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Lecture & Workshop Descriptions

 Cheryl Bakhtiari, EMT-P

Take a Second Look: What We Miss in Strangulation Injuries

Only in recent years have we begun to look at strangulation and attempted strangulation more critically. Injuries, sometimes fatal, have been missed because we didn't know what to look for and the victim didn't know to tell us. Protocols are changing across Texas and the nation, from the way police departments handle strangulation cases, to the way victims are examined in the emergency department and to the way perpetrators are prosecuted. Many more cases are being tried. This lecture will help you learn how to better examine a patient, document and give evidence in court; understand the difference between strangulation and choking; determine extent of injury in a strangulation with four steps.

 

Jeff Beeson, DO, FACEP, EMT-P

Basic Trauma Management

Management of traumatic injuries is the foundation of EMS, yet many EMTs get overwhelmed when faced with an injured patient. This presentation will review the common injury patterns seen in victims of traumatic injuries. We will then discuss the BLS management of these patients. Finally we will discuss the pre-event planning of mode of transportation and destination decisions for the trauma patient.

 

Jeff Beeson, DO, FACEP, EMT-P

Managing the Trauma Airway

Trauma airways are often the most difficult ones to manage. Current education and simulation fail to prepare personnel for what they often are faced with. Knowledge of airway anatomy is essential. Having various management device options in your toolbox will increase success rates, and we will also discuss an algorithmic approach airway management.

 

Bryan Bledsoe, DO, FACEP, FAEMS

Excited Delirium Syndrome: What You Need to Know

Excited delirium syndrome is a relatively uncommon medical problem that is now being increasingly encountered by EMS personnel. The situation is complex and difficult to treat and has a high mortality rate. Because of this, EMS providers need to recognize excited delirium syndrome early in the patient encounter and provide necessary care. In this lecture, we will review the pathophysiology, recognition and management of excited delirium syndrome based upon the best available scientific evidence.

 

Bryan Bledsoe, DO, FACEP, FAAEM

Toxidromes: Old and New

EMS personnel are encountering toxicological emergencies with increasing frequency. Most toxicological emergencies can be categorized into various commonalities called toxidromes. In this lecture we will review the common toxidromes encountered in prehospital care. Particular emphasis will be placed on new and evolving drugs and poisons.

 

Scotty Bolleter, BS, EMTP

Scott Lail, EMT-P, FP-C

I Believe I Can Fly: Procedural Run’ology

Scott Lail and Scotty Bolleter return to Texas EMS Conference to highlight the latest innovations in emergency medicine. I Believe I Can Fly will deeply define today’s procedural interventions (bleeding control, ventilation, thoracic injury care, vascular access and pain management) with the reflections and evolutions of blending scene orchestration and appropriate transport. The presenters will offer the reality of critical care, amazing one-of-a-kind images, an unapologetic and entertaining delivery, and an entire program on DVD (with bonus information) for the first 200 through the door. If that’s not enough enticement, then perhaps a quote to get you through the door? “Try not to be the one highlighting an incompetent provider’s inability--by bleeding to death--on them.”

 

Scotty Bolleter, BS, EMTP

Stephen Rahm, NRP

Thoracic Park

Injuries to the chest are common and frequently lethal. Your understanding of the anatomy as well as the lifesaving evidence that supports current interventions is imperative. “Thoracic Park” is designed to illuminate injuries, define complication and highlight management options, using thoracic and abdominal anatomy as it relates to chest injury management. This program includes newly created images and videos accompanied by case studies and an unapologetic reality check!

 

Ken Bouvier, Paramedic

Methamphetamine: From the Streets to the Emergency Room

This session will better prepare prehospital care practitioners, emergency nurses, physicians and respiratory therapists, and X-ray and laboratory technicians to better handle patients who come from the street to the emergency room after being involved with methamphetamine. A recent hospital study showed that methamphetamine (meth) is the top illicit drug showing up at U.S. hospitals (marijuana ranked second); the number of meth patients increased 68 percent in the last five years and most were uninsured. The side effects meth patients can experience include convulsions, dangerously high body temperature, stoke, cardiac arrhythmia, heart attacks, bone and tooth loss, stomach cramps and shaking. Chronic meth abuse can lead to psychotic behavior including paranoia, hallucinations, rage and violence. Using a unique power-point presentation, this lecture will also cover the lifestyle and conditions where EMS providers may pick up meth users and discuss what it takes to deliver them safely to the emergency room. This can include how to decontaminate a patient from a clandestine chemical or meth lab; how to recognize patients concealing knives and guns; and the importance of body substance isolation gear.

 

Ken Bouvier, Paramedic

Your Off-Duty Behavior Could Impact You While On Duty

This lecture will help prehospital care practitioners understand how off-duty behavior could impact them while on-duty. Everyone is in touch with each other by way of Facebook, email, Instagram, Twitter, LinkedIn, Snapchat, YouTube and other forms of social media. Talking and sharing photos on social media with others is a good way to stay connected with old college classmates, military buddies, co-workers and people who you enjoy communicating with. The EMS community is no stranger to social media, but it is still a very stressful profession and more dangerous than ever. While most EMS services have policies, procedures and ethics rules that comply with HIPPA laws, some EMTs and paramedics may violate the policy and procedures by posting information about their lives, patients or calls they responded to. For example, think about going out before your shift, drinking a few beers and posting a photo of yourself drinking. Two hours into your shift you get involved in a wreck. A good attorney will try to use that photo against you in court. Another example--if you post a photo or make comments about a patient you treated, this could lead to a HIPPA violation and even arrest. This session will use this type of case study to help understand the rules of engagement with social media and review where to find the HIPPA CFR Part 160–164.

 

Ken Bouvier, Paramedic

Mayday! Mayday! Small Airplane Crash Response and Triage

There are over 400 airports in Texas, and 369 of those service small airplanes. During this lecture prehospital care practitioners will learn how to safely respond to a small airplane crash and recognize potential hazards. Attendees will gain a better understanding of the types of injuries associated with a small plane crash and will learn how chaotic the scene may be. Using a unique power point presentation, attendees will learn how to perform rescue and properly move patients to safety for triage. They will learn about small airplanes, common causes of small airplane crashes, responder safety and safety on scene. Topics will also include how to utilize triage tags, ribbons and tarps; a causality collection point; and Incident Command. Attendees will triage 12 victims of a small airplane crash on paper while in class.

 

Richard Bradley

The Role of EMS in Catastrophic Incident Search and Rescue

Hurricane Harvey impacted a large area of Texas and required an enormous amount of search and rescue (SAR) resources. This session will recap the SAR mission in Texas and discuss how EMS was a critical part. Topics will include the Catastrophic Incident Search and Rescue Addendum to the  National Search and Rescue Manual,  principles of delivery of survivors after a catastrophic incident,  lessons learned from Hurricane Harvey and other catastrophic incidents and opportunities for EMS personnel to be involved in future catastrophic incidents.

Understand the potential advantages to system based LE/Medical relationships.

Describe potential pitfalls for personnel based TacMed program development

Review a systematic framework for administratively establish an LE based TacMed program

Highlight successes of FWPD's approach to TacMed.

