9/21 6:15 pm

The “SUMMIT” in Provo 2017

Presented by

EMS ASSOCIATES, LLC

! Table of Contents !

Conference Program 2 .....................................

Conference Faculty 9 .......................................

Descriptions of Lectures Submitted by Faculty 11 ...

Conference Evaluation 29 .................................

Important Notes 31 .........................................

www.emsassociates.com ! emsconference@msn.com

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Pre-Conference Workshops " Open to ALL Levels of Responders #

Wednesday—November 15, 2017Time Presentation Topic Presenter Room Track

7:00 AM Pre-Conference Registration South Lobby

Wednesday – Pre-Conference Workshop –

8:00 AM –12:00

PM

The Fabrication of Cardiac Arrest Resuscitation

Mark Sawdon Dan Schwartz

Basic & Adv

1:00 PM --5:00 PM

The Fabrication of Cardiac Arrest Resuscitation

Mark Sawdon Dan Schwartz

Basic & Adv

Wednesday – Pre-Conference Workshop –

8:00 AM –12:00

PM

HazMat Awareness for Rural First Responders – What’s Rolling Through Your Town?

Ken Bouvier Basic & Adv

1:00 PM –5:00 PM

HazMat Awareness for Rural First Responders – What’s Rolling Through Your Town?

Ken Bouvier Basic & Adv

Wednesday – Pre-Conference Workshop –

8:00 AM –12:00

PM

Tuning for Trauma! Fast, Accurate Assessment for EMT’s and First Responders

Jon Politis Basic & Adv

1:00 PM –5:00 PM

Tuning for Trauma! Fast, Accurate Assessment for EMT’s and First Responders

Jon Politis Basic & Adv

Wednesday – Pre-Conference Workshop –

7:00 AM –11:00

PM

My Patient’s in the Water – Now What? Jason Dush Provo City Rec Center Pool

Basic & Adv

12:00 PM –4:00 PM

My Patient’s in the Water – Now What? Jason Dush Provo City Rec Center Pool

Basic & Adv

Wednesday – Pre-Conference Workshop –

8:00 AM –5:00 PM

Tactical Casualty Care (with certification through NAEMT)

Justin Young John McCombs Ricky Hardman Elle Martin

Basic & Adv LEO Dispatcher

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Thursday—November 16, 2017General Sessions

Time Presentation Topic Instructor Room Track

7:00 AM –7:30 AM Break – Visit Exhibit Hall

7:30 AM Welcome and Introductions EMS Associates Grand Ballroom

Basic & Adv

8:00 AM –9:00 AM

Hot Car Deaths and Treating Heatstroke Ken Bouvier Grand Ballroom

Basic & Adv

9:00 AM –10:00

AM

The Inside Account of What Really Happened in Benghazi

John Tiegen Grand Ballroom

10:00 AM –10:30

AMBreak – Visit Vendor Hall

Thursday – 10:30 AM–11:45 AM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

10:30 AM –11:45

AM

Obstetrics – Intrapartum Emergencies Joe Mistovich Ballroom A Basic & Adv

Busted! Managing UPPER Extremity Fractures and Dislocations CONFIDENTLY

Jon Politis Ballroom C Basic & Adv

Cases to Challenge Your Mind Paul Werfel Cascade C Basic & Adv

Scene Safety – A New Paradigm for New Threats

Dan Limmer Cascade D Basic & Adv

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Featured Speaker John “Tig” Tiegen – born in 1976 – is a former Marine Sergeant from Colorado who spent several years as a security contractor for Blackwater. He served the company on missions in Afghanistan, Pakistan and Iraq before going to work for the CIA’s Global Response Staff.  Quiet and precise, the married father of infant twins was in the midst of his third trip to Benghazi, Libya for the CIA’s GRS when the attacks of September 11, 2012 occurred. He was the most experienced in the city and assisted in saving the lives of many. Tiegen received the Award For Heroism in recognition of his bravery and valor. He is the co-author of 13 Hours along with members of the Annex Security team and NYT’s best-selling author, Mitchell Zuckoff.

I Can’t Believe They Don’t Use Butter – Burn Care 101

Jason Dush Cascade A-B Basic & Adv

Make It Stop! Down and Dirty Bleeding Control

Brandon Heggie Cascade E Basic & Adv

The 1.7-Second Differential Mark Sawdon Ballroom B Basic & Adv

Beyond the Gear – Keeping Your Team Ready

Dan Schwartz Soldier Creek Basic & Adv

11:45 AM –1:00 PM

Lunch – On Your Own Break – Visit Vendor Hall

Thursday – 1:00 PM–2:15 PM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

1:00 PM –2:15 PM

Newborn Care and Resuscitation Joe Mistovich Ballroom A Basic & Adv

Busted! Managing LOWER Extremity Fractures and Dislocations CONFIDENTLY

Jon Politis Cascade A-B Basic & Adv

Russian Roulette – The American Way Chris Ebright Cascade C Basic & Adv

Management of Traumatic Amputations Ricky Kue, MD Cascade D Basic & Adv

What Do I Really Need to Know About This 12-Lead?

Mark Sawdon Ballroom B Basic & Adv

A Long Time to Go and a Short Time to Get There

Jess Fulkerson Cascade E Basic & Adv

Who’d a Thought? The New Trends of Chemical Suicide

Jason Dush Ballroom C Basic & Adv

Tragedies – Are We Prepared for the Next 40 Years?

Ken Bouvier Soldier Creek Basic & Adv

Thursday – 2:30 PM–3:45 PM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

2:30 PM –3:45 PM

When Your Golden Years Begin to Tarnish – Geriatric Emergencies

Paul Werfel Cascade E Basic & Adv

The Perils of Suspension Trauma Chris Ebright Cascade D Basic & Adv

Now I Lay Me Down to Sleep – Case Studies in Suicide

Dan Limmer Cascade C Basic & Adv

Well, That’s Just Smashing . . . Brandon Heggie Cascade A-B Basic & Adv

EMS Management of Less-Lethal Weapon Injuries

Ricky Kue, MD Solider Creek Basic & Adv

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Bizarre and Unusual Case Studies – You Can’t Make This Stuff Up

Andrea Sjaardema Ballroom C Basic & Adv

I’ve Arrived at an MCI – Now What? Jess Fulkerson Ballroom A Basic & Adv

The Patient Interview as Conversation – More Than Just OPQRST

Dan Schwartz Ballroom B Basic & Adv

3:45 PM –4:15 PM Break – Visit Vendor Hall

Thursday – 4:15 PM–5:15 PM – Closing General SessionTime Presentation Topic Instructor Room Track

4:15 PM –5:15 PM

Fast and Furious Dan Limmer Grand Ballroom

Basic & Adv

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Friday—November 17, 2017General Sessions

