Oregon EMS Conference 2011 · Netters Atlas 5th Edition, Parrot vs. the Architect, Visual Human Dissector, and a new dissection manual and a head and neck clinical anatomy text due

Oregon EMS Conference 2011September 22 - 25, Thursday - Sunday

Postconference Sunday, September 25

FeaturingBLS Skills Building

Guest Speakers:

David GivotBob Page Ed Racht

Preconference Thursday, September 22Featuring Cadaver Lab

CONFERENCE LOCATION Salem Conference Center

REGISTER ELECTRONICALLY ONLINE! New, Easy, Quick & Convenient!

More Payment Options Available with Online Registration!

Win a FREE registration! Scholarships available!

visit our website for more informationwww.oregonemsconference.com

2 www. o re gon ems con f e re n c e . c om 3www. o re gon ems con f e re n c e . c om

CONFERENCE LOCATION Salem Conference Center200 Commercial St SESalem, OR 97301www.salemconferencecenter.org

The Grand Hotel (attached to the Salem Conference Center)www.phoenixgrandhotel.com

877-540-7800 (Say you are with the Oregon EMS Conference)

Room rates are available until Monday, August 22, 2011.

Room Rates:$119 - two queen beds or king$129 - double rate(plus 10% tax)

Oregon EMS Conference 2011

Excellence in Education

Greetings from the Oregon EMS Conference Committee

Welcome once again to the Oregon EMS Conference. We hope that everyone has had a wonderful year! Now that recertification for 2011 is done it is time to start preparing for 2013. We are very excited to bring you very dynamic speakers and a wonderful curricu-lum again this year.

We are welcoming back speakers Dr. Ed Racht and Bob Page. If you have not heard them speak, prepare yourself for an educational experience that is both en-riching and fun. These speakers as well as our other speakers this year are leaders in their field and are bringing wonderful educational content to this year’s conference.

We are also very excited to offer the cadaver lab again this year. Last year’s lab was a huge success. Remember to sign up early, this class fills up fast!

New to this year’s conference is a Post Conference BLS course. We are happy to bring this course to our basic providers and hope that by having it on Sunday morning we will be able to accommodate those of our ranks that cannot come mid week for a class.

The conference is at the Salem Conference Center again this year. They were wonderful hosts to us last year and we are looking forward to being there again this year. There once again will be a booth at registra-tion with information about the Salem area and things to do while you are in town.

The committee would like to thank all of you for all the hard work that is done on a daily basis to make EMS great in Oregon. Thank you also for all of the support in making this conference great!

We hope to see you there!

Oregon EMS Conference Committee ChairAnne Slaughter

What is the Oregon EMS Forum?Come meet some of the other Ore-gon EMS Supervising Physicians/Medical Directors and Agency Managers. How do other agen-cies do EMS? What can we do to enhance EMS in Oregon? What works great in your system or with your agencies? In what areas do you have questions or need new ideas? Bring your ideas/thoughts/ desires and share our collective EMS brainpower and expertise. To submit specific topics for dis-cussion or for further questions regarding content please contact Paul Rostykus, MD, MPH at [email protected] or 541-601-9709.


Thursday, September 22Pre-Conference

P r e - C o n f e r e n c e s a t a G l a n c e0900 - 1700 EMS Section Quarterly Assocation Meeting

0800 - 1200 ALS Skills with Life Flight Network, and REACH Air

Medical Services (repeats at 1300)

0800 - 1200 Cadaver Lab with Dr. Brion Benninger (repeats at 1300)

0800 - 1200 Capnography with Bob Page

1300 - 1700 ALS Skills with Life Flight Network, and REACH Air

Medical Services (repeat of 0800 session)

1300 - 1700 Cadaver Lab with Dr. Brion Benninger (repeat of 0800 session)

1300 - 1700 Cardiac Interactive! with Bob Page

1300 - 1700 The New World of EMS and How to Survive It with David Givot

0800 - 1700 Hazmat Victim Decontamination for EMS with Michael Heffner

1830 - 2130 Trauma Jeopardy with Dr. Andy Michaels

FREE ADMISSION - Open to Public

ALS SkillsPresenters: Life Flight Network, and REACH Air Medical Services0800 - 1200 (repeats at 1300)

Hands-on skills session of advanced skills including pediatric simulations. Appropriate for Paramedics and RNs. Come refresh your memory of advanced airway techniques, needle decompression, and other life saving interventions. This is your chance to review high risk, low frequency interventions on pediatric patients using Sim-Kids.