 

Stephanie Campbell, BSN RN CCRN

Severe Burns: Initial Assessment and Management

Severe burns are rare, but when they happen, knowing how to assess the severity and intervene as needed is critical. This presentation will provide the core knowledge needed to provide the best pre–burn-center care to the severely burned patient. We will review the latest statistics on the incidence and etiology of burn injuries nationwide. Using photographs of real burn injuries of varying depths, we will identify the most common characteristics of superficial, partial and deep burn injuries and practice calculating the total body surface area (TBSA). We will examine how factors such as burn size, burn location, co-morbidities and other injuries impact burn severity. Special considerations for the primary and secondary trauma survey assessments will also be identified. We will look at the most recent recommendations from the American Burn Association regarding fluid resuscitation.

 

Elizabeth Cuevas, PhD, LP

James Kelley, III

Danielle Davis

Deployment Basics

When public health functions are affected by a disaster caused by natural, accidental, or intentional means, there is a responsibility to respond to and assist the public with a rapid recovery. Employee/volunteer safety while deployed to the affected community is an essential factor of a successful response. This brief awareness course has been developed to provide helpful safety information to ensure Employees/volunteers reduce risks where possible and handle uncontrollable hazards in the proper manner. 

 

Shaun Curtis, B.S., EMT-P

Changing Gears in Your Driving Culture

Driving is one of the riskiest things EMTs and paramedics will do on shift. However, we typically spend only a few hours on training for our new team members. In a society where distracted driving, speeding and aggressive behavior is becoming the norm, how do EMS providers keep their drivers and the community they serve safe? Further, with a growing millennial (and younger) workforce, is the same old training the best method? In this discussion, we will cover some of the ways that MedStar augmented the current training to be relevant and effective, managed behavioral drift after a review of driver tenure and collisions, and “gamified” a feedback system to get the whole organization engaged in driver safety--thus creating a change in the culture. Further, this lecture will cover the employer's ability to improve driver safety on and off the job to contribute to a safer community.

 

Jasmine Davis, BSN, RN

Air Force Patient Movement: An Overview and Impact of Aeromedical Evacuation in the Military

Today, aeromedical evacuation is an integral component of military medical support. The United States Air Force provides the Department of Defense a capability of speeding casualties off the battlefield to a higher level of medical care. Aeromedical evacuation is the fastest and in some cases the only life-saving mode of transportation for injured military, dependents and contractor personnel. This lecture will discuss how aeromedical evacuation is used across the Department of Defense to bring home our wounded warriors, as well as the decisive factor in fast and efficient medical care. Additional topics include healthcare in the military, managing stresses of flight and specific aircraft used for evacuation.

 

Marcella Donaruma, Md, FAAP

Battered? Broken? … Or Is It Something More?

Physical abuse of children is a problem in the United States that knows no race, class or economic boundary. It is also easy to miss if you are not looking for it. Further, sometimes there are true medical mimics that can look like abusive injuries. Recognizing the difference can mean keeping a child safe from harm and respecting a healthy family whose child shows confusing signs of an unusual medical condition. This lecture will help providers identify sentinel injuries that offer clues to an abusive home, determine how the developmental stage of a young child can impact the interpretation of bruises, understand how pediatric fracture type and location can point at physical abuse as the cause of injury, and recognize medical conditions that can mimic signs of physical abuse.

 

Todd Early

Brent Williams

FirstNet and the Texas Public Safety Broadband Network: Executive Update for EMS

As the Nationwide Public Safety Broadband Network moves closer to becoming a reality, first responders throughout the United States and its territories are realizing the network’s potential, both in concept and through actual usage. With FirstNet’s announcement of the selection of a nationwide build-out partner, plans are now underway to deploy the network throughout the U.S., its territories and tribal nations. As a FirstNet early builder, Texas continues to the lead the nation in many aspects of planning and implementation, and deployments in Harris and Brazos counties are providing the industry with valuable insight and lessons learned. Speakers for this session include the Texas Single Point of Contact (SPOC) for FirstNet as well as FirstNet’s senior EMS advisor. Both will provide updates on the status of the network and will feature use-case scenarios based on daily usage of the network and major-event deployments, including Super Bowl LI in Houston. Additionally, attendees will learn how public safety broadband will impact EMS operations and patient care, gaining critical insight and information pertaining to the development of FirstNet State Plans and the phases of network deployment.

 

Alexander Eastman, MD, MPH, FACS

Tuesday General Session

Responding to the Dallas Active Shooter: A Personal Story

On July 7th, 2016, Dallas police officers were ambushed during a peaceful protest. Dr. Alexander Eastman responded to the shooting as a lieutenant on the Dallas Police Department SWAT team. Using this incident as the backdrop, attendees will hear novel tactics and views on improving survival from active shooter and intentional mass casualty events. Topics will include situational awareness (or lack thereof) during the initial phase of active shooter/intentional mass casualty events, limitations of current response framework in responding to these events, positive and negative aspects of traditional versus nontraditional transport of victims, and the critical components of the Stop The Bleed program.

 

Chris Ebright, B.Ed., NRP

The Final Collision

Sports-related concussions are serious, widely prevalent and often underreported traumatic brain injuries with potential for significant long-term deleterious effects on the athlete and beyond. Since 2009, all 50 states have adopted legislation regarding concussions in sports and developed return-to-play protocols in conjunction with the Center for Disease Control and Prevention's Heads Up campaign. This lecture will cover the pathophysiology and sequelae of concussion as well as proper evaluation and management. Topics will also include the unique considerations when assessing an athlete with possible concussion and the proper steps in managing a patient that is suffering from a concussion or showing signs of TBI.

 

Chris Ebright, B.Ed., NRP

Russian Roulette: The American Way

Parents don't know that inhalants--cheap, legal and accessible products--are as popular as marijuana. Even fewer know the deadly effects the poisons in these products have on the brain and body when they are inhaled, or "huffed." It's like playing Russian roulette--the user can die the first, tenth or one hundredth time a product is misused. This presentation will explain the pathophysiology of various gases, nitrites, volatile substances and other information you need to know to treat this deadly underground problem affecting teens and preteens.

 

Bryan Ericson, M.Ed., RN, NRP, LP

Low-Tech in a High-Tech World: Assessment Technology Pearls and Pitfalls

This lecture takes a look at the practice of patient assessment and the technologies that we all have become dependent upon. Technology has become all too commonplace in the practice of EMS. How many of us really remember EMS practice without them? A problem can develop when we rely on these technologies and forget to really look at our patients. One of the EMS provider’s most basic skills is the ability to assess patients. By having some fun and going back to the basics in our approach, we can build-on and enhance this critical skill, making us all more skilled and proficient EMS professionals!

 

Bryan Ericson, M.Ed., RN, NRP, LP

Are You a Technician or Are You a Clinician?

Do you despise being called an “ambulance driver”? Have you wondered why this term is so hard to shake? Do professional EMS clinicians actually exist? Are you sure? What defines a clinician and how do we as EMS providers ensure our professional standing among other medical professions and our patients? These questions and others will be debated and discussed in this presentation. This discussion will also include some very interesting, if not disturbing, facts about the current state of EMS practice. More importantly we will discuss solutions that are available to ensure that EMS providers can practice as clinicians and not technicians!

 

Mark Escott, MD, MPH, FACEP

Jason Pickett, MD, FACEP

A New Hope: 2017 Updates in Trauma Resuscitation and Traumatic Cardiac Arrest

This lecture will discuss the science behind damage control resuscitation, as well as new evidence suggesting more aggressive field management of traumatic cardiac arrest may lead to improved survival. It will include discussion of prehospital simple thoracostomy, permissive hypotension, pericardiocentesis, as well as prehospital blood administration.

