Campbell County Health

Campbell County Memorial HospitalCAMPBELL COUNTY HEALTH

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Campbell County ClinicsCAMPBELL COUNTY HEALTH

UROLOGY

SURGERY

CAMPBELL COUNTY HEALTH

LIVING AND REHABILITATION CENTER

THE

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Excellence Every Day

APRIL 7-9, 2016CAM-PLEX Energy Hall • Gillette, Wyoming

E M S U N I V E R S I T Y

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Welcome to Campbell County Health’s EMS University. Thank you for your dedication to Emergency Medical Services and for your ongoing commitment to continuing education in this field. We are honored to have each and every one of you with us.

Skills Skill stations are provided with support from Joy Global and Cloud Peak Energy.Skill stations will be offered each morning starting at 0730 and continuing until 0845. Stations available for CME credit will be traction splinting/stop the bleeding, spinal motion restriction, CPR/AED, and basic airway. These stations require active participation.

CCH and EMSU regularly engage in capturing video and/or still digital images of students participating in training. It is each participant’s responsibility to notify the person with the camera if they don’t want their image used for publicity, marketing or educational purposes.

The Game of TonesThis year EMS University will be holding a competition! Team members will test their skills by working through a variety of emergency scenarios. Will you endure and come out victorious?The competition will be held on April 7 and 8th.    Gather your team of first responders and give it your best. Each 3-member team will have 15 minutes for patient assessment and treatment. EMS experts from Wyoming State EMS office, Campbell County Health and local mines will evaluate your performance.  Saturday, April 9, the results will be revealed and awards will be presented. Registration by the front desk, Thursday and Friday morning.

Continuing Education and DocumentationStep 1: BE SURE YOU HAVE A BAR CODE – You will receive this bar code during registration. Your card will have a bar code printed on it. The bar code is unique to you and your email address.Step 2: HAVE YOUR BAR CODE SCANNED AS YOU ENTER CLASSES –Before each session that you attend, be sure to have your bar code scanned at the door.Step 3: COMPLETE THE EVALUATION – Please complete the evaluation in the back of this brochure and turn it in at the registration desk.Step 4: ENTER THE SESSION(S) IN THE ONLINE EMS LICENSURE – Once you receive the certificate, enter the session in your Wyoming CME online licensure and follow your normal process for signatures and submission.Once again this year, EMS University will be utilizing the Eventbase app for your smartphones (Apple & Android), listing all the times, classes, and speaker information. And, if any changes occur during EMS University, they’ll be posted directly to Eventbase, so you’ll always have the latest schedule on your smartphone! Simply go to your Apple Store or Google Play and download the free “Eventbase” app. Once it’s loaded on your smartphone, look for EMSU-2016 in Gillette, Wyoming.

Exhibits and Vendors AIR METHODS

GUARDIAN FLIGHT

NEVES UNIFORMS

Meals Continental breakfast, lunch and afternoon snacks will be provided.

Session TracksThe conference sessions are slotted into tracks so you’ll know which session topics are appropriate for you. Here’s how we’ve defined each track:

BLS These sessions are applicable for EMR and EMT-B as well as advanced providers. Some of the material may be new, although much may be a refresher for the advanced providers.

ALS These sessions are intended for advanced providers only; the material presented will be at an advanced level.

Recertification RequirementsWe have included what recertification requirement category each course may meet in the course description.

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Map of CAM-PLEX

Coordinators Nancy Jennings - 307.688.6006; nancy.jennings@cchwyo.orgGregg Mentzel - 307.688.1160; gregg.mentzel@cchwyo.org

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Main Entrance

ALSClassroom

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BLSClassroom

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BLSClassroom

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BLSClassroom

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Course Descriptions12-Lead Acquisition - Benefits of BLS Access ERIC BAUERDuring the past 20 years we’ve seen a huge change in how we have treated and diagnosed acute coronary syndromes in the pre-hospital environment. The STEMI guideline initiative has progressed throughout the years from an advanced provider skill to now having BLS providers in the rural environment providing this high quality diagnostic care. Rural areas of the United States have many different limitations to care, often with only BLS and volunteer departments available for response to the sick and injured patient. With the advent of current technology, BLS providers can now conduct 12-Lead ECG assessments, and then transmit those results to a current cardiac center in their area for final diagnosis. Come join us for a look into BLS 12-Lead assessment techniques that will empower the BLS provider to have the confidence in providing this life saving technology in the rural environment.

Cardiac, Medical

Airway, Airway, Airway MATT STROOTEMS providers have to master airway skills to maintain the patency in all patients. This mastery is a skill practiced by all levels of EMS providers. We will review basic life support interventions, adjuncts, and maneuvers, progressing to advanced interventions and procedures. Students will have the opportunity to use all ALS adjuncts/interventions including intubation, and needle and surgical cricothyrotomy on real tracheas! Transport ventilation will be discussed with a set of lungs for demonstration.

Airway, Medical

All Aboard the Mentor…Ship JESS FULKERSONNo matter where you go, or who you ask, anyone in EMS will tell you that mentorship is a good thing…and we should be doing it. But what EXACTLY is mentorship? Well….it depends on who you ask! This presentation is designed to get you thinking about mentorship outside the proverbial “box”. We’ll explore the spectrum of definitions of mentorship and where you fit along that spectrum. Discussion will be guided by the group with an interactive format. Who have been your mentors? Why do you think of them as mentors? How do YOU mentor others? How do you pick mentors? Do formalized mentorship programs work? Can friends be mentors? Is that just asking for trouble? All of it is intended to get your juices flowing and take a refreshed perspective back to your agency.

