Friday, November 13th
Preterm Birth: In the Field [Medical] (All Provider Levels EMR-Paramedic) – Dr. Aurora Lybeck
After this course EMS Providers will be able to understand preterm birth, risks, morbidity and mortality of early preterm infants, and discuss resuscitation considerations for out of hospital preterm births. Providers will also be able to understand neonatal resuscitation and discuss palliative and comfort measures for non survivable preterm baby and family.
What a Wonderful World It Would Be [Medical] (Basic Life Support EMR-EMT) – Brian Donaldson
What do a well-known major metropolitan career EMS agency and a respected rural volunteer EMS agency have in common? They both saw the same adult onset seizure patient, multiple times, and both watched the patient refuse treatment and transport. Not a big deal, right? It happens every day, right? Join Brian for this patient's journey through our healthcare system. It starts with EMS and continues to surgery and beyond. What are the differential diagnoses for adult onset seizures? Do you consult with a medical control physician on all refusals? Could sharing health information among providers, including EMS agencies, improve patient outcomes? Join Brian for a rollercoaster ride and find the answers to these questions and more.
What's in a Name? An Ally Approach to Patient Care [Operations] (EMS Operations/Management) – Katherine Contreras
Calling 911 can be a very stressful experience, and that stress may be compounded when the patient does not follow social constructs based on gender-conformity. Many providers are uncomfortable or unsure of how to approach patient care on a person who may be gender- expansive. This presentation will cover the terms common to the LGBTQ community, discuss the importance of using preferred pronouns, and explore the threats prevalent in the LGBTQ community. We will also discuss the potential challenges (and overcoming them) associated with performing a hands-on assessment on a gender non-conforming person, ending with a review of the legal position on gender markers and how that may affect transfer of care and the EMS PCR. As the LGBTQ community grows, it is important that EMS providers understand, and are comfortable with, providing care to those who may be gender non-conforming, while further understanding the potential for unconventional presentation of injuries or illness.
Getting the Job DONE (Provider Well Being) – Melinda Marasch
EMS personnel have a difficult job: managing other people while managing their own reactions to difficult situations. The task often includes calming someone down enough to get information and give directives. This workshop explores how to get the job done while maximizing the compassion effect on efficient and effective services. We’ll explore how to navigate stress/trauma responses of others, as well as ourselves. Stress, Trauma, Secondary Trauma, Burnout and Compassion Fatigue are part of the job. Learn ways to manage these inherent difficulties, along with techniques to get the job done.
Poison! An EMS Introduction into Toxicology Nerdiness [Medical] (Advanced Life Support AEMT or Higher) – Dr. Jill Theobald & Dr. Matthew Chin
In this session, you will take the first steps into toxicology nerdiness! We will discuss common and uncommon toxidromes and the management thereof. From common exposures to emerging issues, we will hit all the highlights. We will also explain the inner workings of the mecca of information known as the Wisconsin Poison Center.
BLS – Not Just ‘Basic Lifting Service' [Medical] (Basic Life Support EMR-EMT) – Nancy Magee
As EMS matures as a profession, increasing evidence shows that many of the critical lifesaving interventions are BLS procedures. From bleeding control to oxygen administration, assessment to cardiac arrest resuscitation, aspirin, naloxone and epinephrine administration, interventions that were once the sole province of paramedics are now performed by EMT’s. In today’s world of prehospital care, EMT means far more than “Empty My Trash”, and BLS is far beyond a “Basic Lifting Service”.
COVID-19: A Wake Up Call [Medical] (All Provider Levels EMR-Paramedic) – Dr. Salim Rezaie
Description Coming Soon!
Mindfulness (Provider Well Being) – Kristen Herreid
Description Coming Soon!
Use Your Words (and More): Communication Skills for EMS Providers [Operations] (All Provider Levels EMR-Paramedic) – Dr. Drew Anderson
Effective clinical practice requires good communication between the patient and provider. Unfortunately, the nature of EMS can make good communication difficult, and poor patient-provider communication can result in poor clinical care. This presentation focuses on teaching communication strategies, verbal and nonverbal, that can have a powerful impact on patient-provider interactions. Participants will have the opportunity to learn and practice these skills and can expect to leave with practical skills they can put to use immediately.
