Deep Dive – Opioids: Naloxone, Buprenorphine, and Creative Relationships
Agenda
3:00-3:15 Moderator-Gerry Carroll |Overview and Introduction
3:15-3:30 Speaker-Amy Jarosek |Deployment Of Naloxone And Community Response Through Technology – Pulse Point
3:30-3:45 Speaker-Dave Miramontes |Telemedicine and Induction
3:45-4:00 Speaker-Gene Hern |Opioid Receiving Centers and Warm Handoffs to Substance Use Counselors
4:00-4:15 Speaker-Nahum Ip |How to Maintain Provider Empathy and Improve Mental Health
4:15-4:30 Speaker-Jason Schaak |Building MIH Capacity Across Multiple Jurisdictions
4:30-4:45 Speaker-Jennifer Hernandez-Meier |Increasing Wrap-around Care for EMS Initiated Patients: How Can a Social Worker Add to Your Program?
4:45-5:15 Panel |Q&A/Discussion
3:00-3:15 Moderator-Gerry Carroll |Overview and Introduction
3:15-3:30 Speaker-Amy Jarosek |Deployment Of Naloxone And Community Response Through Technology – Pulse Point
3:30-3:45 Speaker-Dave Miramontes |Telemedicine and Induction
3:45-4:00 Speaker-Gene Hern |Opioid Receiving Centers and Warm Handoffs to Substance Use Counselors
4:00-4:15 Speaker-Nahum Ip |How to Maintain Provider Empathy and Improve Mental Health
4:15-4:30 Speaker-Jason Schaak |Building MIH Capacity Across Multiple Jurisdictions
4:30-4:45 Speaker-Jennifer Hernandez-Meier |Increasing Wrap-around Care for EMS Initiated Patients: How Can a Social Worker Add to Your Program?
4:45-5:15 Panel |Q&A/Discussion
Kids These Days! National Trends in Pediatric EMS Response
EMS responds to more than 2 million calls each year for kids 17 and younger. This session investigates what has changed with pediatric calls over the years and what are the areas of concern. Using response data, an agency can better target resources and training to ensure appropriate support for the calls that makes almost every clinician a little (or a lot) nervous.
Learning Objectives:
Discuss the most common types of pediatric calls
Identify the most common interventions for targeted training and resources
Discuss if pediatric calls have increased in severity over time and how response has changed.
Learning Objectives:
Discuss the most common types of pediatric calls
Identify the most common interventions for targeted training and resources
Discuss if pediatric calls have increased in severity over time and how response has changed.
Deep Dive – Ketamine: Old Drug, New Uses, New Concerns
3:00-3:05 Moderator-Michael Dailey | Overview & Introduction
3:05-3:20 Speaker-Kristopher Thompson | The Continuum of Ketamine from Analgesia to Dissociation
3:20-3:35 Speaker-Michael Bernhardt |History of Ketamine (12 min) and German Indications and Use of the Medication (3 min)
3:35-3:50 Speaker-Eric Jaeger |Reducing the Risks Associated with Physical and Chemical Restraint
3:50-4:05 Speaker-JayTee Barbour | Ketamine for Rapid Sedation of Agitated Delirious Patients – Is there a downside?
4:05-4:20 Speaker-Brooke Burton |Quality improvement and data perspective of managing cases with Ketamine
4:20-4:35 Speaker-Brooke Burton |A Team Approach to Catecholamine Surge: Are traditional ketamine administration methods killing people?
4:35-4:50 Speaker-Doug Wolfberg |When do Clinical Errors and Protocol Deviations go from Negligence to Crime?
4:50-5:15 Panel |Q&A/Discussion
3:05-3:20 Speaker-Kristopher Thompson | The Continuum of Ketamine from Analgesia to Dissociation
3:20-3:35 Speaker-Michael Bernhardt |History of Ketamine (12 min) and German Indications and Use of the Medication (3 min)
3:35-3:50 Speaker-Eric Jaeger |Reducing the Risks Associated with Physical and Chemical Restraint
3:50-4:05 Speaker-JayTee Barbour | Ketamine for Rapid Sedation of Agitated Delirious Patients – Is there a downside?
4:05-4:20 Speaker-Brooke Burton |Quality improvement and data perspective of managing cases with Ketamine
4:20-4:35 Speaker-Brooke Burton |A Team Approach to Catecholamine Surge: Are traditional ketamine administration methods killing people?
