OREGON EMS CONFERENCE
Friday 5 November 2021
0700-0745 Session A | Before The Conference Day 1 Coffee & Chat
0745-0800 Introductions, Getting Started, Q&A
1630 Session AA | Networking, Q&A, and Chat Time for Participants & Speakers
Saturday 6 November 2021
0700-0745 Session B | Before The Conference - Day 2 Coffee & Chat
0745-0800 Introductions, Getting Started, Q&A
1700 Session BB | Networking, Q&A, and Chat Time for Participants & Speakers
Pediatric death is the end result of 90% of all out-of-hospital cardiac arrests In the US each year yet EMS systems allot very little education and training to this difficult topic. Parents are left on scene while their fatally sick or injured children are hastily removed and whisked away to the hospital. In this talk Dr. Antevy will describe the importance of developing education and strategies surrounding pediatric death in the field that will translate to many lives being saved, including immediate family members and the EMS clinicians who responded to the call.
Peter is a Pediatric Emergency Medicine (EM) physician practicing in-hospital emergency medical care at Joe DiMaggio Children’s Hospital, a level I trauma and tertiary care center in South Florida. Board-certified in pediatrics, emergency medicine and the complex subspecialty of EMS, he is also the founder and chief medical officer of Handtevy - Pediatric Emergency Standards, Inc., and he serves as the Medical Director for Davie Fire-Rescue, Coral Springs-Parkland Fire Rescue, Southwest Ranches Fire Rescue and MCT Express, all in South Florida. Dr. Antevy also serves as Associate Medical Director for several other agencies including Palm Beach County, Florida and he is also the longstanding medical director for two highly regarded paramedic training programs as well as several mobile integrated healthcare (MIHC) programs in greater Broward County, Florida. Dr. Antevy was recently appointed to serve as the lead pediatric EMS specialist/consultant for the highly influential
Metropolitan EMS Medical Directors Coalition. This highly cohesive international consortium, known for envelope pushing education and operational advances in 9-1-1 care, is largely comprised of the jurisdictional, accountable medical directors of the 50 to 60 largest municipalities in the U.S. and Europe as well as several key U.S. federal agencies.
In turn, he has been the recipient of many regional, national and international honors and awards including the 2014 Raymond H. Alexander EMS Medical Director of the Year in Florida and the 2015 EMS 10 Innovator of the Year Award from the Journal of Emergency Medical Services. In 2017, he was awarded the prestigious Ron J.Anderson Memorial Award in Dallas, TX, the international public health service accolade bestowed for his far reaching public health contributions in emergency medical care, particularly for his efforts to improve outcomes for critically ill and injured children. In 2018, Peter was named National Medical Director of the Year by the NAEMT. At the same time, Dr. Antevy remains a grounded, in-the-trenches EMS medical director as exemplified by his recent intrepid on-scene patient care at the Parkland, Florida high school shooting incident and, in turn, his connected follow-up of patients, families and rescuers. A world-class lecturer and training expert, he has become an admired and sought-after educator-speaker for innumerable state and national conferences.
YOU CAN HURT A DEAD GUY
Latest advances of Head UP CPR, and the science behind Neuro Protective CPR. For years we have saved the heart but have done nothing to protect the brain. We have followed the same algorithm all focused on saving the heart. But how do we protect the brain? Neuro Protective CPR may be the answer. Learn about the science of Neuro Protective CPR, and why following the steps to Head UP CPR is so important. For the first time in 60+ years there is a breakthrough in neurologic outcomes and cardiac arrest survivors. Finally, we are changing our process to achieve different results.
Jeanne Harman started out her career in medicine as an EMT and currently has over 20 years of nursing experience, mainly at Level I Trauma centers.
She has an extensive background in medical devices, helping to bring the EZ-IO to market and accepted as a standard of care, promoting Intrathoracic Pressure Regulation Therapy, and now working with Advanced CPR Solutions Neuroprotective Resuscitation.
