Lunch me Con‐Ed 12:00 to 1:00pm Lunch is included in your day registra on and begins at 11:45am today. Food is NOT available in the educa on sessions. Please, do not bring food to the sessions. Sea ng is limited in each session. 10:45 ● 11:45am Workplace Violence Ben Vernon CEU: 1.0 Clinical Pa ent Care KEYWORD: OPERATIONS/RESCUE Firefighter/paramedic Ben Vernon’s life changed when he was stabbed while responding to a “rou ne medical assistance” call in San Diego, CA. Ben will share his story, including body-cam video, so that you can learn from the event, par cularly the mistakes made in his follow-up care. 10:45 ● 11:45am Hooked by Accident: Synthe c Opioids and Implica ons for First Responders Dr. Michael Lynch CEU: 1.0 Clinical Pa ent Care KEYWORD: OPERATIONS/RESCUE We explore the most up to date data iden fying emerging opioids with ever increasing potency and their effect on prehospital management. First respond- er and prehospital personnel safety and force protec on while handling and managing exposures is addressed. Street drug adulterants will be presented so you can be prepared for unusual presenta ons and alterna ve toxicity. 10:45 ● 11:45am PA Stroke Systems of Care Act 2017: Cri cal Acute Stroke De‐ cisions by EMS: Diagnosis, Severity Assessment and Triage Dr. Ashis Tayal CEU: 1.0 Clinical Pa ent Care KEYWORD: MEDICAL The PA Stroke Systems of Care Act of 2017 provides recogni on of hospitals capable of endovascular therapy, comprehensive stroke centers, primary stroke centers and acute stroke ready hospitals. Par cipants will learn about the different types of stroke centers, capabili es, accurate diagnosis of acute stroke and severity assessment using the RACE scale. In addi on we will provide mul- ple pa ent scenarios to focus the discussion on EMS decision making with medical command physicians regarding where a pa ent should be transported, to best meet the needs of the pa ent, based upon condi ons on the ground. 10:45 ● 11:45am Pediatric Shock Dr. Jane Soung & Dr. Devora Azhdam CEU: 1.0 Clinical Pa ent Care KEYWORD: OB/PEDIATRICS Worldwide, shock is a leading cause of morbidity and mortality in the pediatric popula on. The clinical state of shock is diagnosed on the basis of vital signs, physical examina on, and laboratory data, although its recogni on in the pedi- atric pa ent can be difficult. The defining clinical findings of shock are de- scribed, and current diagnos c and therapeu c strategies are presented to help guide the most effec ve and appropriate treatment for resuscita ng the child in shock. 10:45 ● 11:45am Ten More Crashing Pa ents Dr. Richard Kaplan CEU: 1.0 Clinical Pa ent Care KEYWORD: MEDICAL U lizing case reviews, we examine ten more crashing pa ents, including those with anaphylaxis, CHF exacerba on, and status asthma cus. We spend addi- onal me on pa ents suffering an acute MI with cardiogenic shock, an LVAD, intracranial hemorrhage, aor c dissec on and more. 11:45am ● 1:30pm 12:00 ● 1:00pm Gnarly Injuries and Broken Bones Dr. Chris an Mar n‐Gill CEU: 1.0 Clinical Pa ent Care KEYWORD: TRAUMA This session will review cases of pa ents who experienced severe or unusual injuries. We will discuss the prehospital approach to these situa ons and key points to focus on in the field to stabilize the injured area. We will also review x-rays and other imaging to see what injuries were sustained, as well as follow up on how complex injuries were treated or repaired in the hospital. 12:00 ● 1:00pm You Just Took One in the Jugular, Man! Dr. Charles Feron CEU: 1.0 Clinical Pa ent Care KEYWORD: MEDICAL Realizing the imminent danger to both pa ent and provider, this case based approach to excited/agitated delirium pa ents is offered to demonstrate how to safely “take down” these pa ents. With the addi on of ketamine to the state protocols, we will discuss its use, as well as other pharmacologic agents. 1:30 ● 2:30pm When Narcan is Not Enough: Innova ve and Controversial New EMS Responses to the Opioid Epidemic Dr. Michael Lynch & Dr. Daniel Swayze CEU: 1.0 Clinical Pa ent Care KEYWORD: MEDICAL As the opioid epidemic con nues to claim more lives every year, EMS systems across the country are re-thinking their roles in responding to the crisis. Pi s- burgh Poison Control Medical Director Dr. Lynch will introduce the pathophysi- ologic and psychological nature of addic on, and explain why our limited efforts to resuscitate overdose vic ms are failing our pa ents and our provid- ers. Dr. Swayze, widely recognized as a na onal expert on Mobile Integrated Healthcare and Community Paramedicine will describe new, and controversial, EMS system design changes happening across the country that are tackling the massive and growing public health threat.