28th Annual Mid-Coast EMS Seminar

(Sunday, 11/16/2008 Classes)

IC-23 CLINICALS: HOW DO WE MAKE IT GOOD?; Brian Chamberlin, FF, EMT-P; How do your students think their clinical experience is? In this instructor based class we will discuss the clinical aspect of a licensure program. With an interactive discussion of what makes a good clinical program, we will touch on ideas like clinical site documentation, student and preceptor evaluations, clinical requirements, and web based clinical scheduling.

211 BODY MECHANICS AND BACK CARE; Alissa Towle, PT, EMT; Shelley Coull, PT; This program was developed with your health in mind. Do you wake up with a backache? Is it related to your lifting and moving of patients? Alissa will show you what factors can lead to injury, learn the do’s and don’ts when it comes to your body. Stretching is an important part of saving your body for the fun stuff, this session will cover the important stretching exercises and correct lifting techniques. Be prepared to practice! Limit=20

212 IF YOU COULD SEE WHAT I SEE; L'Easa Blaylock, EMT-P, I/C; Ever heard the old saying, "see through rose-colored glasses"? How about, "It's not all black and white"? Come to class and review some eye A&P and then off to my world, which is the third rock from the sun… well most of the time! Homework before class? Yep, try wearing a dark pair of sunglasses 24 hours a day for one day! That means you never take them off regardless of what you are doing. Oh and no peeking out over the top of them either! Share and compare what you learned with this experience and maybe you can see what I see.

213 GENERATIONS AT WORK; Diane Delano, FF, EMT-P, I/C; This program demonstrates the benefits and reasoning for organizations to realize changes that are happening in EMS by reaching across generations to tap the perspectives and talents of employees of all ages. It also demonstrates the doubts, resentments, and befuddlement that can arise from one generation's pejorative judgment of another generation's characteristic thinking and behavior. The better you understand the unique combination of factors that motivates each generation, the better you can tap those motivators and gain the best combined effort for your entire team. Look at new views on hiring and retention strategies to provide for all of our futures. This class is for all level providers and will provide the information needed to overcome the rifts caused by generational differences.

407 EMD REFRESHER TRAINING; Stephan Bunker, Ops Mgr ME 9-1-1 Bureau; TBA; This session is for currently certified EMD dispatchers who need CEH CAT-credits. The course will cover a wide range of EMD medical and clinical topics, offer updates on changing protocols, and we will select the top EMD events faced in Maine to emphasize those elements to ensure adherence to approved protocols. This is a great opportunity to brush up on those protocols.

408 RUBBLE PILE MEDICINE; Jonnathan Busko, MD, EMT-P, MPH; Don Scelza, WEMT-P; Randy Padfield, WEMT-P; Cost $15; Urban search and rescue (USAR) and rubble pile medicine evoke images of earthquakes, the 9/11 attacks, and collapsed freeways. But structural collapse and major entrapment can happen anywhere, anytime, and EMS providers need to know how to care for these patients in the critical first hours before specialized resources arrive. This session introduces participants to the principles of rubble pile medicine. We will focus on the various manifestations of crush disease, the role of the EMS provider in the care of rescue team members, and the management of crushed and entrapped patients. Participants will perform in 3 skills sessions that will challenge them to apply their newly learned skills. Therefore, dress to crawl around indoors in the dark. While basic PPE (helmets, gloves, hearing protection, and eye protection) will be available, participants are encouraged to bring their own equipment. Limit=28

1600A HIGH ANGLE ROPE RESCUE; William Bentley, CCEMT-P; et al; Cost $25; This is day 2 of a 2 day program. See description from Saturday. Limit=10

125 SMOKE INHALATION OF HYDROGEN CYANIDE GAS ANDIMPLICATIONS FOR FIREGROUND EMS; Chris Ferguson, FF, EMT-I; Smoke inhalation on the fireground is not always what it used to be. With the increased use of plastics in our household furnishings we are seeing an increase in exposure to Hydrogen Cyanide gas. When we treat a patient for smoke inhalation we always thought of carbon monoxide poisoning, is that what we should be thinking these days? Join Chris as he shares with you the signs & symptoms and current treatments for HCN poisoning.

