PRESENTERS | SCHEDULE
Schedule
New York Medical Control hours - 4 for the day if you attend classes with *
Registration from 8 to 8:20 – main lobby
Opening remarks/key note from 8:25 to 9:45
Key Note:
Have you ever given much thought about how you ended up where you? More importantly, have you thought much about what keeps you in EMS or where you are going? Four ways to get there is a program centered on the reality of what makes us emergency medical providers and the friendships we earn along the way. This reflective program brings you the realities of four yesterdays with the promise of our collective tomorrow. Join Mike, Bill, Gary, and Scotty as they weave their very different approaches to EMS into careers and lifestyles reflective of the American dream.
Break 9:45 to 10:00
Session 1 10:00 to 11:15
Scotty: A Rib to Spare - Chest Injuries *
Injuries to the thorax are common and frequently lethal. Your understanding of the anatomy and current interventions is imperative. This lecture is specifically designed to illuminate the various injuries, define the malfunction and limit the legality. Included in this lecture you will discover and redefine a direct lifesaving pathway based on today’s evidence, combined expert experiences and related protocol.
Mike: Sepsis and EMS: The South Denver Experience
In 2009 the South Denver EMS team developed and implemented an EMS Sepsis alert program for fire/EMS agencies in Colorado. The results? If EMS properly identifies and alerts the receiving facility of the pending arrival of a severely septic patient, mortality in that subset of patients can decrease from 26% to 13%. This presentation describes the sepsis alert development process, education, protocol implementation, the role of the receiving hospitals and the research making this program an award winning program as identified by UCLA’s Prehospital Research forum.
Gary: Caring for People, doing your best everyday
When the tone goes off and your team responds to the 9-1-1 call are you prepared for what awaits you? Can you always give your best and do those you care for see you at your best? Based upon the popular book: People Care by Thom Dick, Gary provides the verbal philosophy. It’s okay because Thom and Gary are great friends and Gary asked him…. Explore a bit about yourself and what makes you a great EMS Care provider!
Bill: A Shout Away
This session will provide participants with a realistic perspective of the necessary components to choreograph an MCI. How to best utilize the newest SALT triage/treatment program in the pre-hospital and hospital environment. This new program allows for early interventions of specific life-threatening conditions and allow a more effective triage/tagging system. A review of the difference between a multi-patient incident (MPI) and a mass casualty incident (MCI), roles and responsibilities of responders, scene safety, incident management system (IMS) for pre-hospital and in-hospital will be discussed. The end result is the participants will realize and “get” what works and what doesn’t at real incidents and how drills make a difference in preparedness.
Break 11:15 to 11:30
Session 2 11:30 to 12:45
Scotty: Bone of the matter - A fresh look at skeletal injuries *
Skeletal injuries are a frequent, painful, costly and a potentially lethal emergent complication. Understanding the fractures anatomical breadth – form the point of injury, initial management and definitive intervention - will help you provide improved care, and ultimately decrease needless suffering and lifelong dysfunction.
Mike: No Kidding!
Assessing the pediatric patient can intimidate even the most seasoned EMS providers. The reason? Experience and training. With pediatric calls making up only 10% of prehospital responses – and 80% of those are for minor emergencies requiring no ALS measures – our lack of experience results in lower confidence levels. And for many EMS providers, the bulk of their training has focused primarily on adult care, giving little attention to the special needs of critically ill and injured children. This session will provide the EMS provider with the most current and up-to-date pediatric assessment concepts and thereby provide the opportunity to make a significant difference in the outcome of emergencies involving children. FACT: You can estimate the upper limit of a child’s normal heart rate by using HR=150 – (5 x patient’s age in years).
Gary: Making Sense out of Chaos; Decisions for scene management
When we’re called into action are we always ready for what awaits us? Usually, but not always; do our expectations always match those of who called for help? As Mr. Rogers used to say: “There are many people in our neighborhood…” Do you know who they are? How will you interface with them in order to bring a sense of control and professionalism to the scene? Did you know there are more way to communication than speaking? Cultural and social aspects play a huge part in scene management for the better or worse of the care provider and the patient! Join Gary in this interesting and at times humorous presentation to help you better manage your everyday responses.
Bill: Bringing Battlefield Medicine to our Streets
Decisive and split second care of bleeding, chest injuries and airway problems to include “self-aid” is imperative for a positive outcome of a trauma patient. This program presents the most current effective interventions following the Trauma Casualty Care Course (TCCC) recommendations of immediate lifesaving steps and the proper sequence in which to do them. The program is targeted to all audiences both hospital and pre-hospital clinicians, law enforcement, military and special operational units.
