2019 EMS & Fire Conference Grand Junction, CO

Friday, Jan 18, 2019 - Saturday, Jan 19, 2019

Presentations

Preconference

PC1 - 8:30am - 12:30pm- Forcible Entry - THIS IS A 4 HOUR CLASS- Presented by - Mike Cox & Garrett DeHaan
Operations Friday 8:30am-12:30pm

This class will involve a classroom presentation and follow up with a hands on portion.  Mike and Garrett will cover the latest techniques needed to gain access and maintain safety throughout the event

BUNKER GEAR IS OPTIONAL!


PC2- 1:30pm - 3:30pm - Calling a Mayday- Presented by- Chris McCoy
Operations Friday 1:30pm-3:30pm

Calling a Mayday is probably the one fireground skill that every firefighter must perform perfectly 100% of the time. Captain McCoy will discuss the details needed to make sure that when a Mayday is required it is done correctly


PC3 - 8:30am - 10:30am- Something Bit Me: Recognition and treatment of creepy crawly bites- Presented by- Loree Cutts
Operations Friday 8:30am-10:30am

An in-depth discussion of the risks posed by local/regional animal and insect populations. Topics to include blister beetle, black widow, and rattlesnake recognition and bite treatment options. Additional focus on first responder safety and avoidance of secondary envenomation.


PC4 - 8:30am - 10:30pm - Grandma Got Run Over By a Reindeer- Presented by - Janet Taylor
Operations Friday 8:30am-10:30am

With the Baby Boomer Generation entering into the definition of Geriatrics, the population has boomed again with a large increase in the number of patients we care for who are over the age of 65.  With that increase comes a number of considerations we need to keep in mind when caring for our geriatric patients.  


PC5 –10:30am - 12:30 - BRUE. Not Beer. Brief Resolved Unexplained Event – Presented by - Dennis Edgerly
Medical Friday 10:30am-12:30pm

Children can be tricky to manage. Often times when a parent reports that their child stopped breathing, turned blue or experiences some other event, it is not a emergent situation. Events such as these can be signs of life threatening situations. This session will discuss these Brief Resolved Unexplained Events, what they may indicate and how to assess patients, provide care and talk with parents.


PC6 - 10:30am - 12:30pm - Chest Pain Diagnosis- presented by - Dave Ross
Cardiology Friday 10:30am-12:30pm

Patients complaining of chest pain are commonly encountered. EMS providers should have a few potential diagnoses at their fingertips to consider in these situations. Many patients with chest pain will turn out to not have an acute emergent condition or they may not even have a definite explanation for their complaint at the end of an emergency department visit. But some patients will. And missed diagnoses of chest pain are a leading cause of medical legal claims, beginning with patient refusals for transport. Who are the patients we should worry about? What should we look for? This presentation will answer these questions.


PC7 -1:30pm - 3:30pm - Frozen: The Cold Hard Truth about Hypothermia in Trauma Patients- presented by - Janet Taylor
Operations Friday 1:30pm-3:30pm

“Frozen: The Cold Hard Truth about Hypothermia in Trauma Patients”: presented by Janet Taylor

There is evidence that has supported the use of inducing hypothermia but only in certain conditions.  But what happens when hypothermia occurs in the “un-certain” patients?   Why does mortality increase dramatically in the trauma patient when exposed to even mild hypothermia?  What can EMS/ER do to prevent this and to better our patient’s outcome?

“I’ve Got a Crush on You”: Dealing with crush injuries in the field : presented by Janet Taylor

Why isn't the systemic effect of crushing your hand the same as crushing your leg? What happens that makes crush injuries distinctive from other trauma injuries? In this session, we will go over crush injuries from start to finish. What happens at the moment a heavy weight hits the body and what do we need to do before that weight comes off. We will review some common medications in EMS that we need to have available in order to improve your patient's outcome and why they should be given.


PC8 - 1:30pm - 3:30pm - Head and Spinal Trauma - Presented by - Barry Chamberlain
Trauma Friday 1:30pm-3:30pm

Head Trauma accounts for 25% of trauma deaths with 10% expiring in the prehospital setting, more than 50% of spinal injuries occur in the 16 – 30 year old age group.  Neurologic trauma can be devastating and irreversible. Barry will cover A & P, S / S and current interventions for a patient who has sustained a head and / or spinal injury


PC9 - 1:30pm - 3:30pm - Prolonged Extrication: How to keep them alive when time is not on your side- Presented by - Loree Cutts
Trauma Friday 1:30pm-3:30pm

An in-depth look at field management of the prolonged extrication victim. Extrication topics to include vehicle extrications, crush injuries, back country management, and appropriate long-term tourniquet use.


