Agenda and Descriptions
|8 a.m.||MARCH Out of the Darkness||4|
|1 p.m.||Opiates and Narcotic Knockout Names Narcan||1|
|2 p.m.||Is That Croup or Just a Cough?||1|
|3 p.m.||Trick or Treat? (All of Those Precious Treats…)||1|
|4 p.m.||Nailing the Neurologic Exam||1|
M.A.R.C.H. Out of the Darkness: Web-A-Daver 101
Presenters: Scotty Bolleter and the team from Centre for Emergency Health Sciences
This unique program is a human anatomy and pathology offering from the Centre for Emergency Health Sciences in San Antonio, Texas. This four-hour session utilizes fresh and embalmed human specimens, and engaging faculty discussions, live from the lab. The entire program is designed to offer an up-close view of the human body while illuminating current treatments and challenges to our patient's most lethal problems. This effort gracefully blends human specimens and experienced professionals who comprehensively dissect and explain bleeding control, ventilation and airway management, vascular access, thoracic injury management and more. Participants will be able to locate, visualize and explore the freshly dissected anatomy of the neck, chest, abdomen and extremities to enhance efficacy and impact our interventions.
- Define structural anatomy that can assist or hinder the management of life-threatening problems identified in M.A.R.C.H.
- List the key management components for each letter in the acronym M.A.R.C.H.
- Illuminate select evidenced-based clinical challenges (and their current clinical solutions) in the emergent arena.
- Briefly discuss the relationship between an identified clinical challenge and a deployable procedure.
- Define end-user experiences as they relate to an actionable device or procedural changes.
- Briefly discuss the inextricable connection between military and civilian emergency medical services and why it matters.
Opiates and Narcotic Knockout Named Narcan
Presenter: Jamie Temple
Opiate abuse is the new media darling. If you haven’t yet responded to a narcotic overdose, your time is coming. Maybe someone (bystander, family, friend) has already given the patient Narcan and saved the day. This session will focus on the identification of a narcotic overdose, immediate treatment and a discussion as to how we give Narcan, who should give Narcan and what to do if someone received Narcan prior to your arrival.
- Examine the most common condition for an opiate prescription: PAIN.
- List alternatives to opiate pain management.
- Review the mechanism of action of narcotic-based medications.
- Discuss the medical presentation of a patient who has opiates on board.
- Describe immediate medical care priorities, as well as identify resources available for post-emergency care.
Is That Croup or Just A Cough?
Presenter: Kirk Mittelman
You respond to a six-year-old girl who has been ill for the past three days, and her parents are not sure why she is not responding to them. How you handle the parents and child is imperative to the outcome of this patient. In this session, we will discuss common and not so common childhood illnesses and diseases, how you can easily recognize them and what to do when you see them. From croup to whooping cough, Kirk will review and renew your handling of childhood illnesses that EMS faces regularly and irregularly.
- Discuss three common illnesses found by EMS on a pediatric call.
- Discuss common treatment modalities for common childhood illnesses.
- Differentiate between different childhood respiratory ailments.
- Explain three methods to determine illness in a pediatric patient.
Trick or Treat? All of those precious treats our patients hand out to us.
Presenter: Deb Von Seggern
Did you know more than 250,000 Americans die from sepsis every year? One in three patients that die in a hospital have sepsis! How many of you use anti-bacterial items? Do you think you are prepared for everything contagious and infectious? Infectious diseases kill more people worldwide than any other single cause! After this course, you will be able to describe drug-resistant infections, state how the transmission of influenza virus (flu) occurs, investigate the role of the EMS provider in disease reporting, compare an epidemic and pandemic and assess the differences between sepsis and septic shock.
- Describe drug-resistant infections.
- State how the transmission of the influenza virus (flu) occur.
- Investigate the role of the EMS provider in disease reporting.
- Compare an epidemic and pandemic.
- Assess the differences between sepsis and septic shock.
Nailing the Neurologic Exam: How EMS Clinicians Catch Neuro-Catastrophes
Presenter: Bob Mantoba
Within EMS, patient assessment practices for neurological emergencies frequently fall short of what is required to identify abnormalities adequately. Learn why many EMS providers are ill-equipped to assess and identify abnormal neurologic conditions. This session bridges the gap by identifying the components needed to expand a neurological assessment beyond essential stroke scales. More importantly, you will be provided an opportunity to perform an expanded neurological examination that may be integrated into clinical practice.
- Participants will be able to identify the elements associated with an expanded neurological assessment.
- Participants will be able to perform an expanded neurological assessment.
- Participants will be able to contrast the difference between sensitivity and specificity as they relate to neurological assessment.
|8 a.m.||Anaphylaxis: They Never Taught Me That!||1|
|9 a.m.||MARCHING'ing Towards Death: Myth Busting Trauma Care||1|
|10 a.m.||“I'm Old and Confused and I Don't Know Why.”||1|
|11 a.m.||That SMELL, the LOOK, now TREAT It!||1|
|1 p.m.||Case Studies in Prehospital Care 2020||1|
|2 p.m.||Documentation: Don't Give Them Any Arrows!||1|
|3 p.m.||Cultural Sensitivity (Cultural Differences In EMS)||1|
|4 p.m.||MCI Triage||1|
Anaphylaxis: They Never Taught Me That!
Presenter: Rommie Duckworth
What's the difference between anaphylactic and anaphylactoid, and should I care? Can a patient have a life-threatening reaction on a first exposure? What are the most important ALS medications for anaphylaxis after epinephrine? How bad is it to give epinephrine for a panic attack? What is Kounis syndrome? Why didn't they teach me this in class? During the past 10 years we have seen a dramatic increase in the number of cases of anaphylaxis across the United States. In response, the American College of Emergency Physicians and the World Allergy Organization have issued important updates on initial emergency treatment for patients suffering from anaphylaxis. While epinephrine remains the front-line drug for all levels of care, recent studies show that in-hospital and prehospital providers aren't giving it as often or as early as they should. This interactive case-study and pub-quiz style presentation answers these questions, and many more, with a focus on the rapid differential of anaphylaxis and effective initial and secondary treatments to manage these immediately life-threatening emergencies.
