Presidents Message............................... 2-3 Pre-Conference Sessions...........................14 About the Cover.......................................4 Conference Session Descriptions.............. 15-21 About the Artist.......................................4 EMS Rendezvous Table........................ 22-23 EMS Award Nominations.............................4 For Office............................................24 EMS Day at the Capitol...............................4 Conference Wrap-up................................24 Upcoming NDEMSA Events...........................5 Cardiac Data.........................................24 Table of Contents TABLE of Contents EMS Rendezvous Registration Form................6 NDEMSA Rendezvous Conference.............. 6-13 The deadline for the Spring issue is May 6th, 2015 NDEMSA Officers President............................. Curt Halmrast Vice-President..................Jim Restemayer Secretary/Treasurer...............Scott Helmer Past President........................Mark Weber Board Members Northwest Diane Witteman.......................... President Tami Petersen......................... Wayne Fahy Jeri Warrenburg Northeast Edward Bina............................... President Patrick Tracy....................Randal Severson Rudi Bloomquist Southwest Suzan Hanson............................ President Kelly Dollinger........................Adam Parker Linda Lindemann Southeast Cheryl Flick................................. President Vicki Berreth............................ Loretta Haas Tim Meyer RESPONSE TIME Winter 2015 Education Appointee Ken Reed THE ND EMS ASSOCIATION Fire/Rescue Appointee Peter Christiansen 1622 E. Interstate Ave. Bismarck, ND 58503 Past Presidents Mark Weber.........................Derek Hanson 701-221-0567 Mark Haugen.............................Char Skaff Medical Director Ben Roller, MD 877-221-EMSA Fax: 701-221-0693 www.ndemsa.org [email protected] Division of EMS and Trauma Tom Nehring...............................Director Advertising Contact Information Joe Sitter - [email protected] Quality Printing Service, Inc..... 701.255.3900 www.facebook.com/ndemsa NDEMSA Membership...................1,675 Response Time Circulation............2,150 Response Time is published quarterly by Quality Printing Service, Inc. All rights reserved. Information contained within may not be reprinted wholly or in part without the written consent of the publisher. 1 From the President... In this very full edition of the Response Time I have a significant amount of information to share as we enter another busy year and a frenzied start to 2015. In late January regional conferences and the legislative session are in full swing, as well as last-minute preparations for the Stars of Life celebration and EMS Day at the Capitol. As you can tell by this magazine edition the conference committee has put the final pieces together in planning the 40th annual rendezvous conference. We are also busy with management course planning and leadership academy transition, and training development for the STEMI, stroke and LUCAS courses. We certainly have a full plate of activities and will make for at least a busy first half of the year. In this issue I would like to update you on all of these activities, many of which I shared in the last edition. Every two years the EMS Association spends a great deal of time and energy changing policy within the legislative branch of government and advocating for additional dollars for EMS. In 2013 a total of 27 legislative bills appeared on our legislative tracker report with well over half of them eventually passing. We may testify in support of a bill, testify against, provide no stance on a bill, or just closely monitor a bill as its outcome may have some impact to the EMS industry. In 2015 I expect we will again be close to 30 legislative bills. Three significant bills of importance are; Department of Health budget which holds the $8 million for the EMS Assistance grants, the Department of Human Services budget which provides for an increase of ambulance transport payments for Medicaid patients, and finally the oil impact dollars being allocated to oil and gas producing counties. There are several other bills we are closely monitoring and they include; all property tax Upcoming 2015 Leadership Dates April 18-19 Level I August 29-30 Level II October 10-11 Level III December 12-13 Level IV Please contact DEMST for more information about the academy and the registration. Elizabeth Pihlaja [email protected] 701-328-2388 2 This academy is put on by SafeTech Solutions and the DEMST. bills and those involving ambulance districts, yielding to emergency vehicles, creation of a health care trust fund, workers compensation coverage of post-traumatic stress disorder for first responders, development of a stroke system of care, CPR in schools carryover funding, medical assistance coverage for community paramedic services, immunity from criminal liability for an individual who reports a medical emergency involving drugs, and likely more to come as the deadline nears for the filing of legislative bills. As I stated the Department of Health budget (HB 1004) and the Department of Human Services (DHS) budget (SB 2012) are critical bills for EMS. The $8 million for the EMS Assistance grant program is contained within HB 1004. In November I had mentioned that $601,400 for the creation of Cardiac Systems of Care, and $480,000 for a new database system for EMS reporting would possibly be in the Department of Health budget. These two items did not make it into the budget so we are hoping they could be included in another bill or placed back into the budget. The DHS budget provides for additional reimbursement dollars from transports of Medicaid patients. NDEMSA was pleased that the Governor included the DHS Optional Adjustment Request (OAR) to increase ND Medicaid Ambulance rates to 80% of the 2014 Workforce Safety (WSI) rates in his Executive Budget. This increase of over 25% will result in an estimated $3.8 million dollars for EMS, of which $1.9 million would be state (general fund) dollars and the remaining from federal funds. These two bills alone will have a profound impact on the EMS industry and we hope to keep these dollar amounts intact. For more details on our legislative activity as well as to learn more about opportunities that you can do to help us please visit www.ndemsa.org and click on the advocacy tab. I hope to see many of you in Bismarck on February 23rd for the EMS Day at the Capitol and Stars of Life celebration that evening. That afternoon we will also squeeze in a quarterly board meeting of the association. RESPONSE TIME Winter 2015 Competency Program (NCCP), or “Pilot Project”. DEMST has been present at each regional conference answering questions regarding NCCP and how to make re-certification a bit more simplified for you. Both the DEMST and NDEMSA websites have dedicated pages to answer your pilot project questions. As I mentioned last year at this time there are four very important downloads on both websites that will help you through the pilot project and plan your future education. They include; The leadership academy began in North Dakota after the EMS Association successfully lobbied for the Rural EMS Improvement Project (REMSIP) funding in the 2009 legislature. One of the four elements of the project was the leadership training and the first course was offered in late 2010 and an additional five were offered by SafeTech Solutions as part of the REMSIP. Seeing a clear need for additional leaders to attend and get participants through all four levels the EMS Association and our Foundation secured grant funding to host additional courses. Since February 2012 the ND EMS Foundation has held 14 leadership academy courses with coordination from the EMS Association staff. The December 2014 Level IV course will be the last course offered through the Foundation/Association. The leadership academy will now transition to the Division of EMS & Trauma coordinating the academy and securing grant funding. As time has progressed it was increasingly difficult with one staff member for us to secure dates, locations, grant funding, and all other elements of making the course successful. We have also learned that grant dollars supporting the program will likely decrease or diminish by the end of this year, making it very difficult to sustain the program. It is our hope that the program can become more sustainable under DEMST and the availability of different funding will open up. The Association will still support the leadership academy in any way that we can with promotion and other opportunities to strengthen the program. The dates selected by SafeTech Solutions and DEMST for the 2015 sessions include; April 18-19 (Level I), August 29-30 (Level II), October 10-11 (Level III) and December 12-13 (Level IV). Watch for information on registration and other course details to come from DEMST. This Response Time edition includes all of the information for the 40th Annual EMS Rendezvous with a few more details still being worked out. The three days promises to be full of excellent education, opportunities for you to network with other providers, and see the latest in new equipment in the exhibit hall. We will also have special events to commemorate the 40th conference and also hope to have several past board members and presidents in attendance throughout the conference. I hope to see many of you April 9-11 in Bismarck! 1. NCCR Provider Booklet > This details the NCCR content that you need 2.Training Officer Guide > Useful pilot project information and how to conduct your own training 3.EMT Education Guide > Provides the necessary content and resources for you to conduct your own NCCR training President’s Message Various committees within the Association are working on the next series of management courses as well as the training curriculum for STEMI, stroke, and LUCAS. The management courses will again be a three-series course with each one offered twice from March through August. The committee is putting courses together that will include; funding sources and how to be sustainable, billing, budget development, documentation, case studies of successful EMS management, collaboration examples, substation versus QRU licensure, ALS intercepts, and how to deliver quality patient care. The work involved is how to incorporate these topics into the three courses and then finding quality educators and professionals who can deliver the content and engage the attendees. Look for the first course to be announced soon. In regards to STEMI, stroke and LUCAS this training will again be delivered locally, similar to the past couple of years with various educators from across North Dakota. We will also offer a variety of training in other formats such as regional education, online, and at future conferences. We will communicate with service leaders when this training will begin as we get the go ahead from the Division of EMS & Trauma to proceed. 4. Paramedic Education Guide > Same as the EMT, this guide is focused for the ALS provider Thank you again for your commitment to EMS! Curtis Halmrast, President ND EMS Association The National Registry of EMT’s March 31st deadline is coming upon us quickly. This will be the second year of re-certification under the National Continued RESPONSE TIME Winter 2015 3 About the Cover: In this Response Time Conference Edition, the ND EMS Association is using the same cover that was used 40 years ago from the 1st Emergency Medical Services Conference held in 1975. The cover was designed by the University of North Dakota Graphic Arts Department to depict the drama and fear of a car accident scene. The 40th Annual EMS Rendezvous Conference is excited to look back at the changes that have occurred in the 40 years of EMS, as well as looking toward the future. NORTH DAKOTA EMS AWARDS NOMINATIONS About the Artist: The winner of the Logo Contest is Mara Paulson, a graphic designer from Fargo, North Dakota.. Mara graduated from Minnesota State University Moorhead with a BFA in Graphic Design. She is employed at Simply Made Apps which is based out of Fargo. Thank you and Congratulations Mara! The North Dakota EMS Association is proud to sponsor an awards program that highlights the accomplishments of so many dedicated EMS providers in North Dakota. We hope you or your agency will consider recognizing the very best of North Dakota’s EMS providers with a regional or statewide award. The 2015 Regional Awards include: Siren Award, Rising Star Award, Telecommunications Award, and the Service of the Year Award. One regional Service of the Year nominee is chosen for the state EMS Service of the Year. The Statewide Awards for 2015 include: Media Award, Medical Director of the Year, Grace Knapp Award, and EMS Provider of the Year Award. The Table of Honor Ceremony pays tribute to those volunteers and career EMS/Fire personnel who are no longer with us. You can help us honor that person by