2019 COURSE CATALOG More than 400 classes available Online registration open through October 4 Learn more and register online at: www.vdh.virginia.gov/emergency- medical-services/ems-symposium

November 6 - 10, 2019 Norfolk Waterside Marriott, Sheraton Waterside Norfolk & Hilton Norfolk The Main Norfolk, Virginia Index

Registration Information 1 Wednesday Courses 9-15

On-site Check-in 2 Thursday Courses 15-22

Lodging 2 Class Worksheets Insert

Parking 2 Friday Courses 23-36

Governor’s EMS Awards Reception 2 Saturday Courses 36-47

Symposium Policies 2 Sunday Courses 47 - 48

Youth and Teen Camps 2 Faculty 49-53

Continuing Education Information 3 Seminars & Meetings 54

Registration Form 4-7 Program Committee 54

Three-Day Courses 8 Steering Committee 54

Two-Day Courses 8 Exhibit Hall Vendors 55

*Note - Classes are arranged by day, time and track for ease of use when planning your schedule. Please be sure to plan for enough time to get to your classes when choosing your schedule. Cover Photo Credit: Waterside at night photo by Wayne Berry

Thank You Sponsors! • Navy Region Mid-Atlantic • Virginia Department of • Virginia EMS for Children Fire & Emergency Services Fire Programs • Western Virginia EMS • Norfolk Fire/Rescue • Virginia Department of Council, Inc. Health • Regional EMS Councils Executive Directors Group • Virginia Emergency Nurses Association • State EMS Advisory Board Registration Information

Registration Deadline - istrations and payment to the address in with the payment. Once the payment is October 4, 2019 the first column. You will receive a regis- processed, each registrant will receive an tration confirmation, which will include email that includes confirmation of their The Virginia EMS Symposium registration your registration information and course itinerary. deadline is Friday, Oct. 4, 2019 at 5 p.m. A selection via email. worksheet in the center of this catalog will Governmental Agencies help you choose your classes by day, time, Registration Questions category and area to help fulfill your neces- Individuals whose registrations will be sary credit hours (see Symposium Course/ Web Support paid for by a governmental agency may Area quick reference sheet.) You can regis- If you are registering online and have register themselves online and choose the ter online and transfer or change your class technical support questions, please email “Invoice My Agency” option at checkout. selections with the new online registration the Symposium Help Desk at An invoice will be created when the order program. [email protected]. is placed. The invoice must be given to the agency and the agency must include this Mail paper registration forms, located on Payment Support invoice with their payment. Local, state pages 4 - 7, to the following address: If you have questions about your registra- and federal agencies may also pay for one tion payment, please call Sandi McGrath or more individuals by purchase order on Virginia EMS Symposium at 866-992-3637 or email symposium@ governmental letterhead. You must mail 1944 Peters Creek Road NW vaems.org. or attach to an email the purchase order Roanoke, VA 24017-1613 with the completed registration form for General Registration Inquiries each person being registered. Please sub- Registration will close Oct. 4, 2019 or when For general Symposium registration ques- mit one registration packet per person. A 1,800 participants are registered, which- tions, please call 804-888-9100. separate, valid email address for each reg- ever comes first. Please keep this in mind istrant is required on each paper form. The and register early! Classes fill up quickly. Payment registrant and agency will receive a regis- tration confirmation via the email address provided. How to Register Cash payments will not be accepted. Online - Our online registration system is Changes to Your Registration quick and easy to use. Online registration Credit Card - If you pay with your credit is preferred and will accommodate group card, then you must register online at: You can now make changes or update registration. The online registration pro- www.vdh.virginia.gov/emergency-medi- your class schedule and registration in- cess has many new options to assist you cal-services/ems-symposium/. For security formation online. If you have submitted in the selection of course sessions that purposes, credit card payments will only a paper registration and need to make a best meet your EMS educational needs. be accepted online. change, please contact Crystal Cuffley at 804-888-9102. Online registration accepts credit card Check - If you pay by check, then you and invoice payments. To register must send your paper registration and Cancellations - The symposium registra- online, please visit: www.vdh.virginia. check via mail. You may also register on- tion fee will be refunded if requested in gov/emergency-medical-services/ems- line and select invoice, then print the in- writing and received at the Virginia EMS symposium/. There will also be a copy of voice and remit payment to the address Symposium office by 5 p.m., Friday, Oct. your course confirmation in your packet, in the first column. Please include the in- 11, 2019. A $25 processing fee is charged voice number(s) on the check and make which you will receive upon check-in to for all cancellations. the Virginia EMS Symposium. checks payable to the “Virginia EMS Sym- posium”. Check and paper registration Paper Registration - Each registration must be received at the same time. Additional Fees must be on a separate form. To mail your Please read the full descriptions of the paper registration form, you can use the Invoice - EMS agencies or organizations courses you are registering for, as some registration sheet provided on pages that pay for multiple agency personnel to courses require extra fees to cover addi- 4 - 7 of this catalog or download the reg- attend the Symposium should have per- tional materials or costs associated with istration sheet from our website. When sonnel register online and generate an the course. This extra fee is noted in the submitting a paper registration, you will invoice. Print the invoice after completing description of the course, as well as on pay by check, made payable to the “Vir- the registration process and submit the the registration page. ginia EMS Symposium”. Payment must be invoice to the paying organization. When included with your paper registration to payments for group registrations are sub- successfully register. Mail all paper reg- mitted, include all invoice numbers along

40th Annual Virginia EMS Symposium 1 General Information On-Site Check-In Times Below is the schedule for the shuttle bus: is a $10/person charge for this event Wednesday & Thursday - 6:15 a.m. - 11 p.m. and everyone is invited to attend. Below are the hours that on-site registra- Friday & Saturday - 6:15 a.m. - 1 a.m. We’ll have the EMS Memorial Tribute tion will be open during the 2019 Virginia Sunday - 6:15 a.m. -2 p.m. and the presentation of the awards. EMS Symposium. Please note that free parking does NOT *New this Year - The Governor’s EMS Tuesday, Nov. 5, 2019, 3 p.m. - 9 p.m. include the parking garages. Free park- Awards Ceremony will feature keynote Wednesday, Nov. 6, 2019, 7 a.m. - 6 p.m. ing only applies to the designated area speaker Jose Rene “J.R.” Martinez! J.R. Thursday, Nov. 7, 2019, 7 a.m. - 5 p.m. in the Harbor Park baseball stadium Martinez is an American actor, author, mo- Friday, Nov. 8, 2019, 7 a.m. - 5 p.m. parking lot. More information will be tivational speaker and retired U.S. Army available on site. soldier. In March of 2003, Martinez was deployed to Iraq. In April he sustained se- Lodging To get from Harbor Park back downtown vere burns to over 34 percent of his body you can walk or ride. The Tide transit bus when his humvee hit a roadside bomb. Due to high demand during the Virginia and the Light Rail are $2 for one trip. For Since his recovery, Martinez has become a EMS Symposium, many area hotels sell more Hampton Roads Transit fares infor- highly sought-after motivational speaker. out of rooms quickly. For assistance with mation, visit: gohrt.com/fares/bus-fares/. local lodging options, please contact the In 2008, he joined the famed cast of the Norfolk Convention & Visitors Bureau at Youth and Teen Camps Emmy Award winning daytime drama All 800-368-3097 or www.visitnorfolk.com/. My Children. After All My Children ran its final season, J.R. went on to surprise and Additionally, some area hotels may of- Youth Camp is a fast paced and fun-filled session for children ages 8 - 12. Training inspire a nation on ABC’s Dancing with fer a special EMS Symposium state per the Stars. diem rate, please ask when making your covers CPR, water rescue, basic first aid, reservation. Bring your provider i.d. card, personal safety, as well as ropes and re- pelling. Class is limited to 25 children. Doors open at 6:15 p.m. The program runs as you may be asked for it upon check in from 6:45 - 8:45 p.m. Dinner will be served to receive the special rate. The state per Youth classes meet from 8:00 a.m. - 5:30 and limited banquet-style seating will be diem rate is adjusted in September, so available. Please note: There is a $10/per- hotel rates may be subject to change. p.m., Friday, Nov. 8 and Saturday, Nov. 9. There is a $25 fee per child attending the son fee to attend the awards ceremony and banquet. Symposium attendees are responsible for rescue camps. making their own hotel reservations. If you need special accommodations, please call Teen Camp is a fast paced and fun-filled Important Symposium Policies class designed for teens ages 13-17. the hotel where you have made reserva- Training covers scuba diving, ropes and Cancellations - The symposium registra- tions. The Office of EMS is unable to make rappelling, water rescue, wilderness special accommodations for you. tion fee will be refunded if requested in search and rescue, and First Aid skills. writing and received at the Virginia EMS This is an interactive event designed for students interested in public safety Symposium office by 5 p.m., Friday, Oct. Free Symposium Parking & careers. Class is limited to 15 teens. 11, 2019. A $25 processing fee is charged Local Transportation for all cancellations. Teen classes meet from 8:00 a.m. - 5:30 Symposium participants can park at no p.m., Friday, Nov. 9 and Saturday, Nov. 10. No Smoking - All symposium activities, charge for the entire symposium at the There is a $25 fee per teen attending classes, exhibits and hallways are desig- Harbor Park baseball stadium parking lot. the rescue camps. nated strictly non-smoking. Smoking is Harbor Park is about four blocks from the only allowed out of the conference cen- Marriott and offers plenty of safe, lighted Be sure to register while filling out your ter. Also, please refrain from using other parking. Harbor Park parking permits will symposium registration form. Youth and tobacco products in class. be available at the parking information Teen Camps are sponsored by The Fairfax County Fire and Rescue Department and booth located in the symposium registra- No Children in Classes - In order to re- the Virginia Office of EMS. tion area of the Marriott. You will receive duce classroom distractions, children and a parking permit to display on your dash- infants are not permitted in symposium board, which can only be used at Harbor Annual Governor’s EMS Awards classes. Park for the duration of symposium. Program and Reception No Admittance if Late to Class - You A shuttle service is being provided to take On Saturday, Nov. 9, join us in celebrat- must be in class for the entire time desig- people from the Harbor Park lot to the ing the Commonwealth’s 2019 Gover- nated to earn your CEUs. If you arrive late, Sheraton and the Marriott. nor’s EMS Award presentation. There you will not be admitted.

40th Annual Virginia EMS Symposium 2 CEU & Course Information CEU Worksheets responders that reality is more prevalent identified with a Star Of Life next to the than many would like to admit. The course title. Attendees may register to To ensure that you take the proper question is why? Why do terrorists do what receive the certificate by signing up on they do? Why do they think so differently? courses you need to obtain continuing ed- the 3rd Floor of the Marriott, opposite This lecture will tackle some of those the registration area. Once attendance is ucation units (CEU), please refer to the fol- questions and more in an attempt to lowing worksheets in the center of the cat- verified, certificates will be distributed via educate and understand this complicated email, and only upon the request of the alog: BLS and ALS credit hours. If you have topic. This lecture will be discussion attendee. Please direct questions regard- questions regarding CEUs, call the OEMS based, where class participation and ing the EMS Leadership and Management Division of Accreditation, Certification questions are encouraged. Certificate to Tristen Graves at and Education at 804-888-9120. Instructor: Kevin Ramdayal [email protected]. Friday - HEA-610 EMS from Death’s IHands-on - All hands-on classes are Continuing Education Credit Perspective 1999-2019 For the 40th Symposium, we are bringing denoted by the hand icon. Virginia EMS Providers - CEUs for Virgin- back a presenter from way back in the ia recertification credit will be awarded, past. In 1999, Bob and the Grim Reaper Health & Safety - This track focuses on as indicated by area, topic and category, presented to symposium for three years the health and safety of EMS providers. This to EMS providers certified by the Office of in a row, unheard of at the time. A lot has icon also identifies courses outside of this EMS. CEUs are offered for completion of changed in 20 years, but Death is always track that are health and safety-related. class for Categories 1 and 2. ALS and BLS there! What has changed in how we deal topics for recertification are listed by CE with him? How we handle death and dying Course Areas: All course areas will be subject matter, date, time and category. is not as important as how we handle living noted in the catalog as follows: Classes in Category 2 applies to both ALS and BLS, and the stress of our jobs. Hard hitting BLS and ALS category 1 will be designat- unless otherwise noted. session, sight and sound. Memorable ed with the assigned area number, for ex. message. Parental discretion advised. BLS 11/ ALS 16. Courses in BLS and ALS Non-Virginia Certified EMS Providers- Instructor: Robert Page category 2 will be noted as CAT 2, for ex. Upon request, Non-Virginia EMS provid- BLS CAT 2/ALS CAT 2. ers will receive a document that lists the Saturday - HEA-632 “Reconnect With symposium programs that they attended the Why” - Facing Provider Burnout Course Tracks from the Office of EMS. Requests must be Join EMS legend, Randolph Mantooth made no later than December 31, 2019. (Paramedic John Gage from TV show ADM - Administrative “Emergency!”), as he shares his personal Nurses - An education record will be gen- perspective of 40 years of experiences ARV - Airway, Respiration and and interactions with providers and erated by the Office of EMS as a record of Ventilation those who have suffered from provider classes attended. You will be able to turn burnout. Randy stresses the importance of BLS - BLS Academy this into your professional organization or recognition of burnout versus PTSD, and employer for CE. helping providers with reconnecting with CAR - Cardiac “the why” - what motivated the provider OMD Registration - Physicians attending to get involved in the first place. NOTE: EDU- Educator the Operational Medical Directors Work- “Celebrity Appearance Subject To Change” shop (OPE-907) are required to register Instructor: Randolph Mantooth for the symposium, but are exempt from HEA - Health & Safety paying registration and class fees for this Course Information course. Please fill out the Virginia EMS LMGT - Leadership & Management Symposium registration form and mail or BLS Academy - This academy offers stu- register online. For more information on MED - Medical dents the ability to find all of the required how to register, please see page 1. BLS continuing education credits with OPE - Operations greater ease. These courses can be identi- New this Year - General Sessions! fied by the course track that begins with PED - Pediatric BLS. Plan to attend general sessions, which are PRE - Preconference open to all attendees on Thursday, Friday EMS Leadership and Management and Saturday from 8-9 a.m. Certificate - EMS personnel are encour- RSC - Rescue Camp aged to take classes to assist in leading Thursday - OPE-908 Active Shooter or and managing EMS agencies. Registered TRA - Trauma Active Deadly Threat: An Approach for attendees can earn the EMS Leadership EMS Agencies and Management Certificate by taking a Terrorism, unfortunately, is a reality minimum of twelve (12) hours of courses for many people in this world. As first 3 40th Annual Virginia EMS Symposium 2019 Virginia EMS Symposium Registration Form

1. Registration Information: Legibly print name and affiliation as you want them to appear on your name badge.

Name ______

Address ______

City ______State ______Zip ______

Phone: Work ( ) ______Home ( ) ______

Email Address: (Please print clearly) ______

EMS Agency/Organization Affiliation ______

Certification Level: _____ EMR _____ EMT _____ Intermediate-99 _____ Paramedic _____ Instructor _____ Nurse _____ Physician Other: _____ Faculty _____ Vendor _____ Staff

Virginia EMS Certification Number ______(You will not be registered without this info. To assure CE is awarded, all Virginia certified EMS providers must provide their Virginia EMS Certification number. If you do not possess Virginia EMS certification, then you must provide a valid email address.)

Date of Birth ______City/County and State in which you reside ______

2. Registration Fees: $195 Full registration includes: all courses held Nov. 6 - 10, 2019, class materials, breaks and special events $ ______

$10 Thursday Night Social Event $ ______Online Registration is Quick & Easy! $10 Governor’s EMS Awards Banquet and Reception ($10/per person) $ ______There are two ways $265 EDU-501 - National Association of EMS Educators $ ______to register: Instructor Course Level 1 $100 CAR-402 - Advanced Cardiac Life Support (ACLS) $ ______Online and Paper Registration for Experienced Providers $248 HEA-601 - GRIN - Group Crisis Intervention and Assisting $ ______Individuals in Crisis (ICISF) $65 EDU-518 - Advanced Moulage Techniques $ ______$28 HEA-602 - Advanced Group Crisis Intervention $ ______$175 MED-801 - Infection Control Basic Designated Officer Training Course $______$265 TRA-1201 - FPC Review Course $ ______$50 TRA-1202 - ASHI Wilderness Emergency Care $______$25 RSC- 1301 - Rescue Camp for Youth ($25/child) $ ______Each family is limited to two registrations for the Rescue Camp. Youth Camp participants must be between the ages of 8-12 years old to participate.

$25 RSC- 1302 - Rescue Camp for Teens ($25/child) $ ______Each family is limited to two registrations for the Rescue Camp. Teen Camp participants must be between the ages of 13-17 years old to participate.

40th Annual Virginia EMS Symposium 4 3. Print Your Name 3:00 - 5:00 PM 1:30 - 5:30 PM ___ARV-205(L) ___TRA-1206 ___ARV-208(L) ___TRA-1211(L) ______OPE-904(L) ___EDU-513(L)* ___TRA-1212 ___OPE-910(L) 4. Check Your Classes - Limited class 3:00 - 4:00 PM size is indicated with an L. Prerequisites ___ARV-206 ___MED-811 1:30 - 4:30 PM for classes are indicated with an asterisk*. ___CAR-406 ___PED-1008 ___ARV-209(L) Place a 1, 2 and 3 for your first, second ___EDU-506 and third choices per time period. 1:30 - 4:00 PM 4:30 - 5:30 PM ___TRA-1213(L) Wednesday, November 6 ___EDU-507 ___MED-812 ___HEA-606 ___OPE-905 1:30 - 3:30 PM 8:00 AM - 5:30 PM ___LMGT-703 ___TRA-1207 ___BLS-305 ___EDU 501 Day 1* ___TRA-1201(L) Day 1* 1:30 - 2:30 PM ___ADM-101(L) Day 1* Thursday, November 7 ___ADM-109 ___MED-824 ___MED-801(L) Day 1* ___ARV-210 ___MED-825 ___OPE-901(L) Day 1 8:00 AM - 5:30 PM ___CAR-410 ___MED-826 ___PED-1001(L) Day 1 ___HEA-601 Day 1* ___EDU-514(L) ___OPE-911 ___TRA-1202(L) Day 1* ___EDU-501 Day 2* ___MED-823 ___PED-1010(L) ___TRA-1201(L) Day 2* 8:00 AM - 5:00 PM ___ADM-101(L) Day 2* 3:00 - 5:00 PM ___CAR-401 ___HEA-602(L)* ___MED-801(L) Day 2* ___EDU-515 ___TRA-1214(L) ___CAR-402(L)* ___OPE-901(L) Day 2* ___MED-827 ___PED-1001(L) Day 2 ___TRA-1202(L) Day 2* 3:00 - 4:00 PM 8:00 AM - 3:00 PM ___ADM-108 ___MED-829 ___ADM-102(L) 8:00 AM - 5:00 PM ___ADM-110 ___MED-830(L) ___EDU-508 ___OPE-906 ___CAR-411 ___PED-1011 8:00 AM - 12:00 PM ___MED-813(L) ___OPE-907 ___EDU-516 ___TRA-1215 ___ADM-103 ___MED-802(L) ___MED-828 8:00 AM - 12:00 PM 8:00 - 11:00 AM ___ARV-207(L) 4:00 - 5:30 PM ___ADM-104(L) ___TRA-1203 ___BLS-306 ___MED-803(L)* 8:00 - 9:00 AM ___OPE-908 4:30 - 5:30 PM 8:00 - 9:30 AM ___CAR-412 ___MED-833 ___BLS-301 9:30 AM - 5:00 PM ___EDU-517 ___OPE-912 ___MED-814(L) ___HEA-609 ___OPE-913 8:00 - 9:00 AM ___LMGT-706 ___TRA-1216 ___ARV-201 ___TRA-1204 9:30 AM - 4:30 PM ___MED-831 ___TRA-1217 ___HEA-603 ___MED-815 ___MED-832

9:30 - 10:30 AM 9:30 AM - 12:30 PM Friday, November 8 ___ARV-202(L) ___MED-804 ___BLS-304 ___EDU-502 ___MED-805 8:00 AM - 5:30 PM ___LMGT-701 ___PED-1002 9:30 AM - 12:00 PM ___RSC-1301(L) Day 1* ___TRA-1208(L) ___RSC-1302(L) Day 1* 10:00 AM - 12:00 PM ___HEA-601 Day 2* ___BLS-302 9:30 - 10:30 AM ___EDU-501 Day 3* ___ADM-105 ___LMGT-704 ___TRA-1201(L) Day 3* 11:00 AM - 12:00 PM ___ADM-106 ___MED-816 ___ARV-203 ___MED-807 ___CAR-407 ___MED-817 8:00 AM - 5:00 PM ___CAR-403 ___PED-1003 ___CAR-408 ___MED-818 ___PED-1012(L) ___CAR-404 ___PED-1004 ___EDU-509(L) ___MED-819 ___EDU-503 ___PED-1005 ___HEA-607 ___TRA-1209 8:00 AM - 12:00 PM ___LMGT-702 ___TRA-1205 ___HEA-630 ___OPE-914(L) ___MED-806 1:30- 5:30 PM 11:00 - 12:00 PM 8:00 - 9:00 AM ___BLS-303 ___MED-808 ___ ADM-107 ___LMGT-705 ___HEA-610 ___EDU-504(L) ___MED-809(L) ___CAR-409 ___MED-820 ___HEA-604 ___OPE-902(L) ___EDU-510 ___MED-821 9:30 AM - 5:30 PM ___EDU-511 ___MED-822 ___EDU-518(L)* 1:30 - 2:30 PM ___EDU-512 ___OPE-909 ___ARV-204 ___MED-810 ___HEA-608 ___PED-1009 ___CAR-405 ___OPE-903 ___HEA-631 ___TRA-1210 ___EDU-505 ___PED-1006 ___HEA-605 ___PED-1007

5 40th Annual Virginia EMS Symposium 9:30 AM - 12:30 PM 3:00 - 5:00 PM 11:00 AM - 12:00 PM ___BLS-307 ___CAR-421(L)* ___HEA-619 ___ADM-114 ___MED-868 ___EDU-527 ___LMGT-715 ___ADM-118 ___MED-869 9:30 AM - 12:00 PM ___EDU-528(L) ___PED-1020 ___ARV-219 ___OPE-937 ___TRA-1218(L) ___CAR-430 ___OPE-938 3:00 - 4:00 PM ___EDU-535 ___OPE-939 9:30 - 10:30 AM ___ARV-216 ___MED-855 ___HEA-623 ___PED-1028 ___ADM-111 ___MED-837 ___CAR-422 ___MED-856 ___HEA-624 ___PED-1029 ___ADM-112 ___MED-838 ___CAR-423 ___MED-857 ___LMGT-724 ___PED-1030 ___ARV-211 ___MED-839 ___EDU-529 ___OPE-927 ___LMGT-725 ___TRA-1237 ___CAR-413 ___OPE-915 ___EDU-530 ___OPE-928 ___LMGT-726 ___TRA-1238 ___CAR-414 ___OPE-916 ___HEA-620 ___OPE-929 ___LMGT-727 ___TRA-1239 ___CAR-415 ___OPE-917 ___LMGT-716 ___PED-1021 ___MED-867 ___EDU-519 ___OPE-918 ___MED-852 ___PED-1022 1:30 - 5:30 PM ___EDU-520 ___PED-1013 ___MED-853 ___TRA-1230 ___ARV-220(L) ___CAR-431 ___HEA-611 ___PED-1014 ___MED-854 ___TRA-1231 ___HEA-612 ___PED-1015 1:30 - 4:30 PM ___LMGT-707 ___TRA-1219 4:30 - 5:30 PM ___MED-870(L)* ___LMGT-708 ___TRA-1220 ___ARV-217 ___MED-859 ___MED-834 ___TRA-1221 ___ARV-218 ___MED-860 1:30 - 2:30 PM ___MED-835 ___TRA-1222 ___CAR-424 ___OPE-930 ___ADM-119 ___LMGT-731 ___MED-836 ___TRA-1223 ___CAR-425 ___OPE-931 ___ARV-221 ___MED-871 ___CAR-426 ___OPE-932 ___CAR-432 ___OPE-940 11:00 AM - 12:00 PM ___EDU-531 ___PED-1023 ___EDU-536(L) ___OPE-941 ___ADM-113 ___MED-841 ___EDU-532 ___PED-1024 ___EDU-537 ___OPE-942 ___ADM-115 ___MED-842 ___HEA-621 ___TRA-1232 ___EDU-538 ___OPE-943 ___ARV-212 ___MED-843 ___LMGT-717 ___TRA-1233 ___HEA-625 ___OPE-944 ___CAR-416 ___MED-844 ___LMGT-718 ___TRA-1234 ___HEA-626(L) ___TRA-1240 ___CAR-417 ___OPE-919 ___MED-858 ___LMGT-728 ___TRA-1241 ___CAR-418 ___OPE-920 ___LMGT-729 ___TRA-1242 ___EDU-521 ___OPE-921 Saturday, November 9 ___LMGT-730 ___EDU-522 ___OPE-922 ___EDU-523 ___PED-1016 8:00 AM - 5:30 PM 3:00 - 5:00 PM ___HEA-613 ___PED-1017 ___RSC-1301(L) Day 2* ___LMGT-732 ___PED-1032 ___HEA-614 ___TRA-1224 ___RSC-1302(L) Day 2* ___PED-1031 ___TRA-1243(L) ___LMGT-709 ___TRA-1225 ___HEA-601 Day 3* ___LMGT-710 ___TRA-1226(L) 3:00 - 4:00 PM ___LMGT-711 ___TRA-1227 8:00 - 9:00 AM ___ARV-222 ___MED-874 ___MED-840 ___HEA-632 ___EDU-539(L) ___MED-875 ___EDU-540 ___OPE-945 1:30 - 5:30 PM 9:30 AM - 12:30 PM ___HEA-627 ___OPE-946 ___ARV-213(L) ___MED-845(L) ___MED-861(L) ___LMGT-733 ___OPE-947 ___ARV-214 ___OPE-923 ___LMGT-734 ___PED-1033 ___HEA-615(L) 9:30 - 10:30 AM ___LMGT-735 ___TRA-1244 ___CAR-427 ___MED-864 ___MED-872 ___TRA-1245 1:30 - 4:00 PM ___CAR-428 ___MED-865 ___MED-873 ___TRA-1246 ___TRA-1228(L) ___CAR-429 ___MED-866 ___EDU-534 ___OPE-933 4:30 - 5:30 PM 1:30 - 2:30 PM ___HEA-622 ___OPE-934 ___CAR-433 ___OPE-950 ___ADM-116 ___LMGT-714 ___LMGT-719 ___OPE-935 ___EDU-541 ___OPE-951 ___ADM-117 ___MED-846 ___LMGT-720 ___OPE-936 ___EDU-542(L) ___OPE-952 ___ARV-215(L) ___MED-847 ___LMGT-721 ___PED1025 ___HEA-628 ___PED-1034 ___CAR-419 ___MED-848 ___LMGT-722 ___PED-1026 ___MED-876 ___TRA-1247 ___CAR-420 ___MED-849 ___LMGT-723 ___PED-1027 ___MED-877(L) ___TRA-1248 ___EDU-524 ___MED-850 ___MED-862 ___TRA-1235 ___OPE-948 ___TRA-1249 ___EDU-525 ___MED-851 ___MED-863 ___TRA-1236(L) ___OPE-949 ___EDU-526 ___OPE-924 ___HEA-616 ___OPE-925 Sunday, November 10 ___HEA-617 ___OPE-926 ___HEA-618 ___PED-1018 9:00 - 11:00 AM ___LMGT-712 ___PED-1019 ___ARV-223(L) ___OPE-953 ___LMGT-713 ___TRA-1229 ___CAR-434 ___PED-1035 ___HEA-629 ___TRA-1250 2:00 - 5:00 PM ___MED-878 ___TRA-1251 ___BLS-308 ___MED-879 ___TRA-1252

40th Annual Virginia EMS Symposium 6 5. Please Select Youth Camp or Teen Camp (Limited to two children per camp):

Youth Camp Child’s Name ______Date of Birth: ______

Youth Camp Child’s Name ______Date of Birth: ______

Teen Camp Child’s Name ______Date of Birth: ______

Teen Camp Child’s Name ______Date of Birth: ______

Emergency Contact Information for Rescue Camp Participants:

Primary Contact Name: (First) ______(Last) ______

Primary Contact Phone: ( ) ______

Primary On-site Phone: ( ) ______

Secondary Contact Name: (First) ______(Last)______

Secondary Contact Phone: ( ) ______

Secondary On-site Phone: ( ) ______

6. Payment Information: Payment must accompany registration form.

Registrant’s Name: ______

Enclosed is a check for $______made payable to the Virginia EMS Symposium.

Mail paper registration and check to: Virginia EMS Symposium 1944 Peters Creek Road NW Roanoke, VA 24017-1613 *All credit card payments must be submitted through the online registration process. For security purposes, credit card payments will not be accepted via mail.

Will you be attending the Governor’s EMS Awards Reception, which will be held Saturday, November 9 at the Norfolk Waterside Marriott?

_____ Yes or ______No

# of Guests (up to five additional) ______

Please note: The fee to attend the Governor’s EMS Awards banquet is $10/person.

