 of the NPA (Nurse Practitioner Association of NYS) and helps plan small educational and social events for her region. Teresa is both a state and national speaker, lecturing at ENA and NPA conferences. Teresa completed her DNP at Frontier Nursing University in the Summer of 2023 with a project focused on improving telephone triage at the pediatric office.

Abstract

Lyme disease is prevalent in the United States, especially in the Northeast. In fact, cases are only increasing and spreading further south. Pediatric patients, specifically those between the ages of five and fourteen, have the highest incidence of infection. Diagnosing and treating Lyme disease in pediatric patients can also be tricky, even for the most experienced nurse practitioners - the classic Lyme rash isn’t always a bullseye, and pediatric Lyme arthritis can mimic many other acute pediatric orthopedic diseases. To make things worse, in 2020, while we were all distracted by COVID, the Infectious Diseases Society of America (IDSA), the American Academy of Neurology (AAN), and the American College of Rheumatology (ACR) released an updated guideline for the management of Lyme disease. These updated guidelines significantly changed the treatment of some Lyme patients. This presentation will review Lyme disease in the pediatric population, its signs and symptoms, how to diagnose it, and how to treat it.

Learning Objectives

• At the conclusion of this presentation, attendees should be able to define Lyme disease.
• At the conclusion of this presentation, attendees should be able to summarize the best testing and screening for Lyme in pediatric patients.
• At the conclusion of this presentation, attendees should be able to summarize the pediatric treatment for Lyme disease and when to initiate prophylaxis.

When Delirium is the Diagnosis, Not Psychosis: Screening for Delerium in Patients with Serious Mental Illness (SMI) and Dementia

Sharon Rainer, PhD, APRN, ENP-C, FNP-BC, PMHNP-BC - Assistant Professor, Thomas Jefferson University

Abstract

The aim of this presentation is to provide a thorough understanding of how to effectively screen for delirium in patients with serious mental illness (SMI) or dementia in the emergency department (ED). Patients with SMI, such as schizophrenia or bipolar disorder, are at increased risk for delirium, which can complicate their clinical presentation and management. Early detection is crucial for preventing adverse outcomes and ensuring appropriate care. The importance of addressing underlying causes, stabilizing the patient, and employing supportive measures will be discussed. In addition, pharmacologic and non-pharmacologic interventions while considering the impact of these treatments on both delirium and pre-existing psychiatric conditions will be emphasized.

Learning Objectives

• Prepare emergency clinicians to distinguish delirium from psychosis and dementia, focusing on identifying key clinical features and using appropriate screening tools to ensure accurate diagnosis.
• Provide a practical guide for implementing screening protocols for delirium in patients with SMI and dementia, including the use of validated tools.
• Outline strategies for managing patients diagnosed with delirium, including addressing underlying causes, stabilizing symptoms, and coordinating care with multidisciplinary teams.

Recognizing and Management of Incarcerated Gravid Uterus in the Emergency Department: An Update for Treatment

Dr. Jill Ogg-Gress, DNP, APRN, FNP-c ENP-c - Associate Professor, Georgetown University School of Nursing

Dr. Jill Ogg-Gress, Associate Professor and Nurse Practitioner, brings 20 years of experience to her roles. She earned her MSN and Family Nurse Practitioner degree from Clarkson College in 2003 and her Doctorate of Nursing Practice from the University of Iowa in 2008. Clinically active since 2003, her expertise spans Emergency Medicine, Cardiology, and Gastroenterology. Certified as an FNP by AANP (2003) and ENP by AAENP (2018), she currently serves as an Emergency Nurse Practitioner in Omaha, NE, and as the Clinical Education Director for Georgetown University's FNP program. Dr. Ogg-Gress is a published scholar and sought-after speaker. When not in the classroom, ER, or speaking at events, she enjoys traveling with her husband, Loren, and spending time with their Goldendoodle, Dixie.

Abstract

This presentation aims to recognize and manage patients with symptoms suggestive of incarcerated gravid uterus (IGU) who present to the emergency department. It will outline strategies for identifying patients with complaints consistent with IGU, describe complications/risks, provide diagnostic recommendations, and discuss recently published new treatment strategies with minimally invasive ultrasound techniques for management. Case studies will also be provided during the presentation.

Learning Objectives

• Describe common patient complaints consistent with incarcerated gravid uterus
• Identify complications, risks, and diagnostics for incarcerated gravid uterus
• Discuss modalities for treatment of incarcerated gravid uterus including new treatment strategies

Social Determinants of Health for the ED Provider

Travis McCall, PhD, APRN, CCP - Assistant Professor/Flight Nurse Practitioner, Vanderbilt University School of Nursing/Vanderbilt LifeFlight

Dr. Travis McCall is board certified as an Adult-Gerontologic Acute Care, Family, and Emergency Nurse Practitioner. He obtained his Master of Science in Nursing from Vanderbilt University with specialty education in Emergency Care. He earned his Doctor of Philosophy from the University of Tennessee College of Nursing and completed a graduate minor in Epidemiology in the Department of Public Health. Clinically, Travis has over 15 years of experience in prehospital care and transport, adult and pediatric tertiary emergency departments, and community emergency departments. He currently practices as a Flight Nurse Practitioner with Vanderbilt LifeFlight and has completed over 1000 patient transports with the program.

