Friday, August 6th Conference


0800 - 0915
General Session

The Bizarre and the Spectacular! Unique Cases in Emergency Care. -- Terry Foster

1.5 Hours Operations

This lecture will focus on some of the most unique cases that have been seen in the Emergency Department. The speaker—a 40+ years experience ED nurse—will describe unusual types of patient history, mechanism of injury, clinical presentation, and other “contributing factors” that make an interesting case. This talk is very educational as well as entertaining and audience participation is strongly encouraged.


0930 - 1045
BREAKOUTS

Demystifying Cellular Physiology for the EMS Provider
Bob Matoba

1.5 Hours Medical

Presentation Description: Understanding cellular physiology can be a challenge for the EMS provider. This session will introduce participants to the “School House Theory” for cellular action potentials. The session will illustrate why cellular action potentials should be a foundational concept for every EMS provider desiring to become a clinician, rather than a technician-based practitioner. The School House Theory will empower providers to truly understand cellular action potentials for ANY level of EMS provider, including the EMR.

Objectives:

Losing One of Our Own
George Wright

1.5 Hours Operations

This minute program provides basic information on assisting organization in preparing their organization if they have a member pass away, whether it is a Line of Duty, Non-Line of Duty, or they wish to honor a retiree. It will provide information so organizations can develop a policy / guideline and have it in place. This program shares information about emotions, as well as what is a line of duty death, basic pre-plan, levels of honors, and very basic information about the Federal Public Safety Officers Benefits as well as the Missouri Providers Benefits.

Objectives:

  1. What is a line of duty vs on duty
  2. Preparing and Preplanning
  3. Public Safety Officers Benefits

Surviving and Thriving in the Crazy World of Emergency Nursing!-
Terry Foster

1.5 Hours Airway/Ventilation

Do you sometimes just need to hear about the good things nurses do? Listen to this practical, realistic, and positive talk about the supportive and caring work of nursing. We’ll talk about what makes nurses tick—as well as what can tick us off! We’ll also laugh at some of the crazy and funny things that only nurses know. Sit back, relax, listen, laugh, and restore your pride as a professional nurse!

Managing the Lethal Triad in Airway Management-
Darick Day

1.5 Hours Airway/Ventilation

Death and disability that occur during an airway management case are often avoidable. Understanding the physiology, pharmacology and physics of airway management can go a long way to avoid these dangerous pitfalls. We will discuss how to identify and mitigate the lethal triad of shock, hypoxia and acidosis.

This course will:

  1. Discuss airway and pulmonary anatomy
  2. Discuss respiratory physiology
  3. Review pharmacologic assisted intubation – RSI/DSI/SAI
  4. Identify risk factors that predispose airway cases to failure
  5. Mitigation techniques to improve airway management success
  6. Discuss pharmacology of common airway management medications


1115 - 1230
BREAKOUTS

Organized Chaos: Four Patients and a Medic
Jason Dush

1.5 Hours Trauma/Operations

Should the rescuers move quickly through all the victims making some errors? Or, should they go more slowly, aiming for a higher degree of accuracy? Should they begin treatment, or finish the triage first? Should they start CPR on the victim who is in full arrest? The answers to these questions called for a sensible, orderly triage protocol for MCI’s. A search of paramedic training material and medical literature revealed several applicable concepts, but no specific, step-by-step plans for initial MCI triage for small scale incidents.

Instructional Self Defense
Bob Matoba

1.5 Hours Instructor

Presentation Description: Dealing with students who disrupt the flow of education can be a daunting challenge for any instructor. This session addresses some of the primary motivators which cause students to exhibit disruptive behavior within the classroom or skill lab. Engaging, as well as interactive role plays will be used to illustrate common disruptive student behaviors. Through the process of entertaining role plays, participants will also be provided with simple, yet effective strategies for managing common disruptive student behaviors.

Objectives:

They're just drunk... But are They?
Rachael Smith

1.5 Hours Medical

Slurred speech, altered mental status, and a familiar scent on their breath may make us jump to inappropriate conclusions. We will discuss differential diagnoses for when ETOH intoxication isn't the answer.

Noninvasive Mechanical Ventilation
Justin Duncan

1.5 Hours Airway/Ventilation

The world of non-invasive mechanical ventilation in both 911 and transfer settings are becoming more and more popular. Some of us remember the day that CPAP hit the trucks and we thought it was the greatest thing since sliced bread! Now there are multiple different options for non-invasive forms of mechanical ventilation. We will discuss the basics of NPPV in the emergent/911 setting as well as the critical care transport environment.