4:35-4:50 Speaker-Doug Wolfberg |When do Clinical Errors and Protocol Deviations go from Negligence to Crime?
4:50-5:15 Panel |Q&A/Discussion
Don’t Waste Your Time! Top 8 Meaningless Phrases Used in Patient Care Reports and How to Avoid Them
When swamped with calls, you need to make the best use of your time. Patient care documentation consumes a lot of that time yet is so essential to all that we do as EMS practitioners. Yet we often use words and phrases in documentation that are not descriptive and that don’t help paint the picture of the patient’s condition – those words are essentially meaningless, so why waste your time writing them? This session will highlight the top 8 meaningless phrases we see in PCR documentation and provide strategies for “making every word count” in your PCR, and hopefully make your job a bit easier!
Learning Objectives:
Identify eight phrases that provide no substantive value to describing the patient condition in EMS documentation
use more descriptive words in creating a clinical narrative that describes the patient's condition
better organize the PCR to ensure that all words are effective and help paint the picture of the patient's condition and improve the efficiency of report writing
Learning Objectives:
Identify eight phrases that provide no substantive value to describing the patient condition in EMS documentation
use more descriptive words in creating a clinical narrative that describes the patient's condition
better organize the PCR to ensure that all words are effective and help paint the picture of the patient's condition and improve the efficiency of report writing
Mindset Over Matter
“Mindset Over Matter” is a first-hand tale on why a paramedic decided to leave her life in EMS behind and take on the most physically challenging trail in the United States! Amanda made a decision that without a doubt changed how she saw people, how she viewed the world, and how she understood herself. With seemingly little warning, Amanda tendered her resignation as a Paramedic-Lieutenant for a 911 EMS service and left EMS. Three months later her dad dropped her off in Georgia, alone, with one goal: Thru hike the entire Appalachian Trail. With twenty-five pounds of only the essentials in her backpack, the thirty-three year old paramedic traded shift work for seven and a half months of living in the woods and hiking nearly twenty two hundred miles. She endured harsh weather, a regional drought, rugged terrain, and so much more on a journey that evolved her in ways she could not have ever imagined. After deciding to return to EMS, Amanda now brings her story to fellow providers in hopes to help them strengthen their resiliency, re-direct their mind during trying times, and to look at their life with an improved perspective.
Learning Objectives:
Upon completion, participant will be able to recognize the signs and symptoms of burn out within the EMS field.
Upon completion, the participant will be able to understand when it is time to act on these signs and symptoms to cope with burnout or make a change.
Upon completion, the participant will be able to utilize mental techniques and strategies to not only handle burnout, but day to day difficulties that arise in their life.
Learning Objectives:
Upon completion, participant will be able to recognize the signs and symptoms of burn out within the EMS field.
Upon completion, the participant will be able to understand when it is time to act on these signs and symptoms to cope with burnout or make a change.
Upon completion, the participant will be able to utilize mental techniques and strategies to not only handle burnout, but day to day difficulties that arise in their life.
Drifting Into Failure - Why EMS Should Fly Like a Jetliner
Every day in our organizations, as call volumes rise and pressures mount, our personnel make small trade-offs and decisions in order to get their job done. As they do so, the margin of safety created in the system is slowly eroded towards failure. Failure only becomes available in hindsight from those of us who analyze the wreckage and know the outcome. To our personnel going on call after call, drift is invisible. It is too gradual and consists of the messy side of getting work done. Small incidents do not precede major ones, normal work does. So, how do we redesign our system in a way that it can remain adaptive and resilient while maintaining margins of safety? By following the examples from high reliability industries like aviation.
Learning Objectives:
Upon completion, participants will be able to explain the concepts of normalization of deviance and margin of safety in complex EMS systems
Upon completion, participants will be able to demonstrate understanding of the paradox between policy/regulation and the ability to successfully navigate complex work environments like EMS
Upon completion, participants will be able to understand the constraints of economic pressure, increasing workload, and the need to practice safely. EMS operations exists in the boundary of these factors.
Learning Objectives:
Upon completion, participants will be able to explain the concepts of normalization of deviance and margin of safety in complex EMS systems
Upon completion, participants will be able to demonstrate understanding of the paradox between policy/regulation and the ability to successfully navigate complex work environments like EMS
Upon completion, participants will be able to understand the constraints of economic pressure, increasing workload, and the need to practice safely. EMS operations exists in the boundary of these factors.