Abstract

Social determinants of health are non-medical factors that influence the health of individuals, communities, and populations. The Centers for Medicare and Medicaid Services (CMS) has prioritized the need to promote health equity, expand coverage, and improve overall health among patients who benefit from CMS programs. As emergency departments provide access to care for many patients who may be affected by social determinants of health, ENPs are positioned to improve health equity and patient outcomes in the provision of care. This lecture will describe social determinants of health, identify factors that may affect patient health, and discuss the implications of such factors when managing and dispositioning patients in the emergency department.

Learning Objectives

• Describe the influence of social determinants of health outcomes for individuals, communities, and populations.
• Identify factors affecting the health of individuals, communities, and populations within the context of the emergency department.
• Discuss the implications of social determinants of health in the management and disposition of patients in the emergency department.

The Not-So-Sweet Hidden Threat of Diabetic Ketoacidosis

Rachel Helms, DNP, APRN, AGACNP-BC, FNP-BC, ENP-C - Assistant Clinical Professor, Auburn University

Dr. Rachel Helms is an accomplished nurse practitioner and educator with extensive experience in emergency and trauma care. A proud graduate of Auburn University, she earned her Bachelor of Science in Nursing in 2009. She began her career in emergency and trauma centers and further honed her expertise as a critical care flight nurse for three years. In 2014, Dr. Helms completed a Master of Science in Nursing with a focus on emergency nurse practitioner practice at Vanderbilt University, launching her career as an emergency nurse practitioner.

Dr. Helms earned her Doctor of Nursing Practice degree from Auburn University in 2021 and joined the faculty as an Assistant Clinical Professor in 2022. In her current role, she teaches undergraduate and graduate nursing courses while coordinating interprofessional education initiatives. She also serves as the Emergency Medicine Clinical Faculty for ThriveAP, supporting the development of advanced practice providers.

Joni Winter, DNP, CRNP, FNP-BC, AGACNP-BC, ENP-C, CVNP-BC - Assistant Clinical Professor, Auburn University - Auburn University College of Nursing

Dr. Joni Winter has been an Assistant Clinical Professor at Auburn University College of Nursing since December 2022. With 23 years of combined nursing and NP experience, her expertise includes emergency medicine, critical care, hospital medicine, surgical oncology, cardiothoracic surgery, and cardiology. Her practice has focused on serving rural, underserved populations with a strong flight and emergency medicine background. Research interests include emergency medicine, cardiovascular health, AI in clinical practice, simulation, and improving healthcare access for marginalized communities. She has published a chapter in Sheehy’s Emergency Nursing: Principles and Practice and is committed to enhancing outcomes through evidence-based practice, systems leadership, and innovative education.

Abstract

Euglycemic diabetic ketoacidosis (EDKA) is an uncommon but life-threatening process identified in patients with type 1 and 2 diabetes. The condition is characterized by normoglycemia in the setting of an anion gap, metabolic ketoacidosis. There are several risk factors for developing EDKA; however, increased risks are linked to SGLT2 inhibitor use, type 1 diabetes, and bariatric surgeries secondary to prolonged perioperative fasting.

EDKA occurs as serum insulin levels decrease and excess counter regulatory hormones develop due to a carbohydrate deficit. The resulting increased glucagon/insulin ratio causes lipolysis, increased free fatty acids, and ketoacidosis.

Unfortunately, the normal glucose level causes the diagnosis of EDKA to be delayed in almost 50% of patients. Therefore, EDKA should be included in the differential list for all patients with the risk factors and symptoms mentioned above.

In order to increase awareness and understanding of EDKA, this presentation will utilize a case study format to illustrate a patient who presents to the emergency department and is ultimately diagnosed with often-missed diagnosis.

Learning Objectives

• Recognize risk factors associated with euglycemic diabetic ketoacidosis (EDKA).
• Discuss the pathophysiology of EDKA.
• Identify the typical presenting symptoms and diagnostic criteria for EDKA.
• Develop an appropriate plan of care for a patient diagnosed with EDKA.

