EMS Today

Session : EMS1201
0101: Trauma Trends: What's Hot, What's Not
Conference : 2012 EMS Today
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Connie Mattera, RN, MS, TNS, EMT-P

Our understanding of how to best manage patients with signifi cant trauma has been revolutionized based on recent military experience and civilian research. It’s hard to wrap our minds around the changes in thought surrounding airway management, vascular access and IV fl uid administration, hemostasis, tourniquets, not putting patients in the Trendelenburg position, and the early need for oxygen carrying capacity. The jury is still debating whether we should warm ‘em up or cool ‘em down and the debunking of the “golden hour” may seem like heresy, but is true, nonetheless. Let’s follow the evi- dence to reduce our variations in practice and off er these patients the best possible chance for optimal outcomes.

Session : EMS1202
0102: Lessons Learned: Tour Bus MCI
Conference : 2012 EMS Today
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J. Robert (Rob) Brown, Jr., CFO, EFO Lloyd Runnett, EMT-I

In the early morning hours of May 30, 2011, Lloyd Runnett was dispatched with Virginia’s Division 1 Heavy Tactical Rescue Team to a fully loaded, overturned tour bus on I-95 in Caroline County, Va. This accident resulted in a major MCI that required a multi-jurisdictional re- sponse to mitigate. In this session, Runnett and Brown will share a few of the best practices they learned from the experience in MCI management.

Session : EMS1204
0104: Wide Complex Tachycardias
Conference : 2012 EMS Today
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Tim Phalen

Let’s face it, Ventricular Tachycardia and SVT with aberrant conduction can look very much alike. Making matters worse is the fact that the clinical presentation is often not helpful in diff erentiating the two. While it may not be a black and white decision, there are some ECG clues that would suggest either VT or SVT with aberrant conduction is present. Come to this session and review what those ECG clues might be.

Session : EMS1205
0105: EMS Changes, Challenges and Opportunities Under Healthcare Reform
Conference : 2012 EMS Today
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Jay Fitch, PhD

EMS service models are changing. Some agencies are building a wall around their squad while others are building a bridge to the future. Whether career or volunteer, you need to know how healthcare reform will impact your service, what opportunities exist and how you can be ready to take advantage of the changes.

Session : EMS1206
0106: My Simulator Just Arrived - Now What Do I Do?
Conference : 2012 EMS Today
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Les R. Becker, PhD, NREMT-P

Full-body medical patient simulation has established itself as an important educational and training modality in EMS. While the simulation literature is relatively rich in theoretical and applied works defi ning the art of simulation in the areas of medicine and nursing, few prescriptions and little guidance are available for the EMS educator. This brand-neutral presentation will provide the EMS educator with the tools to incorporate rich simulation experiences into their everyday training. The areas covered will include: • simulator types and implications for the educator • educational models and scenario design • developing goals and objectives • fi - delity in medical simulation • approaches to debriefi ng.

Session : EMS1207
0107: Are You Bagging the Life Out of Your Patients?
Conference : 2012 EMS Today
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Jon Politis, MPA, NREMT-P

We used to think the basic skill of ventilation was simple and uncomplicated ... or, just “bag ‘em.” Success- ful ventilation and oxygenation is deceptively compli- cated in how it can impact blood fl ow, blood chemistry, cerebral perfusion and ultimately patient outcomes. This presentation is a “back to basics” presentation on the “ABCs” of ventilation and oxygenation based upon current resuscitation science.

Session : EMS1208
0108: Medical Issues Encountered During Disasters
Conference : 2012 EMS Today
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Joe Holley, MD, FACEP

This session covers operational, clinical, and admin- istrative issues related to disaster medicine. The clinical topics are heavily emphasized, and supplemented with pictures from major disasters around the world.

Session : EMS1210
1001: That's Not a Missile - That's My Head
Conference : 2012 EMS Today
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Peter Lazzara, NREMT-P, BS

The leading cause of pediatric mortality is trauma; the leading cause of trauma death is head injury. This lecture looks at the anatomical and emotional develop- ment diff erences of the pediatric patient which puts them at risk. The “Missile” presentation will provide the prehospital provider with a better understanding of as- sessment of the traumatic brain-injured child as well as treatment and transport priorities in TBI management.

Session : EMS1211
1002: Cardiac Update 2012
Conference : 2012 EMS Today
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Corey Slovis, MD, FACP, FACEP

The new AHA/ACC ACLS and BCLS recommendations have changed. This session will focus on reviewing all the major changes in treating cardiac arrests with a focus on those most import to EMS. Updates on the use of atropine, adenosine, and therapeutic hypothermia will be Among the ALS changes discussed. Dr. Slovis will also discuss optimal early airway and BLS care including compression only CPR, supraglottic airways and no endotracheal intubation protocols, and will present fi ve step protocols for the fi ve common cardiac arrest rhythms.

Session : EMS1212
1003: Paramedics: The Airway Elite
Conference : 2012 EMS Today
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Eric Beck, DO, EMT-P, CCEMT-P

As a paramedic turned physician, Dr. Eric Beck feels strongly that paramedic intubation is an important skill that is vital in the prehospital setting. However, prehospital intubation requires that both paramedics and medical directors employ this skill responsibly (CQI, medical oversight, #s to ensure competency/profi ciency, good back up plan, good equipment, etc). Dr. Beck will introduce the Chicago Paramedic Airway Study (CPAS) as an example of CQI and prehospital airway research. This lecture uses his personal experience of being named in a wrongful death prehospital airway lawsuit and will cover the following on prehospital airway management: • airway anatomy and strategies for dealing with the anatomical challenges that contribute to prehospital airway diffi culty (missed tubes, poor visualization, tube confi rmation errors, and inadequate documentation) • current literature on intubation techniques to improve visualization by positioning and manipulation of anatomy will be presented • a review of the medical-legal issues in emergency airway manage- ment • suggestions on how to become your own airway expert and enthusiast • introduction of the US Coast Guard motto “semper paratus” (always prepared) as a guiding philosophy in prehospital airway management.