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
1300 - 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
1300 - 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
1300 - 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.
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.
1300 - 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 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. Don Levine is an Oregon-grown instructor who has been working in EMS since 1979. He got his introduction to wilderness medicine during 10 years as a back country trail crew member, providing emergency rescue and stabilization to injured hikers and climbers. He spent 14 years in Southeast Alaska teaching emergency medicine and training providers in isolated communities, and coordinating the EMS program at the University of Alaska in Juneau. He is now back in Oregon, teaching EMS full time, and playing in the back country when he can.
0800 - 1700 Advanced Medical Life Support Day 2 of 2, with Dawn Poetter & Victor Hoffer
2nd day of presentation. See previous page for details.
0800 - 1200 Instructor Development, with Lisa Davidson
A hands on approach, with tips and techniques to help with nervousness, designing interesting, engaging training sessions,and improving your presentation/delivery techniques. Ms. Davidson has been teaching beginning, intermediate and professional presentation skills for over 10 years. She managed the training staff and training design team for First Interstate Bank and First Interstate Bancorp. She holds a Bachelor’s degree in Business/Marketing, and a Master’s degree is in Speech and Communications. She is currently a training consultant and teaches at Marylhurst University in the Communications and Business Departments.
1300 - 1700 Introduction to the National Incident Management System (NIMS) and the Incident Command System (ICS), with Jeff Rubin, PhD
The recently adopted National Incident Management System (NIMS) mandates use of the Incident Command System (ICS) for emergency response. Many public-safety responders already use ICS for large and small incidents. This class provides a brief orientation to NIMS and an introduction to one of the NIMS components, ICS. The class adheres to the standards (to date) for the ICS-100 (introductory) level as specified by the NIMS Integration Center. NOTE: ICS adoption is one component of NIMS compliance. This class provides guidelines on NIMS compliance but does not in itself provide NIMS compliance. Time: 4 hours. Prerequisites: none, although prior completion of IS-100 (independent study in ICS) is highly recommended; (applicable to all, not just federal disaster workers – it was intended to be a quick introduction). Target audience: EMS and other public safety personnel tasked with planning for or responding to emergencies, hospital personnel seeking introduction in preparation for HEICS training. Components: Expanded ICS-100 class employing supplemental material to add breadth, some depth, and practical applications. http://training.fema.gov/EMIWeb/IS/is100.asp> Jeff Rubin has been Tualatin Valley Fire & Rescue’s emergency manager since 2001. He was a volunteer Fire/EMS/ Rescue responder with Travis County (Texas) ESD#4 for 13 years. He was a Hazardous Materials Captain in the Special Operations Section of Austin EMS, where he served for five years, working in mass casualty planning, hazmat/WMD planning and response, and hospital preparedness. The Austin City Council appointed him to the Austin EMS Quality Assurance Team from 1997 to 2001. Jeff has a BS in Geology & Geophysics from Yale University and an MA and PhD in Geological Sciences from the University of Texas at Austin. He served as Asst. Dean for Environmental Health & Safety at UT, where he taught a semester-long Wilderness Medicine class. He was an EMS Instructor/Examiner in Texas for ten years and was a member of the Texas EMS Conference faculty 1994-2000 and 2002. Jeff teaches incident command to a wide variety of audiences; he also consults in health, safety, and emergency management and provides Hospital Emergency Incident Command System training across the US.
www.oregonemsconference.com PRE-CONFERENCE WORKSHOPS OREGON EMS CONFERENCE 2 0 0 5
0800 - 1200 Life Flight Advanced Skills, with Adam Glaser
This session will cover several low frequency, high acuity procedures, such as rapid sequence intubation, alternative airway options, needle cricothyrotomy, needle thoracostomy and trauma assessment. Many of these procedures will be integrated into PRE-CONFERENCE WORKSHOPSscenario based applications with the opportunity to perform with a team in mock patient settings. Individuals will have the ability to use their agency protocols in order to refine their skills in these patient care settings. Types of patient scenarios will include; adult and pediatric trauma as well as some unique medical challenges. Adam is a Paramedic with Life Flight Network and has been involved in EMS for 14 years. He has worked in EMS in New York, Illinois, California and Japan. Adam spent five years in the Navy as a Hospital Corpsman and prior to working for Life Flight. He taught EMS courses at Chemeketa Community College for over 4 years. Adam is currently involved with the Oregon State EMS office in the development of the new EMT-Intermediate curriculum.
1300 - 1700 Life Flight Advanced Skills, with Adam Glaser (repeat of AM session, see above description)
EMS Providers are welcome & admitted free of charge to the following presentation:
1900 - 2100 True Darwin Awards, with Dr. Matt Eschelbach
Darwin believed that Natural Selection was the way to advance the species and improve our gene pool. Here we learn that sometimes our patients do that for us. Please join us for a humorous look at some of the more difficult patient presentations we have come across. By examining some of the interesting ways that injuries and illnesses present themselves, we are better prepared to treat them. Dr. Matthew Eschelbach is the Director or Emergency Medicine for St Charles Medical Center, Redmond, OR. He returns this year as Medical Director for the EMS Oregon Conference. In addition to his duties as an ER physician, he also serves as EMS Physician Adviser for Redmond, Lapine, Sunriver, Crescent and Chemult EMS agencies. He was the recipient of the “2003 EMS Medical Director of the Year”, awarded by the Oregon Health Division awarded at this conference last year. His work includes establishing region wide EMS protocols and EMS education.
