Sunday, December 14, 2008
Keynote Address emphasizes “stop the bleeding… start the healing”
Timothy B. McDonald, MD, JD, presented the AARC Keynote Address Saturday, Dec. 13, to an audience of more than 2,000 respiratory care professionals at the AARC Congress in Anaheim, CA.
As chief safety and risk officer for health affairs at the University of Illinois at Chicago, Dr. McDonald oversees a disclosure program that has increased safety for patients and reduced the number of malpractice suits. His presentation, “Legal and Ethical Pitfalls in Respiratory Care,” offered information and encouragement aimed at changing the culture in health care to support effective ways to report, investigate, communicate, take responsibility, and resolve patient safety issues.
Dr. McDonald emphasized that the respiratory therapist is a valuable member of the health care team and, armed with special expertise in respiratory care, can provide crucial input in patient risk and safety matters. We must “stop the bleeding and start the healing,” he said, noting that families of patients harmed by safety violations generally appreciate the opportunity to communicate safety concerns. They want the facility to correct problems so that other patients will not be harmed by the same unsafe practice.
The AARC’s 2008 Keynote Address was supported by an unrestricted educational grant from GE Healthcare.
The Association’s 2009 officers, directors, and House of Delegates officers were installed this morning during the AARC Annual Business Meeting. Reports were presented by the AARC president, treasurer, and executive director, along with the ARCF, House of Delegates, and Board of Medical Advisors. (Read the president’s and treasurer’s reports in this section.)
The Annual Meeting also featured the presidential address by Toni Rodriguez, EdD, RRT. “I have been blessed to represent one of the most dynamic professions in the world at the time of its greatest achievement,” she said, listing a number of advancements the profession has made [see president’s report below]. “As I leave my term as president,” she concluded, “I am confident in the future of my profession.”
Newly elected officials were also installed, including: Timothy R. Myers, BS, RRT-NPS, 2009–2010 AARC president; and Karen Stewart, MSc, RRT, FAARC, secretary/treasurer; George Gaebler, MSEd, RRT, FAARC, vice president of internal affairs; and Joseph Lewarski, BS, RRT-NPS, FAARC, vice president of external affairs. The following are joining the Board of Directors: Debbie Fox, MBA, RRT-NPS; Doug McIntyre, MS, RRT, FAARC; John Lindsey, Jr., MEd, RRT-NPS; and Michael Tracy, BA, RRT-NPS.
The chairs-elect of the following specialty sections also took office: Long Term Care: Gene Gantt, RRT; Management: Douglas Laher, MBA, RRT; and Surface and Air Transport: Steven Sittig, RRT-NPS, FAARC.
2008 AARC Executive Reports
by Toni Rodriguez, EdD, RRT
As I close the chapter on the first 2-year presidency for the AARC, I am thankful for the experience. I have been blessed to represent one of the most dynamic professions in the world at a time of its greatest achievements. Upon review, you will agree that as an Association we have been extremely busy and effective. Thank you for the opportunity to serve as your President. The top 10 events and/or accomplishments of my presidency are as follows:
by Colleen Schabacker, BA, RRT, FAARC
In 2008, a global economic crisis was suggested by several important indicators of economic downturn worldwide. These included high oil prices, which led to both high food prices and global inflation; a substantial credit crisis leading to the bankruptcy of large and well established investment banks as well as commercial banks in various nations around the world; increased unemployment; the melt down on Wall Street; and the possibility of a global recession.
However, rest assured, your AARC remains financially sound.
I can’t express in words how gratifying it has been to serve as your Secretary/Treasurer this year. I would like to thank each and every one of you for going beyond where you thought you could go and for making this year such a huge success.
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This year’s 35th Donald F. Egan Scientific Memorial Lecture, “The Cardiopulmonary Physiology of Dinosaurs,” will be presented Sunday morning by David J. Pierson, MD, FAARC, editor emeritus of the Respiratory Care journal.
Dr. Pierson will present a serious but entertaining examination of dinosaurs, using evidence from paleontology, comparative physiology, and the ICU to appreciate the circulatory and respiratory physiology of Earth’s largest animals.
The Egan Lecture is supported by an unrestricted educational grant from GE Healthcare.
What are attendees learning at the Congress? These key lectures provide a great example of the cutting-edge topics covered during the meeting:
The AARC’s 24th Annual New Horizons Symposium will provide a critical review of “Neonatal Respiratory Care,” co-chaired by Peter Betit, RRT-NPS, FAARC, and Steven M. Donn, MD, on Sunday, Dec. 14, from noon to 5 pm. Eight lectures are scheduled, including “Oxygen Therapy Techniques in the Neonate,” “Surfactant Replacement Therapy,” “Bronchopulmonary Dysplasia,” and many more.