- Describe normal ventilation and gas exchange in the lungs and the tissues.
- Identify the problems that a variety of traumatic injuries and medical conditions present to normal gas exchange physiology.
- Prioritize prehospital airway, breathing and circulation tools and techniques to improve effective gas exchange based on patient condition, environment and their immediate and near-future needs.
MARCH’ing Towards Death: Myth Busting and Innovations in Trauma Care
Presenter: Rommie Duckworth
Much of what we've been taught in trauma care, from the "ABC's" to "raising patients legs" to "giving oxygen can't hurt," we now know to be wrong. As providers, we're left with the questions "Why?", "When did this happen?" and "What should we do now?" Answering these questions and more, this presentation busts major trauma myths, looks forward to coming trauma innovations and explains the all-important "Trauma Triad of Death."
- How to rapidly identify and assess a critically injured trauma patient.
- How to prioritize and provide care for the five primary causes of death in victims of trauma.
- The actions and interrelations of hypothermia, hypocoagulation (including DIC) and acidosis and the three components of the Trauma Triad of Death.
- How to integrate new and evolving treatment solutions involving bleeding control, fluid replacement and patient stabilization reduces sequelae from injury and improves overall patient outcomes.
“I’m Old and Confused, and I Don’t Know Why.”
Presenter: Andrea Zickmond
"Medic 3, you have an 80-year-old patient who is confused." Altered mental status of the elderly is a frequent call and it can contribute to our tunnel vision. This presentation will cover the numerous reasons the elderly population can be confused and offers EMS providers a new outlook on the geriatric AMS call. It may not be just because they are old!
- The student with list different causes of AMS in the elderly.
- The student will identify the signs and symptoms of each cause.
- The student will list the different treatments of each cause.
- The student will be able to summarize the reasons for elderly AMS to reduce tunnel vision to make each elderly call a learning experience.
That SMELL, the LOOK, now TREAT it!
Presenter: Andrea Zickmond
Burn calls can be among the worst for an EMS provider. This presentation will review the burning process, the possible causes and the specific treatments of burns, including special populations. It will also discuss the difficult fears all FF/EMS professionals have of getting burned, the uphill battle of recovery and the inevitable question after recovery: "Now what?"
- The student will understand the definition of burns, degree of burns and anatomy of burns.
- The student will list the different causes of burns.
- The student will identify the treatment of the different types of burns, including special populations.
- The student will understand the importance of burn prevention by listing the statistics of FF/EMS burn victims, how to prevent them and the difficult recovery from burns.
Case Studies in Prehospital Care 2020
Presenter: Mike Grill
Trauma, pulmonary emboli and AAA are just a few of the case studies offered in this interactive class. The student will be challenged to use their knowledge, skills and experience in this workshop with cases from actual calls I have experienced in my EMS career. This class is for the serious EMS provider who wants to test their patient assessment and treatment skills. If you want a class to sit down, relax and dream about tomorrow, then this class is not for you!
- Describe patient assessment priorities for an unwitnessed fall victim.
- Identify appropriate situations when spinal motion restriction protocols should be applied.
- Compare and contrast a patient presenting with an abdominal aortic aneurysm versus a patient presenting with an aortic dissection.
- Identify three priorities for any emergency call before arrival.
- Describe the challenges for patient care with a geriatric patient with co-morbidities exposed to a toxic substance inhalation.
- Per your protocol, what is the appropriate treatment for patients suffering burn injuries involving the airway?
Documentation: Don’t Give Them Any Arrows
Presenter: Jamie Temple
Name one skill you use on every response … it’s okay, I'll wait. That is, write. Your ability to author a quality PCR is critically important. You may be the MVP provider in your area, but if you write a poor chart, lawyers and others will make sure you look like a rookie. Remember, perception is reality. This session will focus on best practices and tips to help you pen a robust PCR by reviewing charting blunders and offering suggestions for improvement. Remember: don't give the archers any arrows!
- Discuss the importance of thorough and concise documentation.
- Identify information that should be included in the patient care record.
- Describe common pitfalls in patient care documentation by using real documentation errors.
- List employable strategies for writing a better patient care report.
Cultural Sensitivity (Cultural Differences in EMS)
Presenter: Fred Benzel
Communities are diverse, requiring EMS and healthcare personnel to look at ethnic and religious practices affecting healthcare. This class takes a look at local ethnicities and how backgrounds may impact the work of emergency and healthcare professionals. This can be adapted to meet the demographics specific to the conference attendees.
- Explain culture and its importance in serving EMS patients
- Discuss the possible stressors of culture and providing EMS care
- Describe the cultures in their community
- Explain techniques and interventions to deal with cultural differences
Presenter: Fred Benzel
No emergency response agency is immune from the potential of a mass casualty incident. When the low-frequency event does occur, EMS responders will be tasked with deploying a strategy to differentiate the critical patients from those who can have delayed transport. Students will review triage and how it is performed and compare the START method versus SALT. The roles and responsibilities of the EMS branch will be explained. Finally, students will learn about the mental and emotional aspects of what triage means and its impact on our personnel.
- Describe how triage works in an MCI.
- Discuss how to set up an ICS system in an MCI.
- Describe what positions are needed for a coordinated and effective EMS branch.
- Describe and discuss the importance of peer emotional support during and following an MCI.