Scalpels and scenarios, paired with step-by-step videos and instructor guided dissections, allow attendees to experience an unforgettable view of medical & traumatic CARDIAC emergencies with a special pediatric focus. Attendees will do even more procedures during this 2-hour hands-on heart dissection lab that was developed to help review and reinforce the essentials of cardiac anatomy, "from the inside out!"

Note: Emergency skills will be practiced on harvested pig organs. NO animals were euthanized for the purpose of this course.

So you have are a new leader in your organization or you have a new leader in your organization and you want to ensure success in the new role but your not sure how to achieve greatness, make sure you check all 10 boxes for leadership success. This session will go into 10 key points for new leaders to ensure they succeed in the roles. From mentor-ship to leadership resources, from creating a written road map to writing an incident report, this course will go into what you need and where to find it! This class is for the new leader and for those who manage new leaders so that together you can create a leadership team that achieve great things together!

This session is unique each time presented as it is based on direct feedback and requests from the audience. With more than 30 years of experience as an EMS educator, textbook and test bank author, and EMS education columnist for EMS World Magazine, Rom Duckworth will present the top tips to build an effective lesson, topple test anxiety, improve reading and test performance (both written and practical), step up psychomotor skills, and what every presentation needs to keep students engaged. With no time wasted, this program presents the key points of more than a decade of evidence-based-education articles in EMS World magazine.

The role of EMS continues to dramatically evolve. Agencies and practitioners are implementing new services that enhance the value EMS bring to patients, payers, hospitals, home care and hospice agencies. This session will provide an overview of the programs implemented over the past year and the ways they are generating value to their key stakeholders.

LEARNING OBJECTIVES
i) Understand the current research happening at the federal level related to first responder mental health and suicide
ii) Describe the risk factors for suicide in the first responder system
iii) Explain why improving data collection will help identify evidence-based solutions and treatments

This interactive and dynamic course is designed to allow participants to engage in training that will equip them for an Active Shooter Hostile Event Response (A.S.H.E.R). Emergency Medical Service agencies, Fire Departments, and Law Enforcement agencies will assume various roles of unified command during a full scale, hands-on, complex incident.

The class will begin with an informative presentation on best practices and industry standards regarding an Active Shooter Hostile Event. The class will be conducted by a cross-section of industry professionals with backgrounds including all-hazard incident management team leaders, special operations technicians and commanders, task force team specialists, and members of the Orange County Fire Rescue Department Operations division and Training and EMS Sections.

Participants from the command-and-control lesson will have the opportunity to direct participants involved in the operator class through a vigorous and intense scenario to bring elements of an ASHER into perspective. The scenario will include multiple events in satellite locations that will be streamed to the incident command post. Additionally, participants will be given indispensable information to implement a new program or enhance their current program back at home. Participants will be able to observe a functioning patient collection point, as well as patient treatment triage and transport.

Course components will focus on the following areas: Incident Command System, Unified Command, ASHER, RTF concept, integrated response, and NFPA 3000.

This interactive and dynamic course is designed to allow participants to engage in training that will equip them for an Active Shooter Hostile Event Response (A.S.H.E.R).

The class will begin with an informative presentation on best practices and industry standards regarding an Active Shooter Hostile Event. The class will be conducted by a cross-section of industry professionals with backgrounds including all-hazard incident management team leaders, special operations technicians and commanders, task force team specialists, and members of the Orange County Fire Rescue Department Operations division and Training and EMS Sections.

As an operator, the participant will have an opportunity to acquire skills necessary to successfully navigate the tactical components of an Active Shooter Hostile Event Response (A.S.H.E.R.). This course is designed to provide first responders with a wide range of proven tactics and techniques regarding response to an active threat while delivering patient care and patient movement during a hostile event.

Participants will rotate through stations focusing on position-specific roles to include Rescue Task Force movements and functions, patient care, and patient packaging and movement. ASHER Operations (ASHER OPS) participants will have the opportunity to work side by side with local agencies while demonstrating their competency through a vigorous and intense scenario bringing elements of an ASHE into perspective. Participants will be able to observe a functioning patient collection point, as well as patient treatment triage and transport.