nominating them for the Table of Honor Ceremony. The first twelve Table of Honor nominations will be chosen. The deadline for all awards is March 1, 2015. The awards committee reviews the submissions, and notifies the nominator (not the nominee) whether or not their submission was chosen. This will allow those who did win an award to make plans to attend the 2015 EMS Rendezvous Awards Banquet and Table of Honor Ceremony on Saturday evening, April 11, 2015 in Bismarck. The simple two-sided form listing the criteria and nomination information for both the regional and statewide awards and the one-page form for the Table of Honor Ceremony can be found on our website at www.ndemsa.org under the “Awards Programs” tab. You can submit your nominations via mail, email, fax, or hand delivery to our office in Bismarck. CALLING ALL SQUADS! To help with the 40th anniversary celebration of EMS Association we would like to get history about the ambulance services in North Dakota. We would like to know when your service was started (to determine oldest service in ND), how many attendants you had in your beginning days of service, and what your current service status is (how many and what levels). You can email Corrie at the NDEMS office, or call her, or email either Loretta at [email protected] or Linda at [email protected]. We will then be doing a special acknowledgement article after the 40th anniversary celebration in our May magazine. EMS Day at the Capitol Join us on February 23, 2015 for EMS and Hospital Day at the Capitol from 11:00 am to 2:00 pm in Memorial Hall. The Day at the Capitol allows healthcare professionals to share the struggles and rewards of serving in North Dakota. Join us as we provide a light meal and discuss our legislative priorities for 2015. This is a great opportunity to speak with your local legislators and observe the legislative process. Everyone is welcome. EMS Day at the Capitol will be followed by the NDEMSA quarterly board meeting that afternoon and the Stars of Life Banquet in the evening. If you have any questions about the events on the 23rd please contact the office 701-2210567 or visit our website www.ndemsa.org and click on “Stars of Life” under the awards program tab. 4 RESPONSE TIME Winter 2015 Cori Randall is currently the base lead for Valley Med Flight in Dickinson, ND. She was born in Elgin, ND and grew up living in Garrison, Riverdale, Underwood, and Towner, ND. Cori began working in the hospital environment in 1994 as a CNA in Rugby, ND. In 1996 she moved to Bismarck, ND to attend nursing school which she graduated from in 1999 with an Associate of Science degree in nursing and in 2002 with a Bachelor of Science degree in nursing. She has been a nurse for the past 15 years and is currently completing her Masters degree in Nursing Education with her final thesis defense scheduled for January 2015. Her previous work experience includes being a staff nurse in the Operating Room, Post Anesthesia Recovery Unit, charge nurse in the Intensive Care Unit, Director of Infection Control and Quality Management, Project Coordinator, Chief Clinical Officer, and adjunct faculty at the University of Mary. Cori has worked as a traveling nurse for the last five years, commuting on weekends to help cover the critical access hospitals and emergency rooms in North Dakota. She began her flight nurse career in 2013 and holds certifications in ACLS, PALS, STABLE, NRP, and TNCC. Working for the past twenty years in rural North Dakota communities she has seen the need for urgent specialized critical care emergency transportation. Valley Med Flight is based out of Dickinson, serving the western half of North Dakota and helping to provide a needed service to our rural communities. The critical care helicopter team consists of an experienced flight nurse and paramedic. The helicopter contains the medical equipment comparable to an intensive care unit and the medications needed to start treatments and provide early interventions. The service expedites time sensitive patient care such as traumatic injury, heart attacks, and stroke care. EMS Day at the Capitol Cori Randall Upcoming NDEMSA Events www.ndemsa.org February 23: EMS Day at the Capitol, Stars of Life Banquet NDEMSA Quarterly Board Meeting- Bismarck March 1: Regional & Statewide Award Nominations Due April 9: Instructor-Coordinator 2015 Recertification Course, Bismarck as part of the EMS Rendezvous pre-conference sessions Ramkota Hotel (800 S 3rd St, Bismarck, ND 58504 (701) 258-7700) 40th Annual North Dakota EMS Rendezvous Preconference Ramkota Hotel (800 S 3rd St, Bismarck, ND 58504 (701) 258-7700) April 9-11: 40th Annual North Dakota EMS Rendezvous Conference & Tradeshow, Bismarck Event Center (315 S 5th St. Bismarck, ND 58504) May 6: Response Times Deadline June 9: Instructor-Coordinator 2015 Recertification Course, Minot from 8am to 5pm Trinity Healthcare Riverside (1900 8th Ave SE, Minot, ND 58701) 2015 EMS Rendezvous April 10-‐11th, 2015 Scenario & AccreditaHon: Emergency Childbirth: 1 NCCR OB Emergencies for BLS & ALS Times: Friday, April 10th 8:00-‐9:00 9:30-‐10:30 1:00-‐2:00 2:30-‐3:30 Saturday, April 11th 8:00-‐9:00 9:30-‐10:30 2:30-‐3:30 3:45-‐4:45 LocaHon: SIM-‐ND Trucks RESPONSE TIME Winter 2015 (Vendor Area) 5 2015 EMS Rendezvous Individual Registration *Please print name/agency legibly for your name badge* *This is not the group (6 or greater) registration form* *One form per person* First Name: Last Name: Title: ND EMS ID #: Agency/Organization: Address: City: State: Zip: Contact Phone: Email Address: Is your ND EMS Association Membership Current? [ ] Yes [ ] No What is your expiration? ________ * If your membership ends before 4/9/2015, it is time to renew your membership to take advantage of member pricing North Dakota EMS Association Membership Dues (Non-Refundable) (Non-Refundable) [ ] $40.00 for one year membership to the end of 2015 = $ _________________ [ ] $60.00 for two year membership to the end of 2016 = $ _________________ Awards Banquet 6:30pm Saturday, April 11 Ramkota Hotel [ ] Yes, I will attend. Please send my 1 ticket [ ] No, I WILL NOT be attending the awards banquet Extra Awards Banquet Ticket(s) __________ x $25.00 = $ ______________ NOTE: You must have a ticket to attend the banquet Thursday, April 9 Preconference Sessions (Ramkota) [ ] ND EMS Instructor Update/Recertification (8am to 5pm) [ ] "I" Got Rhythm (8am to 5pm) [ ] Air Goes In; Air Goes Out (8am to Noon) [ ] Extrication and EMS (10am to Noon) [ ] Birthing Emergencies (10am to noon) [ ] Farm Rescue (1pm to 4pm) [ ] Designer Drug Evolution (1pm to 3pm) [ ] Pediatric Crisis (1pm to 3pm) [ ] Golden Years: Geriatric Care (3pm to 5pm) Non Member Price $110.00 $110.00 $70.00 $40.00 $40.00 $55.00 $40.00 $40.00 $40.00 Member Price $90.00 $90.00 $50.00 $25.00 $25.00 $35.00 $25.00 $25.00 $25.00 "Extra" Friday and Saturday Sessions Service Director Meeting (12pm to 1pm) (NO FEE -- Please Pre-register) No Fee - [ ] Check if Attending [ ] Farm Rescue (1pm to 4pm) *Free with Friday registration or pay fees >>>> $55.00 $35.00 [ ] Motorcycle Crash (8am to 10:30am FRI) *Free with Friday registration or pay fees >>>> $55.00 $35.00 [ ] Motorcycle Crash (8am to 10:30am SAT) *Free with Saturday registration or pay fees >>>> $55.00 $35.00 Rendezvous Registration Fees - Full and One Day Registrations [ ] Friday and Saturday Full Conference Registration One Day Session [ ] Friday [ ] Saturday LATE FEES: After 5pm March 27 to April 8 [ ] $30.00 Total Fees from Membership Dues and Banquet Tickets Total Fees from the Thursday Preconference Sessions Total Fees from the "Extra" Sessions: Total Fees from Full or One Day Registration Total Late Fees (if applicable) Non Member Price $235.00 Member Price $180.00 $140.00 $105.00 At DOOR April 9-10-11 [ ] $40.00 $ $ $ $ $ Total Payable to NDEMSA $ [ ] Check # _____________________ is enclosed for $ _________________________ (checks payable to NDEMSA) or charge $ ____________________ to [ ] Visa [ ] MasterCard Expiration Date: _______________________ Card Number: ______________________________________ 3 Digit Security Code: ________________________ Signature authorizing charges: _____________________________________________________________________ NOTE: Cancellation fee of 30% applies before April 3rd . Transfer registration to another individual for a $25.00 processing fee. Don’t Wait! Postmark Registrations by March 27, 2015 TOP 5 REASONS TO ATTEND EMS RENDEZVOUS 1 The EMS Rendezvous Conference and Trade show is one of the longest running trade shows in the country! Come celebrate our 40th! 2 Many National (NCCR) topics to choose from! In total there are over 60 education topics, many great pre-conference sessions, and all CEU’s are approved by the ND Division of EMS & Trauma! 3 Explore the new exhibit hall……over 55 exhibitor booths will fill the hall! Get a first glance on Thursday night at the vendor preview. 4 5 Registration Hours Thursday, APRIL 9 7:00am-1:00pm Ramkota Hotel 5:00pm-7:00pm Bismarck Event Center Friday, APRIL 10 7:00am-5:00pm Bismarck Event Center Saturday, APRIL 11 Learn, have fun and network with your fellow EMS providers 7:30am-11:30am Bismarck Event Center FOR YOUR PATIENTS!! Enhance your pre-hospital knowledge! Exhibit Hall Hours Thursday, APRIL 9 Who Should Attend? 7:00pm-9:00pm Vendor Preview Friday, APRIL 10 • Emergency Medical • Dispatchers Responders • Medical Directors • Military Emergency • Law Enforcement Personnel • Educators • Nurses • EMTs and Paramedics • Other emergency personnel • Fire/Rescue Personnel 9:00am-5:30pm Saturday, April 11 9:00am-1:00pm Friday Them e Night Blast from th e Past Entertainm ent provided by Tripwire 9:00pm-1:0 Bonus Education Sessions 0 am Grand Pacific , Ramkota Ho tel (bonus sessions are free with conference registration) Thursday- 6:30pm Friday- 7:00am, 12:10pm, 7:00pm Saturday- 12:10pm ISS M T ’ DON Conference Information PLAN NOW TO ATTEND THE 40th Annual NDEMSA Rendezvous CONFERENCE AND TRADESHOW APRIL 9-11, 2015 Bismarck Event Center : Great preconference workshops Four powerful and informative general sessions Hear about clinical hot topic issues from new and returning presenters An exhibit hall that is full with new products COMMUNITY AMBULANCE SERVICE MINOT * * * * * EMR EMT CPR/AED PALS PHTLS * * * * ACLS First Aid Paramedic Squad Training For More Information Or To Register For Classes View the Education Tab @ www.casminot.com www.CAS Minot.com For more information on classes contact: Tami Petersen, Education Coordinator 70 1-8 52 -94 83 ext .1 0 6 • email: [email protected] RESPONSE TIME Winter 2015 Our goal is to prepare you to become a confident and field competent EMS Provider. We have designed our program with the student as the top priority. These classes combine both lecture and hands on clinical time simultaneously, to facilitate a comprehensive learning environment. Our mission is to give our students the knowledge to provide quality pre-hospital patient care. 7 The 40th Annual NDEMSA Rendezvous Conference and Tradeshow Vendor Preview: The preview is a great chance to get a glimpse at the new products, explore the exhibit hall, win great door prizes, and network with fellow providers while enjoying a light snack and beverages. We welcome all EMS providers to the vendor preview! 7:00 pm-9:00 pm Thursday Pre-Conference Workshops HELD AT RAMKOTA HOTEL ND EMS Instructor Update, Airway, Cardiac, Extrication, Obstetrics, Farm Rescue, Designer Drugs, Pediatrics and Geriatrics. Two, three, and four hour sessions available... select based on your schedule and needs! at the Bismarck Event Center Register Early How to Register Register SMART and SAVE Save $30.00 by registering for the conference by March 27, 2015. The easiest and preferred method is on-line at www.ndemsa.org or you can mail your registration to EMS 2015, ND EMS Association, 1622 East Interstate Ave. Bismarck, ND 58503. Those registering as a group (greater than 6) will need to register via mail using the special form found on our website. Registration Fee Includes The education sessions (including all bonus sessions) refreshment Make Use of Thursday Book Your Hotel Early breaks, access to the exhibit hall, the vendor preview, Saturday night awards banquet, and admission to the Friday night dance. You’re coming into town anyway. Come early and take advantage of one of our pre-conference workshops. That evening enjoy our vendor preview with Hors D’oeuvres, a cash bar and take advantage of additional CEU’s by attending the bonus education session, all at the Bismarck Event Center. Even if you’re not signed-up for Thursday sessions, come join us! Close hotels to the conference center include: Best Western Ramkota (headquarters), Expressway Inn, Expressway Suites, Radisson Hotel, Fairfield Inn South, (see page 13 for hotel phone numbers). Mention you are with the EMS Rendezvous. Deadline for early registration discount: March 27, 2015 Sanford AirMed 35 years. 60,000 patients. 