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Presented by Air Medical Physician Association (AMPA)Air & Surface Transport Nurses Association (ASTNA)International Association of Flight & Critical Care Paramedics (IAFCCP)

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26th AnnualCritical Care Transport Medicine Conference

April 9-11, 2018

Wyndham San Antonio River Walk Hotel San Antonio, Texas

Critical Care Procedural Anatomy ProgramApril 8, 2018

Presented by Air Medical Physician Association (AMPA)

Air & Surface Transport Nurses Association (ASTNA)

International Association of Flight & Critical Care Paramedics (IAFCCP)

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CRITICAL CARE PROCEDURAL ANATOMY PROGRAM DESCRIPTION:This portion of the Critical Care Transport Medicine Conference is for transport crew members who wish to update and practice critical care techniques that will enhance their ability to provide the best possible care to patients who are most in need. The program offers state-of-the-art updates on clinical procedures. The didactic sessions include topics on emergent airway management, surgical airway management, chest tube insertion and management and pericardiocentesis, ventilation assessment and ventilator management, ventilator assist devices, intraosseous vascular access, and tourniquets and control of bleeding.

Educational Objectives:At the completion of the Critical Care Procedural Anatomy Program participants should know or be able to:

• Demonstrate understanding and hands-on skills practice for critical care procedures to include central line insertion, chest tube insertion, intraosse-ous access, ventilator management and surgical airway (cricothyroidotomy).

• List the indications, contraindications, success rates and complications from the use of these devices and techniques used in the emergency treatment of the critically ill and/or injured patient.

The Critical Care Transport Medicine Conference is designed to address topics pertinent to the prehospital and emergency care of the critically ill and injured patient. Physicians, nurses, paramedics, respiratory therapists and allied healthcare professionals will be provided information that offers them a deeper understanding of the essentials of care required for the complex patient requiring critical care air and ground transport. Lectures will be presented that will help participants develop leadership skills.

Educational Objectives:At the completion of this conference participants should know or be able to:

• Use state-of-the-art information to enhance and influence their clinical practice in the critical care air and ground transport envi-ronment, increase their skills, and influence their awareness of the unique environment in which they deliver medical care.

• Describe PEA, PEEP, and how to solve a cascading problem – prehospital anticoag-ulation reversal.

• Discuss pediatric trauma on the fly, pediat-ric airway management, high flow cannula for the pediatric patient, treatment and care of critically ill newborns and young infants, and the case of the changing MOI.

• Describe training the limbic system for high performance, the normalization of deviance, and quit making yourself look foolish and your patients look worse.

• Review the 2018 critical care literature update, the 2018 version for handing a medical error, malpractice avoidance for the flight professional, and first hand experience with concussion.

• Describe perimortem cesarean delivery in the HEMS setting, HELLP!, and video laryngoscopy – why should I care?

• Discuss high-risk heart disease, stroke assessment, recent advance-ments in HEMS fluid resuscitation, and RVAD vs. Air.

• Can we give them the finger yet?, Molly and the music festival, a resuscitationist’s guide to PreOx and ApOx, and is the answer really always ketamine?

X SCIENTIFIC FORUMThe 17th Annual Scientific Forum is sponsored by AMPA, ASTNA and IAFCCP. Posters will be presented and reviewed on April 9th and an Outstanding Research Award will be given prior to the opening General Session on April 10th. Our goal is to nurture and provide an appropriate forum for research in air and ground medical transport.

X CCTMC PROGRAM DESCRIPTION

CRITICAL CARE TRANSPORT MEDICINE CONFERENCE ULTRASOUND WORKSHOPThis 4-hour ultrasound course focuses primarily on the use of point-of-care ultrasound in the critically ill patient. Using a step-by-step approach, learners will be taught a shock protocol that will allow them to quickly diagnose a wide variety of pathologic conditions. The lecture portion discusses essential physics and knobology and the use of ultrasound to evaluate the critically ill patient at the bedside, and is followed by a hands-on practice session.

Educational Objectives:At the completion of the Critical Care Transport Medicine Conference Ultrasound Workshop participants should know or be able to:

• Demonstrate proper machine settings/ image acquisition.

• Describe sonographic findings of the hemopericardium, hemoperitoneum, hemothoraces, pneumothoraces, and right heart strain, pericardial tamponade and acute valvular insufficiency.

