EMS World

MAY 2016

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.

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32 EMSWORLDEXPO.COM • #EMSWORLDEXPO CONFERENCE PROGRAM CRITICAL CARE Non-Survivable Neurological Injuries: When Tragedy Turns to Hope Robert Girardeau, BS, NRP, FP-C, MSM- HCA (cand.) Despite our greatest efforts, many head injuries and neurological pathologies can result in severe brain damage, ultimately progressing to herniation and brain death. The process of brain herniation is an incredibly complex series of events that every provider needs to be prepared for. This session discusses the anatomy and phys- iology behind brain death and how to recognize impending brain death. Most important, this session will teach the provider how to prepare for and treat the many complexities of this disease process including Cushing's Triad, catecholamine storms, neurogenic shock, and cardiovascular col- lapse. In addition, this session discusses how the treatment of these patients could ultimately lead to the saving of eight lives through organ donation. PEDIATRICS Pediatric Lifespan Development Matthew Ozanich, MHHS, NRP Assessing the pediatric patient provides many communication challenges. A better under- standing of lifespan development can enhance assessment and interviewing techniques. This session describes the differences in cognitive thinking, social skills and physical abilities during each life stage of a pediatric patient; discusses how to incorporate lifespan development knowledge to enhance pediatric assessment abil- ities; and reviews ways to enhance rapport. EDUCATOR Breakfast & Learn: EMS Educator Update on National Simulation Issues Sponsored by David Page, MS, NREMT-P In the past year, a number of key activities took place that will positively impact the use of simu- lation in the training of out-of-hospital providers. Preparing providers for practice, increasing use of under-utilized simulation resources and team training are all on the dashboard. In this session participants will learn about policies, reports and programs that are shaping the future of EMS education. Participants will also receive specifc recommendations and resources to apply at their workplace for three domains: 1. Preparing EMT-Paramedic students to demonstrate minimal competence prior to national credentialing; 2. Preparing high-performance resuscitation teams; and 3. Preparing faculty to effectively implement impactful simulation into their educational programs. Please note: While this session is open to all core program attendees, a separate $10 registration is required for breakfast, which is from 7:30–8 a.m. Registration funds will be donated to the Citizen CPR Foundation. MIH-CP Cultural Considerations in Homelessness and Poverty Anne Jensen, EMT-P, BS A large portion of community paramedic encounters involve individuals experiencing poverty. Care providers are most effective in their practice when they are able to recognize the infuence of poverty on a client and adjust patient care accord- ingly. This session reviews literal and expanded models of culture and poverty, how it may infuence patient care, and strategies to promote success in your practice. LEADERSHIP Curbstone Consulting: The Mission to Deliver More Effective and Effcient Emergency Services Jay Fitch, Anthony Minge, MBA, Todd Sheridan Want to know what keeps your fellow EMS leaders up at night? Interested in learning about the operational issues causing EMS systems the most headaches? Fitch & Associates has been delivering solutions to these problems and helping communities provide more effective and effcient emergency services for nearly 30 years. In this session, they will reveal the biggest challenges facing EMS leadership today and the critical issues that may fell us tomorrow. Bring your questions for an exclusive chance to pick the brains of system OND-DAY EVENT: Driving Transformation in EMS Summit THURSDAY, OCTOBER 6 This one-day event reviews how economic and patient care changes are impacting our healthcare system and how that will change the delivery of EMS. Core program attendees can attend the whole event or select sessions of specifc interest. 8 a.m.–9 a.m. What's the Right Role for EMS in Healthcare 3.0? Matt Zavadsky, MS-HSA, EMT Many experts refer to the current state of our medical system as "Healthcare 3.0," used to describe the third major transformation of the healthcare system from cost-based reimbursement (1.0) to fee for service (2.0) to value-based payments (3.0). As this transformation occurs, EMS will also need to reassess operations in this new environment. What does "9-1-1" response and dispositions look like in EMS 3.0? What EMS and ambulance service payment models are likely to be implemented for these new models? Can EMS be part of an ACO? What skills sets will be necessary for EMS system leaders to be able to survive the transformation to EMS 3.0? Attend this session for the answers to these critical questions. 9:15–10:30 a.m. Defning Value in EMS 3.0: Perspectives from the Payers, Hospital, Skilled Nursing, Home Health and Hospice Panel discussion featuring Alliance for Home Health Quality and Innovation representative, Kaiser Permanente representative, John Mezo, Trudi Stafford One of the most commonly used terms in today's healthcare is "value." Similar to other healthcare providers in the healthcare economy, EMS agencies will need to prove that they deliver value in order to survive. The perception of the value EMS brings is different depending on healthcare service lines and roles in the healthcare system. Come learn from fve key stakeholder groups how they defne value and what a valuable EMS service delivery model means to them. 10:45 a.m.–12 p.m. EMS Educational Gaps: The Chicken or the Egg? Baxter Larmon, PhD, MICP What are the gaps in the way we teach EMS providers that need to be changed in order for prepare practitioners for their new roles in EMS 3.0? We need to take a look at the concepts of technician vs. clinician and professional vs. technician and answer the tough questions of why we are not treated or paid as professionals. Perhaps we need to rethink the educational requirements for working in EMS, which are in some states less than becoming a hairstylist. Attend this controversial session to fnd out how we have to fx EMS education so we can cement our future as a healthcare profession. 3:15–4:30 p.m. International Models of EMS Dr Linda Dykes, Rob Lawrence, MCMI Every reality show needs a British judge to tell it as it is, in this case we have two! Global demand for EMS is growing at a potentially unsustainable rate while healthcare budgets are rapidly shrinking. Never before have the frst world's prehospital systems had so much in common in their craving for effcient and effective ideas to cope with operational performance against the rising tide of patient demand. International EMS observer Rob Lawrence and UK-based ED, primary care, HEMS and prehospital physician Dr Linda Dykes will highlight best planetary practices from community paramedicine and hear and treat to admission avoidance and demand smoothing. 4:45–6 p.m. EMS Economics 3.0: How to Cost and Value Your Service Asbel Montes Successfully testing new economic models for traditional and non-traditional EMS delivery models requires a deep understanding of your cost of service delivery. Most EMS providers, both public and private, may not understand their true cost of delivering EMS, whether traditional or enhanced. This session walks you through the various ways to account for the full cost of EMS service delivery and how to do a cost analysis for alternate models of delivery. This way, when you wade into the choppy waters of alternate eco- nomic models, you know where the deep end is and how to avoid drowning!

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