7:00am to 8:00am
EMS West Update
EMS West Staff

CONED: 1.0 Other KEYWORD: OPERATIONS

Alex, we will take potpourri for $200. In an hour, EMS West staff will provide information on the Department of Health Bureau of EMS EMS Registry system and how their changes have affected providers, education sponsors and agencies. We will also discuss the latest news from our offices, including potential protocol changes.


8:15am to 9:15am
Complex Trauma Cases
Dr. Al Philp, Allegheny General Hospital

CONED: 1.0 Clinical Patient Care KEYWORD: TRAUMA

A case presentation based look at complex trauma patients requiring higher levels of resuscitation, transfusion, procedures, and ICU care for multisystem general, ortho, and neurosurgical injuries.

Generic Chest Pain: What Lies Beyond Acute Coronary Syndrome?
William Miller, US Acute Care Solutions

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

It is estimated that there are over one million heart attacks per year, and cardiovascular disease is a leading cause of death in this country. However, there are far more "non-cardiac" chest pain calls than there are for legitimate acute myocardial infarctions (AMI). We provide a review of both the common and atypical signs and symptoms associated with AMI patients, and take a look at the most common causes of "chest pain" that are not cardiac in origin.

Pediatric Environmental Injuries
Dr. Jennifer Dunnick , Children's Hospital of Pittsburgh of UPMC

CONED: 1.0 Clinical Patient Care KEYWORD: PEDS/OB

Prehospital management of children with environmental injuries, including heat stroke and hypothermia.

From Huffing and Puffing to Calling 911: Respiratory Emergencies
Dr. Rickquel Tripp, University of Pittsburgh

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Exploring the pathophysiology of different respiratory emergencies and the most effective treatment options for certain disorders. Recognizing the need for BIPAP or advanced airway early and making sure you are prepared!

When You Are Feeling the Pressure, And Still Gotta Bring It
Dr. Dylan Morris, UPMC Prehospital Care

CONED: 1.0 Other KEYWORD: OPERATIONS

EMS providers are commonly placed into high stress, high pressure situations that can impact performance. Dr. Morris will discuss easy steps you can take, in the moment, to reduce stress and improve your performance.


9:30am to 10:30am
Dog Bites Not To Be Taken Lightly--Management Dilemmas, Dogmas and Evidence
Dr. Saptarshi Biswas, Forbes Hospital

CONED: 1.0 Clinical Patient Care KEYWORD: TRAUMA

Canine bites present a major public health concern worldwide. Although the majority of dog bites do not result in significant injury, disfigurement, or permanent disability approximately 20% of dog bites become infected. The "hole and tear" effect--whereby canine teeth anchor the person while other teeth bite, shear, and tear the tissues--results in stretch lacerations, easily piercing immature cranial bones.  Animal bites, most of which are from dogs, are the reason for 1% of visits to an emergency department in the United States. 

Professor Gadget: Tools and Tricks Used for Trauma and Emergency Surgery Patients
Dr. Al Philp , Allegheny General Hospital

CONED: 1.0 Clinical Patient Care KEYWORD: TRAUMA

Technology is evolving in medicine as fast as it is everywhere else, and brings with it new gadgets and procedures every year to help with high acuity patient management in trauma and emergency surgery.

Resetting the Clock on Heart Failure
Dr. Gavin Hickey, UPMC Presbyterian

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Cardiogenic shock and heart failure are common problems encountered by EMS. This session will review the pathophysiology and grading of heart failure and treatment strategies. Hear about the advancements in heart failure treatment and management and how we are resetting the clock on heart failure.

I've Got The Sugars: Essentials About Diabetic Emergencies
Dr. Rickquel Tripp, University of Pittsburgh

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Exploring the pathophysiology and symptomatology of diabetes and its associated emergencies with DKA, HHS, and hypoglycemia. Learn how to manage these emergencies effectively and recognize them early!

