The Most Important EMS Literature of the Past Year—On Demand
I will present between 10-20 recent articles from the EMS literature that have either practice changing potential or provide important new and interesting data for EMS providers, leaders and EMS physicians. This format would be the same as I have used at last year's and prior EMS World Expos.
Learning Objectives:
Understand the potentials benefits of Dual Sequential Defibrillation
Be able to use an upper or lower junctional pressure point to stop massive hemorrhage from an exsanguinating penetrating injury
become more facile with non nebulized alternatives to inhaled bronchodilators during times of respiratory disease epidemics
Learning Objectives:
Understand the potentials benefits of Dual Sequential Defibrillation
Be able to use an upper or lower junctional pressure point to stop massive hemorrhage from an exsanguinating penetrating injury
become more facile with non nebulized alternatives to inhaled bronchodilators during times of respiratory disease epidemics
A Better Way at the End of the Day: Integrating MIH Into Daily Operations—On Demand
As services struggle with increased calls volumes, being short staffed, and increased offload times in the ED, finding applicable solutions is paramount. Using lessons learned from research, application, and implementation, we will explore ways MIH can be integrated to improve quality, patient experience, employee satisfaction, and retention. Community paramedicine, combined with ET3 and telemedicine might be that solution. We recognized that we had ability to help. By freeing up ambulances and reducing transports, while improving care for patients. It can also be more cost effective for all involved, while addressing specific patient needs using a patient-centered approach to emergency response by delivering the right care at the right time in the right place.
Learning Objectives:
describe the value based care that comes with MIH integration.
list the reasons that these kinds of changes and ideas can be regarded as an advancement for Paramedicine in the US.
define ways that pre-hospital care has changed post pandemic and list ways to continue the evolution of pre-hospital care.
Learning Objectives:
describe the value based care that comes with MIH integration.
list the reasons that these kinds of changes and ideas can be regarded as an advancement for Paramedicine in the US.
define ways that pre-hospital care has changed post pandemic and list ways to continue the evolution of pre-hospital care.
Stigma & Storytelling: Addressing Mental Health Challenges with Narrative Intervention—On Demand
This workshop will discuss the challenges and barriers to addressing mental health and psychosocial well-being in healthcare workers and provide evidence-based practices and accessible solutions for attendees to implement in their own lives and in their organizations. Using our ability as humans to create, tell, and listen to stories, attendees will learn about the science behind narrative medicine, and how narratives can address mental health challenges and improve well-being.
Learning Objectives:
Upon completion, participants will be able to identify the applicability and practicality of narrative interventions designed to improve psychosocial and organizational well-being.
Upon completion, participants will be able to proficiently engage in narrative interventions (story creation, storytelling, story listening/witnessing) to enhance the sensemaking of difficulty and connection to others.
Upon completion, participants will be able to implement narrative interventions in their department's/organization's mental health resources and policy/procedures.
Learning Objectives:
Upon completion, participants will be able to identify the applicability and practicality of narrative interventions designed to improve psychosocial and organizational well-being.
Upon completion, participants will be able to proficiently engage in narrative interventions (story creation, storytelling, story listening/witnessing) to enhance the sensemaking of difficulty and connection to others.
Upon completion, participants will be able to implement narrative interventions in their department's/organization's mental health resources and policy/procedures.
Steel Toe Boots & Broccoli!—On Demand
Nutrition and healthy lifestyles are rarely taught within medical education, yet it's endlessly proven that both have monumental effects on the body. Often even superseding medications. From basic nutrition and advanced dietary needs, to daily activity recommendations, the majority of emergency medical providers aren't near as educated as we should be. We are called to help people with long term diseases such as diabetes and heart disease, yet we are focused primarily on medication and missing fundamental knowledge about lifestyle modification. Our patients trust and depend on us for our medical knowledge, yet very few of us actually know what a "healthy" meal is, nor embrace the importance of daily movement. We need to start by prioritizing our own health first, which then allows us to educate others and be the role models patients are expecting.
Learning Objectives:
Define macronutrients vs micronutrients, including quality, quantity, and the balance of each
Demonstrate understanding of different dietary lifestyles and their associated health benefits and risks
Formulate ideas on how to implement a wellness program within your department
Learning Objectives:
Define macronutrients vs micronutrients, including quality, quantity, and the balance of each
Demonstrate understanding of different dietary lifestyles and their associated health benefits and risks
Formulate ideas on how to implement a wellness program within your department
Changing EMS from a Safety Net to a Partner in Crisis Response—On Demand
Over the last several years responding to calls for patients in mental health crisis has been highlighted across the country. Since 2018, Federal agencies involved in crisis response have been planning for the new Suicide & Crisis Lifeline rollout. In the summer of 2022, 988—a new three-digit number—went live across the country. The next phase of building out an improved crisis response system involves improved mobile crisis response. What does that mean for EMS? Are there new resources for crisis response in your community? Do those providing crisis services understand EMS in your community? Now is the time to collaborate to improve behavioral health in your community. In this session, participants will learn EMS’s role and how it is critical not just in response but also in prevention.