7 40th Annual Virginia EMS Symposium MED-801 Infection Control Basic Three Day Courses Thursday - Saturday Designated Officer Training Course Wednesday - Friday 8:00 AM - 5:30 PM BLS Various / ALS Various / 16.0 CEU Target Audience: All 8:00 AM - 5:30 PM HEA-601 GRIN - Group Crisis This two-day course is designed to prepare Intervention and Assisting Individuals the attendee for assuming this important EDU-501 National Association of EMS in Crisis (ICISF) role. This individual is required for all Educators Instructor Course Level 1 BLS 15 / ALS 20 / 24.0 CEU emergency response agencies by Federal BLS CAT 2 / ALS CAT 2 / 24.0 CEU Target Audience: All law (Ryan White Law- Part G). A course Target Audience: All This three-day course combines ALL of the book is supplied to follow the training. The National EMS Instructor Courses content of ICISF’s Assisting Individuals in This includes testing laws, Ryan White law, have been designed and developed in Crisis & Group Crisis Intervention courses. medical waste regulations, confidentiality, accordance with the DOT/NHTSA 2002 Crisis Intervention is NOT psychotherapy; discrimination, job description, how to National Guidelines for Educating EMS rather, it is a specialized acute emergency establish an effective communication Instructors and the National Education mental health intervention, which system, proper post exposure medical Standards. The IC1 course represents requires specialized training. This course treatment, recordkeeping and reporting the didactic component and practical will prepare participants to understand a requirements. This course covers application of the educational process wide range of crisis intervention services childhood diseases as well as meningitis for EMS educators specified in over 40 for both the individual and for groups. and blood borne pathogens and TB. states. The course content provides Instructor: Patricia A Copeland Instructor: Katherine H West an introduction to a broad span of Co-Instructor: Chris Jett Limited to: 30 educational theory that is heavily reliant Required Text: Assisting Individuals In Crisis. Group Crisis Course Fee: $175.00 on brain-based learning and evidence- Intervention. based best practices for all levels of Course Fee: $248.00 experience as an EMS educator. IOPE-901 NFA: Emergency Medical Instructor: Laurie Davin Co-Instructors: Services: Functions in the Incident Bryan Ericson, Connie Mattera Two Day Courses Command System (F166) Prerequesites: A portion of the course (16 hrs of CE) must BLS CAT 2 / ALS CAT 2 / 16.0 CEU be completed online prior to class and includes educational Wednesday to Thursday Target Audience: ALS, Administrators, BLS, materials pertinent to successful course completion. Dispatcher, Educators Participants will complete a written posttest on the third day 8:00 AM - 5:30 PM Students will practice use of the Incident of the class, which includes information covered in class that Command System in coordination with other is referenced to content in the DOT/NHTSA 2002 National IADM-101 EMS Officer I public safety responders. As a follow-up to Guidelines for Educating EMS Instructors & the National BLS CAT 2 / ALS CAT 2 / 16.0 CEU ICS-100 and ICS-200 training, this course Education Standards found on the NAEMSE website. Target Audience: ALS, Administrators, BLS, will present scenarios requiring responders Course Fee: $265.00 Educators to structure their EMS resources within the EMS Officer 1 is targeted for the entry guidance of NIMS ICS, as appropriate to the level officer serving as the Crew Leader needs of the different incident types. Through ITRA-1201 FPC Review Course or AIC. Upon successful completion simulation and role-playing, students will BLS Various / ALS Various / 24.0 CEU of this course, the student will be able demonstrate the implementation of EMS Target Audience: ALS, Educators, MD, DO, RN to effectively manage EMS agency components in an ICS system at medium or This BCCTPC approved review course operations and administration. Major large-sized incidents. covers the topic areas that will be tested topics covered in this course are the role Instructor: Robert S Ryalls in the Flight Paramedic Certification of the EMS officer, facing compliance Prerequisite: ICS-100 & ICS-200, Required Text: EMS Exam and Critical Care Paramedic and accountability issues of the 21st Functions in ICS. Certification. For experienced providers, century, recognizing and managing Limited to: 30 you should feel comfortable with the cultural diversity, safety/wellness, TQM, following areas after this course: Trauma, interfacing with the community and Aircraft Safety and Survival, Flight IPED-1001 Pediatric Education for media at large, functional leadership, Prehospital Professionals (PEPP) Physiology, Advanced Airway and Neuro effective communications, incident Emergencies, Critical Care, Toxicology, BLS Various / ALS Various / 16.0 CEU management system(s) and managing Target Audience: ALS, BLS, RNs Respiratory, Obstetrics, Neonatal and multiple casualty incidents. Students will Pediatrics, Environmental, Burns and PEPP represents a complete source of need a computer. prehospital medical information for the Medical Emergencies. The course will be Instructor: Christopher M Vernovai Co- held over three days, includes handouts, emergency care of infants and children. Instructors: Chris Payne, Larry A Oliver Developed by the American Academy of will introduce providers to critical care Prerequisite: - Minimum age of 18 - Hold a current Virginia and allow experienced providers to feel Pediatrics, PEPP is an exciting curriculum Certification of EMT or higher - No corrective action from designed to teach prehospital professionals comfortable sitting for their exam. EMS Agency, OMD, or OEMS - Submit copies of NIMS 100, Instructor: Christina Martinka Co-Instructors: how to better assess and manage ill or 200, 700, 800 certificates or FEMA Transcript - Review all injured children. PEPP is a comprehensive, Andrew Carver, Chris Martinka, Matt Fox, video presentations - Complete all homework assignments Nicole Artisst innovative and highly visual course featuring - Bring a computer to class - Pre-coursework required. case-based lectures, live-action video, hands- Limited to: 27 Limited to: 30 Course Fee: $265.00 on skills stations and small group scenarios. Instructor: Jeremy Wampler Co-Instructors: Joshua Wimer, Rebecca Anhold Limited to: 24 Required Text: Pediatric Education For Prehospital Professionals (Pepp). ISBN-13: 9781284133035 40th Annual Virginia EMS Symposium 8 format features real-life case studies and Two Day Courses Wednesday Courses compelling discussions on current safety Wednesday to Thursday 8:00 AM - 5:00 PM issues, and provides participants with a forum to share their own experiences. 8:00 AM - 5:30 PM Critical thinking stations help build ICAR-401 Bob’s Basic Arrhythmias participants’ risk assessment and Course decision-making skills. TRA-1202 ASHI Wilderness I BLS 12 / ALS 17 / 8.0 CEU Instructor: Paul Goulart Emergency Care Target Audience: ALS, BLS, Educators, RN Prerequisite: EMS Safety is offered as an 8-hour classroom BLS Various / ALS Various / 16.0 CEU If you follow Bob’s 12 lead classes, you course and is appropriate for all levels of EMS practitioners, Target Audience: All know how he says in Lead 2 you got no other medical professionals providing prehospital patient This course is designed for the EMS clue? Well pigs can fly! If you are just care, and EMS supervisors and administrators. Required provider, scouting leader, and search and learning how to read basic arrhythmia, or Text: EMS Safety. rescue personnel that will be providing you just need a refresher program before Limited to: 20 care to a patient in the remote wilderness you take ACLS, or to increase your speed Course Fee: $28.00 setting, i.e. camp, hiking, searching, etc. We of recognition, this workshop is a fun will teach all types of medical and trauma way to cover all of the basic arrhythmias care, including splinting, stretchers, meds plus a few advanced things. This is a total 8:00 AM - 3:00 PM and many more. There will be a lot of “On immersion workshop where you will see, the Floor” skills, dress appropriately. hear and make arrhythmias. Come spend Instructor: Vernon M Frayser the day with arrhythmias. IADM-102 Mass Casualty Incident Prerequisite: Each student should bring a backpack to class Instructor: Robert Page Management I and II with what supplies they would take in the field, such as, BLS 15 / ALS 20 / 6.0 CEU at least “The Ten Essentials”. Bring lunch and water Day 2. Target Audience: All Limited to: 50 ICAR-402 Advanced Cardiac Life Mass Casualty Incident Management Course Fee: $50.00 Support (ACLS) for Experienced Module I is designed to prepare students Providers to take appropriate initial control actions BLS Various / ALS Various / 8.0 CEU in a mass casualty incident, including Friday - Saturday Target Audience: ALS, MD, DO, RNs performing the initial triage of patients. The goal of the ACLS EP Course is Mass Casualty Incident Management 8:00 AM - 5:30 PM to improve outcomes in complex Module II is designed to prepare students cardiovascular, respiratory and other (e.g, to assume staff positions and be able to IRSC-1301 Teen Camp metabolic, toxicologic) emergencies by direct effective actions within the Medical 16.0 CEU expanding on core ACLS guidelines and Group of an incident management Target Audience: Youth encouraging critical thinking and decision- system. This program will be taught to the Rescue Camp for Teens is a fast paced making strategies. Through instruction 2018 Virginia MCIM I and II curriculum, and fun-filled class designed for teens and active participation in case-based which includes both START and SALT ages 13-17. Training covers scuba diving, scenarios, learners enhance their skills in triage methods. ropes and rappelling, water rescue, the differential diagnosis and treatment of Instructor: Karen Owens Co-Instructors: wilderness search and rescue, and First pre-arrest, arrest, and post arrest patients. Frank Cheatham, Sam Burnette Aid skills. This is an interactive event The successful participant will receive an Limited to: 24 designed for students interested in public ACLS-EP certification card, which is valid safety careers. Class is limited to 15 teens. for two (2) years and supersedes a standard Classes meet from 8:00 a.m. - 5:30 p.m., ACLS Provider certification. 8:00 AM - 12:00 PM Friday, Nov. 9 and Saturday, Nov. 10. There Instructor: John C Cook Co-Instructor(s): ADM-103 Traffic Incident is a $25 fee per child attending the rescue Carol A Bernier, Marlon M Rickman, Melissa Management camps. Registration required. K Whitney BLS 15 / ALS 20 / 4.0 CEU Instructor: James T Brendel Prerequisite: Must have a valid AHA ACLS provider card at Target Audience: All Limited to: 15 the time of class. Must successfully complete the online This course addresses perhaps the most Course Fee: $25.00 ACLS provider exam (key provided, open resource) and bring certificate to class. Must pass skills testing during dangerous call that we go on, that being course to achieve certification. Required Text: ACLS for Highway Incidents. The original course IRSC-1302 Youth Camp Experienced Providers (ACLS Ep) Manual and Resource Text. was designed and presented by Federal 16.0 CEU Limited to: 24 Highway and is a nationally recognized Target Audience: Youth Course Fee: $100.00 course. Here in the Commonwealth, Rescue Camp for youth is a fast paced we have made it as Virginia-specific as and fun-filled session for children ages 8 possible. The course addresses all aspects to 12. Training covers CPR, water rescue, IHEA-602 EMS Safety of the call from the receipt of the call to any basic first aid, personal safety, as well BLS 15 / ALS 20 / 8.0 CEU after action meetings needed. It should as ropes and repelling or SCUBA Diving Target Audience: All be required for anyone responding on introduction. Rescue Camp is sponsored NAEMT’s EMS Safety course teaches roadways, interstate or otherwise. by The Fairfax County Fire and Rescue students how to protect themselves Instructor: Benjamin F Cheatham Department and the Virginia Office of EMS. and their patients while on the job. It Instructor: Todd I Barb Co-Instructors: promotes a culture of safety and helps Bryan J Nix, Erin L Bond, Evelyn G Edwards, reduce the number of on-the-job fatalities Katherine R Murray and injuries. EMS Safety is the only Limited to: 25 national, comprehensive safety course Course Fee: $25.00 for EMS practitioners. Its interactive 9 40th Annual Virginia EMS Symposium Wednesday Courses ITRA-1203 Fundamentals of Tactical HEA-603 Avoiding the Impact: Medicine Apparatus Crashes - Prevention and 8:00 AM - 12:00 PM BLS 15 / ALS 20 / 3.0 CEU Lessons Learned Target Audience: ALS, BLS, Educators, MD, BLS CAT 2 / ALS CAT 2 / 1.0 CEU IMED-802 Ultrasound Education for DO, RNs Target Audience: ALS, Administrators, the Prehospital Provider This session will engage participants in a BLS, Educators BLS 14 / ALS 19 / 4.0 CEU discussion about emerging concepts in As an AIC supervisor/manager, you have Target Audience: ALS, Educators, MD, DO tactical medicine and how they relate to a responsibility that whomever is driving This course is designed to introduce the civilian first responders. We’ll discuss the the apparatus is operating it in a safe and prehospital ALS provider the role of need for application of tactical medical effective manner. There are things that using ultrasound technology. This course principles into the civilian prehospital can only be taught by experience that will teach the fundamental principles of setting and new medical paradigms that should be shared and this class gives how an ultrasound works and how this apply to civilian tactical medicine. The ideas and points to think about as a crew technology can aid in the diagnosis and course is intended as an overview for on the effects of driving. This is not your treatment of prehospital patients. Part those new to the field of tactical medicine typical driver education class; it involves two of this course will teach providers as well as a discussion of the latest the entire crew! hands-on techniques for using portable innovations for those familiar with the Instructor: Dean S Thompson ultrasound technology. field. This hands-on session will include practice in tourniquet application and Instructor: Michael J Vitto ITRA-1204 EMS Mythbusters - How Limited to: 30 wound packing. Instructor: Kari Jerge Could I have Been So Wrong? BLS 15 / ALS 20 / 1.0 CEU 8:00 AM - 11:00 AM Target Audience: All 8:00 AM - 9:30 AM Over the last couple of decades, ADM-104 Writing How Reviewers’ prehospital care has made some BLS-301 BLS Academy - Airway Want to Read: A Grant Proposal Writing sweeping changes toward evidence- Management Workshop based medicine. Research has changed BLS 11 / ALS CAT 2 / Other (specify) CEU BLS CAT 2 / ALS CAT 2 / 3.0 CEU how we deliver prehospital care to many Target Audience: BLS Target Audience: All patients. Unfortunately, since prehospital Offered by the teaching faculty of Ever wonder what goes through care was founded on the idea of applying Tidewater Community College, this is the reviewers’ heads once you hit submit on a good ideas that seemed like common first class in the BLS Academy and satisfies grant application? This interactive writing sense, some of the age-old skills and the 1.5 hours of Airway Management workshop will teach you proposal writing practices performed in EMS remain based required of Category 1/NCCR (2016) basics by putting you in the reviewers’ seat on little more than cultural acceptance under the new CE requirements effective with examples of real grant proposals. rather than research proven medicine. April 1, 2017. You will learn style, tone and perspective This session is dedicated to debunking Instructor: Frank I Signorelli by reviewing proposals using a scoring some of these myths, some with practical matrix and criteria. This workshop is a demonstration and application. must for beginners or experienced grant 8:00 AM - 9:00 AM Instructor: Bradley Dean writers who wish to hone their skills. Instructor: Luke Parker ARV-201 Dangers of Bag Valve Mask 9:30 AM - 10:30 AM Limited to: 30 Ventilation BLS 11 / ALS 16 / 1.0 CEU Target Audience: ALS, BLS, Educators, MD, IARV-202 Boyle in a Bottle IMED-803 ALS Assist for BLS BLS 11 / ALS 16 / 1.0 CEU Providers DO, RNs Bag Valve Mask ventilation is a life- Target Audience: ALS, BLS, Educators BLS 14 / ALS CAT 2 / 3.0 CEU This class presents some hands-on Target Audience: BLS saving skill that all levels of prehospital emergency care are expected to perform, activities to illustrate and demonstrate Are you an EMT interested in learning how Boyle’s Law and the mechanics of you can better assist your ALS Providers but the BVM can be a dangerous device if used improperly. Here we discuss ventilation. Participants will make on scene? Often, there is a gap between a thorax out of a soda bottle and what we learn in our EMT program and the physiological changes when using positive pressure ventilation, the dangers demonstrate negative pressure what is expected of us in the field. Build ventilation and complications from your confidence by coming to this hands- of providing too frequent and too forceful ventilation, and techniques used to various chest conditions, such as, an on class to learn more about 12-lead open pneumothorax and flail segment. EKG’s, and assisting an ALS Provider with mitigate these dangers. Airway adjuncts, positioning, and deliberate practice Materials will be provided to students. various advanced airways, IV initiation, This activity is great for EMT, and even and medication administration. Skills techniques are examined so that BVM can be more effective with less risk of paramedic students, who are learning will include: performing 12-lead EKG’s, ventilation concepts. various equipment identifications, and complications. Instructor: Jonathan A Alford Instructor: Jonathan A Alford setting up an airway or IV station for your Limited to: 24 ALS Provider. Instructor: Kelsey J Rideout Co-Instructor(s): Amy Cantwell, Georgie Athenry, Lori Knowles Prerequisite: Current EMT Certification Limited to: 24

40th Annual Virginia EMS Symposium 10 managed, the ARDS patient will surely CAR-403 “Basic” Cardiology Wednesday Courses die. This presentation will look at the BLS 12 / ALS 17 / 1.0 CEU 9:30 AM - 10:30 AM physiology and pathophysiology Target Audience: ALS, BLS associated with ARDS and its prehospital If you are an EMT and have ever wondered EDU-502 10 Years of Standards - Where assessment and management what was happening during a cardiac call, We Are Going, Where We Have Been? implications. Ventilation strategies will don’t miss this presentation. This class will BLS CAT 2 / ALS CAT 2 / 1.0 CEU also be discussed in detail. give basic-level EMS providers a better Target Audience : Educators Instructor: William S Krost grasp of normal cardiac anatomy and The first National EMS Education physiology as well as a true understanding Standards were released in late 2008. We PED-1002 THE MISFITS and NEO Secrets of ALS assessment and management of are now beginning the process to revise BLS 14 / ALS 19 / 1.0 CEU cardiac patients. This class can also be a them, beginning with a new national Target Audience : ALS , Educators, MD, DO, RN great refresher on cardiac anatomy and scope of practice document. What have EMS personnel are challenged daily to physiology for the ALS provider. we learned in our transition from EMT-B recognize sick patients, diagnose life- Instructor: William S Krost to EMT? How can we continue to learn threatening illness and initiate treatment. from our experience with education Outside the everyday experience of CAR-404 Different Strokes for Different standards and how can we improve our managing sick patients, are children Folks classrooms and students in the future? and neonates. This is a specific group BLS 12 / ALS 17 / 1.0 CEU This presentation uses a historical look of patients who often present anxiety- Target Audience: All at EMS education to identify issues and provoking diagnostic challenges. Stroke education has typically been solutions moving forward with some Neonates often present a nonspecific non-specific in the prehospital world, predictions for the future of EMS. chief complaint or a history of symptoms aside from understanding neurological Instructor: Daniel Limmer that may or may not be benign. EMS deficits affecting one side of the body or personnel need to remain current on the other. However, strokes are so much LMGT-701 So You’ve Become an these life-threatening illnesses and more than that. This course will provide EMS Supervisor; Now What? their management. The mnemonic “THE a comprehensive approach to stroke, BLS CAT 2 / ALS CAT 2 / 1.0 CEU MISFITS” is helpful to quickly recall these including the five stroke syndromes; Target Audience : ALS, Administrators critical issues. different methods for stroke assessment, As with other buddy to boss transitions, Instructor: Bradley Dean including assessing for large-vessel the one from field provider to field occlusion; and the latest advances in supervisor can be a challenge. However, stroke treatment and intervention. with the right information and mindset, 10:00 AM - 12:00 PM Instructor: Cody G Jackson it can also be an opportunity for growth. Growth not only for yourself, but for your BLS-302 BLS Academy - Operations, EDU-503 Death to PowerPoint: Utilizing team members as well. Come join the Part 1 Technology in the Classroom conversation as we discuss how to be BLS 15 / ALS CAT 2 / 2.0 CEU BLS CAT 2 / ALS CAT 2 / 1.0 CEU successful in your new position. Target Audience: BLS Target Audience: Educators Instructor: Christopher H Jett Presented by the faculty at Tidewater The student learning environment has Community College, this is the second seen significant changes in recent years. MED-804 Excited Delirium - a Freight class in the BLS Academy and satisfies 2 With shortened attention spans and a Train to Death hours of the required 5 hours of Category demand for content delivery in a way BLS 14 / ALS 19 / 1.0 CEU 1/NCCR (2016) under the new CE that holds a student’s interest, educators Target Audience: All requirements effective April 1, 2017. have had to tailor lecture delivery. Gone Historically, a naked, screaming and Instructor: Frank I Signorelli are the days of flipping through slide after agitated individual standing in a roadway slide in PowerPoint. This course is aimed during heavy traffic required only 11:00 AM - 12:00 PM at helping instructors utilize various police response. Law enforcement were technologies in their classrooms. Tablets, smart phones and various software expected to remove the subject from the ARV-203 RSI Physiology platforms are all discussed and will roadway and take them to an appropriate BLS CAT 2 / ALS 16 / 1.0 CEU help EMS educators bridge the gap and facility. When force was used to subdue Target Audience: ALS, Educators, MD, DO, RN connect to each learning style. the subject, injuries were commonplace Rapid Sequence Intubation is increasingly Instructor: Daniel J Destefano Co-Instructor: and EMS responded at the request of available across Virginia. Most education is Steven Moring the police to treat the injuries. Medical focused on RSI Drugs and the mechanics treatment was focused upon clearing of tracheal intubation. This lecture looks the subject for incarceration at a jail beyond those issues to the effect that RSI LMGT-702 Conducting an Internal facility. Unfortunately, this scenario often has on the traumatized or critically ill, in Personnel Investigation resulted in the untimely and unnecessary particular the hemodynamic effects of BLS CAT 2 / ALS CAT 2 / 1.0 CEU death of the subject. positive pressure ventilation and oxygen Target Audience: Administrators, Educators Instructor: Adam Wojciehowski carrying capacity will be reviewed in Conducting or supervising an detail. Our Air-Medical Service instituted a investigation within an agency is MED-805 ARDS: More Than Just treatment bundle to prevent hypoxia and challenging and full of pitfalls. Besides Respiratory Distress hypotension; the results of these efforts the complicated issues of employee BLS 11 / ALS 16 / 1.0 CEU will be reviewed. There will be plenty of rights and defining wrongdoing, actually Target Audience: ALS, MD, DO, RNs time for discussion and questions. conducting an investigation is foreign to ARDS or Adult Respiratory Distress Instructor: Asher Brand most administrators. Veteran police officer, Syndrome is a life threatening symptom paramedic and EMS author Dan Limmer of a serious systemic insult. If improperly will cover basic principles of interview, 11 40th Annual Virginia EMS Symposium investigation and evidence collection for multitude of forms, which are dependent development, refinement, and validation the supervisor or administrator to apply on etiology and patient age. The longer of formative and summative scenarios in the workplace setting. seizures persist, the more difficult for use in the classroom using students Instructor: Daniel Limmer it is to control. Prompt recognition and faculty. Participants will review and and appropriate treatment are vital revise sample formative and summative in preventing permanent neurologic scenarios to ensure that the learning Wednesday Courses damage. objectives of the scenarios are met. After Instructor: Nikki M Ferguson revision by presentation participants, the 11:00 AM - 12:00 PM scenarios will be run by EMS students to PED-1005 The Story of Luke, the Little see how well they evaluated the learning MED-806 Toxins on the Farm that can but Mighty objectives of the scenario. Kill & Associated Risk for EMS Personnel BLS 12 / ALS 17 / 1.0 CEU Instructor: J. Todd Vreeland Co-Instructor: BLS 14 / ALS 19 / 1.0 CEU Target Audience: ALS, Educators, MD, DO Dan Limmer Target Audience: All Managing the out-of-hospital, Limited to: 40 There are a number of toxins on the farm cardiac arrest can be a complicated that can be of danger to those exposed, event. Managing the drowning and including EMS personnel who arrive to HEA-604 First Responder Resilience subsequent arrest of a two-year old the aid of those afflicted. These toxins BLS 15 / ALS 20 / 4.0 CEU adds psychologically compounding can include such agents as pesticides, Target Audience: All complications to an already difficult herbicides, and various by-products of This workshop is designed to educate situation. The lecture will discuss the farm processes (e.g., gasses). This lecture participants on the types and effects of management of pediatric drownings and is case-based, highlighting the variety stress that confront professionals who cardiac arrest through the story of a little of patients that may be encountered serve in stressful occupations, as well as boy named Luke. Luke’s story will educate from a farm due to toxins and the programmatic elements of effective help us on the pathology of drowning, the associated signs and symptoms. Potential for first responders. The course employs preparation of our clinicians, and the complications will be discussed. Review reality-based examples that are both resiliency of a little boy and his family of appropriate treatments will be noted, useful and enlightening, as well as, lessons who refuses to give up. specifically emphasizing various options learned from the experiences of the Instructor: Brad T Garmon in prehospital pharmacotherapy. instructor. Participants will be provided Instructor: Christopher P Holstege with the necessary tools to recognize and TRA-1205 Stayin’ Alive Meets Another understand the signs and symptoms of One Bites the Dust, Reprise: Case stress, to recognize the types of incidents IMED-807 The Slow World of Studies in Traumatic Arrest that will need follow-up care, and effective Confusion - Geriatrics 3.0 BLS 13 / ALS 18 / 1.0 CEU ways for managing stress. BLS 14 / ALS 19 / 1.0 CEU Target Audience: All Instructor: Tania Glenn Target Audience: ALS, BLS, Educators, MD, This session will review case studies DO, RN in adult resuscitation secondary to MED-808 Community Based In the world of the aged 65 and older, there suspected traumatic arrest. These cases Emergency Response Seminar (CBERS) are changes that we must understand to include a variety of patient scenarios - CHEMPACK Program provide the best care. They took care of us based on mechanism of injury, injuries, BLS 14 / ALS 19 / 4.0 CEU when we were born, now it’s time to pay treatments, and outcomes. Attendees Target Audience: ALS, Administrators, BLS, them back. Let’s learn about changing will be presented with a case and guided Dispatcher, Educators, MD, DO, RNs physiology and the effects it has on the in determining possible treatment This seminar is designed to provide elderly, basic and advanced care and learn modalities following ATLS guidelines for attendees an overview of the CHEMPACK hands-on skills that are not always taught. adult trauma resuscitation. Depending Program, recognition of nerve agent Instructor: Dean S Thompson on group size, small group activities will exposures, and awareness of the state be used for initial case discussion. plan. Attendees will be encouraged PED-1003 Pediatric Transport in Instructor: Beth L Torres to return to their agencies to assist in Disasters reviewing and editing their local plan(s), BLS 15 / ALS 20 / 1.0 CEU assist in further developing their local Target Audience: All 1:30 PM - 5:30 PM training and protocols/plans. Are your local and regional emergency Instructor: Patrick Ashley Co-Instructors: medical transportation assets ready to BLS-303 BLS Academy - Medical, Part 1 James Moss, Sam Burnette accommodate pediatric patients? This BLS 14 / ALS CAT 2 / 4.0 CEU session will describe current capabilities Target Audience: BLS and gaps, as well as lessons learned from Presented by the faculty of Tidewater IMED-809 Ultrasound Education for previous disaster evacuations; focusing Community College, this is the third class the Prehospital Provider on the unique needs of pediatric patients. in the BLS Academy and satisfies 4 hours BLS 14 / ALS 19 / 4.0 CEU Learn how to plan for and respond to of the required 6 hours of Category 1/ Target Audience: ALS, Educators, MD, DO pediatric mass transportation issues. NCCR (2016) Medical under the new CE This course is designed to introduce Instructor: Adam Wojciehowski requirements effective April 1, 2017. the prehospital ALS provider the role of Instructor: Frank I Signorelli using ultrasound technology. This course PED-1004 Pediatric Seizures will teach the fundamental principles of how an ultrasound works and how this BLS 14 / ALS 19 / 1.0 CEU IEDU-504 You Can Do it Too: Target Audience: ALS, BLS, MD, DO, RNs technology can aid in the diagnosis and Psychomotor Scenario Development treatment of prehospital patients. Part Seizures in pediatric population are one BLS CAT 2 / ALS CAT 2 / 4.0 CEU of the most common reasons for EMS two of this course will teach providers Target Audience: Educators hands-on techniques for using portable calls/transfers. Seizures can present in a This workshop will focus on the 40th Annual Virginia EMS Symposium 12 ultrasound technology. learn important history questions to ask OPE-903 Firestorm! A look from a Instructor: Michael J Vitto to guide diagnosis and treatment. The Healthcare Perspective Limited to: 30 session covers a discussion of patient BLS CAT 2 / ALS CAT 2 / 1.0 CEU assessment and interventions for fluid and Target Audience: All electrolyte imbalances, based on type of This session will review the trials and Wednesday Courses dialysis as well as special considerations tribulations of the 2017 and 2018 Northern when resuscitating and providing post- California Wildfires that scorched over 1:30 PM - 5:30 PM resuscitation care. The participant will 500,000 acres and killed over 125 people. learn the science behind the treatment We will dive into the point of view from IOPE-902 Be The Help Until Help plan. A detailed case study chronicles a a healthcare experience and how the Arrives CKD patient from a prehospital cardiac incident was managed. Lessons learned BLS 13 / ALS 18 / 4.0 CEU arrest, through post-resuscitation care, for EMS, Healthcare, and Emergency Target Audience: All including therapeutic hypothermia. Management industries will be examined. To improve survival after intentional mass Instructor: Beth L Torres Instructor: Adam Wojciehowski casualty, communities must empower citizens to provide first medical care to the EDU-505 Stay Out of the Tunnel PED-1006 Fatality Facts: A Trends injured. Although programs such as, Stop BLS 15 / ALS 20 / 1.0 CEU Analysis of Mortality Rates and Causes The Bleed, are a beginning, hemorrhage Target Audience: ALS, All, BLS, Educators, of Death in Virginia’s Children control alone is not enough. Recent MD, DO, RNs BLS 14 / ALS 19 / 1.0 CEU research shows that exsanguinating Imagine you walk into a room and see Target Audience: ALS, Administrators, BLS , hemorrhage is not as significant for your patient bleeding but at this time you Dispatcher, Educators, MD, DO, RNs civilian active shooter events as it is in don’t know why. We have all done this Infant and child mortality rates are combat. Instead, citizens must go beyond and not seen that the patient may not be critical indicators used to determine not bleeding and “Stop The Clock” on all breathing. We as providers need to be alert only a community’s maternal and child causes of preventable death. This course to not only all of the patients’ symptoms health, but also the overall health of a provides a comprehensive framework but also to our surroundings. This course population. This workshop will provide for personal response during and in the will cover some suggestions on not having attendees a comprehensive overview of aftermath of intentional mass casualty. tunnel vision, not only with your patient, child mortality trends in Virginia. Through Instructor: E. Reed Smith Co-Instructors: but also to what is around you. an exploration of the data collected by Geoff Shapiro, Matt Dreher, Nate Hiner Instructor: Daniel Frazier the Office of the Chief Medical Examiner Limited to: 40 (OCME), this workshop will explore HEA-605 EMS Culture of Safety: trends in the causes and manners of Not Your Grandpa’s Rescue Squad death of Virginia’s children, and highlight 1:30 PM - 2:30 PM BLS 15 / ALS 20 / 1.0 CEU emerging areas for intervention and Target Audience: All prevention strategies. ARV-204 Tunnel Vision: Complex For so long, the only safety priority in our Instructor: Jane C Tingley Airway Management and RSI EMS culture was ‘scene safe, BSI...’ There was BLS 11 / ALS 16 / 1.0 CEU never much thought put into operational PED-1007 Pediatric Traumatic Brain Target Audience: ALS, Educators, RNs safety and safety considerations for our Injury “Complex” is synonymous with the patients. This course will discuss the EMS BLS 13 / ALS 18 / 1.0 CEU traumatically injured airway. It is common Culture of Safety related to crew resource Target Audience: ALS, BLS, MD, DO, RNs for EMS to encounter traumatic patients management, the idea of Just Culture and Pediatric Traumatic Brain Injury (TBI) that present many challenges, both in its application in a case presentation, and is a leading cause of morbidity and securing and maintaining the airway. This the opportunities for reporting of safety mortality in children. Understanding the presentation focuses on the complexities events, “near-misses,” and best practices pathophysiology underlying the initial surrounding difficult intubations in the for the improvement of the delivery of injury and possible secondary injury (due setting of poor anatomy, respiratory EMS care. to hypoxia, hypotension, etc) are critical compromise, pathology, and other causes Instructor: Cody G Jackson to caring for these patients. The initial that lead to failed first pass attempts. resuscitation period is key in preventing Whether simple or complex, looking MED-810 Articles of the Year: OMD these potential secondary injuries and beyond “passing the tube” and focusing Roundtable potentially improving the likelihood of a on the big picture increases induction BLS 14 / ALS 19 / 1.0 CEU good outcome. success. Come fight tunnel vision and Target Audience: All Instructor: Nikki M Ferguson learn about increasing your skills in our John Morgan, Reed Smith, Allen Yee and most difficult patient populations. Asher Brand will each present their choice Instructor: Brad T Garmon for “EMS Article of the Year”. After the brief 3:00 PM - 5:00 PM presentation, a lively discussion about the CAR-405 Don’t Give Up on Me article will be held to include audience ARV-205 The BLS Ventilation and Yet -- Chronic Kidney Disease & I participation and questions. The fifteen Oxygenation Lab Cardiovascular Events: What to Do, minutes per article and discussion on BLS 11 / ALS CAT 2 / 2.0 CEU When, and Why clinical issues that surround it are sure Target Audience: BLS, Educators, RNs BLS 14 / ALS 19 / 1.0 CEU to be a great learning opportunity for all This session will start with a lecture on Target Audience: All involved! oxygenation and ventilation, including This presentation describes the risk Instructor: Asher Brand Co-Instructors: Allen the anatomy (airway geometry), chronic kidney disease patients face for Yee, John Morgan, Reed Smith mechanics and chemistry behind it. We experiencing potentially life-threatening will then transition to hands-on stations cardiovascular events. Participants will that will include ventilation, oxygenation, 13 40th Annual Virginia EMS Symposium airway application and BLS capnography. providing their own respirations. At times, Experiences to multiple poor mental The student will also be able to walk away what occurs after intubation can lead to and medical health outcomes. The with a big picture of understanding how the greatest improvement or deterioration neurobiological effects of childhood and why different devices, procedures of our patients. We will discuss the trauma and the field of epigenetic will and actions work. complexities of breathing for our patients, be discussed so the listener will have Instructor: Christopher M Kroboth Co- and how many conditions and injuries can an appreciation for the importance of Instructors: Donna Speakes, Duane Tenney, complicate our care or harm our patients if identifying trauma in an individual’s past Jon Bailey they are not quickly identified. and avoiding re-traumatizing that person. Limited to: 40 Instructor: Brad T Garmon Healthcare providers’ vulnerability to trauma will be explored as well as CAR-406 BLS-ALS Assessment of Chest methods for building their resilience. Wednesday Courses Pain Instructor: Susan W Jones BLS 12 / ALS CAT 2 / 1.0 CEU 3:00 PM - 5:00 PM Target Audience: ALS, BLS, Educators, RNs This session uses a case study to delve into 4:30 PM - 5:30 PM OPE-904 Fatality Review: A Model for the initial assessment and management Saving Lives and Improving Public of a patient experiencing chest pain. A EDU-507 Educator Roundtable - ALS Health and Safety brief overview of cardiac anatomy and Programs BLS CAT 2 / ALS CAT 2 / 2.0 CEU physiology related to acute coronary BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS, Administrators, BLS, syndrome is provided. Participants work Target Audience: Educators Dispatcher, Educators, MD, DO, RNs through the case study using the OPQRST Back by popular demand - and expanded! Fatality review is a nationally recognized acronym for assessment. Interventions This one-hour session will focus on best method for understanding how and covered include medications and 12 lead practices and tricks-of-the-trade for why people die - the goal of which is to ECG acquisition. This session is geared setting up, administrating and teaching reduce those deaths. This workshop will more towards the novice provider, but is Advanced EMT and Paramedic courses. feature an overview of the philosophy, applicable to all providers. Bring the ideas and tools that have really principles, and process of fatality review, Instructor: Beth L Torres made your classes better - and you’ll leave including considerations for reviewing with more than you brought. Guaranteed! cases of child deaths and deaths due to EDU-506 Educator Roundtable - EMT EMT and BLS level programs will be domestic violence. Through observation and BLS Programs discussed in a separate session. Sign up of a mock review, attendees will gain an BLS CAT 2 / ALS CAT 2 / 1.0 CEU for both! understanding of how fatality review teams Target Audience: Educators Instructor: William R Akers work to accomplish their goals, and how to Back by popular demand - and expanded! get involved in existing local efforts. Bring the ideas and tools that have made HEA-606 Fight the Feeling Instructor: Jane C Tingley your classes better - and you’ll leave with BLS 15 / ALS 20 / 1.0 CEU Limited to: 40 more than you brought. Guaranteed! Target Audience: All This one-hour session will focus on best In today’s world there are more and TRA-1206 Hot Trends in Trauma: TXA, practices and tricks-of-the-trade for more of our co-workers dying. As EMS Ketamine, and Tactical Medicine running and teaching EMT and other BLS- providers, some feel the guilt of not BLS 13 / ALS 18 / 2.0 CEU level courses. ALS level programs will be recognizing the signs of those who may Target Audience: ALS, Administrators, BLS, discussed in a separate session. Sign up take their own life. EMS providers also Educators, MD, DO, RNs for both! wonder why they survived. Find out some This presentation will engage attendees Instructor: William R Akers of the reasons why our profession has had in a discussion about emerging trends in an increase in suicide and recognize some prehospital trauma care. We will review MED-811 Penicillin on the Half of the signs. Find out why you may have the indications, dosing, and evidence for Shell: Prehospital Management of survivor’s guilt and learn from someone TXA in coagulopathic trauma patients. Anaphylaxis who has experienced PTSD and the steps Next, we will discuss the challenges BLS 14 / ALS 19 / 1.0 CEU he took to get past it. related to pain control and why ketamine Target Audience: ALS, BLS, Educators, MD, Instructor: Daniel Frazier is an ideal agent with multiple indications DO, RNs in trauma care. Finally, we will discuss the Although anaphylactic reactions are LMGT-703 The Big Event: Can You emergence of tactical medicine and the relatively uncommon, when they do occur, Afford It? urgent need to translate combat medical death may result within minutes. This BLS CAT 2 / ALS CAT 2 / 1.0 CEU principles into the civilian prehospital session will discuss the normal physiology Target Audience: Administrators environment. and the pathophysiology of immune Navy Fire and Emergency Services Instructor: Kari Jerge response and identifies current trends in the coordinates closely with mutual aid and prehospital management of anaphylaxis. other community partners on a reciprocal 3:00 PM - 4:00 PM There will also be a review of the current basis, providing EMS for on-base events research and trends in the identification like the NAS Oceana Air Show (with about ARV-206 Navigating through Minefields: and management of anaphylaxis. 300,000 attendees), carrier battle group Post Intubation Considerations Instructor: William S Krost homecomings, concerts, and assists BLS CAT 2 / ALS 16 / 1.0 CEU municipal partners with their events like Target Audience: ALS, Educators, MD, DO PED-1008 Trauma-Informed Care marathons, 4th of July celebrations and The intubated patient is a minefield. This BLS 13 / ALS 18 / 1.0 CEU Op Sail. The course provides an overview is an important reality to understand Target Audience: All of the variables that influence an event’s especially when we choose to stop a This course describes the pivotal ACEs risk profile, and discussion of options for patient who was previously breathing from study linking Adverse Childhood staffing and cost recovery, command 40th Annual Virginia EMS Symposium 14 and communications, with emphasis certification upon completion of the on meticulous planning and utilizing Thursday Courses course. community partnerships. 8:00 AM - 5:00 PM Instructor: Doug Wolfberg Instructor: John K Janney OPE-907 Operational Medical Directors IEDU-508 EMT Flipped Classroom Workshop Wednesday Courses BLS CAT 2 / ALS CAT 2 / 8.0 CEU BLS CAT 2 / ALS CAT 2 / 8.0 CEU Target Audience: Educators Target Audience: MD, DO 4:30 PM - 5:30 PM A flipped classroom is designed to help This class will cover new developments

educators shift from the role of lecturer in patient care, rules and regulations, and MED-812 SPM - Bariatric Emergencies to the roles of guide and facilitator. It EMS management for operational medical BLS 15 / ALS 20 / 1.0 CEU allows traditional instructor-centered- directors. Emphasis will be given to Target Audience: ALS, Administrators, BLS, classrooms to transform into student- examining the evidence base supporting Dispatcher centered learning environments, where patient care guidelines in EMS as well Bariatric procedures have increased 400 instructors can provide individual as Virginia-specific developments. This percent in the past decade. Public safety mentoring to each student. This course course will count towards requirements professionals are tasked with simple but features student-directed courseware, for re-endorsement as an EMS physician, complex responses of calls for service including problem-solving activities, and CME will be offered. relating to the safe patient mobility (SPM) peer-to-peer activities and student Instructor: George Lindbeck of bariatric patients. This presentation coaching with competency checks will address the common challenges, call throughout. Sponsored by Jones and makeup and requirements for pre-planning Bartlett and featuring David Page and 8:00 AM - 12:00 PM when treating the morbidly obese. Heather Davis, this is a ‘must-course’ for Instructor: Adam Wojciehowski seasoned and new educators. Instructor: David I Page IARV-207 Airway and Resuscitation OPE-905 Expect the Unexpected: Co-Instructor(s): TBD Lab Dangers of Helicopter Landing Zone Class Format : Lecture and Practical BLS CAT 2 / ALS 16 / 4.0 CEU Operations Target Audience: ALS BLS CAT 2 / ALS CAT 2 / 1.0 CEU Some of the most stressful calls in EMS are Target Audience: All IMED-813 Safely Addressing Violent ones in which lifesaving skills are utilized. When utilizing HEMS agencies to assist Encounters (S.A.V.E.) The calls are of low frequency, and skill with patient transport, we all recognize BLS 13 / ALS 18 / 8.0 CEU degradation can be a factor. This lab will there are risks associated with helicopter Target Audience: All provide hands-on training on managing landing zones, like trees and power Although more than five percent of calls airways and honing resuscitation skills. lines. However, there are far more risks for help involve a violent patient, little Students will practice and perform associated with helicopter operations training is provided to effectively address maneuvers on difficult airways, surgical at the scene that we may not initially this growing problem. This hands-on, airways and resuscitation techniques. consider. This course will look at those interactive program will outline the The hands-on session also includes left ‘not in the playbook’ situations that can needed skills to not only identify a ventricular assist devices. Students will prove to be just as dangerous and ways violent scene, but also discuss simple have opportunities to gets hands-on with to mitigate the associated risks to ensure techniques that can easily be applied the latest technology. safety for not only the flight team, but to any aggressive person. Based on a Instructor: Allen Yee Co-Instructors: Dillard also the patient and first responders on foundation of medically accepted and E Ferguson the ground. liability conscious practices, S.A.V.E. will Limited to: 30 Instructor: Cody G Jackson teach you how to safely control violent patients in need of medical treatment and TRA-1207 A New Paradigm in Trauma how to defend yourself and your partners 8:00 AM - 9:00 AM Resuscitation against unexpected assaults. BLS 13 / ALS 18 / 1.0 CEU Instructor: Shawn Tompkins Co-Instructors: OPE-908 Active Shooter or Active Target Audience: ALS, BLS Educators, MD, Robery Poresky Deadly Threat: An Approach for EMS DO, RNs Limited to: 24 Agencies In the world of EMS, trauma resuscitation BLS 15 / ALS 20 / 1.0 CEU has classically been cookie cutter OPE-906 Certified Ambulance Target Audience: All medicine. This session will look at the Documentation Specialist (CADS) Terrorism, unfortunately, is a reality current science and recommendations BLS CAT 2 / ALS CAT 2 / 8.0 CEU for many people in this world. As first for fluid replacement therapy, trauma Target Audience: ALS, Administrators, BLS, responders that reality is more prevalent specific pharmacology and new strategies Educators than many would like to admit. The in resuscitation. The discussion will The Certified Ambulance Documentation question is why? Why do terrorists do what include volume resuscitation: drugs from Specialist (CADS) course is a certification they do? Why do they think so differently? Ketamine to TXA, and sedation and pain program designed to standardize and This lecture will tackle some of those management. We will also highlight new improve EMS documentation training in questions and more in an attempt to technologies and resuscitation strategies, the United States and is applicable to all educate and understand this complicated including the Resuscitative Endovascular levels of EMS providers. This is the only topic. This lecture will be discussion Balloon Occlusion of the Aorta (REBOA). national EMS-specific documentation based, where class participation and Instructor: William S Krost certification program in the U.S.questions are encouraged. Participants receive on-site, permanent Instructor: Kevin Ramdayal