Time Presentation Topic Instructor Room Track

7:00 AM –8:00 AM Break – Visit Vendor Hall

8:00 AM –9:00 AM

Clinical Insights – Making Your Assessment More Accurate

Joe Mistovich Grand Ballroom

Basic & Adv Dispatcher

9:00 AM –10:00

AM

The Hard Way Jon Politis Grand Ballroom

Basic & Adv Dispatcher

10:00 AM –10:30

AMBreak – Visit Vendor Hall

Friday – 10:30 AM–11:45 AM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

10:30 AM –11:45

AM

Gray Areas – How Our Seniors Slip Through the Clinical Cracks

Dan Limmer Cascade A-B Basic & Adv

Man vs Machine Brandon Heggie Cascade C Basic & Adv

Dealing With Patients in Police Custody Jason Dush Ballroom B Basic & Adv

The Night Joe’s Crab Shack Almost Changed Everything

Chris Ebright Cascade D Basic & Adv

Controlling the Chaos of Resuscitation Mark Sawdon Soldier Creek Basic & Adv

So . . . Don’t Touch . . . ANYTHING! Jess Fulkerson Ballroom C Basic & Adv

Interesting EMS Cases Ricky Kue, MD Ballroom A Basic & Adv

Motor Vehicle Collisions – On the Highway and Back Roads

Ken Bouvier Cascade E Basic & Adv

11:45 AM –1:00 PM

Lunch – On Your Own Break – Visit Vendor Hall

Friday – 1:00 PM–2:15 PM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

1:00 PM –2:15 PM

Chest Trauma Differential Diagnosis Joe Mistovich Cascade A-B Basic & Adv

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Non-Arrhythmic Complications of MI Paul Werfel Ballroom B Basic & Adv

Pediatric Status Asthmaticus Chris Ebright Cascade B Basic & Adv

Tourniquets 101 – Everything You Need to Know

Ricky Kue, MD Ballroom A Basic & Adv

It Hurts to Think Brandon Heggie Ballroom C Basic & Adv

Pull the Trigger – Decision-Making in Airway Management

Jess Fulkerson Cascade D Basic & Adv

The Patient Is Complaining of Difficulty Breathing – Now What?

Dan Schwartz Cascade E Basic & Adv

That’s a SHOCKER Andrea Sjaardema Soldier Creek Basic & Adv

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Friday – 2:30 PM–3:45 PM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

2:30 PM –3:45 PM

First in at the Big One – Those First Critical Minutes

Jon Politis Ballroom A Basic & Adv

Misconceptions, Misperceptions and Misadventures in EMS

Dan Limmer Ballroom B Basic & Adv

Continuous Improvement in EMS Brooke Burton Cascade E Basic & Adv

The Risk of the In-Between Mark Sawdon Cascade D Basic & Adv

Altitude Emergencies Paul Werfel Cascade A-B Basic & Adv

Tragedies – Are We Prepared for the Next 40 Years?

Ken Bouvier Cascade C Basic & Adv

What Your Control Doc Wishes You Knew About Sepsis

Dan Schwartz Soldier Creek Basic & Adv

Crash Test Dummies and Football Players Andrea Sjaardema Ballroom C Basic & Adv

3:45 PM –4:15 PM

Break – Visit Vendor Hall

Friday – 4:15 PM–5:15 PM – Closing General SessionTime Presentation Topic Instructor Room Track

4:15 PM –5:15 PM

Human Trafficking and First Responders – Are We Looking at a Potential “Bigger Picture”?

Sean D. Reyes Grand Ballroom

Basic & Adv

5:15 PM –6:00 PM

Break – Visit Vendor Hall

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Saturday—November 18, 2017Power Generals

Time Presentation Topic Instructor Room Track

7:00 AM –8:00 AM Break – Visit Vendor Hall

7:45 AM –8:15 AM

Inverted in Nutty Putty Cave – A True Story of Gravity vs the Mind

Doug Murdock, MD Grand Ballroom

Basic & Adv

8:15 AM –8:45 AM

From First Responder to Battlefield Casualty

Jeffrey Long Grand Ballroom

Basic & Adv

8:45 AM –9:15 AM

To Give or NOT to Give – Fluid Resuscitation and Hypovolemic Shock

Justin Young Grand Ballroom

Basic & Adv

9:15 AM –9:45 AM

EMS and Nursing – Tension vs Teamwork Jason Dush Grand Ballroom

Basic & Adv

10:00 AM –10:30

AMBreak – Visit Vendor Hall

Saturday – 10:30 AM–11:45 AM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

10:30 AM –11:45

AM

Incomplete Spinal Cord Injury and Spine Motion Restriction

Joe Mistovich Cascade A-B Basic & Adv

Mastering Triage Jon Politis Ballroom B Basic & Adv

Crawl Inside Their Craniums – Part 1 Jess Fulkerson Ballroom C Basic & Adv

Hit Me With Your Best Shot Chris Ebright Ballroom A Basic & Adv

Compassion, Commitment and a Clinical Clue – The Three Cs’ of a Successful EMS Provider

Dan Limmer Soldier Creek Basic & Adv

Management of Traumatic Amputations Ricky Kue, MD Cascade D Basic & Adv

Make It Stop! Down and Dirty Bleeding Control

Brandon Heggie Cascade E Basic & Adv

Crash Test Dummies and Football Players Andrea Sjaardema Cascade C Basic & Adv

11:45 PM –1:00 PM

Lunch – On Your Own Break – Visit Vendor Hall

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Saturday – 1:00 PM–2:15 PM – Concurrent Breakout SessionsTime Presentation Topic Instructor Room Track

1:00 PM –2:15 PM

Assessment and Management of Head Injury

Joe Mistovich Cascade A-B Basic & Adv

Geriatric EMS Case Studies Paul Werfel Cascade C Basic & Adv

The Final Collision Chris Ebright Cascade D Basic & Adv

Creating a Culture of Civility – Challenges, Chaos, and Recommendations

Jason Dush Ballroom C Basic & Adv

That SMELL, That LOOK . . . Now Treat It Andrea Sjaardema Ballroom B Basic & Adv

Well, That’s Just Smashing . . . Brandon Heggie Soldier Creek Basic & Adv

The Patient Is Complaining of Difficulty Breathing – Now What?

Dan Schwartz Cascade E Basic & Adv

Controlling the Chaos of Resuscitation Mark Sawdon Ballroom A Basic & Adv

Saturday – 2:30 PM–3:45 PM – Concurrent Breakout Sessions

Time Presentation Topic Instructor Room Track

2:30 PM –3:45 PM

Little Tykes Are NOT Little Adults Andrea Sjaardema Cascade A-B Basic & Adv

Crawl Inside Their Craniums – Part 2 Jess Fulkerson Cascade C Basic & Adv

Diabetes – Why Don’t You Just Control It? Dan Merrill Cascade D Basic & Adv

Pediatric Trauma – Pearls for the Prehospital Provider

Paul Werfel Ballroom C Basic & Adv

The 1.7-Second Differential Mark Sawdon Ballroom B Basic & Adv

What Your Control Doc Wishes You Knew About Sepsis

Dan Schwartz Soldier Creek Basic & Adv

Airway Case Studies – When the Simplest Thing Made the Biggest Difference

Jason Dush Cascade E Basic & Adv

Vehicle Extrication 2017 – Not Your Dad’s Extrication Anymore

Jon Politis Ballroom A Basic & Adv

Saturday – 4:00 PM–5:00 PM – Final Closing SessionTime Presentation Topic Instructor Room Track

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4:00 PM –5:00 PM

EMS Response to the Boston Marathon Bombings – Lessons Learned

Ricky Kue, MD Grand Ballroom

Basic & Adv

3:30 PM –4:00 PM END OF CONFERENCE / Completion of Evaluations

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2017 Conference Faculty Ken Bouvier NREMT-P, Deputy Chief of Operations,

New Orleans Emergency Medical Services

New Orleans, LA

Brooke Burton NRP, FCPE, Quality Director, Gold Cross Ambulance

Salt Lake City, UT

Amber Coleman RN, CFRN, Life Flight, Intermountain Health Care

Provo, UT

Nicki Darrington RN – L&D, Intermountain Health Care Provo, UT

Jason Dush FF/EMT-P, FP-C, TEMS Austin, TX

Chris Ebright B.Ed., NRP, EMS Education Coordinator, National EMS Academy

Covington, LA

Jess Fulkerson Firefighter/Paramedic, North Mason Regional Fire Authority, Tactical Medic/Reserve Deputy, Mason County Sheriff's Office

Shelton, WA

Ricky Hardman EMT-B, FF, Engineer (retired), Provo City Fire Dept.

