7:30am to 8:45am
Trauma Care: Today and the Future
Dr. Louis Alarcon

CEU: 0.5 Clinical Patient Care and 0.5 Other. KEYWORD: TRAUMA

Best practices in trauma care today and exploring what the future holds. Join in and review the best practices for trauma care today, and how we are using these techniques to lead us into the future.

All Jacked Up 2
Dr. Rickquel Tripp

CEU: 1.0 Clinical Patient Care KEYWORD: MEDICAL

We will explore the world of energy drinks and herbal supplements by examining the government oversight, what ingredients are actually inside and the potential health effects, and how they relate to EMS and fatigue.

9:00am to 10:00am
Lessons Learned in Las Vegas
Dr. Michael Holtz

CEU: 1.0 Clinical Patient Care KEYWORD: TRAUMA

At EMS Update 2017, Dr. Holtz was an emergency room physician at UPMC and spoke about event medicine and the management of common medical issues seen at large events, specifically in Las Vegas.
Join him this year in our Friday Keynote Presentation as he reviews his notes from March 2017 and relates lessons learned while working at University Medical Center, the only level-one trauma center in Nevada, on the night of October 1. Within a few hours, 104 patients had arrived at the center, victims of a shooting scene at a music festival on the Las Vegas Strip.

10:45am to 11:45am
Workplace Violence
Ben Vernon

CEU: 1.0 Clinical Care/Core KEYWORD: OPERATIONS/RESCUE

Firefighter/paramedic Ben Vernon life changed when he was stabbed while responding to a “routine medical assistance” call in San Diego CA. Ben will share his story so that you can learn from the event, particularly the mistakes made in his follow-up emotional care.

Pediatric Shock
Dr. Jane Soung and Dr. Devora Azhdam

CEU: 1.0 Clinical Care/Core KEYWORD: OB/PEDIATRICS

Realizing the variety of causes of abdominal pain and their varied levels of severity, this case-based course helps the EMS provider quickly hone in important history and physical exam findings to point them in the direction of a working diagnosis. Correct treatment and transport to an appropriate facility can be the difference between life and death, and save your medical director a belly ache in the process!

Hooked by Accident, Synthetic Opioids and Implications for First Responders
Dr. Michael Lynch

CEU: 1.0 Clinical Care/Core KEYWORD: OPERATIONS/RESCUE

We explore the most up to date data identifying emerging opioids with ever increasing potency and their effect on prehospital management. First responder and prehospital personnel safety and force protection while handling and managing exposures is addressed. Street drug adulterants will be presented so you can be prepared for unusual presentations and alternative toxicity.

Pennsylvania Stroke Systems of Care Act 2017: Critical acute stroke decisions by EMS: diagnosis, severity assessment and triage
Dr. Ashis Tayal

CEU: 1.0 Clinical Care/Core KEYWORD: MEDICAL

The PA Stroke Systems of Care Act of 2017 provides recognition of hospitals capable of endovascular therapy, comprehensive stroke centers, primary stroke centers and acute stroke ready hospitals. Participants will learn about the different types of stroke centers, capabilities, accurate diagnosis of acute stroke and severity assessment using the RACE scale. In addition we will provide multiple patient scenarios to focus the discussion on EMS decision making with medical command physicians regarding where a patient should be transported, to best meet the needs of the patient, based upon conditions on the ground.

Ten More Crashing Patients
Dr. Richard Kaplan

CEU: 1.0 Clinical Care/Core KEYWORD: MEDICAL

Utilizing case reviews, we examine ten more crashing patients, including those with anaphylaxis, CHF exacerbation, and status asthmaticus. We spend additional time on patients with an acute MI with cardiogenic shock, an LVAD, intracranial hemorrhage, aortic dissection and more.

12:00pm to 1:00pm
Gnarly Injuries and Broken Bones
Dr. Christian Martin-Gill

CEU: 1.0 Clinical Patient Care KEYWORD: TRAUMA

This session will review cases of patients who experienced severe or unusual injuries. We will discuss the prehospital approach to these situations 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.

