ALAMEDA COUNTY HEALTH CARE SERVICES

AGENCY ALEX BRISCOE Director

AGENDA__February 28 2012

AGENCY ADMIN amp FINANCE January 30 2012 1000 San Leandro Blvd Suite 300

San Leandro CA 94577 Tel (510) 618-3452 Fax (510) 351-1367

The Honorable Board of Supervisors County Administration Building 1221 Oak Street Oakland Ca 94612

Dear Board Members

SUBJECT Approve additional payment of out-of-state travel expense for the Public Health Department Emergency Medical Services

RECOMMENDATIONS

Approve additional $69439 out-of-state travel expenditure from the original approved amount of $134231 to $203670 for the Public Health Department Emergency Medical Services

SUMMARYIDISCUSSIONIFINDINGS

Alameda County Emergency Medical Services (EMS) Medical Director attended the 2012 annual meeting of the National Association of EMS Physicians in Tucson AZ from January 12 2012 through January 14 2012 Due to last minute reservation changes the actual expenses of $203670 were over the approved amount of $134231 Your board is being requested to approve the additional travel expenditure of $69439

FINANCING

There is sufficient funding in the EMS 2011-12 adjusted budget to cover this expenditure There is no impact on Net County Cost

Ver~

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Health Care Services Agency

AKBhc

cc Auditor-Controller County Counsel

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110middot25 (04110) Complcled ol1ly by th ~ of Agenda Date ~~-i------shyCBSSignOff -~~~t-

COUNTY OF ALAMEDA OUT-OF-STATE TRAVEL AUTHORIZATION REQU~T

Ibll=A=ur=JI=O=R=IZ=A=T=J=O=N=N=U=M=B=E=R===~==================JJ~ ----~) TO Susan S Murnnisbi County Administrator PROM Agency I Department Head - Print Alex Briscoe Sj~~SUBIECT OlTI-OtSlATE TRAVEL (OOST) AlITHORIZATION REQUEST

DATE JI JrJ l-

I am requesting your approval of the following OOST request prior to the event taking place

1L1ASI TYlI I PRINT UGlBLY

Heallb Care AampIl~ Publil Health ncuartmenl ElIIllllellql Medlc1 SCAica AGENCYJDEPARTMBNT OlVISfON f UNIT

TKA VpoundLlRS HAM bull JOB TTl1E CLASSIFICATION or VENDOR IrLL~ETVrttnY-~W-Y _ -

EMS Medical Directorl Physician N -I - shy2

~

3

NOTE The only chgtble personnl services contractors are those who are reimbursed travelevents as slated In

hisJher contractual agreancnt with the County Must specify Ver1dor fI above DETAILS OF TRAVEL

DATES (DURATION) Irom --L- ll 12nl1 DL-lH aIm --shy ~ IDESTINATION (CiliSlatc)-r~~~~POINT OF ORIGIN (CityState) S kwJi A-Ifk~~ PURPOSE OF TRIP x_CONFBRENCE shy MEETINO ----- SEMINAR - TRAINING _OUIER

-- shy

NAME OR TITLE OF JZVENT (no acronyns please)~a~~LAssoc of Hmergemy Medical Services Phs~ians

1 AUDITORS yenAXJMUM REIMRURltmMENT (per person) $ 13 VJ11 ~~lV

COST PER TRANS TI~ ) PER PERSON $_ $bOO I~ffr(

TOTAL COST (Max ReirnbJperson )( no or travelers) $~ o COUNTY TIME-OFF ONLY

ACCOUNTING INFORMATION I FUNDING SOURCE

BUSINF5S ACCOUNT YUND DEPTIDNo PROGRAM PROJEltTfORANT No Uff __ No No

No

r-----~SVC 610111 2190t 45111tL 41330 laquoshy-

-

2 NAME OF FUNDING SOURCE (Please SpcciM EMS Special Oi~trkt Ellod -shy3 AMOUNT OF FUNDING lJ~Jta I A -4 COUNTY COST AMOUNT (Noted on he Board Agenda) ~T c= RliQUErno BY AND RETURN FORM TO Howard Cben

(DATE)

APPROVED BY rZ- -1middot7-11DEPT Anila Sica1 (lINT NAME) (VA11i)

CAO Pauline Keogh amp12 ~_____loINlN~~_ IOHATtlRti I riA

Note Tnlvel ugllII ~hould FAX the completed fonn 10 Audito olllrollcr Agency to lhe tion of Travel Apprpver FAX II (510) 271-6501 11le Alldltor-Controllers Office will notity Ihe lrllvel agency oflhc AUlhorlzation Number by phone or PAX

Annual NAEMSP Meeting Out of State Travel Tucson Arizona

Registration 650

Air Fare 4214 Baggage 25

Hotel 13646

SFO Park 60

Taxi To 45 Taxi From 40

Meals 1847 4037

total 20361

Out of State Auth 134231

January 11 to January 14 2012

Not sufficient time to pay prior to conference

Airfare purchased prior to employment with county

69369 Over the authorized amount bull

2 GENERAL

EDUCATIONAL objective The 2012 Annual Meeting of the Notional Association of EMS Physicians (NAEMSP) will include a diverse range of topics that 1) present on array of emerging concepts in the delivery of prehospital core 2) provide a forum for the presentation of current EMS research and 3) expose attendees to the growing political economic and academic forces shaping the future of EMS

Internationally recogniled experts and leaders in the field of prehospital care will deliver presentations focusing on topshyics such as requirements and pathway to EMS subspecialty cerlification advances in provider education strengthening 01 pediatric EMS core building the EMS teom and how to adopt 10 the many changes in practice of the prehospital environment Conference presenters will concentrate on various aspects of airway management training strategies for CPR public percepshytions discussing risk management issues approaches to quality management programs and strategies for success As always the research abstract and poster presentations will stimulate interest thought and controverSial discussion International sesshysions will focus on EMS delivery and disaster response in other countries with a special session on the Japan disaster

The pre-conference workshops have been designed to expand on presentations offered during the conference Networking opportunities and committee functions will offer additional opportunities for attendees to develop expertise in various areas and ensure maximum educalional benefits

WHO should ottend Presentations and topics have been selected to inspire interest by all individuals involved in EMS including EMS physicians and medical directors EMS educators public administrators and providers ambulance service operators paramedics EMTs firemiddot lighters nurses public health officers local state and federal emergency planning and rnan(Jgcment officials and those who share responsibility for providing quality out-of-hospital emershygency medical core

CME ampce accreditation This activity has been planned and implemented in accordance with the Essential Areas ond policies of the Accreditation Council for Continuing Medical Education through the jOint sponsorship of the Medical College of Wisconsin and NAEMSPmiddot

AMA Credit Designation Statement The Medical College of Wisconsin designates this live activity a maximum of 4625 AMA PRA Category 1 Credil(s~ PhysiCians should claim only the credit commensurate with the extent of their participation in the activity

ACCME Accreditation Statement The Medical College of Wisconsin is accredited by the Accreditashytion Council for Continuing Medicol Education to provide conshytinuing medical education 10 physicians

Other health core professionals are awarded 20 continuing education units (CEUs) which are equal to 20 contact hours

NAEMSP has applied for Continuing Education Hours through Ihe Continuing Education Coordination Board for Emergency Medical Services (CECBEMS)

MEETING registration There are three ways to register

1 ~ Online Visit our web site 01

DEADLINE ~~_w~8EMSPorg and click Dec 20 2011 on the Meetings link

2~ Via Fax Fax completed registration form DEADLINE (pages 9-10) with credit cord Dec 16 2011 payment information to

(913) 895-4652

3 ~ By Mail Moil completed registration form POSTMARK (pages 9-10) with appropriate DEADLINE fees to Dec 162011 NAEMSP~ Executive Office

PO BOl( 19570 Lenexa KS 66285-9570

Courier Service Only 18000 West 105h Street Olathe KS 66061

The deadline to postmark or fax registrations is December 16 Online registration will be available until December 20 After those two dates all registrations will be processed on-site Please bring your registration form and payment directly to the meeting

Registrations will not be taken over the phone All payments must be received prior to the beginning of the Annual Meeting Registrations will not be processed until payment is received NAEMSP does not accept purchase orders and does not bill invoice for services

CONFIRMATION For those registrations received prior 10 December 20 2011 NAEMSP will e-mail or moil a confirmCJtion nolice to you If you do nol receive a confirmation notice within 15 business doys of registering please contact our office at (800) 228-3677 or (913) 895middot4611 to confirm receipt of your registrotion Farln

CANCELLATION policy Written notice of cancellations received on or before December

20 2011 will be refunded less a $50 processing fee without

exception No cancellations or refunds will be accepted after December 202011 However substitution of registrants is aile ed All refunds will be processed after the meeling

2 GENERAL

EDUCATIONAL objective The 2012 Annual Meeting of the Notional Association of EMS Physicians (NAEMSP) will include a diverse range of topics that 1) present on array of emerging concepts in the delivery of prehospital core 2) provide a forum for the presentation of current EMS research and 3) expose attendees to the growing political economic and academic forces shaping the future of EMS

Internationally recogniled experts and leaders in the field of prehospital care will deliver presentations focusing on topshyics such as requirements and pathway to EMS subspecialty cerlification advances in provider education strengthening 01 pediatric EMS core building the EMS teom and how to adopt 10 the many changes in practice of the prehospital environment Conference presenters will concentrate on various aspects of airway management training strategies for CPR public percepshytions discussing risk management issues approaches to quality management programs and strategies for success As always the research abstract and poster presentations will stimulate interest thought and controverSial discussion International sesshysions will focus on EMS delivery and disaster response in other countries with a special session on the Japan disaster

The pre-conference workshops have been designed to expand on presentations offered during the conference Networking opportunities and committee functions will offer additional opportunities for attendees to develop expertise in various areas and ensure maximum educalional benefits

WHO should ottend Presentations and topics have been selected to inspire interest by all individuals involved in EMS including EMS physicians and medical directors EMS educators public administrators and providers ambulance service operators paramedics EMTs firemiddot lighters nurses public health officers local state and federal emergency planning and rnan(Jgcment officials and those who share responsibility for providing quality out-of-hospital emershygency medical core

CME ampce accreditation This activity has been planned and implemented in accordance with the Essential Areas ond policies of the Accreditation Council for Continuing Medical Education through the jOint sponsorship of the Medical College of Wisconsin and NAEMSPmiddot

AMA Credit Designation Statement The Medical College of Wisconsin designates this live activity a maximum of 4625 AMA PRA Category 1 Credil(s~ PhysiCians should claim only the credit commensurate with the extent of their participation in the activity

ACCME Accreditation Statement The Medical College of Wisconsin is accredited by the Accreditashytion Council for Continuing Medicol Education to provide conshytinuing medical education 10 physicians

Other health core professionals are awarded 20 continuing education units (CEUs) which are equal to 20 contact hours

NAEMSP has applied for Continuing Education Hours through Ihe Continuing Education Coordination Board for Emergency Medical Services (CECBEMS)

MEETING registration There are three ways to register

1 ~ Online Visit our web site 01

DEADLINE ~~_w~8EMSPorg and click Dec 20 2011 on the Meetings link

2~ Via Fax Fax completed registration form DEADLINE (pages 9-10) with credit cord Dec 16 2011 payment information to

(913) 895-4652

3 ~ By Mail Moil completed registration form POSTMARK (pages 9-10) with appropriate DEADLINE fees to Dec 162011 NAEMSP~ Executive Office

PO BOl( 19570 Lenexa KS 66285-9570

Courier Service Only 18000 West 105h Street Olathe KS 66061

The deadline to postmark or fax registrations is December 16 Online registration will be available until December 20 After those two dates all registrations will be processed on-site Please bring your registration form and payment directly to the meeting

Registrations will not be taken over the phone All payments must be received prior to the beginning of the Annual Meeting Registrations will not be processed until payment is received NAEMSP does not accept purchase orders and does not bill invoice for services

CONFIRMATION For those registrations received prior 10 December 20 2011 NAEMSP will e-mail or moil a confirmCJtion nolice to you If you do nol receive a confirmation notice within 15 business doys of registering please contact our office at (800) 228-3677 or (913) 895middot4611 to confirm receipt of your registrotion Farln

CANCELLATION policy Written notice of cancellations received on or before December

20 2011 will be refunded less a $50 processing fee without

exception No cancellations or refunds will be accepted after December 202011 However substitution of registrants is aile ed All refunds will be processed after the meeling

3 REGISTRATION

QUESTIONS Please direct any questions regarding the NAEMSP Annual

Meeting to the NAEMSP Executive Office staff at (800) 228shy

3677 or (913)895-4611 e-mail infoNAEMSPgoAMPcom or visit our website at wwyvNAEMSP()rg

ATTIRE All educational sessions and events are business casual

HOTEL information JW Marriott Storr Pass Resort amp Spa

3800 W Starr Pass Boulevard

Tucson AZ 85745

Reservations Room Rate $199 plus tax per night

Online reservations btpJLlillJy1l~M_~2012

If you would rather call to make reservations numbers are (800) 266-9432 or (506) 474-2009 When making your reservations ask for the NAEMSP special rote

Enjoy the mountoins of Arizono at JW Marriott Storr Pass Resort amp Spa Located just west of an area considered the birthplace of Tucson Arizona this resort hotel is rich with culture history and beauty Experience a truly unique destination resort complete with world-closs spa facilities and nationally acclaimed Arizona golf courses Fine dining and award-Winning restaurants further complement this one-of-a-kind Tucson resort hotel

Storr Pass and its surrounding location offer a myriad of activishyties Take time to discover the beauty of the Tucson Mountains and nearby sightseeing with shopping in local and quaint streets of Tucson If you are the adventurous type you could explore on h~rseback by jeep mountain bikes or even hot air balloon Many Hone-of-a-kind experiences await you at Starr Pass and

CONFERENCE PLANNING ABIG THANK YOU TO THE

around town Just feel the spirit and enjoy all Storr Pass and Tucson have to offer

The NAEMSP special rate is available through December 14 so be sure to reserve your room by this deadline

GROUND transportation Arizona Stagecoach Call (S20) 889-1000 or go

to the Arizona Stagecoach

website at wwAlSTAGECQACHco(ll

Cost Single $26 onc-way$46 round-trip

Couple $30 one-way$S4 round-trip

Additional Passenger $4 one-way $8 round-trip

Upon orrival and claiming your luggage in the lower level

check in at the Arizona Stagecoach counkr Follow the overshy

head shored ride von signs You will hav( on approximate

lS-minute wait Please make your return reservation while you

wait

Departure A change or cancellation must be mode two hours

prior to pick-up time Call (520) 889-1000 or go to the

Arizona Stagecoach website at fAlSJAGECOACHcom

Taxi Taxis are approximately $35 one-way

4 SCHEDULE

PRE-CONFERENCE activities Full faculty listing and course description on pages 8 and 11

MONDAY JANUARY 9shyWEDNESDAY JANUARY 11

800 am - 500 pm each day NAEMSpmiddot National EMS Medical Directors Course amp Practicum Course Co-Directors Beth Adams MA RN NREMT-P Robert Swor DO Additional Registration RequiredFee $825-$1075Maximum of 75 participants

MONDAY JANUARY 9shyTUESDA~JANUARY10

700 am - 700 pm each day HAZMATWMD Training First Responder Operations Course Co-Directors Allen Yee MD OMD David Tan MD EMT-T Additianol Registration Requiredfee Sl85Maximum of 24 participants