Provo, UT

Brandon Heggie Firefighter/Paramedic, Reserve Deputy Sheriff/SWAT Medic

Shelton, WA

Keith Karren, PhD PhD, EMT—Professor Emeritus, Health Science, BYU, EMS author (Prehospital Emergency Care and First Responder, leading Brady texts), Cofounder and conference director--EMS Associates and the Prehospital Emergency Care Conference, EMS and Health Science presenter, original member of SAVERS-Springville

Heber City, UT

Ricky Kue, MD MPH, FACEP, FAEMS, Associate Medical Director, Boston EMS; Team Physician Boston PD SWAT; Medical Team Manager, FEMA USAR MA-TF1; Program Director, Fellowship in EMS Medicine; Assistant Professor of Emergency Medicine, Boston University School of Medicine; LtCol and Flight Surgeon, US Army Reserves

Boston, MA

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Dan Limmer Paramedic, Police Officer, EMS Educator and Author. Lecturer, EMS Degree Program at Central Washington University. Co-Founder Limmer Creative LLC

Kennebunk, ME

Jeffrey Long Retired SGT Orem PD, Reitred SFC U.S. Army Reserve, Current Police Detective at BYU

Orem, UT

Amber Dawn Martin

CST, AEMT, CPT, CAN, Revere Health OB/GYN; Youth Pathfinder Coordinator, EMS Associates

American Fork, UT

Elle Martin EMT-I, Sgt., LEO, Brigham Young University, Conference Director, EMS Associates

Provo, UT

John McCombs EMT-P Officer, Utah Transit Authority Police Department

Orem, UT

Dan Merrill PhD, EMT – Chief Clinical Scientist, Ripple LLC, FF (retired), Snohomish County FD#7

Salt Lake City, UT

Joe Mistovich Med, NRP, Chair and Professor, Department of Health Professions, Youngstown State University

Youngstown, OH

Doug Murdock, MD MD, FACEP, EMT-I, BSN, Conference Medical Director, EMS Associates

Heber City, UT

Jon Politis MPA, NR, Director, Malta-Stillwater EMS

Latham, NY

Sean D. Reyes Utah Attorney General Salt Lake City, UT

Mark Sawdon NRP, Mobile Intensive Care Unit Paramedic for King County Medic One

Arlington, WA

Dan Schwartz EMT-P, University of Washington–HRMC. Captain/Paramedic, Medical Services Officer, Marysville, WA. Emergency Medical Education BA, Washington State University

Marysville, WA

Andrea Sjaardema NREMT-P/FF Schererville Fire Department, Primary Instructor State of Indiana

Schererville, IN

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John Tiegen US Marine Corps Veteran – SGT John ‘Tig” Tiegen; CIA Global Response Team, Battle of Benghazi; co-author of 13 Hours: The Inside Account of What Really Happened in Benghazi (book), and 13 Hours: The Secret Soldiers of Benghazi (movie)

Colorado Springs, CO

Paul Werfel MS, NRP, Director, EMT & Paramedic Program, Stony Brook University, NY

Stony Brook, NY

Dean York FF, EMT-P, Captain, Provo Fire Department

Provo, UT

Justin Young NREMT-P, Firefighter/Investigator, SWAT – Joint Special Operations Group – Master Operator/Paramedic

West Jordan, UT

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2017 Conference Program Descriptions submitted by the faculty

Ken Bouvier HazMat Awareness for Rural First Responders – What’s Rolling Through Your Town? Pre-Conference Workshop Wednesday, 8:00 am–12:00 pm, 1:00 pm–5:00 pm, Location

Description

Hot Car Deaths and Treating Heatstroke General Session Thursday, 8:00 am–9:00 am, Grand Ballroom

It happens, on average, once every nine days in the United States, and it is devastating: A child dies of heatstroke after being left in a parked vehicle. Although there have been cases in which parents are charged with purposely abandoning their kid in the backseat on a hot summer day, most of the time it's well-meaning, loving caregivers who make this honest mistake—and that's why statistics of all the children who have died in hot cars shows that precautions against this are so, so important. As much as some parents believe that they'd never, ever forget about their tiny passengers, that's actually a dangerous mindset that only increases the likelihood of this continuing to happen.

Since 1998 about 719 children have died in hot cars. That is an average of about 37 per year. Temperatures can rise about 20 degrees inside of a car in just 10 minutes on a hot summer day.

The National Highway Traffic Safety Administration says that 61% of noncrash fatalities are caused by heatstroke inside vehicles.

Tragedies – Are We Prepared for the Next 40 Years? Thursday, 1:00 pm–2:15 pm, Soldier Creek Friday, 2:30 pm–3:45 pm, Cascade C

Prehospital Care Practitioners will have a better understanding of how EMS and Emergency Rooms have changed over the last 40 years and the big question is, “Are we prepared for the next 40?”

The rising cost of health care in the United States and the uncertainty of how people will be able to afford health care and insurance is forcing patients to use EMS and Emergency Rooms as their life-net or primary source of medical care. Americans rank high when it comes to Cardiac Arrest, Hypertension, Diabetes, Obesity and Cancer.

September 11, 2001 changed the lives of Americans forever, and for the past 16 years we have had to respond to tragedies both natural and man-made. These tragedies have forced EMS and Emergency Rooms to be specially trained for unusual events such as Active Shooters and Acts of Terrorism like the police shootings in Dallas, TX, Baton Rouge, LA, and the Orlando, FL, Pulse Night Club Shooting. During this session we will look at what we really do and show that we do more than give patients a ride in the ambulance!

Chief Bouvier will use a unique PowerPoint slide show to recap 40 years of Tragedies!

Motor Vehicle Collisions – On the Highway and Back Roads Friday, 10:30 am – 11:45 am, Cascade E

First Responders, EMT’s and Paramedics will have a better understanding of how the body can be injured in a collision. We will discuss why the National Highway Traffic Safety Administration (NHTSA) would like for EMS to stop using the term accidents and instead use the term collisions. During this session, we will discuss the Mechanism of Injuries and Kinetic Energy. This session will include a unique slide show that shows how injuries may occur from safety devices such as seat belts and air bags. We will discuss and demonstrate rapid forward deceleration and rear-end collisions. We will explain how to provide both BLS & ALS care. We show how some patients may suffer from serious hidden injuries to their Head and Neck, but could also have other serious injuries to their chest,

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abdomen, pelvis or vital organs. You will have a better understanding of the force and energy produced during a collision that often causes internal organ damage that is very difficult to recognize without a complete primary and secondary assessment that includes vital signs. During this session, we will discuss collisions involving farm equipment on the back roads near farms and on the farm.

