Implementing an Evidence-based Wellness Program for EMS Professionals
The Goal of Public Safety is to support, “A secure and resilient nation with capabilities required across the whole community to prevent, protect against, mitigate, respond to, and recover from the threats and hazards that pose the greatest risk (Department of Homeland Security, 2022).” A critical component of the public safety infrastructure is the people. With the rising trends in posttraumatic stress, anxiety and depression facing the population, many departments are turning towards implementation of robust wellness programs in which to address these issues.
But implementing a wellness program is not a simple task. Often, individuals are tasked with implementing a program with little to no background in complex issues that would be addressed through a comprehensive wellness program. Passion for the subject can only take an individual so far, and sustained efforts require an evidence- based framework in which to implement, intervene, and demonstrate effectiveness of the wellness program for the public safety organization.
This presentation will review the steps in implementing an evidence-based wellness program that will be tailored towards the needs of the emergency medical professional population, provide solutions that apply across all public safety professions, and address the opportunities and challenges inherent in implementing wellness programs.
Learning Objectives:
Upon completion of this session, participants will be able to describe an evidenced based framework for implementation of first responder wellness programs
Upon completion of this session, participants will be able to discuss lessons learned and best practices from national wellness program efforts
Upon completion of this program, participants will be able to utilize tools to develop targeted interventions for their specific populations.
But implementing a wellness program is not a simple task. Often, individuals are tasked with implementing a program with little to no background in complex issues that would be addressed through a comprehensive wellness program. Passion for the subject can only take an individual so far, and sustained efforts require an evidence- based framework in which to implement, intervene, and demonstrate effectiveness of the wellness program for the public safety organization.
This presentation will review the steps in implementing an evidence-based wellness program that will be tailored towards the needs of the emergency medical professional population, provide solutions that apply across all public safety professions, and address the opportunities and challenges inherent in implementing wellness programs.
Learning Objectives:
Upon completion of this session, participants will be able to describe an evidenced based framework for implementation of first responder wellness programs
Upon completion of this session, participants will be able to discuss lessons learned and best practices from national wellness program efforts
Upon completion of this program, participants will be able to utilize tools to develop targeted interventions for their specific populations.
template ems 2023 live
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!
Pediatric Burn Management
This session will describe the epidemiology of pediatric burns, the major risk factors associated with mortality from burns, and demonstrate the skills recommended for initial burn management.
Learning Objectives:
list the most common causes of burns in pediatric patients
understand risk factors for hospitalization and death related to pediatric burn wounds
demonstrate wound care and other treatment of pediatric burns
Learning Objectives:
list the most common causes of burns in pediatric patients
understand risk factors for hospitalization and death related to pediatric burn wounds
demonstrate wound care and other treatment of pediatric burns
Poland and Ukraine: Experiences on the Ground after an Invasion
This presentation will examine the experiences of the presenter during the time spent in Poland and Ukraine shortly after the invasion. The presentation will look beyond the "typical" understanding of wartime injuries and discuss broader challenges that were encountered. The massive influx of refugees at the border, coupled with basic human human needs, chronic illnesses and trauma of various etiologies will be discussed. These discussions will be presented with the backdrop of the intentional cruelty of war and the impacts inflicted on a civilian population.
Learning Objectives:
Describe the major challenges encountered in Poland and Ukraine following the invasion.
Discuss the EMS and emergency management implications of practicing in another country.
Discuss potential long-term health system impacts of the invasion.
Learning Objectives:
Describe the major challenges encountered in Poland and Ukraine following the invasion.
Discuss the EMS and emergency management implications of practicing in another country.
Discuss potential long-term health system impacts of the invasion.
Transparency in Care: Driving Change Through Dashboards
EMS professionals care for patients every day, diligently completing patient care records. While billing, care coordination, and record keeping are critical information uses, mountains of data present opportunities to be leveraged to strengthen patient care, support system initiatives, and enhance the health of the community.
The COVID pandemic provided a silver lining in demonstrating the value and impact that public facing dashboards can have on partners, stakeholders, and the broader community.
Value:
Dashboarding of local EMS data benefits both the system and the community. By visualizing and mapping community trends a system can better distribute resources, target inequities, and improve gaps in care. Likewise, by understanding the care provided by often undervalued EMS systems, stakeholders and decision makers can appreciate the lives saved, the community impact, and the need for continued resource support.
Action:
This talk will outline basic elements and best practices of a successful EMS dashboard, discuss the risk/value proposition of data transparency, and demonstrate the opportunities that exist in improving patient care and system resource needs.
