2018 Initial Assessment Conference

         May 16th – 20th, 2018 in Lake Placid NY

          READ bottom of page for CME instructions!

For further official conference information, please visit the website at: initialassessmentconference.com         

Thursday, May 17th – Pre-Conference:

6:30am – Attendee Registration Begins

Session 1 – 7am to 11am (SOLD OUT)

Session 2 – 11:30am to 3:30pm (SOLD OUT)

Session 3 – 4:30pm to 8:30pm (SOLD OUT)

“Inside Out: A Procedural Anatomy Cadaver Lab” with Scotty Bolleter

Inside Out is a nationally recognized offering that focuses on optimal resuscitation and emergent interventions for basic and advanced providers. This 4-hour program is a unique, hands-on experience that gracefully blends fresh human specimens, highly experienced professionals, and the most demanding procedures (with the right dose of reservation). The class is tightly orchestrated and designed to comprehensively dissect, explain, and train through: bleeding control, ventilation and airway management (BLS, ALS and Surgical), vascular access (IV: peripheral and cut-down, IO, and central venous access), thoracic injury management (needle decompression, finger thoracotomy, chest tube placement and pericardiocentesis), ultrasound assessment and usage, and more. Participants actively locate, visualize, mobilize and explore the freshly dissected anatomy of the neck, chest, abdomen and extremities to better appreciate the efficacy and impact our interventions have on the human body (while simultaneously defining the common medical and traumatic disease processes we encounter). This class has been designed with the single goal of improving “indication recognition” while simultaneously offering hands-on experience for “low frequency–high value” procedures. As a bonus, each participant receives a procedural anatomy program DVD.

Suggested attire: Scrubs and running shoes/sneakers. All BSI provided. Participants should NOT wear shorts or open toed shoes.

NYS Core Categories: ALS & BLS – (2) Shock & Reuscitation, (2) Airway


11am to 12pm – Lunch for EPC and MCI Attendees


8am to 4pm (Day 1 of 2) – “EMS Care in Remote and Austere Environments” with Clark Hayward and Staff

(Maximum of 15 Attendees)

This 2-day didactic and hands on workshop will introduce EMS providers to provision of long term care in remote and austere environments. All material adheres to the Wilderness Medical Society Practice Guidelines. Mornings will be spent in classroom sessions and afternoons will be scenario based and take place in the field. More information about what to bring will be provided after registration.

Just some of the topics covered within the course:

–       Patient Assessment modification for Remote and Austere Environment

–       Management of Orthopedic Injuries including field reduction of dislocations

–       Long term care of soft tissue injuries and infection control

–       Improvisation of equipment and evacuation strategies

NYS Core Categories: (16) ALS and BLS Trauma and Operations


8am to 4pm (Day 1 of 2) – NAEMT Emergency Pediatric Care (EPC) Course with Bruce Barry and Staff

(Maximum of 16 Attendees)

Join Bruce for this Emergency Pediatric Care (EPC) course, which will feature unique use of simulation. EPC focuses on critical pediatric physiology, illnesses, injuries and interventions to help EMS practitioners provide the best treatment for sick and injured children in the field. The course stresses critical thinking skills to help practitioners make the best decisions for their young patients. EPC is appropriate for all levels of providers.

NYS Core Categories: (16) ALS and BLS Assorted


8am to 3:30pm – “First Due at the Big One: MCI Management and Triage Operations for EMS Providers” with Lt. Jack Tims and Staff

(Maximum of 24 Attendees) (SOLD OUT)

Are you ready to take charge at the big one? Are you confident enough in your triage skills to rapidly assess and appropriately tag 20 patients? Have you looked at a triage tag, post EMT class? Your actions as the first due unit at an MCI are critical for your patients and set the tone for how the entire event unfolds. These are low frequency and high-stress events but there’s no need for us to learn by trial and error. Join Jack for this interactive and hands-on class that will review and teach scene size up, establishment of command, proper first due arrival reports, assignment of tasks, proper triage and resource utilization. Walk away with the tools and confidence needed to tackle and overcome any MCI, regardless of size and complexity.

NYS Core Category: (7.5) ALS and BLS Operations


4pm to 8pm – “12 Lead ECG Workshop” with Tim Redding

Have you ever wanted to be able to read 12 Lead ECG’s? Need a 12 Lead refresher? This course will review 12 Lead ECG interpretation from soup to nuts. We will start with a review of basic 12 Lead ECG interpretation and continue with advanced aspects of 12 Lead ECG interpretation including, but not limited too: Right Ventricular infarction, Posterior wall infarction, Left Coronary dominance and Sgarbossa’s Criteria. Join Tim for what will be the most-understandable 12 Lead ECG class you have ever taken.

NYS Core Category: (4) ALS and BLS Cardiac/Cardiology


5pm to 8pm – “Law Enforcement and EMS; Treating and Working with Our 2 and 4-Legged Colleagues in Blue” with Doug Wildermuth and NYSP

Officer down scenarios, drawing blood for police, treating Taser injuries, K9 officer considerations, information sharing, complex crime scenes and evidence issues. As EMS providers, we routinely work with our law enforcement colleagues but how often do we communicate and train with them, prior to the $h!& hitting the fan? How can we foster a stronger relationship? Join Sgt. Wildermuth and his NYSP colleagues for this special look at an array of treatment and operational procedures for working with law enforcement officers.

