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EVENT DATE
Oct 2017
MoTuWeThFrSaSu
      1
2345678
9101112131415
16171819202122
23242526272829
3031     
EXPO DATE
Oct 2017
MoTuWeThFrSaSu
      1
2345678
9101112131415
16171819202122
23242526272829
3031     

Venue

Las Vegas Convention Center 3150 Paradise Road Las Vegas , Nevada 89109
Tel: (702) 892-0711
Website
Google Map

2017 EMS World Expo

Overview

Event Overview:

EMS is Growing and Transforming... Are You? 
In a rapidly changing healthcare environment, you can't afford to still be thinking "inside the box." Challenge old assumptions, expand your thinking and unleash your potential for learning and growing at EMS World Expo—North America's largest and most internationally attended EMS conference and trade show. Join us in Las Vegas this October and uncover new possibilities. 

Attendee Information:

You Can’t Afford to Miss THE Industry Event Everyone is Talking About

Amazing things happen at EMS World Expo. Groundbreaking ideas are shared, new prehospital technologies are unveiled and collaborations form that will impact the delivery of patient care everywhere. Claim your seat at the table among emergency medical services’ most innovative change agents. You’ll have more than 150 opportunities to create the learning path that works best for you and covers what’s important to you.  Want to learn by doing? Check out a preconference workshop. Want to ask questions of the presenters? Attend an interactive lecture. Need to get really hands on? Join us in the SimLab!

Exhibitor Information:

Be a Part of the Largest EMS Conference and Trade Show in North America

  • Hosted in partnership with the National Association of Emergency Medical Technicians (NAEMT)
  • Delivers more EMS decision-makers than any other EMS show
  • Reaches the most influential and engaged audience, averaging over 5,100 attendees each year; 50% new attendees each year
  • The most international attended EMS conference and tradeshow in the world
  • Cutting-edge conference program draws EMS leaders from across the nation
  • Exclusive venue for Top EMS Innovation Awards

Increase Your Exposure
EMS World Expo offers a robust advertising, sponsorship, promotional and marketing opportunities to promote your products and services before, during and after the event. 

Notes:
Attendee Statistics: 52% EMS Decision-Makers 23% Paramedic/Nurse 16% AEMT/EMT 9% EMR/Student/Other
Sponsorship Details:
Increase Your Exposure: EMS World Expo has a variety of advertising, sponsorship, promotional and marketing opportunities to increase your exposure before, during and after the event.

Agenda

Oct 17   
A Collaborative Approach to Firefighter Safety and Health
 

Tuesday, Oct 17 2017 5:30PM - 6:30PM
Room: N229
Track: Operations

 

Moderator: Frank Babinec

 

 

Panelists: Chris Bator, Sam Eaton, Dustin Hawkins, Jeremy Hurd, Bert Vergara and John Whalen

 

The Florida Firefighter Safety & Heath Collaborative (FFSHC) is designed to research, develop and share programs in areas such as firefighter wellness and behavioral health. The panelists will explain some of the FFSHC’s recent initiatives to strengthen the components of firefighter fitness, nutrition and well-being so personnel can enjoy healthy careers. The panelists will also focus on the physical and emotional stress placed on firefighters and how single or accumulative incidents can trigger mental health problems.

 

 


 

Recognize and Help: Addiction in Public Safety
7759

Tuesday, Oct 17 2017 5:30PM - 6:30PM
Room: N209
Track: BLS

 

 

Kirk Mittelman, MEd, NREMT-P

 

Why is drug and alcohol addiction so prevalent in our profession? Can we make a difference through education and leadership by changing our own outlook and attitudes? Our administrators, educators and workers need to step up and help our own. Recognizing the problem is the first step in helping our students, staff and coworkers through recovery. The second step is educating students and employees of the danger that is around the corner. Join Kirk for a candid conversation about saving our profession from addiction through education and recognition. At the conclusion of this session the student will be able to: 1. Discuss the reasons public safety professionals become addicts; 2. discuss the signs and symptoms of workplace addictions; 3. explain two resources available for workers and students suffering addiction; 4. explain three methods to help an employee/student/coworker out of addiction.
Oct 18   
Sudden Cardiac Arrest Survivors: What We Can Learn
 

Tuesday, Oct 17 2017 5:30PM - 6:30PM
Room: N227
Track: Operations

 

 

Bruce Evans and Rob Lawrence

 

Sudden cardiac arrest survivor Bruce Evans will present his own case study and then be joined by Rob Lawrence for a Q&A-style discussion of the survivor's perspective on the SCA experience and its aftermath.

 

 


 

Ain't Nothing Basic About BLS
8554

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N227
Track: BLS

 

 

Michael W. Dailey, MD, FAEMS

 

The foundation of all EMS care is BLS, yet too often we relegate BLS to “basic lifting service” and paramedics get the glory. Dr. Dailey will lead a discussion of the foundations of EMS care and the key to the practice of prehospital medicine. You will find out there is nothing basic about basic life support.

 

 


 

Caring for the Injured Operational K9: Partnerships Between Veterinarians and EMS
8421

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N233
Track: Operations

 

 

Lisa Peters

 

Veterinary-specific EMS do not exist in most places nor do veterinary personnel typically deploy as part of a EMS response element when an Operational K9 (OpK9) team is called into action, therefore, out-of-hospital, point of injury care for injured OpK9s remains grossly lacking. The implementation of human EMS services for injured OpK9s is primarily hindered by issues regarding the current language cited in each state’s Veterinary Practice Act (VPA) in regard to exemptions for “practicing veterinary medicine without a license.” To ensure that OpK9s injured in the line of duty are afforded timely prehospital care, it is necessary for veterinarians and EMS agencies to work together in a collaborative partnership. This lecture will discuss the current issues that may hinder EMS personnel from providing prehospital care to OpK9s, as well as the actions EMS personnel may take to render life-saving pre-veterinary care to injured OpK9s.

 

 


 

Code Sepsis: Upstairs Care, Outside
7978

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N235
Track: Critical Care

 

 

Leon Eydelman, MD

 

Sepsis is a leading cause of death in the United States and the subject of many recent articles in both medical journals and the lay press. There has also been a sea change in the classification and treatment of sepsis over the years, and the integral role played by EMS continues to develop. This presentation will briefly describe the concept of sepsis and how it has evolved with the new "sepsis 3.0" definitions recently released. Sepsis diagnostics and therapies will be explored with an emphasis on how the most up-to-date ICU interventions can be modified for the prehospital arena, followed by discussion of cutting-edge EMS-specific developments in sepsis and the future of prehospital sepsis care.

 

 


 

Developing Standards for the Safe Transport of Children: NASEMSO's Call to Action
8522

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N243
Track: Leadership

 

 

Panel moderated by Brandon Kelley, NRP

 

A detailed look into NASEMSO's Interim Guidance for the Safe Transport of Children by EMS. This expert panel is comprised of industry experts and authors of the guidance. Attendees will have the opportunity to have ask questions and learn more about the future of ambulance equipment, safety standards and patient care issues relating to one of our most at-risk patient populations.

 

 


 

Disrupters in EMS
8532

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N236
Track: Leadership

 

 

Ed Racht, MD

 

Face it. We have only two main complaints about EMS: “I’m sick and tired of the same old thing” and “I hate change.” Any profession or any practice of medicine (like EMS) has to continuously evolve based on the understanding of the art and science of healthcare, as well as the impact of external factors we often have no control over. Unlike the past, EMS now has an assigned seat at the healthcare table. Not only must we adapt to the dramatic changes, but it’s an opportunity of a lifetime to shape the future of our EMS practice. Join Ed as he navigates these uncharted waters to respond to the changes driving healthcare in our world.

 

 


 

FirstNet and Emerging Digital Technologies in EMS
7921

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N205
Track: Operations

 

 

Brent Williams

 

The FirstNet network will significantly advance EMS connectivity to wireless broadband in the future, making video and digital image transmission by local EMS agencies to medical control common. Such a network offers advances for secure interagency voice, video and data communications. The development of public safety and EMS app marketplaces, digital network and directory services, and interfaces for connecting devices and applications will provide the backbone for a common operating picture across agencies. It is imperative that fire and EMS departments know about the latest with FirstNet (and how to prepare their agency for when it goes live) and be provided with case studies/operational examples to demonstrate how the network can help save lives.

 

 


 

Medical Myth Busters
8107

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N209
Track: ALS

 

 

Scott Gilmore, MD, EMT-P, FACEP, FAEMS, Mark D. Levine, MD, FACEP, FAEMS

 

Dogma is hard to remove from the culture of medicine, even out-of-hospital medicine. Many treatments are still taught and practiced even though evidence has shown them to be not helpful and potentially even harmful. This session will focus on commonly held myths in the out-of-hospital setting and how the science behind them has changed. Some of the myths to be tackled include: Anyone who has suffered a stroke, STEMI, CHF or sickle cell pain crisis requires high-flow oxygen; all patients with cardiac chest pain should be administered morphine as part of MONA; an IV is required prior to nitroglycerin administration; a dose of nitroglycerin can only be given every five minutes, with a maximum of three doses; morphine should not be administered if the patient has abdominal pain; Zofran should not be used in pregnancy; a patient who is in pain will have abnormal vital signs; epinephrine should be the last-line treatment for asthma; all cardiac arrests must be transported; ALS is better than BLS.

 

 


 

Nuts, Bolts, and a Flux Capacitor: Designing and Conducting a Synchronous Online Hybrid Paramedic Course
7868

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N207
Track: Educator

 

 

Lynne Dees, PhD

 

The success of hybrid EMS classes has been attributed in part to convenience for the student, the increasing availability of affordable and easy-to-navigate learning platforms nand learning management systems, and flexibility in scheduling for the educational institution. Conducting the synchronous online portion of a hybrid class is not without its challenges, and some course delivery modifications should be considered for the best outcome. Lynne will demonstrate some of the activities and assignments she uses in her hybrid classes and share both successes and failures, backup plans for technology glitches, and a laundry list of “must do” and “don’t do” tips.

 

 


 

Overcoming Emotional Challenges in Pediatric Care by Capitalizing on High-Quality Training
8515

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N223
Track: Pediatric

 

 

Peter Antevy, MD

 

What is the definition of a successful pediatric call? Many providers have been taught that knowing the child’s weight or drawing up the correct dose of a medication will get them to the right place mentally, yet this is simply not true. Join Dr. Antevy as he describes how to structure prehospital pediatric education that allows providers to “get to closure.” It’s a pediatric perspective that will get you excited about treating your next “little adult.”

