2 www.oregonemsconference.com Greetings from the Oregon EMS Conference Committee 2010 is shaping up to be quite the year for new events both locally and nationally. We’ve seen a number of high profile fire service management personnel within our state retire or change positions this year. We’ve seen Medicare (or should I say CMS) reimbursements go down and up in a few short months and we’ve seen historic disasters at home and around the Oregon EMS world. Conference 2010 And now your Oregon EMS Conference is having a number of “firsts” in Excellence in Education 2010. CONFERENCE LOCATION For the first time Salem, the State Capital, will be the host of The Oregon Salem Conference Center EMS Conference. The Salem Conference Center is shaping up to be a 200 Commercial St SE great facility to host what is the largest EMS Conference in Oregon. For that Salem, OR 97301 matter we are the only centralized EMS conference on the West Coast. www.salemconferencecenter.org Another first is our keynote speaker, Randolph Mantooth, (Johnny Gage The Grand Hotel (attached to the from the show Emergency), who will be making his debut for the first time. Salem Conference Center) Randolph’s character Johnny Gage and his partner Roy DeSoto (played www.phoenixgrandhotel.com by Kevin Tighe) were the motivation for thousands of folks to become 877-540-7800 (Say you are with paramedics and enter the world of EMS. While these actors played the role, the Oregon EMS Conference) it was really Jame’s Page the Grandfather of EMS that was the nuclei for the movement of pre-hospital care as we know it today. Jim’s knowledge Room rates are available until led this show to portray pre-hospital providers as never shown before. Tuesday, September 10, 2010. Randolph Mantooth’s speaking engagement at the conference is being Room Rates: sponsored by a substantial contribution from Life Flight Network. Please $119 - two queen beds or king join the committee in thanking Life Flight Network for making this possible. $129 - double rate And finally we are having our first Cadaver Lab. The conference committee has been trying for years to host one of these educational opportunities and all the elements have finally come together in Salem to allow us to Cover Artist Michael T. Gilbert bring you this excellent training opportunity. Class size will be limited but Over the years Michael’s those involved will see firsthand how the treatments you practice enter written or drawn comics starring Superman, Batman, Dr. the human body. Students will be able to perform skills they’ve only been Strange, Elric, and the Disney able to do previously on manikins. There are many agencies that are owed characters. But his signature a huge thank you for their work for bringing this to you. Thanks to the creation remains his fearless monster-fighting superhero, Oregon Health & Science University Hospital and Salem Hospital for their Doc Stearn … Mr. Monster! partnership in bringing you this opportunity. Additionally, Mr. Monster also hosts “Mr. Monster’s Comic Salem and the surrounding area have lots to offer both you and your guest Crypt,” a monthly column for all sorts of entertainment. Personnel will be available at the registration devoted to comic book history for Alter Ego magazine. A table to help you pick one of the many events to experience while you’re in published comic book artist town. since 1973, Michael has also designed t-shirts, TV graphics Thank you for everything you do on a daily basis and for your support and gruesome tattoos. Those in making our conference such a success. I hope to see you during the interested in commissioning art can contact him at: conference and remember as always, [email protected] He currently lives in rain- Play safe, train hard, and keep an eye on your partner, drenched Oregon with his wife, Oregon EMS Conference Committee Chair Janet ––and the huge, festering pile of pulp he laughingly calls his comic book collection! Dave Lapof

www.oregonemsconference.com 3 American Medical Response Northwest

Patient Focused • Customer Centered • Caregiver Inspired

Join Our Team • Advanced Life Support 9-1-1 Provider in Multnomah, Clackamas and Josephine Counties • Basic Life Support “Employment Opportunities for • Critical Care Transport EMT First Responders, Basic, • Community Education Intermediate and Paramedic” • Mobile Health Care • National Disaster Response Team AMR is the nation’s leading provider of • Reach and Treat Mountain emergency medical services, medical transportation, Rescue Team and specialized healthcare services. Our mission is • River Rescue Response Team “to make a difference by caring for people in need.”

( In case of an emergency, please dial 9-1-1.

One SE 2nd Avenue, Portland, Oregon For employment opportunities please contact Jennifer Stoner at (503) 736-3469 or email [email protected] Visit our website at www.amr.net