NYS Core Catergory: (3) ALS and BLS Operations


6pm to 8pm – “EMS Infinity” and “Social Media & Public Safety: Is It Worth It?” with Dan Flynn and Titus Tero from A&E’s “Nightwatch”

EMS Infinity – A talk of EMS past, present and future involving where EMS originated and where we see EMS in the future. Join Dan and Titus as they discuss EMS shortfalls, successes and areas in which we could greatly improve patient outcomes. Come listen and contribute to an open forum and offer your thoughts on the topics we discuss!

Social Media & Public Safety: Is It Worth It? – Too many times we read stories of Police officers, EMTs, Paramedics and Firemen getting fired from their positions due to a controversial topic centered around a Social Media post. Social Media has proven to be a valuable tool in self promotion, company promotion & information and even for disaster assistance. However, there are “do’s and don’ts” when it comes to Social Media in Public Safety. Join Dan and Titus as they discuss how to get the most out of Social Media, without sacrificing your career over it.

NYS Core Categories: (1) Preparatory, (1) Addtional


Friday, May 18th – Pre-Conference:

7am – Attendee Registration Opens

7am to 8am – Light Breakfast

Preconference Continuation:

8am to 4pm (Day 2 of 2) – “EMS Care in Remote and Austere Environments” with Clark Hayward and Staff


8am to 4pm (Day 2 of 2) – NAEMT Emergency Pediatric Care (EPC) Course with Bruce Barry and Staff


 

BLS Track:

8am to 9:15am: “Old MacDonald Had a Multisystem Trauma – Farm Trauma…What You Need to Know” with Reuben Farnsworth

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.

NYS Core Category: (1.25) Trauma

9:15am to 9:30am: Break

9:30am to 11am: “Crazy or Not?: EMS Mental Health Case Studies” with Mike McEvoy

We often associate bizarre behavior with mental illness, yet not all strange behavior results from psychiatric causes. Join Mike McEvoy, who holds a doctorate degree in forensic psychology, in reviewing a series of EMS runs for emotionally disturbed individuals. Learn to pick up on some of the subtle clues and assessment findings that will point you, and your patient, in the right direction.

NYS Core Category: (1.5) Psychiatric

11am to 11:15am: Break

11:15am to 12:30pm: “Pre-Hospital Precipitous Deliveries: A Review of Delivery Techniques and Neonatal Resuscitation” with Dr. Maia Dorsett

In EMS, we hope for the best but prepare for the worst. Prehospital deliveries are no exception to this rule. In this presentation, we will review the recognition and management of high-risk vaginal deliveries. Techniques for management of delivery complications including nuchal cord, shoulder dystocia, and breech presentation will be demonstrated. Finally, assessment of the newborn and the most recent algorithms for neonatal resuscitation will be discussed.

NYS Core Category: (1.25) OB/Neonate/Pediatrics

12:30pm to 1:45pm: Lunch

1:45pm to 3:15pm: “Thoracic Park” with Scotty Bolleter

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. This lecture is designed to illuminate injuries, define complications, and highlight management options. This program includes newly created images and videos accompanied by case studies and an unapologetic reality check! 

NYS Core Category: (1.5) Trauma

3:15pm to 3:45pm: Break

3:45pm to 4pm: IAC 2018 Opening Ceremonies

4pm to 5pm: Keynote Address – “Shoot For Exceptional & Leave Acceptable Behind” with Reuben Farnsworth

Are you settling for less than your best? No more. We will talk about the importance of exceptional medicine and why it matters. We will talk about how in depth assessments and the constant pursuit of excellence can elevate us as providers. What you do is important and this presentation will remind you why.

NYS Core Category: (1) Preparatory

5pm to 6:30pm: Exhibit Hall Opening and Welcome Reception (Drinks, Giveaways, Hors d’Oeuvres)


 

ALS Track:

7am: Conference Registration Opens

7am to 8am: Light Breakfast

8am to 9:15am: “Inside Out” with Scotty Bolleter

NYS Core Category: (1.25) Trauma

9:15am to 9:30am: Break

9:30am to 11am: “Vein’ously Speaking” with Scotty Bolleter

A tremendous amount of confusion surrounds various treatments found in emergent medicine. Today’s provider must be able to understand not only what needs to happen, but why as well. When considering venous access a number of options now present themselves to the patient and provider. A detailed review of current equipment and methods will follow a discussion centered on case studies and selected research. Included in this program will be an exciting look into the future, and options that will soon present themselves to all levels care. Suffice to say that what was once difficult and exclusionary in its application now beams with potential.

NYS Core Category: (1.5) Special Considerations

11am to 11:15am: Break

11:15am to 12:30pm: “What’s in My Patient?: The Good, The Bad, and The Implanted” with Reuben Farnsworth

This class takes a look at all the gadgets our patients have to aid their medical situation. We will cover common devices that are implanted and attached, while discussing common issues with these devices and the best methods for EMS providers to assist in their operation or malfunction.