MEET THE MEDICAL DIRECTORS -- a Gathering of Eagles and Friends
This very popular session, convened by EMS WORLD Expo, year-after-year, brings together an animated panel of progressive/leading medical directors, usually working in the nation's busiest municipalities, equipped with robust data and a breadth of experiences which have enriched all attendees, ranging from basic-responders and EMS educators to advanced-practice medics, medical directors and chiefs from all jurisdictional types.
There are usually two or three separate sessions (held on the same or separate days), typically involving most of the EMS medical directors already speaking at the expo as well as some renowned "drop-in" physicians. All sessions are expertly-moderated by Dr. Paul Pepe who hosts and interviews between 6 and 12 participating doctors. Topics are usually generated by audience attendees (as the session opens), but the panel then prioritizes the best topics among them. So-called lightning-rounds (created by the "Eagles" a quarter-century ago), continue to play-out providing great, multi-faceted feedback and an extraordinary degree of "take-home" information during each session.
The session are well-attended and interactive. The only major (perennial) complaint has been the paucity of time allotted for the sessions with audiences recommending that the panel continue for two back-to-back sessions each day (as questions typically continue well into the break).
Learning Objectives:
Recite the most challenging or most advanced topics in contemporary emergency medical services and 9-1-1 system operations
Articulate numerous solutions or strategies to address common medical problems or discrepancies in EMS practice and guidelines
Recount several take-home points that will help their respective local EMS systems after receiving feedback and often encouraging consensus from the panel of veteran EMS doctors.
There are usually two or three separate sessions (held on the same or separate days), typically involving most of the EMS medical directors already speaking at the expo as well as some renowned "drop-in" physicians. All sessions are expertly-moderated by Dr. Paul Pepe who hosts and interviews between 6 and 12 participating doctors. Topics are usually generated by audience attendees (as the session opens), but the panel then prioritizes the best topics among them. So-called lightning-rounds (created by the "Eagles" a quarter-century ago), continue to play-out providing great, multi-faceted feedback and an extraordinary degree of "take-home" information during each session.
The session are well-attended and interactive. The only major (perennial) complaint has been the paucity of time allotted for the sessions with audiences recommending that the panel continue for two back-to-back sessions each day (as questions typically continue well into the break).
Learning Objectives:
Recite the most challenging or most advanced topics in contemporary emergency medical services and 9-1-1 system operations
Articulate numerous solutions or strategies to address common medical problems or discrepancies in EMS practice and guidelines
Recount several take-home points that will help their respective local EMS systems after receiving feedback and often encouraging consensus from the panel of veteran EMS doctors.
Federal Roundtable: FICEMS & NHTSA’s Office of EMS
Federal agencies collaborate through the Federal Interagency Committee on EMS (FICEMS) and with state and local EMS systems throughout the year. This roundtable session will include updates from FICEMS members about activities to support a variety of challenges in EMS, including preparedness, pandemic response and emerging diseases, recruitment and retention, training and more. This FICEMS session will update EMS leaders and communities about recent and future projects and initiatives.
Learning Objectives:
Upon completion, participants will understand how Federal agencies support EMS systems and how to access Federal resources.
Upon completion, participants will be able to engage with the appropriate Federal agency to access tools and resources available to support state and local systems.
Upon completion, participants will be able to understand how Federal entities are working together to support the EMS community’s efforts to improve EMS systems nationwide.
Learning Objectives:
Upon completion, participants will understand how Federal agencies support EMS systems and how to access Federal resources.
Upon completion, participants will be able to engage with the appropriate Federal agency to access tools and resources available to support state and local systems.
Upon completion, participants will be able to understand how Federal entities are working together to support the EMS community’s efforts to improve EMS systems nationwide.
Examining the impact of attacks against healthcare in armed conflict
Attacks against healthcare in conflict zones are increasing. Those that have been carried out have been done so with impunity thus far. Research in this area is limited. Dr Ahsan will present her research related to the impact of such attacks on patients and also on healthcare systems who have responded to support patients when their own healthcare systems have been rendered unworkable due to destruction caused by evidence proved deliberate attacks. Also as part of the presentation, Dr Ahsan will review existing laws of armed conflict which are in place to protect healthcare workers in armed conflict.
Learning Objectives:
Understand the applications laws that are in place to protect healthcare workers in armed conflict.