 

Justin Fairless, DO, LP, FACEP

Needles, Scalpels and Saws: Surgical Procedures in EMS

This lecture will provide an overview of current surgical procedures being performed in EMS, especially by Texas agencies. Case studies and protocol examples will be provided and a discussion about the pros and cons of certain surgical procedures being performed in the pre-hospital setting will be discussed. Topics will include cricothyrotomy, thoracostomy, pericardiocentesis and field amputation.

 

Rueben Farnsworth, NRP,CCP-C

Old McDonald Had Multi-Systems Trauma: Farm Injuries

You are toned to respond to a local farm for… (Use your imagination and insert your favorite farm trauma here.) If you want to know more about crazy trauma, look no further. Whether you crave arms wrapped around PTO shafts, or muddy corrals where someone just played chicken with a Brahma bull, this is the class for you. We will delve into the many unique injuries and mechanisms of injury that occur on the farm and ranch. And don’t forget scene safety. Topics will include unique types of trauma that occur in the farm and ranch setting, scene safety issues that are unique to the farm and ranch, unique scenarios and complications that arise with farm trauma and common symbols for machinery functions, such as PTO, kill switch and transmission control.

 

Rueben Farnsworth, NRP,CCP-C

Non-Accidental Trauma: Pediatric Crisis

When you suspect child abuse, there are many emotions that come to mind: anger, resentment and a desire to set the world right. While these are all valid reactions, we will explore ways to deal with these emotions without escalating the situation. Get ready for intriguing small-group discussion as part of this lecture. Topics will include the complex social dynamic often present at the scene of suspected NAT, common signs and symptoms of NAT, problem solving for the best course of action in the setting of NAT.

 

Rueben Farnsworth, NRP,CCP-C

What’s Your Sign? Medical and Trauma Assessment for EMS

We all know about signs, they tell us where to go and what to do. How familiar are you with all the medical signs running around? In this lecture, Farnsworth will cover myriad common signs, what to look for, how to test for them and what they mean. If you have ever stuck your Babinski sign in your mouth, you know what a pain in the Grey-Turner sign that can be, so come in and we will take a minute to talk about all the Cullen’s, Battle’s and Kernigs in the group. Be prepared to walk away as the new assessment ace in your house.

 

Andrew Fisher, MPAS, PA-C

Closing Session

Finding Meaning and Purpose After the Unthinkable

EMS is often filled with tragic situations and setbacks that can take mental, physical and spiritual toll. However, this does not always have to be the case. You can learn from these situations and use it to enable better patient outcomes and provide yourself with a new-found purpose. Taking responsibility and building a road-map to success after tragedy can be difficult. During this lecture, Fisher will discuss some of his own failures and successes and how he used them to find new a purpose in life and in medicine.

 

Tasmin Fuller, BSc(Hons) AMInstP

Solo Responders: Useful Resource or Insanity?

This lecture will look at the use of lone medic responders around the world--the positives, the negatives and the fears. Discussion will cover how they are used in different situations and localities to address supply-and-demand issues, time pressures and the needs of the community. Fuller will also address the question: are they just there to meet targets? Topics will include what roles can be undertaken by solo responder, specific solo responder models and qualifications those fulfilling this role should have.

 

Tasmin Fuller, BSc(Hons) AMInstP

Flying EMS: Drones to the Rescue!

With videos and various gadgets, ranging from a kid’s toy to a firefighter’s eye in the sky, drones are everywhere and in all different shapes and sizes. They come with good press and bad. Drones have opened up many opportunities and solutions for problems and situations ranging from the everyday to the extraordinary. We will be looking at the implementation of EMS drones across Europe and the United States, seeing example footage and designs and discussing whether it's actually any help or of use in the everyday world of EMS. Topics may also include drones in rural versus city areas, cost-benefit analysis and drones in search-and-rescue scenarios.

 

Bob Garrison, DVM, MS, EMT

Safety Around Animals for EMS Providers

Although the number of EMS providers injured by animals in the line of duty is uncertain, the threat is often present, and the animals involved range in size from diminutive Chihuahuas to livestock and horses weighing a half-ton or more. The threat posed by animals to first responders is often overlooked in the heat of the moment, but the consequences can be serious, even fatal. This presentation will assist urban and rural EMS providers in interpreting cues about an animal's state of mind and decrease their chances of being attacked by an animal that feels threatened. Topics will include when EMS providers are at high risk for dog bites, “stop and drop” as techniques for avoiding dog bites and categories of dog facial expressions that forecast aggression.

 

Robert Gerhardt, MD MPH FACEP

Optimizing Administration/Medical Director Relationships in EMS

We are witnessing numerous advancements and paradigm shifts in the contemporary EMS operational environment: evolving minimum standards and practice delegations; ever-advancing technologies; expansion of our "resuscitation footprint" into traditionally underserved areas; and an emerging role for medical directors resulting from the recent formalization of EMS medicine as a sub-specialty. In this lecture, we will review these developments, identify both classic and emerging friction-points between EMS command and EMS medical direction and likewise the opportunities presented by them, and examine a few cases where "win-win" outcomes can and do result. Additional topics will include changes in Texas EMS minimum standards, new trends in practice delegations, the ABMS sub-specialty of EMS medicine and mitigation strategies for command versus medical direction versus the company as a whole.

 

Steven "Kelly" Grayson, NRP, CCEMT-P

Dingers, Stunners and Getting Your Bell Rung: Recognition and Treatment of Concussion

For years, "getting your bell rung" was considered a rite of passage in contact sports, and athletes were routinely pressured by coaches and peers to "walk it off" and get back into play. Now, with overwhelming evidence that the effects of brain concussions are cumulative and debilitating, it is more important than ever for EMS, coaches and athletic trainers to recognize the signs of post-concussive syndrome, provide proper on-the-field treatment and understand the importance of removal-from-play and return-to-play criteria. Topics will include the epidemiology of concussions, particularly in organized sports, the pathophysiology of post-concussive syndrome and chronic traumatic encephalopathy, and on-the-field care, subsequent neurological evaluation and aftercare of the concussion patient.

 

Steven "Kelly" Grayson, NRP, CCEMT-P

Capnography: Best Practices, Documentation and Advanced Use

Capnography is one of the most valuable clinical tools to be embraced by EMS in a generation. Aside from being the "12-lead of the lungs," quantitative waveform capnography also provides valuable insight into perfusion status and other metabolic derangments. Join Grayson as he explains how to understand capnography in depth, and how to use it for something beyond confirming tube placement. Topics will include the components of a capnograph waveform and correlation to phases of the respiratory cycle; use of waveform capnography in monitoring ventilation status, waveform capnography as an indirect measure of perfusion and a surrogate for lactate monitoring and use of waveform capnography in resuscitation.

 

Vernon Gresham, LP

Just One Time: How to See Every Patient from a “High Reliability” Organizational View

How often do we as responders provide mostly great patient care? What about the simple items that seem to fall through the cracks? Learn how to see every patient from a "high reliability" organizational view, whether your agency is a large urban provider or as small rural provider making 200 calls per year. We will look at points of patient care that if even missed once for a brief period can have a devastating effect on the patient's life. Topics will include the "Lethal Triad" and the effect it has on any trauma patient; single items missed in trauma care can lead to fatal coagulopathy, acidosis and hypothermia; and single oxygenation/ventilation issues that can increase trauma patient morbidity/mortality.