319 ELECTRONIC RUN REPORTING: SYSTEM ADMINISTRATOR AND QA/QI REPORT WRITING; Woodard, Ben; Joe Graw, EMT-P; This program will teach participants how to setup report criteria, generate reports, distribute reports, and utilize pre-set reports for data analysis. Objectives include; Accessing the reporting module, establishing data collection goals, utilizing standard reports, Ad Hoc reporting, writing report criteria, generating a report, defining the look of a report, distributing reports, and setting automatic report generation times. This course is meant for current MEMSRR users, or participants with a strong statistical reporting background. Limit=45

320 KEVIN'S CODES AND MORE; Kevin McGinnis, MPS, WEMT-P; Steve Diaz, MD; David Ettinger, MD; Kevin Curry, EMT-P; Andrew Turcotte, EMT-P; Cost $30; Sign up early: for the past 15 years Kevin and crew have provided a hands-on scenario based codes class where "play" is the name of the game. The various stations, including the Maine Dept. of Public Safety's Human Patient Simulator, foster teamwork among BLS / ALS providers and encourage everyone to try out new skills and equipment (yes, BLS folks may use all of the ALS gear, …but only here!). This year all of the stations have been reformulated too for the new MEMS Protocols.. Limit=28

321 MEDICAL ASSESSMENT; Rick Petrie, EMT-P; Wayne Werts, EMT-P; Robert MacMaster, FF, EMT-P; Chuck McMahan, EMT-P; Sally Taylor, EMT-P; Tiffany Stebbins, EMT-P; Kim McGraw, RN, CCEMT-P; How are your medical assessment Skills? Do you know the critical questions to ask to provide the correct treatment? What are the subtle signs and symptoms that give you critical clues? This lecture will focus on these and other issues to help refresh and focus your assessment of the medical patient. Limit=45

322 HORRIBLE HOLES & BODY JAMS; Tom Judge, CCEMT-P; Peter Goth, MD; Jon Tierney, EMT-P; The program starts with the principles outlined in Spine Injury Assessment and Management by Dr. Peter Goth, and will review the current MEMS protocols for spine injury assessment and management. Quickly we will move on to a practical session designed to familiarize emergency responders with the assessment and management of patients with potential spine injuries who are found in confined spaces. This course will move outside in rain, shine, or cold for practical work in unpretzeling people from tight spots: position 3a, position 2, position 1...and out... Limit=30

323 SMALL BOAT & OPEN WATER RESCUE; Joe Mokry, Water Safety Specialist; Doug Rackliff, EMT-I, John Kooistra, EMT-P; This three hour training session will take place at the Rockland fish pier. Persons attending can expect to participate in considerable hands-on training aimed at refining their basic water rescue skills. We will practice techniques for the removal of conscious, unconscious, or badly injured persons from the water into a rescue boat or to shore and up a steep embankment. Basic rescue swimmer deployment and victim retrieval, and establishing line systems for litter transport/evacuation will be covered. Participants will be supplied with cold-water rescue suits for the in-water portions of the training. There is always the possibility of getting a little wet, a change of socks and extra sweater might be useful. This class will move to the Rockland fish pier. Limit=24

800 AMBULANCE VEHICLE OPERATORS COURSE (AVOC) ADVANCED;Ron Jones, EMT-P; Lab Fee $25; Being a continuation of the practical component of Basic AVOC, the advanced program closely examines the driving components involved with ambulance operations utilizing a high speed cone course. It will include safety precautions, maneuverability, control, acceleration, breaking, speed, obstacle, traffic, etc. This class is a must for safer ambulance operations. You must have completed a basic AVOC or EVOC program. Lunch is provided. Limit=12

IC-15 WHAT DOES EMS NEED - CLINICIANS OR TECHNICIANS?; Scott Smith, RN, BSN, BA, CFRN, CEN, NREMT-P; Dan Batsie, NREMT-P; This program looks at the great debate in EMS education - do we need to train a large number of skilled technicians or educate smaller number of astute clinicians? Watch Dan and Scott debating the pro's and con's of each side with an eye to the future changes in national EMS education that are sure to happen as a result of the EMS Instructional Guidelines project. Space will be limited so register now!

126 TRAUMA IN PREGNANCY; Elizabeth Chesley, RN, BSN, EMT-P; Is your trauma patient also pregnant? Do you know what to expect? This class will take you through the various stages of pregnancy and explain what unique changes are occurring with the body so you will know what to look for and how to treat both patients.

127 CARDIOGENIC SHOCK; Patrick Cote, RN, EMT-P; The ticker is ticking but the pump is not pumping. How can that be? We'll take a detailed trip around the electrical and mechanical power house of our body. We know what shock is, so let's take this session to examine shock when the heart is the root of the problem. This session will be instructive for any level and will draw on three significant case histories. If you have an experience with this type of call please bring enough call related information for us to build a learning case. We will look at both diagnostic data and pharmacology, but both will be presented in a manner applicable to any participant.

128 CAPNOGRAPHY: THE VENTILATORY VITAL SIGN; Kevin Burkholder, FP-C, NR/CCEMT-P; Capnography has quickly become the norm for EMS services to monitor ventilatory status across the country and isn't just for intubated patients. Capnography can be used on conscious patients to determine what type of disease process may be occurring and provide accurate End-Tidal CO2 readings. Capnography devices are available in a variety of forms and are highly underutilized in caring for respiratory patients. This program defines the usage and interpretation of Capnography and reinforces the importance of its deployment.