WEDNESDAY JANUARY 11 800 am - 515 pm NAEMSP Advanced Topics in Medical Direction Course shyPutting Science in the Streets How to Implement Best Practices in Your EMS System Course Director Brent Myers MD Additional Registration RequiredFee $250Maximum of 35 porticipants

100 pm - 700 pm Distinctly Canadian Pre-Conference Workshop Fee $25

300 pm - 700 pm REGISTRATION

500 pm - 900 pm Committee Meetings (All attendees are welcome and encouraged to attend commitshytee meetings)

bull Standards and Clinical Practice - Michael G Millin MD MPH

600 pm - 645 pm NEW MEMBER RECEPTION New Members are invited 10 meet and network with the NAEMSP Boord of Direclors and Commillee Choirs

700 pm - 900 pm Council of EMS Fellowship Directors Meeting shyDavid C Cone MD

CONFERENCE ac1-ivities

THURSDAY JANUARY 12 700 am - 500 pm REGISTRATION

700 am - 815 am CONTINENTAL BREAKFAST

815 om - 830 am Welcome amp Presidents Address Ronald G Pirralo MD MHSA NAEMSP~ President

830 am - 915 am Tragedy in Tucson Conventional Weapon Attack Brad Bradley EMTmiddotP Joshua B Gaither MD

On Jonuary 8 7011 0 single gunman lirst shot Congresswoman Gabrielle Giflords and t(n opened ire inlo Ihe crowd ollendng her Congress en Your Corner even The presenters will discuss the response to this event Clnd Ihe transition from prehospitol to hospitol core for victims 01 this tragic event Through on inmiddot depth evaluation of the response severollessons can be learned to improve ability to respond 10 similar events in the luture

915 am - 1030 am Radiation Emergency in Fukushima Japan Hiroyuki Hayashi MD

Japan recently experienced a devastating earthquake and a historicol rodialian disaster which has nol yet been controlled Once this disaster struck almost all prior planning was in vain and new thinking was needed to deal with the situalion from the painful lessons in a real disaster the world can learn the obslacles and gain new insights into preparotions lor luture events

1000 am - 415 pm EXHIBIT HALL OPEN

1030 am - 1100 am BREAK IN EXHIBIT HALL

11 00 am - 11 05 am Prehospital Emergency Care Update Jim Menegazzi PhD Editor

11 05 am 1205 pm Research Oral Abstracts 1 (1-4) Abstracttiles and presenters wil be listed in the JanuaryFebruary issue 01 Premiddot haspit Emergency Core nnd posred ro rhe NAEMSP web5ile

1205 pm 100 pm Boxed Lunch amp Committee Meetings Committee Meetings (AI attendees are welcome and encouraged to attend committee meetings)

bull Air Medical Service Committee - Douglas Floccare MD MPH

bull Asian Relations Committee - Song Do Shin MD PhD Marcus Ong MD MPH

bull Development Committee - Robert O Connor MD MPH bull Emergency Preparedness Committee - Brian Schwartz MD

bull Quality Improvement Committee - Ross E Megargel DO

bull Rural EMS Committee - Paul Rostykus MD MPH bull Research Committee - Jon Studnek PhD bull Wilderness EMS Committee - Michael G Millin MD MPH

100 pm - 115 pm NAEMSPPosition Statement Update amp Forum Michael G Milin MD MPH

115 pm - 200 pm Integrating Pediatric Emergency Medicine amp EMS Marianne Gausche-HiII MD Peter Antevy MD David Persse MD

This group of expert lecturers will discuss recenl recommendations by the Instishytute 01 Medicine to incorporate a pediatriC emergency core coordinator into EMS systems and highlight the collaboration 01 pediatric expertise and EMS sysshytems adminlstrolors and directors in improving outolhospital core of children

r shy

5 REGISTRATION

200 pm - 245 pm Your Community Should Use the Field Triage Guideline E Brooke Lerner PhD John Fildes MD FACS FCCM Scott Sasser MD FACEP

The presenters will describe the changes to the Guideline for Field Triage of Injured Patients that will be released in January 2012 They will discuss the implemenlation process for Ihe 2006 guideline changes and consider il there are lessons that can be learned for Implementing the 2012 changes Finally they will explain areos 01 controversy wilhin Ihe revised guidelines and provide the inlorrnotion that medical direclors will need when presenting the changes in their community and updating local protocols

245 pm - 330 pm Pediatric EMS Evidence-Based Update Marianne Gausche-Hil MD

There have been recenl guidelines published on the emergency care 01 chilshydren including necessary equipment for ambulances and resuscitation of childrens respiratory failure shock and cardiopulmonary arrest Controvershysies still exist regording best monagemenl for the pediatric airway and new devices are on the horizon Latest issues and controversies in Ihe oul-ol-hos pilal core 01 children highlighting iolest advances in airway management and incorporation of recent American Heart Association Guidelines in prehospital protocols will be discussed

330 pm - 415 pm BREAK IN EXHIBIT HALL

415 pm - 515 pm Research Oral Abstracts 2 (5-8) Abstract litles and presenters will be fised in the JanuaryFebruory issue of Prehaspiol Emergency Core and posted 0 the NAEMSP website

5 15 pm - 630 pm Research Poster Session 1 Abstract titles and presenters will be listed in Ihe JanuaryFebruary issue 01 Preilospial Emergency Care and posted to the NAEMSP websile

630 pm - 830 pm WELCOME RECEPTION IN THE EXHIBIT HALL

FRIDAY JANUARY 13 700 om - 400 pm REGISTRATION

700 am - 800 am CONTINENTAL BREAKFAST

800 am - 900 am Research Oral Abstracts 3 (9-12) Abstractitles and presenters will be iisted in Ihe JanuaryFebruary issue 01 Prehospital Emergency Core and posted to the NAEMSP website

900 am - 945 am Australasian EMS System Paul Middleton MBBS FRCS(Eng)

This presenlation will showcase Ihe Australien FMS syslem Auslralia is mode up of six states and two territories wilh a landmass of opproJ(imotely the some size as the US In each stole there is a single EMS syslem usually slatemiddotowned and operated which operales independenlly ollhe Fire Service The Ambushylance Service of NSW (ASNSW) is one of Ihe largesl single syslems in the world 11th 4000 employees oj which 3500 are paramedics 1000 ambushylances 225 stations and more than 1000000 calls each year The system uses MPDSCAD to dispatch patients and there are two levels of paramedics equivalent 10 BLS and ALS as well as specialist paramedics The ASNSW also houses the internal Ambulance Research Instilute (ARI) a dedicated research facility that performs large premiddot hospital epidemiological sludies wilh GIS mapping linked data research large clinical trials and is currently building a statemiddotwide network of inhospital collaborators ARI investigators are just about to start analysing a dataset 01 almosl 3000000 EMS cases linked to ED admitted patient and death databases

945 om - 1015 am BREAK IN EXHIBIT HALL

1015 am - 1115 am James O Page Memorial Lecture What Would Jim Page Do Leading Diverse Groups to Common Outcomes Jeff T Dyar Fire Commissioner

People have come to call Jim Page the father of modern EMS nal because he held a position of power in government was on altorney executive fire chief stete EMS director or publisher allhough he was all of Ihose It was because he was a promoter of great ideas and he hod the gumption 10

express these ideas orlfully and honestly through whatever medium presented itsell be it a TV show like Emergency a magazine like JEMS a conlerence a courtroom a book video or fl Web blog Jims ideas took hold inspirshying thousands and changing the very way in which we thought about how society should core for people in need of emergency services and always with consideration lor the EMTs and paramedics who deliver the core in Ihe prehospital selting

Jim Page lOS a master at leading uncommon competitive and sometimes uncooperative groups 10 a shored vision and common outcomes Commismiddot sioner Jeff Oyar will chronicle some of the~e events and discuss strategies Jim created Ihot led 10 national legacy programs in EMS Mentoring olhers to accomplish better inter-agency coml11unication and common outcomes will also be discussed

1115 am - 1215 pm Research Oral Abstracts 4 (13-16) Abstrocl iles and presenters will be listed in Jhe J(llluuryFebruory isslJeuro 01 Prehospilal Emergency Core and posted 0 the NAEMSP websitc

1215 pm - 130 pm LUNCH amp LEARN Rethinking Sudden Cardiac Arrest - State-Wide Strategies to Improve SCA Survival Rates Bentley J Bobrow MD FACEP Daniel Spaite MD FACEP Gordon Ewy MD Brent Myers MD Lisa Monk MSN RN CPHQ

Hear how live stoles are developing integrating and measuring best practices in all phases 01 resuscitalion through Ihe HeorlRescue Projeci

1215 pm 130 pm COMMITTEE MEETINGS (All olendees ore welcome and encouraged to attcnd committee meetings)

bull ACEP-EMS Committee Meeting - Rick Murray

bull Canadian EMS Fellowship Program Special Interest Group - Russell MacDonald MD

bull EMS Fellows and Fellowship Graduates Ad Hoc Committee - Christian Martin-Gill MD

bull Membership Committee - Chuck Cody MD bull Pediatric Ad Hoc Committee Meeting - Toni K Gross MD

MPH

bull TEMS Committee - Richard Kamin MD FACEP

6 SCHEDULE

CONCURRENT SESSIONS TRACK 1 -130 pm - 215 pm

TRACK 2 -225 pm -310 pm TRACK 3 - 400 pm - 455 pm

130 pm - 215 pm lA Controversies In STEMI Care Kevin Madey MD FACEP Angelo Salvucci MD Regional STEMI systeTIs present unique 0pPortunllies and challenges to not only the providers but the adminitrotorswhodesign ond operate the STEMI networksa$ well During this pressntatioJj the participant will develop anunderstori~irig of variable decIsions whencgnsidering STEMI system design including the advontagesand disadvantages of transmitting EKGs when paramedic read might De beller than machine read and when STEMI potients in rural environments should be flown for primary PCI The participont will haVamp an cipportvnily to troubleshoot his or her own system with the presnters during the presentation

1I Joplin amp Alabama Tornado Disaster Resp~nses Elwin Crawford MDSarah Nafziger MD FACEPi Brian Fraeke MD FACEP On April 27 2011 the stote of Alabama was ravaged by one of the worst torn ad gutbreaks in recorded history with 62 tornadoes touching down in a period of less than 24 hours This widespread outbreak left paths of destruction across the majority of the stole and completely destroyed entire communities In this session presenters will discuss both the preshyhospital response to is ~iSQster as well as the hospital response as it relates 10 EMS Specifically presenters will focus on lessons leorned from this event and discuss how changes mode post-Hurricane Katrina affected the response

1( Statewide ~mplementation of thPrhospltaITraum~tic Brain Injury Guidelines The EPIC ProJect Bentley J Bobrow M)FACEPiDaniel W Spaite MD FACEP Traumatic brain injury (TBI) couses 50000 deaths each year and costs the United Stotes billions of dollars There is slrong evidence that the manageshyment of severe TBI in the first few minutes ofter injury profoundly impads patient outcomes Learn how a slalewide prospective historically conshytrolled observational studV is underway in Arizona to evaluate the effecshytiveness of implementing the nationally veiled prehospilal TBI guidelines

225pm~3JOpfl1 ~ ~ bull 2ADealing wHhBehavioral EmfrgenchtJlri tit FieldWheh AieWeampW~ere 1)0We Ncfto81i idieS ZundMO bull t ~bullbull~ ~ ~rmiddot Manip6iien aree~~i~~tSd t~dtedon~~ran$~~~d f-j~e field with bl1liil~joriilerirgen~ie5Ther8 is D sigl11icQlf$lcern aoqlClck of com fortyitlllakltig~r~oft~slJ patientrhepresanterwlloddf8SS wh~t i~

knownobout theEMSresP9rise to thep$ychialricpan~nthlndling tlie agl taled patient ana Irampotmenfllf psychiatric patienllnth field The preisner will also discunth bull ~howledge gaps ~ndre$eQiCh needs for dealing with behovioralemergencles fnthe fieldmiddot

2Bt Ch~Clnen~lriRuraIFro~tledMSmiddot PauS~~ltisJikusyenDtMpHaiinDeTI~I)~middot Rural a~)dJrd~Ii~r settinQlipresntm~ny Je cl~Il~~~es fpi-EMS sysshytems ~din~iII~al dj~ct9~~Iotdt6th bull 6fresOliAe~idistandl$

i~vo~lId middot~~a~~uentYQft~le~iTn r~l~ ~lVtllJtasperllroJ bull nTlyfi9n 11101 an~$ ada9amp~IfYOu~~

ioUve~le jy$m~aRpliesto rvlaquoil aMfr doiensthe 1yfoiEMS medical direc~

tors fti ~eV8f~pcre~ampj9Iufloll$ to fle ~g~iI -~ - - - (~_ i

315 pm - 415 pm BREAK IN EXHIBIT HALL

315 pm - 415 pm Poster Session 2

415 pm - 505 pm 3A Border Patrol amp radical Medicine BORSTAR Demonstration Carl McClafferty Gerod Bryon The US Border Patrol Search Trauma and Rescue (BORSTAR) Unit is a specialized SAR unII capable of responding to and conducting emergency search and rescue missions anywhere in the United States Created in 1998 in response to Border Patrol Agents losing their lives in remote locations os well os the growing number of migrant deaths along our nolions border BORSTAR deploys to highthreat areas to conduct enforcement operations while simultaneously providing assistance to those in distress BORSTAR agents also respond to incidents of notional significance as directed by the Chief of the Border Patrol

BORSTAR command stoff will discuss the teams background training and selection process as well as present typical BORSTAR operations across the United Sioles

38 Medical Oversight of Wilderness EMS Will Smith MD NRfMT-P Medical oversight of wilderness EMS presents a challenge as it must allow prehospilal providers to toke core of the patient in whatever austere envi ronment they find themselves without the usual resources The presenters wililaod the group through some of the topics unique to medicol oversight of wilderness EMS and what protocols and other skills can be implemented to optimize care of patients in the wilderness selling

3C Well Were Waiting I Using Radlofrequency Identification Device (RFID) Technology as a Key to ED EMS Gridlock Sheila Hollinger Steer MD FACEP ED EMS turnaround times ore difficult to evaluate and address effectively Radiofrequency Identification RFIOJ technology can be used to passively collect EMS throughput dato and identify system variances Analyzed sysshytem doto can be a common language spoken between EMS and hospitol administrators to lower EMS throughput times in the ED

505 pm 605 pm Research Oral Abstracts 5 (17-20) Abstract titles and presenters will be listed in the JanuaryFebruary issue of Preospital Emergency Care and posted fa the NAEMSP websie

605 pm 705 pm Research Poster Session 3 Abstract liIes and presenters will be ised In the JanuaryFebruary issue of Prclospilal Emergency Care and posted to 1I11i NAEMSP website

7 REGISTRATION

SATURDA~JANUARY14 700 om shy 800 am CONnNENTAl BREAKFAST

700 om shy 400 pm REGISTRATION

700 am 800 am Committee Meetings (All otlendees are welcome and encouraged to attend commilfee meetings)

bull International Affairs Task Force - Darren Walter FRCS FCEM DipMC

bull Program Committee - David Slattery MD

bull Communications Committee - Mic Gunderson

bull Education Ad Hoc Committee - Juan March MD

bull Public Health Ad Hoc Committee - Joseph Sobota Jr MD bull FiregroundHAZMAT Committee - AIen Yee MD OMD and