4 www.oregonemsconference.com Thursday, October 7 Pre-Conferences at a Glance 0800 - 1200 with Life Flight Network, and REACH Air Pre-Conference ALS Skills Medical Services (repeats at 1300) 0800 - 1200 Cadaver Lab with Dr. Brion Benninger (repeats at 1300) 0800 - 1200 Today’s Preparations Will Determine Tomorrow’s Outcomes with Jeff Rubin ALS Skills 102 Civil Support Team Capabilities Brief with Captain Presenters: Life Flight Network, and Gregg Ramirez REACH Air Medical Services 1300 - 1700 ALS Skills with Life Flight Network, and REACH Air 0800 - 1200 (repeats at 1300) Medical Services (repeat of 0800 session) Hands-on skills session of advanced 1300 - 1700 Cadaver Lab with Dr. Brion Benninger (repeat of 0800 session) skills. Appropriate for Paramedics and RNs. Come refresh your memory of 1300 - 1700 Weapons of Mass Destruction with Mike Verkest advanced airway techniques, needle 0800 - 1700 Assessment & Treatment with Mike Pante & Richard Kalasky decompression, and other life saving interventions. This is your chance to review 1830 - 2130 Interesting and Diverse Case Studies of People high risk, low frequency interventions. Around the Nation and World with Dr. Matt Eschelbach FREE ADMISSION - Open to Public Demonstrating the Anatomical Architecture of Emergency Procedures (Cadaver Lab) and anatomy education for health care was an Asst. Dean and taught a semester- Presenter: Dr. Brion Benninger professionals. Teaches clinical anatomy long Wilderness Medicine class. Jeff 0800 - 1200 (repeats at 1300) to surgical residents, medical, dental, was a participant in the NATO Advanced and allied health students at OHSU. Has Research Workshop on Mass Casualty Using a human cadaver, common edited and authored several texts which Events held in Haifa, Israel, in April 2005 emergency procedures will be include Netters Atlas 5th Edition, Parrot and has participated as a faculty member demonstrated. Attendees will have the vs. the Architect, Visual Human Dissector, at several national and international opportunity for hands-on participation. and a new dissection manual and a head conferences, including many years with Following each specific demonstration, and neck clinical anatomy text due to be the Texas EMS Conference. Jeff is the Co- further dissection will be conducted released in 2011. Has mentored several Chairman of the First Responder Working to support the theory of the subject students and taken 70 clinical anatomy Group under the US Dept. of Homeland technique. Controversies regarding research projects during the last four Security’s Science and Technology these techniques will be discussed. The years to national conferences and sits on Directorate, serving as a clearinghouse following emergency procedures will multiple national committees. for technology requirements and advising be included, but other procedures may be incorporated: Emergency airway DHS on priorities for development. (Cricothyrotomy and Intubation); Carotid Today’s Preparations Will massage; Cardiac massage/resuscitation; Determine Tomorrow’s 102 Civil Support Team Scalene block for upper limb trauma; Outcomes Capabilities Brief Supraclavicular tamponade to control Presenter: Jeff Rubin Presenter: Captain Gregg Ramirez 1100 - 1200 upper limb bleeding; Thoracentesis; 0800 - 1100 Pericardiocentesis; Emergency relief of What kind of earthquake and tsunami The mission of Weapons of Mass tension pneumothorax; Paracentesis; hazards do we face in Oregon and how Destruction Civil Support Teams (WMD- Acute organ trauma; Peripheral venous could they affect us? How can you and CST) is to support local and state access – neck (upper limb, lower limb); your organization prepare for them and authorities at domestic WMD/NBC incident Arterial pulses. Space is limited so what resources are available to assist you? sites by identifying agents and substances, register early! assessing current and projected Recent incidents offer some lessons. Brion Benninger, MD MSc, trained in consequences, advising on response England in surgery and trauma. Also Jeff Rubin has been Tualatin Valley Fire & measures, and assisting with requests for received Masters in Sports Medicine and Rescue’s emergency manager since 2001. additional military support. Before that, he was a Hazardous Materials was Chief Medical Officer for motorcar Gregg Ramirez is currently the Medical Captain in the Special Operations Section and motorbike racing, and physician Operations Officer (Captain) for the 102nd of Austin EMS, also working in mass to National teams. Worked at Queen’s WMD Civil Support Team. He has a BS casualty planning, hazmat/WMD planning Medical Center, Nottingham, England, in Education, and Advanced and Critical and response, and hospital preparedness. busiest emergency room in Europe. Care Paramedic certification. He has Jeff also served as a firefighter and During residency training was mentored been a practicing Paramedic since 1995 company officer with Travis County by Sir Harold Ellis (Surgeon and Clinical beginning at OHSU and was recently the (Texas) ESD#4. Jeff holds a BS from Yale Anatomist). Research interests include Director of Paramedic Education at the clinical anatomy, soft tissue rehabilitation, University, and an MA and PhD from the University of Texas at Austin, where he Northwest Regional Training Center.

