Wednesday, April 14
Child Abuse Recognition in EMS
Sponsored by the South Carolina PIER Team
10:00 a.m.-12:00 p.m.
Have you ever wondered if you missed a case of Child Abuse? How many pediatrics patient have you responded to where you suspected abuse but could not prove it? This course will outline the most common types of abuse and neglect and better prepare you to handle suspected child abuse. The key points of this lecture are to understand and recognizing child abuse, types of abuse, and what we can do about child abuse prevention in South Carolina.
Developing a Purpose Driven Classroom
Sponsored by the South Carolina EMS Educators' Association
1:00 p.m.-5:00 p.m.
So you’ve been teaching EMS for 5, 10 or even 20 years…how certain are you that you are teaching the “right” things and doing so in the “right” way? Is your idea of “teaching on purpose” simply being able to follow the DOT curriculum? In this presentation participants will learn several student centered tips and tricks for developing a “purpose driven classroom” and how these techniques reach deep into the affective learning domain.
Thursday, April 15
Medical Control Physicians Workshop
DHEC, EMS Division
8:30 a.m.-12:30 p.m.
Presented by the EMS Division of the South Carolina Department of Health and Environmental Control, this half-day workshop satisfies the training requirements for all new Medical Control Physicians and also satisfies the recertification requirements for current Medical Control Physicians who have not yet recertified.
General Session: The Power to Change - The Power to Save Lives
10:15 a.m.-11:45a.m.
This presentation will provide you with a solid overview of how an electronic patient care reporting system can empower your EMS agency to make positive changes. Greg Mears, will show you how to use data to make the correct decisions and drive positive change in your organization. Mears, one of 2009’s “EMS 10” Top Innovators in EMS, will teach you how to apply data to evaluate EMS service delivery, professional performance, and, ultimately, the patient care your service delivers.
General Session: Battlefield Nursing - Lessons Learned in Baghdad
12:00 p.m.-1:00 p.m.
An overview of the preparation, training, and deployment of a young staff with an average of 4 months Emergency care experience to one of the busiest Trauma centers in the world, achieving a 94% survival rate from combat trauma injuries.
Friday, April 16
#101 To Touch or Not to Touch - Part 1
This presentation will give responders an overview of the different types of evidence and its importance that is found at crime scenes. It will discuss the ways this evidence is collected and processed in order to help determine the who, what, why and how of the crime. It will discuss ways to preserve evidence for the crime scene investigators in a safe manner. The presentation will also show the importance of all responders to a crime scene working together.
When we wake in the morning little thought is often given to the trials that have passed many in the night. Unfortunately this same approach is usually adopted for the families of the patients we care for. Certainly we could suggest that time or the critical nature of the patient prevents us from “idle chatter”, but is that what it is? Our patients and their families are injured or ill. If the golden rule remains “do no harm” then we need a second look at the at a bigger picture. Some might question the clinical applicability of this program but attend and become part of the solution to everything your patient initially needs. Step up and visualize your extended liability becoming more manageable and patient care becoming more focused. Become part of the solution to those calls that “just won’t go away”. Just before the dawn is about preparation, patient care and the reality of what we need to be doing.
#103 Why Airway Management is Failing
This session will review current research highlighting challenges and controversies in prehospital airway management. Topics reviewing Bag-Valve Mask ventilations, supraglottic airway devices, endotracheal intubation, Rapid Sequence Intubation and various post-intubation management techniques will be discussed. All research reviews and suggestions for improved practice come from major medical research publications, emergency medicine and prehospital textbooks including; Prehospital Emergency Care, Anesthesiology, Academic Emergency Medicine, Anesthesia & Analgesia, Journal of the American Medical Association, Paramedic Care Principles & Practice 2nd Edition, Manual of Emergency Airway Management 2nd Edition, Airway Management: Principles and Practice.
#201 To Touch or Not to Touch - Part 2
Part two of a presentation that will give responders an overview of the different types of evidence and its importance that is found at crime scenes. It will discuss the ways this evidence is collected and processed in order to help determine the who, what, why and how of the crime. It will discuss ways to preserve evidence for the crime scene investigators in a safe manner. The presentation will also show the importance of all responders to a crime scene working together.