 

Jeff Hayes, MPH, LP

Humpty-Dumpty Revisited: Not Just Falling (TBI, CTE and Head Injury Science)

Traumatic brain injury (TBI) and chronic traumatic encephalopathy (CTE) have become an every-day discussion in the media, the stations and on the dock at the emergency department, not to mention in the sports arena. The science is evolving at such a rapid pace on developments in these areas that it is difficult to understand what is fact and what might be just snake oil. This lecture will attempt to highlight the areas of progress and what cutting-edge technologies are being used to protect as well as predict the next potential TBI. Topics will include the significance of early identification of concussion/TBI, the value of science related to concussion/TBI/CTE and the value of collaborating with non-healthcare colleagues to determine management strategies.

 

Jeff Hayes, MPH, LP

Pumping on the Chest Isn’t For Humans Anymore

Chest compression devices have been touted as the possible answer to improve survival of out-of-hospital cardiac arrest. This lecture will cover the opportunities and challenges of mechanical (mCPR) versus conventional CPR (cCPR) that includes manual adjuncts as it relates to overall outcomes of cardiac arrest. This discussion will also address the value of each intervention in specific circumstances, while guiding the decision makers to determine what best serves their respective needs. Topics will include different approaches to managing cardiac arrest and how to determine the best solution to manage cardiac arrest in the out-of-hospital setting.

 

Gary Hecker, RN, CCRN, AEMT

Acute Consequences of Chronic Diseases: Diabetes

EMS courses usually spend time on exacerbation events of chronic diseases. While this is important, many chronic diseases can have long-term effects on other organ systems. This discussion will shift the focus to how chronic diseases can change the physiology of different body systems. The effects of these changes can alter the presentation of medical emergencies involving these systems. In the first part of this series we will discuss the long term effects of diabetes on the body. We will then describe how the presentation of non-diabetic medical emergencies can be altered when a patient has this chronic condition.

 

Gary Hecker, RN, CCRN, AEMT

Germs Gone Wild: Emerging and Re-Emerging Infectious Diseases and EMS Focus

Zika, SARS, MERS, EBOLA. It seems like there is a new disease to worry about every few months. Some oldies but goodies like measles and mumps are making a comeback as well. In this session, we will review the principles of disease transmission and barrier protection (BSI, Standard/Universal precautions). We will identify and discuss various diseases of recent interest and review the Center for Disease Control (CDC) new Crisis and Emergency Risk Communication (CERC) plan to be used as new diseases emerge. Strategies and tactics for the EMS provider to handle these situations will also be discussed.

 

Levi Hejl, EMT-P

Breathing Easy: Avoiding Airway Folly in Big City EMS

Resolving the frustration both ALS and BLS providers experience with initiating successful BVM ventilations is a frequent occupation of mine that, in my work retraining medics following airway catastrophes, has enlightened novice providers to a basic mastery in a short span by decoding and simplifying the best practices in ways mnemonics often fall short. We take TV-dinner airway managers and give them the practical airway skills, and attitudes, to cook up a patent airway themselves, allowing them to handle the entire airway enchilada! This lecture breaks BVM optimization down to a simple triad, enhancing recollection under stress, and integrating anatomic and physiologic insights with a practical approach to ensure successful preoxygenation and ventilation every time. Topics will also include ear-to-sternal notch position and its application in the airway management continuum, the uniform back-up strategy for airway management when optimizations fail, and how to identify ventilation objectively while appropriately identifying and prioritizing clinical confounders likely to represent hypoxia.

 

Greg Henington, Paramedic

Hemant Vankawala, MD

Challenges in Frontier Medicine: A Case Study Approach

This lecture will utilize two or three different scenarios in the frontier (rural) EMS territory that display the logistical challenges of being in remote locations. These scenarios will highlight the challenges of rural EMS, how to articulate meaningful patient history, logistical considerations in frontier medicine. Participants will have an opportunity to interact with multiple agency personnel from around the country.

 

Greg Henington, Paramedic

Rural Roundtable Discussion

Join veteran rural EMS provider Greg Henington and others in a lively discussion of providing rural EMS care and the problems that come with it. Bring your own questions and/or solutions for how you solved a problem in rural EMS. Participatory problem-solving will be highly encouraged.

 

Stephen Hines, BSc Hons

I’m Not From Around Here: Prehospital Models of Care Around the World

The world of prehospital care is changing, and there are many models that are appearing around the world. Is it possible to say which is the best model? Is there a one-size-fits-all approach, or should we allow variation between services to allow for demographics? Does a small rural service need to follow the same model as a large urban service? Who is the best choice to provide care in the back of your ambulance? This presentation looks at differing models of prehospital care around the world, and offers a sometimes-humorous journey through them.

 

Stephen Hines, BSc Hons

How Clean is Clean?

A lot of emphasis is placed on protecting the provider from possible risks that the patient may pose, but do we give enough consideration to the risk that we may pose to the patient? What steps can we reasonably take to avoid harm to our patients? Is there a conflict between protecting ourselves and offering the patient optimum care? Can hospital models be translated to the prehospital world?

 

Jeff Jarvis, MD, EMT-P

Taylor Ratcliff, MD, EMT-P

Ten Papers That Changed Our Practice in 2017

A practice-based discussion (not a journal club, don't worry!) of 10 papers that changed our EMS practice in 2017. These are papers, for good or bad, that all paramedics, system directors and medical directors should know about. For each paper, attendees will understand the hypothesis tested, inclusion and exclusion criteria, results and relevance to EMS practice.

 

Jeff Jarvis, MD, EMT-P

Delayed Sequence Intubation: A Cure for RSD (Rapidly Sequenced Death)

Rapid sequence intubation (RSI) is a common practice in EMS systems across the nation. Most systems are aware that they should be tracking their intubation success rates but many are unaware of what is happening during the intubation attempts. Recent data has made it clear that there is a high incidence of hypoxia, bradycardia and even cardiac arrest during paramedic RSI. Jarvis will explain the data behind these events, the very real clinical consequences of them and describe a process that has been proposed to solve these problems: delayed sequence intubation. He will also review the results of his recent research into implementing this protocol.

 

Jeff Jarvis, MD, EMT-P

Mapping Our Direction Using EMS Compass: Benchmarking Performance Measures with Real-World Data

We all (well, most of us anyway) realize that the most common measurement of EMS system performance, response times, rarely reflects the clinical quality of medicine practiced. EMS Compass is a national initiative that develops clinically oriented performance measures of things that matter. To turn these measures into benchmarks, we have to apply the measures to real-world EMS data.  Jarvis did just that and will present the results of his study using a large, national ePCR vendor’s anonymous data to define the first set of publicly available benchmarks for a variety of Compass measures. Come see how your system stacks up to national performance.  

 

Bill Justice, NRP, TEMS-I

Stephen Rahm, NRP

The Fentanyl Craze: Fact vs. Fiction

The misuse of Fentanyl remains a hot topic throughout the nation. There are many truths and myth's that surround this substance. What are the common modes of transmission? What is the best PPE during response both for law enforcement and medical clinicians? What to do if exposed? And what decontamination procedures have been shown as best practice? All of these questions and more will be presented, clarified and placed into perspective for all of those who are (or may be) called upon to respond to a Fentanyl event.

 

Bill Justice, NRP, TEMS-I

Bleeding Control: Making a Difference (workshop)

This is an interactive workshop on the utilization of tourniquets, wound packing and emergency trauma dressings (ETDs) to effectively stop patient bleeding in the field. The instructor staff is fun, energized and will share the most up-to-date interventions in bleeding control. Topics will include proper tourniquet selection, application and utilization; proper use of an emergency trauma dressing; how to functionally wound-pack an injury, where not to wound-pack and the types of hemostatics available; how to utilize a junctional tourniquet; and new and upcoming options in bleeding control.

