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Continuing Education CreditsEach participant will receive a name badge with a barcode upon registration. Barcodes will be scanned upon completion of each session. Participants will receive a certificate via email once the online evaluation has been completed.Nebraska Department of Health and Human Services, EMS and Trauma Program has approved the hours of this conference for continuing education for the Emergency Medical Responder, EMT, EMT-Intermediate, AEMT, and Paramedic levels. Participants can earn up to 12 CEUs by attending MedStock EMS Symposium. If you arrive more than 10 minutes after the start of the session or leave 10 minutes prior to the end of the session, NO CEU will be awarded.
The purpose of this two day conference is to provide emergency medical services personnel and nursing care providers the opportunity to identify new practices and review current approaches in patient care.
Media Recording and DisclaimersRecording of any kind is not permitted during MedStock without written consent of the presenter and Midwest Medical Transport Company.
Midwest Medical Transport Company (MMTC) reserves the right to substitute qualified presenters in the event of flight delays or an emergency. MMTC has the exclusive right to photograph or video record conference attendees for the purpose of advertising, publicity, or use for future events without compensation to the conference attendees, and all rights and interest therein shall be property of MMTC.
NursingContinuing Education Contact Hours awarded by Iowa Western Community College, Iowa Board of Nursing Provider #6. To take advantage of the nursing contact hours, you must attend select sessions to obtain the necessary credits and complete the required paperwork daily. The sessions with approved Nursing contact hours will be listed separately in your conference packets.
Refreshment Breaks and MealsMorning and afternoon breaks and meals will be provided and available in Ballroom A. Please notify conference sta� of any special dietary needs at the Registration Desk.
No Smoking PolicyThere is a no smoking policy in the Holthus Convention Center. Smoking is permitted outside in designated areas only. Thank you for your consideration.
Friday Evening Banquet and DanceThe social half/hour will begin at 6:00 pm (cash bar available) and the banquet will commence at 6:30 pm. Wicked Fun will provide entertainment immediately following the banquet.
ExhibitorsThe Exhibitors will be set up on Friday and Saturday. They sponsor many of our events, classes, and prizes for the convention. Please take time to stop by their booths. As you look at what they have to o�er, thank them for their participation and support.
Considerations for DressTo ensure the comfort level of everyone, please dress in layers to obtain your personal preference. Room temperatures will fluctuate!
Cell Phones, Pagers, and RadiosPlease make sure to turn o� your electronic devices during each conference session. No laptops are allowed in the classrooms. Please no texting while class is in session. We thank you for being courteous to all the attendees and to the speakers.
GENERAL INFORMATION
To find out how Midwest Medical Transport can help your agency or hospital, or to request an Ambulance,
please contact us at 800-562-3396.
Emergency medical services are an essential part of every
quality healthcare system. With over 700 employees,
Midwest Medical Transport Company provides basic and
advanced life support transportation services to the
region 24 hours a day, 365 days a year. Over the course of
three decades, we have consistently presented a high
profile, professional service, complimented by a positive
“can do” attitude. We are committed to our patients and
the communities we serve by providing efficient and high
quality transportation.
MMTC is an in-network provider with all major insurance
companies as well as Medicare/Medicaid. We administer our
services in a professional manner while respecting the dignity
of our patients. Our staff constantly strives to learn and grow
in their work environment. MMTC will always seek ways to
enhance the delivery of its services to those we serve. We
know there is a choice when requesting ambulance
transportation services, thank you for choosing Midwest
Medical Transport Company.
MMTC’s goal is to provide the best emergency medical care
and patient transportation services available regardless of a
patient’s ability to pay.
Midwest Medical Transport Company - Midwest MedairMidwest Medical Transport Company - Midwest MedairImproving Life through Medicine in MotionImproving Life through Medicine in Motion
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Brian Donaldson and Kenny Navarro – Opening Keynote: It Seemed Like a Good Idea at the Time
Track 1 Basics of Clinical
Practice (BLS)
Rommie Duckworth
Stroke in the Very Young: Big
numbers for little people
David SeastromConcussions: A Wolf in Sheep’s
Clothing
Sarah SchroederThe Bionic
Person: Life with a Left Ventricular
Assist Device
Rick EricksonCCT ReviewLaboratory
Value Interpretation
Track 2 Advanced
Clinical Practice (ALS)
Track 3 Pediatrics
Track 4 Cardiac
BREAK
BREAK
BREAK
LUNCH
SCHEDULE AT A GLANCE
Friday, OCtober 26
8:15 – 9:15
9:30 – 10:30
11:00 – 12:00
1:00 - 2:00
2:15 - 3:15
3:30 - 4:30
Brian Donaldson
Ventilator Blues
Rommie DuckworthThe Silent Majority:
Geriatrics in the New Millennium
Kenny NavarroFluid
Resuscitation without an IV: EMTs Treating
Shock
Bert BaldusSize Matters:
Patient care for the wide, small, thin or tall EMS
patients.
David SeastromPediatric Medical
Emergencies
Sarah SchroederLet’s Have a
Heart to Heart about Heart
Failure
Brian DonaldsonUnder Pressure
Bert BaldusBugs & Rug Rats:
Pediatric Infectious Diseases
Rommie Duckworth
The STEMI That Got Away: M. I. Missing Cardiac
Patients?
