9:00am to 10:00am
Breaking Bad: Care of Orthopedic Injuries
Dr. Ivan Tarkin

CONED: 1.0 Clinical Patient Care KEYWORD: TRAUMA

Orthopedic injuries present many treatment pathways for EMS providers to consider: position of immobilization, use of traction splinting, need for pain control. Dr. Tarkin uses a case based approach to review the best management strategies for orthopedic injuries. This session is appropriate for all EMS levels.

Prehospital Pain Management
Dr. Phillip Nawrocki

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

This session will be a discussion of pain management in the prehospital environment. We will focus on a discussion of effective methods of assessing patient's pain in the prehospital setting, specific medications that may be utilized by BLS and ALS providers, as well as a discussion of the updates to the 2019 protocols with regards to analgesic use (Ketamine). This session is appropriate for all EMS levels.

When One Patient Becomes Two - When Trauma is Involved in Pregnancy
Dr. Rickquel Tripp

CONED: 1.0 Clinical Patient Care KEYWORD: PEDS/OB

Trauma is hard enough when you can see the patient. How about when you can't? We will discuss the difficulty in managing a pregnant trauma patient, physiologic changes that occur that may make normal assessment findings seem abnormal, and the proper destination for trauma involving pregnancy. This session is appropriate for all EMS levels.

Crashing Patient Program Train the Trainer Part I
Mark Pinchalk

CONED: MUST TAKE PART I AND PART II; 2.0 CPC KEYWORD: MEDICAL

The Pittsburgh EMS Crashing Patients Program was recently adopted as a 2019 ALS Pennsylvania State Protocol. This presentation is designed for EMS agency Training Officers to implement this critical care program in their system. This presentation will review the core concepts of the protocol as it relates to the care of seriously ill medical patients. This session is geared to ALS providers.

Work Life Balance in Trauma Care
Dr. Andrew Peitzman

CONED: 1.0 Other KEYWORD: OPERATIONS

With burn out rates increasing in the health care profession, we will discuss ways to balance home health along with work health.  In a busy trauma center, as in the busy EMS community, Dr. Peitzman with 40 years of managing the busiest trauma system in the State of Pennsylvania, will discuss how he has balanced his home and work life.   This session is appropriate for all EMS levels.

10:30am to 11:30am
Amazing Stroke Cases
Dr. Jaydevsinh Dolia

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

We will explore some of the most amazing stroke cases involving EMS and discuss the latest research and new therapies. What can a mobile stroke unit do for you?. This session is appropriate for all EMS levels.

Dumb Things That Occur When Responding on a Call--Risk Management
Dr. Roy Cox

CONED: 1.0 Clinical Patient Care KEYWORD: OPERATIONS

We examine the incidents that can result in higher risk factors for responders.  We identify sample high risks while focusing to determine possible outcomes. Understanding risks and prevention methods and tools can reduce injuries while improving efficacy. In public safety, risk factors and potential risks need to be identified and reduced by a team approach. This session is appropriate for all EMS levels.

Care of the Entrapped Patient
Dr. Timothy Satty

CONED: 1.0 Other KEYWORD: TRAUMA

There are many instances when you are faced with caring for patients who are entrapped or may require prolonged extrication. There are many unique challenges present in this environment including difficulty with patient access, electrolyte disturbances, crush injuries and blood loss. We discuss the most common complications in caring for entrapped patients. Also will discuss how basic techniques for building collapse and vehicle extrication impact patient care including situations that may require field amputation. This session is appropriate for all EMS levels.

It's Baby Time: Tackling OB & GYN Emergencies From a First Time Mom's Perspective
Dr. Rickquel Tripp

CONED: 1.0 Clinical Patient Care KEYWORD: PEDS/OB

Learning about normal birth delivery and how to deal with perinatal and postpartum complications. Understanding the up-to-date treatments and recommendations for preeclampsia, eclampsia, peri-mortem C-sections, and more. This session is appropriate for all EMS levels.

Crashing Patient Program Train the Trainer Part II
Mark Pinchalk

CONED: 2.0 Clinical Patient Care KEYWORD: MEDICAL

This is the second part of the train the trainer program that began at 9:00am. The Pittsburgh EMS Crashing Patients Program was recently adopted as a 2019 ALS Pennsylvania State Protocol. This presentation is designed for EMS agency Training Officers to implement this critical care program in their system. We provide educational guidelines and tools for implementing the program, performing quality improvement and data analysis in your EMS agency. This session is geared to ALS providers.


12:15pm to 1:15pm
Things Aren't Always As They Seem, Part II
Dr. Owen Traynor

CONED: 1.0 Other KEYWORD: MEDICAL

A follow-up from my session in 2019, this is part 2 in a series of clinical cases in which "things are not as they seem." Participants will be presented with 4 emergency medicine cases that challenge the clinician to come up with the correct diagnosis. This session is appropriate for all EMS levels.

The Crashing Pediatric Patient
Dr. April McClellan

CONED: 1.0 Clinical Patient Care KEYWORD: PEDS/OB

It's your worst nightmare. You're dispatched for a critically ill or injured child. In this hour, we'll discuss how to care for your youngest patients in the pre-hospital setting. This presentation is case-based and interactive. You'll learn how to distinguish and treat various pediatric respiratory emergencies. You'll learn how to assess an infant or child with an altered mental status.  We'll discuss pediatric trauma and sports-related injuries. You'll also learn how to assess and treat the febrile child. Additionally, cardiac emergencies will be briefly discussed. Both BLS and ALS providers will benefit from this class. This session is appropriate for all EMS levels.