 

Tami Kayea, LP, MSML

Pam Owens

Autism: Always Unique/Totally Interesting/Sometimes Mysterious (workshop)

You must understand the diagnosis before you can begin to understand the individual. This course is taught by two people who have experience as both paramedics and mothers of children with autism. The range of autism runs from those who are high functioning to those who require constant care, and every range has its obstacles for assessment and treatment. Though the media focuses on children with autism, those children grow up to be adults with autism, and those adults may also need prehospital care. This workshop will give you a better understanding of what autism is and its specific challenges in the EMS prehospital setting. It will provide tips and advice on assessing and treating autistic patients. There will be hands-on opportunity to talk to different people at different spectrums of the autism range.

 

Brandi Kamper, LP

Matt Pearce, Police Officer

Tactical Teamwork: A Case Study (Keynote)

Fort Worth police officer Matt Pearce knows the importance of a team that has your back. The former medic and firefighter was on patrol in March of 2016 when he began pursuit of a suspect. Before Pearce could unholster his gun, the fleeing felon shot him in the leg, shattering his femur. Six more bullets followed.  As Pearce lay bleeding, he knew he was critical – but also that he was not going to give up and his team wasn’t going to give up on him. One of the first people on-scene that day was Tactical Medic Brandi Kamper, who provided crucial on-scene care before Pearce was airlifted to John Peter Smith Hospital, a Level I trauma center. Join Pearce and Kamper as they recount the day Matt was shot and how the EMS/Trauma System – and a fantastic team of police officers, medics, nurses and doctors – helped Matt survive to go back to the police force in Fort Worth.

 

Ryan Kelley, AAS, LP, FP-C

When Plan A is Not an Option: Rattlesnake Envenomation of a Two-Year-Old Child

This lecture will encompass a case study: While playing in the front yard of his residence in a rural area of the county a two-year-old child was bitten by a rattlesnake with full envenomation. The lecture will highlight the critical significance of properly performed BLS maneuvers when advanced procedures have failed. Attendees will be taken from the very beginning of the call to several weeks post-incident, giving invaluable insight to all aspects of the child's care by both prehospital and hospital providers. Topics will include snakebite envenomation process and pathophysiology, proper BLS maneuvers in the rural setting and the patient's outcome and lessons learned.

 

AJ Kirk

Blueprint for Large-Scale LE-Based Tactical Medicine: The Good, the Bad, the Blue

Tactical medicine program development remains a national hot topic. Law enforcement agencies across the nation are independently forming their own units based on local relationships and culture. Fort Worth PD operates under an EPAB that fosters development of a sustainable LE/Medical interface that is not dependent solely on individuals for long-term functionality. FWPD's in-house, cost effective, sustainable and highly effective model is now being utilized as a model for large LE TacMed development.

 

Will Krost, MD, MBA, NRP

As If Heroin Wasn’t Enough?

The heroin epidemic is out of control . . . Unfortunately, it isn't the only drug of abuse on the rise. What’s new on the illicit drug scene? Which new drugs of abuse do you need to worry about? With a significant proportion of EMS calls and emergency department visits related to traditional and novel drugs of abuse, it is imperative for the EMS provider to understand the key features of the drugs and toxidromes commonly seen today. We will review the newest street drugs, their clinical effects and unique aspects to their treatment based on the most recent science.

 

Catherine Kuhlmann, Paramedic/FF

Rural Hunting Emergencies 101: From Back Roads to Landing Zone

This lecture covers the unique realities facing rural first responders as they deal with Level I trauma in some of the most remote places in Texas. This lecture will look at how to manage these patients along with the special considerations facing rural and frontier EMS agencies. Topics will include understanding the types of hunting emergencies first responders may encounter, unique considerations facing rural EMS agencies, scene safety span of control when resources are limited and BLS considerations when dealing with ALS trauma.

 

Scott Lail, EMT-P, FP-C

Normal vs. Special-Needs Patients: Let’s Redefine “Normal”

“Special needs” is an umbrella term with a huge array of diagnoses. Children and adults with special needs may have mild learning disabilities or profound mental retardation; simple developmental delays that show up early or remain entrenched; occasional panic attacks or serious, life changing psychiatric problems. When these conditions are combined with a critical illness or injury, and involve movement to more specialized treatment, air and ground transport programs are faced with a challenging mission. This lecture will take an emotional, introspective look at how we view and interact with these patients. It will also review some important concepts and pearls for transport personnel. Other topics include additional care for special-needs patients’ physical and emotional assessments, the importance of recognizing how to best care for the special-needs population and safe and effective transport of the special-needs patient.

 

Scott Lail, EMT-P, FP-C

Trains, Trauma and Teamwork: One Man’s New Life

Train-related accidents often have fatal outcomes. This unique case study, aired on television on 20/20, the Oprah Winfrey Network's Miracle Detectives and The Today Show, follows a Texas man who was run over, entangled and dragged beneath a 30-ton train car . . . and survived! The presenter will relate his first-hand involvement with this rescue from responder to helicopter transport. The presentation will also examine surgical interventions, hospital course and the patient's current condition; initial injury and geographical, mechanical and medical obstacles in care; and treatment options for rescue and transport teams. Finally, this lecture will document the importance of multi-agency teamwork and its effect on positive outcomes.

 

Jason Martin, RN NREMTP

That Patient Looks Pissed: Handling the Aggressive Patient

Every year there is an increasing number of violent acts against prehospital providers. Violence can be verbal, physical or a combination of the two. This presentation will discuss common causes for aggressive behavior in patients and the strategies to deal with those patients. Using up-to-date statistics on violence against EMS providers, violence prevention strategies, and documentation of the stages of aggression, attendees will learn more about managing aggressive patience and specific de-escalation techniques.

 

Jason Martin, RN NREMTP

Let’s Get Back to the Basics

We sometimes become consumed with new, cutting edge technology, advanced procedures and new medications. We can easily overlook some of the most basic treatments that can have the biggest impact on our patients. In this lecture we will knock the dust off some of the basic techniques learned in EMT school, using fun and interactive case studies. We will also cover basic skills in relation to current evidence-based practice and the importance of a team concept in the care of the trauma patient.

 

Lana Martin, RN CPEN TCRN

Forensics: Are You Ready for the Call?

Each and every call could potentially be a crime scene. From cardiac arrest to stabbing victims, from the gunshot victim to the victim of domestic violence or sexual assault, EMS who respond to these calls are now part of a story that is potentially part of an investigation. This lecture will take you through the EMS provider's role in responding to these calls and provide clues into what to look for, what to do, what not to do and how to document in a medical/legal fashion. Specifically, the role of EMS in the assessment of the potential forensic patient, what constitutes forensic evidence and how to manage it. We will also take a look at case studies that highlight the role of EMS in the forensic patients presented.

 

Vicente Martinez, BSN, RN, EMT-LP

Welcome to the Sepsis Jungle

There has been an increase of mortality rates in sepsis; recognition of the disease process is the first step to improving mortality. This lecture is intended to help attendees understand the signs and symptoms, early identification of sepsis, assessment of organ dysfunction criteria and management of sepsis. Management of initial hypotension with sepsis requires appropriate volume resuscitation and vasopressor treatment. The learner will identify how the three-hour bundle elements increase of survival rate and improve patient outcomes.  