She has developed and taught numerous classes at national conferences. With her fun presentation style and pertinent content Jeanne is always a conference favorite.
DIABETES FROM A PATIENT’S PERSPECTIVE
Join Dawn Poetter as she takes you through the frustrations of being diabetic, the complications that diabetics can have, and how we as EMS professionals may encounter more than just a “high” or “low” blood sugar. Explore when the patient can refuse and when we should be encouraging them to be seen by a doctor.
Dawn Poetter is an Oregon Licensed Paramedic with 40 years in the EMS Industry. She worked for Metro West Ambulance for 35 of those years. Retiring from the company in 2015. She is currently the Oregon State Education Coordinator for NAEMT, and an instructor Trainer in most EMS education venues including PHTLS, AMLS, EPC to mention a few. She also teaches ACLS, PALS and BLS and is currently part-time faculty at Portland Community College starting her tenure in 2007.Dawn in very active in the EMS community and is the Vice President of the Oregon EMS Association and is past Chair of the PCC Paramedic Advisory Board. Dawn is a native Oregonian and is proud to be part of Oregon’s EMS family.
THE 10 SECOND NEURO EXAM IN THE MANAGEMENT OF STROKE
Dr Matthew M Eschelbach
It has been nearly 20 years since the American Heart Association has told us to treat a stroke like a brain attack. " Time is Brain. Finally, we have reached the point where true stroke centers and current stroke protocols have become current enough to help us make a true difference. Review what you need to know in this lecture and learn how you can break your stroke exam into rapid 10 second increments. Know how to determine when to call a "Stroke 1" and transfer to a Stroke Center. Review stroke types and understand why you are seeing the symptoms before you.
Dr Matthew M Eschelbach, MS, DO, CPE, FACEP, FAAPL has been involved in Oregon EMS for nearly 30 years. He has been the physician advisor for several EMS agencies and maintains his dedication to both education and quality initiatives. He has worked with EMS in Oregon and at the national level. Currently he is the Medical Director for Undergraduate Medical Education for the St Charles System in Bend, Oregon in addition to being the EMS and Trauma director. He is on the faculty of several medical schools in Oregon and throughout the country. He is a published author in EMS and Emergency Medicine and a proponent of Provider Wellness. He is dedicated to the advancement of EMS and strives to bring excellence to all EMS providers.
Austin's Story | Child Abuse Recognition & Reporting
Austin was 2 years old when he was killed as a victim of child abuse. He was my friend’s grandson, and a wonderful child. In honoring Austin, his family and I believe it is important to share his story. We will discuss Austin’s Story, talk about recognizing abuse and neglect, managing scenes, and reporting. As EMS providers, we have a unique opportunity to be in other people’s environments. We will review signs of abuse as well as the importance of reporting.
Nancy Shantel, Paramedic/Educator
I began in EMS as an EMT in 1995 in Western New York, and completed my paramedic certification in 2002. After a cross country adventure in 2011, I spent time working in the Texas Hill Country, and moved to Oregon in 2013, where I currently work as a Senior Paramedic at Metro West Ambulance. I have been teaching AHA, ASHI, and NAEMT sponsored courses since 2012.
Away from EMS, I enjoy being outdoors. Milo (the adventure pup) and I have been fishing, kayaking, camping, and hiking. I summitted Mt Princeton (14,197’) in 2016, and am looking forward to climbing Mt Bierstadt with Milo next summer. It will be his first 14er!
THE OFTEN-MISSED VITAL SIGN IN EMS
1300-1400 Scott Cooper
MedProEd | medproeducators.com | facebook.com/medproeducators
EMS Providers (EMSPs) are excellent at obtaining vital signs in all kinds of circumstances. However, it is quite common for EMSPs to overlook one key vital sign, and in many cases, have not had the tool to obtain it! Come and take a look at some real patient cases that had strange presentations of altered mental status -- and how they were directly impacted by the often-missed vital sign in EMS. Knowledge is power, and the knowledge you gain in this hour will definitely empower your BLS assessment skills!