1 team you can trust. TO ACTIVATE: (844) 4-AirMed Sanford AirMed is accredited by the Commission on Accreditation of Medical Transport Systems (CAMTS). 019018-00069 1/15 8 RESPONSE TIME Winter 2015 Continuing Education Credits Certificates will be handed out at the conclusion of each session. It is your responsibility to secure these certificates at the end of each class. ND Division of EMS and Trauma has approved the hours of this conference for continuing education for the Emergency Medical Responder, EMT, EMT Intermediate, AEMT, and Paramedic levels. Put your name on the certificates so if they are lost, they can be returned. The number of CEU’s available can be estimated by looking at which sessions you plan to attend as the hours are found after each session description or topic. If you arrive more than 10 minutes after the start of the session or leave 10 minutes prior to the end of the session, NO CEU credit will be given. Emergency Medical Responder (First Responder) Recertification EMR’s can attend the 2015 EMS Rendezvous to recertify their EMR certification. You must obtain 16 hours of CEU credits by attending 8 hours of NCCR content, and 8 hours of LCCR/ICCR content. If you do not receive the entire 16 hours of CEU’s at the Rendezvous you can obtain remaining hours at your EMS agency or elsewhere. Please see the chart below or visit our website for more information on the subject matter for each NCCR category. Required National (NCCR) = 8 hrs Airway, Respiration and Ventilation - 2 hrs Cardiovascular - 2 hrs Trauma - 1 hr Medical - 3 hrs Required Local (LCCR) = 4 hrs Required Individual (ICCR) = 4 hrs You must have at least three (3) different subjects in the LCCR and ICCR categories. This can include EVOC, Auto Extrication, and other medical-related courses and certifications. Law Enforcement NDEMSA has secured continuing education credits for Law Enforcement from the POST board. If you are taking advantage of these hours, please signin on the POST registration sheet. One sheet is available for each day. Refreshment Breaks Water and coffee will be provided starting at 7:00am each day near the registration area. A light snack will be served starting at 9:00am each day of conference. Lunch is on your own all three days of conference. Afternoon snacks will be provided starting at 2:00pm. Bottled water will be provided. Every effort is made to provide you quality and healthy refreshments. Media Recording and Disclaimers: Recording of any kind is not permitted during the EMS Rendezvous without written consent of the presenter and the North Dakota EMS Association (NDEMSA). Conference Information General Information for Rendezvous The Rendezvous conference will run all three days regardless of weather. In the event of flight delays or an emergency NDEMSA reserves the right to substitute qualified presenters. NDEMSA has the exclusive right to photograph or video record conference attendees for the purpose of advertising, publicity, or use for future events without compensation to the conference attendees and all rights, and interest therein shall be property of NDEMSA. The conference attendee list, including name and service affiliation, may be shared with exhibitors. Credit card or other personal information is not shared with third parties. Bismarck Event Center The Bismarck Event Center does not allow any outside food or drink into their facility. Room temperatures may vary so consider a light jacket. As part of your registration, free parking is provided adjacent to the Bismarck Event Center. As a reminder smoking is not allowed within 20 feet of the entrances or in any of the conference facilities. Please pay close attention to posted signs with the Event Center new construction project! Your name badge MUST be worn at all times during conference sessions and in the exhibit hall. Nursing The North Dakota Board of Nursing will approve continuing education from this conference for Nurses. To take advantage of the nursing hours, you must attend select sessions to obtain the necessary credits. The sessions with approved Nursing hours will be posted online as well as available in the 2015 Conference Program Book. RESPONSE TIME Winter 2015 9 Special Meetings & Events A pril NDEMSA Annual Meeting Date: Friday, April 10 Time: 6:00pm-7:00pm Room: Governor’s Room, Ramkota Hotel All members of the ND EMS Association are welcome to attend the annual meeting to review the 2014 annual report and discuss association business. Squad Leader/Service Directors Meeting Date: Friday, April 10 Time: 12:00pm-1:00pm Room: Maple Room, Bismarck Event Center All leaders of EMS agencies are welcome to attend this session to discuss current EMS activities in ND and network with fellow EMS leaders. ND ACEP Chapter Meeting (Physicians, PAs and NPs only) Date: Thursday, April 9 Time: Noon-4:00pm Room: Room 3130, Ramkota Hotel Thursday, April 9 7:00pm-9:00pm Vendor Preview with cash bar and Hors D’oeuvres! Friday, April 10 9:00am-5:30pm Exhibit Hall Open 9:00am-9:30am Snacks and Refreshments in the exhibit area 12:00pm-1:00pm Lunch on your own – Exhibit Hall open 2:00pm-2:30pm Snacks and Refreshments in the exhibit area Saturday, April 11 9:00am-1:00pm Exhibit Hall Open 9:00am-9:30am Snacks and Refreshments in the exhibit area 12:00pm-1:00pm Lunch on your own – Exhibit Hall open 1:00pm Exhibit Hall will close 2:15pm-2:30pm Snacks and Refreshments in the upper and lower atriums Medical Directors Meeting (Physicians, PAs and NPs only) Date: Saturday, April 11 Time: 12:00pm-4:00pm Room: Mayors Conference Room, Bismarck Event Center Friday Them e Night Blast from t he Past Entertainm NDEMSA Awards Celebration and Table of Honor Ceremony Date: Saturday, April 11 Time: 6:30pm-8:30pm (Doors open at 6:00pm) Room: Dakota Ballroom, Ramkota Hotel Join us as we celebrate the accomplishments of all 2015 award winners and remember the EMS providers that are no longer with us. Exhibit Hall Breaks and Door Prizes Support our exhibitors by visiting the exhibit hall. All snacks and refreshments will be provided in the exhibit hall during the breaks. Door prizes will be given away in designated booths at announced times during the breaks. You must be present to win! 10 ent provided by Tripwire 9:00pm-1:0 0 am Grand Pacifi c, Ramkota Hot el Dates to Remember April 7-9 April 6-8 April 12-14 April 11-13 April 2-4 2016 Bismarck 2017 Bismarck 2018 Bismarck 2019 Bismarck 2020 Bismarck RESPONSE TIME Winter 2015 Thursday, April 9 7:00am -1:00pm - Registration Dakota Ballroom Foyer, Ramkota Hotel Pre-Conference Workshops – Ramkota Hotel *See Pre-Conference descriptions on page 14 Please check the Message Board in the Foyer to see where your class will be held. 8:00am-5:00pm ND EMS Instructor Update – Recertification (No CEUs) Presenter: Kelli Sears, Ron Lawler, Ken Reed 8:00am – 5:00pm “I” Got Rhythm (Rate Disturbance) (2.0 NCCR/6.0 LCCR hours) Presenter: Brian Donaldson 8:00am-12:00pm Air Goes In; Air Goes Out: Understanding and Managing Airway and Breathing Emergencies (4.0 NCCR hours) Presenter: Fidel Garcia 10:00am – 12:00pm Extrication and EMS: Coordinating Team Delivery of Critical Care (2.0 LCCR Hours) Presenter: Rommie Duckworth 10:00am – 12:00pm Birthing Emergencies: First Rule Stay Calm (OB 1.0 NCCR/1.0 LCCR hours) Presenter: Kevin McFarlane 1:00pm – 4:00pm Farm Rescue (3.0 LCCR hours) Presenter: Eric Toutenhoofd 1:00pm – 3:00pm Designer Drug Evolution: Managing Uncontrolled Patients on Controlled Substances (Psychiatric 2.0 NCCR hours) Presenter: Rommie Duckworth 1:00pm – 3:00pm Pediatric Crisis (Pediatric Cardiac Arrest – 2.0 NCCR hours) Presenter: Reuben Farnsworth 3:00pm – 5:00pm Golden Years: Geriatric Care (At Risk – 1.0 NCCR/1.0 LCCR hour) Presenter: Kevin McFarlane EVENTS HELD AT THE BISMARCK EVENT CENTER THURSDAY Friday, April 10 7:00am-5:00pm Registration – Event Center 7:00am-7:50am Bonus Education: “Don’t be a Whino About the Gyno ” Jodi Holston-Room 103 8:00am-10:30am Special Session: “Anatomy of a Motorcycle Crash” Suzette Berg & Lisa Bean-Birch Room 8:00am-9:00am Concurrent Sessions 9:00am-5:30pm Exhibit Hall Open 9:00am-9:30am Snacks and Refreshments in the exhibit area 9:30am-10:30am Concurrent Sessions 10:45am Opening Ceremony and Announcements Event Center -- Hall A 10:45am-12:00pm General Session: “Bats, Balls and Trauma Calls” Ken Bouvier-Hall A 12:00pm-1:00pm Lunch on your own Exhibit Hall Open 12:00pm-1:00pm Service Directors Meeting Maple Room, Event Center 12:10pm-12:55pm Bonus Session: “Communicable Diseases” Eric Toutenhoofd-Room 103 1:00pm-2:00pm Concurrent Sessions 1:00pm-4:00pm Special Session: “Farm Rescue” Eric Toutenhoofd-Birch Room 2:00pm-2:30pm Snacks and Refreshments in the exhibit area 2:30pm-3:30pm Concurrent Sessions 3:40pm-5:00pm General Session: “Why Do We Eat Our Young-Breaking the Hazing Trend ” Reuben Farnsworth-Hall A 6:00pm-7:00pm Annual NDEMSA Meeting Governor’s Room, Ramkota 3:00pm-6:00pm Exhibitor Registration and Setup Event Center 7:00pm-8:30pm Bonus Education: “Pit Crew CPR” Tom Dobrzynski-Missouri Ballroom, Ramkota 5:00pm -7:00pm Participant Registration Event Center 9:00pm-1:00am Theme Night Blast From the Past-Ramkota Hotel 6:30pm – 7:30pm BLS Review Game (1.0 LCCR hours) Presenter: Reuben Farnsworth/Fidel Garcia Room 103 7:00pm - 9:00pmVendor Preview with Hors D’oeuvres and cash bar Schedule at a Glance Schedule at a glance Blast from the Past Entertainment provided by Tripwire 9:00pm-1:00am Grand Pacific, Ramkota Hotel IMPORTANT: If you register by March 27th and receive your badge and information in the mail, you MUST bring those items with you to the conference. Vendor Preview with Cash Bar and Hors D’oeuvres 7:00pm-9:00pm Thursday at the Bismarck Event Center RESPONSE TIME Winter 2015 11 Saturday, April 11 7:30am-11:30am Registration – Event Center 8:00am-9:00am Concurrent Sessions 9:00am-1:00pm Exhibit Hall Open 9:00am-9:30am Snacks and Refreshments in the exhibit area 9:30am-12:00pm Special Session: “Anatomy of a Motorcycle Crash” Suzette Berg & Lisa Bean-Birch Room 9:30am-10:30am Concurrent Sessions 10:45am-12:00pm General Session: “Managing the Special Needs Patient in Your Community” Jason Dush-Hall A 12:00pm-1:00pm Lunch on your own Exhibit Hall Open 12:10pm-12:55pm Bonus Session: “Broken Pumps and Flooding” Ken Reed, Room 105 12:10pm-12:55pm Bonus Session: “Endocrine Emergencies” Eric Toutenhoofd, Room 103 1:00pm Exhibit Hall Closed 1:00pm-2:15pm Closing Session: “If Helping Others Is So Easy – Why Can’t We Take Care of Ourselves” Dwight Polk-Hall A 2:15pm-2:30pm Snacks and Refreshments in the upper and lower atriums 2:30pm-3:30pm Concurrent Sessions 3:45pm-4:45pm Concurrent Sessions Bonus Education 6:30pm Thursday at the Event Center 7:00am and 12:10pm Friday at the Event Center 7:00pm Friday at the Ramkota Hotel 12:10pm Saturday Lunch at the Event Center Silent auction - Friday, April 10. Bids close at 5:15pm To donate, contact Jeri Warrenburg [email protected] 701-694-6204 or 701-208-1186. Some items that are already coming are an EMS blanket, “31” purses, hotel stays, Medora Musical Tickets, and a round of golf. Will each ambulance service bring an item for the auction... will your service’s items bring the highest bid? Vendor Preview with Cash Bar and Hors D’oeuvres 7:00-9:00 Thursday at the Bismarck Event Center 12 RESPONSE TIME Winter 2015 Deadline: To qualify for the early registration discount, you must POSTMARK your registration by March 27 or complete on-line registration by 5:00 pm on March 27. If you register after March 27, you will not receive the $30.00 discount. 2 Easy Ways To Register! Complete one registration form for each person attending • • On-Line: Go to www.ndemsa.org (credit card payments only). IMPORTANT: If you provided us a valid email address and do not receive an instant confirmation of your on-line registration, please contact NDEMSA via email at: ndemsa.office@ndemsa. org. On-line registration will CLOSE between 2436 hours prior to the conference so you must then register at the door. Mail: EMS 2015 North Dakota EMS Association 1622 E. Interstate Ave. Bismarck, ND 58503 Group Registration: Those registering as a group (6 or more only) can download the group registration form online at www.ndemsa.org. When submitting as a group, they must all be submitted together with one accompanying check. Refund Policy: Membership dues are NOT refundable. Conference registration fees will be refunded less a thirty percent (30%) administrative fee, if written or email cancellation is received by 5:00pm on Friday, April 3, 2015. No refunds of conference fees will be made in the case where no written notification is provided to NDEMSA. All refund RESPONSE TIME Winter 2015 requests received before April 3rd will be processed two weeks AFTER the EMS Rendezvous. Badge Will Be Mailed: Badges will be mailed if your registration is postmarked by March 27. Badges will not be mailed for registrations postmarked after March 27. You will need to pick up your badge at the “will call” desk at conference. Please bring your confirmation letter with you when picking up your badge on site. Register on-line at www.ndemsa.org Bag Pick Up/Will Call: You MUST bring the items you received in the mail to the “bag pick up” desk, including your name badge. If you did not postmark your registration by March 27, please proceed to the “will call” desk to claim your badge and bags. Your name badge MUST be worn at all times during conference sessions and in the exhibit hall. Registration Information Registration Information Questions: On Membership Status or Discount Qualification may be directed to the NDEMSA Office at (701) 221-0567 or 877-221-3672 or email to: [email protected] Membership status can be checked at www.ndemsa.org Local motels with possible room availability: Ramkota Hotel (Headquarters)................... 