15 40th Annual Virginia EMS Symposium CAR-407 ACLS Pharmacology Thursday Courses 9:30 AM - 12:00 PM BLS CAT 2 / ALS 17 / 1.0 CEU 9:30 AM - 5:00 PM Target Audience: ALS, Educators, MD, DO, RN ITRA-1208 Stop the Bleed - The Virginia This session covers the medications Trauma System; Training Providers to commonly delivered as part of Advanced IMED-814 ACLS for EMT Basic Train Others in Their Communities Cardiac Life Support (ACLS) resuscitation Providers BLS 13 / ALS 18 / Other (specify) CEU and treatment. Participants will learn BLS 12 / ALS CAT 2 / 6.0 CEU Target Audience: All the what, when and how of medication Target Audience: BLS Launched in October of 2015 by the administration. The discussion and This exciting, hands-on course is scenario- White House, Stop the Bleed is a national scenarios presented will also aid in learning based on the ACLS guidelines and the awareness campaign and a call to action. when to give what medication and explain code is worked by EMT basics using Trauma centers throughout Virginia are how the medications work in the body. tools that they are allowed to use, AEDs, coming together to offer this program for all This session serves as a good review for the CPR, Supraglottic airways, etc. Although EMS providers with the hope they will then novice and experienced providers. it is not a certified ACLS course where return to their communities to continue to Instructor: Beth L Torres you take a test at the end, you could be cultivate this grassroots effort. We believe recertified in CPR (BLS) if necessary. This lay providers through the Commonwealth CAR-408 Aortic Emergencies from is a simulator driven course where teams should be prepared to save a life by Anatomy to Critical Care Management of providers rotate roles to perfect the controlling hemorrhage. We hope to train BLS 12 / ALS 17 / 1.0 CEU teamwork, communications and timing 800 providers in Norfolk in 2019! Target Audience: ALS, BLS, RNs to near perfection! Come join the fun! Instructor: James H Gould Co-Instructors: Aortic dissection and aortic aneurysm are Instructor: Robert Page Basil Asay, Dr. Alan Rossi, Gregory Neiman, two distinct diseases with different causes Limited to: 24 Karen Shipman, Katherine Challis, Kenneth and radically different treatments. This Williams presentation will review major diseases Limited to: 60 of the aorta featuring review of the 9:30 AM - 4:30 PM pathophysiology, EMS treatment priorities and definitive care. The presentation MED-815 Carcinogen Reduction and 9:30 AM - 10:30 AM includes graphics and photographs, but Cancer Risk Reduction/Prevention and is “PowerPoint-light” with plenty of time Care of Firefighter Burn Injuries ADM-105 Child Sex Trafficking for audience participation and discussion. BLS 14 / ALS 19 / 6.0 CEU BLS 15 / ALS 20 / 1.0 CEU Instructor: Asher Brand Target Audience: ALS, BLS, Educators Target Audience: ALS, Administrators, BLS, This two-part program will discuss Dispatcher, Educators, MD, DO, RNs EDU-509 Teaching into the Millennium Carcinogen Reduction and Cancer Risk One in 10 people will be sexually abused and Beyond Reduction, as well as burn prevention to by age 18 and the average age of sex BLS CAT 2 / ALS CAT 2 / 1.0 CEU firefighters. We will discuss methods and trafficking victims reported to NCMEC is Target Audience: ALS, Administrators, BLS, best practices to reduce the exposure to 15. This course, presented by the National Educators, RNs carcinogens encountered in firefighting Center for Missing and Exploited Children Have you and your team been struggling that are leading to a very high rate of (NCMEC), will cover information on signs lately with today’s students and new-hires? cancer within the fire service. These best and symptoms associated with victims, Ever noticed what drives today’s learners is practices can be done before, during, how to assess and report victims and vastly different than the past? Things like and after the responses, some at little to resources available to trafficking victims. relatability, engagement and experience are no cost. Also, we will discuss firefighter Instructor: Meagan Clark a must to prepare them for life after school. PPE and how its misuse can lead to an We will break down generational learning increased risk of burns to the firefighter. ADM-106 Tips and Tricks for differences, how to engage learners, Instructor: Steven Weissman Co-Instructors: Managing Grants teaching and deploying consequential Briant Atkins BLS CAT 2 / ALS CAT 2 / 1.0 CEU learning models and the art of recovery in Target Audience: All your classrooms and scenarios. 9:30 AM - 12:30 PM What is the best way to grow grant Instructor: Christopher M Kroboth support for your agency? First, you have Limited to: 30 BLS-304 BLS Academy - Operations, to find them; then, steward them to show Part 2 funders you care. This lecture will equip HEA-607 Striving for 25: Developing BLS 15 / ALS CAT 2 / 3.0 CEU you with the knowledge, and tools to Resilience for Your Career Target Audience: BLS find, communicate, and report grants for BLS 15 / ALS 20 / 1.0 CEU Presented by the faculty of Tidewater your agency. The instructor combines Target Audience: All Community College, this is the fourth concepts from sales, marketing, and The purpose of this course is to introduce class in the BLS Academy. This course will fundraising to offer insight into the responders to the concept of resilience satisfy three of the five hours required activities surrounding the submission and to teach the skills necessary to for Operations, Category 1/NCCR (2016) of a grant proposal. Plan on taking this develop a more resilient responder that under the new CE Requirements effective class if you want to learn how to find and will be able to better handle the inherent April 1, 2017. steward grants. job-related stress that comes from Instructor: Frank I Signorelli Instructor: Luke Parker emergency services. By developing these skills, it is my hope that we can reduce the number of responder suicides and live by the motto, everyone goes home. Instructor: David Wiklanski

40th Annual Virginia EMS Symposium 16 MED-817 Ketamine for Pain situations that helps them make these Thursday Courses Management decisions based upon a solid assessment 9:30 AM - 10:30 AM BLS 14 / ALS 19 / 1.0 CEU of the scene and patient. Class will be Target Audience: ALS, Administrators, BLS, held off site and participants will be Educators, MD, DO, RNs transported off site for class. IHEA-630 By Understanding The challenge of treating pain in the Instructor: Kyle D Bates Adverse Childhood Experiences (ACEs), prehospital setting is to use medications EMS Workers Can Improve the Health that are not only effective but also safe and and Safety of Patient Populations do not lead to physiologic compromise. If 11:00 AM - 12:00 PM BLS 15 / ALS 20 / 1.0 CEU you’re still unsure about Ketamine and its Target Audience: All role in pain management, here’s the down ADM-107 Does Anyone Read My PCR; Nearly 70% of our population has and dirty that will leave you with a sure Why Does it Matter What I Report? experienced one or more Adverse understanding of the role that Ketamine BLS CAT 2 / ALS CAT 2 / 1.0 CEU Childhood Experiences (ACEs). These can and should play in treating pain. Target Audience: All experiences leave many people more Learn why - from a physiologic, social and Ever wonder why you have to fill out volatile and hyper vigilant in the kind of safety standpoint, it stands to be one of electronic patient reports and send them high stress situations EMS workers often the very best options - if given a chance. to the state? Why do they care what I did for encounter them in. This session will help Instructor: Sally Kraut my patient? Wonder no more. This course participants understand the impact will show how EMS data is being used to ACEs have on the patients they may MED-818 This Presentation is Brought improve how we practice in the field. encounter, and how to reduce the chances to You by the Letter G: Understanding Instructor: Tim Erskine of re-traumatizing them and potentially the Physiology of Sugar & increasing the chances of violence or injury. Pathophysiology of Diabetes CAR-409 Stayin’ Alive Meets Another Instructor: Keith Cartwright BLS 14 / ALS 19 / 1.0 CEU One Bites the Dust: Case Studies in Target Audience : ALS , BLS , Educators Resuscitation LMGT-704 C.O.D.E. B.L.U.E This presentation will explore the BLS 12 / ALS 17 / 1.0 CEU Leadership movement of sugar into cells and the Target Audience: All BLS CAT 2 / ALS CAT 2 / 1.0 CEU important hormones which assist in that This session will review case studies in Target Audience: All movement. We will look at the process of adult resuscitation. Five case studies This leadership principle will provide an diabetes mellitus and the pathophysiology will be presented. These cases include a acronym easily identified and employed associated with sugar metabolism and variety of patient scenarios and outcomes by supervisors and persons of all sugar imbalance and how both low and and incorporate the ordinary and not so leadership rank and experience. C.O.D.E. high levels of sugar affect the brain and ordinary patient presentation. Attendees B.L.U.E. Leadership is a method and other tissues of the body. will be presented with a case and guided improvement tool that has zero associated Instructor: Jeff Mcdonald in determining possible treatment costs to a department. The principle is modalities following the American a behavior, an idea, and a method for MED-819 Now I Lay Me Down to Sleep - Heart Association guidelines for adult leaders to provide consistent direction and Case Studies in Suicide resuscitation. Case presentations include continued observation of employees. By BLS 15 / ALS 20 / 1.0 CEU cardiac monitoring strips and/or 12-lead utilizing visual, auditory, and kinesthetic Target Audience: All ECG strips. Depending on group size, learning models the research will show Calls involving suicide or attempted small group activities will be used for that C.O.D.E. B.L.U.E. Leadership is an easily suicide are challenging calls for any initial case discussion. used concept for leaders of all experience level of EMS provider. While the medical Instructor: Beth L Torres and education levels. care of the patient is usually clear cut, Instructor: Robert D Drake the psychiatric emergency care is less EDU-510 Flipped Classroom 2.0: How concrete, leaving EMS providers feeling to Make the “Flip” Stick MED-816 Riding the Waves: Prehospital unsure of the right thing to do. This BLS CAT 2 / ALS CAT 2 / 1.0 CEU Ultrasound presentation uses actual case studies to Target Audience: Educators BLS 14 / ALS 19 / 1.0 CEU examine the physical and psychological You’ve implemented a flipped classroom Target Audience: ALS, BLS, Educators, MD, aspects of suicide and attempted suicide. model. There have been “ups and DO, RNs Risk factors, suicide plans, repeat suicide downs” and the students seem like The utility of ultrasound (US) is ever attempts, and the treatment for suicidal they’d rather just have the information expanding. Today we have inexpensive, patients will be discussed. handed to them. How do you get past portable devices, which makes it hard to Instructor: Daniel Limmer implementation to meaningful, long- justify not having them on every truck or term success with a flipped or hybrid class aircraft in the country. In this lecture, we TRA-1209 The First Few Moments: model? This webinar will discuss practical will spend time talking about ultrasounds Critical Decisions and implementable strategies ranging use in resuscitation and as an adjunct to BLS 13 / ALS 18 / 1.0 CEU from classroom psychology to educator the performance of procedures. US can Target Audience: ALS, BLS, MD, DO, RNs and student buy-in to the process. We’ve be used to determine if a patient is likely Part of the First Few Moments program, moved past the buzzword stage. It is now to crash or the reason why a patient is CRITICAL DECISION addresses two of time to make the “flip” stick. actively crashing. US can also be used to the most important decisions that a Instructor: Daniel Limmer ensure procedures are performed safely responder must make: when to rapidly and accurately. extricate a patient and what treatment Instructor: William S Krost is vital to their survival. Students are introduced to a problem-based patient assessment algorithm designed for these 17 40th Annual Virginia EMS Symposium EMS workers understand the impact of for Basic-level providers through the most Thursday Courses ACEs on their personal and professional advanced. Will Krost has been a paramedic 11:00 AM - 12:00 PM lives, and encourage them to develop and and associate medical director for the 3rd practice healthy self-care plans. Mobile Stroke Unit in the country. EDU-511 Less Talk, More Walk! Instructor: Keith Cartwright Instructor: William S Krost BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS, Administrators, LMGT-705 THE LUCKY 13: Are They OPE-909 Active Killer: Preparation, Educators, MD, DO Lessons or Luck When You Are The New Response and Recovery The course will discuss how to use Officer? BLS 15 / ALS 20 / 1.0 CEU simulation and stratified debriefing to BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS, Administrators, BLS, help close the loop on foundational Target Audience: All Dispatcher, Educators, MD, DO, RNs paramedic education. The basis of the This presentation is focused on providing Nothing in this world can adequately presentation will be how to help students newly promoted and aspiring company prepare you for an active killer response. build their Rolodex of experience through officers with lessons learned. Officer The victims, the devastation, and the active simulation with real-time metrics development is a vital foundation to impact on your own health. Join me for this and hands-on training. This approach every leader, company, and department. interactive discussion to address the history to paramedic education can be applied The Lucky 13 will be thirteen lessons the of active killers, the complex psychological to any EMS classroom, ranging from presenter encountered during his first needs of the responders both during and continuing education and staff meetings year as an Engine Company Lieutenant. post-incident as well as how we can engage to medical director QA/QI remediation. Lessons are learned the hard way and in community risk reduction and train the We will discuss our success in the entry sometimes even through luck. This public to not be victims. level paramedic classroom, QA/QI course will provide examples of successes Instructor: David Wiklanski remediation and agency internship. and challenges new leaders may face Instructor: Christopher M Kroboth during the first year, all while developing PED-1009 KIDz: They’re Only Scary at a foundation or building off an existing Halloween EDU-512 EMS Educator Ethics, Lessons one for the future. BLS 14 / ALS 19 / 1.0 , Other (specify) CEU From Those that Slipped Instructor: Robert D Drake Target Audience: ALS, BLS, RNs BLS 15 / ALS 20 / 1.0 CEU Many EMS providers feel very uneasy Target Audience: Educators MED-820 Back to Nature - When It’s with pediatric calls, but they shouldn’t. This presentation will review the Dangerous to Live Off the Land If the provider understands the physical requirements of EMS Educators and their BLS 14 / ALS 19 / 1.0 CEU and cognitive developmental milestones ethical obligations to those they teach, Target Audience: All while utilizing a pediatric assessment tool and those they serve. The interactive Unless you won “Survivor”, you may not they should be able to quickly determine presentation will post ethical questions be able to readily identify edible from the nature of illness. This presentation will and allow audience participation in harmful plants and mushrooms. If you are address these as well as discuss one of the identifying the level of the ethical interested in foraging for food, or care for most common reasons 911 is activated: failure based on true-life scenarios from patients who do, then this presentation respiratory complaints. educators across the country. will help you avoid the dangerous Instructor: Kyle D Bates Instructor: Jeff Mcdonald and potentially dangerous plants and mushrooms lurking in the forest, or in TRA-1210 Trauma Triage - Put Your HEA-608 Check Your Attitude at the your yard. Brain in the Game! Door Instructor: Rutherfoord Rose BLS 13 / ALS 18 / 1.0 CEU BLS 15 / ALS 20 / 1.0 CEU Target Audience: ALS, BLS, RNs Target Audience: All MED-821 Load and Go? Not Just Yet... Trauma care isn’t just diesel and Jet-A There are calls all of us have gone to where BLS 14 / ALS 19 / 1.0 CEU anymore. TXA, hypothermia management, the situation progressed to a point of Target Audience : ALS, Educators, MD, DO antibiotics, blood transfusions, airway potential violence or misunderstanding Sometimes patients don’t fit neatly into the management and bleeding control are by the patient just from the way you have “Load and Go” or “Stay and Play” models. reviewed. The concept of the “lethal triad” presented yourself. In this presentation there In fact, some of the sickest patients may is explained and is used to structure will be scenarios to discuss how the situation need immediate stabilization prior to even an approach to out-of-hospital trauma could turn out and some of the best ways to removing them from the scene. Join us for management. Several case studies will be handle those types of situations. a discussion on recognition and care of presented, and audience participation is Instructor: Daniel Frazier those that could benefit from remaining encouraged. on scene to decrease the chances of Instructor: Asher Brand coding during transport. IHEA-631 How Adverse Instructor: Jeffrey D Ferguson Childhood Experiences Impact the 1:30 PM - 5:30 PM Physical, Mental and Emotional Health MED-822 Neuro Critical Care of EMS Providers BLS 12 / ALS 17 / 1.0 CEU IARV-208 Airway and Resuscitation BLS 15 / ALS 20 / 1.0 CEU Target Audience: ALS, BLS, Educators, MD, Target Audience: All Lab DO, RNs BLS CAT 2 / ALS 16 / 4.0 CEU Adverse Childhood Experiences (ACEs) This session will discuss assessment and are common among Emergency Medical Target Audience: ALS management strategies for neurological Some of the most stressful calls in EMS are Service (EMS) workers. Given the often emergencies within the first 24 hours. The traumatic environments they work in, EMS ones in which lifesaving skills are utilized. cases included within this presentation The calls are of low frequency, and skill workers are constantly at risk of reliving come from those encountered in a Mobile their own traumas. This sessions will help degradation can be a factor. This lab will Stroke Unit. The content will be applicable provide hands-on training on managing 40th Annual Virginia EMS Symposium 18 airways and honing resuscitation skills. ITRA-1211 Advanced Skills Lab 1:30 PM - 4:00 PM Students will practice and perform BLS CAT 2 / ALS 16 / 4.0 CEU maneuvers on difficult airways, surgical Target Audience: ALS, RNs airways and resuscitation techniques. In this advanced skills lab we will discuss ITRA-1213 Stop the Bleed - The The hands-on session also includes left the anatomy/physiology, indications/ Virginia Trauma System; Training ventricular assist devices. Students will contraindications and practice the Providers to Train Others in Their have opportunities to gets hands-on with following procedures: needle, surgical Communities the latest technology. and percutaneous cricothyrotomy, BLS 13 / ALS 18 / Other (specify) CEU Instructor: Allen Yee Co-Instructors: Dillard pericardiocentesis, and finger, needle, and Target Audience: All Edward Ferguson tube thoracostomy. Skills taught in this Launched in October of 2015 by the Limited to: 30 station may only be routinely performed White House, Stop the Bleed is a national if they are within your scope of care and awareness campaign and a call to action. Thursday Courses with medical direction permission. Trauma centers throughout Virginia are Instructor: Brad Fields Co-Instructors: Cody coming together to offer this program for all 1:30 PM - 5:30 PM Jackson, Justin Miles EMS providers with the hope they will then Limited to: 12 return to their communities to continue to cultivate this grassroots effort. We believe IEDU-513 You Can Do it Too: TRA-1212 Initial Care of the Burn lay providers through the Commonwealth Certification Style Exam Question Patient should be prepared to save a life by BLS CAT 2 / ALS CAT 2 / 4.0 CEU BLS 13 / ALS 18 / 4.0 CEU controlling hemorrhage. We hope to train Target Audience: Educators Target Audience: ALS, BLS, Educators, RNs 800 providers in Norfolk in 2019! This workshop will focus on the type of This mini course will focus on the initial Instructor: James H Gould Co-Instructors: questions used on a certification exam, care of the burn patient. Content to Basil Asay, Dr. Alan Rossi, Gregory Neiman, and how to create them using groups of be presented include: primary and Karen Shipman, Katherine Challis, Kenneth subject matter experts. Participants will secondary assessment of the burn Williams review the NREMT Practice Analysis Test patient, resuscitation of the burn patient, Limited to: 60 Plan, National EMS Education Standards partial thickness, full thickness, chemical, and resources used by the NREMT when electrical and inhalation burn injuries and developing exam content. Participants initial management of the patient. The 1:30 PM - 3:30 PM will review and revise sample questions speaker will use case scenarios to test BLS-305 BLS Academy - Medical, Part 2 applying the information from the above participant’s comprehensive of content review similarly to how certification BLS 14 / ALS CAT 2 / 2.0 CEU presented. The speaker will incorporate Target Audience: BLS agency conduct their Item Writing/ the physiological differences of the adult, Review meetings. Presented by the faculty of Tidewater pediatric and geriatric patient into the Community College, this is the fifth class Instructor: J. Todd Vreeland Co-Instructors: guidelines of resuscitation and initial Dan Limmer in the BLS Academy and satisfies 2.0 management. hours required for Medical Emergencies Prerequisites: Participants are required to download/ Instructor: Valeria D Mitchell print a copy of the following: NREMT Practice Analysis of Category 1/NCCR (2016) under the new Test Plan found online: https://content.nremt.org/ CE Requirements effective April 1, 2017. static/documents/2014%20NATIONAL%20EMS%20 1:30 PM - 4:30 PM Instructor: Frank I Signorelli PRACTICE%20ANALYSIS.pdf National EMS Education Standards found online: www.ems.gov/pdf/National- ARV-209 V, Q and You. A Simulation- EMS-Education-Standards-FINAL-Jan-2009.pdf American Based Approach to End-Tidal 1:30 PM - 2:30 PM Heart Association 2015 AHA Guidelines for CPR and ECC Capnography ADM-109 Disaster Reunification found online: https://eccguidelines.heart.org/index.php/ BLS 11 / ALS 16 / 3.0 CEU BLS 15 / ALS 20 / 1.0 CEU circulation/cpr-ecc-guidelines-2/ Target Audience: ALS, BLS, RNs Target Audience: ALS, Administrators, BLS, Limited to: 40 A simulation-based prehospital approach Dispatcher, Educators, MD, DO, RNs to End-Tidal Capnography in determining The National Center for Missing and ventilation and perfusion status. After IOPE-910 Counter Terrorism Exploited Children (NCMEC) has been a PowerPoint presentation on the authorized by the Federal Emergency Preparation and Tactics respiratory cycle and exhaled carbon BLS 15 / ALS 20 / 4.0 CEU Management Agency (FEMA) to operate dioxide, we will use a simulator in the the National Emergency Child Locator Target Audience: All classroom to represent various patients This session will be both didactic and Center (NECLC). The NECLC is activated in and correlate EtCO2 to their status and cases of presidentially-declared states of practical. The goal will be to familiarize stability in comparison to other more yourselves within the counter-terrorism emergency in order to help unify children common diagnostic measurement tools and parents who become separated realm in order to prepare you and your and techniques. agency to respond to an Active Shooter during the emergency. This course will Instructor: Christopher M Kroboth provide information on the NCMEC or any incident of aggressive deadly Limited to: 50 behavior. At the conclusion of the session, reunification program. you will have the basic tools needed to Instructor: Richard J Leonard react and make a decision if placed in a similar situation. ARV-210 Lung Protective Ventilation - Instructor: Kevin Ramdayal Co-Instructors: Bringing the ICU to the Field Daniel Conforti, Gregg Brady, Jason Torres, BLS 11 / ALS 16 / 1.0 CEU Kevin Mahoney, Michael Cook Target Audience: ALS, Educators, MD, DO, RN Limited to: 45 Lung protection strategies have been

