Advanced Life Support

January 25, 2019

Have a Blast: Explosion Injures

10:30 AM  -  11:45 AM
Lake Superior Ballroom L,M

Description: Blast explosions can have multiple considerations at the scene and in care of the victims before and after.   This presentation will highlight 4-5 blast incidents in Minnesota in the past two years including a school and power plant along with the types of injuries seen in the victims.   The stages of a blast will be correlated to the injury patterns seen in the victims of these cases. Get ready to have a BLAST! Objectives: Describe four blast incidents. List…

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10 Ways to Kill Your Patient

10:30 AM  -  11:45 AM
Lake Superior Ballroom N,O

Description: Are we really out there for the betterment of our patients? How is the care we are providing causing harm? This presentation will discuss common errors in the medical field which may kill our patients or further their injury. What are the simple solutions to correct these errors? How do we re-focus our attention to avoid repeating some of these issues? Objectives: Identify the common medical errors that may cause harm to the patient. Discuss solutions to remedy the…

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Improving Occupant Protection

10:30 AM  -  11:45 AM

Description: As ambulance interiors begin to reflect new understanding about the importance of occupant protection, the issue of how to transport children is being examined. Not only are some widely held beliefs being challenged, new devices which make child patients safer in the back of the ambulance have appeared. We will review commercial devices and demonstrate the newest products. The final segment will examine injuries caused by child passenger restraints when they are not used properly. Objectives: List advantages of…

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From Depression to Delirium

10:30 AM  -  11:45 AM
Gooseberry Falls Room

Description: Noticed how your mental health (EDP) calls have increased over the last couple years.  Well, folks, that trend isn’t likely to change soon. So, in this session we will re-look at the mental health emergencies old and new and talk about safety and strategies for treating patients suffering from a mental health crisis. Objectives: Mental Health crisis Maintaining a safe environment when dealing with an EDP patient.

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What’s Happened to My Musical Heroes

12:45 PM  -  2:00 PM
French River Room

Description: If you’re like me you enjoy music, all kinds of music, it helps us get though some days; makes emotional connections with us and builds memories, makes us smile, and even makes us cry.  We all have our favorite musicians, troubadours, singers, and songwriters we often place them on pedestals and look up to them and at times wish we could be “rock stars” too.  The reality is they are just like you and me and indeed experience the…

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Spot the Clot

12:45 PM  -  2:00 PM
Lake Superior Ballroom L,M

Description: Early recognition and intervention is critical in acute stroke care.  EMS has a pivotal role in “spotting the clot” from the field.  Every moment counts when saving the brain!   This presentation will highlight care across the continuum, including the EMS role and a chance to interact with the clinical experts. Objectives: Review EMS management of acute stroke, including triaging and patient assessment Discuss communication with acute stroke teams and regional stroke protocols Review case studies, including cutting edge stroke…

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EMS Case Studies in Toxicology

12:45 PM  -  2:00 PM
Lake Superior Ballroom N,O

Description: Toxicology covers a wide array of substances, toxins, poisons and situations.  Four different toxicology related cases will be reviewed from beginning to end. If you want to gain confidence in responding and managing these challenging calls, this is a don’t miss session. Audience participation will be encouraged and live calls to the poison center will be conducted. Objectives: Identify priorities in managing toxicological related cases Discuss treatment modalities for BLS and ALS responders for each case Describe clinical effects…

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Why It May Not Be The Panacea You Think

12:45 PM  -  2:00 PM
Split Rock Room

Description: For years, the theory on oxygen has been, “If a little is good, more is better”.  New research is showing us that this may not be accurate.  We will examine some of the latest science on oxygen administration and talk about the pathophysiology of oxygen toxicity and the ensuing effects on the body. Objectives: The student will be able to discuss the most current science regarding oxygen administration. The student will be able to explain the pathophysiology of oxygen…

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Teaching Sick or Not Sick-Teaching Critical Thinking

12:45 PM  -  2:00 PM
Gooseberry Falls Room

Description: Ever turned to your partner and said, “Man these kids today just have no D@%n common sense?” We talk in our classes about “critical thinking” but what does critical thinking really look like in practice? In this discussion we will break down the teaching of critical thinking skills using examples relevant to what we do in the classroom everyday-like teaching whether a patient is “sick” or “not sick”. Objectives: Discuss what critical thinking in EMS education Explore methods and…

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A Tale of Two Women

2:45 PM  -  4:00 PM
French River Room

Description: This unique presentation will focus on two separate and distinct case reviews of illness and injury that occurred on separate continents.  We’ll review the pathophysiological insults that happened as a result of the injuries, the prehospital care that was provided or not, and the story each patient had; one that turned out to be something unsuspected.  These two remarkable women are as different as you and me, yet there is an amazing common thread between them and it’s not…

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Are We Missing Something?

