On-Demand 8 Hearts in a Duffel Bag: Hands-On Guided CARDIAC Dissection
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.
Note: Emergency skills will be practiced on harvested pig organs. NO animals were euthanized for the purpose of this course.
On-Demand A Data-Driven Approach to Improving Clinician Mental Health
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
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
On-Demand Advanced Placement for Paramedic Education
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.
On-Demand Alternate Destinations For Psychiatric and Sobering Patients
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.
On-Demand Are Today's EMS Education Programs Ready for Tomorrow's Students?
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.
On-Demand Autism Interactions With First Responders
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.
On-Demand Beyond the Benchmark: Using EMS Performance Measures to Drive Meaningful Change
When it comes to measuring performance, there is a natural desire to compare performance with other organizations. How do we stack up? Are we doing better than the average? Unfortunately, much of the work stops at benchmarking. If your agency is below average, improvement tasks can seem daunting and insurmountable. If your agency is above average, does that mean you can become complacent? In this discussion, we will focus on the benefits and pitfalls of comparison while learning how to take your quality management initiatives further, using improvement science to make real change within your organization and community.
On-Demand Bizarre and Unusual Clinical Case Studies 2022
Trauma is associated with a wide range of injuries, many of which are life-threatening. Bizarre and unusual mechanisms and injuries intrigue all of us. When seconds count mental preparation and rehearsal can make the difference but if they are rare in occurrence how can we prepare? An insightful case study approach is used to illustrate these points.
On-Demand Building A Prehospital Whole Blood Program - What It Really Takes To Be Successful
Discussion of the regional deployment of prehospital whole blood. He will discuss the region's entire plan on how to get Low Titer O+ Whole Blood to hospitals, ground EMS and HEMS. This will include a discussion of how a new blood service line was created, how the regional deployment plan was developed and the results of that effort. The discussion will include results of patient care, including case studies and research. The discussion will also include lessons learned and regulations from state statutes, FDA and AABB. South Texas also has a plan to deliver blood to the scene in a mass casualty incident as well as a plan to have a civilian walking blood bank to deliver fresh whole blood directly to patients and hospitals. After a few years of prehospital whole blood transfusions, what is the data? Are agencies that transfuse whole blood helping their patients? Who are their patients? Does a whole blood program make financial sense? Discussion of recent research and publications addressing the epidemiology and accounting analysis of whole blood in the urban/suburban and rural communities. Analysis of recent literature regarding the effect of whole blood on physiologic parameters, morbidity, and mortality.
On-Demand Can an autopsy improve EMS Quality? Partnering with your Medical Examiner to Enhance EMS Care
Medical Examiners are infrequently utilized to enhance quality in EMS. Modern Medical Examiner facilities are becoming incredibly sophisticated and some are now using post-mortem CT scanning of the entire body with 3-D reconstruction. This imaging offers an immeasurable amount of data regarding the deceased EMS patient. This may include radiographic imaging confirmation (or lack of) for devices such as advanced airways, intraosseous needles in the bone marrow, injury patterns, needle thoracostomy anatomic landmark location, modeling of difficult airway anatomy and ultimately cause of death. This information is invaluable regarding the opportunity for teaching, debriefing and creating a registry of images and cases for future EMS clinicians to learn from. It also offers avenues for growing EMS medicine through publication opportunities and visual diagnoses/case submissions in peer-reviewed journals. Medical Examiners are an untapped resource, but in my experience welcome the opportunity to collaborate with fire/ems agencies. There are also ample opportunities for fire/ems clinicians to observe autopsies and gain a greater understanding of anatomy and pathologic causes of death. Examples of autopsy imaging will be shown to demonstrate the potency of this learning tool. Partnering with Medical Examiners can improve our knowledge about the care we provided (good, bad, and ugly).
On-Demand Can't Miss Cases in Pediatric Cardiology
This is an engaging discussion of "can't miss" EKGs and pediatric cases that will change your care for sick children.
On-Demand Can’t Shock ‘Em? Block Em! Esmolol’s Role in Achieving ROSC
Can’t Shock ‘Em? Block Em! Esmolol’s Role in Achieving ROSC is a talk that discusses the use of beta-blockade during the resuscitation of a victim in refractory ventricular fibrillation. Despite the use of standard therapies, there is a subset of patients who may persist in this lethal rhythm, calling on the provider to use a non-traditional treatment in order to save this patient's life.