OHSU•OIT Paramedic Degree Program Training Oregon’s Leaders in EMS Since 1977
Come see us at the We offer: Conference & • Transcript Review Visit us on the web at: Application Help www.oit.edu/paramedic • • Individualized Plans • Financial Aid
We are located at Tualatin Valley Fire & Rescue’s Training Center in Sherwood, Oregon. Call us to schedule a visit. Phone (503) 625-4720.
www.oregonemsconference.com !MERICAN -EDICAL 2ESPONSE .ORTHWEST 9OUR ,OCAL %MERGENCY -EDICAL 3ERVICES 0ROVIDER
0ATIENT &OCUSED s #USTOMER #ENTERED s #AREGIVER )NSPIRED
!MERICAN -EDICAL 2ESPONSE .ORTHWEST CONGRATULATES %-3 0ROFESSIONALS FOR THEIR OUTSTANDING SERVICE TO THE #OMMUNITY !-2 IS A PROUD SPONSOR OF THE /REGON %-3 #ONFERENCE BENElTING THE /REGON 2ESEARCH AND %DUCATION &OUNDATION
!-2 IS THE NATIONS LEADING PROVIDER OF EMERGENCY MEDICAL SERVICES MEDICAL TRANSPORTATION AND SPECIALIZED HEALTHCARE SERVICES /UR MISSION IS hTO MAKE A DIFFERENCE BY CARING FOR PEOPLE IN NEEDv
/NE 3% ND !VENUE 0ORTLAND /2 &OR TRANSPORTATION NEEDS CALL CONFERENCE AT-A-GLANCE OREGON EMS CONFERENCE 2 0 0 5
0700 FRIDAY REGISTRATION - BREAKFAST IN THE EXHIBITOR HALL
0800 - 1000 General Session -- EMS Litigation 2005 - What’s Out There, with Ann Maggiore
1000 - 1030 BREAK IN THE EXHIBITOR HALL
1030 - 1200 Acute MI and Effects on Females-Atypical MI’s, with Dr. Jon Jui
1030 - 1200 Capnography in EMS, with Pat Pangburn
1030 - 1200 EMS EVERYTHING and EVERYTHING EMS, with Scott Copper
1030 - 1200 Musculoskeletal Trauma and Compartment Syndrome, with Marc Huston
1200 - 1330 LUNCH BREAK IN THE EXHIBITOR HALL
1330 - 1500 The Road to Greatness, with Larry Boxman and Jason Rogers
1330 - 1500 Mandatory Reporting of Child Abuse and Elder Abuse for EMTs, with Victor Hoffer
1330 - 1500 Geriatric Pharmacology, with Dr. Jim Bryan
1330 - 1500 Strokes, with Dr. Matt Eschelbach
1500 - 1530 BREAK IN THE EXHIBITOR HALL
1530 - 1700 Closing Session -- Stress in EMS, with Tim Dietz
1800 - 1830 FRIDAY NO HOST COCKTAILS
1830 - Oregon EMS and Trauma Systems Awards Banquet Attire: Business or Dress Uniform
0700 SATURDAY REGISTRATION - BREAKFAST IN THE EXHIBITOR HALL
0800 - 1000 General Session -- Sick / Not Sick, Adult Patients, with Mile Helbock
1000 - 1030 BREAK IN THE EXHIBITOR HALL
1030 - 1200 If It Isn’t Written Down…, with Ann Maggiore
1030 - 1200 Craftsmanship: A Lost Art?, with Paul LeSage
1030 - 1200 “Motor Vehicle Crash Injury Mechanisms – How to Assess Injury Patterns and Severity” – CIREN (Crash Injury Research and Engineering Network), with Robert Kaufman
1030 - 1200 Trauma Care of the Morbidly Obese Patient, with Dr. Marinus (Dick) Koning
1200 - 1330 LUNCH BREAK IN THE EXHIBITOR HALL
1330 - 1500 “When there are two patients”- Management of the Obstetrical Patient, with Sue Schidner
1330 - 1500 Sick / Not Sick, Pediatric Patients, with Mike Helbock
1330 - 1500 Field STEMI Identification and the Regionalization of Emergent Cardiac Care -- EMS Driven Paradigm Shift, with Dr. Brian Gross
1330 - 1500 The Art of Pre-Hospital Consultation – Getting What You Really Need from OLMC!, with Dr. Jeff Disney
1500 - 1530 BREAK
1530 - 1700 General Session-Close of Conference -- Critical Decisions and Teamwork: Using CRM, with Paul LeSage www.oregonemsconference.com Metro West Ambulance
Discover your Metro West offers a variety of at EMS career options. Future Call to learn how you can fur- ther your EMS career today.
