TWIN CITIES EMS CONFERENCESATURDAY NOVEMBER 1, 2014

INVER HILLS COMMUNITY COLLEGE2500 EAST 80TH STREET

INVER GROVE HEIGHTS, MINNESOTA

EMS ACADEMY

Twin Cities EMSCONFERENCETM

Welcome,

I’m pleased that you have decided to attend this year’s annual Twin Cities EMS

Conference. We have strived to bring you an array of interesting topics presented by

renowned experts in their fields. As pre-hospital medicine continues to evolve, one thing

that remains the same is our pursuit of the latest research and education to aid us in

providing the highest quality care to our patients. It is our endeavor with this conference

to provide that knowledge.

I would like to thank those involved with the planning and implementation of

this event. Without their hard work and dedication to excellence, none of this would

have been possible. Throughout the day when you see one of our conference staff or

volunteers, please take a moment to thank them.

Again, thank you in advance for your participation.

Sincerely,

Keith Wesley, MDMedical DirectorHealthEast Medical Transportation

EMS ACADEMY

1 | Twin Cities EMS Conference

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TCEMSConference Presenters

ROGER E. SHELDON, MD is Emeritus Professor of Pediatrics in the Neonatal Perinatal Medicine Division and held the role of Assistant Dean for Continuing Medical Education at the Oklahoma University College of Medicine. He has a long distinguished resume that includes a variety of

appointments, honors, research, and publications.

PETER TANGHE, MD is a board-certified emergency physician. He also serves as medical director for HealthEast Education and peer review, medical director for the HealthEast community paramedicine program, medical director for Maplewood Fire/EMS and associate medical

director for HealthEast Medical Transportation.

SCOTT TOMEK, MA has been in EMS for 31 years and currently serves as the manager of Quality, Safety and Risk at Allina Health EMS. He is a clinical skills instructor with the Emergency Medicine program at the University of Minnesota Medical School. Scott serves as a paramedic with Woodbury Public Safety.

KEITH WESLEY, MD, FACEP is a board certified emergency physician and EMS Medical Director for HealthEast Medical Transportation in St. Paul, MN. He has served as State EMS Medical Director for both Minnesota and Wisconsin, and Chair of the National Council of State EMS Medical Directors.

Dr. Wesley is the author of many articles and EMS textbooks and a frequent speaker at EMS conferences across the nation.

DEMETRIS YANNOPOULOS, MD is an Interventional Cardiologist at the University of Minnesota Medical Center with board certifications in Internal Medicine, Cardiovascular Medicine, and Interventional Cardiology. He is an Associate Professor of Medicine at the University

of Minnesota. Dr Yannopoulos has conducted studies in the areas of cardiopulmonary resuscitation, hypovolemic shock, and hypothermia.

ROBERT BALL, B.A., EMT-P has been in EMS for over three decades; 28 years as a paramedic at Hennepin EMS in Minneapolis. Over his career, he has not only provided direct patient care (including over 30 field deliveries); he has also served as a speaker for HCMC’s Speaker’s Bureau, and

assistant instructor for EMS Education.

CHRIS CAULKINS, MPH, NRP is currently a managing researcher for Sumrith Solutions, LLC. He is also program director and faculty for the Century College Emergency Medical Services Program and maintains part-time employment as a paramedic with the city of Woodbury. He also

co-founded and co-facilitates two peer support groups for those bereaved by suicide.

MARY GRUBER, MSN, APRN, AGCNS-BC is a cardiovascular clinical nurse specialist at HealthEast with 35 years of heart care experience. This includes 17 years of CCU and CV-ICU experience, as well as nine years as a critical care educator. Reflected in her work with heart care

program development is her long-standing passion about heart failure, women with heart disease, teaching heart rhythms and 12-lead ECG interpretation.

KATIE RUESINK is a Police Officer with the City of Rosemount. Prior to this, she served as a Paramedic at HealthEast Medical Transportation for nine years. During her time at HealthEast Katie was a Critical Care Paramedic, Field Supervisor, and a Tactical Paramedic on the Dakota County MAAG team.

PAUL SCHANFIELD, MD is an Associate and Clinical Professor in Family Practice and Neurology at the University of Minnesota Medical School. He has been awarded, “Teacher of the Year” twice. Dr. Schanfield is board certified by the American Board of Psychiatry and Neurology in neurology

and vascular neurology. Dr. Schanfield has been HealthEast’s Stroke Medical Director since August, 2013.

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Advances in Cardiac Arrest CareDemetris Yannopoulos, MDDr. Yannopoulos will speak about the current AHA guidelines, the evolution of CPR, and the science behind that evolution, He will also discuss the current recommended BLS changes, and how all of these changes are taking place.

Acute Stroke Code: Cutting EdgeDiagnosis and Treatment in 2014Paul Schanfield, MDSince the milestone publication in 2000 by the Brain Attack Coalition on the creation of Prima-ry Stroke Centers, our understanding of what comprises the best stroke care has advanced tremendously. Dr Schanfield will discuss best practices as we know them in 2014 and the contribution of EMS to these best practices.

Suicide in EMS Chris Caulkins, MPH, NRPJoin Chris as he talks about the physiology of mental illness and how this disease has forever impacted his family.