Preparatory

A Long Way to go, and a Short Time to Get There JESS FULKERSONIn rural EMS, the “platinum ten” and “golden hour” are concepts that can seem like fantasies. As a rural EMS provider, you always know you’ve got a long way to go, and a short time to get there. Most times there’s plenty to do, but what exactly are you doing during that time? What principles guide your care on those long transports? Do you care differently for a critical patient vs. a stable patient? What do you do when “there’s nothing left to do”? This session talks about the fulfilling nature of EMS systems where long transports are the norm, and their unique challenges in providing care. We’ll also talk about how current EMT curriculum ignores this issue, and how to train to be most effective in this environment.

Preparatory

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Course Descriptions

Are You the Widow Jones?JESS FULKERSON Have you ever found yourself dealing with a family member of a patient who died in the pre-hospital setting? Did you feel like you had a good plan of what to say and how to say it? As EMS professionals, we are often under-trained in how best handle these difficult situations. The participant will walk away with an understanding of: why and how people grieve, what to say and what NOT TO SAY to grieving family members, and how to break the worst news in the best possible way. Intended for EMTs, Paramedics, and ER Staff, this one-hour session uses frank discussion and a bit of humor to make a dark topic a bit brighter.

Preparatory

As the Rotor TurnsCHRIS BELTZWith helicopters becoming more available to rural emergency responder’s, knowledge of how to safely operate around them is a must for all personnel on scene. This class will focus on helicopter operations both inside and out. Attendees will gain the knowledge and skills needed to request helicopters to the scene, locate safe landing zones, and work with the crew and aircraft to safely package and transport patients when time is very critical. One lucky participant will be packaged as the patient “transported” from the “scene” for a life saving flight!

Preparatory

Basic Airway Techniques Save Lives: Current Evidence Based Practice in the BLS AirwayDAVID OLVERAA great intubation and advanced airway cannot be complete without strong basic airway practices. Proper technique in BLS airway management, pre-oxygenation and preparation can help maximize the opportunity to resuscitate our patients. Basic airway techniques will help save lives. With so much research being performed today how do we decipher what works in the pre-hospital setting? This lecture will discuss current evidence based literature on proper airway management, as well as evaluate how to put the evidence into practice.

Airway, Medical

Bomb/Blast BasicsANNETTE MATHERLYThis class will discuss primary, secondary, tertiary, quaternary and quinary blast injuries. Appropriate scene management for the most common blast injuries will be discussed.

Trauma

Burn Case StudiesANNETTE MATHERLYMultiple patient case studies with a review of initial assessment and management will be discussed. Case studies include pediatrics, electrical, thermal, and inhalation burns.

Trauma, Case Studies

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Course Descriptions

Cardiac 12-Lead Case Studies: Analyzing New Research and Evidence Based Diagnosis Criteria ERIC BAUERDuring the late 1990’s we saw a huge change in how acute coronary syndrome was diagnosed and treated in the pre-hospital environment. With the start of the STEMI guideline initiative almost 20 years ago, we saw rigid diagnostic guidelines for MI diagnosis and STEMI protocols. Through the years and based on current research and evidence-based practice, our ability to identify acute coronary syndromes has evolved and resulted in a huge reduction in morbidity and mortality. Come join us for a look inside the newest theory and diagnostic tools available to us in the pre-hospital environment.

Cardiac, Medical

EtCO2 - An Indication of Horsepower & Resuscitation ERIC BAUEREtCO2 has been the standard monitoring tool in the pre-hospital environment for endotracheal intubation confirmation over the past 17 years. Although EtCO2 is the gold standard for continuous airway confirmation, the value of EtCO2 goes far beyond our patients’ airway. This lecture will discuss the pathophysiology behind CO2 production, the importance and value of using quantitative capnography for the evaluation of perfusion, and continuous monitoring of respiratory status in non-intubated patients. This lecture will add great value to your clinical practice and challenge you to look at EtCO2 from a broader perspective.

Airway

Emergency Care of the Burn Patient – WY TopicsANNETTE MATHERLYImportant concepts of emergency burn care will be discussed. Topics will include skin anatomy and physiology, the Rule of Nines, and identifying depth of injury and initial burn management. Burn Disaster Crisis Standards of Care will be identified, as well as which patients should be transferred to a burn center.

Trauma

Extrication - So, You Want to Tear Apart a Car?MILO PETERSON, ANDREW RUTIGLIANO & MATT STROOTWelcome to the class that will teach you the

fundamentals and methodology of extrication. This is the focus of removing the vehicle from around your trapped patient, not removing the patient from the vehicle. Everyone has heard of, “The Jaws of Life”. Few get to handle these advanced tools, and this will be the place. Instructors will review safety measures and practices applied to the rescue scene, present the tools, and show the science of extrication on real cars. The best part of the class is that this is not an emergency and you are not fighting the clock in an attempt to save a car crash victim. Personal protective equipment will be required, so bring your safety boots, glasses, and gloves if you have them. Class size is limited to 18. Sign up at the registration desk.

Preparatory, Ambulance

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Course Descriptions

Farmacology?! ROBERT QUINTANAInformation for the BLS EMT about the pharmacology and pharmacodynamics of medications that are used at that practice level. Overview of the indications, applications, use, dose, side effects and monitoring necessary for the safe utilization of medications in the treatment of patients.

Medications

Flying, Drumming, Cooking and Paramedic…ing - Multi-Tasking in EMSJESS FULKERSONIn EMS, we’re constantly told that we need to be good multi-taskers. Are you a good multi-tasker? You think so, huh? What if I told you, you were actually a good SWITCHER?!? This lecture focuses on how the brain works in a multi-input and multi-output setting. We talk about how we can actually maximize our brain’s naturally limited ability to do two things at once. If we understand what our limitations are, we can overcome them through appropriate training, prioritization, delegation, and revisiting. We highlight how multi-tasking (or something like it) can be useful, but also a drawback to effective patient care.