Career opportunities available at other Metro West Ambulance companies: Medix Ambulance - Clatsop County Pacific West Ambulance - Lincoln County
Serving Oregon Since 1953 OREGON EMS CONFERENCE 2 0 0 5
0700 Registration--Breakfast in the Exhibitor Hall - Friday September 16
0800 - 1000 General Session -- EMS Litigation 2005 - What’s Out There, with Ann Maggiore
This fast paced presentation will overview EMS litigation. Participants will find out who is suing, and over what issues? EMS services and personnel are being held accountable by the legal system at an alarming rate, with lawsuits over vehicle accidents topping the charts in frequency as well as cost. You will get some important risk management tips from an attorney and paramedic who knows what’s out there. W. Ann “Winnie” Maggiore is an attorney and paramedic from New Mexico. She has been a full time paramedic/firefighter, a state EMS administrator, an Assistant Fire Chief, and a criminal prosecutor. In her current life she practices law full time with Butt, Thornton & Baehr in Albuquerque, defending physicians, nurses, law enforcement officers and EMS personnel against lawsuits. She holds a Clinical Faculty appointment at the University of New Mexico School of Medicine, where she teaches medical law to paramedic students and resident physicians. She is a well known EMS speaker and author.
1000 - 1030 BREAK IN THE EXHIBITOR HALL
1030 - 1200 Acute MI & Effects on Females Atypical AMIs, with Dr. Jon Jui
Update on the diagnosis and management of myocardial infarction with special emphasis on presentation in women. Jonathan Jui, MD, MPH, Professor of Emergency Medicine at Oregon Health and Science University. Dr. Jui is currently the Medical Director for the Oregon Health Division, Oregon State Police, Multnomah County Emergency Medical Services, Portland Fire Bureau, Gresham Fire Department and the United States Forest Service Northwest Region Incident Medical Specialist Program.
1030 - 1200 Capnography in EMS, with Pat Pangburn
This presentation will explain the value and shortcomings of capnography as a ventilatory monitor in the field. Patrick Pangburn, RRT MS, has been a respiratory therapist for 37 years. He has served as a staff therapist, educator and researcher. Pat is presently Division Director of Respiratory Care and Clinical Neurophysiology at Oregon Health & Science University. He is on the faculty of the OHSU/OIT Paramedic Training Program. He has a long history of involvement within California and Oregon.
1030 - 1200 EMS EVERYTHING and EVERYTHING EMS, with Scott Copper
Geared toward EMT-Basics and Intermediates, here is an opportunity to attend a session that offers you the same variety you encounter in the field. Instead of focusing on one topic, Mr. Cooper will address many subjects of use to your assessment, care and interactions with other people in the field and behind the scenes. Learn up-to-date information on assessment and treatment of various conditions. Take in real experiences from a multitude of EMS providers, seeing what they learned so you can be prepared from both their successes and mistakes (instead of learning the hard way on your own). Find out what is on the EMS horizon. Hear about resources and activities in EMS that you may not know of that can help you, your EMS agency, and opportunities to apply your interests and abilities. Come join in on a real practical, real applicable, really fun presentation! Scott has a family with three daughters and resides in Salem, Oregon. His career has included working in private, hospital and fire-based ambulance services; instructor for EMT classes of all levels at Chemeketa and Portland Community Colleges; private tutor for EMT and nursing students; EMS educator and administrator; guest speaker at various EMS programs; member and officer for numerous EMS related committees and groups; grant writing; and many other endeavors. He currently holds instructor certifications for Geriatrics for EMS; Prehospital Trauma Life Support; Pediatric Education for Prehospital Professionals; Advanced Medical Life Support; Traumatic Brain Injury; AHA ACLS, ACLS for Experienced Providers, BLS/First Aid Instructor; AHA Training Center Faculty with Education For Life; and Neonatal Resuscitation Provider.
