Cardiac Catastrophe: The "Aortic" Assassin is a talk that discusses just how dangerous two morbid cardiovascular conditions can wreck havoc on a seemingly stable patient-blurring the line between life and death and where mismanagement can easily sideline any hope of full resuscitation.

TThe rapid evolution of Mobile Integrated Healthcare and Community Paramedicine has become a leading topic across healthcare. MIH is no longer the future – it is here and now!

MIH and CP programs have become invaluable in decreasing hospital readmission rates, supporting providers in managing disease exacerbations, and reducing non-emergency calls to 911. Additionally, these programs have become instrumental in addressing social determinants of health and reducing community risk through alternate destination transport, mental health programs, COVID testing and vaccination, prenatal care, fall prevention, and more. Add to this the emerging Hospital-At-Home model and increased savings to payers, and it's no wonder NAMIHP agencies are getting the attention of hospital systems and CMS.

Attend this all-day summit about Mobile Integrated Healthcare and hear from your peers as they share real-life examples of successful programs in action! This event promises cutting-edge sessions, nationwide networking, and discussion of the hottest topics in the industry.
Speakers: TBD

This is presented by NAMIHP.

Over the past decade, there have been significant advances in acute ischemic stroke care with the proven effectiveness of reperfusion therapies for large vessel occlusion (LVO). Due to the importance of time to treatment with intravenous thrombolysis and endovascular thrombectomy, optimizing stroke systems of care is critical to achieving good neurological outcomes. EMS providers have an important role in the spectrum of stroke care. Pre-hospital management of acute stroke patients involves: 1) recognition of signs/symptoms, 2) assessment with a validated LVO scale, 3) destination triage to the most appropriate stroke center and 4) communicating pertinent stroke alert information to the receiving facility. Each of these steps requires training and education of frontline paramedics. For accountability, EMS leaders should also understand quality of care delivered at stroke centers through benchmark metrics and outcomes data.In this workshop organized by the Society of Vascular and Interventional Neurology (SVIN), renowned stroke experts will give an overview of the latest advances in acute stroke care, provide case-based training of validated LVO scales, and present examples of EMS stroke triage protocols using recently published destination guidelines. Best practices for EMS integration with local stroke centers will be highlighted as part of a panel discussion.

Have you ever heard someone in training say "yes, but in the 'real world,' I would have done this correctly…”? Training realism in a simulated environment through the addition of moulage creates scenarios that mimic situational responses and are specialized to your training outcomes. Realistic moulage, when used in the training field creates a powerful story- immersive learning combined with simulators and interactive, odorous, three-dimensional wounds engage participants and heighten the training scenario by providing the non-verbal story- that which must be seen, felt, heard and even smelled. This interactive workshop is designed to enhance realism in simulation scenarios while providing best practice techniques. This hands-on course will be presented in a multi-level learner approach including scenario staging, sensory engagement, core STEPS and technique, accessory moulage, wound development, storage recommendations, and time and money-saving alternatives for both simulator and standardized patients.Learning Objectives:• Upon completion, participants will learn to create basic, intermediate, and MCI wounds, including active shooter scenarios.• Upon completion, participants will learn to create simulation engagement utilizing life-like, dimensional wounds that can be debrided and triaged for a realistic training experience within CCTA scenarios.• Upon completion, participants will understand industry tips and tricks for saving time and money in MCI training exercises.• Upon completion, participants will demonstrate applicable techniques for creating realistic training scenarios.• Upon completion, participants will understand CORE techniques to develop accessory moulage, odor build-in, and adaptive scenarios to drive and support training outcomes.

This presentation will review the significant structure changes that are required for any Fire Based EMS service that is experiencing an increased level of EMS calls including an increase in the overall acuity level. We will outline the processes that we implemented and review the challenges that can be expected to arise. This information will be valuable to any department that has the desire to become a high performing EMS system that is Fire based. Topics include changes to job descriptions, hiring process changes, tiering of prehospital protocols, administration changes, new equipment, and medical direction changes.