This session also is designed to show how EMS crews sometimes becomes victims of Ambulance Crashes. We will speak openly about the importance of defensive driving programs, following the rules of the road, speeding, distractions and lack of knowledge about ambulances by some drivers

Brooke Burton Continuous Improvement in EMS Friday, 2:30 pm–3:45 pm, Cascade E

Attendees of the class will learn how EMS documentation and outcomes are turned into data that is driving protocols and improvement for patient care. Tips will be given for how to properly document for good data collection. We will discuss how this data is turned into improvement projects, which help us to provide better patient care and how to replicate the process for your agency.

Amber Coleman

Save a Cop! Cutting Edge Medical Intervention Pre-Conference Workshop Wednesday, 7:45 am–5:00 pm, Utah Fire Academy

This

Nicki Darrington Save a Cop! Cutting Edge Medical Intervention Pre-Conference Workshop Wednesday, 7:45 am–5:00 pm, Utah Fire Academy

This

Jason Dush My Patient’s in the Water – Now What? Pre-Conference Workshop Wednesday, 7:00 am–11:00 pm, 12:00 pm–4:00 pm, Provo City Rec Center Pool

Description

I Can’t Believe They Don’t Use Butter – Burn Care 101 Thursday, 10:30 am–11:45 am, Cascade A–B

Description

Who’d a Thought? The New Trends of Chemical Suicide Thursday, 1:00 pm–2:15 pm, Ballroom C

Description

Dealing With Patients in Police Custody

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Friday, 10:30 am–11:45 am, Grand Ballroom

Description

EMS and Nursing – Tension vs Teamwork Power General Saturday, 9:15 am–9:45 am, Grand Ballroom

Description

Creating a Culture of Civility – Challenges, Chaos, and Recommendations Saturday, 1:00 pm–2:15 pm, Ballroom C

Description

Airway Case Studies – When the Simplest Thing Made the Biggest Difference Saturday, 2:30 pm–3:45 pm, Cascade E

Description

Chris Ebright

Russian Roulette – The American Way Thursday, 1:00 pm–2:15 pm, Cascade C

At the end of this session, participants will be able to differentiate between the different categories of abused inhalants; explain the pathophysiology of commonly abused inhalants; discuss proper treatment after recognizing the use of certain inhalants; and describe the signs and symptoms of a patient that has inhaled a caustic substance.

The Perils of Suspension Trauma Thursday, 2:30 pm–3:15 pm, Cascade D

At the end of the presentation, participants will be able to describe the physiology of suspension trauma; define crush syndrome, rhabdomyolysis and compartment syndrome; list two consequences of prolonged passive suspension; and explain the controversy over laying patients down.

The Night Joe’s Crab Shack Almost Changed Everything Friday, 10:30 am–11:45 am, Cascade D

At the end of this session, participants will be able to describe the signs and symptoms of an anaphylactic reaction; explain the underlying pathophysiology of anaphylaxis; and construct a proper treatment plan from all the gathered patient assessment information.

Pediatric Status Asthmaticus Friday, 1:00 pm–2:15 pm, Cascade B

At the end of this session, students will be able to discuss the pathophysiology of status asthmaticus in children; discuss the pharmacologic interventions for a child in status asthmaticus; discuss the assessment findings of status asthmatics in children; and list the common triggers for an asthma attack.

Hit Me With Your Best Shot Saturday, 10:30 am–11:45 am, Ballroom A

Participants will be able to properly treat a patient suffering the consequences of a commotio cordis incident. They will be able to explain the pathophysiology of a cardiac arrest due to commotio cordis. And they will be able to identify the need for prompt BLS care during a cardiac arrest.

The Final Collision

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Saturday, 1:00 pm–2:15 pm, Cascade D

After this presentation, participants will be able to describe the pathophysiology of a concussion; explain the unique considerations when assessing an athlete with possible concussion; list the proper steps in managing a patient that is suffering from a concussion or showing signs of TBI; and discuss the various unique signs and symptoms of a concussion.

Jess Fulkerson A Long Way to Go and a Short Time to Get There Thursday, 1:00 pm, Cascade E

In rural EMS, the “platinum ten” and “golden hour” are concepts that can seem like fantasies. As a rural EMS provider, you always know you’ve got a long way to go and a short time to get there. Most times there’s plenty to do! But what exactly are you doing during that time? What principles guide your care on those long transports? Do you care differently for a critical patient vs. a stable patient? What do you do when “there’s nothing left to do”? This session talks about the fulfilling nature of EMS systems where long transports are the norm, and their unique challenges in providing care. We’ll also talk about how current EMT curriculum ignores this issue, and how to train to be most effective in this environment. Intended for First Responders, EMT’s, and Paramedics.

I’ve Arrived at an MCI! Now What? Thursday, 2:30 pm–3:45 pm, Ballroom A

This presentation takes you past how to do S.T.A.R.T. Triage. It teaches the responder how to establish the supervisory positions of Incident Command, Medical Command, Triage, Treatment, Transport, and Safety with the first two or three arriving units. The EMT will walk away with knowledge in how to provide a size-up, how to effectively staff staging areas, and incorporate Air Medical into an effective Incident Management Plan. We will talk about how to manage the MCI when staffing is limited, as well as balancing patient care vs. scene management when EMS is overwhelmed. Interactive demonstrations and a get-out-of-your-seat-and-try-it atmosphere are the way we learn in this presentation. Approximately 1 hour. PowerPoint presentation with student interaction. Intended for First Responders, EMT’s, Paramedics, and Command Officers.

So . . . Don’t Touch . . . ANYTHING! Friday, 10:30 am–11:45 am, Ballroom C

Ever found yourself standing in the middle of a crime scene? Have you and your fellow EMS colleagues ever been called “the evidence eradication team” by police? Well, this lecture is for you! We’re going to talk about how to function as an EMS worker in the highly sensitive environment of a crime scene (even when it’s not officially a crime scene yet). This will be a case study program, with photos and case details from actual crime scenes, where EMS played a role in the call. We’ll talk about pitfalls to avoid. We’ll talk about who to pick to go in. We’ll talk about what information “the cops” are going to need from you, and what evidence they’ll need to collect. Armed with this information, it should be easier for us as EMS professionals to do our jobs, with a little less worry, and whole lot more cooperation. Taught by a Firefighter/Paramedic who’s also a cop, both sides of the issue will be explored, in an open and interactive format.

Pull the Trigger – Decision-Making in Airway Management Friday, 1:00 pm–2:15 pm, Cascade D

Airway management is a skill even the newest EMT needs to master; but even to the most seasoned EMS professionals, HOW best to accomplish airway management can be difficult. This class discusses the DECISION-MAKING needed to evaluate a patient and decide to employ aggressive techniques vs. using more conservative skills. It’s about patient evaluation, and applying your skills to those patients that need you the most. We could just intubate everybody . . . but is that really necessary? Designed for First Responder, EMT, EMT-I, and Paramedics, this case-study presentation

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provides an interactive environment where together we can explore when it’s best to “pull the trigger.”