1030 - 1200 Musculoskeletal Trauma and Compartment Syndrome, with Dr. Marc Houston
Extremity trauma happens! From fractures to dislocations, and sprains to strains, this lecture will expose you to many different injuries. Dr. Houston will discuss field treatment options for the minor to the gruesome. He will also discuss how to recognize, and optimistically prevent, compartment syndrome! Dr. Marc Houston is heavily involved in EMS. He participates CQI and Operations meetings of several metropolitan agencies. Dr. Houston is involved with the Tri-county treatment protocol committee, and the State Trauma Advisory Board to name a few. In addition to Dr. Houston’s committee work, he teaches on a number of EMS topics to various agencies and EMT programs. www.oregonemsconference.com 11 OREGON EMS CONFERENCE 2 0 0 5
1200 - 1330 LUNCH BREAK IN THE EXHIBITOR HALL
1330 - 1500 The Road to Greatness, with Larry Boxman and Jason Rogers
What does it take for an EMS system to be truly great? Some may say the latest technology and the most advanced protocols. Others may say quick response times and rapid transports, while still others may say effective quality improvement programs and advanced clinical education courses. Although those are all important components of any EMS system, they are not the most important. In today’s rapidly changing EMS world, it is the brains and motivation of the knowledgeable worker that is most critical. Systems that enjoy the most success are those that are filled with people who can quickly figure out what needs to be done and make it happen effectively and efficiently. Larry Boxman has been involved with EMS for 22 years. He began his career in the U.S. Air Force and has been working for Metro West Ambulance in Washington County, Oregon for the past 12 years. He is the Chief of Operations for the organization, a position he has held for the past 7 years. Larry is a graduate of the Oregon Graduate Institute’s Six Sigma Black Belt Program and is the author of several articles that have been published in EMS Magazine and Fire/EMS Magazine including an article that he co- authored with Jason Rogers titled “The Road to Greatness”. Jason Rogers has been involved in EMS for 12 years and also began his career in the U.S. Air Force. Jason is a graduate of Oregon Health Science’s Paramedic Education Program. Together, Jason Rogers and Larry Boxman developed Metro West Ambulance’s Leadership Development program titled “Building Greatness,” recognized by the Oregon Department of Human Services EMS section in 2004 for a “Commitment to Quality.” Jason has been with Metro West Ambulance for 7 years and currently serves as the Director of Training
1330 - 1500 Mandatory Reporting of Child Abuse and Elder Abuse for EMTs , with Victor Hoffer
This presentation will provide an essential overview of child abuse and elder abuse mandatory reporting requirements. What you need to know to protect both your patient and you! Victor Hoffer is a Senior Paramedic and Field Training Office with Metro West Ambulance in Hillsboro, Oregon. Victor has served on the Governor’s Elder Abuse Task Force and presently is a member of the Attorney General’s Elder Abuse task Force and the Washington County Elder Abuse MDT. As an attorney, Victor focuses on elder law.
1330 - 1500 Geriatric Pharmacology, with Dr. Jim Bryan
The elderly represent the fastest growing segment of the US population. Forty percent of patients over 65 years old take five or more medications, and it is estimated that 10-20% of hospital admissions for these patients is due to adverse drug reactions. This session will focus on drug interactions, how the pharmacology of medications differs in the geriatric population, barriers to compliance, and common issues the astute EMS needs to know. Audience participation will be encouraged. Jim Bryan, MD, PhD, holds doctorate degrees in medicine and pharmacology. He is an Assistant Professor of Emergency Medicine at Oregon Health & Science University and Assistant Chief of Emergency Medicine at the Portland VA Medical Center. Dr. Bryan has served as the Medical Director for the OHSU/OIT Paramedic Education Program for the past eleven years, and he chairs the Multnomah County EMS Quality Assurance Subcommittee.
1330 - 1500 Strokes, with Dr. Matt Eschelbach
We have moved so fast and far with the treatment of acute coronary syndrome it seems that EMS is on the front line of emergent acute MI care. But what about Strokes? Many EMS personnel are frustrated about the “Hurry up and wait” approach to the treatment of strokes. Understand why a stroke is a “ Brain Attack” and learn to improve the approach to stroke treatment and intervention in your system. This lecture will review the physiology of stroke and the most efficient methods of stroke care. Careful planning and understanding of what a stroke truly is will guide all those in EMS. Dr. Matthew Eschelbach is the Director or Emergency Medicine for St Charles Medical Center, Redmond, OR. He returns this year as Medical Director for the EMS Oregon Conference. In addition to his duties as an ER physician he also serves as EMS Physician Adviser for Redmond, Lapine, Sunriver, Crescent and Chemult EMS agencies. He was the recipient of the “2003 EMS Medical Director of the Year”, awarded by DHS-EMS awarded at this conference that year. His work includes establishing region wide EMS protocols and EMS education.
1500 - 1530 BREAK IN THE EXHIBITOR HALL
12 www.oregonemsconference.com OREGON EMS CONFERENCE 2 0 0 5
1530 - 1700 Closing Session --Stress in EMS, with Tim Dietz
If any profession has an insight to how precious life is, and how quickly things can change, it is us, the emergency responder. Unfortunately this may cause us to lose focus on our own mental well-being as we deal with human loss and other tragedies. To have an emergency responder not enjoy the work, or leave the profession because of work-related stress is unacceptable. This course will provide an understanding of emergency worker stress (the cost of caring) and provide simple tools to continue or achieve a love for the profession and a successful, happy career (have fun!). Capt. Tim W. Dietz, MA, EMT-P has over 24 years of fire service experience in Oregon, where he is currently a Training Officer with Tualatin Valley Fire & Rescue. He is an internationally known speaker on human emotional crisis and behavioral health issues in the emergency services, and is author of the book “Scenes of Compassion, a Responder’s Guide of Dealing with Emergency Scene Emotional Crisis.” Tim has an A.S. Degree in Fire Science, a B.S. in Human Development, and an M.A in Counseling, and at present, sits on the Board of Directors for the Oregon Critical Incident Stress Management Network.