They will also gain an insight into patient impacts caused by healthcare destruction in war.
Understand from a human experience perspective the challenges to healthcare workers working in war zones and methods in place to protect themselves and what monitoring tools are in place.
Learning Objectives:
Understand the applications laws that are in place to protect healthcare workers in armed conflict.
They will also gain an insight into patient impacts caused by healthcare destruction in war.
Understand from a human experience perspective the challenges to healthcare workers working in war zones and methods in place to protect themselves and what monitoring tools are in place.
Hospice by MIH and yes, Paramedics can decrease runs, lower cost and improve the health of High Volume Utilizers.
Mobile Integrated healthcare or Community Paramedicine has evolved into many facets of healthcare and the San Antonio Fire Department has been innovating new service lines to meet the needs of our community. WE have contracted with numerous Hospice agencies in order to maximize care and prevent hospice revocation when family calls 911. WE have partnered with a Medicare/Medicaid insurance company to decrease EMS/ER utilization that improves access to care, provides streamlined delivery of services and improves patient satisfaction. WE also started a paramedic run Homeless shelter clinic, provide Opiod harm reduction and psychiatric patient case management. These service lines will be discussed and we will provide suggestions for implementation.
Learning Objectives:
the scope of service that Community Paramedics can provide will be discussed with specific examples of service lines that can be implemented.
The fundamentals of Hospice symptom management will be discussed along with pharmacology protocols, comfort measures and case management principles.
The methods and interventions necessary to assist patients who may be High Volume Utilizers of healthcare/EMS will be discussed at lenght with some case studies as examples.
Learning Objectives:
the scope of service that Community Paramedics can provide will be discussed with specific examples of service lines that can be implemented.
The fundamentals of Hospice symptom management will be discussed along with pharmacology protocols, comfort measures and case management principles.
The methods and interventions necessary to assist patients who may be High Volume Utilizers of healthcare/EMS will be discussed at lenght with some case studies as examples.
Everyone Communicates Few Connect
The most effective leaders know how to connect with people. It's not about power or popularity, but about making the people around you feel heard, comfortable, and understood. While it may seem like some folks are born with a commanding presence that draws people in, the fact is anyone can learn to communicate in ways that consistently build powerful connections. In this class Chris Cebollero will outline the best-selling book from his friend and mentor John C. Maxwell offers advice for effective communication to those who continually run into obstacles when it comes to personal success. Chris will share five principles and five practices to develop connection skills including:
o Finding common ground
o Keeping your communication simple
o Capturing people’s interest
o How to create an experience everyone enjoys
o Staying authentic in all your relationships
Your ability to achieve results in any organization is directly tied to the leadership skills in your toolbox. Connecting is an easy-to-learn skill you can apply today in your personal, professional, and family relationships to start living your best life.
Learning Objectives:
List the components of connecting the communication you deliver
Explain the elements of the communicator, message, receiver, and feedback process
Describe the components of active listening and reading body language.
o Finding common ground
o Keeping your communication simple
o Capturing people’s interest
o How to create an experience everyone enjoys
o Staying authentic in all your relationships
Your ability to achieve results in any organization is directly tied to the leadership skills in your toolbox. Connecting is an easy-to-learn skill you can apply today in your personal, professional, and family relationships to start living your best life.
Learning Objectives:
List the components of connecting the communication you deliver
Explain the elements of the communicator, message, receiver, and feedback process
Describe the components of active listening and reading body language.
The Economics of Community Paramedicine (How To Get Paid for Mobile Integrated Health). HINT: It's NOT Readmission Avoidance.
In virtually every forum where Mobile Integrated Health is presented as the future of Mobile Medicine (broadly defined as fire, EMS, non-emergency medical / interfacility transport, critical care, and community paramedicine), the question inevitably arises: HOW DO YOU PAY FOR IT? Many agencies have discovered that readmission avoidance is actually the weakest of all economic models to successfully compensate and sustain CP/MIH. So what models work better? How do agencies translate their efforts into economics and finance? How do they convince payers to fund their programs? What payers should agencies be targeting, and what language—including data, which is basically a mathematical language—should they use to convey value in a way that goes beyond tugging heartstrings, to opening checkbooks? We will cover all of these in this presentation, and attendees will leave with an understanding of at least four specific models that can be used to translate their efforts into fee-for-VALUE calculations that get their CP/MIH programs compensated to the point where they can sustain, grow, and even help their neighbors.
