2023 EMS CONFERENCE

Friday, Jan 20, 2023 8:00am - Saturday, Jan 21, 2023 6:30pm

Presentations

Core Conference

CC01 John Dawson: Thinking Outside Of The Box TIME 830-930

AT RISK POPULATION Friday 8:30am-9:30am

It is well known that patients do not read the book and as such may not always present as the “Textbook” may suggest.

Join JD as he takes us on a journey of managing your patient while thinking outside the box. Using case scenario’s JD will show us how we may have to alter our approach with patient care. It is an art to be able to adapt, improvise, overcome and be creative when it is not the “Betty Crocker” cookbook call.

CC02 Caitlin Crumm, MD, MS: Non-Accidental Trauma for The Pre-Hospital Provider TIME 940-1040

AT RISK POPULATION Friday 9:40am-10:40am

Dr. Crumm will explain how to recognize and describe types of injuries worrisome for child abuse. Dr. Crumm will discuss appropriate next steps to manage a child with suspected NAT, when an injury is worrisome for child abuse is recognized. She will help everyone understand the EMS process to report and correctly manage hospital and CPS / Law Enforcement notification when noting identification of a worrisome injury

CC03 Peter Antevy, MD: Treating Kids Like Little Adults: A Paradigm Shift in Pediatrics TIME 1050-1150

PEDIATRIC CARDIAC ARREST Friday 10:50am-11:50am

Have you ever wondered why pediatrics causes so much anxiety for pre-hospital providers? Why is it that even with years of experience pediatric resuscitation never seems to get any easier? The answer is based on scientific evidence that describes the brain’s function during stress. Join Dr. Antevy for an enlightening talk that may finally convince the EMS profession to treat kids like little adults!

CC04 Peter Antevy, MD: Pediatric Traumatic Brain Injury: Avoiding the 3-H Bombs to Enhance Outcomes TIME 1200-1300

RESEARCH Friday 12:00pm-1:00pm

Severe Traumatic Brain Injury (TBI) in pediatric patients causes tachycardia in adults because of the anxiety that comes with treating children. Join Dr. Antevy for an enlightening talk that reviews important data that may change your mindset by explaining the small details that make a big difference in outcomes.

CC05 Mike Helbock M.I.C.P., NR-P: Sick or Not Sick (Part 1) TIME 1340-1440

FIELD TRIAGE Friday 1:40pm-2:40pm

The SICK/NOT SICK approach to rapid assessment, identifies two categories for all patients: SICK or NOT SICK. It helps you decide how initially to treat a patient, a decision that guides you throughout the entire call. SICK/NOT SICK also calls for quick decision-making and action. SICK/NOT SICK exposes the key indicators of physiologic stability that would otherwise take less-experienced EMS providers hundreds of calls to learn. It condenses years of clinical and field experience into a set of simple guidelines that you can incorporate into your current patient assessment technique. The ability to discriminate among important clinical indicators sets experienced EMS providers apart from novices. These indicators help answer the basic question that all providers must ask:

“Could this person die within the next 5, 10 or even 20 minutes?”

CC06 Mike Helbock M.I.C.P., NR-P: Sick or Not Sick (Part 2) TIME1450-1550

EVIDENCED BASED Friday 2:50pm-3:50pm

“Could this person die within the next 5, 10 or even 20 minutes?”

CC07 Fidel O. Garcia: A Deep Dive Into Pharmacology TIME1600-1700

MEDICATION ADMINSTRATION Friday 4:00pm-5:00pm

“Better Living Through Pharmacology” As health care professionals we need to be at the top of our game when we have patient’s who are in need of high level care and require medication (s), whether we are a BLS or an ALS provider. It can be very hard to remember everything there is to know about a medication. It is our responsibility to know everything we can about medications for medical and legal aspects. Fidel will provide a very in depth explanation about the ACTIONS of several medications we use in our practice. The information will be useful to help you understand how they will work on the body which will allow us to understand and know the :CLASSIFICATION – ACTION - INDICATIONS – CONTRAINDICATIONS – SIDE EFFECTS. Join Fidel for a new perspective on the medications you use in practice.

CC08 Dave Gilmore, MD: Toxicology Tidbits TIME 1710-1810

TOXICOLOGY Friday 5:10pm-6:10pm

Dr. Gilmore always has a great perspective on toxicology situations. Join Dr. Gilmore as he shares his insight and wealth of knowledge to handle patients who are in the setting of a toxic situation.

CC09 Janet Taylor: What To Expect When You’re Expecting: High Risk OB Transport TIME 830-930

OB Saturday 8:30am-9:30am

Who doesn’t LOVE a high-risk obstetric transport? No? Not surprising since they aren’t a common call for most of us but yet we are expected to care for these patients as if we do it every day. We will review a pregnancy and delivery complications and how to do basic fetal monitoring in the field as well as recognize what that pile of fetal monitoring strips the sending OB nurse gives you are saying. Early decels, late decels, variability, VEAL CHOPS, HELLP Syndrome, and Hypertensive states in pregnancy will all be discussed as well as much more.

