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The Lay Responder Support Model (LRSM) is a Peel Regional Paramedic Service initiative that provides a framework to capture first-hand information from the lay responders’ perspective about their experience of providing CPR and using an AED. In…
This session will review different stroke presentations syndromes, including different pre-hospital clinical testing strategies used to recognize stroke in the pre-hospital setting. The lecture will also discuss the newest technology and…
We’ve read about it. We’ve attended lectures. We’ve watched it on TV. But have you actually performed an emergency delivery? Come to this fun and fast-paced lecture to learn valuable “laugh out loud” delivery pearls and actually perform complicated…
Go from cric-disaster-cursed to cric-educationally-versed. We will discuss a real interfacility HEMS transport case of a Can’t Intubate Can’t Oxygenate (CICO) patient requiring a surgical airway after an unrecognized false passage. This session…
The body's use of oxygen, and the resulting creation of carbon dioxide, requires a highly efficient absorption/elimination and transport system.
Understanding neurotransmitters and their receptors can help you choose the right medication.
ExDS is characterized by extreme agitation and aggression in a patient with altered mental status.
Utilizing bilevel positive airway pressure in the management of pulmonary emergencies.
Rates are soaring—here’s what EMS providers need to know.
The EMS profession seems to lack the respect other public service agencies and healthcare professions receive. Who and/or what is responsible for this? Perhaps we should take responsibility for the way we are perceived by others. We must earn the…
What is the role, efficacy, and utility of triage in mass casualties? In early 2019 a group of subject matter experts in this field met to discuss triage best practices for public safety. Join some of these experts as they explore the results of…
Reviewing the history of gun violence and its effects on public health can be a helpful way to understand where we are now. In this lecture, Dr. William Schwab, founding chief of Penn Medicine's Level 1 Trauma Center, traces the last 50+ years of…
James Phillips is an emergency medicine physician who completed his training in the Harvard Health System. His area of expertise is in disaster medicine and he runs the disaster medicine fellowship at GW Hospital. In this video, Dr. Phillips…
Susan Kartiko, MD, is a trauma surgeon who worked at Bay State Health in Springfield, Mass before coming to George Washington University Hospital in August 2019. Her interests are primarily in the field of geriatric trauma and falls prevention.…
This session is designed to take the learner through the basics of clinical pharmacokinetics. The session will help the learner assess drug therapy using the foundations of principles of how drugs interact with the body and the effects they produce.
Over the last decade, the rise of community paramedicine and mobile integrated healthcare programs has reinvigorated efforts to involve EMS in injury prevention programs. The EMS profession has adopted a more proactive stance toward caring for…
Major storms continue to demonstrate the need for comprehensive planning and detailed attention to those with special medical needs, including the homebound, bedridden, mobility-impaired, and those with special medical needs. Following the lessons…
The problem in a fast paced, high pressure, EMS environment is that providers often don’t receive on-the-job feedback. Patient care is transferred in the ER and the EMS unit goes back in service to attend to the next call. Technology is helping to…
When patients are severely hypotensive and volume resuscitation is not enough, timely use of appropriate vasopressors can be lifesaving. The selection of the appropriate vasopressor (or combination of vasoactive drugs) must be based on the patient's…
In the United States, approximately 16,000 pediatric patients suffer CA each year. A collective review of pediatric cases of CA published a decade ago reported a survival rate to discharge of 13%, with good neurologic outcome in 8% overall. Out-of-…
EMTALA is the federal law that prohibits ""patient dumping"" and obligates hospitals to provide screening examinations of emergency patients. EMS providers are put in difficult situations every day, in potential violation of EMTALA, with prolonged…
Often, the focus on out-of-hospital cardiac arrest education ends when a pulse is obtained. This is only the beginning. In this lecture, we will discuss the management of the out-of-hospital post-arrest patient. From optimal management of…
This course will review a timeline of a case study in community paramedicine. Common themes woven throughout this presentation will include unsuspected partnerships, patient advocacy, and how providers may be getting in their own way. This…
While ACLS provides us with a framework in treating adult victims of cardiac arrest (CA) or other cardiopulmonary emergencies, EMS is different than many environments in medicine. We get minimal information at the time of patient arrival while the…
The ability to demonstrate reliability is critical as EMS enters the measured healthcare environment. Utilizing the core concept of DMAIC (D: Define the opportunity, M: Measure the performance, A: Analyze root cause, I: Improve the process, C:…
Is your community considering an MIH-CP program, but not certain if it's worthwhile? This session will show how the City of Baltimore's (Md.) new MIH-CP program is bringing value to its citizens and how you can do the same for yours. The program's…
"Unified command" is a buzz word we hear all the time, but is it something that is achievable? This session will discuss the true definition of unified command, who should be included, how and when to use it, and simple recommendations on improving…
Many people have misconceptions about how the Army develops leaders and values as an organization. On many occasions, EMS leaders allow these misconceptions to enter EMS, and rather than becoming a value-based organization, the misconceptions feed a…
Often the clues to effectively addressing big problems can be teased out of big piles of data. During this session, experts from ESO and FirstWatch will share strategies for making tangible improvements in your community. The opioid overdose crisis…
Atrial fibrillation is the most common cardiac dysrhythmia encountered by both EMS and emergency department personnel. Providers will gain a better understanding for the etiology and physiology of atrial fibrillation as well as the acute and long-…
Extracorporeal membrane oxygenation (ECMO) is a lifesaving technology that continues to grow in popularity and EMS providers may soon find themselves called on to transport these patients if not doing so already. This course will introduce the…
