August 1 – 3rd 2023

St. Charles Convention Center
St. Charles, MO
Register Now!

Thursday, August 3rd

0800 - 0915 - General Session

EMS & Emergency Medicine Legal & Regulatory Issues -- Dr. Erica Carney

1 CE Hour

One of the most important components of patient care is understanding the patient-provider relationship. A provider must understand when this relationship is established, and how this leads to capacity determinations, how this impacts implied consent and/or refusal of care, and how this includes end-of-life care decisions and documentation packets. Understanding a provider’s duty to a patient after this relationship is established can also help providers understand malpractice and negligent elements, and certain high-risk situations that are more common than one might think. We will discuss all of this and more using real-life EMS examples and different Medical Directors’ perspectives.

Objectives:

0930 - 1045 -- BREAKOUTS

Elementary My Dear Watson
Phil Moy, MD

1.5 CE Hours

Have you ever asked yourself... what is going on with my patient? Medical mysteries are all around us with some more perplexing and frustrating than others. Imagine having a patient who keeps on going into ventricular tachycardia and you’re responsible for this inter facility transfer. All the appropriate tests are done, but the diagnosis eludes every clinician. Can you solve the mystery of recurrent ventricular tachycardia? Go ahead and try your hand at being a detective and hear this talk!

Agency Partnerships/Grant Funding
Doris Boeckman

1.5 CE Hours

Join us for a discussion on building and maintaining relationships. From clinical partners to non-clinical partners, having relationships is an extremely important piece of any MIH program. In addition, grants are out there for the taking but it takes a special skill set to capture them and maintain them. Join us for a well-rounded conversation on a handful of important topics.

Acute Management of DKA in children: Don't BOLUS anything
Jennifer Flint, MD

1.5 CE Hours

The acute management of diabetic ketoacidosis (DKA) in children can be stressful for adult providers with an urgency for rapid correction of hyperglycemia and acidosis, and the tendency to intubate children with Kussmaul’s respirations. This presentation will review the pathologic process at the cellular level that leads to DKA, the typical clinical presentation, and laboratory findings in children who present in DKA using a case study. This talk will review the importance of tight fluid management, slow correction of hyperglycemia, and aggressive electrolyte replacement in the acute management of DKA. This talk will also review the pitfalls to aggressive overcorrection and overresuscitation of DKA that can lead to increased morbidity and mortality.

Objectives:

Psychiatric and behavioral emergencies are increasing in children with a significant increase during the COVID-19 pandemic. This talk will review the current literature on the management of a pediatric patient with an acute psychiatric or behavioral emergency during interfacility transport. This talk will also review the recent implementation of a clinical practice guideline for a pediatric critical care transport team including a behavioral health observation tool and approach to pharmacological management in the transport environment.

Adopting Brain Based learning Concepts in the Classroom
Art Hsieh

1.5 CE Hours

Brain-Based Learning has been receiving increasing attention by educators looking to improve their student’s ability to comprehend, evaluate and utilize knowledge and skills. In the typically fastpaced EMS classroom, any tool or technique to improve learning effectiveness is a plus! We’ll discuss evidence-based techniques and approaches to maximizing our students’ success.

1115 - 1230 -- BREAKOUTS

Medical Directors Lightning Rounds - Round 1
Erica Carney, MD & Phil Moy, MD

1.5 CE Hours

This very popular session, brings together an animated panel of progressive/leading medical directors & physicians usually working in the State’s busiest municipalities, equipped with robust data and a breadth of experiences which have enriched all attendees, ranging from basic-responders and EMS educators to advanced-practice medics, medical directors and chiefs from all jurisdictional types.

There will be two separate sessions (held on the same day), typically involving most of the EMS medical directors already speaking at the expo as well as some renowned “drop-in” physicians. Topics are usually generated by audience attendees (as the session opens), but the panel then prioritizes the best topics among them. So-called lightning-rounds (created by the “Eagles” a quarter-century ago), continue to play-out providing great, multi-faceted feedback and an extraordinary degree of “take-home” information during each session.

Team Dynamics
Gina Pellerito

1.5 CE Hours

Understanding why good communication with your partner/ leaders/direct reports is of utmost importance. This needs to be an ongoing conversation with your partner and organization or progress becomes stagnant.

Daily Management & Lessons Learned
Justin Duncan

1.5 CE Hours

Understanding why good communication with your partner/ leaders/direct reports is of utmost importance. This needs to be an ongoing conversation with your partner and organization or progress becomes stagnant.

We Don’t Do that Here
Heather Scruton MD

1.5 CE Hours Airway/Ventilation

Emerging data from statewide Maternal Mortality Review Committe have demonstrated up to 75% of maternal mortalities have had at least one direct interaction with emergency medical services. Subtle changes in maternal physiology can mask worsening conditions and failure to access appropriate services may negatively impact these vulnerable patients’ outcomes. This session will provide an overview of maternal physiology with regard to commonly overlooked symptoms, prioritize triage and intervention within the emergency department setting and give insight into the role unconscious bias may play in dramatically higher death rates in the Black and Indigenous maternal communities.

1330 - 1445 -- BREAKOUTS

Medical Directors Lightning Rounds - Round 2
Erica Carney, MD & Phil Moy, MD

1.5 CE Hours

This very popular session, brings together an animated panel of progressive/leading medical directors & physicians usually working in the State’s busiest municipalities, equipped with robust data and a breadth of experiences which have enriched all attendees, ranging from basic-responders and EMS educators to advanced-practice medics, medical directors and chiefs from all jurisdictional types. There will be two separate sessions (held on the same day), typically involving most of the EMS medical directors already speaking at the expo as well as some renowned “drop-in” physicians. Topics are usually generated by audience attendees (as the session opens), but the panel then prioritizes the best topics among them. So-called lightning-rounds (created by the “Eagles” a quarter-century ago), continue to play-out providing great, multi-faceted feedback and an extraordinary degree of “take-home” information during each session.

Incorporating Problem-Based Learning in the Classroom, Laboratory and Simulation Experience
Art Hsieh

1.5 CE Hours Elective

Problem-based learning is a teaching approach that seeks to develop the skills needed to solve real world problems, rather than simply present facts and figures. It’s a great technique to add to your teaching toolbox when developing skill sets essential to the new EMS provider, such as critical thinking, self-motivation and life-long learning. We’ll talk about how to incorporate PBL principles into your classroom approach!

Acute Pediatric Psychiatric and Behavioral Emergenciey
Jennifer Flint

1.5 CE Hours Elective

Objectives:

Demographic and Geographic Trends in Trauma Incidence at a Level 1 Trauma Center in St. Louis
Hance Wilbert

1.5 CE Hours

Objectives:

1500 - 1615 -- Closing General Session

The Heaviest Call - Pediatric Suicide -- Erica Carney, MD

1.5 CE Hours

Objectives: After this presentation, attendees shall be able to identify trends regarding pediatric suicide.