www.oregonemsconference.com 5 (ATT) represents the state-of-the-art in Thursday, October 7 prehospital trauma assessment and management. Based on the most current Pre-Conference medical information and best practices, continued this concise and highly interactive continuing education course covers the critical knowledge and skills necessary to rapidly evaluate, stabilize, and transport ALS Skills the trauma patient. Hands-on skills Presenters: Life Flight Network, and stations, live-action video, and small REACH Air Medical Services group scenarios offer the most dynamic Scholarships Available 1300 - 1700 (repeat of 0800 session) trauma course. Richard Kalasky is a current National, See registration page 17 See description and bio on page 5. Georgia and Colorado Paramedic. He The Oregon State Ambulance has been involved in EMS for almost 15 Association is a group of dedicated Demonstrating the Anatomical years. He currently works for Jones and emergency ambulance service pro- Architecture of Emergency Bartlett AAOS Publishers as a Public viders from around the state. Member- Procedures (Cadaver Lab) Safety Specialist, in charge of educating ship is comprised of both private and Presenter: Dr. Brion Benninger EMS professionals. He also currently is public members with the mission to 1300 - 1700 (repeat of 0800 session) the Training and Education Coordinator work collaboratively on legislative and operational issues. The association See description and bio on page 5. for Crested Butte Fire Protection District/ Gunnison Valley Hospital. makes these scholarships available to encourage better trained EMTs of all Michael Pante is a paramedic, educator Weapons of Mass Destruction levels throughout the state. Course and author. He has been involved in EMS For more information please con- Presenter: Mike Verkest for over 20 years and has taught students tact, Nan Heim Executive Director at 1300 - 1700 from across the world in subjects ranging from trauma to pediatrics and geriatrics. [email protected] Developed by the National Domestic He was the lead author and editor for the Preparedness Consortium (NDPC), the new Assessment and Treatment of Trauma Standardized Awareness Authorized Training course is a five-hour training textbook and course. Medical Center, Redmond, OR. He course that provides instruction on: returns this year as Medical Director for prevention and deterrence, chemical and Interesting and Diverse Case the Oregon EMS Conference. In addition biological agents, radiological materials, Studies of People Around the to his duties as an ER physician he also explosives, and the Emergency Response Nation and World serves as EMS Physician Advisor for Guidebook. 1830 - 2130 FREE ADMISSION Redmond, Lapine, Sunriver, Crescent Mike Verkest, A.A.S, EMT-P has been in Presenter: Dr. Matt Eschelbach and Chemult EMS agencies. He is a Emergency Medical Services since 1995. Come spend an evening with Dr. Matt member of the EMT Advisory Committee He started his career in Southern Oregon Eschelbach reviewing real life case at the Oregon Medical Board where he working as an EMT-Basic for American studies of some of the more challenging helps guide direction for Oregon EMS. Medical Response, NW. Since then, individuals we meet on a daily basis. Dr. He was the recipient of the “2003 EMS he has worked as an EMT-Intermediate Eschelbach’s presentation will take place Medical Director of the Year”, awarded by and Paramedic. In 2004, he became an in an informal setting where attendees the Oregon Health Division . His work Operations Supervisor in Multnomah may eat popcorn and enjoy a beverage. includes establishing region wide EMS County, OR and served in that position Obtain CE and have a good time doing it. protocols and EMS education. for 4 years. He currently serves as the This is always a fun educational time. Training Officer for Multnomah County. Dr. Matthew Eschelbach is the Director He has received the National Star of of Emergency Medicine for St Charles Life Award and the Oregon EMS Impact Medal. Mike is an Advanced Disaster Life Support Instructor and enjoys educating responders about WMD/CBRNE events. He has attended many courses at the FEMA Center for Domestic Preparedness in Anniston, Alabama.

Assessment and Treatment of Trauma (ATT) Presenters: Richard M. Kalasky & Mike Pante 0800 - 1700 Course is for all levels, BLS and ALS. Assessment and Treatment of Trauma

6 www.oregonemsconference.com Conference at a Glance - Friday, October 8, Conference Day 1

0700 - 0745 FRIDAY REGISTRATION

0800 - 0910 General Session- EMS: Then and Now with Randolph Mantooth

0930 - 1700 Oregon EMS Directors’ Forum (Open to EMS Managers)

0920 - 1030 Advanced ECG Computerized Analysis with Dr. Mohamud Daya (repeats at 1055 session)

0920 - 1030 Age and Trauma, How Age Affects Injury with Mike Pante (repeats at 1055 session)

0920 - 1030 Risk Management of Infectious Diseases with Pat Preston (Part I)

1030 - 1055 BREAK IN THE EXHIBITOR HALL

1055 - 1205 Advanced ECG Computerized Analysis with Dr. Mohamud Daya (repeat of 0920 session)

1055 - 1205 Age and Trauma, How Age Affects Injury with Michael Pante (repeat of 0920 session)

1055 - 1205 Risk Management of Infectious Diseases with Pat Preston (Part II)

1205 - 1315 LUNCH BREAK IN THE EXHIBITOR HALL

1315 - 1425 Rural Pediatric Emergency Medicine with Dr. Kristi Nix

1315 - 1425 Environmental Emergencies with Dr. Cornelius Peeples (repeats Saturday)

1315 - 1425 The Difficult Airway: Identification/Management with Dr. Robert Vissers (repeats at 1435 session)

1435 - 1545 Service with a Smile--Dealing with the Hostile Patient with Steve Berry

1435 - 1545 First Responders Evacuating People with Disabilities in a Disaster with Dr. Jerry Ryan

1435 - 1545 The Difficult Airway: Identification & Management with Dr. Robert Vissers (repeat of 1315 session)

1545 - 1610 BREAK IN THE EXHIBITOR HALL

1610 - 1720 General Session -- If Life is Worth Saving, It Must be Worth Living with Steve Berry

Friday Evening 1815 - 1845 NO HOST COCKTAILS 1845 - 2130 Oregon EMS Trauma Systems Awards Banquet Attire: Business or Dress Uniform