 

Ronna Miller, MD

When a Home BRUE Goes Bad: Scary Infant Episodes and the End of the ALTE

Frightened parents often call 9-1-1 when their infant experiences a sudden, acute episode of change in breathing, color, tone and/or responsiveness. In most cases, the infant appears well by the time EMS arrives. As such, EMS providers and caregivers may fall victim to complacency, opting not to transport the infant. Results of this complacency can be fatal. The previous terminology for these events, apparent life threatening event (ALTE), has been replaced by “brief, resolved, unexplained event” (BRUE). The rationale for the change runs much deeper than semantics. This presentation will review the current evidence-based background and definition of BRUE, the EMS evaluation of an infant after a suspected BRUE, and the importance of mandatory physician evaluation, regardless of how “well” the infant appears to EMS providers.

 

Ronna Miller, MD

But We’ve Always Done It This Way! EMS Mythbusters 2017

Reluctance to abandon old patient care practices has long plagued medicine. This has been especially so for EMS, with its historical lack of robust clinical trials. Fortunately, however, a trickle of scientific evidence now percolates through the Portland Cement. This interactive presentation--updated with new science for 2017--will evaluate a series of long-standing BLS and ALS EMS clinical practices to determine whether they still have merit, or if they are “busted” as little more than charming myths to be relegated to the ambulance junk yard.

 

David Miramontes, MD, FACEP

Stroke Assessment from 9-1-1 to Arrival: New Scales and Processes to Shorten Call-to-TPA Times

Stroke assesment by 9-1-1 calltakers, first responders and on-scene paramedics will be discussed. Strategies for scene reductions and stroke triage will be presented, with data provided to support such stategies. Other topics will include phone triage and subsequent protocol action; stroke scales such as FAST, RACES, VAN, LAMS and CSTAT; and the capabilities of Primary and Comprehensive Stroke Centers and when to take patients to each type. Lastly, a discussion of advantages and disadvantges of diverting patients to Comprehensive Stroke Centers will be included.

 

Mark Montgomery, RN/LP

Challenges in Behavioral Health

With the increasing number of EMS calls, overrun emergency departments, hospitals at full capacity, combined with decreasing numbers of available in-patient mental health beds, it only takes one behavioral health patient to cause chaos in a fragile system. This population subset is medically treated the same, yet legally and logistically much differently. EMS providers and hospital clinicians must work hand-in-hand with law enforcement and the court system to ensure that mental-health patients are treated well and appropriately. This lecture will cover what occurs and what is needed during an emergency detention (Texas Health and Safety Code Ch. 573 Emergency Detention), the role of the law enforcement officer and EMS in a prehospital setting, how the role of the officer changes in the emergency room and what happens after the immediate medical care is delivered.

 

Kenneth Navarro

Five Studies From 2016-2017 That Could Change Your Future Practice

This presentation will review the results of five research studies published in 2016 that may have a significant impact on the prehospital care of patients in the near future. This presentation will examine treatment and team dynamics in cardiac arrest, oxygen and nitroglycerin administration for cardiac emergencies, and dextrose administration for hypoglycemia. The presenter reserves the right to substitute late-breaking science for previously selected studies. Specific topics may include, the effects of various pad placement positions on defibrillation success; replacing 50 percent dextrose with a safer alternative; the wisdom of continuing to provide oxygen to patients having a myocardial infarction; the advantages of adopting a pit-crew approach to cardiac arrest resuscitation; and the safety of nitroglycerin administration.

 

Kenneth Navarro

CPR-Induced Consciousness

Over the past decade, many EMS systems in this country have placed a renewed emphasis on providing high-quality CPR. One potential consequence of improvements in chest compression quality is CPR-induced consciousness. These patients may also need treatment interventions not normally provided to other victims of cardiac arrest. This presentation will examine the available evidence surrounding this increasingly occurring phenomenon. Topics will include the physiology of CPR-induced consciousness; factors that increase the chances of producing CPR-induced consciousness; how CPR-induced consciousness can decrease the quality of the resuscitation effort; and alterations in treatment protocols necessary for managing patients with CPR-induced consciousness.

 

Wendy C. Norris

Understanding Benefits and Family Care After an LODD

The tragic loss of a first responder in the line of duty brings to light a myriad of tasks that need to be accomplished. Most officers and agencies think of funeral planning first and foremost when they are faced with a line of duty death, however the most crucial aspects of caring for survivors is understanding how to handle the financial issues that occur after a death. People want to help by donating money. There are fundraisers that will be held. And there are major state and federal benefits that can be applied for. There are also stipulations, red-tape and hoops to jump through when dealing with benefits. In this lecture, attendees will learn how to prepare their departments for the financial issues that arise after a line of duty death or catastrophic injury.

 

Wes Ogilvie, MPA, JD, NRP, LP

Do I Need a Lawyer?

Everybody complains about lawyers until they need one. And even then, most of us in EMS don't know if we need one, much less what kind of lawyer we need. This presentation will give a general overview on the legal system and how attorneys operate. Most important, for EMS administrators and even EMS employees, the lecture will present some common scenarios where an EMS organization or EMS provider may need legal counsel and how to find counsel. Topics will include how attorneys are licensed and practice, common situations in which they may require an attorney, the role of professional regulation of EMS, the agencies with oversight over EMS.

 

Bob Page, M.Ed, CCP, NCEE

Stethoscopy for Dummies: Heart Tones (workshop)

All new workshop from Bob Page! This is the one you have been asking for. Heart Tones! This workshop assumes the user has been through the basic “Stethoscopy For Dummies” class where you learned how to use your stethoscope and practiced with breath sounds. This course will focus on heart auscultation. This will be a hands-on, ears-on session that will explore the locations and proper techniques for heart tone auscultation. Bring your Littmann stethoscope, as lower-end scopes such as Sprague or ADC will not be sufficient. We will have a limited supply of Littman Cardiology III scopes available to use for the class. This workshop will focus on basic heart tones such as S1,S2; gallops such as S3,S4; and summation gallops, pericardial friction rub and basic murmur recognition. Emphasis will be focused on the purpose of cardiac auscultation and its importance in patient assessment.

 

Bob Page, M.Ed, CCP, NCEE

Stethoscopy for Dummies (workshop)

How much did you pay for your stethoscope? How much training did you get on how to use it? This workshop will fill the gap. In this session, participants are provided down-to-earth, “for dummies” information on various types of stethoscopes and how to use them to get the most out of patient assessment. In this “ear opening” session, new and improved methods and techniques are presented, and lung and heart sounds are demonstrated via stethoscopy sounders, so that participants can hear the sounds with their own stethoscopes. Participants must bring their own stethoscopes with them. Page will bring simulators for all participants to use their own stethoscopes to hear the various sounds. There is even a test at the end of class to see who earns the right to wear the stethoscope and gets a chance for winning a stethoscope sounder and tutorial from Bob Page. This is the class you should have gotten way back in EMT school but did not.

 

Bob Page, M.Ed, CCP, NCEE

When a Heart Goes Bad: The Saga of Heart Failure

For whatever the cause, heart failure carries with it a high cost in mortality and morbidity. For years we had a triad of clinical management guidelines for CHF. Despite a wealth of evidence to the contrary, this practice continues in some areas. This session will explain why a heart fails and the clinical presentation. Then the latest in therapy will be revealed--which therapy is useful and which is not. Topics will include the pathophysiology and assessment of left and right heart failure, the benefits and risks associated with treatment of CHF, the recommended management of acute heart failure and the benefits of BLS therapy such as CPAP. The results may surprise you!