• Describe sonographic findings of catastrophic intra-abdominal conditions (pneumoperitoneum, pneumatosis, pneumobilia, emphysematous infection).

• Demonstrate an eFAST examination.

• Describe sonographic findings of abdominal aortic aneurysms, as well as proximal lower extremity DVT.

• Demonstrate catastrophic abdominal scanning protocol, and 2-point lower extremity compression examination.

X Accommodations Individuals may make reservations at the Wyndham San Antonio River Walk Hotel by calling 1-866-764-8536. In order to obtain the conference room rate of $155.00 (single or double plus taxes); please refer to our group block CCTMC. Or use the link below that will take you directly to the CCTMC reservation block.

https://aws.passkey.com/go/CCTMC2018

Reservations must be made by March 2, 2018.

7:00 a.m. On-Site Registration

8:00 – 8:15 a.m. Welcome, Lab Orientation and Program Overview

8:15 – 9:00 a.m. Adjuncts in Airway ManagementJack B. Davidoff, MD, EMT-P

9:00 – 9:30 a.m. Cricothyrotomy: Pearls and Pitfalls William Hinckley, MD, FACEP, CMTE

9:30 – 10:00 a.m. Chest Tubes, Pleural Pigtail Catheters, and Pericardiocentesis Christopher J. Fullagar, MD, EMT-P, FACEP

10:00 – 10:30 a.m. Ventilation Management Lauri Bolton, MD

10:30 – 10:45 a.m. Break

10:45 – 11:15 a.m. Mechanical Circulatory Support P.S. Martin, MD, FACEP

11:15 – 11:45 a.m. Intraosseous Vascular Access Lauri Bolton, MD

11:45 a.m. – 12:15 p.m. Hemorrhage Control Craig Bates, MD, MS, FACEP 12:15 – 12:45 p.m. Lab Procedures and Safety Jack B. Davidoff, MD, EMT-P

12:45 – 1:30 p.m. Lunch

1:30 – 5:30 p.m. Procedure Lab

Critical Care Skills Didactic Sessions

Breakout II Eeny, Meeny, Miny, Moe: The Case of the Changing MOI!Debra Milliner, APRN, FNP-C, MSN, MBA/HCM, CEN, CFRN

Breakout II High Flow Nasal Cannula for the Pediatric PatientTina Johnson, RN, BSN, MSN

Monday, April 9, 2018

Breakout II Terrible Trauma Tots: Pediatric Trauma on the FlyTeri Campbell, RN, BSN ; Kelley Holdren, BSN

SCIENTIFIC FORUM–Poster Review9:00 a.m. – 12:00 p.m.Coordinator: Lauri Bolton, MD

ULTRASOUND WORKSHOP 8:00 – 8:55 a.m. Practical Scanning Lecture (Physics/Knobology)

9:00 – 10:00 a.m. eFAST Examination Lecture

10:00 – 10:15 a.m. Break

10:15 a.m.– 12:00 p.m. Hands-on Scanning

Noon – 1:00 p.m. CCTMC Conference On-Site RegistrationBallroom Foyer

1:00 – 1:50 p.m. Opening General Session:Training the Limbic System for High PerformanceFaizan H. Arshad, MD

Critical Care Transport Medicine Conference

X Breakout Sessions:

2:15 – 2:45 p.m.Breakout I PEA: Finding the Gold in the GarbageMichael C. Berrier, NRP, FP-C, C-NPT, AAS

2:45 – 3:15 p.m. Breakout I The Case of the Dying Soldiers: Advanced Pharmacodynamics in Critical CareMichael J. Lauria, BA, NRP, FP-C

3:15 – 3:30 p.m. BREAK

3:30 – 4:00 p.m. Breakout I Managing Respiratory Distress with a High-Flow Nasal CannulaKevin T. Collopy, BA, FP-C, CCEMT-P, NRP, CMTE

4:00 – 4:30 p.m.Breakout I VL vs. DL: A Deep Dive of the LiteratureFrank Tift, MD

4:30 – 5:00 p.m.Breakout I Concussions: First Hand ExperienceDerrick Jacobus, MA, FP-C