David SeastromNon-Accidental
Trauma: The Dark Side of
Pediatrics
Sarah Schroeder“9-1-1, What is Your
Emergency?” A Discussion of
Cardiac Emergency Cases
Rick EricksonCCT Review
Medical Assessment & Management
Rick EricksonCCT Review
Trauma Assessment & Management and
Burn Injury & Management
Rick EricksonCCT Review
Management of the Neuro
Patient
Bert BaldusPediatric
Depression & Behavioral Health in the Pre-hospital
Setting
Kenny NavarroCPR-Induced
Consciousness: Don’t Go into
the Light
Closing Keynote: Human Tra�cking with Anna Brewer
Track 1 Basics of Clinical
Practice (BLS)
Rommie Duckworth
Patient Care Hand O�: Mission Critical
Communications and “The Bermuda
Triangle of Healthcare”
David SeastromExtreme Cases
in Pediatric Trauma
Dr. Will SmithLightning Strike
MCI at 13,000 feet
Rick EricksonCCT Review
Management of the Toxicology
Patient andEnvironmental Emergencies
Track 2 Advanced
Clinical Practice (ALS)
Track 3 Pediatrics
Track 4 Cardiac
BREAK
BREAK
LUNCH
SCHEDULE AT A GLANCE
Saturday, OCtober 27
2:00 – 4:00
8:00 – 9:00
9:15 – 10:15
10:30 - 11:30
12:30 - 1:30
Brian Donaldson
More Than A Feeling
Brian Donaldson
Sugar, Sugar
Dr. Will SmithNew EMS
Technologies
Rommie Duckworth
Super Sick Kids: The Surprising
Truth about Pediatric Septic
Shock
Eric JensenCold Injuries (Frostbite)
David SeastromPediatric Airway
Management
Dr. Will SmithBringing Combat Medicine to the
Wilderness
Rick EricksonCCT Review
Obstetrical Patients in Transport and
Pediatric Assessment & Management
Rick EricksonCCT Review
Neonate Assessment & Management
Rick EricksonCCT Review
Safety & Flight Physiology
Kenny NavaroSudden Death in Young Athletes
Rommie DuckworthIt Takes All
Kinds: Trauma Care in Special
Populations
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Identify outdated medical practices.
Identify scientific data related to outdated medical practices.
Identify medical practices which may be next in line for extinction.
At the end of each presentation, the participant will be able to:
CONFERENCE SESSION OBJECTIVES
0815 – 0915 OPENING KEYNOTE:FRIDAY, OCTOBER 26
1.
2.
3.
Review current assessment guidelines for patients who have sustained a concussion.
Identify management priorities for the pediatric patient who has sustained a concussion.
Identify long-term e�ects of a concussions.
1.
Manage patient condition utilizing available laboratory values.
1.
2.
3.
It Seemed Like a Good Idea at the Time – Brian Donaldson and Kenny Navarro
Identify useful adjuncts for bag-valve devices and ventilators.
Identify considerations for determining tidal volumes and rates of ventilation.
Identify terminology associated with positive pressure ventilation.
1.
2.
3.
Ventilator Blues - Brian Donaldson
Perform a focused medical assessment.1.Identify patients experiencing a medical emergency.
a. GI Bleedb. Bowel obstructionc. Endocrine disordersd. Renal disorders
a. Blood glucoseb. Complete blood countc. Basic metabolic profile/blood chemistriesd. Organ specific labs
2.
Use invasive monitoring during transport, as indicated, for the purpose of clinical management.
3.
Review the incidence rate of stroke in patients under 45, including pediatrics and neonates.
Discuss the di�erences and similarities in presentation, assessment, treatment and outcome of young victims of stroke versus their older counterparts.
Review pathophysiology and di�erentiation of embolic, thrombotic, hemorrhagic strokes and stroke imitators.
0930 – 1020 Session 1
1100 – 1200 Session 2
1.
2.
3.
Discuss stroke specific assessment techniques including Pre-hospital and In-Hospital Stroke Scales.
4.
Define the role of the EMS provider in the identification, assessment and care of pediatric cerebrovascular accidents.
5.
Stroke in the Very Young: Big numbers for little people - Rommie Duckworth
CCT Review - Laboratory ValueInterpretation – Rick Erickson
CCT Review – Medical Assessment & Management - Rick Erickson
Concussions: A Wolf in Sheep’s Clothing – David Seastrom
Identify patients using VAD therapies.
Demonstrate patient specific assessments skills.
Describe VAD specific complications and appropriate interventions and management of these patients.
1.
2.
3.
The Bionic Person: Life with a Left Ventricular Assist Device - Sarah Schroeder
Discuss the importance of an especially thorough assessment on geriatric patients.
Identify the dierentiation between normal signs of aging and disease processes.
Identify the impact of psychosocial issues on medical conditions.
1300 – 1400 Session 3
1.
Perform patient triage.1.
2.
3.
Discuss why geriatric patients present common medical conditions in unusual ways.
4.
The Silent Majority: Geriatrics in the New Millennium - Rommie Duckworth
Identify the characteristics associated with pediatric depression and suicide.
List strategies for assessing the pediatric patient with depression.
Using a Case study, identify the role of the EMS provider for the pediatric patient with suicidal ideology.
1.
2.
Dierentiate injury patterns associated with specific mechanisms of injury.
2.
Identify patients who meet trauma center criteria.
3.
Perform a comprehensive assessment of the trauma patient.
4.
Initiate the critical interventions for the management of the trauma patient.
5.
Provide care for the patient with life-threatening thoracic injuries.
6.
Provide care for the patient with orthopedic injuries (i.e., pelvic, femur, spinal).
8.
Administer appropriate pharmacology for trauma management.
9.
a. Pneumothoraxb. Flail chestc. Tamponaded. Myocardial rupture
Provide care for the patient with abdominal injuries.
7.
a. Diaphragmb. Liverc. Spleen
3.
Administer appropriate pharmacology for the medical patient.
4.
Prevent transmissions of infectious disease.5.
Provide appropriate pain management.6.
Evaluate and record patient pain levels.7.
Pediatric Depression & Behavioral Health in the Pre-hospital Setting – Roberta Baldus
Describe the physiology of CPR-induced consciousness.
List several factors that increase the chances of producing CPR-induced consciousness.
Describe how CPR-induced consciousness can actually decrease the quality of the resuscitation eort.
1.
2.
3.
List alterations in treatment protocols necessary for managing patients with CPR-induced consciousness.
4.
CPR-Induced Consciousness: Don’t Go into the Light - Kenny Navarro
CCT Review – Trauma Assessment & Management; Burn Injury & Management - Rick Erickson
Trauma Assessment
Perform an assessment of the burn patient.1.
Calculate the percentage of total body surface area burned.
2.
Calculate appropriate fluid replacement amounts based on the patient’s burn injury and physiologic condition.
3.
Diagnose inhalation injuries in burn injury patients.
4.
Administer appropriate pharmacology for burn patients.
5.
Provide treatment of burn emergencies.6.
Burn Injury & Management
Summarize the pathophysiology of hemorrhagic shock in trauma patients.
Explain the concept of permissive hypotension in shock patients.
Discuss the mechanism by which the impedance threshold device (ITD) can improve perfusion.
1415– 1515 Session 4
1.
Discuss various emergency protocols with VAD patients.
4.
Understand the Di�erences between Atrial and Ventricular Arrhythmias (Bradyarrhythmias vs Tachyarrhythmias).