701-258-7700 Expressway Inn......................................... 800-456-6388 Expressway Suites.................................... 888-774-5566 Radisson Hotel.......................................... 701-255-6000 Fairfield Inn South...................................... 701-223-9293 13 Thursday, April 9, Pre-Conference Sessions All pre-conference sessions will be held at the Ramkota Hotel. Please check in at the registration desk to find room assignments. 8:00am-5:00pm ND EMS Instructor UpdateRecertification (No CEUs) Presenters: Kelli Sears, Ron Lawler, Ken Reed Kelli Sears ND Instructor Policy and Procedure A detailed look at the revised version of the ND EMS Instructor Handbook. We will discuss policy and procedure instructors must follow with the State office and the NREMT when coordinating or conducting an EMS course. New issues of the Handbook will be distributed for each instructor in attendance. Ron Lawler Educational Tech From chalkboards to online quizzes, the technology we use to teach has changed greatly over the years. We will discuss some best practices for the technology you currently use. As time permits, we will explore different or new technologies that may help you reach more students (or keep your current students interested and motivated to learn). Ken Reed Are They Competent The primary goal of any EMS training program should be the production of entry level competent providers. But how can an EMS Instructor verify that their students have the necessary minimal competencies in the cognitive, psychomotor and affective domains to be successful. We will discuss some simple methods that any EMS Instructor can utilize to verify student competency. 8:00am – 12:00pm Air Goes In; Air Goes Out: Understanding and Managing Airway and Breathing Emergencies 4.0 NCCR BLS (3.0 Ventilation/1.0 Oxygenation) Presenter: Fidel Garcia Does your respiratory patient have a resistance problem, a compliance problem or a combination? How do I know? We will discuss assessment of the patient with a respiratory emergency. We will use case presentations as well as Q / A to identify and treat patients using appropriate equipment. You will be challenged to work through cases to manage the patient appropriately to prevent your patient from deteriorating. 8:00am-5:00pm “I” Got Rhythm (Rate Disturbance) 1.0 NCCR/7.0 LCCR hrs Presenter: Brian Donaldson Multi-lead ECGs are great, and understanding their proper use and interpretation is even better! In this session, Brian will start with some basic cardiac electrophysiology and progress through multi-lead ECG acquisition and rudimentary interpretation. Whether you’re new to the world of ECGs or just need to brush up on your knowledge and technique, you’re sure to enjoy this session. 10:00am – 12:00pm Extrication and EMS: Coordinating Team Delivery of Critical Care 2.0 LCCR hrs Presenter: Rommie Duckworth Good vehicle extrication demands a unique collaboration between rescue and emergency medical personnel. To save a victim (not just chop up a vehicle) you need command, coordination, communication and care. We improve the time from Ex to ED with a focus on “Get in, Get Care, Get Out”. This program incorporates ALS considerations in the extrication strategy using a real-world approach and shows how most critical trauma care can be managed quickly and effectively by BLS first responders. This program will help you better and more safely deliver immediate life saving treatment, reduce time from patient contact to patient surgery and improve the lives of the people you care for. 10:00am – 12:00pm Birthing Emergencies: First Rule Stay Calm (OB) 1.0 NCCR/1.0 LCCR hrs Presenters: Kevin McFarlane when the time comes. In most cases the presentation is normal and mom does all the work, we just catch. Describe the changes of the expectant mother. Participants will be able to identify the stages of labor. Participants will describe how to handle the normal childbirth. 1:00pm – 4:00pm Farm Rescue 3.0 LCCR hrs Presenter: Eric Toutenhoofd Agricultural emergencies are a part of life in North Dakota. Emergencies on farms can come in a wide variety of forms. This 3 hour workshop will cover EMS medical response to many Agricultural crisis including; machinery entanglement, chemical emergencies, crush injuries, harness hang injuries and more. Workshop will culminate in a hands on practice session. 1:00pm – 3:00pm Designer Drug Evolution: Managing Uncontrolled Patients on Controlled Substances (Psychiatric) 2.0 NCCR hrs Presenter: Rommie Duckworth Emergency services are confronted by horrific events caused by a surge in the use of new types of designer drugs. In this program we’ll use real world case studies to discuss the upsurge in Bath salts, Synthetic Marijuana, Salivia Divinorum and more; what these drugs are, where they come from, and what form they make take in the future. We’ll also discuss what regulators and law enforcement are doing to stop them, and what field providers can do to manage the fallout from this new wave of designer drugs. 1:00pm – 3:00pm Pediatric Crisis 1.0 NCCR At Risk/1.0 LCCR Presenter: Reuben Farnsworth When you suspect child abuse there are many emotions that come to mind; anger, resentment and a desire to set the world right. While these are all valid reactions, we will explore ways to deal with these situations without escalating the situation. Get ready for small group discussion and intriguing discussion. The student will understand the complex social dynamic present at the scene of suspected NAT. The student will understand and be able to identify common S/S of NAT. The student will be able to make decisions regarding the best course of action in the setting of NAT. 3:00pm – 5:00pm Golden Years: Geriatric Care (At Risk) 2.0 NCCR hrs Presenter: Kevin McFarlane This session will discuss the physiological and psychological changes that occur with aging. Communication and assessment techniques will also be discussed. Common geriatric emergencies and causes of trauma will be discussed. We will review physiological changes that occur with aging,review psychological changes that occur with aging, and review proper techniques for assessing geriatric patients. The student will be able to review common medical emergencies experienced by geriatric patients and also discuss pharmacologic concerns with geriatric patients. We will review the common causes of falls in the elderly. Bismarck Event Center Bonus Session 6:30pm – 7:30pm BLS Review Game Bonus Session 1 LCCR Presenter: Reuben Farnsworth/Fidel Garcia Come on down, you’re the next contestant on the EMS Challenge. This class is limited to 40 students, 20 is better. We will square off in teams and go head to head, testing your knowledge of the stated topic. Get your competitive edge out, polish up your knowledge, stretch your thumbs, and get ready to buzz in for fun. This game encourages teamwork in a competitive game setting with prizes for the winners. This is a game show format with questions germane to the topic chosen. It is designed to encourage review of basic concepts and some advanced topics in the chosen area of study. A very engaging and fun review session. The opportunities to handle birthing emergencies are rare in most busy EMS systems and can even be more so in rural systems. The rarity of births matched with the “mystery” of it leads to apprehension in EMS providers. Refreshing the process and stages of labor as well as the patient treatment will help you relax 14 RESPONSE TIME Winter 2015 Lisa Bean, NREMT-P Lisa has been in EMS since 1991 and she received her Paramedic license in 1996. Currently Lisa works for Standing Rock Ambulance and has been there for 10 years. She looks forward to combining her passion for riding motorcycle and EMS to help further your knowledge on Accident Scene Management involving motorcycle crashes. a look at some of the most common types of sports injuries to children and teenagers from Little League through High School. We will review how children are often injured while riding bicycles, skateboarding and playing baseball, football and soccer. We will discuss the treatment for sprains, strains and injuries caused by repetitive sports. We will also discuss sports related trauma calls such as fractures, head injuries and blunt trauma. We will discuss both BLS and ALS treatment for specific sports injuries and will end the session by immobilizing a baseball player with a common baseball injury. Suzette Berg, NREMT-P Friday 2:30pm-3:30pm Suzette is a Critical Care Paramedic with Standing Rock Ambulance, Sterling Rescue & Kidder County Ambulance Services. She enjoys riding her own motorcycle and personally found the need for EMS and the rider to learn more about the unique skills for responding to or coming across motorcycle crashes. Friday 8:00am-10:30pm Saturday 9:30am-12:00pm Anatomy of a Motorcycle Crash 2.5 LCCR Limit of 30 per session Sign up in the registration area Learn the specifics of responding to a motorcycle trauma form helmet removal to psychosocial concerns. We all know that CPR and First Aid are highly regarded as life saving skills that everyone should know. With the changes in CPR, survival from cardiac events has increased dramatically but trauma requires a different set of skills. This is particularly evident in Motorcycle Trauma. Learn the importance of the ABCSS of trauma to enhance survival. Ken Bouvier, NREMT-P Ken Bouvier, (Boo-V-A) is a true Louisiana “Cajun” from New Orleans, Louisiana and has been actively involved in EMS since 1975 and is recognized both nationally and internationally as a professional speaker in the EMS profession. Chief Bouvier is a Nationally Registered EMT-Paramedic and serves as the Deputy Chief of Operations for New Orleans EMS. Chief Bouvier serves as the EMS Commander for most major events including Mardi Gras and served as the EMS Commander for Super Bowl XLVII in New Orleans. Chief Bouvier was responsible for commanding both New Orleans EMS and Mutual Aid Ambulances following Hurricane Katrina. Chief Bouvier retired as the Fire Chief for Monsanto after serving 37 years. Chief Bouvier was the President of the National Association of Emergency Medical Technicians (NAEMT) from 2004 – 2006. In 1989 he received the Robert E. Motley National EMT of the Year Award and in 2008 he received the prestigious Rocco V. Morando EMS Lifetime Achievement Award. In 2012 Chief Bouvier and New Orleans EMS received the Dick Ferneau EMS Paid Service of the Year Award. Chief Bouvier is an active member of the Louisiana Association of Nationally Registered Emergency Medical Technicians and a past president of the New Orleans EMT Association. Chief Bouvier has an extensive educational background in emergency response that spans over three decades. He holds certifications from Louisiana State University, Texas A&M University, Florida State Fire College, Louisiana State Police Academy and the National Fire Academy. Chief Bouvier is a Certified Law Enforcement Active Shooter Instructor. Chief Bouvier is a member of the Editorial Advisory Board of EMS World Magazine and has written articles for EMS & Fire Service publications, made written contributions to 11 EMS textbooks and is the author of several video training tapes. Friday 10:45am-12:00pm Bats, Balls and Trauma Calls 1.5 BLS NCCR-CNS Injury This session will help First Responders, EMT’s, Paramedics, Nurses, and Physicians better understand sports injuries that occur in neighborhood ballparks. During this session we will take RESPONSE TIME Winter 2015 School Shootings, Ready or Not 0.5 NCCR Triage/0.5 LCCR This session is designed to help First Responders, EMT’s and Paramedics to be better prepared to handle incidents where school children have become victims of gun violence. During this session we will review shooting incidents where children have been both critically injured and killed while attending school. During this session we will explain how your EMS system may become overloaded with request for service. We will also remind responders that they may be forced to render care to children that they know from the community including their own. During this session we will explain scene safety, and how to manage the scene, including dealing with concerned parents. We will also explain how to respect the