19 40th Annual Virginia EMS Symposium widely studied for the last decade and behaviors in general and look at how our crew of Virginia State Police MedFlight slowly been adopted by Emergency own mental state affects our job in EMS. I and explore which of the patients you Medicine and even slower by EMS. In Instructor: Jeff Mcdonald serve may benefit from air transport. this session we will discuss the normal Instructor: Jeffrey D Ferguson physiology of ventilation and importance MED-824 Intranasal Medications in the of modifying ventilator settings, modes, Prehospital Environment PED-1010 My Baby is Not Acting Right - and lung recruitment strategies to BLS 14 / ALS 19 / 1.0 CEU Altered Mental Status in Infants optimize patient outcomes. Target Audience: ALS, BLS, Educators, MD, BLS 14 / ALS 19 / 1.0 CEU Instructor: William S Krost DO, RNs Target Audience: ALS, BLS, Dispatcher, MD, This is a review of the intranasal (IN) DO, RNs medications most frequently used in AMS in older children is easier to identify Thursday Courses the prehospital environment, including when it is happening and what may be naloxone, midazolam, ketamine, fentanyl the cause. It is more difficult when the 1:30 PM - 2:30 PM and glucagon. The session will review patient is younger. When a child acts pharmacology, how to properly administer different it makes parents and caregivers CAR-410 The ECG for the EMS Provider intranasal medications, benefits and concerned. Knowing what causes AMS in -- Challenging Case Presentations limitations of this route of delivery and a child is important so to best manage BLS CAT 2 / ALS 17 / 1.0 CEU clinical pearls for the drugs discussed. it. This presentation covers what is AMS Target Audience: ALS, Educators, MD, DO, RN Example cases will be used to highlight for an infant not yet one year old. We’ll This lecture will address challenging proper or improper scenarios of when the discuss some of the causes of AMS and ECG presentations for the EMS IN route of delivery should be utilized. how to best manage them. providers, focusing on both ACS and Instructor: Melissa M Doak Instructor: Sam Bartle non-ACS presentations. We will present Limited to: 25 STEMI, LBBB with modified Sgarbossa MED-825 Sickle Cell 2.0 criteria, hyperkalemia, WPW and wide BLS 14 / ALS 19 / 1.0 CEU complex tachycardia. Recognition and Target Audience: ALS, BLS, RNs 3:00 PM - 5:00 PM management strategies will be reviewed. There is increasing evidence regarding The format will be case presentation Sickle Cell Disease and the proper EDU-515 The Value of Rubrics as an unknown, followed by a focused treatment. In June 2018, the National BLS CAT 2 / ALS CAT 2 / 2.0 CEU discussion of the particular topic(s). Model EMS Clinical Guidelines 2.1 added Target Audience: All, Educators Instructor: William Brady Sickle Cell as a stand-alone protocol to Looking for a way to standardize training? address the changes in management. Want to evaluate objectively for quality EDU-514 Initial Success or Total Failure: Does your system know about the improvement? Whether it is crew specific How are we Training our Students? changes? Should your system consider a or system wide, rubrics can help with BLS CAT 2 / ALS CAT 2 / 1.0 CEU Sickle Cell Protocol? In this presentation, training and quality improvement. This Target Audience: Educators we will review the pathophysiology of program will share how to create rubrics. The phrase, “Initial Success” or “Total Sickle Cell Disease, discuss the evidence- Those that attend will be provided with Failure” can be used to describe how we based approach and best practice. several validated rubrics to implement in train our students in Emergency Services. Instructor: Ryan F Kirk their programs. We will explain how to do Are we training our students to fail? Are an inter-rater reliability test on a rubric. we providing them with an education that MED-826 Everything You Wanted to Instructor: Ryan F Kirk Co-Instructors: Billy they can relate to while adequately and Know about Opioids - But Were Afraid Fritz truthfully preparing them for their future to Ask careers? Understanding generational BLS 14 / ALS 19 / 1.0 CEU MED-827 Excited Delirium differences, as educators, we must adapt Target Audience: ALS, BLS, Dispatcher, MD, BLS 14 / ALS 19 / 2.0 CEU our teaching styles in order to meet the DO, RN Target Audience: All needs of our future students. We must get All prehospital and hospital healthcare This course will describe the medical away from the “check the box” mentality providers should be aware of the opioid state that patients are in while in a state of training and engage in student- “toxidrome” clinical presentation: coma, of Excited Delirium. The course covers focused, values-based education. respiratory depression and miosis. But do what factors into a patient going into Instructor: David Wiklanski all opioids have the same adverse effects? this state. Signs and symptoms, as well Limited to: 40 This presentation will cover the lesser as treatments. The presentation will also known adverse effects of opioids, and cover treatment protocols for Excited MED-823 The Craziest of Them All - If present examples of toxic effects that are Delirium. This deals with combative all my Friends Seem Normal, am I the unique to individual drugs. patients secondary to an episode that Crazy One? Instructor: Rutherfoord Rose stems from past or present drug use and BLS 14 / ALS 19 / 1.0 CEU other medical issues. Target Audience: ALS, Administrators, OPE-911 Should I Have Flown That? Instructor: James E Mitchell BLS, Dispatcher, Educators, RNs BLS CAT 2 / ALS CAT 2 / 1.0 CEU We all face the challenges of finding Target Audience: All NORMAL people to associate, but we ITRA-1214 Old School Rocks Air medical transport brings additional mostly find everyone else seems a little, BLS 13 / ALS 18 / 2.0 CEU resources to your patients and offers a well, off. Mental health is a common Target Audience: BLS reduction in transport time. Providers concern for EMS providers, in both Oh no! What happens when you run out sometimes feel caught in the middle our patients and in ourselves. This of high tech splinting toys? Enjoy hands- as to whether or not they should have presentation will look at maladaptive on practice with old school splinting flown their patient. Join Dr. Ferguson as techniques using cravats, blankets and he moderates case discussions from the padded board splints. Come dressed 40th Annual Virginia EMS Symposium 20 comfortably and prepared to be a victim Review medications used for continuous IMED-830 Up Your Nose - Intranasal and a rescuer for some splinting fun! infusions and diagnostic testing. Medication Administration Instructor: Kimberly D. Lohr Co-Instructor: Recommendations regarding prehospital BLS 14 / ALS 19 / 1.0 CEU Jeff W Lohr care in emergencies and during transport. Target Audience: ALS, MD, DO, RNs Limited to: 30 Discuss role of experienced providers No IV? Don’t want to go to an IO yet? Don’t Student Equipment: charged phone with in this special population, and the worry, get MAD! (Mucosal Atomization Kahoot app importance of specialized heart failure Device) Intranasal medication programs with regard to long-term administration is a new and exciting way Thursday Courses advanced care. to deliver some of the medications we Instructor: Amanda K Omalley use commonly in EMS. Learn the way to 3:00 PM - 4:00 PM perform the skill in a hands-on session. EDU-516 Who’s Looking at You Class will cover the reasons to consider IN BLS CAT 2 / ALS CAT 2 / 1.0 CEU ADM-108 Rescue Squad Assistance use, how to perform the technique, we’ll Target Audience: All Fund: Formula for Winning Proposals discuss problems you may encounter and In one way or another we look at BLS CAT 2 / ALS CAT 2 / 1.0 CEU more. Come try intranasal medication ourselves as a role model, while some will Target Audience: All delivery and practice IN administration even consider themselves to be a mentor. This lecture will deconstruct the Rescue with Melissa Doak. Learn the difference in what each has to Squad Assistance Fund (RSAF) application Instructor: Melissa M Doak offer. Look to learn what the difference to provide insight into what exactly Limited to: 25 between a Mentor and Preceptor is and scores some applications higher than should they be looked at the same way. others. You will learn how to answer PED-1011 Ooo! Piece a Candy: The Instructor: Daniel Frazier the application’s questions, common Unintentional Pediatric Overdose pitfalls, and ultimately the not-so- BLS 14 / ALS 19 / 1.0 , Other (specify) CEU secret formula for submitting effective IMED-828 Wound Packing, Wrapping Target Audience: ALS, BLS proposals. Examples of effective and not- and Clamping Every year over a million children, many so-effective proposals will be provided to BLS 13 / ALS 18 / 1.0 CEU of them under the age of five, are victims demonstrate the link between the highest Target Audience: ALS, BLS, Educators, MD, of an unintentional poisoning. Of those, scoring applications. New applicants DO, RNs, Youth over 50 percent are the result of an and agencies interested in submitting In this brief lecture and mostly hands ingestion of a medication. This interactive proposals for RSAF are highly encouraged on practical we’ll discuss the concepts presentation will review pediatric to attend. behind using pressure to stop the bleed assessment, history gathering and Instructor: Luke Parker by understanding the physiology first and treatment of the poisoned child. We will then getting hands on utilizing wrapping, also discuss injury prevention techniques ADM-110 MCIM I and II Train-the- tourniquet, wound packing and clamping that you can employ, so this scenario Trainer techniques. We’ll play with all of this plus a doesn’t happen. BLS 15 / ALS 20 / 1.0 CEU few extra bleeding control tips and tricks Instructor: Kyle D Bates Target Audience: ALS, BLS, Educators you’ll get to practice and refine, like how This course is designed to provide to properly wrap a head wound without TRA-1215 Pointers for Managing the participants with the training and tools having the bandage constantly slip off Poisoned or Envenomated Patient in necessary to become instructors in Mass and other different techniques that EMT’s the Prehospital Setting Casualty Incident Management Module and Paramedics are not formally taught. BLS 14 / ALS 19 / 1.0 CEU I and II. Teaching requirements and Instructor: Sally Kraut Target Audience: ALS, BLS, MD, DO techniques will be discussed and course Frequently for poisoned patients, the content will be reviewed. Requirements prehospital provider plays a pivotal for maintaining certification will also be MED-829 Resuscitation of the Medical role. Sometimes their history is the only discussed. Prerequisites for Instructor Patient history known for a few days into the Certification include MCIM I and II BLS 14 / ALS 19 / 1.0 CEU patient’s hospitalization. Also, care given completion, EMS Certification andTarget Audience: ALS , MD, DO, RNs in the field can have a significant impact instructor certification in another class. Most clinicians think of cardiopulmonary on the remainder of their hospital course. Instructor: Karen Owens resuscitation and advanced cardiac In this lecture, we will review important life support when they hear the term historical features to obtain, as well as CAR-411 Heart Failure: Plumbing vs. “resuscitation.” However, if we wait until what assessments and interventions Electrical Problem the pulse stops to resuscitate the patient, should and should not be performed. We BLS 12 / ALS 17 / 1.0 CEU it’s often too late. Medical patients can be will cover both overdoses as well as myths Target Audience: ALS, BLS, Educators, MD, challenging and complex to manage. This surrounding snakebite care. DO, RNs session presents a systematic approach to Instructor: Heather Borek Session covers heart failure recognizing and aggressively managing pathophysiology, with goals to the pre-arrest patient, intervening before understand the basic disease process. they go into cardiopulmonary arrest. 4:00 PM - 5:30 PM Differentiate between left vs. right heart Instructor: Jeff Myers failure and systolic heart vs. diastolic BLS-306 BLS Academy - Trauma heart failure. Introduce acute heart BLS 13 / ALS CAT 2 / Other (specify) CEU failure exacerbation options, including Target Audience: BLS subcutaneous/IV therapies, and Presented by the faculty of Tidewater advanced therapies. Discuss indications Community College, this is the sixth class for IV therapy vs. oral medications. in the BLS Academy and satisfies the 1.5 hours required for Trauma Emergencies 21 40th Annual Virginia EMS Symposium of Category 1/NCCR (2016) under the new OPE-912 Human Trafficking: CE Requirements effective April 1, 2017. LMGT-706 Fostering High Recognition for Healthcare Providers Instructor: Frank I Signorelli Performing Provider Mindsets BLS 15 / ALS 20 / 1.0 CEU BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS , Administrators, BLS , Target Audience: ALS, BLS, Educators Dispatcher, Educators, MD, DO, RNs Thursday Courses No one likes to feel as though they are Human trafficking affects all socioeconomic spinning their wheels in an organization, levels and is much more evident in the 4:30 PM - 5:30 PM but how do we best utilize our manpower? United States, an epidemic hiding in plain What if there was an easy way to identify sight. Of those victims responding to CAR-412 Ventricular Assist Devices: the key areas of their personality so that surveys, more than 80 percent had been The Basics you can maximize their potential and seen by healthcare providers while under BLS 12 / ALS 17 / 1.0 CEU retention? Join me for an interactive control of a trafficker; 63 percent had been Target Audience: ALS, BLS, Educators, RNs discussion and learn how to engage your seen in an emergency room. Healthcare This session covers advanced heart colleagues and how to best utilize their workers, including prehospital providers, failure pathophysiology, with goals to skills sets. may be the only opportunity for a victim understand the basic disease process. Instructor: David Wiklanski to be rescued. We will discuss indications for VAD as Instructor: Sherri Mason Co-Instructor: Destination Therapy (DT) vs. Bridge to Shannon Scott Transplant (BTT). An overview of VADs IMED-831 Adrenal Insufficiency commonly encountered in the field BLS 14 / ALS 19 / 1.0 CEU OPE-913 EMS Operations: The Young and emergency department, including Target Audience: All and the Old HeartMate II, HeartMate XVE, HeartWare, One of the most important classes BLS CAT 2 / ALS CAT 2 / 1.0 CEU and Jarvik 2000 Heart System will you can sign up for at symposium; the Target Audience: All, BLS also be covered. Recommendations majority of providers and even doctors, We will review the risks associated with regarding prehospital care/assessments are not familiar with adrenal insufficiency your geriatric patients and your pediatric of VAD patients during transport will be and are unaware of how quickly adrenal patients. What to look for and what to do discussed. crisis can lead to death. The tragedy is that about it. Should you adjust your interview Instructor: Amanda K Omalley immediate treatment does exist; patients carry it with them at all times, but aren’t based upon your patient’s age? Also, how do you modify your transport for EDU-517 So You Think You Want to be always able to administer it for reasons we pediatric patients? We will discuss our at- an Educator will discuss. You will learn about adrenal risk populations (0.5hours) and pediatric BLS CAT 2 / ALS CAT 2 / 1.0 CEU insufficiency and crisis and then practice transport (0.5hours) considerations. Target Audience: ALS, Administrators, BLS, drawing up the emergency medication, Instructor: David E Weand Educators which is supplied in an act-o-vial. This presentation is PERFECT for the EMS Instructor: Sally Kraut TRA-1216 Tales from the Crypt Professional who would like to move into BLS 13 / ALS 18 / 1.0 CEU the world of EMS Education. Whether MED-832 New Drug Threats: Target Audience: ALS, All, BLS , RNs you want to teach CE at your department Recognition and Treatment Have you ever had that patient that or as a primary lecturer at a University BLS 14 / ALS 19 / 1.0 CEU didn’t make it, but you never knew Paramedic program, this presentation Target Audience: All why? Or maybe you just knew it was an will provide tips and insight into the Threats to our patients and EMS providers MI and later found out it was a PE? This process of beginning your educational are constantly changing. It is critical course will use actual cases and autopsy Journey; looking beyond experience, into for EMS providers to maintain current information to show how each patient educational preparation, breaking bad knowledge of the trends. Attendees of died. By understanding the cause of death habits and establishing good habits. this lecture will be able to recognize in patients, we may be able to recognize Instructor: Jeff Mcdonald and differentiate the clinical findings of different substances. This knowledge similar signs and symptoms in the future and provide better care. HEA-609 Debbie is Done will enhance the therapeutic actions and Instructor: Jason Ferguson BLS 15 / ALS 20 / 1.0 CEU optimize prehospital care. Target Audience: All Instructor: Kirk L Cumpston TRA-1217 Mechanism of Injury of Have you ever thought what will you do if Idiocy? you were not able to work in Emergency BLS 13 / ALS 18 / 1.0 , Other (specify) CEU Services anymore? Learn how you can MED-833 Tackling Sepsis on the Target Audience: ALS, BLS, Dispatcher, MD, further your career or change your focus Front Line DO, RNs when you can’t work in the field anymore. BLS 14 / ALS 19 / 1.0 CEU Recent discussions seem to downplay the Learn how to deal with the feeling of loss Target Audience: ALS importance once placed on “mechanism when you can’t do the job. Learn how Sepsis is estimated to affect 1.5 million of injury” (MOI) and more on patient to have the conversation for the person people per year with approximately assessment. Nowhere is this more evident who is having trouble coming to the 250,000 deaths in the U.S. alone. These than through the Trauma Triage Protocol conclusion they should not be in the field numbers have climbed in recent years. It published by the CDC. This lively and anymore. is estimated that a third of all in-hospital interactive case-based presentation Instructor: Daniel Frazier deaths are due to sepsis. In this interactive session, we discuss how sepsis is a true will address how MOI should be used in medical emergency, how to identify combination with a thorough patient sepsis and how we can be on the front assessment and history of present injury line and tackle sepsis to reduce morbidity to make decisions on patient treatment, and mortality. transport, and destination. Instructor: Jeff Myers Instructor: Kyle D Bates 40th Annual Virginia EMS Symposium 22 session, sight and sound. Memorable Friday Courses message. Parental discretion advised. 9:30 AM - 10:30 AM 8:00 AM - 5:00 PM Instructor: Robert Page ADM-111 Trauma Triage and Trauma Centers: Why? IPED-1012 Adapting ABC for 9:30 AM - 5:30 PM BLS 13 / ALS 18 / 1.0 CEU Children with Special Health Care Target Audience: All Needs You’ve responded to a trauma related BLS 14 / ALS 19 / 8.0 CEU IEDU-518 Advanced Moulage incident. This course will review field Target Audience: All Techniques trauma triage and explains the criteria Caring for a child with technology BLS CAT 2 / ALS CAT 2 / Other (specify) that makes a hospital a trauma center. We assisted care and special health care CEU will discuss how transporting your injured needs present a challenge to most EMS Target Audience: Educators patient to the appropriate facility will give providers. This workshop provides both This course provides students with them their best chance of survival. BLS and ALS providers and Emergency realistic injuries which will grab their Instructor: Tim Erskine Department professionals, with didactic attention and challenge them to use their and hands-on skill stations focused on knowledge, skills and abilities to properly ADM-112 I See...Suspicious People the ABCs of Technology Assisted Care respond to patient’s needs and provide BLS 15 / ALS 20 / 1.0 CEU for children in emergency situation. The the proper treatment modality. Join this Target Audience: ALS, Administrators, BLS, skill stations include a series of check off experienced instructor in developing Dispatcher, RNs worksheets to increase the psychomotor your “Casualty Simulation” skills which First responders not only observe and problem solving experiences for the will cause you to stop in your tracks and suspicious behaviors, but continue to providers that can be taken back to the ask, “...is this real or is it Memorex?” Course remain an attractive target for both criminal station for local drills. Fee: $65.00/student and terrorist activity. This presentation will Instructor: Cynthia J Wrightjohnson Co- Instructor: Robert S Ryalls provide an overview on what constitutes Instructors: Billy Fritz, Danielle Joy Limited to: 16 suspicious activity and the process for Limited to: 30 Course Fee: $65.00 reporting suspicious activity to the Virginia Fusion Center. Information will also be provided to ensure citizens’ civil rights and 8:00 AM - 12:00 PM 9:30 AM - 12:30 PM civil liberties are protected throughout the reporting process. BLS-307 BLS Academy - Cardiovascular, Instructor: Austin C White IOPE-914 Counter Terrorism Part 1 Preparation and Tactics BLS 12 / ALS CAT 2 / 3.0 CEU ARV-211 Breathe in Breathe Out?- What BLS 15 / ALS 20 / 4.0 CEU Target Audience: BLS is Capnography Really Telling You Target Audience: All Presented by the faculty of Tidewater BLS 11 / ALS 16 / 1.0 CEU This session will be both didactic and Community College, this is the seventh Target Audience: Administrators, BLS, practical. The goal will be to familiarize class in the BLS Academy and satisfies 3 Educators, MD, DO, RNs yourselves within the counter-terrorism hours of the required 6 hours of Category This class will cover the basics of EMS realm in order to prepare you and your 1/NCCR (2016) under the new CE prehospital use of capnograpahy showing agency to respond to an Active Shooter requirements effective April 1, 2017. the benefits of its use. We will review how or any incident of aggressive deadly Instructor: Frank I Signorelli capnography works and what value it has behavior. At the conclusion of the session, by adding this to your patient assessment; you will have the basic tools needed to not just the cardiac arrest calls. We will react and make a decision if placed in a 9:30 AM - 12:00 PM review effective ventilation, and how similar situation. oxygenation and respiration have an Instructor: Kevin Ramdayal Co-Instructors: ITRA-1218 Stop the Bleed - The Virginia effect on the capnography readings. Daniel Conforti, Gregg Brady, Jason Torres, Trauma System; Training Providers to Instructor: Eleanor Erwin Kevin Mahoney, Michael Cook Train Others in Their Communities Limited to: 45 BLS 13 / ALS 18 / Other (specify) CEU CAR-413 Sudden Death in Young Athletes Target Audience: All BLS 12 / ALS 17 / 1.0 CEU Launched in October of 2015 by the Target Audience: ALS, BLS 8:00 AM - 9:00 AM White House, Stop the Bleed is a national The possibility that young physically fit athletes may be susceptible to sudden HEA-610 EMS from Death’s awareness campaign and a call to action. cardiac death seems counter intuitive. Perspective 1999-2019 Trauma centers throughout Virginia are Nevertheless, such catastrophes occur, BLS 15 / ALS 20 / 1.0 CEU coming together to offer this program for all often in the absence of prior symptoms, Target Audience: All EMS providers with the hope they will then and the emotional and social impact can For the 40th symposium, we are bringing return to their communities to continue to be profound. Two conditions, hypertrophic back a presenter from way back in the cultivate this grassroots effort. We believe cardiomyopathy and commotio cordis, past. In 1999, Bob and the Grim Reaper lay providers through the Commonwealth together are responsible for almost half of presented to symposium for three years should be prepared to save a life by the deaths. This presentation will examine in a row, unheard of at the time. A lot has controlling hemorrhage. We hope to train these conditions in detail and provide EMS changed in 20 years, but Death is always 800 providers in Norfolk in 2019! with useful information for helping to reduce there! What has changed in how we deal Instructor: James H Gould Co-Instructors: Basil the incidence of sudden death in the young with him? How we handle death and dying Asay, Dr. Alan Rossi, Gregory Neiman, Karen athletes within their local communities. is not as important as how we handle living Shipman, Katherine Challis, Kenneth Williams Instructor: Kenneth W Navarro and the stress of our jobs. Hard hitting Limited to: 60 23 40th Annual Virginia EMS Symposium sociocultural theory of learning and the providers have lost the ability to calm Friday Courses zone of proximal development you will tense situations through words. This 9:30 AM - 10:30 AM be better able to deliver education that is interactive lecture will provide a better JUST right. understanding of why people become CAR-414 “Advanced” 12 Lead ECG Instructor: Kyle D Bates agitated, and offer techniques to achieve BLS CAT 2 / ALS 17 / 1.0 CEU voluntary compliance. Target Audience: ALS, Educators, RNs HEA-611 Saving Our Own: Changing Instructor: Shawn Tompkins How are your 12 lead ECG skills? Need a the Culture of Mental Health Awareness review? This session will discuss various in Public Safety MED-834 Heroin, Fentanyl, Carfentanil, advanced aspects of 12 Lead ECG BLS 15 / ALS 20 / 1.0 CEU Opiates, Narcan, OH MY! interpretation including, but not limited Target Audience: All BLS 14 / ALS 19 / 1.0 CEU to: coronary artery anatomy and how it Suicide is the cause of more first responder Target Audience: ALS, Administrators, BLS, affects AMI treatment, right ventricular deaths today than line of duty deaths. Dispatcher, Educators, MD, DO, RNs infarction, posterior wall infarction, left This class will discuss resources that are Opiates and overdoses are on the rise coronary dominance, Wellens’ sign, and available, signs of mental health issues all over the country. These situations Sgarbossa’s criteria. and how to help. Captain Bowman will represent a significant potential for danger Instructor: Timothy S Redding share her story of mental health, suicide, for first responders including Fire and EMS and the impact it had on her career and providers. Just saying “scene safe BSI” isn’t CAR-415 There’s Dead and There’s life. There will also be a question and enough to keep anyone safe. This program Almost Dead: Cardiac Arrest answer period at the end of the program. will examine the opiate epidemic, what Management Update Instructor: Wendy L Bowman opiates and analog opiates are out in the BLS 12 / ALS 17 / 1.0 CEU public, and what Fire and EMS providers Target Audience: All HEA-612 EMS Violence - Treat the along with hospital staff can do to not Dramatic changes in how we manage Victim, Don’t Be The Victim only remain safe during patient and cardiac arrest are here now, with more BLS 13 / ALS 18 / 1.0 CEU scene operations but also do to assist law coming. Some are boring, some are Target Audience: All enforcement during these situations. system/public interventions, some are The crime of opportunity is everywhere Instructor: Justin W Witt Co-Instructor: mechanical, some are anti-drug and some 24/7. Make sure that you aren’t responding Michael P Athenry are drug friendly. Some are also cool to a call and getting set up to become a but not really proven to be effective and victim. We all know that the dispatch for MED-835 Deciphering Headache some are really far-fetched. What do Tree every call is 100 percent accurate, right? BLS 14 / ALS 19 / 1.0 CEU Frogs and Water Bears have in common? This course will teach you simple things Target Audience: ALS, BLS, MD, DO, RNs Instructor: Charles J Lane that you can do to lower the risk of harm Headache is a common emergency to you and your crew. medicine complaint that is often EDU-519 EMS FTO - Following The Instructor: Michelle M Wright considered a lower priority compared Yellow Brick Road with other complaints. However, sinister BLS CAT 2 / ALS CAT 2 / 1.0 CEU LMGT-707 Mickey Mouse and causes of headache are lurking out Target Audience: ALS, BLS, Educators Chicken: Customer Service in EMS there! How do we sift through and Do you have a need for an EMS FTO BLS CAT 2 / ALS CAT 2 / 1.0 CEU identify patients at high risk for serious program? Here we will share the Target Audience: All pathology? In this interactive, case-based steps taking by Prince William County The Disney Keys to Excellence and Chik- session, we will discuss the etiologies of Department of Fire and Rescue’s EMS Fil-A principles are the foundation for this headache and learn how to identify the Training division to create the program. lecture about customer service in EMS. more serious causes of headache. While created for accreditation purposes, Public safety is a society of service and that Instructor: Jeff Myers this program has shed light on the need service starts within your organization. We for inter-rater reliability of instructors. must serve ourselves and our peers well in MED-836 Blood in the Field: An Update Come to find out how students aren’t order to be able to serve the community. on Prehospital Blood Administration taught “how to do it in the NR land” and Learn to approach everyone as a customer BLS 14 / ALS 19 / 1.0 CEU then later “taught how things are done in and watch how your behavior changes Target Audience: All the field.” your organization, your patient care Virginia OMD’s Dr. John Morgan and Instructor: Ryan F Kirk Co-Instructor: and everyone around you. A mindset of Dr. Dan Avstreih present an overview William Fritz service leadership and service marketing of prehospital blood administration can assist your agency with recruitment, programs and the current evidence EDU-520 This Education is JUST Right: retention and overall success. around the use of blood in the field. The Working Within the Zone of Proximal Instructor: Devon T Clary presentation will also present the details Development of Northern Virginia’s Field Available BLS CAT 2 / ALS CAT 2 / 1.0 , Other (specify) LMGT-708 “Talk the Talk” - Component Transfusion Response CEU Generating Voluntary Compliance (FACT*R) program, which went live Target Audience: Educators BLS CAT 2 / ALS CAT 2 / 1.0 CEU January 2019 following an incident where Our students are not “one size fits” all Target Audience: ALS, Administrators, BLS, blood was brought to the scene from the when it comes to learning. As educators, Dispatcher, Educators, MD, DO, RNs, Youth hospital. The program brings a “massive we need to teach to a level that promotes The majority of situations with a potential transfusion protocol” of PRBCs, Plasma learning within each student. If we for violence are either escalated or de- and Platelets to the emergency scene on are too simplistic, those who are more escalated within the first few seconds demand for entrapped trauma patients in advanced will become bored. If we teach of patient contact. However, with hemorrhagic shock. too far above the students, they will technology almost eliminating the Instructor: John I Morgan Co-Instructors: become frustrated. Applying Vygotsky’s need for verbal communications, many Dan B Avstreih 40th Annual Virginia EMS Symposium 24 Police documented almost daily around and how they are managed differently Friday Courses the country. This presentation will focus compared to an adult, hypoglycemia and 9:30 AM - 10:30 AM on both groups of people - the providers up and coming new diabetic technology. and the peers. Coping strategies, warning Instructor: Tiffany G Chatham MED-837 Essential Lab Values for EMS signs and different ways to manage the Providers stress associated with a critical incident IPED-1014 Special Care for Special BLS 14 / ALS 19 / 1.0 CEU will be discussed, but also for the peers, Kids Target Audience: ALS, BLS we will ask (and hopefully answer) the BLS 14 / ALS 19 / 1.0 CEU We are often called to a facility to fundamental question - are you the right Target Audience: ALS, BLS, RNs transport a patient to the hospital due person for this room? Nurses and EMS providers often come to an abnormal lab value. Did you know Instructor: Damien G Coy into contact with children with physical that a high potassium (K+) can be fatal, and developmental issues. This lecture an elevated lactate may be more than OPE-917 911 Dispatchers...The First will discuss some of the more common just sepsis, and sodium (Na+) imbalance Line of First Responders...Are Yours concerns, including genetic syndromes is a potentially fatal cause of altered Ready to Save a Life? and autism, and also those children who mental status? We’ll cover the basics BLS CAT 2 / ALS CAT 2 / 1.0 CEU require technological support, including of common labs and panels (BMP, CBC, Target Audience: ALS, Administrators, BLS, tracheostomy, home ventilator and cardiac enzymes, ABG) and identify when Dispatcher gastrostomy tubes. Included will be some to be concerned for possible patient Did you know that the average response tips for managing these patients and some deterioration. time for EMS is between eight and 15 hands-on with the different ventilators Instructor: Stephanie K Louka minutes? Even the first responding fire department has a standard response time and equipment used in their care and will assist the provider to transport safely to MED-838 Sudden Death in Athletes of up to five minutes for EMS calls. What the hospital or emergency setting. BLS 12 / ALS 17 / 1.0 CEU happens between the time the initial 911 Instructor: Lori S Stump Target Audience: ALS, BLS, RNs call occurs and when help first arrives? We This presentation will focus on sudden will cover real-world examples of how the PED-1015 Caught in Between: Why cardiac arrest in athletes. Some of the topics actions of a dispatcher can directly affect Adolescents are not Children or Adults? covered will include commotio cordis, patient outcomes, and what they can do BLS 14 / ALS 19 / 1.0 CEU abnormal heart rhythms, structural heart to make your lives easier with pre-arrival Target Audience: All disease, inherited causes of sudden death. instructions. There are special challenges when The influence of environmental factors will Instructor: Dan Greenhaus treating adolescents. They may be the also be reviewed, particularly heat illness size of an adult, but they have unique and altitude factors. Interventions for the OPE-918 FirstNet Mobile Broadband: differences in brain function, hormones EMS provider faced with the collapsed Changing and Enhancing Patient Care and other physiology as their bodies athlete will also be reviewed. Today continue to develop. Risky health Instructor: George Lindbeck BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: All practices are often hidden but could be vital to EMS management. Finally, talking MED-839 HIV Post Exposure - Updates High speed, dedicated and reliable to a teenager can be equally as tricky. BLS 14 / ALS 19 / 1.0 CEU mobile broadband communication is Instructor: Valerie A Quick Target Audience: All now available in your ambulance. How to There has been many changes with get it, use it to benefit your patient, and TRA-1219 IEDs, EFPs and Other regard to HIV testing and medical follow- how it differs from traditional voice only Explosives: What They are and How to up. Join Kathy as she gives you the latest communication systems will be explored Treat the Injuries information AND it is all good news! in this session. Mobile Broadband BLS 13 / ALS 18 / 1.0 CEU Instructor: Katherine H West communication gives you the capability to diagnose and treat patients in the Target Audience: All This session will discuss the use of OPE-915 Refusal or No Patient? field, with solid medical support on-line, explosives as weapons and the complex BLS CAT 2 / ALS CAT 2 / 1.0 CEU and brings tremendous new benefits injury patterns that occur. Mr. Nitsch Target Audience : All and support to rural EMS providers and will provide a unique insight into these I will explore the legalities and the trials Community Paramedicine programs. See oftentimes devastating injuries based and tribulations of the Refusal, versus the currently available and proposed new on his firsthand experiences in Iraq and “No Patient”... Being the Patient Advocate devices, apps and uses. Afghanistan. Also discussed will be an and the Agency Advocate is so important. Instructor: Brent A Williams overview of the types of explosives, We will also discuss the Liability and the “anatomy” of an explosion, and the Responsibility of both! We will discuss PED-1013 Don’t Sugarcoat It - Pediatric immediate and long-term treatment of the “Right Thing to do” and look at some Diabetes blast injuries. real-life situations in the EMS day to day BLS 14 / ALS 19 / 1.0 CEU Instructor: David Nitsch operations. Target Audience: ALS, BLS, Educators, RNs Instructor: Vernon M Frayser In the United States, there are approximately 200,000 children living TRA-1220 Basics of Ballistics BLS 13 / ALS 18 / 1.0 CEU OPE-916 Are You in the Right Room? with diabetes and 23,000 children are Target Audience: ALS, BLS, Dispatcher, BLS 15 / ALS 20 / 1.0 CEU newly diagnosed each year. Come learn Educators, RN Target Audience: All the ins-and-outs of pediatric diabetes. Wound ballistics is the science behind CISM, Peer Support, Stress First Aid...taking Topics to be covered include the signs and how a projectile acts as it travels and how care of our emergency services personnel symptoms, Type I versus Type 2, treatment it impacts tissue. Bullet wounds can be has become a huge priority in the recent of the pediatric hyperglycemic patient deceiving. Some wounds can be small, yet years, with stories of suicide by Fire/EMS/ versus diabetic ketoacidosis (DKA) patient 25 40th Annual Virginia EMS Symposium have devastating destruction of human common and uncommon patients that getting smaller each year and are much tissue. Learn about the different phases could be present with Crush Syndrome. more prevalent than they were 15 years of ballistics and how bullet characteristics Instructor: David J Mangus ago. But how do they work? What does the impact injury patterns. By understanding magnet really do? What happens when the ballistics, EMS providers may be able to AICD fires? In this interactive session we will determine which wound is entrance vs 11:00 AM - 12:00 PM explore the inner workings and practical exit as well as the direction and distance information about pacemakers and AICDs of the gunshot. ADM-113 EMD Accreditation Overview that will be invaluable to your EMS practice. Instructor: Allen Yee BLS CAT 2 / ALS CAT 2 / 1.0 CEU Instructor: Jeff Myers Target Audience: ALS, Administrators, BLS, Dispatcher, MD, DO CAR-417 Post-Resuscitation Care: Friday Courses This presentation will provide an overview Changing the Paradigm of the Virginia Office of EMS’ Emergency BLS 12 / ALS 17 / 1.0 CEU 9:30 AM - 10:30 AM Medical Dispatch (EMD) Accreditation Target Audience : ALS , BLS , Educators Program for 9-1-1 Centers and Public What do you do when you get pulses ITRA-1221 EMS and TBI: Immediate Safety Answering Points. It will provide back on your cardiac arrest patient? Why Field Care for High-Impact Head information on the requirements needed is it we get the patient back but they Injuries to receive initial accreditation and re- still die? Once we get the patient back, BLS 13 / ALS 18 / 1.0 CEU accreditation. Information will be provided is our job done? Have you heard these Target Audience: ALS, BLS on the Rescue Squad Assistance Fund comments and questions often? This Traumatic Brain Injuries (TBI) account for (RSAF) Grant program which may be used presentation will discuss the EMS role in approximately 2.5 million annual ED visits, to offset the cost of implementing EMD. post resuscitation care and how what we taking more than 50,000 lives and leaving Instructor: Rich Troshak do after we get ROSC can play a direct role countless victims with lifelong disabilities. in patient outcome. In those first moments following impact, ADM-115 Mobile Integrated Instructor: Timothy S Redding EMS care is a major factor in your patient’s Healthcare-Community Paramedicine outcome. Hyperventilate? Intubate? Roundtable CAR-418 Size Matters: Differentiating Permissive hypotension? Do you know BLS CAT 2 / ALS CAT 2 / 1.0 CEU Large Vessel from Small Vessel what to do? Using case studies, evidence- Target Audience: ALS, Administrators, BLS, Occlusion in Stroke based guidelines and a common-sense Dispatcher, MD, DO BLS 12 / ALS 17 / 1.0 CEU approach, this program gives you Mobile Integrated Healthcare-Community Target Audience: ALS, BLS strategies for the prehospital management Paramedicine (MIH-CP) is one of the biggest Stroke is a nonspecific term that has come of traumatic brain injuries in a way that concepts to come to EMS in decades. Join to mean a sudden interruption of blood real-world medics and EMTs can use them moderator Tim Perkins in a panel discussion flow to a portion of the brain resulting in in real-world trauma settings. with providers, agency directors, and loss of neurological function. On average, Instructor: Rommie L Duckworth operational medical directors about MIH- someone in the United States suffers a CP. What makes for a successful system, stroke every 45 seconds making it the fifth TRA-1222 Trauma Assessment and what do providers need to know from a leading cause of death in this country. In Management Today clinical perspective, and how MIH-CP can this session, we will examine the latest BLS 13 / ALS 18 / 1.0 CEU be implemented in your community will be advances in the prehospital management Target Audience: All among the topics discussed. of stroke, including the use of mobile Trauma is still the leading cause of death Instructor: Tim Perkins stroke units and the management of large for young adults and the third leading Vessel Occlusion. cause of death in this country for all ARV-212 How Airway and Breathing Instructor: Kenneth W Navarro age groups! EMTs and Paramedics are Affect Circulation in a position to decrease morbidity and BLS 11 / ALS 16 / 1.0 CEU EDU-521 Top Five Papers that are mortality in trauma patients, but only if Target Audience: All Changing EMS Today they can rapidly assess and manage those Shock is not just a circulatory problem. BLS 15 / ALS 20 / 1.0 CEU patients. Did you know that tourniquets Often, patients go into shock from an Target Audience: ALS, BLS, MD, DO are back and shock position is out? There airway or breathing compromise. This case- A review of the top five (or so) papers that are probably more you don’t know. based session makes preventing shock are shaping the way EMS is evolving at the Instructor: Heather Davis understandable for EMTs and Paramedics. state and national level. If you have ever At the conclusion of this session, you wondered what drives an OMD to change TRA-1223 Sit Down and Take a Load off will be able to apply the Fick principle to protocol, policy and practice in an agency, - Crush Syndrome explain how airway and breathing cause this presentation will attempt to answer BLS 13 / ALS 18 / 1.0 CEU circulatory problems. You will also be able that. Topics may include new research, Target Audience: ALS, BLS, MD, DO, RNs to list the current medications used in the position statements, and state and national The recognition and treatment of management of respiratory distress and regulations that affect the way you practice. Crush Syndrome are one of the more failure and distinguish between pleurisy, Instructor: Eric Stanley challenging types of incidents that effusion and failure. first responders encounter. It is a low Instructor: Heather Davis EDU-522 Cardiovert Your Classroom: frequency / high risk type of incident Disrupting the Pattern that requires special attention to detail to CAR-416 Demystifying Pacemakers BLS CAT 2 / ALS CAT 2 / 1.0 CEU deliver appropriate care. Let’s look at this BLS 12 / ALS 17 / 1.0 CEU Target Audience: Educators microscopic hazmat incident in the body Target Audience: ALS Traditional teaching methods are a and review the low usage medications We have all had patients who have lot like SVT: marginally effective, but used for treatment. Let’s also discuss pacemakers/AICD. These devices are sometimes need a blast of energy to reset 40th Annual Virginia EMS Symposium 26 things to perfuse the brain. ‘Flipping the found on scene. Come be the “Detective” classroom’ is a popular concept these days. LMGT-709 EMS From Around the and lean to pick up on these clues. Regardless of what you do with online Globe Instructor: Tori Zobel Co-Instructors: content, videos, or other strategies outside BLS CAT 2 / ALS CAT 2 / 1.0 CEU Stephanie K Louka of the class, a huge challenge for many Target Audience: All educators is deciding how to make the In a rapidly changing world, how do MED-841 Behavioral Issues and the most effective use of time in the classroom. we develop sustainable EMS systems Legal Ramifications UPDATED We will explore a variety of alternatives to in resource-limited countries? Globally, BLS 14 / ALS 19 / 1.0 CEU traditional lecture and challenge you to EMS systems have to adapt to a model Target Audience: ALS, BLS, Dispatcher, break those reentry patterns. that meets the local needs within the Educators, RN Instructor: Gary A Heigel framework of diverse cultural, political TDO, ECO, how does the EMT make sense and financial factors for each individual of these acronyms? Who needs one, community. Co-presented with who can get one, and how does one Friday Courses prehospital professionals from Rwanda, get issued? Furthermore, what are the we will learn how EMS systems are legal ramifications of treating a patient 11:00 AM - 12:00 PM deployed differently around the world. with one or a patient who may require Instructor: Basil R Asay one? These and many other questions EDU-523 Writing Objectives for regarding the often encountered “patient Dummies LMGT-710 Is It A Man’s World? A with a behavioral emergency” will be BLS CAT 2 / ALS CAT 2 / 1.0 CEU Look at Women in EMS answered in simple and plain English. Target Audience: Educators BLS CAT 2 / ALS CAT 2 / 1.0 CEU Instructor: Eleanor Erwin Every time you meet with students, you Target Audience: ALS, Administrators, BLS, should have a plan that describes what Dispatcher, Educators, MD, DO MED-842 Not Just Boobs and Tubes: will be accomplished during your time We will be looking at the history and What Makes Women Different to Assess with them. In the world of education, we influence of women in EMS. We will and Treat? start and end this plan with objectives. address recruitment, retainment, inclusion BLS 14 / ALS 19 / 1.0 CEU Whether it is at the program, course or and other challenges women face when Target Audience: All class level, being able to articulate what is EMS is chosen as a career path. We will also Medicine is now evolving to treat to be learned in the form of an objective explore positive changes that are being individuals based on genetics, gender is both a skill and an art. This course will implemented by women “Change Leaders” and medical history rather than a one cover the basics of objective writing, in the profession of EMS. size fits all approach. Discussing women’s preparing the educator to begin using Instructor: Tarsha R Robinson medical issues usually revolves around them as effectively as possible. what is found in the “bikini” area. Did Instructor: Jason Ambrose LMGT-711 Leadership Lessons From you know that women are more at risk the Beatles for hemorrhagic strokes, developing HEA-613 Psychological Mayday: BLS CAT 2 / ALS CAT 2 / 1.0 CEU prolonged Qtc, having a concussion and Knowing When to Call for Help Target Audience: All are less likely to be diagnosed with a BLS 15 / ALS 20 / 1.0 CEU If you are an EMS leader — or aspire to be heart attack or treated for pain? Women Target Audience: All one — drawing leadership inspiration from also respond differently to drugs, often We are 911. We are always ready to as many sources as possible is imperative. requiring decreased dosing or different assist anyone in need. But what happens In this fun, multimedia and eye-opening drug therapy. when we find ourselves in the midst of a presentation, nationally known EMS leader Instructor: Valerie A Quick behavioral health crisis? Who can we talk and lifelong Beatles fan Doug Wolfberg to? What resources are available to us? will use lessons from the amazing career MED-843 Should We Really be Giving Does our culture allow us to discuss it or of the Beatles to enlighten and inspire EMS Narcan? do we find ourselves in fear of saying HELP leaders of the future. You’ll be amazed at BLS 14 / ALS 19 / 1.0 CEU ME! Join me for an interactive discussion how relevant these leadership lessons are Target Audience: All on how we can help our own. to EMS leadership! The word is out! We are in the midst of an Instructor: David Wiklanski Instructor: Doug Wolfberg opioid crisis! EMS is on the front line with the super drug! The lifesaver drug Narcan! HEA-614 Critical Care for OUR MED-840 Powders, Pipes and Anyone can buy it over the counter! But for Mental Health - We Aren’t OK Paraphernalia: Dissecting the Drug Den all of its benefits, the blind administration BLS 15 / ALS 20 / 1.0 CEU BLS 14 / ALS 19 / 1.0 CEU to a “suspected” OD can cause further Target Audience: All Target Audience: ALS, BLS, Dispatcher, MD, harm to the patient and the EMS provider! We make life changing decisions for DO, RN Some have actually weaponized the drug, strangers with limited information in As first responders, we routinely interact and others use it as a safety net. Protocol seconds. This a humbling privilege that with the people and places of the makes us give it. Alternatives? Start with sometimes haunts us for the rest of our underground drug world. We enter good assessment. In this session Bob will lives. The mental health stigma in public unsafe environments that may appear rock your world! safety often prevents those who need benign but in reality pose potential Instructor: Robert Page help from asking for it and suicide rates threats. Spoons, lottery tickets and tire are at an all time high. As a profession, pressure readers - each have alternative MED-844 It’s You and Me Wheezy we are not OK, so come join in for some uses as drug paraphernalia. What other BLS 11 / ALS 16 / 1.0 CEU real talk because we don’t just need first clues are you missing on scene that could Target Audience: ALS, All, BLS, RN aid for our mental health, we need critical help indicate potential for overdose or Chronic Obstructive Pulmonary Diseases care. The life you save could be yours. other toxicological emergency? Doctors can be difficult to distinguish. Are they the Instructor: Devon T Clary and nurses rely on us for helpful clues blue bloaters, pink puffers or asthmatic? 27 40th Annual Virginia EMS Symposium This course takes a look at differences in criminal law question they can think concussions every year in the United pathophysiology and treatment of various up related to Virginia Law, Virginia States as the result of sports and airway issues. We will review lung sounds regulations, or anything legal related in recreational activities. A form of traumatic and understand that “all that wheezes is the Commonwealth. Both lawyers will brain injury, concussions can range not asthma.” This course provides a fun, be ready to take questions and provide from mild to severe and if not managed semi-interactive approach to review participants with answers based on properly, may lead to a fatal condition airway issues. Students will experience Virginia Law and Virginia regulations. known as Second Impact Syndrome. As how it feels to have an asthma attack. Instructor: Justin W Witt Co-Instructor: EMS providers we may encounter this If you are looking for a light-hearted, Allison J. Bloom subset of patients, either on a 911 call or entertaining approach to learning, this is during a stand-by, and it is important that the class for you. OPE-922 Prehospital Medicine in Iraq we identify concussions in players having Instructor: Jason Ferguson and Afghanistan them abstain from sports activities until BLS 13 / ALS 18 / 1.0 CEU injuries are resolved. Target Audience: All Instructor: Kyle D Bates Friday Courses This session will discuss prehospital care and lessons learned from the wars TRA-1225 “Coup Contre Huh?” 11:00 AM - 12:00 PM in Iraq and Afghanistan. Mr. Nitsch will BLS 13 / ALS 18 / 1.0 CEU provide an interesting perspective on this Target Audience: All OPE-919 Concert and Special Event EMS topic through his firsthand experience A Traumatic Brain Injury (TBI) is a devastating BLS CAT 2 / ALS CAT 2 / 1.0 CEU of providing medical care in Iraq and injury, causing loss of life and individual Target Audience: All Afghanistan. Additionally, this session will freedom. It is imperative that healthcare This program is designed to demonstrate emphasize the tenets of Tactical Combat providers be able to recognize the signs and the difference between typical, Casualty Care (TCCC) and emphasize the symptoms of a TBI, as well as understand community EMS and the type of service importance of utilizing these tenets in the what, if any, treatment can be provided. This that needs to be provided at a large scale Emergency Medical Services. presentation focuses on the causes, patient gathering. This is not intended to be a Instructor: David Nitsch presentation, as well as allowing the class lesson in the Incident Command System to witness the neurosurgical interventions or Mass Casualty Incident Management. PED-1016 Stroke in the Young: Big needed to treat several different kinds of It is intended to show the distinctive Numbers for Little People intracranial hemorrhage. The presentation requirements of these events and ways BLS 12 / ALS 17 / 1.0 CEU concludes focusing on the long term to handle different types of crowds and Target Audience: ALS, BLS mental health effects of a TBI. situations including musicians, athletes, Shocking new information shows Instructor: Damien G Coy etc. Also covered will be the different incidents of ischemic stroke increasing types of equipment used to ensure safe more than 50 percent in children 5 to 14 and expeditious emergency response in years old since 1995. In younger patients ITRA-1226 Hustle, Hit Until it Hurts unique situations. (under 45 years old) there have been BLS 13 / ALS 18 / 1.0 CEU Instructor: Andrew T. Caruso similar leaps among all types of stroke. Target Audience: ALS, BLS, Educators Despite these increases many victims It’s Friday night under the lights of the OPE-920 Wear A TOPHAT: Critical go undiagnosed due to the mindset local high school football game. A player Thinking Skills that they are “too young for stroke.” This is down on the 35-yard line, not moving. BLS CAT 2 / ALS CAT 2 / 1.0 CEU session explains the startling reasons Your evaluation reveals neurological Target Audience: ALS, BLS, RN behind these numbers, what EMS can do deficits and pain upon palpation of the Too often we get tunnel vision and miss about them and the diagnostic approach cervical spine. Should you leave the the signs and symptoms we are trained to that catches what clinicians miss in pads and helmet on or take them off? In find. During this session we will evaluate newborns, young children and younger this course, we will discuss and practice critical calls, and what could have victims of stroke. techniques for dealing with the spinal- changed the outcome of these calls. What Instructor: Rommie L Duckworth injured football player. is critical thinking and how can I use it to Instructor: Rebecca C Anhold Co-Instructor: better my patient outcomes? Grab your PED-1017 Jif or Skippy? Creamy or Jeremy Wampler TOPHAT and join Kirk for a session filled Crunchy? - Pediatric Anaphylaxis Limited to: 30 with videos and case histories to help BLS 14 / ALS 19 / 1.0 CEU improve your Critical Thinking Skills. Target Audience: ALS, BLS, Educators, RN TRA-1227 Everything Firearms Instructor: Kirk E Mittelman Food allergens account for approximately BLS 13 / ALS 18 / 1.0 CEU 30 percent of fatal anaphylactic reactions Target Audience: ALS, BLS, MD, DO, RN OPE-921 Am I Kidnapping My Patient? per year and 1 in 13 children in the U.S. This course covers everything you ever Can I be Sued for This? The Lawyer has a food allergy. Come learn about the wanted to know about firearms for the Hotline at the EMS Symposium most common culprits of anaphylaxis, the prehospital provider. The session includes BLS CAT 2 / ALS CAT 2 / 1.0 CEU signs and symptoms and how to manage the trauma risk, injury patterns, history, Target Audience: ALS, Administrators, BLS, these kiddos without feeling as though regulation and politics. You will learn how Dispatcher, Educators, MD, DO, RN you have given yourself a shot of Epi. to recognize common projectile injury There are so many times EMS providers Instructor: Tiffany G Chatham patterns from handguns to shotguns have legal related questions that they and rifles. Once recognized, this talk will never asked during their training or TRA-1224 Boot to the Head: Concussion describe management and treatment seldom have access to a lawyer during Assessment and Management of these emergencies. And please, no a call when a situation comes up. This BLS 13 / ALS 18 / 1.0 CEU concealed carry in class! program will provide participants with Target Audience: ALS, BLS Instructor: Brian D Ekey an opportunity to ask ANY civil or There are over 3.5 million estimated 40th Annual Virginia EMS Symposium 28 Friday Courses IMED-845 Emergency Childbirth in a 1:30 PM - 2:30 PM Nutshell 1:30 PM - 5:30 PM BLS 14 / ALS 19 / 4.0 CEU ADM-116 I Saw Something...Now Target Audience: ALS, Administrators, BLS, Who Do I Say Something To? IARV-213 Airway Techniques for the Dispatcher, Educators BLS 15 / ALS 20 / 1.0 CEU BLS Provider Often times, expectant women wait it Target Audience: ALS, Administrators, BLS, BLS 11 / ALS CAT 2 / 4.0 CEU out too long at home in labor and end Dispatcher, RN Target Audience: ALS, BLS up calling for emergency services. Less This presentation provides information on Airway management techniques are of frequently, you will have a true childbirth how to report suspicious activity to the low frequency high risk encounters for crisis on your hands. Learn with providers Virginia Fusion Center. Information will be EMS providers. This session will provide a who routinely deliver babies outside of provided on the behaviors to be reported, review of airway anatomy and BLS airway the hospital setting and get hands-on including an overview of the “See Something, management techniques. Students will practice with normal and complicated Send Something” application utilized by the have a chance to practice hands-on deliveries. These include: shoulder Virginia Fusion Center to receive suspicious with BLS airway techniques to include dystocia, breech birth, premature labor, activity reports from citizens and first 1-2 person BVM ventilation, OPA/NPA, postpartum hemorrhage, hypertensive responders across the Commonwealth. suctioning techniques and using various crisis and newborn stabilization. Instructor: Austin C White supraglottic airways. Instructor: Christina Owens Co-Instructors: Instructor: Jeremy Wampler Co-Instructors: Tammi Mckinley ADM-117 Mobile Integrated Josh Wimer, Rebecca Anhold Limited to: 50 Healthcare Update Limited to: 24 BLS CAT 2 / ALS CAT 2 / 1.0 CEU OPE-923 The Pen is Mightier: The Fine Target Audience: ALS, Administrators, BLS, Art of Documentation Dispatcher, Educators, MD, DO, RN IARV-214 Slap the Cap: BLS CAT 2 / ALS CAT 2 / 4.0 CEU Mobile integrated healthcare programs Comprehensive Capnography Course Target Audience: ALS, Administrators, BLS, can improve EMS operations and impact BLS 11 / ALS 16 / 4.0 CEU Educators the wellness of the communities which we Target Audience: All You just received a subpoena... you’re serve. There are many models across the First nationally presented course on being sued from a call 4 years ago! Would country and several programs have been capnography that is an eye opening you remember this call? How well did you implemented in the Commonwealth. experience when participants learn the document it? This presentation deals with These programs have linked patients to incredible benefits gained from full ETCO2 medical/legal issues such as consent and resources, decreased “frequent flyers,” monitoring and waveform assessment. refusals - the largest cause of litigation in improved satisfaction, and streamlined In this exciting and informative session, EMS - as well as giving you a template to medical care. Learn about benefits of such Bob’s discussion includes trauma, cardiac use when writing your patient care reports. programs and barriers to implementation. arrest, airway and ventilation assessment Instructor: Kyle D Bates Instructor: Allen Yee and management, from triage of any patient to the ongoing monitoring of the patient. Come learn how to integrate this 1:30 PM - 4:00 PM IARV-215 Be One with Your BVM session into your practice and utilize it to (Bag-Valve Mask) BLS 11 / ALS 16 / 1.0 CEU its fullest potential! First at Symposioum, ITRA-1228 Stop the Bleed - The Virginia the complete comprehensive course with Target Audience: ALS, BLS, MD, DO, RN Trauma System; Training Providers to HANDS ON DEMO! Join me as we hands on usage and expanded content! Train Others in Their Communities Instructor: Robert Page breakdown and literally break apart the BLS 13 / ALS 18 / Other (specify) CEU bag-valve mask device. Learn how to Target Audience: All troubleshoot the equipment and feel IHEA-615 Box Alarms for Launched in October of 2015 by the confident repairing and replacing parts Behavioral Health White House, Stop the Bleed is a national should it fail in an emergency. Come BLS 15 / ALS 20 / 4.0 CEU awareness campaign and a call to action. and gain a better understanding of what Target Audience: All Trauma centers throughout Virginia are the devise can do for your patients after Through a highly interactive skill-based coming together to offer this program for all learning about its capabilities and settings. program, utilizing the familiar concept EMS providers with the hope they will then Instructor: Patrick Mclaughlin of alarm assignments, participants will return to their communities to continue to Limited to: 25 be taught a series of skills to address and cultivate this grassroots effort. We believe mitigate potential behavioral health issues. lay providers through the Commonwealth CAR-419 Managing the Heart Failure These skills will be taught from an individual, should be prepared to save a life by Patient company, management and a policy level. controlling hemorrhage. We hope to train BLS 12 / ALS 17 / 1.0 CEU Once complete, the participants will have 800 providers in Norfolk in 2019! Target Audience: ALS, BLS, RN a global understanding of the concepts Instructor: James H Gould Co-Instructors: Basil This presentation will focus on the heart and specific applications that can be Asay, Dr. Alan Rossi, Gregory Neiman, Karen failure patient and EMS providers. How utilized upon returning to their home Shipman, Katherine Challis, Kenneth Williams has our understanding of heart failure departments. Limited to: 60 developed? Why don’t we give everybody Instructor: David Wiklanski Lasix? How does CPAP really work? Are Limited to: 24 they wet or dry? How can a heart failure patient not be volume overloaded? What about new technology, including LVADs, RVADs and the TAH? What is an Impella? Instructor: George Lindbeck 29 40th Annual Virginia EMS Symposium future. EMS Agenda 2050 took ideas and necessary. Whether the conversation is Friday Courses input from hundreds of EMS professionals with ourselves, a peer, a supervisor, or a 1:30 PM - 2:30 PM and members of the public in order to subordinate, the conversations have to develop a common idea of what EMS take place. This presentation will focus CAR-420 Hit from Behind: The should look like in 30 years. Learn how on ways to have difficult conversation Challenge of Identifying Posterior and you can be a part of turning that vision without derailing the relationship you Brainstem Stroke Syndromes into reality. have with the other person. In fact, BLS 12 / ALS 17 / 1.0 CEU Instructor: Michael Gerber the conversation should strengthen Target Audience: ALS, BLS, RN the relationship. Mutual respect and Posterior circulation and brainstem strokes HEA-616 Situation Awareness: compassion are just some of the difficult can be just as debilitating as hemiplegic Staying Alive and Out of Trouble topics to be discussed. strokes but are often more subtle and BLS 15 / ALS 20 / 1.0 CEU Instructor: John F Galganski easily missed. They are also much less Target Audience: All likely to be treated as aggressively as EMS personnel get themselves caught LMGT-713 What’s Really Going On anterior or middle circulation strokes, in the middle of a myriad of dangerous in Rural EMS? which the NIH Stroke Scale does a better situations and often are not situationally BLS CAT 2 / ALS CAT 2 / 1.0 CEU job identifying. In this case-based session, aware of hazards and threats. This Target Audience: All we will go through several examples, lecture details several actual cases and Across the nation, rural communities are allowing you to better identify these helps attendees understand situational seeing their rural EMS agencies struggling devastating types of strokes. awareness and respond in a more to keep responding or already the doors Instructor: Jeff Myers cautious manner. The lecture will address are closed. On the surface it seems to be scene size-up, partner backup, working about the loss of volunteers, but deep EDU-524 Building Solid Psychomotor around hazards such as downed power down, this crisis is about more than that. Skills lines, and standby preparedness. For the last 40 years, we have been having BLS CAT 2 / ALS CAT 2 / 1.0 CEU Instructor: Arthur J Heightman the wrong conversation around rural EMS Target Audience: Educators systems. It is time to admit that, and start Education programs face a large task in HEA-617 Sleep When You’re Dead...But the next discussion. preparing students to enter the field as do You Really Want to Wait That Long? The Instructor: Steven Gienapp “entry-level competent” providers. Yet, in Consequences of Sleep Deprivation in EMS many cases, skill labs rarely reach beyond BLS 15 / ALS 20 / 1.0 CEU LMGT-714 New EMS Liability Case the ability to recite the testing skill sheet. Target Audience: All Studies With the new Paramedic Psychomotor We’ve all done it; picked up that OT to BLS CAT 2 / ALS CAT 2 / 1.0 CEU Competency Portfolio and similar turn that 12-hour shift into an 18 or a 24, Target Audience: ALS, Administrators, BLS, competency-based systems, programs or left our full time job to do a full shift at Dispatcher, Educators, RN must move beyond the skill sheet and our part time job. Or volunteered to help EMS court case studies are always of high help students develop solid skills. This out, especially during a last minute call interest to Symposium attendees. In this course is designed to walk educators out. But what effect does that have your session, nationally known EMS attorney through the process of building this level body and mind? What risks does it cause Doug Wolfberg will present several new of competency from the ground up. to us as providers, and to our patients? cases where EMS providers and agencies Instructor: Jason Ambrose What steps we can take to mitigate those ended up in court. Most importantly, risks? Let’s get together and discuss it. in each case we will explore “lessons EDU-525 Flipped Classroom...Fad or Instructor: Dan Greenhaus learned” so that others can learn from the Effective Methodology? hard lessons presented in these cases. This BLS CAT 2 / ALS CAT 2 / 1.0 CEU HEA-618 Therapy Dogs in EMS session is always good for eye-opening Target Audience: Educators BLS CAT 2 / ALS CAT 2 / 1.0 CEU and rigorous debate on the issues! The flipped classroom concept has Target Audience: All Instructor: Doug Wolfberg become increasingly popular in all levels This presentation will illustrate the value of education. It seems to be a natural of an EMS agency having a therapy dog MED-846 Let the Bodies Hit the Floor: A fit for EMS education by allowing more program. From public relations to making Closer Look at the “Public Assist” hands-on activities, but a lot of questions a significant impact on patients and even BLS 13 / ALS 18 / 1.0 CEU still remain. Will it work for my class? employees, a therapy dog program is Target Audience: ALS, All, BLS Where do I start? How do I implement it? inexpensive, low-risk, and when properly This BLS focused talk will cover one of the This presentation will look at the benefits executed, can be an invaluable morale most dangerous (from a medical-legal and challenges of implementing a flipped asset. We will discuss the legalities, standpoint) and common calls we respond classroom. the risk, and the actual procedure of to: The geriatric fall patient. We will identify Instructor: Jason Ferguson implementing a therapy dog program. strategies for effectively assessing the Instructor: Andrew T. Caruso geriatric fall patient, and the warning signs EDU-526 EMS Agenda 2050: A People- that should make you think twice about Centered Vision for the Future of EMS LMGT-712 Difficult Conversations - allowing a patient to refuse transport. BLS CAT 2 / ALS CAT 2 / 1.0 CEU A Necessary “Evil” in EMS Leadership Instructor: Gary A Heigel Target Audience: All BLS CAT 2 / ALS CAT 2 / 1.0 CEU In 1996, the publication of the EMS Target Audience: All Agenda for the Future paved the way for Difficult conversations? Nobody likes many of the foundational elements of having difficult conversations, that’s today’s EMS systems. Now, a generation why they’re difficult. In an effort to later, the EMS community recently came continuously develop ourselves and together to craft a new vision for the our people, difficult conversations are 40th Annual Virginia EMS Symposium 30 find yourself face to face with a baby that but what next? This course will cover the Friday Courses will not wait for the hospital to make their aspects of delivering medical care in the 1:30 PM - 2:30 PM entrance into the world. air. Topics include legal/scope of practice Instructor: Eric Stanley issues, equipment, interacting with flight MED-847 Death in the Ditch: The EMS crews, and patient transfer. Frequent flier Death Ritual MED-851 Prehospital Point of Care miles not included! BLS 14 / ALS 19 / 1.0 CEU Ultrasound, Is It All Just Hocus Pocus? Instructor: Lucian A Mirra Target Audience: All BLS 14 / ALS 19 / 1.0 CEU EMS’s role is to mitigate untimely and Target Audience: ALS, Administrators, BLS, PED-1018 Basics of Working With unnecessary death. Traditionally we Educators, MD, DO, RNs Children in Crisis maximized our response to initiate Prehospital Point of Care Ultrasound BLS 13 / ALS 18 / 1.0 CEU resuscitation and transport patients (POCUS) is a rapidly growing field. In Target Audience: All emergently to a higher level of care. There skilled hands, ultrasound can guide This presentation will provide basic has been significant change in how we management of cardiac arrest as well information on child development, perform resuscitations, terminate in the as medical and trauma resuscitations. interacting with children in crisis and field or transport. We’ll discuss the process Other uses include expanded diagnostic tips to increase compliance in children. for when EMS encounters dead or dying capability of mobile integrated health Specific areas that will be focused on patients, death scenes, DDNR/POST, legal programs and advanced procedural include: child-friendly language, working issues like Termination of Resuscitation. guidance. Is your agency using ultrasound with children who have experienced This is a big picture lecture that dives into or considering developing a program? trauma, and developmentally appropriate details on a few of the important issues. This course will use real cases to provide coping strategies for pediatric patients. Instructor: Charles J Lane examples of the benefits and pitfalls of a The goal of this presentation is to leave prehospital ultrasound program. the provider feeling more comfortable MED-848 Stuff You Should Know Instructor: Amir K Louka and confident in interacting with children BLS 14 / ALS 19 / 1.0 CEU by educating on ways to decrease a child’s Target Audience: ALS, All, BLS OPE-924 Through the Looking Glass - psychological upset. Can you define pulsus paradoxus? How What Actually Happens as a Tactical Medic Instructor: Schoni Marchio Co-Instructor: about Cushing’s triad? Brudzinski’s sign? BLS CAT 2 / ALS CAT 2 / 1.0 CEU Madison Carroll The Parkland burn formula? This is an Target Audience: ALS, Administrators, BLS, interactive session where participants Dispatcher, Educators, MD, DO, RNs PED-1019 Pediatric Trauma Through the answer questions about commonly Tactical EMS, do we really need the Ages: Injuries by Developmental Stage forgotten information. This session will tactical medic? Have you ever wondered BLS 13 / ALS 18 / 1.0 CEU review concepts taught in class, and what these “tactical medical operators” Target Audience: All even used in the field, but not always really do on a barricade? We will review Pediatric Trauma Through the Ages remembered readily. Attendees will leave a hostage barricade incident and show is a focused interactive presentation saying, “Oh, Yeah!” and “I forgot about that!” how these highly trained medics can discussing pediatric injuries by Instructor: Heather Davis provide immediate medical care. This is developmental stages. Case studies will not about having medics with weapons include varying age groups from infancy MED-849 Annual Infection Control/ rather it is about bringing specialized care to school age children. Age-appropriate OSHA Update to a unique environment. interventions will be reviewed for infant, BLS 14 / ALS 19 / 1.0 CEU Instructor: Ray Whatley toddler, preschooler and school age cases. Target Audience: ALS, Administrators, All, The presentation will emphasize the BLS , RN OPE-925 Are You an EMS Detective? importance of family-centered and the This course will review updated disease BLS CAT 2 / ALS CAT 2 / 1.0 CEU importance of being a trauma-informed and regulatory information regarding Target Audience: All care provider. Infant cases, common OSHA compliance and infection control This presentation focuses on assisting the unintentional and intentional injury practices, including what is new since EMS provider “detective” in raising awareness patterns; toddler-burn injury; preschooler last year and what may be required in of their surroundings, and information MVC and safety seats; school age-bicycle the near future. We will discuss the CDC presented to them; “clues” to better assess injury and proper helmet use. post exposure guidelines and what and treat the patients they encounter. It Instructor: Tanya Trevilian diseases pose a risk in the state of Virginia. deals with the external environment, as well Attendance at this session will meet your as subjective and objective information. TRA-1229 IEDs, EFPs and Other annual training requirement. There also are case presentations/scenarios Explosives: What They are and How to Instructor: Katherine H. West to assist the audience in understanding Treat the Injuries presented concepts. BLS 13 / ALS 18 / 1.0 CEU MED-850 For God’s Sake, Don’t Push! Instructor: Tim Perkins Target Audience: All BLS 14 / ALS 19 / 1.0 CEU This session will discuss the use of explosives Target Audience: ALS, BLS OPE-926 Is There an EMT On Board?! as weapons and the complex injury patterns For God’s Sake, Don’t Push! - The Responding to In-Flight Medical that occur. Mr. Nitsch will provide a unique excitement and potential disasters Emergencies insight into these oftentimes devastating of prehospital delivery. This lecture BLS CAT 2 / ALS CAT 2 / 1.0 CEU injuries based on his firsthand experiences will cover bleeding in pregnancy, the Target Audience: ALS, BLS, MD, DO, RNs in Iraq and Afghanistan. Also discussed will uncomplicated and complicated field You’ve just settled -or crammed- into your be an overview of the types of explosives, delivery and an overview of management airplane seat when an announcement is the “anatomy” of an explosion, and the of mom and baby after delivery. This made asking for a medical professional. immediate and long-term treatment of lecture will teach you how to manage the Looking around, nobody else budges. blast injuries. mom, the baby and your stress level if you Reluctantly you alert the flight attendant, Instructor: David Nitsch 31 40th Annual Virginia EMS Symposium Friday Courses IEDU-528 Simulation Stinks - At PED-1020 Trachs, CVLS and G-tubes, Least If You Do It Right Oh My! 2:00 PM - 5:00 PM BLS CAT 2 / ALS CAT 2 / 2.0 CEU BLS 14 / ALS 19 / 2.0 CEU Target Audience: Educators Target Audience: ALS, BLS, Educators, RNs BLS-308 BLS Academy - Cardiovascular, Hold your nose for this one and hope Take a deep breath and come learn some Part 2 you’re close to a window. Preparing EMS tips and tricks on caring for pediatric BLS 12 / ALS CAT 2 / 3.0 CEU students for the field requires exposure patients with special needs and/or special Target Audience: BLS to some tough situations they will equipment. Topics to be discussed will Presented by the faculty of Tidewater encounter. In this hands-on presentation, include pediatric patients with cerebral Community College, this is the eighth we’ll take moulage to a new level. To build shunts, epilepsy, common congenital class in the BLS Academy and satisfies the experience in the classroom, students heart conditions, tracheostomy/ventilator remaining 3 hours of the required 6 hours must learn to tolerate the smell of...well, dependence, central venous lines/port- in Cardiovascular Emergencies Category bad stuff. Come learn effective moulage a-caths and feeding tubes. I’ll teach you 1/NCCR (2016) effective April, 1, 2017. tools to build that “iron stomach” in your how to manage the needs of these kids Instructor: Frank I Signorelli students, and help them recognize clues and their equipment, while keeping your to patient diagnoses. We’ll show you how cool in infrequent but potentially high to create some sights and smells for show acuity situations. 3:00 PM - 5:00 PM and tell. Instructor: Tiffany G Chatham Instructor: Daniel W Linkins Co-Instructor: ICAR-421 Nothin Basic About It - Jeanette Mann 3:00 PM - 4:00 PM Breaking Down the BLS Cardiac Arrest! Limited to: 32 BLS 12 / ALS CAT 2 / 2.0 CEU ARV-216 Been There, Done That, Got Target Audience: BLS HEA-619 Violence Against EMS the PE-Shirt It always comes back to the fundamentals! Providers BLS 11 / ALS 16 / 1.0 CEU This hands-on course will include practical BLS 13 / ALS 18 / 2.0 CEU Target Audience: ALS, BLS, MD, DO, RNs evolutions, as well as learning stations Target Audience: All We read about pulmonary embolisms on basic airway anatomy and BVM, BLS Violence against EMS providers is on in textbooks, but what do they look like airway adjuncts, rescue airways and end- the rise globally, and recent events in real life? How do they present, what tidal CO2 monitoring. Students will learn have brought these incidents to the are their classic (and less-than-classic) how chest compression fraction (CCF) is spotlight. The National EMS Management sign and symptoms, and how can the measured and why it is more important Association has appointed a committee, prehospital provider better care for these than ever to minimize interruptions in chaired by the presenter, intended to patients? Take it from someone who has compressions during a cardiac arrest. No combat this violence. This presentation experienced them first-hand after surgery powerpoints, all hands-on learning with will illustrate the different resources resulting from an on-the-job injury. integrated scenarios to stimulate some available to field personnel and their Learn the differentials and mimics for critical thinking! management as well as share tools used pulmonary embolism, and find out how Instructor: Damien G Coy Co-Instructors: successfully and those being trialed you can best treat these patients. Amber Obert, Heath Saunders, Matt Snyder, across the country. We will also discuss Instructor: Lucian A Mirra Nathan Otis the national debate about whether or not Prerequisite: Must be able to perform manual CPR for at EMS providers and firefighters should be CAR-422 Pumps Your Blood least 2 minutes at a time. Must be able to perform simple permitted to carry weapons. BLS 12 / ALS 17 / 1.0 CEU lifting and moving techniques in-line with functional Instructor: Andrew T. Caruso Target Audience: ALS, BLS description of the duties of an EMT. We all know that the heart moves blood Limited to: 20 LMGT-715 Virginia Code for EMS around the body, but HOW does this Providers magnificent organ accomplish the task? EDU-527 Competency Based EMT BLS CAT 2 / ALS CAT 2 / 2.0 CEU This session will explore cardiac physiology, Education Target Audience: ALS, Administrators, BLS, including a correlation of the heart’s BLS CAT 2 / ALS CAT 2 / 2.0 CEU Dispatcher, Educators, MD, DO, RNs function to a basic ECG tracing. Additionally Target Audience: Educators This program will provide EMS providers we will discuss how other body systems are If you enjoy conducting a CTS, then this with information on Virginia Law as it affected when the heart fails. class is not for you. If you’ve thought about relates to the protections and powers Instructor: Mary C Gardner accreditation or you’re an accreditation given to medical services from both Fire expert, this exciting session is for you! and EMS perspectives. Also covered will CAR-423 Basic 12 Lead ECG Introduction This session will review the ins and be case studies and discussions on how to and Review outs of the TR-90a+ that Prince William remain safe when providers are exercising BLS 12 / ALS 17 / 1.0 CEU County Department of Fire and Rescue these powers as well as the involvement of Target Audience: ALS, Educators, RNs uses to document competencies during outside agencies when seeking additional Have you ever wanted to know how to course scenarios. Through psychomotor assistance, such as from the police “Read that 12 Lead”? This course will exemption due to accreditation, students department or the magistrate. This program discuss basic 12 Lead ECG interpretation. complete their competencies and take will provide participants an opportunity to This course is ideal for EMTs and AEMTs their written test at the end of class. There ask questions related to these powers to a that want to learn how to interpret a STEMI will be a round-table opportunity for police officer and prosecutor. on a 12 Lead ECG and for paramedics who educators to share resources too. Instructor: Justin W Witt Co-Instructors: want a quick brush-up review of basic 12 Instructor: Ryan F Kirk Co-Instructors: Michael P Athenry Lead ECG interpretation. Marshall Whahram Instructor: Timothy S Redding