Project Swaddle extends the concepts of MIH-CP to providing care for at-risk mothers and their babies.  Paramedics make in-home visits with mothers throughout the pregnancy and for 16 weeks following birth. In addition to providing important…
This presentation looks at the effects of ketamine in the prehospital transport system. This will be a deep dive in to the multiple uses of ketamine and data collected over several years from a large multisystem transport program that shows…
Emergency service organizations (ESOs) respond to a wide variety of incidents involving operations on or near a highway (roadway) which pose special risks to personnel performing fire, rescue and EMS functions. Every year a significant number of…
Reading a peer-reviewed research article can sometimes feel like trying to decipher code: Odds ratios. P-values. Confounders. Yet it's vitally important that EMS leaders and practitioners understand how a study was designed, what the results mean,…
We are often called to a facility to transport a patient to the hospital due to an abnormal lab value. Did you know that a high potassium (K+) can be fatal, an elevated lactate may be more than just sepsis, and sodium (Na+) imbalance is a…
A national study conducted for the Sudden Cardiac Arrest (SCA) Foundation found that understanding SCA drives bystander action to give CPR and apply an AED. Exposure to a lay-friendly definition of SCA significantly increases the number of people “…
Agriculture has one of the highest rates of death and disability of all professional fields. It also poses some of the most dangerous scenes for EMS providers to attend. Using a case-based approach, this session reviews injuries from different types…
Dealing with obstetrical emergencies can be difficult due to the low frequency of EMS encounters with pregnant women.  This podcast will teach the provider best practices for treating obstetrical emergencies as well as reviewing the commonly…
Delayed Sequence Intubation has increased in popularity due to its focus on avoiding hypoxia and hypotension in patients needing a secure airway.  This podcast reviews the latest research regarding oxygenation as well as the steps of the process.
While drowning and snakebites are not commonly encountered traumas, it is still important for EMS providers to recognize the signs and symptoms in these patients that could precipitate poor outcomes.  This podcast reviews the treatments and…
What are the important things to remember regarding carbon monoxide and cyanide poisoning? This podcast reviews these toxicological aspects of the two chemicals and what EMS providers should know about treatments and interventions.
Patients experiencing sudden onset pulmonary edema need immediate interventions. This podcast explores the pathophysiology of congestive heart failure and the best treatments and interventions for managing pulmonary edema and hypertension.
COPD is a commonly encountered disease in EMS.  What are the most important signs and symptoms to pay attention to? How should an EMS provider treat these patients?
You know you’ve got things that need improving, but where to start? In this session, we’ll start off with a look at the overall framework that will serve as our roadmap on this improvement journey. Then, we’ll get specific about how to create…
An unrecognized dislodgment of an endotracheal tube can cause major complications.  The objectives for this training include to: identify the circumstances and consequences of unplanned extubation, outline evidence-based interventions for cases of…
Based on the Childress Institute for Pediatric Trauma’s free online course, Drs. Darrell Nelson and Mark Piehl lead emergency medical professionals through the latest techniques for pediatric airway management encompassing care from the field to the…
 Evidence suggests ketamine is a safe medication for assisting intubation as it doesn’t increase ICP and is safe for patients with TBI.  The objectives for this course include to outline the mechanism of action and effects of ketamine, critically…
When patients present as unconscious or confused, the cause is often overlooked.  The objectives for this course include to list structural and metabolic causes of decreased level of consciousness, identify key assessments to differentiate causes of…
Despite advances in antimicrobial therapy and medical support, septic shock remains a leading cause of death. This presentation will provide an overview of current sepsis guidelines, including expanded options for vascular access. Discussions will…
Recognizing a patient who needs ventilatory support, correctly placing an endotracheal tube, and transporting the patient to the hospital is classic prehospital care.  In this article, we present a case of exactly the opposite: transporting a…
This webinar will discuss the coagulation system and the various interventions that help to control bleeding in the field.  The objectives include to discuss the history of management of external bleeding, compare current hemostatic agents and their…
In this video, Oren Wacht discusses the unique approaches to patient care in Israel, including interesting technology, response modes and more.
EMS providers must be able to recognize and treat shock in patients with spinal cord injury before it causes further damage.  The objectives include to identify patterns of neurological deficits in spinal cord injury, describe the management of…
What should you know to provide the best care for these vulnerable populations?  The objectives include to understand and define the differences between sex, sexual orientation, gender, and gender identity, describe the disparities and health…
Megan Humphrey and Rebecca Hubbard of the Williamson County, TX Children’s Advocacy Center present three case studies of human trafficking to help the audience identify risk factors, signs of trafficking, the psychological impact, and how you can…
Melissa Holman, Assistant Attorney General for the state of Texas describes a successfully litigated case for a young lady who was trafficked. Holman shares all the investigative methods that go into a case like this.
Luis Guzman is a Cyber Security specialist with experience in investigating human trafficking.  Guzman explores the “dark web” and what is available on the internet for anyone to buy, including another human being.
Teri Jansen is the Director of Education and Direction for Key2Free, a nonprofit organization that fights human trafficking in Texas. Jansen discusses how to recognize people who are trafficked and best practices for helping extricate them from “the…
In this introduction to human trafficking, Cynthia Borsellino tells her own story of living “the life,” as she hopes to educate the public about human trafficking. She reviews common signs that are easy to miss that may indicate that a person is…