Oregon EMS: 24/7 Common Challenges Uncommon Solutions O R E G O N CONFERENCE 2005 September 16 & 17 Pre-Conferences September 14 & 15 Red Lion on the River Portland Oregon Life Flight Network ife Flight Network is one of the oldest and most successful air Lambulance systems in the country and was the first on the West Coast when it began in 1978. Life Flight Network now employs more than 30 nurses and paramedics and transports more than 1,000 patients a year—trauma victims from accidents or hospital-to-hospital transfers. Life Flight Network is operated by a consortium of Legacy Health System, Oregon Health & Science University and Providence Health System. PRE-CONFERENCE AT-A-GLANCE OREGON EMS CONFERENCE 0700 REGISTRATION WEDNESDAY SEPTEMBER 14 0800 - 1700 Advanced Burn Life Support, with Theresa Meeks 0800 - 1700 Advanced Medical Life Support Day 1 of 2, with Dawn Poetter & Victor Hoffer 0800 - 1700 Moulage Mayhem Madness, with Sandra Clark 0800 - 1200 Child Abuse & Maltreatment: What Pre-Hospital Personnel Should Know and Pre-Hospital Care of the Child with Special Healthcare Needs…What Can You Expect?, with Sharon Stapleton 100 - 1700 Emanuel Children’s Transport-Pediatric/Neonatal Skills, with Gina Craven 0700 REGISTRATION THURSDAY SEPTEMBER 15 0800 - 1700 Wilderness EMS, with Don Levine 0800 - 1700 Advanced Medical Life Support Day 2 of 2, with Dawn Poetter & Victor Hoffer 0800 - 1200 Instructor Development, with Lisa Davidson 100 - 1700 Introduction to the National Incident Management System (NIMS) and the Incident Command System (ICS), with Dr. Jeff Rubin 0800 - 1200 Life Flight Advanced Skills, with Adam Glaser 100 - 1700 Life Flight Advanced Skills, with Adam Glaser (repeat of AM session) THURSDAY EVENING EMS Providers are welcome and admitted free of charge to the following presentation: 1900 - 2100 True Darwin Awards, with Dr. Matt Eschelbach Oregon Emergency Medical Services (EMS) Conference Mission Statement 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. www.oregonemsconference.com PRE-CONFERENCE WORKSHOPS OREGON EMS CONFERENCE 2 0 0 5 0700 REGISTRATION -- WEDNESDAY, SEPTEMBER 14 0800 - 1700 Advanced Burn Life Support, with Theresa Meeks The quality of care during the first hours after a burn injury has a major impact on long-term outcome, yet most initial burn care is provided outside of the burn center environment. The Advanced Burn Life Support (ABLS) Provider Course is an eight-hour course designed to provide physicians, nurses, nurse practitioners, physician assistants, and paramedics with the ability to assess and stabilize patients with serious burns during the first critical hours following injury and to identify those patients requiring transfer to a burn center. The course is not designed to teach comprehensive burn care, but rather to focus on the first 24 post-injury hours. Visit http://www.ameriburn.org/ -- for detailed course description. DO NOT use registration form from the web site, a special form will be made available to you after you have registered for the Oregon EMS pre-conference workshop. Call 503-731-6633 for more info. Dr. Nathan Kemalayan is the course medical director. In addition, 8 experienced burn nurses will be teaching this course. All of the nurses are ABLS certified and have taken extra training to become ABLS instructors. The nurses teaching this course have done extra work in either burn wound management, critical care burn nursing or in education of burn injuries. 0800 - 1700 Advanced Medical Life Support Day 1 of 2, with Dawn Poetter & Victor Hoffer Advanced Medical Life Support (AMLS) is a new program developed and sponsored by the National Association of EMT (NAEMT). AMLS offers an advanced level and practical approach to addressing adult medical emergencies. The curriculum has been reviewed by the National Association of EMS Physicians and NAEMT. Each segment of the course and textbook moves from assessment procedures to field diagnosis and management of treatable causes, by offering realistic methods practiced by experienced pre-hospital emergency medical providers. Dawn C. Poetter is a Sr. Paramedic with Metro West Ambulance and has 24 years experience in the Oregon EMS setting. She is currently working as the Coordinator for the AHA community-training center Education for Life and teaches and coordinates ACLS and BLS through the American Heart Association. She also teaches other courses such as PHTLS, AMLS, PEPP, FTEP, and other continuing education classes for Metro West and the general EMS population. She is a staff writer and co-founder of Pre Hospital Perspectives, an Internet based EMS magazine and has an Internet based e-group especially for women. Mrs. Poetter is currently on the Oregon Emergency Medical Services for Children committee and keeps active in all aspects of EMS. Dawn was also very active in bringing the first AMLS class to the state of Oregon. Victor Hoffer, MA, JD, EMT-P, is a senior paramedic and field training officer with Metro West Ambulance. A paramedic since 1982, he has 24 years of EMS experience. He lives in Mt. Angel where he volunteered with the Mt. Angel Ambulance and Mt. Angel Fire Department. He was instrumental in bringing AMLS to Oregon in 2005. 