Resuscitating, Stabilizingand Transporting a NewbornRoger Sheldon, MDUnderstanding how to access a baby at arrival, stabilization before transport and appropriate transport techniques in situations that could require a code red. Plus special considerations when the patient is a preemie - fragile skin, bruising, size issues, may need surfactant, oxygen toxicity, need for IV glucose, etc.

Airway! Thank God It’s Just a LecturePeter Tanghe, MDAirway management is a serious undertaking for any emergency care provider. In this lecture we will discuss current approaches to airway management, including BLS skills, drugs to facilitate airway management (DFAM), airway adjuncts, video laryngoscopy and best practices with communication and cognitive tools.

Mistakes, Why They Happen:Our Psychological and PhysiologicalResponse to Dynamic, High-stressNovel EnvironmentsScott Tomek, MAWhen we hear that an EMS provider has made a mistake, our first reaction is often, “They did what?” Frequently the response is to discipline, educate, or both. Neither tactic used indepen-dently or in tandem will correct the underlying issue, because mistakes are unintentional. This discussion pulls from the fields of Cognitive Psychology, Sociology, the Military, Sports Sci-ence, and Educational Research. Leaders will learn to distinguish between which behavior constitutes slips, lapses, or mistakes and which behavior is reckless. Providers will learn why their last mistake happened and why their call did not go quite as planned. As a group we will discuss how to best prepare ourselves and our EMS teams for the high-stress, dynamic, and novel environment in which EMS operates.

STEMI Mimicsand Other Challenging 12-leadsMary Gruber, MSN, APRN, AGCNS-BCThis discussion includes 12-Lead ECGs with bundle-branch blocks, pericarditis, tachy-cardias, and unstable angina. Also included are 12-Leads that meet STEMI criteria for emergent cardiovascular catheterization lab activation.

Stork Detail:Managing Prehospital DeliveriesRobert Ball, B.A., EMT-P“Woman In Labor.” Few other calls cause more intimidation in the EMS provider. In this presentation, Mr. Ball will discuss the common--and not so common aspects of prehospital obstetric emergencies, and how to manage them effectively and without fear.

Hostile Event Responseand Situational Awareness in EMSKatie RuesinkWe were always taught in school, “BSI....scene safe.” You arrive on the scene of a school shooting. You have little or no information. An officer grabs you by your belt, screaming that you have to follow him into that school. Ambu-lance personnel have traditionally waited until the scene was “safe.” War and an increase in domestic violence have taught us that time is the biggest enemy in these mass violent events, and that we must take calculated risks to save lives. In this lecture we will discuss situational awareness, tactical approach con-cepts, and the ballet that is unified command and multi-agency cooperation.

No More Backboarding!Let the Torture EndKeith Wesley, MD, FACEPAll splints should conform to the patient and not the other way around. But that has not stopped us from strapping an S shaped spine to a flat piece of plywood. Research now indicates that routinely backboarding all trauma patients’ results in unnecessary pain and potentially devastating injuries. Dr. Wesley will review the current literature and profes-sional organization position statements to demonstrate that there are better ways to care for these patients.

TCEMSSession Descriptions

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TCEMSConference Agenda

NOTE: Each session is worth 1.0 CEU.

Times

8:30 am-9:00 am Welcome

9:00 am-10:00 am Advances in Cardiac Arrest Care FA 110Demetris Yannopoulos, MD

10:15 am-11:15 am Acute Stroke Code FA 190Paul Schanfield, MD

Suicide in EMS FA 194Chris Caulkins, MPH, NRP

11:30 am-12:30 pmResuscitating, Stabilizing andTransporting a Newborn FA 190Roger Sheldon, MD

Airway! Thank God It’s Just a Lecture FA 194Peter Tanghe, MD

12:30 pm-1:30 pm Lunch

1:30 pm-2:30 pm Mistakes, Why They Happen FA 190Scott Tomek, MA

STEMI Mimics & Other Challenging 12-leads FA 194Mary Gruber, MSN, APRN, AGCNS-BC

2:45 pm-3:45 pm Stork Detail FA 190Robert Ball, B.A., EMT-P

Hostile Event Response &Situational Awareness in EMS FA 194Katie Ruesink

4:00 pm-5:00 pm No More Backboarding! Let the Torture End FA 110Keith Wesley, MD, FACEP

Inver Hills Community College2500 East 80th Street, Inver Grove Heights, MN 55076

Inver Hills Community College is located in Inver Grove Heights, Minnesota, in the southern suburbs of the Twin Cities just off Highway 52 at 80th Street exit (2 miles south of I-494).

Free parking conveniently located near the Fine Arts Building.

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Maint.

Maint.

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799 Reaney Ave. St. Paul, MN 55106

Equipment installed and serviced byHealthEast® Transportation

HealthEast®

V E H I C L E S E RV I C E S

651-232-1720

TCEMSSponsors

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Video segments feature subject matter experts and interactive quizzes.

WWW.FISDAP.net/transition 651-690-9241

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Continuing Education Hours:

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the National Education Standards. To use the Transition Course, please enroll through a state-approved EMS education institution.

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Twin Cities EMS Conference | 6SMUMN.EDU

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TWIN CITIES EMS CONFERENCESATURDAY NOVEMBER 1, 2014

INVER HILLS COMMUNITY COLLEGE2500 EAST 80TH STREET

INVER GROVE HEIGHTS, MINNESOTA

799 Reaney AveSt. Paul, MN 55106

EMS ACADEMY2500 East 80th StreetInver Grove Heights, MN 55076