PC10 - 3:30pm - 5:30pm - Chest Trauma, What could go wrong? - Presented by - Dennis Edgerly
Trauma Friday 3:30pm-5:30pm

During this session common chest injuries will be discussed. Blunt and penetrating mechanism will be discussed including potential injuries, signs, symptoms and treatment.

Core Conference

CC1 - 7:00pm - 9:00pm - OPENING: Understand how to perform Initial patient assessments: Presented by- Dr. Graham Brant - Zawadzki
Operations Friday 7:00pm-9:00pm

Discuss the importance of forming general impressions of the patient, assess patient with altered mental status. The differences in assessing adult, child and infant patients with altered mental status. Discuss methods of assessing airway and assessment of the spine.


CC2 -8:15am - 9:15am - KEYNOTE: The Future Of Resuscitation: Presented by - Dr. Ray Fowler
Cardiology Saturday 8:15am-9:15am

The Advance of scientific evidence forces us to examine the treatments of the past and look to the future. This lecture will discuss the evolution of science, offering a glimpse into the future of the practice of EMS Medicine.


CC3 - 9:45am - 10:45am - Head Trauma- presented by - Dr. Dave Ross
Trauma Saturday 9:45am-10:45am

Head trauma patient encounters are frequent. Suspected concussions occur in many settings. While generally not life threatening, concussions may result in significant residual symptoms. So, it’s important that EMS providers are familiar with the assessment and appropriate management of these patients. Less commonly, head trauma can be associated with intracranial bleeding or edema resulting in serious morbidity or mortality. Attendees must also be aware of signs of symptoms of life-threatening head trauma and treatment options both enroute to a trauma center and at the hospital.


CC4 - 9:45am - 10:45am - Differential Dx of Nausea- Presented by - Dennis Edgerly
Medical Saturday 9:45am-10:45am

Nausea and vomiting is a common complaint is a symptom of several medical events. These events can be as simple as eating bad sushi to severe events such as a brain bleed. This session will look at the pathophysiology of being nauseated and medical events that can create this symptom.

 


CC5 - 9:45am - 10:45am - Managing Children with Special needs: Presented by- Fidel Garcia
Medical Saturday 9:45am-10:45am

What is Bronchopulmonary Dysplasia and how do you treat it?  What can you do for when you are dispatched for a ventriculoperitoneal shunt issue?  How do you manage a patient with Acute Lymphoblastic  Leukemia (ALL)? It is estimated that 12 million children, or 18%, in the United States have special health care needs.  This presentation will use case scenario’s to identify issues with special needs children and what we can do to manage the patient.  


CC6 - 11:15am - 12:15pm - The Electrocardiogram: What Mr. Franklin Knew that We Didn't: Presented by: Ray Fowler, MD
Cardiology Saturday 11:15am-12:15pm

Advocates and survivors it has been said that the electrocardiogram (ECG) is “your best test”, but not all EMS providers have the expertise necessary to “take it to another level”. In this lecture the presenter will offer a window into the history of the invention of the ECG, an anatomical link between “voltage and cells”, and examples of “essential interpretation points” in the management of the critically ill.


CC7 - 11:15am - 12:15pm - No 02 for you! Using to much for a good thing - Presented by - Janet Taylor
ARV Saturday 11:15am-12:15pm

30 years ago it was thought that if a little oxygen was good for you, then a lot must be even better.  And that was the case until studies proved that too much of a good thing really isn’t the best for our patients. Oxygen titration is now recommended in many nationally recognized programs such as ACLS, NRP, PALS and more.  But why can’t we give some extra oxygen to our patients? What bad could really happen if we continue to do what we have been doing for 30 years?


CC8 - 11:15am - 12:15pm - Better Living Through Pharmacology: Should Ketamine Be Considered as a primary Intervention for Emergency Situations: Presented by: Dave Gilmore, MD
Medical Saturday 11:15am-12:15pm

Dr. Gilmore is a firm believer that ketamine should be a first line agent in EMS.  Dr. Gilmore will discuss advantages and benefits to using ketamine for more emergent situations than you may think.  This will be an interactive discussion, so bring your thoughts, ideas and questions.


