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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REGISTER ONLINE AT EMSWORLDEXPO.COM 33 Save Sight On Site ® www.morganlens.com | 800.423.8659 ©2016 MorTan, Inc., PO Box 8719, Missoula, MT 59807 USA DON'T WAIT! The sooner eye irrigation is started, the better the prognosis. • The only "hands-free" ocular irrigation system ofering an efcient, efective, and well-tolerated way to fush chemicals or remove non-embedded foreign bodies from the eye. • In just 20 seconds irrigation can be underway and you can move to more life-threatening injuries. • Patient may be transported from accident site to the hospital without stopping irrigation. Hands-free ocular irrigation on the go. ORDER NOW Visit us at Booth #636 design experts and help your organization improve its quality of service. OPERATIONS Body-Worn Cameras Improve EMS Documentation Accuracy Jeffrey Ho, MD, MD, FACEP, FAAEM Body-worn camera (BWC) technology is currently used in law enforcement for event recall, but is not widely used by EMS providers. EMS documen- tation usually occurs from memory, a process that can introduce error. Hennepin EMS recently conducted a study that evaluated the effect on documentation accuracy from a simulated patient encounter when a body-worn camera was used to augment the process. The simulation had multiple important events within it. After the scenario, paramedic documentation occurred from memory on an electronic template. After video review of the simulation, 71 documentation changes were made. Attend this session to learn how body-worm cameras could help improve documentation accuracy. Not If, But When: EMS Threat Preparation and Response Panel discussion This panel discussion will review trends in EMS preparation and response to active threat inci- dents including active shooter/terrorist attacks, as well as naturally occurring events. Issues covered will include "warm zone" operations, hemorrhage control guidelines and improving community resilience. 9:15–10:30 a.m. BLS Prehospital Management of Less Lethal Use of Force Jeffrey Ho, MD, MD, FACEP, FAAEM Law enforcement offcers have a wide array of less lethal weapons at their disposal, including chemical and infammatory agents, directed energy devices (e.g., TASER), impact weapons (e.g., handheld batons and impact munitions) and police dogs. EMS providers are sometimes requested to assess and treat people who have had less lethal weapons used against them. Many misconceptions exist regarding the effects of less lethal weapons, so a basic understanding of less lethal weapons in common use is of paramount importance. This session reviews mechanisms of injury or other conditions that may occur during or after the use of less lethal weapons, and basic patient assessment and treatment. BLS Treatment of Anaphylaxis: The End of the Autoinjector Michael W. Dailey, MD Anaphylaxis is deadly and expensive—how can we save money and still treat our patients? Over the past 12 years the cost of an autoinjector for epinephrine has increased from less than $35 to more than $350 per unit. Few debate that every ambulance or responding EMS unit should be able to treat anaphylaxis, but given this exorbitant cost and the infrequent use, are auto-injectors the answer? There is a better solution. Basic EMTs can be taught to draw up and administer epinephrine safely and effectively. Taking lessons from the successful "check and inject" program from King County, Washington, New York state is currently exploring a pilot project equipping basic EMTs with syringes and vials of epinephrine. Come learn about the program and decide if this might be an option for your agency. ALS I'm Not Dead Yet! Pushing ROSC Rates Higher Using Advanced Resuscitation Techniques Kenneth A. Scheppke, MD, FAAEM Resuscitation success rates from out-of-hos- pital cardiac arrest demonstrate large regional variation. How can we get our systems to be more successful? Join Dr. Scheppke as he discusses how deviating from traditional ACLS protocols at his agencies in Palm Beach County, FL, successfully raised ROSC rates to over 40%. He will provide a clear pathway for others to translate this success to their own systems, large or small. Attendees will gain insight into why positive pressure ventilation is bad in cardiac arrest patients, why intubation should be delayed and why the NASCAR mentality can save many lives. Submersion Medicine: The Epidemiology, Physiology and Management of Drowning Paul E. Pepe, MD, MPH In this comprehensive session, an international- ly-recognized scientist and leader in the research

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