Crawl Inside Their Craniums – Part 1 Saturday, 10:30 am–11:45 am, Ballroom C

This lecture is designed as the first of a two-part series, but it can “stand alone” as well. In this presentation we explore the reasons we may not be effective as educators. We review the domains of learning, and the modalities of specific learners. The emphasis is on understanding educational psychology as it pertains to EMS instruction. We talk about adult learning disabilities and how to mitigate certain learning obstacles. This course is applicable to instructors at any level of EMS or Fire education: First Responders, EMT, Paramedic, RN or even physician level. We get a chance to Crawl Inside the Cranium of our learners and see what THEY NEED to succeed.

Crawl Inside Their Craniums – Part 2 Saturday, 2:30 pm–3:45 pm, Cascade C

This session picks up where Part 1 leaves off, but also stands alone as its own lecture. In this presentation we talk about certain tricks of the trade for educators. We discuss using “alternate techniques” for teaching EMS concepts and skills. We explore the use of video. We review how best to provide feedback as well as cover some basics to writing test questions. Mostly, the attendees are asked to consider what they’re doing now, and how to push the envelope to maximize their students’ learning. This is applicable to anyone involved in EMS education (or education in general) at any level: First Responders, EMT, Paramedic, RN, or even Physician.

Ricky Hardman Tactical Casualty Care Pre-Conference Workshop Wednesday, 8:00 am–5:00 pm, Location

Tactical Casualty Care teaches public safety first responders including EMS, firefighters, law enforcement officers and other first responders the basic medical care interventions that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene. It combines the principles of Pre-Hospital Trauma Life Support (PHTLS) and Tactical Combat Casualty Care (TCCC), and meets the recommendations of the Hartford Consensus documents and principles. 

These concepts and guidelines, initially instituted by American Special Operations soldiers, were born on the battlefield and have been successful in decreasing the mortality rate, not just for military casualties, but also for EMS, law enforcement and other first responders.

The Tactical Casualty Care training has become the national and international “Gold Standard” of training for military, EMS, law enforcement and other first responders for basic tactical medical care for self-aid and buddy aid.

The course is an 8-hour class that includes lecture, hands-on and scenario based training, with the participants receiving certification issued by the National Association of EMTs (NAEMT), valid for 4 years.

Brandon Heggie Make It Stop! Down and Dirty Bleeding Control Thursday, 10:30 am–11:45 am, Cascade E Saturday, 10:30 am–11:45 am, Cascade E

“MAKE IT STOP!!!” is a motivating yet realistic approach to time critical bleeding assessment and treatment. This presentation will cover various types of bleeding and the appropriate treatments. We will use explicit photos and videos to illustrate just how serious bleeding can be, as well as the need to stop it. Tourniquets will play a large role and will be demonstrated throughout. Examples of civilian medicine using bleeding control techniques will make this class become a reality.

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Well, That’s Just Smashing . . . Thursday, 2:30 pm–3:15 pm, Cascade A–B Saturday, 1:00 pm–2:15 pm, Soldier Creek

“Well That’s Just Smashing” is a dynamic discussion bringing to light the hidden dangers of crush injuries both minor and severe. Crush injuries are not as prevalent as one may guess—or are they? Crush injuries and Rhabdomyolosis go hand in hand. Throughout this presentation, we will discuss how and why crush injuries are dangerous as well as how to treat them. Additionally, it will become apparent that in many cases, THE CRUSH and its after effects are more dangerous than the injury itself.

Man vs Machine Friday, 10:30 am–11:45 am, Cascade C

An all-time favorite revamped! “Man vs. Machine,” originally written by Mike Smith, will never be the same, but we will do our best to bring back the Mike Smith mentality of this incredible talk. From tractor PTO shafts to paper presses, this presentation covers the calls that you won’t see too often, but will need to know exactly what to do when they happen.

It Hurts to Think Friday, 1:00 pm–2:15 pm, Ballroom C

“It Hurts to Think” is a primarily BLS approach to assessment and treatment of neurological emergencies. We’ll talk about differentiating everything from CVA to Bell’s Palsy, and identify neurological issues based on speech and eye movement. This lecture will make your basic neuro exam mean much more than ever before.

Keith Karren, PhD

Ricky Kue, MD Management of Traumatic Amputations Thursday, 1:00 pm–2:15 pm, Cascade D Saturday, 10:30 am–11:45 am, Cascade D

In this presentation, you will gain a better understanding of current EMS best practices on management of traumatic amputations through review of relevant anatomy and pathophysiology of traumatic limb amputation and review of current management strategies of prehospital traumatic amputation management.

EMS Management of Less-Lethal Weapon Injuries Thursday, 2:30 pm–3:45 pm, Soldier Creek

This presentation will give EMS providers a better understanding of the potential injuries related to less-lethal weapons employment through a review of the various types of less-lethal weapon systems used by law enforcement and through understanding the pathophysiology and management of injuries related to their use.

Interesting EMS Cases Friday, 10:30 am–11:45 am, Ballroom A

This presentation provides EMS case-based learning of common (and uncommon) presentations of a variety of medical diagnoses. We will review interesting case encountered by a busy, urban EMS system, including lessons learned, and be able to appreciate the variety in patient presentation and style of prehospital management from another system.

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Tourniquets 101 – Everything You Need to Know Friday, 1:00 pm–2:15 pm, Ballroom A

This session provides a general overview of prehospital tourniquet use, including its history and current best-evidence through understanding the various types of available prehospital tourniquets and the limitations of each as well as through understanding the indications for tourniquet use in the prehospital environment.

EMS Response to the Boston Marathon Bombings – Lessons Learned Final Closing Session Saturday, 4:00 pm–5:00 pm, Grand Ballroom

We will discuss various aspects of prehospital MCI management by discussing lessons learned from the 2013 incident. We will understand EMS roles/responsibilities during a mass casualty bombing incident and incorporate lessons learned in Boston into current EMS MCI management practices.

Dan Limmer Scene Safety – A New Paradigm for New Threats Thursday, 10:30 am–11:45 am, Cascade D

For years EMS providers have been taught the superficial “scene safe, BSI” method for determining safety. We were told if we found danger, we should stage away from the scene or retreat. Not only is this head-in-the-sand approach ineffective, it isn’t realistic. Changing times have altered the scale of what we consider a violent scene and what we expect EMS providers to do. In many cases, EMS providers are being trained and equipped to get closer to danger. The media has reported on many situations where EMS providers have taken risks in violent or hazardous situations and the providers have been lauded as heroes—even though they are going against their training. This presentation will discuss scene safety from a modern and practical perspective including tactics from observation of danger to strategic response.

Now I Lay Me Down to Sleep – Case Studies in Suicide Thursday, 2:30 pm–3:45 pm, Cascade C

Calls involving suicide or attempted suicide are challenging calls for any level of EMS provider. While the medical care of the patient is usually clear-cut, the psychiatric emergency care is less concrete, leaving EMS providers feeling unsure of the right thing to do.

This presentation uses actual case studies to examine the physical and psychological aspects of suicide and attempted suicide. Risk factors, suicide plans, repeat suicide attempts, and the treatment for suicidal patients will be discussed. At the completion of this program, the participant will have a greater understanding of the mindset of the suicidal patient which will ultimately lead to improved patient care.

