28th Annual Mid-Coast EMS Seminar

T/A=Any                                                                                     CEH CAT- 2=1.5                                                                 Sat. 8:00-9:30

IC-21 TRAINING - MAKE IT BETTER; Michael Azevedo, Jr., FF, EMT; John Cunningham, EMT-I; This class is designed to assist you with setting up a good, quality training program within your Emergency Medical Services organization. Whether you are new to the training position, or you are a veteran of public safety, this class will provide some insights into setting up better training sessions. Topics include: How people learn, how to keep them interested in training, how to set up easy, inexpensive training scenarios, and how to evaluate the training afterward. You will meet other people in class who will share their ideas and give you some assistance in your training preparation. The goal is to provide a better program in your squad so the patient receives better care.

206 MAN VS MACHINE; Ron Hirschthal, EMT; Butch Fetzer, EMT-P; How is technology affecting patient care / outcome? More and more tech stuff appears in our ambulances everyday. How reliable is it? How accurate is it? Do we know if it's malfunctioning? Do we rely on it too much? Bring your experiences with tech stuff, so we can have a good "give and take".

Jay Bradshaw, Director MEMS; The Medical Direction and Practice Board Members will discuss their annual goals, plans for future protocol strategy, progress on current projects, and the integration with the disaster response in Maine which encompasses a myriad of scenarios. This is also a chance to pose your questions to the MDPB.

404 RESPONDING TO VIOLENCE LECTURE; Paul Conley, EMT-P; John Perrino, EMT, Police Officer; EMS responders are responding to an alarming increase in violent calls. Domestic violence is on the increase and weapons are often involved. This program is designed to offer you an enlightened awareness of the violent situation and to be able to respond safely. Topics include: violence trends, domestic violence laws, violence indicators, threat levels, and what you can do to protect yourself. This program includes this lecture and a lab. Participants of this lecture must sign up for either Lab A or Lab B. Lecture limit 40; each lab limited to 20 participants. Limit=40

T/A=Any                                                                                 CEH CAT- 1=4, 9=1                                                             Sat. 8:00-10:00

You may choose either Lab A or Lab B. When one lab is full, late comers will be assigned to the available lab. During the lab, participants will have an opportunity to deal with potentially violent situations. You must attend the lecture.

404A RESPONDING TO VIOLENCE (LAB A); Limit=20 Sat. 10:30-12:30

404B RESPONDING TO VIOLENCE (LAB B); Limit=20 Sat. 1:00-3:00

308 OFF THE BEATEN PATH; Rory Putnam, NREMT-P; There are days when the most routine sounding call isn't. We've all had these experiences and in Maine it can be even more challenging with the woods and backcountry area we have in our communities that we all take for granted. Rory will take this class on a fun and challenging trek into the world of EMS when things go off-road and we find ourselves needing to rescue a lost child or a hunter who has injured themselves, or a hiking group that has fallen from a mountain trail. These are all realities in our Maine and yet so many EMS agencies are ill-prepared to handle them. After a short lecture and preparation session, the group will go to the woods for a practical scenario designed to help you prepare for the worst off-road.

309 SPINAL TRAUMA ASSESSMENT AND MANAGEMENT; Rick Petrie, EMTP; 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; This is a three hour program with a lecture and practical element focusing on new concepts in spine trauma management as well as reinforcement of basic standard of care principles. After a short lecture, you will break out the boards and start immobilizing. Limit=45

T/A=Any                                                                             CEH CAT- 2=1, 3=2                                                                Sat. 8:00-11:00

403 MVA SCENE SAFETY & EXTRICATION; Troy Lare, LT, EMT-P; Jim Fleming, FF, EMT-P; Craig Shane, FF, EMT-I; Joe Wellman, FF, EMT-P; This 4 hour program will cover MVA scene safety and different techniques of victim removal. After a short classroom session it is out to the cars that have been cut up from the previous day's class. The practical portion will include multiple scenarios for your crew to work through. Protective clothing is a must as you will be working inside of destroyed vehicles. Limit=20

T/A=Any                                                                             CEH CAT- 1=4                                                                        Sat. 8:00-12:00

