2008 CIEMS Conference Session Objectives

G E N E R A L    S E S S I O N S

Ethics for the Timid (1.5 Optional CEH)

Christopher LeBaudour, MS, NREMT

Exploring ethics in the classroom does not need to be a frightening thing. In his interactive and introspective approach, Chris begins by defining the language of ethics and uses examples from pop culture that every EMS educator can identify with. At the conclusion of this presentation, participants should be able to: 1. Define the terms ethics and values. 2. Describe the relationship between ethics and values. 3. Discover their personal core values. 4. Confidently conduct a meaningful ethics activity in a classroom setting.

Life Flight-Trio of Topics (1.0 Formal CEH; 1 Contact Hour Nursing)

#1 Trauma in Pregnancy – Karen Jones, RN
At the conclusion of this presentation, participants should be able to: 1. Identify normal physiologic and anatomic alterations due to pregnancy. 2. For the injured pregnant patient discuss: assessment and intervention priorities and unique patterns of injury.

#2 Geriatric Trauma - Heather Brodie, BS, PS
At the conclusion of this presentation, participants should be able to: 1. Identify the differences in the mechanism of injury for the geriatric population. 2. Discuss the pathophysiology of the aging process. 3. Relate the importance of identifying any preexisting medical conditions when treating a geriatric trauma patient. 4. Discuss the special considerations in assessing and treating the geriatric trauma patient.

#3 Handling Grief in the Patient Care Scenario - Laurie Sena Gehrke, RN, BSN, CEN
At the conclusion of this presentation, participants should be able to: 1. Verbalize the need to acknowledge grief in the EMS setting. 2. Discuss the contents of the Blank Children’s Hospital grief kit. 3. Verbalize indication for use of the grief kit and procedures for utilization of the kit.

Obesity: No Laughing Matter (1.5 Formal CEH)

Chris Nolette, Ed.D., NREMT-P

A sobering look at the number one preventable medical problem in our country - obesity. This presentation is a mix of hard scientific data mixed with a psycho-social experiment of eating nothing but fast food for 30 days and its effects on the human body. A fascinating approach to how obesity continues to plague our society and how it will impact EMS providers. At the conclusion of this presentation, the participant should be able to: 1. Recognize the financial and psychosocial problems that are impacted by obesity on a national level. 2. Discuss steps to prevent obesity in men, women, and children. 3. Apply treatment modalities to the obese patient to improve the quality and quantity of living. 4. Discuss assessment and treatment difficulties encountered in caring for the obese patient. 5. Value that obesity is a national epidemic and needs to be aggressively dealt with at the state and national level. 6. Respond to the current data in a creative manner that looks into prevention and addresses a cure for this national problem.

Pediatric Assessment - Do you always treat? (1.5 Formal CEH)

Maria Farmer, MSN

At the conclusion of this presentation, participants should be able to: 1. Verbalize pediatric assessment steps. 2. Analyze the patient’s medical history and EMS physical assessment findings to establish provider care. 3. Compare and contrast treatment of pediatric emergencies for appropriateness of a situation. 4. Identify documentation methods to accurately report findings of a pediatric emergency. 5. Discuss appropriate documentation of events related to the emergency and the emergent situation.

Mercy One - Trio of Topics (1.0 Formal CEH; 1 Contact Hour Nursing)

#1 Cardiac Assessments-The Basics Dennis Cochran, RN PS
At the conclusion of this presentation, participants should be able to: 1. Demonstrate a brief but thorough cardiac assessment. 2. List the 7 key questions to ask every cardiac pt. 3. Demonstrate how to optimize care of the cardiac pt based on patient assessments and the history gathered.

#2 Communications-What Happens on the Other End Malinda Hilzer, EMT-B
At the conclusion of this presentation, participants should be able to: 1. List the basic information to be relayed to the receiving facility. 2. Identify why certain info is important in order to provide best care and ensure continuity of care for the patient. 3. Identify what happens and the processes put in motion when you give a report to the receiving facility, i.e. a view “behind the scenes” of a trauma alert, cardiac level I, a PD call, or as simple as finding a room during over crowding in the ER.

