EMS World Expo 2021 Brochure - 32

CONFERENCE PROGRAM
OCTOBER 8

ALS

OPERATIONS/MANAGEMENT

Not Your Grandfather's DKA: Recent
Changes in Diabetes Care

The 6th Link: From Cardiac Arrest Survival
to Survivorship

KENNETH W. NAVARRO, PHD (C)

JENNIFER F. CHAP; RICK C. CHAP; MARY M. NEWMAN, MS

Diabetic ketoacidosis (DKA) is one of the most serious complications
of diabetes and is often associated with significant hyperglycemia.
Increasingly, patients with Type II diabetes are developing DKA, even
in the absence of abnormally elevated glucose levels. What many of
these patients have in common is the use of one group of medications
recently approved by the FDA for the treatment of diabetes. Euglycemic
DKA can easily mislead EMS personnel resulting in delays in appropriate
management strategies. This case-based presentation will review the
associated pathophysiology of patients presenting with euglycemic DKA
and discuss the approach to diagnosis and management of such patients.

The AHA statement recognizes the unmet needs of cardiac arrest
(CA) survivors/families. The new 6th link of the Chain of Survival,
Recovery, addresses physical and psycho/social supports to improve
survivorship. EMS Relevance: Improved QOL impacts cardiovascular
health. Survivor/provider reunions support healing. Survivors are great
EMS advocates and drive awareness. Session explores 6th link from
multiple perspectives: 1) Survivor/family: Hear a firsthand account
from an SCA survivor and his wife-saver who performed TCPR. Rick
and Jennifer Chap share their story and challenges post-SCA; 2) Policy:
Learn about putting the 6th link into practice across a system of care
to improve survivorship. (TBD: Kelly Sawyer, MD, MS, University of
Pittsburgh Asst. Professor of Emergency Medicine, ED Physician or
Bryan McNally, MD, MPH, Professor of Emergency Medicine, Emory
University School of Medicine, ED physician, CARES Executive Director);
3) Advocacy: Mary Newman, MS, SCA Foundation, shares ways the organization supports survivors/families and research efforts to improve
recovery; 4) Scientific: Studying survivor psychological and health behavioral dimensions and associated future cardiovascular risk informs
interventions
to improve survivorship. (TBD: Sachin Agarwal,
MD, asst.
i
g
professor of neurology/neurocritical
care, Columbia University Medical
g
Center, Director of NeuroCardiac Comprehensive
Care Clinic or Katie
p
Dainty,
D
y PhD, Patient Centered Outcomes, North York General Hospital)
p

PEDS/GERIATRICS/SPEC POPS

Pediatric Bereavement: Caring for All
of the Patients
AMY L. RICHARDSON, AAS; PETER ANTEVY, MD
There are 7,000 pediatric out-of-hospital cardiac arrests each year in
the U.S. and only 11% of those children survive to hospital discharge.
This means that 89% of children die either on scene or in the emergency department, yet EMS education does not focus on how to best care
for the " other patients " -the family members on scene. Join Dr. Peter
Antevy and Amy Richardson to learn why this skill is so important for
long-term healing, and how to walk through these chaotic, emotionally charged scenes with proficiency. These dynamic speakers will
discuss best practices for speaking with caregivers, focusing on how to
incorporate them into the code with the ultimate goal of getting them
to closure. We know that a heartfelt on-scene interaction with family
members can change the grief trajectory for everyone involved and it's
a skill that may save your career.
PEDS/GERIATRICS/SPEC POPS

Special Delivery: Pregnant Patients and
Liability Risks
SAMANTHA R. JOHNSON, JD, MBA, MHA; NICK J. ADAMS, EMT-P, MPA
Are pregnant patients your riskiest population? Recent jury verdicts
and settlements suggest the answer is " yes. " Nick, an EMS Division
Chief for one of the largest county-based ALS first response agencies in
Georgia, and Samantha, an attorney for one of the largest hospital-based EMS systems in the Southeast, examine the legal and clinical
risks that providers must keep in mind when caring for pregnant
patients. Using actual incidents and reported legal cases, Nick and
Samantha offer tips and tricks for responders to enhance patient care
while protecting themselves and their services from legal liability.
OPERATIONS/MANAGEMENT

Sudden Ambulance Death Syndrome:
The Objective Perspective
VEER D. VITHALANI, MD, FACEP, FAEMS
In this session, we'll discuss the use of objective clinical data-namely
cardiac monitor files-and incorporating them into your QA process to
discover previously unknown areas of issues, eg, unrecognized failed airways, poor CPR performance, and the dreaded sudden ambulance death
syndrome (inappropriate stabilization prior to patient transportation).
MIH/CP

Taking to the Streets: Mobile Outreach in
the Face of COVID-19
ARIELLA BAK, EMT, MHA; KAMELIA KLEJC, EMT
This presentation recalls the efforts by
Gainesville Fire Rescue (GFR) as they navigate
the COVID-19 pandemic. GFR took a proactive
approach to ensure that the public had resources and adequate
knowledge to keep themselves safe. The approach used included the
Respond, Educate, Treat, and Prevent method that included mobilizing
and repurposing the CP program to do intensive outreach missions.

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