EMS EXPO ATTENDEES
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Meet the Medical Directors Part II
Led by leading members of the so-called “Eagles” coalition, a de facto alliance of the jurisdictional EMS (9-1-1 system) Medical Directions from the nation’s largest cities and key federal agencies, this panel will explore distinct challenges to accepted practice. The Eagles have a track record for putting forth creative new approaches to problem solving in EMS along with novel observations and a wealth of EMS system data that have routinely changed future practices. In this session, Dr. Pepe, the main coordinator of the Eagles consortium, will moderate and introduce the other speakers who will report some of the latest discussions from this cohesive and very influential cadre of physicians and provide their vision of recent crises and things to come over the next decade.Learning Objectives:• Describe updates to management of cardiac arrest• Describe medical management of agitation• Describe updates to airway mangement
Speakers: TBD
Speakers: TBD
Lunch & Learn: FirstNet Innovation
FirstNet, Built with AT&T is in the fifth year of operation. Through hurricanes, wildfires, tornadoes and man-made emergencies, FirstNet has been there for public safety. The Response Operations Group has streamlined a process for deploying the 150+ dedicated assets in the FirstNet fleet across states and territories in an average of 14 hours or less. See how FirstNet has become your public safety partner and will continue to work with you for years to come.
Life Threatening Prehospital Electrolyte Emergencies
Hyperkalemia can present as life threatening ECG changes, Bradycardias and Heart Block. This talk will empower paramedics to rapidly identify and treat hyperkalemic emergencies including the 5 ECG changes of Hyperkalemia ... when and how to use to use calcium, dextrose, beta agonists, saline and bicarbonate will be covered in depth.
Similarly, recognizing Hypokalemic ECG changes is core knowledge; the 5 ECG changes of hypokalemia will be taught along with how to treat torsades in those with and with and without a pulse.
I will also cover a short section on hypercalcemia in cancer patients and also compare normal saline to lactated ringers in the prehospital setting.
Similarly, recognizing Hypokalemic ECG changes is core knowledge; the 5 ECG changes of hypokalemia will be taught along with how to treat torsades in those with and with and without a pulse.
I will also cover a short section on hypercalcemia in cancer patients and also compare normal saline to lactated ringers in the prehospital setting.
History and Opportunities for EMS Interventions for Opioid Users
EMS, law enforcement and public health have teamed up across the country for creative solutions to engage opioid users in pathways to care, prevent and treat overdose, and work to increase the safety for this marginalized group in society. Some solutions show great promise, yet there are no simple answers. Join us as we explore some of the programs that have been implemented across the country, what has worked, what has not, and a discussion of the challenges of the latest scourge of overdoses.
Learning Center: The Procurement “Magic Wand!”
This talk with highlight how cooperative contracts can help public safety professionals legally secure the products and services they need with national pricing, no RFP and in a fraction of the time..
Learning Center: HazMat Alerts – Keeping our Patient, Crew Members, and Hospital Partners Safe
Closing a busy Emergency Department due to an exposure from a patient contaminated with chemicals is detrimental to the community. Patients, hospital workers, and EMS crews may be exposed if procedures are not in place to identify potential hazardous situations and prevent secondary exposures from taking place.
Orange County Fire Rescue, working with the Orange County EMS Medical Director and local hospital partners developed a “Hazmat Alert” procedure to keep EMS and hospital providers, patients, and others safe.
Since the deployment of the “Hazmat Alert” notification system, the strategy has significantly improved the safe transition of patient care from a hot zone to the hospital. Actual calls will be discussed where if not for the Hazmat Alert process, others may have become seriously sick or died from a secondary exposure.
The “Hazmat Alert” process identifies when Patients exposed to suspicious materials will be evaluated and decontaminated in a manner that allows the Emergency Department to feel comfortable bringing the patient into their facility while continuing operations without diversion or risk to their staff or to other patients.
Orange County Fire Rescue, working with the Orange County EMS Medical Director and local hospital partners developed a “Hazmat Alert” procedure to keep EMS and hospital providers, patients, and others safe.
Since the deployment of the “Hazmat Alert” notification system, the strategy has significantly improved the safe transition of patient care from a hot zone to the hospital. Actual calls will be discussed where if not for the Hazmat Alert process, others may have become seriously sick or died from a secondary exposure.