Demonstrating the Anatomical Architecture of Emergency Procedures (Cadaver Lab)Presenter: Dr. Brion Benninger0800 - 1200 (repeats at 1300)

Using a human cadaver, common emergency procedures will be demonstrated. Attendees will have the opportunity for hands-on participation. Following each specific demonstration, further dissection will be conducted to support the theory of the subject technique. Controversies regarding these techniques will be discussed. The following emergency procedures will be included, but other procedures may be incorporated: Emergency airway (Cricothyrotomy and Intubation); Carotid massage; Cardiac massage/resuscitation; Scalene block for upper limb trauma; Supraclavicular tamponade to control upper limb bleeding; Thoracentesis; Pericardiocentesis; Emergency relief of tension pneumothorax; Paracentesis; Acute organ trauma; Peripheral venous access – neck (upper limb, lower limb); Arterial pulses. Space is limited so register early!Brion Benninger, MD MSc, trained in England in surgery and trauma. Also received Masters in Sports Medicine and was Chief Medical Officer for motorcar and motorbike racing, and physician to National

teams. Worked at Queen’s Medical Center, Nottingham, England, busiest emergency room in Europe. During residency training was mentored by Sir Harold Ellis (Surgeon and Clinical Anatomist). Research interests include clinical anatomy, soft tissue rehabilitation, and anatomy education for health care professionals. Teaches clinical anatomy to surgical residents, medical, dental, and allied health students at OHSU. Has edited and authored several texts which include Netters Atlas 5th Edition, Parrot vs. the Architect, Visual Human Dissector, and a new dissection manual and a head and neck clinical anatomy text due to be released in 2011. Has mentored several students and taken 70 clinical anatomy research projects during the last four years to national conferences and sits on multiple national committees.

Slap the Cap! Real Use for Capnography in EMSPresenter: Bob Page0800 - 1200

Nationally presented course that is an eye opening experience when participants learn the incredible benefits gained from full ETCO2 monitoring and waveform assessment. In this exciting and informative session, Bob reviews the A&P of the respiratory system and explains,

through the use of multi-media andaudience involvement, the role of capnography in cases of cardiac arrest to COPD, from seizures to shock, in fact, anyone with a problem with ABC’s should have continuous monitoring of ETCO2 and waveform.Bob Page is an internationally known speaker, instructor, author and paramedic. He has presented seminars across the United States, Canada and in the United Kingdom. He is recognized for his energetic, humorous and motivational style. Bob takes ordinarily dry and hard to teach topics and transforms them into a fun, learning experience. Bob has been an instructor for over 3 decades teaching a variety of adult education courses from customer service to advanced medical care. He is a nationally registered paramedic and a critical care paramedic. He has been involved in EMS since 1978 when he became a CPR instructor. Bob is the Director of Emergency Care Education at St. John’s Regional Health Center in Springfield, Missouri. He is the lead instructor for the paramedic program and has taught at all levels of EMS and nursing. He has earned a faculty appointment at the University of Maryland, Baltimore County and also is a guest instructor at Southwest Baptist University’s College of Nursing.

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Conference at a Glance - Friday, September 23, Day 10700 - 0745 FRIDAY REGISTRATION -- BREAK IN THE EXHIBITOR HALL

0800 - 0910 General Session- Legal Issues of a Death Investigation with Dr. Karen Gunson

0930 - 1700 Supervising Physicians & EMS Managers Forum (Annual meeting of agency physicians, the Oregon Health

Authority and EMS Managers - see page 3 for more information.)

0920 - 1030 Infectious Diseases Control with Pat Preston

0920 - 1030 Safe Transfer of Large Patients with Dr. Tracy Taggert (repeats at 1055 session)

0920 - 1030 Little Interventions, Big Differences with Dr. Brian Clothier

1030 - 1055 BREAK IN THE EXHIBITOR HALL

1055 - 1205 It’s Not Funny Anymore with David Givot

1055 - 1205 The Good, the Bad, and the Ugly: Issues in Spinal Care with Bob Page (repeats at 1435 session)

1055 - 1205 Little Interventions, Big Differences with Dr. Brian Clothier

1205 - 1315 LUNCH BREAK IN THE EXHIBITOR HALL

1315 - 1425 Fundamentals of EMS Documentation with David Givot

1315 - 1425 Safe Transfer of Large Patients with Dr. Tracy Taggert (repeat of 0920 session)

1315 - 1425 A Whole Lot of Shaking Going On! Understanding Seizures with Bob Page (repeats Saturday)

1435 - 1545 The Magic of Managing Pain - the BLS Toolkit with Dr. Ed Racht

1435 - 1545 The Good, the Bad, and the Ugly: Issues in Spinal Care with Bob Page (repeat of 1055 session)

1435 - 1545 The POLST Registry & Ethical Treatment in EMS Care with Dr. Terri Schmidt


1610 - 1720 General Session -- In Search of the EMS Soul with David Givot

Friday Evening

1815 - 1845 NO HOST COCKTAILS

1845 - 2130 Oregon EMS Trauma Systems Awards Banquet Attire: Business or Dress Uniform

ALS SkillsPresenters: Life Flight Network, and REACH Air Medical Services1300 - 1700 (repeat of 0800 session)See description and bio on page 5.

Demonstrating the Anatomical Architecture of Emergency Procedures (Cadaver Lab)Presenter: Dr. Brion Benninger1300 - 1700 (repeat of 0800 session)

Using a human cadaver, common emergency procedures will be demonstrated. Attendees will have the opportunity for hands-on participation. Following each specific demonstration, further dissection will be conducted to support the theory of the subject technique. Controversies regarding these techniques will be discussed. The following emergency procedures will be included, but other procedures may be incorporated: Emergency airway (Cricothyrotomy and Intubation); Carotid massage; Cardiac massage/resuscitation; Scalene block for upper limb trauma; Supraclavicular tamponade to control upper limb bleeding; Thoracentesis; Pericardiocentesis; Emergency relief of tension pneumothorax; Paracentesis; Acute organ trauma; Peripheral venous access – neck (upper limb, lower limb); Arterial pulses. Space is limited so register early!See bio on page 5.