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 World Trauma Symposium provides an outstanding line up of presentations by the global leaders in prehospital trauma care. Symposium presentations feature the latest trends, innovation, and research, along with insight from paramedics who are implementing innovations in the field. The program includes time for participant questions and the opportunity to network with practitioners and physicians from around the world. It's prehospital trauma education you can't get anywhere else! The 2022 Symposium will be offered live and live streamed.“It was an excellent academic symposium with great opportunities to learn, network with colleagues, and share ideas that are important to saving lives. If you are an EMS or other healthcare professional or are a member of academia or an industry that educates, equips, or supports our nation’s first responder heroes, then you should plan to attend this event.” – Paul Vecchio, former Operations Sergeant, 1st Special Forces Group (Airborne), U.S. Army, and Vice President Strategic Initiatives, North American RescueThe Symposium provides up to 8 hours of CAPCE-accredited CE, CME or nursing CE. Breakfast and lunch are included.
SCHEDULE BELOW
8:00 a.m. Welcome, Review of Program, Sponsor Recognition
Moderator: Col (Ret) Warren Dorlac, MD and CAPT Margaret Morgan, MD
8:05 a.m. Prehospital Pediatric Disaster Response
Speaker: Mark Cicero, MD, FAAP
8:35 a.m. Prolonged Field Care in Remote and Austere Civilian Environments
Speaker: Sean Keenan, MD
9:05 a.m. Resuscitation: What to Do When There is no Whole Blood: Hemorrhagic Shock
Speaker: Anne Rizzo, MD
9:35 a.m. Break and Exhibits (15minutes)
9:50 a.m. Prehospital Trauma Research Initiatives
Speaker: Abstract Winners
10:20 a.m. TCCC Update
Speaker: CAPT Brendon Drew, MD, USN
10:50 a.m. Back-up Airway Plan
Speaker: Scotty Bolleter, BS, EMT-P
11:20 a.m. Case Studies from Orlando Regional Medical Center
Speaker: Tracy Bilski, MD, FACS, FRCS
12:00 p.m. Lunch
12:30 p.m. Scott Frame Lecture: Response to Beirut Port Explosion
Speaker: Shawky Amine Eddine, MD
1:30 p.m. Welcome to the Afternoon Session
Moderator: Col (Ret) Warren Dorlac, MD and CAPT Margaret Morgan, MD
1:35 p.m. Penetrating Chest Trauma
Speaker: Kenji Inaba, MD, FACS, FRCSC
2:05 p.m. Pain Management in Prehospital Trauma Care
Speaker: Jeffrey Jarvis, MD, MS, EMT-P
2:35 p.m. EMS Implementation of New Field Triage Guidelines
Speaker: Peter Fischer, MD, MS, NRP, FACS
3:05 p.m. Break (15 minutes)
3:20 p.m. Ocular Trauma: Prehospital Response
Speaker: Robert Mazzoli, MD
3:50 p.m. Burn Trauma
Speaker: Anne Wagner, MD, FACS
4:20 p.m. Environmental Trauma: Hypo/Hyperthermia and Reverse Triage
Speaker Suggestion: Gregory Moore, MD, FACEP
4:50 p.m. Closing Comments
5:00 p.m. Adjourn

Attention spans are getting smaller while our access to information, good and bad, is growing exponentially. How can you make sure you’re being heard in a sea of tweets, texts, and videos? In this pre-conference session, learn from communication experts on what techniques and tools you can use to make sure you're hitting your target audiences externally and internally with the messages you need to communicate. According to recent research, 30% of all project failures are the direct result of poor communication. Participants will learn how to communicate more concisely using conversational messages and less jargon. In addition participants will learn about tools they can use besides email to communicate important messages to employees and how to track success. The information will be helpful and useful for the EMS professional on every level as the importance of successful communication is the key to your organization's overall success.