www.oregonemsconference.com 7 Advanced ECG Computerized will be identified and reviewed. Modes of Friday, October 8 Analysis transmission of these identified diseases Conference Day 1 Presenter: Dr. Mohamud Daya to the EMS professional will be discussed. 0920 - 1030 (repeats at 1055) Mr. Preston is a consultant, lecturer and Participants will learn about the recent author with a national private practice advances in computerized ECG analysis specializing in the control and prevention along with their potential applications of community-based infectious diseases. and roles in the EMS setting. This will His 37-year practice has focused on the General Session include a discussion of culprit artery management of infectious-diseases- identification and right ventricle MI exposure risks for professionals in the EMS: Then and Now healthcare industry and post-exposure Presenter: Randolph Mantooth detection, identification of acute global myocardial ischemia and role of ischemia follow up protocol. SPONSORED BY LIFE FLIGHT NETWORK risk predictive software such as ACI-TIPI. 0800 - 0910 The format will involve interactive case Advanced ECG Computerized This program explores the state of discussions as well as review of pertinent Analysis emergency response systems in the literature on these subjects. Presenter: Dr. Mohamud Daya United States prior to 1970, and discusses Mohamud Daya MD, MS is the EMS 1055 - 1205 (repeat of 0920 session) the genesis of the fire-based paramedic medical director for Tualatin Valley Fire program. The lecture focuses on the See description and bio on page 8. & Rescue, Forest Grove Fire & Rescue people responsible for the creation of the and the Washington County Consolidated modern paramedic/EMT concept and Communications Agency. He is also Age and Trauma, How Age its introduction to the American public. It an Associate Professor of Emergency Affects Injury also delves into the unique role played Medicine at the Oregon Health & Science Presenter: Micheal Pante by television’s first reality-based series in University. 1055 - 1205 (repeat of 0920 session) accelerating the implementation of EMS systems nationwide during the 1970s. The See description and bio on page 8. program will give EMS providers a clear Age and Trauma, How Age view of where they came from, and the Affects Injury Risk Management of Infectious steps it took to get to where EMS is today. Presenter: Micheal Pante Diseases Part 2 0920 - 1030 (repeats at 1055) Randolph Mantooth is a professional Presenter: Pat Preston actor, director, producer, and screenwriter. Injury affects the human body differently 1055 - 1205 A graduate of the American Academy as we age. As EMS providers we care for With consideration of the contents of Dramatic Arts in New York, he has trauma patients of every age. But what presented in the PART 1 lecture, this over eighty acting credits in television, makes children and the elderly respond lecture is designed to identify the national film, and theater. His starring role as Los differently to injury? The presentation will guidelines for control and prevention Angeles County Firefighter/Paramedic discuss the differences seen in the causes of commonly-encountered infectious John Gage in the 1972-1979 television of trauma, the response to injury by the diseases in the community setting. series “EMERGENCY!” helped propel body and treatment strategies for both Principles of hand hygiene, equipment the concept of fire-based paramedics ends of the age spectrum. into nationwide awareness. Randy disinfection, employee immunizations, Michael Pante is a paramedic, educator and work restrictions of employees who has maintained close personal and and author. He has been involved in EMS professional ties with the firefighting and are ill with communicable diseases will be for over 20 years and has taught students reviewed. emergency medical services communities from across the world in subjects ranging See bio on page 8. throughout his life, and has been a popular from trauma to pediatrics and geriatrics. speaker at Fire and EMS Conferences He was the lead author and editor for the since 1982. new Assessment and Treatment of Trauma Rural Pediatric Emergency textbook and course. Medicine Presenter: Dr. Kristi Nix Risk Management of Infectious 1315 - 1425 Diseases Part 1 Learn about common prehospital Presenter: Pat Preston presentations in pediatrics patients. Includes discussion of common 0920 - 1030 complications of resuscitation. The lecture is designed to acquaint the EMS professional with the risks of Dr. Nix is a general pediatrician in Bend, acquiring an infectious disease as a Oregon. She moved to Oregon in result of performing task while on duty. A November after working on the Navajo review of the global emergence of new Rerservation in Northern Arizona for the and commonly-encountered organisms past five years. She served as the Chief of causing infectious diseases in community- Pediatrics in Chinle, Arizona and worked dwelling residents will be presented. closely with prehospital and emergency Community-based infectious diseases room services. Training: Pediatric which pose a risk to the EMS professional Residency at University of Washington.

