IS YOUR EMS AGENCY READY FOR THE SILVER TSUNAMI?
America is aging, with the number of older Americans expected to double, to 72.1 million by 2030.
Many of these patients will present with chronic medical/psychological conditions as well as
medications utilized to treat them. This session will illustrate the large percentage of geriatric patients
also impacted by economic instability, elder abuse, alcoholism and hoarding disorder and explain
the unique challenges EMS providers will face and best practices being implemented to address
M.I. MISSING CARDIAC PATIENTS? A GUIDE TO ACUTE
NREMT CATEGORY: CARDIOVASCULAR
Rommie Duckworth, BS, LP, Captain, Ridgefield (CT) Fire Department
Early acquisition and interpretation of 12 lead ECGs are key to effective treatment of patients with
STEMI, but are we identifying all of the patients who should be evaluated with a 12 lead? Can 12 lead
ECGs be effectively acquired by BLS providers? This lecture presents the pathophysiology of S-T
elevation myocardial infarction in an easy-to-understand style to help you identify, triage and treat
AMI patients utilizing the latest research behind the AHA Guidelines changes.
RECOGNIZING SEPSIS ON THE STREET
NREMT CATEGORY: MEDICAL
Curtis Knoles, MD, FAAP, Assistant Medical Director, Medical Control Board, EMS System for
Metropolitan Oklahoma City and Tulsa
Mark Piehl, MD, MPH, Pediatric Intensivist, WakeMed Children’s Hospital
Paul Banerjee, DO, Medical Director, Polk County Fire Rescue
Sepsis occurs when the body’s response to infection causes injury to its own tissues and organs.
But, in the very young, old, and people with a weakened immune system, there may be no symptoms
of a specific infection and the body temperature may be low or normal, rather than high. So early
prehospital sepsis recognition is a life saver. Learn how early administration of IV fluids and antibiotics
can significantly lower mortality rates in these patients, how to recognize subtle signs and symptoms
usually missed in pediatric and adult sepsis patients, and treat these patients successfully.
VASOPRESSOR TALK: PUT THE PRESSOR ON
NREMT CATEGORY: CARDIOVASCULAR
Mike McEvoy, PhD, NRP, RN, CCRN, EMS Coordinator, Saratoga County, New York
Vasopressors have been used for decades to treat hypotension, often with life-saving results, but
sometimes with serious adverse effects. This session will review modern vasopressor infusion, oral
and push dose pressors, their indications, actions, administration pearls, monitoring, pharmacokinetics
and adverse effects. Use of norepinephrine, epinephrine, phenylephrine, vasopressin, ephedrine,
midodrine, methylene blue, and the newly marketed angiotensin II will be discussed.
WARM ZONE TRAUMA CARE
NREMT CATEGORY: TRAUMA
Chris Lorenz, Deputy Fire Marshal/SWAT Medic, Central Pierce Fire & Rescue
Warm Zone trauma care is not limited to mass violence scenes. And exsanguination can occur on
any call. Hemorrhage control requires speed, proper technique, and aggressiveness regardless of
whether it was caused by a machinery accident or an act of violence. This presentation and practicum
will focus on both warm zone hemorrhage and exsanguination mitigation and introduce you to a
successful program taught to all firefighters, and law enforcement personnel, as well as school district
and university staff and faculty in a region.