Stroke Center Designations: Why it Matters in the Field [Cardiology/Trauma] (Basic Life Support EMR-EMT) – Susan Fuhrman, Paul Vilar, and Nicole Bennet
When a patient is having a stroke, up to 1.9 million neurons may be lost for each minute that the brain is not perfused. The establishment of stroke center certifications has greatly improved patient care and outcomes. Each certification level has its own unique role within stroke systems of care. More complex interventions are only available at a small number of designated sites, necessitating strong collaboration between the levels of stroke certification. Recent advancements in stroke treatments have also highlighted the need for expedited stroke triage protocols in the field with the use of novel EMS stroke screening tools. This panel presentation will provide a broad overview of stroke center certifications and their integration within systems of care and also address the role of the EMS provider in ensuring rapid stroke detection and transport from the field.
Where Are We At? A FirstNet Discussion (EMS Operations/Management) – Brent Williams
High speed, dedicated and reliable mobile broadband communication is now available in your ambulance or other public safety vehicle. How to get it, use it to benefit your patient, and how it differs from the traditional voice only communication systems we have used for years will be explored in this session. Mobile Broadband communication gives you the capability to diagnose and treat patients in the field, with solid medical support on -line, and brings tremendous new benefits and support to rural EMS providers. “Telehealth” is now a reality, with major benefits to rural areas to allow for assessment and treatment, safely and effectively, at the patients home.
Strong Mind, Strong Body (Provider Well Being) – Aaron Zamzow
Building a resilient mind starts with building a resilient body. In this seminar, Aaron Zamzow will explain the correlation between physical and mental health.
Attendees will learn:
• What the research shows on mental health and its relationship with fitness and nutrition
• How to use proper nutrition to build a more resilient mind
• What are the "best" steps to help build a resilient body and mind
What the Heck is a Fascicular Block? [Cardiology] (Advanced Life Support AEMT or Higher) – David Brenner
For ALS Providers. Students must be able to read ECG rhythm strips (not taught in this presentation).
Vectors and axis are the foundations of understanding the 12-Lead ECG. Although we generally don’t have protocols for patients with fascicular blocks, these folks deserve special attention. Business as usual may prove harmful to our patients. These topics are presented in a highly interactive format. Participants will have lots of practice.
Let’s Talk About Dibeetus: Endocrine Disorders [Medical] (Basic Life Support EMR-EMT) – Kelly Grayson
“Hello, I’m Kelly Grayson, and I’d like to talk to you about dibeetus.”
Don’t worry, he’s not going to sell you diabetic testing supplies from Liberty Medical, and he really doesn’t have the mustache to be a convincing Wilford Brimley. But he will talk about Type I and Type II diabetes, hypoglycemia and diabetic ketoacidosis, as well as serious but lesser known endocrine emergencies like hyperosmolar hyperglycemic nonketotic coma (HHNKC) and diabetes insipidus. Join Kelly Grayson as he delves deeper into recognition and emergency care of one of the most common chronic diseases in the world.
Not All Superheros Wear Capes! Reigniting Your Passion for Medicine! (Provider Well Being) – Russ Brown
Burnout is prevalent in emergency and prehospital medicine today. This dynamic and inspiring lecture will help reignite that passion you once held for medicine. Covering three take-home points the attendee will learn how to cultivate a growth mindset over a fixed mindset, how to prevent burnout and why sometimes superheroes do not always wear capes!
• The attendee will learn the difference between a growth mindset and a fixed mindset and how to incorporate this into their practice.
• The attendee will learn how to perform a personal SWOT analysis and how to use this to combat burnout.
• The attendee will be able to discuss how learning is paramount for our growth as medical providers.
Legal Proofing Your PCR [Operations] (EMS Operations/Management) – Greg West
Patient care reports (PCRs) are not only vital to maintaining continuity of care for your patients, but they are also important legal documents that can prove to be your best friend or worst enemy in the unfortunate event of litigation related to your care. In this session, we will evaluate actual PCRs submitted by the attendees to identify good practices as well as shortcomings that could be improved to help ensure your PCRs are as helpful as possible if ever used in court.