8 www.oregonemsconference.com www.oregonemsconference.com 9 subjects, with an emphasis on difficult with situational scenarios where we would Friday, October 8 airway management. Dr. Vissers resides in pair first responders and provide scenario Portland with his wife and four children. cards. Conference Day 1 Jerry D. Ryan received a PhD in Natural Continued Service with a Smile--Dealing Health in 2005 from Clayton College, with the Hostile Patient Birmingham, Alabama. He provides Presenter: Steve Berry his services as a Life Coach/Natural Health Consultant. He has served as the 1435 - 1545 Cold Illness - Heat Illness, President of Oregon Paralyzed Veterans Many psychiatric calls are purely Environmental Emergencies of America (PVA), a member of the VA behavioral in nature. They are often the VISN20 SCI Advisory Board, a member Presenter: Dr. Cornelius Peeples result of overwhelming and cumulative of the Portland VA Institutional Review 1315 - 1425 (repeats Saturday 0920) stressful events. Most require little more Board, as a member of the National PVA Dr. Peeples will discuss the complications than reassurance and comfort by the Education Foundation Board, and as a of treating patients in varying temperature health care provider. We may, however, facilitator for Healthy Lifestyles for the climates and how to use assessment tools lose sight of providing such compassion Disabled workshops. His background for these delicate patients. secondary to the accumulated stress we experience includes years of training as Dr. Peeples specialized in emergency face ourselves in EMS. By learning how to a bodybuilder and martial artist. He is medicine at the University of Wisconsin honor yourself, you can most often disarm currently studying for a Masters degree Medical School, and completed his behavioral confrontations without the use in Vocational Rehabilitation Counseling at residency in Emergency Medicine at of restraints and/or medication. Portland State University. UCLA. He is currently an attending Steve Berry, BA, NREMT-P; a former physician at St. Charles Medical Center, teacher and interpreter for the hearing The Difficult Airway: Emergency Department in Bend, impaired, Steve has published 10 Oregon. He is also the Medical Director EMS related cartoon books since his Identification and for DCSSAR, and a Swat Team Tactical escapades as a paramedic/EMS instructor Management in EMS Physician. began 22 years ago. Steve writes a Presenter: Dr. Robert Vissers monthly humor column for Jems magazine 1435 - 1545 (repeat of 1315 session) along with cartoon illustrations for both The Difficult Airway: See description and bio on page 10. Jems and FireRescue magazines. A Identification and part-time paramedic with Cripple Creek Management in EMS Ambulance and the Broadmoore Fire General Session Presenter: Dr. Robert Vissers Protection District in Colorado Springs, If Life is Worth Saving, It Must be 1315 - 1425 (repeats at 1435) Steve seeks world peace along with Worth Living Presenter: Steve Berry Dr Vissers will look at challenging airway frequent flyer mileage. situations and the strategies to overcome 1610 - 1720 these challenges. An in-depth review of Tips for First Responders Humor is a gift we are born with and, new and old airway devices and how they Evacuating People with used positively, is a source of major help the EMS responder managing the Disabilities in a Disaster stress reduction, but it must nurtured and difficult airway patient. often times relearned for those working in Presenter: Dr. Jerry Ryan emergency health care. Our profession Robert J. Vissers is the Associate 1435 - 1545 Chief Medical Officer and Director of attracts some of the most dedicated and Emergency Services at Legacy Emanuel The presentation/training is targeted at compassionate people. So much so Medical Center in Portland, Oregon. He first responders emphasizing the idea that that they often neglect their own needs. also serves as an adjunct professor at no matter what type of emergent situation, Join Steve as he combines his EMS and Oregon Health Sciences University. Dr. natural or man made, first responders cartooning backgrounds to speak the Vissers attended the Residency Program would need the skill set and knowledge message of health and humor. to address the needs of individuals in Emergency Medicine at Vancouver See bio on page 10. General Hospital, Vancouver, BC, Canada; with disabilities. The training provides was an attending physician at Brigham disability specific tips and best practices and Women’s Hospital at Harvard Medical for first responders when encountering School and was the Residency Director individuals with disabilities. Disabilities of Emergency Medicine at the University covered include: Seniors, People with of North Carolina in Chapel Hill for seven Service Animals, People with Mobility years. Dr. Vissers works clinically as an Impairments, People with Autism, People emergency physician in a Level 1 Trauma who are Deaf or Hard of Hearing, People Center, caring for both adults and children. who are Blind or Visually Impaired, People He is a popular speaker at medical with Cognitive Disabilities, People with conferences, both in the United States Multiple Chemical Sensitivities, People and abroad. Dr. Vissers is a national who are Mentally Ill. The training ends expert in airway management and patient flow. He has authored over 50 book chapters and countless articles on many

10 www.oregonemsconference.com Rural/Metro Ambulance

Embark on New Opportunities

Enjoy a Future Rural/Metro Services: with a Higher Degree • Emergency 9-1-1 • Non-Emergent Care of Professional Success! • Pre-Scheduled Rural/Metro provides top of the line Alternative Transport Care equipment with competitive pay • Bariatric Transport Services and benefits. • Event Medical Stand-By Services

(503) 315-2260 Learn more at www.ruralmetrosalem.com

www.oregonemsconference.com 11 Conference at a Glance - Saturday, October 9, Conference Day 2

0700 - 0745 SATURDAY REGISTRATION

0800 - 0910 General Session - Building a Foundation: BLS in an ALS World with Mark Rock

0920 - 1030 Resuscitation of Hemorrhagic Shock in 2010 with Dr. Martin Schreiber (repeats at 1055)

0920 - 1030 The Hole Story: The Implications of Body Piercing with Steve Berry

0920 - 1030 Environmental Emergencies with Dr. Cornelius Peeples (repeat of Friday’s Session)

1030 - 1055 BREAK IN THE EXHIBITOR HALL

1055 - 1205 Resuscitation of Hemorrhagic Shock in 2010 with Dr. Martin Schreiber (repeat of 0920 session)

1055 - 1205 Rural Basics or How Not to Kill Your Patient on a 2 hour Transport with Jill Simmons

1055 - 1205 Common Pediatric EMS Calls: Separating the Good from the Bad with Dr. Ritu Sahni

1205 - 1315 LUNCH BREAK IN THE EXHIBITOR HALL

1315 - 1425 General Session - Finding Humor in the Crazy World of EMS: Welcome to the Dark Side with Steve Berry

1435 - 1545 Top Ten Papers on Pre-Hospital Care with Dr. Richard Mullins (repeats at 1610)

1435 - 1545 Diversity: One Size Doesn’t Fit All with Dr. Ed Wilgus and Victor Hoffer

1435 - 1545 Importance of Systems of Care with Dr. Joaquin Cigarroa (repeats at 1610)

1545 - 1610 BREAK IN THE EXHIBITOR HALL

1610 - 1720 Top Ten Papers on Pre-Hospital Care with Dr. Richard Mullins (repeat of 1435 session)

1610 - 1720 Oh No! Not Another Pregnant Patient with Dr. Ritu Sahni

1610 - 1720 Importance of Systems of Care with Dr. Joaquin Cigarroa (repeat of 1435 session)

Mission Statement Oregon EMS Conference

To provide the highest quality educational conferences for EMTs of Oregon, respecting the diversity of the settings in which they work and drawing from all walks of service to develop curricula that are well balanced and relevant.