Richard M. Kallet, MS, RRT, FAARC, will present the 24th Phil Kittredge Memorial Lecture titled “What Is the Legacy of the NIH ARDS Net?” This special session, named after former Respiratory Care editor Phil Kittredge, will be offered 8:30 Monday morning and will offer an insider’s view of the workings of the network and its expected long-term impact on critical care research. Don’t miss this insightful look at the major breakthroughs of the ARDS Net, its place in medical history, its accomplishments, and, yes, even its controversies.
by Steven Nelson, MS, RRT, FAARC, AARC Associate Executive Director
Every year, the American Respiratory Care Foundation (ARCF) presents multiple awards during the Awards Ceremony at the AARC Congress, and the whole process depends on a group of people who never get noticed: the educators who help review all of the applications that come in each year. We have a core group who have done a great job for the last several years, and I wanted to take this opportunity to thank them for their assistance. Without them, we would not be able to dig through the piles of personal essays and scientific papers that are submitted for the awards:
The Exhibit Hall at any AARC Congress can be overwhelming—so much to see, so much to do, so many vendors to visit.
Making sure you go home with what you came for takes a little organization, so here are a few tips we believe will help everyone make the most of this key Congress experience:
Remember it’s all a Buying Show as well. You can make deals right on the Exhibit Hall floor, often with special discounts just for Congress attendees. In fact, many attendees end up covering the cost of their trip solely through the savings they realize from these onsite transactions.
So get your plan down in writing and set it in motion. The hall will be open Saturday, Sunday, and Monday, 11 am–4 pm.
Peak Performance USA was a big hit back in the 1990s, when hundreds of AARC members used the program’s pre-packaged materials to go into their local schools and educate teachers, school nurses, and other personnel about managing asthma in alignment with the national asthma guidelines.
Now Peak Performance is back, and this time it is entirely based on the Internet. It can be found at www.PeakPerformanceUSA.info. Each school that participates in PPUSA will receive a complimentary peak flow meter and valved holding chamber. We thank Monaghan Medical, Lupin Pharmaceuticals, and Forest Laboratories, who provided an unrestricted grant making this possible.
Congress attendees are invited to the AARC Information Center in the Exhibit Hall today, where Tom Kallstrom, AARC COO, will provide more details about Peak Performance USA.
If you’re like most attendees at this year’s Congress, you came for the wealth of information that will be presented and the chance to network with peers from all over the country. Unfortunately, there are some other people lingering around this year’s meeting with an entirely different agenda. Large professional gatherings in major metropolitan areas may attract thieves and con men, and the savvy conventioneer will put security at the top of the list. Here are some common-sense ideas:
By Charles McArthur, BA, RRT, RPFT
There have been many recent innovations in the field of interventional bronchoscopy, according to Dr. Eric Edell, director of interventional pulmonary at the Mayo Clinic in Rochester, MN. In a talk delivered today, Dr. Edell reviewed new methods for the treatment of endobronchial disease and endobronchial obstruction. Techniques like autofluoresence bronchoscopy can identify early cancers before they are apparent during routine visualization. Navigational bronchoscopy combines bronchoscopy with other imaging techniques to more precisely obtain tissue samples. Endobronchial ultrasound (EBUS) has been developed to improve the yield of mediastinal lymph node sampling.
Lois Rowland, RRT-NPS, RPFT, respiratory care clinical coordinator at CJW Medical Center in Richmond, VA, followed Dr. Edell with a presentation describing the role of the respiratory therapist assistant during EBUS at her hospital, where two respiratory therapists assist during EBUS procedures. Rowland described the training involved to begin an EBUS program. The therapists must not only learn the EBUS technology, they must also learn about specimen preparation and handling. Respiratory therapists monitor the sample catheters for signs of bleeding as well, and must w ork closely with the interventional bronchoscopists to ensure a safe procedure for the patient.
by Steve Sittig, RRT-NPS, FAARC
Those in attendance for this Saturday afternoon presentation were treated to an outstanding lecture on goal directed therapy; specifically, how it relates to recognition and treatment of pediatric shock.
Richard A. Orr, MD, stated that pediatric shock is often under-recognized and can often be misclassified as respiratory distress. He went on to discuss that recognition and early treatment significantly reduces mortality in these patients. Case presentations reinforced the topic. Especially interesting was a video of an unresponsive infant with severe shock. Within minutes of receiving the needed fluid boluses, the child began to respond and interact with his surroundings.