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.
Learning Objectives:
describe & discuss the assessment findings associated with common pulmonary emergencies
describe & discuss the current management of various common pulmonary emergencies
verbalize increased understanding of pulmonary anatomy through a guided dissection of pulmonary airways and vessels
Note: Emergency skills will be practiced on harvested pig organs. NO animals were euthanized for the purpose of this course.
Learning Objectives:
describe & discuss the assessment findings associated with common pulmonary emergencies
describe & discuss the current management of various common pulmonary emergencies
verbalize increased understanding of pulmonary anatomy through a guided dissection of pulmonary airways and vessels
EMS Family Feud
100 EMS people surveyed, top 6 answers on the board. Name something that EMS..... This is an interactive team building class with the Family Feud format. Actual EMS people were surveyed and we have to guess the answers. Come and enjoys some laughs and learn what is in the minds of EMS professionals.
Learning Objectives:
Upon completion the participants will be able to verbalized how to form a team and work together to complete the exercise
Upon completion the participants will be able to verbalize the importance of team building exercises
Upon completion the participants will be able to express understanding of the survey of ems personel
Learning Objectives:
Upon completion the participants will be able to verbalized how to form a team and work together to complete the exercise
Upon completion the participants will be able to verbalize the importance of team building exercises
Upon completion the participants will be able to express understanding of the survey of ems personel
How to Develop and Run a Simulation Escape Room
Escape Rooms are fun team building exercises based on a theme and puzzle/problem solving that leads to an exit from the room. Bob Page has developed a highly EMS related scenario with high fidelity simulation and added a theme designed to challenge EMS providers critical thinking, situational awareness and patient assessment and management techniques. The team must find clues, and solve all of the puzzles that will save the patient's life and allow the successful escape from the room. By popular demand Bob has developed this session designed for Educators, Bob will break down what is needed for such an event sharing valuable experience along the way on what works and what doesn't. From an idea to the finished product, this session will give you what you need to do your own. the only thing you need to add is your own imagination!
Learning Objectives:
Describe how escape rooms can improve learner retention of specific knowledge objectives
Describe common elements of escape room planning such as theme, objectives, outcomes, and evaluation.
Describe key elements of Simulation scenarios such as Prebrief, Simulation and Debrief
Learning Objectives:
Describe how escape rooms can improve learner retention of specific knowledge objectives
Describe common elements of escape room planning such as theme, objectives, outcomes, and evaluation.
Describe key elements of Simulation scenarios such as Prebrief, Simulation and Debrief
Deep Dive: Whole Blood- There will be blood!
Agenda
Time
2:30-2:45 - Moderator: CJ Winkler | Overview and Introduction
2:45-3:00 - Speaker: TBD | Historical and Clinical Relevance of Blood Transfusions
3:00-3:15 - Speaker: Lynn White | Current State of the Blood Supply
3:15-3:30 - Speaker: Kent Pippin | Blood at a mid-sized fire-based EMS system, including how they overcame initial and ongoing costs, training, equipment, and logistical issues
3:30-3:45 - Speaker: Charlie Coyle | Legal and political issues faced in Palm Beach County during implementation
4:00-4:15 - Speaker: Emily Nichols | Cold PRBCs and rapid infusion and deployment strategy in a challenging urban environment
4:15-4:45 - Panel| Q&A/Discussion
NBFD Reports: Improved mortality rates among LTOWB transfusion patients? Observed mortality rate has improved to 16% post-LTOWB from an estimated 70% pre-LTOWB among patients who meet (or would have met) LTOWB transfusion criteria.
Must cover: regulations, process, safety, waste reduction, cost
Time
2:30-2:45 - Moderator: CJ Winkler | Overview and Introduction
2:45-3:00 - Speaker: TBD | Historical and Clinical Relevance of Blood Transfusions
3:00-3:15 - Speaker: Lynn White | Current State of the Blood Supply
3:15-3:30 - Speaker: Kent Pippin | Blood at a mid-sized fire-based EMS system, including how they overcame initial and ongoing costs, training, equipment, and logistical issues
3:30-3:45 - Speaker: Charlie Coyle | Legal and political issues faced in Palm Beach County during implementation
4:00-4:15 - Speaker: Emily Nichols | Cold PRBCs and rapid infusion and deployment strategy in a challenging urban environment
4:15-4:45 - Panel| Q&A/Discussion
NBFD Reports: Improved mortality rates among LTOWB transfusion patients? Observed mortality rate has improved to 16% post-LTOWB from an estimated 70% pre-LTOWB among patients who meet (or would have met) LTOWB transfusion criteria.