4HE 2IGHT 0ARTNER IS %VERYTHING
IRE $EPA & RT M M E L ->i E N A
T 3 i`V> 2
E U C R /À>ëÀÌÀ>ëÀÌ A N L LA - BU ETRO !M
2URAL-ETRO IS PROUD TO BE A PARTNER WITH THE #ITY OF 3ALEM 3ALEM &IRE $EPARTMENT 2URAL-ETRO 3ERVICES s !DVANCED ,IFE 3UPPORT !MBULANCE 3ERVICES s "ASIC LIFE SUPPORTSTRETCHER NON EMERGENCY TRANSPORT Emergency: Call 911 s 3TANDBY SERVICES FOR EVENTS Call (503) 588-6538 or 1-800-989-9993
www.oregonemsconference.com 13 OREGON EMS CONFERENCE 2 0 0 5
0700 Registration--Breakfast in the Exhibitor Hall - Saturday September 17
0800 - 1000 General Session -- Sick / Not Sick Adult Patients, with Mile Helbock
This is a “case-study” course that has as it’s foundation, an innovative “Interpretive Flow Chart”, that assists the Emergency care provider with a means to quickly and accurately determine which treatment track the patient needs to follow; aggressive treatment or a more investigative and thorough approach. The Sick Not Sick program is quickly becoming a national standard in the initial assessment of a sick or injured patient. Now published, and in full cooperation with the American Academy of Orthopedic Surgeons, you will be amazed at how simple this is…And it really works!!! Mike Helbock is a Washington State/Nationally Registered Senior Paramedic and the Manager of EMS Training and Education, Seattle/King County Emergency Medical Services Division and a Medical Services Officer for King County Medic One. Mike worked 23 years as a firefighter/paramedic for the City of Bellevue Fire Department (Washington), until his service retirement in December of 1998. Mr. Helbock is a Washington State certified Senior EMT Instructor and serves as the Senior Instructor for the Training and Education Section for Seattle/King County EMS. Mike weaves more than 25 years of instructing skills and paramedic service into his passion for EMS training and education. He is a published author and originator for many of the standard emergency medical practices and training procedures that are incorporated into the EMS community across the United States today including the popular, “SICK NOT SICK” approach to patient care.
1000 - 1030 BREAK IN THE EXHIBITOR HALL
1030 - 1200 If It Isn’t Written Down… , with Ann Maggiore
The role of documentation in litigation cannot be understated. A thorough patient assessment, followed by quality care that is well documented, is the best risk management tool an EMT can employ. However, EMS documentation is often incomplete, illegible and hurts EMS more than it helps. Find out what you can do to improve your documentation skills from an attorney and paramedic who has seen the good, the bad, and the ugly. W. Ann “Winnie” Maggiore is an attorney and paramedic from New Mexico. She has been a full time paramedic/firefighter, a state EMS administrator, an Assistant Fire Chief, and a criminal prosecutor. In her current life she practices law full time with Butt, Thornton & Baehr in Albuquerque, defending physicians, nurses, law enforcement officers and EMS personnel against lawsuits. She holds a Clinical Faculty appointment at the University of New Mexico School of Medicine, where she teaches medical law to paramedic students and resident physicians. She is a well known EMS speaker and author.
Your complete source for EMS supplies and Equipment 25 years of outstanding customer service -- life assist, inc.
Present this ad at the life-assist, inc. exhibit for a free CPR key ring--Limited to the first 50 people!
11277 Sunrise Park Dr , Rancho Cordova, CA 95742 Phone 1-800-824-6016, Fax 800-290-9794 -- www.life-assist.com -- [email protected] Pete Tracy -- Cell 503-577-9575 OREGON EMS CONFERENCE 2 0 0 5
1030 - 1200 Craftsmanship: A Lost Art?, with Paul LeSage
Explore the distinct differences between those who are continual learners, and those who just get by with a minimum effort. Why use a compass instead of a map? How do you develop a “High Reliability Organization? How do you invest your time? This session will use authentic circumstances to initiate discussion related to personal accountability, cognitive training methods, and the risks and rewards associated with an open learning environment. Assistant Chief Paul LeSage works for Tualatin Valley Fire & Rescue. He has over 28 years of experience as a firefighter, paramedic, and flight paramedic. He is on faculty at Oregon Health Sciences University as a Clinical Assistant Professor, and lectures nationally in the emerging fields of Resource Deployment, Critical Decision-Making, and Cultural Drift. Paul built a publishing business from the ground up, authored several Fire and EMS Field Guides, and continues to apply non-traditional techniques to public entity business practices, quality improvement, and error analysis.