David Ton MD EMT-T

800 am - 900 om Community Paramedics Here There amp (Soon) Everywhere Gary Wingrove EMTmiddotP (ret) Kevin McGinnis MPS EMTmiddotP Don Swayze DrPH MBA MEMS

The panelists will describe the progression of the community paramedic lrain ing program in use in the United States and other countries It will also avtline the activities 01 the International Roundtable on Community

900 am - 1000 am Ventricular Assist Devices What You amp Your EMS Providers Need to Know Jocob B Keepermon MD

Ventricular assisl devices (VADs) are now a trealment modolily being used oulside of the hospital setting and EMS professionals are being called on to treat these potienls on a regular basis VAD technology hos nol been a parI of traditional EMS provider curricula however patients are instructed to call

EMS when they have a problem The presenter will e~plore the role ollhe EMS professional in taking core of patients who need a VAD and provide ~ome handsmiddoton practice in trouble shooling VAD devices

1000 am - 1015 am REFRESHMENT BREAK

1015 om 11150m Physician Oversight of EMS Dispatch David C Cone MD

Emergency medicol dispatch is an important component of the EMS system yet one that rarely receives the some degree of physician oversight os the rest of the system As Ihe clinical aspects of dispatch steadily increase with

widespread adoptian of postdispatch instructions and dispatch life suppor and evolving science regarding both dispatches in general and dispatchermiddot instructed CPR in particular the role of physician overSight is increasing in importance The presenter will discuss the role of Ihe physician in provid

ing medico I oversight lor emergency medical dispatch programs including establishing dispokh (J1~lurithrns Dnd response configurations oversight of dispatcner educotion ond credentloling research and participation in ongoshying quality management

1115 am - 1200 pm EMS Subspecialty Certification Update Jone Brice MD MPH David C Cone MD Debra Perino MD

The presenters will discuss the current EMS subspecialty test development efforts protected timeline and final EMS core content The presentation will also indude f1lothodalogy utihlcd to creole the final corc content and blue print for the ccrtlficution exorninotion

1200 pm - 145 pm AWARDS lUNCHEON

145 pm - 230 pm Physician Orders for life-Sustaining Treatment (POLST) amp the POlST Registry Communicating Patient Treatment Preferences Ritu Sohni MD MPH Terri Schmidl MD MS

In the 19905 Oregon pioneered using PhysiCian orders for LiiemiddotSus1aining Treatment (POLST) to communicate palient preferences across treatment setmiddot tings POLST is now used or being developed in more than 30 states as a means 10 help EMS and others know and honor a pOlients preferences noor fhe end ollile In 2009 Oregon developed on electronic registry for POLST forms making them available when the paper form cannot be found Using cases and experience Ihe presenters will review how these orders allow EMS to beller know what intentions to perform lor chronically ill potients

230 pm - 330 pm Bridging the Gap Pediatric Emergency Medicine amp EMS Manish I Shoh MD

EMS professionals hove a unique opportunity to positively impact the care that children receive in the prchospilol setting Allel1dees 01 this session will learn about exisllng gaps in pediatric prehospilal core and the presenter will locus on ways to overcome them Using examples from across the country ollendees will learn how professionals in EMS and pedialric emergency medimiddot cine can collaborate to optimize provider education research and patient core for pediatric patients

330 pm - 345 pm BREAK

345 pm - 4 45 pm The Canadian Evidence-Based Protocol Project Andrew H Trovers MD MSc FRCPC

The presenter will outline the purposes for the Prehospital EvidencemiddotBased Protocols Project which includes bull Cataloguing EMS Iudies to stimulate debate and growth toward evidencemiddot

based protocols bull Being a resource lor the development of local EMS prolocols perhaps with

a movement toward best practice paramedic protocols bull Being a guide to help recognize opportunities for prehospitol rcseorch bull Developing a process of using evidence 10 evoluate practice change svg

(lllstions made by paramedics

445 pm - 530 pm Top 10 Article Michael G Millin MD MPH Jon C Rittenberger MD poundMTmiddotB Bloir Bighorn MSc ACP

The presenters will introduce and discuss the top 10 articles in EMS over the post year They will discuss salient aspects of the articies why they feel the artides are important and how medicoI directors can utilize Ihe orticles in their own EMS systems

530 pm Closing Reception

8 PRE-CONFERENCE

NAEMSP National EMS Medical Directors Course amp Practlcum Monday - Wednesday January 9middot 11 2012 800 am - 500 pm each day Maximum enrollment 75 participants

Registration Fees

Advance Registration Only PostmarkedFaxed bJ D8C16 or Online bJDec 20

NAEMSP Member $825 NAEMSP NonmiddotMembermiddotmiddot $1075

NonmiddotMember role includes mombership in NAEMSP for one year with a $25 membership discovl for new members This discounl applies 10 nCW members only Pleasc nolily us if you do nol wish 10 ioin NAEMSP The above nonmember role will sull apply

Continental Breakfast is included in the registrolion fees for Monday Tuesday and Wednesday lunch will be on your own each day

NAEMSP is the pre-eminent organization for EMS medical directors and it has offered the NAEMSP Notional EMS Medical Directors Course and Praeticum course for a number of years The distinguished foeulty is recogshynized as experts in various aspects of the prehospilol and disaster medicinel management fields

This interactive course focuses on EMS in the Mreol world and serves to enhance the students expertise in EMS issues In addition to curriculum eleshyments that run the range and depth of issues vital to EMS medical direcshytorship the students will have ample opportunity throughout the course to network with faculty and fellow students to critically evaluate their system The companion texts for the course are the Clinical Aspects of Prehospital Medi dne Mdical Oversight of EMS Evaluoting and Improving Qvolity in EMS and Special Operations Medical Svpport by editors David C Cone MD and Robert OConnor MD MPH The texts are included in the registration fee and are available to all participants on-site in Tucson

This adivity has been planned and implemented in accordance with the Essential Areas and policies 01 the Accreditation Council for Continuing Medical Education through the iain sponsorship of Ihe Medical College of Wisconsin and NAEMSP

AMA Credit Designation Statement The Medical Colleg6 01 Wisconsin deSignates this live activity a maximum 012275 AMA PRA Category 1Credits) PhYSicians should claim only the credit commensurate with the exient af their participation in the octivity

ACCME Accreditation Statement The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians

Other health care professionals are awarded 21 continuing education units (CEUs) which are equal 10 21 contact hours

While not required praviaus complelion of the NAEMSP Notional EMS Medical Diredors Course and Practicum is recommended

HAZMATWMD Training First Responder Operations Pre-Conference Workshop Monday - Tuesday January 9middot102012 700 am - 700 pm each day Registration Fees $185 Maximum enrollment 24 porticiponts

NAEMSPmiddot is proud to partner with the education ond trolnng divisions of the Internalionol Association of Fire Fighters (IAFF) to offer the First Responder Operations course As operational medical directors we may respond 10

assisl in a ~IAZMATWMD inodent This course provides the knowledge ond tools needed 10 protect health and salety while covenng basic defensive aclions personol rroteclive equipment hozard rccognJlion and klentilicalion pre-incident planning and scene management The First Responder Operamiddot tions course offers US an opportunily to learn about responding 10 HAZMAf WMD in the oUIol-hospitol environment

Ailer completing Ihis course students will be able to describe and practice basic strategies 10 safeguard their health and solely when their work involves

r

pOlential exposure to hazardous malerials Students will gain the knowledge and skills needed to

bull Recognile and Identify the dues that determine the presence of HAlMAT WMD

bull Research ond evaluate exposure information bull Moke decisions and e~ecule oppmpriolc actions bull Implcmcnl defensive control measures thai minimize risks to health and

salety

This course may lullill your agencys Iroining requiremenls for responders The course is facilitated through small group activities and reolmiddotlife case studies Meets or exceeds OSHA (29 CFR 1910120) and NFPA Siondards (472)

NAEMSP Advanced Topics in Medical Direction Course shyPutting Science in the Streets How to Implement Best Pradices In Your EMS System Wednesday January 11 2012 800 am - 5 15 pm Registration Fees $250 Maximum enrollmenl 35 participants

This unique onemiddot day workshop is designed for practicing EMS Medical Directors and others who engage in clinical supervision of functioning emergency medcot dispatchers emergency medicol technicioflS and paramedics This popular pre-conference workshop has been revised with new topics a mix of new ond relJrning faculty and Q conlinuatian of the inleraclive face-paced format Register now to ensure your seat

While not required previous completion of the NAEMSP Nalionol EMS Medical Directors Course amp Praclicum s recommended Not only will the lotest science be reviewed bul the concepts of tronslalional medicine also will be interwoven as we ask the paramount question how do we assure our patients are receiving dOlo-driven care in the streets This interactive fastmiddot raced workshop lead by notional experts will address the following

bull First Response Configuration bull Automalic Crash Notification and Trauma bull Diversion for Omega bull Onmiddotslar ond EMS bull Sofely in EMS bull Time for a Checklist bull Tourniquets bull Two Paramedics in 859NFPA 1710 pro bull Two Paramedics irl 8S9NFPA 1710 - can bull Mechonicol Compression Devices bull Ideal Resuscitation and Hormone bull Evidenced-Based Measures and Resuscitation in 2012 bull DSED Update bull Droperidol for Agitation bull Regional Centers bull Alternative DestinotionsCHf Treatment

Distinctly Canadian Pre-Conference Workshop Wednesday Januory 11 1 00 pm 700 pm RegistrotiOrl Fees $25

Whats going on in the Canadian EMS world Want to explore the latest in prehospitol core across our vas country looking forward to catching up with your Canodion EMS colleagues

For the first time aclivilies hove been organized specically for the Canadian contingent at the NAEMSP~ Annual Meeting Presentotions of interest to all Canadian EMS health professionals include

1 Preliminary resulls of the Canadian EMS Research Agenda Study 2 Prehospllal STEMI core across Canada a ponel discussion 3 How sick is this polient Prehospitol triage systems in Canada

The Canadian Relations Committee Meeting wilt also be scheduled during the session ensuring that all attendees are up-to-dote about EMS developments across Canada

Finally the aflernaan will conclude wjth on informal seciol gel-Iogether where lighl refreshments will be served

----------------- --

------------------------------------------- ----------------- -------------------

9 REGISTRATION

JANUARY 12-142012 JW MARRIOTT STARR PASS RESORT amp SPA TUCSON AZ

Would you rather register online NAEMSpreg is pleased to offer online registration until December 20 Visit wwwNAEMSPorg to register

STEP ONE Badge Information Full Name

Address

StolcProvince_______________ Zip

fax

bullbull This information will be used for your nome badge

STEP TWO General Information

II Special Needs (dietaryaccessibililyk _____

REQUIRElJ In case of emergency at the meeling pleose contact (NomeTelephoneRelationship) ______________________________ _

o Pleose check here if you orc a first-limo otendee of Ihe NAEMSpmiddot Annual Meeting

o Please check here if you would like to be eluded in promotional moiling from our exhibitors

SUP THREE Pre-Conference Activities Advonceci gvjstrglion Onlv - PostmqrkedFerx Q) pe 16 pt Online by Dec 20

NAEMS National EMS Medical Directors Course amp Practicum

o NAEMSP Member $825

o NAEMSP NOll-Member $1075 Non-Member role includes membership in NAEMSP- for one yeor with 0

membersnip discou for new members_ This dIScount appli to new member only Please nollfy us If you do no wish 10 join NAEMSP- The obove nonmiddot member rote will stili apply_

0 NAEMSP Advanced Topics in Medical Direction Course $250

0 HAZMATWMD Training SI85

0 Distinctly Canadian Pre-Conference Workshop $25

STEP FOUR Conference Registration Fees The registrolion lee includes educational sessions activities and social events lor paid ottendees_ This includes Continental Breakfasts Refreshment Breaks Progrofn Materials the Presidents Reception the Welcome Reception the two group luncheons and the Awards luncheon_ Please check the category that applies below

NAEMSPI1l MEMBER Adyanced Braitralipa - PostmArkedfoX by Dre 16 or Onlne by Pre 2Q

All an-sile registrations wiU be ubiect 10 a late fcc

Advanced Registration On-Site

0 Physician

0 Professional

fJ Resident

0 Fellow

0 Student

0 International

NON-MEMBER 0 Physicion Non-Member

0 Professional Non-Member

0 Resident Non-Member

0 fellow Non-Member

0 Siudent Non-Member

0 Internationol Non-Member

o $575 o $690

o $400 0 $480 o $400 0 $480 o $500 o $600

o $250 0 $300

o $575 o $690

o $850 o $965

o $560 o $615

o $530 0 $585 0 $660 0 $735

0 $350 0 $375 0 $710 o $825

Inlernalional regislrotion colegory applies 10 Inlernolionol Members only_ All olher member cotegones ore not eligible even if Ihey reside oulside of North America_ Please conlact NAEM5P if you wish 10 chcge your membership type

Non-Member rotc Ieludes membership on NAEMSP for one yeor with o discounl for new members This dlSCOtJf1I applies 10 new mcmbcr$ only Please nOtify us if you do nol wisn 10 ioin NAEMSP_ The above non-member role will still apply_

5 REGISTRATION

200 pm - 245 pm Your Community Should Use the Field Triage Guideline E Brooke Lerner PhD John Fildes MD FACS FCCM Scott Sasser MD FACEP

The presenters will describe the changes to the Guideline for Field Triage of Injured Patients that will be released in January 2012 They will discuss the implemenlation process for Ihe 2006 guideline changes and consider il there are lessons that can be learned for Implementing the 2012 changes Finally they will explain areos 01 controversy wilhin Ihe revised guidelines and provide the inlorrnotion that medical direclors will need when presenting the changes in their community and updating local protocols

245 pm - 330 pm Pediatric EMS Evidence-Based Update Marianne Gausche-Hil MD

There have been recenl guidelines published on the emergency care 01 chilshydren including necessary equipment for ambulances and resuscitation of childrens respiratory failure shock and cardiopulmonary arrest Controvershysies still exist regording best monagemenl for the pediatric airway and new devices are on the horizon Latest issues and controversies in Ihe oul-ol-hos pilal core 01 children highlighting iolest advances in airway management and incorporation of recent American Heart Association Guidelines in prehospital protocols will be discussed

330 pm - 415 pm BREAK IN EXHIBIT HALL

415 pm - 515 pm Research Oral Abstracts 2 (5-8) Abstract litles and presenters will be fised in the JanuaryFebruory issue of Prehaspiol Emergency Core and posted 0 the NAEMSP website

5 15 pm - 630 pm Research Poster Session 1 Abstract titles and presenters will be listed in Ihe JanuaryFebruary issue 01 Preilospial Emergency Care and posted to the NAEMSP websile

630 pm - 830 pm WELCOME RECEPTION IN THE EXHIBIT HALL

FRIDAY JANUARY 13 700 om - 400 pm REGISTRATION

700 am - 800 am CONTINENTAL BREAKFAST

800 am - 900 am Research Oral Abstracts 3 (9-12) Abstractitles and presenters will be iisted in Ihe JanuaryFebruary issue 01 Prehospital Emergency Core and posted to the NAEMSP website

900 am - 945 am Australasian EMS System Paul Middleton MBBS FRCS(Eng)