Fast and Furious: 75 Facts in 75 Minutes Closing General Session Friday, 4:15 pm–5:45 pm, Grand Ballroom

How do you pack a lot of learning into a short time? Join EMS Author and Educator Dan Limmer in this fast-paced presentation and find out. He’s chosen 75 things you should know from preparatory to pediatrics. Some cutting edge—some great review. Don’t worry, there will even be time for questions. You’ll be able to download the handout so don’t worry about taking notes. Come in, sit down, hold on, and learn!

Gray Areas – How Our Seniors Slip Through the Clinical Cracks Friday, 10:30 am–11:45 am, Cascade A–B

Calls for medical and traumatic conditions in the elderly population are among the most common in EMS today. This is projected to increase as the baby boomers age and live longer. Is EMS ready to deal with this on a call-by-call basis as well as in EMS system? Polypharmacy, depression, aging and

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living alone are just a few of the ways our patients—and our parents—slip through the cracks. This session looks at many of the off-the-beaten-path issues we encounter in the geriatric patient and how the EMS system can help.

Misconceptions, Misperceptions, and Misadventures in EMS Friday, 2:30 pm–3:45 pm, Ballroom B

Many presentations talk about things we do well. There is much to learn from things we do poorly or wrong. Using this as the basis for the presentation, Dan looks at some common medical misconceptions that affect our decision-making. He has also researched and created a “top ten” problems and errors in the field. Attend this presentation to keep yourself off the list and to learn from the mistakes of others!

Compassion, Commitment and a Clinical Clue – The Three C’s of a Successful EMS Provider Saturday, 10:30 am–11:45 am, Soldier Creek

The passionate delivery of health care is a gold standard and a concept greater than the sum of its parts. We know it when we receive it—but how do we perform it? Dan Limmer has been caring for patients for 37 years and believes it comes down to three Cs: compassion, commitment and having a clue clinically. In this fun and insightful presentation we learn about all of these concepts and, perhaps most importantly, remember why we care for patients.

Jeffrey Long From First Responder to Battlefield Casualty Power General Saturday, 8:15 am–8:45 am, Grand Ballroom

Description

Amber Dawn Martin

Elle Martin Tactical Casualty Care Pre-Conference Workshop Wednesday, 8:00 am–5:00 pm, Location

Tactical Casualty Care teaches public safety first responders including EMS, firefighters, law enforcement officers and other first responders the basic medical care interventions that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene. It combines the principles of Pre-Hospital Trauma Life Support (PHTLS) and Tactical Combat Casualty Care (TCCC), and meets the recommendations of the Hartford Consensus documents and principles. 

These concepts and guidelines, initially instituted by American Special Operations soldiers, were born on the battlefield and have been successful in decreasing the mortality rate, not just for military casualties, but also for EMS, law enforcement and other first responders.

The Tactical Casualty Care training has become the national and international “Gold Standard” of training for military, EMS, law enforcement and other first responders for basic tactical medical care for self-aid and buddy aid.

The course is an 8-hour class that includes lecture, hands-on and scenario based training, with the participants receiving certification issued by the National Association of EMTs (NAEMT), valid for

4 years. Page | 24

John McCombs Tactical Casualty Care Pre-Conference Workshop Wednesday, 8:00 am–5:00 pm, Location

Tactical Casualty Care teaches public safety first responders including EMS, firefighters, law enforcement officers and other first responders the basic medical care interventions that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene. It combines the principles of Pre-Hospital Trauma Life Support (PHTLS) and Tactical Combat Casualty Care (TCCC), and meets the recommendations of the Hartford Consensus documents and principles. 

These concepts and guidelines, initially instituted by American Special Operations soldiers, were born on the battlefield and have been successful in decreasing the mortality rate, not just for military casualties, but also for EMS, law enforcement and other first responders.

The Tactical Casualty Care training has become the national and international “Gold Standard” of training for military, EMS, law enforcement and other first responders for basic tactical medical care for self-aid and buddy aid.

The course is an 8-hour class that includes lecture, hands-on and scenario based training, with the participants receiving certification issued by the National Association of EMTs (NAEMT), valid for 4 years.

Dan Merrill Diabetes – Why Don’t You Just Control It? Saturday, 2:30 pm–3:45 pm, Cascade D

This session familiarizes the first responder with normal physiology and diabetic pathophysiology, and introduces the psychological aspects of severe hypoglycemia. It includes normal physiology of blood glucose control in a nondiabetic; what goes wrong in diabetes; why it is so difficult to control; the double-edged sword of hypoglycemia and hyperglycemia; psychological factors in the control of diabetes; the crisis of severe hypoglycemia; recognition of emergency situations; and treatment.

Joe Mistovich Obstetrics – Intrapartum Emergencies Thursday, 10:30 am–11:45 am, Ballroom A

Description

Newborn Care and Resuscitation Thursday, 1:00 pm–2:15 pm, Ballroom A

Description

Clinical Insights – Making Your Assessment More Accurate General Session Friday, 8:00 am–9:00 am, Grand Ballroom

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Chest Trauma Differential Diagnosis Friday, 1:00 pm–2:15 pm, Cascade A–B

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Incomplete Spinal Cord Injury and Spine Motion Restriction Saturday, 10:30 am–11:45 am, Cascade A–B

Description

Assessment and Management of Head Injury Saturday, 1:00 pm–2:15 pm, Cascade A–B

Description

Doug Murdock, MD Inverted in Nutty Putty Cave – A True Story of Gravity vs the Mind Power General Saturday, 7:45 am–8:15 am, Grand Ballroom

Description

Jon Politis Tuning for Trauma! Fast, Accurate Assessment for EMT’s and First Responders Pre-Conference Workshop Wednesday, 8:00 am–12:00 pm, 1:00 pm–5:00 pm, Location

This is a “hands on” workshop teaching the finer points of physical assessment and clinically focused surface anatomy. Starting at the head, we go all the way to the toes and learn how to find structures like the cricothyroid membrane, angle of Louis, the lung bases . . . often talked about, but few can really locate. Even highly experienced providers walk away amazed at what they have learned to sharpen their assessment skills.

Busted! Managing UPPER Extremity Fractures and Dislocations CONFIDENTLY Thursday, 10:30 am–11:45 am, Ballroom C Thursday, 1:00 pm–2:15 pm, Cascade A–B

Getting off of an emergency scene in ten minutes or less is a lot easier said than done. A lot of the things we do take time and some take more time than others! What are some of the tricks of the trade that can be used to help you move faster? Are there better ways to organize, to select more appropriate procedures? This presentation covers techniques and “tricks of the trade” to help all levels of EMS providers get off the scene faster. The Hard Way General Session Friday, 9:00 am–10:00 am, Ballroom C

All those squiggly lines! At first it’s very intimidating, but it’s really not all that complicated. Many EMTs today are expected to acquire and transmit a 12-lead in their system. This session will help any EMT learn to apply the electrodes accurately, and acquire and transmit a 12-lead ECG. In addition, basic analysis of the 12-lead for S-T elevation and depression will be covered – and what it all means! This is a great primer and you will walk away feeling very comfortable with 12 leads and what it all means. TRUST ME! It’s really not that complicated! First in at the Big One – Those First Critical Minutes Friday, 2:30 pm–3:45 pm, Ballroom A