crime scene. We will also explain both BLS & ALS treatment for Gun Shot Wounds. Conference Session Conference Session 2015 Saturday 9:30am-10:30am Motor Vehicle Collisions 1 LCCR At the completion of this session Medical First Responders, EMT’s and Paramedics will have a better understanding of how the body can be injured in a collision. We will discuss why the National Highway Traffic Safety Administration (NHTSA) would like for EMS practitioners to stop using the term accidents and instead use the term collisions. During this session we will discuss the Mechanism of Injuries and Kinetic Energy. This session will include a unique slide show that shows how some injuries may occur from safety devices such as seat belts and air bags. We will discuss and demonstrate rapid forward deceleration and rear-end collisions. We will explain how to provide both BLS & ALS care. We will also explain that some patients that arrive with a C-Collar and Spinal Immobilization may be suffering from serious injuries to their Head and Neck, but could also have other serious injuries to their chest, pelvic or vital organs. You will have a better understanding of the force and energy that is produced during a collision that often causes internal organ damage that is very difficult to recognize without a complete primary and secondary assessment that includes vital signs. At the completion of this class you will better understand the importance of the “Golden Hour”. We will also discuss how EMS sometimes becomes victims of Ambulance Crashes. We will speak openly about the importance of defensive driving programs, following the rules of the road, speeding, distractions and lack of knowledge about ambulances by some drivers. Saturday 2:30pm-3:30pm Extreme Gunshot Wounds 1 LCCR This session is designed to help Prehospital Care Practitioners better understand and manage Extreme Gun Shot Wounds. Each year nearly 55,000 people are killed as a result of firearms. Medical reports indicate that nearly 500,000 people Dial 911 and use the Emergency Medical Services for Extreme Gun Shot Wounds each year. The high incidence of injury and death due to firearms is second only to motor vehicle accidents. This session will use Gun Violence data collected from U.S. Cities including the City of New Orleans “The Big Easy”! During this session we will discuss types of weapons used and explain the following topics: Types on Injuries, Mechanisms of Injury, Kinetic Energy, Shock from Blood Loss, Basic and Advanced Life Support. Saturday 3:45pm-4:45pm Prehospital Care for the Morbidly Obese Patient 1 LCCR This session will help First Responders, EMT’s, Paramedics, Nurses, and Physicians have a better understanding of how morbidly obese patients are injured. We will use a unique power point presentation to show how difficult it is for obese patients to do simple things such as eating and using the toilet. During this session we will take a look at some of the most common injuries in obese patients and how difficult it is to render care. We will dis- 15 cuss how normal prehospital care equipment just doesn’t work. We discuss the use of bariatric equipment including stretchers and ambulances. We will discuss the treatment for sprains, strains, fractures and head injuries that are caused by their size and weight. We will also discuss how the obese patient often suffers from multiple medical conditions. We will discuss both BLS and ALS treatment for the morbidly obese patient. Thomas Dobrzynski, NREMT-P Thomas Dobrzynski has been in emergency medical services since 1997, originally earning his EMT through the military. Tom continued to serve has a combat medic with the MN National Guard for 9 years, being deployed once to Bosnia. In his younger years as a member of Civil Air Patrol Tom has gone through remote rescue training with the US Air Force Para rescue Jumpers going over high and low angle rescue. Before going to paramedic school, Tom has worked with rural BLS ambulance services in Central MN. In 2005 Tom earned his Paramedic through F-M Ambulance. Tom worked as a Paramedic with F-M Ambulance since 2005 and also flying with Sanford AirMed in 2012 and 2013. Currently, Tom is working with NDSCS and F-M Ambulance Education department as the Paramedic Program Director teaching paramedic students cardiology and medical emergencies. He is a member of the NAEMSE Educational Technology Committee. Tom has a wife and three adorable kids. He enjoys being in the outdoors and going north to the MN Boundary Waters. Friday 7:00pm-8:30pm Pit Crew CPR 1.5 ALS NCCR In this seminar we will look at the phases of cardiac arrest and how good quality compressions can affect the outcome of out of hospital cardiac arrest. We will also look at PIT CREW CPR as one method of improving the quality of cardiac arrest management. Saturday 2:30pm-3:30pm Pediatric Rate Disturbances 1 BLS NCCR Everyone loves kids. Until they are in your truck. We will discuss cardiac rate issues in children, their common causes and physiologies. Then we will talk about what to do about them. Brian Donaldson, NREMT-P Brian Donaldson has been active as a volunteer and paid care provider for over 30 years, delivering care at both the BLS and ALS levels. He has served on local and state EMS boards, committees, and task forces and works tirelessly with elected officials as an advocate for EMS. A former full-time EMS educator, he is a frequent presenter at emergency medical conferences and symposia across North America. Brian is employed as Executive Director of SEMS Paramedic Services in Sumner, IA and is currently certified as an Ambulance Service Manager and Critical Care Paramedic. When not working, he may be found scavenging for antiques, or at his home where he enjoys brewing and sampling beers. Thursday 8:00am-5:00pm Precon Session “I” Got Rhythm 1.0 NCCR 7.0 LCCR See preconference description under the pre-conference sessions. Friday 8:00am-9:00am Cherry Red or Midnight Blue 1 LCCR Each year in the United States, more than 2500 deaths and countless illnesses are attributed to carbon monoxide poisoning. If you look in the EMS textbooks, you’ll find little information and a great deal of misinformation related to this common problem. In this interactive discussion, Brian will answer questions related to patients who are at greatest risk of complications from exposures and what the real presenting signs and symptoms may be. Risk stratification and prehospital treatment will be the focus of this action packed session that you won’t want to miss. 16 Friday 9:30am-10:30am Unskinny Bop: Understanding Hypertensive Complications of Pregnancy 1 NCCR OB Emergency Few things strike fear into the heart of an EMS professional in the way OB emergencies do! This OB case presentation will cause you to sit up and take notice, as it follows a challenging eclampsia case from initial dispatch through clinical conclusion. Hypertensive complications of pregnancy, including PIH, HELLP Syndrome and eclampsia are reviewed, along with currently accepted therapies. You’ll want to join Brian for this informative session which is guaranteed to be worth the price of admission! The participant will be able to identify hypertensive complications of pregnancy. You will also be able to identify current therapies for hypertensive complications of pregnancy and identify potential life threats to mother and fetus associated with hypertensive complications of pregnancy Friday 2:30pm-3:30pm Funky Cold Medina 1 NCCR Great job Lifesaver! Your patient has just regained a pulse, you know, that ROSC thing . . . but now what? I seem to remember something about waving chicken bones over them, or was it burning incense over them, or I know, we’re supposed to cool them down. This session takes a look at the use of induced hypothermia after achieving ROSC for both BLS and ALS providers. In this informative session, Brian will discuss who, what, when, where, why, and how of induced hypothermia. He’ll also touch on ways to achieve the ever elusive ROSC, like public outreach CPR and PAD programs. Bring your jacket and mittens, and let’s talk about hypothermia. Saturday 8:00am-9:30am Afternoons and Coffee Spoons 1 NCCR By far, the most frequent patient encounter we have is with the geriatric patient. Why then, do we not have a better understanding of this patient population? The geriatric patient often presents the care provider with unique challenges to their assessment and treatment, whether a medical or traumatic injury case. This session will begin to explore the challenges and rewards associated with caring for the elderly patient. Brian draws upon years of experience in the prehospital and clinical settings in the upper midwest, the “grey belt” of the country, to help clarify some of the issues unique to the geriatric population. Rommie Duckworth, LP Rommie is a dedicated emergency responder and award-winning educator Rom Duckworth has more than twenty years of experience working in career and volunteer fire departments, public and private emergency services and hospital based healthcare systems. Rom is a frequent speaker at national conferences and a regular contributor to research, magazines, and textbooks on topics of field operations, leadership, and education in emergency services. Founder of the New England Center for Rescue and Emergency Medicine, Rom is past volunteer chief officer and current career Fire Lieutenant / Paramedic and EMS Coordinator. Using his background in local, regional and national emergency response, Rom’s energetic style blends humor, practical experience and the latest research for programs you won’t soon forget. Thursday 10:00am-12:00pm Precon Session Extrication and EMS: Coordinating Team Delivery of Critical Care 2 LCCR See session description under the pre-conference sessions. Thursday 1:00pm-3:00pm Precon Session Designer Drug Evolution - 2 NCCR See session description under the pre-conference sessions Friday 8:00am-9:00am The Airway of Choice: What is the Role of Endotracheal Intubation in EMS Airway Management 1 ALS NCCR The endotracheal tube is still the gold standard for airway control, but how safe and effective is prehospital intubation as a medical skill? What roles should “alternative” airways play in your practice? RESPONSE TIME Winter 2015 Friday 9:30am-10:30am Stroke in the Young: Big Number for Little People 1 NCCR younger than 18 years. The financial burden to society of children who survive childhood injury with disability continues to be enormous. The entire process of managing childhood injury is complex and varies by region. Only the comprehensive cooperation of a broadly diverse group of people will have a significant effect on improving the care and outcome of injured children... This session will address injuries and illnesses of children and their respective treatment modalities from the scene through ED. There will be an emphasis on collaboration and teamwork to benefit patient care. New information shows incidents of ischemic stroke increasing more than 50% in patients 5 to 14 years old since 1995, despite an overall decrease in stroke among older patients over the same period. In fact, in younger patients (under 45 years old) there have been similar increases among all types of stroke. Despite these increases in incidence, many of these stokes go undiagnosed due to the mindset that these patients are simply “too young for a stroke”. This program presents assessment tools and innovations in care that can help us provide better outcomes for all victims of cerebrovascular accident. In this session we explain the startling reasons behind these dramatic numbers, what EMS can do about them and the diagnostic approach that catches what others often miss. Friday 2:30pm-3:30pm Friday 1:00pm-2:00pm Managing the Special Needs Patient in Your Community 1.5 NCCR The Silent Majority: Geriatrics in the New Millennium 1 NCCR The proportion of the elderly in America is greater today than ever before and is growing even larger. What’s more, the elderly tend to be our sickest and most challenging patients. What signs and symptoms may indicate common disease processes, the normal signs of aging or special needs of the geriatric patient? With a focus on every aspect of caring for your patient, this presentation answers your questions so that you’ll love what you learn. Jason Dush, NREMT-P Jason serves as the Special Operations Manager for the Texas Department of Public Safety Division of Ememrgency Management and Homeland Security. He previosuly served as the Chief Operating Officer for MedicOne Medical Response which is a national private ambulance company headquartered in Dallas, TX. Jason has also worked as a full-time Firefighter paramedic for the Arlington Fire Department and parttime Critical Care Flight Paramedic with CareFlite. Jason’s resume includes a combined 21 years of paid EMS/Fire and 13years as a Critical Care flight paramedic. Other experiences include 3 years as the EMS Clinical Coordinator for the Arlington Fire department and 7 years on a