This presenlation will showcase Ihe Australien FMS syslem Auslralia is mode up of six states and two territories wilh a landmass of opproJ(imotely the some size as the US In each stole there is a single EMS syslem usually slatemiddotowned and operated which operales independenlly ollhe Fire Service The Ambushylance Service of NSW (ASNSW) is one of Ihe largesl single syslems in the world 11th 4000 employees oj which 3500 are paramedics 1000 ambushylances 225 stations and more than 1000000 calls each year The system uses MPDSCAD to dispatch patients and there are two levels of paramedics equivalent 10 BLS and ALS as well as specialist paramedics The ASNSW also houses the internal Ambulance Research Instilute (ARI) a dedicated research facility that performs large premiddot hospital epidemiological sludies wilh GIS mapping linked data research large clinical trials and is currently building a statemiddotwide network of inhospital collaborators ARI investigators are just about to start analysing a dataset 01 almosl 3000000 EMS cases linked to ED admitted patient and death databases

945 om - 1015 am BREAK IN EXHIBIT HALL

1015 am - 1115 am James O Page Memorial Lecture What Would Jim Page Do Leading Diverse Groups to Common Outcomes Jeff T Dyar Fire Commissioner

People have come to call Jim Page the father of modern EMS nal because he held a position of power in government was on altorney executive fire chief stete EMS director or publisher allhough he was all of Ihose It was because he was a promoter of great ideas and he hod the gumption 10

express these ideas orlfully and honestly through whatever medium presented itsell be it a TV show like Emergency a magazine like JEMS a conlerence a courtroom a book video or fl Web blog Jims ideas took hold inspirshying thousands and changing the very way in which we thought about how society should core for people in need of emergency services and always with consideration lor the EMTs and paramedics who deliver the core in Ihe prehospital selting

Jim Page lOS a master at leading uncommon competitive and sometimes uncooperative groups 10 a shored vision and common outcomes Commismiddot sioner Jeff Oyar will chronicle some of the~e events and discuss strategies Jim created Ihot led 10 national legacy programs in EMS Mentoring olhers to accomplish better inter-agency coml11unication and common outcomes will also be discussed

1115 am - 1215 pm Research Oral Abstracts 4 (13-16) Abstrocl iles and presenters will be listed in Jhe J(llluuryFebruory isslJeuro 01 Prehospilal Emergency Core and posted 0 the NAEMSP websitc

1215 pm - 130 pm LUNCH amp LEARN Rethinking Sudden Cardiac Arrest - State-Wide Strategies to Improve SCA Survival Rates Bentley J Bobrow MD FACEP Daniel Spaite MD FACEP Gordon Ewy MD Brent Myers MD Lisa Monk MSN RN CPHQ

Hear how live stoles are developing integrating and measuring best practices in all phases 01 resuscitalion through Ihe HeorlRescue Projeci

1215 pm 130 pm COMMITTEE MEETINGS (All olendees ore welcome and encouraged to attcnd committee meetings)

bull ACEP-EMS Committee Meeting - Rick Murray

bull Canadian EMS Fellowship Program Special Interest Group - Russell MacDonald MD

bull EMS Fellows and Fellowship Graduates Ad Hoc Committee - Christian Martin-Gill MD

bull Membership Committee - Chuck Cody MD bull Pediatric Ad Hoc Committee Meeting - Toni K Gross MD

MPH

bull TEMS Committee - Richard Kamin MD FACEP

6 SCHEDULE

CONCURRENT SESSIONS TRACK 1 -130 pm - 215 pm

TRACK 2 -225 pm -310 pm TRACK 3 - 400 pm - 455 pm

130 pm - 215 pm lA Controversies In STEMI Care Kevin Madey MD FACEP Angelo Salvucci MD Regional STEMI systeTIs present unique 0pPortunllies and challenges to not only the providers but the adminitrotorswhodesign ond operate the STEMI networksa$ well During this pressntatioJj the participant will develop anunderstori~irig of variable decIsions whencgnsidering STEMI system design including the advontagesand disadvantages of transmitting EKGs when paramedic read might De beller than machine read and when STEMI potients in rural environments should be flown for primary PCI The participont will haVamp an cipportvnily to troubleshoot his or her own system with the presnters during the presentation

1I Joplin amp Alabama Tornado Disaster Resp~nses Elwin Crawford MDSarah Nafziger MD FACEPi Brian Fraeke MD FACEP On April 27 2011 the stote of Alabama was ravaged by one of the worst torn ad gutbreaks in recorded history with 62 tornadoes touching down in a period of less than 24 hours This widespread outbreak left paths of destruction across the majority of the stole and completely destroyed entire communities In this session presenters will discuss both the preshyhospital response to is ~iSQster as well as the hospital response as it relates 10 EMS Specifically presenters will focus on lessons leorned from this event and discuss how changes mode post-Hurricane Katrina affected the response

1( Statewide ~mplementation of thPrhospltaITraum~tic Brain Injury Guidelines The EPIC ProJect Bentley J Bobrow M)FACEPiDaniel W Spaite MD FACEP Traumatic brain injury (TBI) couses 50000 deaths each year and costs the United Stotes billions of dollars There is slrong evidence that the manageshyment of severe TBI in the first few minutes ofter injury profoundly impads patient outcomes Learn how a slalewide prospective historically conshytrolled observational studV is underway in Arizona to evaluate the effecshytiveness of implementing the nationally veiled prehospilal TBI guidelines

225pm~3JOpfl1 ~ ~ bull 2ADealing wHhBehavioral EmfrgenchtJlri tit FieldWheh AieWeampW~ere 1)0We Ncfto81i idieS ZundMO bull t ~bullbull~ ~ ~rmiddot Manip6iien aree~~i~~tSd t~dtedon~~ran$~~~d f-j~e field with bl1liil~joriilerirgen~ie5Ther8 is D sigl11icQlf$lcern aoqlClck of com fortyitlllakltig~r~oft~slJ patientrhepresanterwlloddf8SS wh~t i~

knownobout theEMSresP9rise to thep$ychialricpan~nthlndling tlie agl taled patient ana Irampotmenfllf psychiatric patienllnth field The preisner will also discunth bull ~howledge gaps ~ndre$eQiCh needs for dealing with behovioralemergencles fnthe fieldmiddot

2Bt Ch~Clnen~lriRuraIFro~tledMSmiddot PauS~~ltisJikusyenDtMpHaiinDeTI~I)~middot Rural a~)dJrd~Ii~r settinQlipresntm~ny Je cl~Il~~~es fpi-EMS sysshytems ~din~iII~al dj~ct9~~Iotdt6th bull 6fresOliAe~idistandl$

i~vo~lId middot~~a~~uentYQft~le~iTn r~l~ ~lVtllJtasperllroJ bull nTlyfi9n 11101 an~$ ada9amp~IfYOu~~

ioUve~le jy$m~aRpliesto rvlaquoil aMfr doiensthe 1yfoiEMS medical direc~

tors fti ~eV8f~pcre~ampj9Iufloll$ to fle ~g~iI -~ - - - (~_ i

315 pm - 415 pm BREAK IN EXHIBIT HALL

315 pm - 415 pm Poster Session 2

415 pm - 505 pm 3A Border Patrol amp radical Medicine BORSTAR Demonstration Carl McClafferty Gerod Bryon The US Border Patrol Search Trauma and Rescue (BORSTAR) Unit is a specialized SAR unII capable of responding to and conducting emergency search and rescue missions anywhere in the United States Created in 1998 in response to Border Patrol Agents losing their lives in remote locations os well os the growing number of migrant deaths along our nolions border BORSTAR deploys to highthreat areas to conduct enforcement operations while simultaneously providing assistance to those in distress BORSTAR agents also respond to incidents of notional significance as directed by the Chief of the Border Patrol

BORSTAR command stoff will discuss the teams background training and selection process as well as present typical BORSTAR operations across the United Sioles

38 Medical Oversight of Wilderness EMS Will Smith MD NRfMT-P Medical oversight of wilderness EMS presents a challenge as it must allow prehospilal providers to toke core of the patient in whatever austere envi ronment they find themselves without the usual resources The presenters wililaod the group through some of the topics unique to medicol oversight of wilderness EMS and what protocols and other skills can be implemented to optimize care of patients in the wilderness selling

3C Well Were Waiting I Using Radlofrequency Identification Device (RFID) Technology as a Key to ED EMS Gridlock Sheila Hollinger Steer MD FACEP ED EMS turnaround times ore difficult to evaluate and address effectively Radiofrequency Identification RFIOJ technology can be used to passively collect EMS throughput dato and identify system variances Analyzed sysshytem doto can be a common language spoken between EMS and hospitol administrators to lower EMS throughput times in the ED

505 pm 605 pm Research Oral Abstracts 5 (17-20) Abstract titles and presenters will be listed in the JanuaryFebruary issue of Preospital Emergency Care and posted fa the NAEMSP websie

605 pm 705 pm Research Poster Session 3 Abstract liIes and presenters will be ised In the JanuaryFebruary issue of Prclospilal Emergency Care and posted to 1I11i NAEMSP website

7 REGISTRATION

SATURDA~JANUARY14 700 om shy 800 am CONnNENTAl BREAKFAST

700 om shy 400 pm REGISTRATION

700 am 800 am Committee Meetings (All otlendees are welcome and encouraged to attend commilfee meetings)

bull International Affairs Task Force - Darren Walter FRCS FCEM DipMC

bull Program Committee - David Slattery MD

bull Communications Committee - Mic Gunderson

bull Education Ad Hoc Committee - Juan March MD

bull Public Health Ad Hoc Committee - Joseph Sobota Jr MD bull FiregroundHAZMAT Committee - AIen Yee MD OMD and

David Ton MD EMT-T

800 am - 900 om Community Paramedics Here There amp (Soon) Everywhere Gary Wingrove EMTmiddotP (ret) Kevin McGinnis MPS EMTmiddotP Don Swayze DrPH MBA MEMS

The panelists will describe the progression of the community paramedic lrain ing program in use in the United States and other countries It will also avtline the activities 01 the International Roundtable on Community

900 am - 1000 am Ventricular Assist Devices What You amp Your EMS Providers Need to Know Jocob B Keepermon MD

Ventricular assisl devices (VADs) are now a trealment modolily being used oulside of the hospital setting and EMS professionals are being called on to treat these potienls on a regular basis VAD technology hos nol been a parI of traditional EMS provider curricula however patients are instructed to call

EMS when they have a problem The presenter will e~plore the role ollhe EMS professional in taking core of patients who need a VAD and provide ~ome handsmiddoton practice in trouble shooling VAD devices

1000 am - 1015 am REFRESHMENT BREAK

1015 om 11150m Physician Oversight of EMS Dispatch David C Cone MD

Emergency medicol dispatch is an important component of the EMS system yet one that rarely receives the some degree of physician oversight os the rest of the system As Ihe clinical aspects of dispatch steadily increase with

widespread adoptian of postdispatch instructions and dispatch life suppor and evolving science regarding both dispatches in general and dispatchermiddot instructed CPR in particular the role of physician overSight is increasing in importance The presenter will discuss the role of Ihe physician in provid

ing medico I oversight lor emergency medical dispatch programs including establishing dispokh (J1~lurithrns Dnd response configurations oversight of dispatcner educotion ond credentloling research and participation in ongoshying quality management

1115 am - 1200 pm EMS Subspecialty Certification Update Jone Brice MD MPH David C Cone MD Debra Perino MD

The presenters will discuss the current EMS subspecialty test development efforts protected timeline and final EMS core content The presentation will also indude f1lothodalogy utihlcd to creole the final corc content and blue print for the ccrtlficution exorninotion

1200 pm - 145 pm AWARDS lUNCHEON

145 pm - 230 pm Physician Orders for life-Sustaining Treatment (POLST) amp the POlST Registry Communicating Patient Treatment Preferences Ritu Sohni MD MPH Terri Schmidl MD MS

In the 19905 Oregon pioneered using PhysiCian orders for LiiemiddotSus1aining Treatment (POLST) to communicate palient preferences across treatment setmiddot tings POLST is now used or being developed in more than 30 states as a means 10 help EMS and others know and honor a pOlients preferences noor fhe end ollile In 2009 Oregon developed on electronic registry for POLST forms making them available when the paper form cannot be found Using cases and experience Ihe presenters will review how these orders allow EMS to beller know what intentions to perform lor chronically ill potients

230 pm - 330 pm Bridging the Gap Pediatric Emergency Medicine amp EMS Manish I Shoh MD

EMS professionals hove a unique opportunity to positively impact the care that children receive in the prchospilol setting Allel1dees 01 this session will learn about exisllng gaps in pediatric prehospilal core and the presenter will locus on ways to overcome them Using examples from across the country ollendees will learn how professionals in EMS and pedialric emergency medimiddot cine can collaborate to optimize provider education research and patient core for pediatric patients

330 pm - 345 pm BREAK

345 pm - 4 45 pm The Canadian Evidence-Based Protocol Project Andrew H Trovers MD MSc FRCPC

The presenter will outline the purposes for the Prehospital EvidencemiddotBased Protocols Project which includes bull Cataloguing EMS Iudies to stimulate debate and growth toward evidencemiddot

based protocols bull Being a resource lor the development of local EMS prolocols perhaps with

a movement toward best practice paramedic protocols bull Being a guide to help recognize opportunities for prehospitol rcseorch bull Developing a process of using evidence 10 evoluate practice change svg

(lllstions made by paramedics

445 pm - 530 pm Top 10 Article Michael G Millin MD MPH Jon C Rittenberger MD poundMTmiddotB Bloir Bighorn MSc ACP

The presenters will introduce and discuss the top 10 articles in EMS over the post year They will discuss salient aspects of the articies why they feel the artides are important and how medicoI directors can utilize Ihe orticles in their own EMS systems

530 pm Closing Reception

8 PRE-CONFERENCE

NAEMSP National EMS Medical Directors Course amp Practlcum Monday - Wednesday January 9middot 11 2012 800 am - 500 pm each day Maximum enrollment 75 participants

Registration Fees

Advance Registration Only PostmarkedFaxed bJ D8C16 or Online bJDec 20

NAEMSP Member $825 NAEMSP NonmiddotMembermiddotmiddot $1075

NonmiddotMember role includes mombership in NAEMSP for one year with a $25 membership discovl for new members This discounl applies 10 nCW members only Pleasc nolily us if you do nol wish 10 ioin NAEMSP The above nonmember role will sull apply

Continental Breakfast is included in the registrolion fees for Monday Tuesday and Wednesday lunch will be on your own each day

NAEMSP is the pre-eminent organization for EMS medical directors and it has offered the NAEMSP Notional EMS Medical Directors Course and Praeticum course for a number of years The distinguished foeulty is recogshynized as experts in various aspects of the prehospilol and disaster medicinel management fields

This interactive course focuses on EMS in the Mreol world and serves to enhance the students expertise in EMS issues In addition to curriculum eleshyments that run the range and depth of issues vital to EMS medical direcshytorship the students will have ample opportunity throughout the course to network with faculty and fellow students to critically evaluate their system The companion texts for the course are the Clinical Aspects of Prehospital Medi dne Mdical Oversight of EMS Evaluoting and Improving Qvolity in EMS and Special Operations Medical Svpport by editors David C Cone MD and Robert OConnor MD MPH The texts are included in the registration fee and are available to all participants on-site in Tucson

This adivity has been planned and implemented in accordance with the Essential Areas and policies 01 the Accreditation Council for Continuing Medical Education through the iain sponsorship of Ihe Medical College of Wisconsin and NAEMSP