Navigating the Storm: Mastering Acute Alcohol Withdrawal in the Emergency Department

Sharon Rainer, PhD, APRN, ENP-BC, FNP-BC, PMHNP-BC - Assistant Professor, Thomas Jefferson University College of Nursing

Abstract

Acute alcohol withdrawal is a potentially life-threatening condition that requires prompt recognition and management to prevent severe complications such as seizures, delirium tremens (DTs), and cardiovascular instability. Effective management of acute alcohol withdrawal in the ED involves prompt identification, appropriate use of pharmacological and supportive treatments, and careful monitoring. Early intervention and proper follow-up are crucial for reducing complications and improving patient outcomes.

Learning Objectives

• Prepare emergency clinicians to accurately identify and assess the severity of acute alcohol withdrawal using clinical tools and symptom evaluation to ensure timely and effective intervention.
• Provide a detailed overview of current best practices for managing acute alcohol withdrawal, including pharmacological therapies and supportive care, to mitigate withdrawal symptoms and prevent complications.
• Develop strategies for effective patient disposition, including risk stratification and planning for appropriate next level of care.

I Only Turned My Back for One Second!! Most Common Pediatric Toxicological Emergencies Seen Today

Michael Schill III, DNP, FNP-BC, ENP-C, CEN, CFRN, MICN - Lead EM APC, ApolloMD

Dr. Schill is a Nurse Practitioner at a large urban medical center that operates one of the busiest Emergency Departments in the nation. He is the Lead Advanced Practice Clinician and contributed to developing an ongoing monthly educational program for all Advanced Practice Clinicians at the facility. With over 21 years of experience in Emergency Services, his journey began as an EMT, transitioned to an ER Nurse, and subsequently assumed responsibilities as a critical care transport nurse. Dr. Schill successfully completed the Rutgers University School of Nursing FNP in Emergency Care program started by the late Dr. Mary Kamienski. Dr. Schill remains committed to continuous learning and aims to impart knowledge for the success of others.

Abstract

Each day, we are unaware of some dangers around the house. It only takes a moment for a pediatric patient to get into something potentially harmful. We have all heard the phrase from a parent: "I only turned my back for one second." This presentation will provide a review of the most common harmful household items and common medications. Whether you work in the Emergency Department or Urgent Care, this will help to review common signs and symptoms and up-to-date treatment. This interactive case scenario-based presentation will review and discuss pharmacological and non-pharmacological treatment modalities.

Learning Objectives

• Discuss the epidemiology of household ingestions in the pediatric population
• Describe evaluation and management of potentially fatal ingestion of a single prescription medication
• Identify common non-toxic toys that can still be toxic to the pediatric population

Rapid Fire: Critical Care Pharmacology Review

David Warren, DNP, CRNA, FNP, ACNP, ENP - Nurse Practitioner, David Warren NP PLLC

Abstract

This session delivers a fast-paced, comprehensive review of critical care pharmacology tailored for Emergency Nurse Practitioners. Attendees will delve into common essential drugs used in emergency and critical care settings, focusing on mechanism of action, dosing, expected effects, and indictions/contraindications. The session includes interactive case studies and real-world scenarios to enhance understanding and application. Topics covered will include vasoactive agents, sedatives/hypnotics, analgesics, and neuromuscular blockers/reversals. The goal is to equip participants with the knowledge to make swift, evidence-based decisions in critical care situations.

Learning Objectives

• Optimize drug administration: Understand the pharmacokinetics and pharmacodynamics of critical care drugs to optimize administration and dosing in emergency settings.
• Identify and manage side effects: Develop skills to identify and manage common drug side effects/adverse effects in critical care patients, and how to manage them.
• Enhance rapid decision-making: Apply current evidence to make rapid, informed pharmacological decisions in high-stakes situations.
• Implement Best Practices: Utilize case studies to implement best practices in the use of vasoactive agents, sedatives/hypnotics, analgesics, and neuromuscular blockers/reversals.

Taming the Toxins: Solutions for Ingestions and Exposures

Michael Gooch, DNP, APRN, CCP, FAASTN, FAANP, FAEN - Assistant Professor of Nursing; Emergency-Flight NP, Vanderbilt University; Vanderbilt University Medical Centera

Dr. Michael D. Gooch is an emergency and flight nurse practitioner with 30 years of experience in emergency and transport medicine. He practices at Vanderbilt University Medical Center in Nashville, TN, where he has completed over 1,600 patient transports during his tenure with Vanderbilt LifeFlight. Dr. Gooch is an Assistant Professor of Nursing at Vanderbilt University School of Nursing and a faculty member at the Middle Tennessee School of Anesthesia. He is a Fellow of the Academy of Air and Surface Transport Nurses, the American Association of Nurse Practitioners, and the Academy of Emergency Nursing. A nationally recognized speaker and published author on various emergency and transport medicine topics, Dr. Gooch also serves as a column editor for the Advanced Emergency Nursing Journal.