3.
2.
3.
Review the available evidence supporting and opposing the use of the ITD patients su�ering from prehospital trauma.
4.
Fluid Resuscitation without an IV: EMTs Treating Shock - Kenny Navarro
Identify typical presentations associated with autonomic dysreflexia.
Identify potential triggers of autonomic dysreflexia.
Identify treatment of the patient presenting with autonomic dysreflexia.
1.
2.
3.
Under Pressure - Brian Donaldson
Describe the pathophysiology of S•T elevation myocardial infarction.
Prioritize and di�erentiate between STEMI, NSTEMI and unstable angina.
Identify EMS and in-hospital treatment pathways for acute coronary syndromes.
1.
2.
3.
Explain the function and importance of 12 lead ECG and prehospital diagnostic testing.
4.
Discuss the role of EMS providers as the key element in "door-to-balloon" and "door-to-needle" time for STEMI patients.
5.
The STEMI That Got Away: M. I. Missing Cardiac Patients? - Rommie Duckworth
Identify four reasons the term neonate may experience illness after discharge from the nursery and the older pediatric patient due to infectious diseases.
Describe the presenting signs and symptoms, initial and ongoing medical care of the neonate with fever, seizures, inborn errors and intestinal disease due to infectious diseases.
1.
2.
Bugs & Rug Rats: Pediatric Infectious Diseases – Roberta Baldus
Review the risk factors for child abuse.
Review unusual injury patterns that would be considered as child abuse.
Review the treatment and work-up for children who su�er child abuse.
1.
Discuss the Di�erences between STEMIs and NSTEMIs.
1.
Review signs & symptoms of Aortic Dissection.2.
2.
3.
Non-Accidental Trauma: The Dark Side of Pediatrics - David Seastrom
“9-1-1 What is Your Emergency?” A Dis-cussion of Cardiac Emergency Cases – Sarah Schroeder
Identify the leading patient care variances in the pediatric, geriatric and bariatric patient in the prehospital setting to include anatomy, assessment and equipment needs.
1530 – 1630 Session 5
1.
Size Matters: Patient care for the wide, small, thin or tall EMS patients. – Roberta Baldus
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To find out how Midwest MedAir can help your agency or hospital, or to request a flight activation, please
contact us at 800-562-3396.
We are there for you.
www.midwestmedair.com
In addition to a robust safety culture, Midwest MedAir is
also a community minded partner at each of our
locations. Midwest MedAir operates its own internal,
compassionate billing service which works closely with
insurance providers; including Medicare and Medicaid. As
a preferred provider for the majority of commercial
insurance providers, each patient's out of pocket costs are
kept as low as possible. Midwest MedAir’s unique
capabilities, community minded approach, and
dedication to safety make it an excellent choice for the
region’s Helicopter Air Ambulance requirements.
Midwest MedAir provides inter-facility and emergency
scene response, helicopter emergency medical services
(HEMS) from its bases in Audubon, Iowa; Hastings,
Nebraska; and Columbus, Nebraska. Midwest MedAir is the
region’s only dedicated IFR Certified (Instrument Flight
Rule) program, allowing our helicopters to operate safely in
a larger variety of weather conditions than VFR-only (Visual
Flight Rule ) programs.
Midwest MedAir’s intensive focus on safety extends beyond
operating as an IFR Program. With an extensive safety
training program and culture, each decision that is made
focuses on safety as the primary consideration.
Midwest MedAir is Nebraska’s only Fully IFR Certified Airmedical Program. We provide your hospital or organization with a faster, safer alternative in either clear or reduced weather conditions.
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SATURDAY, OCTOBER 27
Identify points of failure in mission critical communications processes.
Utilize SBAR, MIST and UCAN methods to deliver clear, concise and prioritized reports and verbal communications.
Apply prioritized communication techniques to help ensure that other providers deliver the correct level of care to high-acuity patients.
0800 – 0900 Session 1
1.
2.
3.
Conduct a physical examination of a toxicological patient.
1.
Decontaminate toxicological patients when indicated.
2.
Administer poison antidotes when indicated.3.Provide emergency care for victims of envenomation.
4.
Administer appropriate pharmacology for toxic exposures.
5.
Provide treatment for toxicological patients.6.
Medication overdose.7.
Chemical/biological/radiological exposure.8.
Manage toxicological patient complications.9.
Patient Care Hand O�: Mission Critical Communications and “The Bermuda Triangle of Healthcare” - Rommie Duckworth
Describe the pathophysiology of left heart failure and right heart failure.
Identify the signs and symptoms of heart failure.
Explain traditional management versus emergency management of the patient in heart failure.
1.
2.
3.
Let’s Have a Heart to Heart about Heart Failure - Sarah Schroeder
a. Snake biteb. Scorpion Stingc. Spider bite
a. Frostbiteb. Hypothermiac. Cold water submersion
Neurological Assessment & Treatment
Toxicology Assessment & Management
Perform an assessment of the patient su�ering from an environmental emergency.
1.
Identify the patient experiencing a cold related emergency.
2.
Environmental Assessment & Management
Di�erentiate between such heat illnesses as cramps, exhaustion and stroke.
Discuss signs of abuse in the pediatric patient.
Describe the management of patients with meningitis.
1.
Conduct di�erential diagnosis of coma patients.1.Manage patients with seizures.2.Manage patients with cerebral ischemia.3.Initiate the critical interventions for the management of a patient with a neurologic emergency.
4.
Provide care for a patient with a specific neurologic emergency.
5.
Perform a baseline neurologic assessment of a trauma patient.
6.
Perform an ongoing serial evaluation of a neurologic patient.
7.
Assess changes in intracranial pressure using patient level of consciousness.
8.
Perform a focused neurological assessment.9.
Assess a patient using the Glasgow coma scale.10.
Manage patients with head injuries.11.
Manage patients with spinal cord injuries.12.
Evaluate muscle strength and motor function.13.Administer appropriate pharmacology for neurological management.
14.
2.
3.
Pediatric Medical Emergencies - David Seastrom
CCT Review – Management of the Neuro Patient - Rick Erickson
CCT Review – Management of the Toxicology Patient; Environmental Emergencies - Rick Erickson
Identify common medical assessment components.
Identify specific assessment findings and their associated pathophysiology.
Identify ways in which technology can enhance your patient assessment.
915 – 1015 Session 2
1.