Attendees are asked to upload copies of redacted PCRs to https://forms.gle/Qep7tqBuG9Ewrrfz5 for review at this session. Please ensure ALL protected patient, service, and provider information is removed from any uploaded PCRs. (The narrative section, in particular, will be of particular interest in this session. If an attendee would like, it is okay to provide a copy of only the narrative section from a PCR for review.) As this session will be identifying best practices along with some documentation shortcomings, please feel free to submit examples of PCRs that you believe are both “good” as well as “bad” examples of effective documentation. Submissions will be accepted anonymously and no individual providers or services will be identified during the session. (Again, please ensure any patient, service, or provider identifiers are removed from any submitted PCRs. Information regarding the patient’s age and gender should be included. The only information needed related to the EMS agency and providers from the run should be the level of care [EMT, Paramedic, etc.] provided or available.)
Vasopressor Intravenous Push to Enhance Resuscitation (VIPER) Study What Have We Learned So Far? [Cardiology] (Advanced Life Support AEMT or Higher) – David Olvera
We all want to know what push dose pressors we should use for patients, and if we should even implement them. When we look at the data, we find 3 things use in the OR, use in the OB units and sometimes in the ED and we heard it on a podcast. This presentation will go over the identification of when we should consider push dose pressors, what medications should we look at and if there any medications that we can also use outside of the push dose pressor world. VIPER looks at the use of Phenylephrine and Vasopressin as the main arms of medication for the push dose pressor and evaluates the pros and cons to these and other medications for the peri-intubation arrest. By the end of the lecture, the learner will be able to understand the use, and implementation of Push Dose Pressors in the prehospital, peri-intubation arrest setting.
The Top 10 Trauma Myths and Legends: Seeking the Science Beyond the Textbooks [Trauma] (Basic Life Support EMR-EMT) – Rommie Duckworth
We’ve all heard the legends of trauma care. “ABCs vs CABs!”, “Mechanism of Injury Matters!”, “Never remove a dressing!”, “Hyperventilate that head injury!” But what happens when what you were taught no longer matches what science says? Taking a look at the Top Ten Trauma Myths and Legends this program evaluates the strength of the science behind each recommendation as well as how they might be implemented in different EMS systems. Getting past “we’ve always done it this way”, attendees will return home well-equipped to open up discussions about trauma care in their systems beyond, “This is what I was taught in class.” and “I read this study once”.
2050 Called- Answer the CEMS Call [Operations] (EMS Operations/Management) – Brian Randall
The best part of MIH/CEMS is that it’s developed and designed based on a specific state or county’s requirements and therefore no two programs are exactly the same. This makes them unique, and when they are built to support the gaps found in the county or city, they are operating in, incredibly successful. Come learn about different models and what will work best. MIH/CEMS program design can make and or break your program. Got questions on policies, best practice, or documentation?
I’ll Sleep When I’m Dead: Sleep Loss and Fatigue in EMS (Provider Well Being) – Amy Eisenhauer
Fatigue and poor sleep hygiene are so commonplace in EMS that we accept it as the norm. Increased public awareness of fatigue related accidents, medical errors, and first responder mental health, challenge providers and leaders to examine the priority of sleep in their lives and agencies. Amy will discuss the importance of quality and quantity of sleep, related physical and mental comorbidities of poor sleep hygiene, and tools for providers to improve their sleep methods and environment.
POCUS As a Benefit to EMS [Operations] (Advanced Life Support AEMT or Higher)– Carl Lange
More clinicians are using point of care ultrasound (POCUS) in their practice. However, others remain skeptical or uncertain of its potential benefit and role in EMS. This session discusses how POCUS can be used in a variety of settings and how it can result in improved patient outcomes. We review a series of cases of how POCUS identified occult pathology, changed management, and resulted in positive outcomes. These cases range from the typical chest pain or sick patient all the way to cardiac arrest management. POCUS is a valuable tool that can benefit a wide range of patients which is highlighted throughout this session.