2:45 PM  -  4:00 PM
Lake Superior Ballroom L,M

Description: The treatment of adult trauma patients within an evidence-based system of care has been a tenet following the advent of trauma centers in the 1960’s. Pediatric trauma centers followed soon after. Similar methods of triage and a systems approach to injuries apply to both populations. However, differences in anatomy, pathophysiology, and injury patterns can lead to delays in definitive care and increased morbidity. Using a case-based approach, the presenters will illustrate the need for EMS medical directors to bring…

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No Spice at the Top of the K2 Mountain

2:45 PM  -  4:00 PM
Lake Superior Ballroom N,O

Description: This presentation will explore emerging and changing trends in synthetic cannabinoid use. These agents are more commonly known as K2 and Spice in Minnesota. The presentation will include common effects seen, discussion of why this trend is occurring and treatments being done in the EMS and Emergency room setting. Objectives: Identify the synthetic Cannabinoids work in the body Recognize adverse signs and symptoms of synthetic cannabinoid use Discuss trends being seen on the national and regional levels.

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Trauma Trumps Burn; Establishing Priorities

2:45 PM  -  4:00 PM
St. Louis River Room

Description: This talk will look at various cases where the patients suffered both burn and traumatic injuries.  We will walk through prioritizing those injuries and the field treatments.  The attendees will get a glimpse at what happens when those patients arrive at the combined Burn/Trauma Center Objectives: Identify both Burn and Traumatic injuries and apply triage criteria for those injuries Review field treatments for both Burn and Traumatic injuries

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Hey…You’re Not Like Me

2:45 PM  -  4:00 PM
Gooseberry Falls Room

Description: As our society changes and becomes more culturally diverse, we, in public safety need to adapt to that diversity. In this session we will explore some norms of societies that are emerging in MN. And, maybe more importantly, explore strategies to assure a successful patient care encounter. Objectives: Discuss different cultural norms Explore patient care strategies that allow for successful culturally sensitive patient care encounters.

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January 26, 2019

Beyond Breaking Bad

10:30 AM  -  11:45 AM

Description: Methamphetamine use continues to grow across Minnesota.  As methamphetamine use becomes increasingly common, prehospital and ED personnel should become ever more familiar with common, not-so-common, and potentially life-threatening complications of methamphetamine abuse. This presentation will focus on identification of and initial therapies for the immediate life threats common to methamphetamine exposure, with specific focus on both methamphetamine “stuffers” (those who ingest baggies with the intention to conceal their drug) and those who present with mixed toxidromes in the era…

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Mass Casualty: Are You Ready?

10:30 AM  -  11:45 AM
St. Louis River Room

Description: In this presentation, we will explore previous mass casualty incidents (MCIs) and the response from providers– from first contact to hospital admission– that helped change the way we approach and plan for the next big incident in our own jurisdictions. We will explore the most likely possibilities for MCIs in our local regions, and ways to prepare ourselves and our departments to work effectively in the face of disaster. Objectives: Understand the definition of MCI Be able to describe…

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To Pee or Not To Pee

10:30 AM  -  11:45 AM
Split Rock Room

Description: 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 what the reason for calling EMS was. Objectives: List at least three risk factors for developing renal failure. Understand what effects renal failure…

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This parachute is a knapsack! Rational management of prehospital risk in the era of ultrapotent opioids

12:45 PM  -  2:00 PM
Lake Superior Ballroom N,O

Description: Ultrapotent opioids are now commonplace adulterants of national, regional, and local heroin supplies. Further, opioids are becoming increasingly common adulterants in other drugs of abuse, such as methamphetamine. In the setting of potential exposure to ultrapotent opioids, a framework describing best evidence for identifying risk, taking appropriate personal protection, and managing perceived dangers is needed. This talk will seek to undertake these goals, with the intention of arming prehospital providers with the an optimal understanding of risk, and what…