Cardiac Interactive!Presenter: Bob Page1300 - 1700

This is the ultimate participation workshop where the audience will use clickers and other means to get into the presentation and receive immediate feedback. The session will walk through some sick cardiac cases where all parts of the case are reviewed, from signs and symptoms to

Thursday, September 22Pre-Conferencecontinued

12 Lead ECG interpretation and drug therapy. It is a great comprehensive review for any ALS provider. See bio on page 5

The New World of EMS and How to Survive ItPresenters: David GivotSponsored by the EMS Section of OFCA1300 - 1700

In this session, Paramedic turned Defense Attorney, David Givot, will show you how the world of EMS has been affected and effected by this ever-litigious, ever-shrinking universe. Using real-life laws, examples, and cases, we will discuss how social media, the Internet, and so-called “news” outlets have given blood-sucking Lawyers a whole new food source. More importantly, we will discuss the black-letter law that impacts EMS the most. He will share tricks and tips, tools and techniques for protecting yourself and your patients from being yanked into the hungry lawyer food-chain.David Givot, Esq., graduated from the UCLA Center for Prehospital Care (formerly DFH) in June 1989 and spent most of the next decade working as a Paramedic responding to 911 calls in Glendale, CA, with the (then BLS only) fire department. By the end of 1998, he was traveling around the country working with distressed EMS agencies teaching improved field provider performance through better communication and leadership practices. David then moved into the position of director of operations for the largest ambulance provider in Maryland. Now, back in Los Angeles, he is a practicing Defense Attorney still looking to the future of EMS.

Hazmat Victim Decontamination for EMSPresenters: Michael Heffner, Captain0800 - 1700

This 8-hour, skills-intensive training session is designed to prepare EMS responders to ensure that HAZMAT victims are properly decontaminated

on-scene prior to transporting them. This program meets the competencies 4.4.2/5.4.2 for NFPA 473, follows the guidelines outlined in OSHA’s Best Practices for Protecting EMS Responders during Treatment and Transport of Victims of Hazardous Substance Releases, and may serve as an Operations-level refresher for those already accredited by DPSST. Class modules include: recognition and identification of hazardous substances; implementation of a response plan utilizing ICS; establishing a decon corridor; selecting proper personal protective equipment (PPE); and triage, decontamination, transportation, and treatment of victims. Participants are encouraged to dress in casual or athletic attire as they will be practicing decontamination on training manikins while wearing HAZMAT PPE.Michael Heffner is a Captain/Paramedic with the Salem Fire Department where he is currently assigned to a regional hazardous materials response team. From 2006-2010 he was assigned as EMS Coordinator, he was responsible for his agency’s CHEMPACK program.

Trauma Jeopardy: Case Reviews, Fun and Prizes1830 - 2130 FREE ADMISSIONPresenter: Dr. Andy Michaels

This lecture will be a fast moving, case based, interactive lecture in the jeopardy format that will challenge and entertain the EMT with actual cases and information about those cases presented by the trauma surgeon who participated in their care.Andy Michaels, MD, MPH, FACS, is a trauma surgeon at Emanuel Hospital in Portland. His interests include critical care, systems development and quality assessment. He has worked as a field medic, a flight physician, an emergency medicine physician, and relief doctor.


Friday,September23ConferenceDay1

General SessionLegal Issues of a Death InvestigationPresenter: Dr. Karen Gunson, Oregon State Medical Examiners Office0800 - 0910

It’s inevitable – as a healthcare provider, we will experience the faces of death. Come listen to the legal issues of a death investigation from the Oregon State Medical Examiner.Dr. Karen Gunson is the Oregon State Medical Examiner. Dr. Gunson is a Clinical Assistant Professor in Clinical Pathology at OHSU, and is Board Certified in Anatomic and Clinical Pathology and Forensic Pathology. She is a well published author of multiple abstracts and manuscripts.

Infectious Diseases Control of Commonly-Encountered Infectious Agents: A review for the EMS ProfessionalPresenter: Pat Preston0920 - 1030

This lecture is designed to provide the EMS professional with insight into the risks of acquiring commonly-encountered infectious diseases while performing normal duties. Current national infection control guidelines will be identified and reviewed relative to selected infectious diseases. Opportunity will be allowed to discuss topics of audience interests.Mr. Preston is a consultant, lecturer and author with a national private practice specializing in the control and prevention of community-based infectious diseases. His 37-year practice has focused on the management of infectious-diseases-exposure risks for professionals in the healthcare industry and post-exposure follow up protocol.