Abstract

Emergency nurse practitioners often manage patients with a variety of exposures and ingestions. These can be accidental or intentional overdoses, resulting in challenging and sometimes unique treatment plans. During this presentation, the typical toxidromes as well as a range of toxins, medications, and substances will be discussed. Newer agents of abuse such as xylazine and new strategies including high dose insulin and intralipid therapy administration will be reviewed.

Learning Objectives

• Identify applicable reversal agents in select toxic ingestions and exposures.
• Recall indications for high dose insulin and intralipid therapy in select toxic emergencies.
• Discuss appropriate ordering, monitoring, and risk assessment associated with reversal agents.

Down on the Farm: Agriculture Illnesses and Injuries

Travis McCall, PhD, APRN, CCP - Assistant Professor/Flight Nurse Practitioner, Vanderbilt University School of Nursing/Vanderbilt LifeFlight

Dr. Travis McCall is board certified as an Adult-Gerontologic Acute Care, Family, and Emergency Nurse Practitioner. He obtained his Master of Science in Nursing from Vanderbilt University with specialty education in Emergency Care. He earned his Doctor of Philosophy from the University of Tennessee College of Nursing and completed a graduate minor in Epidemiology in the Department of Public Health. Clinically, Travis has over 15 years of experience in prehospital care and transport, adult and pediatric tertiary emergency departments, and community emergency departments. He currently practices as a Flight Nurse Practitioner with Vanderbilt LifeFlight and has completed over 1000 patient transports with the program.

Abstract

“Down on the Farm: Agricultural Illnesses and Injuries” will describe illnesses and injuries among farm workers who may present to the emergency department. Content will include the incidence, diagnosis, and management of environmental exposures, vector-borne illnesses, toxicologic poisoning, and mechanical injuries that may occur among farm workers. Social determinants of health that may affect the care and health of farm workers will also be discussed.

Learning Objectives

• Describe the epidemiology of illnesses and injuries among farm workers.
• Understand the illnesses and injuries that may result from environmental, toxicologic, and mechanical exposures.
• Discuss evidence-based care and treatment of patients who suffer farm-related illnesses or injuries.

Autonomic Disorders Demystified: Collaborative Protocols for NPs in the ER

June Bryant, DNP, APRN, CPNP-PC - Assistant Professor, University of Tampa, The Dysautonomia Project

June Bryant is a certified pediatric nurse practitioner in primary care and an Assistant Professor of Nursing at the University of Tampa. Her clinical interests include quality improvement in the patient centered medical home and dysautonomia. She is the practice owner her own mobile pediatric practice in the Tampa Bay community. She currently holds the position of President for the Florida Gulf Coast Chapter of NAPNAP and is a medical ambassador for The Dysautonomia Project.

Abstract

This presentation offers a deep dive into the recognition, assessment, and management of autonomic disorders—conditions that are often misunderstood and misdiagnosed in the fast-paced emergency environment.

Participants will gain a comprehensive understanding of autonomic dysfunction, including key symptoms, differential diagnoses, and the significant impact these disorders can have on patient outcomes. The course will introduce an evidence-based protocol specifically tailored for emergency departments, aimed at ensuring patients with autonomic dysfunction receive appropriate care and are not dismissed or mismanaged.

Additionally, the presentation emphasizes the importance of interdisciplinary collaboration, equipping nurse practitioners with the knowledge and tools necessary to work effectively alongside neurologists, cardiologists, and other healthcare providers. Through real-world examples and practical strategies, this session will empower NPs to lead the charge in improving care for patients with autonomic disorders, ultimately enhancing patient outcomes and reducing the frequency of emergency department revisits.

Learning Objectives

• Apply knowledge of autonomic disorders by identifying and differentiating key symptoms, understanding common misdiagnoses, and recognizing the impact on patient quality of life in emergency settings.
• Develop and implement an evidence-based protocol designed to systematically assess, manage, and refer patients presenting with symptoms of autonomic dysfunction.
• Evaluate current practices and enhance interdisciplinary collaboration by identifying roles and responsibilities of various healthcare providers, including emergency nurse practitioners, neurologists, cardiologists, and primary care providers, to create a coordinated care pathway that improves patient outcomes.

Buzz, Bite, and Battle: Vector-Borne Diseases in the ER

Elizabeth (Libby) Carger, DNP, FNP-BC, CNE - Nurse Practitioner, Duke Employee Occupational Health and Travel Clinic

Mustapha Debboun, PhD, BCE Fellow ESA - Consultant, Independent

Abstract

This evidence-based presentation addresses vectors and disease transmission to humans, including symptom assessment and guidance for best treatment practices. The speakers will explain the risks of encountering mosquito, tick and emerging vectors in the U.S. and endemic areas abroad. The presentation will include pathogens of greatest concern, emphasizing common and unusual symptoms. It includes guidance on when immediate treatment is essential. The speakers will address Alpha Gal syndrome, a sometimes serious food allergy that is conveyed by the lone star tick. Finally, they will discuss personal protection practices for bite avoidance, with tips for counseling patients, colleagues and the community-at-large.