ground ambulance with Austin-Travis County EMS. Jason has been an active commissioned police officer and tactical paramedic since 1997, currently commissioned with the Bedford Police Department. Jason is passionate about his profession and is a well known for bringing a sense of humor, excitement and practical experience to his audience as a local and national speaker over the last 14 years. He is currently completing his BS in Emergency Services Administration. Friday 9:30am-10:30am ABCs of Critical Thinking 1 LCCR Critical thinking in medicine requires using logic to understand medical problems and make reasonable decisions in patient management. Have you had that patient that stumped you or made you really think? Have you had that call where your patient assessment and management flow didn’t go so well because you didn’t know where to start with treatment priorities? Jason will break down and simplify the ABC’s of patient assessment, management, and treatment priorities. This fun and exciting class will have you walking away feeling more comfortable, confident and competent with your critical thinking and patient management skills. Friday 1:00pm-2:00pm Curbside to Bedside: Pediatric Trauma Case Studies 1 LCCR Battered and Beaten: Uncovering the Invisible Signs of Domestic Abuse 1 NCCR Based on reports from 10 countries, between 55 percent and 95 percent of women who had been physically abused by their partners had never contacted non-governmental organizations, shelters, or the police for help. Domestic violence is a serious problem that needs to be stopped sooner than later. This session will help you better prepare to recognize patients suffering from the physical and mental injuries from abuse, documentation, reporting, and management during transport. Conference Session This program evaluates where EMS airway choices change if the problem is medical illness or traumatic injury? Do field-placed ET tubes improve patient outcomes? Should all cardiac arrest patients arrive at the hospital intubated? These questions and more will be discussed in the context of the latest trends, research and expert opinion. Saturday 10:45am-12:00pm Although every special-needs patient is different and every family is unique, there are some common concerns that link these patients together. Maintaining appropriate care and management in the prehospital setting can be a challenge when not properly trained and prepared for these unique cases. With newer and updated equipment, it has become more common and practical for patients once cared for in the hospital setting to be cared for at home. Specialized equipment, chronic conditions, communications, management, and transport of these patients can be a challenge for prehospital providers. This session will review some of the latest and greatest devices, management, and transport considerations. Saturday 2:30pm-3:30pm Three Storks and a Baby: OB Emergencies 1 NCCR This exciting lecture is geared for all Fire based EMS, Third city EMS services and private EMS provides and educators. This presentation will cover the nuts and bolts of obstetrical emergencies. Obstetrical emergencies can seem like routine and boring medicine most of the time. How many people are prepared and knowledgeable of the “Real Deal” obstetrical emergency? This presentation is filled with great educational slides and cases of real obstetrical emergencies and delivery complications that prehospital providers may face. Reuben “Slim” Farnsworth, NREMT-P Reuben “Slim” started his career in EMS as an EMT-B on a rural volunteer service. After 5 years as a volunteer, he made the move to full time EMS as an EMT-B. 2 years later, he became a Paramedic. With 12 years in EMS on both the volunteer and career sides, Slim has a good grasp of EMS. Slim started teaching EMT-B and CPR classes in 2006. After that, it was downhill so to speak, Slim has been teaching extensively ever since. He is currently a Paramedic and Education Coordinator with Delta County Ambulance District and teaches full time all over Colorado on topics from CPR to Paramedic Refresher and everything in between as well as initial certification classes at the EMT-B and EMT-I level. Slim is an entertaining speaker and has been known to throw small doses of cowboy poetry and western humor in at inopportune times. Thursday 1:00pm-3:00pm Precon Session Pediatric Crisis Preconference Session 2 NCCR See session description under the pre-conference sessions. Thursday 6:30pm-7:30pm Precon Session BLS Review Game-Bonus Session 1 LCCR See session description under the pre-conference sessions. Injury is the number 1 killer of children in the United States. In 2009, injury accounted for 69.5% of all deaths in children RESPONSE TIME Winter 2015 17 Friday 1:00pm-2:00pm Fidel Garcia, NREMT-P We’ve all done them before, and many of us love them; rodeo standby. These are what I like to refer to as a Trauma Rich Environment. Have you ever stopped to consider some of the common injuries that we see from rodeo accidents, and even more importantly, we will discuss the multi-faceted aspect of team safety in the rodeo environment? Be ready for some great pictures, videos and discussion about the wild world of rodeo trauma. The student will understand the many scene safety issues which may be present at the scene of a rodeo trauma. The student will be able to identify common mechanisms of injury in rodeo trauma. The student will be able to anticipate common underlying injuries in the setting of rodeo trauma. Fidel is currently the President / Owner of Professional EMS Education, LLC. Fidel has been presenting at local, Regional, State and National EMS conferences for the past 18 years, as well as providing CE programs in CO, AK, UT, and NM. Starting his EMS career in 1980, Fidel worked 20 years for hospital based; private and volunteer ambulance agencies as well as a flight Paramedic for 10 years and EMS Education Coordinator for a Level II Trauma Center. Fidel has been providing EMS Education for the last 30 years and has articles published in a State EMS journal as well as writing for an EMS textbook and is a frequent reviewer for ALS and BLS EMS textbooks. Cowboy Up and Die! : The Wild World of Rodeo Trauma 1 LCCR Friday 3:40pm-5:00pm Closing Session Why Do We Eat Our Young-Breaking the Hazing Trend 1.5 NCCR A look at common hazing practices in EMS. We will talk about the culture of “breaking in a rookie”, hazing, and the ways that we often discourage new providers. Prepare yourself for some laughs as you encounter Reuben’s unique brand of EMS Poetry. Prepare for some personal introspection as well. If you are ready to change the way we encourage new EMS providers, come and join the fun. The student will understand some of the ways that new providers are discouraged on entering EMS. The student will walk away with a greater appreciation for better ways to encourage new providers. The student will understand the necessity of breaking away from the current culture and embracing a new paradigm. Saturday 9:30am-10:30am Trauma Martini on the Rocks: Mining Trauma Made Easy 1 LCCR Overview: You are toned to respond to a local gravel quarry for……. (Use your imagination and insert your favorite mining trauma here.) If you want to know more about crazy trauma, look no further. Whether you crave crushing injuries by 30 ton machines, falls, explosions, or just a good fracture, this is the class for you. We will delve into the many unique injuries and mechanisms of injury that occur in mining operations. And don’t forget scene safety. Let the mayhem begin!!!!The student will understand the unique types of trauma that occur in the setting of mining operations. The student will understand scene safety issues that are unique to mining operations. The student will understand some of the unique scenarios and complications that arise with mine trauma. Saturday 2:30pm-3:30pm What’s That in My Patient 1 NCCR This course takes a look at all the gadgets our patients have to aid their medical situation. We will cover common devices that are implanted and attached, while discussing common issues with these devices and the best methods for EMS providers to assist in their operation or malfunction. Saturday 3:45pm-4:45pm Old MacDonald Had a Multi-Systems Trauma: Farm Trauma- What You Need to Know 1 LCCR You are toned to respond to a local farm for……. (Use your imagination and insert your favorite farm trauma here.) If you want to know more about crazy trauma, look no further. Whether you crave arms wrapped around PTO shafts, or muddy corrals where someone just played chicken with a Brahma bull, this is the class for you. We will delve into the many unique injuries and mechanisms of injury that occur on the farm and ranch. And don’t forget scene safety. The student will understand the unique types of trauma that occur in the farm and ranch setting. The student will understand scene safety issues that are unique to the farm and ranch. The student will understand some of the unique scenarios and complications that arise with farm trauma. Thursday 8:00am-12:00pm Precon Session Air Goes In; Air Goes Out: Understanding and Managing Airway and Breathing Emergencies See session description under the preconference sessions. Thursday 6:30pm-7:30pm Precon Session BLS Review Game-Bonus Session 1 LCCR See session description under the preconference sessions. Friday 8:00am-9:00am Fast – Slow – None! Managing Cardiac Emergencies in the Pediatric Patient 1 BLS NCCR The call for a pediatric patient is always unnerving, and when we have a critically ill child from a cardiac problem it seems worse. Using case presentations we will discuss different cardiac events that can lead to a hemodynamically unstable pediatric patient, as well as discuss a treatment approach for these children. Friday 1:00pm-2:00pm How Sweet it is: A Look at Diabetic Emergencies 1 BLS NCCR Endocrine emergencies are always challenging cases. We will look at the three types of diabetic emergencies we may encounter in the field. Using a case presentation we will differentiate signs and symptoms of each, and develop a treatment plan for your patient. The participant will be able to recognize S & S hypoglycemia, DKA and HHNKC. The participant will be able to list causes of each of the problems. The participant will be able to develop a treatment plan for patients suffering a diabetic emergency. Friday 2:30pm-3:30pm Pediatric Assessment-Cardiac Arrest 1 NCCR Death in children occurs primarily from shock and respiratory emergencies. We will look at the importance of doing a rapid yet thorough assessment we will also discuss treatment plans for your patient. The participant will be able to recognize ominous signs when assessing a critically ill child.The participant will be able to develop an effective treatment plan. The participant will be able to understand the significance of treating the patient quickly and effectively. Dan Gilmore Dan Gilmore has been involved in E.M.S. since 1992, starting his career in E.M.S. with a small funeral home owned ambulance company. Dan has collected a vast amount of antique emergency medical equipment including two vintage Horton Ambulances. Dan has a passion for preserving the history of emergency medical services and sharing that history with younger generations of E.M.S. providers. He is a 13-year veteran firefighter/paramedic with the Plain Township Fire Department in New Albany, Ohio and lives in Kingston, Ohio with his wife and children. Saturday 8:00am-9:00am A Walk Through the History of EMS 1 LCCR This session will walk you through the history of EMS, from the 18 RESPONSE TIME Winter 2015 Tim Hillier, Advanced Care Paramedic Tim began his career in 1984 as a volunteer “Ambulance Driver” (his words) in his hometown of Rivers Manitoba, population 800. His love of the profession moved him to Saskatoon Saskatchewan where he continued his training and moved up the ranks going from EMT to Paramedic, Shift Supervisor to Director of Education. He has a passion for teaching others and currently holds instructor certifications in ACLS, BCLS, BTLS, PEPP and CAMATA (Aeromedicine) and is completing his Masters in Learning and Technology through Royal Roads University in Victoria, BC He currently lives just outside of Saskatoon on 10 acres with his wife Eileen and their two horses, a diabetic cat and his dog named Lily. Saturday 3:45pm-4:45pm Sickly Sweet Diabetic 1 BLS NCCR The incidence of diabetes in increasing in North America at an alarming rate. This session reviews the hows and whys of diabetic emergencies. Jodi Holston, NREMT-P Jodi Goos Holston is a Paramedic Educator and full time Clinical Coordinator for the F-M Ambulance/NDSCS Paramedic program. Jodi started her career in EMS in Roseau, MN in 1988. She made the big move to Fargo, ND and F-M Ambulance in1988. Jodi has earned several awards of excellence, has been on many different committees, started various classes that have been taught throughout many states, has initiated and created community projects