Wednesday, July 27th


0800 - 0915 - General Session

BEMS Update -- Taz Meyer

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.


0915 - 1030 - General Session

EMS and Nursing, Tension vs. Teamwork -- Jason Dush

1.5 Hour 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.


1100 - 1215 - BREAKOUTS

To Catch a Killer – Using the ECG to Identify Potentially Lethal Pathologies
Darick Day

1.5 Hours Clinical

The ECG is one of the primary diagnostics for prehospital providers. Unlike most diagnostic tools, the accuracy of the ECG is mostly determined by the provider’s skill level. In this lecture, we will delve deeper into multi-lead interpretation to maximize our diagnostic capabilities. This course is designed to improve the provider’s comfort level with incorporating the ECG in their differential diagnosis of some of the more lethal presentations we encounter. When is it a STEMI vs a mimicker? How can I identify the subtle MI? Which ECG findings might indicate an acute pulmonary embolism? Rapidly identifying these presentations can save a human life!

Objectives:

  1. Reviewing what is “normal” for a standard adult ECG.
  2. Learn how to identify subtle MI presentations on ECG.
  3. Differentiate STEMI presentations from STEMI mimickers like Pericarditis, BER, and others.
  4. Identify acute MI in the presence of abnormal morphologies – LBBB, Paced Rhythms, PVC’s.
  5. Recognizing RV Strain patterns and correlating with acute pulmonary embolism.
  6. Incorporating the ECG to reinforce the provider’s physical examination.

New Licensed Management System/QICE - BEMS
George Miller

1.5 Hours Instructor

QICE: Quality Improvement Continuing Education
This presentation will introduce the QICE program and how the program will interface Quality Improvement and Continuing Education as a part of your service’s competency based medical education. Employees may be awarded continuing education hours after competency is evaluated through your services Quality Assurance/Improvement process.

New Continuing Educational Modules/Components and Hours
The SAC Education Subcommittee and Bureau of EMS have created a new continuing education requirement for relicensing. This presentation will provide information on how the new core hours and individual components will become easier and better than the modules that were used before.

New Licensing Management System (LMS): Inputting your CE Hours
This presentation will explain the new Licensing Management System and how you will update personal information and how to input your continuing education hours, topics, dates, and training entity information into the License Management System.

Surviving & Thriving in the Crazy World of Emergency Nursing
Terry Foster

1.5 Hours elective

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!

Seize the Moment: Treating Pediatric Epilepsy Patients
Nick Salzman

1.5 Hours Cardiovascular

National prehospital guidelines for seizure care have become increasingly standardized, however clinically we continue to see variability in field treatment. We will review the pathophysiology of seizures (including atypical presentations), focus on common epilepsies, analyze new trends in home care regimens, and review case studies to highlight challenges of medical decision-making.

This presentation will be comprised of PowerPoint slides filled with didactic information, videos, and case studies.

Objectives:

  1. Detail the pathophysiology of a seizure, and know the definition of status epilepticus
  2. Understand appropriate emergency treatment for a pediatric patient in status epilepticus, including second-line antiepileptic drugs and transport decision-making
  3. Elaborate on epilepsy diagnoses, atypical seizure presentations, and home treatment regimens that may impact patient care
  4. Evaluate case studies that highlight appropriate care, challenges to care, and medical decision making


1400 - 1515 - BREAKOUTS

Man vs. Machine: "ATV" Trauma Case Studies
Jason Dush

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.

Managing the 1500 lb patient
Brian Hokamp

1.5 Hours Operations

Between 2017 and 2019 Christian Hospital EMS (CHEMS) provided care to an approx. 1,625 lbs. patient. During this time, we provided in home treatment in collaboration with our Wash U. Medical direction, State Resources, Hospital Administration, Hospice, Behavior Health and our Mobile integrated Health team. In addition to the in-home treatment CHEMS provided complex transportation of the patient multiple times to and from the hospital. Finally, CHEMS provided post-mortem care and transportation to the cemetery. We will provide visual aids through approved video footage and documented photographs.

DIDN’T THEY TEACH YOU ANYTHING IN NURSING SCHOOL???.. Identifying and addressing bullying and incivility in nursing
Charlene Draleau

1.5 Hours Pediatrics

This talk will cover the effects of bullying and incivility on the nurseand the effect on patient safety.

Will discuss what factors allow bullying and incivility to permeate a culture of healing and helping, the behaviors associated with it as well as the effect that it has on nursing retention. We will discuss some methods to address the problem as well as what role mentoring may play in preventing bullying that may increase retention.

Will include the illnesses that may develop or be exacerbated by bullying as well as associated mental health illnesses and the role of cognitive rehearsal in addressing incivility.

Do nurses eat their young or are the young eating the old.

The role of leadership in supporting a zero tolerance for these behaviors.

If I can get the audience to play along we will do a little role play. (Always enlightening to the audience)

Too Much of a Good Thing: Pediatric ventilation in the pre-hospital and intra hospital transport space
Ronda Bradley

1.5 Hours Airway, Respiratory, Ventilation/Medical

Objectives:

  1. Review common modes of ventilation
  2. Discuss the most commonly used modes/Breath types in Pediatric ventilation (Invasive)
  3. Discuss the literature and why specific modes MAY be better than others when ventilating Peds
  4. Discuss oxygenation of the Pediatric patient
  5. Provide Monitoring options used during pediatric ventilation
  6. Provide a top level look at NPPV and the PEDs patient
  7. Scenario discussion


1545 - 1700 - Closing General Session

Closing-A Journey from Surviving to Thriving -- Andrew Oberle

1.5 Hours Trauma/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.

Presentation Objectives:

  1. Share a personal story of my catastrophic injuries and how emergency care saved my life.
  2. Highlight the importance of several members of the EMS community in saving my life and giving me a second chance at thriving post-trauma
  3. 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.