Learning Objectives

• Identify vector-borne disease symptoms based on age-related presentation differences
• Recognize when and why prompt medical intervention can be crucial
• Evaluate patient risks based on where they live and travel
• Describe key vector behaviors and bite avoidance strategies for patients, colleagues and other stakeholders

New STEMI Equivalents

Jennifer Carlquist, PAC- C, ER CAQ - Physician Assistant, Cardiology Made Easy Inc.

Abstract

This will cover the new stemi quivalents outlined in the JACC article on how to manage chest pain in the ED that was published nov 15, 2022.

Learning Objectives

• Define dewinters t waves
• Define stemi equivalents
• Review wellens warning

Film Interpretation - TBA

Stephen Jameson - Co-Editor, Emergency Medicine Core Training

Angioedema in the Emergency Department

Elizabeth Gilley, APRN, FNP-BC, RN - APP Fellow, Department of Emergency Medicine, UT Southwestern Department of Emergency Medicine

Abstract

This will be an evidence-based overview of Angioedema as it is encountered in the Emergency Department. It will include a review of (1) Angioedema Pathophysiology, (2) Assessment and Workup of Undifferentiated Angioedema, (3) Management of Angioedema, and (4) Disposition for patients presenting with Angioedema. See below for subsections within each topic as outlined above. The presentation will include case examples for further discussion and understanding.

Learning Objectives

• Pathophysiology of Angioedema: histamine-mediated, bradykinin-mediated, hereditary, acquired, ACEI-induced, Tissue Plasminogen Activator-Induced, idiopathic.
• Assessment and Workup of Undifferentiated Angioedema: differential diagnoses to consider, physical exam, diagnostic studies.
• Management of Angioedema: initial stabilization/management, pharmacologic management (epinephrine, antihistamines, corticosteroids, C1 Esterase Inhibitor Replacement Therapy, Recombinant C1 Esterase Inhibitor, Non–C1 Esterase Inhibitor Concentrate Therapy, Fresh Frozen Plasma, tranexamic acid, prophylactic medications).
• Disposition: general recommendations and considerations

Beyond the "Ds": Posterior Circulation Vascular Emergencies

Katherine Kruger, MSN, ENP, FNP, ACNP, CEN - Emergency Nurse Practitioner, University of Michigan

Abstract

Course will be a rapid fire overview of key typical and atypical presentations of posterior vascular emergencies- to include strokes, vertebral artery dissections, as well as sentinel aneurysms. We'll also discuss essential pathophysiology, history, and physical exam findings, as well as the current state of the evidence. Much of this will be presented in a case study format based off of a de-identified case.

Learning Objectives

• Identify essential history and PE findings to accurately suspect posterior strokes
• Identify necessary diagnostic and treatment pathways for suspected posterior circulation vascular emergencies
• Identify common pitfalls leading to failure to suspect a posterior vascular emergency.

Three Diagnoses You Should Never Make In the ED: GERD, PUD, and Gastritis

Michael Sharma, MPAS, PA-C - Emergency Medicine PA; Adjunct Professor, UT Southwestern Medical Center, Dallas, TX

Abstract

Abdominal pain is the most common emergency department chief complaint in adult patients. Ultimately, as many as 1 in 4 patients are discharged with no clear etiology to their pain. Although many discharged patients likely have nonemergent conditions like gastroesophageal reflux, peptic ulcer disease, and gastritis, it's important that we recognize the significance of these diagnoses when we use them for patients with new abdominal pain in the ED. We'll talk about common treatment for these conditions as well as dangerous mimics not to miss.

Learning Objectives

• Describe the diagnostic standards for GERD, PUD, and gastritis.
• List treatments for GERD, PUD, and gastritis as well as diagnostic testing needed to rule out emergent complications.
• Compare and contrast emergent conditions that can mimic GERD, PUD, and gastritis.

The Agony & Ecstasy of Sex Injuries

LaMon Norton, NP - Nurse Practioner

Abstract

Both consensual and nonconsensual sexual contact can have seriously negative health consequences. From the mild severity of "carpet burn" to the sequelae of a cerebrovascular event in a 30 year old, emergency care providers must have differential diagnosis thinking that focuses on appreciating risk for patients. This topic can be difficult for patients to discuss with candor, so the practitioner must apply both the art and science of medicine.

Learning Objectives

• Describe common sexual contact related injuries.
• Detect atypical contributing causes of episodic care visits.
• Evaluate all sexual assault presentations for choking injuries.