Must cover: regulations, process, safety, waste reduction, cost
60 Educators Tips in 60 Minutes: You pick the questions and we give the answers
This session delivers a ton of great tips to pass on to your students, colleagues, and fellow educators. 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 dozens of 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. Every session is unique as the topics are entirely chosen by the audience at the beginning with questions and answers throughout the program.
Learning Objectives:
Students will be able to Implement Gagné’s 9 events of instruction in an EMS education program. Incorporate the fundamentals of Just Culture into new and existing EMS education programs.
Students will be able to apply the 5 steps of successful scenarios and simulation sessions to improve students performance and retention.
Students will be able to apply the ten key steps to effective communication in challenging and confrontational situations.
Learning Objectives:
Students will be able to Implement Gagné’s 9 events of instruction in an EMS education program. Incorporate the fundamentals of Just Culture into new and existing EMS education programs.
Students will be able to apply the 5 steps of successful scenarios and simulation sessions to improve students performance and retention.
Students will be able to apply the ten key steps to effective communication in challenging and confrontational situations.
My Baby Can’t Breath: The Prehospital Management of Pediatric Respiratory Emergencies
Pediatric patients presenting to the emergency room will often present with respiratory emergencies. However pediatric patients with respiratory distress and failure can cause stress for even the most seasoned paramedics and EMTs. In this interactive presentation participants will review the common causes of pediatric respiratory emergencies and discuss the necessary treatments and airway management strategies for each one.
Learning Objectives:
Identify the differences between breath sounds and identify their causes.
Differentiate between croup, bronchiolitis and asthma.
Treat croup, bronchiolitis and asthma.
Learning Objectives:
Identify the differences between breath sounds and identify their causes.
Differentiate between croup, bronchiolitis and asthma.
Treat croup, bronchiolitis and asthma.
Alternate Destinations - When the ED isn't the best option for our patients
This presentation will began with a review of literature on alternative destination models for EMS. Options such as urgent care centers, ET3, and transport to crisis centers will be explored. Philadelphia's own struggle to implement ET3 will be reviewed, as well as the innovative program 'AR-2' - which successfully transports patients to definitive care after overdose. We will review the planning process for PFD's 'AR-3' - an upcoming project set to transport behavioral health emergencies to crisis response centers, due to be operational this year. Finally, we will provide a guideline for how to plan, implement, and fund alternative destination programs, to include finding and writing grants, collaboration with outside agencies, and lessons learned along the way.
Learning Objectives:
Upon completion, participants will be able to summarize existing EMS programs that utilize alternate destinations (other than the ED).
Upon completion, participants will be able to appraise the effectiveness of specific program examples and interpret their respective strengths and weaknesses.
Upon completion, participants will be able to utilize these tools to design alternate destination models that work best in their own current EMS systems.
Learning Objectives:
Upon completion, participants will be able to summarize existing EMS programs that utilize alternate destinations (other than the ED).
Upon completion, participants will be able to appraise the effectiveness of specific program examples and interpret their respective strengths and weaknesses.
Upon completion, participants will be able to utilize these tools to design alternate destination models that work best in their own current EMS systems.
I Ain't Afraid of no Clot: Managing the Crashing PE Patient in Critical Care Transport
You're half way between the sending hospital and the tertiary center and your submassive PE patient starts crashing in front of you. What do you do next?
Pulmonary embolism is a deadly disease process with a wide variety of presentations and potential interventions. As PE care advances and regional referrals for treatment become more common, CCT providers will encounter PE patients more and more frequently. Despite this the foundational education in this disease process for EMS providers is desperately lacking. In this session we will review the basic pathophysiology of PE, discuss standard treatments and the management of the Right ventricular failure as well as review novel PE therapeutics being utilized at tertiary referral centers with increasing frequency.