Focusing on specific case examples, we will discuss solution-based models of public facing, transparent dashboards including design characteristics, software platforms, and data elements.
Take your system to the next level.
Learning Objectives:
1. Upon completion, participant will be able to understand critical elements to a successful EMS dashboard.
2. Upon completion, participant will be able to take initial steps to ensure accurate data gathering to inform patient care and system needs.
3. Upon completion, participant will be able to recognize the risk/benefit relationship of public facing data sharing and transparency.
The COVID pandemic provided a silver lining in demonstrating the value and impact that public facing dashboards can have on partners, stakeholders, and the broader community.
Value:
Dashboarding of local EMS data benefits both the system and the community. By visualizing and mapping community trends a system can better distribute resources, target inequities, and improve gaps in care. Likewise, by understanding the care provided by often undervalued EMS systems, stakeholders and decision makers can appreciate the lives saved, the community impact, and the need for continued resource support.
Action:
This talk will outline basic elements and best practices of a successful EMS dashboard, discuss the risk/value proposition of data transparency, and demonstrate the opportunities that exist in improving patient care and system resource needs.
Focusing on specific case examples, we will discuss solution-based models of public facing, transparent dashboards including design characteristics, software platforms, and data elements.
Take your system to the next level.
Learning Objectives:
1. Upon completion, participant will be able to understand critical elements to a successful EMS dashboard.
2. Upon completion, participant will be able to take initial steps to ensure accurate data gathering to inform patient care and system needs.
3. Upon completion, participant will be able to recognize the risk/benefit relationship of public facing data sharing and transparency.
Demystifying Pacemakers
We have all had patients who have pacemakers / AICD. These devices are getting smaller each year and are much more prevalent than they were 15 years ago. But how do they work? What does the magnet really do? What happens when the AICD fires? In this interactive session we will explore the inner workings and practical information about pacemakers and AICDs that will be invaluable to your EMS practice.
Learning Objectives:
1. Understand how some of the common types of pacemakers work.
2. Discuss special considerations surrounding pacemakers.
3. Explore complications that occur with pacemakers/AICDs.
Learning Objectives:
1. Understand how some of the common types of pacemakers work.
2. Discuss special considerations surrounding pacemakers.
3. Explore complications that occur with pacemakers/AICDs.
The Law and You: What You Need to Know
In this entertaining and informative session, Mr. Nagorka will take you through the world of the law and will show how it applies to you in your everyday practice.
Learning Objectives:
Recognize the difference between the civil and the criminal systems.
Gain an understanding of how the standard of care evolves and changes.
Learn how to talk more effectively with lawyers and their staff.
Learning Objectives:
Recognize the difference between the civil and the criminal systems.
Gain an understanding of how the standard of care evolves and changes.
Learn how to talk more effectively with lawyers and their staff.
Pump Up the Jam! Intra-Aortic Ballon Pump therapy: The basics for everyone!
Intra-Aortic Balloon Pump (IABP) therepy has been around for a long time, and crews may be called upon to transfer a Patient with this device in place. This class will discuss the basics of Mechanical Circulatory Support, IABP triggers, waveform analysis, and how to troubleshoot this device if a problem is encountered.
Learning Objectives:
List the basic elements of Intra-Aortic counterpulsation.
Identify the dicrotic notch on the Art-Line waveform.
Identify the main triggers for IABP therapy.
Learning Objectives:
List the basic elements of Intra-Aortic counterpulsation.
Identify the dicrotic notch on the Art-Line waveform.
Identify the main triggers for IABP therapy.
How To Get Your First Conference Poster
Conference Posters are the first step on the medical research ladder, but how does the process actually work?
This class is intended for total beginners who like the idea of producing a conference poster but don’t know where to start. We’ll cover you all you need to know, from coming up with a project idea (clue: there will be something you can produce from within your workplace in a matter of days, if you wished to do so…), identifying your target conference, assessing your findings, deciding on the best angle to include in your abstract, top tips on abstract submissions, design basics, the practicality of travelling to conferences with a poster in tow, and what to do if your abstract scores sufficiently highly that you are invited to give a Free Paper (short presentation) instead of – or in addition to - a poster!
The presenter has helped dozens of medical students, paramedics and EM residents to achieve their first conference poster, and particularly relishes thinking up projects capable of resulting in a great poster with minimum effort!
Learning Objectives:
Describe the process of preparing and submitting a scientific abstract
Understand core graphic design principles applicable to creation of scientific posters
Describe the hierarchy of scientific conference publications.