Safe Transfer of Large PatientsPresenters: Dr. Tracy Taggert, Joe DeFoe, Bob Renggli0920 - 1030 (repeats at 1315)The secret is out: 26% (1 in 4) Americans are obese and trends are UP. Weight discrimination has increased by 66% over the past decade. Bias and stigma are compounding the recovery of bariatric patients. Hospitals are gearing up and gaining certification for Bariatric Surgery Centers, which increases EMT transfer traffic and subsequent challenges. Placing IVs, BP Cuffs, Slide Sheets, Pressure Ulcers, Skin Issues, Lift Assist Tools and Techniques plus helpful ER feedback to the EMT crews will be covered in this session.Tracy Anne Taggart, MD, EMT-P, is a Trauma doctor at Salem Health and brings experience and perspective to the obesity issue that is direct and compelling. Her unique message to the EMT community is both timely and provocative.

Joe DaFoe, MSN MHA RN, is Director of Emergency Services at Salem Health and interfaces directly with the new Bariatric Surgery Center. Joe’s years of experence in the ED arena and presentation style will impact memorable lessons around bariatrics.

Bob Renggli, M.A., is Community Liaison with Rural/Metro in Salem-Eugene. Bob focuses on Cultural Diversity, Customer Service, and helps anticipate issues around bariatric transfers. He has specialized on the demographic trends in obesity and prevention factors.

Little Interventions, Big Differences Pediatric Care in EMSPresenter: Dr. Brian ClothierSponsored by State EMS for Children Program0920 - 1030 (repeats at 1055)Dr. Clothier will discuss prehospital interventions that will make the biggest difference for our smallest patients.Brian Clothier MD, MS is an Emergency Physician with Salem Emergency Physician Service in Salem, Medical Director for Salem Fire Department, and Rural Metro Ambulance in Salem. Dr. Clothier is the owner of Rampart 51 LLC a Wilderness Emergency Medicine Consulting Services. Board certtified in Emergency Medicine and board eligible in pediatrics. Dr clothier has interest in Pediatric Emergency Medicine, Wilderness Medicine, Emergency Medical Services for Children, Prehospital Medicine, and is bilingual in Spanish.

It’s Not Funny AnymorePresenter: David GivotSponsored by the EMS Section of OFCA1055 - 1205

It’s not the 80’s or even 90’s anymore. What was hysterical back in the day does not fly in 2011. While this program will likely have everyone laughing, participants will leave with the tools necessary to survive in the “New World of EMS” and still manage to have fun. Together we will identify legal threats to the professionals’ reputation and personal assets of providers at all levels. We will take a closer look at the depth and breadth of a provider’s exposure to legal liability, examine the changes to the litigious climate of society, and develop an understanding of why the climate is changing, while learning how to stay safe doing the best job in the world!See bio page 6.


Friday,September23ConferenceDay1Continued

The Good, the Bad, and the Ugly: Issues in Spinal CarePresenter: Bob Page1055 - 1205

This session takes a closer look at our spinal immobilization practices and focuses on why we do it and what our goals really are. The presentation features many examples of frequently missed items when immobilizing the trauma patient. Many researchers and physicians are suggesting that we should not immobilize everyone with trauma. This talk also focuses on that issue and offers a critical look at alternative algorithms (including BTLS) or ways to “clinically clear” Cspines.See bio on page 5.

Little Interventions, Big Differences: Pediatric Care in EMSPresenter: Dr. Brian ClothierSponsored by State EMS for Children Program1055 - 1205 (repeat of 0920 session)

Dr. Clothier will discuss prehospital interventions that will make the biggest difference for our smallest patients.Brian Clothier MD, MS is an Emergency Physician with Salem Emergency Physician Service in Salem, Medical Director for Salem Fire Department, and Rural Metro Ambulance in Salem. Dr. Clothier is the owner of Rampart 51 LLC a Wilderness Emergency Medicine Consulting Services. Board certtified in Emergency Medicine and board eligible in pediatrics. Dr clothier has interest in Pediatric Emergency Medicine, Wilderness Medicine, Emergency Medical Services for Children, Prehospital Medicine, and is bilingual in Spanish.

Fundamentals of EMS DocumentationPresenter: David GivotSponsored by the EMS Section of OFCA1315 - 1425

In this program, participants will develop an understanding of the myriad of legal (and perhaps ethical) exposures documentation presents to EMS professionals from day to day. Likewise, they will learn some very important, yet commonly overlooked, facts and details about what they “think” they already know. Finally, they will gain tools and develop approaches intended to improve documentation, mitigate their own legal exposures and benefit each patient at the same time.See bio on page 6.

Safe Transfer of Large PatientsPresenters: Dr. Tracy Taggert, Joe DeFoe, Bob Renggli1315 - 1425 (repeat of 0920 session)

The secret is out: 26% (1 in 4) Americans are obese and trends are UP. Weight discrimination has increased by 66% over the past decade. Bias and stigma are compounding the recovery of bariatric patients. Hospitals are gearing up and gaining certification for Bariatric Surgery Centers, which increases EMT transfer traffic and subsequent challenges. Placing IVs, BP Cuffs, Slide Sheets, Pressure Ulcers, Skin Issues, Lift Assist Tools an Techniques plus helpful ER feedback to the EMT crews will be covered in this session.

See bios on page 8.