1600 HIGH ANGLE ROPE RESCUE; William Bentley, CCEMT-P; et al; MCEMS Seminar is proud to present a two-day outdoor workshop in technical rock climbing, self-rescue, and high angle evacuation. Ten students and several instructors will spend six hours on Saturday and six hours on Sunday at Barrett Cove Cliffs in Camden, ME. You need to be in good shape, as we will spend both days in the vertical world; climbing, rappelling, ascending, and executing several high angle rescues. This is an all weather venture so you will need warm, windproof, and water resistant outdoor clothing. Climbing shoes and hiking boots are needed (your own, borrowed, or rented!). We will wear helmets. You may bring and use your own climbing equipment. Harnesses, helmets, and other climbing gear will be available. We will provide all ropes, climbing, and rescue hardware. We believe a high angle rescuer must be at home in the vertical world, must be able move around on the rock face, must be able to set anchors, and must be able to effect self rescues, before he is competent to rescue others. So, one must be competent on the rock as well as being competent with rescue skills. Experience in rock climbing would be great, although this can be a first try! A week-end class is just a beginning, an eye opener! We will cover lots of ground, lots of skills; I think you can see you’ve got to be in pretty good shape! Must attend both days!! Limit=10

T/A=Any                                                                         CEH CAT- 1=16                                                                         Sat. 8:00-5:00

Both sessions - Sun. 8:00-5:00

1400A AMBULANCE VEHICLE OPERATORS COURSE (AVOC) BASIC DRIVING LAB A; Ron Jones, EMT-P; Fee $25; This is the driving skills portion of the program for the second day. You will meet in the lobby and be transported offsite to the Owls Head Transportation Museum in order to utilize the tarmac area. You must attend the first day of classroom on Friday. Please choose a driving session to attend. Mandatory for BOTH Days of Class. (Lecture Friday 8:00-4:00) Limit=6

T/A=Any                                                                     CEH CAT- Pre-Approved                                                             Sat. 8:15-10:15

1400B (AVOC) BASIC DRIVING LAB B; Fee $25; Limit=6 Sat. 10:15-12:15

1400C (AVOC) BASIC DRIVING LAB C; Fee $25; Limit=6 Sat. 12:45-2:45

1400D (AVOC) BASIC DRIVING LAB D; Fee $25; Limit=6 Sat. 2:45-4:45

109 EMD AND 9-1-1 ISSUES & ANSWERS; Stephan Bunker, Ops Mgr ME 9-1-1 Bureau; Drexell White, EMT-P, Maine EMS; et al; This panel discussion will be an interactive session for you to find out the inside scoop from the parties that know. Come join the panel of experts on EMD and communications; ask the questions you have about EMD protocol content, QA/QI requirements, initial and continuing education requirements, CEH CAT- guidelines and process. How about issues related to funding, rules, legislation, and PSAP consolidation; sign-up and bring your concerns to the table.

110 91-VENTURE-1: A CUSTOMER’S VIEW; Don Moore, EMT-B, EMS-I; As a caregiver what is an acceptable level given to our customers? Is 99.9 percent good enough? Should we follow the old adage “you can please some of the people some of the time, but you can’t please all the people all the time”? We should never forget emergency services, volunteer or career, rely on our customers’ support throughout the year for that fund raiser/donation or voting on annual budget requests. So take a ride with 91 Venture 1 and we will investigate what happens when our customers consider us their customers and 99.9 percent is working against us during our time of need.

310 ELECTRICAL SAFETY: LOOK UP AND LIVE; Brad Kaherl; Jeff Quirk, Central Maine Powers’ Public Safety Team; Power lines are present at every automobile accident. Downed lines are common. What should you know, as an emergency responder, before you take those first few steps? Without a good understanding of electricity they could be your last. CMP Public Safety Team’s dynamic style, combined with stories of local accidents/electrocutions, close calls, actual accident videos, and "Safety City" will spark your interest.

311 DANCES OF THE HEART; L'Easa Blaylock, EMT-P, I/C; Feeling a little nervous about reading those EKG's? No problem, it's all in the approach. Think of it as a dance of the heart. Once you know the dance steps, getting your rhythm is easy! This class is designed for Basics wanting to move up to the next level or just wondering how we read all those funny looking scribble lines. New Intermediates feeling the need to refresh are welcome too!

312 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

T/A=Any                                                         CEH CAT- 1=1, 3=2                                                                         Sat. 8:30-11:30

323 – Sun. 8:30-11:30

313 UNDERWATER ESCAPE PROCEDURES; John McMillan; This program is designed to familiarize you with the hazards and procedures of being trapped upside down under water. This could happen if your car hits black ice, crash in a helicopter over water, become trapped in the hull of a capsized vessel or at anytime one is inside a livable airspace where water is entering. After a lecture period it is into the pool for some practical. With the utilization of a simulator, you get to try your new skills for real. The only prerequisite is to bring a bathing suit. Limit=12

T/A=Any                                                             CEH CAT- 1=1.5, 3=1.5, 8=3                                                       Sat. 9:00-12:00

303 - Fri. 9:00-12:00

IC-13 ARE YOU SMARTER THAN AN EMS STUDENT?; Brian Chamberlin, FF, EMT-P; This program is designed for the EMS instructor. We will look at and discuss the student who is up on EMS and medical research. How do you handle the information they bring to class discussions, dealing with protocol contradictions, inaccurate research, etc.? What do you do when they are right and our curriculum hasn't caught up to the research or standards? Come join in the discussion and share your experiences.

