Courses

The majority of time in our labs is spent actually performing procedures with individual coaching.
Passive listening is not what we’re about.

All courses are approved for Category 1 CME Credits

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Maine Medical Education Trust and Critical Care Training Associates. The Maine Medical Education Trust is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.

The Maine Medical Education Trust designates most of these live activities for a maximum of 4.0 AMA PRA Category 1 Credits. Some can be extended to up to 7 hours. Physicians should only claim credit commensurate with the extent of their participation in the activity.

  • Class Duration: 4 Hours
    Can increase up to 7 CME-approved hours with additional procedures.

    Surgical Airway Lab (SAL)

    The Surgical Airway Lab provides a realistic and practical approach to a procedure that is generally reserved for the most desperate of difficult airways. Each student gets her own pig trachea and skin, and the procedures are taught with clear and fundamental anatomical principles, so the surgical airway becomes “demystified” and simplified into a straightforward procedure that is relatively easy to perform. Our technique has had proven success over the years in actual application.

    SAL Course Outline (1 hour):

    Overview and anatomy
    Individual practice with coaching accessing the cricothyroid membrane

    The cadaver lab immediately follows the SAL

    CADAVER LAB (CL)

    Working with fresh sheep cadavers, CL is the ultimate hands-on practical experience for learning and practicing trauma and airway procedures. Students have ample opportunity to practice intubating a difficult, traumatic airway, and fresh cadavers provide an excellent model to master your intubation technique. We create real-world hang-ups and difficult situations, so after the course you will be prepared for even the most difficult airways. We then teach and practice essential procedures in trauma management including the surgical airway and chest procedures such as needle, simple, and tube thoracostomy.

    We end with the “Trauma Team Challenge,” which is a team approach to executing multiple trauma procedures in a time-sensitive event that puts it all together.

    It's important to note that we treat the animals humanely. All of our animals are raised for meat, and we do not inject any medications or contaminate the meat, so after the class they are butchered and enter the food chain. We simply add a “training” step between slaughtering and butchering, and they are always put down in a completely humane way. This fresh cadaver model is most humane way to train using animals.

    CL Course Outline (3 hours):

    Intubation on fresh cadavers
    Needle cric, jet ventilation
    Chest procedures
    Trauma Skills Challenge

    Optional additional procedures:(CME credit applies)

    -Resuscitative Thoracotomy
    -Lateral Canthotomy
    -Hemostatic Wound Stapling
    -Escharotomy
    -Intraosseous access
    -Others by request

    **Are you interested in participating in just the Surgical Airway Lab? Contact Us.

  • Class Duration: 5 hours

    The Difficult Airway Lab provides a solid foundation for solving the vast majority of real-life difficult airway problems.

    Most difficult airway problems can be successfully solved by careful attention to fundamental concepts, principles, and techniques. The purpose of this lab module is to teach, tune up, practice, and perfect these critically important foundation skills under close supervision.

    Using a variety of specially modified mannequins and models, the curriculum emphasizes endotracheal intubation under difficult conditions. When ET intubation is unsuccessful, a variety of problem-solving concepts, techniques, and devices are used.

    We teach how to approach every intubation as a difficult airway, so that you become successful managing the entire bellcurve of airways, and aren’t thrown off when one requires troubleshooting.

    The RSI tutorial included in the DAL is a hands-on introduction to understanding the “touch and feel” of RSI in an emergency setting. After a review of the essential concepts and principles of the RSI sequence, participants work in small groups to practice a team approach to RSI.

    DAL Outline (3 hours):

    Difficult Airway – perspective and practical applications
    Difficult Airway Anatomy
    Very Difficult Airway
    Intubation technique
    Direct Laryngoscopy
    Video Laryngoscopy
    Bougie
    Position (HELP)
    C-Spine stabilization
    On the floor intubation
    Confirmation, Tube location, and Securing the tube
    Supraglottic Airway
    RSI tutorial
    Common problems and solutions

    RSI Lab

    The RSI lab is a continuation of the DAL with a more advanced overview of RSI.

    The RSI lab is a comprehensive hands-on approach to understanding RSI in an emergency setting. After a review of the essential concepts and principles of the RSI sequence, participants work in small groups to practice a team approach to RSI. Following a period of supervised practice, each group is tested in a patient simulation.

    RSI Lab outline (2 hours):

    Purpose and principles of RSI
    RSI sequence
    Introduction to RS pharmacology
    Team approach to RSI
    Common problems and solutions
    RSI simulations

  • Class Duration: 1.5 hours

    The purpose of the IVM module is to demystify, simplify, and teach in a retainable way how to manage a patient with on a ventilator in the emergency setting.

    After an overview of the essential concepts, principles, and pharmacology of IVM, participants work with a series of interactive case studies to apply these concepts, and to make good decisions in the management of patients in a practical clinical setting.

    Course Outline:

    -45 minute lecture on IVM including concepts and principles, common problems and solutions, and case studies
    -Q&A
    -IVM decisions: Interactive Case Studies

  • Class Duration: 3 hours

    The Wound Repair Lab is a hands-on tutorial on the emergency management of traumatic wounds. Fundamental concepts and principles for the initial phase of wound management are first reviewed. Both fundamental and advanced techniques of wound closure are demonstrated by experienced CCTI instructors. Following this demo, participants then practice these techniques under close supervision, using a variety of fresh porcine tissue and skin preparations

    Course Outline:

    Wound healing
    Wound preparation
    Wound closure
    Fundamental suture technique
    Advanced suture technique
    Common problems and solutions

  • Class Duration: 1.5 hours

    The Procedural Sedation tutorial is a comprehensive approach to the practical realities of procedural sedation in an emergency setting. After a review of the essential concepts, principles, and pharmacology of Procedural Sedation, participants work with a series of interactive case studies to apply these concepts, and to make good decisions in the management of real patients in practical clinical setting.

    Course Outline:

    Concepts and principles of PS
    Definitions of sedation categories
    PS pharmacology
    PS monitoring and documentation Common problems and solutions

  • In development and coming soon