#3 Neuro News Jeff Johnston, RN PS
A look at what’s new in the way of neurology, the patient and YOU. At the conclusion of this presentation, the participant should be able to: 1. Identify the signs/symptoms one may see in a suspected stroke patient. 2. List the steps in a basic neuro assessment. 3. Discuss the Cincinnati Stroke Scale and how it may be utilized to perform a neurologic exam on a responsive patient presenting with sign/symptoms of stroke. 4. Discuss aspects of care and patient flow during a “stroke alert”. 5. Identify things you, as the provider, can do to “exercise your brain”.

Shocking Thoughts from the Trauma Surgeon (1.5 Formal CEH; 1.5 Contact Hour Nursing)

Dr. Rick Sidwell, MD

At the conclusion of this presentation, participants should be able to: 1. Discuss etiology and recognition of shock after injury. 2. Review initial resuscitation from shock. 3. Discuss endpoint of resuscitation, including futile resuscitation.

B A S I C    S E S S I O N S

Agricultural Emergencies (1.0 Formal CEH)

John Hanson, PS

At the conclusion of this presentation, participants should be able to: 1. Describe various ag related emergencies 2. Identify traumas one might commonly see in agriculture emergencies 3. Discuss methods of treatment for various ag emergencies 4. Identify different extrication methods useful in ag emergencies.

All I Really Need to Know I Learned in EMTA/B Class (1.0 Formal CEH)

Doug Polking, PS

This presentation will assist you to understand the EMT Oath and how it relates to patient care. At the conclusion of this presentation, participants should be able to: 1) Describe the characteristics of a properly trained EMT 2) List the responsibilities of an EMT 3) Explain patient assessment and patient care process in relation to the EMT Oath: i) Scene Size-up ii) Initial Assessment, iii) Focused History and Physical Examination iv) Detailed Physical Examination v) Ongoing Assessment 4) Recognize and respect the feelings that patients might experience during an assessment. 5) Describe the role of a patient advocate

Grandma is Dead – Now What? (1.0 Optional CEH)

Kyle Bissell, PS

At the conclusion of this presentation, the participant should be able to: 1. Define, describe and discuss: DNR’s, living wills, power of attorney and what they mean to EMS. 2. Discuss EMS’s role at the scene of a death. 3. Discuss the personal aspects that EMS may be asked to provide or should provide to the decedents survivors.

Tactical Emergency Medical Support: Bringing Medicine to the Trenches When Seconds Count (1.0 Formal CEH)

Monty Doll, PS

At the conclusion of this presentation, participants should be able to: 1. Discover why TEMS is the fastest growing discipline in emergency medicine today. 2. Learn how having medical support for your Police Department's Tactical Unit helps shield them from potential liabilities. 3. Discuss the major issues involving TEMS implementation today. 4. Identify most commonly seen injuries and treatment options for those injuries by TEMS personnel.

Chest Injuries (1.0 Formal CEH; 1 Nursing Contact Hour)

J.D. Fellows, RN

At the conclusions of this presentation, participants should be able to: 1. Discuss patient assessment techniques for the chest. 2. Identify the two types of chest injuries. 3. Verbalize the anatomy of the chest. 4. Identify the organs housed in the chest and why injuries to the chest can be life threatening. 5. Describe the emergency medical care for life-threatening chest injuries. 6. Discuss the emergency medical care considerations for a patient with a penetrating chest injury.