40th Annual Virginia EMS Symposium 32 MED-855 Pouring from an Empty Friday Courses LMGT-716 The Celtic Influence in Cup: Mental Wellness and Suicide 3:00 PM - 4:00 PM American Public Safety Culture: Bagpipes Prevention for our Own at EMS, Fire & Police Ceremonies BLS 14 / ALS 19 / 1.0 CEU BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS, Administrators, BLS, EDU-529 EMS Education Standards, Target Audience: All Scopes of Practice & Agendas for the Dispatcher, RNs A presentation on the Scots-Irish influence Social media raves about it. The news talks Future! on American Public Safety culture focusing BLS CAT 2 / ALS CAT 2 / 1.0 CEU about it. We preach about it... but do we on the playing of Highland bagpipes at really understand the dire importance of Target Audience: All ceremonies such as graduations, funerals, This lecture will bring you up to date taking care of ourselves and each other’s and other events. An exploration on how mental well-being first? This talk will on what is currently happening with and why this tradition developed and an the revision to the current NHSTA discuss cultural change, specifically in the explanation of what bagpipes are exactly. world of EMS and Public Safety, and how National EMS Education Standards and All are welcome to attend for a better Instructional Guidelines revision project. the growing crisis of suicide needs our understanding on this topic. attention. It’s not all doom and gloom: Bryan is the project director for this Instructor: Stephen M Mcneer project, and he will be here to explain why in exploring stigma change, we’ll discuss practical approaches for mental wellness the National EMS Education Standards, MED-852 There’s Nothing “Basic” 2018 National EMS Scope of Practice and suicide prevention. About Me! Instructor: Kayla W Long and the EMS Agenda 2050 Envision the BLS CAT 2 / ALS CAT 2 / 1.0 CEU Future documents are important in the Target Audience: All MED-856 Hot Topics in Prehospital Care advancement of EMS and EMS Education Are BLS providers overlooked on EMS and how they work together to help BLS 14 / ALS 19 / 1.0 CEU scenes, in favor of ALS? This lecture Target Audience: ALS, BLS, RNs define the future of EMS. discusses the relationships, real and Instructor: Bryan F Ericson This presentation will be a “rapid perceived, in the world of EMS, as it fire” review of controversial topics in pertains to BLS and ALS providers. It EDU-530 Army Values: Can They prehospital care and the evidence base focuses on how vital BLS providers really behind them. For example: How should Work in EMS? are to the EMS system, how the role of BLS CAT 2 / ALS CAT 2 / 1.0 CEU we handle the airway during cardiac the BLS provider is ever-evolving and resuscitation? Is double simultaneous Target Audience: All discusses ways that BLS providers can be Many people have misconceptions about defibrillation really a thing? Do pelvic of further assistance on scenes. binders improve patient outcomes? how the Army develops leaders and Instructor: Tim Perkins values as an organization. Media and the Do medications in cardiac arrest make portrayal of the military in Hollywood a difference? Where do we stand on MED-853 Everything Drugs tranexamic acid (TXA)? Do we really drive and reinforce these misconceptions, BLS 14 / ALS 19 / 1.0 CEU and rather than becoming a value based understand the role of mechanical CPR Target Audience: ALS, BLS, MD, DO, RNs devices in EMS? What is the best acute organization, the misconceptions feed Everything you ever wanted to know a toxic culture. This session debunks stroke evaluation tool? about common street drugs will be Instructor: George Lindbeck some of the myths surrounding Army discussed, including Fentanyl, bath salts, leadership and demonstrates how MDMA, marijuana, cocaine and several MED-857 Ever Heard of Marfan’s EMS organizations can incorporate the more. You will learn how to recognize use, Army’s, or other values, as part of their Syndrome? abuse and overdose. Once recognized, BLS 14 / ALS 19 / 1.0 CEU organizational culture. The material draws this talk will describe prehospital heavily on the presenter’s nearly 30 year Target Audience: All management and treatment of these This session will introduce participants to dual careers in the Army and EMS. ingestions. Sorry, no free samples! Instructor: Steven Gienapp Marfan’s Syndrome, a rare connective tissue Instructor: Brian D Ekey disorder that can effect numerous body HEA-620 FIT Under FIRE systems to varying degrees. Mr. Nitsch will MED-854 Home Medication Heartache discuss the challenges in the diagnosis and BLS 15 / ALS 20 / 1.0 CEU BLS 14 / ALS 19 / 1.0 CEU Target Audience: All care for a person with Marfan’s Syndrome Target Audience: All as well relay personal insights having raised In this line of work, we do an excellent job It seems there is a pill for every illness. at caring for others, but we don’t always two children with Marfan’s Syndrome. Knowing which medications to use in Instructor: David Nitsch take the time to focus on what’s most a prehospital emergency is one thing, important - our own personal health and but understanding the thousands of OPE-927 Do We Really Need to Take fitness. In this class we will break down the medications used at home by patients basics and squash the “gymtimidation” That Dog? and their interactions is quite another BLS CAT 2 / ALS CAT 2 / 1.0 CEU factor by explaining weightlifting, cardio, feat! This session will focus on the and career-relative fitness techniques to Target Audience: All mechanism of action of cardiac drugs by Dogs have proven they are very useful to help keep us performing our best when class in order to ensure participants leave times are at their worst. This job can get help out mankind. As research furthers we with knowledge of the most common find that service animals help out more serious fast, so don’t wait until being drugs and most lethal drug interactions strong is your only option, to find out people than ever before. In today’s world in the field. This session has pearls of there are not only service animals but you’re weak! wisdom for all levels of providers. Instructor: Cody R Monger there are also therapy animals. You must Instructor: Heather Davis know the difference between the two and whether or not you should transport the animal along with the patient. Instructor: Daniel Frazier 33 40th Annual Virginia EMS Symposium PED-1022 How Did That Really will discuss: airway opening, better BMV Friday Courses Happen? Recognizing Child Abuse ventilations, PEEP valves, suction catheter 3:00 PM - 4:00 PM BLS 15 / ALS 20 / 1.0 CEU usage, patient positioning etc. YES, you Target Audience: All need this class, don’t fall into the trap of OPE-928 Implementing a Just Culture Have you ever thought, how did they thinking you don’t need improvements in to Increase Medical Error Reporting really do that? And then feel the real need your techniques. and Improve Patient Safety to say something? How we recognize and Instructor: Timothy S Redding BLS 15 / ALS 20 / 1.0 CEU react to Child Abuse is important, yet Target Audience: All we don’t spend very much time talking ARV-218 RSI: RESUSCITATION Sequence More than 98,000 deaths per year are about it or in training. In this session Kirk Intubation caused by medical errors, the number will explore case studies of suspected, BLS CAT 2 / ALS 16 / 1.0 CEU six leading cause of deaths in the United confirmed and debunked cases of abuse, Target Audience: ALS, Educators, RNs States. One reason for this wide spread neglect and maltreatment. Join Kirk as he There is nothing particularly fast about problem is failure to report these errors due works from case to case to determine how paralyzing and intubating a patient, to fear of punitive actions, lawsuits and loss the injury occurred, what signs to look for and it is a highly complex intervention of public confidence. Fear and mistrust has and when to report what you see. with significant risks. Is our historical caused a trend of cover-ups, falsification Instructor: Kirk E Mittelman focus on the RAPID part of RSI off-target of records, and blaming rather than one in EMS? This presentation will look at of transparency and honesty. Outcome TRA-1230 New Concepts in Traumatic the challenges of paralytic-assisted Engenuity’s Just Culture program is one Brain Injury Care: The Hypotension intubation, explore the concepts of option to help administrators develop the Threshold Delayed Sequence Intubation (DSI), culture needed for reporting systems to be BLS 13 / ALS 18 / 1.0 CEU outline the HEAVEN criteria, and examine implemented. Target Audience: ALS, BLS and review the priorities and truly critical Instructor: Robert J Galvin Hypotension significantly complicates components of airway management. traumatic brain injury (TBI), worsens Instructor: Gary A Heigel OPE-929 Preparing for the Unexpected neurological damage, and increases Mass Casualty Event adverse outcomes. A central question in CAR-424 High-Tech Hearts BLS CAT 2 / ALS CAT 2 / 1.0 CEU the management of traumatic brain injury BLS 12 / ALS 17 / 1.0 CEU Target Audience: All is when hypotension actually begins. Target Audience: ALS, BLS, RNs This lecture highlights the actions should Recent evidence suggests traditional EMS Occasionally we may encounter a be considered in advance of a major definitions of hypotension in TBI may patient who is dependent on some type incident, including planning, preparation, place these patients at an increased risk of cardiac device. While we usually do logistics, policies and equipment, and the of neurological impairment or death. This not make adjustments to the devices actions that should be taken in the first presentation will examine new concepts themselves, it is helpful to have a good 30 minutes of a multiple casualty event in the emergency management of TBI, understanding of what they are for, how that will ensure the proper results are with a specific focus on identifying a they work and what an EMS provider achieved at an incident. A.J. Heightman hypotension threshold. should expect when caring for patients will give you his perspective on the Instructor: Kenneth W Navarro with such devices. The lecture will include most important areas that should be devices such as pacemakers, implanted focused on before, during and after an TRA-1231 Blast injury - Understanding defibrillators, and LVADs. unexpected Mass Casualty Event to attain Injury Patterns and Exposures Instructor: Mary C Gardner optimal success. BLS 13 / ALS 18 / 1.0 CEU Instructor: Arthur J Heightman Target Audience: ALS, Administrators, BLS, CAR-425 Is That a STEMI or Am I Seeing Dispatcher, Educators, MD, DO, RNs Things? PED-1021 Pediatric Shock: What is the This is a review of explosive injury BLS 12 / ALS 17 / 1.0 CEU Cause and What Can I do on the Way to patterns. The focus will be on recognizing Target Audience: ALS, MD, DO, RNs the Hospital? signs of injuries and care with an emphasis Have you ever called a STEMI Alert only to BLS 14 / ALS 19 / 1.0 CEU on prehospital evaluation and treatment. find out the patient wasn’t actually having Target Audience: All There will be a basic review of high vs low an infarct? There are many things that can Shock management guidelines have order explosive risks and an injury pattern mimic a myocardial infarction, from the changed recently for the adult population assessment of populations from recent benign to the critical, but what are they of patients. Some of the definitions and major bombing attacks. and how can we differentiate them from a management of pediatric shock, specifically Instructor: Khaled F Basiouny STEMI? This course will utilize case studies for septic shock, are changing as well. Fluid of real STEMI mimics and discuss how resuscitation and vasopressor management to differentiate and treat each of these continue to be hallmarks of initial 4:30 PM - 5:30 PM common imposters. stabilization. This lecture reviews current Instructor: Lucian A Mirra guidelines and definitions of different ARV-217 Ventilation Basics: This types of sepsis as well as recommended Session will Change Your World! CAR-426 Important EMS Research from management of these patients. BLS 11 / ALS 16 / 1.0 CEU 2018-2019: Ten Minutes at a Time Instructor: Laura Boomer Target Audience: ALS, BLS, Educators, MD, BLS 15 / ALS 20 / 1.0 CEU DO, RN Target Audience: ALS, BLS, Educators, RNs Stop ventilating like your parents used This presentation will review the results to do. This class will cover common of five research studies published in pitfalls in airway management and 2018/2019 that may change the way various methods and devices used to EMS personnel care for patients in the better control the patient’s airway. We near future. This session will review the 40th Annual Virginia EMS Symposium 34 results of the PRAGMATIC Airway Trial lines and serve our communities. course provides a review of the different (airway management in cardiac arrest), Instructor: Robert J Galvin types of shock, common pitfalls and new the PARAMEDIC Trial (epinephrine trends in treatment. administration in cardiac arrest), the LMGT-717 EMS, the Internet and Instructor: Jason Ferguson PHANTASi Trial (prehospital antibiotics for Social Media: Time to Get Engaged sepsis), the COMBAT Trial (prehospital use BLS CAT 2 / ALS CAT 2 / 1.0 CEU MED-860 When the Provider Becomes the of plasma), and the prehospital use of IV Target Audience: All Patient: HELLP Syndrome, Pre-Eclampsia sodium nitrite following cardiac arrest. Departments have the ability to directly & Other Scary OB Medical Emergencies Instructor: Kenneth W Navarro address the public, field questions, and BLS 14 / ALS 19 / 1.0 CEU give the public a window into what we Target Audience: ALS, BLS, MD, DO, RNs do, our job and how we put their tax OB emergencies are high stakes and can Friday Courses dollars to good work. This presentation be high stress. Not all OB emergencies will help explain the benefits of having present with vaginal bleeding or 4:30 PM - 5:30 PM an official social media presence and an abdominal pain. Sometimes these official website. During the presentation, emergencies are more subtle. Taught IEDU-531 Repetition, Repetition: we will review two styles of official from the perspective of an EMS provider Does it Work for Today’s Students? websites. Lastly, we will cover the dangers who experienced severe preeclampsia BLS CAT 2 / ALS CAT 2 / 1.0 CEU of SMACSS (Social Media Assisted Career and HELLP syndrome personally, Target Audience: Educators Suicide Syndrome), and how to prevent it this course will provide a review of You have been taught through repetition from negatively reflecting the department. hypertensive emergencies, eclampsia, how to be an EMT, AEMT and Paramedic. Instructor: Dan Greenhaus HELLP syndrome, and other medical Is this really the way to learn, teach and emergencies unique to OB patients. perform in the field? In this session we will LMGT-718 “Over the River and Instructor: Stephanie K Louka evaluate what works and doesn’t work Through the Woods” - All About Rural EMS with students enrolled in EMS programs. BLS CAT 2 / ALS CAT 2 / 1.0 CEU OPE-930 Why ROSC Needs to Die: Is there a way we can reach more students Target Audience: All How Using the Wrong Performance by showing and doing a wide variety of Providing EMS care in rural settings Measures Can Harm Your Patients methodology and pedagogy? Join Kirk and can be a challenge from a number of BLS 15 / ALS 20 / 1.0 CEU Margaret for some new and old ideas for different perspectives, from recruitment Target Audience: All teaching while helping you not to repeat and retention, ensuring proper response For years, Return of Spontaneous the same lectures over and over again. and maintaining viability, just to name a Circulation (ROSC) has served as one Instructor: Kirk E Mittelman Co-Instructor: few. This presentation looks at the most of the primary measures used by EMS Margaret A Mittelman common issues surrounding rural EMS systems to assess performance. While it’s and some ideas for solutions, with the now widely accepted, that survival with EDU-532 What? I Actually Have to Talk anticipation of significant participation neurological function is a better metric, to People? Helping EMS Students Learn from the audience in discussing items systems continue to use ROSC. Yet using to Communicate Effectively! that may need to be addressed in their ROSC and other common measures, BLS CAT 2 / ALS CAT 2 / 1.0 CEU own system. including first-pass intubation rates, Target Audience: Educators Instructor: Tim Perkins may cause more harm than simply not Take a look around your classroom, what measuring anything at all. This session do you see? Are your students instantly MED-858 Everything Alcohol presents an evidence-based, patient- reaching for their iPhones and Androids BLS 14 / ALS 19 / 1.0 CEU centered look at EMS performance when released for break? (Or even worse, Target Audience: ALS, BLS, RNs measures and what agencies should, and during class?) Are they upset when email Everything you ever wanted to know shouldn’t, be measuring now. is not returned within seconds or that about ethanol and the toxic alcohols: Instructor: Michael Gerber you actually ask them to call you or come methanol, ethylene and isopropyl by your office to talk? Have you ever will be discussed, including how to OPE-931 Bus Collision Response: The received a written assignment in cryptic recognize use, abuse, and overdose. Three Things You Need To Know text language? This lecture will help you Once recognized, this talk will describe BLS CAT 2 / ALS CAT 2 / 1.0 CEU understand the role of social networking, prehospital management and treatment Target Audience: ALS, Administrators, BLS, text messaging and modern technological of these ingestions. Bonus! Hangover Dispatcher communication tools in the classroom. prevention, control and treatment will be Every day in your community, vehicles Instructor: Bryan F Ericson covered at the end of class. travel the road carrying large numbers Instructor: Brian D Ekey of potential victims; some children, some HEA-621 Peer Support: Supporting elderly, some with special medical issues, our Own MED-859 Septic, Hypovolemic, and all your responsibility. This program BLS 15 / ALS 20 / 1.0 CEU Obstructive, and Cardiogenic Killers will help make you ready when it happens Target Audience: All (S.H.O.C.K.) in your area. Presenting lessons learned This presentation will discuss Stress, BLS 14 / ALS 19 / 1.0 CEU from around the world, along with Trauma, and PTSD. Having organizationally Target Audience: ALS, All, BLS, RNs personal experience managing school experienced five Line of Duty Deaths, we It can be said that anyone who ever died, bus and inter-city tour bus incidents, Rom will provide individual accounts and effects died from shock. The question is what Duckworth lays out the three key steps of a Peer Support Team. We will discuss type of shock did they die from? How to managing major (and minor) motor how we conquer it organizationally, can we recognize types of shock and how coach collisions in your response area. manage it and provide our colleagues the does treatment differ? Is it compensated, Instructor: Rommie L Duckworth support they need to get back on the front decompensated or irreversible? Why is hypotension confused with shock? This 35 40th Annual Virginia EMS Symposium TRA-1233 Making Sense of Homeostasis Friday Courses Directed Trauma Resuscitation 9:30 AM - 12:30 PM 4:30 PM - 5:30 PM BLS 13 / ALS 18 / 1.0 CEU Target Audience: All IMED-861 Stethoscopy for Dummies OPE-932 Anatomy of an Air Ambulance Hello! My name is trauma; I am BLS 11 / ALS 16 / 3.0 CEU Request responsible for over five million deaths Target Audience: All BLS CAT 2 / ALS CAT 2 / 1.0 CEU yearly. More people die from me than Do you know how to use your Target Audience: ALS, Administrators, BLS, cancer. Historically, mass infusions were stethoscope? How much training did Dispatcher, Educators, MD, DO, RNs the resuscitation approach. Not so much you get? This will fill the gap. In this This course will provide an overview of now, as we better understand the lethal session, participants are provided down- Helicopter Emergency Medical Services triad in trauma. The body’s physiological to-earth “for dummies” information (HEMS) in Virginia. We will discuss Air response to injury often results in acidosis, on various types of stethoscopes and Ambulance utilization and some current hypothermia and coagulopathy. This how to use them to get the most out of practices around the state. Information will triad is a vicious cycle and often results in patient assessment. In this “ear-opening” also be shared regarding what transpires exsanguination. Death is eminent unless session, new and improved methods and from the time of an Air Ambulance request resuscitation is effective. This lecture will techniques are presented. You will need with regards to flight acceptance, weather revolve around this new approach to to bring your own stethoscope to this exceptions, special considerations, trauma resuscitation and collapsing the class to hear actual sounds, so you can etc. This discussion will provide ideas/ lethal triad in trauma. experience them. recommendations towards the activation Instructor: Travis L Karicofe Instructor: Robert Page and use of an Air Ambulance. Limited to: 52 Instructor: Bryan K Ferguson TRA-1234 Trauma Triad of Death - Student Equipment: Students will need to bring their own Managing Shock from Prehospital EMS stethoscope to this workshop. PED-1023 Prehospital Care and to Trauma Centers Transport of the Critically Ill Child BLS 13 / ALS 18 / 1.0 CEU BLS 14 / ALS 19 / 1.0 CEU Target Audience: ALS, BLS, Dispatcher, MD, 9:30 AM - 10:30 AM Target Audience: ALS, BLS, MD, DO, RNs DO, RNs Critically ill children require careful This lecture will examine the trauma CAR-427 It’s Green Flag Racing in management in the prehospital phase triad of death. Emphasis will be placed Resuscitation! of care. Knowledge of the differences in on understanding the triad and the need BLS 12 / ALS 17 / 1.0 CEU pediatric anatomy and physiology is key for for aggressive disposition by looking at Target Audience: All all members of the pediatric care team. This a variety of case scenarios and lessons Cardiac resuscitation continues to evolve lecture will provide guidance in regards to learned. We will focus on a prehospital and Guidelines 2015 emphasize the the basics of resuscitation during transport, disposition and will spend time looking importance of the best BLS and correct mode of transport, and key considerations at in-hospital management of standard integration of ACLS. This presentation for care of the pediatric patient. trauma injuries. will point out and discuss what the AHA Instructor: Laura Boomer Instructor: Khaled F Basiouny says is most important, and what is less important, and the science behind it PED-1024 Pediatric Seizures all. Then we will plug the priorities into BLS 14 / ALS 19 / 1.0 CEU Saturday Courses roles and create a footprint for a “high- Target Audience: ALS, BLS, Educators, RNs 8:00 AM - 9:00 AM performance resuscitation” program, also Pediatric seizures are frightening for known as the Pit Crew Approach. A review families, and can be life threatening to the of how this was implemented in a locality HEA-632 “Reconnect With the Why” in Virginia and its success will wrap the child. Join us as we discuss some of the more - Facing Provider Burnout common pediatric seizures, their etiologies presentation up. BLS 15 / ALS 20 / 1.0 CEU Instructor: Travis L Karicofe and treatment. We will view video clips Target Audience: All of various seizure types as we discuss the Join EMS legend, Randolph Mantooth CAR-428 Hit Me With Your Best Shot initial goals of care for these patients. (Paramedic John Gage from TV show Instructor: Dusty Lynn BLS 12 / ALS 17 / 1.0 CEU “Emergency!”), as he shares his personal Target Audience: ALS, BLS, MD, DO, RNs perspective of 40 years of experiences Sudden death due to ventricular TRA-1232 Ring My Bell! Concussion and interactions with providers and Pathophysiology and Care fibrillation may occur when a projectile, those who have suffered from provider such as a baseball or hockey puck strikes BLS 13 / ALS 18 / 1.0 CEU burnout. Randy stresses the importance of Target Audience: ALS, BLS , MD, DO, RNs the chest of a child with no underlying recognition of burnout versus PTSD, and cardiac disease. This is known as commotio Patients who have sustained a concussion helping providers with reconnecting with are commonly encountered by EMS, both cordis. Although it is a relatively rare event, “the why” - what motivated the provider quick assessment, resuscitation and in organized sporting activities and during to get involved in the first place. NOTE: unorganized activities. The long-term defibrillation can many times produce “Celebrity Appearance Subject To Change” a favorable outcome. This presentation effects of concussions are only recently Instructor: Randolph Mantooth coming to light in many contact sports. will explain the pathophysiology and Concussion severity can range from mild treatment of this anomaly. to severe. In this session, participants will Instructor: Christopher Ebright review the pathophysiology, treatment, and return to play recommendations for patients who have sustained a concussion. Instructor: Jeff Myers