 

Bob Page, M.Ed, CCP, NCEE

Pediatric Interactive!

The latest in an interactive series, Page delivers everything pediatric. This session will be in a quiz-show format, where the audience uses "clickers" to respond with the answers. Test your knowledge and learn things you did not know. Topics will include the relative anatomical differences in adults and pediatrics, common childhood diseases and assessment and management of pediatric patients in trauma or medical emergencies. This a fun and welcome break from the standard Death-by-PowerPoint lectures that you might have encountered before.

 

Michael Parker, BS, JD, CIFI, LPI

William Gribble, BA, MPA, CLEP

Can I Get a Witness? What Happens When You’re Called as a Witness in Court

It is relatively common to see EMS personnel called as witnesses during litigation. But what happens when you are a witness and why are you called to be a witness? This lecture provides a background for EMS personnel and managers on understanding what it means to be a witness, the difference between a "fact witness" and an "expert witness" and key tips on how to be a "good witness" in whatever capacity the attendee is called. Topics will also include the lifecycle of a case coming to trial and the role and types of witnesses used during litigation. This presentation will close with a demonstration using volunteers from the audience to show what attorneys do to prepare witnesses for trial and what happens during trial on both direct and cross-examination of a witness.

 

Michael Potts, EMT-P

Chad Carr, EMT-P

Drug Diversion Controls

Every agency that handles narcotics as part of its protocols has the potential for diversion. According to the Texas DSHS, the most common reason for provider certification suspensions is drug diversion. In this session, officials from MedStar will present their controlled substance processes, as well as the proper handling of employees suspected of diverting narcotics. Topics will include the impact of the opioid epidemic in EMS,  best practices for addressing employees suspected of diverting narcotics and the proper process for reporting potential diversions to the authorities. It is our responsibility to identify employees that are diverting and get them out of our systems and the EMS industry.

 

Jason Quick, BS, NRP, LP

Wait … You Called an Ambulance for This?

We’ve all been there--stunned, awestruck, or just down right angry--at 0246 this morning the patient’s 23-year chronic tooth pain got worse, and now he needs a ride to the hospital. In EMS we don't get to pick and choose what we respond to, and we can find ourselves becoming somewhat amazed at the reasons our patients call. This lecture takes a comical look at what our patients call for and then a more empathic examination of why they called. Topics will also include healthy ways to cope with stress, the changes in EMS that produced these types of patients, how to listen to patients’ stories and how we can best care for them and the surprising improvement in patient outcomes that can be seen in an empathetic approach.

 

Crissie Richardson, RN, CEN, CPEN

Cassandra Campbell, BSN, RN, CPEN

Human Trafficking: It’s STILL in Your Neighborhood

Human trafficking is on the rise, Texas is very susceptible for a number of reasons, and those reasons will be described in this lecture. As front-line emergency healthcare providers, first responders need to be alert to the possibility that any patient could be a victim of human trafficking, so this lecture will describe likely victims: women, adolescent females and young children. This lecture will provide core knowledge regarding identifying victims and actions to take, which is an essential way to combat this crime.

 

Stu Rosenhaus, BS EMT CIC

Poor Prognostic Indicators (Medical): A BLS Patient Assessment Review

Focusing on medical patients, this lecture will review key signs and symptoms that will help prehospital care providers quickly identify immediate life threatening conditions. The focus will be on developing critical thinking skills needed during patient assessment, including the need for rapid interventions and transport decisions. Topics will include “Poor Prognostic Indicators,” components to a rapid and thorough initial assessment, and critical thinking in assessment and initial care.

 

Stu Rosenhaus, BS EMT CIC

Poor Prognostic Indicators (Trauma): A BLS Patient Assessment Review

Focusing on trauma patients, this lecture will review key signs and symptoms that will help prehospital care providers quickly identify immediate life threatening conditions. The focus will be on developing critical thinking skills needed during patient assessment, including the need for rapid interventions and transport decisions. Topics will include “Poor Prognostic Indicators,” components to a rapid and thorough initial assessment, and critical thinking in assessment and initial care.

 

Erik Rubach, RN, CFRN, EMT-P

Ultrasound Guidance to Pumps, Pipes and Fluids

Ultrasound is the non-invasive assessment tool that should be in the kit of every prehospital provider as it’s one of the most effective ways to evaluate both your trauma patients AND your medical patients. FAST, E-FAST, and RUSH exams are the cool-sounding acronyms; we will discuss the details. We will also cover the details on how you, as a prehospital provider, can: identify hemorrhage in the thorax and belly in trauma patient, assess the heart for function and tamponade, identify pneumothorax, evaluate the aorta for pathology, and the IVC for your patient’s fluid volume status. Ultrasound can identify fractures, help get a line on the difficult patient without any access, differentiate between a hemorrhagic versus ischemic stroke, and, oh yeah! We can use it on pregnant patients too! Would you treat your symptomatic cardiac patient without an EKG? Of course not. Why fly blind when you can also see into so many other injuries and illnesses?

 

Gary Saffer, MPA, NRP

ALS Assessment Tips for BLS Providers

Effective and efficient patient assessment is the key to good patient care regardless of certification level. Improving assessment skills will make you a better EMT. One of the most significant differences between BLS and ALS are the level of assessment skills. This presentation will focus on patient assessment only through demonstration of how BLS providers can improve and enhance basic level assessment skills using a few ALS assessment techniques.

 

Gary Saffer, MPA, NRP

BLS Treatment of Traumatic Amputations

Traumatic amputations are a life changing and often life-threatening event. While many incidents involve motor vehicle collisions, many also involve industrial and agricultural activities. In rural situations advanced life support resources might not be available or might have long response times. In this session we will discuss the anatomy and physiology of amputations, along with treatment priorities with an emphasis on what basic level providers can do until paramedics arrive or if paramedics aren't available. We will also discuss crush injuries as they relate to traumatic amputations.

 

Jules Scadden, Paramedic

Kiddo Cases: Pediatric Case Studies

Caring for pediatric patients is one of the most stressful events EMS providers face. Many EMS providers feel ill prepared to care for children who have been injured, attempted suicide or have potentially catastrophic illnesses. This lecture reviews specific case studies involving children for in-depth discussion on "what went wrong, but mostly what went right," including the emotional toll on EMS. Cases include behavioral emergencies; cardiac, respiratory and poisoning emergencies; and suicide.

 

Jules Scadden, Paramedic

Through the Eyes of a Child: Pediatric Poisoning

Children begin exploring their world by touch and taste. The filter of "icky" versus "yummy" is taught through this exploration. This lecture will explore the common and uncommon yummy things in a child's eye and natural curiosity that can rapidly become icky and potentially life-threatening. Topics will include common and uncommon poisonous substances accessible in a child's environment, assessment practices for identifying how to best manage poisoning in children and transport decisions for pediatric poisoning patients.

 

Joe Schmider

Ask Joe! Q&A with State EMS Director: Coffee, Donuts and Continuing Education!

Coffee, muffins, and CE. Ask State EMS Director Joe Schmider all your burning questions.

 

Mark Smith, JD, MBA

Patient Refusals: Legal Liabilities When Patients Say No

One of the biggest areas of malpractice risk for EMTs (and the medical directors who authorize them) is the patient who refuses transport. This session will provide attendees with an overview of some of the legal risks involved, methods of assessment, a patient's ability to properly refuse treatment and some practical approaches to minimizing the risk in a refusal. In-depth discussion will include legal standards regarding informed consent/refusal, assessments related to capacity--mental and legal, documentation and recent cases involving EMS and patient refusals.