Talk Smart, Code Fast, Next Patient: Medical Decision Making in EM Documentation

Michael Sharma, MPAS, PA-C - Emergency Medicine PA; Adjunct Professor, UT Southwestern Medical Center, Dallas, TX

Abstract

Especially since 2023, the "medical decision making" section is by far the most important part of your emergency medicine documentation. We'll talk about different strategies for MDM charting, including what to make sure you document and also what to toss. In addition, we'll review updates to the 2023 American Medical Association emergency medicine coding and billing changes and ways to capture the heavy cognitive load involved in even a quick emergency department visit.

Learning Objectives

• Describe the purpose of the medical decision making section of your documentation and its relation to other parts of your documentation.
• List the three elements of coding and discuss how they interact to determine your level of coding and billing for emergency department visits.
• Utilize a point-of-care application to streamline your coding decisions in the emergency department.

Hard Truths, Soft Landings: Delivering Bad New with Compassion

Rachel Helms, DNP, APRN, AGACNP-BC, FNP-BC, ENP-C - Assistant Clinical Professor, Auburn University

Dr. Rachel Helms is an accomplished nurse practitioner and educator with extensive experience in emergency and trauma care. A proud graduate of Auburn University, she earned her Bachelor of Science in Nursing in 2009. She began her career in emergency and trauma centers and further honed her expertise as a critical care flight nurse for three years. In 2014, Dr. Helms completed a Master of Science in Nursing with a focus on emergency nurse practitioner practice at Vanderbilt University, launching her career as an emergency nurse practitioner.

Dr. Helms earned her Doctor of Nursing Practice degree from Auburn University in 2021 and joined the faculty as an Assistant Clinical Professor in 2022. In her current role, she teaches undergraduate and graduate nursing courses while coordinating interprofessional education initiatives. She also serves as the Emergency Medicine Clinical Faculty for ThriveAP, supporting the development of advanced practice providers.

Abstract

Emergency department providers frequently face the difficult responsibility of delivering bad news to patients and their families. Although this is always a challenging task, the fast-paced and high-pressure environment of the ED adds unique complexities that can intensify the difficulty. This presentation will equip providers with a thoughtful, compassionate approach to handling these tough conversations.

Learning Objectives

• Identify the unique challenges of delivering bad news in the emergency department.
• Understand the importance of an intentional approach to delivering bad news.
• Apply key communication techniques to deliver bad news in a compassionate and clear manner.

Advanced Airway Management in Emergency Care Settings

Michael Gooch, DNP, APRN, CCP, FAASTN, FAANP, FAEN - Assistant Professor of Nursing; Emergency-Flight NP, Vanderbilt University; Vanderbilt University Medical Center

Dr. Michael D. Gooch is an emergency and flight nurse practitioner with 30 years of experience in emergency and transport medicine. He practices at Vanderbilt University Medical Center in Nashville, TN, where he has completed over 1,600 patient transports during his tenure with Vanderbilt LifeFlight. Dr. Gooch is an Assistant Professor of Nursing at Vanderbilt University School of Nursing and a faculty member at the Middle Tennessee School of Anesthesia. He is a Fellow of the Academy of Air and Surface Transport Nurses, the American Association of Nurse Practitioners, and the Academy of Emergency Nursing. A nationally recognized speaker and published author on various emergency and transport medicine topics, Dr. Gooch also serves as a column editor for the Advanced Emergency Nursing Journal.

Abstract

Advanced airway management is the most common life saving intervention performed in emergency care settings. Unfortunately, this intervention does not come without risks. This presentation will review current recommended practices to improve success and reduce complications, especially hypoxia and hypotension. Airway assessment, preparation and planning, medication selection, and a brief overview of ventilator management will be included. At the conclusion of this presentation, emergency nurse practitioners will be better prepared to manage airways, reduce complications, and improve outcomes.

Learning Objectives

• Explain the priorities of airway management.
• Recall pharmacotherapeutic properties of medications used with advanced airway management.
• Plan appropriate interventions for patients with impaired airway and ventilations.
• Evaluate the effectiveness of interventions for patients with impaired airway and ventilation.

Mind the Gap: A Look at Toxic Alcohols

Nancy Denke, DNP, ACNP-BC, FNP-BC, FAEN, CEN, CCRN - Nurse Practitioner, Toxicology Consultants of Arizona

Nancy holds a bachelor’s degree from the Pennsylvania State University, graduate degrees from the University of North Carolina and St. Louis University, and her DNP- Innovation in Leadership from Arizona State University (ASU). Currently, she is a Toxicology Nurse Practitioner with Toxicology Consultants of Arizona and a DNP Faculty member at ASU. Nancy enjoys the opportunities to contribute to the clinical training of Nurse Practitioners and RN students, as well as participating as a mentor for active-duty Air Force RNs in the Critical Care/Emergency Trauma Nurse Fellowship Program at Scottsdale Healthcare. She has presented numerous topics related to Emergency/Toxicology/Trauma Nursing/Medicine to Local, State, National and International audiences and has numerous publications related to these subjects.