Get to the Chopper! Indications and Considerations for Critical Care Helicopter Transport
Dr. Zach Louderback

CONED: 1.0 Clinical Patient Care KEYWORD: OPERATIONS

As aeromedical transport programs continue to expand and medicine continues to consolidate to large city centers, I plan to discuss various indications for critical care air helicopter transport. I will go through multiple cases to explore such indications. I also plan to discuss how best to prepare a patient for helicopter transport as well as discuss safety and operation considerations. This session is appropriate for all EMS levels.

When the Golden Years Aren't Golden- Trauma In the Elderly
Dr. Thomas Melvin

CONED: 1.0 Clinical Patient Care KEYWORD: TRAUMA

With a large medication list, and age-related changes to their anatomy, trauma involving the elderly can be challenging. That's why a detail physical assessment and a high index of suspicion should always be maintained. We will discuss proper assessment techniques and common pitfalls in geriatric trauma. This session is appropriate for all EMS levels.


1:40pm to 2:40pm
When Emergency Responders Becomes the Emergency
Larry Pollock, Jr.

CONED: 1.0 Clinical Patient Care KEYWORD: TRAUMA

This class will is an overview of common injuries emergency workers experience including: fire ground, EMS operation, rescue operations, as well as other risks involved in the work we are involved in on a daily basis. Topics will include traumatic injuries, CO poisoning, sudden cardiac arrest, orthopedic injury, and burns. This session is appropriate for all EMS levels.

Latest and Greatest - New Technology in EMS
Dr. Timothy Satty

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

What things are worth spending money on and what technologies are actually beneficial to patients? In what ways can these new pieces of equipment improve my EMS practice? In this presentation we will discuss some of the new technology that services in the region have adopted or have considered adopting. Airway devices such as video laryngoscopy and new supraglottic devices will be discussed. We will also talk about the utility of ultrasound, new decompression needles and other new devices. This session is appropriate for all EMS levels.

Old People With Belly Pain - NOT a Good Mix
William Miller

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Evaluating an elderly patient with abdominal pain can be difficult at best, and the list of possible causes for their discomfort is quite extensive and filled with all kinds of things that can lead to a bad outcome if not quickly identified.  And remember, "Baby Boomers" still make up the largest percentage of the population, and the youngest of them are turning 55 years of age soon, so we are likely to see a steady increase in this type of complaint for some years to come.  This presentation will take an in-depth look at the most common causes of abdominal pain in the "we're not as young as we used to be" population, including signs, symptoms, and physical exam findings that may signal a developing more serious pathology. This session is appropriate for all EMS levels.

Identification and Treatment of Prehospital Sepsis: Past, Present and Future
Dr. Emily Brant

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Sepsis is defined as a dysregulated host immune response to infection, resulting in organ injury. More than 1.7 million cases of sepsis occur in the United States every year, and 1 in 5 patients will not survive. You care for more than half of sepsis patients, and on average, for more than 45 minutes. Because early recognition and treatment of sepsis can reduce avoidable deaths, there is growing focus on identification and treatment of sepsis patients during prehospital care. We review the PIPeLINE effort, an NIH-funded prospective cohort study from transported patients at risk for sepsis. We describe how biomarkers collected during prehospital care in combination with clinical variables (e.g., vital signs and GCS) may aid in identification of patients at risk for sepsis and guide prehospital interventions. We also discuss the role of Artificial Intelligence in the treatment of patients with early sepsis. This session is appropriate for all EMS levels.

Labs to Lasers: Advancements in Burn Care
Justin Barry

CONED: 1.0 Clinical Patient Care KEYWORD: MEDICAL

Healthcare is a forever changing field. New advancements are created and trialed every day. In this lecture we will discuss the new techniques in obtaining skin grafts, implementing the use of lasers in burn treatment as well as the best way to manage pain in a burn victim. This session is appropriate for all EMS levels.


2:50pm to 4:00pm
Safety Showcase

CONED: 1.5 Clinical Patient Care KEYWORD: OPERATIONS

Hidden Dangers--What You Don't See Can Hurt You!

For the first time in forever, Brian Shaw, EMS West's Deputy Director, will step into the role of talk show host, sharing stories for EMS providers new realities that require us to always be prepared and 'in the know.' As always, EMS Update conferences bring you the most current topics critical to EMS providers across Pennsylvania. Brian will interview a series of panelists on how situational awareness should be applied at the personal, agency and regional level. Three hot topics for every EMS professional looking to stay current.

Guest 1: Situational Awareness--Agency Todd Leiss

Todd is the Traffic Incident Management Coordinator for the Pennsylvania Turnpike Commission and also helps lead Pennsylvania Traffic Incident Management Enhancement (PennTIME), the Statewide Traffic Incident Management Program. We'll chat with Todd about his role at the PA Turnpike and his passion for traffic incident management. Traffic incidents are the leading killer of emergency responders. We'll discuss how Pennsylvania has implemented the interagency approach to traffic incident management and responder safety.

Guest 2: Situational Awareness--Regional Frank A Janetti, Jr.

Frank leads the Western PA All-Hazards Fusion Center, one of 75 such centers across the country. The Fusion Center involves the merging or fusion of multiple emergency response agencies for the purpose of sharing information. The Region 13 Fusion Center (R13FC) is an all-hazards fusion center focusing on threats and hazards ranging from terrorism, to criminal activity, to technological and natural hazards. Frank will share how the center operates.

Guest 3: Situational Awareness--Personal Luke Sciulli

The Economy native was hurt when he and other members of the U.S. Army's 10th Special Forces Group, popularly known as Green Berets, were breaching a structure in southern Afghanistan that was booby-trapped with improvised explosive devices that detonated. Luke was pinned in the rubble, and fractured his neck, shoulder blade and pelvis. He also suffered a traumatic brain injury. Luke will discuss his journey back to Pennsylvania, what he learned about personal resolve and how some military training information can be of value to EMS providers.