Scott Cooper is a Lieutenant/Paramedic with Stayton Fire District where he lives, and also works nearby on Turner Fire District's ambulance. He has taught all EMS levels since 1986 for Chemeketa, Portland and Clackamas Community Colleges (PCC & CCC), as well as OHSU/OIT paramedic program. Scott is an AHA Training Faculty for BLS, ACLS & PALS with the Portland Community College CLIMB Center. He currently teaches medical terminology courses at PCC and EMS classes at CCC. Scott is also a Course Coordinator/Instructor for Prehospital Trauma Life Support, Advanced Medical Life Support, Geriatric Education for EMS, Emergency Pediatric Care, Psychological Trauma in EMS Patients, and All Hazards Disaster Life Support through his NAEMT Training Center with MedProEd, LLC. Lt Cooper is the developer of EMED & EMEHP, Emergency Medical Education for Dentistry & for Healthcare Providers. He specializes in delivering hands-on, simulation-based training to healthcare & dental providers at their workplace to establish a state of readiness to handle emergencies in their work environments. EMS education has been as much his passion as being an EMS provider. Scott is often a guest speaker at EMS, medical & dental events. Another role he carries is a Professional Advisory Board Member for the Respiratory Therapy program at Concorde Career College. Lt Cooper specializes in grant writing and assisting rural EMS & Fire services in pursuing grants for training/continuing education. He also works as an expert witness for legal proceedings. When he isn’t spending time with his family or working, he is often drumming with various bagpipe & drum, concert and rock bands in the Portland/Salem/Silverton areas.
STABILIZATION OF THE NEWBORN PREMATURE BABY
This presentation will focus on the pre-hospital stabilization of the newborn infant with key points on premature newborns. Components of the Neonatal Resuscitation Program and the STABLE program will be touched upon. While geared for the ALS - Critical Care provider, there will be numerous components that will benefit the BLS provider as well as initial stabilization is critical to the outcome. Pre-recorded scenarios of Neonate resuscitations will be presented as part of this presentation.
Candy Peplin, BSN, RNC-NICU, graduated from Montana State University and has been involved with Neonate care and L&D for the past 31 years. She flies with Airlink CCT on the Neonatal Transport team by FW, Heli and by Ground, as well as working fulltime in the NICU as a NB resuscitation nurse. While not caring for babies she likes to camp, hike and ski in Central Oregon with her husband.
Carol Craig NNP and Dr Sue Ann Smith
WHY WE NEED TO REMEMBER PEDS ARE DIFFERNET THEN ADULTS | CHILD ABUSE & BURNS
Pediatrics differ from adults in many ways; BSA, fluid rates, types of injuries and how to recognize the signs and symptoms of child abuse. Curtis will include who should be involved when EMS goes on a potential abuse call.
Curtis Ryun, BSN RN Education and Outreach Coordinator Legacy Oregon Burn Centerhas been part of the Legacy Health Systems since 1980. In his current role he has been responsible for successful burn education and outreach program aimed at decreasing the number of burn injuries seen in Oregon and the region. His lectures focus on the prevention and care for burns.
CCT UPDATES: WHAT’S NEW IN OUR FIELD
Dr. David Rosenberg
This presentation will look at how program Medical Directors can support new processes and changes. What’s new in CCT? Are you administering plasma or other products? How are you responding to the Covid patient that requires transport?
Dr. David Rosenberg have been practicing for over 20 years. He completed his residency in Emergency Medicine at Emory School of medicine in Atlanta Georgia. He is a full-time attending in the emergency department at St. Charles Medical Center, Bend, Oregon, is the Co-Director for AirLink CCT and supervising physician for Black Butte FD and Sisters/Camp Sherman FD.
