32nd annual conference
EMS Conference August 13-15, 2009 • Holiday Inn Harrisburg/Hershey • Pre-Conference Workshops August 11-12, 2009

Session Information and Schedule

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Preconference Days > Tuesday & Wednesday
Main Conference > Thursday, Friday, & Saturday

Pre-Conference Sessions

Two Day Program (Tuesday, August 11, 2009 and Wednesday, August 12, 2009)

8:00 am – 5:00 pm Advanced Medical Life Support (AMLS) - The staff of the Center for Emergency Medicine of Western PA
AMLS is a unique assessment-based course that teaches the provider a "think outside the box" approach to assessment and patient management in the most common of medical emergencies. This course uses basic assessment tools such as scene size-up, history and physical exam to systematically narrow the differential diagnosis. The course topics include Patient Assessment, Airway Management, Shock, Respiratory, Chest Pain, Altered Mental Status, and Abdominal Pain. A written and practical test will be administered prior to the completion of the course; therefore participants must attend both days.
Cost: $175 (Includes all materials, breaks and lunches for both days.)
Target Audience: ALS and BLS field providers
FR/EMT - 9.5 (Med/Trauma), EMT-P/PHRN - 16 (Med/Trauma)
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Tuesday, August 11, 2009

8:00 am – 5:00 pm EMTs Assisting ALS Providers - Lancaster EMS Association
This full day course will teach the EMT how to assist the ALS provider who is dealing with the critically ill/injured patient. This class will focus on many areas of assisting paramedics including the identification and set up of some commonly used equipment. (This class does not certify the EMT to perform any ALS procedures and does not exceed the BLS scope of practice.)
Cost: $75 (Includes all materials, breaks and lunches.)
Target Audience: BLS field providers
Continuing Education Credits Pending
8:00 am – 5:00 pm What to do in the event of a Line of Duty Death (LODD)? - William Ruth, Eric Nagle, and John Glass
Line of Duty Deaths (LODD) occur so infrequently that, when they do, many services may not know how to handle them. In this informative session, individuals will learn how to implement a service-level pre-plan and the administrative work associated with a Line of Duty Death. An overview of the state and federal LODD benefit paperwork, LODD manual, and the National EMS Memorial will also be reviewed.
Cost: $75.00 (Includes all materials, breaks and lunches.)
Target Audience: Service-level managers
FR/EMT/EMTP/PHRN - 8 (other)
8:00 am – 12:00 pm Emergency Vehicle Response Safety - David Bradley, B.S., NREMT-P
Every year over 100 emergency service personnel are killed in the line of duty in the United States. A significant number of these deaths occur while responding to and returning from incidents. This seminar addresses safety concerns for emergency service personnel when operating emergency vehicles. Issues discussed include: driver selection, driving record evaluation, safe vehicle operations, intersections, roll-over prevention, personal vehicle operations, and liability issues. Real life case studies are used. This program assists emergency vehicle operators in making good driving decisions and provides practical safety guidelines that can be incorporated into daily vehicle operations. (This course does not meet EVOC requirements.)
Cost: $50.00 (Includes all materials, breaks and lunches.)
Target Audience: Service safety officers or equivalent
FR/EMT/EMTP/PHRN - 4 (other)
1:00 pm – 5:00 pm Roadway Safety for Emergency Services Personnel - David Bradley, B.S., NREMT-P
Emergency Service Organizations respond to a wide variety of incidents involving operations on, or near, a highway (or any roadway surface). These operations pose unique risks to personnel performing fire, rescue and EMS functions. Every year emergency service personnel are killed or injured while operating on our highways. This program identifies the hazards and provides guidelines and practical advice for operating safely at highway / roadway incidents.
Cost: $50.00 (Includes all materials, breaks and lunches.)
Target Audience: ALS & BLS Field providers, service safety officers or equivalent
FR/EMT/EMTP/PHRN - 4 (other)
1:00 pm – 5:00 pm Moulage Workshop - The staff of the Emergency Health Services Federation
Have you ever wondered how movies and television moulage patients to make their injuries look real? Have you ever tried to moulage patients and not know the proper procedure? In this interactive session participants will learn how to moulage patients to make your future continuing education sessions and practical examinations appear more realistic. (Please wear casual clothing).
Cost: $75.00 (Includes all materials, breaks and lunches.)
Target Audience: EMS educators
Continuing Education Credits Pending
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Wednesday, August 12, 2009