This class is intended for total beginners who like the idea of producing a conference poster but don’t know where to start. We’ll cover you all you need to know, from coming up with a project idea (clue: there will be something you can produce from within your workplace in a matter of days, if you wished to do so…), identifying your target conference, assessing your findings, deciding on the best angle to include in your abstract, top tips on abstract submissions, design basics, the practicality of travelling to conferences with a poster in tow, and what to do if your abstract scores sufficiently highly that you are invited to give a Free Paper (short presentation) instead of – or in addition to - a poster!
The presenter has helped dozens of medical students, paramedics and EM residents to achieve their first conference poster, and particularly relishes thinking up projects capable of resulting in a great poster with minimum effort!
Learning Objectives:
Describe the process of preparing and submitting a scientific abstract
Understand core graphic design principles applicable to creation of scientific posters
Describe the hierarchy of scientific conference publications.
The Power of Blood—What Does the Research Literature Say About Prehospital Blood Administration?
Prehospital blood transfusion is quickly becoming the in vogue standard of trauma resusitation. With the new push toward Whole Blood and plasma within the prehospital environment, what does the current and past research literature say about bring this precious resource into our area of medicine. We explore the past, present, and future research on prehospital blood transfusion.
Learning Objectives:
Determine what past research literature on Prehospital Fluid Resuscitation stated.
Describe the current Prehospital Blood Therapy Literature
Review future research projects for Prehospital Blood Therapy.
Learning Objectives:
Determine what past research literature on Prehospital Fluid Resuscitation stated.
Describe the current Prehospital Blood Therapy Literature
Review future research projects for Prehospital Blood Therapy.
Autism Spectrum Disorders: Integrating Simulation to Learn Communication and Assessment Skills in the PreHospital Setting
Individuals with autism spectrum disorders can present in ways that can be unpredictable and may create barriers to assessment, treatment, and transport. Because of improved understanding and diagnostics, the prevalence and incidence of autism have increased. This will increase the likelihood that EMS providers will encounter a patient or family member on the autism spectrum. This session will provide a review of autism spectrum disorders, including general characteristics, communication challenges, restricted/repetitive behaviors, and sensory issues. A person with an autism spectrum disorder might respond during a medical or trauma emergency in ways that can impact the care provided. Suggestions for facilitating communication, assessment, and treatment interventions will be discussed.
Learning Objectives:
Participants will be able to identify and describe: General suggestions for working with patients with disabilities
Participants will be able to identify and describe: How characteristics of autism spectrum disorders might complicate an EMS assessment, treatment, and transport
Participants will be able to identify and describe:Suggestions for EMS assessment and treatment when working with patients with an autism spectrum disorder
Learning Objectives:
Participants will be able to identify and describe: General suggestions for working with patients with disabilities
Participants will be able to identify and describe: How characteristics of autism spectrum disorders might complicate an EMS assessment, treatment, and transport
Participants will be able to identify and describe:Suggestions for EMS assessment and treatment when working with patients with an autism spectrum disorder
Junctional Haemorrhage—From Pre-hospital Care to the Resus Room
Junctional Haemorrhage is a challenging clinical presentation where conventional methods of haemorrhage control. This presentation will follow a hypothetical clinical case (amalgamated from a number of real clinical cases) of a patient with a junctional stab wound focusing on the journey from pre hospital management to in hospital management including discussion on convetntional methods or haemorrhage control (e.g. direct pressure and wound packing) through to novel methods such as junctional tourniquets and REBOA.
Learning Objectives:
Upon completion, participants will be able define the anatomy and pathophysiology of junctional haemorrhage
Upon completion, participants will be able to apply haemorrhage control techniquest to control junctional bleeding in the pre-hospital and in hospital setting
Upon completion participantd will have an understanding of novel methods of haemorrhage control such as junctional tourniquets, reboa and surgical management
Learning Objectives:
Upon completion, participants will be able define the anatomy and pathophysiology of junctional haemorrhage
Upon completion, participants will be able to apply haemorrhage control techniquest to control junctional bleeding in the pre-hospital and in hospital setting
Upon completion participantd will have an understanding of novel methods of haemorrhage control such as junctional tourniquets, reboa and surgical management
Nurse Navigation, Hospital at Home, and other Innovations for EMS
We have to embrace that patients call 911, not just for emergencies, but for when needing solutions to a problem in their world. We have developed and implemented a national, multi-site yet centralized white labeled Nurse Navigation program that takes the lowest acuity 911 callers, triages them into time-based care buckets, and then gets patients the care they need that does not always involve an ER visit.