The AEMT Anomaly: The Successful Integration of AEMTS in the Field
Tiffany Rohde-Wyant , Somerset Community Hospital

CONED: 1.0 Other KEYWORD: OPERATIONS

The AEMT certification and its utilization has been a widely controversial topic of discussion within Pennsylvania. Dispatching challenges, limitations of scope of practice, and medical direction restrictions have challenged these providers within our profession. We highlight successful organizations and areas where AEMTs have been critical assets in patient care and discuss operational standards and policies to consider for successful AEMT integration into your agencies and communities.


10:45am to 11:45am
Controlling Pain with Opiates in a World Suffering from an Opiate Epidemic
Dr. Paul Paris, EMS West

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Dr. Paris will explore the topics surrounding the use of opiate pain medication in a world that is suffering from an opiate epidemic.

Burn Disaster Management
Dr. Ariel Aballay, West Penn Hospital

CONED: 1.0 Clinical Patient Care KEYWORD: TRAUMA

An overview of patient's triage based on burn survivability is discussed. First Responders' approach and initial management of most common disaster related injuries. Effects and treatment of most common chemical agents and other biohazards.

You Are What You Eat: Sugar 101
Hannah Martorelli, Integrated Health 21

CONED: 1.0 Other KEYWORD: MEDICAL

What is the difference between a simple carbohydrate and a complex carbohydrate? How can I tell the difference between added sugar and natural sugar? Why does my body crave sugar? What are some healthy alternatives to reduce the sugar content of my favorite foods? This lecture will answer all of those questions and many more!

Pediatric Cardiac Arrest
Dr. Natan Cramer, Children's Hospital of Pittsburgh of UPMC

CONED: 1.0 Clinical Patient Care KEYWORD: PEDS/OB

We review the epidemiology of pediatric cardiac arrest and review prehospital management. It will also describe current research studies that aim to improve survival from out-of-hospital pediatric cardiac arrest.

The One Pill That Can Kill
Dr. Anthony Pizon, UPMC

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

In an hour, this presentation will summarize common pediatric ingestions that can result in severe toxicity. There are many drugs to which children have access that can quickly result in severe harm or death. This presentation will highlight these drugs, expected signs and symptoms, and ultimately prehospital treatment for these ingestions.


12:15pm to 1:15pm
You Have To Care For Yourself Before You Can Care For Others
Dr. Dan Patterson, University of Pittsburgh

CONED: 1.0 Other KEYWORD: OPERATIONS

How to tell if your health is being affected by your career in EMS and ways to improve your health and wellbeing as an EMS provider.

Still Even More Risky Behavior
Josh Stuart, Medical Rescue Team South EMS

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Explanation of even more risky behavior, including challenges involving Tide Pods, fire, and shock pads, scarification, branding, swatting, body piercing & modification, nipple removal among other newest internet fads. Treatment of related injuries and prevention are discussed.


1:25pm to 2:25pm
Shock Delivered
Cheryl Rickens, UPMC Prehospital Care

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

It is important for EMS to gather information about what happened to their patient before they arrived, especially in out-of-hospital cardiac arrest. Was it witnessed? Was an AED applied? Was a shock delivered? How long has the patient been down? We will discuss way to systematize cardiac arrest data collection and ways that EMS can play a role in increasing survivability from out-of-hospital cardiac arrest.

Fatigue Risk Management
Dr. Dan Patterson, University of Pittsburgh

CONED: 1.0 Clinical Patient Care KEYWORD: OPERATIONS

EMS provider fatigue can impact patient outcomes. It is important for providers recognize fatigue and how to overcome it. Dr. Patterson highlights evidence-based recommendations for fatigue risk management in EMS.

The Neuro Exam: Who What When Where How and Why?
William Miller, US Acute Care Solutions

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

There's more to a neuro exam than asking the patient who they are, where they are, what happened to them, and who the President is. This presentation will review the various portions of the neuro exam, covering some of the finer points of assessing for neuro system injuries and illness, and explain the autonomic nervous system, cranial nerve assessment, dermatomes, and a host of other findings in a way so simple that even your grandmother could understand.

