Thursday March 24 8:00am to 9:00am
Christmas Morning Surprise: Bombing in Downtown Nashville
Captain/Paramedic Scott Burgess | Nashville Fire Department
Sponsored by Excela Health
CONED: 1.0 Clinical Patient Care

On Christmas morning in 2020, a vehicle-borne improvised explosive device was detonated in downtown Nashville. The blast damaged more than 40 buildings, trapped over 30 individuals in their apartments and condos, ruptured utility lines, and started multiple fires.
Scott Burgess, who was the initial incident commander, will explain the response and the challenges that were faced by the Nashville Fire Department. He will cover the tactics and deployment of EMS, suppression, hazmat and USAR teams. He will discuss how the department dealt with the threat of secondary devices.
Additionally, he will give an in-depth explanation of the implementation of the rescue task force concept, casualty collection point, triage, and the mass casualty incident action plan.
Scott will explain what role established partnerships with local, state, and federal agencies played into the response. This included transportation and shelter for the "walking wounded", additional USAR supplies, rehab supplies for the working crews, and other items normally not available on Christmas Morning. Finally, Scott will breakdown the establishment of the unified command that lasted for the next 7 days.

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.  

Stroke Impacts Every Community It is the leading cause of Serious Long term Disability. A Stroke occurs every 40 seconds. Join in the discussion to help identify Acute Ischemic Strokes while managing the patients and transferring them to the appropriate facility faster. This session is appropriate for all EMS levels.

This lecture will cover recognizing the mechanisms and patterns of injury in penetrating trauma, as well as the prehospital management of patients with penetrating trauma. This session is appropriate for all EMS levels.

Our jobs have always been physically and emotionally tough - the pandemic made all of that even worse. This discusses "compassion fatigue", and how to fix it in ourselves and our partners. This session is appropriate for all EMS levels.

There are many different types of burn injuries. The quality of care provided during the first hours after a burn injury has a major impact on long-term outcome; however, most initial burn care is provided outside of the burn center environment. Emergency intervention is key in returning patients to their lives with minimal scarring and other lasting effects. This course discusses life-saving measures and burn wound treatment during the initial stabilization and preparation of a burn patient for transfer to a regional burn center according to established criteria. This session is appropriate for all EMS levels.

Everyone loves a movie shoot-em-up scene, but what's the truth behind bullets, ballistics, and some examples of gunshot wounds? Find out in this session. This session is appropriate for all EMS levels.

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. This session is appropriate for all EMS levels.

Respiratory distress is one of the most common complaints that EMS is called for, however it represents a wide array of medical conditions which differ between pediatric and adult patients. This session will provide both new and experienced providers with an overview of the top three most common causes for pediatric respiratory compromise: asthma, allergic anaphylaxis and airway foreign bodies. For each disorder, we will review an EMS case and then explore the disease process, physiology, and relevant treatment. We will also discuss red flags to watch out for and applications of new technology. Providers will return back to their agencies with more confidence in managing pediatric patients. This session is appropriate for all EMS levels.

This presentation is appropriate for all levels of EMS providers. The session aims to clearly identify the entire sports medicine team and the role of an EMS provider within the team. Each team members training, scope of practice, procedural capabilities, and role will be discussed to show how an EMS provider compliments the team. We will also discuss how the role of EMS changes according to the resources, level of play, and sports medicine team members available. 5 cases of critical sport-related injuries, including neurological, orthopaedic, vascular, cardiologic, and blunt-trauma, will be presented during this session. These cases will be presented in an interactive format and will include video visual aids, mechanism of injury, anatomy, evaluation process, first-line treatments, speaking to medical command, and a brief hospital overview. This presentation has an emphasis on EMS specific procedures related to sports equipment that may be encountered, immobilization, stabilization, and transportation of critically injured athletes. This session is appropriate for all EMS levels. NOTE: Class moved from Saturday at faculty request.  

The leading killer of hospitalized patients, sepsis occurs when the body's immune response to infection causes injury and death. We'll review early signs and symptoms and discuss how you can save lives by getting treatment started right away. This session is appropriate for all EMS levels.

Children often have subtle seizures. When recognized, treating children is difficult due to weight-based dosing and difficult access. Here you will learn how to easily recognize and treat pediatric seizures. This session is appropriate for all EMS levels.