AMA Credit Designation Statement The Medical Colleg6 01 Wisconsin deSignates this live activity a maximum 012275 AMA PRA Category 1Credits) PhYSicians should claim only the credit commensurate with the exient af their participation in the octivity

ACCME Accreditation Statement The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians

Other health care professionals are awarded 21 continuing education units (CEUs) which are equal 10 21 contact hours

While not required praviaus complelion of the NAEMSP Notional EMS Medical Diredors Course and Practicum is recommended

HAZMATWMD Training First Responder Operations Pre-Conference Workshop Monday - Tuesday January 9middot102012 700 am - 700 pm each day Registration Fees $185 Maximum enrollment 24 porticiponts

NAEMSPmiddot is proud to partner with the education ond trolnng divisions of the Internalionol Association of Fire Fighters (IAFF) to offer the First Responder Operations course As operational medical directors we may respond 10

assisl in a ~IAZMATWMD inodent This course provides the knowledge ond tools needed 10 protect health and salety while covenng basic defensive aclions personol rroteclive equipment hozard rccognJlion and klentilicalion pre-incident planning and scene management The First Responder Operamiddot tions course offers US an opportunily to learn about responding 10 HAZMAf WMD in the oUIol-hospitol environment

Ailer completing Ihis course students will be able to describe and practice basic strategies 10 safeguard their health and solely when their work involves

r

pOlential exposure to hazardous malerials Students will gain the knowledge and skills needed to

bull Recognile and Identify the dues that determine the presence of HAlMAT WMD

bull Research ond evaluate exposure information bull Moke decisions and e~ecule oppmpriolc actions bull Implcmcnl defensive control measures thai minimize risks to health and

salety

This course may lullill your agencys Iroining requiremenls for responders The course is facilitated through small group activities and reolmiddotlife case studies Meets or exceeds OSHA (29 CFR 1910120) and NFPA Siondards (472)

NAEMSP Advanced Topics in Medical Direction Course shyPutting Science in the Streets How to Implement Best Pradices In Your EMS System Wednesday January 11 2012 800 am - 5 15 pm Registration Fees $250 Maximum enrollmenl 35 participants

This unique onemiddot day workshop is designed for practicing EMS Medical Directors and others who engage in clinical supervision of functioning emergency medcot dispatchers emergency medicol technicioflS and paramedics This popular pre-conference workshop has been revised with new topics a mix of new ond relJrning faculty and Q conlinuatian of the inleraclive face-paced format Register now to ensure your seat

While not required previous completion of the NAEMSP Nalionol EMS Medical Directors Course amp Praclicum s recommended Not only will the lotest science be reviewed bul the concepts of tronslalional medicine also will be interwoven as we ask the paramount question how do we assure our patients are receiving dOlo-driven care in the streets This interactive fastmiddot raced workshop lead by notional experts will address the following

bull First Response Configuration bull Automalic Crash Notification and Trauma bull Diversion for Omega bull Onmiddotslar ond EMS bull Sofely in EMS bull Time for a Checklist bull Tourniquets bull Two Paramedics in 859NFPA 1710 pro bull Two Paramedics irl 8S9NFPA 1710 - can bull Mechonicol Compression Devices bull Ideal Resuscitation and Hormone bull Evidenced-Based Measures and Resuscitation in 2012 bull DSED Update bull Droperidol for Agitation bull Regional Centers bull Alternative DestinotionsCHf Treatment

Distinctly Canadian Pre-Conference Workshop Wednesday Januory 11 1 00 pm 700 pm RegistrotiOrl Fees $25

Whats going on in the Canadian EMS world Want to explore the latest in prehospitol core across our vas country looking forward to catching up with your Canodion EMS colleagues

For the first time aclivilies hove been organized specically for the Canadian contingent at the NAEMSP~ Annual Meeting Presentotions of interest to all Canadian EMS health professionals include

1 Preliminary resulls of the Canadian EMS Research Agenda Study 2 Prehospllal STEMI core across Canada a ponel discussion 3 How sick is this polient Prehospitol triage systems in Canada

The Canadian Relations Committee Meeting wilt also be scheduled during the session ensuring that all attendees are up-to-dote about EMS developments across Canada

Finally the aflernaan will conclude wjth on informal seciol gel-Iogether where lighl refreshments will be served

----------------- --

------------------------------------------- ----------------- -------------------

9 REGISTRATION

JANUARY 12-142012 JW MARRIOTT STARR PASS RESORT amp SPA TUCSON AZ

Would you rather register online NAEMSpreg is pleased to offer online registration until December 20 Visit wwwNAEMSPorg to register

STEP ONE Badge Information Full Name

Address

StolcProvince_______________ Zip

fax

bullbull This information will be used for your nome badge

STEP TWO General Information

II Special Needs (dietaryaccessibililyk _____

REQUIRElJ In case of emergency at the meeling pleose contact (NomeTelephoneRelationship) ______________________________ _

o Pleose check here if you orc a first-limo otendee of Ihe NAEMSpmiddot Annual Meeting

o Please check here if you would like to be eluded in promotional moiling from our exhibitors

SUP THREE Pre-Conference Activities Advonceci gvjstrglion Onlv - PostmqrkedFerx Q) pe 16 pt Online by Dec 20

NAEMS National EMS Medical Directors Course amp Practicum

o NAEMSP Member $825

o NAEMSP NOll-Member $1075 Non-Member role includes membership in NAEMSP- for one yeor with 0

membersnip discou for new members_ This dIScount appli to new member only Please nollfy us If you do no wish 10 join NAEMSP- The obove nonmiddot member rote will stili apply_

0 NAEMSP Advanced Topics in Medical Direction Course $250

0 HAZMATWMD Training SI85

0 Distinctly Canadian Pre-Conference Workshop $25

STEP FOUR Conference Registration Fees The registrolion lee includes educational sessions activities and social events lor paid ottendees_ This includes Continental Breakfasts Refreshment Breaks Progrofn Materials the Presidents Reception the Welcome Reception the two group luncheons and the Awards luncheon_ Please check the category that applies below

NAEMSPI1l MEMBER Adyanced Braitralipa - PostmArkedfoX by Dre 16 or Onlne by Pre 2Q

All an-sile registrations wiU be ubiect 10 a late fcc

Advanced Registration On-Site

0 Physician

0 Professional

fJ Resident

0 Fellow

0 Student

0 International

NON-MEMBER 0 Physicion Non-Member

0 Professional Non-Member

0 Resident Non-Member

0 fellow Non-Member

0 Siudent Non-Member

0 Internationol Non-Member

o $575 o $690

o $400 0 $480 o $400 0 $480 o $500 o $600

o $250 0 $300

o $575 o $690

o $850 o $965

o $560 o $615

o $530 0 $585 0 $660 0 $735

0 $350 0 $375 0 $710 o $825

Inlernalional regislrotion colegory applies 10 Inlernolionol Members only_ All olher member cotegones ore not eligible even if Ihey reside oulside of North America_ Please conlact NAEM5P if you wish 10 chcge your membership type

Non-Member rotc Ieludes membership on NAEMSP for one yeor with o discounl for new members This dlSCOtJf1I applies 10 new mcmbcr$ only Please nOtify us if you do nol wisn 10 ioin NAEMSP_ The above non-member role will still apply_

6 SCHEDULE

CONCURRENT SESSIONS TRACK 1 -130 pm - 215 pm

TRACK 2 -225 pm -310 pm TRACK 3 - 400 pm - 455 pm

130 pm - 215 pm lA Controversies In STEMI Care Kevin Madey MD FACEP Angelo Salvucci MD Regional STEMI systeTIs present unique 0pPortunllies and challenges to not only the providers but the adminitrotorswhodesign ond operate the STEMI networksa$ well During this pressntatioJj the participant will develop anunderstori~irig of variable decIsions whencgnsidering STEMI system design including the advontagesand disadvantages of transmitting EKGs when paramedic read might De beller than machine read and when STEMI potients in rural environments should be flown for primary PCI The participont will haVamp an cipportvnily to troubleshoot his or her own system with the presnters during the presentation

1I Joplin amp Alabama Tornado Disaster Resp~nses Elwin Crawford MDSarah Nafziger MD FACEPi Brian Fraeke MD FACEP On April 27 2011 the stote of Alabama was ravaged by one of the worst torn ad gutbreaks in recorded history with 62 tornadoes touching down in a period of less than 24 hours This widespread outbreak left paths of destruction across the majority of the stole and completely destroyed entire communities In this session presenters will discuss both the preshyhospital response to is ~iSQster as well as the hospital response as it relates 10 EMS Specifically presenters will focus on lessons leorned from this event and discuss how changes mode post-Hurricane Katrina affected the response

1( Statewide ~mplementation of thPrhospltaITraum~tic Brain Injury Guidelines The EPIC ProJect Bentley J Bobrow M)FACEPiDaniel W Spaite MD FACEP Traumatic brain injury (TBI) couses 50000 deaths each year and costs the United Stotes billions of dollars There is slrong evidence that the manageshyment of severe TBI in the first few minutes ofter injury profoundly impads patient outcomes Learn how a slalewide prospective historically conshytrolled observational studV is underway in Arizona to evaluate the effecshytiveness of implementing the nationally veiled prehospilal TBI guidelines

225pm~3JOpfl1 ~ ~ bull 2ADealing wHhBehavioral EmfrgenchtJlri tit FieldWheh AieWeampW~ere 1)0We Ncfto81i idieS ZundMO bull t ~bullbull~ ~ ~rmiddot Manip6iien aree~~i~~tSd t~dtedon~~ran$~~~d f-j~e field with bl1liil~joriilerirgen~ie5Ther8 is D sigl11icQlf$lcern aoqlClck of com fortyitlllakltig~r~oft~slJ patientrhepresanterwlloddf8SS wh~t i~

knownobout theEMSresP9rise to thep$ychialricpan~nthlndling tlie agl taled patient ana Irampotmenfllf psychiatric patienllnth field The preisner will also discunth bull ~howledge gaps ~ndre$eQiCh needs for dealing with behovioralemergencles fnthe fieldmiddot

2Bt Ch~Clnen~lriRuraIFro~tledMSmiddot PauS~~ltisJikusyenDtMpHaiinDeTI~I)~middot Rural a~)dJrd~Ii~r settinQlipresntm~ny Je cl~Il~~~es fpi-EMS sysshytems ~din~iII~al dj~ct9~~Iotdt6th bull 6fresOliAe~idistandl$

i~vo~lId middot~~a~~uentYQft~le~iTn r~l~ ~lVtllJtasperllroJ bull nTlyfi9n 11101 an~$ ada9amp~IfYOu~~

ioUve~le jy$m~aRpliesto rvlaquoil aMfr doiensthe 1yfoiEMS medical direc~

tors fti ~eV8f~pcre~ampj9Iufloll$ to fle ~g~iI -~ - - - (~_ i

315 pm - 415 pm BREAK IN EXHIBIT HALL

315 pm - 415 pm Poster Session 2

415 pm - 505 pm 3A Border Patrol amp radical Medicine BORSTAR Demonstration Carl McClafferty Gerod Bryon The US Border Patrol Search Trauma and Rescue (BORSTAR) Unit is a specialized SAR unII capable of responding to and conducting emergency search and rescue missions anywhere in the United States Created in 1998 in response to Border Patrol Agents losing their lives in remote locations os well os the growing number of migrant deaths along our nolions border BORSTAR deploys to highthreat areas to conduct enforcement operations while simultaneously providing assistance to those in distress BORSTAR agents also respond to incidents of notional significance as directed by the Chief of the Border Patrol

BORSTAR command stoff will discuss the teams background training and selection process as well as present typical BORSTAR operations across the United Sioles

38 Medical Oversight of Wilderness EMS Will Smith MD NRfMT-P Medical oversight of wilderness EMS presents a challenge as it must allow prehospilal providers to toke core of the patient in whatever austere envi ronment they find themselves without the usual resources The presenters wililaod the group through some of the topics unique to medicol oversight of wilderness EMS and what protocols and other skills can be implemented to optimize care of patients in the wilderness selling

3C Well Were Waiting I Using Radlofrequency Identification Device (RFID) Technology as a Key to ED EMS Gridlock Sheila Hollinger Steer MD FACEP ED EMS turnaround times ore difficult to evaluate and address effectively Radiofrequency Identification RFIOJ technology can be used to passively collect EMS throughput dato and identify system variances Analyzed sysshytem doto can be a common language spoken between EMS and hospitol administrators to lower EMS throughput times in the ED

505 pm 605 pm Research Oral Abstracts 5 (17-20) Abstract titles and presenters will be listed in the JanuaryFebruary issue of Preospital Emergency Care and posted fa the NAEMSP websie

605 pm 705 pm Research Poster Session 3 Abstract liIes and presenters will be ised In the JanuaryFebruary issue of Prclospilal Emergency Care and posted to 1I11i NAEMSP website

7 REGISTRATION

SATURDA~JANUARY14 700 om shy 800 am CONnNENTAl BREAKFAST

700 om shy 400 pm REGISTRATION

700 am 800 am Committee Meetings (All otlendees are welcome and encouraged to attend commilfee meetings)

bull International Affairs Task Force - Darren Walter FRCS FCEM DipMC

bull Program Committee - David Slattery MD

bull Communications Committee - Mic Gunderson

bull Education Ad Hoc Committee - Juan March MD

bull Public Health Ad Hoc Committee - Joseph Sobota Jr MD bull FiregroundHAZMAT Committee - AIen Yee MD OMD and

David Ton MD EMT-T

800 am - 900 om Community Paramedics Here There amp (Soon) Everywhere Gary Wingrove EMTmiddotP (ret) Kevin McGinnis MPS EMTmiddotP Don Swayze DrPH MBA MEMS

The panelists will describe the progression of the community paramedic lrain ing program in use in the United States and other countries It will also avtline the activities 01 the International Roundtable on Community

900 am - 1000 am Ventricular Assist Devices What You amp Your EMS Providers Need to Know Jocob B Keepermon MD

Ventricular assisl devices (VADs) are now a trealment modolily being used oulside of the hospital setting and EMS professionals are being called on to treat these potienls on a regular basis VAD technology hos nol been a parI of traditional EMS provider curricula however patients are instructed to call

EMS when they have a problem The presenter will e~plore the role ollhe EMS professional in taking core of patients who need a VAD and provide ~ome handsmiddoton practice in trouble shooling VAD devices

1000 am - 1015 am REFRESHMENT BREAK

1015 om 11150m Physician Oversight of EMS Dispatch David C Cone MD

Emergency medicol dispatch is an important component of the EMS system yet one that rarely receives the some degree of physician oversight os the rest of the system As Ihe clinical aspects of dispatch steadily increase with

widespread adoptian of postdispatch instructions and dispatch life suppor and evolving science regarding both dispatches in general and dispatchermiddot instructed CPR in particular the role of physician overSight is increasing in importance The presenter will discuss the role of Ihe physician in provid

ing medico I oversight lor emergency medical dispatch programs including establishing dispokh (J1~lurithrns Dnd response configurations oversight of dispatcner educotion ond credentloling research and participation in ongoshying quality management

1115 am - 1200 pm EMS Subspecialty Certification Update Jone Brice MD MPH David C Cone MD Debra Perino MD

The presenters will discuss the current EMS subspecialty test development efforts protected timeline and final EMS core content The presentation will also indude f1lothodalogy utihlcd to creole the final corc content and blue print for the ccrtlficution exorninotion