The “Hazmat Alert” process identifies when Patients exposed to suspicious materials will be evaluated and decontaminated in a manner that allows the Emergency Department to feel comfortable bringing the patient into their facility while continuing operations without diversion or risk to their staff or to other patients.
Just Breathe...Hands-On Guided PULMONARY Dissection
You asked... We delivered! Scalpels and scenarios, paired with step-by-step videos and instructor guided dissections, allow attendees to experience an unforgettable view of medical & traumatic PULMONARY emergencies with a special pediatric focus. Attendees will do even more procedures during this 2-hour hands-on pulmonary dissection lab that was developed to help review and reinforce the essentials of pulmonary 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.
Note: Emergency skills will be practiced on harvested pig organs. NO animals were euthanized for the purpose of this course.
It is More than Air Goes In and Out and Blood Move Round and Round - Cardiovascular and Respiratory Physiology and Pathophysiology for BLS
We have all heard the saying air goes in and out and blood goes round and round. This is true in the simplest form when describing the function of the cardiovascular and respiratory systems. However, this is a vast over simplification. The cardiovascular and respiratory systems are two organ systems that account for a large number of EMS calls. During this presentation, the physiology of how these 2 systems work will be covered in a manner that will allow for practical application. Additionally, pathophysiology of when these systems are no longer working correctly will be presented in an interactive case-based format which will allow for the EMT to apply both physiology and pathophysiology in real world context.
Immersive Cooling In The Field....Surprising Lessons Learned And A How To Guide For An Emerging Best Practice In EMS
For a number of years it has been the gold-standard and best practice to "Cool First.....Transport Second" for exertional heat stroke and athletic sideline medicine. However, a number of recent studies show very poor penetration and adoption of this practice of on-scene immersive cooling. It is both logistically and culturally challenging to adopt this in the field environment. However, we report the first 5 cases in the literature of a 911 system adopting immersive cooling using body bags and fire hydrants along with real-time core rectal temperature monitoring for PASSIVE (non-exertional or classic) heat stroke. We have detailed timelines, on-scene pictures, logistics and operational lessons and outcomes for this rare emergency that requires tremendous planning and coordination. This is an emerging concept and is cutting edge as we report the first 5 cases of elderly, passive heat stroke victims who were treated on-scene with immersion and real-time, core temp monitoring. This talk will include practical tips and lessons learned on how to implement this practice in any number of austere environments in the 911 community and how one EMS system overcame those hurdles to offer the emerging standard of care for out-of-hospital heat stroke (passive AND exertional).
Indigent Care Collaboration between Community Paramedicine and Public Health
Williamson County EMS CHP (Community Health Program) has partnered with the local health district (WCCHD) over the course of the pandemic to provide testing, vaccinations, and infection control assessments to underserved populations throughout the county. This relationship forged the way for a partnership built on truly aligning Mobile Integrated Healthcare and Public Health. The CHP program will partner with the WCCHD program eligibility and social services department to provide a robust follow up service to residents receiving county indigent care services and insurance. While most community paramedicine and mobile integrated healthcare programs associate themselves with a 911 service or emergency provider, we have discovered that our services in Williamson County are much more in line with Public Health.
International Round Up
Dr Linda Dykes and Rob Lawrence, along with a cast of International guests over the years, return with their amusing and informative global roundup of EMS events around the prehospital planet. As we are well aware COVID has ravaged EMS in every country, hear how leaders have coped and continue to cope. Also listen in to the latest developments in clinical practice, research, and community paramedicine from around the globe.
ISS Poster walk
This session of the International Scientific Symposium takes you out of the room and to where the research posters are parked! Research poster presenters of like topics will each be present to share their research findings with walk participants. Each will have 8 minutes to present their research, then engage in questions and dialogue before moving to the next poster presentation. The atmosphere is active and happening, so come take a walk with the moderators!
ISS ORAL ABSTRACTS: SESSION 3
This third session in the International Scientific Symposium is a fast-paced blend of presentations. The panelists will moderate the session, leading off with “must-know” project summaries and blending in original projects during which the primary investigator will have 15 minutes to describe their research. After each abstract the audience will have the opportunity to make comments and ask probing questions.