It seems innocuous enough, the patient is just refusing medical attention and transportation. But did you know this situation (and a few others) are “high risk” for potential litigation? The field

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refusal and the release forms we typically use often provide little if any protection for rescuers. This presentation is an overview of the issues surrounding refusals and offers positive suggestions on how to reduce your risk. Mastering Triage Saturday, 10:30 am–11:45 am, Ballroom B

Looking at a shoebox and meds and trying to sort them all out can be daunting. But those meds are usually the key to their medical history. This session covers some of the most common prescription meds and why your patients may be taking them . . . cardiac meds, antihypertensives, statins, diuretics, anticoagulants, psychoactive, pulmonary, and common pain medications. Vehicle Extraction 2017 – Not Your Dad’s Extraction Anymore Saturday, 2:30 pm–3:45 pm, Ballroom A

EMTs and Paramedics spend hundreds of hours in training today, yet are often lacking in one of the most important skills of all; driving a patient to the hospital. If you’ve ever been bounced around in an ambulance or been unable to take vitals or do a chart, you are being driven too aggressively! Your driver needs to learn the concepts of LOW FORCE vehicle operation. This session is the “ground school” training for EMS personnel to learn the techniques of low force driving and give you and Mrs. Smith a smooth ride to the hospital.

Sean D. Reyes Human Trafficking and First Responders – Are We Looking at a Potential “Bigger Picture”? Closing General Session Friday, 4:15 pm–5:15 pm, Grand Ballroom

Description

Mark Sawdon The Fabrication of Cardiac Arrest Resuscitation Pre-Conference Workshop Wednesday, 8:00 am–12:00 pm, 1:00 pm–5:00 pm, Location

Are you 100% ready to respond to a cardiac arrest right now? Does every member of your department know their role and assignment? Do you have an approach that focuses on the things that matter most to your patient’s survival? These are important questions to ask yourself and your teams! Join us for a 4-hour pre-conference training session titled "The Fabrication of Cardiac Arrest Resuscitation." Not only will we tackle the answers to these questions, but we will also practice the skills of DOING cardiac arrest resuscitation. This will be an exciting scenario-based approach to every step of a resuscitation that will build your muscle memory and surely give you tools to bring back to your departments!

The 1.7-Second Differential Thursday, 10:30 am–11:45 am, Ballroom B Saturday, 2:30 pm–3:45 pm, Ballroom B

As prehospital providers, we have to be able to figure out quickly what is going on with our patients! This session will zero-in on the foundation of good patient exam and evaluation, collection of “body system affected vital signs,” and specific patterns seen often by care providers. We will review some of the classic patient presentations, the potential differential diagnoses and treatment plans. All care providers will leave this discussion with a renewed approach to evaluating their patients and putting together a differential that will quickly aim them in the direction of interventions and care.

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What Do I Really Need to Know About This 12-Lead? Thursday, 1:00 pm–2:15 pm, Ballroom B

Join Mark Sawdon as you review some of the most important 12-lead and rhythm recognition information! This review will focus on the information that will help you decide on a treatment, STEMI activation and suspected clinical course. During this presentation we will present actual cases with real 12-leads from the field. We will discuss patient presentation, objective findings, breakdown the 12-lead and discuss treatment plans. This will be a great interactive session aimed at helping you leave the discussion with several “pearls” to add to your current cardiac evaluations.

Controlling the Chaos of Resuscitation Friday, 10:30 am–11:45 am, Soldier Creek Saturday, 1:00 pm–2:15 pm, Ballroom A

This presentation focuses on the challenges presented to the prehospital provider when operating on the scene of cardiac arrest resuscitation. Predetermined positional assignments, high-performance CPR, reducing pre- and postshock times and the basics of providing BLS care and skills during cardiac arrest are highlighted. Several potential “enhancements” and specific crew size assignments will be discussed. Audience members will have much to bring back to their departments to help improve the cardiac arrest survival rates in their communities!

The Risk of the In-Between Friday, 2:30 pm–3:45 pm, Cascade D

This presentation focuses on the transfer of care from the prehospital provider to the Emergency Department staff. Several “risks” exist when we as prehospital providers transfer care, especially with complex patients and dynamically changing conditions. Everything from cumulative medication dosages, airway interventions, and trending vital signs will be discussed and highlighted. We will identify these “risks” and offer potential solutions on how to transfer with confidence.

Dan Schwartz The Fabrication of Cardiac Arrest Resuscitation Pre-Conference Workshop Wednesday, 8:00 am–12:00 pm, 1:00 pm–5:00 pm, Location

Are you 100% ready to respond to a cardiac arrest right now? Does every member of your department know their role and assignment? Do you have an approach that focuses on the things that matter most to your patient’s survival? These are important questions to ask yourself and your teams! Join us for a 4-hour pre-conference training session titled "The Fabrication of Cardiac Arrest Resuscitation." Not only will we tackle the answers to these questions, but we will also practice the skills of DOING cardiac arrest resuscitation. This will be an exciting scenario-based approach to every step of a resuscitation that will build your muscle memory and surely give you tools to bring back to your departments!

Beyond the Gear – Keeping Your Team Ready Thursday, 10:30 am–11:45 am, Soldier Creek

Increasingly, we in the Fire/Rescue/EMS services as well as our brothers and sisters in Law Enforcement, are being faced with the real impacts that our careers can have on our physical and mental health. One needs only glance at the news occasionally to hear about links to cancer, cardiac-related issues, burnout and even suicides. After nearly 30 years in service, Dan uses his personal experiences as a starting point to work with others in his home fire district to create a Wellness Program that looks at the whole person. He tries to find comfortable and easy ways to begin to heal and strengthen the men and women responsible for caring for others in the community. He uses his story to relate to the listener, as well as scientific research and data, to give the audience members ideas and resources that they can take home to their own agencies and begin making their teams ready to respond.

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The Patient Interview as Conversation – More Than Just OPQRST Thursday, 2:30 pm–3:45 pm, Ballroom B

As an EMT preparing for Paramedic Training, Dan was frustrated by training that emphasized the mnemonic OPQRST. This is the same tool that we have all learned and continue to teach our new EMS providers. This tool, while endorsed by national standards, doesn’t always work for everyone. Dan tried a different tool that offered a change in perspective when evaluating a patient. This different approach can make a patient feel less the subject of an interrogation and more valued as a person with a perspective on his or her own medical issues. Whether the listener is a seasoned vet or a new EMT, he or she will find something in this presentation that will provide another “tool in the toolbox” when faced with a medical patient.

The Patient is Complaining of Difficulty Breathing – Now What? Friday, 1:00 pm–2:15 pm, Cascade E Saturday, 1:00 pm–2:15 pm, Cascade E

We all know that field providers don’t diagnose a patient’s issue, right? But we also know that we better have a pretty good idea of what is happening to the patient before we make that call to Medical Control or begin treatment. Respiratory patients can be stressful to the young and old provider alike. Dan will give you an organized approach to gathering information such as the patient’s vital signs, breathing pattern and medications to help you formulate a solid “field diagnosis” and give you confidence when you reach for the phone or the drug kit. This approach is one taught by pulmonologists to the residents at University of Washington Medical School and used in U of W and Harborview Hospitals. Even if you have learned these techniques in the past, it’s a good time to get refreshed. If you are a new provider, this could help reduce your stress with your next patient.

