What The Heck Did I Do Last Night?
Sleep deprivation can have detrimental effects on our performance. Many providers in EMS work overnights and rotating shifts, have multiple jobs, and feel the effects of sleep deprivation on a regular basis. How does this affect our patient care, and influence our interactions with peers and family? In addition to the effects on our professional and personal lives, providers are at high risk for injuries and motor vehicle accidents when sleep deprived. In this presentation, we will explore some self-care strategies to diminish the effect of sleep deprivation, reduce medical errors, and decrease stress on our personal relationships.
Learning Objectives:
Upon completion, participants will be able to list three problems that can commonly result from sleep deprivation in EMS, either at work, or in their personal lives.
Upon completion, participants will be able to describe three methods to combat sleep deprivation in EMS.
Upon completion, participants will define three self-care strategies in order to decompress and foster better relationships in their personal life.
Learning Objectives:
Upon completion, participants will be able to list three problems that can commonly result from sleep deprivation in EMS, either at work, or in their personal lives.
Upon completion, participants will be able to describe three methods to combat sleep deprivation in EMS.
Upon completion, participants will define three self-care strategies in order to decompress and foster better relationships in their personal life.
Optimizing Left Ventricular Perfusion: A Paradigm Shift in STEMI CARE with Delayed PCI
Bruce E. Hoffman, DHPEs, MSN-ED, BSN-RN, PM
Current care of the occlusive myocardial infarction (and/or STEMI) patient revolves around the concept of immediate reperfusion therapy. There is, however, emerging data which suggests that an alternative therapy other than PCI may be the new priority.
Learning Objectives:
At the completion of this presentation, the student will be able to define and describe ventricular unloading.
At the completion of this presentation, the student will be able to compare and contrast myocardial areas at risk for both immediate and delayed PCI.
At the completion of this presentation, the student will recognize the role and benefit of ventricular preconditioning.
Current care of the occlusive myocardial infarction (and/or STEMI) patient revolves around the concept of immediate reperfusion therapy. There is, however, emerging data which suggests that an alternative therapy other than PCI may be the new priority.
Learning Objectives:
At the completion of this presentation, the student will be able to define and describe ventricular unloading.
At the completion of this presentation, the student will be able to compare and contrast myocardial areas at risk for both immediate and delayed PCI.
At the completion of this presentation, the student will recognize the role and benefit of ventricular preconditioning.
EMS Response to Civil Unrest - Lessons Learned in Minneapolis
Overnight in May of 2020, the City of Minneapolis went from a large city with the usual problems to the epicenter of nationwide protests and civil unrest. No previous training could have prepared Hennepin EMS for the task of responding to 911 calls while the city literally burned down around them. This presentation will cover the journey from the initial response to becoming the unwitting experts in the area of EMS response during large scale civil unrest. Included will be lessons learned, best practices that were identified, and the effects that still linger even years later.
Learning Objectives:
Upon completion, participant will be able to describe the dangers of responding during civil unrest.
Upon completion, participant will be able to identify areas of potential failure in their response plan to civil unrest.
Upon completion, participant will be able to describe best practices for EMS response during civil unrest.
Learning Objectives:
Upon completion, participant will be able to describe the dangers of responding during civil unrest.
Upon completion, participant will be able to identify areas of potential failure in their response plan to civil unrest.
Upon completion, participant will be able to describe best practices for EMS response during civil unrest.
Navigating the Health and Wellness Pitfalls of the EMS Lifestyle using Five Fundamentals for Thriving
An individuals state of health and wellness is markedly influenced by stress, and how that individual overcomes, merely manages or ultimately succumbs to such stressors. Fundamentally, human beings are exposed to various types and forms of stress in their day to day lives. These stressors can be significantly augmented in the lives of first responders. Aspects such as sleep deprivation, post-traumatic stress, poor or inadequate nutrition, environmental exposure and lack of quality exercise crucially impact the health and wellness of our first responders.
The purpose of this presentation is to improve awareness of how stress uniquely affects First Responders and will outline a "Five Fundamentals" approach to improving resilience. It is essential to equip individual responders and organizations with tools and techniques to successfully mitigate daily stressors and to empower those around them to do the same.