Abstract

When we consider alcohol toxicity as a diagnosis in the altered patient, the first thing that comes to mind is ethyl alcohol intoxication. However, it is important to understand that any alcohol, when consumed in sufficient quantity, can be toxic. Other “toxic alcohols” we frequently overlook include methanol, ethylene glycol, propylene glycol, and isopropanol (isopropyl alcohol). In this presentation, we examine 3 different scenarios: an intentional overdose, an agitated patient who will not give you a history, and an inebriated individual with numerous medical and psychiatric histories that you have “no clue what is going on with them.”. And lastly, the simple “very drunk.”. We will touch on propylene glycol, which is seen mainly in an inpatient setting with IV infusions that contain propylene glycol as an additive but must be “considered” in any patient. It is our job as providers to identify, treat, and manage the “rare” toxic alcohols that have potentially life-threatening diagnoses. And that is not so easy!

Learning Objectives

• Identify the clinical and laboratory clues to recognizing toxic alcohol poisonings
• Describe the goals of management and treatment in toxic alcohol poisoning
• Examine the time-sensitive management actions for these poisonings

Mitigating Malpractice Risks in the Emergency Department: Strategies for Emergency Nurse Practitioners

David Warren, DNP, CRNA, FNP, ACNP, ENP - Nurse Practitioner, David Warren NP PLLC

David Warren is board-certified as a Family, Acute Care, and Emergency Nurse Practitioner, with 10 years of experience spanning academic, community, critical access, and austere/wilderness emergency medicine environments. He is also a CRNA practicing in independent/CRNA-only environments. David earned his doctor of nurse anesthesia practice degree from National University in San Diego, California, and his master’s degree in nursing from the University of Alabama at Birmingham. His clinical interests include ultrasound-guided regional anesthesia, opioid-sparing and opioid-free anesthesia, and difficult airway management.

Abstract

This session will focus on practical strategies and best practices for Emergency Nurse Practitioners to minimize malpractice risks in the Emergency Department (ED). Attendees will explore the concept of “standard of care”, the anatomy of a malpractice claim, common sources of malpractice claims, learn risk management techniques, and understand the importance of thorough documentation and communication. The session will include case studies, legal insights, and interactive discussions to equip Nurse Practitioners with the tools needed to reduce liability and enhance patient safety. By the end of the presentation, participants will be able to apply these strategies in their daily practice, fostering a safer and legally sound clinical environment.

Learning Objectives

• Understand Legal Standards of Care and the anatomy of a malpractice claim: Explain the legal standards of care applicable to Nurse Practitioners in the Emergency Department and how adherence to these standards can prevent malpractice claims.
• Identify common malpractice risks: Recognize and understand the common sources of malpractice claims in the ED.
• Implement risk management strategies: Apply effective risk management techniques, including thorough documentation and clear communication, to minimize liability in emergency care.
• Develop effective communication skills: Strengthen communication skills with patients, families, and interdisciplinary teams to improve patient outcomes and reduce misunderstandings that can result in legal action.
• Implement proactive patient education: Design and implement patient education strategies that inform patients about their care plans, potential risks, and follow-up instructions, thereby reducing the risk of dissatisfaction and potential malpractice claims.

Emergency Nurse Practitioners

Kathleen Ahn, DNP, FNP-BC - Nurse Practitioner in Emergency Medicine, Volunteer Assistant Clinical Professor, UCI Sue & Bill Gross School of Nursing, Univeristy of California, Irvine Medical Center

Tonya Santiago, MSNEd, FNP-C - Nurse Practitioner, University of California, Irvine

Tonya Santiago, MSNEd, FNP-C, currently works as an emergency department nurse practitioner. Her emergency career began in a community hospital for the first 4 years, then transitioning to an educational institution, University of California, Irvine Medical Center for the past 11 years. She initially began her career as an associate degree registered nurse in 1997, primarily working as a bedside intensive care unit nurse while working toward a higher degree. After earning her Bachelor’s Degree of Science in Nursing in 2004, she began as an adjunct professor teaching Associate Degree of Nursing students. A couple years later, after earning her Master’s Degree in Nursing with an educational emphasis in 2009, she transitioned into a full-time registered nursing educator at a community college in an Associate Degree Nursing Program. In 2010, she began her career as a family nurse practitioner in the emergency department concurrently working as a full-time faculty educator for several years.

Her career as a registered nurse has spanned over the past 27 years with 14 ½ of these years working as an emergency nurse practitioner.

Tonya was born and raised in Southern California and is an avid traveler with her husband of 32 years. Her daughter works as a social media strategist for University of California, Irvine Medical Center and her son works as a registered nurse in San Diego, California. She is a grandmother of 2 vibrant and beautiful granddaughters.

Fun facts about Tonya Santiago: she is accident prone, has nine fingers (from a traumatic amputation at age 9) and helped to deliver her 2nd child (her son).

