Thursday, August 5th Conference
1 Hour Elective
Join the new Chief of the Bureau of EMS as he presents information on the current state of EMS in Missouri and his vision for the future.
EMS AND NURSING, TENSION VS. TEAMWORK -- Jason Dush
1.5 Hours Operations
The world of EMS and Nursing has a wide range of similarities and differences in both the pre-hospital and hospital setting. Think about those days when you say, "What were they thinking" "How come you couldn't…." "Don't take the patient to that hospital, they are so rude" "That ambulance crew is so dumb." With that said what we can do to make those working relationships better and improve patient outcomes.
SVT with Aberrancy vs. Ventricular Tachycardia
1.5 Hours Cardiovascular
Presentation Description: Is this wide beat rhythm ventricular tachycardia or SVT with aberrancy? Without the proper information and resources, this can be a difficult question to answer. This session will provide participants with the information needed to differentiate between these two types of rhythms. A useful pocket guide will be provided to help participants work through ECG strips during the presentation and can also be used in their clinical practice.
- Students will be able to differentiate between the electrophysiology of ventricular tachycardia and SVT with aberrancy.
- Students will be able to discuss the different treatment modalities for ventricular tachycardia and SVT with aberrancy.
- Given and ECG tracing, students will be able to differentiate between ventricular tachycardia and SVT with aberrancy.
QUALITY IMPROVEMENT CONTINUING
1.5 Hours Operations
After ROSC: Active Management for Improving Cardiac Arrest Outcomes
Kene Chuckwuanu, MD & Andrew DeMars, MD
1.5 Hours Cardiovascular/Airway Management
Emergency Medical Services (EMS) respond to approximately 350,000 adult patients with out-of-hospital cardiac arrest (OHCA) each year in the United States. Additionally, almost 300,000 patients each year will undergo in-hospital cardiac arrest (IHCA). Intra-arrest and post-arrest care, both in the field and in the hospital, requires an evidence-based multidisciplinary approach to improve neurologically intact survival. In this session, we will review the recently updated “2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.” The focus of this session will be to identify what we can do as a multidisciplinary team to improve post-arrest management and examine potential advanced therapies for cardiac arrest and refractory ventricular dysrhythmias.
- Review the recent AHA updates for the management of cardiac arrest.
- Review the recent AHA updates for post-cardiac arrest management.
- Discuss recent evidence for non-traditional advanced therapies for cardiac arrest including dual sequential defibrillation and beta blockade.
- Review the emerging use of extracorporeal membrane oxygenation (ECMO) for in cardiac arrest.
- Identify the optimal patient population for potential use of ECMO in cardiac arrest.
Invasive Lines &Transveneous Pacing
1.5 Hours Cardiovascular
In this course we will review the indications, placement, and management of various invasive lines. These devices can prove challenging to the critical care transport provider. The goal for this discussion is to improve provider comfort with managing these devices and troubleshooting complications that can arise in transport.
By the end of this session, learners will be able to:
- Describe the indications and contraindications for placement of a CVC
- Identify complications associated with CVC
- Describe the indications and contraindications for placement of a transvenous cardiac pacemaker
- Identify complications associated with placement of a transvenous cardiac pacemaker
- Understand placement of a transvenous cardiac pacemaker.
- Recognize the signs of electrical and mechanical capture during placement of a transvenous cardiac pacemaker
- Understand indications for placement of a PAC (Swanz-Ganz Catheter)
- Understand transducing of invasive lines
- Understand considerations for transport of the patient with an invasive line
Man vs. Machine: "ATV" Trauma Case Studies
1.5 Hours Trauma
All-terrain vehicles are popular off road vehicles used for a wide variety of work and recreational activities. Recently, the growing popularity of ATVs and the increasing size and power of the vehicles has led to concern over injury risk. The Consumer Product Safety Commission estimates that ATVs result in more than 100,000 emergency department visits annually, including more than 30,000 injuries for children 16 years of age and younger. During the past decade, more than 200 children died annually due to injuries sustained on ATVs. Children make up a disproportionate number of ATV injuries. This lecture will focus on the most commonly seen injuries as well as management.
MInstructional Scaffolding: Supporting Students not Buildings
1.5 Hours Instructor
Presentation Description: What if you could improve your skill as an instructor? What if you could increase the efficiency of how students learn and contextualize concepts? What if you could double the instructional concepts that students can learn? And, what if…, you could accomplish ALL these things WITHOUT increasing instructional class hours. A nationally accredited paramedic program has accomplished these outcomes through integrating an instructional scaffolding curriculum model. This session will highlight instructional scaffolding and how they integrated scaffolding into their program. The session will also provide opportunity to address how instructional scaffolding might be integrated into your programs.
- Participants will be able to describe the educational theory associated with instructional scaffolding.
- Participants will be able to identify the critical elements of instructional scaffolding
- Participants will be able to discuss potential opportunities to integrate instructional scaffolding into their educational programs.
Here, Hold My Cane and Watch This
1.5 Hours Operational
The geriatric trauma patient presents a unique challenge to providers. This discussion will explore trends in the geriatric population and follow a case study from the point of injury through the rehabilitation process. We will explore outcomes of the geriatric trauma patient in relation to injury patterns.
- Discuss trends in the geriatric population
- Identify challenges with caring for the geriatric patients
Invasive Mechanical Ventilation
1.5 Hours Airway/Ventilation
Bedside to bedside mechanical ventilation is important in the CCT world and considered a standard of care. Invasive Mechanical Ventilation is becoming widely popular for the 911/emergent world. More and more EMS clinicians are managing intubated patients. WE will discuss ventilator use for the intubated patient in the 911/emergent world as well as the critical care transport environment.
This course will:
- Discuss basic care / assessment / monitoring of every intubated patient
- Discuss breath types and modes of mechanical ventilation
- Discuss ventilator use for the intubated patient in the world of EMS / CCT
- Discuss “terminology” with regards to invasive mechanical ventilation and tie it to individual functions
- Discuss ABG’s and intubated patients (brief discussion due to time; focus on acidotic patients and manipulation of the buffer system)
- Discuss COVID concerns and patient/provider safety with regards to intubated patients and invasive mechanical ventilation
Closing-A Journey from Surviving to Thriving -- Andrew Oberle
1.5 Hours Operations
My presentation shares the story of my journey from surviving to thriving after being viciously mauled and nearly killed by chimpanzees in South Africa. I share the story of the attack, my experience with emergency, trauma, reconstructive, and rehabilitative care and how it has impacted my life. Important highlights of the presentation include the relationships I’ve developed with members of the EMS community who saved and cared for me and how the second chance at life they gave me has led to my new life purpose of helping others who experience severe traumatic injuries.
- Share a personal story of my catastrophic injuries and how emergency care saved my life
- Highlight the importance of several members of the EMS community in saving my life and giving me a second chance at thriving post-trauma
- Share how my relationships with EMS professionals inspired me to give back and carry out my new life’s mission of helping others who have been traumatically injured