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The Big Chill: Frostbite Injuries

12:45 PM  -  2:00 PM
St. Louis River Room

Description: This presentation will discuss the complications of frostbite and the care management considerations through case scenarios. When to rewarm and when to keep frozen in transport.  Indications for utilization of thrombolytics and when the clock starts for using it.  New treatment considerations in the care of the hypothermic and frostbit patient. Objectives: Discuss the consequences of hypothermia and frostbite to the body. Describe the rewarming process for a patient with frozen extremities or frostbite. Identify key management strategies for…

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Waiting to Exhale

12:45 PM  -  2:00 PM
Split Rock Room

Description: The American Heart Association has deemed Capnography the gold standard for many years in assessing circulatory status and confirming ETT placement.  But we aren’t just applying it to assessing the severity of a respiratory distress any longer; we use it for post anesthesia, assessing the efficiency of compressions during CPR, monitor patients on magnesium drips, and many more applications.    This presentation goes through how ETC02 is created, exhaled and a step-by-step method for analyzing waveforms and assessing the respiratory…

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Bleeding Control Made Easy: Tourniquets, Pressure Points and Wound Packing

2:45 PM  -  4:00 PM
Lake Superior Ballroom L,M

Description: When I went to EMT school, I had numerous bandages for different types of wounds and that’s all I could use. Not all of my patients met the text book type injuries and what was I to do with all of my bandages? Today’s data supports a paradigm shift of bleeding control measures that are simple and effective for medical providers and the general public. This class will cover hands on demonstrations of simple and effective techniques along with…

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Lets Talk: Eliminating the Stigma Surrounding Mental Health

2:45 PM  -  4:00 PM
Lake Superior Ballroom N,O

Presentation Description: This presentation is an account of my journey with mental illness. It is a personal story of the cha.llenges faced with mental illness but also the positive effects of dealing with it. Presentation Objectives: To get people comfortable with having the conversation about mental illness

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Saving Lives in Trauma Care – What is REBOA?

2:45 PM  -  4:00 PM
St. Louis River Room

Description: Early recognition and intervention is critical to saving lives and providing best outcomes. Thinking and acting fast count toward early interventions. This presentation will highlight care across the continuum including the importance of the role for EMS. Objectives: Identify activation criteria in trauma care. Describe hemorrhage control techniques in both the pre-hospital and acute care hospital setting. Describe the role EMS plays in communication. Describe the role EMS plays in early trauma care interventions.

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Pump Up The Volume

2:45 PM  -  4:00 PM
Split Rock Room

Description: Ventricular Assist Devices are becoming more common with the increase in Heart Failure patients and not as many available heart transplants as are demanded.    Ventricular Assist Devices (VADs) are giving heart failure patients a few options.   We discuss Bridge to Transplant, Bridge to Destination, etc. as well as how to manage a patient with a VAD.    Brands of VADs, which ones you are most likely to be working with, what the alarms and buttons on the controllers mean, how…

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Patient Advanced Directives

2:45 PM  -  4:00 PM
Gooseberry Falls Room

Description: The existence of end-of-life wishes or medical orders provided by a patient or their physician can be problematic for EMS.  Understanding what medical care to provide or withhold is difficult to negotiate and can change and impart confusion into resuscitation decisions.  This class will explore advanced directives describing the range of documents, medical orders and situations encountered in the pre-hospital setting as well as addressing some of the legal and medical-ethical considerations. Objectives: Provide an overview into the realm…

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January 27, 2019

STEMI Case Studies…Starring EMS!