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The Magic of Managing Pain - the BLS ToolkitPresenter: Dr. Ed RachtSponsored by American Medical Response1435 - 1545

One of the most frequent complaints in emergency medicine is pain. It’s also one of the most complex symptoms for healthcare providers to sort through. Pain may be a result of something as simple as a neuropathy to something as deadly as an ischemic organ. On top of the diagnostic challenge, the assessment and management of pain varies significantly between healthcare providers and past experiences with pain. Add to this the limited diagnostic toolbox available in the field (no labs, no X-rays, etc.), we find ourselves faced with quite a dilemma. This presentation will discuss critical concepts of pain assessment with a powerful emphasis on BLS management that will dramatically improve our patient’s discomfort.Edward M. Racht, M.D. is the Chief Medical Officer of American Medical Response, the largest EMS provider in the nation. He has been involved in Emergency Medical Services and healthcare systems for over 20 years. He has served as the Chief Medical Officer and Vice President of Medical Affairs for Piedmont Newnan Hospital in Metro Atlanta, Medical Director for Austin/Travis County Emergency Medical Services System, Assistant Professor of Medicine and Associate Chief of the Medicine Section of Emergency Medical Services at the Medical College of Virginia in Richmond. He received his undergraduate and medical degree from Emory University in Atlanta and completed his residency at the Medical College of Virginia and is a Clinical Associate Professor of Emergency Medicine at the University

of Texas Southwestern Medical School in Dallas. He has served as the Federal Medical Advisor for the recent NHTSA Educational Standards Project.

The Good, the Bad, and the Ugly: Issues in Spinal CarePresenter: Bob Page1435 - 1545

This session takes a closer look at our spinal immobilization practices and focuses on why we do it and what our goals really are. The presentation features many examples of frequently missed items when immobilizing the trauma patient. Many researchers and physicians are suggesting that we should not immobilize everyone with trauma. This talk also focuses on that issue and offers a critical look at alternative algorithms (including BTLS) or ways to “clinically clear” Cspines.

See bio on page 5.

The POLST Registry & Ethical Treatment in EMS CarePresenter: Dr. Terri Schmidt1435 - 1545

Dr. Terri Schmidt will speak on the role of the POLST registry in the ethical treatment or withholding of treatment in the EMS setting. Dr. Schmidt comes with a background which includes being a paramedic herself. She has and does function in the prehospital setting as a current medical director, an accomplished emergency physician, researcher, and all around advocate for patients receiving the care they wish.



Conference at a Glance - Saturday, September 24 Conference Day 2

0700 - 0745 SATURDAY REGISTRATION - BREAK IN THE EXHIBITOR HALL

0800 - 0910 General Session - Indifferent Ignorance with Bob Page

0920 - 1030 A Whole Lot of Shaking Going On! Understanding Seizures with Bob Page

0920 - 1030 CHEMPACK Awareness Part I with Michael Heffner, Captain (Part II at 1055)

0920 - 1030 ABCs for the BLS Providers with Dr. Ritu Sahni


1055 - 1205 The Magic of Managing Pain - the BLS Toolkit with Dr. Ed Racht

1055 - 1205 CHEMPACK Awareness Part II with Michael Heffner, Captain (Part I at 0920)

1055 - 1205 War Times Advances in Trauma Care with Dr. Martin Schreiber (repeats at 1435)

1205 - 1315 LUNCH BREAK IN THE EXHIBITOR HALL

1315 - 1425 General Session - State of Oregon EMS from the State Medical Director with Dr. Ritu Sahni

1435 - 1545 Patient Assessment and Documentation for the BLS Provider with Scott Cooper

1435 - 1545 Oregon EMS State Office - Panel Q & A with Oregon Health Authority

1435 - 1545 War Times Advances in Trauma Care with Dr. Martin Schreiber (repeat of 1055)


1610 - 1720 General Session - What Does EMS Spell Now? with Dr. Ed Racht

Mission StatementOregon EMS Conference

To provide the highest quality educational conferences for EMTs of Oregon, respecting the diversity of the settings in which they work and drawing from all walks of service to develop

curricula that are well balanced and relevant.

Conference at a Glance - Sunday, September 25 Post Conference

0700 - 0745 SUNDAY REGISTRATION - COFFEE/BEVERAGE PROVIDED

0800 - 1200 BLS Skills Builder with T.R. Hilton and Scott Cooper

General SessionIn Search of the EMS SoulPresenter: David GivotSponsored by the EMS Section of OFCA1610 - 1720

EMS providers are not normal; we run toward what normal people run from; we joke about death and give hope to life; we survive on half-eaten meals and little or no sleep; we confront inhuman challenges with skill, compassion, and tenacity; and we almost never admit defeat. But sometimes we forget what we are doing and why, and for whom. Through the prism of law, this program will be a wake-up call to some and a battle cry to

others. When it is over, participants will understand why EMS providers are held to a higher standard than “regular people” and how perspective alters the appearance of conduct, behavior, and effectiveness. Newer providers will understand what it means to change the world and old-timers will understand the power of their guidance. Finally, participants will walk away sure about one of two things: either 1) they need to consider another profession or 2) they have EMS in their soul and the world is theirs for the changing.David Givot, Esq., graduated from the UCLA Center for Prehospital


Care (formerly DFH) in June 1989 and spent most of the next decade working as a Paramedic responding to 911 in Glendale, CA, with the (then BLS only) fire department. By the end of 1998, he was traveling around the country working with distressed EMS agencies teaching improved field provider performance through better communication and leadership practices. David then moved into the position of director of operations for the largest ambulance provider in Maryland. Now, back in Los Angeles, he is a practicing Defense Attorney still looking to the future of EMS.