Monday, April 9, 2018

1:50 – 2:15 p.m.The real F word: “Feedback”Ashley Voss-Liebig, RN, BSN, CCRN

Breakout II Pediatric Airway Management: Leave the Cowboy Hat BehindMaria J. Mandt, MD

Breakout II Bad Things In Small Packages: Critically Ill Newborns and Young InfantsMichael A. Frakes MS, APRN, CCNS, CFRN, CNTP, EMT-P, CMTE, FACHE

Sunday, April 8, 2018Critical Care Procedural Anatomy Program Limited to 40 participants

Students will be bused to the Center for Emergency Health Services Anatomy Lab for didactic sessions as well as the practice session. Plan to be ready to depart the hotel PROMPTLY at 7:30 a.m. Students will be returned to the hotel at the end of the program.

The Center for Emergency Health SciencesA Division of Bulverde Spring Branch Emergency Services353 Rodeo Drive • Spring Branch, Texas 78070

Critical CareTransport Medicine Conference

Wyndham San Antonio River Walk Hotel

X

X Breakout Sessions:9:00 – 9:30 a.m.

Breakout I Critical Care Literature: UPDATE 2018Michael A. Jasumback, MD

9:30 – 10:00 a.m. Breakout IMore Than the X Factor: Understanding and Managing CoagulopathyMichael A. Frakes, MS, APRN, CCNS, CFRN, CNTP, EMT-P, CMTE, FACHE

10:00 – 10:30 a.m. BREAK

10:30 – 11:00 a.m. Breakout I Heroes are Human Too: Exploring Depression, PTSD and Suicide Among our Health Care RespondersNatasha Lukasiewich, HHP, MSN, RN, CCRN-K, CFRN, CEN, EMS-RN, LNC

11:00 – 11:30 a.m. Breakout IPEEP: The Pressure to SurviveMichael C. Berrier, NRP, FP-C, NPT, AAS

11:30 a.m. - 1:00 p.m. LUNCH ON OWN

1:00 – 1:30 p.m. Breakout I Patients: The Forgotten SafetyMichael A. Frakes MS, APRN, CCNS, CFRN, CNTP, EMT-P, CMTE, FACHE

1:30 – 2:00 p.m. Breakout I High Risk Heart Disease: Avoiding Deadly Mistakes in Aortic Stenosis and Right Heart Failure Matthew A. Roginski, MD, MPH

2:00 – 2:30 p.m. Breakout I Creating and Advancing Quality Programs in the HEMS SettingLouis Scrattish, MD, FACEP, FAAEM

2:30 – 3:00 p.m. BREAK

3:00 – 3:30 p.m. Breakout I Solving a Cascading Problem: Pre-Hospital Anticoagulation ReversalDamon A. Darsey, MD

3:30 – 4:00 p.m. Breakout I A Resuscitationist’s Guide to PreOx and ApOxFaizan H. Arshad, MD

4:00 – 4:30 p.m. Breakout I The 2018 Version for Handling a Medical ErrorTina Johnson, RN, BSN, MSN

Breakout II Perimortem Cesarean Delivery in the HEMS SettingEric Vaughan, MD, FACEP, FAAEM

Breakout II HELLP! Maternal Emergencies that Exist Beyond the Laboring Pregnant PatientTheresa Bowden, BSN

Breakout II Prehospital Care of the LGBTQ Patient, “A Little Respect”P.S. Martin, MD, FACEP

Breakout II They’re Not Just Old Adults: Critical Care Transport of the ElderlyCharles W. Sheppard, MD

Breakout II CRM in Patient Care: The PIVOT PointAmilynne Tomaszewski, MICP, NRP, CCP-C, FPC

Breakout IIStroke Assessment: Digging Through the Alphabet Soup of Stroke ScalesRay Bennett, BSN, RN, CEN, CFRN, CTRN, SCRN, NRP

Breakout II Drip & Ship: Indications for Advanced Care at Comprehensive Stroke CentersRay Bennett, BSN, RN, CEN, CFRN, CTRN, SCRN, NRP

Breakout II When Your Patient is Just Too Sweet: DKA and HHSCharles W. Sheppard, MD

Breakout II Optic Nerve Sheath Measurements Using Ultrasound For Assessing Elevated ICPRobert Schlamp, CMACCP, ACP • Stephen Wheeler MD

