7:00am to 8:00am
Things Aren't Always As They Seem, Part II
Dr. Owen Traynor | University of Pittsburgh Medical Center
CONED: 1.0 Clinical Patient Care
SPONSORED BY AHN LifeFlight
This is a follow-up from my lecture in 2019; 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.
8:00am to 9:00am
Things You Hope Never Happen to You--Interesting Trauma Cases
Dr. Allan Philp | Allegheny Health Network
CONED: 1.0 Clinical Patient Care
SPONSORED BY Allegheny Health Network
From tomahawk injuries to complex gunshots and high speed motorcycle crashes, trauma care spans a range of injury patterns and types of care. Using real cases, we explore what went well and what we'd do differently the next time. This session is appropriate for all EMS levels.
Make it, Check it, Keep it: Effective Airway Management
Dr. Christian Martin-Gill | University of Pittsburgh Medical Center
CONED: 1.0 Clinical Patient Care
Airway management is one of the most challenging aspects of prehospital care. New devices including video laryngoscopy, new supraglottic airways, and more common use of bougies have changed the traditional mode of intubation. Yet basic airway techniques and knowledge of anatomy can have the greatest impact in preventing hypoxia. This session will describe the most important habits of highly effective airway management and include videos of real airways being managed. This session is appropriate for all EMS levels.
9:15am to 10:15am
Five Causes of Sudden Death and What You Can Do About Them
Dr. Chadd Nesbit | Allegheny Health Network
CONED: 1.0 Clinical Patient Care
SPONSORED BY Allegheny Health Network
Pre-hospital providers often encounter patients in cardiac arrest or near arrest states that then progress to arrest. Sometimes the cause may be obvious, while, in other cases, the patients are reported to be healthy prior to the incident. We discuss five medical causes of sudden death and talk about clues the provider should look for, and, most importantly, what actions you should take to care for the patient. We will discuss diagnosis and treatment in these situations for both ALS and BLS providers. This session is appropriate for all EMS levels.
Wilderness EMS for Recreation
Dr. David Barton | University of Pittsburgh Medical Center
CONED: 1.0 Clinical Patient Care
SPONSORED BY Excela Health
Hiking, mountain biking, white water rafting, hunting, climbing...EMS providers must know the most common emergencies in these popular outdoor recreational activities. Several outdoor sports present unique injuries and management techniques. EMS care in wilderness settings presents unique challenges, and yet providers are expected to treat with a high level of care. This lecture will build on Wilderness EMS Fundamentals by applying knowledge to several of the most popular categories of wilderness and outdoor recreation. Injury patterns and risks for these various sports will be reviewed. Participants will review fundamentals of wilderness EMS care, identify the most common injuries in multiple outdoor recreational sports, and identify treatments for sport specific injuries. This session is appropriate for all EMS levels.
10:30am to 11:30am
EMS to ED Handoff: Who's Listening?
Zachary Allan and Meredith Aumer | AHN Jefferson Hospital
CONED: 1.0 Clinical Patient Care
SPONSORED BY Allegheny Health Network
The handoff report from EMS to the Emergency Department is critical and vital for safe patient care. Standardized report can happen anywhere, at any time and with any acuity of patient and still be high quality. This presentation will review the importance of standardized report, managing expectations and perceptions between EMS and ED professionals and identifying improvement opportunities. More specifically, this presentation will review what poor and high quality handoffs look like, review what handoff looks like in different areas of the emergency department, and will review the necessary elements to be reported in handoff. Additionally, this presentation will provide tools for increasing collaboration between EMS professionals and ED teams related to handoff. This session is appropriate for all EMS levels.
Saving the Brain--Critical Prehospital Care After TBI
Dr. Vincent Mosesso | University of Pittsburgh Medical Center
CONED: 1.0 Clinical Patient Care
Traumatic brain injury is responsible for many deaths and severe disability. New evidence reveals that patient outcomes are highly related to the early management of several specific conditions that can and should be addressed in the field. This presentation will provide concrete guidance for the prehospital management of these patients. Common errors that are harmful but often unrecognized will be reviewed. This is a must see presentation if you want to provide state-of-the-art care to patients with head injury. This session is appropriate for all EMS levels.