Fetal Heart Monitoring1.
2.
3.
More than a Feeling - Brian Donaldson
Discuss uncommon injuries found in the pediatric trauma population.
Identify management priorities for the critically injured pediatric trauma patient.
Review the resuscitation of major dog bite injuries.
1.
Identify the patient experiencing a heat related emergency.
3.
2.
3.
Extreme Cases in Pediatric Trauma - David Seastrom
Discuss general wilderness medical issues in patient care.
Understand the rescue response to a wilderness MCI.
Review the spectrum of disease caused by lightning.
1.
2.
3.
Lightning Strike MCI at 13,000 feet - Dr. Will Smith
a. Heat strokeb. Heat exhaustionc. Heat cramps
Identify the patient experiencing a diving related emergency.
4.
a. Decompression sicknessb. Arterial gas embolic. Near drowning
a. Assess uterine contraction pattern.b. Manage fetal distress.
a. Pregnancy - induced hypertensionb. Hypertonic or titanic contractionsc. Cord prolapsed. Placental abruption
a. Single vs. multiple systemb. Burnsc. Non-accidental trauma
a. Respiratoryb. Cardiacc. GId. Neuroe. Toxicityf. Environmentalg. Endocrineh. Infectious processes
Perform an assessment of the patient.1.
Manage obstetrical patients.2.Conduct interventions for obstetrical complications.
3.
Determine if transport can safely be attempted or if delivery should be accomplished at the referring facility.
4.
Administer pharmacologic agents.5.
Manage emergent delivery and post-partum complications.
6.
Perform an assessment of the patient.1.
Manage the pediatric patient experiencing a medical event.
2.
Manage the pediatric patient experiencing a traumatic event.
3.
Administer pharmacologic agents.4.
Treat patent with pediatric complications.5.
Identify the patient experiencing an altitude related emergency.
5.
a. High altitude pulmonary edemab. High altitude cerebral edema
Administer appropriate pharmacology for environmental emergency patients.
6.
Provide treatment of environmental emergencies.
7.
Management of the Critical Care Obstetrical Patient
Obstetrical Assessment & Management
Pediatric Patient Assessment & Management
CCT Review – Obstetrical Patients in Transport; Pediatric Assessment & Management - Rick Erickson
Identify definitions of hypoglycemia, DKA and HHNKC.
Identify signs and symptoms of hypoglycemia, DKA and HHNKC.
Identify appropriate treatment plans for the patient with hypoglycemia, DKA and HHNKC.
1030 – 1130 Session 3
1.
Perform an assessment of the patient.1.
Manage the resuscitation of the neonate.2.Administer pharmacologic agents.3.Manage neonatal patient complications.4.
2.
3.
Sugar, Sugar – Understanding Hypoglycemia, DKA & HHNKC – Brian Donaldson
Discuss new EMS technologies.
How to evaluate each item for your own system.
Implementation of these new technologies with continued surveillance.
1230 – 1330 Session 4
1.
2.
3.
New EMS Technologies - Dr. Will Smith
Participant will use this information to e�ectively manage a pediatric airway.
Discuss the indications and uses for several di�erent rescue devices.
Recognize the importance of good basic life support skills.
1.
2.
3.
Pediatric Airway Management - David Seastrom
Briefly describe military Tactical Combat Casualty Care (TCCC).
What new protocols should be adopted into the “Streets of EMS”?
Review Tactical Emergency Casualty Care (TECC) and Rescue Task Force (RTF) concepts.
1.
2.
3.
Bringing Combat Medicine to the Wilderness - Dr. Will Smith
Describe the incidence of sudden death among young athletes.
Describe several factors that could cause sudden death in young athletes.
Describe hypertrophic cardiomyopathy.
1.
2.
3.Outline treatment and prevention strategies for these patients.
4.
Sudden Death in Young Athletes - Kenny Navarro
Discuss current and emerging recommendations for prehospital trauma care for all patient populations.
Identify the special considerations and dangers of traumatic injuries specific to pediatric, geriatric, bariatric and pregnant patient populations.
Discuss the rapid identification, assessment, prioritization and care for traumatic injuries to pediatric, geriatric and pregnant patients.
1.
2.
3.
It Takes All Kinds: Trauma Care in Special Populations - Rommie Duckworth
Pediatric Patient Assessment & Management
Identify causes of hypoxia.1.Take corrective measures to prevent altitude related hypoxia.
2.
Identify signs of barometric trauma.3.Identify stressors related to transport.4.Take corrective action for patient stressors related to transport.
5.
Relate the relevant gas laws to patient condition and treatment.
6.
Relate the stages of hypoxia to patient condition and treatment.
7.
Identify immediate causes of altitude related conditions in patients.
8.
Identify immediate causes of altitude related conditions as they a�ect the air medical crew.
9.
Provide appropriate interventions to prevent the adverse e�ects of altitude changes during patient transport.
10.
CCT Review - Management of the Critical Care Neonate - Rick Erickson
CCT Review - Flight Physiology - Rick Erickson
Discuss the latest statistics on human tra�cking.
Discuss how victims are identified and recruited.
Discuss how EMS and nursing care providers can recognize and identify human tra�cking victims.
1400 – 1600 CLOSING KEYNOTE:
1.
2.
3.
Discuss how human tra�cking impacts patient management.
4.
Human Tra�cking – Anna Brewer
Identify infection related triggers for sepsis and septic shock.
Identify the key physiological indicators of pediatric sepsis.
Recognize and assess pediatric victims of sepsis.
1.
2.
3.
Provide appropriate pre-hospital treatment and coordination with in-hospital sta� for pediatric victims of sepsis.
4.
Super Sick Kids: The Surprising Truth about Pediatric Septic Shock - Rommie Duckworth
Define frostbite.
Describe the depth of tissue injury.
Discuss the care of the patient with frostbite.
1.
2.
3.
Review appropriate treatment and possible outcomes for patients with frostbite.
4.
Cold Injuries (Frostbite) - Eric Jensen
WHO SHOULD ATTEND?
WHY SHOULD YOU ATTEND?
EMERGENCY MEDICAL RESPONDERS
EMTs
EMT-INTERMEDIATESAEMTS
PARAMEDICS
LPNs & RNs
Something for everyone – 4 di�erent tracks to choose from.
Hear about clinical hot topic issues from national and regional faculty.
Network with fellow EMS & nursing care providers.For your patients! Enhance your EMS and nursing knowledge.