Preparatory

Gimme Some Sugar JESS FULKERSONIt’s a common occurrence for EMS to respond to diabetic emergencies. With the increasing prevalence of diabetes in our society, it’s just going to get more common! Whether it’s Type 1 or Type 2 diabetes, there can be more to these patients than meets the eye! In this presentation, we take both types of diabetes apart. We not only talk about what we see as emergency responders, but also about what’s going on physiologically and psychologically from the perspective of the diabetic. We gain a

greater appreciation of the complexities of diabetes care, as well as a simplified approach for treating all types of diabetes-related emergencies. This class is intended for First Responders, EMT’s, Paramedics, and RN’s. Taught by a diabetic, with interactive discussion and first-hand examples, this lecture will have you walking away with all the mystery taken out of Diabetes Management.

Endocrine, Medical

Got Them Back, Now What? Post Resuscitation ManagementCHARLES SWEARINGENThere is increasing recognition that systematic post–cardiac arrest care after return of spontaneous circulation (ROSC) can improve the likelihood of patient survival with good quality of life. Post–cardiac arrest care has significant potential to reduce early mortality caused by hemodynamic instability and later morbidity and mortality from multi-organ failure and brain injury. This lecture will examine the evolving understanding of the hemodynamic, neurological, and metabolic abnormalities encountered in patients who are initially resuscitated from cardiac arrest.

Cardiac, Medical

How’d That Get There?ROBERT QUINTANAA discussion about the physiologic responses that emergency personnel experience and how they are chemically designed for use as medications. Discussion will include the design of current medications that mimic the human response to stimuli including the hormonal response (and treatment), fight or flight response (and treatment), and just plain “chillin’ out.

Medications, Medical

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Course Descriptions

I Hate PEEPSCHRIS BELTZThere is no shortage of the nastiest treat on earth this time of year! Consuming Peeps is very bad for your health and should be avoided at all costs. PEEP when used in airway management is very beneficial and has life saving results. This class will focus on the use of PEEP and other airway management techniques that can be employed by providers of all levels to improve clinical status and survivability.

Airway, Medical

I’m Freaking Out Man! Illicit Street DrugsKASPEN HALEYDiscussion of the old and new drugs we are seeing today. Review the associated signs and symptoms of overdose, scene safety, and challenges of treatment.

Pump, Plumbing, or the Wet Stuff? Vasoactive Medications – Discussion on shock, hemodynamics, the sympathetic nervous system, and the medications that can make or break these fragile patients. Medications, medical

Omaha! Pharmacology Blitz- Street Level Medications – Case studies are used to help choose treatment based on patient presentation. Discussion about indications, contraindications and the risk/ benefit of each medication choice.

Medications, Medical

In Your Mind’s EyeJESS FULKERSONThis course focuses on how to mentally prepare for calls through the use of imagery (visualization). During a call, the effects of stress can decrease our effectiveness and even paralyze us in our efforts to render assistance. The presentation talks about how to pre-empt stress by giving responders tools to inoculate themselves ahead of time. They will see results in decreased anxiety before calls, lower stress response during incidents, increased success while on-scene, and positive attitude formation. We talk about visualizing success in bad situations, positive self-talk, and even using imagery

as a teaching tool for new or inexperience providers. Preparatory

Is Too Much Oxygen ToxicJAMES RICHARDSON Discussion about whether too much oxygen can be harmful to a patient short term.

Airway, Medical

I’ve Arrived at an MCI….Now What?JESS FULKERSONThis presentation takes you past how to do S.T.A.R.T. Triage. It teaches the responder how to establish the supervisory positions of Incident Command, Medical Command, Triage, Treatment, Transport, and Safety with the first two or three arriving units. The EMT will walk away with knowledge in how to provide a size-up, how to effectively staff staging areas, and incorporate Air Medical into an effective Incident Management Plan. We will talk about how to manage the MCI when staffing is limited, as well as balancing patient care vs. scene management when EMS is overwhelmed. Interactive demonstrations and a “get-out-of-your-seat-and-try-it” atmosphere are the way we learn in this presentation.

Preparatory, Ambulance Operations

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Course Descriptions

Ketamine Use, Pre-HospitalJAMES RICHARDSON Vitamin K, and 3 years of usage data from a rural EMS System.

Medications

Lucas Device TrainingDENNY BOHNEA guide to mechanical compressions, taking a hands-off approach.

Medical, Preparatory

Magnifying the Genius in OthersERIC BAUERHow much do we invest in our own personal pursuit to greatness? Often times in our life and career, we have times of growth and times of stagnant, unproductive growth. Why is that? Why do we start out of the gate so well and then due to life events, circumstances, surroundings, and culture we fail to pursue our dreams? We fail to see the future as empowering. How can we become leaders in our craft? What sets people up for success? What allows people to become the best in their field? We’ve seen many people in our lifetime that are “Pioneers” in their respective fields. What’s that secret ingredient they possess? In an attempt to answer these questions we will look at my top 10 core objectives for - “Carving your Practice: Having A Pioneering Spirit”!

Preparatory

Medications A to ZROBERT QUINTANAInformation for the advanced provider about the pharmacology, pharmacodynamics, and mechanisms of selected medications. More detailed discussion and review of the indications, applications, use, dose, side effects, and monitoring of clinically stable and unstable patients.

Medications

My Neck, My Back, My Neck, My BackBURTON HAYDENDescribe mechanisms of injury associated with spinal cord injury. We will discuss pathophysiologic changes as a basis for assessment of the trauma patient. Trauma, assessment and triage. An interactive class involvement to triaging patients in a MCI. A case study approach.

Preparatory, Trauma

Oh Baby!TYLER DICKEY A review of emergent concerns of childbirth, including early pregnancy, problems around the time of delivery, and postpartum care.

OB/GYN, Medical

Online Wyoming Licensure System (OWLS) UpdateSCOTT LOGANThe Wyoming Office of EMS continues its transition to the new online EMT licensure registry, and away from the continuing education booklets. Over 3,000 of our EMS personnel already have accounts in the system, and all Wyoming EMTs will be required to create accounts and renew through the new system by the end of 2016. This session will update you on the status of the transition, as well as give you some tips and tricks and lessons learned.