When he has spare time, you can find him either on the slopes skiing or mountain biking.
WHY TRAUMA IS MOSTLY AN EMT SKILL
Trauma is mostly EMT level skill for many reasons. The things that will truly save a trauma patients life is the control of severe hemorrhage, the immobilization of unstable fractures, and rapid transport to a trauma surgeon.
in our time together we will discuss the priorities that should be established with every trauma patient and why patients fare better when we focus on stabilizing and rapid transport more than invasive procedures.
As a paramedic who has responded to many multisystem traumas I can say that the vast majority of what any Paramedic will do on the scene is what any EMT would do at the scene if they are keeping their priorities straight.
As a critical care paramedic, Jim brings over 37 years of experience in critical care, 9-1-1 and medevac experience to the profession. He holds a BS in Community Health and an MA in Higher Education Administration with decades of experience as a practitioner, educator, and administrator. He is a Certified ATLS Educator with the American College of Surgeons. His areas of expertise include trauma and pediatrics. Jim works full-time as the Regional EMS Coordinator for PeaceHealth, Part-Time Paramedic for Oakridge Fire and EMS here in Oregon and serves as the Chair of the Oregon State EMS Committee.
AIRWAY MANAGEMENT IN THE ACUTE COVID PATIENT
Covid has brought with it new challenges in the management of airway stabilization. This presentation will look at the the use of CPAP, BiPap and improvising high flow O2 when those devises aren’t available. She will discuss some of the most common challenges for a CCT program and some of the untaught solutions to managing these patients. Is transporting with a SAO2 of 88% the new norm?
Wendy Casey, RRT, has extensive experience with adult, pediatric and neonatal critical care. She holds advanced credentials as a Neonatal Pediatric Specialist, Adult Critical Care Specialist, in Neonatal-Pediatric Transport and was a Flight Respiratory Therapist with Atrium Health’s MedCenter Air in Charlotte, NC. where she, did Extracorporeal Membrane Oxygenation (ECMO) and live organ donor teams on rotor, fixed wing and ground transports.
She currently works for Airlink Critical Care Transport in Bend, OR, as a RRT transporting adult, pediatric, and neonatal patients.
INCREASING SURVIVAL (WITH HP-CPR) IN YOUR COMMUNITY - a systems approach
The EMS report cards for VF witnessed cardiac arrest (Utstein) survival are in; and the results for most communities in the United States are dismal. Many large U.S. cities average less than 10%. Yet, there are reports in some large cities in the U.S. that have achieved over 60% survival. Why is this? What can your community do to improve?
Survival from out-of-hospital ventricular fibrillation cardiac arrest is extremely variable throughout the United States, and most communities have no idea how they are performing in terms of managing sudden cardiac arrest.
During this session, we will discuss what HP-CPR is all about and the fundamentals of what it takes to become a higher performing system. The plan is to help you better understand the steps to take to increase survival in your community from cardiac arrest!
Mike Helbock is currently a Washington State Certified/Nationally Registered Senior Paramedic and the Director of EMS Training and Education - EMS Associates and a Clinical Educator in Prehospital Medicine at Seattle/King County EMS, Division of Emergency Medicine. Mike has worked for 28 years as a firefighter/paramedic for the City of Bellevue Fire Department (Washington), until his service retirement. His highly acclaimed training style and diverse training experience has allowed for a wide variety of educational opportunities. Mike authors and produces his entire curriculum. He continually evaluates his performance as an educator and develops new and innovative ways to educate students in emergency medicine and evaluates how the students apply this knowledge to field performance.
To Backboard or Not To Backboard... That Is The Question
With increased recognition of the complications associated with use of backboards, the decision to backboard or not has become more challenging. We will discuss the importance of assessment and mechanism in making choices that best serve our patients. Also, immobilizing well when we need to, and minimizing motion when we opt away from the backboard.
Bio: Refer to Session 3B.