Learning Objectives:
Upon completion, participants will be able to describe 988 and the Suicide & Crisis Lifeline.
Upon completion, participants will be able to describe mobile crisis and common modalities.
Upon completion, participants will be able to identify where EMS clinicians can find innovative models of crisis response collaboration in different types of settings.
Learning Objectives:
Upon completion, participants will be able to describe 988 and the Suicide & Crisis Lifeline.
Upon completion, participants will be able to describe mobile crisis and common modalities.
Upon completion, participants will be able to identify where EMS clinicians can find innovative models of crisis response collaboration in different types of settings.
Crush Medicine: Stopping The Smiling Death—On Demand
Geared for Advanced Life Support providers, this presentation provides a general overview of Crush Syndrome including the pathophysiology of Crush Injury and Compartment Syndrome, the clinical manifestations of Crush Syndrome and the causes of death from Crush Syndrome. Treatment of local injury and systemic manifestations will be discussed as well as the best practices learned from real case studies from worldwide disasters as well as patients treated in New York City by the FDNY Rescue Paramedics.
Learning Objectives:
Upon completion, participant will be able to define crush injury, compartment syndrome and crush syndrome and explain the history and the clinical manifestations of each.
Upon completion, participant will be able to describe the therapeutic modalities and care of local injury as well as the management of crush syndrome “in the rubble.”
Upon completion, participant will be able to describe interventions use to manage crush syndrome that are controversial.
Learning Objectives:
Upon completion, participant will be able to define crush injury, compartment syndrome and crush syndrome and explain the history and the clinical manifestations of each.
Upon completion, participant will be able to describe the therapeutic modalities and care of local injury as well as the management of crush syndrome “in the rubble.”
Upon completion, participant will be able to describe interventions use to manage crush syndrome that are controversial.
Hands-On Workshop: Pediatric High-Performance CPR—On Demand
Your department uses high-performance CPR principles in adults, but how about in pediatrics. Join this interactive didactic and hands-on session to learn how choreograph pediatric high-performance CPR at your agency, led by the team from Palm Beach County Fire Rescue. Each participant will actively practice each of the specified roles and will take home the skills and knowledge to drastically improve outcomes in pediatric cardiac arrest at their agency.
Learning Objectives:
Describe the key principles in achieving success with Pediatric Resuscitation.
Understand the pit crew model and characterize each role in the choreographed event.
Demonstrate the ability to perform each role required in pediatric HP-CPR.
Learning Objectives:
Describe the key principles in achieving success with Pediatric Resuscitation.
Understand the pit crew model and characterize each role in the choreographed event.
Demonstrate the ability to perform each role required in pediatric HP-CPR.
BRUE—When OK is Not OK in Infants—On Demand
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.
What The Heck Did I Do Last Night?—On Demand
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 —On Demand
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.
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.
Pre-Hospital EEG—A Look Into the Future with New Technology—On Demand
Seizures account for between 5%–8% of all EMS responses in the United States, and about 71% of those patients end up being transported to EDs. Rapid treatment is essential to the survival of seizure patients, and even when patients don’t succumb to their seizures, time is brain because prolonged seizures are difficult to treat and can cause lasting brain injury. Absence seizures are characterized by a brief loss and return of consciousness. are impossible to detect using basic clinical parameters, and if a patient is in status absence seizures these contribute to long-term disability and death.
Alameda Fire Dept undertook a bold research project to see if a new device could capture a hospital-grade EEG in the field and then transmit that EEG to the ED and a neurologist, becoming the first EMS service in the world to send an EEG to a hospital. Learn about their research and how this new technology has applications beyond detecting absence seizures.
Learning Objectives:
At the end of the presentation, the participant will understand the importance of the EEG and goals for the study
At the end of the presentation, the participant will be able to describe the clinical application of the EEG in detecting absence seizures; LVOC stroke; and traumatic brain injury
At the end of the presentation, the participant will understand what are the basic components of the EEG.