and has many, many good and bad experiences that has enabled her to have firsthand experiences that she is very passionate in teaching about. Friday 9:30am-10:30am Friday 7:00am-7:50am Coronary Heart Disease is America’s number one killer. Heart attack and stroke are life-and-death emergencies -- every second counts. In this session we will review common and uncommon presentations so you can maximize your assessment time and get the best care available to your patients. At the completion of this class you will be able to synthesize patient history, assessment findings, and ECG analysis to form a field impression for the patient with cardiac complaints. Understand based on the clinical evaluation of the patient with cardiac complaints; list the anticipated clinical problems according to their life-threatening potential. You will also be able to integrate pathophysiological principles into the assessment of a patient with cardiovascular disease. Would you rather be the Incident Commander on a 48 car railroad derailment containing ammonia, gasoline, and raw sewage than be called to a patient with vaginal bleeding? This session will help you to turn that around. Broken Hearts: Cardiac Emergencies 1 NCCR Friday 1:00pm-2:00pm Prehospital CPAP Like D 50 for CHF 1 NCCR Continuous Positive Airway Pressure. It sounds and looks intimidating but can and should be done by all levels of EMS. This session reviews common presentations of patients that would benefit from CPAP as well as providing an understanding of how the system works. Friday 2:30pm-3:30pm The Super Bugs are Coming: Infectious Diseases 1 NCCR SARS, VRE, MRSA… The bugs are getting stronger. What are these infectious conditions and how do we keep ourselves safe while providing optimum care for our patients…and the next patient to get in our ambulance. You will be able to define SARS, VRE, MRSA, Pandemics and describe techniques to avoid cross contamination and list ways that EMS is impacted by a Pandemic. Saturday 8:00am-9:00am Trauma, Country Style 1 LCCR Agriculture has one of the highest rates of death and disability of all occupations. They are also some of the most dangerous scenes for EMS providers to attend. This session reviews some of the common injuries on the farm and looks at safe assessment and management of these patients. We will review common causes of farm related trauma. We will describe safe scene management of farm accidents and review common farm related injuries and treatment options. Saturday 9:30am-10:30am UnSpinal Trauma 1 LCCR The evidence is out there and has been for quite some time. Long backboards are at best ineffective and at worst they are harming your patients. The biggest trauma we are facing now is the psychological trauma of implementing a change this large in our systems. This session reviews the evidence and proposes a new model for trauma care of the suspected spinal injured patient. You will review the anatomy and physiology of the spine review the literature surrounding Spinal Immobilization. You will also discuss alternatives to global immobilization based on MOI. RESPONSE TIME Winter 2015 Conference Information beginning of recorded time to present. Learn about the past advancements in emergency patient care and the continual changes that have brought EMS to where it is today. Don’t be a Whino About the Gyno 1 LCCR Ron Lawler, NREMT-P Ron has had a diverse career. He has worked in the military, retail, manufacturing and service industries. He became involved in EMS in the late ‘90s at F-M Ambulance Service (with a brief time in Georgia). He has held several positions including dispatcher, EMT, Paramedic, ALS educator, Paramedic Program Coordinator and now Director of Sanford Health EMS Education. Ron is active in EMS research (with 3 published abstracts) and has presented at several national conferences. Ron is a member of the NAEMSE Education Technology Committee and the NAEMSE Research Committee. Thursday 8:00am-5:00pm ND EMS Instructor Update-Recertification Friday 8:00am-9:00am Allergic Reactions/Anaphylaxis 1 BLS NCCR BEES! Even though they are cute and fuzzy, these little bugs can cause massive damage to sensitive people. We will talk about how that happens and what to do to help your patient when it happens. No bees will be harmed during the presentation of this class… Friday 9:30am-10:30am Pediatric Cardiac Arrest 1 NCCR This session will focus on optimizing CPR techniques for the pediatric patient. We will also discuss a few pathologies that may cause cardiac arrest in children like the hockey puck to the chest and overdoses. Saturday 8:00am-9:00am Bleeding Control 1 NCCR Need to save a limb? This session will be a discussion of the risks and benefits of tourniquets including recent research. Students will practice/observe applying commercially available and field improvised tourniquets. Saturday 2:30pm-3:30pm Role of Research 1 NCCR What is research? How do you read those odd looking papers and what does it mean? Why should I care? These questions and others will be discussed in this session. 19 Kevin McFarlane, RN Kevin is currently a RN supervisor at University of New Mexico Hospital Emergency Department. Kevin is also the education director for Southwest Emergency Education and Consulting. Kevin is a board Certified Emergency Nurse and Pediatric Emergency Nurse. Kevin has been a presenter at numerous EMS and nursing conferences around the country on a variety of emergency medical and emergency nursing topics. Thursday 10:00am-12:00pm Precon Session Birthing Emergencies, First Rule is Stay Calm Preconference Session 1 NCCR /1 LCCR See description of session in pre-conference session section. Thursday 3:00pm-5:00pm Precon Session Golden Years, Geriatric Care Preconference Session 2 NCCR See description of session in pre-conference session section Friday 9:30am-10:30am Identifying and Avoiding a Respiratory Death 1 NCCR Mosby’s medical dictionary defines respiratory failure as ‘the inability of cardiac and pulmonary systems to maintain an adequate exchange of oxygen and carbon dioxide in the lungs’. Many pathologies can cause respiratory failure, but failure is a problem of either oxygenation or ventilation. In this session we will discuss the signs and symptoms of impending respiratory failure, and how both the BLS and ALS providers can intervene before it is too late. We will have a discussion of common respiratory emergencies along with the signs of pending respiratory arrest. We will discuss respiratory interventions for both the BLS/ ALS providers. Friday 2:30pm-3:30pm That’s Going to Leave a Mark 1 NCCR This session will discuss sports-related injuries, with emphasis on head, neck and, extremity injuries. Common mechanisms of injury, potential injuries associated with various sports will be discussed. Not only will we discuss handling the child but the parents as well. We will discuss the pediatric trauma and common injuries in many sports. We will review communicating with kids and parents and also discuss pain control. Saturday 8:00am-9:00am Trauma Care: The Right Place at the Right Time 1 NCCR This presentation reviews the National Highway Traffic Safety Administration document “Working Group Best Practice Recommendations for the Safe Transportation of Children in Emergency Ground Ambulances,” including discussion of various scenarios involving the transport of ill and/or injured children. The presentation includes a demonstration of securing a child car seat to a stretcher. Dwight A. Polk, MSW, NRP Dwight is the Paramedic Program Director at the University of Maryland Baltimore County (UMBC) in Baltimore, MD. Dwight has a Master’s Degree in Occupational Social Work and is a Clinical Social Worker and Crisis Counselor for the Grassroots Crisis Center and two Critical Incident Stress Management (CISM) teams in the Baltimore region. In addition to being a fulltime educator, Dwight is a national speaker on the EMS lecture circuit, specializing in the psychosocial aspects of EMS care. He is a volunteer paramedic in Maryland and is the co-author of two textbooks by Jones & Bartlett - “Prehospital Behavioral Emergencies and Crisis Response” and “Law Enforcement Responder: Principles of Emergency Medicine, Rescue, and Force Protection.” Dwight has written for JEMS (Journal of Emergency Medical Services), publishing several articles on mental disorders, and he has an interest in behavioral emergencies, suicide, and wellness issues. Friday 8:00am-9:00am De-escalation Techniques: Let’s Talk About it 1 NCCR One of the best skills in the emergency responder’s bag of tricks is the ability to communicate with patients. So how do you go about talking down individuals in crisis who are panicked, scare, or out of control. This class will focus on how to conduct a quick scenesafety check, assess the client, and provide you a model on how to de-escalate patients who need your assistance. Friday 1:00pm-2:00pm No Place to Call Home: Homelessness in America 1 NCCR The homeless patient presents many challenges to the EMS provider. Most patients have complicated medical histories which can make a diagnosis and treatment difficult. This dynamic presentation will explore many of the common problems seen in the homeless including medical emergencies, trauma, mental illness, and substance abuse. Trauma care requires rapid assessment and decision- making in the field. This session will take you though the proper decisionmaking process for your trauma patients. We will review what truly constitutes a trauma center, appropriate field trauma triage criteria you should follow and limited field interventions recognized as the most beneficial for severely traumatized patients. We will define what Trauma is and list the components of a comprehensive trauma system. We will discuss the importance of appropriate trauma triage. Saturday 8:00am-9:00am Saturday 9:30am-10:30am If Helping Others is so Easy-Why Can’t We Take Care of Ourselves 1.5 NCCR Foreign Body Emergencies 1 LCCR 20 Saturday 9:30am-10:30am Pediatric Transport 0.5 NCCR/0.5 LCCR Dying to be Thin: Assessment and Management of Eating Disorders 1 NCCR An eating disorder can be a life threatening illness to the prehospital patient and one that is often misunderstood by the provider. Participants will learn about a variety of eating disorders, tools for assessment, and prehospital management techniques. Saturday 1:00pm-2:15pm It will never cease to amaze EMS providers what patient will do to themselves. It is not uncommon to have a patient present with a foreign body stuck anywhere from heads to tails. In this session we will discuss the common foreign bodies (FB) and discuss the emergency from the non-emergent. We will discuss common FB emergencies and ENT emergencies associated with FB along with potential complications of GI/GU. Have you ever realized that we’ll get out of a warm bed at 3 am to run a trauma code? ...or leave the Thanksgiving dinner table to go out on the big one? But when it comes time to take care of ourselves, we can barely put on a band aid! There is no better time that now to start looking at how you take care of yourself and your family. This dynamic and entertaining lecture will start you down the path to healthy living! Elizabeth Pihlaja Saturday 3:45pm-4:45pm Elizabeth Pihlaja has worked as the Emergency Medical Services for Children program manager with the North Dakota Department of Health Division of EMS & Trauma since August 2013. She earned her Master of Public Health degree from the University of Minnesota in 2013. Prior to her employment at the Department of Health, she worked with the Minnesota March of Dimes and the Minnesota Department of Human Services. She lives in Bismarck with her husband and their three-year-old daughter. Youth Suicide: When Kids Do the Unthinkable 1 NCCR Nothing can be more tragic than hearing that a young person has killed themselves. Suicide is the ultimate--a permanent solution to a temporary problem. What makes this particular population at risk for suicide? This lecture will explore common traits of youth suicide, warning signs, and assessment techniques. Intervention and coping strategies for the emergency responder will be also be discussed, as well as examining what happens to the survivors who are left behind. RESPONSE TIME Winter 2015 Ken Reed, Community Paramedic Conference Session Ken has been an active EMS provider since 1973 and a licensed paramedic since 1975. He has worked in a variety of rural & urban EMS systems throughout his career. Currently he serves as the Director of EMS for the Rugby EMS/ Golden Heart Services department at the Heart of America Medical Center in Rugby, ND and as the Community Paramedic Coordinator for the ND Department of Health. Ken is an enthusiastic and experienced educator who loves to entertain and challenge his fellow EMS providers to be their best. Thursday 8:00am-5:00pm ND EMS Instructor Update -Recertification Saturday 9:30am-10:30am Everything They Told You About Oxygen is Wrong 1 BLS NCCR This session will