Preparatory

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Course Descriptions

Pediatric Transport DIANA SHANNON & BARRY SHANNONNationally 70% of car seats are installed incorrectly and many individuals are unaware of the free assistance that Wyoming provides to help improve this statistic. Parents, grandparents, extended family and all transporting emergency personnel are encouraged to attend this class on the ins and outs of proper child safety restraint installations and positioning. This class will also review ambulance safety restraint systems, their proper use and installation.

Ambulance Operations

Pediatric Case Study BLSJAMES RICHARDSON Case study involving pediatric patients.

Pediatric Emergencies

Pediatric Case Study ALSJAMES RICHARDSON Case study and 2015 AHA guideline updates as they apply to ALS Providers.

Pediatric Emergencies

Pediatric CPRJAMES RICHARDSON Guidelines, updates, and hands-on topics, to improve survival.

Pediatric Emergencies

Pediatric TraumaBURTON HAYDENWe are going to identify the unique characteristics of the child, including common injury types and the management of the critically injured child.

Trauma, Pediatric

Pre-hospital Airway Evaluation, Putting it into Practice, and Current Evidence-Based Research on Videoscopic Intubation in the Pre-hospital EnvironmentDAVID OLVERAWithout a proper evaluation of your airway prior to intubation, failure to successfully intubate the patient is almost imminent. When preparing for RSI and intubating a patient what is more important, preventing desaturation or first pass success? Is the use of a videoscopic device, which is the current practice, accurate in pre-hospital settings? This lecture will help bring evidence based practice of difficult airway prediction in line with the use of videoscopic devices and pre-hospital advanced airway management.

Airway, Medical

Pre-hospital Evaluation of the Acute MI Patient: The ECG is KINGNICHOLAS STAMATOThis course will describe the pathophysiology and presentation of an acute MI. It will review the evaluation of the acute MI patient and describe in detail the ECG of various MI locations.

Cardiac, Medical

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Course Descriptions

Preparing for the Unthinkable: Burn Disaster Standards of CareANNETTE MATHERLYDo you know what the potential risks for disaster are in your community? This class will help you identify those risks. You will develop an understanding of BDCSC and learn how to assess and manage patients in a Burn Mass Casualty Incident and identify crucial considerations.

Trauma

Pull the Trigger – Decision Making in Airway ManagementJESS FULKERSONAirway management is a skill that even the newest EMT needs to master. Even the most seasoned EMS professionals need to know HOW to best accomplish airway management. This can be difficult.This class will discuss the DECISION MAKING needed in order to evaluate a patient and decide to employ aggressive techniques, vs. using more conservative skills. It’s about patient evaluation, and applying your skills to those patients that need you the most. We could just intubate everybody…but is that really necessary? This case-study presentation will provide an interactive environment where together we can explore when it’s best to “pull the trigger”.

Airway, Medical, Assessment

So…Don’t Touch…Anything?!?JESS FULKERSONEver found yourself standing in the middle of a crime scene? Have you and your fellow EMS colleagues ever been called “the Evidence Eradication Team” by police? Well this lecture is for you! We’re going to talk about how to function as an EMS worker in the highly sensitive environment of a crime scene (even when it’s not officially a crime scene yet). This will be a case study program, with photos and case details from actual crime scenes where EMS played a role in the call. We’ll talk about pitfalls to avoid. We’ll talk about who to pick to go in. We’ll talk about what information “the cops” are going to need from you, and what evidence they’ll need to collect. Armed with this information, it should be easier for us as EMS professionals to do our job, with a little less worry, and whole lot more cooperation. Taught by a Firefighter/Paramedic who’s also a cop, both sides of the issue will be explored, in an open and interactive format.

Preparatory

So You Want to be a SWAT Medic?JESS FULKERSONA lot of people think that being a SWAT (TEMS) Medic is as easy as simply putting on a different uniform and a gun. Nothing could be further from the truth. This is especially true if you’re considering starting a TEMS program where one doesn’t exist right now. Where do you start? Who do you talk to? What protocols do you use? This presentation will start with discussing all the facets of a TEMS program beyond just serving warrants. It will delve into many things to consider when creating a TEMS program from scratch. There will also be plenty of discussion about the mission of a TEMS medic, and the mindset needed in order to succeed. We’ll talk about protocols; equipment; armed vs. unarmed medics; ALS/BLS; and LE based vs. Fire/EMS based programs.

Preparatory

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Course Descriptions

Staying Cool in a Heated Situation: Burn Core ConceptsANNETTE MATHERLYCore concepts of burn care will be discussed. Students will be taught basic skin anatomy and physiology. They will also learn how to perform a burn specific primary and secondary assessment and identify treatment priorities. Other topics will include initiating and monitoring fluid resuscitation, identifying airway challenges, and determining which patients will need transferred to a burn center. Burn Disaster Crisis Standards of Care will be identified.

Trauma

Tactical Strength and ConditioningROY BUCHANAN1st Responders, including EMS, Fire, Military and Law Enforcement are to be considered tactical athletes. As such, you are responsible to attain and maintain appropriate levels of athleticism in order to be fit for duty. This class will explore a single human movement pattern and exercise that may benefit you most.

Preparatory

Back Safety & Body MechanicsBRENDA ROBERTSONDo you know what needs to be done in order to maintain a fitness level with minimal effort? This class will teach you how to get in and stay in shape so you can perform your job without experiencing a permanent injury.

