EMS EXPO ATTENDEES
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The Rest of the Story: Using EMS Outcome Data to Evaluate Treatments and Monitor National Trends
Media reports of individual patient outcomes have focused on specific EMS interventions without the benefit of the larger context. The power of integrated data — from dispatch to discharge — allows for a much more accurate and complete analysis. Join this interactive session with Dr. Myers and Dr. Crowe to learn how linked EMS and hospital data have been used to predict outcomes for EMS patients, add context to national conversations around treatments like ketamine, and monitor epidemiological trends.
The Redesign of the National Registry ALS Exam
The EMS community has provided feedback over the past several years that it was time for adjustments to the Advanced Life Support (ALS) examination – specifically, the psychomotor examination. The data from the 2019 ALS Practice Analysis supported the feedback. It was clear to the National Registry that it was time to evolve the way candidates are assessed for minimum competency by introducing a refined ALS examination while also sunsetting the current ALS psychomotor examination.
The ALS Examination Redesign is an refinement and improvement to the National Registry’s examinations. It will provide
a better way to protect the public, to align more closely with the needs of the EMS community, and to better align with
emerging and best practices in the certification industry.
The ALS Examination Redesign is an refinement and improvement to the National Registry’s examinations. It will provide
a better way to protect the public, to align more closely with the needs of the EMS community, and to better align with
emerging and best practices in the certification industry.
Extreme Gun Shot Wounds 'When Seconds Count'
This session is designed to help Prehospital Care Practitioners better understand and manage Extreme Gun Shot Wounds.
Each year nearly 42,620 people are killed as a result of firearms. Annually, 117,345 people Dial 911 and use the Emergency Medical Services for Extreme Gun Shot Wounds. ~15,343 are murdered while ~76,725 will survive. The high incidence of injury and death due to firearms is second only to motor vehicle accidents.
This session will use gun violence data collected from U.S. Cities including the City of New Orleans "The Big Easy"! During this session we will discuss types of weapons used and explain the following topics:
• Types on Injuries
• Mechanisms of Injury
• Kinetic Energy
• Shock from Blood Loss
• Stop the Bleed
• Basic and Advanced Life Support
• Trauma Protocols & Activations
Each year nearly 42,620 people are killed as a result of firearms. Annually, 117,345 people Dial 911 and use the Emergency Medical Services for Extreme Gun Shot Wounds. ~15,343 are murdered while ~76,725 will survive. The high incidence of injury and death due to firearms is second only to motor vehicle accidents.
This session will use gun violence data collected from U.S. Cities including the City of New Orleans "The Big Easy"! During this session we will discuss types of weapons used and explain the following topics:
• Types on Injuries
• Mechanisms of Injury
• Kinetic Energy
• Shock from Blood Loss
• Stop the Bleed
• Basic and Advanced Life Support
• Trauma Protocols & Activations
The New 2021 Field Triage Guidelines: Who, What, and Why
The EMS Field Triage Guidelines (FTG) were originally developed in 1976 by the American College of Surgeons (ACS), with periodic revisions every 5-10 years. The most recent revisions of the FTG were led by the US Centers for Disease Control and completed in 2011. In March of 2022, the next FTG revision will be released by the ACS. Our presentation will provide the audience member an overview of the new guidelines, an insider’s view of the revision process, and education and dissemination tools that can be brought back to their home departments.
The revisions were based on an extensive literature review, end-user feedback on the 2011 guidelines, and expert opinion. The presentation will examine the current literature, the results of the end-user feedback collection, and will describe the performance measures and education tools related to the new guidelines. Many of the audience members likely provided end-user feedback, and this presentation will highlight how their opinions contributed to the new guidelines.
The revisions were based on an extensive literature review, end-user feedback on the 2011 guidelines, and expert opinion. The presentation will examine the current literature, the results of the end-user feedback collection, and will describe the performance measures and education tools related to the new guidelines. Many of the audience members likely provided end-user feedback, and this presentation will highlight how their opinions contributed to the new guidelines.
The Meta-bolic Nightmare Case: Resuscitation at its Highest
Eric takes a look at a very difficult case of multifactorial resuscitation with an adult male patient. We dive deep into all things resuscitation and analyze factors that drive our decision-making. This takes the "acidosis rodeo podcast series to another level
The EMS Performance Examination - A Competency Assessment Innovation Grounded in Science
The course will embrace many questions related to NREMT’s transition to the innovative situational judgement test. The EMS Performance Examination will described, a discussion regarding the rationale for the modification, areas of assessment, the use of technology-enhanced items, timeline for implementation, and the ultimate withdrawal of the existing ALS psychomotor examination process will be reviewed.