Exhibit area that is full with new products.
CONFERENCE SESSIONS
Even though Dr. Baldus is enjoying her “semi-retirement” from fulltime education, she continues to treasure interacting with the EMS community at various conferences. Bert is currently working at an occupational medicine clinic in Ankeny, Iowa. Bert’s EMS history for the past 40 + years includes serving her community as a paramedic with the Ankeny, Iowa Fire department, an emergency department nurse with several Iowa hospitals, a flight nurse with two helicopter programs in Des Moines, Iowa, EMS educator for two training programs, and a physician assistant since 2002 in women’s health, family medicine and PA education. However, Bert’s most valued time has been as a wife, mother, caretaker to her four-legged children, and lover of life. If you cannot get in touch with Bert, she is most likely on the water at their weekend lake home or across the street remodeling “Grampa Ray’s Cottage at Baldus Bay”... Dilly, Dilly, Dilly!
Dr. Roberta “Bert” Baldus, DHEd., MPAS, PA.C, RN
Pediatric Depression & Behavioral Health in the Pre-hospital SettingFriday, 11:00am – 12:00pm
Patients with a behavioral health diagnosis can be challenging in the EMS setting. Now, imagine that the patient is five, nine or twelve years old. Special considerations include pediatric growth and development, brain anatomy and chemical development, initiation of hormones at puberty, their parents, and environmental factors. Bert will discuss these variables and the medications prescribed for this group of “special needs” kids.
Bugs & Rug Rats: Pediatric Infectious DiseasesFriday, 2:15 – 3:15pm
At the end of this session, learners will be able to identify the pathophysiology of fevers, detailed assessments of exposures, risk factors of fevers, laboratory tests to identify infectious disease, aspects of systemic infections, aspects of localized infections, and prehospital patient care for this population.
Size Matters: Patient care for the wide, small, thin or tall EMS patients.Friday, 3:30 – 4:30am
The bariatric patient may have bleeding, unstable vital signs or sepsis, abdominal pain, or vomiting. The very tall man may have shortness of breath or anemia. The young short stature female may have fatigue and chest pain. Bert will help you sort out the possible diagnoses for these patients, how it will a�ect the medications you give, the equipment you use, and the patient care you provide in the EMS setting.
Human Tra�ckingSaturday, 2:00 – 4:00pm CLOSING KEYNOTE
Human tra�cking is modern-day slavery for labor and sex. Public servants working on the frontlines are in a place to recognize and report human tra�cking victims. Almost every one of us have managed a patient who was tra�cked for sex or labor and never knew it. As public servants, we must be advocates for these victims and be better educated and prepared to recognize and manage these victims while in our care. This lecture will open your eyes to the reality of the prevalence of human tra�cking in our communities through the real-life experiences of Anna Brewer, former Special Agent with the FBI. Anne is a dynamic and engaging speaker, with 24 years of experience in the FBI. She is a leading specialist in the field of human tra�cking, child abductions and criminal investigations.
Brian Donaldson is a father, grandfather, Harley Davidson rider, and brewing enthusiast. Brian has also been active as an EMS volunteer and paid care provider for over 35 years, serving at the BLS and ALS levels, both on the ground and in the air. He has served on local and state EMS boards, commissions, and task forces across Iowa, Nebraska, Colorado, and Wisconsin. A former full-time EMS educator, he is a frequent presenter at conferences and symposia across North America. Brian is employed as Director of EMS for Waushara County, Wisconsin and is certified as an Ambulance Service Manager and Critical Care Paramedic.
Brian Donaldson, CCP
Anna Brewer is a former FBI Special Agent and a leading specialist in the field of human tra�cking, child abductions and criminal investigations. She is a dynamic and engaging speaker who shares her own real-life experiences to document the spread of human tra�cking and its pervasiveness into every community. Ms. Brewer o�ers tools and tactics for identifying victims of human tra�cking and provides education on how to manage when such a situation is revealed. She is currently employed as an Investigator at the Nebraska Attorney General’s O�ce assigned to investigate human tra�cking in Nebraska and is working with a number of non-profit organizations that focus on education and advocacy for survivors of human tra�cking and child abuse. In the last eighteen months, Anna has trained over 11,000 law enforcement o�cials, attorneys, first responders, advocates, educators, and health care professionals to realize, recognize, and respond to human tra�cking. In 2017, Anna served a Professor at Midland University in Fremont, NE providing students an Introduction to Human Tra�cking. In her free time, Anna enjoys traveling internationally, participating in her Scandinavian club and attending her children’s sporting events. Anna is married to her husband, Mike, and has two children.
Anna Brewer, Former Special Agent for the Federal Bureau of Investigation
It Seemed Like a Good Idea at the Time Friday, 8:15 – 9:15am OPENING KEYNOTE
If you’ve been involved in the business of EMS for even a short time, you’ve seen some interesting changes. In fact, the longer you’ve been in the business, the more changes you’ve witnessed. And, the changes keep coming faster and more furious all of the time. Join us for a discussion ranging from hyperventilation to immobilization to supplemental oxygen and everything in between. Fasten your seatbelts and hold on for this ride through time, as this session promises to be a fun exchange of information.
Ventilator BluesFriday, 11:00am – 12:00pm
Good positive pressure ventilation isn’t as easy as it looks. It combines a little bit of art with a lot of science. Whether using a bag-valve device, a simple transport ventilator, or an enhanced ventilator, there are many things to take into consideration in order to achieve adequate ventilation. Tidal volume, rate, I:E ratio, PIP, PEEP, FiO2, pressure targeted, volume targeted, the list goes on and on and is sometimes overwhelming. Relax . . . this session will help to simplify some of the issues associated with positive pressure ventilation.
Under PressureFriday, 2:15 – 3:15pm
Autonomic dysreflexia, also known as hyperreflexia, is caused by an over-activity of the Autonomic Nervous System causing the abrupt onset of excessively high blood pressure along with other manifestations. Persons at risk for this syndrome have previously su�ered spinal cord injury, typically at levels above T-5. Autonomic dysreflexia develops suddenly and is potentially life threatening. If not treated promptly and correctly, it may lead to seizures, stroke, coma, and even death. Learn how to recognize this syndrome, its most frequent triggers, and to treat it e�ectively. Join Brian for this discussion of a syndrome seldom addressed in EMS texts.