12 www.oregonemsconference.com research interests include resuscitation, Dr. Ritu Sahni is current Medical Director Saturday, October 9 hemorrhage control and novel blood of the Oregon EMS/Trauma Program products. and Associate Professor of Emergency Conference Day 2 Medicine at Oregon Health & Sciences The Hole Story: The Implications University. He is current Medical Director of Body Piercing of the Lake Oswego Fire Dept and previously held the position of Medical Presenter: Steve Berry Director of Life Flight Network. Dr. Sahni 0920 - 1030 also serves on the Board of Directors Body piercing has become a common for the National Association of EMS General Session phenomenon in all areas of the country. Physicians and the National Registry of Building a Foundation: BLS in Why do people do it and what are the EMTs. an ALS World health risks? Mr. Berry will review some of Presenter: Mark Rock the ways they may interfere with standard General Session 0800 - 0910 treatment for those working in emergency Finding Humor in the Crazy The past ten years have seen an explosion health care. World of EMS: Welcome in advanced level care, but has this come See bio on page 10. to the Dark Side at the expense of the BLS that provides Presenter: Steve Berry the basis for sound EMS? EMS Author, Cold Illness - Heat Illness 1315 - 1425 Educator, and JEMS EMT and Paramedic Presenter: Dr. Cornelius Peeples Those working in the field of emergency Advisory Committee (EPAC) member 0920 - 1030 (repeat of Friday session) medicine often times have to respond Mark Rock explores this topic against a to scenes involving horrific trauma and background of EMS’ transition from BLS See description and bio on page 10. death, and yet they must not only keep intensive to ALS intensive, and explains working the remainder of their shift, but why, in an ALS world, BLS continues to be Resuscitation of Hemorrhagic they must do it again the next day and indispensible. Shock in 2010 the next. How do they do this? For many, Mark Rock is an alumnus of the University Presenter: Dr. Martin Schreiber gallows humor offers a momentary respite of Oregon and did post-graduate work 1055 - 1205 (repeat of 0920 session) from their sense of loss and pain. Most at Portland’s Neurological Sciences See description and bio on page 13 people outside our profession view this as Institute before moving to Los Angeles in going beyond the bounds of good taste. the 1980’s. Rock first practiced EMS as Rural Basics or How Not to But we know in spite of such tragedies, a Lifeguard on the beaches of southern amusing incidents happen anyway, and California, and then went on to serve as a Kill Your Patient on a 2-hour that sometimes humor is the only weapon Paramedic in both private and fire-based Transport we have. Sometimes it’s just an inner systems. Most recently, Rock travelled to Presenter: Jill Simmons chuckle that tells us “we’ll get through Columbus, OH, where he assisted with the 1055 - 1205 this.” We all need to sharpen our senses development of the NREMT examinations. Basic tips for handling rural patients on on calls. Join Steve as he encourages us He continues to practice as a Paramedic long distance transports. Including tips on to enhance our sense of healthy humor in the greater Los Angeles area. why we trend our patients, understanding while touching your heart with hope and capnography, pediatric helps and hints understanding. Resuscitation of Hemorrhagic and tips for helping your crew work See bio on page 12. Shock in 2010 smoothly. Presenter: Dr. Martin Schreiber Jill is a paramedic firefighter with Crook Top Ten Papers on Pre Hospital 0920 - 1030 (repeats at 1055) County Fire and Rescue and Deschutes Care County Sheriff’s Search and Rescue. She The presentation is designed to describe Presenter: Dr. Richard Mullins is also the training center coordinator for the optimal resuscitation of the trauma Code Ready Training in Central Oregon 1435 - 1545 (repeats at 1610) patients in hemorrhagic shock. The and is a regional faculty in both ACLS and A power point lecture presentation on the presentation will focus on the goals of BLS for the American Heart Association. Top ten papers published in the past 5 resuscitation as well as resuscitation Jill teaches a variety of classes including years on the topics regarding pre hospital endpoints. Different fluids for resuscitation care of injured patients. will be compared and contrasted and PHTLS, PALS, ACLS and PEPP. the concept of fluid as a drug will be Richard Mullins, MD is a Professor of discussed. The concept of hemostatic Common Pediatric EMS Calls: Surgery at Oregon Health and Science resuscitation will be introduced. Separating the Good from the University. He was Chief of the Trauma service at OHSU from 1989-2008. He Dr. Schreiber is the Chief of Trauma, Bad is a graduate of Tufts Medical School, Critical Care and Acute Care Surgery at Presenter: Dr. Ritu Sahni was trained in General Surgery at OHSU, Oregon Health & Science University. He 1055 -1205 and had trauma fellowships at the Grady is also a Lieutenant Colonel in the US This lecture will use a case based fromat Hospital in Atlanta and Detroit Receiving Army Reserve and he was deployed to to stimulate discussion about these Hospital. Operation Iraqi Freedom giving him a common calls and how to differentiate the unique view of trauma resuscitation. His serious from the not so serious.