The ABC’s of DVD (Dual-Vector Defibrillation)
Persistent ventricular fibrillation and its subsequent treatment plans has long been a cause of interest in the medical sciences. Whether the terminal emotion was confusion or excitement, the vagueness of exact clinical intervention remains a bit of a mystery. This presentation, guided by a case study, and analyzed with current evidence, evaluates a new and trending therapy that appears to offer more than hope to the sudden cardiac arrest patient presenting with refractory ventricular fibrillation. This course is appropriate for all levels of healthcare providers.
Hoffman, MSN, CFRN, FP-C, CCP-C, NR-P, C-NPT
ADULT - SICK/NOT SICK
Sick/Not Sick, promotes decision-making and action during the initial minutes at a scene. The SICK/NOT SICK approach is “critical-thinking” at its BEST! —in some cases it can be life-saving. By forming a clinical picture, you will be able to decide within the first moments of patient contact whether or not someone is critically ill. Once the decision is made, you can implement response actions and ‘treat' the patient, appropriate to their condition.
Bio: Refer to Session 7.
A NEW CHALLENGE; BURNS AND THE HOMELESS
With the ever-increasing homeless population Curtis will discuss the types of burns and mechanisms of burns in this population group as well as environmental, wound infection injuries and mental health component in the homeless
Bio: Refer to Session 5A.
THE PATIENT HAS A WHAT…?
Specialty Care and Inter-facility Critical Care Transports are quickly becoming a demanding service for many EMS / pre-hospital agencies. In this setting, the EMS provider is challenged to care for devices commonly seen in the intra-hospital environment. Additionally, this transition requires that a variety of different provider levels and roles work together to maximize patient care. “the patient has a what..??!!” is a presentation which captures some fundamental concepts concerning arterial lines, pulmonary artery catheters, intra-ventricular catheters, intra-aortic balloon pumps and trans-venous pacemakers. This presentation introduces and enlightens the aspiring, returning or current healthcare provider to the 5 W’s (who, what, when, where and why) of these medical devices. Assessment, troubleshooting, planning and interventions when caring for these devices will also be covered. This course is appropriate for all levels of healthcare providers.
Bio: Refer to Session 8B.
HOW TO PREPARE TO TESTIFY IN COURT
What is your level of confidence to provide testimony for a deposition, or in a courtroom? How should you dress? Who should you go to for help? What should you say, and not say, when testifying? Even when you are just a witness for a trial, it can still feel like YOU are on trial when lawyers try to damage your credibility to benefit their client. How strong is your patient care report for holding up to an attorney that critically reviews it in front of a courtroom audience? In this class, you will gain the basic knowledge you need to be way ahead of the game if you ever find yourself with a subpoena to appear for a legal proceeding.
Bio: Please refer to Session 4A.
Research continues to stress the importance of remaining on scene for up to 30 minutes in an effort to improve outcome and survivability of cardiac arrest patients. But what happens when even the most successful efforts result in futility and a patient must now be pronounced on
scene? Historically, institutions have failed to prepare first responders for this outcome, and "training" for these situations are experiential, at best. As a result, crews continue to default into a “transport for the family," "PR CPR” or “just for show” mentality that has only contributed to the cultural resistance we currently face. Because of this practice, we have failed to recognize our unique role in the grieving (healing) process, which begins for the survivors at the moment that we determine time of death of the patient. In this class, you will learn how to communicate with bystanders effectively, how to identify the process of grief, as well as understand the positive impact that first responders can have on the survivors when we make the choice to remain on scene.
Alexandra Jabr, M.S., EMT-P | Resilience Educator | EmergencyResilience.com
Alexandra’s presentation will look at something we all too often do not pay enough attention to in pre-hospital care, especially in the more rural areas where we spend that “extra” time with members of our community who are the patient’s family. We welcome Ms. Jabr to the Oregon EMS Conference family of presenters.