1200 pm - 145 pm AWARDS lUNCHEON

145 pm - 230 pm Physician Orders for life-Sustaining Treatment (POLST) amp the POlST Registry Communicating Patient Treatment Preferences Ritu Sohni MD MPH Terri Schmidl MD MS

In the 19905 Oregon pioneered using PhysiCian orders for LiiemiddotSus1aining Treatment (POLST) to communicate palient preferences across treatment setmiddot tings POLST is now used or being developed in more than 30 states as a means 10 help EMS and others know and honor a pOlients preferences noor fhe end ollile In 2009 Oregon developed on electronic registry for POLST forms making them available when the paper form cannot be found Using cases and experience Ihe presenters will review how these orders allow EMS to beller know what intentions to perform lor chronically ill potients

230 pm - 330 pm Bridging the Gap Pediatric Emergency Medicine amp EMS Manish I Shoh MD

EMS professionals hove a unique opportunity to positively impact the care that children receive in the prchospilol setting Allel1dees 01 this session will learn about exisllng gaps in pediatric prehospilal core and the presenter will locus on ways to overcome them Using examples from across the country ollendees will learn how professionals in EMS and pedialric emergency medimiddot cine can collaborate to optimize provider education research and patient core for pediatric patients

330 pm - 345 pm BREAK

345 pm - 4 45 pm The Canadian Evidence-Based Protocol Project Andrew H Trovers MD MSc FRCPC

The presenter will outline the purposes for the Prehospital EvidencemiddotBased Protocols Project which includes bull Cataloguing EMS Iudies to stimulate debate and growth toward evidencemiddot

based protocols bull Being a resource lor the development of local EMS prolocols perhaps with

a movement toward best practice paramedic protocols bull Being a guide to help recognize opportunities for prehospitol rcseorch bull Developing a process of using evidence 10 evoluate practice change svg

(lllstions made by paramedics

445 pm - 530 pm Top 10 Article Michael G Millin MD MPH Jon C Rittenberger MD poundMTmiddotB Bloir Bighorn MSc ACP

The presenters will introduce and discuss the top 10 articles in EMS over the post year They will discuss salient aspects of the articies why they feel the artides are important and how medicoI directors can utilize Ihe orticles in their own EMS systems

530 pm Closing Reception

8 PRE-CONFERENCE

NAEMSP National EMS Medical Directors Course amp Practlcum Monday - Wednesday January 9middot 11 2012 800 am - 500 pm each day Maximum enrollment 75 participants

Registration Fees

Advance Registration Only PostmarkedFaxed bJ D8C16 or Online bJDec 20

NAEMSP Member $825 NAEMSP NonmiddotMembermiddotmiddot $1075

NonmiddotMember role includes mombership in NAEMSP for one year with a $25 membership discovl for new members This discounl applies 10 nCW members only Pleasc nolily us if you do nol wish 10 ioin NAEMSP The above nonmember role will sull apply

Continental Breakfast is included in the registrolion fees for Monday Tuesday and Wednesday lunch will be on your own each day

NAEMSP is the pre-eminent organization for EMS medical directors and it has offered the NAEMSP Notional EMS Medical Directors Course and Praeticum course for a number of years The distinguished foeulty is recogshynized as experts in various aspects of the prehospilol and disaster medicinel management fields

This interactive course focuses on EMS in the Mreol world and serves to enhance the students expertise in EMS issues In addition to curriculum eleshyments that run the range and depth of issues vital to EMS medical direcshytorship the students will have ample opportunity throughout the course to network with faculty and fellow students to critically evaluate their system The companion texts for the course are the Clinical Aspects of Prehospital Medi dne Mdical Oversight of EMS Evaluoting and Improving Qvolity in EMS and Special Operations Medical Svpport by editors David C Cone MD and Robert OConnor MD MPH The texts are included in the registration fee and are available to all participants on-site in Tucson

This adivity has been planned and implemented in accordance with the Essential Areas and policies 01 the Accreditation Council for Continuing Medical Education through the iain sponsorship of Ihe Medical College of Wisconsin and NAEMSP

AMA Credit Designation Statement The Medical Colleg6 01 Wisconsin deSignates this live activity a maximum 012275 AMA PRA Category 1Credits) PhYSicians should claim only the credit commensurate with the exient af their participation in the octivity

ACCME Accreditation Statement The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians

Other health care professionals are awarded 21 continuing education units (CEUs) which are equal 10 21 contact hours

While not required praviaus complelion of the NAEMSP Notional EMS Medical Diredors Course and Practicum is recommended

HAZMATWMD Training First Responder Operations Pre-Conference Workshop Monday - Tuesday January 9middot102012 700 am - 700 pm each day Registration Fees $185 Maximum enrollment 24 porticiponts

NAEMSPmiddot is proud to partner with the education ond trolnng divisions of the Internalionol Association of Fire Fighters (IAFF) to offer the First Responder Operations course As operational medical directors we may respond 10

assisl in a ~IAZMATWMD inodent This course provides the knowledge ond tools needed 10 protect health and salety while covenng basic defensive aclions personol rroteclive equipment hozard rccognJlion and klentilicalion pre-incident planning and scene management The First Responder Operamiddot tions course offers US an opportunily to learn about responding 10 HAZMAf WMD in the oUIol-hospitol environment

Ailer completing Ihis course students will be able to describe and practice basic strategies 10 safeguard their health and solely when their work involves

r

pOlential exposure to hazardous malerials Students will gain the knowledge and skills needed to

bull Recognile and Identify the dues that determine the presence of HAlMAT WMD

bull Research ond evaluate exposure information bull Moke decisions and e~ecule oppmpriolc actions bull Implcmcnl defensive control measures thai minimize risks to health and

salety

This course may lullill your agencys Iroining requiremenls for responders The course is facilitated through small group activities and reolmiddotlife case studies Meets or exceeds OSHA (29 CFR 1910120) and NFPA Siondards (472)

NAEMSP Advanced Topics in Medical Direction Course shyPutting Science in the Streets How to Implement Best Pradices In Your EMS System Wednesday January 11 2012 800 am - 5 15 pm Registration Fees $250 Maximum enrollmenl 35 participants

This unique onemiddot day workshop is designed for practicing EMS Medical Directors and others who engage in clinical supervision of functioning emergency medcot dispatchers emergency medicol technicioflS and paramedics This popular pre-conference workshop has been revised with new topics a mix of new ond relJrning faculty and Q conlinuatian of the inleraclive face-paced format Register now to ensure your seat

While not required previous completion of the NAEMSP Nalionol EMS Medical Directors Course amp Praclicum s recommended Not only will the lotest science be reviewed bul the concepts of tronslalional medicine also will be interwoven as we ask the paramount question how do we assure our patients are receiving dOlo-driven care in the streets This interactive fastmiddot raced workshop lead by notional experts will address the following

bull First Response Configuration bull Automalic Crash Notification and Trauma bull Diversion for Omega bull Onmiddotslar ond EMS bull Sofely in EMS bull Time for a Checklist bull Tourniquets bull Two Paramedics in 859NFPA 1710 pro bull Two Paramedics irl 8S9NFPA 1710 - can bull Mechonicol Compression Devices bull Ideal Resuscitation and Hormone bull Evidenced-Based Measures and Resuscitation in 2012 bull DSED Update bull Droperidol for Agitation bull Regional Centers bull Alternative DestinotionsCHf Treatment

Distinctly Canadian Pre-Conference Workshop Wednesday Januory 11 1 00 pm 700 pm RegistrotiOrl Fees $25

Whats going on in the Canadian EMS world Want to explore the latest in prehospitol core across our vas country looking forward to catching up with your Canodion EMS colleagues

For the first time aclivilies hove been organized specically for the Canadian contingent at the NAEMSP~ Annual Meeting Presentotions of interest to all Canadian EMS health professionals include

1 Preliminary resulls of the Canadian EMS Research Agenda Study 2 Prehospllal STEMI core across Canada a ponel discussion 3 How sick is this polient Prehospitol triage systems in Canada

The Canadian Relations Committee Meeting wilt also be scheduled during the session ensuring that all attendees are up-to-dote about EMS developments across Canada

Finally the aflernaan will conclude wjth on informal seciol gel-Iogether where lighl refreshments will be served

----------------- --

------------------------------------------- ----------------- -------------------

9 REGISTRATION

JANUARY 12-142012 JW MARRIOTT STARR PASS RESORT amp SPA TUCSON AZ

Would you rather register online NAEMSpreg is pleased to offer online registration until December 20 Visit wwwNAEMSPorg to register

STEP ONE Badge Information Full Name

Address

StolcProvince_______________ Zip

fax

bullbull This information will be used for your nome badge

STEP TWO General Information

II Special Needs (dietaryaccessibililyk _____

REQUIRElJ In case of emergency at the meeling pleose contact (NomeTelephoneRelationship) ______________________________ _

o Pleose check here if you orc a first-limo otendee of Ihe NAEMSpmiddot Annual Meeting

o Please check here if you would like to be eluded in promotional moiling from our exhibitors

SUP THREE Pre-Conference Activities Advonceci gvjstrglion Onlv - PostmqrkedFerx Q) pe 16 pt Online by Dec 20

NAEMS National EMS Medical Directors Course amp Practicum

o NAEMSP Member $825

o NAEMSP NOll-Member $1075 Non-Member role includes membership in NAEMSP- for one yeor with 0

membersnip discou for new members_ This dIScount appli to new member only Please nollfy us If you do no wish 10 join NAEMSP- The obove nonmiddot member rote will stili apply_

0 NAEMSP Advanced Topics in Medical Direction Course $250

0 HAZMATWMD Training SI85

0 Distinctly Canadian Pre-Conference Workshop $25

STEP FOUR Conference Registration Fees The registrolion lee includes educational sessions activities and social events lor paid ottendees_ This includes Continental Breakfasts Refreshment Breaks Progrofn Materials the Presidents Reception the Welcome Reception the two group luncheons and the Awards luncheon_ Please check the category that applies below

NAEMSPI1l MEMBER Adyanced Braitralipa - PostmArkedfoX by Dre 16 or Onlne by Pre 2Q

All an-sile registrations wiU be ubiect 10 a late fcc

Advanced Registration On-Site

0 Physician

0 Professional

fJ Resident

0 Fellow

0 Student

0 International

NON-MEMBER 0 Physicion Non-Member

0 Professional Non-Member

0 Resident Non-Member

0 fellow Non-Member

0 Siudent Non-Member

0 Internationol Non-Member

o $575 o $690

o $400 0 $480 o $400 0 $480 o $500 o $600

o $250 0 $300

o $575 o $690

o $850 o $965

o $560 o $615

o $530 0 $585 0 $660 0 $735

0 $350 0 $375 0 $710 o $825

Inlernalional regislrotion colegory applies 10 Inlernolionol Members only_ All olher member cotegones ore not eligible even if Ihey reside oulside of North America_ Please conlact NAEM5P if you wish 10 chcge your membership type

Non-Member rotc Ieludes membership on NAEMSP for one yeor with o discounl for new members This dlSCOtJf1I applies 10 new mcmbcr$ only Please nOtify us if you do nol wisn 10 ioin NAEMSP_ The above non-member role will still apply_

7 REGISTRATION

SATURDA~JANUARY14 700 om shy 800 am CONnNENTAl BREAKFAST

700 om shy 400 pm REGISTRATION

700 am 800 am Committee Meetings (All otlendees are welcome and encouraged to attend commilfee meetings)

bull International Affairs Task Force - Darren Walter FRCS FCEM DipMC

bull Program Committee - David Slattery MD

bull Communications Committee - Mic Gunderson

bull Education Ad Hoc Committee - Juan March MD

bull Public Health Ad Hoc Committee - Joseph Sobota Jr MD bull FiregroundHAZMAT Committee - AIen Yee MD OMD and

David Ton MD EMT-T

800 am - 900 om Community Paramedics Here There amp (Soon) Everywhere Gary Wingrove EMTmiddotP (ret) Kevin McGinnis MPS EMTmiddotP Don Swayze DrPH MBA MEMS

The panelists will describe the progression of the community paramedic lrain ing program in use in the United States and other countries It will also avtline the activities 01 the International Roundtable on Community

900 am - 1000 am Ventricular Assist Devices What You amp Your EMS Providers Need to Know Jocob B Keepermon MD

Ventricular assisl devices (VADs) are now a trealment modolily being used oulside of the hospital setting and EMS professionals are being called on to treat these potienls on a regular basis VAD technology hos nol been a parI of traditional EMS provider curricula however patients are instructed to call

EMS when they have a problem The presenter will e~plore the role ollhe EMS professional in taking core of patients who need a VAD and provide ~ome handsmiddoton practice in trouble shooling VAD devices

1000 am - 1015 am REFRESHMENT BREAK

1015 om 11150m Physician Oversight of EMS Dispatch David C Cone MD

Emergency medicol dispatch is an important component of the EMS system yet one that rarely receives the some degree of physician oversight os the rest of the system As Ihe clinical aspects of dispatch steadily increase with

widespread adoptian of postdispatch instructions and dispatch life suppor and evolving science regarding both dispatches in general and dispatchermiddot instructed CPR in particular the role of physician overSight is increasing in importance The presenter will discuss the role of Ihe physician in provid

ing medico I oversight lor emergency medical dispatch programs including establishing dispokh (J1~lurithrns Dnd response configurations oversight of dispatcner educotion ond credentloling research and participation in ongoshying quality management

1115 am - 1200 pm EMS Subspecialty Certification Update Jone Brice MD MPH David C Cone MD Debra Perino MD

The presenters will discuss the current EMS subspecialty test development efforts protected timeline and final EMS core content The presentation will also indude f1lothodalogy utihlcd to creole the final corc content and blue print for the ccrtlficution exorninotion

1200 pm - 145 pm AWARDS lUNCHEON

145 pm - 230 pm Physician Orders for life-Sustaining Treatment (POLST) amp the POlST Registry Communicating Patient Treatment Preferences Ritu Sohni MD MPH Terri Schmidl MD MS

In the 19905 Oregon pioneered using PhysiCian orders for LiiemiddotSus1aining Treatment (POLST) to communicate palient preferences across treatment setmiddot tings POLST is now used or being developed in more than 30 states as a means 10 help EMS and others know and honor a pOlients preferences noor fhe end ollile In 2009 Oregon developed on electronic registry for POLST forms making them available when the paper form cannot be found Using cases and experience Ihe presenters will review how these orders allow EMS to beller know what intentions to perform lor chronically ill potients

230 pm - 330 pm Bridging the Gap Pediatric Emergency Medicine amp EMS Manish I Shoh MD

EMS professionals hove a unique opportunity to positively impact the care that children receive in the prchospilol setting Allel1dees 01 this session will learn about exisllng gaps in pediatric prehospilal core and the presenter will locus on ways to overcome them Using examples from across the country ollendees will learn how professionals in EMS and pedialric emergency medimiddot cine can collaborate to optimize provider education research and patient core for pediatric patients

330 pm - 345 pm BREAK

345 pm - 4 45 pm The Canadian Evidence-Based Protocol Project Andrew H Trovers MD MSc FRCPC

The presenter will outline the purposes for the Prehospital EvidencemiddotBased Protocols Project which includes bull Cataloguing EMS Iudies to stimulate debate and growth toward evidencemiddot

based protocols bull Being a resource lor the development of local EMS prolocols perhaps with

a movement toward best practice paramedic protocols bull Being a guide to help recognize opportunities for prehospitol rcseorch bull Developing a process of using evidence 10 evoluate practice change svg