NYS Core Category: (1.25) Pulmonary

12:30pm to 1:45pm: Lunch

1:45pm to 3:15pm: “Sheepdogs vs Wolves: EMS Role in Protecting At-Risk Populations” with Kelly Grayson

Martin Luther King, Jr. once said, “We must combine the toughness of the serpent with the softness of the dove, a tough mind and a tender heart.” That particularly describes how EMS providers must deal with the horror of abuse and neglect. We need compassion and tenderness towards the abused patient, but passionless, clinical objectivity when it comes to documenting our findings and dealing with the people who prey upon them. If we’re going to protect the most vulnerable among us, we need a tough mind and a tender heart.

NYS Core Category: (1.5) Special Considerations – Abuse and Assault

3:15pm to 3:45pm: Break

3:45pm to 4pm: IAC 2018 Opening Ceremonies

4pm to 5pm: Keynote Address – “Shoot For Exceptional & Leave Acceptable Behind” with Reuben Farnsworth

Are you settling for less than your best? No more. We will talk about the importance of exceptional medicine and why it matters. We will talk about how in depth assessments and the constant pursuit of excellence can elevate us as providers. What you do is important and this presentation will remind you why.

NYS Core Category: (1) Preparatory

5pm to 6:30pm: Exhibit Hall Opening and Welcome Reception (Drinks, Giveaways, Hors d’Oeuvres)


 

Operations and Leadership Track:

7am: Conference Registration Opens

7am to 8am: Light Breakfast

8am to 9:15am: “Scene Safety: Time for a Paradigm Shift?” with Mike McEvoy

On November 7th, 2017, Saratoga County (NY) eliminated staging responders to calls with potential scene safety issues (www.saratogaems.org/safety) in the interest of making sure time sensitive patient care was not delayed. The responsibility for determining scene safety was passed from the 9-1-1 call taker to the fire and EMS responders. This presentation reviews escalating violence against emergency responders and questions whether the time has come for a change in how EMS responds to known or suspected unsafe scenes.

NYS Core Category: (1.25) Preparatory

9:15am to 9:30am: Break

9:30am to 11am: “Hiring, Firing and Harassment, Oh My!: Personnel Management Tips for EMS Agency Leaders” with Charles Nerko, Doug Wildermuth and Travis Howe

This presentation will help agency leaders navigate the complexities of effective personnel management. Participants will learn strategies to thrive as leaders while minimizing legal risks. Drawing upon the presenters experiences, this interactive panel presentation will help agency leaders address personnel challenges, all the way from job applicants to former employees.

NYS Core Category: (1.5) Preparatory

11am to 11:15am: Break

11:15am to 12:30pm: “Who’s In Charge, and Why?” with Nancy Magee

Experienced leadership is often lacking in volunteer EMS agencies. In many cases, individuals with no direct business or management experience are elected, appointed or placed by default in positions of responsibility because they were unlucky enough to have missed the meeting. Join Nancy Magee as she helps you develop the leadership and managerial skills necessary to keep your agency fiscally sound, and your volunteers happy, active and engaged.  

NYS Core Category: (1.25) Preparatory

12:30pm to 1:45pm: Lunch

1:45pm to 3:15pm: “Millennials: Thriving in EMS (and Life)” with Amy Eisenhauer

Have you been categorized as a “millennial?” Many EMS leadership gurus teach other generations how to talk to millennials, but who’s talking to millennial providers about how to cultivate and launch their own careers? You will leave with tools that can be put into action on your very next shift to integrate your talent, ideas, and passion, with current and future EMS practice to move your career and the industry forward.

NYS Core Category: (1.5) Preparatory

3:45pm to 4pm: IAC 2018 Opening Ceremonies

4pm to 5pm: Keynote Address – “Shoot For Exceptional & Leave Acceptable Behind” with Reuben Farnsworth

Are you settling for less than your best? No more. We will talk about the importance of exceptional medicine and why it matters. We will talk about how in depth assessments and the constant pursuit of excellence can elevate us as providers. What you do is important and this presentation will remind you why.

NYS Core Category: (1) Preparatory

5pm to 6:30pm: Exhibit Hall Opening and Welcome Reception (Drinks, Giveaways, Hors d’Oeuvres)


 

Hot Topics and Future of EMS Track:

7am: Conference Registration Opens

7am to 8am: Light Breakfast

8am to 9:15am: “Electronic PCR Data: Why You Should Care!” with Peter Brodie

Working with NYS ePCR data, Brodie has not only produced data reports for the Prescription Drug Overdose Program, he has provided skill application data to the SEMAC Physicians and Program Agencies working on the Collaborative Protocols; identified documentation errors across NYS, and will be talking about the value of quality accurate documentation for providers, as well as the need for effective quality improvement programs. 

NYS Core Category: (1.25) Preparatory

9:15am to 9:30am: Break

9:30am to 11am: “Mobile Health Care: We Made It Work!” with Mark Spiezio

Four small, rural EMS agencies in upstate New York have worked to create the first in the region Mobile Health Care System, that provides “eyes on the ground” for primary care physicians. The Community Check Program has filled a much need gap in home health monitoring and has reduced primary care office visits, Urgent Care visits, and ambulance transports to emergency rooms. How did we do it? Collaboration, open mindedness, and a willingness to give it a try!