The Data-Driven Truth on the Impact of COVID-19 on EMS Providers
The COVID-19 pandemic has been an unprecedented event that continues to threaten the short and long-term mental wellbeing of the EMS workforce in Kentucky and the United States. In ordinary circumstances, emergency medical personnel are at risk of psychological impact from work-related stress and exposures. However, in the context of COVID-19, did it really get worse? How much worse? In April of 2020, the Kentucky Board of EMS and Eastern Kentucky University engaged in a joint, IRB approved project to assess the impact of COVID-19 on key mental health outcomes that put providers at risk for PTSD - severity of depression, severity of anxiety, quality of sleep, and feelings of resilience. The purpose of this presentation is to review the collective findings of this data, discuss implications for the EMS workforce, and offer resources to improve outcomes.
The Creation, Development and Constant Evolution of a Leadership Education Program: The Secret Sauce Exposed
Leadership is a major key for success of an organization. It is poorly understood and seldom executed well. This presentation will provide the constructs for successful Leadership development program.
State of the Art of Advanced Airway Management: An Evidence Based Review
Advanced Airway Management (AAM) is a critical skill and a core tool in the EMS toolbox. But, as “everyone knows”, paramedics should not be intubating cardiac arrest. Or every piece of emergency apparatus should have an intubating paramedic on it. So… what is true, and what is “Fake News”? How are we to tell? Dr. Jarvis will provide a scientific basis by which medics can answer this question for themselves. He will provide a fast-paced review of the literature concerning EMS Advanced Airway Management and do so in a way that won’t put you to sleep.
Stop the Bleed Instructor Course
This session will provide Stop the Bleed training. This course teaches how to recognize and control life threatening hemorrhage and credentials participants to teach Stop the Bleed.
Standards, Capabilities and Placements: A paramedic degree with purpose!
As of September 2021, the only way to achieve to registration as a paramedic in the UK is to obtain a bachelors degree. This is seen as a great achievement and for valid reasons, however, the model relies on vague standards and no agreed core capabilities which can lead to significant regional variation. Should PALS be the only paediatric assessment? How long should each student spend in OBGYN? What ECGs must they know before graduation? Just some of the questions we do not have the answers for.
In 2021, the presenter took to validation a bachelors degree in paramedic science with new approach - built around a set of core capabilites with each student responsible for creating evidence of their work-ready status by the end of their 3-year programme. This presentation offers a detailed exploration of the standards, capabilities and placement requirements which underpin this new programme and offers practical guidance for creating a paramedic degree with purpose. It is relatively easy to create a degree course, but ensuring every single graduate is work-ready on completion requires careful consideration of the programme structure, faculty requirements and core capabilities to be achieved.
In 2021, the presenter took to validation a bachelors degree in paramedic science with new approach - built around a set of core capabilites with each student responsible for creating evidence of their work-ready status by the end of their 3-year programme. This presentation offers a detailed exploration of the standards, capabilities and placement requirements which underpin this new programme and offers practical guidance for creating a paramedic degree with purpose. It is relatively easy to create a degree course, but ensuring every single graduate is work-ready on completion requires careful consideration of the programme structure, faculty requirements and core capabilities to be achieved.
Ten Papers That Changed My Practice in 2021
A practice-based discussion (NOT a journal club, don't worry!) of 10 papers that changed my EMS practice in 2021. These are papers, for good or bad, that all paramedics, system directors, and medical directors should know about. We’ll cover current papers so the topics will change, but prior topics including the use of TXA for traumatic brain injuries and nose bleeds, characteristics of prehospital ketamine use, risk factors for peri-intubation cardiac arrest, the use of video laryngoscopy in cardiac arrest, and more.
Suboxone by EMS for Opioid Withdrawal- A community harm reduction intervention
WE discuss the pathophysiology of Opioid dependence and withdrawal and introduce the concept of Harm Reduction.
The pharmacology of buprenorphine and methadone will be presented as agents that can be used for medication assisted treatment for opioid addiction. The pharmacology of nasal naloxone (Narcan kits) and it role in community opioid harm reduction will be explored at length. The novel EMS based buprenorphine induction program started in 2018 at San Antonio Fire Department will be discussed with operational details, deployment strategy, and outcomes data.
The pharmacology of buprenorphine and methadone will be presented as agents that can be used for medication assisted treatment for opioid addiction. The pharmacology of nasal naloxone (Narcan kits) and it role in community opioid harm reduction will be explored at length. The novel EMS based buprenorphine induction program started in 2018 at San Antonio Fire Department will be discussed with operational details, deployment strategy, and outcomes data.
Orange Card CPR - The State of Resuscitation in the Alamo City. How the UT Health Office of the Medical Director Developed and Deployed a Novel CPR System.