Learning Objectives:
Define what "ACTUARIAL RISK" is, and why it is critical to getting paid for Community Paramedicine in the long run.
Identify the FOUR top sustainable sources of Community Paramedic impact that can be measured, modeled, and compensated.
Describe the data needed to model actuarial risk and submit the "delta" (change function) to insurance companies to prove the impact of the CP/MIH program on patient prognosis over time.
Learning Objectives:
Define what "ACTUARIAL RISK" is, and why it is critical to getting paid for Community Paramedicine in the long run.
Identify the FOUR top sustainable sources of Community Paramedic impact that can be measured, modeled, and compensated.
Describe the data needed to model actuarial risk and submit the "delta" (change function) to insurance companies to prove the impact of the CP/MIH program on patient prognosis over time.
8 hearts in a duffel bag: Hands-on guided CARDIAC dissection copy 1
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.
Learning Objectives:
describe & discuss the assessment findings associated with common cardiac emergencies
describe & discuss the current management of various common cardiac emergencies
verbalize increased understanding of cardiac anatomy through a guided dissection of swine hearts and pulmonary 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 cardiac emergencies
describe & discuss the current management of various common cardiac emergencies
verbalize increased understanding of cardiac anatomy through a guided dissection of swine hearts and pulmonary vessels
Caring for the Navajo Nation
Brian LaCroix will host a discussion with Navajo Nation EMS Director Chris Kescoli, EMT Penny Hoskie-Johnson, and Medical Director Chelsea White, MD.
A rare look at EMS on America's largest native reservation. Learn how the Navajo Nation provides care and transportation of their residents and visitors in a land that transverses four states. A true indigenous people, anthropologists believe the Navajo arrived in the American southwest around 1300. Recognized as sovereign Native-American Nation, the Navajo Indian Reservation was established according to the US Treaty of 1868. It is geographically situated within four mountain ranges where the native people are said to “receive protection under these sacred mountains.”
It’s the largest land area held by a Native American tribe in the U.S., comprising about 16 million acres, or about 25,000 square miles, approximately the size of Massachusetts, New Hampshire, and Vermont combined. It takes nearly 4 hours to drive from east to west across its’ borders. There are approximately 298,000 enrolled members; with over 173,000 Navajos living within the EMS response region on the reservation. Navajo Nation EMS serves under the Executive branch of the Nation, and reports to the Division of Public Safety.
Learning Objectives:
Be exposed to EMS in a new culture right here in the United States
Learn how traditional Medicine-men and western medicine co-exist
Enhance their knowledge of Native Americans who serve in the career field of paramedicine
A rare look at EMS on America's largest native reservation. Learn how the Navajo Nation provides care and transportation of their residents and visitors in a land that transverses four states. A true indigenous people, anthropologists believe the Navajo arrived in the American southwest around 1300. Recognized as sovereign Native-American Nation, the Navajo Indian Reservation was established according to the US Treaty of 1868. It is geographically situated within four mountain ranges where the native people are said to “receive protection under these sacred mountains.”
It’s the largest land area held by a Native American tribe in the U.S., comprising about 16 million acres, or about 25,000 square miles, approximately the size of Massachusetts, New Hampshire, and Vermont combined. It takes nearly 4 hours to drive from east to west across its’ borders. There are approximately 298,000 enrolled members; with over 173,000 Navajos living within the EMS response region on the reservation. Navajo Nation EMS serves under the Executive branch of the Nation, and reports to the Division of Public Safety.