www.oregonemsconference.com 13 14 www.oregonemsconference.com Importance of Systems of Care Oh No! Not Another Pregnant Saturday, October 9 Presenter: Dr. Joaquin Cigarroa Patient Conference Day 2 1435 - 1545 (repeats at 1610) Presenter: Dr. Ritu Sahni Continued Dr Cigarroa will discuss the value of a 1610 - 1720 systematic approach to patient care and This lecture will be a “rapid – fire” overview how it can benefit the outcome for the of OB – related emergencies. The focus patient in a positive way. Knowing what is will be on non-childbirth emergencies involved in the total care of our patients such as eclampsia, placental abruption, will help us make better decisions. This etc. Format will include case reviews and One Size Doesn’t Fit All class is a must for all of us who work in the discussion. Presenter: Dr. Ed Wilgus and Victor Hoffer, medical system. See bio on page 13. EMT-P Dr. Joaquin Cigarroa joined the Division 1435 - 1545 of Cardiovascular Medicine in January Take a look around! The faces of 2006 as Associate Cheif of Clinical Affairs Importance of Systems of Care Oregonians have been rapidly changing! and Director of Cardiac Catheterization Presenter: Dr. Joaquin Cigarroa We look very differently from ten years Laboratories. Dr. Cigarroa’s expertise lies 1610 - 1720 (repeat of 1435 session) ago, five years ago, one year ago. As in the interventional cardiology, which See description and bio on page 15. first responders, do we truly see these he practices in OHSU’s Cardiovascular changes and how do we effectively Medicine Clinic. Research interests manage the dynamics of cultural, linguistic include acute coronary syndromes, and diversity differences? In a thoughtful, cocain and cardiovascular complications, passionate and engaging manner, this and valvular heart disease. Dr. Cigarroa session will not only create a greater graduated from Yale University in 1985, awareness of our changing communities attended Cornell University Medical but will ask the questions, “how are first School and finished his Internship and responders adapting to diversity and the Residency at Massachusetts General cultural context of individuals and the Hospital in Boston. communities served.” Real-life scenarios will paint a picture that echoes the need Top Ten Papers on Pre Hospital for responding in culturally effective ways. Care Ed Wilgus, PhD, is the Diversity Manager Presenter: Dr. Richard Mullins for Salem Health/Hospital. Prior to coming 1610 - 1720 (repeat of 1435 session) to SH, Ed conducted research, writing, A power point lecture presentation on the keynoting and workshops addressing Top ten papers published in the past 5 issues related to systemic human years on the topics regarding pre hospital resources capital management and care of injured patients. diversity. See bio on page 13.

Oregon Certified First Responder and EMT Minimum Continuing Education Requirements

Section 1 - Continuing Education Topics Two Year Certifiation Period Notes/Comments FR EMT-B EMT-I EMT-P Trauma Emergencies 2 3 5 6 Medical Emergencies 2 3 6 8 Pediatric and Obstetric Emergencies 1 3 6 8 Airway, Breating, and Cardiology 2 4 6 9 Miscellaneous EMS Topics (Related Topics) 1 3 1 1 Educational Topics Approved by the Medical Director 4 8 12 16 Total Hours for the Certification Period 12 24 36 48

Section 2 - Clinical Skills Competency At Least One During Certification Notes/Comments Current CPR Certification Yes Yes Yes Yes AHA Healthcare provider or equivalent Airway Management and Adjuncts Yes Yes Yes Yes Proficiency within Scope of Practice Cardiac Arrest Management Yes Yes Yes Yes Proficiency within Scope of Practice Splinting and Immobilization Yes Yes Yes Yes Vascular Access No No Yes Yes Chest Decompression and Cricothyroidotomy No No No Yes

www.oregonemsconference.com 15 16 www.oregonemsconference.com Reset Form Print Form Oregon EMS Conference 2010 Registration CONFERENCE FEES & OFFERINGS Pre-Conference Workshops - Thursday, Oct 7 Pre-conference workshop registration deadline is 9/13/10, Assess & Treatment of Trauma (8a-5p) $149 $ unless noted otherwise. REGISTER EARLY! Space is limited. NOTE: Hotel room rates are available only until September 10, 2010. ALS Skills (8a-12p) $ 69 $ See Page 3 of brochure for details. Cadaver Lab (8a-12p) $ 69 $ Scholarships: A limited number of scholarships are available. To Preparations/Civil Support (8a-12p) $ 69 $ request an application please e-mail Nan Heim, Executive Director of the ALS Skills (Repeat of AM) (1p-5p) $ 69 $ Oregon State Ambulance Association at [email protected] Cadaver Lab (Repeat of AM) (1p-5p) $ 69 $

Conference Registration: Complete form and submit with Weapons of Mass Destruction (1p-5p) $ 69 $ payment to: EMS Conference -T Sielsch Diverse Case Studies (6:30p-9:30p) FREE $ PO Box 30148 Portland, OR 97294 Two-day Conference, Friday & Saturday, Oct 8-9 Please make checks payable to Oregon Research Education Foundation (OREF). Registration must be accompanied by check, Registration on or before 9/13/10 money order or approved credit card (VISA or MC). Unfortunately, Registration (Includes T-shirt and Banquet Dinner) purchase orders cannot be accepted. $249 $ Register with credit card by fax 503-926-9297. Registration form is Registration after 9/13/10 and on-site fillable online at www.oregonemsconference.com Fill it in, print it, Registration (Includes T-shirt and Banquet Dinner) then fax! Registration questions, call 503-781-9405. $299 $

Select T-shirt size* S M L XL XXL XXXL Refunds and Cancellations: Refunds will be given, less a $25 processing fee, if we are *Your T-shirt size may not be available if size is not selected. notified at least 10 working days prior to the start of the conference. Thereafter, NO Select Banquet choice: refunds will be issued. If you cannot attend, you may send a substitute in your place Chicken or Vegetarian provided that we are notified 5 working days prior to the conference. Thereafter, NO I will not be attending banquet substitutions will be made.

