Wednesday, August 2nd

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 - BREAKOUTS

Why Isn’t My Scene Safe?
Kirk Mittelman

1.5 CE Hours

To often we enter scenes and say the words “My Scene Is Safe” just like we learned in EMT, AEMT and Paramedic class; only to find out later that we have walked into the wrong situation at the wrong time. The goal of all public safety providers is to not just provide a service, but to make it home to our loved ones. In this session we will review the warning signs to look for while enroute to the call, upon arrival and once you are on scene.

These warning signs can make the difference between your life and your death. Through case studies and call reviews we will go through the mental checklist that we need to use to stay safe on the job and get home to our families. Join Capt Kirk on the journey of learning why entering the scene with wide open eyes is imperative to your survival in a trying environment. Of course, Capt Kirk will tell a few personal stories of getting in deeper than he should have and getting shot while on a call. Capt Kirk’s unique brand of humor, candor and storytelling promises to keep you on the edge of your seat and to help you get home to your family after your shift.

At the conclusion of this session the student will be able to:

Are You With Me? Managing EMS Student Bias to Improve Health Equity
Art Hsieh

1.5 CE Hours

Understanding how bias develops in all of us can lead to the possibility of managing student perceptions as they prepare for an EMS career. Introducing topics of stereotype and racism is a difficult but necessary challenge in the EMS classroom, and we’ll discuss how this can be accomplished to the benefit of patient care.

Chronic Disease Management
Rapid Fire Panel

1.5 CE Hours

Join us for a panel discussion of specific Chronic Disease Management pathways as they relate to MIH teams. Topics to include: diabetes, heart disease, etc. We will explore relationships with our State DHSS folks and the potential for future integration with MIH teams across the state.

Acute Decompensated Heart Failure
Charles Sheppard, MD

1.5 CE Hours

Managing Pulmonary Edema Beyond Morphine, Lasix & Intubation

1100 - 1215 - BREAKOUTS

Getting it Right Matters: Sepsis and Differential Diagnosis
Kirk Mittelman

1.5 CE Hours

You are dispatched to a man down on the edge of the river at midnight on a cold snowy night. Upon arrival you see a male victim supine on the river bank with bystanders around him. A bad feeling comes over you as you approach and find the victim has slow shallow breaths. What considerations should you have? Does weather affect what is going on with your patient? How will it affect your treatment and transport decisions? Why is this patient unconscious? Does it really matter? The simple answer to all your questions lays in your ability to apply a differential diagnosis and your skill at determining if a patient is suffering from sepsis.

During this session we will explore the need to recognize sepsis and using a differential diagnosis to determine treatment and transport decisions. We will talk about the affect sepsis has on the organs and tissue and what is the real threat to the good care of the patient? Ultimately Kirk will review the common and uncommon treatments we can do in the field for patients with sepsis. With some humor and a few case studies Kirk will bring the finer points that may make a difference in patient outcomes.


CQI Panel
Katie Eisenbeis, Stephanie Ashford, Michelle Mayer & Shannon Watson

1.5 CE Hours

As EMS providers, we strive to provide excellent patient care. A continuous quality improvement (CQI) process is imperative for the success of an agency. Please join us for this “rapid fire” session where some of our CQI leaders in the State discuss their successes and failures regarding CQI. In addition, they’ll discuss best practices and how you can take your team to the next level through quality improvement.

Maternal/Fetal Healthcare & Telemedicine
Terry Foster

1.5 CE Hours

How does MIH fit into the maternal / fetal health world? Do we have a problem with pregnant mothers having access to primary care? Now how about prenatal care.

POCUS For Resuscitation of the Critically Ill
Darick Day

1.5 Hours Cardiovascular

Implementation of ultrasound in the emergency department and prehospital arena is becoming more common every day. The clinical applications are numerous and the diagnostic data invaluable. How can we utilize this tool in the crashing patient? We will discuss some helpful strategies for incorporating Point of Care Ultrasound or POCUS into your patient assessment.


Pediatric Skills & Presentation Workshop Emergency Medical Services for Children

EMS-C CEU 3 Hours

This block goes until 1515! this is a two-hour block, registration is required, and space is limited

This two-hour pediatric building block strives to improve outcomes for pediatric patients by turning real-life situations into realistic practice with skills and scenarios. This education will help prepare healthcare providers to recognize and effectively manage pediatric care involving respiratory emergencies, shock, and cardiopulmonary arrest by utilizing high-quality individual & team skills.

Join this interactive didactic and hands-on session to improve pediatric skills and reduce chances for mistakes. As a team, you will rotate through four pediatric skills stations (one station every 15 minutes) and attend an interactive pediatric trauma resuscitation learning session (one-hour session).

Topics will include the most common critical pediatric emergency issues and may include the following:

**Please note - this is a two-hour block, registration is required, and space is limited**

1400 - 1515 - BREAKOUTS

Bringing BLS 911 to your EMS Agency
Katie Eisenbeis

1.5 CE Hours

During COVID our EMS agency was having a hard time hiring and retaining paramedics due to the national paramedic shortage. Like other agencies during COVID our call volume kept going up, unfortunately we didn’t have the capacity to put up more ALS trucks. We had to think of a way to decrease the volume off of our 24-hour trucks in our system. We were able to gain support from our key stakeholders to trial a BLS 911 system with ALS intercept. Within the first 6 months of our BLS 911 program going into service our status zero times decreased 50%.


It’s OK to Be Critical: Strengthening Clinical Reasoning in the Classroom.
Art Hsieh

1.5 CE Hours

What really is critical thinking? How does it relate to clinical reasoning? And what does it take to develop clinical reasoning in the EMS professional? We will explore these topics and methods to develop this essential skill set in the EMS classroom.

Two Sides of the Same Coin - All Hazards Rish Reduction Approach to Prevention
Chip Portz

1.5 CE Hours

MIH/CP from a different perspective. We will explore MIH from a fire-based service perspective, blending MIH/CP into a Community Risk Reduction model.

Ketamine & Marijuana: Is There Nothing These Two Can’t Cure?
Charles Sheppard, MD

1.5 CE Hours

A fun review of the use & misuse of these two drugs.

1545 - 1700 - Closing General Session

What Were You Thinking? -- Kirk Mittelman

1.5 CE Hours

Too often we get tunnel vision and miss the signs and symptoms we are trained to find. On a regular basis we all wonder “What Were You Thinking?” and want to ask the patient. During this session we will evaluate critical calls and what could have changed the outcome of these calls. We will also look at patient and EMS thinking while on calls. What is critical thinking and how can I use it to better my patient outcomes? Grab your TOPHAT and join Capt. Kirk for a session filled with videos and case histories to help improve your Critical Thinking Skills and figure out: “What were they thinking?”.