On-Demand Community Paramedics: Understanding the past and presenting a theory of practice for the future
This presentation will draw on the historic development of community paramedic roles in the Australasia, Canada, the USA, and the UK in order to identify the commonalities that exist across different programmes that exist within these countries, as well as an overview of there differences. These will be explored alongside seminal theories from sociology, anthropology and medical sciences to outline the theory of practice for community paramedics - wherever they work. Using this theory of practice as a framework, the topic shall be explored regarding future development of the role of community paramedics across these four geographical areas.
On-Demand Controlling the Narrative: Tips & Tricks to Managing Social Media
This presentation will be a panel discussion on how using a variety of social media platforms can increase public awareness of your agency, increase recruitment and retention, and help you control the narrative surrounding your organization, especially during a crisis. Capitalizing on the use of social media and leveraging positive relationships with traditional media is crucial in today’s digital world. Mrs. Willingham and Chief Campbell will outline for the audience MCHD's use of audio and video messaging along with strategic posts to enhance our messaging to the community, recruiting and retention efforts, and educational priorities. They will present social media tips and tricks for any size agency that carry little to no financial burden and create tangible results for your agency.
On-Demand Drop the SOAP and DOCUMENT
Documentation, an essential part of the timely, complete and accurate depiction of patient care. Documentation in EMS has been taught through the eyes of what others "thought" were good at documentation. There is not a standard that objectively evaluates how complete and accurate your run reports are. D.O.C.U.M.E.N.T. is award-winning research that shows objective scoring through CQI breeds more thorough run reports. This presentation will introduce you to and prove have effecitve D.O.C.U.M.E.N.T. has become in a suburban fire-based EMS department.
On-Demand EMS Response To Patients With Mental Health Concerns
One in six adults (18%) in the United States live with mental illness or other mental health disorders. These can include anxiety, depression, post-traumatic stress disorder, bipolar disorder, obsessive-compulsive disorder, schizophrenia, and many others. Individuals with mental health issues are at greater risk for substance abuse, homelessness, and chronic health issues. This session will provide an overview of several mental health concerns that pre-hospital providers might encounter in the field. Also covered are suggestions for communication, medical conditions that can mimic mental health issues, and implications for EMS.
On-Demand 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.
On-Demand Enough With Mnemonics! Talk to Your Patient and Consider the Big Picture
Between OPQRST, SAMPLE, ABCDE, we can often fail to see the forest for the trees. EMS is difficult. We are cramming a lot of information and training into a very short amount of training time, and we are expecting more and more of our personnel. However, choreographing so much of the history taking, which is the most valuable part of diagnostics, can lead to failure to consider bigger picture items. In this presentation, Dr. Kazan will use examples from real patient encounters in which all of the necessary information was present, but poor decisions were made because of a failure to consider the bigger context in which things were occurring. Dr. Kazan will discuss how spending a little more time and asking a few more questions can save time and lead to better decisions and patient outcomes.
On-Demand 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
On-Demand Getting Out of the Small Pond: An Insiders Guide to Publishing and Lecturing on EMS Topics
Have you ever looked at an article in a trade or academic EMS journal and thought “I could have written that?” Have you ever heard a presenter at a conference and thought “I have a great idea for a presentation!!” EMS education does not end in the traditional classroom.
Moving from your comfort zone as a big fish in a small pond to the ocean of EMS trade and academic journals and conferences can be a scary proposition, but good ideas and best practices need to be shared. Hear from an experienced writer and lecturer in this updated, relevant presentation on how to develop and focus your ideas, understand the opportunities available to write and speak, review what and how to present to decision makers, write presentation proposals and just generally how to get yourself ready to enter the wide world of EMS publishing and speaking.
Moving from your comfort zone as a big fish in a small pond to the ocean of EMS trade and academic journals and conferences can be a scary proposition, but good ideas and best practices need to be shared. Hear from an experienced writer and lecturer in this updated, relevant presentation on how to develop and focus your ideas, understand the opportunities available to write and speak, review what and how to present to decision makers, write presentation proposals and just generally how to get yourself ready to enter the wide world of EMS publishing and speaking.