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Saturday,September24ConferenceDay2

A Whole Lot of Shaking Going On! Understanding SeizuresPresenter: Bob Page1315 - 1425

Ask most people and their definition of a seizure involves the “grand Mal” seizure with the person violently shaking all over. Is that all there is? Is this the only type of seizure? Does it make any difference in the pre-hospital setting what I saw? What is the correct classification of seizures? This course will show, via videotape, the various types of seizures, discuss their etiology and proper classification, and describe the various management issues for today’s EMS personnel. Exciting AV support and real life case studies makes this a don’t miss session!Bob Page is an internationally known speaker, instructor, author and paramedic. He has presented seminars across the United States, Canada and in the United Kingdom. He is recognized for his energetic, humorous and motivational style. Bob takes ordinarily dry and hard to teach topics and transforms them into a fun, learning experience. Bob has been an instructor for over 3 decades teaching a variety of adult education courses from customer service to advanced medical care. He is a nationally registered paramedic and a critical care paramedic. He has been involved in EMS since 1978 when he became a CPR instructor. Bob is the Director of Emergency Care Education at St. John’s Regional Health Center in Springfield, Missouri. He is the lead instructor for the paramedic program and has taught at all levels of EMS and nursing. He has earned a faculty appointment at the University of Maryland, Baltimore County and also is a guest instructor at Southwest Baptist University’s College of Nursing.

General SessionIndifferent IgnorancePresenter: Bob Page0800 - 0910

“Everybody is Ignorant, until Proven Stupid” Old Ozarks proverb…Now ignorance is not a bad word it simply means you don’t know or never heard of that before. Some people use that as an excuse to remain “where they are.” When you stop learning, ignorance indifference sets in. You don’t know and you don’t care. This is dangerous in the health care field. New treatment and techniques pop up all the time. People resist change to new things because they simply don’t know the whole story. Come join Bob Page, a passionate educator with a track record of leading organizational and personal change in many areas and in some cases, states from education based initiatives. See how this was accomplished and renew your spirit and find out how to be an agent of change.

A Whole Lot of Shaking Going On! Understanding SeizuresPresenter: Bob Page0920 - 1030

Ask most people and their definition of a seizure involves the “grand Mal” seizure with the person violently shaking all over. Is that all there is? Is this the only type of seizure? Does it make any difference in the pre-hospital setting what I saw? What is the correct classification of seizures? This course will show, via videotape, the various types of seizures, discuss their etiology and proper classification, and describe the various management issues for

today’s EMS personnel. Exciting AV support and real life case studies makes this a don’t miss session!See bio on page 16.

CHEMPACK Awareness Part IPresenter: Michael Heffner, Captain

0920 - 1030 (Part II at 1055)

This 2-part training session will explain how and when to access the CDC’s CHEMPACK nerve agent antidote stockpile located throughout Oregon and will incorporate lecture, small-group exercise, and clinical skills demonstration. Taken together, both sessions will cover the OSHA HAZWOPER competencies in CFR 1910.12(q)(6)(i) and participants may document these hours as an annual HAZMAT Awareness-level refresher per OSHA guidelines; please consult with your Training Officer. Part 1will cover understanding of the mechanisms of actions and health effects of organophosphates and chemical nerve agents, recognition and identification of organophosphates and chemical nerve agents; and awareness of their properties and hazards. This first session will introduce participants to the Wireless Information System for Emergency Responders (WISER), a powerful, free HAZMAT identification application (for PC, iPod Touch, iPhone, Blackberry) in a group exercise and computer lab setting.Michael Heffner is a Captain/Paramedic with the Salem Fire Department where he is currently assigned to a regional hazardous materials response team. From 2006-2010, assigned as EMS Coordinator, he was responsible for his agency’s CHEMPACK program.

ABCs for the BLS ProvidersPresenter: Dr. Ritu Sahni

0920 - 1030

The majority of medical responses are dealt with at a BLS level including pediatric patients. This presentation will look into how the BLS provider assesses and treats these patients and how your initial assessment can affect the outcome of these patients. Dr. Sahni’ s presentation is sure to keep students engaged and asking questions.Dr. Ritu Sahni is the current Medical Director of the Oregon EMS/Trauma Program and Associate Professor of Emergency Medicine at Oregon Health & Sciences University. He is the current Medical Director of the Lake Oswego Fire Dept. and had previously held the position of Medical Director of Life Flight Network. Dr. Sahni also serves on the Board of Directors for the National Association of EMS Physicians and the National Registry of EMTs.