0800 - 1700 Moulage Mayhem Madness, with Sandra Clark The moulage class will teach you realistic make-up techniques for Bruises, Burns, Fractures, Impaled objects, Eviscerations, Medical and Trauma Scenarios, and more! Resources for purchasing make-up, cheap alternatives for those departments on a tight budget. All materials provided for the class. Be prepared for a hands on class, please wear old clothes! Sandra’s background is in theatre, and she has worked through college as an EMT, then Paramedic. After seventeen years on the street her two worlds collided and she now teaches EMT-Basic and Paramedic courses. Sandra has her moulage business on the side and does anything from disaster drills, PHTLS classes to moulage courses. 4 www.oregonemsconference.com PRE-CONFERENCE WORKSHOPS OREGON EMS CONFERENCE 2 0 0 5 0800 - 1200 Child Abuse & Maltreatment: What Pre-Hospital Personnel Should Know, with Sharon Stapleton, RN, BSN, CCRN This session will review the definitions of child abuse, neglect and maltreatment. We will discuss various statistics and the research associated with child maltreatment. Emphasis will be placed on specific points of care pertaining to pre- hospital management practices, assessment/recognition, working with the families and information about what role all of us can play in increasing awareness of this “epidemic” in the United States. Finally, we will discuss how to take care of ourselves after we have taken care of these patients. Pre-Hospital Care of the Child with Special Healthcare Needs…What Can You Expect? Children with special healthcare needs and medically fragile children are increasing in our communities and therefore are being encountered by prehospital personnel on a more regular basis. This session will focus on the wide variety of medically fragile children and situations you may encounter. We will practice with scenarios and real-life examples. I will show lots of pictures, talk about various diagnoses, provide the finer points of care for these kids and provide information for working with these families. Over the past 20 years, Sharon Stapleton has worked in adult critical care, pre-hospital, pediatric and neonatal critical care arenas. She has been a transport nurse working on the PANDA pediatric and neonatal transport team at OHSU and Doernbecher Children’s Hospital for most of her career. She has been the EMS-C director in northern California, is actively involved in the Oregon EMS-C advisory group, is an active member of the Oregon Disaster Team and is the PALS CTC and Outreach Education Director at OHSU. Her real love though is education and she has traveled extensively across the United States and the world teaching physicians, nurses and paramedics the care of pediatric patients and their families. Most recently, she traveled to Panama to set up their country’s first ever PALS program. 100 - 1700 Emanuel Children’s Transport-Pediatric/Neonatal Skills, with Gina Craven How comfortable are you when transporting the newborn and pediatric patient? Emanuel Children’s Transport Team will be offering hands-on skill stations for: Airway management/ Endotracheal Intubation Non-Invasive Airway support/ Laryngeal Mask Airway placement Vascular access/ Intraosseous placement Diagnosis and Treatment pneumothorax/ Cricothyroidotomy Presented by Gina Craven, RN and Emanuel’s Pediatric Transport Team Oregon State Paramedic Association Your Voice in Oregon and National EMS Issues ONLY OSPA REPRESENTS ALL EMS PROVIDERS IN OREGON First Responders, EMTs, Intermediates and Paramedics OSPA IS YOUR STATE CHAPTER OF THE NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS Are you a member of NAEMT? Ask us how you can save on your annual dues! MEMBERSHIP IS $35 A YEAR and you get a free OSPA Shirt! Visit us at our booth – Visit our website iwww.OregonEMS.org Its easy to join OSPA! www.oregonemsconference.com 5 PRE-CONFERENCE WORKSHOPS OREGON EMS CONFERENCE 2 0 0 5 0700 REGISTRATION -- THURSDAY, SEPTEMBER 15 0800 - 1700 Wilderness EMS, with Don Levine PRE-CONFERENCE WORKSHOPS Wilderness medicine requires a different approach than street medicine. Forget the “Golden Hour”; rescuers have a goal of “Same Day Service”, and often need to plan for an extended stay. This workshop will cover aspects of wilderness emergencies, including patient access and assessment, an overview of wilderness emergencies not covered in the EMT curriculum, wilderness protocols for spine injury assessment, cold injury and preparation for medevac and CPR termination. Skill building will include extremity and spine stabilization, packaging the patient for extended stays, lifting and moving, and other tricks using back country equipment to serve medical purposes.