NYS Core Category: (1.5) Preparatory

11:15am to 12:30pm: Videolaryngoscopy for the Prehospital Provider” with Chris Galton

Videolaryngoscopy is taking a larger role in EMS for advanced airway management. Some say it is revolutionary while others say it could be dangerous. Dr. Galton will address the benefits and drawbacks of videolaryngoscopy from the perspective of an anesthesiologist and paramedic.

NYS Core Category: (1.25) Airway Management and Ventilation

12:30pm to 1:45pm: Lunch

1:45pm to 3:15pm: Prehospital Ultrasound: Advancing Assessment to New Technological Heights” with Dan Batsie

Bedside ultrasound is not a new concept to healthcare. This technology has been used in hospitals for decades.  However recent research has found a wide array of modern technological applications to the world of emergency medicine. Most recently, these technology has seen inroads into prehospital assessment. This class will discuss how prehospital ultrasound can be integrated into the current EMS scope of practice. Specifically, we will discuss an overview of the technology itself and describe how ultrasound can benefit the assessment of shock patients, trauma patients, cardiac arrest and a wide array of other conditions. Although all levels are welcome, this talk will focus on several advanced life support topics.

NYS Core Category: (1.5) ALS Abdominal, Geni-Renal, GI, Hematology or BLS Shock and Resuscitation

3:45pm to 4pm: IAC 2018 Opening Ceremonies

4pm to 5pm: Keynote Address – “Shoot For Exceptional & Leave Acceptable Behind” with Reuben Farnsworth

Are you settling for less than your best? No more. We will talk about the importance of exceptional medicine and why it matters. We will talk about how in depth assessments and the constant pursuit of excellence can elevate us as providers. What you do is important and this presentation will remind you why.

NYS Core Category: (1) Preparatory

5pm to 6:30pm: Exhibit Hall Opening and Welcome Reception (Drinks, Giveaways, Hors d’Oeuvres)


 

Education Track:

7am: Conference Registration Opens

7am – 8am: Light Breakfast

8am – 3:30pm: “It’s All In A Game; Putting the Fun Back in Classrooms” (NYS CIU) with Kirk and Margaret Mittelman and NYS DOH BEMSTS Staff

What motivates you to teach, learn and work in EMS? Is it the money you make, or could it be the great schedule we all keep? Most likely, the answer is; the good we can do when things go right and are fun. If we can keep the classroom moving and fun, the students will learn while enjoying the topics we have to present. Is it possible that if we utilize educational games in the classroom that students might enjoy learning? Implementing and building educational games is an art form that Kirk and Margaret have taken to another level. Join them for this NEW extended class on how to make, use and implement games into your classroom and take your teaching to another level.

NYS CIU Credit: (7.5) Hours or use as addtional

3:45pm – 4pm: IAC 2018 Opening Ceremonies

4pm – 5pm: Keynote Address – “Shoot For Exceptional & Leave Acceptable Behind” with Reuben Farnsworth

Are you settling for less than your best? No more. We will talk about the importance of exceptional medicine and why it matters. We will talk about how in depth assessments and the constant pursuit of excellence can elevate us as providers. What you do is important and this presentation will remind you why.

NYS Core Category: (1) Preparatory

5pm to 6:30pm: Exhibit Hall Opening and Welcome Reception (Drinks, Giveaways, Hors d’Oeuvres)


Saturday, May 18th – Conference:

BLS Track:

7am: Conference Registration Opens

7am to 8am: Light Breakfast

8am to 9am: Keynote Address – “The Last Lesson – Put Your Heart Into It!” with Kelly Grayson

If you knew you were dying, and you had one last lesson to share with your peers, what wisdom would you impart? That was the premise for Carnegie Mellon University’s “Last Lecture” series, in which Professor Randy Pausch, recently diagnosed with terminal pancreatic cancer, delivered his inspiring talk, “Really Achieving Your Childhood Dreams.” The lecture and resulting book were an inspiration to millions, including one paramedic who pondered what wisdom he would impart to his profession if it were his very last chance. Join Kelly Grayson as he delivers his inspiring, hypothetical last lesson: put your heart in it.

NYS Core Category: (1) Preparatory 

9am to 9:30am: Break

9:30am to 11am: “What Were You Thinking?” with Kirk Mittelman

Too often we get tunnel vision and miss the signs and symptoms we are trained to find. On a regular basis we all wonder “What Were You Thinking?” and want to ask the patient. During this session we will evaluate critical calls and what could have changed the outcome of these calls. We will also look at patient and EMS thinking while on calls. What is critical thinking and how can I use it to better my patient outcomes? Grab your TOPHAT and join Kirk for a session filled with videos and case histories to help improve your Critical Thinking Skills and figure you “What were they thinking?”

NYS Core Category: (1.5) Assessment

11am to 11:15am: Break

11:15am to 12:30pm: “Yes, We Do Diagnose!” with Kelly Grayson

“Do paramedics diagnose?” Few questions are guaranteed to spur as spirited debate in EMS as that one. Whether you call it a field impression, a field diagnosis, a differential diagnosis, or a Supermedic Hunch, what we do accurately meets the definition of a diagnosis. Not only do paramedics diagnose, but so do EMTs! Join Kelly Grayson as he examines the outdated and inaccurate practice of treatment by symptom management, how diagnoses are formed, refined, and changed, and how it is absolutely necessary to diagnose a patient before we can treat one.