More than a FeelingSaturday, 9:15 – 10:15am
One of the most important things we do is to assess our patients. After all, if you can’t figure out what’s going on with your patient, how in the world will you ever be able to provide them with appropriate and beneficial therapies or destination decision? But we all know that far too often, we do a less than stellar job of assessing our patients. So, whether you’re looking to fine-tune your already adequate patient assessments, or you need some serious improvement, join Brian in this session and gain some extremely useful information and skills. Come armed with your stethoscope, penlight, pen, paper, and most importantly an open mind and you’ll leave with a renewed confidence and improvement in your patient assessment.
Sugar, Sugar – Understanding Hypoglycemia, DKA & HHNKC Saturday, 10:30 – 11:30am
A worldwide health care crisis looms in the form of diabetes mellitus. It currently a�ects over 20 million people in the US and is the leading cause of blindness, kidney failure and non-traumatic limb amputation. This presentation is a discussion of hypoglycemia, DKA and HHNKC that includes currently accepted definitions, etiologies, and treatments. Case based learning is utilized to encourage the participants to identify pertinent signs and symptoms, develop di�erential diagnoses and implement appropriate treatment plans. Cases are followed from initial pre-hospital contact through hospital discharge.
Stroke in the Very Young: Big numbers for little peopleFriday, 9:30 – 10:30am
Already the leading cause of disability in the US, shocking new information shows incidents of ischemic stroke increasing more than 50% in children from 5 to 14 years old since 1995. In younger patients (under 45 years old) there have been similar leaps among all types of stroke. Despite these increases many of victims go undiagnosed due to the mindset that they are simply “too young for stroke”. This program improves our understanding, awareness, assessment, care and coordination to help EMS provide better outcomes for all victims of cerebrovascular accidents. In this session we explain the startling reasons behind these dramatic numbers, what EMS can do about them and the diagnostic approach that catches what others often miss in newborns, very young children and younger victims of stroke.
The Silent Majority: Geriatrics in the New MillenniumFriday, 1:00 – 2:00pm
The proportion of the elderly in America is greater today than ever before and is growing even larger. What’s more, the elderly tend to be our sickest and most challenging patients. What signs and symptoms may indicate common disease processes, the normal signs of aging or special needs of the geriatric patient? How do you deal with the special needs of the geriatric patient? With a focus on every aspect of caring for your patient, this presentation answers your questions so that you’ll love what you learn.
The STEMI That Got Away: M. I. Missing Cardiac Patients?Friday, 2:15 – 3:15pm
We know that early acquisition and interpretation of 12 lead ECGs are key to e�ective treatment of patients with STEMI; but are we identifying all of the patients who should be evaluated with a 12 lead? This highly energetic lecture for both ALS and BLS providers presents the pathophysiology of S-T elevation myocardial infarction in an easy to understand style to help you best identify, triage and treat patients presenting with acute coronary syndromes. Using the latest research behind the AHA Guidelines changes, this program will help you better coordinate with your healthcare partners along the continuum of cardiac care. Emphasis is placed on risk factors, recognizing truly sick patients and coordinating care with cardiac systems of care.
Patient Care Hand O�: Mission Critical Communications and “The Bermuda Triangle of Healthcare”
Saturday, 8:00 – 9:00am
Patient reports from EMS can range from “chaotic” to “still room for improvement”. Providers giving report can be disorganized. Providers taking report can be distracted. It’s the patient who gets caught (or lost) in the middle. The Joint Commission has identified patient hand-o� as a critical safety and quality problem, and the Wall Street Journal has called patient hand-o� “the Bermuda triangle of healthcare”. But it doesn’t have to be that way. Using real-world examples, this program shows how simple, validated techniques from the military, the fire service, and the Center for Transforming Healthcare can help you and your system achieve excellence in patient hand over.
Rom Duckworth is a dedicated emergency responder and award-winning educator with thirty years of experience working in career and volunteer fire departments, hospital healthcare systems, and public and private emergency medical services. Rom is currently a career fire Captain and paramedic EMS Coordinator, Founder and Director of the New England Center for Rescue and Emergency Medicine and an emergency services advocate, author, and speaker at conferences around the world.
Rommie L. Duckworth, LP
It Takes All Kinds: Trauma Care in Special Populations Saturday, 9:15 – 10:15am
Caring for patients with severe traumatic injuries can be dicult enough but what do you do when your patient is very young, very old or very pregnant? “Special populations” is the term we use to identify patients for whom we need new tools and di�erent rules for trauma care. This program shows you how to ensure an informed size-up, systematic assessment and delivery of e�ective, prioritized trauma care for the most challenging patients that you’ll encounter.
Super Sick Kids: The Surprising Truth about Pediatric Septic ShockSaturday, 12:30 – 1:30pm
CCT Refresher - Laboratory Value Interpretation
Friday, 9:30 – 10:30am
CCT Refresher - Medical Assessment & Management
Friday, 11:00am – 12:00pm
CCT Refresher - Trauma Assessment & Management; Burn Injury & Management
Friday, 1:00– 2:00pm
CCT Refresher – Management of the Neuro Patient
Friday, 3:30 – 4:30pm
CCT Refresher – Management of the Toxicology Patient; Environmental Emergencies
Saturday, 8:00 – 9:00am
CCT Refresher – Obstetrical Patients in Transport; Pediatric Assessment & Management
Saturday, 9:15 – 10:15am
CCT Refresher – Neonate Assessment & Management
Saturday, 10:30 – 11:30am
CCT Refresher – Flight Physiology Saturday, 12:30 – 1:30pm
Pediatric fever can be a benign symptom of common childhood illness. But what about when it isn’t? When bacterial or viral infections trigger inflammatory, coagulation and other pathological responses the reaction is pediatric sepsis. In the United States each year there are approximately 430,000 cases of pediatric sepsis, approximately 10% of which are considered pediatric septic shock. Of these, approximately 4,300 children die, often due to missed or delayed diagnosis. But today EMS plays a decisive role in the identification and early treatment of these critically ill children. This program will show advanced EMS providers how to assess, treatment, and coordinate care for these very sickest children. Take home the knowledge of how you can make the biggest di�erence for our littlest patients.