This course will::

  1. Discuss basic care / assessment / monitoring with NPPV
  2. Discuss the different forms of NPPV (non-invasive positive pressure ventilation)
  3. Discuss uses for NPPV in the world of EMS / CCT
  4. Discuss “terminology” with regards to NPPV and tie it to individual functions
  5. Discuss ABG’s and NPPV (brief discussion due to time; focus on acidotic patients and manipulation of the buffer system)
  6. Discuss COVID concerns and patient/provider safety with regards to NPPV


1310 - 1445
BREAKOUTS

Pre-Hospital Burn Care
Ashley Springer

1.5 Hours Trauma

Mercy Hospital St. Louis is one of the few verified Burn Centers in the Midwest. This presentation comes from the highly qualified nurses from verified Burn Center. This course will go in depth for what pre-hospital burn care is needed and expected for the critical ill patient. In this presentation, varieties of different burn trauma will be discussed, estimating burn surface area, distinguishing burn depths, calculating fluid resuscitation formulas and basic burn care. This course also provides real life stories from the Burn Unit along with photographs of cared for burn patients.

Forcasting-Not Just for the Weather
Jason Dush

1.5 Hours Elective

While not an exact science, business forecasting can be challenging and stressful. There is a variety of factors that come into play when planning for the future of your organization. The world of public safety has recurring challenges with staffing issues, decreasing budgets, equipment replacement, community needs, local and national regulations, data collections and much more. Jason will present some ideas, concepts, and challenges for group discussion. This session is designed to share information as a group to help each other work through similar challenges within your organizations and develop new ideas together.

NO, NO, NO, Don’t Eat That: Pediatric Accidental Exposures
Charlene Drealeu

1.5 Hours Medical

Children and adolescents have behaviors that place them at risk of injury. The availability of drugs and the legalization of marijuana is creating unsafe environments for children. Fentanyl exposure fatality rates of up to 48% in children with average ages of 2-4 have been cited in the literature. The availability of E-Cigarettes and vaping are leading to creative experimentation resulting in emergency department visits and death in some cases. It is important for emergency department nurses to have the knowledge to identify and care for patients who present with varying symptoms and vague histories that place them at risk for further injury.

Accidental exposures have become common place in pediatrics as drugs become more readily available for medicinal purposes and exotic animals become domestic pets. This interactive presentation will use case studies to discuss the inherent dangers that pediatric patients encounter daily. Case studies will be presented and include the following:

Case studies will be presented and include the following:

List the differential diagnoses associated with pediatric accidental exposures to readily available substances like:
MeningitisEpilepsy/seizure disorderAspiration
Sudden Unexpected Infant Death (SUID)Altered Mental StatusSMA
EnterovirusSepsis 
Discuss the substances associated with pediatric accidental exposures such as:
THCFentanylPet Terrapins
MarijuanaOpioids E-Cigarettes

Diagnosis and Management of the Septic Patient
Shayne Keddy

1.5 Hours Medical

The sepsis patient has provided many obstacles to the healthcare provider. More and more evidence points towards the time critical nature of sepsis. This increases the pressure on the prehospital and emergency department provider to quickly identify the septic patient and implement goal-oriented resuscitation strategies. In this course, we will discuss the most up-to-date, evidence-based strategies for identifying and managing the various presentations of sepsis.

By the end of this course, providers will be able to::

  1. Understand the pathology of sepsis
  2. Understand the risk factors associated with sepsis
  3. Utilize screening criteria for quickly identifying the septic patient
  4. Risk stratify those patients likely to develop septic shock
  5. Interpret lab values associated with sepsis diagnosis
  6. Implement an organized resuscitation strategy
  7. Understand the use of fluids and vasoactive agents in sepsis
  8. Demonstrate understanding of the common antimicrobial agents

1500 - 1615
Closing General Session

Creating a Culture of Civility: Challenges, Chaos and Recommendations -- Jason Dush

1.5 Hours Trauma/Operations

Tired of dealing with people who BMW (bitch, moan and whine) and bully all the time? They suck our energy from us and pluck our last nerve. Labeled as "it is just their personality" they keep getting away with their behavior. In a time when team work, good communication, and solid interpersonal relationships are critical for creating a stress free environment that meets the public's needs, we can no longer afford to allow this behavior to continue. This session will look at how to deal with them and what to do when they accept no responsibility for their behavior and its impact on others. This session is helpful for anyone who is tired of working with "them" and would love some new insight.