What Your Control Doc Wishes You Knew About Sepsis Friday, 2:30 pm–3:45 pm, Soldier Creek Saturday, 2:30 pm–3:45 pm, Soldier Creek

Sepsis has become a hot topic in prehospital care. With a mortality rate of 30%–50%, you, the field provider, need to understand this extreme response. Perhaps you have seen some of the articles in the trade journals. What does the field provider really need to know about this complex situation where an infection can become shock? How does the provider know where the patient falls on the sliding scale of shock status? Does it really matter? We will discuss potential causes, patient presentation, and treatment options. Your Control Doc will thank you.

Andrea Sjaardema Bizarre and Unusual Case Studies – You Can’t Make This Stuff Up Thursday, 2:30 pm–3:45 pm, Ballroom C

A review of bizarre case studies that the presenter has actually experienced that will bring to the light the importance of thinking outside of the box and not getting stuck in tunnel vision when dealing with complicated calls that are not textbook scenarios. This lecture will discuss the importance of patient assessment and prioritizing treatment plans when multiple medical and trauma issues exist together.

That’s a SHOCKER Friday, 1:00 pm–2:15 pm, Soldier Creek

Shock is a complex medical issue. It is not always obvious with lots of blood and guts. It comes in many different forms and can often be hidden, until it’s too late to reverse it. Shock effects everyone differently—from kids to the elderly and everyone in between. This presentation reviews ALL the different types of shock, the anatomy of physiology of shock, how to treat it, and a review of special populations and how shock can affect them.

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Crash Test Dummies and Football Players Friday, 2:30 pm–3:45 pm, Ballroom C Saturday, 10:30 am–11:45 am, Location

Sport’s injuries are a regular occurrence in EMS, but with the increase of sport related concussions, and the lifelong impact concussions can have, and sudden cardiac arrest of healthy athletes on the field, it’s imperative to be aware of how to treat these life and death injuries.

That SMELL . . . That LOOK . . . Now Treat It Saturday, 1:00 pm–2:15 pm, Ballroom B

Burn calls can be some of the worst calls an EMS provider can get. This presentation will review the burning process, the possible causes, and the specific treatments of burns including special populations. It will also discuss the difficult fears all FF/EMS professionals have of getting burned and the uphill battle of recovery and the inevitable question after recovery, “Now what?”

Little Tykes Are NOT Little Adults Saturday, 2:30 pm–3:45 pm, Cascade A–B

Pediatric calls can make anyone in EMS take a deep breath, but when that pediatric call is one involving a traumatic event, it can be downright nerve racking. This presentation will review the anatomy and injury patterns of the pediatric patient vs the adult patient, stressing that they ARE NOT LITTLE ADULTS! Hopefully, with a better understanding of the pediatric anatomy and physiology, during a traumatic event, the next pediatric call will not cause as much anxiety!

John Tiegen The Inside Account of What Really Happened in Benghazi General Session Saturday, 9:00 am–10:00 am, Grand Ballroom

Description

Paul Werfel Cases to Challenge Your Mind Thursday, 10:30 am–11:45 am, Cascade C

This will be a comprehensive and interactive discussion of ten brand new cases, with the objective of fine tuning the assessment skill of the prehospital practitioner. Led by JEMS Case of the

Month author, Paul Werfel, participants will systematically examine and assess each patient, suggest and discuss presumptive diagnosis and BLS and ALS treatment modalities. The group will then compare and contrast these findings with the in-hospital diagnosis and treatment modalities.

When Your Golden Years Begin to Tarnish – Geriatric Emergencies Thursday, 2:30 am–3:45 am, Cascade E

Do you find dealing with elderly patients challenging? Most of us do. With American society “graying” at record levels, the EMS needs of the elderly will continue to increase. In 1983, 26 million Americans were over the age of 65. That number has now exceeds 40 million! As professionals, we need to be as proficient as possible with this material in order to treat this growing segment of the population effectively and with respect. Join JEMS Case of the Month author Paul Werfel as we cover the topics essential for prehospital practitioners.

Non-Arrhythmic Complications of MI Friday, 1:00 pm–2:15 pm, Ballroom B

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We are all aware that an acute myocardial infarction is the result of a dynamic process where a coronary artery is blocked by thrombus formation. We know that patients die as a direct result of the MI. But what about the patient that “recovers” from the MI but dies soon after?

Are there nonischemic and nonarrhythmic complications that can have fatal consequences to patients in the recovery period? You bet! Join JEMS Case of the Month author Paul Werfel as he discusses these complications in a stimulating and interactive program that will discuss the causes, incidence, demographics, signs and symptoms and prehospital treatment of: left ventricular aneurysm, left ventricular free wall rupture, acute ventricular septal defect, acute mitral regurgitation, right ventricular MI, and pericarditis.

Altitude Emergencies Friday, 2:30 am–3:45 am, Cascade A–B

High altitude areas cover 20% of the world’s surface. Millions of people travel to these areas yearly. Affordable air travel simply means that more people than ever will be potential high-altitude patients. Because altitude illness is preventable and very treatable, prehospital personnel must be aware of the assessment and treatment of these patients.

Geriatric EMS Case Studies Saturday, 1:00 pm–2:15 pm, Cascade C

Do you find dealing with elderly patients challenging? Most of us do. With American society “graying” at record levels, the EMS needs of the elderly will continue to increase. In 1983, 26 million Americans were over the age of 65. That number has now exceeds 40 million! As professionals, we need to be as proficient as possible with this material in order to treat this growing segment of the population effectively and with respect. Join JEMS Case of the Month author Paul Werfel as we cover case studies that highlight the topics essential for prehospital practitioners.

Pediatric Trauma – Pearls for the Prehospital Provider Saturday, 2:30 pm–3:45 pm, Location

Prehospital personnel can think of few things as challenging as serious pediatric trauma. With shootings and child abuse reaching epidemic proportions, it is essential that EMTs and Paramedics be familiar with this essential information. This interactive presentation will focus on the scope, prehospital assessment, and treatment of these, our smallest citizens.

Dean York

Justin Young Tactical Casualty Care Pre-Conference Workshop Wednesday, 8:00 am–5:00 pm, Location

Tactical Casualty Care teaches public safety first responders including EMS, firefighters, law enforcement officers and other first responders the basic medical care interventions that will help save an injured responder's life until EMS practitioners can safely enter a tactical scene. It combines the principles of Pre-Hospital Trauma Life Support (PHTLS) and Tactical Combat Casualty Care (TCCC), and meets the recommendations of the Hartford Consensus documents and principles. 

These concepts and guidelines, initially instituted by American Special Operation’s soldiers, were born on the battlefield and have been successful in decreasing the mortality rate, not just for military casualties, but also for EMS, law enforcement and other first responders.

The Tactical Casualty Care training has become the national and international “Gold Standard” of training for military, EMS, law enforcement and other first responders for basic tactical medical care for self-aid and buddy aid.

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The course is an 8-hour class that includes lecture, hands-on and scenario based training, with the participants receiving certification issued by the National Association of EMTs (NAEMT), valid for 4 years.

To Give or NOT to Give – Fluid Resuscitation and Hypovolemic Shock Power General Saturday, 8:45 am–9:15 am, Grand Ballroom

Description

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