129 INHALANT ABUSE RECOGNITION FOR EMS; Kelly Roderick, Maine EMSC- Chair; Did you know there are roughly as many inhalant abusers as there are heroin addicts? Kids start using inhalants as a cheap high as young as 4th grade, and it peeks in middle school? Or that you can die the first time you "huff"? The New England Inhalant Abuse Prevention Coalition Inhalant Abuse Program will teach EMS providers, Counselors, teachers and parents how to spot the signs and symptoms and what steps they can take to reduce the opportunities for abuse in their schools, homes, and communities. You will learn about the medical complications resulting from inhalants, such as Sudden Sniffing Death resulting from cardiac arrest, liver and kidney damage, and more. General treatment guidelines for patients exposed to inhalants will be reviewed.

T/A=Any                                                                         CEH CAT- 2=1.5                                                                             Sun. 10:30-12:00

130 IN-WATER SPINAL IMMOBILIZATION; Jeff Lewis, MSN, FNP, ANP, EMT-P; This program addresses assessment, control, and immobilization of the cervical spine in situations that occur in the water. Swimming, diving, and boating accidents have the potential to produce spine injury victims that are still in the water upon EMS's arrival. Do you know how to get them out safely? Join Jeff as he shares his experiences. Bring swimwear, you will be in the pool. Limit=15

131 USE OF NERVE AGENT ANTIDOTE KITS; John Bastin, MHS, PA-C, NREMT-P; This presentation will familiarize the EMS provider with the proper use and administration of the Nerve Agent Antidote Kits. These kits are used to treat patients who have been exposed to a nerve agent or symptomatic patients who have been exposed to organophosphate and/or carbamate pesticides. Attendees will have the opportunity to practice administering the antidote using the Nerve Agent Antidote Kit Trainers.

IC-16 9-1-1 PUBLIC EDUCATION RESOURCES: EDUCATING THE PUBLIC; Stephan Bunker, Ops Mgr ME 9-1-1 Bureau; This program is designed to assist you in educating the public about issues related to the universal help number and accessing the public safety system. You will be exposed to a wide range of educational resources provided by the Maine 9-1-1 program; these include classroom curriculums, lesson plans, student materials such as coloring books, videos, posters, interactive websites for children, and life-size mascot costumes. This session will get you on the right road to educate our youth about accessing the EMS system correctly.

132 EMS COLD ZONE OPERATIONS; John Bastin, MHS, PA-C, NREMT-P; This lecture is designed to provide EMS responders a better understanding of their roles and responsibilities when responding to a Hazardous Materials / CBRNE Incident and their responsibilities when working in the cold zone. This lecture will address the key patient care considerations for decontaminated patients as well the considerations the EMS provider must take to ensure the safety of the EMS crew, the ambulance, and the receiving hospital.

133 WHEEZES AND SQUEEZES: RECOGNIZING AND TREATING BRONCHOSPASM; Dan Batsie, NREMT-P; Respiratory distress secondary to bronchospasm is one of our most common medical emergencies and accounts for an increasing number of our critical respiratory patients. This class will discuss the pathophysiology, recognition and current strategies for treating the wheezing patient. Although all levels of care will be discussed, this class is primarily designed for the Intermediate and above levels.

134 THE TRAUMA SYSTEM; Robert Winchell, MD; Julie Ontengco, NP-C, EMTP; Despite strong evidence showing that an organized approach to the delivery of trauma care can reduce mortality and morbidity after injury, trauma system development in the US has never been public priority, and remains inconsistent and incomplete. This lecture will explore the military roots of trauma system development, and follow its evolution to the current inclusive model. The barriers to ongoing system development and challenges to system implementation both in Maine and across the nation will be discussed, along with possible solutions and strategies for the future.

135 IN A HEARTBEAT: AN UPDATE ON MAINE'S STATE-WIDE STEMIPROTOCOL INITIATIVE; Cynthia Pernice, AMI/PCI Program Manager; TBA; The Maine Quality Forum launched the In a Heartbeat project in 2006 to see the creation of an evidence based, best practice, treatment map for patients suspected of having a heart attack. Come to this session and see what the progress has been and where it will go from here. Members of the various committees will be on hand to give you updates and get your feedback. Information shared will include STEMI guidelines, 12 lead EKG QI information, and available education resources for your community.