Learning Objectives:
Differentiate low, intermediate and high risk PE patients to appropriately triage their response and anticipate need for intervention in transport.
Understand the underlying physiology of RV failure and tailor appropriate pharmacotherapy to optimize the hemodynamics of these critically patients.
Explain the basic differences between novel advanced therapeutics for PE patients including percutaneous thrombectomy, catheter directed lysis and ECMO
Pulmonary embolism is a deadly disease process with a wide variety of presentations and potential interventions. As PE care advances and regional referrals for treatment become more common, CCT providers will encounter PE patients more and more frequently. Despite this the foundational education in this disease process for EMS providers is desperately lacking. In this session we will review the basic pathophysiology of PE, discuss standard treatments and the management of the Right ventricular failure as well as review novel PE therapeutics being utilized at tertiary referral centers with increasing frequency.
Learning Objectives:
Differentiate low, intermediate and high risk PE patients to appropriately triage their response and anticipate need for intervention in transport.
Understand the underlying physiology of RV failure and tailor appropriate pharmacotherapy to optimize the hemodynamics of these critically patients.
Explain the basic differences between novel advanced therapeutics for PE patients including percutaneous thrombectomy, catheter directed lysis and ECMO
Complex Coordinated Terrorist Attack Workshop - Command & Control
This course will function as the "next level” training providing leaders and commanders from EMS the opportunity of a lifetime. The participants will receive instruction from top-notch leaders in protective services. This class will deliver the ins and outs of Unified Command in the active shooter environment, as well as opportunities to experience the elements of a multi-pronged attack, commonly referred to as a "Complex Coordinated Terrorist Attack."
After a didactic lesson, the participants will have the opportunity to command actual EMS professionals. Commanders will engage teams of students who signed up for the CCTA Operators workshop. This will give the Commander and participants an opportunity to participate in multiple scenarios and hit the ground running. All participants will have the opportunity to feel the pressure and stress associated with this dynamic and fluid event with no actual lives on the line.
After a didactic lesson, the participants will have the opportunity to command actual EMS professionals. Commanders will engage teams of students who signed up for the CCTA Operators workshop. This will give the Commander and participants an opportunity to participate in multiple scenarios and hit the ground running. All participants will have the opportunity to feel the pressure and stress associated with this dynamic and fluid event with no actual lives on the line.
Complex Coordinated Terrorist Attack Workshop-Operations
Prepare yourself to participate in a full-scale, real-world, multi-agency operation. Attendees will learn tactics, movements, and how to mitigate a diverse collection of emergency events during the operational phase(s). Incident Commanders will lead the operation, managing multiple simultaneous events and deploying real-time command and control. You will be the boots on the ground. This will be accomplished through the use of live radio communication between CCTA Operators and CCTA Incident Commanders. Attendees will have the opportunity to function in each scenario providing a full experience!
Please note, the Complex Coordinated Terrorist Attack Workshop will take place at the New Orleans Superdome. EMS World Expo will provide transportation to the New Orleans Superdome. Lunch will be provided.
Please note, the Complex Coordinated Terrorist Attack Workshop will take place at the New Orleans Superdome. EMS World Expo will provide transportation to the New Orleans Superdome. Lunch will be provided.
Hundreds Dead and Wounded: Best Healthcare Practices for Mass Shootings
The US averages more than one mass shooting every day – injuring, killing, and traumatizing thousands of people each year. A recent study landmark study assembled emergency physicians, prehospital providers, and surgeons who participated in the medical response to six of America’s largest mass shootings at a consensus conference. Clinicians from shootings in Las Vegas, Orlando, El Paso, Parkland, Sutherland Springs, and Dayton created an essential list of lessons learned and best practices that can help hospitals and communities prepare for the nightmare scenario of a mass shooting. This session features the lead authors of the study and accompanying prehospital commentary sharing essential lessons learned that can help audience members prepare themselves and their institutions to save more lives when faced with the horrors of a mass shooting.
Learning Objectives:
List key healthcare responses lessons learned from recent US mass shootings
Describe best practices in the prehospital and emergency department responses to mass shootings
Compare and contrast specific medical and logistical challenges in recent mass shootings.