(lllstions made by paramedics

445 pm - 530 pm Top 10 Article Michael G Millin MD MPH Jon C Rittenberger MD poundMTmiddotB Bloir Bighorn MSc ACP

The presenters will introduce and discuss the top 10 articles in EMS over the post year They will discuss salient aspects of the articies why they feel the artides are important and how medicoI directors can utilize Ihe orticles in their own EMS systems

530 pm Closing Reception

8 PRE-CONFERENCE

NAEMSP National EMS Medical Directors Course amp Practlcum Monday - Wednesday January 9middot 11 2012 800 am - 500 pm each day Maximum enrollment 75 participants

Registration Fees

Advance Registration Only PostmarkedFaxed bJ D8C16 or Online bJDec 20

NAEMSP Member $825 NAEMSP NonmiddotMembermiddotmiddot $1075

NonmiddotMember role includes mombership in NAEMSP for one year with a $25 membership discovl for new members This discounl applies 10 nCW members only Pleasc nolily us if you do nol wish 10 ioin NAEMSP The above nonmember role will sull apply

Continental Breakfast is included in the registrolion fees for Monday Tuesday and Wednesday lunch will be on your own each day

NAEMSP is the pre-eminent organization for EMS medical directors and it has offered the NAEMSP Notional EMS Medical Directors Course and Praeticum course for a number of years The distinguished foeulty is recogshynized as experts in various aspects of the prehospilol and disaster medicinel management fields

This interactive course focuses on EMS in the Mreol world and serves to enhance the students expertise in EMS issues In addition to curriculum eleshyments that run the range and depth of issues vital to EMS medical direcshytorship the students will have ample opportunity throughout the course to network with faculty and fellow students to critically evaluate their system The companion texts for the course are the Clinical Aspects of Prehospital Medi dne Mdical Oversight of EMS Evaluoting and Improving Qvolity in EMS and Special Operations Medical Svpport by editors David C Cone MD and Robert OConnor MD MPH The texts are included in the registration fee and are available to all participants on-site in Tucson

This adivity has been planned and implemented in accordance with the Essential Areas and policies 01 the Accreditation Council for Continuing Medical Education through the iain sponsorship of Ihe Medical College of Wisconsin and NAEMSP

AMA Credit Designation Statement The Medical Colleg6 01 Wisconsin deSignates this live activity a maximum 012275 AMA PRA Category 1Credits) PhYSicians should claim only the credit commensurate with the exient af their participation in the octivity

ACCME Accreditation Statement The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians

Other health care professionals are awarded 21 continuing education units (CEUs) which are equal 10 21 contact hours

While not required praviaus complelion of the NAEMSP Notional EMS Medical Diredors Course and Practicum is recommended

HAZMATWMD Training First Responder Operations Pre-Conference Workshop Monday - Tuesday January 9middot102012 700 am - 700 pm each day Registration Fees $185 Maximum enrollment 24 porticiponts

NAEMSPmiddot is proud to partner with the education ond trolnng divisions of the Internalionol Association of Fire Fighters (IAFF) to offer the First Responder Operations course As operational medical directors we may respond 10

assisl in a ~IAZMATWMD inodent This course provides the knowledge ond tools needed 10 protect health and salety while covenng basic defensive aclions personol rroteclive equipment hozard rccognJlion and klentilicalion pre-incident planning and scene management The First Responder Operamiddot tions course offers US an opportunily to learn about responding 10 HAZMAf WMD in the oUIol-hospitol environment

Ailer completing Ihis course students will be able to describe and practice basic strategies 10 safeguard their health and solely when their work involves

r

pOlential exposure to hazardous malerials Students will gain the knowledge and skills needed to

bull Recognile and Identify the dues that determine the presence of HAlMAT WMD

bull Research ond evaluate exposure information bull Moke decisions and e~ecule oppmpriolc actions bull Implcmcnl defensive control measures thai minimize risks to health and

salety

This course may lullill your agencys Iroining requiremenls for responders The course is facilitated through small group activities and reolmiddotlife case studies Meets or exceeds OSHA (29 CFR 1910120) and NFPA Siondards (472)

NAEMSP Advanced Topics in Medical Direction Course shyPutting Science in the Streets How to Implement Best Pradices In Your EMS System Wednesday January 11 2012 800 am - 5 15 pm Registration Fees $250 Maximum enrollmenl 35 participants

This unique onemiddot day workshop is designed for practicing EMS Medical Directors and others who engage in clinical supervision of functioning emergency medcot dispatchers emergency medicol technicioflS and paramedics This popular pre-conference workshop has been revised with new topics a mix of new ond relJrning faculty and Q conlinuatian of the inleraclive face-paced format Register now to ensure your seat

While not required previous completion of the NAEMSP Nalionol EMS Medical Directors Course amp Praclicum s recommended Not only will the lotest science be reviewed bul the concepts of tronslalional medicine also will be interwoven as we ask the paramount question how do we assure our patients are receiving dOlo-driven care in the streets This interactive fastmiddot raced workshop lead by notional experts will address the following

bull First Response Configuration bull Automalic Crash Notification and Trauma bull Diversion for Omega bull Onmiddotslar ond EMS bull Sofely in EMS bull Time for a Checklist bull Tourniquets bull Two Paramedics in 859NFPA 1710 pro bull Two Paramedics irl 8S9NFPA 1710 - can bull Mechonicol Compression Devices bull Ideal Resuscitation and Hormone bull Evidenced-Based Measures and Resuscitation in 2012 bull DSED Update bull Droperidol for Agitation bull Regional Centers bull Alternative DestinotionsCHf Treatment

Distinctly Canadian Pre-Conference Workshop Wednesday Januory 11 1 00 pm 700 pm RegistrotiOrl Fees $25

Whats going on in the Canadian EMS world Want to explore the latest in prehospitol core across our vas country looking forward to catching up with your Canodion EMS colleagues

For the first time aclivilies hove been organized specically for the Canadian contingent at the NAEMSP~ Annual Meeting Presentotions of interest to all Canadian EMS health professionals include

1 Preliminary resulls of the Canadian EMS Research Agenda Study 2 Prehospllal STEMI core across Canada a ponel discussion 3 How sick is this polient Prehospitol triage systems in Canada

The Canadian Relations Committee Meeting wilt also be scheduled during the session ensuring that all attendees are up-to-dote about EMS developments across Canada

Finally the aflernaan will conclude wjth on informal seciol gel-Iogether where lighl refreshments will be served

----------------- --

------------------------------------------- ----------------- -------------------

9 REGISTRATION

JANUARY 12-142012 JW MARRIOTT STARR PASS RESORT amp SPA TUCSON AZ

Would you rather register online NAEMSpreg is pleased to offer online registration until December 20 Visit wwwNAEMSPorg to register

STEP ONE Badge Information Full Name

Address

StolcProvince_______________ Zip

fax

bullbull This information will be used for your nome badge

STEP TWO General Information

II Special Needs (dietaryaccessibililyk _____

REQUIRElJ In case of emergency at the meeling pleose contact (NomeTelephoneRelationship) ______________________________ _

o Pleose check here if you orc a first-limo otendee of Ihe NAEMSpmiddot Annual Meeting

o Please check here if you would like to be eluded in promotional moiling from our exhibitors

SUP THREE Pre-Conference Activities Advonceci gvjstrglion Onlv - PostmqrkedFerx Q) pe 16 pt Online by Dec 20

NAEMS National EMS Medical Directors Course amp Practicum

o NAEMSP Member $825

o NAEMSP NOll-Member $1075 Non-Member role includes membership in NAEMSP- for one yeor with 0

membersnip discou for new members_ This dIScount appli to new member only Please nollfy us If you do no wish 10 join NAEMSP- The obove nonmiddot member rote will stili apply_

0 NAEMSP Advanced Topics in Medical Direction Course $250

0 HAZMATWMD Training SI85

0 Distinctly Canadian Pre-Conference Workshop $25

STEP FOUR Conference Registration Fees The registrolion lee includes educational sessions activities and social events lor paid ottendees_ This includes Continental Breakfasts Refreshment Breaks Progrofn Materials the Presidents Reception the Welcome Reception the two group luncheons and the Awards luncheon_ Please check the category that applies below

NAEMSPI1l MEMBER Adyanced Braitralipa - PostmArkedfoX by Dre 16 or Onlne by Pre 2Q

All an-sile registrations wiU be ubiect 10 a late fcc

Advanced Registration On-Site

0 Physician

0 Professional

fJ Resident

0 Fellow

0 Student

0 International

NON-MEMBER 0 Physicion Non-Member

0 Professional Non-Member

0 Resident Non-Member

0 fellow Non-Member

0 Siudent Non-Member

0 Internationol Non-Member

o $575 o $690

o $400 0 $480 o $400 0 $480 o $500 o $600

o $250 0 $300

o $575 o $690

o $850 o $965

o $560 o $615

o $530 0 $585 0 $660 0 $735

0 $350 0 $375 0 $710 o $825

Inlernalional regislrotion colegory applies 10 Inlernolionol Members only_ All olher member cotegones ore not eligible even if Ihey reside oulside of North America_ Please conlact NAEM5P if you wish 10 chcge your membership type

Non-Member rotc Ieludes membership on NAEMSP for one yeor with o discounl for new members This dlSCOtJf1I applies 10 new mcmbcr$ only Please nOtify us if you do nol wisn 10 ioin NAEMSP_ The above non-member role will still apply_

8 PRE-CONFERENCE

NAEMSP National EMS Medical Directors Course amp Practlcum Monday - Wednesday January 9middot 11 2012 800 am - 500 pm each day Maximum enrollment 75 participants

Registration Fees

Advance Registration Only PostmarkedFaxed bJ D8C16 or Online bJDec 20

NAEMSP Member $825 NAEMSP NonmiddotMembermiddotmiddot $1075

NonmiddotMember role includes mombership in NAEMSP for one year with a $25 membership discovl for new members This discounl applies 10 nCW members only Pleasc nolily us if you do nol wish 10 ioin NAEMSP The above nonmember role will sull apply

Continental Breakfast is included in the registrolion fees for Monday Tuesday and Wednesday lunch will be on your own each day

NAEMSP is the pre-eminent organization for EMS medical directors and it has offered the NAEMSP Notional EMS Medical Directors Course and Praeticum course for a number of years The distinguished foeulty is recogshynized as experts in various aspects of the prehospilol and disaster medicinel management fields

This interactive course focuses on EMS in the Mreol world and serves to enhance the students expertise in EMS issues In addition to curriculum eleshyments that run the range and depth of issues vital to EMS medical direcshytorship the students will have ample opportunity throughout the course to network with faculty and fellow students to critically evaluate their system The companion texts for the course are the Clinical Aspects of Prehospital Medi dne Mdical Oversight of EMS Evaluoting and Improving Qvolity in EMS and Special Operations Medical Svpport by editors David C Cone MD and Robert OConnor MD MPH The texts are included in the registration fee and are available to all participants on-site in Tucson

This adivity has been planned and implemented in accordance with the Essential Areas and policies 01 the Accreditation Council for Continuing Medical Education through the iain sponsorship of Ihe Medical College of Wisconsin and NAEMSP

AMA Credit Designation Statement The Medical Colleg6 01 Wisconsin deSignates this live activity a maximum 012275 AMA PRA Category 1Credits) PhYSicians should claim only the credit commensurate with the exient af their participation in the octivity

ACCME Accreditation Statement The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education to physicians

Other health care professionals are awarded 21 continuing education units (CEUs) which are equal 10 21 contact hours

While not required praviaus complelion of the NAEMSP Notional EMS Medical Diredors Course and Practicum is recommended

HAZMATWMD Training First Responder Operations Pre-Conference Workshop Monday - Tuesday January 9middot102012 700 am - 700 pm each day Registration Fees $185 Maximum enrollment 24 porticiponts

NAEMSPmiddot is proud to partner with the education ond trolnng divisions of the Internalionol Association of Fire Fighters (IAFF) to offer the First Responder Operations course As operational medical directors we may respond 10

assisl in a ~IAZMATWMD inodent This course provides the knowledge ond tools needed 10 protect health and salety while covenng basic defensive aclions personol rroteclive equipment hozard rccognJlion and klentilicalion pre-incident planning and scene management The First Responder Operamiddot tions course offers US an opportunily to learn about responding 10 HAZMAf WMD in the oUIol-hospitol environment

Ailer completing Ihis course students will be able to describe and practice basic strategies 10 safeguard their health and solely when their work involves

r

pOlential exposure to hazardous malerials Students will gain the knowledge and skills needed to

bull Recognile and Identify the dues that determine the presence of HAlMAT WMD

bull Research ond evaluate exposure information bull Moke decisions and e~ecule oppmpriolc actions bull Implcmcnl defensive control measures thai minimize risks to health and

salety

This course may lullill your agencys Iroining requiremenls for responders The course is facilitated through small group activities and reolmiddotlife case studies Meets or exceeds OSHA (29 CFR 1910120) and NFPA Siondards (472)

NAEMSP Advanced Topics in Medical Direction Course shyPutting Science in the Streets How to Implement Best Pradices In Your EMS System Wednesday January 11 2012 800 am - 5 15 pm Registration Fees $250 Maximum enrollmenl 35 participants

This unique onemiddot day workshop is designed for practicing EMS Medical Directors and others who engage in clinical supervision of functioning emergency medcot dispatchers emergency medicol technicioflS and paramedics This popular pre-conference workshop has been revised with new topics a mix of new ond relJrning faculty and Q conlinuatian of the inleraclive face-paced format Register now to ensure your seat

While not required previous completion of the NAEMSP Nalionol EMS Medical Directors Course amp Praclicum s recommended Not only will the lotest science be reviewed bul the concepts of tronslalional medicine also will be interwoven as we ask the paramount question how do we assure our patients are receiving dOlo-driven care in the streets This interactive fastmiddot raced workshop lead by notional experts will address the following

bull First Response Configuration bull Automalic Crash Notification and Trauma bull Diversion for Omega bull Onmiddotslar ond EMS bull Sofely in EMS bull Time for a Checklist bull Tourniquets bull Two Paramedics in 859NFPA 1710 pro bull Two Paramedics irl 8S9NFPA 1710 - can bull Mechonicol Compression Devices bull Ideal Resuscitation and Hormone bull Evidenced-Based Measures and Resuscitation in 2012 bull DSED Update bull Droperidol for Agitation bull Regional Centers bull Alternative DestinotionsCHf Treatment

Distinctly Canadian Pre-Conference Workshop Wednesday Januory 11 1 00 pm 700 pm RegistrotiOrl Fees $25

Whats going on in the Canadian EMS world Want to explore the latest in prehospitol core across our vas country looking forward to catching up with your Canodion EMS colleagues

For the first time aclivilies hove been organized specically for the Canadian contingent at the NAEMSP~ Annual Meeting Presentotions of interest to all Canadian EMS health professionals include

1 Preliminary resulls of the Canadian EMS Research Agenda Study 2 Prehospllal STEMI core across Canada a ponel discussion 3 How sick is this polient Prehospitol triage systems in Canada

The Canadian Relations Committee Meeting wilt also be scheduled during the session ensuring that all attendees are up-to-dote about EMS developments across Canada

Finally the aflernaan will conclude wjth on informal seciol gel-Iogether where lighl refreshments will be served

----------------- --

------------------------------------------- ----------------- -------------------

