7:30am to 8:30am
Dr. Anthony Pizon
CEU: 1.0 Clinical Patient Care KEYWORD: MEDICAL
In an hour, this presentation will summarize envenomation from snake bites in PA, WV and OH. The lecture will focus on the identification of venomous snakes, signs and symptoms associated with envenomation, and any appropriate pre-hospital treatment.Organ Donation in Trauma
In cases of severe traumatic injury, the patient may not survive but they can still help others through organ donation. We will address issues like: What is the process? Who can donate? How are the donors and recipients managed? How are disputes settled?
Does anybody WANT to do an ECMO transport today? HELL NO! Who in the world wants to transport a patient with 1/3 of their circulating blood volume outside of their body. This course provides a basic understanding of what ECMO is, what it is used for and some considerations for safe, efficient transport when you encounter these patients. ECMO cannulation is happening more and more frequently in the healthcare landscape today.Suspension Trauma Syndrome
Because patients can deteriorate very quickly and the wrong intervention can mean the difference between a rescue and a recovery mission, first responders and EMS providers must know the current recommendations for suspension trauma rescues and the underlying theories and pathophysiology of suspension trauma syndrome. We discuss prehospital treatment for suspension trauma and list those at risk of death from suspension trauma.Burning the Candle; Stress and Burnout in EMS
EMS is a rewarding career, but burnout and stress can lead to significant health problems, poor work performance, desensitization, and even death within our profession. This class delves into what stress and burnout is specifically to our professionals and methods that we all can utilize and practice within our agencies, units, and even homes to reduce and eliminate burnout within our profession and increase the health and wellness of our providers.Pediatric Respiratory Issues
This lecture will review the major respiratory diseases (eg: asthma, croup, RSV, bronchiolitis, pneumonia) and how to differentiate one from another. Audio and visual aids will be utilized so that the participants can see and hear the differences. Treatment updates will also be discussed for the various respiratory illnesses presented.Advances in Stroke Care
The cutting edge stroke care - from assessment to intervention.
Sepsis is a time-sensitive, critical finding. Both BLS and ALS providers have the ability and tools to accurately identify sepsis in the field. Early identification is the key to survival and decreased hospital stay. This class will cover the science, physiology and evidence for pre-hospital sepsis identification and hospital notification.Fatigue Risk Management
There is growing concern amongst EMS circles that fatigued EMTs and Paramedics threaten patient and provider safety. This presentation reviews what is known about fatigue and sleep in medicine, its impact on clinicians, and clarify the research involving EMS workers.Assessment of the Medical Patient, Are We Doing a Good Job?
Medical assessment is often glossed over when compared to trauma assessment yet the majority of our EMS patients are seen for medical complaints. This program will improve your ability to assess the patient presenting with a medical complaint in the out of hospital environment.Updates in Trauma
What has happened in the past year that has changed our practice of trauma in the field, ED, ICU, and OR? We will touch on bleeding control, blood products, resuscitation, ICU management, ECMO, and OR strategies.State of Shock
Assessment and early intervention is key in surviving shock states. Dr. Rittenberger will review best practices and take shock head on. How to assess, detect and treat the thing people talk the least about.11:30am to 12:30pm
Do you know how to inquire if the patient you treated had an infectious disease? EMS personnel often encounter patients who are ill with an infectious disease. Many of these diseases are contagious through various routes (airborne, droplet, contact) and require certain personal protective equipment to prevent exposure. We elaborate on UPMC protocol of post-exposure notification which has been published and proven to increase timeliness of notification to the EMS personnel who have been exposed to infectious diseases.DVT and Pulmonary Emboli: Do Not Let It Sneak Past You!
Deep vein thrombosis (DVT) is a medical condition that occurs when a blood clot forms in a deeper vein, most often in the legs. Sometimes pieces of the DVT can break off and travel to the lungs, causing a pulmonary embolism (PE). DVT and PE are: fairly common; can happen to anybody; cause serious illness, disability, and all too often are fatal. But do you know what to look for, and how to treat it, in the pre-hospital setting? We will review signs, symptoms, and pathophysiology associated with DVT and PE, including current pre-hospital treatment recommendations.12:45pm to 1:45pm
We will summarize toxins that are extremely deadly, but infrequently encountered. This lecture will highlight cyanide, strychnine and arsenic. Since exposures to these poisons are uncommon, but lethal, the lecture will focus on the identification of signs and symptoms associated with their exposure, and initiation of rapid pre-hospital treatment.It’s A Matter of Life or Limb
Considerations for EMS when dealing with an entrapped patient. This session will focus on the EMS role of assisting in field amputation and the possible complications to watch for.Common Overdoses
We focus on common overdoses seen in the emergency department setting. Initial review will begin with toxidromes including anticholinergic, cholinergic, opioid, and sympathomimetic. The lecture will then move into initial patient presentations if they have overdosed on specific agents including acetaminophen, aspirin, diphenhydramine, and dextromethorphan. Final portion will wrap up treatment including doses, assessing risk vs benefit and adverse drug reactions.Providing for the Providers
We all work in one of the highest stress and highest stakes environments imaginable, and spend our careers caring for others. We do not do as well taking care of ourselves and partners. We will discuss compassion fatigue, or secondary trauma stress syndrome, and how it happens, how we can recognize it, and how it can be managed.Pediatric Cases: Missed Opportunities
Sometimes a pediatric patient is delivered to the hospital without optimal care provided. This QI/peer review session will discuss recent pediatric cases and how treatments should have been different. Subclinical early post-traumatic seizures, seizure patients with hypoventilation and lethargic infants without a fever will be discussed.2:00pm to 3:00pm
When you hear hoofbeats, think horses, not zebras. This saying reminds an earnest healthcare provider that common things are common. For this lecture, take a walk on the wild side, and discover that every so often, you will indeed encounter something truly rare, something you might only normally see on TV.Burn Disaster Management
From terrorist attacks to massive accidents, Dr. Aballay will describe triage, burn survivability and general concepts related to patient transfer. Approach to victim's care and management of most common injuries. Effects and treatment of common chemical agents and other biohazards.Do Not Tell the Boss: Error and Near Miss Reporting in EMS
Once an error has occurred, it can't be taken back, but we can learn from mistakes and prevent future ones. This presentation will discuss the issue of errors and near miss reporting in EMS-what do we know, what do we do when it happens, and how do we learn and adjust from these mistakes? Just don't tell the boss!Battlefield & Remote Care Analgesia
Pain relief due to traumatic injury presents a particular challenge in high threat and high risk environments. Remote medical care with prolonged evacuation adds to these difficulties. This class will discuss the current practices employed by forward deployed medics in the US armed forces, the evidence for these practices and the applicability to civilian care.Death & Destruction in the Friendly Skies
Ladies and gentlemen: we have a passenger having a medical emergency. We use recordings of real-life in-flight emergencies to supplement a discussion of common and uncommon scenarios that EMS providers may be challenged with, either during routine travel or as providers receiving patients once they get on the ground. We discuss the unique aspects of patient care in this austere environment, what supplies and resources are available, the medical challenges of taking care of patients at altitude, considerations for aircraft diversion, and how you can help.3:15pm to 5:00pm
San Diego Firefighter/Paramedic Ben Vernon was angry and surprised. A bystander had just stabbed him, and as the blood ran down his back, he recalled his normal response to a routine medical call.
I was in rescue mode, not fight mode, Vernon said of the incident.
Never expecting a knife fight, Ben became angry. An anger that would grow for weeks.
And then Ben sought help. This is his story.