Learning Objectives:
List key healthcare responses lessons learned from recent US mass shootings
Describe best practices in the prehospital and emergency department responses to mass shootings
Compare and contrast specific medical and logistical challenges in recent mass shootings.
Sorry Seems to be the Hardest Word: Delivering Bad News and Apologies
Where saying the wrong thing at the wrong time can lead to legal trouble, is there a right way to deliver bad news? Are providers receiving the proper training on communication in difficult situations? What is the role of the medical director when things go wrong? Nick, the EMS Division Chief for one of the largest county-based ALS first response agencies in Georgia, and Samantha, an attorney for one of the largest hospital-based EMS systems in the Southeast, describe best practices for delivering “bad news” on scene and mitigating conflict involving patients, families, and other responding agencies. We examine the legal protections that may be afforded to EMS providers under state “apology laws” and risk management strategies for adverse events.
Learning Objectives:
Examine evidence-based practices for delivering "bad news".
Describe and illustrate best practices for delivering "bad news" on scene and mitigating conflict with patients, families, and other responding agencies.
Examine legal protections for EMS providers under state "apology laws" and describe risk management strategies for adverse events.
Learning Objectives:
Examine evidence-based practices for delivering "bad news".
Describe and illustrate best practices for delivering "bad news" on scene and mitigating conflict with patients, families, and other responding agencies.
Examine legal protections for EMS providers under state "apology laws" and describe risk management strategies for adverse events.
Killer Kardiograms - EKG Findings You Don’t Want to Miss!
This 8 hours workshop expands on 12 lead interpretation beyond the typical ACS and STEMI recognition. Although not all encompassing, this workshop provides a framework to develop a formal process of 12 lead interpretation. This presentation has been compiled through various sources and educator influence in EM and Pre-Hospital medicine. The workshop has been shared over the past 5 years within our system and local Paramedic program. Covering EKG basics, QRS assessment, Hypertrophies, and emergent anomalies, the provider will leave with a skill set that can can expand over a career.
The 12 lead, an underutilized diagnostic this workshop can enhance the capabilities of any provider, improving confident and more accurate understanding of the 12 lead.
Learning Objectives:
Demonstrate recognition normal vs abnormal 12 lead EKG's, and describe the abnormalities.
Develop a process to assess and interpret a 12 lead EKG
Describe and assess a 12 lead EKG improving overall understanding
The 12 lead, an underutilized diagnostic this workshop can enhance the capabilities of any provider, improving confident and more accurate understanding of the 12 lead.
Learning Objectives:
Demonstrate recognition normal vs abnormal 12 lead EKG's, and describe the abnormalities.
Develop a process to assess and interpret a 12 lead EKG
Describe and assess a 12 lead EKG improving overall understanding
Becoming A Person of Influence
The true measurement of leadership success is how engage, satisfied and productive the workforce is. The Gallup organization tells us that close to 3/4 of the workforce is either disengaged or actively disengaged. It is vital for the success of the leader to ensure we are becoming a person of influence to gain the trust to be able to inspire and motivate our workforce. In this class, Chris Cebollero will outline the components of how to develop as an influencer inside and outside of your organization. Leadership is all about the ability to influence others, if you cannot influence people you cannot lead people.
Learning Objectives:
Explain why the importance to influence others is important for a leaders success
List the elements of becoming a influencer
Describe how developing influence will engage and retain your workforce
Learning Objectives:
Explain why the importance to influence others is important for a leaders success
List the elements of becoming a influencer
Describe how developing influence will engage and retain your workforce
The EMS-ED Handoff: The Prehospital to Hospital Legal Transfer of Care
Ambulance Patient Offload Times (APOT) have stretched EMS systems to the breaking point all across the United States. In this timely and important session, national EMS attorney Doug Wolfberg will take a close look at the law and answer the question, "whose patient is it" when an ambulance reaches hospital property, and will discuss unilateral strategies that EMS agencies can employ when hospitals keep ambulance crews for unreasonable periods of time. This session will also address the law related to Emergency Department diversions.
Learning Objectives:
...identify and ddescribe the six basic elements of the EMTALA statute.