NYS Core Category: (1.25) Assessment

12:30pm to 1:45pm: Lunch

1:45pm to 3pm: “Strangulation Injuries in the Domestic Violence Patient: Why EMS Plays a Critical Role” with Dan Batsie

Domestic violence patients face a variety challenges that frequently involve EMS. From critical medical interventions to access to social services, EMS practitioners provide a vital service. With strangulation injuries however, the EMS response is even more important. Beyond the obvious threats to airway and breathing, identification of these injuries can provide hugely important insight into the ongoing safety of the patient. A victim of domestic violence who is strangled by their intimate partner is 800 times more likely to be killed. Are you prepared to recognize this warning sign? This interactive session will discuss the recognition features and the specific treatment strategies associated with strangulation injuries. We will further describe the vital role of EMS plays in both social service referral and in forensic documentation leading to successful prosecution. The intent is to provide practitioners tangible resources that will improve the overall care for these patients and enhance their contribution to the ongoing challenge of ending the vicious cycle of domestic violence.  

NYS Core Category: (1.25) Airway

3pm to 3:15pm: Break

3:15pm to 4:30pm: “The Old and the Beautiful: Geriatrics 102” with Tim Redding

Patients older than 65 make up the majority of EMS calls. How good are you at treating your geriatric patient? This session will discuss common geriatric issues seen by EMS providers and the myths and misconceptions surrounding the care of a geriatric patient.

NYS Core Category: (1.25) Geriatrics

4:30pm to 5:30pm: It’s 5 O’Clock Somewhere…A Beer, Wine and Soda Social with Emergency Management Resources in the Exhibit Hall


 

ALS Track:

7am: Conference Registration Opens

7am to 8am: Light Breakfast

8am to 9am: Keynote Address – “The Last Lesson – Put Your Heart Into It!” with Kelly Grayson

If you knew you were dying, and you had one last lesson to share with your peers, what wisdom would you impart? That was the premise for Carnegie Mellon University’s “Last Lecture” series, in which Professor Randy Pausch, recently diagnosed with terminal pancreatic cancer, delivered his inspiring talk, “Really Achieving Your Childhood Dreams.” The lecture and resulting book were an inspiration to millions, including one paramedic who pondered what wisdom he would impart to his profession if it were his very last chance. Join Kelly Grayson as he delivers his inspiring, hypothetical last lesson: put your heart in it.

NYS Core Category: (1) Preparatory 

9am to 9:30am: Break

9:30am to 11am: “Pediatric Prehospital Neuro-Critical Care: Avoid Insult to the One Organ That Can’t Be Transplanted” with Dr. Robert Newmyer

Neuroprotection by minimizing secondary insult to the brain and spinal cord can extend to the prehospital environment. What is the current evidence? How do I best care for a critically ill child in the prehospital setting with a neurologic insult? Case-based review of status epilepticus, cardiac arrest and anoxic brain injury, traumatic brain injury, and spinal cord injury are presented with pearls for each.

NYS Core Category: (1.5) Pediatrics

11am to 11:15am: Break

11:15am to 12:30pm: “Are You Ready for Baby? An Update on Emergency Childbirth and Newborn Care” with Dan Batsie

Managing prehospital childbirth is an infrequently used skill with very high stakes. Many of the traditional steps and skills we once took for granted are now being replaced with more updated practices. Are you ready? This class is designed to update providers on modern best practices and review the key interventions necessary to overcome several different childbirth and neonatal complications. 

NYS Core Category: (1.25) Gynecology and Obstetrics

12:30pm to 1:45pm: Lunch

1:45pm to 3pm: “Until All the Pieces Fit” with Chris Ebright

As a pre-hospital care provider, on average, you are seven times more likely to come in contact with a person on the autism spectrum. It is not one condition, but rather a broad range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication. As a result, these patients can present EMS providers with unique assessment and management challenges. This presentation will explain the autism spectrum, the uniqueness of each part, as well as certain notable characteristics of these patients to consider when performing an assessment and rendering medical treatment.

NYS Core Category: (1.25) Special Challenges

3pm to 3:15pm: Break

3:15pm to 4:30pm: “Capnography: Best Practices, Documentation and Advanced Uses” with Kelly Grayson

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 derangements. Join Kelly Grayson as he explains how to understand capnography in depth, and how how to use it for something beyond confirming tube placement.

NYS Core Category: (1.25) Airway Management and Ventilation

4:30pm to 5:30pm: It’s 5 O’Clock Somewhere…A Beer, Wine and Soda Social with Emergency Management Resources in the Exhibit Hall


 

Operations and Leadership Track:

7am: Conference Registration Opens

7am to 8am: Light Breakfast

8am to 9am: Keynote Address – “The Last Lesson – Put Your Heart Into It!” with Kelly Grayson

If you knew you were dying, and you had one last lesson to share with your peers, what wisdom would you impart? That was the premise for Carnegie Mellon University’s “Last Lecture” series, in which Professor Randy Pausch, recently diagnosed with terminal pancreatic cancer, delivered his inspiring talk, “Really Achieving Your Childhood Dreams.” The lecture and resulting book were an inspiration to millions, including one paramedic who pondered what wisdom he would impart to his profession if it were his very last chance. Join Kelly Grayson as he delivers his inspiring, hypothetical last lesson: put your heart in it.