40th Annual Virginia EMS Symposium 36 often feel more difficult than solving a improve and expand the users work ethic Saturday Courses Rubik’s Cube. Just when you think you are and career success. 9:30 AM - 10:30 AM making progress in one area, another one Instructor: John Todaro seems to need all of your attention. But CAR-429 Bradycardia in Acute just like solving a Rubik’s Cube, no one is LMGT-723 Pediatric Considerations Coronary Syndrome an immediate expert and leadership gets in Community Paramedicine and BLS CAT 2 / ALS 17 / 1.0 CEU easier as you focus on the overall solutions. Alternative EMS Disposition Models Target Audience: All Instructor: Raphael M. Barishansky BLS CAT 2 / ALS CAT 2 / 1.0 CEU Bradycardia and atrioventricular blocks Target Audience: All are common side effects of the conditions LMGT-720 “But That’s Not How There has been increased recent attention associated with acute coronary syndrome. We’ve Always Done It!” to innovative models of prehospital care, Prehospital providers should be prepared 1.0 CEU including community paramedicine, to recognize and effectively treat these Target Audience: ALS, Administrators, BLS, mobile integrated health and the use of often-life-threatening dysrhythmias. Dispatcher, Educators 911-linked nurse triage lines. This session This class will prepare providers to Anytime organizations are progressing will explore the unique needs of children rapidly recognize slowed conduction from the “but that’s not how we’ve always in these alternative models, including and to interpret the distinct types of done it” system to an updated system age-specific triage protocols and atrioventricular blocks. Specific attention approach, can frequently cause tension transport considerations. Participants will will be given to the pathophysiology and strained relations both internally review recent local pilots of alternative of ischemia, particularly as it applies to and externally. Whether it’s regulations, EMS delivery models that have included cardiac depolarization and conduction. expectations or science, the need for pediatric patients. Rhythms will be reviewed, and treatment agencies to remain open to change Instructor: Caleb E Ward modalities will be discussed. continues. Realization that change is Instructor: Dan Batsie inevitable is critical for any agency to MED-862 What Size Batteries Does survive and thrive. In this presentation, Your Patient Take? Patient Assessment EDU-534 Sixty Things in Sixty Minutes we will explore some real scenarios and Technology Pearls and Pitfalls BLS CAT 2 / ALS CAT 2 / 1.0 CEU some of the various resources available to BLS 15 / ALS 20 / 1.0 CEU Target Audience: ALS, All, BLS, Educators assist agencies to not only survive, but to Target Audience: All This rapid-fire presentation will touch succeed. Technology has become all too on sixty specific EMS topics, including Instructor: Christopher M Vernovai commonplace in the practice of EMS. How myths that need to go away, current best many of us really remember EMS practice practices, new and exciting interventions LMGT-721 I Didn’t Sign Up For THIS! without them? The problem develops and even a glimpse into what the future BLS CAT 2 / ALS CAT 2 / 1.0 CEU when we rely on these technologies and of EMS may look like. The pace of this Target Audience: ALS, Administrators, BLS, forget to really look at our patients. One of lecture will not allow for in-depth details, Dispatcher, Educators, MD, DO, RNs the EMS provider’s most basic skills is the but reference material and sources will “Chief criticized for meltdown at fatal ability to assess patients. By having some be provided to all participants for the crash scene.” “Provider makes pit stop fun and going back to the basics in our majority of subjects covered. during transport.” “EMT admits posting approach, we can build on and enhance Instructor: Gary A Heigel photos to Facebook.” EMS providers this critical skill making us all more skilled and agencies are often in the media for and proficient EMS Professionals! difficult situations such as these that they Instructor: Bryan F Ericson IHEA-622 Situational Awareness: are put in or put themselves in. These “Keeping Your Head on a Swivel” situations often require action from the MED-863 Too High, Too Low, Just Right! BLS 15 / ALS 20 / 1.0 CEU EMS Manager or agency leadership. This Emergent Blood Pressure Control Target Audience: ALS, Administrators, BLS, presentation provides information on real BLS 14 / ALS 19 / 1.0 CEU Dispatcher, Educators, RNs situations that EMS leaders have faced, Target Audience: ALS, RNs Everyone knows that being “on the job” how the situation could be effectively This presentation will look at the can be dangerous. Are we training our dealt with, and how the situation was indications for and medication used for people to be safe and keep a high level ultimately resolved. the emergent control of hypotension of awareness? During this lecture, we Instructor: Tim Perkins and hypertension. What is the right will discuss what to be watchful for while blood pressure for a particular patient out on a scene and training methods to LMGT-722 Where Have Johnny and in a particular situation? What do we keep your members best prepared for the Roy Gone? need to know about the intravenous worst situations. BLS CAT 2 / ALS CAT 2 / 1.0 CEU medications used for shock syndromes Instructor: Matthew J Snyder Target Audience: All and hypertensive emergencies? What is WHERE HAVE JOHNNY AND ROY GONE? the role of “push pressors” in emergency LMGT-719 Solving the Rubik’s Cube - This program is designed to provide prehospital and inter-facility care? of EMS Leadership a motivational discussion of EMS work Instructor: George Lindbeck BLS CAT 2 / ALS CAT 2 / 1.0 CEU ethic. An antidotal comparison of the Target Audience: Administrators TV shows, “Emergency” and “Baywatch” Leading an EMS agency can be a complex is used to bring to light the changes endeavor involving issues such as in EMS over the last 20 years and how finite resources, hiring and disciplining those changes have affected the work employees/volunteers, relationships with ethic. During this process, the student is elected officials, policy development, exposed to Todaro’s Seven Rules for EMS recruitment and retention, budgeting Career Success, which are designed to and handling public relations - it can 37 40th Annual Virginia EMS Symposium OPE-933 Refusals 2.0-What to do When Assistance Compacts with other States. Saturday Courses You Have to Take NO For an Answer Come learn how these teams can help 9:30 AM - 10:30 AM BLS CAT 2 / ALS CAT 2 / 1.0 CEU you. Target Audience: ALS, Administrators, BLS, Instructor: Steve Strawderman Co- MED-864 It’s NOT Always Sepsis: A Educators Instructors: Lee Williams Common Sense Approach for ALS and Most providers don’t think twice about BLS Providers refusals, however they can come back OPE-936 When Pigs Fly: Leadership BLS 14 / ALS 19 / 1.0 CEU to haunt a provider if not done right. In a New Millennium Target Audience: ALS, BLS, Dispatcher, MD, This program will present the issues BLS CAT 2 / ALS CAT 2 / 1.0 CEU DO, RN surrounding refusals, potential liability Target Audience: ALS, Administrators, BLS, For every two heart attack patient cared from improperly obtained refusals, and MD, DO for by EMS, five patients are hospitalized how to properly obtain a fully informed In this session you will be presented on by sepsis. EMS transports 60 percent of patient refusal that should withstand strategies for identifying and enhancing patients with severe sepsis arriving at the challenge. We will also review special leadership and management styles. We ED, yet EMS providers are often unaware circumstances such as the intoxicated will also discuss organizational culture of its presence or what they should do if patient, minors, and minors with children. and organizational functional behavior they find it. Yet, calling everything “sepsis” This program will be beneficial for patterns. This is what can happen when you is not the answer. This presentation providers, administrators, and educators realize that pigs do fly and you can affect discusses how new sepsis criteria can be and shed light on this topic taken for better organizational outcomes at any level. applied in the field, along with discussing granted. Instructor: Billy G Mcdaniel the current state of sepsis critical care, Instructor: Justin W Witt and what we can anticipate in the coming PED-1025 Pediatric Pit Crews for months and years. OPE-934 Safety and Care I High Performance CPR: From Protocol Instructor: Rommie L Duckworth Considerations at Active Shooter and Mass Casualty Events Development to Program Implementation BLS 12 / ALS 17 / 1.0 CEU MED-865 Mimic: Decoding Conditions BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS, BLS, Educators, MD, That Mask Patient Diagnosis Target Audience: ALS, Administrators, BLS, DO, RNs BLS 12 / ALS 17 / 1.0 CEU Dispatcher, Educators, MD, DO, RNs Maryland statewide pediatric protocols Target Audience: ALS, BLS, MD, DO, RNs This lecture will focus on the changing for CPR changed on July 1, 2018, to All is not as it appears in patient care. hazards, demands, care and operational move CPR for infants and children There are dozens of conditions that can aspects that EMS and fire service officials to High Performance CPR. This mimic other more common ailments and incident commanders must consider presentation will share the process our patients may have. This program will and focus on to save the maximum that the Pediatric Committee led from talk about some of the more common number of patients and protect their protocol development with algorithm ones in case study and discussion format. personnel at fast-paced and hazardous modifications to curriculum development We’ll look at MI mimics like hypertrophy, multiple patient events. A.J. Heightman and training resource production and pericarditis, bundle branch blocks and will address the modifications needed to finally to 90 minutes hands-on workshops more. Stroke mimics like Bell’s palsy, MCI operational, triage and transportation across the state. Through the use of both diabetic issues and seizure postictal states functions at volatile events, and address high and low fidelity manikin training, and more. We’ll even talk about some specific techniques for Command a standardize didactic movie and team more rare conditions like Lyme disease Post operations; vehicle staging and challenges, CPR performance scores, that and certain psychiatric issues. We’ll help positioning; Triage while under fire; start well below 50 percent soared to the you decode them all! Use of Citizen first responders; and high 90 percent. Instructor: Rory S Putnam Transportation and patient distribution. Instructor: Arthur J Heightman Instructor: Cynthia J Wrightjohnson Co-Instructors: Karen O’Connell, Rick High MED-866 The Patient Has The ‘Couch Prerequisite: EMS or Healthcare provider (this HP CPR is Criteria’ - Do You Mean qSOFA? OPE-935 When it Really Hits the Fan, not meant for the lay public so as not to conflict with AHA BLS 14 / ALS 19 / 1.0 CEU Who Ya Going to Call? All-Hazard based teaching.) Target Audience: All Incident Management Teams Septic shock is one of the leading causes BLS CAT 2 / ALS CAT 2 / 1.0 CEU PED-1026 Pediatric Patients: Parents of death worldwide. For each hour that Target Audience: ALS, Administrators, BLS, and Pitfalls passes after the onset of hypotension, Dispatcher, Educators BLS 14 / ALS 19 / 1.0 CEU survival drops 7.6 percent. Patients are All-Hazard Incident Management Teams Target Audience: ALS, BLS, Educators, MD, three times more likely to survive when (AHIMTs) were created in 2004 to support DO, RNs EMS reports a sepsis alert? Etiologies local jurisdictions during disasters, large Dealing with pediatric patients can be and presentations are varied based planned events and to support Emergency stressful, even to the most experienced on age and risk factors, but the Quick Operations Centers. AHIMTs are made providers. Join in this presentation as we Sequential Organ Failure Assessment up of multi-discipline personnel from discuss tips and pearls from a health care (qSOFA criteria) coupled with ETCO2 Fire, EMS, Law Enforcement, Emergency provider with over 30 years of pediatric readings are excellent clinical indicators Management, Health Department, critical care experience. More importantly, in adults. Rapid intervention has shown Public Works, Information Technology Dusty has discussed this topic with many to decrease morbidity and mortality, but and Geographic Information Systems. In parents of critically ill children who are some patients are not fluid responsive Virginia these teams are a State asset that eager to share their thoughts on the topic and vasopressors are inconsistently can be deployed to disaster stricken areas with health care providers. applied. and can be deployed outside the State to Instructor: Dusty Lynn Instructor: Connie J Mattera support Emergency Management

40th Annual Virginia EMS Symposium 38 CAR-430 Which Way Did They Go? Saturday Courses 11:00 AM - 12:00 PM Where Do I Take My Acute Stroke 9:30 AM - 10:30 AM ADM-114 So You Want to Be Patient? Recognized as a Virginia EMS Officer? BLS 12 / ALS 17 / 1.0 CEU PED-1027 Do You Handtevy? BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: All BLS 12 / ALS 17 / 1.0 CEU Target Audience: ALS, Administrators, BLS, In the world of stroke systems of Target Audience: AL , BLS, Educators, RNs Educators care with free standing EDs, acute Learn how to utilize the concepts of The Virginia EMS Officer I program defines stroke ready hospitals, primary stroke the Handtevy method to rapidly assess the duties, prerequisites, knowledge, centers, thrombectomy stroke centers, pediatric patients, determine weight, skills, and abilities needed to obtain EMS comprehensive stroke centers, where calculate drug dosages and how to Officer I designation. Come learn how you should EMS providers take their acute master the “Pediatric Pit Crew.” Learn if can obtain designation as an EMS Officer. stroke patients? It can be so confusing. you are a fast or slow thinker and how This will help you to become one of the This presentation will compare stroke each plays an important role in pediatric first credentialed EMS Officers in the systems of care to trauma systems of care. resuscitation and takes the fear out of Commonwealth of Virginia. It will describe the difference between hearing the dispatch “pediatric arrest.” Instructor: Christopher M Vernovai the different stroke certification hospitals Learn the five steps for restarting the and use case scenarios to engage the audience to work through the best heart - and “A” does not stand for Airway ADM-118 Where Can Your EMS final destination for a variety of clinical OR Appearance! Career Take You? situations that EMS providers encounter. Instructor: Elizabeth Smith BLS CAT 2 / ALS CAT 2 / 1.0 CEU Instructor: Stacie Stevens Target Audience: All TRA-1235 Slow Down and Buckle Up: A One of the books authored by Dr. Seuss Case for Staying and Playing is “Oh The Places You’ll Go!” Join the EDU-535 Why Are You so Mean to BLS 13 / ALS 18 / 1.0 CEU panel discussion with EMS providers who Me? The Challenge of Working With and Target Audience: All have used their experiences in EMS as Motivating the Millennium Generation How often do you wear your seatbelt a jumping-off point for interesting and BLS CAT 2 / ALS CAT 2 / 1.0 CEU while performing patient care en route varied career choices. Panelists will discuss Target Audience: All to the hospital? Most EMS providers the paths their careers have taken, give Are you frustrated by the younger would answer, “not very often.” Why is this advice for success and for navigating generation and what appears as apathy an allowable standard? In this session, into other fields and answer questions and lack of personal responsibility in we will discuss patient outcome data: about training, education and the job your EMS classroom? The millennium treating patients on scene vs. “load and experience. You’ll hear from providers who generation is just the latest installment go.” How can EMS change the dangerous became physicians, Emergency Managers, of the generational gap entering into tradition of riding unbelted? Under what Public Health Preparedness workers, EMS classrooms. The question we conditions should we be moving around entrepreneurs, journalists and more. must continuously ask ourselves as in the back of the ambulance? Let’s Instructor: Tim Perkins Co-Instructors: Carl professional educators is, how do we prevent needless morbidity and mortality Cowan, Raphael Barishansky communicate effectively with each and by practicing clinically sound patient care every student to achieve successful and improve our culture, training and learning outcomes. This presentation will ambulance design. IARV-219 The Most Important Vital discuss the generational divide and how Instructor: Hilary G Gates Sign: 20 Things EMS Can Do With to work with every student regardless of Capnography their “generational identity” to motivate TRA-1236 Care of the Burn Patient BLS 11 / ALS 16 / 1.0 CEU and insure success in our classrooms. Outside of a Verified Burn Center Target Audience: ALS, BLS Instructor: Bryan F Ericson BLS 13 / ALS 18 / 1.0 CEU Using a simple four-step assessment Target Audience: ALS, BLS, Dispatcher, MD, technique this program shows EMS HEA-623 Peer Support in the DO, RNs providers of all levels how capnography Hospital. Lessons Learned from Public This course will review burn can be used to evaluate shock in trauma Safety pathophysiology with a focus on early patients, monitor for the return (or loss of) BLS 15 / ALS 20 / 1.0 CEU management for prehospital and pulses during CPR, identify bronchospasm Target Audience: Administrators, emergency medicine practitioners. It will in asthma and hypoxic drive in COPD, to Educators, MD, DO, RNs provide an overview of special topics in guide seizure management and paralytic This program will describe the adaptation burn care, including inhalation injury, medication administration, and much, of mental health support programs electrical injury and chemical injury. In much more. This 20 case-study driven from public safety sources and their addition, we will discuss care of pediatric, session develops the fundamentals of implementation in the hospital setting. adult and geriatric patients and provide capnography so that every EMS provider Peer support is an evidence, informed an overview of burn resuscitation can improve the assessment, treatment approach to emotional support for and approach to patients who are not and outcome for their patients using the colleagues that has been proven effective responding to resuscitation. A review of diagnostic tools of end-tidal waveform in public safety settings. The fundamental operative techniques in burn care will monitoring. principles transcend settings and also be discussed. Instructor: Rommie L Duckworth are applicable to the high intensity Instructor: Michael J Feldman environment of trauma centers and Limited to: 50 hospitals. Successes and challenges will be shared. Instructor: Kelley C Rumsey

39 40th Annual Virginia EMS Symposium MED-869 Complications of Emergency Saturday Courses I LMGT-726 Success as a New Childbirth 11:00 AM - 12:00 PM Field Training Officer BLS 14 / ALS 19 / 1.0 CEU BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS, BLS, RNs Target Audience: ALS, BLS, Educators This presentation will cover the HEA-624 When Careers Kill: Hidden As a new Field Training Officer, there will Dangers in the EMS and Fire Professions assessment and treatment of a patient be many new hurdles you must overcome experiencing an eminent delivery with BLS 15 / ALS 20 / 1.0 CEU during your transition from provider to Target Audience: All the following complications: breech mentor. Many new FTO’s are given this presentation, shoulder dystocia, limb We all realize that we do a difficult, assignment with little direction, and stressful and dangerous job. But how presentation, prolapsed cord, multiple struggle to separate themselves from the births and the need for an emergency often do we pay attention to that while provider role. This class will go over clear providing care to our patients? This class C-Section. ALS and BLS providers will roles, and objectives you should have as come away with a better understanding will inform personnel about health and a new FTO, and when to take over calls safety information to prevent injuries and of complications in these tricky situations. from your new trainee. Instructor: John Todaro deaths on the job and further recognize Instructor: Matthew J Snyder possible dangers/scene hazards to OPE-937 Challenging Your Clinical themselves and others while providing LMGT-727 Five Fixes for Your the optimum level of care. You owe it to Boundaries Agency’s EMS Documentation BLS 12 / ALS 17 / 1.0 CEU yourself to have the tools to be safe and BLS CAT 2 / ALS CAT 2 / 1.0 CEU protect your own life; after all you have Target Audience: All Target Audience: ALS, Administrators, BLS, The delivery of out-of-hospital emergency the tools to save others! Educators Instructor: Rory S Putnam medical care is constantly evolving; with Consistently producing high quality EMS personnel continually being called clinical documentation is consistently on to deliver more advanced care. But LMGT-724 Using Social Media to reported as one of the top challenges Engage and Inspire! what are our weak spots and where is the for EMS agencies across Virginia - and delivery of prehospital care headed in the BLS CAT 2 / ALS CAT 2 / 1.0 CEU nationally. In this session, nationally Target Audience: Administrators future? Join A.J. Heightman as he looks known EMS attorney, Doug Wolfberg will in his clinical crystal ball and presents his Does @YourOrg use social media present five strategies your agency can effectively or #NotSoMuch? Learn how vision of our future. use to step up its game when it comes Instructor: Arthur J Heightman to identify and target your audience, to producing outstanding and clinically determine which platform(s) meet your accurate EMS patient care reports. needs, how to keep it SOCIAL, generate Instructor: Doug Wolfberg IOPE-938 Are You Even Listening? content, engage your community How to Communicate with Patients and analyze your impact. What is the MED-867 BLS Matters: Making the During Their Toughest Times optimal length for a tweet or the picture Most of the First 10 Minutes BLS CAT 2 / ALS CAT 2 / 1.0 CEU dimensions on Instagram? Should my BLS 14 / ALS CAT 2 / 1.0 CEU Target Audience: All five-minute video go on Facebook or Target Audience: BLS, Educators You’ve heard this before. Communication Youtube? How do I make that geofilter This dynamic and interactive session is key to a therapeutic relationship. show up on Snapchat? Learn about some is a BLS-focused discussion about the However, how much of your EMS training of the tools the “pros” use and get some goals of the first 10 minutes of any EMS has been devoted to learning how to free resources to get you started. call. Providers will learn how to use the communicate effectively? This class starts Instructor: David J English W.I.N. (What’s Important Now) acronym by providing an opportunity for you to to sort through information and prioritize self-assess your communication ability LMGT-725 Innovation in EMS - Those effectively. Tips and tricks will be shared (no public speaking-- promise!) and then Dreams Have Now Become Reality... to improve outcomes and perform a offers techniques on how to improve BLS 15 / ALS 20 / 1.0 CEU successful ALS handoff. patient communication using a case Target Audience: All Instructor: Gary A Heigel study approach. Driverless ambulances? Mobile clinics? Instructor: Travis J Mitchell Medical Control becomes video MED-868 A Quart Low - Blood Products consultation? Antibiotics in the ambulance? for EMS Providers OPE-939 Social Media and EMS: The Neuroimaging and intervention? Drone BLS CAT 2 / ALS 19 / 1.0 CEU Impact based First Response? EMS and Medical Target Audience: ALS, BLS, RNs BLS CAT 2 / ALS CAT 2 / 1.0 CEU dreamers have always wondered what life This presentation will look at blood and Target Audience: All would be like as technology and practice blood products administered in the Social media has made an impact on advance. What we thought yesterday about field and during critical care transports. so many lives. This session will cover tomorrow is now today. EMS has evolved Providers, particularly those involved in our perspective on the impact of social dramatically and our abilities to care for inter-facility/critical care transports, are media in EMS and what that means to all patients and integrate into the healthcare increasingly faced with patient who have of us. Come hear Dan Flynn & Titus Tero, system are becoming so different than blood and blood products running during both from the hit TV show from the A&E “the good old days.” This presentation will transport. What are the blood products network, NIGHTWATCH-New Orleans. explore the very real innovations that are typically used, how are they selected, and Enjoy this session and learn a little changing the art and science of EMS. how are they administered? Recognition something along the way! Instructor: Ed Racht and management of transfusion reactions Instructor: Dan Flynn Co-Instructor: Titus Tero will also be reviewed. Instructor: George Lindbeck

