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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40 EMSWORLDEXPO.COM • #EMSWORLDEXPO CONFERENCE PROGRAM session Kirk takes you down the path you don't want to speak about: death, suicide and how it impacts EMS personnel when it happens to those near to them. He will discuss what makes us so callous and at times insulated from our feelings while on calls and what skills we need to deal with death when it happens in our lives. Gray Areas: How Our Seniors Slip Through the Clinical Cracks Dan Limmer, AS, EMT-P Calls for medical and traumatic conditions in the elderly population are among the most common in EMS today. This is projected to increase as the baby boomers age and live longer. Is EMS ready to deal with this on a call-by-call basis as well as an EMS system? Polypharmacy, depression, aging and living alone are just a few of the ways our patients—and our parents—slip through the cracks. This session looks at many of the off-the- beaten-path issues we encounter in the geriatric patient and how the EMS system can help. ALS Are You Up On the New Tox LINGO? Lipids, Insulin, Naloxone & Glucagon Michael D. Gooch, MSN, RN, ACNP-BC, FNP-BC ENP-BC, CFRN, CTRN, CEN, NREMT-P Accidental or intentional overdoses and ingestions only account for a small portion of emergency transports, but they can be challenging and some- times diffcult to manage. This session discusses new trends in management, including the multiple uses of naloxone, as well as new methods of man- aging beta blocker and calcium channel blocker overdoses utilizing high dose insulin and lipids. Lastly, given the surge in abuse of new street drugs and sympathomimetics, the role of benzodi- azepines and other agents will be discussed. Vertigo: Not Just An Inner Ear Infection Lafe Bush Did you know that up to 3% of patients experi- encing isolated complaint of vertigo are having a cerebellar infarction? Up to 35% of patients with vertigo are misdiagnosed. Learn how to differen- tiate between vertigo due to non-stroke causes and vertigo due to strokes. CRITICAL CARE "I'm Already Sick, Please Don't Hurt Me!": Critical Thinking in Critical Care Jason Clark, CCEMT-P, FP-C, C-NPT, CMTE The human body is an exceptionally well-designed machine with a desire to live. When sickness strikes, compensatory mechanisms go into action and push the body to fght for survival. As healthcare providers, we have a vast toolbox that allows us to intervene with many of those natural responses to illness that may actually be harmful to patient outcomes. This session looks at ways the body responds to issues such as respiratory distress and how the lack of PEEP valves in most EMS systems can harm a patient who had pursed lip breathing prior to EMS intervention, how the DKA patient was dealing with unwanted acid, how the trauma patient was responding to blood loss, and many more critical scenarios. PEDIATRICS Super Sick Kids: The Surprising Truth About Pediatric Septic Shock Rommie Duckworth When bacterial or viral infections trigger infam- matory, coagulation and other pathological responses the reaction is pediatric sepsis. Pediatric sepsis kills over 6 million children per year worldwide. There are approximately 430,000 cases of pediatric sepsis every year in the United States, approximately 10% of which are considered pediatric septic shock. Of these, approximately 4,300 children die, often due to missed or delayed diagnosis. As an EMS provider you play a decisive role in the identifcation and early treatment of these critically ill children. This session will show EMS providers how to Identify, assess and begin treatment for pediatric patients with sepsis, as well as how to coordinate care with emergency department and critical care staff. Whether ALS or BLS, or whether you work in a system with EMS systems with formal sepsis alert protocols or none at all, this session is for you. EDUCATOR Developing Effective Oral Board Cases Jeff Myers, DO Oral boards are one method to ensure provider competency, both in the educational and the practice setting. As a high-stakes assessment, oral boards often determine whether a provider passes or fails, is ft or unft for duty. In this interactive session, we will discuss approaches to developing and administering oral board cases in a fair and effective manner. Attendees will learn now to develop robust oral board cases using a template; administer oral board cases effectively; and evaluate a candidate's performance during the oral board case session in a fair manner. MIH-CP Chronic Pain and Substance Abuse Dan Swayze, DrPH, MBA, MEMS Chronic pain patients and drug seekers are two of the most disliked types of patients in traditional EMS and emer- gency medicine, and one of the most frequent types of patient in community paramedicine. This session introduces participants to the pathophys- iology of chronic pain, and why drug addiction is such a common co-occurrence in these patients. Learn how to differentiate between a true addiction disorder and a pseudo-addiction, and what kind of help community paramedics can offer both types of patients. LEADERSHIP Gap Analysis: Using Business Principles to Bridge the Communication Gap Nathaniel Metz In the evolving world of medicine, innovation is so often initiated based on a community's need. The healthcare industry is searching for innovation to satisfy an increasingly aging and unhealthy popu- lation. MIH-CP, through unique partnerships with EMS, is proving to be a positive solution for these problems. However, despite this, EMS agencies still fnd it diffcult to get hospital buy-in. This session will encourage you to think outside of your comfort zone and use business, sales and marketing principles to give your program value in the eyes of your prospective partners in healthcare. OPERATIONS Emerging Infectious Diseases 2016 Katherine H. West, BSN, MSEd As the world warms and animal habitat diminishes, diseases are transferring from animal to man at EXPANDED FOCUS: Profles in High-Performance EMS FRIDAY, OCTOBER 7 » 8–11 AM Dan Fellows, Rob Lawrence, MCMI, Jonathan Washko, MBA, NREMT-P, AEMD, Matt Zavadsky, MS-HSA, EMT What does it REALLY take to provide EMS that is clinically sophisticated, operationally effective and economically effcient? Public utility model systems are some of the most high-performing EMS models in the country and continually meet these three goals. As public offcials and healthcare system partners look to engage with EMS providers that are agile, data-rich and effective, these systems have historically demonstrated great value in several U.S. communities. Come learn how these systems are designed, what service levels they produce and at what cost. This 3-hour super session will address the following: Investing in Your Most Valuable Asset: The People of EMS Looking at your income statement you are continually reminded how much money you invest in human capital, but are you really investing or is it just a line item? Your team members are the ambas- sadors of your organization and your future! This session walks you through strategies to change the human capital dynamic from simply an expense to an investment. Managing Your Organization's Public Image Second only to your team members, your agency's second most valuable asset is community trust. It takes years to cultivate and can be gone in a fash. This session will provide you with tried and true strategies to build a valuable public image and learn how to protect it from calamity. Fleet 101: Fleet Management for High-Performance EMS Systems What does it take to manage the feet of one of the most demanding EMS systems in the country? EMS vehicles are vital to the operation of each and every call. How do you manage crew comfort with func- tionality? What does maintaining your feet using aircraft industry standards really mean? How do you test new processes in a way that limits your risk of having a critical mission failure using a mechanical device with miles of electrical cables and riding on a cushion of air? How do you gather, mine and act upon data generated by your vehicles? This session will give you the tools to ensure your vehicles perform at their peak on every shift. Sponsored by

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