CC10 Janet Taylor: Special Delivery: Post-Partum Care in the 1st Hour TIME 940-1040

SPECIAL HC NEEDS Saturday 9:40am-10:40am

We’ve all had to take the obligatory childbirth class but what happens in the hour following delivery? What should we expect? The number of elective home births has surged since the beginning of the pandemic, and it doesn’t

show signs of slowing down. What should mom and baby being doing? Can mom get up and shower? What if the placenta doesn’t deliver when it should? When SHOULD a placenta delivery occur?

CC11 Richie Berndt, NRP: The PQRST of 12 Lead ECG TIME 1050-1150

ACS Saturday 10:50am-11:50am

We will discuss the purpose and advantages of obtaining 12 Lead ECGs. Discuss understanding polarity and how to critically analyze 12-Lead ECG complexes for abnormalities ofECG features of: ischemia, injury, infarction; chamber enlargement, bundle branch blocks, pericarditis, and electrolyte and drug effects.

CC12 Richie Berndt, NRP: EMS Cardiac Medications and Treatment of Cardiac Emergencies TIME 1200-1300

ACS Saturday 12:00pm-1:00pm

We will discuss emergency cardiac medications used in the pre-hospital setting.Discuss understanding the “6 Rights” of medication administration, current guidelines for emergency cardiac medications, and answer the question we have ROSC now what?

CC13 Kelly Grayson, NRP: VADs and Pumps and Pacers, Oh My! TIME 1340-1440

VADS Saturday 1:40pm-2:40pm

The Critical Care 101 series is intended to review critical concepts necessary to manage straightforward critical care patients. If you are a new or inexperienced critical care paramedic or nurse, or one with little formal training who is required to occasionally manage medically complex patients, this series is for you. Join Kelly Grayson as he discusses maintenance, monitoring and troubleshooting of cardiac assist devices.

CC14 Stephen Rahm, NRP: Heads Up: Traumatic Brain Injury (TBI) TIME 1450-1550

TRAUMA TRIAGE Saturday 2:50pm-3:50pm

Traumatic brain injury is a major cause of death and disability following trauma. Actions taken by the EMS provider have a direct impact on patient outcomes. It begins with a discussion of cerebral perfusion, the normal physiologic processes the body employs to maintain it, and how the body responds to increased intracranial pressure—knowledge that is crucial to understanding why some prehospital interventions are performed and why others are (and should be) avoided. Potentially disastrous effects of secondary brain injury, and how to minimize or avoid it, are discussed in detail. Specific injuries discussed include subdural and epidural hemorrhage (focal injuries), axonal injury (diffuse injury), and intracerebral hemorrhage; this includes clinical presentations, critical assessment parameters, and key emergency care procedures and interventions. We will also review the latest scientific literature regarding the use of TXA for the TBI patient, as well as the effects of hard cervical collars on intracranial pressure.

CC15 Stephen Rahm, NRP: Airway Management: The Anatomy, Physiology, and Procedure TIME 1600-1700

A-R-V Saturday 4:00pm-5:00pm

Do you measure your success at airway management on whether you “get the tube,” or do you measure it by how well you keep the patient oxygenated and ventilated? The techniques to achieve effective oxygenation and ventilation vary—but the end game does not (and cannot).

This presentation begins with a review of key airway anatomy utilizing high-resolution cadaveric images. You will see exactly where your simple airway adjuncts and supraglottic airways—when properly placed—sit in the airway, perhaps giving you a better understanding of how they work and how effective they can be. Sure, we’ll discuss good intubation technique, but not before resetting the concepts of foundational airway management in our minds.

We will then review the physiology of ventilation to appreciate that breathing does more than just move air into and out of our lungs. You will then understand and appreciate why it’s healthier for patients to let them breathe on their own. Have you ever been ventilating a patient and totally trashed their blood pressure? After this discussion, you’ll understand why

this happened, as well as how it could have been prevented. Bottom line: if you deliver a well oxygenated and ventilated patient to the emergency department, regardless of how you achieved it, your patient wins every time. On the other

hand, if you deliver a hypoxemic, hypotensive patient…well, you can see where that train will go.

CC16 Jessica J. Wall, MD: Pediatric Respiratory Emergencies: Don’t Hold Your Breath TIME 1710-1810

PEDIATRIC TRANSPORT Saturday 5:10pm-6:10pm

In this presentation we will cover common etiologies of pediatric respiratory distress, with a focus on recognizing upper airway disease, lower airway disease, lung tissue pathology and non-pulmonary etiologies. We will discuss management strategy based on history and exam in the field and when to consider intubation.