EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.
Issue link: https://emsworld.epubxp.com/i/672538
42 EMSWORLDEXPO.COM • #EMSWORLDEXPO CONFERENCE PROGRAM EtCO 2 Monitoring: For More Than Just Endotracheal Intubation Confrmation Lafe Bush We have long known that EtCO 2 monitoring is the golden standard for endotracheal intubation but what about continuous EtCO 2 monitoring in the non-intubated patient? EtCO 2 allows the EMS provider to assess the patient at the cellular level. By understanding EtCO 2 waveform EMS providers have another tool that can assist them in assessing the respiratory status of their patients, differentiating between various respiratory disease processes, and assessing the patient's metabolic status. Learn through real-life case reviews how end-tidal continuous EtCO 2 monitoring can help you make the right diagnoses and treatment decisions. CRITICAL CARE Mechanical Ventilation: Current Research and Clinical Application Eric Bauer, BS, FP-C, CCP-C, C-NPT This two-hour super session reviews two hot topics in the prehospital critical care environment. Mechanical ventilation in the HEMS and critical care environments is now a standard of care for all intubated patients. The severity and acuity of many of these patients can be challenging when dealing with pain management and sedation for hemodynamically unstable patients. Many studies have demonstrated that pain associated with intu- bated-mechanically ventilated patients far exceeds our understanding. We will discuss recent studies that demonstrate the effectiveness of fentanyl and ketamine in low perfusion states and look at liter- ature that demonstrates the need for more pain management and less sedation medications due to the potential negative aspects of delirium. We will also look at the newest literature and recent published studies that show new resuscitation strategies for mechanically ventilated trauma patients in low perfusion states. PEDIATRICS Pediatric TRAUMA Tales & Jeopardy Jewels Scott DeBoer, RN, MSN, CEN, CCRN, CFRN, CPEN, EMT-P While "playing Jeopardy," this presentation will review and reinforce the assessment skills, clinical fndings and management priorities for success- fully handling a wide variety of common and not so common pediatric TRAUMA emergencies. EDUCATOR Using High-Fidelity Simulation as a Disruptive Innovation in EMS Education Christopher Boyer, MPA, NRP, FP-C High-fdelity simulation has become a staple of medical education, but many EMS systems and training programs lack the time and resources to develop a robust simulation program. This session explores the use of high-fdelity simulation as a disruptive innovation in EMS education, providing practical advice and steps for the integration of simulation into your current training program. This session will explore how a paramedic program at a community college managed to move away from the high-fdelity simulator being a novelty item and embraced the technology at the core of the program. We will also focus on ways to tailor the simulation program to ft into your current curriculum and advice for creating a simulation space on a budget. MIH-CP MIH-CP Programs in Action Panel moderated by Dan Swayze, DrPH, MBA, MEM, with Kevin Creek, Robin Johnson, MD, Kevin Mackey, MD, FACEP, Nathaniel Metz This three-hour super session features developers MIH-CP programs from across the country who will discuss the specifcs of the programs they have in place and best practices for attendees to take back to their communities. Visit EMSWorldExpo.com for details on each program. LEADERSHIP Strategies for Survival: Leading like Sun Tzu Raphael M. Barishansky, MPH, MS, CPM There was no greater leader and strategist than Chinese military general Sun Tzu. His seminal text, The Art of War, is considered a masterpiece of strategy that presents a philosophy for man- aging conficts and winning battles. His book, which details a complete philosophy on how to decisively defeat one's opponent, was based on a holistic approach to strategy. This approach is especially relevant to today's marketplace, where EMS is "under attack" and we need to develop strategy for survival like Sun Tzu. The lessons of Sun Tzu have taught generations of leaders the fundamentals of being an effective leader. This session will review them and assist you in defning expectations of leadership, as well as living up to your own personal leadership potential. OPERATIONS When "The Way You've Always Done It" No Longer Works: Is It Time to Redesign Volunteer EMS? Nancy Magee Despite 20 years of dire warning about the imminent collapse of the system, volunteers are approaching the 90-year mark as the foundation of America's emergency medical services. Over 60% of EMS providers volunteer, answering over half of the nation's 9-1-1 medical calls and as much as 90% in rural states. But for many agencies, the struggle to remain viable is very real, and the future remains uncertain. This two-hour super session will cover a range of hot topics impacting volunteer operations: how to attract and develop volunteers with the leadership and managerial skills necessary to keep your agency fscally sound and your volunteers happy and engaged; how to quantify assets on hand and control costs without reducing service; and how to educate the public and promote a positive image in order to obtain local funding and support. Join Nancy Magee as she challenges assumptions, outdated traditions and practices that are just not working, and explores ways to create buy-in for new ideas, inno- vation and a successful redesign of the volunteer EMS model. 1:30–2:30 p.m. BLS Strengthen the Core: Lifesaving Trauma Essentials Sean Kivlehan, MD, MPH BLS is the key to management of the trauma patient and this talk will bring you back to the basics. Take a fast-paced walk through the ABC survey you thought you knew, learn how to do pro- cedures that save lives and avoid ones that don't. ALS Riding the Wave: A Discussion on Pulse Oximetry Christopher Boyer, MPA, NRP, FP-C Many EMS providers do not take advantage of the waveform provided by the pulse oximeter attatched to their ECG monitor. This session explores the use of the pulse oximeter waveform as a means of non-invasive hemodynamic mon- itoring, allowing providers to broaden the use of this tool. We will discuss the phenomenon of pulse oximetry lag and its impact in the management of the critically ill or injured patient's airway. CRITICAL CARE Making the Positives & Negatives Add Up: Fluid, Electrolytes and Acid-Base Michael D. Gooch, MSN, RN, ACNP-BC, FNP-BC ENP-BC, CFRN, CTRN, CEN, NREMT-P Acid-base and electrolyte imbalances often complicate patient management in emergency and acute care settings. Correctly identifying the imbalance and its cause are vital steps when managing these patients. This presentation reviews the physiology of acid-base balance and electrolytes, their common distur- bances, associated causes, clinical manifesta- tions and management implications for bedside providers. PEDIATRICS Pediatric MEDICAL Tales & Jeopardy Jewels Scott DeBoer, RN, MSN, CEN, CCRN, CFRN, CPEN, EMT-P While "playing Jeopardy," this presentation will review and reinforce the assessment skills, clinical fndings and management priorities for success- fully handling a wide variety of common and not so common pediatric MEDICAL emergencies. EDUCATOR Teaching, Mentoring and Stewardship: Can We Teach the Right Attitude? Kelly Grayson Do your preceptors act as instructors, evaluators and mentors, or are they just the medics who have managed to hang around longer than everyone else? Good EMS education programs often fail because they neglect to consider the importance of the person integrating your classroom lessons with street application. Join Kelly Grayson as he discusses how preceptors can make or break an EMS educational program, and how to bridge the gap between the classroom and the street. OPERATIONS Preparing Your Community to Survive an Active Shooter Event Ofer Lichtman, NREMT-P Recent terrorist events in Paris, Brussels and San Bernardino shed light on the fact that civilians must become resilient and take action in the initial moments of a terrorist attack in order to increase their chance of survival. First responders are perfectly positioned to implement programs in their communities that prepare bystanders to take the necessary actions during these events to save themselves and those around them. This session will motivate and empower you to implement such a program in your community where you not only teach the public how to survive an active shooter event, but also what they should do at every moment during and after the event.