Preparatory

The Most Bizarre and Unusual Case Studies in Emergency MedicineALLEN WOLFETrauma continues to occur in epidemic proportions in our society today; however, this is not a new phenomenon. Trauma injury has been recognized as a part of human experience since early civilization. As the world’s population increases so does the incidence of those rare and bizarre cases which present a unique challenge to the healthcare team as life-threatening injuries must be rapidly identified and treated. When seconds count mental preparation and rehearsal can make the difference but if they are rare in occurrence how can we prepare? A review and analysis using a case study approach will provide insight and learning points to the critical care, emergency and transport nurse of patient management of unusual trauma cases.

Medical, Trauma

The Power of One: Engaging the Next GenerationANNETTE MATHERLYDo you have a vision plan for the future? Do you know who your successors are? At the end of this class, you will learn how to initiate personal reflection and accountability and how to motivate and connect with those individuals who will take your place.

Preparatory

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Course Descriptions

The Problem ChildJESS FULKERSON This session addresses something that prevails in our profession, but few delve beyond complaining about it. Every EMS system has a person who is difficult to work with. It could be that one Paramedic, maybe an ER Nurse, perhaps an EMT we see everyday. Sometimes…it’s you. There’s a chain of patient care and every link needs to be a strong connection to the next. We’ll look deeper into the issue of how good people become weak links in that chain of care. We’ll talk about strategies to avoid letting conflict affect patient care. And we’ll place a mirror in front of ourselves and ask the question: “Could I be doing better?”

Preparatory

2015 Resuscitation Science UpdatesJAMES RICHARDSON The 2015 AHA BLS Guideline changes will be discussed.

Classification

Ventilator Management - The Hypotensive ApproachERIC BAUERMechanical ventilation in the HEMS and Critical Care environments are now a standard of care for all intubated patients. Recent published studies have shown that new resuscitation strategies for mechanically ventilated trauma patients in low perfusion states need to be looked at further; due to the potential secondary adverse effects associated with positive pressure ventilation and the increased intrathoracic pressures seen with ventilation models. It’s evident that this has potential effects on venous return and cardiac output in already decompensating hemodynamically unstable trauma patients. Based on this physiology, patients have a huge potential for further decompensation, including profound shock

and possible cardiac arrest. In this discussion we will look at new ventilation strategies for low-flow perfusion states using high tidal volumes and low rates in the attempt to reduce dead space ventilation and intrathoracic pressures.

Airway, Medical

What is this Pain?BURTON HAYDENWe will describe the pathophysiologic and behavior indicators of pain in the trauma patient. We will discuss consequences of inadequate management and no pharmacologic interventions.

Trauma, Medical

What the Heck is Rhabdo?JESS FULKERSONRhabdomyolysis: the breakdown of muscles due to trauma and the potential fatal consequences. This session will talk about what “Rhabdo” is, where it comes from, how to identify it, and how to treat it in the pre-hospital setting. From fall patients who’ve been on the floor for a while to suspension injuries to inmates at prisons - it’s more common than one might think, and you’ll see it as an EMS provider. Will you know it when you see it? We discuss some case studies to illustrate how benign it might seem, but how lethal it can be. Designed for first responders all the way to paramedics, we’ll shed light on a condition which often lurks in the shadows.

Medical

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FacultyEric Bauer, BS, FP-C, CCP-C, C-NPT

Eric is the founder, CEO and lead educator for FlightBridgeED, LLC. He has worked in the EMS field for 24 years with the past 13 years spent in the HEMS industry. Eric is an internationally recognized author, speaker

and educator and still works in the field as a Flight Paramedic for the one of the largest air medical services in the world. Eric holds an Associates of Science – Emergency Medical Services Paramedic, Bachelors of Science in Business – Health Care Administration and is just finishing his Masters of Science in Business – MBA. He has spoken on many critical care topics as an educator, and has authored three books in critical care and published 80 critical care podcasts related to the pre-hospital critical care emergency medicine industry, with over 700,000 downloads in the first three years of publication. His last book publication, Ventilator Management – A Pre-Hospital Perspective, has reached bestseller status in transport medicine. His love for education, critical care and leadership topics are the driving force behind FlightBridgeED and the FOAMed movement.

Chris Beltz, Flight Paramedic, NREMT-P

Chris has been involved in EMS since 1995 when he obtained his First Responder license in the state of Washington. He continued to advance in medicine and obtain his EMT-B license in 2003 and paramedic license in 2008. Chis has spent most

of his time in EMS with both fire-based and hospital-

based EMS services. Currently he is employed by Campbell County Health EMS as a paramedic and Wyoming Life Flight as a flight paramedic. Chris also is a certified AHA instructor for CPR, ACLS, PALS and is an NAEMT instructor for PHTLS. Chris loves being a public servant and enjoys teaching fellow EMS providers.

Denny Bohne, NREMT-PDenny began his EMT career in rural North Dakota, earning his Paramedic certification at Med Center one in Bismarck, ND. He moved his family to Gillette in 1998 where he began his employment with Campbell

County Health. Then he moved to Wright in 1999 and is the Southern Campbell County EMS (SCCEMS) Coordinator. Denny enjoys teaching and working with EMT’s from ambulance services to industrial rescue teams, and the State Office of Emergency Services. Denny enjoys spending time with his family Victoria, Nora, Denny, Joseph and Russell, traveling on his Motorcycle, skiing and hunting.

Roy Buchanan, CCH Excel Coordinator

Roy is a Certified Strength & Conditioning Specialist through the National Strength & Conditioning Association. His professional interests lies in athletic and sport performance—especially strength. Personal interests include

backpacking, cycling, hunting, snowboarding, and weightlifting.

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Faculty

Tyler Dickey, MD Tyler is a new Emergency physician at Campbell County Health. He attended medical school at the University of Nebraska Medical Center in Omaha, and just completed his Emergency Medicine residency at CMU Medical

Education Partners in Saginaw, Michigan. Dr. Dickey wanted to be a fireman when he grew up, like his uncle who lived in Denver. Dr. Tyler became an EMT and worked as a volunteer firefighter and EMT in Chadron, NE. Emergency Medical Technician work sparked his interest in medicine and started him on the path to emergency medicine.