Lunch 12:45 to 1:45 - Provided
Session 3 1:45 to 3:00
Scotty: Choreographing Critical - Better patient management
A great deal of abstract theory and useless talk surrounds modern emergency care. This, case study centered lecture is about putting specific - goal oriented, evidenced measured management into our medical and trauma critical care (where you work TODAY).
Mike: First Responder Resiliency
Often times what we experience on horrific calls are a normal reaction to an abnormal situation. Resiliency is the ability to bounce back from adversity; it comprises a set of attitudes, skills, and behaviors that can be learned. The key to resiliency is not the elimination of stress, but the development of the skills needed to manage stress in an optimal way. First responders are capable of growing from their experiences as opposed to becoming a victim of them. This session introduces the audience to an evidence-based program describing the 12 skills of First Responder Resiliency.
Gary: EMS Response to Pregnant Patient
This lively program will review the physiological and anatomical changes that occur during pregnancy and how they might affect patient assessment and treatment. Using case presentations that punctuate key points, Gary moves from BLS to ALS care, offering patient assessment tips that have practical application in the out-of-hospital setting. He promises this is not your usual “birthing baby class".
Bill: Surviving in the Crosshair- Response to active shooters: *
Have you read the news lately? One of the fastest growing problems in America is urban terrorism. This presentation will focus on new tactics for both law enforcement and medical providers involved in an active shooter scenario. This program is extremely controversial and overviews the newest most effective way to respond to an active shooter event. Teamwork, good communication, effective triage, proper equipment and a formulated plan “before” the attack are paramount for an integrated response.
Break 3:00 to 3:15
Session 4 3:15 to 4:30
Scotty: To AIR is Human - ventilation management *
This interactive session promises a dynamic, experienced centered, evidence based view into ventilation management. Tempering this discussion will be a visit to the graveyard of airway misadventure, the marveling of herculean saves, and a journey home to day to day ventilation realities. This program unapologetically walks through the doors of anatomy, training, education, retention and the frank promise of tomorrow’s challenges. Bolleter promises an entertaining program, but offers no quarter for the status quo or evidence in the absence of experience. So expect to gain new insight beneath the skin - while preparing to manage the complexity of unique ventilation challenges. “To Air is Human” but to remain incompetent is criminal. So join your fellow colleagues in a program that is designed to deliver a fresh air to the problem not yet solved. This program includes information for the management of emergent ventilation, which includes treatment from fundamental to the surgical - with particular focus on THE TEAM.
Mike: Situational Awareness: It Isn’t Rocket Science (Or IS It?)
As an emergency service provider, your situational awareness of what is going on – with you, your crew, and your patient – is absolutely critical to provide the very best patient care. Mistakes do not, never have, and never will cause injury or harm to us or our patients. What, then, DOES cause us harm? This presentation focuses on the concept of situational awareness, a component of crew resource management taught to all commercial aviation personnel in the event of an in-flight emergency. Translated into the emergency medical environment, situational awareness not only keeps us safe; it improves our patient care. We should never allow complacency, poor communication, distractions, or losing sight of the ‘big picture’ to harm us – or our patients. Remember: No emergency scene is ever mistake-free as long as there are people involved!
Gary: Wish I’d Known 10 things
It does not matter if you find yourself as a paid professional or a volunteer professional, at some point you may have the opportunity to “move up the ladder.” You may even find yourself on the cusp of becoming Chief, and you may ask yourself, “Well how did I get here?”* “…you may say to yourself how do I work this?”*
Gosh, if I’d only know about a thousand things I’d be a great Chief, well yeah sure you would. How about joining Gary and identifying ten key elements that if he’d only known, the school of hard knocks would have had one less graduate! *with thanks to David Byrne
Bill: A Shout Away
This session will provide participants with a realistic perspective of the necessary components to choreograph an MCI. How to best utilize the newest SALT triage/treatment program in the pre-hospital and hospital environment. This new program allows for early interventions of specific life-threatening conditions and allow a more effective triage/tagging system. A review of the difference between a multi-patient incident (MPI) and a mass casualty incident (MCI), roles and responsibilities of responders, scene safety, incident management system (IMS) for pre-hospital and in-hospital will be discussed. The end result is the participants will realize and “get” what works and what doesn’t at real incidents and how drills make a difference in preparedness.