111 MEDICARE/MAINECARE COMPLIANCE FOR EMS SERVICES; Alan Azzara, Esq., EMT-P; EMS literature is filled with articles addressing the need for EMS services that bill under Medicare or Medicaid programs to comply with a wide range of requirements in order to maintain their status as providers and to ensure that all claims are consistent with current rules and regulations. Consequences of not being in compliance can be severe. This program will review the basic Medicare and Medicaid requirements for EMS providers and outline a basic program of compliance. The program is designed for Service Chiefs and administrators.

112 CARDIAC TESTING: WHAT DO ALL THOSE TESTS MEAN ANYWAY?; Jeff Lewis, MSN, FNP, ANP, EMT-P; Cardiac testing is done frequently these days. Have you had a patient tell you about the stress test they just had? What do all the values mean, how are the tests done, does it change my care for the patient I see today? Join Jeff as he shares his experience with cardiac testing to give you a better understanding of what they are looking for.

113 CTD WITH CHF: HEART FAILURE IDENTIFICATION AND TREATMENT; Kevin Burkholder, FP-C, NR/CCEMT-P; For patients "Circling The Drain" (CTD) with heart failure, the process or treatment could mean life or death for these often truly emergent situations. Examine the progression of right-sided failure to left-sided failure and see how to effectively manage these patients. Understand the underlying problems that are in need of fixing before the whole system rebounds. Often, aggressive non-invasive C-PAP management buys time from the CTD phase to get these patients to appropriate tertiary care.

114 EMS TECHNOLOGY: PAST PRESENT & FUTURE; Daniel Tauber, MEd, NREMT-P, EMS-I; This presentation will review EMS technology of the past and present and then suggest some ideas for future gizmos and gadgets that might make the job easier or just more fun!

115 TRAUMA CASE STUDIES; Peter Goth, MD; Tom Judge, CCEMT-P; Successful management of trauma patients requires a solid understanding of a limited number of "universal" concepts and principles. Appling these principles in the uncontrolled, sometimes chaotic, and often truly frightening context of emergency care is the real challenge. This session tells the stories of a memorable series of real-life trauma patients. While sometimes dramatic and graphic, these stories and photos are all presented to illustrate specific lessons and helpful guiding principles in trauma care. The format is an interactive problem-solving group discussion with audience participation.  The case studies are real, and the lessons are priceless.

T/A=Any                                                                 CEH CAT- 4=1.5                                                                 Sat. 10:30-12:00

116 LIFEFLIGHT LANDING ZONE COORDINATOR COURSE; Lifeflight Staff; LifeFlight is being increasingly utilized by EMS providers to support their on-scene management of critically ill and injured patients. This session will update providers on the current state of access protocols around the state and focus on the specifics of: requesting LifeFlight evacuation, aircraft/ground communications, ground safety/working around helicopters, patient packaging for air evacuation, and helicopter loading.

T/A=Any                                                                 CEH CAT- 1=1.5, 8=1.5                                                      Sat. 10:30-12:00

117 PREHOSPITAL CATH-LAB ACTIVATION & STEMI TREATMENT; Kevin Kendall, MD; One of the hottest topics in EMS today both on a state and national level…this politically charged topic will be explored in depth. The lecture will review the current prehospital treatment for ST elevation MI (STEMI) and then explore prehospital cath lab activation and the use of prehospital 12 lead EKG. This simple process has slashed the door-to-balloon time in Maine and across the country. Join us as we explore the development of a prehospital cath lab activation program, current statistics and share a plan for the future.

314 ROAD PIZZA & FIREHOUSE CHILI; Brian Brown, BS, NREMT-P, EMS-I; Lab Fee $10; If you are a fan of the food network, Emeril L'Agassi, Rachel Ray, or any of the cooking shows, if you wish you could cook a meal for your shift that will gain praises, if you want to learn a few things and have a fun time, then come join Brian in his enlightening food and nutrition based presentation that will make you laugh out loud, choke back tears, and drool uncontrollably. Brian will show you how to impress your duty crew with a tasty and easy to prepare meal, while presenting you case studies and true EMS stories that will blow your mind! Prepare to laugh, prepare to cry, and prepare to sample portions of the freshly prepared meals. Come with an empty stomach, because you will eat as if you were a guest in the audience of the Emeril show! This is a limited attendance presentation, so sign up early! Limit=20

T/A=Any                                                                 CEH CAT- 1=1, 2=2, 8=1                                                 Sat. 12:30-3:30

118 THE DAY HUMPTY DUMPTY FELL; Robert Vroman, BS, NREMT-P; We all know the nursery rhyme, but what really happened when Humpty hit his head? What kinds of traumatic brain injuries are possible? How do they present differently? We will review the various injuries that Humpty may have suffered from both immediately and those for which he may have sought help from EMS months after the fall. Patient presentation, assessment, and management of the different injuries will be explored.