Course concepts will include a focus on Rescue Task Force concept, Unified Command, ASHER, NFPA 3000, and integrated response.

Approximately 45,000 people are hospitalized for burn injuries each year and will benefit most from the knowledge gained in the Advanced Burn Life Support (ABLS) Provider Course. The quality of care during the first hours after a burn injury has a major impact on long-term outcome; however, most initial burn care is provided outside of the burn center environment. Understanding the dynamics of ABLS is crucial to providing the best possible outcome for the patient. The ABLS Provider Course is designed to provide physicians, nurses, nurse practitioners, physician assistants, firefighters, paramedics, and EMTs with the ability to assess and stabilize patients with serious burns during the first critical hours following injury and to identify those patients requiring transfer to a burn center. The course is not designed to teach comprehensive burn care, but rather to focus on the first 24 post injury hours.

Paramedic training programs often encounter students that have relevant training, education and experience before beginning a paramedic course. But what is the best way to take those prior qualifications into account? Educators can use curriculum reviews and assessments to avoid unnecessary repetition. This session will explore how to effectively use advanced placement to grant students credit for prior education and experience, including how to ensure compliance with accreditation and certification requirements. Come learn how advanced placement may be utilized by your program to enhance paramedic workforce pathways.

You can have an organization that’s on top of its game, clinically excellent, accredited and financially solvent, but all progress and momentum can be halted or changed beyond recognition as a result of four simple words: all those in favor. Politics and politicking is pervasive and exists at every level of the EMS world.
Politics is not just a four-year event. It is ever-present in the real world, surrounding every element of every type of public safety organization. Police and fire chiefs are generally political appointees; sheriffs are publicly elected in a political process; and even EMS organizations have owners, boards and shareholders.
Politics with a large and small P abound! Because of this, a modicum of knowledge and understanding of federal and, more important, local politics is a key to success for EMS agencies. The master principle is that the majority will always rule, so your mission must be to ensure you have more votes or influence than the other guy/party. If you have the votes, politics will flow your way, and you won’t get voted off the island! Rob Lawrence has navigated politics at local, state, and federal levels and will discuss the traps, pitfalls, and opportunities.

In California, by statute, patients that contact 911 can only be transported to licensed Emergency Departments. In Los Angeles County, psychiatric patients are required to be transported to the nearest Emergency Department, regardless of psychiatric capabilities. Beginning in 2019, the Los Angeles County Fire Department (LACoFD) began a pilot project to use telemedicine to enable a medical clearance to transport mental health patients to psychiatric urgent care centers. The result of the pilot has been hundreds of patients transported to centers designed and resourced to optimize their care while reducing ambulance patient offload time (APOT). While the LACoFD used nurse practitioners and physicians to validate the triage tool, the instrument is well within the paramedic scope of practice. In this talk, we will discuss the statutory and political barriers, the reasons why patients benefit, the tangible benefit to EMS providers, and a vision for the future.

In the market for a new or redesigned ambulance? New this year to EMS World Expo is the Ambulance Marketplace mini-meeting, a unique opportunity for attendees to hear from EMS leaders with experience in researching, designing, and purchasing vehicles. After a didactic portion, the moderators will guide attendees on a tour of vehicle manufacturers’ booths in the Expo Exhibit Hall before they are open to the public. Get an up-close look at the latest offerings to give your patients and providers the best in safety and efficiency.Learning Objectives:• Attendees will be able to analyze the pros and cons of ambulance designs• Attendees will be able to apply decision-making metrics to purchasing decisions• Attendees will be able to evaluate their own agency's needs vis a vis what an ambulance design provides

Do you know the most ideal analgesic and sedative combination for your critically ill and crashing mechanically ventilated patient to maintain patient comfort and ventilator synchrony? This lecture will discuss the importance of analgosedation in intubated patients and review the different pharmacological agents used in clinical pre-hospital medicine. The "A1 Sedation" model will be presented as well as the most recent cutting edge literature surrounding the use of different analgesics and sedatives and how to optimize these agents in different clinical scenarios.