8:00am – 5:00pm OSHA Train-the-Trainer - Katherine West, BSN, MSED, CIC
Pennsylvania EMS Services must comply with the OSHA blood/airborne pathogen regulations. A major part of this requirement is that EMS providers receive ongoing education on the diseases and infection control; the mandate also requires that the trainers be "qualified" to deliver this training. This course will meet the OSHA requirement for becoming a qualified trainer for your department. This course will review: contents and requirements of the exposure control plan, HIV, HBV, HCV, syphilis and TB. A CD with resources and reference material will be provided to participants. Attendance in this session will also meet the annual OSHA update requirement.
Cost: $175.00 (Includes all materials, breaks and lunches.)
Target Audience: ALS and BLS field providers, infection control officers, and service-level managers
FR/EMT/EMTP/PHRN - 8 (Med/Trauma)
8:00am – 12:00pm ALS Lab - Peter Lazzara, B.S., NREMT-P
This workshop consists of lectures and demonstrations to educate providers on procedures they do not perform regularly such as chest decompression and needle cricothyrotomy. The workshop will also give the providers an opportunity to understand specific emergency department procedures (such as surgical cricothyrotomies, retrograde intubation, chest tube placement, pericardial centesis, suturing and plural decompression) as we are often witness to them when our patient is delivered to the receiving facility.
Cost: $100 (Includes all materials, breaks and lunches.)
Attend both the ALS Lab and Intubation Obstacle Course for only $175!
Target Audience: ALS field providers
Continuing Education Credits Pending
8:00 am – 12:00 pm Survival Strategies for Emergency Services - David Bradley, B.S., NREMT-P
Marketing, building community support and funding are three issues emergency service organizations struggle with. Join Dave as he exposes "keys" that will help you identify "who you are," "does your community know you," "does your community know what you do," and "what sources of funding are available." Breakout sessions are incorporated into the program to assist in developing an ongoing process to continue the effort that begins in this class. Topics of this session include: identifying potential funding sources for emergency services organizations; describing marketing methods to enhance community knowledge of emergency service; describing how to positively interact with the press; describing/identifying how to become politically active; indentifying the importance of building or enhancing community partnerships/coalitions; and identifying the elements of a grant proposal..
Cost: $50.00 (Includes all materials, breaks and lunches.)
Target Audience: Service-level managers
FR/EMT/EMTP/PHRN - 8 (other)
1:00 pm – 5:00 pm Intubation Obstacle Course - Peter Lazzara, NREMT-P, BS
This very popular four hour pre-conference workshop consist of two airway lectures that address the important issues to improve the paramedic's comfort level when facing the next tough field intubation. Following the lecture is a hands-on airway lab which allows the participant an opportunity to practice under the direct guidance of the instructors. After completing the lab, the participants will enter the intubation obstacle course which is a virtual reality airway combat zone. With the use of audio and visual technology, the "IOC" will stimulate and challenge even the most seasoned paramedic. The clock will be running to determine who will be the intubation "Top Gun".
Cost: $100.00 (Includes all materials, breaks and lunches.)
Attend both the ALS Lab and Intubation Obstacle Course for only $175!
Target Audience: ALS field providers
EMTP/PHRN - 3.5 (Med/Trauma)
1:00pm – 5:00pm Suspected Child Abuse and Neglect (SCAN-EMS) - Teresa Olsen, M.Ed., Carroll Rottmund, RN, Scott Goodale, EMT
This popular course describes the role and responsibility of EMS providers as mandated reporters of suspected child abuse and neglect in Pennsylvania. It covers the legal definitions of child maltreatment, risk factors and indicators of abuse and neglect, appropriate assessment techniques and required documentation. Emphasis is placed on the team approach to protecting children and EMS is a vital part of that team. This course is a must for EMS providers of all levels.
Cost: $50.00 (Includes all materials, breaks and lunches.)
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma), 1.5 (Other)
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Main Conference