....describe when a legal transfer of care from EMS to a hospital ED occurs.
...identify when a hospital's legal duty of care arises under federal law for an incoming EMS patient,
Learning Objectives:
...identify and ddescribe the six basic elements of the EMTALA statute.
....describe when a legal transfer of care from EMS to a hospital ED occurs.
...identify when a hospital's legal duty of care arises under federal law for an incoming EMS patient,
Slap the Cap: The Comprehensive Capnography Course
First Nationally presented comprehensive course (Since 1998) on capnography that is an eye-opening experience when participants learn the incredible benefits gained from full ETCO2 monitoring and waveform assessment. In this exciting and informative session, Bob reviews the related A&P of the respiratory system and explains, through the use of multi-media and audience involvement, the role of capnography in all aspects of emergency and critical care. From cases of cardiac arrest to airway and ventilation management. Patient assessment as an initial triage through primary assessment and secondary to ongoing reassessment. In medical and trauma cases alike, the case is made for using capnography as a key patient assessment tool for every patient. From the triage of any patient to the ongoing monitoring of the patient. In fact, anyone with a problem with ABC’s should have continuous monitoring of ETCO2 and waveform. Be a part of this comprehensive course that explains in detail why you measure CO2, how the machine measures it, how the waveforms are made and real cases from A-Z. Come and learn how to fully integrate this session into your practice and utilize it to its fullest potential! Capnography: It’s not just for confirming tube placement!
Learning Objectives:
Describe the limitations and benefits of Capnography in the intubated patient including tube confirmation and post intubation ventilatory management
Describe the benefits and limitations of Capnography in the non-intubated patient including conscious sedation, possible narcotic OD, and various respiratory, medical, trauma and metabolic emergencies.
Describe the uses for capnography in cardiac arrest management including measuring CPR effectiveness, ROSC, and airway confirmation.
Learning Objectives:
Describe the limitations and benefits of Capnography in the intubated patient including tube confirmation and post intubation ventilatory management
Describe the benefits and limitations of Capnography in the non-intubated patient including conscious sedation, possible narcotic OD, and various respiratory, medical, trauma and metabolic emergencies.
Describe the uses for capnography in cardiac arrest management including measuring CPR effectiveness, ROSC, and airway confirmation.
Overcoming the Overwhelming
“Overcoming The Overwhelming” is an introductory human factors course with a focus on critical incident stress management at a provider level. This four-hour workshop is designed to introduce the scope of human factors in relation to EMS and incident response, performance optimization, stress mitigation, and the development of stress-related psychological injuries.
Learning Objectives:
Understand what critical incident stress is, and how it is developed and its effect on performance and mental health. (high threat assessment combined with heightened sympathetic nervous system).
Utilize strategies for lowering threat assessment including perception management, increasing confidence without inflating ego, and evaluating cognition capability
Implement practices to lower the sympathetic nervous system response, reduce stress, and improve performance.
Learning Objectives:
Understand what critical incident stress is, and how it is developed and its effect on performance and mental health. (high threat assessment combined with heightened sympathetic nervous system).
Utilize strategies for lowering threat assessment including perception management, increasing confidence without inflating ego, and evaluating cognition capability
Implement practices to lower the sympathetic nervous system response, reduce stress, and improve performance.
ResponderStrong Mental Health Curriculum
Emergency Responders face stressful and disturbing situations every day, including scenes of traumatic injury and death. Exposure to these critical incidents puts emergency responders at high risk for:
• Post-traumatic symptoms (sleep problems, flashbacks, heightened reactivity)
• Anxiety and depression
• Substance abuse and addiction
• Strained social relationships and divorce
• A decreased ability to perform duties
• Suicide
The CDC estimates that protective service workers have a suicide rate of 30.5 per 100,000 people - this is nearly double the national average. Far more emergency responders die by suicide than deaths in the line of duty.
There are several efforts that encourage and support the mental wellness of Emergency Responders across the country. Training recruits, peers, and incumbent personnel in the importance of mental wellness is one such effort. Integrating these topics into training at the beginning of an Emergency Responders’ career and continuing this focus throughout their career helps them develop and maintain resilience as they encounter difficult calls, fosters their ability to recognize and help themselves or their co-workers who may be struggling, and builds the foundation for a long and healthy career.