8:00 AM  -  9:15 AM
French River Room

Description: STEMI heart attack care is one of the most time critical challenges for EMS. Every minute counts. That is why it is imperative for EMS to understand and stay sharp on 12-Lead ECG skills, and treatment protocols. Listen to Richard Mullvain, a leader in STEMI care, share his unique style of presenting case studies, along with learning the latest research and protocols. Be inspired by the cases presented and take back the teaching moments to your squad that could…

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What a Bullet Will Do To Your Body

8:00 AM  -  9:15 AM
Lake Superior Ballroom N,O

Description: This class will review ballistic injuries. Low, medium and high velocity injuries will be reviewed. Having a better understanding of what a bullet can do can make the EMS professional more aware of what may occur with these trauma patients. Objectives: Describe how penetrating trauma can affect body tissues Review how low, medium and high-speed energy destroys body tissue Compare the injury patterns from low and high-speed projectiles Breakdown the anatomy of a gunshot occurring to the body Summarize…

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Protecting EMS in the Era of High Consequence Infectious Diseases-New Tools from MDH

8:00 AM  -  9:15 AM
St. Louis River Room

Description: This presentation will discuss new concepts of managing high consequence infectious diseases in EMS. This term is being used to broaden recommendations from just Ebola to other diseases currently occurring in the world and might present in Minnesota. The Minnesota Department of Health has been working on new tools for health care entities to use to screen and manage a person suspected with a high consequence infectious disease. The process extends from the first responders to the hospitals. Objectives:…

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Altered Mental Status = Altered EMS Treatments

9:30 AM  -  10:45 AM
Lake Superior Ballroom N,O

Description: Trying to figure out what direction to travel when EMS responds to a call with a chief complaint of “Altered LOC” can be difficult. Making sure we are treating for the right field diagnosis is important for quality patient care. A look at case studies and proper patient assessment along with differential diagnoses will be covered. Objectives: Understand the pathophysiology of AMS complaints. Define several causes of altered mental status Outline an approach to the assessment and treatment of…

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Responding to the Opioid Crisis: Utilizing Valuable Tools

9:30 AM  -  10:45 AM
St. Louis River Room

Description: This presentation focuses on the current opioid crisis within Minnesota and the Arrowhead region specifically. The most current opioid overdose death data and trends will be examined; as well as public health and medical initiatives in the area aimed to reduce these numbers. An introduction to the medications used as tools in responding to the opioid crisis- naloxone, Suboxone and methadone- will be included. Their use, misuse, and implications on additional medical care will be discussed. Objectives: Discuss the…

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Readin’ and Rightin’

9:30 AM  -  10:45 AM
Split Rock Room

Description: We review the importance of good spelling, the reasons behind this “necessary evil”, how to chart not only to benefit the patient but also to cover your backside. How to chart in a way to increase the amount of reimbursement from healthcare coverage agencies, terms to use and to avoid in charting, special considerations like elder and child abuse/neglect situations and how to chart regarding subjective and objective data. Objectives: List at least three things that are considered “critical”…

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Leadership for New Aspiring Leaders

11:00 AM  -  12:15 PM
Lake Superior Ballroom L,M

Description: So you want to be a leader? What does it take and what do you bring to the table. It’s easy to tell ourselves that we can do a better job than the person in charge. Being in charge does not constitute good leadership. How do we make an impact on others, serve with purpose and passion? Let’s challenge each other to be better and impactful. This class is for all and will involve open group discussion as we…

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Medication Administration – Basic Style

11:00 AM  -  12:15 PM
Lake Superior Ballroom N,O

Description: This lecture will address the medications that many basic and first responder services carry. Having a better understanding of why we use these medications and how they are administered will create most of this presentation content. Safety and medication errors will be discussed also. Side effects and complications of each medication is an important part of this presentation. Objectives: Review how medication is absorbed by the body State medication usage in the EMR and EMT setting Discuss side effects…

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Life Link III Case Studies

11:00 AM  -  12:15 PM
St. Louis River Room

Description: Do all patients with a metabolic acidosis need Sodium Bicarb? In this short TED Talk style vignette, we will discuss the pros and cons to administering the beloved “sodium bicarbonate.” Objectives: Understand the pharmacokinetics of sodium bicarb Break down the physiology of elevated and non-elevated anion gap acidosis Comprehend the respirators compensation needed for bicarb to work

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I’ve Got A Crush on You

11:00 AM  -  12:15 PM
Split Rock Room

Description: Why isn’t the systemic effect of crushing your hand the same as crushing your leg? What happens that makes crush injuries distinctive from other trauma injuries? In this session, we will go over crush injuries from start to finish. What happens at the moment a heavy weight hits the body and what do we need to do before that weight comes off. We will review some common medications in EMS that we need to have available in order to…

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Contact Us

Arrowhead EMS Association
4219 Enterprise Circle
Duluth, MN 55811
(218) 726-0070

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