Opening remarks/key note from 8:25 to 9:45
Key Note:
Have you ever given much thought about how you ended up where you? More importantly, have you thought much about what keeps you in EMS or where you are going? Four ways to get there is a program centered on the reality of what makes us emergency medical providers and the friendships we earn along the way. This reflective program brings you the realities of four yesterdays with the promise of our collective tomorrow. Join Mike, Bill, Gary, and Scotty as they weave their very different approaches to EMS into careers and lifestyles reflective of the American dream.
Break 9:45 to 10:00
Session 1 10:00 to 11:15
Scotty: A Rib to Spare - Chest Injuries *
Injuries to the thorax are common and frequently lethal. Your understanding of the anatomy and current interventions is imperative. This lecture is specifically designed to illuminate the various injuries, define the malfunction and limit the legality. Included in this lecture you will discover and redefine a direct lifesaving pathway based on today’s evidence, combined expert experiences and related protocol.
Mike: Sepsis and EMS: The South Denver Experience
In 2009 the South Denver EMS team developed and implemented an EMS Sepsis alert program for fire/EMS agencies in Colorado. The results? If EMS properly identifies and alerts the receiving facility of the pending arrival of a severely septic patient, mortality in that subset of patients can decrease from 26% to 13%. This presentation describes the sepsis alert development process, education, protocol implementation, the role of the receiving hospitals and the research making this program an award winning program as identified by UCLA’s Prehospital Research forum.
Gary: Caring for People, doing your best everyday
When the tone goes off and your team responds to the 9-1-1 call are you prepared for what awaits you? Can you always give your best and do those you care for see you at your best? Based upon the popular book: People Care by Thom Dick, Gary provides the verbal philosophy. It’s okay because Thom and Gary are great friends and Gary asked him…. Explore a bit about yourself and what makes you a great EMS Care provider!
Bill: A Shout Away
This session will provide participants with a realistic perspective of the necessary components to choreograph an MCI. How to best utilize the newest SALT triage/treatment program in the pre-hospital and hospital environment. This new program allows for early interventions of specific life-threatening conditions and allow a more effective triage/tagging system. A review of the difference between a multi-patient incident (MPI) and a mass casualty incident (MCI), roles and responsibilities of responders, scene safety, incident management system (IMS) for pre-hospital and in-hospital will be discussed. The end result is the participants will realize and “get” what works and what doesn’t at real incidents and how drills make a difference in preparedness.
Break 11:15 to 11:30
Session 2 11:30 to 12:45
Scotty: Bone of the matter - A fresh look at skeletal injuries *
Skeletal injuries are a frequent, painful, costly and a potentially lethal emergent complication. Understanding the fractures anatomical breadth – form the point of injury, initial management and definitive intervention - will help you provide improved care, and ultimately decrease needless suffering and lifelong dysfunction.
Mike: No Kidding!
Assessing the pediatric patient can intimidate even the most seasoned EMS providers. The reason? Experience and training. With pediatric calls making up only 10% of prehospital responses – and 80% of those are for minor emergencies requiring no ALS measures – our lack of experience results in lower confidence levels. And for many EMS providers, the bulk of their training has focused primarily on adult care, giving little attention to the special needs of critically ill and injured children. This session will provide the EMS provider with the most current and up-to-date pediatric assessment concepts and thereby provide the opportunity to make a significant difference in the outcome of emergencies involving children. FACT: You can estimate the upper limit of a child’s normal heart rate by using HR=150 – (5 x patient’s age in years).
Gary: Making Sense out of Chaos; Decisions for scene management
When we’re called into action are we always ready for what awaits us? Usually, but not always; do our expectations always match those of who called for help? As Mr. Rogers used to say: “There are many people in our neighborhood…” Do you know who they are? How will you interface with them in order to bring a sense of control and professionalism to the scene? Did you know there are more way to communication than speaking? Cultural and social aspects play a huge part in scene management for the better or worse of the care provider and the patient! Join Gary in this interesting and at times humorous presentation to help you better manage your everyday responses.
Bill: Bringing Battlefield Medicine to our Streets
Decisive and split second care of bleeding, chest injuries and airway problems to include “self-aid” is imperative for a positive outcome of a trauma patient. This program presents the most current effective interventions following the Trauma Casualty Care Course (TCCC) recommendations of immediate lifesaving steps and the proper sequence in which to do them. The program is targeted to all audiences both hospital and pre-hospital clinicians, law enforcement, military and special operational units.