#202 Medical & Legal Documentation
When you fill out a run report do you consider that you may have to recall details of this call three to five years later and testify about them in a court of law? Are you aware that Attorneys, Judges and Juries may be reading this report as well? This session will highlight the importance of thorough documentation that not only serves as a detailed and concise part of the patient’s medical record, but also clearly documents compliance with established standards of care. You will leave this session with a clear understanding of what attorneys look for when reviewing Patient Care Reports.
#203 Controversies in Trauma Care: What Happened to My IV Startin' Tube Droppin' EMS World?
This session will review what is new in the literature about trauma care and predictable trends. Articles presented will be controversial and challenge long standing practice and beliefs. Specific journal review will be conducted with audience participation expected.
Part I of a presentation that provides an understanding of what Customer Service is and why it is important in the delivery of pre-hospital care. It explores the definition of a customer, basic service complaints and tools to deal with all types of customers in order to meet or exceed their expectations of an EMS service.
#302 Deposition & Trial Preparation
For many EMS providers the thought of being deposed as part of the litigation process can be intimidating. This session will provide a comprehensive review of deposition procedures. Emphasis will be placed on the differences between being deposed as a witness in a case and being deposed as the defendant. You will gain information that will help you understand the deposition process and help relieve some of the anxiety that is associated with testifying.
#303 Medical Aspects of Technical Rescue
Unfortunately our patients aren’t always “just inside the front door” and we have to change our plan for medical care given these unique situations. This session will integrate the technical rescue specialties of NFPA 1006 to every day EMS. Unique pathologies such as suspension syndrome and crush syndrome will be discussed. Non traditional techniques of medical care will be shown as well. Be prepared to bring your real world patient scenarios to this session for discussion.
Part II of a presentation that provides an understanding of what Customer Service is and why it is important in the delivery of pre-hospital care. It explores the definition of a customer, basic service complaints and tools to deal with all types of customers in order to meet or exceed their expectations of an EMS service.
Explore different critical pediatric scenarios that require rapid life saving actions. These scenarios are real and will get the attention of even the most seasoned paramedic. I will give you the tools you need to turn a nightmare into a dream come true!
#403 EMS Literature Update 2010
Research, papers, projects, numbers, statistics. EMS based research is quickly changing the face of our profession and the care we provide to our consumers. This topic will review papers from the past several years and see if the things are really perception or reality. Come willing to embrace change and have an open mind about the skills we have and the care we provide to our patients.
Saturday, April 17
#501 Capnography: Preventing the "In and Out" Blues
This eye-opening session will teach you the benefits of full ETO2 monitoring and waveform assessment. A review of the A & P of the respiratory system and the role of capnography as an assessment and diagnostic tool will be presented. When this session concludes, you’ll understand the difference between capnography and capnometry and how to use the values and waveforms to more accurately assess and treat your patients.
This presentation will outline the intricacies of burn care including airway management and complications from carbon monoxide poisoning. Also, we will review emergent treatment of thermal, chemical and electrical injuries. During the presentation you will learn to calculate the total body surface area burn (TBSA). Additionally, we will discuss fluid resuscitation, with characteristics of over and under resuscitation. We will explore signs of compartments syndrome and when escharotomies are indicated. We will review the characteristics of 1st, 2nd, 3rd and 4th degree burns. Finally, we will examine some of the therapies use to heal the burn injury.
#503 What is a Penumbra? Stroke Care 2009
You have just encountered a possible stroke patient. You ask yourself, what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? How do I do the right things in the right order? This workshop will answer these critical questions. We will provide practical advice on the care of stroke patients in an acute setting. We will discuss designated stroke centers, and the latest technology in diagnosing and treating stroke patients.