Breakout II Is the Answer Really “Always Ketamine”?Derrick Jacobus, MA, FP-C

7:30 – 8:00 a.m. On-Site Registration/Continental Breakfast

8:00 – 8:15 a.m. Welcome & Award Presentations

8:15 – 9:00 a.m. General Session: Are We All Deviants? Normalization of DevianceCharles W. Sheppard, MD

Tuesday-April 10, 2018

2019 CCTMCApril 15-17, 2019The Hotel AlbuquerqueAlbuquerque, New Mexico

Breakout II Misadventures in Mechanical Ventilation: Therapeutic Killers!Eric Bauer, MBA, FP-C, CCP-C, C-NPT

Breakout II Pragmatic EKG InterpretationWilliam C. Ferguson MD, FACEP, FAAEM

Breakout II RVAD vs. Air: A Race Against TimeBruce Hoffman, MSN, BSN-RN, NR-Paramedic, CFRN

Breakout II The Nuts and Bolts of Prehospital UltrasoundNikolai Schnittke, MD, PhD

The Pittman Course: Flight and Critical Care ReviewFriday, April 6 and Saturday, April 7, 2018

This IAFCCP-sponsored review course, developed by the late Corey Pittman, is designed to prepare students for the FP-C® and CCP-C® examinations and as a review for FP-C®/CCP-C® certification holders.

Our engaging, dynamic instructors have extensive critical care transport experience and currently hold one or more IBSC certifications.

Register Online at www.iafccp.org(Member discounts apply)

Tim Hynes Foundation Fifth Annual Silent AuctionPlan now to donate silent auction items to help raise awareness and funds to support the scholarships and activities of the THF. Email info@timhynesfoundation.org for details.

The sixth Annual RUNNING WITH AN ANGEL 5KMonday, April 9, 2018 Registration at 8:30 a.m. Run at 9:00 a.m.

A run/walk to honor our fallen colleagues and support their Loved Ones! For information, please contact Air & Surface Transport Nurses Association. www.ASTNA.org • 303-344-0457astna@astna.org

Sign up at the ASTNA Community Calendar www.astna.orgProceeds will go to the ASTNA Bereavement Fund to assist the families of fallen crew members

X Additional Activities

Breakout II Advanced PressorsMichael A. Jasumback, MD

Wednesday, April 11, 2018

FP-C® / CCP-C® / CP-C Exams: Sunday, April 8, 20188:00 to 10:30 a.m.

Specialty certification exams will be administered in a paper/pencil format. Must pre-register to test on or before March 21, 2018.

Register online at www.IBSCertifications.org(Member discounts apply)

Back Again! CCTMC SIM Tournament of Champions2018 marks the second annual CCTMC SIM Tournament of Champions. Up to five teams will compete in two rounds of simulated patient encounters and other challenges to exhibit their critical care knowledge and skills. Round one begins after Monday’s opening session, continuing for the remainder of the afternoon. Round two begins after Tuesday’s general session, continuing until midafternoon. Winners will be announced prior to Wednesday’s closing session.

Teams will consist of two providers and a substitute who can take the place of one of the providers as needed. All team members must be actively practicing critical care transport providers and must be registered attendees of CCTMC. Team members will have plenty of time to enjoy other conference offerings while they are not competing. E-mail cctmcchampions@gmail.com if your team feels up to the challenge.

Brendan C. Berry, MD, CMTE, FACEP Amar P. Patel, DHSc, MS, NRP Stacy Wicinski, RN, MA, CEN, CMTE, EMT

X IAFCCP-Sponsored Review Course8:00 – 8:30 a.m. Registration/Continental Breakfast

X Breakout Sessions:8:30 – 9:00 a.m. Breakout I Resuscitation in Pulmonary Hypertension and Right Ventricular FailureSusan R. Wilcox, MD

9:00 – 9:30 a.m. Breakout I Recent Advances in HEMS Fluid Resuscitation ManagementLouis Scrattish, MD, FACEP, FAAEM

9:30 – 10:00 a.m.Breakout I Update to 2018 Can We Give Them the Finger Yet? Finger Thoracostomy for Tension PneumothoraxCynthia M. Griffin, D.O.