NYS Core Category: (1) Preparatory 

9am to 9:30am: Break

9:30am to 11am: “The Protocol Paradox” with Kelly Grayson

“Deviate from protocol? No thanks, I’d like to keep my job.” It’s an interesting paradox in EMS that, the more skills and knowledge your crews obtain, the more likely they are to be limited by your protocols than guided by them. Treatment protocols are intended to be a floor, but are too often a ceiling. The reality is, protocols cannot anticipate every situation, and it isn’t always feasible to contact medical control for guidance. Join Kelly as he discusses how to formulate protocols as treatment guidelines rather than absolutes, and how your CQI process can empower (or discourage) your providers to utilize critical thinking skills and exercise sound clinical decision-making, and make your agency one noted for clinical excellence.

NYS Core Category: (1.5) Preparatory

11am to 11:15am: Break

11:15am to 12:30pm: “Is Your Agency Ready for an Emotional Disaster?” with Amy Eisenhauer

We are in the preparedness business. We expect the “what if,” and have an answer to the question, “what now?” We buy ANSI vests, helmets and reflective jackets for physical protection, but what do we do to protect ourselves mentally? EMS provider PTSD and suicide awareness has increased, but how do we translate awareness into action? Amy will discuss the importance of integrating CISM and other mental health resources into agency SOP/ SOG, resilience training, and developing agency culture.

NYS Core Category: (1.25) Preparatory

12:30pm to 1:45pm: Lunch

1:45pm to 3pm: “Hazmat Incidents: Key Considerations for EMS Providers” with Jack Tims

As EMS providers and officers, our role at hazardous materials incidents can seem basic, mundane and to some, even boring. We may be staging and waiting for patients after they have been decontaminated but it’s not always that simple or easy. We need to know how to recognize potential hazards, both large and small, give competent size-up reports and treat related patients. Most importantly, we need to ensure our own safety so we can return home to our loved ones. Join Jack for a review of good hazmat operational practices, valuable resources and patient care considerations.

NYS Core Category: (1.25) Operations

3pm to 3:15pm: Break

3:15pm to 4:30pm: “Building a Training Program: 10 Classes Every EMS Agency Service Should Conduct” with Dan Batsie

Developing a meaningful service training plan is no easy task. Short money and scarce time force many services to rely on education that really isn’t preparing their providers for the rigors of the real world. But excellent training doesn’t always have to cost a fortune and it doesn’t always take an abundance of time. This class is designed to identify and describe 10 short programs every service can and should conduct. Students will prioritize lessons and discuss methods to enhance the realism in classes that will best match their highest threats. Critical content will be described and students will leave with educational tools that will enable them to customize education for the unique properties of their department.

NYS Core Category: (1.25) Preparatory

4:30pm to 5:30pm: It’s 5 O’Clock Somewhere…A Beer, Wine and Soda Social with Emergency Management Resources, in the Exhibit Hall


 

Hot Topics and Future of EMS Track:

7am: Conference Registration Opens

7am to 8am: Light Breakfast

8am to 9am: Keynote Address – “The Last Lesson – Put Your Heart Into It!” with Kelly Grayson

If you knew you were dying, and you had one last lesson to share with your peers, what wisdom would you impart? That was the premise for Carnegie Mellon University’s “Last Lecture” series, in which Professor Randy Pausch, recently diagnosed with terminal pancreatic cancer, delivered his inspiring talk, “Really Achieving Your Childhood Dreams.” The lecture and resulting book were an inspiration to millions, including one paramedic who pondered what wisdom he would impart to his profession if it were his very last chance. Join Kelly Grayson as he delivers his inspiring, hypothetical last lesson: put your heart in it.

NYS Core Category: (1) Preparatory 

9am to 9:30am: Break

9:30am to 11am: “EMS in Essex County: Knocking Down Walls & Building a Sustainable System” with Patty Bashaw

Town, County and State government support of EMS? People working together to improve an EMS system? Yes, it’s true! Join Patty for this talk and learn about how Essex County’s providers, agencies, Office of Emergency Services and politicians are working to address immediate issues and lay the foundation of a sustainable and high quality EMS system in one of the most geographical and financial challenging areas of NYS. She will share tips on how to engage political figures and build critical relationships that can lead to dreaded discussions regarding funding, volunteer vs paid issues, collaboration and consolidation.

NYS Core Category: (1.5) Preparatory

11am to 11:15am: Break

11:15am to 12:30pm: “Suicide; Our Dirty Little Secret” with Kirk Mittelman

Have you ever wondered what drives people to suicide? Have you ever thought maybe you could have done more to help? Has suicide hit your home, your station, your world? In this session, we will look at suicide and the effect it has on family members and providers. We will discuss the warning signs of suicide and how to deal with someone who is threatening suicide. Kirk asks that you come with an open mind to this session and be prepared to face your deepest fears to help us all solve a growing problem. 

NYS Core Category: (1.25) Preparatory

12:30pm to 1:45pm: Lunch

1:45pm to 3pm: “Let’s Chat! An Expert Panel Discussion Based on Your Questions” featuring Dr. Maia Dorsett, Kelly Grayson, Kirk Mittelman, Nancy Magee, Micki Guy. Moderated by Travis Howe and Doug Wildermuth.