Thursday, August 13, 2009

8:00 am –8:30 am Opening Ceremony - City of Pittsburgh EMS Honor Guard

Welcome Calvin B. Johnson, Secretary of Health (invited)
Michael Huff, Deputy Secretary of Health and Planning Assessment (invited)
Joseph Schmider, Bureau of EMS Director
J.R. Henry, PEHSC President
Janette Kearney, PEHSC Executive Director.
Keynote Lecture:
8:30 am – 10:00 am
Career Ladders and Career Development in EMS - Skip Kirkwood, M.S., J.D., EMT-P
Many times organizations promote good clinicians to leadership positions for which they have few tools in their toolbox. This session considers the issues surrounding career ladders in EMS and the present strategies for identifying and developing career EMS ladders. Topics will include the need for college and graduate-level education and the credentialing of ranking officials within your organization.
Target Audience: ALS and BLS field providers and service-level managers
FR/EMT/EMTP/PHRN - 1.5 (other)
10:30 am – 12:00 pm Annual OSHA Update - Katherine West, BSN, MSED, CIC
This session will meet the OSHA required annual update training on bloodborne pathogens for both providers and trainers. Topics will include the new hand hygiene guidelines, new TB guidelines, clarifying HBV vaccine issues, HCV risk issues/treatment & OSHA citation/fine information.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (other)
  The History and Use of Medical Helicopters - Bryan Bledsoe, DO, FACEP
There has been a marked increase in the number of helicopter accidents. In addition, there is a growing body of scientific evidence that medical helicopters benefit only a small fraction of those transported. In this presentation, Dr. Bledsoe will detail the history and current status of medical helicopters. Factors associated with the increased number of accidents will be presented as well as rescue and safety recommendations for responders to a helicopter accident.
Target Audience: ALS and BLS field providers
  This session is sponsored by:
FR/EMT/EMTP/PHRN - 1.5 (other)
  That's Not a Missile…That's My Head - Peter Lazzara, NREMT-P, BS
The leading cause of pediatric mortality is trauma; the leading cause of trauma death is head injury. This lecture looks at the anatomical and emotional developmental differences of the pediatric patient which puts them at an increased risk of injury. The "Missile" presentation will provide the pre-hospital provider with a better understanding of assessment of the traumatic brain injured child as well as treatment and transport priorities in TBI management.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  He Can't Be Dead! He's Not Red! - John Todaro, NREMT-P, RN, TNS, NCEE
Called the silent killer, carbon monoxide is the most common cause of death in combustion-related inhalation injuries and the leading cause of poisoning deaths in the United States. This presentation will explore the pathophysiology, signs and symptoms, and prehospital treatment for CO poisoning.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  Street to Cath Lab: Real Life Examples of Why EMS 12-Leads are Important - Jeff Myers, D.O., Ed.M., NREMT-P
Acquisition of a 12-Lead ECG is a critical step in the evaluation of patients with suspected acute coronary syndrome. Early diagnosis of an acute ST-elevation myocardial infarction can significantly reduce patient morbidity and mortality. In this case based session, we examine real life examples of the positive impact of early activation of the cardiac cath lab on patient care.
Target Audience: ALS field providers
EMTP/PHRN - 1.5 (Med/Trauma)
12:00 pm – 1:00 pm Lunch - You must pre-register
A Life Changing Decision: How Illegal Actions Can Impact Your Organization and Your Life
- Francis T. McBride, Paramedic
This session will center around a true story of theft within an organization and the impact those actions took on the provider and the department.
FR/EMT/EMTP/PHRN - 1 (other)
1:00 pm – 2:30 pm Capnography-Tube Verification is Only the Beginning - Robert Murray, NREMT-P
Using capnography for tube verification; that's a great start but there's so much more. There are many uses for capnography in both intubated and non-intubated patients. Come and learn new and non-traditional uses for capnography to help with your patient assessment and management. Tips for the documentation of assessment findings will also be presented. This session will review clinical situations and case scenarios where capnography has assisted in making clinically appropriate treatment decisions.
Target Audience: ALS field providers
  This session is sponsored by:
EMTP/PHRN - 1.5 (Med/Trauma)
  EMS: The X Files - John Todaro, NREMT-P, RN, TNS, NCEE
For educational purposes, the seal on the EMS "X" Files will be broken giving the program participants a glimpse into the bizarre and unusual. Using several case studies, each "X" file will be reviewed and analyzed. The truth is out there.
Target Audience: ALS and BLS field providers
Pending approval FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  TLC for the TAC-Managing Children with Special Healthcare Needs - Peter Lazzara, NREMT-P, BS
With the advancements in health care today, more technically assisted children (TAC) are being sent home where their primary health care providers are their parents. TLC for the TAC takes a close look at the unique challenges these special children can present the pre-hospital professional. We will discuss the management of children, who are ventilator dependent, have tracheotomies, feeding tubes, VP shunts and who are physically and/or mentally challenged.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  Chief Officer Survival-Managing Special Situations - Skip Kirkwood, M.S., J.D., EMT-P
Stuff happens! Vehicles collide, clinical misadventures occur, and sensitive equipment is lost. How you handle one of these events will impact and possibly define the career of the officer in the hot seat. This session will include discussion possibilities, pre-planning, and lessons learned from the participants themselves.
Target Audience: Service-level managers
FR/EMT/EMTP/PHRN - 1.5 (other)
  Neurological Trauma - Bryan E. Bledsoe, DO, FACEP
Neurological trauma can be devastating. In this discussion, Dr. Bledsoe will detail the common types of neurological trauma encountered in prehospital care. Emphasis will be on early interventions and will investigate current controversies in the prehospital management of possible neurological and spinal cord injuries. New trends and theories in the treatment of neurological trauma will be presented.
Target Audience: ALS and BLS field providers
  This session is sponsored by:
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
Keynote Lecture
3:00 pm – 4:30 pm
Cutting Edge in EMS - Jeff Myers, D.O., Ed. M, NREMT-P
The session will critically review current topics in EMS, and expose the limitations of current research and the impact of these studies on the EMS practice. Participants will have the opportunity to learn about such hot topics as: changes to the trauma triage guidelines; dispatch/resource management and utilizations; ambulance turnaround time and off-load interval; response time; lunar cycles and call volume; rapid sequence intubation complexity; and subspecialty certification.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 0.5 (Med/Trauma), 1 (other)
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Friday, August 14, 2009