Learning Objectives:
Upon Completion, participant will be able to identify and define the 3 key types of stress to which humans are exposed.
Upon completion, participant will be able to list and describe each of the Five Fundamentals for improving resilience.
Upon completion, participant will be able to give clear and achievable examples for each of the Five Fundamental areas to include in their daily routines.
The purpose of this presentation is to improve awareness of how stress uniquely affects First Responders and will outline a "Five Fundamentals" approach to improving resilience. It is essential to equip individual responders and organizations with tools and techniques to successfully mitigate daily stressors and to empower those around them to do the same.
Learning Objectives:
Upon Completion, participant will be able to identify and define the 3 key types of stress to which humans are exposed.
Upon completion, participant will be able to list and describe each of the Five Fundamentals for improving resilience.
Upon completion, participant will be able to give clear and achievable examples for each of the Five Fundamental areas to include in their daily routines.
From Handshake Partnerships to the Executive Team – How Successful Grassroots Community Paramedicine Launched a City’s Role in Public Health
Following the surge of the COVID-19 pandemic, many local fire departments have shifted operations to not only include fire and rescue, but also community health. Gainesville Fire Rescue’s well-established Community Resource Paramedicine (CRP) program has built itself into a premier “problem solving” mobile integrated health platform, effectively spearheading the fire department further into a formal public health role. As CRP has continued to evolve on the basis of breaking down barriers and creating partnerships, the City of Gainesville recognized this effectiveness and implemented the first Community Health Director- a fire-based civilian position. As paramedics used their unique position to intervene in trafficking, homelessness and the opioid crisis, the Community Health Director has collaborated and work though barriers on multiple short and long term initiatives. This ground-level ingenuity sparked formal, executive-level change.
This session will explore the shifting role of the fire department and the intersections with community paramedicine and health in general, including the establishment of a formal position. Presenters will discuss data-informed decision making as a result of “boots on the ground” real world problem-solving. Examples of the data analysis and application process will be shared, focused on substance overdoses and crisis intervention. Additionally, examples of the intentional community partnerships that have driven this success will be highlighted, including those with LEA and non-profits.
Learning Objectives:
Explain how creative ground-level solutions have impacted public health outside of traditional community paramedicine models.
Describe how formal and informal partnerships can benefit community paramedicine programs and community members.
Analyze how the formalized Community Health Director position is operationalized within fire rescue department and the community.
This session will explore the shifting role of the fire department and the intersections with community paramedicine and health in general, including the establishment of a formal position. Presenters will discuss data-informed decision making as a result of “boots on the ground” real world problem-solving. Examples of the data analysis and application process will be shared, focused on substance overdoses and crisis intervention. Additionally, examples of the intentional community partnerships that have driven this success will be highlighted, including those with LEA and non-profits.
Learning Objectives:
Explain how creative ground-level solutions have impacted public health outside of traditional community paramedicine models.
Describe how formal and informal partnerships can benefit community paramedicine programs and community members.
Analyze how the formalized Community Health Director position is operationalized within fire rescue department and the community.
Ten Papers That Changed My Practice in 2022
A practice-based discussion (NOT a journal club, don't worry!) of 10 papers that changed my EMS practice in 2022. These are papers, for good or bad, that all paramedics, system directors, and medical directors should know about. We’ll cover 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.
Learning Objectives:
for the papers discussed, describe hypothesis being tested
for the papers discussed, describe the methods being used
for the papers discussed, describe the results being presented and their applicability to EMS practice
Learning Objectives:
for the papers discussed, describe hypothesis being tested
for the papers discussed, describe the methods being used
for the papers discussed, describe the results being presented and their applicability to EMS practice
BRUE - When OK is not OK in infants
When is “normal” not? Assessment of patients under age 1 can be challenging, and when you find a patient with no injuries or obvious illness, does this mean they are OK? We will explore what a BRUE is and what is means. Building upon this, we will discuss what is the science behind BRUE and the effects on children. Finally, we will look at some real EMS cases and discuss what a Brief Resolved Unexplained Event is, outcomes of this condition, and what the EMS provider at any level can do for these patients.