 

 


 

The 2017 NAEMT MIH-CP Survey: 5 Things to Know
8495

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N239
Track: MIH-Community Paramedicine

 

 

Jonathan Washko, MBA, NREMT-P, AEMD

 

NAEMT published results from its first comprehensive survey of MIH-CP programs in 2014. The survey was redone and enhanced in 2017. What does the new survey data reveal? What do the results say about the evolution of this service line for EMS? How many agencies conducting MIH program in 2014 are still conducting them in 2017? How are they sustaining the innovation? What are the models of the future? NAEMT Director-at-Large Jonathan Washko will present answers to these questions and more during this session.

 

 


 

Understanding Sepsis
8509

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N219
Track: BLS

 

 

Baxter Larmon, PhD, MICP

 

Sepsis is becoming a national epidemic. Globally it is the leading cause of death, and causes more deaths than heart attack and cancer. This lecture examines the pathophysiology and assessment of the sepsis patient and will use an evidence-based approach to discuss new treatment protocols. The lecture will also inform the participant of the latest literature involving EMS and sepsis care.

 

 


 

When Syncope Can Kill
7883

Wednesday, Oct 18 2017 8:00AM - 9:00AM
Room: N201
Track: ALS

 

 

Sean Kivlehan, MD, MPH

 

Syncope is a common chief complaint that we treat almost every shift. Most of the time it has a benign cause, but sometimes syncope is the warning sign of a life-threatening arrhythmia. Are you doing an ECG on every patient you care for who passes out? Come to this talk and learn why you should be.

 

 


 

Lunch & Learn: Using Data Analysis to Improve Patient Care and Clinician Tranining for Respiratory-Related Emergencies
 

Wednesday, Oct 18 2017 12:30PM - 1:45PM
Room: C2
Track: Operations

 

 

Scott Bourn

 

Join Scott Bourn, PhD, former Senior Vice President of Population Health and Paramedic, at this informative lecture to learn how detailed data analysis in EMS can inform clinician training and ultimately improve patient care. Sponsored by: Medtronic

 

 


 

Cardiovascular Care for the Community Paramedic
8530

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N239
Track: MIH-Community Paramedicine

 

 

Dan Swayze, DrPH, MBA, MEMS

 

An in-depth look at the chronic care management of patients with heart disease, CHF, high cholesterol and high blood pressure.

 

 


 

Meet the Medical Directors: Part 1
8555

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N201
Track: ALS

 

 

Moderated by Paul E. Pepe, MD, MPH, FACEP

 

Panelists: Peter Antevy, Michael Dailey, Scott Gilmore, Chris Hunter, Mark Levine, Ed Racht, Ken Scheppke

 

Join EMS medical directors from around the nation for a discussion of critical issues impacting clinical and operational practice. This panel presentation will be led by Dr. Paul Pepe, host and program coordinator of the “Gathering of Eagles” conference, which has become one of the most progressive and important EMS educational events worldwide. Dr. Pepe will provide an update of the hottest topics discussed at this year’s meeting, plus discuss new trends in prehospital medicine that will impact your practice tomorrow. Bring your questions for this exclusive chance to address some of the most progressive clinical leaders in the country.

 

 


 

MIH-CP: Top Trends to Watch
8497

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N243
Track: MIH-Community Paramedicine

 

 

Matt Zavadsky, MS-HSA, EMT

 

"Mainstream" MIH-CP services are now nearly eight years old. Many programs have grown, while others have died on the vine. Our nation's healthcare system continues to change at a frenetic pace. Educational systems for specialty certification of paramedics are becoming more robust. Payer systems are changing, and there are more healthcare partners willing to rewrite the EMS economic and value model. This session will highlight the top 10 trends occurring in MIH-CP and EMS 3.0 and help you prepare for the changes likely to occur with the EMS industry in the next 1–5 years.

 

 


 

Part 1: What’s New & What’s Hot in EMS Research: Oral Abstract Presentations and Best Research of the Year
8538

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N232
Track: Educator

 

 

Baxter Larmon, PhD, MICP, David Page, MS, NRP

 

This first session in the new International Scientific Symposium is intended to be a fast-paced blend of presentations. Baxter Larmon and David Page will moderate the session, leading off with “must-know” project summaries, and blending in original projects where the primary investigator will have 15 minutes to describe their research. After each abstract the audience will have the opportunity to make comments and ask probing questions.

 

 


 

Posterior Circulation Strokes: The Other Stroke You're Missing
7880

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N219
Track: BLS

 

 

Sean Kivlehan, MD, MPH

 

We all know the classic stroke presentation of hemiparesis or slurred speech and can rattle off the Cincinnati or FAST scoring. But what about the patient with dizziness and vomiting? Could it be a stroke? In this talk Sean will describe how commonly used stroke scores miss the posterior circulation and why it can be deadly. He will explain the signs and symptoms of posterior strokes and the assessment techniques needed to understand them. Finally he will review the treatment strategies for these patients both in the field and in the ED.

 

 


 

PreAct for STEMI and Stroke: AHA Programs for Activating Hospital Resources From the Field
7988

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N209
Track: ALS

 

 

Mic Gunderson

 

PreAct (Prehospital Activation of Hospital Resources) is a new American Heart Association Mission: Lifeline program that guides the processes of field triage, destination determination, hospital notification and ED bypass for STEMI and stroke cases. This presentation will outline the long-term vision for PreAct, the specifics now being rolled out for STEMI and stroke, experiences from various pilot studies across the county and suggestions on how to implement PreAct in your community.

 

 


 

Preventing Preventable Deaths: National Efforts to Save Trauma Victims
8308

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N236
Track: Leadership

 

 

Jon Krohmer, MD

 

More than 50 years after the landmark report Accidental Death and Disability called for an end to the epidemic of trauma deaths in the U.S., accidents and injuries remain a leading cause of morbidity and mortality. With lessons learned from the military and a growing evidence base, EMS systems can take steps that will help stop these needless deaths. In this session you'll learn about initiatives at the federal level as well as what you can do in your community to achieve the vision put forth more than five decades ago at the birth of modern EMS. In this session Dr. Jon Krohmer will describe efforts at the federal level to support state and local efforts to reduce trauma deaths. A recent IOM report entitled A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury highlighted some of the shortcomings of the U.S. trauma system but also provided some suggestions for how to improve it. Attendees will learn: why systems of care are critical to preventing death from trauma; the federal, state and local roles in improving trauma systems; and how integrating military and civilian trauma systems can save lives on the battlefield and at home.

 

 


 

The 2017 NAEMT ePCR Usability Study: 5 Things You Should Know
8519

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N240
Track: Leadership

 

 

Greg Mears, MD

 

In EMS, data collection is done by EMTs, paramedics and other responders who are working in the field, often under time pressure, with rapidly shifting and often less-than-ideal conditions. The realities of the field mean that for EMS to be able to collect high quality data in a timely manner, ePCRs must have user friendly designs––otherwise known as “usability.” NAEMT recently commissioned a survey focusing specifically on how EMS practitioners interface with the software systems they use on a day-to-day basis for operations and the documentation of clinical care. The survey collected responses from 3,160 EMS professionals with comments related to 73 different EMS software products. This presentation will review the results of the 2017 NAEMT ePCR Usability Study and the top five usability features you should demand from your EMS software.

 

 


 

Too Hot to Handle: Heat Emergencies
8337

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N227
Track: BLS

 

 

Gustavo Flores, MD

 

This lecture discusses how the body's thermostat employs cooling mechanisms to maintain a normal working environment. At sporting events, concerts or even after just a day outdoors, EMS is expected to prevent, treat and rehabilitate patients with heat emergencies. Failure to do so can have disastrous consequences. In this case-based presentation, we will discuss deadly heat-related emergencies and the initial life support interventions for each.

 

 


 

Training Scars: How We Are Creating Errors Through Simulation
8086

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N207
Track: Educator

 

 

Timothy Whitaker

 

This session explore the ways in which simulation can actually have an adverse effect on the performance of the learners at any level—to the point of affecting patient outcomes and negatively impacting patient safety. Additionally, the principles that can guard against “bad” simulation that creates these training scars will also be discussed and explored.

 

 


 

Transport of ECMO Patients
7841

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N235
Track: Critical Care

 

 

Leon Eydelman, MD

 

Extra corporeal membranous oxygenation (ECMO) is a cutting edge therapy becoming more and more prevalent and even non-hospital EMS providers have been called upon to care for such patients with increasing frequency, including during inter-facility transfers and critical care aeromedical evacuation. This presentation will familiarize the attendee with the physiology and evidence base behind ECMO therapy as well as the nuts and bolts of actual ECMO circuits. It will also focus on specific problems that may arise during transport, by air or ground, and how to best troubleshoot them. Finally, this talk will discuss eCPR and the role of resuscitative ECMO both in the pre-hospital and emergency department settings.

 

 


 

What Should I Measure and Why? KPIs and Best Practices
7942

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N205
Track: Operations

 

 

Michael Salonish, BSEE, MSEE, Nick Adams

 

The definition of a key performance indicator (KPI) is a measurable value that demonstrates how effectively an agency is achieving a key objective. Organizations use KPIs to evaluate their success at reaching targets. This presentation will provide participants with an identification of KPIs that are important in 9-1-1 communications and EMS system operations. Presenters will also educate on how KPIs are built from National EMS Information System (NEMSIS) and other important data sources and how data quality influences their effectiveness and reliability. There are hundreds of EMS-related KPIs established by federally funded national organizations, state departments and regional/local agencies. Based on extensive research and interviews with over 200 EMS leaders, the presenters will share how high-performing agencies are measuring their clinical and operational performance. The practical application of KPIs will be presented, and participants will learn specific actions to take, as well as outcomes to expect, when using KPIs for quality improvement.

 

 


 

Youth Suicide: A Growing Problem
 

Wednesday, Oct 18 2017 2:00PM - 3:00PM
Room: N223
Track: Pediatric

 

 

Kirk Mittelman, MEd, NREMT-P

 

This session looks at youth at risk, youth suicide and the effect it has on family members and providers. The warning signs of suicide and how to deal with someone who is threatening suicide will be discussed. Kirk asks that you come with an open mind to this session and be prepared to face your deepest fears to help us all solve a growing problem.

 

 


 

Best Practices in High-Value EMS: AIMHI Series Recap—Ask the Experts
5498

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N236
Track: Leadership

 

 

Rob Lawrence, MCMI, Jonathan Washko, Matt Zavadsky, MS-HAS, EMT Presented in partnership with AIMHI and NAEMT

 

EMS World and the Academy of International Mobile Healthcare Integration (AIMHI) partnered on a yearlong article series on various aspects of high-performance/high-value EMS (HP/HVEMS). Topics included attributes of HP/HVEMS, international models and system design, using data to maximize operational efficiency, managing a diverse workforce, and building and maintaining stakeholder relationships. Come hear these topics in a dynamic and rapid-fire interactive session. You will have the opportunity to drill down into these and more topics to help enhance your agency's performance.