EMS on the Fireground: Complacency and Inaction Can Be Deadly [Operations] (Basic Life Support EMR-EMT) – Travis Howe
It is true; firefighter LODD's have decreased over the past decade, but in many ways, present day structural fires are more dangerous than ever for those on the fireground. Firefighters are still dying of cardiac arrest, harmful carcinogens are making a name for themselves, and victims are always a possibility. This is why EMS must be proactive and ready on the fireground. Complacency kill instantly or over time. Join Travis as he dives into the why's and how's of fire scene readiness, safety, firefighter mortality, high quality incident monitoring/rehabilitation models, and how to build positive relationships with the fire departments in your service area.
COVID Reflections: a Medical Director's Perspective [Operations] (EMS Operations/Management)– Dr. Ben Weston
Join Dr. Ben Weston, Medical Director for MFD and Milwaukee County and he discusses COVID-19 and where we go from here.
EMT’s Behaving Badly- Am I My Brother’s Keeper? (Provider Well Being) – Nancy Magee
News stories continue to surface reporting EMT’s and paramedics demonstrating onerous and downright dangerous behaviors. Refusing to respond to a baby in cardiac arrest, dumping a patient on the ER floor, sexual harassment of a female paramedic/ FF to the point of her committing suicide, disparaging of addicts on social media-these are just a few of the *highlights* of the EMS news seen by the public.
At the same time, the rate of addiction and suicide among EMS providers has become recognized as the collateral damage suffered because of the cumulative stressors of PTSD, fatigue, and failure to seek help due to the stigma the industry often demonstrates towards addicts, system abusers and the mentally ill.
Yet- none of this happens in a vacuum. Somebody knows there is a problem, yet says nothing. What’s going on? Is “compassion fatigue” a real thing? Is this a kind of “bystander apathy” where diffusion of responsibility causes inaction? How do we fix it? Can we?
Honor Guard Opening Program
Featured Speaker Dr. M. Riccardo Colella
Why Your Patient Want You to Know How to Recognize BBB [Cardiology] (Advanced Life Support AEMT or Higher) – David Brenner
Although we generally don’t have protocols for patients with bundle branch blocks, these folks deserve special attention. Business as usual may prove harmful. This is presented in a very unique, highly interactive format. Participants will have lots of practice. Most attendees achieve Bundle Branch Block identification mastery by the end of this lecture.
Hemodynamics 101 [Cardiology] (Basic Life Support EMR-EMT) – Jason Bazelow
This presentation is designed as an introduction to hemodynamics and the forward flow of blood through the patient’s body. At the completion of the lesson, students will be able to describe how blood flows through the heart to the rest of the body. The student will be able to identify normal pressures throughout the system, and what affects disease processes like Shock, AMI and sepsis have on blood flow throughout the body.
Beep! Beep! Someone Just Got Run Over By a Bus: Continuity of Operations Planning [Operations] (EMS Operations/Management) – Jason Haag
This program will focus on agency continuity plans. What happens if a key person (Director, Treasurer, President, etc.) become incapacitated, or worse, dies? Are there others in your agency capable of filling that role? Is the agency account accessible by more than just that person? Are passwords accessible? We will discuss all these problems are more at this session. This topic is one we don't like to think about, but one that is necessary for agencies to continue to do the good work they do when the unthinkable happens.
Saving Your Own Life: True Confessions of a Clinically Depressed Medic (Provider Well Being) – Kelly Grayson
Depression, PTSD, mental illness. We deal with their effects every day. They’re the patients that often challenge our skills and our sense of compassion the most. We dislike dealing with them so much that we often ignore those symptoms in ourselves until it drives us from the career we once loved, or we read the obituaries of our brothers for whom help came too late. Join Kelly Grayson as he describes his battle with depression, and explores strategies for recognizing and dealing with those issues in ourselves. It’s time to erase the stigma of provider mental illness, because even the healers need healing now and then.
5:30 PM – Happy Hour Round Table
Innovative Rural EMS System Design – Brian Donaldson
Resiliency – Stacey Zellmer
I Got the Nasty On Me: Ways to Prevent Infection in the Prehospital Setting
Ranty Round Table – Amanda Bates & Dr. Drew Anderson
Join WEMSA's own Education Director Amanda Bates, and WEMSA Favorite Dr. Drew Anderson for a Ranty-Roundtable of Q&A!