8:00 am – 8:15 am Morning Announcements
Keynote Lecture
8:15 am – 9:45 am
Where have Johnny and Roy gone? - John Todaro, NREMT-P, RN, TNS, NCEE
This program is designed to provide a motivational discussion of the EMS work ethic. An antidotal comparison of the TV shows "Emergency" and "Baywatch" is used to bring to light the changes in EMS over the last twenty (20) years and how those changes have affected the work ethic. During this process the student is exposed to Todaro's "Seven Rules for EMS Career Success," which is designed to improve and expand the participant's work ethic and long-term career success.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (other)
10:15 am – 11:45 am Improving Basic Airway Management - Jeff Myers, D.O., Ed.M., NREMT-P
Basic airway management skills are paramount to good patient care regardless of certification level. One can have all the fancy advanced devices and skills available, however recent research highlights the importance of excellent basic airway management skills. In this workshop we will explore basic airway management in an interactive and entertaining discussion, applying real world techniques to these basic skills.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  They Were Soldiers Once…And Young - Peter Lazzara, NREMT-P, BS
Tom Brokaw called them "The Greatest Generation," but today, few people remember the brave feats they performed. To better care for our elderly we need to understand who they were and what they did. This geriatric specific lecture takes a closer look at the graying of America and its effects on how we do business in EMS. "Soldiers" will help the pre-hospital provider with the difficult task of performing assessment of the elderly patient. It will describe the aging process and its effects, system by system.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  Changing Issues in Patient Restraint - Bryan Bledsoe, DO, FACEP
Patient restraint is an area of EMS practice that is rapidly changing. After several reported deaths attributed to restraint, EMS has adopted new policies in managing combative patients. This discussion will address the controversy and emotion in regard to this practice. In addition, Dr. Bledsoe will review the current literature and discuss the issue of restraint and positional asphyxia.
Target Audience: ALS and BLS field providers
  This session is sponsored by:
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  EMS Management and Leadership Development in America: An Agenda for the Future
- Skip Kirkwood, M.S., J.D., EMT-P
This session, which has been presented at several national EMS conferences, will discuss the EMS Management and Leadership Development in America: An Agenda for the Future document recently released by the National EMS Management Association. This document was developed to provide a vision for the future and the elements of a plan to move forward in regard to service-level management. This document can be referenced prior to this session by visiting: www.nemsma.org.
Target Audience: Service-level managers
FR/EMT/EMTP/PHRN - 1.5 (other)
  Resuscitation Update: Should the ABC's be CBA's? - Douglas Kupas, MD
Come join Pennsylvania's EMS Medical Director as he presents the latest updates on resuscitation. This presentation will center around the many updates on resuscitation and CPR, including information related to improved outcomes with the 2005 CPR guidelines and the growing concept of cardio cerebral resuscitation (CCR).
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
12:00 pm – 1:45 pm Annual EMS Awards Luncheon - you must pre-register
2:00 pm – 3:30 pm A New Main Squeeze: Tourniquets - Jeff Myers, D.O., Ed.M., NREMT-P
Tourniquets have been used as a last resort to control life threatening hemorrhage. Has this "last ditch" decree harmed patients by essentially removing tourniquets from our toolbox? Are there situations where early use of a tourniquet may be helpful? This session explores the recent literature on tourniquet use and attempts to squeeze out the story on this modality.
Target Audience: ALS and BLS field providers
Pending approval FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  Mother Goose on the Loose - Peter Lazzara, BS, NREMT-P
This session will use fun memory aids to focus on some common and some less-common pediatric problems, such as trauma, respiratory emergencies and seizures. This case study style class will assist the EMS provider with improving their pediatric assessment and treatment skills.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
  Nasal Medication Administration and Intraosseous Infusion - John Todaro, NREMT-P, RN, TNS, NCEE
This presentation will cover the concepts and skills associated with two new and upcoming procedures. The indications, guidelines, and pros/cons associated with administering medications nasally in the prehospital setting will be presented along with the basics of pediatric and adult intraosseous infusion; including the history of IO infusion, indications and contraindications, equipment, site selection, basic procedures, and complications.
Target Audience: ALS field providers
EMTP/PHRN - 1.5 (Med/Trauma)
  Overview of the Advanced Practice Paramedic (APP) Model - Skip Kirkwood, M.S., J.D., EMT-P
In January 2009 Wake County EMS began a new "Advanced Practice Paramedic" (APP) program designed to add a new and efficient enhancement to the existing EMS delivery model. Mr. Kirkwood, will discuss this program and the effects it has had on the community