Abstract

Nurse Practitioners employed in Emergency Medicine within an academic system have daily interactions with multiple specialty services. From Trauma Surgery to neurology, Ophthalmology to Rheumatology, Interventional Radiology to Colorectal Surgery, Hematology-Oncology and more, the breadth of academic medicine is represented within the system. ED NPs must be prepared to advocate for their patients by identifying a need for consult, formulating an appropriate consultation question, ordering preliminary lab or radiology testing in preparation for a potential consult, and then mastering an effective presentation to the consulting team so that a clinical need or question can be addressed. A case presentation to a specialist must be clear, concise, and tie together all pertinent information. The initial presentation to a consulting team can either forward the case expediently, or create a potential delay in care. When imposter syndrome affects NP practice, these interactions can be challenging.

Learning Objectives

• Name 7 skills the NP practicing in the Emergency Department of an Academic Medical Center must develop to facilitate meaningful interactions with a breath of specialty services.
• Discuss at least 5 elements of an effective case presentation to a specialty service within academic medicine.
• What are 3 common feelings of a professional who faces the challenges of Imposter syndrome
• Detail 5 affirmations and/or effective interventions for an NP who is addressing imposter syndrome, or feelings of anxiety and intellectual self-doubt, within the work environment
• Discuss a challenging case presentation you experienced that either succeeded, or did not succeed. Discuss any feelings of intellectual self doubt that may have influenced your clinical discussion, and your opinion of any effect on patient outcome.

Don’t Ask, Don’t Tell! Pregnancy-Related, Hypertensive Emergencies That Are Easy to Miss

Toni Dobson, MSN, ARPN, FNP-C, ENP-C - Nurse Practitioner, PEMA

Nurse practitioner working in Chattanooga, TN at Erlanger's Children's Emergency Department and Erlanger's OB Emergency Department. She additionally leads the APP educational team at PEMA and hosts a pediatric EM podcast called PEM Chatt.

Abstract

In this interactive, case-based presentation, we will cover a variety of ED presentations of pregnancy-related HTN, including pregnant and postpartum examples and some that were near-misses. Cases will be linked to the 2024 ACOG guidelines published to help non-obstetric providers manage pregnancy-related emergencies. We will discuss how to diagnose gestational hypertension, Pre-eclampsia, and Pre-eclampsia with severe features. Then, we will decide together how to treat each patient and determine who gets admitted and who goes home.

Learning Objectives

• Develop a method to consistently identify this at-risk population of women.
• Define mild and severe range blood pressure and identify what requires urgent management.
• Diagnose gestational hypertension, pre-eclampsia, and pre-eclampsia with severe features.

Advancing Pain Management in Emergency Medicine: Innovative Approaches to Regional Anesthesia

David Warren, DNP, CRNA, FNP, ACNP, ENP - Nurse Practitioner, David Warren NP PLLC

David Warren is board-certified as a Family, Acute Care, and Emergency Nurse Practitioner, with 10 years of experience spanning academic, community, critical access, and austere/wilderness emergency medicine environments. He is also a CRNA practicing in independent/CRNA-only environments. David earned his doctor of nurse anesthesia practice degree from National University in San Diego, California, and his master’s degree in nursing from the University of Alabama at Birmingham. His clinical interests include ultrasound-guided regional anesthesia, opioid-sparing and opioid-free anesthesia, and difficult airway management.

Abstract

This session will focus on innovative approaches and advancements in the use of regional anesthesia within the Emergency Department to control acute and chronic pain. Emergency Nurse Practitioners will gain insights into indications/contraindications to regional anesthesia, local anesthetic pharmacology, and basic/advanced regional anesthetic techniques that can be employed in the emergency department setting. Attendees will engage in case studies, and practice identifying anatomy on ultrasound images to understand how these advancements can enhance pain management and improve patient outcomes.

Learning Objectives

• Explore basic and advanced regional anesthesia techniques: Learn about the latest advancements in regional anesthesia, including ultrasound-guided nerve blocks, local anesthetic pharmacology, and their applications in the ED setting.
• Implement innovative pain management strategies: Develop the ability to apply new techniques and tools for regional anesthesia to improve pain management and patient outcomes in the emergency department.
• Optimize efficiency and safety: Analyze how advanced regional anesthesia techniques can reduce the need for systemic opioids and enhance overall efficiency and safety in patient care in the emergency department. Discuss local anesthetic systemic toxicity (LAST) and it’s treatment.
• Address and mitigate contraindications to regional anesthesia: Identify and address specific contraindications to regional anesthesia.
• Specific regional anesthetic blocks: Utilize evidence-based approaches to compare and contrast different regional anesthetic techniques that can be utilized in emergency medicine, including upper extremity blocks, lower extremity blocks, and truncal blocks.