Learning Objectives:
Define and understand what a BRUE is and the implications for the patient.
describe how to examine and consider outcomes and epidemiology of BRUE cases
Implement strategies to assess and manage patients who present with a BRUE.
Learning Objectives:
Define and understand what a BRUE is and the implications for the patient.
describe how to examine and consider outcomes and epidemiology of BRUE cases
Implement strategies to assess and manage patients who present with a BRUE.
Crash Injuries: National Trends, Local Impact
Nationwide, there are more than 1.3 million EMS responses to MVC-related injuries every year. Using NEMSIS data, this session will dig into what’s going on in these responses, who is getting injured, how bad, and when do most of these injuries occur. Understanding nationwide trends helps to put state and local response into perspective.
Learning Objectives:
Identify factors for data collection and analysis regarding MVC-related injuries.
Discuss national trends in injury rates, severe injury, pedestrian, older adults and ejections.
Discuss how to compare state and local data trends to national trends.
Learning Objectives:
Identify factors for data collection and analysis regarding MVC-related injuries.
Discuss national trends in injury rates, severe injury, pedestrian, older adults and ejections.
Discuss how to compare state and local data trends to national trends.
Prehospital LTOWB+ Transfusions for Special Populations: OBGYN, Pediatrics, Geriatrics, and Alternative Issues
Prehospital blood transfusions may be viewed by many medical professionals as a progressive treatment for patients in hemorrhagic shock secondary to serious traumatic injury. Providers could also benefit from considering prehospital blood transfusions for patients in hemorrhagic shock due to a variety of medical conditions. This presentation will analyze the possible complications associated with prehospital blood transfusions for pediatric, geriatric, and OBGYN patients. In the past EMS providers had limited options to achieve hemodynamic stabilization for patients in hemorrhagic shock.
Learning Objectives:
Upon completion participants will be able to identify signs of hemorrhagic shock in a variety of patient populations while determining the needs of each population
Upon completion, participants will be able to analyze the potential complications of prehospital low titer O+ whole blood (LTOWB+) transfusions for special population patients
Upon completion, participants will be able to understand the calculated value of prehospital low titer O+ whole blood transfusions for patients from all populations.
Learning Objectives:
Upon completion participants will be able to identify signs of hemorrhagic shock in a variety of patient populations while determining the needs of each population
Upon completion, participants will be able to analyze the potential complications of prehospital low titer O+ whole blood (LTOWB+) transfusions for special population patients
Upon completion, participants will be able to understand the calculated value of prehospital low titer O+ whole blood transfusions for patients from all populations.
Swipe Right to Apply -- Adapting EMS Recruitment for "Gen Z"
There is a fire service adage that goes, “100 years of tradition, unimpeded by progress.” The theme here has to do with age and resistance to change. Evolution is necessary for success and in general, public safety does not like to adapt to its members. The paramilitary disciplines, often with good intent or out of necessity, require compliance and conformity. There are many good reasons behind these designs, but that does not mean they should not be reviewed and adjusted as needed, especially when a demographic change no longer aligns with the goals of the agency or the mental or physical integrity of its members.
In short, what worked twenty years ago and resulted in a strong organization may actually be damaging to both the organization and its newest employees. Cross-generational management is complex and requires the ability to adapt communication styles to be as effective as possible. The different generations, and especially Gen Z, literally speak another language now. If agencies cannot recognize and navigate their dialect, then how can they expect to recruit and retain those people?
**This will need a cleaner blurb, but the premise is focused on cross-generational recruitment practices, especially Gens Z & A.**
Learning Objectives:
Identify characteristics common to the generations currently in the workplace.
Describe recruitment strategies that better align with the communication practices of different generations.
Adapt recruitment techniques that highlight agency strengths.
