Course provider

1 day course

Intended for:

  • rural ER physicians
  • rural GPs who work in rural ER
  • nurses who work in rural ER
  • paramedics who work in rural ER

Accreditation: 7.5 MainPro-C | 7.5 MainPro-M1

Click for course details

Format: Pre-reading, some lectures, hands on component interactive, team based learning and discussion, complex scenarios

Based on: CL Rural Critical Care Module – SRPC and best practices in educational programming

Equipment used: Central line torsos, intraosseous drill, ultrasound machines (1 from local), human models for ultrasound

This course travels to your community with a mandate to reach all community hospitals throughout BC

Topics covered:

  • Short lectures on: Approaches to the Shock Patient, Vasopressors, and Sepsis (Early Goal Directed Therapy)
  • Case discussions on Cardiogenic, Shock, Anaphylactic Shock and Hemorrhagic Shock
  • Central Line Insertion practice on mannequins
  • Use of Bedside Ultrasound in the Diagnosis and Treatment of Shock Patient – hands on practice on models, using the local and additional ultrasounds

Learning objectives:

  • To recognize and treat all types of shock, especially those that can successfully be treated in the rural emergency room with no immediate specialist backup;
  • To review real cases of complex presentations to emphasize the important teaching points;
  • To encourage rural physicians to consider the use of vasopressors and have a theoretical/evidence based approach to drug selection;
  • To discuss and learn new therapies that are standards of care in the ER;
  • To be familiar with early goal directed therapy for sepsis, and know how to apply these concepts in your setting;
  • To become confident placing central venous catheters, knowing indications, site selection, their risks and complications, and to use ultrasound to reduce the risk of insertion;
  • Use of intraosseous needles;
  • To learn the use of bedside ultrasound (the RUSH protocol) for the work up of the shock state;
  • To discuss methods of transport of critical care patients;
  • To model best practices for interprofessional communication and educational delivery. RNs learn how to manage central line catheters, administer vasopressors and measure CVP

Procedural skills learned:


  • central Line insertion
  • US use in the rural ER
  • RUSH protocol as well as other indications for bedside ultrasound – i.e., common ed uses, Intraosseous access


  • to review how to manage a central line
  • to review how to measure CVP from a central line
  • to review how to administer vasopressors
  • to practice IO insertion and management techniques

Affiliated with:
UBC Continuing Professional Development – email Andrea Keesey, Project Manager