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CONFERENCE PROGRAM
OCTOBER 7-8

MIH/CP

LEADERSHIP

Prehospital Telemedicine: A
Blueprint for Success

Teamwork: How to Make the Dream Work on
Your Ambulance

NATHAN STANAWAY, MS-NRP; ALINA CAPATINA, MSN, CCRN-K

EMILY NICHOLS, MD

Prehospital communication between EMS and
hospitals is a challenge, particularly for
time-sensitive transfers (STEMI, stroke, trauma).
In order to improve communication between EMS, the ED, and
inpatient call teams, we needed an easy-to-use, low-cost method to
configure our communications to protocols and to transmit important
patient information. The solution? A mobile telemedicine application.
This project was launched by our hospital, Baystate-a large hospital
with the only Level 1 Trauma Program and PCI center in its region. EMS
travel times reach upwards of 40 minutes and there is limited radio
coverage. User accounts, upgrades, and training were offered to all
regional EMS agencies included in the chosen program. Telehealth/
telemedicine technologies were evaluated and a selection was made.
This program grew into a regional application through first intrigue of
the ease of success to date. The user buy-in across all teams was vital
and didn't happen overnight. Each successful team addition or patient
save led to eventual full unity and solution compliance. We are now
exploring further into MIH/CP, additional COVID mitigation and other
multi-facility, regional, or across state border programs.

Teamwork is often an underappreciated part of EMS care
despite its proven link to patient outcomes. This presentation
will review the literature emphasizing its importance in
providing optimal care and ensuring patient safety. The
presenter will highlight broad topics of " The Big Five " and crew resource
management, but will focus on the EMT teamwork survey developed by
Patterson et al in 2012. Through utilization of this survey, the presenter
will discuss how one agency was able to better identify teamwork deficits
and work toward a nine-factor solution of partner dynamics. The
presenter will demonstrate how to develop a teamwork training program
in your agency, measure provider performance, and improve outcomes
beyond hands-on patient care.

BLS

Revenge of the Nerds: Redux
HEIDI ABRAHAM, MD, FAEMS; JEFF JARVIS, MD, EMT-P; DAVID A.
WAMPLER, PHD, LP, FAEMS; REMLE P. CROWE, PHD, NREMT
Does research matter? Do we need a national research agenda? Can
street level paramedics play a role in guiding the future of medicine? Is
research actually cool? We answer these questions and more in a fun,
interactive fashion with some of the experts in the field!
LEADERSHIP

Sabotage! How EMS Leaders Can
Inadvertently Sabotage Productivity,
Efficiency, and Morale
MACARA TRUSTY, MS, LP
This presentation is inspired by the Office of Strategic
Services' " Simple Sabotage Field Manual, " a declassified
WWII document describing ways to sabotage the enemy.
Ironically, many of those methods of sabotage are
practiced today in EMS agencies all over! Attendees will discover some
potential causes of sabotage within their organization and ways to
resolve them to improve efficiency, productivity, and morale.
BLS

Secretions and Excretions: What Our Bodies
Can Tell Us
ED RACHT, MD
Grossness and kidding aside, understanding the normal and abnormal
fluids that the human body produces can provide valuable clues to
underlying conditions. You'll never believe how informative the gunk in
that tissue can be.

CRITICAL CARE

Ultrasound for Hypotension
ROBERT HYDE, MD, EMT-P, RDMS, FACEP
Determining the appropriate management for the
patient with undifferentiated shock can be
challenging. Using ultrasound at the point-of-care
permits clinicians to rapidly identify reversible causes and to reliably
reassess patients after performing an intervention. In this session, the
speaker will discuss the use of ultrasound to visualize the heart, lungs,
venous capacitance, and aorta, and will discuss relevant sonopathology
that may be contributing to a patient's hemodynamic instability.

FRIDAY
OCTOBER 8
8:00 AM-9:00 AM
OPERATIONS/MANAGEMENT

Ambulance Marketplace 2021
(2-hour session)
CHAD PORE, MS, PARAMEDIC; BRIAN LACROIX, FACPE, NRP
In the market for a new or redesigned ambulance? New this year to
EMS World Expo is the Ambulance Marketplace mini-meeting, a unique
opportunity for attendees to hear from EMS leaders with experience in
researching, designing, and purchasing vehicles. After a didactic portion,
the moderators will guide attendees on a tour of vehicle manufacturers'
booths in the Expo Exhibit Hall before they are open to the public. Get an
up-close look at the latest offerings to give your patients and providers
the best in safety and efficiency.
CRITICAL CARE

Deadly Airway Management Errors You Can't
Afford to Make
GUSTAVO E. FLORES, MD, NRP, FP-C
Poor preoxygenation, incorrect medication selection
and dosing, incorrect timing of laryngoscopy,
bypassing the vocal cords, inadequate minute
ventilation-the list of potential rookie mistakes goes on and on. Whether
you've intubated one patient or 1,000, you should know these common
pitfalls that can have deadly repercussions and how to avoid them.

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