Learning Objectives:
Be exposed to EMS in a new culture right here in the United States
Learn how traditional Medicine-men and western medicine co-exist
Enhance their knowledge of Native Americans who serve in the career field of paramedicine
Learning Center: High Flow on the Go
1. Non-invasive ventilation (NIV)
a. CPAP/BiPAP
b. Oxypendant
c. High Flow Nasal Cannula (HFNC)
2. Device selection
3. Use of HFNC during transport
a. Ground
b. Air
4. Pifalls of HFNC and solutions
a. Gas
b. Electrical power
c. Other
Learning Objectives:
Define High Flow Nasal Cannula (HFNC)
Recall three potential pitfalls of non-invasive ventilation during transport
Discuss available solutions to providing HFNC therapy during transport
a. CPAP/BiPAP
b. Oxypendant
c. High Flow Nasal Cannula (HFNC)
2. Device selection
3. Use of HFNC during transport
a. Ground
b. Air
4. Pifalls of HFNC and solutions
a. Gas
b. Electrical power
c. Other
Learning Objectives:
Define High Flow Nasal Cannula (HFNC)
Recall three potential pitfalls of non-invasive ventilation during transport
Discuss available solutions to providing HFNC therapy during transport
Resuscitation Lead, Follow, or Serve as an Example of What (Not) to Do
The AHA establishes BLS and ALS treatment guidelines based on the strongest evidence available. Because their guidelines need to be broadly applicable the guideline writing committees take a very conservative approach to changes in response to available literature. BUT, from where does the evidence and literature emerge? It comes from systems that do not necessarily follow the guidelines. That is correct, systems violate the AHA guidelines. This is necessary for the evolution of resuscitation. This talk will describe the approach to the establishment of a resuscitation program custom tailored to fit the needs of a large urban fire based EMS system. We will discuss the QA/QI requirements, regulatory hurdles, and education need to establish best practices for the local environment.
Learning Objectives:
Discuss the implications of diverting from AHA Resuscitation Guidelines
Discuss issues such as National Registry and state regulator considerations
Discuss the inclusion of research into the clinical practice of EMS
Learning Objectives:
Discuss the implications of diverting from AHA Resuscitation Guidelines
Discuss issues such as National Registry and state regulator considerations
Discuss the inclusion of research into the clinical practice of EMS
Sign Here: A Practitioner’s Guide to Patient Refusals
The most critical clinical decision a provider can make is not at the devastating car wreck or the witnessed cardiac arrest; it’s during a patient’s refusal of care and transport, the most common incident encountered by most responders. How are you managing refusals on scene? Does your service use provider-initiated refusals or alternative transport destinations? Can your refusal documentation stand up in a court of law? Nick, an EMS Division Chief with over two decades of emergency response and quality assurance experience, and Samantha, an attorney for one of the largest hospital-based EMS systems in the Southeast, examine the clinical, legal, ethical and operational implications of patient refusals. Providers, administrators, and educators will benefit from this practical and interactive street-level approach to managing and documenting patient refusals. Nick and Samantha discuss a consistent method that enhances clinical judgment and acts as a checklist for legally compliant documentation. Using actual incidents and reported legal cases, Nick and Samantha offer tips and tricks for responders to protect themselves and their services from legal liability.
Learning Objectives:
Examine the clinical, legal, ethical and operational issues associated with patient refusals.
Analyze the legal impact of provider-initiated refusals and alternative transport destinations.
Demonstrate the role of documentation in reducing legal liability for patient refusals and use the CURED mnemonic for more effective charting.
Learning Objectives:
Examine the clinical, legal, ethical and operational issues associated with patient refusals.
Analyze the legal impact of provider-initiated refusals and alternative transport destinations.
Demonstrate the role of documentation in reducing legal liability for patient refusals and use the CURED mnemonic for more effective charting.
School Shootings: "Is Your Department Ready?"
This session is designed to help EMS, Fire, Police, Nurses & Physicians to be better prepared to handle incidents where school children & teachers have become victims of a school shooting. The increased frequency of School Shootings recently and other devastating gun violence attacks make preparedness, quick response and accurate assessment by EMS practitioners and other First Responders essential. School shootings continue to occur and we’re still making the national news! We know hemorrhage control is critical! During this session we will review shooting incidents where children have been both critically injured and killed while attending school but will focus more on what is expected of EMS when the police say, “WE NEED EMS!” But the big question is, “Is Your Department Ready?”
We will focus on the importance of having a School Shooting Plan, Scene Safety, Staging, Entry, Rescue Task Force, ICS, Command & Communications, Stop the Bleed including tourniquets, Triage, Treatment, Transport, Accountability Reunification and Debriefing. We will explain both BLS & ALS treatment for Gun Shot Wounds.
Learning Objectives:
better understand the challenges facing Police, Fire & Ems at a school shooting.
better understand sophisticated weapons and the type of injuries they can produce including hemorrhage during a school shooting.
better understand response, staging, entry, rescue task force, casualty collection points, interoperability, ICS, reunification and dealing with the media.
We will focus on the importance of having a School Shooting Plan, Scene Safety, Staging, Entry, Rescue Task Force, ICS, Command & Communications, Stop the Bleed including tourniquets, Triage, Treatment, Transport, Accountability Reunification and Debriefing. We will explain both BLS & ALS treatment for Gun Shot Wounds.
