Saturday March 25 7:45am to 8:45am
Just a Flesh Wound: Care of Orthopedic Injuries
Dr. Ivan Tarkin | UPMC Presbyterian
CONED: 1.0 CPC
Orthopedic injuries present many treatment pathways for EMS providers to consider: position of immobilization, use of traction splinting, need for pain control. In his lecture, using a case based approach to review the best management strategies This session is appropriate for all EMS levels.
With pediatric patients only making up about 10% of our annual call volume in EMS, there may be sometime from education to implementation. This lecture will act as a refresher on pediatric assessment for trauma This session is appropriate for all EMS levels.
We will talk about how to differentiate between the various types of complications experienced by children with special healthcare needs. Also, talk about how to address children with mental health needs. This session is appropriate for all EMS levels.
This lecture will discuss the epidemiology of sudden cardiac arrest in children, also how to properly manage cardiac dysrhythmias in the prehospital setting. This session is appropriate for all EMS levels.
It can be extremely difficult to differentiate between patients under the influence and those experiencing a medical and/or trauma emergency. We will discuss ways to help the EMS provider prepare differential diagnosis for these types of patients. This session is appropriate for all EMS levels.
The development of trauma centers and guidelines for care have increased survival after injury. On the other hand, how we provide care for general surgical emergencies is not standardized. Common examples include ruptured aortic aneurysms, abdominal sepsis from perforated intestine and necrotizing soft tissue infection. With our aging population, these emergencies are increasingly common. What lessons that we have learned in trauma can be applied to these vulnerable patients? Can we do better? This session is appropriate for all EMS levels.
It cannot be overstated: We are living in a time of unprecedented change. To confront the rapidly evolving world around us, you need to have a system in place to adapt. Recent studies have shown that only one in six people feel connected to their organization and the people they work for and/or with. The most telling data shows that only one in four report that leaders are responsive to their needs, communicate regularly, and feel that team members are treated equally. How do we address such an important issue that directly impacts our organizations success? In this presentation, we will look at two key actions: instilling a modernized approach to leadership and cultivating a thriving culture. These key actions will teach you how to lead with empathy, transparency, and trustworthiness, including how to nurture culture norms that prioritize purpose, authenticity, and psychological safety. Most leaders would agree that the past two years can be defined as an equal mix of unpredictability and tough decisions. This presentation provides you with modern tactics that result in lasting positive outcomes for people and organizations alike. This session is appropriate for all EMS levels.
Fixed object strikes are among the most common types of emergency vehicle incidents; according to VFIS insurance claims data. Many of the same behaviors that lead to seemingly-minor scratches, dings or dents can also lead to major damage, significant injury or even death. This seminar will discuss the problem and propose solutions to prevent fixed object strikes to EMS vehicles. This session is appropriate for all EMS levels.
Trauma remains a leading cause of death in the United States and is the single leading cause of death among young adults. Traumatic cardiac arrest (TCA) has historically carried a poor prognosis, with initial studies indicating a survival rate less than 2%. New advances in trauma care, however, have led to both improved survival to hospital discharge and neurologically intact survival. With TCA on the rise - increasing 22.8% between 2000 to 2010 - prehospital providers are playing an increasingly significant role in the chain of survival. This lecture explores the history, current status, and the promising future of the resuscitation of the most critically injured patients we encounter. This session is appropriate for all EMS levels.
Pediatric patients are complex. Even minor trauma can cause life threating shock. We will review trauma physiology in pediatric patients so we can better prevent secondary injury. This session is appropriate for all EMS levels.
Grab an audience response clicker and get ready to offer up your answers and opinions in this lively case review session, covering illnesses and injuries both common and uncommon. This session is appropriate for all EMS levels.
In this course, we will discuss common terminology, general medical concerns, and best practices related to the transgender/nonbinary community. We emphasize respecting someone's identity while still taking into account critical elements of their anatomy. If you have questions you don't know how to ask, are afraid of "offending someone," or had an experience you want feedback about, this session is for you! This session is appropriate for all EMS levels.
In this lecture we will discuss the basis of traumatic injury. We will address the mechanisms of trauma, learn how to predict injury patterns, keep the responder safe on scene and first priorities when treating trauma patients. This session is appropriate for all EMS levels.
What do we do after the baby is born? We will discuss how to do an rapid new born assessment, what congenital defects we may encounter and how we as EMS providers can address it. This session is appropriate for all EMS levels.
Do you enjoy the Friday Night Lights experience? Come learn about athletic trainers and how to best work together. Athletic trainers are healthcare professionals who render service or treatment, under the direction of or in collaboration with a physician, in accordance with their education and training and the states' statutes, rules, and regulations. These services are based upon the five domains of athletic training, one of which is Immediate and Emergency Care. When an emergency arises, it is crucial that athletic trainers and EMS personnel work together effectively. In order to facilitate this seamless cooperation, knowledge regarding packaging patients in unstable athletic environments, providing CPR with sports equipment, and best practices for football and lacrosse equipment removal is critical. This session is appropriate for all EMS levels.