Also will discuss the use of Paramedics as patient facing in home clinicians in a national Hospital at Home programs. Currently deployed to 8 cities coast to coast, and over 20,000 unique patient encounters for 2022, this is the largest program of the sorts in the US. Will report on some statistics and good saves by this unique new care model for Paramedics that is the future of admitted patients in the US.
Learning Objectives:
understand the utility of a nurse navigation line for low acuity 911 calls.
understand the use of Paramedics as in home clinicians for hospital at home programs.
understand other future utilities of prehospital medicine and how we can greatly be a more integral part of the healthcare system.
Also will discuss the use of Paramedics as patient facing in home clinicians in a national Hospital at Home programs. Currently deployed to 8 cities coast to coast, and over 20,000 unique patient encounters for 2022, this is the largest program of the sorts in the US. Will report on some statistics and good saves by this unique new care model for Paramedics that is the future of admitted patients in the US.
Learning Objectives:
understand the utility of a nurse navigation line for low acuity 911 calls.
understand the use of Paramedics as in home clinicians for hospital at home programs.
understand other future utilities of prehospital medicine and how we can greatly be a more integral part of the healthcare system.
Eject Eject Eject | Recognizing Your Inner Flat Spin
In this talk, we seek to understand the causes that lead to burnout and how to self-recognize the signs in ourselves and our teammates. Chris, along with his service K9 Portia, share some of their experiences going through burnout and how you can self-recover and hopefully prevent or minimize future occurrences. They hope to bring awareness to the struggles of day-to-day first-line providers and break the stigma of recovering from burnout and asking for help.
With the growing spotlight on mental health among first responders, protect your mental health and well-being while staying balanced.
Learning Objectives:
identify the leading causes of Burnout in EMS
to recognize the signs of burnout and implement strategies to self-recover
Will understand some of the modern-day trends in Organizational culture that contribute to burnout
With the growing spotlight on mental health among first responders, protect your mental health and well-being while staying balanced.
Learning Objectives:
identify the leading causes of Burnout in EMS
to recognize the signs of burnout and implement strategies to self-recover
Will understand some of the modern-day trends in Organizational culture that contribute to burnout
Offbeat Outcomes
The number of EMS agencies obtaining outcomes from hospitals regarding diagnosis and disposition of patients is growing every day! In this session, we will discuss proven strategies to help your agency obtain outcome information about your patients. But, what if that information shows the outcome is completely different than the provider's clinical path? Specific "Offbeat Outcome" cases will be presented for discussion. We will learn how to identify and evaluate "Offbeat Outcomes" and use this information for valuable teachable moments. Tactics for using patient outcomes for individual and system-wide education well be discussed as well as identifying system improvement.
Learning Objectives:
Upon completion, participant will be able to: Understand strategies for implementation of an outcome data program.
Upon completion, participant will be able to: Identify contrasts in EMS clinical impressions and hospital outcome data.
Upon completion, participant will be able to: Formulate education plans based on outcome data for individuals and system-wide providers.
Learning Objectives:
Upon completion, participant will be able to: Understand strategies for implementation of an outcome data program.
Upon completion, participant will be able to: Identify contrasts in EMS clinical impressions and hospital outcome data.
Upon completion, participant will be able to: Formulate education plans based on outcome data for individuals and system-wide providers.
Advances in Pre-hospital Stroke Care: Assessment, Triage and Innovative Technologies
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). EMS providers have an important role in delivery of acute stroke care. Pre-hospital management of acute stroke patients involves: 1) assessment with a validated LVO scale, 3) destination triage to the most appropriate stroke center, 3) communicating pertinent stroke alert information to the receiving facility. Each of these steps requires training and education of frontline paramedics. For accountability, EMS agencies should also understand quality of care delivered at stroke centers through benchmarking metrics and outcomes data.
In this session, neuro-interventioinalists from the Society of Vascular and Interventional Neurology (SVIN) will provide an overview of the latest advances in pre-hospital acute stroke care and discuss best practices for EMS integration with local stroke centers as part of an expert panel.
Learning Objectives:
Review the advantages and limitations of validated large vessel occlusion scales.
Understand the differences between Primary, Thrombectomy Capable and Comprehensive Stroke Centers to determine appropriate triage destination for acute stroke patients eligible for intravenous thrombolysis and/or endovascular thrombectomy.
Learn about current and future technologies aimed to improve assessment, treatment and triage of stroke patients in the field.
In this session, neuro-interventioinalists from the Society of Vascular and Interventional Neurology (SVIN) will provide an overview of the latest advances in pre-hospital acute stroke care and discuss best practices for EMS integration with local stroke centers as part of an expert panel.
Learning Objectives:
Review the advantages and limitations of validated large vessel occlusion scales.