Student Rate before 9/13/10 $139 $ Registration Student Rate: Student must be enrolled in an EMT Basic, Intermediate, Student Rate after 9/13/10 $179 $ or Paramedic program (Summer or Fall 2010). You MUST supply a copy of your official registration/schedule for verification along with the conference registration form. For Extra Banquet Dinner Tickets (guests)- Friday night Awards questions about eligibility, please contact Mark Hornshuh at 503-978-5570. There are no x $38 each discounted rates for pre-conference workshops. The student rate does not include Qty T-shirt or Friday awards banquet. Please purchase a dinner ($38) if you would like to Qty of: Chicken Vegetarian $ attend the banquet, noting your meal preference. TOTAL AMOUNT ENCLOSED $ Please indicate your area(s) of interest: ALS ILS BLS Educator/Mgr

Today's Date: EMPLOYER/AGENCY AFFILIATION As you would like to have it written on your name badge. (Please limit to 30 characters, printed clearly)

LAST NAME FIRST NAME M

STREET ADDRESS CITY STATE ZIP

EMAIL ADDRESS (Please print clearly) DAY PHONE EVE. PHONE

I WISH TO PAY BY: CHECK (PAYABLE TO Oregon Research & Education Foundation (OREF) VISA MASTER CARD

CREDIT CARD # EXPIRATION DATE

CARDHOLDER NAME CARDHOLDER SIGNATURE

Check here if you do NOT want your name, address, and phone number supplied to the conference exhibitors.

www.oregonemsconference.com 17 2010 Conference Contributors On behalf of the Oregon EMS Conference and the PLATINUM - DONATION $2,500 and above EMTs of Oregon, we would like to thank the following people and organizations for their generous contribu- American Medical Response/ NW tions of time and effort. Portland, OR Life Flight Network Matthew Eschelbachlbach, DO - Conference Medical Director Aurora, OR Jan Acebo, EMT-P - REACH Air Medical Services Metro West Ambulance Mark Hornshuh, BS, EMT-P - Portland Community College Hillsboro, OR Dave Lapof, EMT-B - Seal Rock FD REACH Air Medical Services David Long - Oregon Research & Education Foundation Corvallis, OR Aaron Monnig, EMT-P - Rural Metro Ambulance Rural Metro Ambulance Bob Renggli, Liaison & PIO - Rural Metro Ambulance Salem, OR Anne Slaughter, EMT-P - City of Bend Fire Department Jennifer Stoner, BS, EMT-B - American Medical Response SILVER - DONATION $500-$999 Pete Tracy - Life Assist, Inc. Oregon EMS Association Bernie Zollner, BS, EMT-P - Life Flight Network Sandy, OR Pacific Surgical, PC Portland, OR

------FOLD HERE------

Oregon EMS Conference Teresa Sielsch, Coordinaor PLACE PO Box 30148 Portland, OR 97294 STAMP HERE

Oregon EMS Conference Teresa Sielsch, Conference Coordinaor PO Box 30148 Portland, OR 97294

18 www.oregonemsconference.com BRAUN NORTHWEST Inc. 1-800-245-6303

Emergency Vehicles www.BraunNorthwest.com

Your complete source for EMS Supplies and Equipment

25 years of outstanding customer service

11277 Sunrise Park Dr., Rancho Cordova, CA 95742 1-800-824-6016 www.life-assist.com Pete Tracy -- 503-577-9575 [email protected]

Present this ad at the life-assist, inc. exhibit for a free CPR key ring--Limited to the first 10 people!

www.oregonemsconference.com 19 Oregon EMS Conference Oregon Research & Education Foundation Non-Profit for Trauma, Emergency & Critical Care (OREF) Organization PO Box 90455 U.S. Postage Portland, OR 97227 PAID Portland, Oregon Permit No. 2303

Keynote Speakers 2010 Conference STEVE BERRY Contributors Randolph Mantooth mARK ROCK PLATINUM - DONATION $2,500 and above Other Speakers Include American Medical Response/NW, Portland, OR Dr. Joaquin Cigarroa Dr. Mohamud Daya Life Flight Network, Aurora, OR Victor Hoffer Dr. Richard Mullins Metro West Ambulance, Hillsboro, OR Dr. Kristi Nix Michael Pante REACH Air Medical Services, Corvallis, OR Dr. Cornelius Peeples Pat Preston Rural Metro Ambulance, Salem, OR Dr. Jerry Ryan Dr. Ritu Sahni Jill Simmons SILVER - DONATION $500-$999 Dr. Martin Schreiber Oregon EMS Association, Sandy, OR Dr. Robert Vissers Pacific Surgical, PC, Portland, OR Dr. Ed Wilgus www.oregonemsconference.com

Conference Location Salem Conference Center 200 Commercial Street SE Salem, OR 97301 www.salemconferencecenter.org

See page 3 for hotel info.