From commercial devices to equipment already available on the ambulances, what is best? This lecture will review current and new methods used to control gross bleeding in both compressible and non-compressible locations. This session is appropriate for all EMS levels.

A previously dedicated medic has seemed disengaged for the last month, but you know they haven't had any significantly "bad" calls. What may have caused this change? The nature of their work inherently puts EMS providers at an increased risk for occupational burnout, PTSD and other psychological distress. In addition to trauma exposure, there are several other factors such as organizational stressors and life stressors that contribute to burnout, PTSD, and psychological distress. This course will delve into difference between cumulative exposure and critical events as well as other contributing factors. It will also analyze signs of distress and available screening tools to help identify employees who may be in distress. After arming ourselves with an understanding of contributing factors and signs of distress, we will examine ways to help employees. This session is appropriate for all EMS levels.

TBI is among the worst injuries a patient can have. EMS providers need to recognize it immediately, and take action to prevent secondary injury from the H-Bombs - Hypotension, Hypoxia and Hypocarbia. We'll review the new EPIC/PA protocols for TBI This session is appropriate for all EMS levels.

This is a fun and interactive session that demonstrates how excellent clinicians are able to assess emergency patients using their critical thinking skills, history, physical exam and diagnostic tests. This session is appropriate for all EMS levels.

We will review basic anatomy of the upper airway, and with a case based approach review proper management of a difficult airway in the presence of trauma. We will review different equipment and techniques to help you secure the airway. This session is appropriate for all EMS levels, with an emphasis on ALS treatments.

Communications, Coordination and Cooperation are vital at any emergency scene but especially important on a roadway incident where "D" Drivers, drivers who are drunk, drugged, drowsy, distracted or just plain dumb on average are striking two emergency responders per day in the United States. In 2019, 44 emergency responders were struck and killed, in 2020, 46 emergency responders have been struck and killed with 28 emergency responder struck in the first six months of 2021. The session will discuss how we can better communicate to keep our responders safer including pre-planning and on scene command and after-action-reviews. This session is appropriate for all EMS levels.

This presentation will review diagnosis of tachyarrhythmias encountered in the field and discuss new treatment modalities now available for prehospital practitioners, including procainamide and double sequential defibrillation. This session is appropriate for all EMS levels, with an emphasis on ALS treatments.

Just Culture supports a "learning organization" and is important to improving patient safety. Implementing Just Culture helps to provide a supportive environment for staff who can understand and learn from past behaviors. This session is appropriate for all EMS levels.

Atrial fibrillation is the most common cardiac dysrhythmia encountered by both EMS and emergency department personnel, however many providers lack understanding of the condition and appropriate management. Providers will gain a better understanding for the etiology and physiology of atrial fibrillation as well as the acute and long-term risks that patients with atrial fibrillation face. Attendees will understand the treatment of both hemodynamically unstable and stable patients presenting with atrial fibrillation. Building on this providers will learn to apply pharmacological and electrical treatment for tachyarrhythmias and bradyarrhythmias. This session is appropriate for all EMS levels but is geared to the ALS provider.

Emergency calls for patients experiencing a mental health crisis account for a significant and increasing percentage of many EMS agencies' call volume. Often, a physical chief complaint is made worse by an underlying psychiatric issue. This class will present a simplified approach to assessing the patient with psychiatric symptoms and ways to more effectively manage them in the field. This session is appropriate for all EMS levels.

In Emergency Medical Services, the interactions between our prehospital providers and our flight crew members is often done with the noise of the helicopter in the background and a critical patient at our fingertips. This isn't that interaction. This will be an overview of air medical operations and critical care transport that will provide a better understanding of the who, what, where, when, and why of the air medical industry and the things that we don't get to talk about in the heat of the moment. We will discuss general industry policies & practices, the critical care scope of practice, weather factors, and research, just to name a few. Join us in a relaxed environment where we can learn from one another. This session is appropriate for all EMS levels.

This session will explore seasonal pediatric traumas, running through traumas you may encounter throughout specific times of year. You will be more prepared for what injuries might come up in kids - whether it be Winter, Spring, Summer or Fall. This session is appropriate for all EMS levels.