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
26 EMSWORLDEXPO.COM • #EMSWORLDEXPO CONFERENCE PROGRAM ASPR maintains a forward-leaning posture in regard to its efforts to mitigate threats and thwart effects of existing disasters. From the Air to the Ground: Air Medical Safety Standards Applied to Ground Critical Care David Ellis, BS, CCEMT-P, FP-C, CMTE The air medical Industry, along with the airline industry and the FAA, has developed a number of safety practices that have been effective in increasing safety margins and breaking the chain of events leading up to an accident. Many of these practices are applicable to EMS and ground CCT. This presentation will introduce and describe a number of safety practices that can positively impact ground EMS vehicle and personnel safety. 1–2:15 p.m. Lunch and Learn: 5 Clinical Benchmarks You Should be Measuring Today and Why They Matter Sponsored by Jeffrey L. Jarvis, MD, MS, EMT-P How are you measuring your clinical performance? We have a great starting place with some of the published clinical benchmarks. Now it is time to put them into action. Join us as we reveal the fve clinical benchmarks your organization should be measuring today. Dr. Jeff Jarvis, an EMS physician, paramedic and unabashed data geek, will illustrate the essential elements of measuring clinical performance and how to use the outcomes to improve your EMS service. A separate $10 regis- tration is required. 2–3:15 p.m. BLS Lessons from Snowdonia Mountain Medicine Project Dr Linda Dykes The Snowdonia mountain range in North West Wales, UK, is a place of spectacular natural beauty, visited by millions of tourists. Over 100 mountain casualties each year end up in the emergency department of Bangor Hospital (Ysbyty Gwynedd), whose staff have kept a detailed database since 2004. This 1300+ case database is believed to be the largest in the world that includes hospital (rather than prehospital) diagnoses. The presen- tation outlines the epidemiology of Snowdonia mountain casualties and explores the patterns of injury seen in mountain trauma of various types, many of which are not what people assume! Attendees gain an appreciation of the injury patterns seen in recreational mountain users in mountains up to 4000 feet, the logistical diffculties faced by mountain rescue personnel and the potential for lay frst-aiders to deliver high quality casualty care in very challenging environments. No to O 2 : Debunking (Maybe) the Myth of "More Is Better" Ronna Miller, MD Since the early days of resuscitation medicine, high-fow O 2 has been a mainstay. It was easy to apply, cheap and apparently harmless. Accumu- lating science suggests that this approach needs to be re-evaluated, especially for many time-sen- sitive EMS conditions. This presentation provides an overview of selected current recommendations for a more nuanced EMS use of supplemental O2 in cardiovascular, respiratory, shock and other injuries and illnesses. The session will describe the historical rationale for routine use of high-fow O 2 ; discuss some of the adverse physiological conse- quences of excessive O 2 use; identify conditions where high-fow O 2 is still advised; identify condi- tions where routine, high-fow O 2 may be contrain- dicated; and describe new technologies and areas for study to develop EMS "best practices." ALS Ask the Docs: EMS Medical Directors Panel Discussion Part 1 Moderated by Paul E. Pepe, MD, MPH, FACEP 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. Pulmonary Embolism Screening: New Protocols for High-Risk Patients Paul Banerjee, MD The mortality rate associated with pulmonary embolism is underappreciated; it exceeds 15% in the frst three months after diagnosis. In nearly 25% of patients with a pulmonary embolism, the initial clinical manifestation is sudden death. Quick treatment can save a life or reduce the risk of future problems. Polk County (FL) Fire Rescue has partnered with the local hospitals to screen high-risk pulmonary embolism patients from the feld to early chest CTA and the aggressive use of the EKOS (MicroSonic Accelerated Thrombolysis System) in treating and lowering mortality in pul- monary embolism patients. Learn more about this partnership in this innovative session. CRITICAL CARE The Trouble with Tubes: Transporting Patients with Chest Tubes Kristopher L. Thompson, BSN, NREMT-P, RN, CCEMTP, CCRN, CEN, CFRN, FP-C Chest tubes are the most common intervention required in thoracic trauma patients, and these patients often need EMS transport to a trauma referral center. The complication rate of chest tubes may be nearly 10%. This session briefy reviews pathophysiology of simple pneumothorax, tension pneumothorax and hemothorax, as well as chest tube insertion techniques. Then, pleural and mediastinal chest tubes, chest tube drainage systems and common problems that may occur with them will be covered. Attendees will learn about the critical assessments and interventions necessary to keep patients safe during transport with a chest tube in place. Learners will be able to identify, troubleshoot and correct or otherwise intervene in potentially life-threatening conditions such as occluded chest tubes, displaced tubes, continuous air leaks, massive hemothorax, cardiac tamponade and drainage system failure. PEDIATRICS The 2015 PALS Guidelines: A Behind-the-Scenes Look at the New Recommendations Peter Antevy, MD The headlines have been published and the 2015 PALS guidelines appear to make some bold rec- ommendations. With recommendations on fuids in sepsis, atropine for intubation and hypothermia for arrest, the pediatric guidelines are changing the way we practice...but should they? Join Dr. Peter Antevy as he takes you on a behind-the-scenes journey of these new guidelines and challenges you to rethink the headlines! EMS educators and providers alike will hear a unique perspective during this provocative talk. OPENING CEREMONIES AND KEYNOTE PRESENTATION WEDNESDAY, OCTOBER 5, 9:30 AM–11 AM New this year, EMS World Expo will feature multiple presentations as part of the opening keynote. Check EMSWorldExpo.com for the latest details. The Internet of Lifesaving Things TJ Kennedy, President, FirstNet EMS is on the cusp of a revo- lution. Are you ready for com- munication technologies that will turn the back of your ambulance into a remote emergency room? Soon the glasses you are wearing and the ultrasound machine you are using will live stream what you see to the hospital as you are en route with your patient. The newest generation of EMS practitioners will hold high-defnition, two-way video dialogues with physicians and specialists. This real-time relay of information will allow hospitals to see what is coming in from the feld ahead of time. TJ Kennedy, president of FirstNet, will discuss how technology and connectivity will bring about the "Internet of Lifesaving Things," making a monu- mental difference in the feld and improving the continuum of care. Recasting the Vision: The Way Ahead for EMS Ed Racht, MD, American Medical Response It's been 50 years since the publication of Accidental Death and Disability: The Neglected Disease of Modern Society, oth- erwise known as the EMS White Paper. The EMS profession has made great strides over the past fve decades, but to be successful in our evolving role in the continuum of care, we must be willing to set aside our preconceptions of who we are and recast a new vision of who we can be. As the clinical care we deliver continues to advance and developments in technology improve the effciency and effectiveness of our operations, we are being propelled into a future that will be a rebirth for out-of-hospital medicine. Join Dr. Ed Racht on this inspirational journey into the EMS of tomorrow.