January 25, 2019
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…Click for more information on 'Have a Blast: Explosion Injures'
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…Click for more information on '10 Ways to Kill Your Patient'
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…Click for more information on 'Improving Occupant Protection'
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.Click for more information on 'From Depression to Delirium'
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…Click for more information on 'What’s Happened to My Musical Heroes'
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…Click for more information on 'Spot the Clot'
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…Click for more information on 'EMS Case Studies in Toxicology'
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…Click for more information on 'Why It May Not Be The Panacea You Think'
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…Click for more information on 'Teaching Sick or Not Sick-Teaching Critical Thinking'
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…Click for more information on 'A Tale of Two Women'
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…Click for more information on 'Are We Missing Something?'
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.Click for more information on 'No Spice at the Top of the K2 Mountain'
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 injuriesClick for more information on 'Trauma Trumps Burn; Establishing Priorities'
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.Click for more information on 'Hey…You’re Not Like Me'
January 26, 2019
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…Click for more information on 'Beyond Breaking Bad'
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…Click for more information on 'Mass Casualty: Are You Ready?'
This parachute is a knapsack! Rational management of prehospital risk in the era of ultrapotent opioids
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…Click for more information on 'This parachute is a knapsack! Rational management of prehospital risk in the era of ultrapotent opioids'
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…Click for more information on 'The Big Chill: Frostbite Injuries'
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…Click for more information on 'Waiting to Exhale'
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…Click for more information on 'Bleeding Control Made Easy: Tourniquets, Pressure Points and Wound Packing'
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 illnessClick for more information on 'Lets Talk: Eliminating the Stigma Surrounding Mental Health'
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.Click for more information on 'Saving Lives in Trauma Care – What is REBOA?'
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…Click for more information on 'Pump Up The Volume'
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…Click for more information on 'Patient Advanced Directives'
January 27, 2019
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…Click for more information on 'STEMI Case Studies…Starring EMS!'
Description: Ensuring quality in pre-hospital airway management is challenging because the generally fast-paced process occurs in a less-than-ideal setting with bad lighting, limited space, and under demanding circumstances. In a case study format, we will highlight core measures of patient safety, timeliness, oxygenation, and ventilation. Our biggest challenge as providers, is deciding when airway skills are right for the patient. When you pull out your “airway bag” or “tool box” what are you going to do? This lecture will be…Click for more information on 'When the Simplest Things Make the Biggest Difference: BLS Airway Management'
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…Click for more information on 'What a Bullet Will Do To Your Body'
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:…Click for more information on 'Protecting EMS in the Era of High Consequence Infectious Diseases-New Tools from MDH'
Description: We review the indications, contraindications, side effects, and little-known trivia about SL Nitro, aspirin, Charcoal, Epi-Pen, Oxygen, Oral Glucose Gel and Albuterol. All medications that are currently approved for BLS administration by the National Registry (and a few that aren’t). Did you know? The same activated charcoal used for overdoses is also great for removing odor from cat litter? And it works the same way in your gut! Objectives: List the 5 rights of administering a medication Understand how…Click for more information on 'Just the Basics'
Description: Critical thinking in medicine requires using logic to understand medical problems and make reasonable decisions in patient management. Have you had that patient that stumped you or made you really think? Have you had that call where your patient assessment and management flow didn’t go so well because you didn’t know where to start with treatment priorities? Jason will break down and simplify the ABC’s of patient assessment, management, and treatment priorities. This fun and exciting class will have…Click for more information on 'When I Don’t Have Siri, Alexa or Google: BLS Critical Care Assessment'
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…Click for more information on 'Altered Mental Status = Altered EMS Treatments'
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…Click for more information on 'Responding to the Opioid Crisis: Utilizing Valuable Tools'
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”…Click for more information on 'Readin’ and Rightin’'
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…Click for more information on 'Leadership for New Aspiring Leaders'
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…Click for more information on 'Medication Administration – Basic Style'
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 workClick for more information on 'Life Link III Case Studies'
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…Click for more information on 'I’ve Got A Crush on You'