1030 - 1200 “Motor Vehicle Crash Injury Mechanisms – How to Assess Injury Patterns and Severity” – CIREN (Crash Injury Research and Engineering Network), with Robert Kaufman
The main objective of the CIREN research is to provide a trauma care and research program that offers great promise in helping to reduce death and injury on the nation’s highways. Efforts focus on three areas of research (Injury Research, Reducing Injury Costs, and EMS/Trauma Education and Training) to advance the scientific understanding of the prevention, treatment and rehabilitation of automobile injuries. This presentation will be an overview of current peer-reviewed research and its application in our daily practice by assessing real-world crash injury mechanisms in side and frontal impacts, understanding fracture patterns and forces to the body, and reviewing injuries to children. Rob Kaufman, BS is a nationally known certified federal crash investigator and has been involved with motor vehicle crash injury research for the past fifteen years on various special studies and programs sponsored by the National Highway Traffic Safety Administration (NHTSA). Some of the federal programs he has conducted research for include the National Automotive Sampling System and the Pedestrian Crash Data Study. Rob has been recognized for his research efforts and received the NHTSA National Performance Awards in 1992, ‘94, and ‘96. In the fall of 1996, Rob began working in another federally sponsored program called CIREN (Crash Injury Research and Engineering Network) out of the Harborview Injury Prevention and Research Center in Seattle. The Seattle CIREN program is one of ten trauma centers nationwide conducting research on real world crashes and occupant injuries. CIREN’s goal is to advance all aspects of automotive safety as well as learn more about the prevention and treatment of crash injuries through the collaboration of clinicians, automotive engineers, industry and government. Through the use of the CIREN data, Rob has created various training programs and presentations to help trauma care providers and the traffic safety community to better understand crash forces and injury mechanisms. Over the last few years Rob has lectured at over 100-national, state, and local traffic safety, law enforcement, and medical conferences to nearly 10,000 attendees.
1030 - 1200 Trauma Care of the Morbidly Obese Patient, with Dr. Marinus (Dick) Koning
With the obesity epidemic being upon us, this presentation will increase your level of comfort in dealing with an increasing number of your patients. Learn about special aspects of the initial care of the morbidly obese patient. The pathophysiology of morbid obesity and its numerous comorbidities will be discussed. Also, issues uniquely pertaining to the post-bariatric surgery (bypass and Lap-Band) patient will be discussed. Marinus (Dick) Koning, MD has been in the private practice of general surgery (Advanced Surgical Care) in Bend and Redmond for 25 years. As a receiving surgeon in a rural level 2 trauma center, he is familiar with the issues of prolonged pre-hospital care. As a bariatric surgeon, he is perhaps uniquely qualified to discuss the issues of trauma in the morbidly obese person.
1200 - 1330 LUNCH BREAK IN THE EXHIBITOR HALL
1330 - 1500 “When there are two patients”- Management of the Obstetrical Patient, with Sue Schidner
Using case studies, this presentation will focus on the unique and challenging aspects of caring for the pregnant patient in 11277 Sunrise Park Dr , Rancho Cordova, CA 95742 the prehospital environment. Phone 1-800-824-6016, Fax 800-290-9794 -- www.life-assist.com -- [email protected] Sue Shidner, who specializes in critical care, has spent the last seventeen years being devoted to working with the prehospital Pete Tracy -- Cell 503-577-9575 care providers within Washington and Oregon as both a Flight Nurse and outreach educator with Life Flight Network located in Portland, Oregon.
www.oregonemsconference.com 15 OREGON EMS CONFERENCE 2 0 0 5
1330 - 1500 Sick / Not Sick Pediatric Patients, with Mike Helbock
Rapid assessment and appropriate treatment of the Sick pediatric patient can mean the difference between a child that survives and one who does not. Pediatric assessment doesn’t need to be intimidating. Learn how to use a “triad” of key indicators to quickly assess and decide the correct treatment path. By using the “triangle”, pediatric assessment has never been easier! Mike Helbock is a Washington State/Nationally Registered Senior Paramedic and the Manager of EMS Training and Education, Seattle/King County Emergency Medical Services Division and a Medical Services Officer for King County Medic One. Mike worked 23 years as a firefighter/paramedic for the City of Bellevue Fire Department (Washington), until his service retirement in December of 1998. Mr. Helbock is a Washington State certified Senior EMT Instructor and serves as the Senior Instructor for the Training and Education Section for Seattle/King County EMS. Mike weaves more than 25 years of instructing skills and paramedic service into his passion for EMS training and education. He is a published author and originator for many of the standard emergency medical practices and training procedures that are incorporated into the EMS community across the United States today including the popular, “SICK NOT SICK” approach to patient care.
1330 - 1500 Field STEMI Identification and the Regionalization of Emergent Cardiac Care -- EMS Driven Paradigm Shift, with Dr. Brian Gross
This topic will discuss a potential change in the way acute ST elevation MI’s may be handled by EMS for safer, earlier intervention. Brian Walter Gross, MD, FACC, In private practice at the Heart Clinic of Southern Oregon and Northern California, Medford, Oregon; Medical Director of the Enhanced Counter Pulsation Laboratory, Rogue Valley Medical Center; Medical Director of ASSET (Acute ST Segment Elevation Task Force), a regional integrated, rapid response team for the recognition, transport, and treatment of major myocardial infarctions; Principal Investigator for the D.E.S.COVER registry for Rogue Valley Medical Center - the world’s largest multi-hospital registry for catheter based intervention. Dr. Gross is the Coordinator of weekly cardiac educational conferences, OMPRO Reviewer (Oregon Medical Professional Review Organization) and author of many professional publications and abstracts
1330 - 1500 The Art of Pre-Hospital Consultation – Getting What You Really Need from OLMC!, with Dr. Jeff Disney
Why is it OLMC never seems to understand what’s going on or what you’re asking for? Do they really listen? Do they really care? Dr. Disney will introduce us to the Art of Pre-hospital Consultation and how to use your radio report to get what you need to provide the best patient care - and medically-legally protect yourself, and them! Jeff Disney, M.D., FAAEM, is an Assistant Professor of Emergency Medicine at OHSU and currently the acting EMS Medical Director for Clackamas County AMR. His EMS experience has been varied from Special Ops with the US Marines to a past-member of the San Diego County EMS-C Committee. Dr. Disney is an OLMC Physician, a current member of the PALS Faculty at Emanuel Hospital, an ATLS / ACLS instructor, and continues to work part-time at Good Samaritan Regional Medical Center in Corvallis. This is the 3rd year in a row he’s been invited back to lecture at the conference.