Leading from the middle is challenging and often filled with tension. Learning to enjoy and navigate the push/pull that comes with a middle manager position is paramount for longevity and satisfaction. The perception that leadership comes naturally to some and not others is a misconception. A strong middle management team influences organizational success. This presentation is designed to provide the leadership tools and resources for future and current middle managers through a holistic perspective. This workshop offers participants a chance to reflect and evaluate how lifestyle choices, self-care, and mindset contribute to their daily leadership practices.

Yoga For First Responders (YFFR) offers EMS providers and first responders a systematic solution to known issues that are a result from the cumulative stress of the job. Through tactical breath work techniques, physical drills and mobility training combined with self-regulation and mental resiliency techniques, this training can give EMS providers and first responders the skill set to not only protect themselves from Post Traumatic Stress, heart attack, sleep disorders and common injuries, but also the ability to process stress in a manner that leads to growth rather than depletion. Key take aways includes techniques for regulating the nervous system, drills for preventing injury and increasing mobility, education on how yoga can successfully be implemented into EMS and first responder training.

On April 22, 1915, the world saw the advent of a new threat, chemical weapons. This threat was not the product of cutting-edge science or complex innovation, but the recognition of a common chemical’s effectiveness in ending human life. Through the history of CBRNE weapons, we have seen their use go from effective military tactics to banned or limited use through treaties and agreements. This shift has moved these weapons into the shadowed hands of clandestine organizations and radicalistic groups. These terrorist groups looking to inspire fear, intimidate, and damage the average citizen for political gain have the perfect means to that end with CBRNE weapons.


Participants will support an ongoing CBRNE multi-casualty incident already taking place. The ‘event’ has taxed the local and regional HAZMAT resources to their breaking point and there are still reports of patients in the hot zone needing evacuation. Participants will be paired up with HAZMAT technicians from Orange County Fire Rescue Department to enter the hot zone and navigate the hazards to evacuate patients. The team will triage the patient’s level of contamination and the type of decontamination needed. After the patients are decontaminated, they will be transported to a mobile field hospital for treatment. Participants will use information from the HAZMAT team and the patient’s presentation to properly treat their contamination.

The class will be conducted by a cross-section of industry professionals with backgrounds including all-hazard incident special operations technicians and commanders, hazmat technicians, task force team specialists, and members of the Orange County Fire Rescue Department Operations Division, Training, and EMS Sections.

Course concepts will include a focus on the Rescue Task Force concept, ASHER, NFPA 3000, and NFPA 472.

In this 4-hour Cardiology Master Class, Tom Bouthillet, NRP will guide you through a systematic approach to 12-lead ECG interpretation. You will learn what a normal 12-lead ECG is supposed to look like, the importance of interpreting a 12-lead ECG in clinical context, how to apply the rule of proportionality, decision rules to help identify STEMIs in each infarct location, the rule of appropriate T-wave discordance for right and left bundle branch block, and how to identify the most important STEMI equivalents and STEMI mimics.Learning Objectives:• Understand the features of a normal 12-lead ECG• Identify acute ST-elevation myocardial infarction (STEMI) on the 12-lead ECG• Differentiate between acute ST-elevation myocardial infarction (STEMI) and other causes of ST-elevation• Recognize ECG findings that are equivalent to ST-elevation myocardial infarction (STEMI)

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.

The Six Layer Concept uses behavior pattern recognition to identify threats and manage scene safety for first responders, their patient/victim, and the potential threat. The Six Layer Concept uses Human Terrain Mapping and Behavior Pattern Recognition (HTMBPR) to identify pre-event indicators within physiological and psychological cues against a decision-making algorithm. HTMBPR is a science-based tactical field decision-making model created from the lessons learned within human behavior programs developed for the Department of Defense and Law Enforcement. HTMBPR focuses on advanced critical thinking by understanding human behavior patterns. It creates a framework to observe, articulate, document, and defend decisions by providing the knowledge, skills, and abilities to 1) observe a situation, orient with in it, and make sound decisions in accordance with law and agency policy and procedure, and 2) take appropriate legal, moral, and ethical actions.