look explore the evolving role of oxygen therapy and look at the evidence-based research that suggests that the long held EMS standard of placing every patient on high flow oxygen may be unnecessary and in some cases, harmful. The session will use scenario based presentations to provide guidance on assessing oxygen needs and appropriate delivery methods. Saturday 12:10pm-12:55pm Broken Pumps and Flooding 1 NCCR CHF This session will focus on the changes in the management of acute congestive heart failure identified by current medical research. The session will review the pathophysiology, recognition and prehospital management of CHF by advanced level providers. Eric Toutenhoofd has been a Paramedic at Altru for for 10 years, and active in EMS education for 9. He received his training at NCTC in East Grand Forks, MN. Prior to becoming a paramedic he served in the USAF for 8 years. He is the father to three boys; Jace 13, Luke 11, and Drew 9. Thursday 1:00pm-4:00pm Precon Session Farm Rescue 3 LCCR See description of session in pre-conference session section CHOOSE AN IN-DEMAND CAREER IN EMERGENCY MEDICAL SERVICES Friday 12:10pm-12:55pm BSC Emergency Medical Services Program This class will discuss communicable diseases and the role EMS plays in both disease surveillance, and limiting transmission. Influenza, antibiotic resistant infections, and emerging viral diseases will be included. • 16-week EMT course with both spring and fall start dates Communicable Diseases 1 NCCR Friday 1:00pm-4:00pm Farm Rescue 3 LCCR See description of session in pre-conference session section Saturday 12:10pm-12:55pm Endocrine 1 BLS NCCR The prevalence of diabetes continues to increase, as does the number of diabetic emergencies. This class will discuss the pathophysiology and treatment of diabetic emergencies. Topics will include Type 1 and Type 2 diabetes and the difference between the two. Emergency care discussed will cover both BLS and ALS actions. Kelli Sears, BS, NRP • 12-month hybrid Paramedic Program (mix of online and face-to-face instruction) with fall start date • Continuing education to fulfill your requirements: • ACLS • PALS • BLS • NCCR Contact us today for information about the BSC Emergency Medical Services program. 701-224-5783, bismarckstate.edu/academics or [email protected]. Kelli has been the North Dakota State EMS Education and Training Coordinator/Licensing Specialist since January of 2014. She is a Nationally Registered Paramedic since 2004 and has been a ND EMS Instructor Coordinator since 2008. Kelli also holds instructor certification with the American Heart Association as a CPR, ACLS, and PALS instructor; and with the NAEMT as a PHTLS instructor. Prior to joining the ND Division of EMS and Trauma, Kelli worked fulltime as a ground paramedic, flight paramedic, and EMS/Paramedic Instructor in the northwest part of North Dakota. Thursday 8:00am-5:00pm ND EMS Instructor Update -Recertification See description of session in pre-conference session section Commission on Accreditation for Allied Health Education Programs facebook.com/bismarckstate RESPONSE TIME Winter 2015 ALH-003-1114 Eric Toutenhoofd, NREMT-P @Bismarck_State 21 EMS Rendezvous April 10, 2015 7:00am to 7:50am Bonus Session Don’t be a Whino About the Gyno Jodi Holston 1 LCCR Room 103 8:00am to 10:30am Anatomy of a Motorcycle Crash Suzette Berg and Lisa Bean-Birch Room-2.5 LCCR * Limit 30 8:00 am to 9:00 am Sessions (1 hour) De-escalation Techniques: Let’s Talk About it The Airway of Choice: What Fast – Slow – None! is the Role of Endotracheal Managing Cardiac Intubation in EMS Airway Emergencies in the Management Pediatric Patient Allergic Reactions/ Anaphylaxis Cherry Red or Midnight Blue Dwight Polk Rommie Duckworth Fidel Garcia Brian Donaldson Ron Lawler HALL A ROOM 101 ROOM 102 ROOM 103 ROOM 105 NCCR NCCR ALS Advanced Airway NCCR LCCR NCCR BLS Pediatric Cardiac Rate Disturbance Psychiatric BLS Immunological 9:30am - 10:30am Sessions (1 hour) Stroke in the Identifying and Young: Avoiding a Big Numbers for Respiratory Death Little People Broken Hearts: Cardiac Emergencies Unskinny Bop: Understanding Hypertensive Complications of Pregnancy Pediatric Cardiac ABCs of Critical Thinking Arrest Kevin McFarlane Rommie Duckworth Tim Hillier Brian Donaldson Ron Lawler Jason Dush HALL A ROOM 101 ROOM 102 ROOM 103 ROOM 105 PINE/SPRUCE NCCR NCCR NCCR LCCR Stroke BLS Chest Pain OB Emergency NCCR Pediatric Cardiac Arrest NCCR Ventilation 10:45am - 12:00pm General Session Bats, Balls and Trauma Calls Ken Bouvier-Hall A-1.5 NCCR CNS Injury 12:10pm – 12:55pm Bonus Session 1:00pm - 2:00pm Sessions (1 hour) 1 NCCR Curbside to No Place to Call Bedside: Home: Pediatric Trauma Homelessness in Case Studies America Communicable Diseases Eric Toutenhoofd-Rm 103 The Silent Majority: Geriatrics in the New Millennium Cowboy Up and Die!!!: The Wild World of Rodeo Trauma How Sweet It Is: A Look at Diabetic Emergencies Prehospital CPAP-Like D50 for CHF Jason Dush Dwight Polk Rommie Duckworth Reuben Farnsworth Fidel Garcia Tim Hillier HALL A ROOM 101 ROOM 102 ROOM 103 ROOM 105 PINE/SPRUCE NCCR NCCR LCCR At Risk At Risk LCCR NCCR BLS Endocrine NCCR Ventilation/CHF 1:00pm – 4:00pm Concurrent Session Farm Rescue Eric Toutenhoofd-Birch Room- 3 LCCR 2:30pm - 3:30pm Sessions (1 hour) Battered and Beaten: The Super Bugs are Coming. Infectious Uncovering the Diseases in the Invisible Signs of Prehospital Setting Domestic Abuse School Shootings, Ready or Not Funky Cold Medina That’s Going To Leave a Mark Pediatric Assessment: Cardiac Arrest Ken Bouvier Brian Donaldson Kevin McFarlane Fidel Garcia Jason Dush Tim Hillier HALL A ROOM 101 ROOM 102 ROOM 103 ROOM 105 PINE/SPRUCE NCCR NCCR NCCR Field Triage CNS Injury NCCR Pediatric Cardiac Arrest NCCR Post Resuscitation Care NCCR Communicable Diseases At Risk 3:40pm - 5:00pm Closing Friday Session – Why Do We Eat Our Young-Breaking the Hazing Trend Reuben Farnsworth-Hall A-1.5 Affective NCCR 22 7:00pm to 8:30pm: Bonus Education Session (Ramkota Hotel) Pit Crew CPR 9:00pm to 1:00am Theme Night – Blast From the Past (Ramkota Hotel) Tom Dobrzynski 1.5 NCCR RESPONSE TIME Winter 2015 8:00am - 9:00am Sessions (1 hour) Trauma Care: Trauma, Country The Right Place Style at the Right Time Afternoons and Coffee Spoons Bleeding Control Dying to Be Thin: Assessment and Management of Eating Disorders A Walk Through the History of Our Profession Kevin McFarlane Tim Hillier Brian Donaldson Ron Lawler Dwight Polk Dan Gilmore HALL A ROOM 101 ROOM 102 ROOM 103 ROOM 105 PINE/SPRUCE NCCR LCCR NCCR NCCR NCCR LCCR At Risk Tourniquets Psychiatric Field Triage 9:30am to 12:00pm EMS Rendezvous EMS Rendezvous April 11, 2015 Anatomy of a Motorcycle Crash Suzette Berg and Lisa Bean-Birch Room-2.5 LCCR * Limit 30 9:30am - 10:30am Sessions (1 hour) ND Dept of Un-Spinal Trauma Health: EMS for Children Foreign Body Emergencies Motor Vehicle Collisions Trauma Martini On The Rocks: Mining Trauma Made Easy Everything They Told You About Oxygen is Wrong Kevin McFarlane Tim Hillier Elizabeth Pihlaja Ken Bouvier Reuben Farnsworth Ken Reed HALL A ROOM 101 ROOM 102 ROOM 103 ROOM 105 PINE/SPRUCE LCCR LCCR NCCR LCCR LCCR NCCR Pediatric Transport 10:45am - 12:00pm General Session BLS Oxygenation 12:10pm - 12:55pm Bonus Session Managing the Special Needs Patient in Your Community Jason Dush-Hall A-Special Needs 1.5 NCCR Broken Pumps and Flooding – Management of CHF Ken Reed-Room 105-1 NCCR CHF 12:10pm - 12:55pm Bonus Session 1:00pm - 2:15pm Conference Closing Session Endocrine Eric Toutenhoofd-Rm 103 1 BLS NCCR Endocrine If Helping Others Is So Easy-Why Can’t We Take Care of Ourselves Dwight Polk-Hall A-1.5 Affective NCCR 2:30pm - 3:30pm Sessions (1 hour) Extreme Gunshot Wounds Three Storks and a Baby: OB Emergencies What’s That in My Patient Role of Research Pediatric Rate Disturbances Ken Bouvier Jason Dush Reuben Farnsworth Ron Lawler Tom Dobrzynski HALL A ROOM 101 ROOM 102 ROOM 103 ROOM 105 LCCR NCCR NCCR NCCR NCCR OB Emergency Ventricular Assist Device Role of Research BLS Pedriatric Rate Disturbance 3:45pm - 4:45pm Sessions (1 hour) Prehospital Care for the Morbidly Obese Patient Sickly Sweet: Diabetic Emergencies Youth Suicide: When Kids do the Unthinkable Old MacDonald Had a Multi-Systems Trauma: Farm Trauma- What You Need to Know Ken Bouvier Tim Hillier Dwight Polk Reuben Farnsworth HALL A ROOM 101 ROOM 103 ROOM 105 LCCR NCCR NCCR LCCR BLS Endocrine Psychiatric 6:30pm Banquet and Table of Honor Ceremony – Ramkota Hotel RESPONSE TIME Winter 2015 23 For the Office of Vice-President On December 31, 2014, the nomination deadline for officer positions of the North Dakota EMS Association, one nomination was received for the office of Vice-President: For Vice-President – Jim Restemayer Currently, I am your NDEMSA Vice-President. I am running for another 2 year term for Vice-President of the North Dakota EMS Association. I’ve been the Vice-President for the last 5 years for the NDEMSA. I believe the next 2 years will an exciting time for EMS in ND! The NDEMSA is involved in many EMS projects throughout the state. We will continue to meet the goals established to help EMS grown in North Dakota and be looking to the future, as EMS continues to evolve. I have been in EMS since 1986. Volunteering as an ECT, then an EMT, Intermediate, and now Paramedic. Although you can see from the picture I was recruited at a much younger age by mom and dad. Getting my start in EMS at a much earlier start. For the past 19 years I have worked for Walsh County Emergency Medical Services as an intercept Paramedic and EMS Educator. I am also the Director for the Valley Ambulance & Rescue Service in Grafton, ND for the last 12 years. During that time I’ve had the opportunity to work with many tremendous providers at every NW Conference Saturday and Sunday featured a variety of topics and speakers. SIM ND brought 2 trucks to Minot, doing simulations on Adult Hypoglycemia and Pediatric Cold Water Drowning. Thank you to the presenters and SIM-ND for doing a wonderful job. At the NW regional meeting, Wayne Fahy and Art Haskins terms were up as the NW regional directors. Art Haskins decided not to run again, but will continue to be active with the ND EMS Association. Thank you Art for your service on the NDEMSA board, and we wish you the best of luck in your future endeavors. Lindsey B. Narloch on other statewide boards and associations representing the interests of EMS Providers. Wrapup The Northwest conference took place in Minot ND on January 17-18th and had a great turn out with 96 participants! Cardiac level and am eternally grateful for the service and dedication of our responders in North Dakota. I have been on the ND EMS Association Board of Directors since 1999. Spending 11 years as a NE director before I was elected to the position of Vice-President. I have served on many committees within the NDEMSA Board as well as serving Wayne Fahy from Community Ambulance in Minot was reelected and Jeri Warrenburg from Grenora Ambulance Service was elected as the new NW region director. With Art Haskins resignation, Diane Witteman is now the president of the NW region. Congratulations to Jeri and Diane to your new position on the board. Thank you to Trinity Health, Community Ambulance of Minot, and Minot Convention and Visitors Bureau for being sponsors for the NW Conference. Next year’s NW conference will be held in Minot January 2223, 2016 at the Grand International. Data The Leona M. and Harry B. Helmsley Charitable Trust gave a grant to the state of North Dakota for the purpose of purchasing the Lucas Mechanical CPR Device for all ambulance services and hospitals within North Dakota. Each machine with charger and extra battery cost $10,833.20. The state and the charitable trust want to know if the devices are useful, if they are being utilized and if they are having an effect on patient outcomes. We will be determining these objectives by asking for your assistance in gathering the data required to evaluate the program. One part of the evaluation is to look at the documentation from patient care reports in our electronic registry. When entering any cardiac arrest into Webcur (from EmStat, a paper PCR, or your ePCR system) please make sure the following data elements are selected for any transport/call that involve a cardiac arrest: 1. Either the primary or secondary provider impression be “cardiac arrest” 2. CPR is documented as either manual or mechanical. If the Lucas is used, please select CPR – LUCAS in EmStat or WebCUR. For people using a vendor other than Intermedix, CPR-Mechanical Thumper Device would be the appropriate selection. For people using paper patient care reports, you will need to document the type of CPR in the narrative so at the point of data input, the person will be able to select the appropriate selection. Thank you for your help in this endeavor! If you have questions, please feel free to contact the Division of EMS and Trauma at 701.328.2388. 24 RESPONSE TIME Winter 2015
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