The APP program will cover 3 main objectives:
  1. Reduce the occurrence of, or minimize medical crises for persons with specific medical conditions known to benefit from close medical monitoring and prevention efforts.
  2. Facilitate care for people with mental health or substance abuse crises at facilities other than the emergency room when no other medical emergency exists.
  3. Assure that an additional experienced paramedic is available on critical level calls by responding alongside paramedic ambulances.

Target Audience: ALS and BLS field providers and service-level managers
FR/EMT/EMTP/PHRN - 1.5 (other)
  Lightning Round: Ask the Medical Director - Douglas Kupas, M.D. and panel
Bring your questions and issues to this interactive and engaging session. Moderated by Pennsylvania's EMS Medical Director, this presentation will include Pennsylvania Regional and Service Medical Directors with varying philosophies on controversial issues like therapeutic hypothermia and rapid sequence intubation (RSI). Participants will have the chance to ask the panel questions and get face to face answers from the medical directors themselves!
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1.5 (Med/Trauma)
Keynote Lecture
4:00 pm – 5:30 pm
Have we Set the Bar too High?- Bryan E. Bledsoe, DO, FACEP
This presentation examines the impact of "Hollywood EMS." It explores the concept that EMS, in its present form, can never live up to customer expectations. The talk addresses such issues as response times, field pronouncements, CPR, medical helicopters, and other controversies. The material is presented in a humorous, yet challenging way.
Target Audience: ALS and BLS field providers
FR/EMT/EMTP/PHRN - 1 (Med/Trauma), 0.5 (other)
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Saturday, August 15, 2009

7:30 am – 8:15 am Breakfast - You must pre-register
8:15 am – 8:30 am Morning Announcements
8:30 am – 12:00 pm Skills Labs - You must pre-register (at no additional fee if registered for the three-day conference.)

BLS - York Hospital Training Institute
ALS - Harrisburg Area Community CollegeThe skills lab will provide participants with an opportunity to perform a variety of skills that are infrequently utilized in the field. This practical skills lab promises to be no stress, with no test. Target Audience: ALS and BLS field providers

This year's skills lab will pair participants with a group of providers at a similar level of training. Each skills lab will include three (3) different skills, one (1) of which will contain a pediatric focus.

Come have fun, mingle with other ALS and BLS providers and learn something new. Please wear comfortable clothing.
Target Audience: ALS and BLS field providers
FR/EMT - 3 (Med/Trauma)     EMTP/PHRN - 3 (Med/Trauma)

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EMS Conference August 13-15, 2009 • Holiday Inn Harrisburg/Hershey • Pre-Conference Workshops August 11-12, 2009