Things Are Not Always AS They Seem
Dr. Owen Traynor, Center for Emergency Medicine

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

A review of cases that were "not always as they seem" on initial presentation. Come join Dr. Traynor for these exercises in clinical decision making.

Geriatric Trauma: Baby Boomers Don't Bounce (Part Deux)
Mike Taramelli, Forbes Hospital

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

The rapidly aging population is having a significant impact on the healthcare industry. In addition, this population is more active in their communities and are experiencing more traumatic injuries than in the past. While identifying the needs for a trauma patient with significant mechanism of injury, is easy, the geriatric population can suffer more severe injuries with lower mechanisms of injury. Their comorbidities and medications make triage and destination determination difficult. This lecture is designed to offer EMS with insight into the triage of geriatric trauma patients along with decision making for community hospital versus trauma center. It will incorporate case studies along with lecture material. This will be an expanse on the geriatric trauma lecture provide at the EMS Update 2016, with new insight into triage decision making and new case studies to further aide in triage decision making.


2:35pm to 3:35pm
The Fine Line Between Chronic and Acute Illness: A Whole Body System Approach to Prehospital Care
Evan Vogel, CONNECT Community Paramedic Program

CONED: 1.0 Clinical Patient Care KEYWORD: OPERATIONS

In the prehospital setting patients present with both chronic and acute issues. This distinction implies that these patient populations receive different treatment and considerations for transport to an emergency department. Rigid patient categorization can prevent the highest delivery of the patient care especially when a patient does not fit entirely in one category. By taking a whole body system approach to patient care we can better identify the subtleties between these broad patient definitions and provide the highest appropriate care for each patient.

An EMS Guide to LVADs
Ryan Senica, STAT MedEvac

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

There are over 100 patients in Western Pennsylvania with an implanted ventricular assist device. As the popularity of these devices increases, EMS providers are becoming increasingly exposed to them in their communities. We discuss the basics of VADs, indications for implantation, patient assessment, and treatment/transport considerations.

It Hit The Fan...Now What?
Scott Dolan, UPMC Prehospital Care
Larry Pollock, UPMC Prehospital Care

CONED: 1.0 Other KEYWORD: OPERATIONS

This presentation will illustrate non-traditional EMS operations during challenging events, including large gatherings, sporting standbys, fire scenes, and event coverage. This talk will include case studies and remediation strategies of actual events.

Pediatric Shock: Recognition, Categorization and First Steps
Dr. Kathleen Noorbakhsh, Children's Hospital of Pittsburgh of UPMC

CONED: 1.0 Clinical Patient Care KEYWORD: PEDS/OB

This presentation aims to identify the keys steps in the management of pediatric shock by EMS and review the stages of shock, compensated vs. decompensated shock, and normal and abnormal pediatric vital signs.

Legalized Marijuana: How Does This Affect EMS?
Dr. Anthony Pizon, UPMC

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

In an hour, this presentation will summarize the legalization of medical marijuana in Pennsylvania. This lecture will focus on interpretation of Pennsylvania law and how legalization of marijuana will impact EMS providers. The lecture will also discuss the medical benefits and hazards of marijuana use.


3:45pm to 5:15pm
A Tropper's Victory Over Critical Injury
Sergeant (Ret.) Robert Bemis

CONED: 1.0 Clinical Patient Care KEYWORD: OPERATIONS

On March 27, 2015, Sergeant Robert Bemis, then a 22-year veteran of the Pennsylvania State Police, stopped to render assistance to a motorist whose vehicle was on fire. A passing vehicle approaching the scene lost control and struck the rear of the police vehicle, which was driven forward striking him. Sergeant Bemis received life-threatening and permanent injury.
His story provides an account of the circumstances leading up to a life changing accident; the emergency response; the long recovery and living with a spinal injury; the initial agency, peer and community support; and finally the highs and lows of returning to his role as a Trooper.
This story is intended to increase understanding and raise awareness to the unique difficulties faced by service members who survive catastrophic injuries received in the Line of Duty.
To learn more, visit www.forgedinscars.com