Mortality: Dealing with Death & Dying (4-hour interactive course)As we enter the workforce, we are faced with the reality that even when we do everything, some people will die. Even when best practices are followed the outcome can be death. What about the family on the scene? Are we trained to deal with this? Do we know what to say? Do we know what to do? This interactive course is filled with discussion and activities that focus on the following:• Understanding our own mortality/Understanding & acceptance are the first step• The stages of Grief/They differ for everyone• Death from chronic illness and Death from tragedy• Death of a child• Words Matter/Knowing what to say and how to say it• Impact on Prehospital providers/Where to get help

This program takes a new and innovative approach to the assessment and care of patients with special needs. It is inherently challenging to produce a training program that satisfactorily addresses this topic, given the breadth of this area and the vast number of "special needs" that exist. The program is divided into three parts:Part One: General Approach to Special NeedsThis portion of the program discusses the general approach to any patient with special needs, and covers topics including: Communication, Right to Dignity, Assessment, Parents of Special Needs Kids as Experts, Altered Baseline, Behavioral Issues, Advanced Directives, Service Animals, etc.Part Two: Individual Conditions This portion of the program reviews the most common individual conditions, including Autism, Down Syndrome, Cystic Fibrosis, Cerebral Palsy, Muscular Dystrophy, and CHDPart Three; Technology IssuesThis part of the program addresses the most common technology issues, such as trachs, G/J Tubes, pumps and vents.The presentations are visually engaging, making use of videos and pictures where possible to tell the story. They would be appropriate for all levels of EMS provider.

Sharing Accountability for Safety.

Who is responsible for making patient care safe? Organizations create the system in which employees work. They provide guidance and support for employees as they work within that system. Employees need to make reasonable choices. The end goal is a system that provides safe, reliable, and successful outcomes, staffed by the people you want to keep. Just Culture (capitalized) offers tools and a framework to accomplish these things while creating a just culture (small letters) that supports staff as they make choices every day. This introductory session will explain the basic concepts that Just Culture uses to address change, human mistakes, and risky decisions. The session faculty will take attendees through the first steps toward establishing a just culture in their organization, using recent events and information provided by attendees as starting points for discussion.

Outline:
· Introduction to Just Culture
· Leaders and Just Culture: a critical relationship
· Technical discussion of the Just Culture framework
· Case/scenario work in small groups
· Discussion of how Just Culture would look in their environment: small groups, then together

This leadership academy, based on public safety leadership curriculum and the NEMSMA Seven Pillars of EMS Officer Competencies, provides aspiring and new supervisors with several critical skills they need to perform in their new role. The workshop is broken up into the Seven Pillars of EMS Officer Competencies–Supervisor Officer. The academy will cover a wide array of leadership topics including communications skills and techniques, conflict management, public speaking, process improvement, and ethics. You will learn by doing and hear how leaders from across the country have utilized different ways to solve problems.Learning Objectives:• Know the history of the EMS Officer Competencies development and identify the intended user of the document.• Define three levels of EMS leadership, identify the seven pillars of EMS leadership, and understand how to use the competencies for personal leadership development.• Identify different communication skills and techniques to use as a new leader and understand conflict management and how to handle difficult situations as a new supervisor.• Identify the importance of ethics and the role it plays in a supervisor's day-to-day operations and understand the importance of teamwork and integration to achieve tasks.• Understand the obligations of a supervisor related to public speaking and how to handle these situations. Define the meaning of process improvement and how to implement change.

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.

The FlightBridgeED Online FP-C, CCP-C, CTRN & CFRN review course was prepared after teaching over 257 “live” review courses over the past 9 years.  We have taken current practice guidelines, advanced certification exam objectives, and current evidence-based practice content, from credible, published sources and built the most up-to-date course on the market.  This course will not only prepare you to pass your advanced certification exam but challenge even the most experienced providers. We fully understand the importance of test-taking tips and core concepts related to these difficult exams.  However, we take the course even further and believe that fully investing in your thought process, critical thinking, and teaching you current practice, will build a solid foundation that you can immediately apply to your patient care.  This will translate to a broader understanding of all subject matter and ultimately strengthen your ability to answer the test questions you are presented with.