Alameda Fire Dept undertook a bold research project to see if a new device could capture a hospital-grade EEG in the field and then transmit that EEG to the ED and a neurologist, becoming the first EMS service in the world to send an EEG to a hospital. Learn about their research and how this new technology has applications beyond detecting absence seizures.
Learning Objectives:
At the end of the presentation, the participant will understand the importance of the EEG and goals for the study
At the end of the presentation, the participant will be able to describe the clinical application of the EEG in detecting absence seizures; LVOC stroke; and traumatic brain injury
At the end of the presentation, the participant will understand what are the basic components of the EEG.
Becoming a Person of Influence—On Demand
The true measurement of leadership success is how engage, satisfied and productive the workforce is. The Gallup organization tells us that close to 3/4 of the workforce is either disengaged or actively disengaged. It is vital for the success of the leader to ensure we are becoming a person of influence to gain the trust to be able to inspire and motivate our workforce. In this class, Chris Cebollero will outline the components of how to develop as an influencer inside and outside of your organization. Leadership is all about the ability to influence others, if you cannot influence people you cannot lead people.
Learning Objectives:
Explain why the importance to influence others is important for a leaders success
List the elements of becoming a influencer
Describe how developing influence will engage and retain your workforce
Learning Objectives:
Explain why the importance to influence others is important for a leaders success
List the elements of becoming a influencer
Describe how developing influence will engage and retain your workforce
It's High Time for High Performance Mechanical CPR—On Demand
Mechanical CPR devices are widely used and gaining in popularity and yet many studies show no improvement in outcomes associated with their use, some indicated potential worse outcomes. Learn how to optimize outcomes in this state of the art, systematic review of indications, advantages, techniques and quality improvement
Learning Objectives:
describe best use situations for mechanical cpr
define the best use metrics for application times and interruption of cpr in using mcpr
list programmable and application variable that might affect perfusion when using cpr
Learning Objectives:
describe best use situations for mechanical cpr
define the best use metrics for application times and interruption of cpr in using mcpr
list programmable and application variable that might affect perfusion when using cpr
My Baby Can’t Breathe: The Prehospital Management of Pediatric Respiratory Emergencies—On Demand
Pediatric patients presenting to the emergency room will often present with respiratory emergencies. However pediatric patients with respiratory distress and failure can cause stress for even the most seasoned paramedics and EMTs. In this interactive presentation participants will review the common causes of pediatric respiratory emergencies and discuss the necessary treatments and airway management strategies for each one.
Learning Objectives:
Identify the differences between breath sounds and identify their causes.
Differentiate between croup, bronchiolitis and asthma.
Treat croup, bronchiolitis and asthma.
Learning Objectives:
Identify the differences between breath sounds and identify their causes.
Differentiate between croup, bronchiolitis and asthma.
Treat croup, bronchiolitis and asthma.
60 Educators Tips in 60 Minutes: You Pick the Questions and We Give the Answers—On Demand
This session delivers a ton of great tips to pass on to your students, colleagues, and fellow educators. With more than 30 years of experience as an EMS educator, textbook and test bank author, and EMS education columnist for EMS World Magazine, Rom Duckworth will present dozens of top tips to build an effective lesson, topple test anxiety, improve reading and test performance (both written and practical), step up psychomotor skills, and what every presentation needs to keep students engaged. Every session is unique as the topics are entirely chosen by the audience at the beginning with questions and answers throughout the program.
Learning Objectives:
Students will be able to Implement Gagné’s 9 events of instruction in an EMS education program. Incorporate the fundamentals of Just Culture into new and existing EMS education programs.
Students will be able to apply the 5 steps of successful scenarios and simulation sessions to improve students performance and retention.
Students will be able to apply the ten key steps to effective communication in challenging and confrontational situations.
Learning Objectives:
Students will be able to Implement Gagné’s 9 events of instruction in an EMS education program. Incorporate the fundamentals of Just Culture into new and existing EMS education programs.
Students will be able to apply the 5 steps of successful scenarios and simulation sessions to improve students performance and retention.
Students will be able to apply the ten key steps to effective communication in challenging and confrontational situations.
Sorry Seems to be the Hardest Word: Delivering Bad News and Apologies—On Demand
Where saying the wrong thing at the wrong time can lead to legal trouble, is there a right way to deliver bad news? Are providers receiving the proper training on communication in difficult situations? What is the role of the medical director when things go wrong? Nick, the EMS Division Chief for one of the largest county-based ALS first response agencies in Georgia, and Samantha, an attorney for one of the largest hospital-based EMS systems in the Southeast, describe best practices for delivering “bad news” on scene and mitigating conflict involving patients, families, and other responding agencies. We examine the legal protections that may be afforded to EMS providers under state “apology laws” and risk management strategies for adverse events.