The doppler is an uncommon tool in the tool box of EMS, however, this small device has several uses, some simple and others are the difference in life and death. The following educational opportunity will go over several uses and the basic understanding of the operation of the doppler. This class will include a hands-on portion of the class where attendees will have an opportunity to use a doppler. This session is appropriate for all EMS levels.
From DKA to myxedema coma, this presentation will be a review of the endocrine system, common and not-so-common endocrine emergencies seen in emergency medicine, with a practical case-based focus on prehospital patient evaluation and treatment. This session is appropriate for all EMS levels.
Honor Guards are an important and necessary function today in the field of EMS. While some services have honor guards in place, many do not think about this aspect of operations until it is too late and an incident has occurred. Attendees of this course will learn how to start and maintain an honor guard, keys to training personnel, preparation and presentation during events, how to integrate with other honor guards, amongst other topics. Response to a Line-of-Duty Death will be discussed from the Honor Guard perspective and how to appropriately integrate with the home agency. Additionally, how to honor and support our fallen at the National level will be discussed. This session is appropriate for all EMS levels.
In the setting of prehospital trauma resuscitation, there is frequent debate as to whether or not interventions performed in the field are beneficial for patients. Many investigators argue that these interventions result in delays to definitive intervention and may even pose a threat to favorable outcomes. One of the interventions that is often included in this discussion is prehospital needle decompression (PHND), a rarely performed procedure for tension pneumothorax. A recent study published in JAMA Surgery demonstrated that prehospital needle decompression was associated with decreased odds of 24-hour mortality when compared to urgent tube thoracotomy at a trauma center. The investigators also discovered that the majority of the variation in rates of PHND were attributable to EMS agency factors, and they concluded that PHND should be reinforced in EMS education for appropriately selected trauma patients. In this presentation, we will discuss the current state of research around PHND including mortality benefit, patient selection, anatomical site selection, failure rates, and common complications. This session is appropriate for all EMS levels.
Interpretation of EKGs lives in the land of the Paramedic, PHRN, PHPE, and above. However, nothing says that if you are a BLS provider that you can't assist your advanced level partners with getting the electrodes on the patient, or alerting them to a possible problem when the EKG suddenly changes in appearance or "just doesn't look right," and even capture a baseline 12 lead before the "response unit" meets up with you. This presentation will review basic cardiac anatomy and physiology, explain how heart activity translates into the squiggly lines we call an EKG, and includes some hands-on demonstration work to insure you know how to get the leads on your patients correctly. This session is appropriate for all EMS levels.
This session discusses the pathophysiology, acute evaluation and initial management recommendations for sports-related-concussion within the context of a clinical case. EMTs and paramedics are often the first healthcare providers encountered following a concussion. However, most EMT and paramedic programs do not adequately discuss the acute management of sport-related concussion. This is a critical issue as the majority of patients with a concussion do not require evaluation in the emergency department. Thus, many patients will be sent home without proper initial evaluation or education regarding symptom management prior to follow up with their primary care physician. This is important as inappropriate management in the days following a concussion has been shown to increase the risk of prolonged recovery, highlighting the potential for EMS intervention to reduce morbidity in this population. This session is appropriate for all EMS levels.
Tik Tok and Internet challenges are changing the lives of adolescents every day. They are portrayed as harmless and something fun to do, while they are not all that way. This presentation will go over the different challenges and how they effect the children and teens attempting them. Will also go over how to treat this patients so they have the best outcome. This session is appropriate for all EMS levels.
When you think of Western Pennsylvania on a Friday Night in the fall, you most certainly think of High School Football. Whether it be the Rowdy Crowds, Marching Bands, Smell of the concession stands or the seas of your school colors the history in this area shows why this is important. Ensuring that you and your EMS agency are prepared for anything in these situations is very important as you will most certainly be in the spotlight. Topics to be covered in this presentation include: Site Assessment, working with your School District, Coordination with Athletic Training Staff, Game Day, the Importance of the Medical Team "Time Out", Equipment Preparation and more. When something happens during this event is not the time to find out you are not prepared. This session is appropriate for all EMS levels.
Traumatic injuries to the extremities are common. The practitioner must be prepared to diagnose and provide initial treatment of these injuries. A thorough history and physical examination should result in a provisional diagnosis. Although limb threatening emergencies are rare but must be promptly recognized and rapidly treated. We will discuss how the EMS provider can be prepared to handle these types of emergencies. This session is appropriate for all EMS levels.