Lunch 12:45 to 1:45 - Provided
Session 3 1:45 to 3:00
Scotty: Choreographing Critical - Better patient management
A great deal of abstract theory and useless talk surrounds modern emergency care. This, case study centered lecture is about putting specific - goal oriented, evidenced measured management into our medical and trauma critical care (where you work TODAY).
Mike: First Responder Resiliency
Often times what we experience on horrific calls are a normal reaction to an abnormal situation. Resiliency is the ability to bounce back from adversity; it comprises a set of attitudes, skills, and behaviors that can be learned. The key to resiliency is not the elimination of stress, but the development of the skills needed to manage stress in an optimal way. First responders are capable of growing from their experiences as opposed to becoming a victim of them. This session introduces the audience to an evidence-based program describing the 12 skills of First Responder Resiliency.
Gary: EMS Response to Pregnant Patient
This lively program will review the physiological and anatomical changes that occur during pregnancy and how they might affect patient assessment and treatment. Using case presentations that punctuate key points, Gary moves from BLS to ALS care, offering patient assessment tips that have practical application in the out-of-hospital setting. He promises this is not your usual “birthing baby class".
Bill: Surviving in the Crosshair- Response to active shooters: *
Have you read the news lately? One of the fastest growing problems in America is urban terrorism. This presentation will focus on new tactics for both law enforcement and medical providers involved in an active shooter scenario. This program is extremely controversial and overviews the newest most effective way to respond to an active shooter event. Teamwork, good communication, effective triage, proper equipment and a formulated plan “before” the attack are paramount for an integrated response.
Break 3:00 to 3:15
Session 4 3:15 to 4:30
Scotty: To AIR is Human - ventilation management *
This interactive session promises a dynamic, experienced centered, evidence based view into ventilation management. Tempering this discussion will be a visit to the graveyard of airway misadventure, the marveling of herculean saves, and a journey home to day to day ventilation realities. This program unapologetically walks through the doors of anatomy, training, education, retention and the frank promise of tomorrow’s challenges. Bolleter promises an entertaining program, but offers no quarter for the status quo or evidence in the absence of experience. So expect to gain new insight beneath the skin - while preparing to manage the complexity of unique ventilation challenges. “To Air is Human” but to remain incompetent is criminal. So join your fellow colleagues in a program that is designed to deliver a fresh air to the problem not yet solved. This program includes information for the management of emergent ventilation, which includes treatment from fundamental to the surgical - with particular focus on THE TEAM.
Mike: Situational Awareness: It Isn’t Rocket Science (Or IS It?)
As an emergency service provider, your situational awareness of what is going on – with you, your crew, and your patient – is absolutely critical to provide the very best patient care. Mistakes do not, never have, and never will cause injury or harm to us or our patients. What, then, DOES cause us harm? This presentation focuses on the concept of situational awareness, a component of crew resource management taught to all commercial aviation personnel in the event of an in-flight emergency. Translated into the emergency medical environment, situational awareness not only keeps us safe; it improves our patient care. We should never allow complacency, poor communication, distractions, or losing sight of the ‘big picture’ to harm us – or our patients. Remember: No emergency scene is ever mistake-free as long as there are people involved!
Gary: Wish I’d Known 10 things
It does not matter if you find yourself as a paid professional or a volunteer professional, at some point you may have the opportunity to “move up the ladder.” You may even find yourself on the cusp of becoming Chief, and you may ask yourself, “Well how did I get here?”* “…you may say to yourself how do I work this?”*
Gosh, if I’d only know about a thousand things I’d be a great Chief, well yeah sure you would. How about joining Gary and identifying ten key elements that if he’d only known, the school of hard knocks would have had one less graduate! *with thanks to David Byrne
Bill: A Shout Away
This session will provide participants with a realistic perspective of the necessary components to choreograph an MCI. How to best utilize the newest SALT triage/treatment program in the pre-hospital and hospital environment. This new program allows for early interventions of specific life-threatening conditions and allow a more effective triage/tagging system. A review of the difference between a multi-patient incident (MPI) and a mass casualty incident (MCI), roles and responsibilities of responders, scene safety, incident management system (IMS) for pre-hospital and in-hospital will be discussed. The end result is the participants will realize and “get” what works and what doesn’t at real incidents and how drills make a difference in preparedness.