 

 


 

Community Paramedic Case Studies: Has Your Education Prepared You for Success?
8511

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N239
Track: MIH-Community Paramedicine

 

 

David Glendenning, NREMT-P

 

Now that your community paramedic program is up and running, how have your providers managed their most complicated cases? How are your providers handling the new mental fatigue challenges that they may not have expected with these complicated cases? David will discuss several patient examples that involved unique medical, mental or financial barriers that presented extra challenges for community paramedics. He’ll also discuss the secondary effect known as compassion fatigue that can impact community paramedics.

 

 


 

Disaster and Wilderness Medicine: Emergency Wound Care
7754

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N227
Track: BLS

 

 

Kirk Mittelman, MEd, NREMT-P

 

Do you provide EMS in backcountry or disaster settings? If so, this class is for you. During this class Kirk will take you beyond the EMT or paramedic course you attended and prepare you to provide medical care with a minimum of equipment in the disaster and wilderness setting. This class will cover many common problems and solutions that occur in the backcountry as they relate to wound care. Join Kirk if you want to learn about dealing with patients with minimal resources and are willing to have fun. At the conclusion of this session the student will be able to: discuss the difference between remote/disaster medicine and street medicine; discuss the equipment needed for providing wound care in the disaster and remote setting; show the techniques unique to the provision of wound care in remote and disaster locations; and discuss the different methods of disaster and remote/wilderness wound care.

 

 


 

EMS Agenda 2050 Listening Session
8315

Wednesday, Oct 18 2017 3:15PM - 5:15PM
Room: N240
Track: Leadership

 

 

Mike Taigman

 

Imagine if patients, communities, EMS providers and their healthcare partners all came together to decide what the EMS system should look like, rather than just letting it evolve without any planning or strategy. Wouldn't you want to be a part of that effort? That's exactly what is happening now with EMS Agenda 2050, a collaborative effort to envision the future of EMS and how to get there. In this session you'll learn more about the project and have an opportunity to provide your feedback to the ideas being considered. In this session attendees will learn how the EMS Agenda for the Future impacted the last two decades of EMS; why the EMS community is coming together to envision the future once again through the EMS Agenda 2050 project; how they can participate in EMS Agenda 2050 and contribute to the future of EMS; what the EMS Agenda 2050 team has included in the early outline/drafts of the effort and why. This session will be very interactive, with the goal of providing opportunities for attendees to contribute directly to the EMS Agenda 2050 effort.

 

 


 

Evolving Trends in Concussion Assessment and Management
8533

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N219
Track: BLS

 

 

Ed Racht, MD

 

We all remember the days of “getting our bell rung” (some more than others …). Historically, if someone appeared “normal” after an impact to the head, all was deemed OK. But as we understand more about the short- and long-term effects of traumatic brain injury and mild traumatic brain injury (do you know that terminology?), it’s clear that the evaluation and management of potential concussion is a critically important EMS skill set. Athletic venues worldwide have developed intensive, focused approaches to prevention, identification and management of concussion. It’s no longer just a ‘rung bell”… we now have a very clearly defined role.

 

 


 

Heart in a Box: How Technology has Improved Our Cardiac Care
8301

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N235
Track: Critical Care

 

 

Jason Clark, CCEMT-P, FP-C, C-NPT, CMTE

 

Technology has changed our lives, from our phones and TVs to the cars we drive. Technology is also responsible for revolutionizing cardiac care. Technological advances have led to the development of ventricular assist devices, Impella heart pumps, extracorporeal membrane oxygenation, and improvements to intra-aortic balloon pumps. The frequency of EMS transports of these devices continues to rise for some agencies, so it's imperative that EMS providers receive training on how to deal with them in the emergent setting. This lecture will cover the theory of these devices and troubleshooting to help improve understanding and awareness for prehospital providers.

 

 


 

Meet the Medical Directors: Part 2
8556

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N201
Track: ALS

 

 

Moderated by Paul E. Pepe, MD, MPH, FACEP

 

Panelists: Peter Antevy, Michael Dailey, Scott Gilmore, Chris Hunter, Mark Levine, Greg Mears, Ken Scheppke

 

Join EMS medical directors from around the nation for a discussion of critical issues impacting clinical and operational practice. This panel presentation will be led by Dr. Paul Pepe, host and program coordinator of the “Gathering of Eagles” conference, which has become one of the most progressive and important EMS educational events worldwide. Dr. Pepe will provide an update of the hottest topics discussed at this year’s meeting, plus discuss new trends in prehospital medicine that will impact your practice tomorrow. Bring your questions for this exclusive chance to address some of the most progressive clinical leaders in the country.

 

 


 

Part 2: What’s New & What’s Hot in EMS Research: Oral Abstract Presentations and Best Research of the Year
8540

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N232
Track: Educator

 

 

Baxter Larmon, PhD, MICP, David Page, MS, NRP

 

This first session in the new International Scientific Symposium is intended to be a fast-paced blend of presentations. Baxter Larmon and David Page will moderate the session, leading off with “must-know” project summaries, and blending in original projects where the primary investigator will have 15 minutes to describe their research. After each abstract the audience will have the opportunity to make comments and ask probing questions.

 

 


 

Special Considerations for the Pediatric Population During Disaster Management
 

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N223
Track: Pediatric

 

 

Susie Kochevar

 

The pediatric population must be considered as a stand-alone, at-risk population during a disaster. This session discusses strategies to plan for and respond to a disaster incident involving children.

 

 


 

State of EMS Simulation Panel Discussion
8088

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N207
Track: Educator

 

 

Jennifer McCarthy MAS, NRP, MICP, Amar Patel, Andrew Spain, Timothy Whitaker

 

The course will focus on aspects of integrating the use of simulation in EMS educational programs. Both academic and EMS department educators will benefit from the instruction. Timothy will explore each fundamental portion of establishing and executing a successful simulation program for EMS education, utilizing current research, changes in curriculum and established best practices. The session will arm the attendee with solid basic fundamentals and background information for the pedagogy of simulation education. We will also touch briefly on using simulation for the new National Registry portfolio assessment. This course is intended for a novice educator entering into using simulation education or who wishes to improve their simulation program.

 

 


 

The FAST Train to Nowhere
 

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N209
Track: ALS

 

 

Branden Miesemer, NRP, FP-C

 

For more than a decade, we’ve promoted the concept of the prehospital FAST exam; yet it’s seen little adoption in the real world. Why is prehospital ultrasound still not a “thing”? Because we’ve been looking at all the wrong applications. This session will give you just a small taste of the concepts and data that support the enormous potential of ultrasound in the prehospital environment.

 

 


 

Update on California Community Paramedic Pilot Projects
8549

Wednesday, Oct 18 2017 3:15PM - 4:15PM
Room: N243
Track: MIH-Community Paramedicine

 

 

Lou Meyer

 

In December 2013, the California Emergency Medical Services Authority (EMSA) proposed a pilot project to assess the feasibility of community paramedicine. EMSA proposed to test community paramedicine concepts at 10 sites across California. The pilot began in 2015. In this session, Program Manager Lou Meyer provides an overview of the pilot’s achievements to date.

 

 


 

Update on the Federal Specification for Ambulances
7622

Wednesday, Oct 18 2017 3:15PM - 5:15PM
Room: N233
Track: Operations

 

 

John McDonald

 

This session will provide federal, state and local agencies with an overview of the legislative and technical challenges and opportunities EMS agencies will face during the implementation of change notices 7, 8, 9 and 10 to the federal specification for ambulances. John will discuss future changes to the specification to incorporate additional SAE standards; review the system by which third-party testing is used to validate that ambulances are built in accordance with the federal specification for ambulances; and review the importance of using science-based research for developing vehicle standards.
Oct 19   

A 12-Step Formula for Successfully Implementing MIH in Your Community
8377

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N243
Track: MIH-Community Paramedicine

 

 

Reg James

 

Implementing a customized MIH delivery model in your community can be simple and beneficial—if done correctly. If not done correctly, your MIH program can devolve into be an expensive lesson in why EMS systems should not shoot first, then aim. In order to design, create and implement an effective and efficient MIH program, you should follow this simple 12-step formula for success. Reg will discuss in detail each step and how to determine the appropriate strategies for successful implementation of a customized solution for your unique community. Students will be introduced to a variety of possible MIH deployment models; based on real-world examples, they will learn the various pros and cons for a variety of MIH deployment models, the processes necessary to implement successful MIH solutions and how to customize programs to fit specific and unique communities' needs. Students will learn a simple-to-remember process to guide them through the steps required to develop a successful MIH program.

 

 


 

Best Evidence or Best Guess: You Be the Judge!
8541

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N232
Track: Educator

 

 

David Page, MS, NRP

 

Expert EMS providers and medical directors will take up opposing positions in a pro vs. con debate where new and trending practices will be put to the evidence-based practice test. The panelists will have five minutes to advocate for their respective positions, but they must use peer-reviewed research to support or refute new and trending practices. After each debate the audience will weigh in with their vote to act upon the new information, or wait for more definitive evidence.

 

 


 

Can BLS Providers Make a Difference in Cardiac Arrest Management?
8521

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N115
Track: BLS

 

 

Baxter Larmon, PhD, MICP

 

Overall cardiac arrest has a poor prognosis for neurological survival. This lecture uses an evidence-based approach to focus on what truly can make a difference in neurological outcomes in the cardiac arrest patient and the role of the basic life support provider.

 

 


 

Come Sway With Me! Drifting from Safety Standards
8388

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N201
Track: Leadership

 

 

Kevin Collopy, BA, FP-C, CCEMT-P, NRP, CMTE

 

It is human nature to drift from rules and regulations; the best risk managers understand why we drift and how to re-engage those who drift. Come join in this engaging presentation that identifies the strict rules and standards placed on emergency transport systems and contrasts these rules with the pressures our teams face daily. With an understanding of this multidirectional pull, this presentation continues to identify human nature and culture as it relates to safety and regulation. Once a foundation for understanding of human nature is established, Kevin will identify four categories that explain why people drift from safety standards. Within these categories this presentation identifies key areas where prehospital providers drift and shares best practices for embracing natural drift while coaching those who stray further.

 

 


 

Don't Forget the Patient! Pearls and Pitfalls of Patient Management in the Technical Rescue Environment
7664

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N227
Track: BLS

 

 

Jeremy Cushman, MD, MS, EMT-P, FACEP

 

Ninety-five percent of critical medical care necessary in the technical rescue environment is within the scope of the BLS provider, yet many of the most simple yet effective interventions to improve patients' survival are either forgotten or never learned. This presentation will share these essential medical management considerations for patients encountered across all technical rescue disciplines as well as pearls to help keep our responders safe. Topics will include remote assessment techniques and rescue vs. recovery determinations; suspension trauma risks in high-angle rope evolutions; cold-water rescue considerations; treatment priorities in collapse and trench rescue; and medical management options for heavy machinery entrapment and extrication. We'll discuss the role of advanced life support and EMS physicians in the technical rescue environment and what treatments (and risks) they bring to the rescue. Using cases, we will also identify pearls and pitfalls while providing medical care in these often-austere environments.