Understand the differences between Primary, Thrombectomy Capable and Comprehensive Stroke Centers to determine appropriate triage destination for acute stroke patients eligible for intravenous thrombolysis and/or endovascular thrombectomy.
Learn about current and future technologies aimed to improve assessment, treatment and triage of stroke patients in the field.
Overview of the 2023 ACS Committee on Trauma Consensus Paper: Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement
The American College of Surgeons Committee on Trauma (ACS-COT), the American College of Emergency Physicians (ACEP), the National Association of EMS Physicians (NAEMSP), and the National Association of EMTs (NAEMT) write an annual consensus statement on topics important to EMS care. The 2023 statement Prehospital Hemorrhage Control and Treatment by Clinicians: A Joint Position Statement represents a joint consensus opinion on pre-hospital hemorrhage control is intended for use by EMS clinicians, EMS medical directors, emergency physicians, trauma surgeons, and nurses in their treatment of the acute trauma patient with severe, life-threatening external bleeding. The new consensus document touches on many aspects of the Stop the Bleed Program but also on some new topics including removal of a tourniquet in the field, junctional tourniquets, and prehospital blood. Consensus statements regarding junctional tourniquets and prehospital blood administration will also be covered. This presentation will be led by Peter Fischer, MD (Trauma Surgeon and EMS physician, Chair of EMS Committee of the ACS Committee on Trauma), Cherisse Berry (Trauma Surgeon and primary author of the document), Jeffrey Goodloe (EMS Physician, ACEP Liaison to the ACS COT), and John Gallagher (EMS Physician, NAEMSP Liaison to the ACS COT, and author of the paper.)
Learning Objectives:
Describe the new consensus document
Describe the indications and technique for tourniquet conversion
Describe the consensus statements regarding prehospital blood products
Learning Objectives:
Describe the new consensus document
Describe the indications and technique for tourniquet conversion
Describe the consensus statements regarding prehospital blood products
Chest Pain, It's Not Just For Heart Attacks Anymore. A Case Based Approach to the Differential Diagnosis of Chest Pain
Using a series of case studies, Dr. Jarvis will discuss the most lethal and most common causes of chest pain. He will discuss what a differential diagnosis is, will shatter the myth that medics "don't diagnose", will present a cognitive framework for approaching the assessment of patients with chest pain. He will also discuss some of the pathophysiology and management of these conditions. The intent of this lecture is to offer the provider an advanced look at a common presentation.
Learning Objectives:
Discuss the importance of forming a differential diagnosis.
List several of the most common causes of chest pain.
Describe the pathophysiology of thoracic aortic dissection, pulmonary embolism and myocardial infarction
Learning Objectives:
Discuss the importance of forming a differential diagnosis.
List several of the most common causes of chest pain.
Describe the pathophysiology of thoracic aortic dissection, pulmonary embolism and myocardial infarction
Hormones, Glands & Steroids: An Endocrine Review
During this presentation we will discuss the major endocrine disorders that may be encountered in emergency and transport settings. In addition to diabetes, pituitary, thyroid and adrenal conditions can complicate acute illness or injury, or are the primary reason the patient needs emergency care and transport. The pathophysiology, clinical manifestations, and management of these conditions and emergencies will be reviewed.
Learning Objectives:
Describe the pathophysiology related to the major endocrine disorders that may be encountered in transport and emergency care settings.
Recognize the signs and symptoms of the major endocrine disorders.
Discuss the management priorities when treating patients with an emergent endocrine disorder.
Learning Objectives:
Describe the pathophysiology related to the major endocrine disorders that may be encountered in transport and emergency care settings.
Recognize the signs and symptoms of the major endocrine disorders.
Discuss the management priorities when treating patients with an emergent endocrine disorder.
Single Dose Killers: Pediatric Toxicology
Toxicological emergencies are commonly encountered in EMS and critical care transport. Some are more serious than others. In pediatric patients, there are a few substances that only one, or a small dose is enough to be toxic or lethal. This presentation will review these single dose killers, discuss their clinical manifestations, and management priorities to allow transport clinicians to manage these patients more competently.
Learning Objectives:
Identify the single dose killers in pediatric toxicology.
Modify management plans to correct acidosis encountered in pediatric toxicology.
Recall indications for high dose insulin and intralipid therapy in select cardiotoxic emergencies.
Learning Objectives:
Identify the single dose killers in pediatric toxicology.
Modify management plans to correct acidosis encountered in pediatric toxicology.
Recall indications for high dose insulin and intralipid therapy in select cardiotoxic emergencies.