7:00am to 8:00am
PA Bureau of EMS Registry Updates
Robbin Cessna and Jackie Taylor
CONED: 1.0 Other KEYWORD: OPERATIONS
EMS West staff provide information on the Department of Health Bureau of EMS EMS Registry system, including the re-registration process, obtaining con-ed by endorsement and ensuring you meet the requirements to maintain your EMS certification. We also review the EMSVO re-registration process. This session is appropriate for all EMS levels.
Trauma care is evolving faster than ever before. Catch up on tools, techniques, and tips to help deliver state of the art care. This session is appropriate for all EMS levels.Pediatric Neurological Emergencies
The pediatric population features an enormous range of developmental differences posing significant challenges for EMS providers to properly assess and differentiate neurological emergencies, especially epilepsy. We review seizures and discuss how electrical energy behaves in the brain. This session is appropriate for all EMS levels.Lung Sounds for BLS
Ever had a patient ask "how do my lung sounds?" Not quite sure how to answer? Come to this talk where we review common lung sounds, listen to actual examples, and the conditions that create those sounds. This interactive session uses cases to help illustrate the importance of the basic physical exam and how listening can drive appropriate treatment. This session is appropriate for all EMS levels.Code "0" at 23:45hrs: Now Who Is Going To Tell The Family?
We address the topic everyone wants to avoid; how to tell a patient's loved one that they have died. It is the one thing that is referenced when we are trained, but have had to learn all on our own. No one wants to do it, some are good at it and others pray it doesn't have to be them. Using both medical and traumatic scenarios, we drill through the grieving process that occurs and how we can offer support to those impacted by the loss. In addition, we address support systems for us as after the call. This session is appropriate for all EMS levels.Acute Stroke Therapy - Getting the Right Patient to the Right Place
Acute stroke therapy for ischemic stroke has come a long way since the introduction of intravenous tPA in the 1990s. Despite the availability of such powerful treatments, less than 10% of eligible patients receive mechanical thrombectomy. The first step in improving access to stroke care begins with educating people to recognize and identify symptoms of stroke. The second step is having stroke systems of care to streamline patients having acute stroke to the right stroke center. This session is appropriate for all EMS levels, with an emphasis on ALS treatments.
EMS provider are taught how to effectively evaluate, treat, and transport various traumatic injuries. Concussion is a common injury in sports that can be difficult to evaluate and treat. The player may not show the common signs of a concussion and may not have any complaints and state "I'm fine". Coaches are pushing to put the player back in the game. What do you do? We review common concussion signs and symptoms and how to properly conduct an evaluation for a concussion and determine if they can play or need transported. This session is appropriate for all EMS levels.Ouch! That Hurts! The Prehospital Pain Management Paradigm
Appropriate management of acute pain is an integral part of patient care in the prehospital setting. However, statistics show as many as 43% of patients have insufficient prehospital pain relief. We identify and dispute some of the stigmas and challenges rationalizing minimal pain management in the field and establish a sound clinical model for providers to have a thorough understanding of pain assessment tools and the comparative effectiveness and safety of analgesics for prehospital acute pain management. This session is appropriate for all EMS levels.Initial Management of Burn Injuries
During this presentation the accepted practices for stabilizing a burn patient will be outlined. Different phases of care and management of special type of burn injuries are discussed. This session is appropriate for all EMS levels.Bring Your Best
At some point it happens to us all, we drift. Drift is the slow, gradual creep away from our best selves, our best performance. We still deliver competent care, but it becomes average care, missing the spark and the energy that you brought to your calls years ago. Drift makes you average and leads to complacency. Complacency kills. Turn it around. Bring your best. This program provides an attitude tune up with practical skills in communication, assessment, and treatment to immediately use in the field. This session is appropriate for all EMS levels.Strategies to Coordinate Overdose Prevention Efforts: Expanding the Role of First Responders
You are not equipped with the necessary tools to address the root cause of the opiate crisis. We provide an overview of the University of Pittsburgh's Strategies to Coordinate Overdose Prevention Efforts (SCOPE) First Responder program. The goal is to train you on expanded services such as: naloxone leave behind, universal screening and referral of at-risk patients to rehabilitation services, community paramedicine and follow-up procedures with patients who do not wish to pursue treatment. This session is appropriate for all EMS levels.
Have you been told that youare prediabetic? If so, take this important information as a wake-up call that you're on the path to diabetes. Lifestyle changes can help many people with prediabetes delay or prevent it from becoming diabetes. We focus on what small steps you can take that will lead to big results in your overall health and help you to prevent diabetes. This session is appropriate for all EMS levels.My Baby Can't Breath! Respiratory Emergencies in Children
Respiratory emergencies are some of the most challenging cases. We will explore assessment and treatment of the pediatric patient in distress versus failure, in this case-based presentation. This session is appropriate for all EMS levels.Poison Center Influence with Prehospital Care
Using a poison center as a resource can be beneficial to all. Using two years of data from the Pittsburgh Poison Center, there have been many cases that the ambulance did not need to get dispatched or that an evaluation by prehospital provider was done on scene and the patient could stay home with follow up from the center. Poison centers can also help with treatment recommendations and can inform providers what to look for while on scene or during transport. This can also be cost saving to the patient and keep crews available for other incidents. This session is appropriate for all EMS levels.Whole Blood--a LifeFlight Experience
Trauma resuscitation has been focusing on a blood first resuscitation. The days of utilizing saline for trauma resuscitation are behind us. However, how does whole blood stack up in trauma resuscitation? Is it worth all the hype? Is this the holy grail for trauma patients? This session is appropriate for all EMS levels.Wiped Out In the Winter
Your patient has a cough, sore throat, a fever and maybe some diarrhea, nausea and vomiting. Probably just the flu, right? Maybe it's influenza but could it be the norovirus or even respiratory syncytial virus (RSV)? How do you know? How do you treat appropriately and how do you ensure you don't leave with it at the end of your shift. What happens if you catch it from your patient? We discuss common ailments found during the winter and how to protect yourself while in the back of the truck. This session is appropriate for all EMS levels.