Learning Objectives:
Discuss and describe suicide recognition.
Describe stress including acute stress and chronic stress.
List and describe resiliency and resilience tools to help the first responder.
• Post-traumatic symptoms (sleep problems, flashbacks, heightened reactivity)
• Anxiety and depression
• Substance abuse and addiction
• Strained social relationships and divorce
• A decreased ability to perform duties
• Suicide
The CDC estimates that protective service workers have a suicide rate of 30.5 per 100,000 people - this is nearly double the national average. Far more emergency responders die by suicide than deaths in the line of duty.
There are several efforts that encourage and support the mental wellness of Emergency Responders across the country. Training recruits, peers, and incumbent personnel in the importance of mental wellness is one such effort. Integrating these topics into training at the beginning of an Emergency Responders’ career and continuing this focus throughout their career helps them develop and maintain resilience as they encounter difficult calls, fosters their ability to recognize and help themselves or their co-workers who may be struggling, and builds the foundation for a long and healthy career.
Learning Objectives:
Discuss and describe suicide recognition.
Describe stress including acute stress and chronic stress.
List and describe resiliency and resilience tools to help the first responder.
Time is Brain: The Future of Stroke Response via Mobile Stroke Units
Stroke, for decades, has been a leading cause of both death and adult disability worldwide. The often-repeated adage for stroke recognition and treatment is, “Time is brain.” For every minute a patient suffers a stroke they can lose 2 million brain cells and add an extra week to their rehabilitation. The goal, historically, for EMS stroke care was stabilization and expedient transport to the nearest and most appropriate stroke capable facility.
Then in 2010, the first ever Mobile Stroke Unit (MSU) was launched in Saarland, Germany. Introducing an EMS vehicle that brought stroke diagnosis and treatment to the pre-hospital setting. Since then, more than 20 units in the US and 40 units worldwide have begun delivering direct, advanced neurological care in their communities. Recent studies have demonstrated that not only do MSUs deliver treatment to more eligible patients; they deliver life altering treatment faster than traditional EMS to Hospital models. Our Columbus, OH based Mobile Stroke Treatment Unit has not only replicated these results but improved and expanded becoming one of the busiest mobile units in the U.S.
Learning Objectives:
Upon completion, participant will be able to understand how mobile stroke units operate and how they can augment EMS response to stroke.
Upon completion, participant will be able to explain the benefits that mobile stroke units have regarding patient care and outcome.
Upon completion, participant will be able to discuss potential improvements to EMS screening of stroke and appropriate triage of patients.
Then in 2010, the first ever Mobile Stroke Unit (MSU) was launched in Saarland, Germany. Introducing an EMS vehicle that brought stroke diagnosis and treatment to the pre-hospital setting. Since then, more than 20 units in the US and 40 units worldwide have begun delivering direct, advanced neurological care in their communities. Recent studies have demonstrated that not only do MSUs deliver treatment to more eligible patients; they deliver life altering treatment faster than traditional EMS to Hospital models. Our Columbus, OH based Mobile Stroke Treatment Unit has not only replicated these results but improved and expanded becoming one of the busiest mobile units in the U.S.
Learning Objectives:
Upon completion, participant will be able to understand how mobile stroke units operate and how they can augment EMS response to stroke.
Upon completion, participant will be able to explain the benefits that mobile stroke units have regarding patient care and outcome.
Upon completion, participant will be able to discuss potential improvements to EMS screening of stroke and appropriate triage of patients.
State EMS Systems - Discussion Panel
Are you curious about or frustrated with the functions of your State EMS Office? Would you like to hear the experiences in other states? This will be a panel discussion and question and answer period with three to four State EMS leaders and policy makers from different states. Ask questions, learn how they think, why they make the decisions that they do, and what they think the future holds for their states and yours.
Learning Objectives:
Understand how a state EMS office functions.
Advocate for change within their own state.
Understand the complexities of a state EMS system.
Learning Objectives:
Understand how a state EMS office functions.
Advocate for change within their own state.
Understand the complexities of a state EMS system.