Rick Erickson has been involved in EMS for the last 20 years with the last 18 years as a paramedic. A graduate of Creighton's paramedic program, he has spent his career in transport, 911 and flight services. For the last 11 years, he has practiced clinically as a flight paramedic. His career in education began 13 years ago, and he has taught courses from EMT to Critical Care Paramedicine. Rick has provided critical care paramedic education to participants from 40 states and 8 di�erent countries. Rick is currently the Critical Care Paramedic Coordinator at Creighton University and presents frequently at regional and national conferences.
Rick Erickson, NRP, FP-C
Cold Injuries (Frostbite)Saturday, 12:30 – 1:30pm
In this session, Eric will define frostbite and the di�erent classifications, frostbite signs and symptoms, and review frostbite assessment and emergency care.
With 19 years’ experience, Eric continues to provide high quality care to patients with burn injuries though education, research and direct patient care in the inpatient and outpatient setting. As a nurse on the floor, he has been a part of many admissions and critical patients care along with 10 years’ experience in the burn outpatient managing the long-term care of patients. As part of the speaker bureau, he has provided education to the community, EMS, Nurses, and Physician’s about burn care.
Eric Jensen, RN
It Seemed Like a Good Idea at the Time Friday, 8:15 – 9:15am OPENING KEYNOTE
If you’ve been involved in the business of EMS for even a short time, you’ve seen some interesting changes. In fact, the longer you’ve been in the business, the more changes you’ve witnessed. And, the changes keep coming faster and more furious all of the time. Join us for a discussion ranging from hyperventilation to immobilization to supplemental oxygen and everything in between. Fasten your seatbelts and hold on for this ride through time, as this session promises to be a fun exchange of information.
CPR-Induced Consciousness: Don’t Go into the LightFriday, 11:00am – 12:00pm
Over the past decade, many EMS systems in this country have placed an emphasis on providing high-quality CPR. One potential consequence of improvements in chest compression quality is CPR-induced consciousness or awareness. In addition to standard ACLS care, patients who exhibit this phenomenon may need treatment interventions not normally provided to other victims of cardiac arrest. This presentation will examine the available evidence surrounding this increasingly occurring phenomenon.
Kenny is an Assistant Professor in the Department of Emergency Medicine at the University of Texas Southwestern Medical School in Dallas. Kenny oversees the EMS Continuing Education program for the Division of EMS at the University and assists in educational oversight for a multi-jurisdictional EMS system. Kenny also serves as a Content Consultant for the AHA ACLS Project Team and is a member of both the AHA’s Educational Science and Programs (ESP) Subcommittee and the Pediatric Emphasis Group.
Kenny Navarro
Fluid Resuscitation without an IV: EMTs Treating ShockFriday, 2:15 – 3:15pm
Aggressive out-of-hospital fluid administration to patients suering from traumatic injury increases blood loss and mortality. Recently, researchers developed an easy to use device that will increase blood return to the heart thereby increasing cardiac output and cerebral perfusion, while simultaneously lowering intracranial pressures (ICP). This new therapy requires no IV, no advanced airway, and in fact, no advanced skills of any kind. This presentation will examine how rescuers can provide beneficial fluid therapy without ever having to spike an IV bag.
Sudden Death in Young AthletesSaturday, 9:15 – 10:15am
The possibility that young physically fit athletes may be susceptible to sudden cardiac death seems counterintuitive. Nevertheless, such catastrophes occur, often in the absence of prior symptoms and the emotional and social impact can be profound. Two conditions, hypertrophic cardiomyopathy and commotio cordis together are responsible for almost half of the deaths. This presentation will examine these conditions in detail and provide EMS with useful information for helping to reduce the incidence of sudden death in the young athletes within their local communities.
The Bionic Person: Life with a Left Ventricular Assist DeviceFriday, 9:30 – 10:30am
This will be an informal discussion on what VADs are, why we put them in, where everything is located in the chest, assessment dierences and what VAD patients are at risk for, Emergency management if EMS gets a call, and what to do IF EMS gets a call.
Sarah Schroeder, Mechanical Circulatory Support (MCS) Nurse Practitioner and Program Coordinator, graduated from University of Nebraska Medical Center-Omaha in 2010 with her Master of Science in Nursing. She is board certified as an Acute Care Nurse Practitioner and has 16 years of nursing experience, most of which was in cardiac medicine. She has previously worked as an MCS Coordinator at Mayo Clinic Rochester, transitioning to Bryan Heart in 2011 as an Inpatient Cardiology Nurse Practitioner subsequently moving then to the MCS program in early 2014. She is a member of the International Society for Heart and Lung Transplantation (ISHLT), an Associate Member of American College of Cardiology (ACC), Society of Thoracic Surgery (STS), and Heart Failure Society of American (HFSA). She is also on the Board of Directors for ICCAC (International Consortium of Circulatory Assist Clinicians) as well as on the Best Practice and Research taskforce committees for ICCAC). She has special interests in Advanced Heart Failure therapies, including MCS devices and Transplantation, as well as studying prevention of adverse events in MCS patients and research. She is preparing to start her PhD program with the focus of Heart Failure and Depression screening. When not working, she enjoys a good long outside run, or attending a swim meet or soccer game for her boys.
Sarah Schroeder, ACNP-BC, MSN RN, AACC
“9-1-1 What is Your Emergency?” A Discussion of Cardiac Emergency Cases Friday, 1:00 – 2:00pm
This will be an informal discussion on STEMIs and NSTEMIs with the new guidelines, case discussions on aortic dissections, case presentations on arrhythmias and emergency discussion on VAD patients.
Let’s Have a Heart to Heart about Heart FailureFriday, 3:30 – 4:30pm
This will be an informal discussion on heart failure overall, traditional versus emergency medicine treatment of heart failure, newer guidelines and case discussions.
Concussions: A Wolf in Sheep’s ClothingFriday, 9:30 – 10:30am
This lecture focuses on the emerging research and literature concerning concussions. The lecture focuses on the pathophysiology surrounding concussions and the body’s healing process. Major topics of secondary impact syndrome and repetitive concussive syndrome are also discussed. Realization of the risk factors for sustaining a concussion such as age, sex, previous medical history will be discussed. This lecture is perfect for any healthcare provider providing care to children at risk for sustaining a concussion.
Non-Accidental Trauma: The Dark Side of PediatricsFriday, 1:00 – 2:00pm
With nearly 683,000 victims of child abuse every year and 1700 being fatalities this topic is paramount to EMS providers all over the U.S. The risk factors and common s/s of abuse will be covered along with the importance of specialty assessments and evaluations. This lecture will be beneficial to providers of all skill levels and tenure.