Jess Fulkerson, BA, EMT-P, TEMSJess currently lives in Olympia, WA, working for the North Mason Regional Fire Authority, as a Firefighter/Paramedic/Acting Lieutenant. He also serves as a Reserve Deputy on the Mason County SWAT Team as a Tactical

Medic. He has a B.A. in Education (Minor in Biology) from Concordia College in Moorhead, MN. Jess has served as either a volunteer or paid EMT/Firefighter since 1998.

Jess thinks of himself a teacher or educator, even before that of a Firefighter or Paramedic. He uses his experience of over 15 years in Emergency Services, to bring topics to people in areas of interpersonal communication, personal and instructor development, conflict resolution, scene management/ICS, and tactical EMS (TEMS). Jess has a dynamic speaking style, incorporating candor, humor, energy and enthusiasm, which highlight his passion for EMS and firefighting. Jess enjoys public speaking and presenting a wide range of topics to a wide range of audiences. In addition to teaching EMS at his home agency and at neighboring fire departments, he’s been a speaker at local EMS conferences and at internationally attended EMS Conferences.

Kaspen Haley, RN, CCRN, Flight Nurse

Kaspen is currently a Clinical Base Supervisor and Flight Nurse with Wyoming Life Flight in Casper, WY. His background includes combination ICU, ER, Flight, and ground EMS experience. Kaspen is currently obtaining his Acute Care

Nurse Practitioner certification and hopes to continue his career in the EMS/Critical Care arena within Wyoming.

Burton Hayden, NRP, FP-C, CC-P, Wyoming Life Flight Paramedic

Burton is a current resident of Campbell County, working as the Clinical Base Supervisor with Air Methods’ Wyoming Life Flight, based in Sheridan, WY. He has been involved in EMS for over 13 years working as a Paramedic

in systems that include Las Vegas, NV (American Medical Responses), Austin, TX (Austin/Travis County EMS), and Gillette, WY (Campbell County Health EMS). Burton has also worked as a Field Training Officer and Shift Supervisor. Burton is certified as a Wyoming EMS Course Coordinator whom is also certified in ACLS, PALS, PHTLS, PEPP, NRP, TNCC and many others. Burton has been a guest speaker with EMSU for the past six years.

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Faculty

Scott Logan, EMS Licensing Coordinator, Wyoming Department of Health, Public Health Division, Office of Emergency Medical Services and Trauma

Scott is the EMS Licensing Coordinator for the WyOEMS. He began is emergency services career in 1991 as a firefighter and Deputy Sheriff in eastern Tennessee. Prior to coming to the state OEMS, Scott worked in the pre-hospital

arena for 14 years and is currently a firefighter for Wellington Fire Protection District in northern Larimer County, CO. He has taught fire, hazardous materials, and EMS courses in the Colorado and Wyoming Community College systems, for the Colorado Wildland Fire Academy, for EMS and fire agencies, and for private industry.

Annette Matherly RN, CCRNAnnette is the Community Outreach and Disaster Coordinator for the University of Utah Health Care Burn Center and has over twenty six years of burn ICU experience. She started her career as a bedside nurse in 1990 and became the

Clinical Nurse Educator and Outreach Coordinator in 2000. She now coordinates burn education in a five state region, and works closely with EMS, healthcare facilities, schools and community groups. In addition to burn prevention and outreach education, Annette is involved with State and National burn disaster planning and is a member of the State Pediatric Strike team and UT-1 Disaster Medical Assistance Team (DMAT).

David J. Olvera FP-C, NREMT-PDavid has been involved in EMS for many years, he obtained his NREMT-B from Allen Hancock Community College, (Santa Maria, CA) in Dec. of 2001. He furthered his education by becoming a combat medic, and later advancing

to a tactical medic basic/advanced in April of 2005. David obtained his Paramedic Certification from The University of Arizona, Tucson, and became an NREMT-P in May of 2007. He is currently attending The College Network/Excelsior (Nursing School). David has been involved in many research projects and boards regarding EMS, and he has numerous plans to better the field for everyone.

Milo Peterson – Campbell County Firefighter

Michael (Milo) Peterson, Firefighter, Campbell County Fire Dept. Milo currently works full time as a firefighter for Campbell County Fire Dept. He has been involved in the fire service since 1990. Milo is currently a firefighter III,

Hazmat Tech. and is dive and ice rescue certified. He has been involved with teaching rope rescue classes at the Cody Fire School for 21 years. He and enjoys instructing class for the CCFD academy involving live fire attack, rescue, vehicle extrication, and hose and nozzle classes.

17

Faculty

Robert Quintana, RPhRobert is employed as the Director of Pharmacy at Campbell County Memorial Hospital. He is a Wyoming native and received his undergraduate training with a Bachelors of Science in Pharmacy from the University of Wyoming in

1996. Robert went into the USAF serving 4.5 years in various pharmacy positions. During his Air Force time he completed his Doctorial Studies through the University of South Carolina at Columbia and a certificate program in Pharmacy Ambulatory Care through the University of Illinois at Chicago. Robert also practiced as an EMT-I for Campbell County Memorial Hospital for 12 years.

Jim Richardson, NREMT-P/CCPJim has been an EMS since 1982, Paramedic since 1985 and critical care paramedic since 1999. He’s worked in EMS his entire career from field paramedic, to educator to ambulance director to QA and QI roles. Jim is involved locally with numerous

trauma and medical subcommittees including RETAC chair for 3 year; statewide on numerous committees and boards to advance the profession, nationally with sub committees of AAA, NAEMSP, NAEMSE, and NAEMT. Jim has served as a board of director for Ronald McDonald House Denver, Medic One Foundation Seattle, and currently serves on the boards for Hillsdale Fund (NC), Denver Kids (CO), Sudden Cardiac Arrest Foundation (PA), and the EMS Compass national work group.