 

 


 

EMS as the Biggest Driver of Stroke Care in Your Community
8517

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N236
Track: Leadership

 

 

Peter Antevy, MD

 

Stroke is one of the most debilitating diseases that we know. We have learned that, similar to trauma, prehospital triage and destination decisions are critical to patient outcomes. This, in fact, has led us to understand that EMS is the biggest driver of improved stroke care in any given community. Join Dr. Antevy as he shares the formula improved stroke outcomes in your community utilizing EMS leadership.

 

 


 

EMS Response to Hurricane Matthew
8494

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N235
Track: Operations

 

 

Rob Wronski

 

On October 4, 2016, South Carolina began preparing for Hurricane Matthew, its first major storm in over a decade. Coastal evacuations were ordered of all Department of Health-regulated facilities; emergency plans were initiated to evacuate more than 1,700 medical patients and more than 2,000 other nursing home and residential treatment facility patients to more than 100 miles from the coastal region. Hear how the state's EMS agencies, Bureau of EMS and Department of Health executed this immense undertaking, including taking responsibility for moving more than 400 patients who were without transportation. Interstates were all reversed away from the coast, and all assets had to utilize county roads to travel up to 175 miles just to get to the patients. More than 117 medical facilities were evacuated, including four hospitals, in less than 2½ days. All patients were repatriated within four days post-storm to their home facilities. Post-storm response included distribution of more than 450 oxygen cylinders to residents in a six-county area who were without power. Most notable: Only one out-of-state asset was requested during this response, due to the last-minute break down of an MCI bus being used to evacuate a hospital in the storm's path.

 

 


 

Little People, Big Problems
8289

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N223
Track: Pediatric

 

 

Jason Clark, CCEMT-P, FP-C, C-NPT, CMTE

 

Tones go off, and dispatch advises you are responding to a pediatric—the call everyone dreads. Pediatric patients are a small portion of EMS calls and typically not in the comfort range of many prehospital providers. Training and preparedness can make pediatric experiences more comfortable for everyone. This lecture will discuss three major prehospital emergencies in which proper care is vital: DKA, traumatic brain injury, and respiratory emergencies. The latest research will show how EMS providers can be instrumental in caring for these patients.

 

 


 

Mental Health Screening by Community Paramedics: Why and How
8273

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N239
Track: MIH-Community Paramedicine

 

 

Anne Jensen, EMT-P, BS, Dan Swayze, DrPH, MBA, MEMS, Jonah Thompson, EMT-P

 

In some MIH-CP programs, over half of enrolled patients have some form of behavioral health or substance abuse issues. Managing this population takes a specific skill set that is not addressed in most regular EMT or paramedic training. In this panel session, community paramedics share they lessons they’ve learned from interacting with patients with depression, anxiety, bipolar disorder, substance abuse and suicidal thoughts.

 

 


 

The CAPCE Course Completion Database: What Is It Telling Us About Continuing Education?
7816

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N221
Track: Educator

 

 

Juan March, MD, FACEP, Jay M. Scott, BS, NREMT-P

 

EMS providers (EMSP) are required to complete continuing education hours (CEH) to maintain their certification. The Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) keeps and maintains data regarding EMSP CE course completions. There are over 8 million course completion records in the CAPCE database. This interactive lecture details several key points in the CEH course completion data and outlines what the data is telling us about the state of EMS CE.

 

 


 

The War for Neurons: How to Win Battles Against Secondary Brain Injuries
8321

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N205
Track: Critical Care

 

 

Robert Mabe

 

This is a discussion for experienced ALS and CCT providers on developing strategic care goals and the contemporary tactics used to achieve them. This presentation covers many aspects of patient care the transport clinician may be required to manage, including standardizing and documenting neurologic scoring; a vigorous discussion on the appropriateness of chemical airway control (RSI); pharmacologic and CSF drainage methods for managing increased intracranial pressure; ventilator and intravenous fluid administration parameters; blood pressure control; and care of hematologic and electrolyte dysfunctions. The session ends with a review and quiz-show style game covering common CT imaging results found in TBI.

 

 


 

Unaided CPR: A Thing of the Past?
 

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N209
Track: BLS

 

 

Joe Holley, MD

 

CPR has gone relatively unchanged for decades, so it’s not surprising that survival following cardiac arrest hasn’t improved dramatically. There are lots of technologies that help us deliver high-quality CPR, but do they work? Using data from a cadaver model, this session will take a deeper dive into the physiology of what happens during unaided CPR, with high-quality CPR and how adding intrathoracic pressure regulation can take you to high-perfusion CPR.

 

 


 

Update on Alternative Payment Models for EMS 3.0—Beyond MIH-CP
8499

Thursday, Oct 19 2017 8:00AM - 9:00AM
Room: N240
Track: Leadership

 

 

Matt Zavadsky, MS-HSA, EMT

 

Some of the most commonly asked questions relating to the MIH service model concern the financial sustainability of interventions such as community paramedicine, 9-1-1 nurse triage and other innovations. Perhaps we are focusing on the wrong question. Instead of looking at how to financially sustain an MIH program, we might want to ask about changing the entire EMS economic model away from fee-for-transport. There has been much movement across the country on entirely different economic models for EMS. This session will highlight the reasons payers are looking to pay EMS differently, examples of alternative payment models for EMS and specific examples of places it's actually happening.

 

 


 

2017 Best International Abstracts Presentations
8542

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N232
Track: Educator

 

 

David Page, MS, NRP

 

This session will showcase the top research abstracts presented outside of the United States. Rapid 10–15 minute presentations will highlight the best of the best in 2017 research.

 

 


 

A 2020 Vision of Cardio-Cerebral Resuscitation: New Angles on CPR Performance and Technologies
8514

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N201
Track: ALS

 

 

Paul E. Pepe, MD, MPH, FACEP, MCCM, MACP, FAEMS

 

Over the past decade, the various recommendations and guidelines for CPR have focused on a host of concepts that emphasize uninterrupted chest compressions, the rate and depth of compressions, chest wall recoil and other well-accepted parameters of quality CPR. Although coronary perfusion pressure has previously been thought to be the most important factor in achieving restoration of spontaneous circulation (ROSC), evolving evidence may soon change our focus to optimizing blood flow during CPR, particularly blood flow to the heart and brain. This new paradigm has led to some very innovative approaches to providing chest compressions including the leveraging of gravity combined with appropriate adjuncts to enhance blood flow through the brain or the counter-intuitive use of vasodilatory drugs and strategic pauses in chest compressions after prolonged periods of arrest. However, there are also some very critical caveats about such approaches and these concerns need to be emphasized before attempting such techniques––or before clinical trials are instituted to confirm effectiveness. In a characteristic entertaining, envelope-pushing talk, Dr. Paul Pepe, a vanguard resuscitation scientist for the past four decades, will present his latest vision for several evolving concepts in cardio-cerebral resuscitation. After detailing key caveats regarding our conventional wisdom and current understanding of CPR practices, he will then reconcile those concepts with certain innovative approaches that will be revealed in this session.

 

 


 

A Whole System Approach to Managing Frequent Users of Emergency Services
8496

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N239
Track: MIH-Community Paramedicine

 

 

Nicola Worrillow, BSc, PGDip, MSc

 

Frequent users of emergency services have an impact on all operational resources. However, this population is a very complex and vulnerable group. Understanding the difficulties of identifying, supporting and managing this population should create better outcomes for the patient, local communities and services. This session highlights the UK’s experience of identifying, supporting and managing frequent users of urgent and emergency healthcare services. It examines the benefits of a structured management process for these individuals, taking into account their varied complexities and vulnerabilities, which can create challenges for emergency services. The advantages of the Frequent Caller National Network (FreCaNN) for UK ambulance services will be explained as an approach that can be replicated to create best practice guidance within similar agencies.

 

 


 

Continuing Education in EMS: A Panel Discussion with the CAPCE Board of Directors
7815

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N221
Track: Educator

 

 

Panel discussion moderated by Jon Krohmer, MD

 

This lively and interactive moderated panel discussion is designed to give EMS providers a chance to speak to the those who make policy decisions about EMS continuing education (CE), the CAPCE Board of Directors (BoD). Moderated by Jon Krohmer, MD, from the NHTSA Office of EMS, the CAPCE BoD will discuss trends, pitfalls, data and CE case studies. Audience members will be free to speak to the panel and ask their most pressing CE questions.

 

 


 

EMS in the System of Care and the Mission: Lifeline EMS Recognition Program
8332

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N240
Track: Leadership

 

 

David Travis

 

In 2007 the American Heart Association launched the Mission: Lifeline program. This program is driven by volunteer national industry leaders from every facet of healthcare in order to improve outcomes for STEMI, stroke, resuscitation and urgent NSTEMI patients. The role of EMS in a systems-of-care continuum has been foundational to the core of the Mission: Lifeline initiative. This session will bring national Mission: Lifeline program managers together to discuss key strategies for all types of EMS agencies to improve their role in the systems-of-care model. We discuss how to work with system partners in establishing goals, improving communication and exchanging data for time-sensitive patient conditions. Included in this session will be an overview of the Mission: Lifeline EMS Recognition program. A program overview, along with the 2018 reporting measures for STEMI, stroke and resuscitation, will be provided.

 

 


 

From LMP to EDC - Managment of the Pregnant Patient
8106

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N227
Track: BLS

 

 

Scott Gilmore, MD, EMT-P, FACEP, FAEMS, Mark D. Levine, MD, FACEP, FAEMS

 

Caring for a pregnant patient requires a slightly different skill set and thought process than a nongravid patient. Complaints are different, the theory of caring for two patients at once is different, and the fear something will go tragically wrong is always on the mind of the provider. Subjects for this discussion will include delayed cord clamping, treatment of severe preeclampsia, the use of TXA and permissive hypotension in the pregnant trauma patient, and high-risk deliveries.

 

 


 

High-Yield Resuscitation of the Trauma Patient
8195

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N209
Track: ALS

 

 

Jeff Myers, DO, EdM, EMT-P, FAEMS

 

Critically injured patients challenge the cognitive and psychomotor skills of even the seasoned provider. Subtle findings sometimes warn the EMS clinician of impending deterioration. Aggressive resuscitation can mean the difference between life and death in this patient population. This interactive session presents a systematic approach to recognizing and aggressively managing the multisystem trauma patient.