11:45am to 12:45pm
If One Pill is Good--Take the Whole Bottle? Prehospital Poisonings
Dr. Seth Kelly | University of Pittsburgh Medical Center
CONED: 1.0 Clinical Patient Care
SPONSORED BY EMS West
Patients do not always read the directions regarding medications. We summarize common OTC overdoses/ingestions that can result in severe toxicity. We highlight common mis-dosed drugs, expected signs and symptoms, and ultimately prehospital treatment for these ingestions. This session is appropriate for all EMS levels.
1:15pm to 2:15pm
Prehospital Pain Management
Dr. Phillip Nawrocki | Allegheny Health Network
CONED: 1.0 Clinical Patient Care
SPONSORED BY Allegheny Health Network
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.
They're Not Just Little Adults: Challenges in Assessing the Pediatric Patient
Dr. Sylvia Owusu Ansah | UPMC Children's Hospital of Pittsburgh
CONED: 1.0 Clinical Patient Care
SPONSORED BY AHN LifeFlight
This is a comprehensive and interactive overview of the pediatric assessment triangle (PAT) with a case based approach. The PAT is an evidence based tool that can be used in 30 - 60 seconds to quickly determine the acuity of a child and can determine whether a child is in respiratory distress and/or failure, has altered mental status, or shock. This helps to give you a rapid and visual tool to assess the severity of pediatric illness. This session is appropriate for all EMS levels.
2:30pm to 3:30pm
Death by Poisoning
Dr. Anthony Pizon | University of Pittsburgh Medical Center
CONED: 1.0 Clinical Patient Care
SPONSORED BY Quick Med Claims
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.
Prehospital Management of Blast Injuries
Dr. Phillip Nawrocki | AHN LifeFLight and Critical Care Transport
CONED: 1.0 Clinical Patient Care
SPONSORED BY Allegheny Health Network
This session will discuss the pathophysiology and mechanisms of the various types of blast injury using a case based discussion. Specific focus will be on the initial considerations for approaching explosive incidents, a discussion of injuries related to blast trauma, as well as an overview of the management of injuries that may occur following explosive incidents. This session is appropriate for all EMS levels.
3:45pm to 4:45pm
New Technology for the Acute Management of Seizures
Dr. Jayant Acharya | Penn State University Hershey Medical Center
CONED: 1.0 Clinical Patient Care
EMS providers are often called to evaluate patients with seizures, as seizures can cause permanent brain damage or death if they are not treated promptly. With the development of new technology in the last two decades, including devices for seizure detection and neurostimulation, the approach to the early detection and management of seizures has changed. It is important for EMS providers to become familiar with these advances and with their practical use in clinical settings. This session will provide an overview of our current understanding about seizures and epilepsy, and describe the traditional management of seizures as well as the use of new and emerging technology. This session is appropriate for all EMS levels.
Pedal to the Metal: How Much does Prehospital Time Matter for Your Trauma Patient?
Dr. Joshua Brown | UPMC Critical Care Medicine
CONED: 1.0 Clinical Patient Care
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.
6:00pm to 7:00pm
Pediatric Burn Management
Dr. Ariel Aballay | West Penn Burn Center
CONED: 1.0 Clinical Patient Care
SPONSORED BY Allegheny Health Network
Allegheny Health Network West Penn Hospital Burn Center (AHN WPH) is the only burn center in eastern PA verified eight times by the American Burn Association/American College of Surgeons for care of pediatric, as well as adult burn patients. A presentation will be conducted discussing general care regarding pediatric burn population. Patient Triage guidelines will highlight the initial management, fluid resuscitation for burns, and stabilization before transfer to the burn center. When it comes to the pediatric patient, the burn injury statistics are alarming. The presenter will provide a detailed discussion on the specialized care of this very vulnerable population. Children have physiological and anatomical differences that warrant special attention when managing the burn injuries. This session is appropriate for all EMS levels.