You Just Took One in the Jugular, Man!
Dr. Charles Feronti

CEU: 1.0 Clinical Care/Core KEYWORD: MEDICAL

Realizing the imminent danger to both patient and provider, this case based approach to excited/agitated delirium patients is offered to demonstrate how to safely “take down” these patients. With the addition of ketamine to the state protocols, we will discuss its use, as well as other pharmacologic agents.

1:30pm to 2:30pm
When Narcan is Not Enough: Innovative and Controversial New EMS Responses to the Opioid Epidemic
Dr. Michael Lynch and Dr. Daniel Swayze

CEU: 1.0 Clinical Care/Core KEYWORD: MEDICAL

As the opioid epidemic continues to claim more lives every year, EMS systems across the country are re-thinking their roles in responding to the crisis. During this cutting-edge session, Pittsburgh Poison Control Medical Director Dr. Lynch will introduce the pathophysiologic and psychological nature of addiction, and explain why our limited efforts to resuscitate overdose victims are failing our patients and our providers. Dr. Swayze, widely recognized as a national 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.

It is Baby Time: Tackling OB and Gynecological Emergencies
Dr. Rickquel Tripp

CEU: 1.0 Clinical Care/Core KEYWORD: OB/PEDIATRICS

We will focus on the physiology of pregnancy, normal labor and delivery vs out-of-hospital delivery, special maneuvers, life-threatening emergencies for newborn and mother, and special considerations with trauma and cardiac arrests.

Latest in Burn Care including tPA for Frostbite
Dr. Alain Corcos

CEU: 1.0 Clinical Care/Core KEYWORD: MEDICAL

This session will explore the unique method of treating frostbite by using tPA including several case studies. tPA, I thought that was for strokes? Listen in on how we're revolutionizing the treatment of frostbite and burns.

Regionalization of Cardiac Arrest Care: Is It Time to Follow the Trauma Center Model?
Dr. Frank Guyette

CEU: 1.0 Clinical Care/Core KEYWORD: MEDICAL

Explore with Dr. Guyette the concept of cardiac resuscitation centers similar to the trauma center model. These centers would be high volume centers with significant specialty resources to care for the most complex medical resuscitation cases.

I Don't Want Any Trouble - Street Survival in EMS; Act 1
Shane Spielvogle & Poodie Carson

CEU: 1.0 Clinical Care/Core KEYWORD: OPERATIONS/RESCUE

This is a TWO PART COURSE; Each session provides 1 Clinical Patient Care CEU. You are not required to attend bot h sessions but it is recommended. Street Survival in EMS- Act 1 is a focused presentation and discussion centered around developing your situational awareness.  As emergency responders, we are excellent at recognizing unsafe conditions and identifying patient problems, but how well do we recognize threats to ourselves? This 1st part of the 2 part series will include topics such as recent examples of violence against emergency responders, recognizing threats, crew cohesion, the weapons for ems debate, implementing safety programs at your agency, and partnering with law enforcement or other agencies. 

3:00pm to 4:00pm
I Don't Want Any Trouble - Street Survival in EMS; Act 2
Shane Spielvogle & Poodie Carson

CEU: 1.0 Clinical Patient Care KEYWORD: OPERATIONS/RESCUE

Street Survival in EMS-Act 2 is the 2nd part of our EMS Street Survival series.  This hands on session with Israeli Krav Maga Association Instructor Poodie Carson will challenge your ability to keep yourself and your partner safe during realistic scenarios and role playing. Students will learn tactics to break contact and survive when planning fails and you must act in your own defense. Students should expect an active session that includes hands on training and demonstrations. 

Providing Analgesia in the Era of the Opioid Epidemic
Dr. Paul Paris

CEU: 1.0 Clinical Patient Care KEYWORD: MEDICAL

This lecture will explore the risks and benefits of morphine and fentanyl use in a variety of pain states. Other methods of analgesia will also be explored.