 

 


 

ICU Approach to Shock for the EMS Provider
7952

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N205
Track: Critical Care

 

 

Leon Eydelman, MD

 

Shock is one of the true emergencies EMS providers face, and quick recognition with appropriate treatment can be the difference between life or death for patients in this critical state. This presentation will review the general concept of shock and malperfusion. Using data obtained from invasive hemodynamic monitors used in ICUs, a model of shock will be described and tested to show how commonly used interventions (fluids, pressors, etc.) can be either beneficial or harmful. The various causes of shock will then be discussed, with attention paid to specific treatment options.

 

 


 

Is That Croup or Just a Cough?
7762

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N223
Track: Pediatric

 

 

Kirk Mittelman, MEd, NREMT-P

 

You respond for a 6-year-old girl who has been ill for the past three days, and her parents are not sure why she's not responding to them. How you handle the parents and child is integral to the outcome of this case. In this session we will discuss both common and not-so-common childhood illnesses and diseases, how you can easily recognize them and what to do when you see them. From croup to whooping cough, Kirk will review and renew your handling of childhood illnesses EMS faces on a regular and irregular basis. At the conclusion of this session the student will be able to: Discuss three common illnesses found by EMS on a pediatric call; discuss common treatment modalities for common childhood illnesses; differentiate between different childhood respiratory ailments; and explain three methods to determine illness in a pediatric patient.

 

 


 

MIH - A Payors Perspective
8374

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N243
Track: MIH-Community Paramedicine

 

 

Dixon Marlow

 

As mobile integrated healthcare becomes more prevalent, many insurance companies, along with Medicare and Medicaid, have realized the potential benefit to their members. Many MIH systems now have contractual relationships with healthcare/insurance payers and are working in partnership to make their systems effective. This session will focus on those relationships and how payers view EMS, MIH and hybrid systems. Representatives from the insurance industry will copresent with Dixie to confirm and further explain the cooperative nature, benefits and expectations of an efficient MIH system.

 

 


 

My Experience as the First Responder in an Active-Shooter Event
7867

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N115
Track: Operations

 

 

Oren Wacht, PhD, EMT-P

 

On October 18, 2015, a lone terrorist armed with a handgun started shooting in the central bus station of a large town in the southern part of Israel. The terrorist killed a soldier and used the soldier's gun to continue shooting bystanders at short range. As a paramedic first responder on a motorcycle arriving at the scene, Oren came into direct fire while entering the bus station. Two people were killed, and 10 were injured. This presentation will discuss the details of the event, the protocols used in Israeli EMS for MCIs and active-shooter scenarios, medical and triage considerations, communications, as well as the speaker's personal experience. Oren will also discuss other MCIs that included treatment under fire in which he's participated as a civilian and military reserve paramedic.

 

 


 

Rodeo Injuries: How to Fix a Broken Cowboy
8471

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: C2
Track: BLS

 

 

Ken Bouvier, NREMT-P

 

This session is designed to help prehospital care practitioners, emergency nurses and physicians, respiratory, x-ray and lab technicians better understand and manage injuries sustained at rodeos. During this session Ken will explain the different types of injuries sustained in the six main rodeo events. He will explain the common injuries that occur while riding saddle and bareback broncos, bull riding, steer wrestling, calf roping and team roping. During this session you will learn and have a better understanding of the size and weight of the livestock, mechanism of injuries, safety equipment and accidents that happen before, during and after a rodeo. This session will use a unique slide show and video to show how cowboys become broken!

 

 


 

Solving the Rubik’s Cube of EMS Leadership
7946

Thursday, Oct 19 2017 9:15AM - 10:15AM
Room: N236
Track: Leadership

 

 

Raphael M. Barishansky, MPH, MS, CPM

 

Leading an EMS agency can be a complex endeavor involving issues such as finite resources, hiring and disciplining employees/volunteers, relationships with elected officials, policy and procedure development, recruitment and retention, budgeting and handling public relations. It can often feel more difficult than solving a Rubik's Cube! Just when you think you're making progress in one area, another seems to need all of your attention. But just like solving a Rubik's Cube, no one is an immediate expert, and leadership gets easier as you focus on the overall solution. In this presentation Ray, an EMS professional with over 25 years of both clinical and managerial experience, will facilitate a discussion of topics such as understanding how to use a strategic plan to plot a realistic course for your EMS agency; changing your managerial mind-set from crisis management to process management; how to better identify and implement goals and objectives you need to constantly monitor; discussing how certain specific leadership skills—delegation, effective communication and managing change—are necessities. The Rubik's Cube can seem at times to be an exercise in futility. But, much like leading your EMS agency, getting all the pieces to align is the final goal and well worth any effort.

 

 


 

Creating an Entrepreneurial EMS-Based Fire Service
8501

Thursday, Oct 19 2017 10:30AM - 12:30PM
Room: N236
Track: Leadership

 

 

Matt Zavadsky, MS-HSA, EMT, Las Vegas Fire Dept. faculty

 

For many fire agencies, EMS represents the vast majority of their response volume. Changes in stakeholder expectations for how EMS will demonstrate value provide an exceptional opportunity for entrepreneurial fire service leaders to capitalize on the EMS 3.0 transformation. This interactive, energetic, frank and at times controversial 2-hour workshop will provide attendees with the difficult-to-hear facts about the value perception of the fire service and provide tools for realistic solutions for transforming your fire agency to a high-value organization.

 

 


 

Damage Control Resuscitation
8288

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N209
Track: ALS

 

 

Jason Clark, CCEMT-P, FP-C, NRP, C-NPT, CMTE

 

When hemorrhage strikes, every red blood cell counts. The care provided by prehospital clinicians has a direct impact on the overall patient outcome. This lecture will discuss concepts of initial hemorrhage control and fluid resuscitation to provide the best possible delivery of the patient to the operating room. Jason will cover tools and training to optimize hemorrhage control, permissive hypotension, lethal triad mitigation, blood products and TXA in the prehospital setting. Tools and processes such as thromboelastography, massive transfusion protocols and damage control surgery will provide a behind-the-scenes look at the care provided in a Level 1 trauma center.

 

 


 

EMS Leadership Grand Rounds
8512

Thursday, Oct 19 2017 10:30AM - 12:30PM
Room: N240
Track: Leadership

 

 

Vince Robbins, FACHE, Two-hour session with attendee participation

 

During this highly interactive presentation with participant discussion, the most pressing issues facing providers and systems today will be examined from both a “high level” and a “boots on the ground” perspective. Facilitated discussion will focus on critically analyzing these issues, determining root causes and influencing factors, and identifying various potential courses of action that can be taken to successfully maneuver each critical issue.

 

 


 

Evaluating Clinical Quality Measures for MIH Programs
8443

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N239
Track: MIH-Community Paramedicine

 

 

Desiree Partain, Neal Richmond

 

As EMS systems continue to transition from traditional prehospital emergency medical services into collaborative out-of-hospital mobile integrated healthcare networks, the scope of quality improvement (QI) activities must reflect a similarly broad array of initiatives. Until now QI efforts for MIH programs have largely been in the realm of process measures, including projections of anticipated cost reductions, readmission avoidance and patient satisfaction. For these programs to be both effective and sustainable, however, there is a critical need for metrics and measures of clinical performance and patient outcomes. This session will explore the design, development and implementation of quality elements for evaluating and ensuring quality in MIH and critical care paramedic/specialty center transport programs.

 

 


 

Excited Delirium: Deadly for Patients and Dangerous for Providers
7881

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N201
Track: ALS

 

 

Sean Kivlehan, MD, MPH

 

Have you encountered a violent and agitated patient, tachycardic and diaphoretic, unable to be controlled? Excited delirium is becoming increasingly common in the U.S. with the explosion of designer drugs and carries a 10% mortality rate! Sean will define excited delirium and discuss the controversial history behind it and current thoughts on its pathophysiology. Most important, he will discuss the many treatment options, including Versed, ketamine and antipsychotic agents, as well as how to keep your patient and team safe on the scene and during transport.

 

 


 

Federal Medical Response in Natural Disasters
8220

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N235
Track: Operations

 

 

Ed Gabriel

 

We all know—many of us firsthand—how devastating natural disasters can be. Whether you are a responder, a bystander or a service provider, you can see the impacts these events have on families, communities and the healthcare system. Natural disasters come in all shapes and sizes, ranging from earthquakes, tornadoes and wildfires to typhoons, hurricanes and extreme flooding. During and after an event, disruptions may occur in all aspects of life, such as employment, transportation, community resilience and especially medical care and facilities; therefore we have to be prepared. While the states primarily take the lead in their planning and response efforts, the federal government stands ready to assist with resources, personnel and grants. The Department of Health and Human Services' Office of the Assistant Secretary for Preparedness and Response (ASPR) understands all too well the importance of interagency communication and planning related to natural disasters. ASPR's mission is to help the country (and communities within) be better prepared for disasters, strengthen the health and response systems and enhance national health security. This presentation will explain ASPR's role specifically in response to natural disasters, provide insight into available resources and partnerships in the federal government, and serve as a lessons-learned forum related to key responses.

 

 


 

Hands-On Guided Cardiac Dissections
7725

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N219
Track: ALS

 

 

Scott DeBoer, RN, MSN, CEN, CCRN, CFRN, CPEN, EMT-P

 

Scalpels and scenarios, paired with step-by-step video and instructor guided dissections, allow attendees to experience an unforgettable view of medical & traumatic cardiac emergencies. Note: Emergency skills will be practiced on harvested pig organs. NO animals were euthanized for the purpose of this course. Maximum of 40 attendees for each session to allow for adequate hands-on time with dissections and instructors. Additional registration fee required of $25 for 3-day core program attendees or $75 for non-registered attendees.

 

 


 

How to Rebrand Your 911 Agency as a Mobile Integrated Health Provider and Get Paid to Do It: The Intersection of Innovation, Technology and Collaboration
8518

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N243
Track: MIH-Community Paramedicine

 

 

Peter Antevy, MD

 

If your 911 agency is like most others it’s trying to play in the MIH-CP sandbox. Although some are doing it, most are grant funded and few have found a payment model that can provide long-term program viability. This talk will focus on a unique model that creates a well-defined pathway using an innovative approach to collaboration. This talk will focus on empowering EMS providers to participate in MIH-CP and provide tremendous value to patients and community partners.

 

 


 

It's Not Just Black and White: Harnessing the Power of PCRs
8316

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N221
Track: Educator

 

 

Robert Mabe

 

Every transport agency is sitting on a treasure trove of clinical data that largely goes unused: patient care reports (PCRs). This presentation explores case studies in data mining to identify clinician or care weaknesses and track system-wide improvements, utilizing PCRs as the foundation of an educational program in a high-fidelity sim lab, and offersguidance on using peer-to-peer and educator-centric chart reviews to promote critical thinking. Review of data entry platforms and conversion to visually friendly presentations will also be explored.