Motorcycle accidents can be among the most grizzly and challenging cases we encounter. Doing the basics right, can save lives. We review cases - extensively documented with photographs - to understand injury mechanisms, scene size up patterns, and injuries specific to motorcycle collisions. With the right knowledge, you can easily identify possible injuries, manage life threats and make a big difference. Motorcycles can kill, we give you the tools to save! This session is appropriate for all EMS levels.Lift Assists--Are We Doing It Wrong?
Not another lift assist!? Come listen as we explore how lift assist patients are often sicker and more complex then we see them. These patients often present insidiously and are hiding serious pathology that results in frequent admissions and even death. Learn what you need to look for when you are dispatched to a lift assist patient. This session is appropriate for all EMS levels.EMSVO - Rollover Prevention
Driver error is the major contributing factor in nearly all emergency vehicle rollover crashes. This video focuses on physical dynamics of vehicle operations, mechanics of vehicle operations, common rollover circumstances, and best practices for maintaining vehicle control. This session is appropriate for all EMS levels.
We summarize toxins that are extremely deadly, but infrequently encountered. This lecture highlights nerve agents, cyanide, and strychnine. Since exposures to these poisons are uncommon, but lethal, we focus on the identification of signs and symptoms associated with their exposure, and initiation of rapid pre-hospital treatment. This session is appropriate for all EMS levels.BRUE--Scary for Parents and Providers
We discuss Brief Resolved Unexplained Event (formally known as ALTE) in infants and it's appropriate assessment and management strategies. This session is appropriate for all EMS levels.Caring for the Entrapped and Crushed Patient
From mine shafts to overturned cars to being wedged between the toilet and the vanity - patients have a knack for finding themselves trapped in some of the most precarious positions. Treating patients in these scenarios involves unique skills and awareness to avoid causing further deterioration to the patient during both the rescue and the resuscitation. We'll review care for the entrapped patient, interventions to properly monitor, resuscitate, and transport the entrapped and/or crushed patient. This session is appropriate for all EMS levels.Capnography--The 5th Vital Sign
Understanding how to interpret waveforms can give you a 4 to 10 minute warning that your patient is not tolerating the current treatment. We will go into detail on how to dissect an EtCO2 waveform and understand the anatomy behind it. This session is appropriate for all EMS levels, with an emphasis on ALS treatments.Life Savers and Heart Breakers: The Future of Cardiac Arrest
Survival from cardiac arrest with good neurological outcomes has risen from 2% to 12% nationally. What strategies lead to high rates of survival and what opportunities are there for improving outcomes in out of hospital cardiac arrest (OOHCA)? We will reinforce the tenants of high performance CPR including improved bystander CPR, high compression fraction, minimized interruptions, and delayed airway management. We also discuss the evidence for new trends in OOHCA management including, termination of resuscitation in traumatic arrest, heads up CPR and mechanical CPR. We discuss future technologies that may change prehospital resuscitation including, ultrasound guided CPR, field ECLS, and intra-arrest hypothermia. This session is appropriate for all EMS levels, with an emphasis on ALS treatments.
We review the growing importance of vaccine-preventable disease in prehospital care in the United States. Recognition of important disease such as measles, pertussis and influenza is a key component of good patient care and provider safety. This session will review the data on vaccine effectiveness and provide up to date information on presentations of diseases and appropriate management, from PPE to vaccination to prehospital recognition and stabilization. This session is appropriate for all EMS levels.Shock - A Pause in the Act of Dying
An overview of the causes and pathophysiology of various types of shock. This session is appropriate for all EMS levels.Pedal to the Metal: How Much does Prehospital Time Matter for Your Trauma Patient?
The Golden Hour. The Platinum Ten Minutes. All staples of prehospital trauma care. But where did they come from and what's the evidence behind them? Does every trauma patient have to get to the hospital ASAP? What are the risks of putting the "pedal to the metal"? We explore evidence for the relationship between prehospital time and outcomes in the injured patient and put together a practical approach for you in the field. Some of the approaches to these may surprise you! This session is appropriate for all EMS levels.Don't Try This at Home Kids. Home Medical Appliances that can Kill
With the advancement in technology more people are receiving more advanced medical care in the homes. More affordable nanotechnology is helping millions live more independent lifestyles then in the past. But these are still complex medical devices and in the wrong hands can turn deadly. We will discuss these new devices and how to avoid turning a good thing bad. This session is appropriate for all EMS levels.Current Perspectives on CPR: When to Start? When to Stop?
We discuss current perspectives in determining when it is appropriate to withhold CPR and criteria for terminating CPR in consideration of recent advances in medical knowledge and technological capabilities and the continuing evolution of ethical theory. A diversity of situations will be covered including traumatic and nontraumatic cardiac arrest scenarios and the presence of various forms of advance directives. This session is appropriate for all EMS levels.
It is getting harder and harder for small, rural EMS agencies to survive. Low call volumes leading to low reimbursement, recruitment problems, and growing administrative and statutory requirements make just staying open a tremendous challenge. But there is hope. Successful agencies carve their future from a collaborative vision and combine constant evolution with time tested leadership tactics. This class will use case studies to describe successful rural EMS agency planning and discuss the strategies others have used to breed viability. While there may be no easy answers, this engaged discussion will consider the winning paths of several small agencies and offer their successful plans as starting points for other agencies. This session is appropriate for all EMS levels.