David Seastrom is the Injury Prevention, Outreach & Education Coordinator for the Trauma & Burn Service at Children’s Mercy Kansas City, a free-standing quaternary pediatric hospital. After graduating from Kansas State University, he attended Baker University School of Nursing and went on to be an Emergency Medical Technician Intermediate for seven years and a critical care transport nurse for two. He has been a registered nurse for the past 17 years with experience in pre-hospital, emergency, critical care & flight nursing. In addition, David has experience in trauma center management in both adult and pediatrics and level I and level II trauma centers.David is very active in pediatric trauma injury prevention. He is a member of several professional organizations, including the Emergency Nurses Association and Pediatric Trauma Society, and has published several articles in reference to pediatric trauma, abuse, and concussions. David is an active participant on multiple state committees to include the Missouri State Advisory Council Pediatric Sub-Committee, the trauma sub-committee and the professional and public education workgroups. He also serves as the Chair for the Kansas Emergency Medical Services for Children programs. In the state of Missouri his is the Appointee to the U.S. Department of Health and Human Services – Roundtable on the Movement of Pediatric Patients in Disasters.David has spoken all over the country to professional healthcare audiences including EMS, Nurse and Physicians. He promotes educational development and training with special interest in stabilization & transport, trauma center development and pediatric trauma resuscitation. With a very enthusiastic approach to education he enjoys being able to make his audiences laugh while they learn about children and their special needs.
David Seastrom RN, BSN
Pediatric Medical EmergenciesFriday, 3:30 – 4:30pm
It will cover many pediatric medical emergencies including their signs and symptoms, management and possible complications. Topics in this lecture include heat emergencies, cold emergencies, gastroenteritis, appendicitis, hemophilia, abuse, burns, seizures, meningitis, DIC, septic shock, MODS, croup, epiglottitis, asthma, SIDS, cardiopulmonary arrest and snake bites. This is sure to enhance the knowledge of the basic provider and reinforcement of the more advanced.
Extreme Cases in Pediatric TraumaSaturday, 8:00 – 9:00am
Children have a habit of getting into things and places they aren’t supposed to. This lecture will review some of the uncommon injuries found in the pediatric trauma population. Some cases in this presentation are humorous while others are of a very serious nature. Some less common alternative treatments will be reviewed with these cases.
Pediatric Airway ManagementSaturday, 10:30– 11:30am
This lecture will give participants the real-life material to e�ectively and e ciently manage a pediatric airway. Key points will cover decision-making, the basics, intubation, rescue devices, medications and ventilators. This lecture will benefit everyone from the basic provider to the most advanced. We will review the basic anatomical di�erences between children and adults and their impacts on airway management.
Lightning Strike MCI at 13,000 feetSaturday, 8:00 – 9:00am
On July 21, 2010 three parties of climbers were struck by lightning near the summit of the Grand Teton (13,770 feet/4075 meters). The ensuing rescue was the largest single rescue e�ort in Grand Teton National Park history. The incident involved 17 patients and considerable resources. Dr. Smith directed the medical operations of the rescue and will discuss how the Wilderness Mass Causality Incident (MCI) unfolded in a technical wilderness setting and the treatment of the lightning injuries encountered.
Dr. Smith practices Emergency Medicine in Jackson Hole, Wyoming and is Clinical Assistant Professor for the University of Washington School of Medicine, as well as the Medical Director for the US National Park Service. Locally, he serves as the Co-Medical Director for Grand Teton National Park, Teton County Search & Rescue, Bridger Teton National Forest, and Jackson Hole Fire/EMS. Dr. Smith also serves as a Lt. Colonel in the U.S. Army Reserve Medical Corps. LTC Smith has practiced medicine around the world on 6 continents, from the 'Baghdad ER' to Easter Island. His combat experience combined with his pre-hospital EMS experience as a Paramedic, and his technical Search and Rescue skills have led to numerous speaking engagements at Wilderness and EMS conferences/seminars around the world. Dr. Smith has also been appointed to several national committees (American Heart Association), authored numerous book chapters and consensus guidelines on Wilderness and Rescue Medicine, and serves as a Subject Matter Expert for DARPA. He has founded and runs Wilderness and Emergency Medicine Consulting (WEMC), LLC. More information can be found at www.wildernessdoc.com.
Will Smith, MD, Paramedic, FAWM
Bringing Combat Medicine to the WildernessSaturday, 10:30 – 11:30am
Advancement of prehospital care on the battlefields of Iraq and Afghanistan is pushing a new approach to EMS. How should these experiences be implemented in the streets of EMS here at home? This lecture will look at some of the hot topics of tourniquet use, hemostatic agents and rearranging our ABC’s to CAB. Tactical Emergency Casualty Care (TECC) and Rescue Task Force (RTF) concepts will be introduced as an approach to mass violence and active shooter situations.
New and Developing EMS Technologies
ROBYNE BECK, TAMI CARLSON, TROY HIEMER, JOHN LADD, AMY LINDGREN, JOSEPH ROBERTS
Saturday, 12:30 – 1:30pm
With all of the EMS gadgets that come and go, how do you know what to buy? This presentation looks at many of the ‘new’ technologies that are available to EMS, but when do you break your budget in order to provide better patient care? Hands on equipment will be shown to visually demonstrate some of the devices discussed.
2018 MEDSTOCK CONFERENCE PLANNING COMMITTEE
Be the next generation emergency care leader. Become a leader in emergency care through Creighton University’s EMS programs.
Whether you’re a recent high school graduate or a seasoned paramedic, advancing your education in EMS can help you take the next step.
TheThere’s no better place than Creighton to gain a competitive edge, prepare you for EMS certification, and bring you up to speed on the latest advancements in emergency care.
No matNo matter which program you choose—from EMS certification courses to a full master’s degree—an EMS education from Creighton can position you to move forward in your emergency professional career.
CHANGE LIVES.STARTING WITH YOURS.
ROOM LEGEND
Ballroom AOpening and Closing Keynotes, Breaks and Meals
Ballroom ETRACK 1 – Basics of Clinical Practice
Meeting Rooms F & GTRACK 2 – Advanced Clinical Practice (ALS)
Ballroom BTRACK 3 – Pediatrics
Meeting Rooms J & KTRACK 4 – Cardiac (Friday) & Trauma (Saturday)
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