 

 


 

Managing Respiratory Distress with a High-Flow Nasal Cannula
8400

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N223
Track: Pediatric

 

 

Kevin Collopy, BA, FP-C, CCEMT-P, NRP, CMTE

 

What if someone told you there's an option between a nasal cannula and a nonrebreather mask, and that sometimes sick patients need ventilation support without a lot of oxygen? A high-flow nasal cannula (HFNC) can accomplish both and is associated with a decreased need for advanced airway management and improved patient outcomes. Come join a presentation that explains the physiology of HFNC and explores how it can be used in prehospital care to decrease a patient's work of breathing. A HFNC isn't just a nasal cannula with lots of oxygen; rather it is a system designed to generate up to 50 lpm of humidified air flow while tightly controlling oxygen administration. VitaLink Critical Care Transport added HFNC to its tool kit in 2016, and after just over a year of use, Kevin will share their experience on what has worked well, when it didn't, and how any prehospital provider can use it to immediately see an improvement in their patient's respiratory distress.

 

 


 

Poster Presentation Roundtable
8543

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N232
Track: Educator

 

 

David Page, MS, NRP

 

Authors of selected top-ranking PCRF research poster abstracts will give a five-minute synopsis of their project and its impact to the care we provide on the street. These lightening rounds will highlight key elements to look for on the author’s poster displays, and give participants a chance to ask clarifying questions.

 

 


 

Problems in Pacing
8049

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N205
Track: Critical Care

 

 

Kristopher L. Thompson, BSN, RN, NRP, CCRN, CEN, CFRN, FP-C, TCRN

 

This presentation will take us on a journey following a patient from permanent pacemaker insertion to its failure, EMS's response to it with transcutaneous pacing, and the patient's hospital course including transvenous pacing insertion and replacement of the permanent pacer. Attendees will review the basics of permanent pacemakers such as modes of pacing, how rate modulation works and lead placement. We'll also look at the most common failures and problems with permanent pacemakers. We will then delve into the most current research and practice guidelines for transcutaneous pacing. The second half of the presentation will cover the insertion of transvenous pacemaker wires, verifying placement of wires, management of epicardial and transvenous pacemaker settings and problems, and indications and contraindications of medications used for symptomatic bradycardia. Providers will leave the session feeling prepared to take care of the critical bradycardia patient and share this information with their home agency.

 

 


 

The Opioid Epidemic: A Roundtable Discussion (90-minute session)
8557

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N115
Track: BLS

 

 

Moderator: Ray Barishansky

 

 

Panelists: Rob Lawrence, Ken Scheppke and Dan Swayze

 

Deaths from drug overdoses have jumped in nearly every county in the U.S., and the epidemic continues to impact communities across the nation. But there are ways EMS agencies can work to reduce these deaths. This session brings together several EMS leaders who are implementing innovative programs to combat the epidemic and save lives.

 

 


 

Understanding, Administering and Piloting an Anaphylaxis Training Program
 

Thursday, Oct 19 2017 10:30AM - 11:30AM
Room: N227
Track: Educator

 

 

James Duren and Jonathan Nolan

 

This will be a two-part lecture. Part 1 will focus on understanding anaphylaxis and the benefit of early administration of epinephrine. Part 2 will address how to set up a pilot program for BLS agencies to administer an intramuscular injection of epinephrine.

 

 


 

Lunch & Learn: How to Protect Emergency Responders from Opioid Exposure Risks
 

Thursday, Oct 19 2017 12:30PM - 1:45PM
Room: C2
Track: Operations

 

 

Chris Cebollero

 

The far-reaching consequences of the deadly opioid overdose epidemic are putting emergency responders at risk of injury and illness. A panel of EMS and law enforcement experts will explain the actual versus perceived risks of opioid exposures to emergency responders, how to recognize a scene contaminated by fentanyl and describe appropriate PPE for emergency responders to protect themselves from acute illness or injury. Sponsored by: Bound Tree

 

 


 

EMS Safety Officer Workshop
8537

Thursday, Oct 19 2017 1:00PM - 5:45PM
Room: N119
Track: Leadership

 

Workshop moderated by Rob Lawrence, MCMI

 

1:00 p.m. - 1:25 p.m.

 

The Value of Crew Resource Management

Dick Blanchet, BS, MBA and Chris Guerra

 

Crew resource management (CRM) has proven itself many times over many years in the aviation industry. Deployed in the work environment, CRM will lead to fewer errors and medical mistakes, less management intervention to solve problems and less drama. Better safety and a better work environment starts with you!

 

 

1:25 p.m. - 1:55 p.m.

 

Crew Resource Management: From Theory to Implementation

Dave Page, MS, NRP

 

CRM and cultural of safety principles might seem simple, but putting them into practice in the EMS environment can be challenging. Dave Page will give practical examples of how to phase in specific initiatives to implement CRM in an EMS agency.

 

 

2:00 p.m. - 2:45 p.m.

 

Building a Strong Injury Prevention Program in Your Agency

Mike Szcyzgiel

 

Michael will employ the concepts of administrative, behavioral and engineering controls to help you construct an injury-prevention program that is viable in multiple operational contexts. His presentation will include the motivational components required for success.

 

 

3:05 p.m. - 3:40 p.m.

 

Driving and Highway Safety Training for Your EMS Personnel

Bryan McRay

 

In a crew resource management/sterile cockpit era, it requires a team approach to move to the emergency safely. Richmond Ambulance Authority’s Director of Safety and Risk Bryan McRay will talk through the requisites from the Emergency Vehicle Operators Course to the adoption of essential standards of driving, and discuss how just like landing a plane, EMS requires a well-trained crew to respond safely to calls.

 

3:45 p.m. - 4:25 p.m.

 

Using TEAMSTEPPS Program to Improve Patient Safety

Jeff Myers, DO

 

The TeamSTEPPS program is an evidence-based program developed by the Agency for Healthcare Research and Quality and the Department of Defense as a way to improve patient safety through teamwork and communication. This presentation will explore the TeamSTEPPS principles and how they can apply to the prehospital environment.

 

4:30 p.m. - 5:10 p.m.

 

Developing Evidence-Based Fatigue Risk Management Guidelines for EMS

P. Daniel Patterson, PhD, MPH, MS, NREMT-P

 

This session reviews the evidence behind napping on duty, caffeine as a fatigue countermeasure, education and training, shift duration and other interventions germane to fatigue risk mitigation in EMS. Dr. Patterson will cover the latest guidelines for fatigue risk management and discuss a “how to” implementation of guidelines in diverse EMS systems.

 

5:15 p.m. - 5:45 p.m.

 

Cases With a Twist: Deconstructing Cases

David Page, MS, NRP

 

The best teachers will always be our patients. With this guiding philosophy, Dave Page will deconstruct interesting cases and look at the root cause analysis, as well as the potential for CRM-based practices to improve care and mitigate errors in the future.

 

 


 

Benchmarking Performance Measures with Real World Data
8513

Thursday, Oct 19 2017 2:30PM - 3:30PM
Room: N240
Track: Leadership

 

 

Jeffrey L. Jarvis, MD, MS, EMT-P

 

Brief Description: We all (well, most of us anyway) realize that the most commonly measurement of EMS system performance, response times, rarely reflect on the clinical quality of medicine practiced. EMS Compass is a national initiative that develops clinically-oriented performance measures of things that matter. To turn these measures into benchmarks, we have to apply the measures to real-world EMS data. Dr. Jarvis did just that and will present the results of his study using a large, national ePCR vendor’s anonymous data to define the first set of publicly available benchmarks for a variety of Compass measures. Come see how your system stacks up to national performance.

 

 


 

Building Collaborative Relationships for a Successful MIH-CP Program
7923

Thursday, Oct 19 2017 2:30PM - 3:30PM
Room: N239
Track: MIH-Community Paramedicine

 

 

Jill League, Tina Link, Kenneth Snow, EMT-P, CCEMT-P, FPC

 

This session will discuss how Advocate Sherman Hospital's MIH-CP program improves patient care by using the Triple Aim, customizing care at the level of the individual (patient-centered care) and fostering collaboration and coordination with the integrated team to provide necessary medical, mental health and social services. We will also discuss the tools used to implement an MIH-CP program from scratch, including necessary conversations with hospital executives, MDs and clinics.

 

 


 

Care Through Compassion: Hospice Patients and EMS
8436

Thursday, Oct 19 2017 2:30PM - 3:30PM
Room: N243
Track: MIH-Community Paramedicine

 

 

Desiree Partain, CCP-P

 

Hospice patients are often some of the most challenging calls for EMS providers due to their complex clinical issues, unclear or unresolved DNR statuses and lack of understanding of end-of-life wishes among family. This session will address: the difference between DNR, living will and power of attorney; common DNR issues (unable to locate, not signed, revocation); communication tools to use when interacting with hospice patients and their families; having uncomfortable conversations about end-of life planning and wishes; and how to implement a hospice partnership in your organization.

 

 


 

Case Studies in Acute Coronary Syndrome&l
Oct 20   
A Tactical Journey: The Evolution of Law Enforcement Medicine
8526

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N219
Track: BLS

 

 

Asa Margolis, DO MPH MS

 

In 2004, Johns Hopkins developed an advanced program to support the specialized needs of tactical medics assigned to SWAT and Special Response Teams. Today, the Center for Law Enforcement Medicine stands capable of assisting with the development of all aspects of law enforcement operational medicine programs and is a model for such medical direction and support nationally. In this session, Dr. Asa Margolis––a medical officer within the Center for Law Enforcement Medicine––outlines current trends and best practices that are influencing both the clinical and operational practice of tactical medicine and filtering down into civilian EMS operations.

 

 


 

A Zebra Disguised as a Horse: Benign Complaints That Can Kill
8520

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N227
Track: BLS

 

 

Jeffrey L. Jarvis, MD, MS, EMT-P

 

Common things being common, when you hear hoofbeats, don't waste time looking for a zebra—or so the saying goes. In EMS we aren't worried about the common complaints; we're worried about the complaints that can kill. We should really worry about the benign-sounding complaints that actually pose dangers. Jeff will present a "red flag" approach to several frequently encountered presentations that help us isolate the lethal zebras from the rest of the herd.

 

 


 

Broselow Basics and Handling Handtevy: Do You Really Know How to Use Them?
7729

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N223
Track: Pediatric

 

 

Scott DeBoer, RN, MSN, CEN, CCRN, CFRN, CPEN, EMT-P

 

Let's be honest: When was the last time you sat down and reviewed the ins and outs of the Broselow tape, Pedi-Wheel or Handtevy app? As the saying goes, proper planning prevents poor performance. When confronted with a critically ill or injured child, preparation is the key. Using real-life scenarios, this interactive presentation focuses on what you really need to know and what you really need to have ready. After the first few guided scenarios, you will understand how the various apps, toys and tapes actually work and find yourself able to correctly calculate weights, meds, drips and tubes in seconds.