10:00 – 10:15 a.m. BREAK

10:15 – 10:45 a.m. Breakout I Malpractice Avoidance for the Flight ProfessionalGregory Cassis, JD

10:45 – 11:15 a.m. Breakout I Molly and The Music Festival: Lessons Learned from a Deadly CombinationTheresa Bowden, BSN

11:15 a.m. – 12:00 p.m. Closing General SessionJust Stop! Quit Making Yourself Look Foolish and Your Patients Look WorseMichael A. Frakes MS, APRN, CCNS, CFRN, CNTP, EMTP, CMTE, FACHE

CCTMC Adjourned!

Name: ____________________________________________________

o RN o Paramedic o MD o RT o Other _________________

Transport Program: __________________________________________

Title/position: _______________________________________________

Home address: ______________________________________________

City, State, Zip ______________________________________________

Home Phone:___________________Work Phone: __________________

E-Mail: ____________________________________________________

Member: o AMPA o ASTNA o IAFCCP

Critical Care Transport Medicine Conference Pre-registration: Payment Received Prior to March 2, 2018

______$285.00 Member ______$335.00 Non-Member Payment Received After March 2, 2018

______$315.00 Member ______$375.00 Non-Member ______$375.00 On-Site Registration

Critical Care Procedural Anatomy Program (Limited to 40 participants)

Additional Registration Fee MUST Pre-Register

______$300.00 Member ______$350.00 Non-Member

Ultrasound Workshop (Limited to 40 participants)Additional Registration Fee MUST Pre-Register

______$240.00 Member ______$300.00 Non-Member

_______________Total Enclosed

Make check payable in US Funds to the Air Medical Physician Association* and mail to CCTMC, 951 East Montana Vista Lane, Salt Lake City, UT 84124. Or charge to VISA or MasterCard only

o VISA o MasterCard

Card Number: _______________________________________________

Expiration Date: _____________________________________________

Signature: _________________________________________________

*AMPA Federal Tax ID #87-0510123

To register by phone with a credit card, call Patricia Petersenat 801-263-2672, or fax registration form to 801-534-0434On-line registration available at www.ampa.org

Partial registration refund to March 2, 2018; NO refunds after March 2, 2018.

Faizan H. Arshad, MDEMS Medical Director Healthquest Systems

Craig Bates, MD, MS, FACEPMedical Director and Flight Physician Metro Life Flight; Attending Physician MetroHealth Medical Center, Department of Emergency Medicine AMPA Board of Trustees

Eric Bauer, MBA, FP-C, CCP-C, C-NPTCEO – FlightBridgeEd, LLC

Ray Bennett, BSN, RN, CEN, CFRN, CTRN, SCRN, NRPFlight Nurse, Cooper 1 Air Medical Program

Michael C. Berrier, NRP, FP-C, C-NPT, AAS Paramedic, Vidant EastCare

Brendan C. Berry, MD, CMTE, FACEPMedical Director, WakeMed Mobile Critical Care Services Raleigh, North Carolina President Elect, AMPA

Lauri Bolton, MDMedical Director, LIFE STAR Hartford Hospital, Connecticut President, AMPA

Theresa Bowden, BSNFlight Nurse, Life Flight Network

Teri Campbell, RN, BSNFlight Nurse, UCAN

Gregory Cassis, JDFlight Paramedic, UVA Health System

Kevin T. Collopy, BA, FP-C, CCEMT-P, NRP, CMTEClinical Education Coordinator AirLink/VitaLink Critical Care Transport Immediate Past President, IAFCCP

Damon A. Darsey, MDAssistant Professor of Emergency Medicine and Pediatrics Medical Director, Mississippi Center for Emergency Services

Jack B. Davidoff, MD, EMT-PMedical Control Physician Mercy Flight Central

William C. Ferguson, MD, FACEP, FAAEMAssistant Professor of Emergency Medicine Assistant Director, Office of EMS UAB Department of Emergency Medicine

Michael A. Frakes, MS, APRN, CCNS, CFRN, CNTP, EMT-P, CMTE, FACHEDirector of Clinical Care, Director of Organization Quality Boston MedFlight

Christopher J. Fullagar, MD, EMT-P, FACEPSUNY Upstate Medical University Department of Emergency Medicine Immediate Past President, AMPA

Cynthia M. Griffin, D.O.Emergency Medicine Physician Flight Physician, UW Med Flight