EMS Leadership: Lessons Learned from the Godfather Movie
Ed Marasco

CEU: 1.0 Other KEYWORD: OPERATIONS/RESCUE

Frances Ford Coppola’s epic Godfather saga tells the story of an immigrant, and his family, who rises to power and prominence in the United States. This rise is complicated by the struggle to transform the “family” into a legitimate business. EMS has many family attributes. As our profession matures from family to business, leaders are faced with learning to lead a new generation of EMS professionals. This new environment has many of the same challenges faced by the Corleone family. The informative program explores the leadership pearls embedded within the Godfather movies and how it can be applied to today’s evolving EMS leaders.

And They Have An LVAD
Douglas Eckley

CEU: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Advances in the management of heart failure have led to an increasing number of patients living outside the hospital with a variety of ventricular-assist devices (VADs). These implantable pumps may be placed temporarily as a bridge to cardiac transplantation or resolution of a reversible condition, or as destination therapy for the rest of the patient’s life. Emergency medical service (EMS) providers may be called to care for such patients experiencing an emergency related to the device itself, the underlying cardiac condition, or a totally unrelated medical or traumatic issue. From this course, providers will gain basic knowledge of how these devices work, overview of the complications VAD patients may experience, troubleshooting the devices if they alarm or malfunction, what emergency interventions can and cannot be performed, and where to turn for guidance, if needed.

Airway Management A-Z - What Matters Most
Dr. Frank Guyette

CEU: 1.0 Clinical Patient Care KEYWORD: MEDICAL

From the most basic airway maneuvers to the most complex, Dr. Guyette will demonstrate best practices through the use of challenging cases and real patient video airway procedures.

4:30pm to 5:30pm
Lights and Sirens in EMS: Above All Do No Harm
Dr. Douglas Kupas

CEU: 1.0 Other KEYWORD: OPERATIONS/RESCUE

Session will introduce best practices related to L&S use during response & transport as provided by NHTSA (EMS.gov) Including tips for use, effectiveness, risks, indications & public perception. *this class will satisfy 1.0 EMSVO credit*.

Unusual Cases That Will Make You and Your Medical Director Lose Sleep
Dr. William Jenkins

CEU: 1.0 Clinical Patient Care KEYWORD: MEDICAL

We focus on history and physical clues to identifying dangerous conditions that present atypically.

Get In My Belly!
Dr. Charles J. Feronti

CEU: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Realizing the variety of causes of abdominal pain and their varied levels of severity, this case-based course helps the EMS provider quickly hone in important history and physical exam findings to point them in the direction of a working diagnosis. Correct treatment and transport to an appropriate facility can be the difference between life and death, and save your medical director a belly ache in the process!

Hearse to Freightliner, The Evolution of EMS
Dr. Paul Paris and Dr. Lenny Weiss

CEU: 1.0 Other KEYWORD: MEDICAL

From a hearse to a freightliner, take a look at how EMS evolved from Johnny and Roy to a complex integrated healthcare system.

Anatomy of a Collapse - Washington PA Structural Collapse Review
Brian Kokkila

CEU: 1.0 Clinical Patient Care KEYWORD: OPERATIONS/RESCUE

On July 12th, 2017 Pennsylvania Strike Team 1 – US&R responded to a structural collapse in the City of Washington, PA. Working with local responders, and private contractors an extended (9+ hour) operation involving intensive and dynamic technical rescue efforts to extract a partially entombed victim. The presentation will review all the aspects of the rescue operation and give attendees an in-depth picture of a complex and challenging operation in an unstable and dynamic structural collapse environment.

My Upside Down Experience: Turn Down the Heat
Will Byers

CEU: 0.0 Clinical Patient Care KEYWORD: MEDICAL?/TRAUMA?/PEDS?

During a one year time span in the early 1980s, I underwent multiple medical tests while seemingly always needing rescued by my mother, brother, friends and the police chief of the small town I grew up in.