Back Injuries (1.0 Formal CEH)

Dr. Jeffrey Westpheling, MD

At the conclusion of this presentation, participants should be able to: 1. Discuss the epidemiology of back pain (ie prevalence, causes, demographics, risk factors) 2. Discuss common treatments for back pain 3. Identify ways to prevent back pain

A D V A N C E D    S E S S I O N S

Newborn Resuscitation (1.0 Formal CEH; 1 Nursing Contact Hour)

Kristy Oswald, RNC

At the conclusion of this presentation, participants should be able to: 1. Discuss the assessment of the newborn. 2. Describe the needs for treatment of the newborn in a least-invasive to more invasive sequence. 3. Identify why premature newborns are at higher risk for complications. 4. Describe appropriate fluid resuscitation and medication administration in the newborn. 5. Discuss umbilical venous access in the newborn. 6. Discuss the mnemonic TABC regarding essential care elements and order of care for the newborn.

Shock-It's a Journey, Not a Destination (1.0 Formal CEH)

Christopher LeBaudour, MS, NREMT

With the assistance of an unsuspecting participant, Chris takes the audience on an interactive journey through the progression of hemorrhagic shock and explains in terms every EMS provider can understand, the relationship between vital signs and hypoperfusion. At the conclusion of this presentation, participants should be able to: 1. Define shock in their own words. 2. Describe the relationship between shock and hypo-perfusion. 3. Describe the progression of the signs and symptoms of hypo-perfusion. 4. State the importance of MOI in the early treatment of shock. 5. Discuss treatment options for shock.

Emergency Care and Triage of the Adult/Pediatric Burn Victim (1.0 Formal CEH)

Jackie Heinle

At the conclusion of this presentation, participants should be able to: 1. Identify the components of the primary and secondary survey and management techniques for the burn victim. 2. Determine the depth of burn injury and the extent of the burn size. 3. Estimate and initiate fluid resuscitation needs for the burn patient. 4. Identify the criteria established by the American Burn Association for burn injured requiring referral to a Burn Treatment Center. 5. List the procedures to be followed in stabilization of the burn victim when preparing for a transfer to the Burn Treatment Center.

Capnography (1.0 Formal CEH)

Brian Helland, PS

Capnography helps to identify situations that can lead to hypoxia if uncorrected and assists in the differential diagnosis of hypoxia before it can lead to irreversible brain damage. Capnography has been extended outside the operating arena and is used on-site at emergencies in the field. Learn the benefits of ETCO2 monitoring and waveform assessment At the conclusion of this presentation, participants should be able to: 1. Define various terms associated with the use of capnography. 2. Discuss the physiology related to the use of capnography. 3. Demonstrate use of the capnography technology. 4. Discuss the clinical applications associated with capnography. 5. Identify differences in the intent of the use of oximetry versus capnography.

The Difficult Airway (1.0 Formal CEH; 1 Contact Hour Nursing)

Dan Glandon, PS, CCP

The purpose of this course is assist EMS personnel to recognize the difficult airway and to discuss the successful management of the difficult airway. At the conclusion of this presentation, participants should be able to: 1. List common identifiers of the difficult airway. 2. Discuss team roles in managing the advanced airway. 3. Review several “tricks of the trade” to aid in securing the difficult airway. 4. Review confirmation techniques for advanced airway placement. 5. Discuss RSI and surgical airway procedures.

Pacemakers, Defibrillators & LVAds: Cardiac Devices & the Prehospital Provider (1.0 Formal CEH)

Dr. Craig Clark

Devices are being implanted with increasing frequency in patients with cardiac disease. Prehospital providers need to be familiar with these devices to provide optimal care for their patients. This presentation will review commonly encountered cardiac devices, their implications for EMS personnel in the treatment and management of potential complications. At the conclusion of this presentation, participants should be able to: 1. Discuss the indications for and function of common cardiac devices including pacemakers and implantable defribrillators. 2. Discuss the approach to the patient who has had an ICD shock and management of repetitive inappropriate shocks. 3. Review treatment of “VT Storm”. 4. Identify uses for emerging cardiac devices such as left ventricular assist devices and implications for EMS personnel in the management of potential complications related to the devices.