William Hinckley, MD, FACEP, CMTEMedical Director/Flight Physician Air Care & Mobile Care, UC Health- University Hospital University of Cincinnati Department of Emergency Medicine

Bruce Hoffman, MSN, BSN-RN, NR-Paramedic, CFRNChief Operations Officer, FlightBridgeEd

Kelley Holdren, BSNChief Flight Nurse, Administrative Director, UCAN Board Member, ASTNA

Derrick Jacobus, MA, FP-CFlight Paramedic, MidAtlantic MedEvac

Michael A. Jasumback, MD Medical Director, PHI Air Medical

Tina Johnson, RN, BSN, MSNAssistant Manager, Critical Care Transport Children’s Healthcare of Atlanta President, ASTNA

Michael J. Lauria, BA, NRP, FP-CCritical Care/Flight Paramedic, Dartmouth Hitchcock Advanced Response Team

Ashley Voss-Liebig, RN, BSN, CCRNChief Clinical Supervisor Flight Nurse/Helicopter Rescue Specialist Travis County STAR Flight

Natasha Lukasiewich, HHP, MSN, RN, CCRN-K, CFRN, CEN, EMS-RN, LNCEducator, Legal Nursing Solutions, LLC

Maria J. Mandt, MDAssociate Professor of Pediatrics and Emergency Medicine University of Colorado Hospital School of Medicine Children’s Hospital Colorado

P.S. Martin, MD, FACEPAssociate Professor Emergency Medicine, West Virginia University School of Medicine Associate Medical Director, HealthNet Aeromedical Services

Debra Milliner, APRN, FNP-C, MSN, MBA/HCM, CEN, CFRNAPRN, Vidant Medical Group

Amar P. Patel, DHSc, MS, NRPMobile Critical Care Services WakeMed Health & Hospitals

Stacy Prater, EMT-P, CCEMT-P, FP-CClinical Educator/Business Development Manager Flight Paramedic, LIFE FORCE Air Medical Education Chair, IAFCCP

Matthew A. Roginski, MD, MPHAssistant Professor of Medicine, Sections of Emergency and Critical Care Medicine Assistant Medical Director, Dartmouth-Hitchcock Advanced Response Team

Robert Schlamp, CMACCP, ACPCritical Care Education Officer, Critical Care Programs BC Emergency Health System

Louis Scrattish, MD, FACEP, FAAEMAssistant Professor of Emergency Medicine Associate Medical Director, UW Med Flight University of Wisconsin School of Medicine and Public Health

Nikolai Schnittke, MD, PhDClinical Instructor, University of Wisconsin, Department of Emergency Medicine

Charles W. Sheppard, MDMedical Director Mercy Life Line and Mercy Kids Transport Springfield, Missouri AMPA Board of Trustees

Brian Solada, RN, CFRN, CMTEAir Methods Corporation Immediate Past President, ASTNA

Frank Tift, MDAssistant Medical Director, Flight Physi-cian LIFE FORCE Air Medical Services

Amilynne Tomaszewski, MICP, NRP, CCP-C, FP-CFlight Clinical Coordinator, Flight Paramedic MidAtlantic MedEvac

Eric Vaughan, MD, FACEP, FAAEMAssistant Clinical Professor of Emergency Medicine EMS Fellow University of Kansas Hospital

Stephen Wheeler, MDMedical Director, Critical Care Programs BC Emergency Health Services

Stacy Wicinski, RN, MA, CEN, CMTE, EMTCleveland Metro Life Flight MetroHealth Medical Center

Susan R. Wilcox, MDChief, Division of Critical Care Department of Emergency Medicine Massachusetts General Hospital

X 2018 CCTMC Conference Registration

CONTINUING EDUCATION CREDITS: ACCREDITATION:

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and the Air Medical Physician Association.

The Center for Emergency Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Center for Emergency Medical Education designates this live activity for a maximum of 24.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commen-surate with the extent of their participation in the activity.

8.25 AMA PRA Category 1 Credits™ for the Anatomy Program

3.75 AMA PRA Category 1 Credits™ for the Ultrasound Workshop

12.75 AMA PRA Category 1 Credits™ for CCTMC

CE Credits for Nurses and Paramedics have been applied for through the Air & Surface Nurses Association.

X Faculty and CCTMC Planning Committee