The Magic of Managing Pain - the BLS ToolkitPresenter: Dr. Ed RachtSponsored by American Medical Response1055 - 1205

One of the most frequent complaints in emergency medicine is pain. It’s also one of the most complex symptoms for healthcare providers to sort through. Pain may be a result of something as simple as a neuropathy to something as deadly as an ischemic organ. On top of the diagnostic challenge, the assessment and management of pain varies significantly between healthcare providers and past experiences with pain. Add to this the limited diagnostic toolbox available in the field (no labs, no X-rays, etc.), we find ourselves faced with quite a dilemma. This presentation will discuss critical concepts of pain assessment with a powerful emphasis on BLS management that will dramatically improve our patient’s discomfort.See bio on page 12.

CHEMPACK Awareness Part IIPresenter: Michael Heffner, Captain1055 - 1205 (Part I at 0920)

Part 2 will cover initial response actions to organophosphates and chemical nerve agents; recognition of the need to dispatch additional resources and make appropriate notifications; awareness of medical care priorities and antidotes for exposures to organophosphates and chemical nerve agents; practical application performing the use of antidote auto-injectors on manikins; orientation to the CDC CHEMPACK program, container locations, and stockpile configurations.See bio page 16.

War Times Advances in Trauma CarePresenter: Dr. Martin Schreiber1055 - 1205 (repeats at 1435)

War time has many consequences the least of which has been advances in the treatment of trauma patients. This session will give both a historic and current look at the treatment trauma patients receive. Advances in trauma treatment are driven primarily by outcomes and data. Dr. Martin Schreiber has himself spent time in the war zones and has been actively involved in the treament of trauma patients in these war zones. This will give examples of the advances we have made in trauma care and how those advances have changed the

care we are able to provide in the civilian environment.Dr. Schreiber is the Chief of Trauma, Critical Care and Acute Care Surgery at Oregon Health & Science University. He is also a Lieutenant Colonel in the US Army Reserve and he was deployed to Operation Iraqi Freedom giving him a unique view of trauma resuscitation. His research interests include resuscitation, hemorrhage control and novel blood products.

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Formally known at the Oregon Fire Medical Administrator Association the newly named

EMS Section of the Oregon Fire Chiefs Association is represented by individuals that oversee and are responsible for EMS operations within a fire based agency. The mission of the EMS Section is to “unite a statewide organization of those persons actively engaged in the promotion and delivery of pre-hospital emergency medical services.

For more information visit our web site at www.ofmaa.org

EMS Section of the Oregon Fire Chiefs

Association


Sunday,September25PostConference

BLS Skills BuilderPresenter: T.R. Hilton and Scott Cooper1435 - 1545

Here is an opportunity to attend a session that offers you the same variety of scenarios you encounter in the field. Instead of focusing on just one subject, Mr. Cooper and Mr. Hilton will address many topics to use in your assessment and care, including pediatric patients. In this session, you will learn about “gray areas”; tune-up your knowledge base, with a focus on understanding the information, not just doing things “because that’s what I was taught”. At the end of this 4 hour class you will become a “thinking” responder. Come join us in a real practical, real applicable, really fun presentation!

T.R. Hilton, EMT-PTR is a working Paramedic in frontier Oregon and is also the Blue Mountain Hospital Ambulance Director of Operations and Training Officer. TR has been in EMS since 1986 when he started his first EMT class and has been working and teaching in EMS for the last 20+ years all over Oregon.

TR has served on committees with the office of DHS/EMS and has been involved in many aspects of Oregon EMS over the past twenty years. TR has received many State awards for his contributions to Oregon EMS and for his teaching throughout Oregon. He has an in-depth knowledge of how rural and frontier EMTs needs vary from the needs of Urban EMTs as well as a good knowledge of how to get that education across to his students. TR teaches EMT Basic and EMT Intermediate classes and has had a class going every year for the last 20 years.

Scott Cooper, EMT-PScott grew up in Portland and resides in Salem, Oregon. His career has included working in private, hospital and fire-based ambulance services; instructor for EMT classes of all levels at Chemeketa, Portland, Clackamas Community Colleges and the OHSU/OIT paramedic program; private tutor for EMT and nursing students; EMS educator and administrator; guest speaker at various EMS programs. Scott is an active member of the Nation Association of EMS Educators. He has received many awards for his performance in EMS and educational endeavors.

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Saturday,September24ConferenceDay2Continued

General SessionState of Oregon EMS from the State Medical DirectorPresenter: Dr. Ritu Sahni1315 - 1425

Dr. Sahni’ s discussion will describe the organization structure of the Oregon Health Authority and where the EMS & Trauma Section fits in. He will explain what role the EMS & Trauma section plays in EMS. You will hear an update on the current findings of how you the provider are measuring up to other systems and what the future of Oregon EMS will look like. This is a must attend presentation for all of those who have a career in Oregon. Your destiny is in your hands.See bio on page 16.

Patient Assessment and Documentation for the BLS Provider - If you didn’t write it down it wasn’t donePresenter: Scott Coooper1435 - 1545

Scott will take the BLS responder through a patient assessment and your findings and then give you the tools to properly document them. More legal issues arise from improperly documented charts and critical oversights of your patient assessment.Scott grew up in Portland and resides in Salem, Oregon. His career has included working in private, hospital and fire-based ambulance services; instructor for EMT classes of all levels at Chemeketa, Portland, Clackamas Community Colleges and the OHSU/OIT paramedic program; private tutor for EMT and nursing students; EMS educator and administrator; guest speaker at various EMS programs. Scott is an active member of the Nation Association of EMS Educators. He has received many awards for his performance in EMS and educational endeavors.

