Saturday March 23 7:45am to 8:45am
STEMI? Not So Fast!
Dr. Chuck Feronti | AHN Saint Vincent
1.0 Clinical Patient Care Con-Ed
Using a case based presentation, we will review cases that looked to be a STEMI at first glance, only to reveal an equally deadly diagnosis upon further review! This a great chance to highlight the limitations of the EKG and the need to keep a broad differential, especially in the critically ill patient! This session is appropriate for all EMS levels.
Traumatic arrests have historically had poor survival rates. We will discuss established guidelines for patient survivability and updates to best practices in the field. When it comes to our choosing when and how to act and how can we do better? This session is appropriate for all EMS levels.
Pre-hospital providers are no stranger to patients suffering neurological emergencies. In this presentation, you'll learn in-depth anatomy and pathophysiology of the human brain and how to thoroughly assess a patient with an acute stroke. Learn how to identify different types of stroke and discuss clinical pearls for maximizing out-of-hospital stroke care. This session is appropriate for all EMS levels.
Join Dr. Chopra discussing possible problems associated with mountain climbing and SCUBA diving. Not all issues happen immediately, with some showing up a few days later when people get back home. Let's look at issues including altitude sickness and decompression illness, that Dr. Chopra personally faced on Mount Everest and while training in the Caribbean. We will discuss what is happening, why we care about it and what we in EMS can do about it. This session is appropriate for all EMS levels.
Are all trauma centers created equally? Do some of you patients benefit from going to the highest level of trauma center? Will some patients just need to be transferred to another trauma center, potentially delaying urgent care? Come find out the answers to these questions as we explore the anatomy of what makes up different trauma centers, and the evidence for getting your patients the best outcomes by picking the right trauma center destination. This session is appropriate for all EMS levels.
Field termination of resuscitation in adult patients has become an increasingly common practice in Emergency Medical Services across the nation and in Pennsylvania. Despite, significant EMS efforts to provide on scene care in adult cardiac arrest patients, it is suggested that "scoop and run" style treatment strategies are still used by EMS clinicians when faced with a pediatric cardiac arrest. This session will introduce recent advancements and research surrounding prehospital termination of resuscitation in pediatric patients that will allow EMS clinicians, EMS medical directors, and physicians to evaluate pediatric termination of resuscitation practices. This session is appropriate for all EMS levels.
This is the fourth installment in the Things Are Not Always As They seem clinical case series. Participants will think critically about the patient's diagnosis as they acquire data from the history of the present illness, physical examination and diagnostic tests. This session is appropriate for all EMS levels.
Some cardiac arrests are not like the others. This talk will discuss when and how we should modify our standard approach to cardiac arrest for special situations, including refractory VF, maternal patients, and severe hypothermia among others. This session is appropriate for all EMS levels.
In this thought provoking and highly engaging case-based discussion, I will address some of the current flaws and common beliefs in the practice of EMS. My discussion is supported by the latest evidence pertaining to prehospital care and resuscitation. My goal is to encourage the audience to question the current paradigm of EMS and look for ways to improve the practice of prehospital care. This session is appropriate for all EMS levels.
Survivors of domestic violence are 11 to 12 times more likely to experience a brain injury than any other population, including veterans and athletes. Emergency medical technicians are uniquely posed to identify brain injury among domestic violence survivors. This session will include information about the intersection of domestic violence and brain injury. We will also highlight our experience collaborating with the PA Department of Health on a five-year grant project designed to connect EMS providers and domestic violence programs. We will share some of the resources and best practices developed through this valuable collaboration for attendees to incorporate into their work with patients who may be experiencing domestic violence. This session is appropriate for all EMS levels.
This program is meant for those that are part of or are starting up a tactical medical support element. The program will go over important topics such as medical assessment of officers involved, mission planning, equipment and supplies needed and support from local EMS services on the scene. We will also take a look at a case review of why this information and planning is important to have done for all of your tactical operators. This session is appropriate for all EMS levels.
Getting old is tough... For older patients a little trauma goes a long way and can be devastating. Come learn about what changes make it hard to bounce back, the unique issues to think about, and the latest in triage for your geriatric trauma patient. This session is appropriate for all EMS levels.
The purpose of the Federal Interagency Committee on Emergency Medical Services or FICEMS, is to ensure coordination among the Federal agencies involved with State, local, tribal, or regional emergency medical services and 911 systems; To identify State, local, tribal, or regional emergency medical services and 911 needs; To recommend new or expanded programs, including grant programs, for improving State, local, tribal, or regional emergency medical services and implementing improved emergency medical services communications technologies, including wireless 911; To identify ways to streamline the process through which Federal agencies support State, local, tribal or regional emergency medical services; To assist State, local, tribal or regional emergency medical services in setting priorities based on identified needs; and, To advise, consult, and make recommendations on matters relating to the implementation of the coordinated State emergency medical services programs. Join Director Patrick as he walks through the FICEMS and related Federal EMS initiatives. This session is appropriate for all EMS levels.
Join us for a “choose your own adventure” style case review of two trauma patients where we will discuss techniques for maximizing patient outcomes and review key components of best practice trauma care. Come prepared with your smart phone for an interactive, live polling session and leave with some clinical pearls to improve your practice. This session is appropriate for all EMS levels.