In short, what worked twenty years ago and resulted in a strong organization may actually be damaging to both the organization and its newest employees. Cross-generational management is complex and requires the ability to adapt communication styles to be as effective as possible. The different generations, and especially Gen Z, literally speak another language now. If agencies cannot recognize and navigate their dialect, then how can they expect to recruit and retain those people?
**This will need a cleaner blurb, but the premise is focused on cross-generational recruitment practices, especially Gens Z & A.**
Learning Objectives:
Identify characteristics common to the generations currently in the workplace.
Describe recruitment strategies that better align with the communication practices of different generations.
Adapt recruitment techniques that highlight agency strengths.
Tactics for a Successful EMT Classroom
Are you an EMT educator who is becoming discouraged by students not performing to their potential, low pass rates, or instructors who are too busy sharing war stories to teach? These concerns are not new and are faced by EMS educators across the country. However, there are proven tactics you can implement to increase the success in your classroom and bring enjoyment back to teaching. This course will review many of the tactics used by the UCLA EMT education program in training nearly 1,000 students annually.
Learning Objectives:
By the end of the course, students will be able to list key indicates they should be tracking for improved outcomes in their EMT program.
By the end of the course, students will be able to discuss the importance of a validated exams.
By the end of the course, students will be able to discuss utilizing a skills portfolio in their EMT class.
Learning Objectives:
By the end of the course, students will be able to list key indicates they should be tracking for improved outcomes in their EMT program.
By the end of the course, students will be able to discuss the importance of a validated exams.
By the end of the course, students will be able to discuss utilizing a skills portfolio in their EMT class.
What Does the Future Hold? Integrating EMS Data with Health Systems, Public Health, and Community Health
More than 50 years ago, the EMS industry was born out of the data of the infamous White Paper on out-of-hospital morbidity and mortality. 9-1-1 providers have continued to use data to refine their operations and role in their communities since its inception. EMS has recently expanded to become a valuable data source and interoperability partner with stakeholders across the public health, health care, and community resources landscapes. Join this session to learn how EMS data is connected with these partners, informs their programs, and provides previously unavailable resources to out-of-hospital patients. The session includes a special presentation by the 2023 Nicholas Rosecrans Award Winner.
Learning Objectives:
Upon completion, participants will be able to articulate the progression of EMS data systems from paper to electronic documents to interoperability initiatives currently underway.
Upon completion, participants will be able to articulate the ways that data information exchange improve EMS efficiency, quality of care, and practice improvement.
Upon completion, participants will understand how EMS data is being use to inform inter-industry operations across public health and community resource allocation.
Learning Objectives:
Upon completion, participants will be able to articulate the progression of EMS data systems from paper to electronic documents to interoperability initiatives currently underway.
Upon completion, participants will be able to articulate the ways that data information exchange improve EMS efficiency, quality of care, and practice improvement.
Upon completion, participants will understand how EMS data is being use to inform inter-industry operations across public health and community resource allocation.
Managing MIH Operations with a Remote Workforce
Working with an autonomous and remote workforce creates its own unique challenges. The management of such a team requires operations and overall management styles to be flexible and non-traditional to a typical chain of command. Creative use of talent and strengths among team members, not only helps gain and build trust between management and team members, but it also allows team members to learn how to lean on each other, even in a remote or hybrid work style.
Learning Objectives:
Upon completion, participants will be able to discuss how autonomy motivates team members, and ways to support that autonomy.
Upon completion, participants will be able to understand Social Exchange Theory and the Theory of Motivation and their unique roles in motivating and connecting with a remote workforce.
Upon completion, participants will be ale to give examples of thing that have and have not worked, for a large health network's MIH program.
Learning Objectives:
Upon completion, participants will be able to discuss how autonomy motivates team members, and ways to support that autonomy.
Upon completion, participants will be able to understand Social Exchange Theory and the Theory of Motivation and their unique roles in motivating and connecting with a remote workforce.
Upon completion, participants will be ale to give examples of thing that have and have not worked, for a large health network's MIH program.