9 REGISTRATION

JANUARY 12-142012 JW MARRIOTT STARR PASS RESORT amp SPA TUCSON AZ

Would you rather register online NAEMSpreg is pleased to offer online registration until December 20 Visit wwwNAEMSPorg to register

STEP ONE Badge Information Full Name

Address

StolcProvince_______________ Zip

fax

bullbull This information will be used for your nome badge

STEP TWO General Information

II Special Needs (dietaryaccessibililyk _____

REQUIRElJ In case of emergency at the meeling pleose contact (NomeTelephoneRelationship) ______________________________ _

o Pleose check here if you orc a first-limo otendee of Ihe NAEMSpmiddot Annual Meeting

o Please check here if you would like to be eluded in promotional moiling from our exhibitors

SUP THREE Pre-Conference Activities Advonceci gvjstrglion Onlv - PostmqrkedFerx Q) pe 16 pt Online by Dec 20

NAEMS National EMS Medical Directors Course amp Practicum

o NAEMSP Member $825

o NAEMSP NOll-Member $1075 Non-Member role includes membership in NAEMSP- for one yeor with 0

membersnip discou for new members_ This dIScount appli to new member only Please nollfy us If you do no wish 10 join NAEMSP- The obove nonmiddot member rote will stili apply_

0 NAEMSP Advanced Topics in Medical Direction Course $250

0 HAZMATWMD Training SI85

0 Distinctly Canadian Pre-Conference Workshop $25

STEP FOUR Conference Registration Fees The registrolion lee includes educational sessions activities and social events lor paid ottendees_ This includes Continental Breakfasts Refreshment Breaks Progrofn Materials the Presidents Reception the Welcome Reception the two group luncheons and the Awards luncheon_ Please check the category that applies below

NAEMSPI1l MEMBER Adyanced Braitralipa - PostmArkedfoX by Dre 16 or Onlne by Pre 2Q

All an-sile registrations wiU be ubiect 10 a late fcc

Advanced Registration On-Site

0 Physician

0 Professional

fJ Resident

0 Fellow

0 Student

0 International

NON-MEMBER 0 Physicion Non-Member

0 Professional Non-Member

0 Resident Non-Member

0 fellow Non-Member

0 Siudent Non-Member

0 Internationol Non-Member

o $575 o $690

o $400 0 $480 o $400 0 $480 o $500 o $600

o $250 0 $300

o $575 o $690

o $850 o $965

o $560 o $615

o $530 0 $585 0 $660 0 $735

0 $350 0 $375 0 $710 o $825

Inlernalional regislrotion colegory applies 10 Inlernolionol Members only_ All olher member cotegones ore not eligible even if Ihey reside oulside of North America_ Please conlact NAEM5P if you wish 10 chcge your membership type

Non-Member rotc Ieludes membership on NAEMSP for one yeor with o discounl for new members This dlSCOtJf1I applies 10 new mcmbcr$ only Please nOtify us if you do nol wisn 10 ioin NAEMSP_ The above non-member role will still apply_

----------------- --

------------------------------------------- ----------------- -------------------

9 REGISTRATION

JANUARY 12-142012 JW MARRIOTT STARR PASS RESORT amp SPA TUCSON AZ

Would you rather register online NAEMSpreg is pleased to offer online registration until December 20 Visit wwwNAEMSPorg to register

STEP ONE Badge Information Full Name

Address

StolcProvince_______________ Zip

fax

bullbull This information will be used for your nome badge

STEP TWO General Information

II Special Needs (dietaryaccessibililyk _____

REQUIRElJ In case of emergency at the meeling pleose contact (NomeTelephoneRelationship) ______________________________ _

o Pleose check here if you orc a first-limo otendee of Ihe NAEMSpmiddot Annual Meeting

o Please check here if you would like to be eluded in promotional moiling from our exhibitors

SUP THREE Pre-Conference Activities Advonceci gvjstrglion Onlv - PostmqrkedFerx Q) pe 16 pt Online by Dec 20

NAEMS National EMS Medical Directors Course amp Practicum

o NAEMSP Member $825

o NAEMSP NOll-Member $1075 Non-Member role includes membership in NAEMSP- for one yeor with 0

membersnip discou for new members_ This dIScount appli to new member only Please nollfy us If you do no wish 10 join NAEMSP- The obove nonmiddot member rote will stili apply_

0 NAEMSP Advanced Topics in Medical Direction Course $250

0 HAZMATWMD Training SI85

0 Distinctly Canadian Pre-Conference Workshop $25

STEP FOUR Conference Registration Fees The registrolion lee includes educational sessions activities and social events lor paid ottendees_ This includes Continental Breakfasts Refreshment Breaks Progrofn Materials the Presidents Reception the Welcome Reception the two group luncheons and the Awards luncheon_ Please check the category that applies below

NAEMSPI1l MEMBER Adyanced Braitralipa - PostmArkedfoX by Dre 16 or Onlne by Pre 2Q

All an-sile registrations wiU be ubiect 10 a late fcc

Advanced Registration On-Site

0 Physician

0 Professional

fJ Resident

0 Fellow

0 Student

0 International

NON-MEMBER 0 Physicion Non-Member

0 Professional Non-Member

0 Resident Non-Member

0 fellow Non-Member

0 Siudent Non-Member

0 Internationol Non-Member

o $575 o $690

o $400 0 $480 o $400 0 $480 o $500 o $600

o $250 0 $300

o $575 o $690

o $850 o $965

o $560 o $615

o $530 0 $585 0 $660 0 $735

0 $350 0 $375 0 $710 o $825

Inlernalional regislrotion colegory applies 10 Inlernolionol Members only_ All olher member cotegones ore not eligible even if Ihey reside oulside of North America_ Please conlact NAEM5P if you wish 10 chcge your membership type

Non-Member rotc Ieludes membership on NAEMSP for one yeor with o discounl for new members This dlSCOtJf1I applies 10 new mcmbcr$ only Please nOtify us if you do nol wisn 10 ioin NAEMSP_ The above non-member role will still apply_

REGISTRATION 10

SUP FIVE Single-Day Attendance Please mark which day you 01111 attend This will allow attendance at thaI doys evenls only

Registration Type PER DAY Thursday Friday Saturday

Physician $276 0 0 0

Professional $192 0 0 0

Resident $192 0 0 D

fellow $240 0 0 0

Sludent $120 0 0 0

International $276 0 0 0

STEP SIX Membership Renewal Has your NAEMSP Membership lapsed

Renew now Dues renewed now at the rates below will be good thrOllgh 123112012

o PhysiCian Membership Renewal $325

o International Membership Renewal $160

o Professional Membership Renewol $160

o Fellow Membership Renewal $160

o Resident Membership Renewal $130

o Student Membership Renewal $100

STEP SEVEN Guest(s) Fee amp Optional Activities o Guest(sl fee $125

Guestls) fee includes Ihe Welcome Reception Guest

o Exhibt Hall Pass $75

STEP EIGHT Tota I Fees Total Pre-Conlerence Activities (step 3)

Total Conference Registration Fees (step 4)

OR Total Single-Day Attendance (slep 5)

Total Membership Renewal Fee (step 6)

Total Guest(sl Fee amp Optional Aclivities (step 7)

TOTAL PAYMENT ENCLOSED (Payment is due with the registration form)

STEP NINE Method of Payment All funds MUST be submilled on 0 US bonk m US funds NAEMSP does not accept Purchase Orders or invoice for services Tox 10 57middot0820621

o Check mode payable to NAEMSpmiddotmiddot - check

Charge payment to the following credit cord

o American Express 0 VISA 0 MasterCard o Discover

Ccdit Cord Number hpirotor Dote

STEP TEN Send in Your Registration

l ~ Online

DEADLINE

Dec 20 2011

Visit our website ot

wwwNAEMSPorg and dick

on the Meetings link

2 I~I Via Fax

DEADLINE Dec 162011

Fax complcted rcgistration

form with credit cord paymenl

information to (913) 895-4652

3 ~lt] By Mail

POSTMARK

DEADLINE Delt 16 2011

Moil completed registration

form and appropriate fees to

NAEMSP Executive Office

pO Box 19570

lenexa KS 66285-9570

CQurier service only

18000 W 105 51

Olathe KS 66061

The deadline 10 postmark and fox registrations is December 16 Oilline registration will be oyoilable until December 20 After those two dotes all registralions will be processed on-site Please bring your registration form and payment directly to the Annual Meeting

Registrations will not be token over the phone All payments must be received prior 10 the beginning of the Annuol Meeting Registrations will not be processed until payment is received NAEMSP does nol accepl Purchase Ordars and doas not billinvoice lor services

Cancellation Policy Written notice of cancellation received on or before December 20 2011 will be refunded less a $SO processing lee without exception (10 be processed alter the meeting) No refunds will be issued for cancellations received alter December 20 2011 Substitution of registrants is allowed

Questions Coil [800) 228middot3677 or (913) 895middot4611 fo)( (913) 895-4652 or email infn-n9flrnsRgQ8ttPCO[Tl

11 FACULTY

The followin9 faculty members are confirmed speakers at Ihis event However due 10 unforeseen scheduling conAlels speakers arc ~ubiec to change

fACULrV DISCLOSURE In accordance with Accreditation Council for Continuing Medical Education requiroments on discoslJre information obolJt relomiddot

tionsnips of presenters with commercial interests (if any) will be included in malerials distributed at the time of Ihe conference

PIIECONFERENCE WORKSHOP Andrew H Troyers MO MSc Terrance Valenzuela MO MPH Johua B Gaither MD David E Perse MO FACULTY FIICPC Tuoon fue Onp~flm~r~1 Umv(Hyenlly of AlUfm eil oll-lovoo

NAEMSP~ Nationol EMS InU)lgct(y IlcllhL Servicctt besollAl lie Ai tiou IX Medical Directors Coun and Procticum

Novu Scalia

D~Jflmc-Jth NS CDnndfl Jane Wigginton MO Ut1ivC~Iy 01 (cxu~ $oulhwcot

Marianne GCluscheHiII MO 1101 b(J1 UClA MJLOI Cl

Jon C Riltenbcrger MO EMTmiddotB Ulver~tfy of Plbowgh

Rabert Swar DO Henry E Wang MO MPH Mcdwl Clie Iroolto CA Pill11I)Igh PA COII~ ComiddotD(lor Wlho Ikollillont I lopllol DCPOfllhlnl 01 LrnfUillty Medi-Illu

~oYltJ1 Ok MI

Both Adam MA RN NREMTmiddotP COllr ComiddotDidor f ntlo)( COIIIlY t lip l Ri~[Ue lnpw1rfgtn

loymmlr1 Vt

Robert R Bou MO FACEP MiLMSS [UhHOOIC MD

Marc Eckstein MO MPH to~ AlO~I~~ I Ul~ D(~POlIf1Wfll

In AI~Jd LA

William D Fales MO FACEP Mtdinltm Slt)I] UI1IfII)tly

K(lnmo7oo Ot lp v1edKo SUdiO KoiurnOl~Jo MI

Raymond FowlC MD UI~iOfoily 01 IC)(01 HHfttW(lilffl

(ol(JI CI1Hl~J LITlrgtn(v Mrdltll1c

Doll IX

Marionne Gou5chemiddotHill MD I lU1LclI UClA Mtduul (uflhl

fOHiJI1nCA

Thoma P Judge EMTmiddotP lile I Ii) d Muille

UlIV~middotSlly 01 AlulJomo D(pOflmcr~ of bnltfglley McdiuliC

llInllflghom l

NAEMSP Advanced Topi in Medicol Direction Brent Myers MO Course Director

Wu CIJI1yen EMS Pnkut Nf

Tom Aufdem0ido MD Madwl ColIO I Wco Mmholi 11

Jeff Be son DO I PAIl MLD51AR

IWh IX

Blair Bigham MSc ACP Rtcu

$ Mlclud HmpI1 lJJlflOcfly ollmonlo

lorcPlo ON CC1Wldu

Chris Colwell MO FACEP D(IWCi I ieqllh fmd 1loJpilqj

AUlholify

n(JWj~l [0

Alan Craig MS l MS 01 (1 Imon1o ON (onojo

Raymond Fowler MD Unllttltyol foxot SoulhvCgt1

Doll I

HAZMATWMD Troining First Responder Operolians

David Ton MD EMTmiddotT Course ComiddotDireor VVllojuU1cn UflWI$Y

C)I Ilew OIl)

Allen Yee MO OMO Cours~ ComiddotDirector Chf~j1fil~ld Ilfu (II J hvtS Mocloy VA

CONFERENCE FACULTY Peter Antevy MO J L)Mlg~o Qldl 11ltpllol HnyvJ fL

Blair Bigham MSc ACP ~C5CU SL ichacfI 1f)pt(1 Um(I-tyoj rorowu [(1(gt110 ON ConneJo

Bontley J Bobrow MD FACEP MOIIL(1P M(dl 01 Certel

StQli~da(~ 1

Brad Bradley EMTmiddotP rJonhwtt IIH1 DiliC

Ivc Ai

Jane Brice MO MPH UnIVClly ul Nonh CI110lmo

ChopeiI II NC

Praanthi Govindarajan MO MAS U1ltvltlil of (~1lMOIPiU Son I ton~lsco 5wl fhHlCI$(C CA

Hirayuki Haya$hi MO U(IIVj)~lly vll v~ ui IlvpiloJ [)11$00 of Lnl(f~lem) opd wlldy

MetfiLU1(middot

Ynhulo 11J~Ji Jopon

Sheila Hollinger Steer MO FACEP ltlIMMA I laquo(JIII SyICtn

CuyohJ80 roll 011

Jocab S Keeperman MO Woshi(1glt)I UniIIHIY SLhuni of MlnJIlipc

S looiMO

E Brooke Lerner phD MetlJea C)He~Jr oi WI(()Il~If1 MilwlJu~oe WI

Kevin E Mackey MD FACEP StlLrulllPlllO ~r~)kHof I mshy

~UlUIilJllI0 (A

Carl McCloflelY OIPOfh f BOld we $pcuol Opcroh11lgt t 10

Wmh9on DC

Kevin McGinnis MPS EMTmiddotP

Paul S Rostyku MO MPH Inchon COIHlly LMS hlmd O~

Ritu Sohni MIgt MPH OhUOfgt I kulrt1 QMj ~Ulhbull (

Ul1rlt1j~y

IU~0 OWO~)) ()~

Angelo Salyucci MO VtnhJlJ C()UHY tMS ()1(f~mJ CA

Scalt Sasser MO FACEP LmDIY U(1Ii(~fliy School ()f

M~JllInL

Arionla CA

Torri Schmidt MO MS Ofenml J Icohh ond StUI(~ UnlYcl-liy

luke Ow~p OR

Mani$h I Shoh MO Iluyb C lIe) r Medlltmiddot 11on IX

Monih N Shah MO MPH UIHIPI~ly 01 R(rll(~tpoundl McdKoi

(cnlcr

~(jdHmiddot-fei NY

Will Smith MD NREMTmiddotP GrClnd Icon Nohon1 POlk joe bOil t 0k lirltlfMS JtflhonWY

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Winnie A Maggiore JD EMTmiddotP PlaltII(JgtNM

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NAEMSP Executive Office PO BOl( 19570 Lenexa KS 66285-9570

PRSRT FIRST CLASS US Postage

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NAEMSP Executive Office PO BOl( 19570 Lenexa KS 66285-9570

PRSRT FIRST CLASS US Postage

PAID Shawnee Mission KS

Permit 680

-