The science of cardiac arrest resuscitation has taught us that when rescuers ‘become the pump’ they must ‘remain the pump’. Your hands are their heart and by stopping compressions you cause circulation to vital organs to come to a screeching halt. Yet, too often compressions are interrupted for too long a period of time, creating neurologic devastation if the patient survives. This presentation explores the science behind cardiocerebral resuscitation and explains how rescuers can maintain the hemodynamic status of their patients. It will also offer insights into the post-resuscitative phase with a discussion of the important of induced hypothermia and how it works. TIP: Did you know that in one study the period of time it took to deliver two ventilations by experienced paramedics caused compressions to be stopped for 10 seconds?
#602 The Crashing Asthmatic Patient
The sick and dying asthma patient; 14 people die every day. Does asthma scare you? It should scare you to death! This lecture focuses not on the mild to moderate asthma patient, but the Crashing Asthmatic. What is your job? What do you do with this sick and dying patient? What are your therapies? What about intubation? This lecture will cover the management of the sick and dying asthmatic as well as review some literature on that topic. Be afraid…..Be very afraid!
#603 Hold Still, You're Going to Feel a Little Poke
This session will discuss the complicated task of pediatric venous access. Tips and tricks for starting pediatric IV’s will be discussed as well as pediatric intraosseous access. Broslow tape and other pediatric specialty devices will also be discussed.
#701 Methamphetamine: Clandestine Laboratory Awareness Part I - Is The Scene Safe?
An introduction and update to how meth cooks are making their drugs. Learn how to recognize a meth lab whether it’s in the back seat of a car, in a kitchen or shed. Learn what to do to protect yourself and your crew.
#702 Critical Thinking and Decision Making
This lecture will challenge even the most seasoned medic. Multiple case presentations from toxicology to electrolyte disorders will be presented. Can you solve and treat these complex cases? This presentation involves critical thinking as well as decision making that will help you treat these tough cases in the future.
#703 Pediatric Cardiology: When Little Hearts Get Into Big Trouble
Emergency medical personnel do not frequently encounter pediatric patients with congenital heart anomalies. Because of this lack of exposure, and the severity of the illness presentation, many paramedics and nurses dread these types of encounters. This one hour session explores the dynamics of some of the more prevalent congenital heart defects in newborns. This presentation will discuss various diseases including; tetralogy of fallot, patent ductus arterious, patent foramen ovale, single ventricle, transposition of the great vessels, and ventricular septal defect. Specific presentations and treatments will be discussed for each disease process. This presentation will also discuss evaluation of the cyanotic newborn and shock care in the newborn. Several case studies will also be presented and discussed.
#801 Methamphetamine: Clandestine Laboratory Awareness Part II - After The Exposure
After an exposure to the many deadly chemicals used to cook meth you need to know how to care for your patients. Your patients may be the cook, their kids, the law enforcement officer, the firefighter or your partner. Learn how to continue to protect yourself while providing necessary treatment to your patient(s).
We all know of them – many by their first name. Those repeat patients, sometimes, lovingly called, “frequent flyer”. Have we ever thought about what we could actually DO for these patients, or do we blindly take them to the ER – AGAIN – in the hopes that they move to another County? Don will explore one agencies attempt as resolving some of the issues with frequent fliers – the successes and failures – and how you can, in your own system, take a proactive approach to assist those who ask for help.
#803 Frost My Heart and Hope Not to Die: Therapeutic Hypothermia
Despite numerous technological advances in medicine, cardiac arrest survival statistics remain relatively unchanged over the years. Out of hospital cardiac arrests occur in 1 out of every 1500 adults worldwide every year, with a mortality rate near 95%. We have often thought the damage caused during hypoperfusion as a result of cardiac arrest can be fixed with reperfusion. However, research indicates that anoxic neurologic injury prior to, during, and post-resuscitation contributes to significant mortality and morbidity. Hypothermia induction has been used frequently in the intensive care setting, but now success is being directly attributed to hypothermia induction in the pre-hospital setting. In early 2005, Regional One Air Medical became the first pre-hospital provider in the world to initiate clinical hypothermia induction for post-cardiac arrest resuscitation patients as a non-trial protocol in the pre-hospital setting. This lecture will discuss Regional One's protocol, as well as the success following protocol implementation.