Brenda Robertson, CCH Functional Health Supervisor

Brenda is a Certified Personal Trainer through the American College of Sports Medicine. Her professional interests incldue personal training, job analyses and workplace screenings, as well as

ergonomic assessments. Personal interests include Zumba, bicycling, motorcycling, and her newly born grandson.

Andrew Rutigliano, Campbell County Firefighter

Andrew is a firefighter with the Campbell County Fire Department. He began his career in the fire service in 2007 and became full time in 2009. Andrew holds a variety of certifications to include Firefighter II,

EMT-B, HAZMAT Tech and various others.

18

Faculty

Barry Shannon, NREMT- PBarry has been in pre-hospital medicine since 2002 when he achieved his first EMS certification. In 2004, he enlisted in the U.S. Army where he served as a Healthcare Specialist/Combat Medic, eventually exiting the Army as a

Healthcare NCO in 2008. Shortly after his return home, he was hired by CCMH functioning as an EMT-B. Barry went on to complete his Paramedic Certification, from HealthONE Paramedic Program, in December 2011. Some of Barry’s additional duties include being a BLS/CPR instructor, PHTLS Instructor, assisting with new EMT training and is a Safekids Technician. On his personal time Barry enjoys camping, hunting, hobby blacksmithing, knife making, leatherwork and martial arts.

Diana Shannon, NREMT-IDiana started her EMS career in 2000. In addition to her duties with EMS, Diana is also the SafeKids Chapter Coordinator and a child passenger safety instructor/technician. With her free time, Diana enjoys camping, horseshoes, anything to do

with her grandchildren and traveling the world.

Nicholas Stamato, MD, FACCDr. Stamato is a cardiologist in Gillette, Wyoming. He received his medical degree from State University of New York Upstate Medical University and has been in practice for 35 years.

Matt Stroot, NREMT-P, CCEMT-P Flight Paramedic

Matt currently works full time as a Flight Paramedic with Guardian Flight Wyoming here in Gillette. He has been involved in EMS since 1992, starting as an EMT based in a hospital emergency room and assisting in the operating

room. He moved to working in the field as an EMT and firefighter in 2000 with the Laramie Fire Department full time, while continuing to work part time for Ivinson Memorial Hospital. Matt attended HealthONE EMS Paramedic program in 2002 and has worked in Laramie’s Fire based EMS system through 2009. He was a member of and has taught for the Snowy Range Ski Patrol. He has coordinated EMT Basic classes for Laramie and Albany County teaching at the Albany County campus of Laramie County Community College since 2005. Matt is an adjunct faculty for LCCC continuing to teach in all levels of their EMS courses. He has been a presenter at EMSU, Red Desert, and the State of Wyoming Trauma Conferences for the past several years and is an evaluator for the state EMS classes. Matt continues to teach in EMT Basic, Intermediate, and Paramedic programs throughout the state as well as working as an EKG, ACLS, PALS, and BLS instructor, and affiliate faculty for PMTLS.

19

Faculty

Charles Swearingen, BS, NREMT-P, FTC

Charles is a critical care educator and clinician with Air Methods corporation. Before coming to Air Methods corporation, Charlie founded, and still operates, his own critical care and continuing

education company. After earning his BS in 1999 from Millsaps College in Jackson, Mississippi and then his paramedic certificate 2002 from the University of Mississippi Medical Center. In just over 2\two years of graduating paramedic school, he earned a position as a flight paramedic at the only level one trauma center in Mississippi on their helicopter flight program, AirCare. Charlie has 16 years EMS experience and 14 as a flight paramedic. He has presented original research at multiple national conferences, competed and placed in international critical care skill and simulation competitions, and has lectured at numerous symposiums and conferences. Charlie will resume work on a PhD in physiology this fall at the University of Colorado. He has authored multiple articles and textbook chapters, reviewed textbook chapters, and has also published his own textbook in critical care transport management.

Allen Wolfe MSN, RN, CNS, CFRN, CTRN, CCRN, CMTE

Allen is currently a Critical Care Clinical Specialist and the Clinical Education Director for Air Methods Corporation in Denver, Colorado. Allen received his BS in Nursing from George Mason University

in Fairfax, Virginia and his MSN in Critical Care Nursing at Marymount University in Arlington, Virginia. He has 29 years in Critical Care nursing and helicopter medevac experience. In addition to his role as Clinical Education Director, he co-chairs Air Methods Quality Assurance Committee. He has lectured nationally and internationally in variety of topics. He has spoken at the University of Cambridge in Oxford, England and the European Trauma conference in Malmo, Sweden. He is one of the few experts in the U.S. on management of ventricular assist devices (VADS) in the pre-hospital and medical transport. He has published several articles and chapters on VADS and trauma.

20

Faculty

21

SCHEDULE

Thursday, April 7, 20167:30

7:30

9:00

10:05

11:10

12:15

1:00

2:05

3:00

3:15

4:20

Registration & Continental Breakfast

Skills Stations

CPR/AED

Basic Airway Techniques Saves Lives: Current Evidence Based

Practice in the BLS AirwayDavid J. Olvera

Medications A to ZRobert Quintana

Invasive Skills: The Do’s and Don’ts

Allen Wolfe

Got Them Back, Now What?Post Resuscitation Management

Charles Swearingen

Pre-hospital Airway Evaluation, Putting it into

Practice, and Current Evidence Based ResearchDavid Olvera

Classroom 1

Traction SplintingSplinting & Bleeding

Burn Case StudiesAnnette Matherly

Lucas Device TrainingDenny Bohne

Bomb/Blast BasicsAnnette Matherly

Pediatric CPR James Richardson

Is Too Much Oxygen Toxic?