Cardiopulmonary Resuscitation has been studied and analyzed for years. Healthcare has different modalities for compressions, respirations, medications and we still have similar out of hospital cardiac arrest save rates as we did decades ago. The University of Texas Health San Antonio Emergency Health Sciences Office of the Medical Director (OMD) physicians and clinical training officers sat down, last Fall, to discuss the current state of CPR training. We were not satisfied. The OMD wanted to address the next level of CPR and resuscitation and developed their own CPR program. UTHSCSA applied to the State of Texas, to provide its own brand of CPR training and recertification, called the Orange Card, and in doing so developed the first agency-specific CPR program in Texas and maybe the nation. This addresses CPR from the perspective of best practice per UTHSCSA / SAFD and applies this best practice to our citizens. This includes video telemedicine in dispatch, utilizing the latest prehospital civilian/responder alert applications, and an ECMO CPR alert. This allows the San Antonio Fire Department to provide an individualized level of CPR resulting in enhanced provider capabilities and the latest resuscitation practices for the citizens of San Antonio.
Paramedic independent prescribing the UK experience
In April 2018 paramedics in the United Kingdom (UK) became the first in the world to be legally allowed to train in and become independent prescribers. Allowing suitably experienced and qualified paramedics to prescribe a large range of medication in all areas of practice.
This presentation will look at the development of paramedic prescribing in the United Kingdom. The drivers, challenges, and legal framework for its introduction. As well as looking at how its introduction has benefitted patient care, and the developments still envisaged for the future.
The presenter was one of the first 190 paramedics annotated to prescribe independently in the UK and will discuss his experience of training and prescribing in practice.
This presentation will look at the development of paramedic prescribing in the United Kingdom. The drivers, challenges, and legal framework for its introduction. As well as looking at how its introduction has benefitted patient care, and the developments still envisaged for the future.
The presenter was one of the first 190 paramedics annotated to prescribe independently in the UK and will discuss his experience of training and prescribing in practice.
Practice Makes Better: Deliberate Practice and Motor Skill Acquisition
Learning new psychomotor skills is foundational to the EMS provider. How we as instructors teach critical skills is essential their precision and long term retention. This session will discuss principles of deliberate practice and provide a demonstration of how it can work in the busy EMS classroom.
Recognition and Treatment of Pediatric Sepsis in the Prehospital Setting
Meg Marino, MD, FAAP is the Interim Director and Medical Director for New Orleans EMS, Director of Pediatric Prehospital Education for Ochsner Health, and a pediatric emergency medicine physician. She completed pediatrics residency at the University of Colorado in Denver and Pediatric Emergency Medicine fellowship at Baylor College of Medicine where she served as chief fellow. Nationally she serves as the Chair-Elect for the American Academy of Pediatrics EMS subcommittee and on the Louisiana EMS Certification Commission. She lectures nationally to improve the prehospital emergency care that patients receive. Dr. Marino is passionate about provider wellness and focuses efforts on providing mental health support to providers. She is leading the Diversity and Equity Council at New Orleans EMS to help acknowledge biases in healthcare, working to improve access to care to marginalized communities and promoting diversity in EMS.
Quantifying Success in a Community Paramedicine Program
Tracking success in Community Paramedicine Program has its challenges. Learn how to quantify success in your Community Paramedicine Program so you can share your story. Gainesville Fire Rescue shares the benefits and challenges of metrics as a whole and what they have learned to make a difference in tracking the success of their Community Paramedicine Program including metrics such as primary care compliance, quality of life, and utilization results.
My Diverse-City
America has always been a country of open arms to welcome those who wish to come here to her shores. It is; however, inappropriate to conclude that these people groups should abandon their traditions and cultural values when they arrive. EMS personnel are often their first encounter with medical personnel, and EMS providers can establish the tone for their continued care. We will review multiple cultures found in our service areas and the special needs found in some of those groups.
Mountain Medicine: Lessons from Snowdonia, UK
Snowdonia National Park in North Wales, UK, attracts 10 million visitors every year, of whom about 120 become ill or injured "off the beaten track", and require the assistance of Mountain Rescue Teams and/or a Search & Rescue Helicopter.
Using data from a unique multi-agency database of Snowdonia mountain casualties collected between 2005 and 2018, this presentation reveals what really happens to people who become ill or injured in tourist destinations in inaccessible places... and some of the findings will surprise you.
Combining data, clinical pearls, an insight into the logistical challenges faced by volunteer Mountain Rescue team medics, and examples of the benefits that the multi-agency Bangor Mountain Medicine project brought to the local Emergency Medicine, SAR helicopter, & Mountain rescue community, come along if you are interested in trauma, enjoy the great outdoors, or want to see what multi-agency data can reveal.
Using data from a unique multi-agency database of Snowdonia mountain casualties collected between 2005 and 2018, this presentation reveals what really happens to people who become ill or injured in tourist destinations in inaccessible places... and some of the findings will surprise you.
Combining data, clinical pearls, an insight into the logistical challenges faced by volunteer Mountain Rescue team medics, and examples of the benefits that the multi-agency Bangor Mountain Medicine project brought to the local Emergency Medicine, SAR helicopter, & Mountain rescue community, come along if you are interested in trauma, enjoy the great outdoors, or want to see what multi-agency data can reveal.