Learning Objectives:
Examine evidence-based practices for delivering "bad news".
Describe and illustrate best practices for delivering "bad news" on scene and mitigating conflict with patients, families, and other responding agencies.
Examine legal protections for EMS providers under state "apology laws" and describe risk management strategies for adverse events.
Learning Objectives:
Examine evidence-based practices for delivering "bad news".
Describe and illustrate best practices for delivering "bad news" on scene and mitigating conflict with patients, families, and other responding agencies.
Examine legal protections for EMS providers under state "apology laws" and describe risk management strategies for adverse events.
Hundreds Dead and Wounded: Best Healthcare Practices for Mass Shootings–On Demand
The US averages more than one mass shooting every day – injuring, killing, and traumatizing thousands of people each year. A recent study landmark study assembled emergency physicians, prehospital providers, and surgeons who participated in the medical response to six of America’s largest mass shootings at a consensus conference. Clinicians from shootings in Las Vegas, Orlando, El Paso, Parkland, Sutherland Springs, and Dayton created an essential list of lessons learned and best practices that can help hospitals and communities prepare for the nightmare scenario of a mass shooting. This session features the lead authors of the study and accompanying prehospital commentary sharing essential lessons learned that can help audience members prepare themselves and their institutions to save more lives when faced with the horrors of a mass shooting.
Learning Objectives:
List key healthcare responses lessons learned from recent US mass shootings
Describe best practices in the prehospital and emergency department responses to mass shootings
Compare and contrast specific medical and logistical challenges in recent mass shootings.
Learning Objectives:
List key healthcare responses lessons learned from recent US mass shootings
Describe best practices in the prehospital and emergency department responses to mass shootings
Compare and contrast specific medical and logistical challenges in recent mass shootings.
Hit the 'Lytes! Case Studies of Electrolyte Imbalances—On Demand
Electrolytes play a pivotal role in regulating homeostasis and in many critical body functions...but what happens when they become abnormal? This presentation will examine the role of electrolytes, presentation of abnormal values, and discuss treatment, all in the lens of real-life case studies. Whether you have access to point of care testing or not, this presentation will prepare you to recognize and treat some of the most common electrolyte imbalances seen in the prehospital setting.
Learning Objectives:
Understand the role of electrolytes and how they affect the human body.
Identify common presentations of electrolyte abnormalities.
Analyze cases of electrolyte imbalances in order to determine proper treatment for the patient.
Learning Objectives:
Understand the role of electrolytes and how they affect the human body.
Identify common presentations of electrolyte abnormalities.
Analyze cases of electrolyte imbalances in order to determine proper treatment for the patient.
The Spiritual Golden Hour—On Demand
It has been said that one can live weeks without food, days without water, and minutes without oxygen; but one cannot live a moment in time without hope. Pre-hospital medicine provides a powerful platform for that hope. Health includes more than the physical body as it is a fact that we are physical, mental, and spiritual beings.
I have served on an international disaster response team and have come to understand as in the physical “golden hour” of trauma there exists a parallel “spiritual and mental golden hour” in emergencies. This “Spiritual Golden Hour,” has changed my practice as a paramedic. For the advancement of prehospital medicine it is our responsibility to better understand how to care for the patient’s physical, mental and spiritual needs.
Learning Objectives:
Deduce how our emotions and spirituality play a vital role in our physical wellbeing.
Define how we as first responders should be dealing with the emotional/mental trauma of our patients as well as the emotional wellbeing of the medical professional.
Demonstrate how the the first responder has the ability to change a patient’s mentation to benefit the outcome of the tragedy at hand and give hope for the future.
I have served on an international disaster response team and have come to understand as in the physical “golden hour” of trauma there exists a parallel “spiritual and mental golden hour” in emergencies. This “Spiritual Golden Hour,” has changed my practice as a paramedic. For the advancement of prehospital medicine it is our responsibility to better understand how to care for the patient’s physical, mental and spiritual needs.
Learning Objectives:
Deduce how our emotions and spirituality play a vital role in our physical wellbeing.
Define how we as first responders should be dealing with the emotional/mental trauma of our patients as well as the emotional wellbeing of the medical professional.
Demonstrate how the the first responder has the ability to change a patient’s mentation to benefit the outcome of the tragedy at hand and give hope for the future.
From Handshake Partnerships to the Executive Team – How Successful Grassroots Community Paramedicine Launched a City’s Role in Public Health—On Demand
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.