EMS World Expo 2018

This presentation will discuss the One Minute Preceptor Process. The One Minute Preceptor Process is an integrated strategy for instruction in the clinical setting that allows preceptors to take full advantage of clinical teaching encounters and maximizes time available for teaching in the field.

EMS agencies are often challenged with hiring and retaining enough smart, dedicated professionals to meet their community's needs. This session will offer a candid conversation with national EMS leaders about how organizations can build cultures that attract the right people and motivate and inspire them. This session is designed for EMS leaders and providers who want to engage in a conversation about agencies can help their most talented providers find purpose and grow professionally.

Read more of Jay Fitch and Brian LaCroix's work on EMS World's website:
"Q&A: Jay Fitch, PhD"
"How to Build a Great EMS Agency"

Trauma patients bleed whole blood, and the leading cause of death from trauma is due to hemorrhage. Evidence demonstrates that early blood based resuscitation results in decreased morbidity and mortality, but few EMS agencies have this capability. The Southwest Texas Regional Advisory Council for Trauma led a robust multi-institutional, multi-disciplinary prehospital program to make low titer O-positive whole blood (LTO+WB) available at the point of injury. In this session, Dr. Wampler will discuss the systematic, operational, and clinical aspects of delivering this critical component of remote damage control resuscitation. He will address specific concerns about: why low titer O-positive blood, blood availability, cold chain management, administration and waste mitigation.

Already being referred to on social media as the "paramedics can't intubate trial," the Pragmatic Airway Resuscitation Trial (PART) demonstrates a statistically significant improvement in neurologically-intact survival from out-of-hospital cardiac arrest, specifically with the blind insertion of a supraglottic airway versus more endotracheal intubation (ETI). A 'pragmatic' trial largely because of cost limitations, this study did not otherwise attempt to optimize cardiac resuscitation or airway management.  With this perspective in mind, how do we interpret the results of this study? Is there a way to practice evidence-based prehospital medicine but avoid taking a one-size-fits-all mentality? Do we throw out endotracheal tubes with the bathwater, or is there a more measured approach we can take to interpreting and utilizing the results of this and other data? 

Has it always been a goal to apply for and put together a talk for a EMS clinical/educational conference but you didn't know where to start?  It isn't as difficult as one would think.  Great ideas combined with mentoring and confidence can start the pathway.  In this interactive session, we will discuss the types of conferences that are looking for speakers and how to start getting into the process by creating a small presentation to be critiqued. Participants need to bring their own laptops to work from.

How do you swim through the sea of data and analyze it in a way that actually helps your practice? Attendees will learn how documentation is turned into data that can drive protocols and improvements in patient care. Tips will be given on how to properly document to allow for good data collection. Brooke Burton will discuss how this data is turned into improvement projects which ultimately help us to provide better patient care.  You will leave with ideas of how to replicate this process for your own agency.

Read more of Brooke Burton's work on EMS World's website: "Patient Advocacy Through Documentation"

This interactive session explores the harsh reality of performing our jobs in EMS day after day, year after year. Low wages make it necessary for some to hold down multiple jobs and work long hours; others may dedicate many hours a week as volunteers to fill service gaps. This session will look at the ways these factors can affect how we treat our patients, as well as exploring associated long-term effects on providers’ emotional well-being, ways to cope, resiliency, vulnerability, and simulation training to improve our empathy, patient communication, and compassion skills.

This important session will discuss the effects of the opioid epidemic on the pediatric population, identify barriers to providing adequate pain relief for the prehospital pediatric patient, use the appropriate pain scale to identify/quantify pediatric pain, and implement pharmacologic and non-pharmacologic measures to control pediatric pain.

It is impossible to be a great leader without being a great communicator.  It’s that simple, yet that complex.  EMS leaders, and leaders to be, are constantly communicating with all sorts of stakeholders and in all sorts of circumstances,    There are some constants to effective communications we can learn from great leaders. Drawing on examples from the political realm – such as Winston Churchill and John F. Kennedy – as they endeavored to unite nations or even business leaders - such as Jack Welch and Gary Vanerchuk – as they strategically lead their companies, the lessons are myriad.   In this presentation, Ray Barishansky, an EMS and Public Health professional with over 25 years of experience in the field in positions of increasing responsibility, will share the various communication secrets – such as being a great listener, reading a crowd effectively and adapting your messaging to the environment - that leaders have utilized to success.

This presentation will discuss the concept of normalization of deviance and explain how gradual shifts in thought and action around nonstandard or unacceptable behavior and standards can become acceptable in an EMS organization, resulting in patient safety issues and catastrophic events.

Everyone is familiar with the use of capnography for cardiac arrest and ROSC. Capnography is an excellent tool to monitor respiratory status in a variety of conditions such as asthma, COPD and overdoses. Recent developments have shown promise for the use of capnography in the diagnosis and management of severe sepsis and DKA. This rapid fire presentation will show providers how to use capnography beyond cardiac arrest.