In this interactive and high speed session, providers and leaders will have the opportunity to ask questions that are related to PTSD/Suicide in EMS, Leadership, Career Advancement, The Future of EMS, Medical Direction/Control, Volunteerism and Training/Education.

NYS Core Category: (1.25) Preparatory

3pm to 3:15pm: Break

3:15pm to 4:30pm: “Enough Talk About Patient Care! Let’s Talk Business.” with Doug Wildermuth

Every year it is the same thing, “patient care comes first”. But with more and more ambulance companies closing their doors, when do we finally realize that there needs to be a line drawn in the sand? We are in need of everyone’s help (paid & volunteer) to run the ambulance company as a business. This program will enlighten you on legalities, personnel problems and internal dynamics and how to make it work better for you and your agency!

NYS Core Category: (1.25) Preparatory

4:30pm to 5:30pm: It’s 5 O’Clock Somewhere…A Beer, Wine and Soda Social with Emergency Management Resources in the Exhibit Hall


Sunday, May 20th – Conference:

BLS Track:

8am: Conference Registration Opens

8am to 8:30am: Light Breakfast

8:30am to 9:30am: “Hemorrhage Control: What’s In & What’s Out!” with Tim Redding

We will review hemorrhage, shock and the assessment and management of a patient bleeding. We will then review current and future trends available for treating bleeding in the prehosptial environment.

NYS Core Category: (1) Trauma

9:30am to 9:45am: Break

9:45am to 10:45am: Keynote Address – “Standing on the Shoulders of Giants: The Role of Mentoring in EMS” with Dan Batsie

No one in EMS succeeds alone. However, far too frequently new practitioners are left to “take their lumps” and languish without proper guidance. This common dilemma leads to not only poor patient care, but serves to weight down EMS as a profession in face of progress. This motivational discussion will describe the importance of mentors in EMS. It will focus not just on the new provider but discuss how mentoring and cooperation can improve EMS as a whole.

NYS Core Category: (1) Preparatory

10:45am to 11am: Break

11am to 12pm: “To Pee is To Be” with Chris Ebright

When the kidneys fail, your patient becomes sick with a variety of non-specific signs and symptoms. Whether from an acute situation or from a chronic problem, kidney failure may lead a patient being dependent on dialysis. This presentation helps you gain some insight into the challenges these patients provide to the EMS professional.

NYS Core Category: (1) Abdominal, Geni-Renal, GI, Hematology

12pm to 12:10pm: Break

12:10pm to 1:10pm: “Bus Accident Response: The 3 Things You Need To Know” with Rom Duckworth

Every day in your community, vehicles travel the road carrying large numbers of potential victims; some children, some elderly, some with special medical issues, and all your responsibility. Every year 63,000 inter-city, transit, and school buses crashes result in over 14,000 injuries and hundreds of fatalities. This program will help make you ready when it happens in your area. Presenting lessons learned from around the world along with personal experience managing school bus and inter-city tour bus incidents, Rom lays out the 3 key steps to managing major (and minor) motor coach collisions in your response area.

NYS Core Category: (1) Operations


 

ALS Track:

8am: Conference Registration Opens

8am to 8:30am: Light Breakfast

8:30am to 9:30am: “The Perils of Suspension Trauma” with Chris Ebright

Those who work at heights on scaffolds and other structures higher than six feet often wear safety harnesses. The technology of safety harnesses has progressed in recent years, but even with the best designs in safety gear, those who fall in an upright position are at risk of death. This can happen even after a relatively short and effective rescue. This presentation will explain the physiological consequences of suspension trauma and what EMS professionals need to consider during treatment and transport.

NYS Core Category: (1) Trauma

9:30am to 9:45am: Break

9:45am to 10:45am: Keynote Address – “Standing on the Shoulders of Giants: The Role of Mentoring in EMS” with Dan Batsie

No one in EMS succeeds alone. However, far too frequently new practitioners are left to “take their lumps” and languish without proper guidance. This common dilemma leads to not only poor patient care, but serves to weight down EMS as a profession in face of progress. This motivational discussion will describe the importance of mentors in EMS. It will focus not just on the new provider but discuss how mentoring and cooperation can improve EMS as a whole.

NYS Core Category: (1) Preparatory

10:45am to 11am: Break

11am to 12pm: “The STEMI That Got Away; M.I. Missing Cardiac Patients?” with Rom Duckworth

We know that early acquisition and interpretation of 12 lead ECGs are key to effective treatment of patients with STEMI; but are we identifying all of the patients who should be evaluated with a 12 lead? This highly energetic lecture presents the pathophysiology of S-T elevation myocardial infarction in an easy to understand style to help you best identify, triage and treat patients presenting with acute coronary syndromes. Using the latest research behind the AHA Guidelines changes, this program will help you better coordinate with your healthcare partners along the continuum of cardiac care. Emphasis is placed on risk factors, recognizing truly sick patients and coordinating care with cardiac systems of care.

NYS Core Category: (1) Cardiac/Cardiology

12pm to 12:10pm: Break

12:10pm to 1:10pm: “Fluid Resuscitation: Stop the Madness!” with Tim Redding

This Class will discuss the deadly triad in trauma and common pitfalls with prehospital fluid resuscitation and ways we can improve outcomes by changing current practice. We will also cover different prehospital fluids and any advantages and disadvantages they may have.