136 PEDIATRIC RESPIRATORY FAILURE OR SHOCK; Patrick Cote, RN, EMT-P; This program is designed to assist in the assessment and treatment track to follow with the critically ill pediatric patient. It proves difficult at times to determine the cause of acute illness in the patient that can't always explain what they feel. This class will walk you through the assessment steps for the critical pediatric patient; being able to determine respiratory failure from shock is a critical step in the survival of the ill child.

137 TAKING BURNS TO THE FOURTH DEGREE; Kevin Burkholder, FP-C, NR/CCEMT-P; Burns are often not high on anyone's priority list to see or treat, but knowledge of the type and thickness can heavily weigh on a patient's outcome and destination. Unless trauma is involved, most of the burn patients in Maine can be delivered directly to a burn center in either Portland or Boston. Do you know how much and what type goes where? Can you accurately describe and assess third-degree burns? What is a fourth-degree or "bone burn"? This program taps a great deal of experience from transporting critical burn patients and discusses complications and treatment modalities to aid in an improved patient outcome.

HPS-3 HUMAN PATIENT SIMULATOR: PRACTICAL ALS SCENARIOS; LifeFlight Staff; Lab Fee $25; Stan D. Ardman is in distress, and he needs your help! This Human Patient Simulation lab promises to be one of the best sessions you may get a chance to attend. LifeFlight of Maine staff will have their Human Patient Simulator onsite for the weekend. Take advantage of the situation and spend two hours with the most realistic mannequin you have ever seen. "Stan" is a computer driven full-sized adult (there is also a pediatric version) high-fidelity mannequin that is able to replicate a variety of realistic patient injuries and illnesses. This highly versatile HPS is very lifelike, in fact Stan is able to blink, speak, and breathe; he has a heartbeat and a pulse; he has six arterial bleeding sites which produce a flow of blood; his mouth, eyes, and ears can excrete blood or clear fluid; and he accurately mirrors human response to such procedures as CPR, intravenous medications, intubation, ventilation, and catheterization. If you are up for a challenge then sign up early for one of the two hour visits with Stan, they are sure to fill up fast. Limit=4

324 RECOGNIZING, DIAGNOSING, AND TREATING STREET DRUG TOXICITY; Ernest W. MacVane, III, EMT-P, Law Enforcement; This program offers the student a "hands on" opportunity to observe the many illicit street drugs that are available throughout Maine. These drugs include, but are not limited to, cocaine, cocaine base (crack), heroin, marijuana, and commonly diverted prescription medications. You will gain an understanding of how these drugs are ingested, and the varying effects they have on the body. We will have interactive discussions regarding scenes and patient assessments related to drug calls. Protocol based treatment plans for the various medical emergencies that result from these drugs will be covered. You will also be able to view and handle the many types of drug paraphernalia that are utilized to conceal, package, and ultimately ingest scheduled drugs. You will learn how to apply your observations when developing a diagnosis and selecting an appropriate treatment plan.

325 PUBLIC SAFETY COMMUNICATIONS; Michael Azevedo, Jr., FF, EMT; John Cunningham, EMT-I; This class is designed to introduce you and your personnel to communicating in the public safety field. The class starts with an introduction to the communication process followed by instruction on how to use your communications equipment properly. Whether you are new to the field of Fire, EMS, or Police or you are a veteran of public safety, this class will help you communicate with dispatch and other units more effectively.

326 INTRODUCTORY HANDS-ON REIKI CLINIC; Martha Spruce, Reiki Master; Diane Webster, Reiki Master; Sandra Carslick, Reiki Master; This program explores the theories and techniques of energy work on the human body. We will discuss what bioenergy is, how you can affect it, and then we will move into hands-on participation. Come and have fun with us! Limit=25

214 TUFF STUFF: DIFFICULT AIRWAY MANAGEMENT; Rory Putnam, NREMT-P; Lab Fee $15; Ever wonder what you were going to do if you failed in your airway attempt? Ever had one of those airways that just didn't go well? This course will help you deal with those airways before you even make the leap and try to get it. Learn how to judge what's going to be a difficult airway and what you can do to avoid being caught unprepared for when things don't work out so well. This class will cover alternative airway methods for the times you can’t get the airway, so you can walk away confident that you can breathe when your patient can't.

T/A = Any                                                          CEH CAT - 4 = 0.5, 5 = 1.5                                                                     Sun. 1:30-3:30

IC-17 LEGAL ISSUES FOR EMS INSTRUCTOR: Alan Azzara, Esq., EMT-P; This session will make instructors aware of the potential legal pitfalls associated with EMS instruction.  Topics discussed will include contractual liability, negligence, civil rights, and discipline. This class promises to make you think about how you act as an instructor.

T/A = Inst.                                                         CEH CAT - 7 = 1.5, 8 = 1.5                                                                     Sun. 3:00-4:30