1500 - 1530 BREAK
15 30 - 1700 General Session-Close of Conference --Critical Decisions and Teamwork: Using CRM, with Paul LeSage
Why do veterans think differently than novices? Are you part of a “collective” of people on scene, or simply a “collection” of individuals? How do stories affect our organizational and personal culture? This session will use actual incidents to expose positive and negative outcomes, help us understand and evaluate interpersonal communication during critical events, and demonstrate new methods to educate personnel in the art of Situational Awareness, Crew Resource Management and Decision-Making. Assistant Chief Paul LeSage works for Tualatin Valley Fire & Rescue. He has over 28 years of experience as a firefighter, paramedic, and flight paramedic. He is on faculty at Oregon Health Sciences University as a Clinical Assistant Professor, and lectures nationally in the emerging fields of Resource Deployment, Critical Decision-Making, and Cultural Drift. Paul built a publishing business from the ground up, authored several Fire and EMS Field Guides, and continues to apply non-traditional techniques to public entity business practices, quality improvement, and error analysis.
16 www.oregonemsconference.com OREGON EMS CONFERENCE 2 0 0 5 Oregon EMS Conference 2005 Registration CONFERENCE FEES & OFFERINGS
Pre-conference workshop registration deadline is September 1, 2005, unless Pre-Conference Workshops- 9/14 & 9/15 Wed-Thu noted otherwise. REGISTER EARLY! Space is limited. ___Advanced Burn Life Support (8a-5p Wed) $210 Scholarships are available from the Oregon Ambulance Association. Please call Please call PCC at 503-731-6633 for REQUIRED additional American Burn Association (ABA) national registration form. You MUST register Nan Heim at 503-224-0007. Deadline for application is July 31, 2005 by Aug. 25 to ensure receipt of text and packet information sent to you from the ABA. Conference Registration: Complete form and submit with payment to: PCC-IHP Central Portland ___Moulage w/ Sandra Clark (8a-5p Wed) $120 $_____ 1626 SE Water #114 ___Pediatrics/Medically Fragile Children (8a-12p Wed) $60 $_____ Portland, OR 97214 ___Pediatric/Neonatal Skills (1p-5p Wed) $60 $_____
Register with credit card by phone 503-731-6633, by fax 503-731-6632, or ___Advanced Medical Life Support (8a-5p,2-day W&Th) $280 $_____ Text will be mailed. You must register by September 1. attach and email to Teresa Sielsch at [email protected] ___Instructor Development w/ Lisa Davidson (8a-12p Thu)$60 $_____ Payment: Please make checks payable to Portland Community College. ___ICS/NIMS (1p-5p Thu) $60 $_____ On-site registration will be accepted only if space permits. Registration must be accompanied by check, money order or approved credit card (VISA, MasterCard). ___Life Flight Advanced Skills (8a-12p Thu) $60 $_____ Unfortunately, purchase orders cannot be accepted. ___Life Flight Advanced Skills (1p-5p Thu-repeat of am) $60 $_____ Refunds and Cancellations: Refunds will be given, less a $25 processing fee, if ___Wilderness EMS (8a-5p Thu) $120 $_____ PCC-IHP is notified at the above phone number, mailing address, or FAX at least ___Dr. Matthew Eschelbach (7p-9p Thu) N/C 10 working days prior to the start of the conference. Thereafter, NO refunds will be issued. If you cannot attend, you may send a substitute in your place provided “True Darwin Awards-Case Reviews” that PCC-IHP is notified 5 working days prior to the conference. Thereafter, NO substitutions will be made. Two-day Conference — 9/16 & 9/17 Fri-Sat Registration Student Rate: Student must be enrolled in an EMT Basic, Inter- ___Registration (Includes T-Shirt and Banquet Dinner) $235 $_____ mediate, or Paramedic program (Summer or Fall 2005). You MUST supply a Select t-shirt size* ___M ___L ___XL ___XXL copy of your official registration/schedule for verification along with the conference *Your t-shirt size may not be available if size is not selected. registration form. For questions about eligibility, please contact Dennese Kelsay at 503-978-5534. There are no discounted rates for pre-conference workshops. Select Banquet choice ___Beef ___Vege ___Chicken The student rate does not include t-shirt or Friday awards banquet. Please ___I will not be attending banquet purchase a dinner ($35) if you would like to attend, noting your meal preference. ___Registration Student Rate $90 $_____
___Guest(s) Friday night Awards Banquet Please indicate your area(s) of interest: __ALS __ILS __BLS __Educator/Mgr Qty_____ x $35 each $______Vegetarian ____Beef ____Chicken
TOTAL AMOUNT ENCLOSED $______- __ __ - ______(Social Security # (PCC’s ID#) ___Registration On-site -- $250
______EMPLOYER/AGENCY AFFILIATION-As you would like to have it written on your name badge. (Please limit to 30 characters, printed clearly) DATE
______LAST NAME FIRST NAME M. I./MAIDEN NAME
______STREET ADDRESS CITY STATE ZIP
______EMAIL ADDRESS (Please print clearly) DAY PHONE EVE. PHONE DATE OF BIRTH
I WISH TO PAY BY: � CHECK (PAYABLE TO PCC) � VISA � MASTERCARD AMERICAN EXPRESS NOT ACCEPTED
______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. OREGON EMS CONFERENCE 2 0 0 5
CONFERENCE CONTRIBUTIONS
PLATINUM - DONATION $2,500-up American Medical Response/NW Life Flight Network Metro West Ambulance Rural/Metro Oregon Inc.