NYS Core Category: (1) Trauma


 

Operations and Leadership Track:

8am: Conference Registration Opens

8am to 8:30am: Light Breakfast

8:30am to 9:30am: “Extrication and EMS: Coordinating Team Delivery of Critical Care” with Rom Duckworth

Good vehicle extrication demands a unique collaboration between rescue and emergency medical personnel. The purpose of this course is to increase your situational awareness and improve your strategic and tactical plans for extrication by incorporating key medical information in the decision-making process. To save a victim (not just chop up a vehicle) you need command, coordination, communication and care. This program uses a real-world approach to incorporate advanced life support considerations in the extrication strategy and shows how a great deal of critical trauma care can be managed quickly and effectively by BLS first responders. This program will help you better and more safely deliver immediate life saving treatment, reduce time from patient contact to patient surgery and improve the lives of the people you are protecting.

NYS Core Category: (1) Trauma

9:30am to 9:45am: Break

9:45am to 10:45am: Keynote Address – “Standing on the Shoulders of Giants: The Role of Mentoring in EMS” with Dan Batsie

No one in EMS succeeds alone. However, far too frequently new practitioners are left to “take their lumps” and languish without proper guidance. This common dilemma leads to not only poor patient care, but serves to weight down EMS as a profession in face of progress. This motivational discussion will describe the importance of mentors in EMS. It will focus not just on the new provider but discuss how mentoring and cooperation can improve EMS as a whole.

NYS Core Category: (1) Preparatory

10:45am to 11am: Break

11am to 12pm: “Monday Morning Quarterback: Call/Documentation Review” with Tim Redding

How is your documentation? Would it stand up to an expert medical witness? This session will use actual EMS run reports to discuss common mistakes in EMS documentation. We will also discuss some pitfalls in use of electronically imported vital signs.

NYS Core Category: (1) Preparatory

12pm to 12:10pm: Break

12:10pm to 1:10pm: “Toxic Twins: Cyanide and Carbon Monoxide” with Chris Ebright

Victims involved with fire as a mechanism can have a multitude of injuries that cause significant morbidity and mortality. Smoke inhalation can cause systemic toxicity from carbon monoxide (CO) and/or cyanide (CN) exposure. Both toxins can cause significant injury or death if unrecognized by clinicians. The purpose of this presentation is to review the pathophysiology, diagnosis, and management of carbon monoxide and cyanide poisonings in the pre-hospital setting.

NYS Core Category: (1) Toxicology


 

Hot Topics and Future of EMS Track:

8am: Conference Registration Opens

8am to 8:30am: Light Breakfast

8:30am to 9:30am: “Common PCR Documentation Mistakes and Their Impact on Billing” with Peter Berry

NYS Core Category: (1) Preparatory

9:30am to 9:45am: Break

9:45am to 10:45am: Keynote Address – “Standing on the Shoulders of Giants: The Role of Mentoring in EMS” with Dan Batsie

No one in EMS succeeds alone. However, far too frequently new practitioners are left to “take their lumps” and languish without proper guidance. This common dilemma leads to not only poor patient care, but serves to weight down EMS as a profession in face of progress. This motivational discussion will describe the importance of mentors in EMS. It will focus not just on the new provider but discuss how mentoring and cooperation can improve EMS as a whole.

NYS Core Category: (1) Preparatory

10:45am to 11am: Break

11am to 12pm: “The EMS Crisis in NYS: What Are We Doing?” with Travis Howe

The volunteer well is drying up, we have a broken healthcare payment system, a lack of self-awareness and promotion, unattractive career options and as a whole, we are a territorial bunch. These are just a handful of the obstacles we face as a fractured (and per NYS Municipal Code,) non-essential EMS system. The good news is, all hope is not lost! Join Travis as he provides an honest and realistic assessment of EMS in NYS and what WE can do TOGETHER to build prosperous and sustainable systems. We’ll even knock down a few walls by talking about controversial topics like collaboration and consolidation. *Hugs will be provided at no charge

NYS Core Category: (1) Preparatory

12pm to 12:10pm: Break

12pm to 1pm: “Elizabethtown Community Hospital Paramedic Program; The Future of Paramedic Training in the North Country of NYS.” with Bruce Barry

Join Bruce Barry, Paramedic Program Director for the Elizabethtown Community Hospital for an in-depth look at this brand new training program and how it will impact EMS systems in Northern New York State.

NYS Core Category: (1) Preparatory

We hope you enjoy the conference!

CME Instructions: 

1) Be sure to stop by the E5 SUPPORT SERVICES vendor table to verify your correct email address.

2) If you are using these CMEs for recertifying, be sure to pick up a Conference CME letter at the E5 vendor table as well. 

3) Take notes on what you learned at each session and await an email response from E5 SUPPORT SERVICES.

4)  After reading the instructions in the email from, you will be directed to the CME website to complete the necessary conference and course questions/information required.

5) Upon full completion of the necessary questions, a certificate with all your CMEs will be sent to you electronically.

6) Questions, comments or concerns can be directed to Douglas.Wildermuth@E5SupportServices.com.

 Thanks again for attending and we hope to see you in May 2019 for the next

MOUNTAIN LAKES INITIAL ASSESSMENT EMS CONFERENCE!!!