Like many metropolitan jurisdictions, Montgomery County, Maryland has experienced a steady increase in 911 calls for Emergency Medical Services (EMS). Longitudinal trends have demonstrated that system superusers are experiencing non-emergency events, such as chronic illness, behavioral health issues, and/or substance abuse challenges. Both EMS and APS saw an opportunity to coordinate their response and improve their partnership to more readily provide the most appropriate assistance and resources to address these needs. Since 2015 when EMS and APS began a coordinated response to superusers, a significant reduction in 911 usage by these patients ensued. In 2019, APS embedded a nurse and social worker in MIH, which has resulted in a seamless collaboration where APS and EMS field evaluations occur simultaneously. During the pandemic, the APS nurse was a key player in the EMS/FRS Viral Leave at Home Program, where the MIH Team followed up on more than 514 presumed positive Covid-19 patients, earning an award from the National Association of Counties, Criminal Justice/Public Safety Award. The attendees can expect a review of the growth of this key partnership, which has resulted in near 100% APS referral acceptance from EMS, and the many benefits of shared training, resources, and “fast-tracked” communication.

With an increasing emphasis on the EMS staffing shortage, it is imperative that EMS Education programs of today, ensure they are meeting the needs of tomorrow’s EMS students. While some education programs have been around for decades, it is important to ensure those programs have adapted and adjusted to the changing times, just as EMS Providers have had to adjust to changing science. Gone are the days where educators should expect students to “have no life” in place of studying/school, expect students to endure rude or unprofessional preceptors, or expect students to tolerate a lack of flexibility in the learning process. Personalized learning, adaptive and mobile learning resources, caring and understanding of student challenges and being able to adapt to them are just a few of the characteristics many Generation Z students expect. This session will highlight successful strategies to manage this new generation of students.

The ability to provide caring, competent and compassionate care under any condition is a trademark of the professional EMS provider. However effective bedside manner is often undervalued and overlooked by EMS training programs. We will discuss how the concepts of empathy, respect and compassion can be explored and embedded during initial training and education.

Autism Interactions for First Responders was created to bring awareness to what autism is, and what it isn't. The discussion revolves around what we can do in emergencies to make our interactions better for those living with Autism and their families/caregivers while handling emergency situations. It also gives direction for emergency services to support the public and their own personnel in dealing with the day-to-day challenges that can come with living with being on the spectrum, or being a caregiver. This training was created by and vetted by EMS providers, mental health professionals, and caregivers of those on the Autism Spectrum.

Most emergency responders are injured or have been killed within the first 5 minutes after arriving on scene of a hazardous materials incident. For this reason, we will define a hazardous material, discuss five modes of transportation, placards, nine classifications of chemicals and will look at a few hazardous materials case studies. Most incidents you will respond to will involve injured people that misused the product are was unaware of the risk and danger of the chemical. This session will make you aware of the high risk and low frequency occurrence of major hazardous materials incidents. Data indicates most chemical injuries involve the anterior portion of the body including face and hands, and in most incidents the injury will result in burns, inhalation, skin irritations, and eye irritations. Exposure may be minor, while in most cases injury is serious and medical attention is required. This session will discuss Meth Labs and Chemical Suicides. This session will include a unique slide show and will review world incidents that will help prepare you should it happen in your area. This sessio will review case studies of hazardous material incidents that have occurred in the United States in the last 5 decades.

“What I hear, I forget. What I see, I remember. What I do, I understand." Xunzi (340 - 245 BC). Go beyond the Basics of Broselow and Handling Handtevy in this all hands-on, rapid rotation based review of pediatric emergency care. Team based scenarios will review the key features of various peds “cheat sheets” as well as ways to identify essential equipment, master medications, and more to minimize the terrors of tiny tots and traumas. Remember… “Practice makes perfect” and “Proper planning prevents poor pediatric performance!”

While many are aware that Franklin founded America's first organized fire department, fewer know that Franklin also cofounded America's first hospital. Franklin’s interest in building and protecting strong communities has left us with many lessons to inspire and guide fire, rescue, and EMS leaders in the twenty-first century. His advice is as applicable to emergency responders today as it was to its hard-working readers of the eighteenth century. Perhaps America's most beloved founding father, Ben Franklin's timeless wisdom is as relevant to emergency responders today as when he started publishing Poor Richard's almanac more than 280 years ago.