 

Janet Taylor, CFRN, NREMT-B

Just the Basics: Pharmacology for the EMT

Often used as a continuing education module, this lecture reviews the medications that an EMT is able to give according to National Registry. We review the indications, contraindications, side effects and little-known trivia about SL Nitro, aspirin, charcoal, Epi-Pen, oxygen, oral glucose gel and Albuterol. Did you know? The same activated charcoal used for overdoses is also great for removing odor from cat litter--it works the same way in your gut! Topics will include administering medication, how to document medication administration for justification, seven medications approved for administration by an EMT according to the National Registry, and indications and contraindications for these medicines.

 

Janet Taylor, CFRN, NREMT-B

To Pee or Not to Pee: Renal Failure and Dialysis in EMS

We will review the different types of dialysis, what a dialysis patient must go through on a daily basis and the high maintenance each type of dialysis requires. We will also review what things EMS personnel are likely to find when responding to a patient who happens to have renal failure or is on dialysis despite other reasons for having called EMS. Topics will include risk factors for developing renal failure, what effects renal failure has on the body and the common complications, different types of dialysis and the risks and benefits of each, the most common potentially lethal condition associated with renal failure and the medications needed to improve the patient’s outcome.

 

Alan Taylor, MD

STEMI Recognition Made Easy

In this class Taylor will assist attendees in rapid recognition of ST-Elevation MI (STEMI) on the 12-lead EKG. He will engage them in a multitude of case studies to fine-tune EKG interpretation skills. This interactive class will help distinguish between the true STEMI EKG and one of the many mimics.

 

Jeremy Thomasson, FP-C, NRP

From Pancuronium to Ketamine: The Evolution of Pediatric Pain Management and Sedation

This lecture will take a look at children requiring pain management and/or sedation, including physiological factors contributing to the management of pediatric patient. We'll examine the changes that have occurred in treating this patient population. Some of the assessment pearls and pitfalls will be discussed, as well as medications used in today's transport environment.

 

Larry Torrey, RN, EMT-P

The Time the Guy Had the Head Bleed

Intercranial hemorrhage comes in a variety of forms and from a variety of etiologies. Let's discuss the differences between sub-dural, epidural and a sub-arachnoid bleeding and discuss ways that we can use assessment to better identify or predict the differences. We will also use case scenarios to better understand and find treatment measures that may improve outcomes in these patients.

 

Larry Torrey, RN, EMT-P

Sepsis Management Made Easy

Sepsis is a potentially life-threatening condition that is not always easily managed. Early identification and the initiation of treatment in the field are often the key. Join me as we discuss case scenarios to better understand sepsis pathophysiology, how to recognize important assessment findings and some of the early warning signs that your patient may be heading for septic shock and EMS treatment measures that can improve your patient's outcome.

 

Gerad Troutman, MD, FACEP

Capsaicin Destinations: Hot, Irritating, Often-Avoided – But So Good?

This discussion will explore freestanding emergency clinics (FEC) as primary ambulance destinations. How do these clinics benefit the prehospital systems? What are the real and perceived problems with transports to independent FECs? Where do we go from here?

 

Macara Trusty, EMT-P

Chris Nations, EMT-P

The Secret Assessment: EMS and Human Trafficking

In 2016, there were 26, 727 calls for suspected human trafficking; 7,572 cases were reported but only 670 of those cases were reported in Texas. EMS Professionals have the opportunity to encounter many potential human trafficking victims and it is imperative the providers know how to identify potential victims and be able to provide resources to assist them. This lecture will cover how to identify potential victims; physical and social assessments of the potential human trafficking victim; and local, state and national resources EMS providers can use to assist potential victims.

 

Rebecca Valentine, B.S., Paramedic, I/C, NCEE

It’s a Sign! Critical Thinking in the Emergent Patient

A three-year-old patient presents with lethargy, high fever and a rash for the last two days. A 59-year-old homeless man is found unresponsive with unknown downtime with bruising in and around the belly button. This talk will introduce assessment of signs and symptoms, even subtle ones, to foster critical thinking. Creating a functional list of differential diagnoses is key in best practices for the acutely emergent patient. Case studies will be used to foster discussion of specific symptomatology and issues that may be revealed through critical assessment and differential diagnoses.

 

Rebecca Valentine, B.S., Paramedic, I/C, NCEE

Issues in Mental Health: Case Studies

We all have mental health. There is a large population who also have varying degrees of mental illness. This lecture will review case studies based loosely on real life via role play, discuss the scenario and debate how the case was run--perhaps brainstorming on how the call could be improved upon. These discussions are intended to continue to break down the stigma associated with mental illness and critique scenarios for improved response.

 

Veer Vithalani, MD

Advanced Tachycardia Management and Review of Medications

In this lecture we will review a standardized approach to tachydysrhythmias, including examples and case-based discussion. We will also review current treatment modalities and develop an approach to the management of these patients.

 

Fred Weiderhold

Rebecca Cowle

Safety and Emergency Response for High-Speed Trains

This lecture will focus on what first responders need to know in the event of a high-speed train crash or collision. It will also detail what types of equipment or training first responders may need. Attendees will learn how high-seed rail differs from freight rail, specific procedures and protocols for a high-speed train crash or collision, train safety and security, and more about the future of the Texas Bullet Train corridor.

 

Bryan Winchell, RN, EMT-P

Localizing Your STEMI: How to Diagnose the Culprit Lesion Using 12-Lead ECG

Take your STEMI-finding skills to the next level with this practical, case-based session. Building on your fundamental understanding of 12-lead STEMI diagnosis, we will explore how to determine the site of a coronary occlusion. This evidenced-based approach will increase your accuracy, prevent missing subtle occlusions and help you be more confident in your ECG interpretation.

 

Billy Wusterhausen

Wendy Norris

The First Six Hours: Management of LODD

This lecture will offer key strategies for a chief officer to use in the event the service suffers a line-of-duty death or some other loss.

 

Karen Yates, BSN, CEN,LP

Cyndi Kidd, DNP, APRN

David Holland, FF/EMT-P

Just Another Day at Work: PTSD and Suicide in First Responders (workshop)

In this workshop the speakers will discuss the prevalence and risk factors of PTSD and suicide in first responders. They will identify signs and symptoms of PTSD and depression common in the first responder. Attendees will be able to identify options such as critical incident stress management (CISM), medications and psychotherapy. This interactive presentation will engage the audience in sharing personal experiences and stories. We will also discuss options available to the first responder in seeking assistance and/or treatment.

 

Matt Zavadsky, MS-HSA, EMT

The Holy Grail: Financial Sustainability for MIH/CP Programs

It's been seven years since the phrase mobile integrated healthcare hit mainstream in EMS. During this time, some programs have discovered gold in them thar hills, while others have failed due to lack of sustainable revenue streams. We have learned a lot about what makes these programs work and where the minefields are. The healthcare system also continues to change and new economic models are being implemented by payers. These changes have led to even more opportunities for EMS-based MIH in transitional care and care continuum. Learn what these new opportunities for EMS providers may be in the constantly changing health care landscape and how to develop and implement these programs while keeping all your limbs intact! Learn to identify the “New Customers” and their motivations and business needs for mobile integrated healthcare services in the changing healthcare market. Develop a business model for meeting the needs of the new customers that works for you and the customer.