40th Annual Virginia EMS Symposium 40 TRA-1238 Inhalation Injury and Burn TAH. We will also review equipment of Saturday Courses Airway Management alarms, emergency preparedness in the 11:00 AM - 12:00 PM BLS 11 / ALS 16 / 1.0 CEU community and who and when to call. Target Audience: ALS There will also be a review of the newest PED-1028 Pediatric Video Case Studies Inhalation injury is often associated with guidelines for EMS providers by the BLS 14 / ALS 19 / 1.0 CEU early intubation for upper airway edema, American Heart Association and hands- Target Audience: ALS, BLS, Educators, RNs but it is actually subdivided into three on stations to include rotations for each Using the rapid cardiopulmonary categories: above the cords, below the of the VADs, manned by expert clinicians assessment approach, we will cords and systemic poisoning. These for each type of VAD. systematically evaluate and discuss separate injuries bring some unique Instructor: Brenda H Smith several video pediatric case studies. challenges and pitfalls for prehospital and Join us for an interactive session using interfacility transport. Lecture will cover the ABC or CAB hands-on assessment each injury type and associated care. 1:30 PM - 4:30 PM approach to determine whether the main Review of burn airway intubation video reason for the child’s presentation is from will be included in case study format. IMED-870 Stethoscopy for Dummies respiratory, shock and cardiac etiology. Instructor: Christopher Stevenson BLS 11 / ALS 16 / 3.0 CEU Attending the pediatric assessment Target Audience: All lecture by the same presenter would be TRA-1239 Trauma Case Studies Do you know how to use your helpful, not mandatory. BLS 13 / ALS 18 / 1.0 CEU stethoscope? How much training did Instructor: Dusty Lynn Target Audience: All you get? This will fill the gap. In this Learning is most fun when participants session, participants are provided down- PED-1029 Pediatric Capnography are challenged to apply theoretical to-earth “for dummies” information BLS 11 / ALS 16 / 1.0 CEU concepts to actual practice situations. This on various types of stethoscopes and Target Audience: ALS, BLS, RNs presentation uses actual case scenarios how to use them to get the most out of This presentation highlights uses for to stimulate discussion underscoring patient assessment. In this “ear-opening” capnography in pediatric patients in the importance of thorough patient session, new and improved methods and the prehospital setting. Uses include assessments, accurate interpretation techniques are presented. You will need confirmation of intubation, maintenance of data, the ability to preliminarily rule to bring your own stethoscope to this of ventilation in intubated and non- in or rule out a constellation of injuries, class to hear actual sounds, so you can intubated children, monitoring of and exercising critical judgment skills to experience them. effectiveness of cardiopulmonaryrapidly perform prehospital resuscitative Instructor: Robert Page resuscitation, and as an adjunct for interventions in patients sustaining head Limited to: 52 monitoring of sedated children and and thoracic trauma. Student Equipment: Students will need to bring their own children with lower respiratory disease, Instructor: Connie J Mattera stethoscope to this workshop. Please make this clear in shock and metabolic derangement. registration information. Instructor: Christopher Ebright 1:30 PM - 5:30 PM PED-1030 Updates in Pediatric 1:30 PM - 2:30 PM Prehospital Research ARV-220 Bubble Bubble, Toil and BLS 15 / ALS 20 / 1.0 CEU Trouble: Managing the Traumatic Airway ADM-119 Above and Beyond - The Target Audience: All BLS 11 / ALS 16 / 4.0 CEU Virginia Standards of Excellence Program This session will review practice changing Target Audience: ALS BLS CAT 2 / ALS CAT 2 / 1.0 CEU new research in the prehospital care of We’ve all had difficult traumatic airways. Target Audience: All sick and injured children. Areas covered Were you able to manage it? Have you All EMS agencies in Virginia are required to will include new and ongoing research had enough practice in blood, suctioning, conform to the Virginia EMS Regulations regarding pain control, spinal injuries, trauma to structures, debris and other in order to operate and provide service to sepsis, asthma and pediatric readiness. issues that cloud your view of the cords its community. The Virginia Standards of Participants will also learn about how the and endanger the airway? Would you Excellence (SoE) program was developed Pediatric Emergency Care Applied Research know what to look for and how to deal by a stakeholder workgroup of the Network (PECARN) provides a national with failures? This will refresh your Workforce Development Committee to infrastructure for conducting multi-center memory with the use of gum elastic identify and recognize EMS agencies that prehospital pediatric research. bougies, lighted/adjustable stylettes, strive to operate above the standards Instructor: Caleb E Ward advanced and video laryngoscopes, and requirements of the Virginia EMS suction, alternative devices, and LEMON, Regulations. This presentation provides TRA-1237 Head Injuries-That Ain’t Mallampati and Lehane-Cormack scales. information about the program, as well as Rocks Rattling In Your Head Class offers practical application of the process an agency must go through BLS 13 / ALS 18 / 1.0 CEU materials on a traumatic airway head. to become an Agency of Excellence. Target Audience: All Instructor: Rory S Putnam Instructor: Tim Perkins Head injuries account for a large number Limited to: 30 of EMS responses and account for a significant amount of morbidity in our ICAR-431 VADS in the Community/ patient populations. The series will discuss Home is Where the Heart is the pathophysiology and management BLS 12 / ALS 17 / 4.0 CEU of head and brain injured patients. We Target Audience: All will also review cases of uncommon head MCS/VADs in the community. This didactic injuries from EMS responders in the field. course will include principles of operation Instructor: Billy G Mcdaniel of the HeartMate II and III, HeartWare and 41 40th Annual Virginia EMS Symposium Saturday Courses IEDU-537 Putting Hands-On are working to find solutions. Research Teamwork Back in Your Classroom: 25 suggests that something as simple as 1:30 PM - 2:30 PM Activities You Can Use Today a therapy dog may be a viable, cost- BLS CAT 2 / ALS CAT 2 / 1.0 CEU effective solution. Review and discuss ARV-221 Unable to Ventilate: When a Target Audience: Educators the history and effectiveness of therapy Basic Airway Fails Educators who want their EMS providers dogs in other settings and explore how BLS 11 / ALS 16 / 1.0 CEU to attain the “soft skills” critical for their this may be a perfect solution for first Target Audience: All profession can also increase enthusiasm responders. Enjoy a visit with Blue the We assume when all else fails in airway and engagement using the right hands- Therapy Dog. management, we simply “go back to on exercises. While there are plenty of Instructor: Lisa Davis basics” and ventilate using skills taught in “Get out of your seat” activities out there, Limited to: 50 any EMT class. What happens when basic many of them entertain and fill time, but airway maneuvers fail and are all you have? few focus on teaching and evaluating LMGT-728 Flight Medicine: Living the This class describes an approach to failed team-based competencies. Featuring Dream airway. We’ll describe key troubleshooting 25 different exercises that you can bring BLS CAT 2 / ALS CAT 2 / 1.0 CEU steps, and how to manage a worst-case back to your EMS classroom, today Target Audience: ALS, BLS, RNs scenario without the aid of advanced this program will help you help your Many nurses and EMS providers enter techniques. We’ll describe how this can students work together better both in the their chosen field with the dream of be used by advanced providers as part of classroom and on the street. providing patient care in the air medical a larger failed airway algorithm, but focus Instructor: Rommie L Duckworth environment. Helicopter EMS (HEMS) is a primarily on the EMT. unique profession, which seeks “cream of Instructor: Dan Batsie the crop” providers to create their flight I EDU-538 Not Just Being a crews. This presentation will provide CAR-432 The Long and Short of It Preceptor, but a MENTOR insight for you to learn how to position BLS 12 / ALS 17 / 1.0 CEU BLS CAT 2 / ALS CAT 2 / 1.0 CEU yourself to become a flight nurse or Target Audience: ALS, BLS, RNs Target Audience: ALS, Administrators, BLS, paramedic, how to evaluate programs More often these days are cases of children Educators, MD, DO, RNs you may wish to apply to - they all may and young adults going into sudden Being a preceptor has its own struggles, not be what you envisioned - and how first cardiac arrest. Commonly, many are but being a mentor is even more impressions really do make a difference. non-diagnosed with long QT syndrome challenging. Knowing how to have hard Instructor: Elizabeth Smith - a congenital disorder characterized and fast rules along with supporting by prolongation of the QT interval on a new members needs is important. LMGT-729 Understanding Why We electrocardiograms. This disturbance When you were new, did you ever wish React the Way We Do: Harnessing Emotional has a propensity to produce ventricular your preceptor took the extra steps to Intelligence for Leadership Success tachyarrhythmias, which may lead to be a mentor for your future career? Let BLS CAT 2 / ALS CAT 2 / 1.0 CEU syncope or cardiac arrest in a pediatric or us progress together into becoming Target Audience: Administrators young adult patient. This presentation will mentors, and making the learning Emotional intelligence, that is, the ability explain the pathophysiology, medications environment even more productive. to understand and manage not only your and genetics of long QT and how it might Instructor: Matthew J Snyder own emotions, but also the emotions of be the cause of your next code. those around you, is integral to individual Instructor: Christopher Ebright HEA-625 Disposable Heroes and professional success. Psychologists BLS 15 / ALS 20 / 1.0 CEU hypothesize that to achieve success, Target Audience: All intelligence quotient (IQ) accounts for 10 IEDU-536 Googling Your Way to a Mental health is at the forefront of the first percent; the rest is emotional intelligence. Successful Accreditation Site Visit - responder world. From the battlefields of Every day, EMS leaders are confronted by Workshop Part 1 Iraq to the streets of Hampton Roads, I am situations where an understanding of the BLS CAT 2 / ALS CAT 2 / 1.0 CEU sharing my personal experiences in dealing emotion behind the scenes can spell the Target Audience: Educators with PTSD, depression, anxiety and suicide difference between success and failure. This presentation is a two-part workshop ideology. What we think we know and what This presentation will offer practical for educators and administrators, and is a we actually know are worlds apart and we advice using real-world scenarios to follow-up to the presentation, “Googling have to become more aggressive in our develop your emotional intelligence. Your Way to a Successful Accreditation Site approach. We are extending our view too Instructor: Raphael M. Barishansky Visit.” Participants should bring a laptop. far down the road and are missing people We will work through some of the options as they develop mental health issues. I’m LMGT-730 College Degrees: What, presented in the initial session using ready to share...are you? Where and How Google Tools, such as the Google Drive, Instructor: Jeremy Johns BLS CAT 2 / ALS CAT 2 / 1.0 CEU Forms, Sheets, Docs, and various add-ons Target Audience: All that enable improved documentation This presentation will discuss what a college and workflow processing necessary IHEA-626 Therapy Dogs--A degree can do to enhance and advance for managing your accreditation files, Simple Way to Mitigate Occupational an Emergency Medical Service provider’s surveys, and reports. Traumatic Stress? career. Areas that will be discussed include, Instructor: Daniel W Linkins Co-Instructors: BLS CAT 2 / ALS CAT 2 / 1.0 CEU what college degree majors are available Jonathan A Alford Target Audience: ALS, Administrators, BLS, and the value they can add to an Emergency Limited to: 30 Dispatcher, Educators, RNs Medical Service providers career, as well as First responders face repeated exposure how to go about selecting and starting the to traumatic events as a routine part of path to a college degree. their job, and agencies and providers Instructor: John Todaro 40th Annual Virginia EMS Symposium 42 Using case studies, this presentation a patient with a critical full thickness burn, Saturday Courses seeks to start a conversation around you will never forget the experience. But 1:30 PM - 2:30 PM the prevalence of adverse events could you rapidly and accurately assess the in contemporary healthcare. More difference between partial and thickness LMGT-731 The ABCs of LGBT in EMS importantly, the presentation argues that injury, calculate the percentage of body BLS CAT 2 / ALS CAT 2 / 1.0 CEU EMS providers are an integral part of the surface area burned using the Rule of Target Audience: All solution in promoting a just culture and Palms, determine the best way to manage Participants will learn about the driving reduction in patient harm across the airway and give the right amount of IV integration of openly LGBT people into the continuum. fluid based on new ABA guidelines? Why the EMS workforce. What does LGBT Instructor: Travis J Mitchell should the burn wounds be covered in mean? Is there really a difference between plastic wrap? What is the skin gun that may gender and gender identity? Do my OPE-942 Roadway Incident Safety - “D” revolutionize burn management? responsibilities change as an employer of Drivers and Other Hazards Instructor: Connie J Mattera LGBT persons? These questions and more BLS 15 / ALS 20 / 1.0 CEU will be answered as we delve into topics Target Audience: All TRA-1241 Burn Resuscitation-Fluid surrounding two main points: working Distracted, drowsy, drunk, drugged and Resuscitation Beyond Parkland with LGBT coworkers and employees and disgruntled drivers are striking emergency BLS 13 / ALS 18 / 1.0 CEU caring for LGBT patients. Come to class responders and their vehicles at roadway Target Audience: ALS with an open mind and a desire to learn! incidents with increasing frequency. Over recent years, burn resuscitation Instructor: Bryan A Miller We can’t change their “D” behavior, but has changed fairly dramatically. It is no Co-Instructor(s): TBD we can control how we protect our longer fluid, fluid, fluid. Most of what personnel at roadway incidents. EMTs are was taught in the past is now known MED-871 Residential Clandestine exposed to moving traffic on almost every to have a significant complication rate. Drug Labs and The Risk Posed to First emergency response and roads are the This course will be a discussion of Burn Responders most common immediately dangerous Pathophysiology, the history of fluid BLS 14 / ALS 19 / 1.0 CEU area of operation for EMTs. It is critical resuscitation, why guidelines have Target Audience: ALS, BLS, Dispatcher that personnel safeguard themselves and changed and the current prehospital The clandestine synthesis of the victims they are responding to assist. guidelines. Resuscitation data will be methamphetamine and other illegal This session will lay out strategies for safer up-to-date for current American Burn drugs is a rapidly growing public roadway incident scene management. Association, Advanced Burn Life Support health and environmental concern. Instructor: Jack Sullivan recommendations. This lecture will cover the risks posed Instructor: Christopher Stevenson to first responders and how to care for OPE-943 The Plume: When the Tabletop patients exposed to and overdosing on Becomes Real TRA-1242 Boomer Trauma these substances. The presentation will BLS CAT 2 / ALS CAT 2 / 1.0 CEU BLS 13 / ALS 18 / 1.0 CEU conclude with case studies to put your Target Audience: ALS, Administrators, BLS, Target Audience: ALS, Administrators, BLS, knowledge to the test. Dispatcher, Educators, MD, DO, RNs Dispatcher, Educators, MD, DO, RNs Instructor: Ashley S Harman This interactive case review discusses the As the Boomers slide into maturity and events of a chemical spill that produced a become geriatric patients they depend OPE-940 Pediatric Disaster plume of toxic fog that blanketed the town. on trauma systems to understand their Preparedness: A Primer for Developing The plume created an MCI that resulted in physiologic needs in management of Your Community Plan over 20 patients for EMS and over 150 walk-in geriatric trauma. This lecture identifies BLS 13 / ALS 18 / 1.0 CEU patients. The incident involved ambulances differences in anatomy and physiology of Target Audience: All and hospitals from two different states. The older patients and young healthy adults. Several recent national policy statements presentation covers EMS response, hazards The student will learn how to apply and guidelines have outlined the unique that had to be considered and the lessons these differences in management of the challenges of caring for children in learned. Tabletops have covered the plume geriatric trauma patient. disasters. These reports have also outlined in past trainings but when it became reality Instructor: Carol M Gilbert the poor state of readiness across the there were many things that had to be continuum of organizations involved in learned on the fly. disaster response. This session will review Instructor: Conrad Olson 3:00 PM - 5:00 PM the unique vulnerabilities of children in disasters. Participants will be introduced OPE-944 ER vs. EMS-Winning the War LMGT-732 We Know We Need Members, to the Emergency Medical Services for BLS CAT 2 / ALS CAT 2 / 1.0 CEU but Where do We Start? And Then What? Children (EMSC) Disaster Preparedness Target Audience: ALS, Administrators, BLS, Recruitment & Retention Planning Toolbox and consider how they might Dispatcher, MD, DO, RNs BLS CAT 2 / ALS CAT 2 / 2.0 CEU utilize components of this in their unique Come join Dan Flynn and Titus Tero from Target Audience: ALS, Administrators, BLS, work environments. the A&E series Nightwatch as they provide Educators, Youth Instructor: Caleb E Ward a light-hearted look at the ER versus EMS Establishing and maintaining an effective -Winning the War. recruitment campaign is essential for OPE-941 Blood on My Hands: Adverse Instructor: Dan Flynn Co-Instructor: Titus Tero any agency, but equally important is our Events in EMS retention campaigns to maintain our BLS 15 / ALS 20 / 1.0 CEU TRA-1240 Thermal Burns: From Scar ranks. In this course, we will explore the Target Audience: All Wars to Star Wars! processes of identifying, creating and Let’s face it, we’re not perfect. Years of BLS 13 / ALS 18 / 1.0 CEU carrying out a successful recruitment and training, a partner always watching Target Audience: All retention program. We will identify some our back and yet, mistakes happen. Once you have seen, smelled, and touched best/worst practices for recruitment and 43 40th Annual Virginia EMS Symposium retention. Learn about some programs including routine operations, training and approaches to welcome new 3:00 PM - 4:00 PM and emergency response. This class members and keep those we have as well. ARV-222 Anticipating Airway Mayhem will cover operational safety activities What practices have worked or failed for BLS 11 / ALS 16 / 1.0 CEU including personnel accountability your agency? How can we make it better Target Audience: ALS, BLS , Educators, RNs systems, equipment and building safety for your agency and community? This lecture provides tools for the inspections, training safety, rehabilitation Instructor: Christopher M Vernovai evaluation of the airway and the safety, Personal Protective Equipment anticipation of difficult airways including Hazard Assessments and more. The goal is Saturday Courses those for patients with acute medical and to provide a road map on how to integrate traumatic conditions. The student will provider safety for EMS personnel in day- 3:00 PM - 5:00 PM learn to rapidly develop an airway plan to-day operations. and to change it based on the patient’s Instructor: Jack Sullivan PED-1031 Pediatric Medical Case condition. Studies Instructor: Carol M Gilbert LMGT-733 When You Fail to Plan, You BLS 14 / ALS 19 / 2.0 CEU Plan to Fail: Understanding Strategic Target Audience: All Planning for EMS Agencies An EMS response to the child IEDU-539 Googling Your Way to a BLS CAT 2 / ALS CAT 2 / 1.0 CEU experiencing a medical emergency can Successful Accreditation Site Visit - Target Audience: Administrators be a challenging incident. This series will Workshop Part 2 Many EMS agencies, be they career or discuss the presentation, assessment, BLS CAT 2 / ALS CAT 2 / 1.0 CEU volunteer, municipal or commercial, are and management of the pediatric patient Target Audience: Educators mired in the “here and now” with little with common and uncommon medical This presentation is part two of a two- attention paid to the future. Rational, emergencies. The discussion will use part workshop for educators and well planned and thought out strategic various case studies of real incidents administrators, and is a follow-up to plans, with input from all levels of the involving each of the disease processes the presentation, “Googling Your Way organization, can help make the future discussed. to a Successful Accreditation Site Visit.” less frightening and put EMS agencies on Instructor: Billy G Mcdaniel Participants should bring a laptop. We the right road for success. Developing all will work through some of the options the vital components of a strategic plan - a PED-1032 Pediatric Rapid presented in the initial session using SWOT analysis and identification of goals Cardiopulmonary Assessment - The Google Tools, such as the Google Drive, and objectives as well as implementation PATs, ABCs and CAB of it All! Forms, Sheets, Docs, and various add-ons tips will be reviewed. BLS 12 / ALS 17 / 2.0 CEU that enable improved documentation Instructor: Raphael M. Barishansky Target Audience: ALS, BLS, RNs and workflow processing necessary This presentation will assist prehospital for managing your accreditation files, LMGT-734 The “Double Documentation and emergency department healthcare surveys, and reports. ” Problem: Which ePCR Elements Must be providers in developing a rapid systematic Instructor: Daniel W Linkins Co-Instructor: Repeated in Your Narrative? approach to pediatric assessment. It will Jonathan Alford BLS CAT 2 / ALS CAT 2 / 1.0 CEU also empower the EMS provider to make a Limited to: 30 Target Audience: ALS, Administrators, BLS, rapid determination of which assessment Educators practice is most appropriate for the EDU-540 How to Plan and Deliver High This session will tackle the age-old question: situation. We will explore the Pediatric Value Simulation Education which data elements of my ePCR must be Assessment Triangle (PATs), ABCs, and BLS CAT 2 / ALS CAT 2 / 1.0 CEU repeated in my narrative? This session - led CABs as tools in pediatric assessment. Target Audience: ALS, Administrators, by nationally known EMS attorney Doug Instructor: Dusty Lynn Educators Wolfberg - will take an in-depth look at this Preparing EMS providers for practice is issue and offer specific strategies you can complicated. Shrinking access to clinical use to ensure your patient care report is ITRA-1243 EMS Clue sites, opportunities to practice high- complete and consistent. BLS 13 / ALS 18 / 2.0 CEU stakes interventions and teamwork skills Instructor: Doug Wolfberg Target Audience: All are just a few challenges where simulation Come play EMS Clue! Go room to room is positively impactful. This presentation LMGT-735 If I Knew Then What I Know searching for your “clues” to determine - will discuss the best practices for Now - A Fascinating Look at the Changes did Colonel Mustard fall on a knife...or was planning, facilitating and evaluating in EMS Medicine Over the Past 30 Years he stabbed? Mrs. Peacock is extremely high-value simulation in EMS education. BLS 15 / ALS 20 / 1.0 CEU short of breath. Why? Chest injury or Emphasis will be placed on identifying Target Audience: All asthma? You and your team must look critical gaps in fulfilling curriculum goals, Although he doesn’t look a day over 25, for clues in each room to determine the aligning simulation objectives to national Racht started his EMS career in Henrico cause of the medical or trauma event. standards and developing learners. Volunteer Rescue Squad “a few years ago” Look under, over and in items in each Instructor: John Todaro and has had the great fortune to be a part room. Find the clues - signs related to of the evolution of the art and science your patient. What’s the final outcome? HEA-627 How to Integrate of EMS Medicine, EMS Systems and EMS You be the detective. Provider Safety Into all Aspects of Your Culture for more than 30 years. Reminding Instructor: Bonnie Caplinger Co-Instructor: Operation ourselves that we should always be a Clarence Fox BLS 15 / ALS 20 / 1.0 CEU student of history, he will describe the Limited to: 70 Target Audience: All powerful (and sometimes challenging) EMS agencies and rescue squads should advances in our profession and the strive to incorporate provider safety implications for the EMS we love so much. into all aspects of their operations Instructor: Ed Racht

40th Annual Virginia EMS Symposium 44 usefulness of peak flow monitoring and PED-1033 Neonatal Resuscitation Tips Saturday Courses capnography values, determining the and Tricks for Field Providers 3:00 PM - 4:00 PM need for CPAP or drug-assisted intubation, BLS 12 / ALS 17 / 1.0 CEU the step-wise approach to conventional Target Audience: ALS, BLS MED-872 Nightwatch-Reality TV pharmacologic therapy based on the This class is geared toward EMS providers Participation Experience drug profiles and providing an overview of all levels. We will review basic neonatal BLS 14 / ALS 19 / 1.0 CEU of less conventional therapies such resuscitation principles but go into more Target Audience: All as Heliox, monoclonal antibodies and depth about some of the challenges This presentation covers what the journey bronchial thermoplasty. encountered when caring for these fragile has been like to be a field paramedic Instructor: Connie J Mattera patients in the back of an ambulance. This suddenly thrust into the TV spotlight as class is designed to make EMS providers a paramedic from New Orleans EMS on OPE-945 How Not To Be Wrong When feel more prepared to handle these the TV Reality show called Nightwatch Everything Is On The Line: Critical emergencies with the limited equipment on A&E’s network. Join me and Titus Tero, Thinking and Decision Making in EMS and resources available in the field. We also from the tv show to discuss how it BLS CAT 2 / ALS CAT 2 / 1.0 CEU will discuss the challenges of caring for has impacted our lives and the journey Target Audience: All neonates of various gestational ages and we have made. Safety, assessment, patient care...the how your agency can better prepare for Instructor: Dan Flynn Co-Instructor: Titus success of an EMS practitioner is judged these patients. Tero on the quality of their critical decisions. Instructor: Chelsea W Sibold Every day EMTs critically think their way MED-873 What a RUSH: Ultrasound- through complicated operational and care TRA-1244 Hanging and Strangulation- Guided Resuscitation and Critical Care related situations under the worst possible Trauma That’s Tight Around the Collar in the Field circumstances, often with life threatening BLS 13 / ALS 18 / 1.0 CEU BLS 14 / ALS 19 / 1.0 CEU consequences. Making good decisions is Target Audience: ALS, BLS, MD, DO, RNs Target Audience: ALS, MD, DO, RNs more than just relying upon luck. Strategies Hanging and strangulation trauma Point of Care Ultrasound, or POCUS, has exist to improve mental performance is a misunderstood traumatic event created a seismic shift in the way critically under stress. This scenario-based class that presents numerous challenges in ill patients are resuscitated in hospital will discuss limitations of cognition when treatment and management. Death by emergency departments around the faced with situational challenges. It will hanging does not have to be the classical world; now, this powerful technology is describe specific practices to improve noose and hook, it can occur without the becoming increasingly available to EMS decision-making and enhance mental feet being off the ground. The methods providers in the field. Here we use case performance under stress. of hanging and strangulation will be reviews and other real-world examples Instructor: Dan Batsie examined and the pathophysiology to demonstrate how paramedics can by which injury and death occurs. This integrate POCUS into their daily practice, OPE-946 What’s the Rush (When it activity occurs in all levels of society and and guide the care they provide to their Comes to ALS)? across all age groups, and even among most critical patients. BLS CAT 2 / ALS CAT 2 / 1.0 CEU the most famous people. Participants Instructor: Thomas D Hudson Target Audience: ALS, Administrators, BLS, will be surprised by the information this Dispatcher, Educators presentation will deliver. MED-874 Too Young to Die: Novel EMS is often associated with speed, Instructor: Travis L Karicofe Strategies in Response to the Ongoing especially for “true” ALS calls. We rush to Opioid Public Health Crisis the scene, rush on the scene, and then rush TRA-1245 Curtain Call for C-Collars BLS 14 / ALS 19 / 1.0 CEU to the hospital. This course will use a case- BLS 13 / ALS 18 / 1.0 CEU Target Audience: All based approach to explore the hidden Target Audience: ALS, Administrators, BLS, Unfortunately, the opioid epidemic is pitfalls of speed when it comes to ALS Dispatcher, Educators, MD, DO, RNs nothing new. Neither is prehospital delivery and transport, including clinical, First it was spine boards and now the time and law-enforcement use of naloxone. operational, and professional impacts. has come to say so long to cervical collars? However, the deaths continue, Instructor: Hilary G Gates Remember the first rule of medicine? particularly among the young. At its core, Do no harm! Yet, we continue to utilize this presentation attempts to humanize OPE-947 Burning Man!! EMS Like You barbaric treatments that have been the epidemic as we take a public Never Seen It proven to show no benefit or worse yet, health perspective and examine novel BLS CAT 2 / ALS CAT 2 / 1.0 CEU hurt our patient. If you’re doing selective EMS solutions to address the growing Target Audience: ALS, Administrators, BLS, spinal immobilization, your crews may challenge. Dispatcher, Educators, MD, DO, RNs have already said goodbye to collars Instructor: Travis J Mitchell Many of us work in rural areas but you just don’t realize it. Do you have the Chief Robin Davis and Lieutenant Scott protocols in place to support that reality? MED-875 Crashing Asthmatics Robinson take us to the high deserts Instructor: Conrad Olson BLS 14 / ALS 19 / 1.0 CEU of Nevada to the iconic event, Burning Target Audience: ALS, MD, DO, RNs Man. The distance, the crowds, the whole TRA-1246 It’s Not Just a Little Fluid... New therapies are emerging to combat thing is beyond anything you could ever BLS 14 / ALS 19 / 1.0 CEU the relentless airway inflammation, imagine. Hear what it’s like to deliver Target Audience: ALS, BLS, Educators, RNs airflow reduction, and hypoxiaexceptional care and lead a workforce “Just give them some fluid”--the thought experienced by crashing asthmatics so of 300 EMS providers in the largest of every medic at some point. But death rates are beginning to diminish. Key temporary city that never closes and what are we actually doing when we points of this presentation include sorting becomes home to nearly 80,000 people... administer intravenous fluid? How is it through reliable and unreliable physical miles into the desert. used by the body? What’s in the fluid exam indicators of disease severity, the Instructor: Robin J Davis anyway? Learners in this presentation will

45 40th Annual Virginia EMS Symposium review the A&P involving blood volume offers strategies for coping with stress, maintenance and fluid absorption, HEA-628 Fit and Fabulous for Duty along with responding to particularly discuss the composition of fluids (both BLS 15 / ALS 20 / 1.0 CEU challenging adverse events. endogenous and artificial), and discuss Target Audience: All Instructor: Travis J Mitchell best practices in fluid administration. As healthcare professionals, we prioritize Instructor: Bryan A Miller other’s health and well-being but often forget about our own. Let us change that IOPE-949 ALS Unavailable!! How Do I immediately because how you feel and Handle the Sick Patient Saturday Courses look matters. There are many little things BLS CAT 2 / ALS CAT 2 / 1.0 CEU that you can easily do on a daily basis to Target Audience: BLS, Educators 4:30 PM - 5:30 PM improve your overall health. When you are Have you ever been in a situation where feeling fit and fabulous, both you and your ALS was truly needed, but they were CAR-433 The Sick AMI Patient patients will benefit. From food to fitness nowhere to be found? Feeling helpless is BLS 12 / ALS 17 / 1.0 CEU to sleep, we will dissect these important a bad feeling, but feeling unable to help Target Audience: ALS, BLS, RNs aspects of life and suggest some pointers your patient is even worse. Critical thinking Cardiogenic shock secondary to to help you feel and move better. is key when you are a lone BLS ambulance myocardial malfunction has serious Instructor: Sarah L. Ellis with no other assistance, and managing consequences for any patient critical patients is tough. Walk away with experiencing an AMI. This presentation MED-876 The Alpha, and The Beta: more tools in your toolbox the next time explains the causes, pathophysiology What to Know About Vasoactives dispatch advises, “No ALS Available”. and mechanics behind the development BLS 12 / ALS 17 / 1.0 CEU Instructor: Matthew J Snyder of cardiogenic shock. Additionally, Target Audience: ALS prehospital cardiogenic shock assessment Vasoactive agents are a powerful class of OPE-950 A Comedy of Errors: When PEARLS and the most up-to-date adopted medications that can do a tremendous Two Paramedics Become RN’s recommendations for BLS and ALS amount of good, but their use comes with BLS CAT 2 / ALS CAT 2 / 1.0 CEU cardiogenic shock management will be great responsibility. Join us on the path to Target Audience: ALS, Administrators, BLS, RN discussed throughout the presentation. being an adrenergic rock star as we revisit We will explore the relationship between Instructor: Christopher Ebright the pharmacology, clinical applications, EMS and the emergency department. The and safe administration of vasopressors, information discussed in this presentation EDU-541 Mentoring the Mentor: The catecholamines, and PDEIs when treating will cover topics such as the radio report; Virginia Instructor Mentor Program critically ill patients. what does the ED nurse really want BLS CAT 2 / ALS CAT 2 / 1.0 CEU Instructor: Thomas D Hudson and need to know? We will also discuss Target Audience: Educators the in-person report with pointers on Being assigned as a Mentor to a new MED-877 Cortisol, Stress Control, how to gain and keep staff attention. Educational Coordinator candidate can Weight Management, and the Risk of We will discuss the need for regular seem like a tall order. During this class, Ignoring Them communication with ED staff concerning we’ll discuss best practices to set your BLS 14 / ALS 19 / 1.0 CEU field treatment protocols. The instructors mentoree up for success from Day 1. Target Audience: All of this presentation hope to send students Topics will include course set-up, pre- In the health field, we are set up for out with the intention of strengthening determining mentoree assignments, an increase in health risks stemming the EMS-ED staff relationship in their area. and how to involve your EC Mentoree in from increased cortisol levels caused Instructor: Chelsea W Sibold Co-Instructor: various aspects of the Course! At the end, by stress and lack of movement. This Amanda Mccomas we’ll share some stories and experiences leads to weight gain, depression, lack of from the audience! mental focus, and a decrease in physical OPE-951 Emergency Vehicle Instructor: Kevin T Holloway endurance. In this presentation, we will Maintenance and Vehicle Check-off’s - talk about how to decrease cortisol levels The Importance of Starting Your Shift and avoid weight gain by fitting more IEDU-542 Coloring Outside the Lines BLS CAT 2 / ALS CAT 2 / 1.0 CEU movement into the day, eating more BLS CAT 2 / ALS CAT 2 / 1.0 CEU Target Audience: ALS, BLS balanced on shifts, and working in some Target Audience: Educators Dan and Titus from A&E’s Nightwatch daily tricks to keep up good habits to We will demonstrate new methods for are both vehicle enthusiasts and know decrease physical and mental exhaustion educators to teach students how to learn the finer points of vehicle maintenance caused by stress. in unique and interactive ways to actively and the importance of vehicle check- Instructor: Elizabeth A Haydu engage students in the classroom setting. off’s every shift. Come listen to their Limited to: 50 We will present creative ideas for your perspective on the importance on students to acquire knowledge and making sure you complete the check off OPE-948 In The Line of Fire: A Story of skills in the area of Pediatric assessment. of your unit before every shift. Humanity in EMS This will increase knowledge retention Instructor: Dan Flynn Co-Instructor: Titus Tero BLS CAT 2 / ALS CAT 2 / 1.0 CEU and student motivation in a fun student Target Audience: All centered environment. OPE-952 Saying Goodbye to Lights and Regardless of how long you’ve been in Instructor: Susan J Truba Co-Instructors: Siren EMS, you’ve seen more tragedy than most Andrew Jenkins, Cody Simpson, Michelle BLS CAT 2 / ALS CAT 2 / 1.0 CEU members of the public will see in a lifetime. Beatty Target Audience: ALS, Administrators, BLS, Simply put, continually rushing toward the Limited to: 30 Dispatcher, MD, DO, RNs suffering takes a toll. This presentation What happened when we “took away” the uses a case study approach from across the lights and siren? We examine a service continuum of care to talk about the human going from 80/20 usage to a 20/80 split. impact of healthcare. The presentation This produced a lot of questions and 40th Annual Virginia EMS Symposium 46 some resistance. What are appropriate guidance on EMS use of “spinal motion uses? What about response times? Why restriction.” This course will review the Sunday Courses are light and siren times longer? Why is changes in nomenclature (it’s not “spinal 9:00 AM - 11:00 AM this really necessary? How many patients immobilization” anymore) and clinical are actually transported with lights/siren? guidance (backboards are not required!). HEA-629 PTSD is Old School. Let’s What if our dispatch center doesn’t do More importantly, we will discuss the Look the Demon in the Eye EMD? What happened to outcomes? The evidence-based reasons for these changes. BLS 15 / ALS 20 / 2.0 CEU safety of our crews, patients and the public Instructor: Hilary G Gates Target Audience: All depend upon us taking responsibility for As EMS Providers, we have the obligation best practices. TRA-1249 Snake, Rattle and Roll (and privilege) to care for our fellow Instructor: Conrad Olson BLS 13 / ALS 18 / 1.0 CEU human beings at the worst time of their Target Audience: All lives. We have the tools, training and ability Program focuses on the challenges of to minimize morbidity and mortality and Saturday Courses managing patients with venomous a passion for what we do that allows us to 4:30 PM - 5:30 PM snake bite injuries. The epidemiology face the unimaginable. But that strength of this problem will be discussed and in the storm comes at a substantial cost. its relationship to how these become PED-1034 Disaster Preparedness: We haven’t paid attention to the personal very sick patients in rural settings where Pediatric Considerations in Biological impact of “horrible” on us - The caregivers transport can be extensive. Discussion Terrorism as well as the loved ones that stand by us will ensue regarding the most current BLS 14 / ALS 19 / 1.0 CEU when times get dark. trend in managing these patients. Target Audience: All Instructor: Ed Racht Instructor: Travis L Karicofe Prehospital providers play a vital role in recognizing and providing initial isolation MED-878 Anatomy and Physiology and decontamination for patients Sunday Courses Interactive affected by agents of chemical and BLS 14 / ALS 19 / 2.0 CEU biological terrorism. In this session, we will 9:00 AM - 11:00 AM Target Audience: All describe the anatomical, physiological Bob’s interactive sessions have been a and behavioral differences that can ARV-223 ECMO and ARDS: A Pediatric Sunday morning staple at symposium for place children at increased risk in these Case Study years! In the newest installment, A&P., Bob attacks. Typical presentations of common BLS 11 / ALS 16 / 2.0 CEU seeks to find out, how well you know the biological and chemical agents will be Target Audience: ALS, Administrators, BLS, RN human body’s structure and functions? discussed. We will discuss the unique Witnessing medical miracles in a pediatric This game show is interactive and uses challenges of pediatric decontamination. case study involving the intervention of pictures, video, sounds and any other Instructor: Caleb E Ward extracorporeal membrane oxygenation senses he can to help you identify your for the treatment of Acute Respiratory way around a body. it is loads of fun and TRA-1247 Focus on the Noodle. An Distress Syndrome. Providers will learn very informative! You will never look at in-depth Look at the Evolving Art & criteria for ECMO intervention and the the body the same after this session. You Science of Concussion inter-facility transportation requirements won’t want to miss this, the fifth in the BLS 13 / ALS 18 / 1.0 CEU for these patients. Graphic images are series! Target Audience: All incorporated in this case study. Personal Instructor: Robert Page Our friends in professional sports have discretion is advised. dramatically changed how we evaluate Instructor: Nicole Crowder MED-879 The Bugs Among Us and respond to any traumatic event to the Limited to: 200 BLS 14 / ALS 19 / 2.0 CEU head. What used to be just a “rung bell” is Target Audience : ALS , All, BLS now a potentially life-changing event. We This session will review the basic concepts understand so much more about head CAR-434 CHD Awareness - It’s Not for of the immune system and immune injury and the role of EMS in identification the Faint of Heart system response, the disease profiles of and initial management of this often BLS 12 / ALS 17 / 2.0 CEU the most common infectious diseases and silent devastating injury. EMS plays a Target Audience: ALS, Administrators, BLS, their pathogeneses effects. Many of these pivotal role in this patient population Dispatcher, Educators, MD, DO, RN are encountered by prehospital providers and has an increasingly greater array of Approximately 40,000 babies are born each day. Join us for a conversation about approaches and tools to manage these each year in the United States with a the bugs among us and strategies to patients in the field. congenital heart defect. About one protect yourself. Instructor: Ed Racht of every 100 people have a CHD of Instructor: Billy G McDaniel some kind. This is the story of Finn, one TRA-1248 Spinal Motion Restriction - of those children, and his journey to What It Means, What Has Changed, and normalcy. Today, most heart defects can Why It’s Changing be corrected or helped with surgery, BLS 13 / ALS 18 / 1.0 CEU medicine, or devices, such as artificial Target Audience: ALS, Administrators, BLS, valves and pacemakers. In the last 25 Dispatcher, Educators years, advances in treatment have In August 2018, the American College enabled half a million U.S. children with of Surgeons (ACS), American College significant heart defects to survive into of Emergency Physicians (ACEP), and adulthood. Just keep swimming Finn! National Association of EMS Physicians Instructor: Kelly F Blumenthal (NAEMSP) provided updated uniform 47 40th Annual Virginia EMS Symposium