 

 


 

Buddy to Boss: Surviving Your First Command
8235

Friday, Oct 20 2017 8:00AM - 10:00AM
Room: N236
Track: Leadership

 

 

Jon Politis, MPA, NREMT-P

 

It takes a lot more than good intentions to help a new manager survive. This presentation is about learning new skills of "administrative survival" to be around long enough to do some good. Experienced managers who have attended this presentation have said it was worth years of trial and error and wish they'd heard it earlier in their career. It's very thought provoking and covers numerous personal case studies. At the completion the attendee will be able to explain why the transition from coworker to supervisor is difficult; the most common ethical dilemmas supervisors must face; the power of positive assumptions; and the top 10 tips for effective supervision.

 

 


 

Deciphering Abdominal Pain
8193

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N201
Track: ALS

 

 

Jeff Myers, DO, EdM, EMT-P, FAEMS

 

Patients complaining of abdominal pain can present the EMS clinician with several challenges. The abdomen can be a "black box" containing a lot of important organs, but it can be difficult to differentiate between causes of abdominal pain. How can the EMS clinician identify patients who have true abdominal emergencies from those with more benign causes of pain? In this interactive case-based session, Jeff will discuss the many etiologies of abdominal pain, from the benign to the life-threatening, and share how to identify the causes that are dangerous.

 

 


 

Developing and Using Performance-Based Dashboards
8503

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N240
Track: Leadership

 

 

Bill Bullard, Matt Zavadsky Presented in partnership with AIMHI

 

The future in EMS belongs to agencies that can improve patient outcomes and prove value. Doing so will require leaders to fully understand meaningful key performance indicators and be able to present them in ways diverse stakeholders will be able to visualize and understand. It's more than simply response times and cardiac arrest survival. In this session, Bill and Matt will first highlight EMS outcome measures that help prove value to payers, hospital system partners and local community members. They will then demonstrate how to build and use performance-based dashboards to identify outcomes that bring value or identify areas of opportunity to improve your EMS system's performance.

 

 


 

Giving the "Small Guy" A Chance
8003

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N205
Track: Leadership

 

 

Bryan McRay

 

There are 21,000 licensed EMS agencies in the U.S. and as the saying goes, once you have seen one agency, you have seen one agency. The administration, conduct and performance of large agencies are well documented and often used as the template for nationwide EMS operations. But there is more to running an agency than just responding to calls. This session highlights the key activities and governance to successfully operate a smaller agency. Key learning points will be covered including politics, leadership, organizational and clinical governance, and dealing with the workforce, both paid and volunteer.

 

 


 

In the Trenches With the False Claims Act
7857

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N243
Track: Leadership

 

 

Matthew Streger, Esq., MPA, NRP

 

The federal False Claims Act, and its various state equivalents, are the big "stick" that keeps most ambulance providers up at night. The threat of civil and/or criminal prosecution, fines and other penalties drives the documentation, billing, compliance and legal activities of any department that bills for services. This lecture will use real-world examples of how these cases originate, are filed, progress and are finalized. More important, attendees will learn lessons from an attorney who has brought and defended False Claims Act cases regarding how to improve documentation, compliance efforts and related self-protective activity.

 

 


 

Patient Handoffs: The Bermuda Triangle of Healthcare
8215

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N235
Track: Operations

 

 

Heather Timmons, RN, BSN, CCRN

 

According to the American College of Emergency Physicians, "The most dangerous point in a patient's emergency journey is the handoff and transition of care." The Wall Street Journal even referred to patient handoffs as "the Bermuda Triangle of healthcare." We in EMS are often the beginning of the patient's story, which must be accurately shared throughout their many transitions of care (think the game "telephone"). EMS is commonly the only component of the healthcare system to directly witness acute events, gather crucial information firsthand at the scene and communicate those critical findings to subsequent care providers. Understanding what information is important, communicating it in an effective way and avoiding the huge potential for error is an evolving skill set for all of us involved in managing patients when their life depends on us paying attention to every detail.

 

 


 

Protocolized Care: Enhancing Care Without Eliminating Critical Thinking
8384

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N232
Track: Educator

 

 

Kevin Collopy, BA, FP-C, CCEMT-P, NRP, CMTE

 

Strict protocol adherence vs. the freedom to manage patients as a paramedic team deems appropriate—this is the ultimate balance in protocol development. Come join an engaging discussion that looks at how EMS integrates into "pay for performance" healthcare and how protocols can be developed to maximize patient outcomes while also avoiding "cookbook" medicine. Many areas of healthcare have already established patient care bundles, and this model also works well for prehospital professionals. At the end of this presentation, participants will walk away prepared to integrate their protocols into standardized care bundles for high-risk patient populations as well as into to their quality management tools. High-quality care is all about putting our patients first with an evidence-based approach—why not begin by standardizing high-quality care across the system?

 

 


 

Rescued from the Edge: Ventilation Management of Metabolic Acidosis - Case Study
7871

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N233
Track: Critical Care

 

 

Eric Bauer, BS, FP-C, CCP-C, C-NPT

 

Mechanical ventilation in the critical care environment is now a standard of care for all intubated patients. However, programs often have limited information on illness severity and do not have the available labs, ABGs or means of identifying metabolic acidosis. This talk will help identify core assessment strategies that prehospital ground and air critical care providers can use to strategically treat these complex patients who have multiple variables at play, with the ability to treat these variables correctly having a direct effect on outcomes.

 

 


 

The Credentialing Process for Community Paramedics
7982

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N239
Track: MIH-Community Paramedicine

 

 

John Clark, JD, MBA, NRP, FP-C, CCP-C, CMTE, Anne Montera, RN, BSN

 

Credentialing is the process of validating the knowledge and skills of a medical provider. Physicians have been undergoing credentialing processes since 1000 BC, but paramedic specialty credentialing is a recent development. This presentation explores the importance of having practice guidelines in place to ensure patients are receiving the highest level of care from professionals who have undergone the most stringent scrutiny regarding their ability to care for patients in the community paramedic environment. Paramedics should not work without being credentialed. The legal risk to the employer and medical director is exponentially increased without validation of clinical competency. The Certified Community Paramedic (CP-C) credential targets competency at the mastery level of paramedic practice coupled with entry-level competency on the knowledge, skills and abilities contained within the community paramedic specialty.

 

 


 

The Zombie Revolution: What EMS Needs to Know About Synthetic Drugs
8525

Friday, Oct 20 2017 8:00AM - 9:00AM
Room: N115
Track: BLS

 

 

Matt S. Friedman, MD

 

In July 2016, the synthetic drug K2 sickened dozens of people in New York, turning them into “walking zombies.” Similar outbreaks have been seen in Texas and California. Not only are these drugs cheap and easy to obtain, but their chemical makeup is constantly evolving, making it challenging for healthcare providers to stay on top of what their patients are ingesting. Attend this session to find out what new drugs could be coming to a street corner near you and how to assess and treat your “zombie” patients.

 

 


 

Changing State Legislation to Facilitate MIH-CP Services
8523

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N243
Track: MIH-Community Paramedicine

 

 

Sarah McCrea, Jared Oscarson

 

Sometimes it is necessary to change state legislation to facilitate or sustain MIH-CP models. Changing state legislation can be a complicated and arduous process. It requires coalition building, drafting legislative language, committee hearings, budget office reviews and votes in legislative sessions. In the final days of the 2015 Nevada legislative session, the Nevada legislature passed a law that enabled community paramedicine and provided state Medicaid funding for CP services. Sarah McCrea from Las Vegas Fire Rescue and Bill sponsor, Assemblyman James Oscarson, were key partners in promulgating and passing the Nevada law. Come hear how they did it and learn pearls of wisdom for doing it in your state.

 

 


 

Clinical Evaluation Tools
8457

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N232
Track: Educator

 

 

Darrell DeMartino

 

This presentation addresses the role and importance of clinical evaluation, whether it be ambulance rotations, hospital clinical shifts or field internships. Clinical evaluation tends to be more subjective than classroom evaluations, yet the amount of time spent in this setting represents nearly 50% of a paramedic education program. Thus, knowing how to evaluate student development, growth and competencies cannot be underestimated.

 

 


 

Compassion for the Dead and Dying
8140

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N219
Track: BLS

 

 

Veronica Ryl, NREMT-P

 

As EMS personnel, we are constantly faced with the reality of death. In this session Veronica will touch on how to approach situations involving death and dying, how to speak with patients and family members, and special considerations to keep in mind. In Western culture the subject of death and dying has traditionally been taboo, but speaking honestly and candidly on the topic, with mental rehearsal on its inevitability, is the best preparation for coping. Many enter EMS with the intention to help people, and so providing compassion and adequate support roles in the process of death and dying is a key component to our careers. This session will leave one feeling more comfortable and prepared to assist with the next situation that arises involving death.

 

 


 

Cyber Security in EMS
8508

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N235
Track: Operations

 

 

Frank Gresh Presented in partnership with AIMHI

 

Data breaches and security intrusions have potentially disastrous effects on healthcare providers. Recent national media stories highlight the vulnerability of even the most ‘secure’ data. Additionally, as EMS becomes more integrated with the rest of the healthcare system, sharing data across networks is exceptionally valuable. However, payers and healthcare system partners have a much different view of cyber-security than EMS agencies do.

 

 


 

Global Volunteers: An EMS World of Citizen Support
8163

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N205
Track: Operations

 

 

Robert Lawrence, Dovie Maisel

 

Volunteers in all corners of the EMS world help support and enhance EMS operation, from the U.K.'s Community First Responder programs to Israel's United Hatzalah. In the U.S. states such as Virginia rely heavily on volunteers to cover rural areas. In this presentation, U.K. native Rob Lawrence and United Hatzalah's Dov Maisel will discuss volunteer programs and the advantages and results they bring.

 

 


 

Guns, Gels, Kings and Drills: What They Don't Teach You (But Really Should) in PALS and PEPP
7724

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N223
Track: Pediatric

 

 

Scott DeBoer, RN, MSN, CEN, CCRN, CFRN, CPEN, EMT-P

 

Boys and their toys…playing with power tools…medicine meets machines. All of these topics will be discussed in this class as they pertain to pediatric emergency care. There are lots of "toys" out there, but what the books teach—and, more important, what they don't teach but really should—are covered in this fast-paced research-meets-reality review of all things pediatric airway management and intraosseous access!