Learning Objectives:
better understand the challenges facing Police, Fire & Ems at a school shooting.
better understand sophisticated weapons and the type of injuries they can produce including hemorrhage during a school shooting.
better understand response, staging, entry, rescue task force, casualty collection points, interoperability, ICS, reunification and dealing with the media.
Line in the Sand: An Approach to Help Develop Critical Thinking Skills and Treatment Decision Making
Performing skills and administering drugs are ingrained in our prehospital training and education. But how do we come to the decision when, or how, or IF we should perform the skill or administer the dug? It's time to elevate how we train to critically think about how to treat a patient! Traditional prehospital education has provided us a foundation through instruction and general guidance. However, we need to learn how to factor in the dynamic environment in which EMS clinicians function. Where we provide care, our experience, the equipment available. These are just some of the variables we navigate providing care for our patients.
Having a “line in the sand” is an effective and proven way to assist in decision making and critical thinking. In this presentation we will begin the discussion explaining what a “line in the sand” is. We will move to how crucial a “line” can be in making decisions in high stress situations. How taking the time to develop this skill is unique to every clinician at any level and can improve your patient outcomes. Finally, how adjusting your “lines” with changing factors throughout your career will help you to grow professionally and as a clinician.
Learning Objectives:
Describe what a "line in the sand" is and how it can be crucial in effective critical thinking and decision making in high stress situations.
Understand how to develop the necessary skills to establish a "line in the sand" and how to use their "line".
Explain how to adjust their "line" as different internal and external factors change throughout their career.
Having a “line in the sand” is an effective and proven way to assist in decision making and critical thinking. In this presentation we will begin the discussion explaining what a “line in the sand” is. We will move to how crucial a “line” can be in making decisions in high stress situations. How taking the time to develop this skill is unique to every clinician at any level and can improve your patient outcomes. Finally, how adjusting your “lines” with changing factors throughout your career will help you to grow professionally and as a clinician.
Learning Objectives:
Describe what a "line in the sand" is and how it can be crucial in effective critical thinking and decision making in high stress situations.
Understand how to develop the necessary skills to establish a "line in the sand" and how to use their "line".
Explain how to adjust their "line" as different internal and external factors change throughout their career.
Teaching Pharmacology to Paramedic Clinician
Pharmacology education in primary paramedic instruction tends to be focused on emergency pharmacology. When the paramedic continues their education into critical care or community paramedic, they often embark on additional pharmacology training. Unfortunately, not having learned the foundational structure of pharmacology results in much relearning or restructuring how to learn this topic. Borrowing from pharmacology education in other health sciences, which are less emergency focused, the presenter shows attendees alternative ways to introduce pharmacology to the aspiring paramedic practitioner. By approaching pharmacology as a clinician who needs to know much more than the 40-50 drugs in their drug box, new paramedic (and expanding roles) can better learn pharmacology during the onset of their education.
This presentation discussed strategies and resources used in a bachelor's degree paramedic education program. This encompasses how to teach pharmacology knowledge in the classroom as well as applying it to the clinical setting. This presentation does not focus on technical skills taught with pharmacology (e.g., IV or IM administration), but the core knowledge necessary for paramedic to not only understand medications they administer, but also medication patient's take, and potential factors to consider when moving into critical care or community paramedicine.
Learning Objectives:
Upon completion, participant will be able to describe engaging methods to help new paramedic students learn pharmacology.
Upon completion, participant will be able to sequence pharmacology topics into meaningful structures designed to improve cognitive learning.
Upon completion, participant will be able to design a clinician-focused pharmacology learning module.
This presentation discussed strategies and resources used in a bachelor's degree paramedic education program. This encompasses how to teach pharmacology knowledge in the classroom as well as applying it to the clinical setting. This presentation does not focus on technical skills taught with pharmacology (e.g., IV or IM administration), but the core knowledge necessary for paramedic to not only understand medications they administer, but also medication patient's take, and potential factors to consider when moving into critical care or community paramedicine.
Learning Objectives:
Upon completion, participant will be able to describe engaging methods to help new paramedic students learn pharmacology.
Upon completion, participant will be able to sequence pharmacology topics into meaningful structures designed to improve cognitive learning.
Upon completion, participant will be able to design a clinician-focused pharmacology learning module.