based on the AHA guidelines. Whether and suggest appropriate management. Sunday Courses on a pediatric prehospital call or in the Some patients will have underlying 9:00 AM - 11:00 AM emergency department, this discussion medical conditions that may or may not is intended to help you stay focused and affect the patient situation. Students OPE-953 It’s Never Ok! Violence in the purposeful when dealing with pediatric will learn to consider to effect of the pre- Fire Service. cardiac rhythms. existing conditions on the trauma patient. BLS CAT 2 / ALS CAT 2 / 2.0 CEU Instructor: Dusty Lynn Instructor: Carol M Gilbert Target Audience: ALS, Administrators, BLS, Dispatcher, Educators TRA-1250 Hypovolemic Shock: The TRA-1252 Virginia Beach Municipal The surge in violence against public Perils of Running on Empty Center Shooting Incident safety now involves firefighters, EMTs and BLS 13 / ALS 18 / 2.0 CEU BLS 13 / ALS 18 / 2.0 CEU paramedics. From vehicle theft, sexual Target Audience: All Target Audience: ALS, Administrators, BLS assault, to murder, traditional scene safety The term shock conjures images of On May 31st, the unthinkable occurred classes and staging policies are not doing catastrophe, yet all etiologies share a common in Virginia Beach. An employee enough to prepare our crew members for pathophysiological basis. Understanding the entered a City building opening fire this level of violence. Hands-on, self-defense factors necessary to maintain perfusion and on colleagues, killing 12 and severely training, while helpful, teaches perishable the body’s responses to cellular hypoxia will wounding 4. The attack triggered a skills. This lecture allows participants to provide insights into the variety of clinical massive law enforcement, EMS and fire review their own personal barriers to safety presentations experienced by patients in response. Rescue task forces deployed and learn strategies to break them down. hypovolemic as opposed to cardiogenic, as police officers addressed the active Listen to others as they share their stories of neurogenic or anaphylactic shock. This shooter threat. While the immediate survival and open your eyes to the hidden offering differentiates the etiologiescrisis was resolved relatively quickly, a dangers in public safety. of shock based on cellular and organ significant recovery period followed. Instructor: Robin J Davis system dysfunction with an emphasis on EMS personnel supported numerous contemporary guideline-based care of those activities including memorials, member PED-1035 Pediatric Rhythm in hypovolemic and hemorrhagic shock. welfare and continuity of operations. This Disturbances - Too Fast? Too Slow? Or... Instructor: Connie J Mattera presentation will review the response and Not There?! recovery efforts from an EMS/Fire agency BLS 12 / ALS 17 / 2.0 CEU TRA-1251 The Trials and Tribulations of leadership perspective. Target Audience: ALS, BLS, RNs Trauma Instructor: Edward Brazle Emergent rhythm recognition for the BLS 13 / ALS 18 / 2.0 CEU pediatric patient is not as difficult once Target Audience: ALS, Administrators, BLS, you correlate it to perfusion assessment. Dispatcher, Educators, MD, DO, RNs We will visualize and discuss each of the In this presentation a series of intriguing three main categories of pediatric cardiac trauma problems provides the student rhythms and their emergent treatment, with an opportunity to make the diagnosis

40th Annual Virginia EMS Symposium 48 Faculty

William R Akers, MS, NRP Laura Boomer, MD Devon T Clary, MS, CCEMTP, NRP Southwest VA Community College VCU Health Brunswick County Sheriff’s Office EMS Program Director PEDIATRIC SURGEON DIRECTOR OF EMERGENCY COMMU- RICHMOND, VA NICATIONS Jonathan Adam Alford, BS, NRP Surgical Director of NICU and PICU Piedmont Virginia Community College John C Cook, EdD, MBA, NRP, NCEE Program Director Heather Borek, MD Jefferson College of Health Sciences Maidens, VA University of Virginia School of Medicine DIRECTOR, EMERGENCY SERVICES Assistant Professor PROGRAM Jason Ambrose, EMTP, MPA Charlottesville, VA ROANOKE, VA Tidewater Community College EMS Program Director Wendy L Bowman, NRP Patricia A. Copeland, AAS, ICISF Virginia Beach, VA Metropolitan Washington Airports Approved Instructor Authority, Captain Stafford County Fire & Rescue Rebecca C Anhold Dulles, VA VOL. PARAMEDIC LICENSED, CERTIFIED ATHLETIC TRAINER REMS CISM Coordinator William Brady, MD Basil R Asay, RN, NRP, NCEE University of Virginia Damien George Coy, BA, AAS, NRP, NCEE Virginia Commonwealth University OPERATIONAL MEDICAL DIRECTOR James City County Fire Department Paramedic Program Clinical Coordinator EMS EDUCATION PROGRAM DIRECTOR Richmond, VA Asher Brand, MD Central Shenandoah EMS Council Nicole Crowder, RN-BSN, FNP-C Patrick Ashley REGIONAL MEDICAL DIRECTOR Lewis Gale Endocrinology Virginia Department of Health FAMILY NURSE PRACTITIONER State Hospital Coordinator Edward Brazle CHRISTIANSBURG, VA City of Virginia Beach Department of Todd I Barb, NREMT-P ALS Course EMS, CHIEF Kirk L Cumpston, Medical Toxicologist Coordinator Virginia Commonwealth University Fairfax County Fire & Rescue James T Brendel, AS Criminal Justice Medical Center Captain II Technology MEDICAL DIRECTOR OF THE VIRGINIA Virginia State Police, Senior Trooper POISON CENTER Raphael M. Barishansky, MPH, MS, CPM Pennsylvania Department of Health Bonnie Caplinger, BSN, CCEMT-P Laurie Davin Deputy Secretary of Health Prepared- Broadway Emergency Squad NAEMSE ness and Community Protection TRAINING OFFICER EDUCATION COORDINATOR BROADWAY, VA PITTSBURGH, PA Sam Bartle, Pediatric Emergency Medicine Keith Cartwright, Bachelor’s Degree Heather Davis, EdD, NRP VCU Physicians / VCU Health System Ohio State University UCLA Center for Prehospital Care Assistant Professor of Pediatric Virginia Department of Behavioral ASSOCIATE DIRECTOR Emergency Medicine Health and Developmental Services Bon Air, VA BEHAVIORAL HEALTH WELLNESS Lisa Davis, MA, FF/NRP CONSULTANT Stafford County Public Schools/Colo- Khaled F Basiouny, MD, FACS nial Forge High School Extant Healthcare Andrew T. Caruso, AS, ASM, CEM EMT PROGRAM INSTRUCTOR Trauma Medical Director Monmouth County Sheriff’s Office STAFFORD, VA Vienna, VA DEPUTY EMS COORDINATOR LANOKA HARBOR, NJ Robin J Davis, NRP Kyle David Bates, MS, NRP Sterling Rescue Squad First Few Moments, Inc. Tiffany G Chatham, RN, CEN, CPEN, ASSISTANT CHIEF, OPERATIONS Founder and Chairman TCRN, NRP Sterling, VA FirstFewMoments.com REGISTERED NURSE Bradley Dean, MA, NRP Dan Batsie Benjamin F Cheatham Rowan County Emergency Services Vermont Office of EMS Va Office of EMS BATTALION CHIEF, TRAINING DIVISION EMS Chief FLEET AND LOGISTICS ADMINISTRATOR THOMASVILLE, NC Jericho, VT QUINTON, VA Salisbury, NC

Kelly F Blumenthal, Bachelor’s Degree Meagan Clark Daniel J Destefano, B.S., NRP, FP-C Stay-at-Home Mom National Center for Missing and Ex- VCU LifeEvac ploited Children FLIGHT PARAMEDIC CASE MANAGER VIRGINIA BEACH, VA ALEXANDRIA, VA Richmond, VA 49 40th Annual Virginia EMS Symposium

Melissa M Doak, NRP Jeffrey D Ferguson, MD, FACEP, Tania Glenn, PsyD, LCSW York County Fire & Life Safety FAEMS, NRP Dr. Tania Glenn & Associates, PA PARAMEDIC & EMS EDUCATOR, VCU Health System PRINCIPAL LIEUTENANT EMERGENCY PHYSICIAN CEDAR PARK, TX

Robert D Drake Brad Fields, B.S., FP-C Paul Goulart, Education Coordinator Hanover Fire-EMS Med-Trans Corporation Innovations N Knowledge LIEUTENANT REGIONAL CLINICAL MANAGER OWNER Dallas, Texas Rommie Lee Duckworth, BS, LP, EMS-I James H Gould, RN, NRP Ridgefield Fire Department Dan Flynn, RN, NRP VCU Division of Acute Surgical Services FIRE CAPT / PARAMEDIC EMS New Orleans EMS RN, NRP COORDINATOR TV PERSONALITY/PARAMEDIC/RN SHERMAN, CT Dan Greenhaus, BSc, NREMT Vernon M Frayser, NRP Wake New Hope Fire Department Christopher Ebright, B.Ed., NRP Hanover Co Fire-EMS FIREFIGHTER / EMT / PUBLIC INFOR- National EMS Academy LIEUTENANT - CANINE HANDLER MATION OFFICER EMS EDUCATION COORDINATOR ASHLAND, VA Ashley S Harman, BS, CCEMT-P, FP-C Brian D Ekey, DO Daniel Frazier, AA, NJMICP Chesterfield Fire & EMS Lewis Gale Hospital, Montgomery Robert Wood Johnson University ALS TRAINING COORDINATOR EMERGENCY PHYSICIAN Hospital BLACKSBURG, VA PARAMEDIC / EDUCATOR Elizabeth A Haydu, BS Biology, BA BROWNS MILLS, NJ English, BA Communication Sarah L. Ellis, BSN, RN, NRP, CFRN, CCRN Volunteer University of Virginia John F Galganski TRAINING OFFICER CHRISTIANSBURG FLIGHT NURSE James City County RESCUE LURAY, VA BATTALION CHIEF FREDERICKSBURG, VA Gary A Heigel, BA, Paramedic David J English, NRP, TP-C Rogue Community College Blacksburg Volunteer Rescue Squad Robert J Galvin, NRP, FP-C, McP DEPARTMENT CHAIR, EMERGENCY CHIEF Air Evac EMS, Inc. SERVICES BLACKSBURG, VA REGIONAL MANAGER OF PATIENT CENTRAL POINT, OR President/CEO - Public Safety Leader LLC CARE SERVICES Arthur J Heightman, EMT-P, MPA Bryan F Ericson, M.Ed., R.N., NRP Mary Catherine Gardner, EMT-P, EC, NCEE JEMS, EDITOR-IN-CHIEF Tarrant County College Charlottesville Albemarle Tech Ed ASSOCIATE PROFESSOR OF EMS Center Kevin T Holloway, Bachelor of Arts - KELLER, TX TEACHER / EMT INSTRUCTOR Salisbury University PALMYRA, VA Accomack County Dept. of Public Tim Erskine Safety Virginia Office of EMS Brad T Garmon, B.S, FP-C, NRP FIRE MEDIC II TRAUMA / CRITICAL CARE COORDINATOR University of Virginia Medical Center- CHINCOTEAGUE ISLAND, VA Glen Allen, VA Pegasus CRITICAL CARE FLIGHT PARAMEDIC Christopher P Holstege, MD Eleanor Erwin University of Virginia School of Medicine Sentara Hilary G Gates, NRP, M.A. Ed. PROFESSOR, EMERGENCY MEDICINE ED ATTENDING EMS World WILLIAMSBURG, VA SENIOR EDITORIAL AND PROGRAM Thomas D Hudson, MICP, NRP, CCP-C DIRECTOR Guardian Flight Alaska Michael J Feldman, MD MALVERN, PA CRITICAL CARE PARAMEDIC Virginia Commonwealth University RICHMOND, VA MEDICAL DIRECTOR, EVANS-HAYNES Michael Gerber, MPH, NRP Paramedic, Richmond Vol. Rescue BURN CENTER The RedFlash Group Squad HENRICO, VA SENIOR CONSULTANT Cody G Jackson, NRP, FP-C Bryan K Ferguson, NRP, FP-C Steven Gienapp, MS, NRP Wings Air Rescue Carilion Clinic Life-Guard Wyoming Department of Health FLIGHT PARAMEDIC FLIGHT PARAMEDIC WYOMING STATE EMS DIRECTOR John K Janney, BA, NRP Jason Ferguson Carol M Gilbert, MD Navy Region Mid-Atlantic Fire & Central Virginia Community College Carilion Roanoke Memorial Hospital Emergency Services PUBLIC SAFETY PROGRAMS HEAD ASSISTANT DIRECTOR OF SURGICAL FIRE CHIEF LYNCHBURG, VA EDUCATION NORFOLK, VA

40th Annual Virginia EMS Symposium 50 Kari Jerge, MD, FACS Daniel W Linkins, BHS, MPH, NRP, NCEE Patrick McLaughlin, MD, MS University of Kansas Medical Center John Tyler Community College MCV Physician group; VCU Health ASSISTANT PROFESSOR OF SURGERY DEPT. CHAIR AND PROGRAM PEDIATRIC EMERGENCY MEDICINE OVERLAND PARK, KS DIRECTOR, EMS EDUCATION PHYSICIAN SUTHERLAND, VA Christopher H Jett Stephen M McNeer, BA Stafford County FRD Kimberly D. Lohr, M.S., EMT-I, VA Virginia Office of EMS CAPTAIN OEMS Ed. Coordinator PROGRAM REPRESENTATIVE Bridgewater College Jeremy Johns, AAS in Emergency ASSISTANT PROFESSOR OF HEALTH Bryan A Miller, BS, CCP-C, FP-C Medical Services AND HUMAN SCIENCES Richmond Ambulance Authority Norfolk Fire-Rescue BROADWAY, VA CCT-PARAMEDIC FIREFIGHTER/PARAMEDIC Kayla W Long, D.O. Nikki Miller Ferguson, MD Susan W Jones, Child and Adolescent Centra Health CHoR at VCU Psychiatrist EMERGENCY PHYSICIAN AND PEDIATRIC CRITICAL CARE MEDICINE Virginia Commonwealth University MEDICAL DIRECTOR MOSELEY, VA ASSISTANT PROFESSOR Director of Pediatric Transport RICHMOND, VA Amir K Louka, MD Virginia Commonwealth University Lucian A Mirra, M.Ed., NRP Travis L Karicofe, BS FP-C TP-C EMERGENCY MEDICINE PHYSICIAN University of Virginia Harrisonburg Fire Department PARAMEDIC/INSTRUCTOR FLIGHT PARAMEDIC/EMS TRAINING Stephanie K Louka, MD OFFICER VCU Health System James Edward Mitchell, MBA, NR- EMERGENCY PHYSICIAN EMT-P Ryan F Kirk, BS, NRP, EC RICHMOND, VA Centra Health Prince William County Fire and Rescue EMS CAPTAIN EMS Training Lieutenant Dusty Lynn, RN MSc. TCRN NRP WOODBRIDGE, VA University of Virginia Life Support Travis J Mitchell, MSHA NRP Learning Center MedStar Health Sally Kraut RN, MSC, TCRN, NRP OPERATIONS MANAGER- CLINICAL Fairfax County Fire and Rescue De- SAFETY PROGRAM partment David J Mangus, BS, NREMT-P LIEUTENANT Norfolk Fire - Rescue Valeria D Mitchell, MSN TCRN CAPTAIN Sentara Norfolk General Hospital Christopher M Kroboth, MS, NRP, TRAUMA PROGRAM MANAGER CCEMT-P Randolph Mantooth VA BEACH, VA Fairfax County Fire and Rescue ACTOR CAPTAIN Kirk Edward Mittelman, M.Ed., NRP Schoni Marchio, CCLS, CPST Mt Nebo Training William S Krost, MD, MBA, NRP VCU Health Systems FOUNDER, PROGRAM DIRECTOR Mercy Health Northern Region CERTIFIED CHILD LIFE SPECIALIST ELK RIDGE, UT EMERGENCY PHYSICIAN Captain (Ret)/EMFD, Senior Officer (Ret) OTTAWA HILLS, OH Christina Martinka Air Medical Experts LLC Cody R Monger, NRP, Certified Fitness Charles J Lane, MD CHIEF EXECUTIVE OFFICER Trainer Carilion Clinic Rockingham County Fire and Rescue MEDICAL DIRECTOR. EMERGENCY Sherri Mason, MSN, FNPC FIREFIGHTER/PARAMEDIC SERVICES CARILION FRANKLIN Vizient MEMORIAL HOSPITAL SR CONSULTANT John I Morgan, MD HARDY, VA OMD, LOUDOUN COUNTY FIRE AND Asst. Professor VTC School of Medicine Connie Jean Mattera, MS, RN, EMT-P RESCUE SYSTEM Northwest Community Healthcare LEESBURG, VA Richard John Leonard EMS ADMINISTRATIVE DIRECTOR AND National Center for Missing & SYSTEM COORDINATOR; DIRECTOR OF Jeff Myers, DO, EdM, EMT-P, FAEMS Exploited Children RESUSCITATION DEPARTMENT Clinical Paramedicine, LLC PROGRAM MANAGER - TEAM ADAM CHICAGO, IL EMS PHYSICIAN BLASDELL, NY Daniel Limmer, AS, EMT-P Billy Gene Mcdaniel, BS, NRP Central Washington University Phoenix Fire Department (Retired) Kenneth W Navarro, PhD (c) LECTURER CAPTAIN University of Texas Southwestern MESA, AZ Medical School George Lindbeck, MD CHIEF OF EMS EDUCATION Virginia Office of EMS Jeff McDonald, MEd, NRP, LP DEVELOPMENT STATE EMS MEDICAL DIRECTOR Tarrant County College Hurst, Texas PROGRAM DIRECTOR N RICHLAND HILLS, TX 51 40th Annual Virginia EMS Symposium David Nitsch, MPH, NRP Kelsey J Rideout, M.A., FP-C, NRP Christopher Stevenson, MSN Pennsylvania Emergency Fredericksburg Fire Department VSP Med-Flight 1/VCU Health Management Agency FIREFIGHTER/PARAMEDIC FLIGHT NURSE/NURSE PRACTITIONER DIRECTOR, BUREAU OF TECHNOLOGICAL MIDLOTHIAN, VA HAZARDS Tarsha R Robinson, NRP, CAISS HARRISBURG, PA VCU Health System Steve Strawderman PARAMEDIC/PEDIATRIC TRAUMA Prince William County Fire and Rescue Conrad Olson REGISTRAR FIRE AND RESCUE BATTALION CHIEF TECHS EMS (RETIRED) REGIONAL EXECUTIVE DIRECTOR Rutherfoord Rose, PharmD, FAACT National Capital Region IMT OSAGE CITY, KS VCU Department of Emergency Medicine Lori S Stump, ADN, CPN, CCRN-P Amanda K Omalley, DNP, ENP-C, DIRECTOR, VIRGINIA POISON CENTER CJW Medical Center- Chippenham AGACNP-BC, FNP-BC RICHMOND, VA Campus Shenandoah Emergency Physicians RN- CLINICAL LEADER EMERGENCY NURSE PRACTITIONER Kelley Conti Rumsey, DNP, TCRN, CEN, RICHMOND, VA ACNP, PNP Christina Owens, Certified Profes- Children’s Hospital of Richmond at VCU Jack Sullivan, CSP, CFPS sional Midwife PEDIATRIC TRAUMA PROGRAM Emergency Responder Safety Institute LICENSED MIDWIFE, CERTIFIED PRO- MANAGER INSTRUCTOR FESSIONAL MIDWIFE MIDLOTHIAN, VA CHESAPEAKE, VA Dean S Thompson, NRP, CCEMT-P Robert Samuel Ryalls Stafford County Fire, Rescue and EMS Karen Owens James City County Fire/EMS MASTER TECHNICIAN/SGT Virginia Office of EMS ASSISTANT FIRE/EMS CHIEF (RET) EMERGENCY OPERATIONS MANAGER WEST POINT, VA Jane Collins Tingley, M.P.H. Virginia Department of Health, Office David I Page, MS, NRP, PhD(c) Chelsea White Sibold, RN, Paramedic of the Chief Medical Examiner UCLA Carilion Stonewall Jackson Hospital INFANT AND CHILD FATALITY DIRECTOR, UCLA RESEARCH FORUM REGISTERED NURSE PROJECTS COORDINATOR SAINT PAUL, MN RICHMOND, VA Frank I Signorelli, MA Richmond, VA Robert Page, M.Ed, NRP, CCP, NCEE Tidewater Community College Edutainment Consulting and ASSISTANT PROFESSOR John Todaro, BS, NRP, RN, TNS, NCEE, Seminars, LLC CHSE, CHSOS PRESIDENT Brenda H Smith, Advanced Heart University of South Florida College EARLYSVILLE, VA Failure Coordinator/Edu. of Nursing Sentara Health Care System Assistant director, George & Marian Luke Parker TRANSPLANT/MCS-VAD Miller Center for Experiential Virginia Office of EMS COORDINATOR/EDUCATOR Learning & Simulation GRANTS MANAGER PORTSMOUTH, VA Tarpon Springs, FL Glen Allen, VA E. Reed Smith, MD, FACEP Shawn Tompkins, BS, EMT-P Tim Perkins Arlington County Fire Department DeWitt Fire District Virginia Office of EMS OPERATIONAL MEDICAL DIRECTOR CAPTAIN/PARAMEDIC COMMUNITY HEALTH & TECHNICAL LEESBURG, VA ASSISTANCE DIVISION MANAGER Beth L Torres, PhD, RN, CCRN, TCRN Elizabeth Smith, RN, CFRN, NR-P VCU Health Rory S Putnam, AA, NR-P, I/C PHI Air Medical Trauma Nurse Clinician Atlantic Life Safety CLINICAL EDUCATOR COORDINATOR Midlothian, VA PRESIDENT-CEO/OWNER/INSTRUCTOR Matthew J Snyder, NRP, EC Tanya Trevilian, MSN Valerie A Quick, MSN, RN, EMT-I, NCEE City of Newport News Fire Department Carilion Children’s UVA Health System FF/PARAMEDIC Pediatric Trauma Program Coordinator TRAUMA PROGRAM CLINICAL COOR- Blue Ridge, VA DINATOR Eric Stanley, DO Carilion Clinic Rich Troshak Ed Racht, MD EMERGENCY PHYSICIAN Virgina Office of EMS American Medical Response Operations Support Specialist CHIEF MEDICAL OFFICER, MD Stacie Stevens, Ph.D., MSN, FNP, RN Glen Allen, VA VCU Health Kevin Ramdayal, Paramedic VCU COMPREHENSIVE STROKE Susan J Truba FDNY, CAPTAIN CENTER PROGRAM DIRECTOR Loudoun County Fire and Rescue RICHMOND, VA Training Officer Timothy S Redding, NRP, I/C Ashburn, VA Emergency Education Consultants OWNER & CEO 40th Annual Virginia EMS Symposium 52 Christopher M Vernovai, NRP Katherine H. West, BSN, MSEd Doug Wolfberg, J.D., EMT Virginia Office of EMS IC/EC, Inc. Page Wolfberg & Wirth EMS Systems Planer Infection Control Consultant Attorney Glen Allen, VA Clearwater, FL Camp Hill, PA

Michael Joseph Vitto, DO, MS, RDMS, Ray Whatley, MBA, NRP, TP-C Michelle M Wright, EMT-B RDCS Alexandria Fire Department Fauquier County Sheriff’s Office VCU Health, Associate Professor Assistant Emergency Manager Instructor Glen Allen, VA Alexandria, VA Remington, VA

J. Todd Vreeland, MPA, NRP Austin C White Cynthia J Wrightjohnson, MSN RN J. Todd Vreeland Consulting, CEO Virginia State Police MIEMSS Philadelphia, PA First Sergeant Director - Maryland Ems For Children North Chesterfield, VA Department Jeremy Wampler, NRP, CCEMT-P, EC Baltimore, MD Augusta County Fire & Rescue David Wiklanski, MA, EMT(I) ALS Training Specialist New Brunswick Fire Department Allen Yee, MD Grottoes, VA Firefighter/EMT Chesterfield Fire and EMS Bloomsbury, NJ Operational Medical Director Caleb E Ward, MD Children’s National Medical Center Brent A Williams, Paramedic Tori R Zobel Assistant Professor of Pediatrics & FirstNet Authority, NTIA, US Dept of Richmond Ambulance Authority Emergency Medicine Commerce Paramedic Washington, DC Senior EMS Advisor Associate Program Director, EMSC DC Marshall, MI

David E Weand, NR-P Justin W Witt, JD, NRP Fairfax County Fire and Rescue De- City of Fredericksburg Office of the partment Commonwealth’s Attorney CAPTAIN Assistant Commonwealth’s Attorney

Steven Weissman Adam Wojciehowski, MA, NREMT, Virginia Department of Fire Programs CEM, MEP, CPP Chief Safety Officer Safety University Rhoadesville, VA President Co-Instructors Jonathan Alford Dillard Ferguson Karen O’Connell Rebecca Anhold Clarence Fox Amber Obert Nicole Artisst Matt Fox Larry Oliver Basil Asay William “Billy” Fritz Nathan Otis Georgie Athenry Rick High Chris Payne Michael Athenry Nate Hiner Robery Poresky Briant Atkins Cody Jackson Marlon Rickman Dan Avstreih Andrew Jenkins Dr. Alan Rossi Jon Bailey Chris Jett Heath Saunders Raphael Barishansky Danielle Joy Shannon Scott Michelle Beatty Lori Knowles Geoff Shapiro Carol Bernier Dan Limmer Karen Shipman Allison Bloom Jeff Lohr Cody Simpson Erin Bond Kevin Mahoney Reed Smith Gregg Brady Jeanette Mann Matt Snyder(Tbd) Sam Burnette Chris Martinka Donna Speakes Sam Burnette Connie Mattera Duane Tenney Amy Cantwell Amanda Mccomas Titus Tero Madison Carroll Tammi Mckinley Jason Torres Andrew Carver Justin Miles Jeremy Wampler Katherine Challis Margaret Mittelman Marshall Whahram Frank Cheatham John Morgan Melissa Whitney Daniel Conforti Steven Moring Kenneth Williams Michael Cook James Moss Lee Williams Carl Cowan Katherine Murray Joshua Wimer Matt Dreher Gregory Neiman Allen Yee Evelyn Edwards Bryan Nix Tori Zobel Bryan Ericson 53 40th Annual Virginia EMS Symposium Symposium Seminars & Meetings EMS Emergency Management Committee Injury and Violence Prevention Committee Financial Assistance Review Committee Wednesday, November 6 Wednesday, November 6 Thursday, November 7 9:30 a.m. 3:00 p.m. 1:00 p.m.

Legislation and Planning Committee Emergency Preparedness and Response Virginia Association of Governmental EMS Wednesday, November 6 Committee Administrators (VAGEMSA) 10:00 a.m. Thursday, November 7 Thursday, November 7 7:00 p.m. State EMS Advisory Board 8:00 a.m. Wednesday, November 6 1:00 p.m. System Improvement Committee Thursday, November 7 Prehospital Care Committee 8:00 a.m. Wednesday, November 6 1:00 p.m. Workforce Development Committee Friday, November 8 Post Acute Care Committee 10:00 a.m. Wednesday, November 6 Trauma Administrative and Governance 1:00 p.m. Committee Thursday, November 7 Acute Care Committee 10:30 a.m. Wednesday, November 6 3:00 p.m. Meeting locations and times are subject to change. For the latest information, visit the on-site registration desk on the 3rd floor of the Marriott. Symposium Program Committee

Gary R. Brown R. Jason Ferguson Marcia Pescitani Director Central Virginia Community College Vendor Hall Manager Virginia Office of EMS Donna Galganski-Pabst Steve Rasmussen Debbie Akers Consumer, Virginia Emergency Nurses Association, Chair, James City County Fire Department VCU Medical Center Division of Accreditation, Certification and Education Manager Lori Knowles Ray Whatley Virginia Office of EMS Deputy Chief for EMS Operations Northern Virginia EMS Council Stafford County Fire & Rescue Bill Akers Melissa Whitney Southwest Va. Community College George Lindbeck Member-at-Large Medical Director Jason Ambrose Virginia Office of EMS Allen Yee, M.D. Member-at-Large Consumer, Karen Owens Operational Medical Director, Camela Crittenden Virginia Office of EMS Chesterfield Fire and EMS Virginia Office of EMS Ronald Passmore Melissa Doak Virginia Office of EMS Member-at-Large York County Fire and Life Safety Tim Perkins Virginia Office of EMS David Edwards Virginia Office of EMS

Symposium Steering Committee Gary R. Brown Tristen Graves David Jolly Symposium Chairman, Public Relations Assistant Symposium AV Coordinator, Director, Virginia Office of EMS Virginia Office of EMS Curriculum/QA Chief Virginia Department of Fire Programs Scott Winston Irene Hamilton Symposium Co-Chairman, Executive Secretary Senior Greg DeYoung Assistant Director, Virginia Office of EMS Virginia Office of EMS Norfolk Fire/Rescue, Fire Captain Debbie Akers Adam Harrell Marcia Pescitani Program Committee Chair, Business Manager Vendor Hall Manager Division of Accreditation, Certification and Virginia Office of EMS Program Committee Second Vice-Chair Education Manager Virginia Office of EMS Marian Hunter Public Relations Coordinator Frank Cheatham Virginia Office of EMS Symposium Logistics Section Chief, Logistics Coordinator Virginia Office of EMS

40th Annual Virginia EMS Symposium 54 Exhibit Hall Information Hours of Operation: Thursday, Nov. 7, 2 - 7 p.m. • Friday, Nov. 8, 9 a.m. - 3 p.m. & 5:45 - 7:45 p.m. Saturday, Nov. 9, 9 a.m. - Noon Norfolk Waterside Marriott Vendor Hall: 33 Chesapeake Fire Department Ambulances: 37 Firefighter Cancer Support Network 1 - 2 Fisher Sportswear - Virginia Chapter A1 Vest’s Sales and Service, Inc. 3 Brady 40 Spotsylvania Fire, Rescue and A2 RedStorm Fire & Rescue Apparatus, Inc. 5 Laerdal Medical Corporation Emergency Management A3 Penn Care 6-7 Jones & Bartlett Learning Public 41 DARE County (NC) EMS A4 Southeastern Specialty Vehicles Safety Group 42 CareerCert A5 Atlantic Emergency Solutions 8 Atlantic Emergency Solutions 43 Radford University/ Carilion A6 Goodman Specialized Vehicles 9-10 Stryker Emergency Care 46 Inova Fairfax Medical Campus A7 Northwestern Emergency Vehicles, Inc. 11 Goodman Specialized Vehicles 47 HCA Virginia A8 FESCO Emergency Sales 12-13 Fire Rescue Tactical 48 Reston Hospital Center 14 Children’s Hospital of The King’s 50 Children’s Hospital of Richmond Hallway Tables: Daughters - ED at VCU 17 Norfolk Fire-Rescue 51 VCU Medical Center T-1 Mary Washington Healthcare 18 Navy Region Mid-Atlantic Fire & 52 -53 Riverside Health System T-2 Virginia EMS for Children Emergency Services 54 Priority Dispatch T-3 Medical Transport, L.L.C. 19 Associates in Emergency Care 55 VAGEMSA T-4 Richmond Ambulance Authority 23 PHI Air Medical 58 Mercury Medical Rider Alert 24 Columbia Southern University 59 LifeCare Medical Transports, Inc. T-9 Virginia Hospital & Healthcare 25 iSimulate 61 Penn Care Association 26 Va. Dept of Treasury Unclaimed 62 Carilion Clinic Patient Transportation T-17 VATRO Property Program 63 Life Evac T-23 Physicians Transport Service 27 Maryland Fire Equipment 64 Nightingale Regional Air Ambulance T-24 American Medical Response 29 Virginia Association of Volunteer 66 UVA - Pegasus Rescue Squads 31 Z-Medica

Hilton Norfolk The Main Vendor Hall:

101 Teleflex Inc. 103 EMSAR 104 Active Threat Solutions LLC 106 Sovereign Medical, Inc. 114 Philips Healthcare 117 Middle Peninsula Insurance 118 Gaumard Scientific 120 Integrity Billing Technology 123 Whelen Engineering Co Inc. 126 Apollo Training Group 127 EMS|MC 128 First Line Technology 131 Chesterfield Insurers Fire & Rescue Agency 132 Luna Innovations 134 CAE Healthcare 135 Pulsara 136 - 137 Stryker Emergency Care (Treatment) 139 -141 Bound Tree Medical 142 ZOLL MEDICAL 143 ZOLL (DATA) 144 AIM Ambulance Information Management 146 MDAssociates, Inc.

Please note: Vendors are subject to change. An updated list will be available on the Symposium website and on-site at the event.

55 40th Annual Virginia EMS Symposium 40th Annual Virginia EMS Symposium 56 57 40th Annual Virginia EMS Symposium 40th Annual Virginia EMS Symposium PRST STD 1944 Peters Creek Road NW U.S. Postage PAID Roanoke, VA 24017-1613 Permit No. 1001 Richmond, VA

Save the Date for Future EMS Symposiums Nov. 10 - 15, 2020 Nov. 2 - 7, 2021

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