CC9 - 12:30pm - 1:30pm - LUNCH PRESENTATION: Lesson from a Mass Casualty Shooting- Presented by - Karen Donnahie
Operations Saturday 12:30pm-1:30pm

A non-Trauma Hospital response to a no-notice, mass casualty trauma event.  On the night of Oct. 1, over 90 patients arrived at the triage desk by private vehicle, often arriving in the beds of pick-up trucks filled with victims. There was no triage or treatment at the scene, just a mass evacuation of the injured to the nearest hospitals.   Desert Springs Hospital was the closest hospital to the Route 91 Harvest Festival venue.  The staff of the hospital responded in ways they never planned or trained for, and everyone who arrived alive stayed that way.


CC10 - 2:00pm - 3:30pm - OB Emergencies- Presented by - Elvi Whiteford, MD
Medical Saturday 2:00pm-3:30pm

1.5 hours of energy filled didactic with focus from normal pregnancy and delivery to OB emergencies that can range in all 3 trimesters - from health complications, bleeding emergencies, malpresentations, cord prolapses and more!


CC11- 2:00pm - 3:30pm - Crew Resource Management- Presented by - Dennis Edgerly
Operations Saturday 2:00pm-3:30pm

Who is in charge on scene or of patient care? What if they make a mistake? Should we say something or just let it go? How should we intervene when a critical piece critical piece is being missed or mismanaged? During this session we will look at CRM and discuss its principles and practice. Leave egos at the door. Patient care is our priority.


CC12 - 2:00pm - 3:30pm - (EP) for the prehospital provider - Presented by - Matt Eilts
Cardiology Saturday 2:00pm-3:30pm

Introduction to Cardiac Electrophysiology -Identify cardiac structures -Explain normal cardiac conduction -Identify conduction defects -Describe common cardiac arrhythmias -Understand the basics of an EP study -Differentiate implantable cardiac devices This is intended for anyone in the CV Service line. It is best that the attendee has had a basic ECG course prior.


CC13 -2:00pm - 3:30pm - Let's Run Some Calls: A Hands on Session - Presented by - John Dawson
Medical Saturday 2:00pm-3:30pm

What better way to learn than running calls. In this session we will run a medical - trauma - pediatric calls. The students will respond and take care of the patient as a real call. After each call we will debrief and identify strengths and weaknesses. This class is designed to be a stimulating and challenging hands on activity for all involved. Guaranteed to make you think and act.


CC14 - 3:45pm - 5:15pm - Man Vs Wild: Environment Emergencies for the EMT - Presented by - Janet Taylor
Operations Saturday 3:45pm-5:15pm

Lions, Tigers and Bears…..wait… Okay maybe not that type of wildlife but there are several things that are necessary to know in order to treat patients who have decided to “rough it” in the great outdoors.  Rather than discuss advanced interventions, we are going back to the basics and using common sense knowledge to treat a variety of environmental emergencies including hypothermia, hyperthermia, diving emergencies, bites and stings, altitude sickness and much more.   


CC15 - 3:45pm - 5:15pm -From Technician to Clinician- Presented by - Chris Rowland
Operations Saturday 3:45pm-5:15pm

This presentation is designed to enforce the understanding of EMS provider responsibility for the patient during the EMS encounter. A clinician is a medical professional responsible for the assessment, treatment, and well being of the patient. This presentation is intended for all levels of EMS providers, and is suitable for the new provider as well as the "seasoned" provider.

 


CC16 - 3:45pm - 5:15pm - Eye of A Frog- Hair of a Newt - Blood of an Owl - A Dead Man's Toe : What do you have for Antidotes in your Ambulance- Presented by- Dave Gilmore, MD
Medical Saturday 3:45pm-5:15pm

What can you do for a patient who has overdosed or suffered a toxic exposure.  Dr. Gilmore will lead an interactive discussion to identify what you have available to manage  toxic situations.  You may be surprised how many options for care are available.


CC17 - 3:45pm - 5:15pm - Let's Run Some Calls: Hands on Session- Presented by - John Dawson
Medical Saturday 3:45pm-5:15pm

What better way to learn than running calls.  In this session we will run a medical – trauma – pediatric calls.  The students will respond and take care of the patient as a real call.  After each call we will debrief and identify strengths and weaknesses.  This class is designed to be a stimulating and challenging hands on activity for all involved.  Guaranteed to make you think and act.