James Richardson

Classroom 2

Spinal Motion Restriction

I Hate PEEPSChris Beltz

Gimme Some SugarJess Fulkerson

I’m Freaking Out Man!Illicit Street Drugs

Kaspen Haley

OWLSScott Logan

So, You Want To Be A Swat Medic?Jess Fulkerson

Classroom 3

All Aboard the Mentor...ShipJess Fulkerson

Lunch And Door Prizes (lunch is provided)

Break

The Most Bizarre and Unusual Case Studies in Emergency MedicineAllen Wolfe

ALS Track BLS Track

Airway

Farmacology?!Robert Quintana

Pediatric TraumaBurton Hayden

Triage Burton Hayden

My Neck, My Back, My Neck, My Back

Burton Hayden

As the Rotor Turns Chris Beltz

Classroom 4

22

SCHEDULE

Friday, April 8, 20167:30

7:30

9:00

10:05

11:10

12:15

1:00

2:05

3:00

3:15

4:20

Registration & Continental Breakfast

Skills Stations

CPR/AED

What is Pain?Burton Hayden

Ventilator Management - The Hypotensive Approach

Eric Bauer

Ketamine Use - Pre-HospitalJames Richardson

Pull the TriggerDecision Making in Airway

Management Jess Fulkerson

EtCO2 - An Indication of Horsepower & Resuscitation

Eric Bauer

Classroom 1

Traction SplintingSplinting & Bleeding

Farmacology?!Robert Quintana

Pre-hospital Evaluation of the Acute MI Patient

The EKG is KINGNicholas Stamato

Preparing for the Unthinkable:

Burn Disaster Crisis Standards of CareAnnette Matherly

Emergency Care of Burn Patients - Wy Topics

Annette Matherly

Update 2015Resuscitation Science

James Richardson

Classroom 2

Spinal Motion Restriction

A Long Way to Go, and a Short Time to

Get ThereJess Fulkerson

Flying, Drumming, Cooking, and

Paramedic…ing. Multi-Tasking in EMS

Jess Fulkerson

So...Don’t Touch Anything?

Jess Fulkerson

Pediatric Case Study (BLS)

James Richardson

I’ve Arrived at an MCI… Now What?

Jess Fulkerson

Classroom 3

Magnifying the Genius in OthersEric Bauer

Lunch And Door Prizes (lunch is provided)

Break

How’d that get there?Robert Quintana

ALS Track BLS Track

Airway

Back Safety and the Importance of Good

Body MechanicsBrenda Robertson

Omaha! Pharmacology Blitz - Street Level

MedicationsKaspen Haley

12 Lead Acquisition - Benefits of BLS Access

Eric Bauer

Pediatric TransportDiana Shannon &

Barry Shannon

Tactical Strength and Conditioning

Roy Buchanon

Classroom 4

23

SCHEDULE

Saturday, April 9, 20167:30

7:30

9:00

10:05

11:10

12:15

1:00

2:05

3:00

3:15

4:20

Registration & Continental Breakfast

Skills Stations

CPR/AED

Cardiac 12-Lead Case Studies: Analyzing New Research and

Evidence Based Diagnosis Criteria

Eric Bauer

Pump, Plumbing,Or the Wet Stuff?

Vasoactive MedicationsKaspen Haley

Airway, Airway, AirwayMatt Stroot

It’s Only a Flesh Wound: Or is it?

Annette Matherly

Pediatric Case StudyJames Richardson

Classroom 1

Traction SplintingSplinting & Bleeding

Pediatric Case Study James Richardson

Is Too Much Oxygen Toxic?

James Richardson

Bomb/Blast BasicsAnnette Matherly

What the Heck is Rhabdo?

Jess Fulkerson

The Power of One Engaging the Next

GenerationAnnette Matherly

Classroom 2

Spinal Motion Restriction

Oh Baby!Tyler Dickey

The Problem ChildJess Fulkerson

Extrication So, You Want to Tear

Apart a Car?Milo Peterson

Andrew RutiglianoMatt Stroot

In Your Mind’s EyeJess Fulkerson

Classroom 3

Staying Cool in a Heated Situation: Burn Core ConceptsAnnette Matherly

Lunch And Door Prizes (lunch is provided)

Break

Game of TonesCompetition Results

ALS Track BLS Track

Airway

Are You The Widow Jones?

Jess Fulkerson

12-Lead Acquisition - Benefits of BLS Access

Eric Bauer

EtCO2 - An Indication of Horsepower &

ResuscitationEric Bauer

I’m Freaking Out Man! Illicit Street Drugs

Kaspen Haley

As the Rotor Turns Chris Beltz

Classroom 4

       

EMSU  2016  

Comments:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  

This  instructor  was  knowledgeable,  organized  and  effective  in  their  presentation.  

Poor                                                                                            Excellent  

Eric  Bauer     1   2   3   4   5  Chris  Beltz   1   2   3   4   5  Denny  Bohne   1   2   3   4   5  Roy  Buchanan   1   2   3   4   5  Tyler  Dickey,  MD   1   2   3   4   5  Jess  Fulkerson   1   2   3   4   5  Kaspen  Haley   1   2   3   4   5  Burton  Hayden   1   2   3   4   5  Scott  Logan   1   2   3   4   5  Annette  Matherly   1   2   3   4   5  David  Olvera   1   2   3   4   5  Milo  Peterson   1   2   3   4   5  Robert  Quintana   1   2   3   4   5  Jim  Richardson   1   2   3   4   5  Brenda  Robertson   1   2   3   4   5  Andrew  Rutigliano   1   2   3   4   5  Barry  Shannon   1   2   3   4   5  Diana  Shannon   1   2   3   4   5  Nicholas  Stamato,  MD   1   2   3   4   5  Matt  Stroot   1   2   3   4   5  Charles  Swearingen   1   2   3   4   5  Allen  Wolfe   1   2   3   4   5  

EMS UNIVERSITY – APRIL 7-9, 2016CAM-PLEX Energy Hall • Gillette, Wyoming