The rules of the road for EMS vehicles are often whispered by one person to another--retold again and again. Like a game of “Whisper Down the Lane”, the original version and the word on the street may differ greatly. Misinterpretation could lead to serious mistakes. Intentional or unintentional, wrongdoing or a mistake made within an EMS organization makes for a bold headline. The vast majority of emergency vehicle operators set out to do the right thing; but that doesn’t necessarily mean the same thing as being compliant. This seminar offers clarification and guidance on the requirements versus recommended best practices related to EMS vehicle operations. This session is appropriate for all EMS levels.
While snake envenomation can be a less common occurrence in western PA, the acuity of snake envenomation's can range from a simple BLS transport to a critically ill patient. We will sort out all of the common myths and facts of how to care for a snake bite for the BLS provider all the way through emergency medicine physicians. Don't miss this bite size guide to emergency medicine. This session is appropriate for all EMS levels.
Will discuss challenges with interfacility transport. Regulations that govern transport and how to deal with challenges situations when asked to transport these patients. This session is appropriate for all EMS levels.
This lecture will review the deadly dozen of thoracic and abdominal trauma, and their updated treatments. We will also discuss current research. This session is appropriate for all EMS levels.
Medical shock in pediatric patients can cause significant morbidity and even mortality but can be reversible with prompt recognition and appropriate intervention. This session will review the pathophysiology of pediatric shock, differentiate between compensated and uncompensated shock, and review life-saving treatments. This session is appropriate for all EMS levels.
The presentation will include a Paramedic's story from providing patient care to becoming a patient himself who depends on the skills and expertise of other healthcare providers. The patient's journey to recovery begins while receiving quality EMS care from a former student. The presentation will include discussions about all aspects of the emergency medical system including pre-hospital, emergency, surgical, in-patient and post-resuscitative care. The presenter will discuss specific experiences using a case study approach comparing and contrasting lessons learned as a practitioner, and then receiving them as a patient. The presentation reiterates the importance of communication, patient assessment and advocacy as well as quality BLS care as the foundation to Advanced Life Support to enhance the lives of others. This session is appropriate for all EMS levels.
OB emergencies can be tricky, but what happens when they are involved in a trauma? Is this an OB patient or do they need a trauma center? In this lecture we will discuss why the physiological changes that a woman's body goes through during pregnancy can also change how me manage the patient during a trauma. This session is appropriate for all EMS levels.
Capnography truly is the 5th vital sign. Understanding how to interrupt waveforms can give you a 4-10-minute warning that your patient isn't tolerating the current treatment. In this presentation we will go into detail on how to dissect a EtCO2 waveform and understand the anatomy behind it. This session is appropriate for all EMS levels.
How prepared is your organization for a line of duty death? What steps need to be taken and when should they occur? There are several things you can do now at your agency that can assist you if that times come. Join Shane as he reviews how his organization had to navigate through a line of duty death, from notifications, to funeral services. Discover what he and his agency learned. This session is appropriate for all EMS levels. This session is appropriate for all EMS levels.
Saturday March 23 2:45pm to 3:45pmEver wonder why your benzos aren't having the effect you're expecting? Confused about why droperidol is suddenly back in favor again? Unsure whether that patient warrants ketamine? Look no further. In this lecture, we'll go over the differences between agitated behavior versus delirium with agitated behavior, discuss the different characteristics between the medications available for sedation, and discuss the pros/cons/risks associated with each medication. This session is appropriate for all EMS levels.
Tracheostomies, laryngectomies, oh my! How do we manage the airway when the anatomy is not what we expect? Tracheostomies and laryngectomies are increasing in prevalence, and complication rates of these stomas are reported to be greater than 40-60% with high morbidity and mortality. This course will review the most common stoma emergencies including tube obstruction, tube dislodgement, pneumothorax, and hemorrhage, as well as relevant anatomy and equipment you may encounter. A breakdown of initial management priorities will leave you feeling more confident in facing these airway emergencies. This session is appropriate for all EMS levels.
Do you know how to effectively converse with your patients? It may seem simple, but basic communication skills are essential in patient care. In this 1 hour presentation, we will discuss effective communications skills to improve your assessment and improve patient satisfaction. This session is appropriate for all EMS levels.
Fireworks may not be the most dangerous item you'll see in the field, but they aren't entirely safe either. This is a primer on what happens when fireworks aren't used safely. This session is appropriate for all EMS levels.
Dr. Harold Pardee was the first physician to take an EKG on a patient actively having an acute myocardial infarction. It showed ST segment elevation in Leads II and III, and he thereby discovered the very first STEMI. That was over 100 years ago . . . and we still don’t understand what all the subtle changes from normal mean on an EKG. STEMI became a hot topic for EMS a couple decades ago when 12 lead capable pre-hospital heart monitoring suddenly became readily available, and millions of lives have been extended because of the subsequent pre-hospital/earlier Cath Lab activations. But now we’re finding that there are patients who are NOT having STEMIs, that still need to go to the Cath Lab. This presentation will serve as an introduction to Occlusion MI (OMI), and the subtle EKG changes to watch for that may tip you off to its presence. This session is appropriate for all EMS levels.
By giving the participants a historical (Western PA) perspective of when we first saw the introduction of Fentanyl in 2015-2016, I would like to share with the participants about how drugs are trafficked to Western PA, the cartels involved, look at the emergence of Xylazine (predominately in Eastern PA), as well as what's on the horizon for us in Western PA, and then capped off by a global perspective of drug trafficking. Offering both a very unique perspective of that as an EMS provider, coupled with that as also being a Special Agent/Tactical Medic. This session is appropriate for all EMS levels.