ISS ORAL ABSTRACTS: SESSION 2
This second session in the International Scientific Symposium is a fast-paced blend of presentations. The panelists will moderate the session, leading off with “must-know” project summaries and blending in original projects during which the primary investigator will have 15 minutes to describe their research. After each abstract the audience will have the opportunity to make comments and ask probing questions.
Evidenced Based 12 Lead: Where's WALDO and Where is his SHIP
Eric discusses the acronym developed by Jared Patterson, an educator for FOAMfrat. This clever memory aid is used to identify the atypical 12 lead tracings that often go unnoticed or missed. Join us for this information-packed episode on evidenced-based 12 lead interpretation.
Falls in the Elderly: The New Epidemic in Trauma Care
Falls in elderly patients have become the leading patient presentation at most trauma centers in the United States. Transporting every elderly fall patient to the ED is costly and sometimes harmful to our patients, and our system can't continue to provide "care as usual" to this epidemic of fall victims. There must be a better way. Dr. Kupas will use case examples to show the hazards of ED care for every fall victim and will describe programs that use EMS assessment, telehealth, alternative destinations, and treat-in-place to better care form some of these patients.
EMS, Covid-19 and Paramedic Education: The UK Experience
Covid-19 had, and continues to have, a significant impact on EMS operations and education across the globe. Working in higher education, frontline clinical practice and for the College of Paramedics throughout the pandemic, I witnessed a whole range of practices and policy decisions which had a signicifant impact on clinicians, leaders and managers, educators, students, researchers and the wider EMS profession. This presentation will consider the UK experience sharing some of the challenges that we faced (and how they were overcome, or not in some cases), the positive changes that we are keeping as a result of Covid-19 and conclude with some thoughts about EMS students. The impact on students' education, training and experience during the pandemic did not create headline news but the challenges that lay ahead for the future workforce deserve some critical consideration as they graduate with little experience of 'normal' clinical practice. The presentation will utilise some testimony from my own experiences, as well as testimony from colleagues and professionals who held a variety of positions during the UK Covid-19 response.
How We Can Be More Prepared for the Next Pandemic: Lessons Learned from the National Response to COVID-19
EMS clinicians and organizations truly stepped up to respond to COVID-19: Taking care of their communities in the face of a dangerous new pathogen, assuming new roles administering vaccines and tests, and much more. At the federal level, the National Highway Traffic Safety Administration Office of EMS, the US Fire Administration and other agencies worked together to support state and local EMS and 911 systems and to communicate with EMS organizations around the country. Earlier this year, these agencies also conducted listening sessions and collaborated to conduct an assessment of the EMS response to COVID-19. In this session, you’ll hear what they learned–and how it will impact the response to the next public health emergency at the federal, state and local levels.
Frailty, Falls, and other hot topics in Geriatrics for EMS
The Baby Boomers are getting old, and as they do so, are coming into increasing contact with all medical services, including EMS. And older patients are getting more complex - multiple co-morbidities and a medication list that resembles a pharmacopoeia are commonplace. Even the so-called "Geriatric Giants" have changed since they were direct described in 1965... today there are four: frailty, sarcopenia, the anorexia of ageing, and cognitive impairment. From these are derived the kind of problems we see in EMS and EM: falls, hip fractures, delirium, and increased morbidity and mortality.
This talk covers the concept of frailty, explains delirium and how it may present (it's not always a UTI!), and covers a wide range of background infromation, plus practical tips and tricks to help EMS clinicians provide better care for our senior patients, both at work and as part of wider society.
This talk covers the concept of frailty, explains delirium and how it may present (it's not always a UTI!), and covers a wide range of background infromation, plus practical tips and tricks to help EMS clinicians provide better care for our senior patients, both at work and as part of wider society.
Case Study: Building a TRULY Proactive Peer Support and Wellness Program for your EMS Organization
Many EMS and Fire departments are considering creating, or have recently implemented, a peer support team. Peer support is an evidence-based best practice as a first step toward employees accessing the professional mental health care they need, and while certain elements of peer support are defined by state law, in practice they can vary wildly. Jonathan Woodbeck will highlight the successes and challenges faced by Superior North EMS (Thunder Bay, ON) as they sought to reimagine what a peer support program looks like, incorporating proactive and reactive measures, as well as critical incident response processes. Armed with qualitative and quantitative data, see how Superior North EMS increased the number of meaningful interactions among their employees and learn how to incorporate some of their lessons learned into your own wellness programming.