Saturday March 26 8:30am to 9:30am
Toxic Fumes, Vapors, and Gases
Dr. Megan Panapa | Allegheny General Hospital
CONED: 1.0 Clinical Patient Care

In this session, the approach to the patient suffering from inhaled toxins is reviewed through a case based discussion and highlight their role in toxicologic disasters in history. Differences in patient presentation, safety on scene, general approach and treatment are delineated by class of toxin. The first class, simple asphyxiants, are discussed and highlighted by the Lake Nyos disaster. The second class, pulmonary irritants, are broken down by solubility. Cases, including a video from a difficult intubation, demonstrates the potential pitfalls and initial management. The dangers of these toxin are emphasized by a short discussion Bhophal India disaster and poison gases of World War I. The third class, chemical asphyxiants, reviews the very familiar but deadly carbon monoxide and cyanide toxicities. Lastly we review approach cardiac arrest due to hydrocarbon inhalation. This session is appropriate for all EMS levels. NOTE: class moved from Thursday at request of faculty.

Get a better understanding of the injuries and complications that can arise after exposure to tear gas, pepper spray, or injuries from less lethal rounds, tasers, and water cannons. This session is appropriate for all EMS levels.

Traumatic injuries count for over 150,000 deaths and over 3 million non-fatal injuries a year in the US. Its important to constantly research and improve the way we treat trauma patients. Lets explore where we've been, and where we are going. This session is appropriate for all EMS levels.

On Thursday, June 24, 2021, a 12-story beachfront condominium in Surfside, Florida partially collapsed. Ninety-eight people died. Four people were rescued from the rubble. The goal of this session is to learn the medical mission of USAR physicians and advance practice paramedics through the eyes of an experienced USAR physician. We will review crush resuscitation theory with occupational medicine experience in an engaging hour long presentation. This session is appropriate for all EMS levels.

The chance that you will respond to some type of Law Enforcement Incident in the near future is increasing each day. In the past few years we have seen a rise in these types of responses and that number continues to grow exponentially. It is important that EMS providers have a basic knowledge of what is expected of them at these incidents along with how to plan for expanding incidents. Topics in this course will include response to SWAT Incidents, Warrant Service, Clandestine Operations, Active Threat Incidents along with medical planning and operations at these expanding incidents. This session is appropriate for all EMS levels.

Extracorporeal cardiopulmonary resuscitation (ECPR) and extracorporeal membrane oxygenation (ECMO) are advanced tools that specialized centers use to resuscitate critically ill and injured patients. This course will discuss the fundamentals of ECPR and ECMO, as well as the implementation of a prehospital ECMO alert process at Allegheny General Hospital. We will also discuss appropriate patient selection, and how ECPR can markedly improve outcomes in out-of-hospital cardiac arrest. This session is appropriate for all EMS levels.

Caring for children can be stressful and challenging. We will explore some interesting cases that have presented to Children's Hospital of Pittsburgh via EMS. This session is appropriate for all EMS levels.

As more and more studies show how harmful large amounts of normal saline are to trauma patients, what are our other options? What benefits this patient population the most? This session is appropriate for all EMS levels and is geared to the ALS provider.

End-tidal CO2, when used correctly, is a practice-changing modality. From confirming a correctly placed endotracheal tube to identifying occult shock in a trauma patient, ETCO2 can help you take the best care of your patients. This session is appropriate for all EMS levels.

Gun violence is an increasing problem in the United States and increasingly involving children. This program will review the incidence of that violence and how it is impacting our children. This session is appropriate for all EMS levels.

Gynecological and obstetrical emergencies can be challenging to manage. This lecture will discuss the most commonly encountered clinical scenarios and ways to better manage them. Presentations discussed in this section include vaginal bleeding, ovarian torsion, placenta previa, placental abruption, precipitous delivery, eclampsia. We will discuss management techniques to use during a precipitous delivery. This session is appropriate for all EMS levels.

By playing an interactive game, we will review and discuss current trends in trauma, review medical terminology and treatments for trauma patients. This session is appropriate for all EMS levels.

Sometimes it's not just another back pain call at all. While most back pain calls are routine, you'll need to be aware of a few uncommon causes of back pain that are very dangerous. Learn how to look for the red flags that suggest your next back pain patient may not be able to go straight to triage, but instead needs to be flagged for early examination in the ED. This session is appropriate for all EMS levels.

Endocrine problems are often masked by other common symptoms and signs. With this case based approach we will dive into some cases where what we thought was going on, wasn't. This session is appropriate for all EMS levels.

Popular TV shows and movies frequently include scenes of medical and trauma resuscitation. This course will review scenes from popular shows such as MASH, Emergency!, and others for medical accuracy and quality of resuscitation care provided. The pathology and appropriate management of these patients will also be discussed. This session is appropriate for all EMS levels.

As the EMS provider shortage grows, EMTs are finding themselves without ALS assistance. In this lecture we will review BLS skills and medications that the EMT can use to provide the best treatment to their ALS patient when ALS is not available. This session is appropriate for all EMS levels.

Unexpected deliveries in the field can lead to provider anxiety about how to properly assess and resuscitate a newborn. This talk will provide an overview of how to conduct a newborn assessment and how to recognize when there may be concerning signs. This session is appropriate for all EMS levels.

I will highlight priorities in management of burn patients including airway considerations and fluid resuscitation. This session is appropriate for all EMS levels.

This lecture will serve as a review of Pennsylvania's dangerous flora and fauna. We will discuss snakes native and exotic to Western Pennsylvania and management considerations for snake bites/envenomation. It will include a discussion of common myths in snake bite management. We will follow with a discussion of dangerous stings. Finally, we will discuss mushrooms native to the area, the consequences of mushroom consumption, and management principles. This session is appropriate for all EMS levels.

Since the first electronic pacemaker was implanted in 1958, devices meant to keep patients alive and well have become increasingly common...and increasingly complicated. This session will provide an overview of common devices you might find attached to your patient, all the things that can go wrong, and what you can do to help if they do. This session is appropriate for all EMS levels.

While chest pain in adults is usually attributed to a cardiac causes, pediatric patients have a much more broad differential which can include various etiologies. This talk will focus on high-yield cases to help EMS providers become more comfortable. This session is appropriate for all EMS levels.

Trauma resuscitation has come a long way since R. Adams Cowley introduced the concept of "the golden hour" in the 1960's. Novel therapies have increase survival significantly. Come review cases and literature to learn more about trauma resuscitation. This session is appropriate for all EMS levels.