SILVER - DONATION $500-$999 The Center, Bend Orthopedic & Neurosurgical Care & Research Providence Health System Emergency Services Salem Hospital Regional Services St. Charles Medical Center, Bend
Portland Community College Institute for Health Professionals 1626 SE Water Ave #114 PLACE Portland, OR 97214 STAMP HERE
Attn: Teresa Sielsch Portland Community College Institute for Health Professionals, CPWTC #114 1626 SE Water Ave Portland, OR 97214 OREGON EMS CONFERENCE 2 0 0 5
Red Lion on the River, Portland Oregon For Room Accommodations, telephone: 1-800-733-5466, Local 503-283-4466
Ask for “EMS Conference” room rates.
Single/Double/Triple @ $91 + tax
Directions to the Hotel:
FROM PORTLAND INTERNATIONAL AIRPORT: Take I-205 North approximately 2 miles to SR 14. Take SR 14 West approximately 7 miles to I-5. Take I-5 South over the bridge to Jantzen Beach Exit. (Exit #308). At the stoplight, turn right. Go through one stop light to the STOP sign at Hayden Island Drive. Turn right, go under the bridge and the hotel is on the left hand side.
FROM DOWNTOWN PORTLAND AND POINTS SOUTH: Take I-5 North to Jantzen Beach Exit (Exit #308). At the stoplight, turn right. At the second stoplight, which is Hayden Island Drive, turn left and then right immediately into the hotel parking lot.
FROM VANCOUVER, WA AND POINTS NORTH: Take I-5 South over the bridge to Jantzen Beach Exit (Exit # 308). At the stoplight, turn right. Go through one stop light to the STOP sign at Hayden Island Drive. Turn right, go under the bridge and the hotel is on the left hand side.
FROM MOUNT HOOD AND POINTS EAST: Take I-84 West to I-5. Take I-5 North to Jantzen Beach Exit (Exit #308). At the stoplight, turn right. At the second stoplight, which is Hayden Island Drive, turn left and then right immediately into the hotel parking lot.
AIRPORT SHUTTLE
The Red Lion on the River provides complimentary airport shuttle service. This service is available from 5:30am to 11:00pm and runs every 30 minutes. The Red Lion on the River Shuttle is located in the Ground Transportation area at the airport.
www.oregonemsconference.com 19 OREGON EMS CONFERENCE 2 0 0 5
CONFERENCE CONTRIBUTIONS
PLATINUM - DONATION $2,500-up On behalf of the Oregon EMS Conference and the EMTs of Oregon, we would like to thank the following people and organizations for their generous contributions of time and effort. American Medical Response/NW Life Flight Network Conference Medical Director Matthew Eschelbach, DO Metro West Ambulance AMR/NW Kent Wadsworth, EMT-P Chemeketa Community College Chris Riffle Rural/Metro Oregon Inc. DHS-EMS and Trauma Systems Section Liz Morgan, EMT-P Catherine Schmitz SILVER - DONATION $500-$999 Eugene Fire & EMS Karen Anderson, RN Life Assist Pete Tracy Life Flight Network / Children’s Transport Paula Derr, RN The Center, Bend Medtronic Physio-Control Melanie Willis Orthopedic & Neurosurgical Care & Research Metro West Ambulance Jan Lee, EMT-P Providence Health System Mark Hornshuh, BS, EMT-P Emergency Services Oregon Ambulance Association J.D. Fuiten Salem Hospital Regional Services OHSU / OIT Paramedic Program Justin Dillingham, BS, EMT-P St. Charles Medical Center, Bend Oregon Research and Education Foundation David Long Oregon Volunteer Firefighters Association Dave Lapof Portland Community College Dennese Kelsay, EMT-P Tillamook Ambulance Pam Donaldson, EMT-P Tualatin Valley Fire & Rescue Eric Schult, EMT-P
Portland Community College Institute for Health Professionals Non-Profit 1626 SE Water Ave #114 Organization U.S. Postage Portland, OR 97214 PAID Portland, Oregon Permit No. 37