Instruction for Brilliant Documentation
Documentation is the single most common procedure in EMS. Poor documentation contributes to adverse legal outcomes, clinical errors and can hinder, or even end, the career of an individual EMT. There’s not much instructional time in our initial training to develop good documentation skills. With so much riding on this skill, it's a shame that we don't train for excellence. This workshop takes a fresh look at teaching students what to write and how to write it. No need to become an English teacher, or revamp an existing training program, instructors will learn how to add as much as 5 hours of documentation instruction without changing their current syllabus. During this highly interactive workshop instructors will investigate classroom practices that turn experience in the field into words on a PCR.
Learning Objectives:
Discover methods to incorporate documentation instruction into their existing training program.
Participants will encounter instructional methods that help students translate field experiences into effective, clinically appropriate writing.
Participants will examine effective Q/A practices including self assessment and external Q/A Explore common free tools for effective writing.
Learning Objectives:
Discover methods to incorporate documentation instruction into their existing training program.
Participants will encounter instructional methods that help students translate field experiences into effective, clinically appropriate writing.
Participants will examine effective Q/A practices including self assessment and external Q/A Explore common free tools for effective writing.
MCI and Triage Best Practices and Lessons Learned
So you have are a new leader in your organization or you have a new leader in your organization and you want to ensure success in the new role but your not sure how to achieve greatness, make sure you check all 10 boxes for leadership success. This session will go into 10 key points for new leaders to ensure they succeed in the roles. From mentor-ship to leadership resources, from creating a written road map to writing an incident report, this course will go into what you need and where to find it! This class is for the new leader and for those who manage new leaders so that together you can create a leadership team that achieve great things together!
Prehospital Whole Blood: Medical Origins, Systemic Components, and Operational Development in the San Antonio Fire Department LTOWB+ Program
So you have are a new leader in your organization or you have a new leader in your organization and you want to ensure success in the new role but your not sure how to achieve greatness, make sure you check all 10 boxes for leadership success. This session will go into 10 key points for new leaders to ensure they succeed in the roles. From mentor-ship to leadership resources, from creating a written road map to writing an incident report, this course will go into what you need and where to find it! This class is for the new leader and for those who manage new leaders so that together you can create a leadership team that achieve great things together!
FP-C, CCP-C & CFRN Advanced Concepts in Critical Care copy 2
So you have are a new leader in your organization or you have a new leader in your organization and you want to ensure success in the new role but your not sure how to achieve greatness, make sure you check all 10 boxes for leadership success. This session will go into 10 key points for new leaders to ensure they succeed in the roles. From mentor-ship to leadership resources, from creating a written road map to writing an incident report, this course will go into what you need and where to find it! This class is for the new leader and for those who manage new leaders so that together you can create a leadership team that achieve great things together!
Living Well to Lead Well EMS Wellness Workshop
So you have are a new leader in your organization or you have a new leader in your organization and you want to ensure success in the new role but your not sure how to achieve greatness, make sure you check all 10 boxes for leadership success. This session will go into 10 key points for new leaders to ensure they succeed in the roles. From mentor-ship to leadership resources, from creating a written road map to writing an incident report, this course will go into what you need and where to find it! This class is for the new leader and for those who manage new leaders so that together you can create a leadership team that achieve great things together!
MIH Summit Day 2
So you have are a new leader in your organization or you have a new leader in your organization and you want to ensure success in the new role but your not sure how to achieve greatness, make sure you check all 10 boxes for leadership success. This session will go into 10 key points for new leaders to ensure they succeed in the roles. From mentor-ship to leadership resources, from creating a written road map to writing an incident report, this course will go into what you need and where to find it! This class is for the new leader and for those who manage new leaders so that together you can create a leadership team that achieve great things together!
Cardiology Master Class: STEMI Recognition copy 1
So you have are a new leader in your organization or you have a new leader in your organization and you want to ensure success in the new role but your not sure how to achieve greatness, make sure you check all 10 boxes for leadership success. This session will go into 10 key points for new leaders to ensure they succeed in the roles. From mentor-ship to leadership resources, from creating a written road map to writing an incident report, this course will go into what you need and where to find it! This class is for the new leader and for those who manage new leaders so that together you can create a leadership team that achieve great things together!