IC-22 GOLD IN PAPER: READING AND USING EMS LITERATURE IN EDUCATION AND PRACTICE; Jonnathan Busko, MD, EMT-P, MPH; The practice of medicine is, as much as possible, based on scientific evidence. This is as true in EMS as in all other disciplines. However, it’s almost impossible to wade through the incredible volumes of EMS literature, some good, some great, and some terrible. This session introduces participants to the concepts of evidence-based medicine. We’ll examine the various types of medical literature, review some basic statistical concepts, and explain how to figure out what matters to you. As we go through the session, we will look at a number of manuscripts from several sources and decide which ones should change our practice and which ones should be used to absorb the leaking transmission fluid under the ambulance.

208 RESPIRATORY FAILURE; Kevin Curry, FF, EMT-P; Ann Harrison Billiat, EMT-P; A patient experiencing respiratory distress can quickly turn to a respiratory failure call. A review of the respiratory anatomy, respiratory mechanics along with medical and traumatic emergencies will be covered. After this review it is off to the practical stations for basic airway management skills practice, including the bag valve mask. The Autovent 2000 system will be covered and humanely obtained animal lungs may be used in the hands-on portion of the program (subject to availability). Limit=24

T/A=BLS                                                                  CEH CAT- 2=1, 3=1                                                      Sat. 1:00-3:00

209 FOUR CHOICE TEAM JEOPARDY; L'Easa Blaylock, EMT-P, I/C; Like to play Jeopardy, but feel pressure on pulling that answer from your head? Great! Come play Four Choice Jeopardy where the answer is in front of you. Buzzers will lock out the other team! Messing with the instructor is not only fair but expected! It's all good! Come play and win a prize!

210 DOCUMENTATION 103; Gary Utgard, Jr., RN, NREMT-P; This program is designed to challenge the attendees by taking a closer look at their documentation skills. The program has a specific focus on documentation format, accountability and patient refusal of treatment and/or transport. Is your current style of documentation legally defensible? How would it hold up under close scrutiny of the EMS and legal systems? If you're not sure, then please join me for an opportunity to fine tune your knowledge of defensible documentation.

315 OPERATIONAL STANDARDS FOR EMS SERVICES; Rick Petrie, EMT-P; Sure, you meet the basic requirements for Maine EMS service licensure, but have you ever wondered if there was anything else? How do you know you are providing a good service to your community? Are there guidelines or standards that can help a Service Chief develop their service? During this 3 hour program Rick will review standards for operations, financial, quality assurance, human resources, equipment and vehicle maintenance, as well as provide templates for service chiefs to use in developing their own program.

T/A=Manager / Any                                                 CEH CAT- 1=3, 8=1.5                                                     Sat. 1:00-4:00

316 ELECTRONIC RUN REPORTING: FIELD BRIDGE USE & OPERATIONS; Woodard, Ben; Joe Graw, EMT-P; This program introduces the user to the login and navigation of the Field Bridge (tablet pc/mobile) application on the tablet PC, as well as the setup of the Field Bridge software. The user will become familiar with entering data into the tablet PC and processing the run-report for “posting” (exporting) to the State Bridge database. Users will also learn the search application for record management and location. Participants will also gain an understanding of the needs and purposes of electronic run reporting and its impact on patient record databases. Participants are encouraged to bring their tablet PCs or laptops to practice. Limit=45

317 HYBRID VEHICLES AND EMERGENCY RESPONSE; Craig Shane, Capt., EMT-I; Have you ever wondered about all the talk of the new technology coming in today's new cars? Hybrid? Hybrid what? Is it electric? Is it gas? Is it safe? How do I tell? What do I do? This class will give you an overview of some of the new technology in today's automobiles, what features they have, how to identify them, how they work, and where the dangers are. You will learn step by step procedures on identification, stabilization, lock-out/tag-out, hybrid and 12 volt battery isolation, patient access, and extrication practices. Then we will move outside for a hands on demonstration and watch/listen as this "silent" car drives away without a sound.