 

 


 

Here Comes the Judge: Navigating the Law in Litigation of Cardiac Arrest in EMS
8372

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N201
Track: ALS

 

 

Neal Richmond, Steve Shahan, EMT

 

EMS providers and their systems may find themselves facing both judge and jury in litigations of their cardiac arrest cases and critical calls to 9-1-1. These cases may pose significant medicolegal exposure, whether as a result of response time considerations, ALS vs. BLS management, quality of airway and pharmaceutical interventions or inadequate documentation. Actual case scenarios will be presented to illustrate the science, evidence-based best practices, operational concerns and legal foundations for anticipating and navigating this challenging environment. Mock testimonies and cross-examinations will be presented to demonstrate the complexities, pearls and pitfalls of handling situations that are both unfamiliar and anxiety-inducing for EMS providers and their leadership.

 

 


 

Patient Goal Setting: What Matters Most, First
8270

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N239
Track: MIH-Community Paramedicine

 

 

Jonah Thompson, NRP, CP-C

 

As community paramedics expand beyond traditional emergency response and medical transport into connecting patients to resources and services to improve their self-management, prioritizing what to work on first can be as difficult as identifying the actual needs. Goal-setting methodologies borrowed from other healthcare disciplines can inform the process and provide some structure to how MIH-CP programs work. Effective goal-setting will maximize the time community paramedics spend with patients and fully integrate into a motivational interviewing-based methodology.

 

 


 

Silent Killers of TBI: Hypoxia, Hypotension, and Hypercarbia
8420

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N209
Track: Critical Care

 

 

Eric Bauer, BS, FP-C, CCP-C, C-NPT

 

Traumatic brain injury (TBI) accounts for over 30% of all traumatic deaths in the United States. Regardless of medical advances in treating TBI, the all-cause mortality for TBI remains high. Survival and quality of life depends on overall severity, location of injury and secondary brain injuries. Prehospital providers are tasked with managing these challenging patients, with the ultimate focus on overall stabilization, with airway management, oxygenation, ventilation and perfusion guiding our care. Secondary TBI is the silent killer, with one episode of hypoxia or hypotension increasing mortality by 50%. In this talk we will use case-based teaching, CT scans, pictures and lab values to identify and diagnose different TBI presentations, with a focus on discussing the dreaded hypoxia, hypotension and hypercarbia. We will introduce H-H-H therapy that serves as our ultimate guide to goal-directed therapy.

 

 


 

The Future of EMS Quality Measures
8500

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N240
Track: Leadership

 

 

Panel discussion presented in partnership with AIMHI

 

The EMS Compass Project is transitioning from the initial development and testing of quality measures to a potentially sustainable EMS quality and performance measures organization. What's the current status? How will the organization be structured? What is the sustainable economic model for EMS quality measures development and publication? How will NEMSIS support this effort? The answers to these questions and more await attendees of this session as a panel of specially selected experts discusses this important initiative for the EMS profession.

 

 


 

The Latest in Respiratory Emergency Care
8062

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N227
Track: ALS

 

 

Kristopher L. Thompson, BSN, RN, NRP, CCRN, CEN, CFRN, FP-C, TCRN

 

The right treatment for respiratory emergencies can be perplexing. Join Kristopher as he looks at the latest research into the emergency treatment of asthma, COPD and CHF. Who will benefit from IV magnesium sulfate? Who won't? How fast do steroids really work? Could we give them orally? How many doses of ipratropium should be given? Who might benefit from noninvasive positive pressure ventilation? Which patients might get sicker once you put the mask on? What patients should you intubate? Which shouldn't you? Which CHFers will do well with high-dose push nitroglycerin? Which patients will become hypotensive? What's the ideal dose of continuous-infusion nitroglycerin? We'll try to answer these questions and provide a list of best practices based on good research.

 

 


 

Your Off-Duty Behavior Could Impact You On-Duty
8470

Friday, Oct 20 2017 9:15AM - 10:15AM
Room: N115
Track: BLS

 

 

Ken Bouvier, NREMT-P

 

So you decide to go out and have a few drinks the night before you're scheduled to work. You have a few beers and post a photo of yourself drinking on social media just a few hours before your shift. Two hours into your shift, you get involved in a wreck. A good attorney will probably try to use that photo against you in court. Providers have also been known to improperly post details of patients and calls on their social media accounts, leading to potential HIPAA offenses and violations of department policy. This session will help providers understand how their off-duty behavior can impact their jobs.

 

 


 

Becoming the Bystander
8407

Friday, Oct 20 2017 1:00PM - 2:00PM
Room: N219
Track: BLS

 

 

Desiree Partain, CCP-P

 

After witnessing her friend commit suicide in front of her and her family, a paramedic gained a much greater understanding and appreciation for the role of a bystander moments before and during the arrival of first responders. Minutes felt like hours as she struggled delineating her role between friend and paramedic. This session will focus on the role emotions play as it relates to the patient, family member or bystander during an emergency; listening and communication tools EMS personnel can use when faced with a challenging patient, family member or bystander; addressing the issue of compassion fatigue in the EMS community; and steps EMS leadership can take to confront and improve compassion fatigue among providers.

 

 


 

Care Collaboration Between Community Paramedics and Law Enforcement
8548

Friday, Oct 20 2017 1:00PM - 2:00PM
Room: N223
Track: MIH-Community Paramedicine

 

 

Anne Jensen, EMT-P, BS

 

Multi-sector collaborations involving community paramedics create value for communities by tackling issues that are too complex to be addressed by any single organization. Collaboration between EMS and law enforcement is particularly effective. This session will describe this type of cross-sector outreach and how community paramedics can work with law enforcement to simultaneously help patients, increase safety and create value in the community.

 

 


 

Clinical Preception Meets the High-Performance EMS System
8529

Friday, Oct 20 2017 1:00PM - 2:00PM
Room: N235
Track: Operations

 

 

Ray Mallory

 

Organizations in pursuit of clinical excellence employ comprehensive onboarding, preceptorship and mentoring programs to ensure providers are prepared for the streets. Ray, a training manager, will define and describe the preception process in a busy EMS system that comprehensively prepares paramedics and EMTs for life on the streets of Richmond, Va., one of the highest per-capita 9-1-1 systems in the U.S. This instruction comes via a well-defined Field Training Officer and "Clinical Corporal" programs, backed with comprehensive protocols and task books to ensure no training time is wasted. Ray will highlight the first eight weeks of a new provider's time, including the practical tests and checks leading up to street clearance and beyond.

 

 


 

Combination Services: Career and Volunteer, Hand in Hand
8232

Friday, Oct 20 2017 1:00PM - 2:00PM
Room: N236
Track: Leadership

 

 

Jon Politis, MPA, NREMT-P

 

The good old days of volunteer EMS are long over. Volunteer agencies face many new challenges to providing effective service. One of the biggest is the integration of career and volunteer personnel in the same service, doing the same job. This session will provide an overview of the critical factors for successfully combining paid and volunteer staff and making it work effectively.

 

 


 

Developing Educational Crosswalks/Bridge Programs
8446

Friday, Oct 20 2017 1:00PM - 2:00PM
Room: N232
Track: Educator

 

 

Darrell DeMartino

 

In this presentation the presenters will discuss the process of developing educational crosswalks or bridge programs. Both presenters developed a military-medic-to-paramedic program. It is common to see nurse-to-paramedic and paramedic-to-nurse bridge programs. Discussion focuses on curricular aspects of developing bridge programs, as well as the role of transition programs for public health and paramedic role expansion in light of future EMS initiatives (e.g., community paramedicine). Attendees will be able to identify the importance and process of developing a gap analysis; discuss the role of transition programs in the future of public health; compare different transition program types and the implications of cross-training or changing profession.

 

 


 

The Changing Face of Impairment in EMS
8214

Friday, Oct 20 2017 1:00PM - 2:00PM
Room: N227
Track: BLS

 

 

Heather Timmons, RN, BSN, CCRN

 

In EMS it's crucial to recognize a potentially impaired patient in order to effectively manage their condition, determine an appropriate destination, anticipate decompensation and evaluate the potential for competent decision-making. Impairment adds a significant complexity to the acutely ill or injured patient. It may mask (in a positive or negative way) or worsen underlying problems and complicates our ability to make disposition decisions. And here's the new catch: Today we face not only the traditional alcohol and substance abuse but must consider newer drugs, combinations, legalized impairing substances, distracting behaviors (texting, adolescent adrenaline driving) and an increasingly mobile elderly and special needs patient population. This discussion will provide a comprehensive look at the changing face of impairment and an organized approach to evaluate this new challenge in the world of EMS.

 

 


 

Weapons in EMS: A Dangerous Cocktail
7986

Friday, Oct 20 2017 1:00PM - 2:00PM
Room: N205
Track: Operations

 

 

Matthew Gutierrez

 

This session will discuss challenges posed with arming EMS professionals with any type of defense weapon. As the topic of protecting EMS professionals often returns to the possibility of providing/allowing weapons in the workplace, many issues can surface that non-law enforcement personnel may not realize. This session provides both EMS and law enforcement perspectives, giving attendees information to return to their agencies and make an informed decision.

Keynote Speakers

Christopher Hunter, MD, PhD, FACEP, FAEMS

#OrlandoUnited: Coordinating the Medical Response to the Pulse Nightclub Shooting

In the early morning of June 12, 2016, a man armed with an assault-style rifle and a pistol attacked the Pulse Nightclub in Orlando, FL. In the hours that followed, hundreds of first responders, physicians, nurses and healthcare administrators were thrust into an unimaginable situation.  The active shooter scenario turned into a hostage situation, which was then followed by a law enforcement siege, resulting in the worst mass shooting in modern United States history. This presentation will discuss the medical response from the initial moments of the attack to the days that followed. Comparing our experience to available evidence will improve understanding of the approach to an active shooter and a mass fatality event, as well as the difficult process of coordinating efforts that don’t just end when the shooting does.

Christopher Hunter, MD, PhD, FACEP, FAEMS, is the assistant program director of the emergency medicine residency program at Orlando Regional Medical Center, the associate medical director of the Orange County EMS System––a consolidated group of fire rescue and ambulance services providing medical direction to over 2,000 emergency medical technicians––and the Medical Director of the Orlando Health Air Care Team. He is the former director of the Health Services Department for Orange County, FL, which provided administrative oversight to eight different divisions, including indigent medical care, corrections health services, mental health and homelessness, the District 9 Medical Examiner’s Office, and the Office of the EMS Medical Director. He is board certified in both Emergency Medicine and Emergency Medical Services.

Randolph Mantooth

Happy 45th Anniversary: Remembering Why

Don’t miss Randolph’s inspirational keynote that includes some firsthand observations of EMS professionals over the years, delivered with equal parts humor and genuine admiration for the profession he helped introduce when EMERGENCY! first aired on Saturday nights on NBC 45 years ago.

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