Oregon EMS & Trauma Round TablePresenter: Oregon Health Authority1435 - 1545

This is sure to be a lively Question and Answer panel discussion on how your EMS & Trauma Section functions. The panel will field all questions, from why my recertification process is taking so long, to how can we expand prevention programs.Panel: Robert (Bob) Leopold, Emergency Medical Services and Trauma Systems Director; Ritu Sahni, MD, MPH, Medical DirectorEmergency Medical Services and Trauma Systems; Kimberly Torris, EMT-P, BS, MHA, EMS Prehospital Systems Manager; Elizabeth E. Morgan, NREMT-P, EMS PreHospital Standards Representative; Justin Hardwick, BA, NREMT-P, EMS Prehospital Standards Representative.

War Times Advances in Trauma CarePresenter: Dr. Martin Schreiber1435 - 1545 (repeat of 1055)

War time has many consequences the least of which has been advances in the treatment of trauma patient. This session will give both a historic and current look at the treatment trauma patients receive. Advances in trauma treatment are driven primarily by outcomes and data. Dr. Martin Schreiber has himself spent time in the war zones and has been actively involved in the treament of trauma patients in these war zones. This will give examples of the advances we

have made in trauma care and how those advances have changed the care we are able to provide in the civilian environment.Dr. Schreiber is the Chief of Trauma, Critical Care and Acute Care Surgery at Oregon Health & Science University. He is also a Lieutenant Colonel in the US Army Reserve and he was deployed to Operation Iraqi Freedom giving him a unique view of trauma resuscitation. His research interests include resuscitation, hemorrhage control and novel blood products.

General SessionWhat Does EMS Spell Now?Presenter: Dr. Ed RachtSponsored by American Medical Response1610 - 1720

Much is changing in the ever-evolving World of EMS. The science continues to evolve and more evidence-based approaches are finding their way into the field practice of medicine (think Guidelines 2010, CPAP and more…). Healthcare SYSTEMS are now starting to understand the importance of a collaborative approach to patient care (think STEMI, Stroke, Trauma and Pediatrics). On top of all that, “Healthcare reform is gearing up and bouncing around in the political arena (with a great potential opportunity for EMS to play a whole new role…)”. EMS hasn’t seen this magnitude of change and potential opportunity since its inception in the 70s. So… What does EMS spell now?See bio page 12.

Win a FREE registration! Visit: www.oregonemsconference.com

REGISTER ELECTRONICALLY ONLINE! Easy, quick, convenient!

More payment options when registering online!

Oregon Certified First Responder and EMT Minimum Continuing Education Requirements

Section 1 – Continuing Education Topics Two Year Certification Period Note / CommentsFR EMT-B EMT-I EMT-P

Trauma Emergencies 2 3 5 6Medical Emergencies 2 3 6 8Pediatric and Obstetric Emergencies 1 3 6 8Air, Breathing, and Cardiology 2 4 6 9Miscellaneous EMS Topics (Related Topics) 1 3 1 1Educational Topics Approved by the Medical Director 4 8 12 16Total Hours for the Certification Period 12 24 36 48

Section 2 – Clinical Skills Competency At Least Once During Certification Note / CommentsCurrent CPR Certification Yes Yes Yes Yes AHA Healthcare Provider or equivalentAirway Management and Adjuncts Yes Yes Yes Yes Proficiency within Scope of Practice Cardiac arrest management Yes Yes Yes Yes Proficiency within Scope of PracticeSplinting and Immobilization Yes Yes Yes YesVascular Access No No Yes YesChest Decompression and Cricothyroidotomy No No No Yes


Hazmat Victim Decontamination (8a-5p)

ALS

Unfortunately, purchase orders cannot be accepted.

CONFERENCE FEES & OFFERINGSPre-Conference Workshops-Thursday Sept 22

$ 69

Real Use for Capnography (8a-12p) $ 69ALS Skills (Repeat of AM) (1p-5p) $ 69Cadaver Lab (Repeat of AM) (1p-5p) $ 109Cardiac Interactive (1p-5p) $ 69

Social Media (1p-5p) $ 69

Two-day Conference, Friday & Saturday, Sept 23 & 24Registration on or before 9/9/11

Registration (Includes T-shirt and Banquet Dinner)$249

Registration after 9/9/11 and on-siteRegistration (Includes T-shirt and Banquet Dinner)

$299

Select T-shirt size* *Your T-shirt size may not be available if size is not selected.

Select Banquet choice:Chicken BeefI will not be attending banquet

Student Rate before 9/9/11 $139

Student Rate after 9/9/11 $179

Extra Banquet Dinner Tickets (guests)- Friday night Awardsx $38 each

Qty of:

TOTAL AMOUNT ENCLOSED

Oregon EMS Conference 2011 Registration

You may also mail-in or fax your conference registration. (On-site registration will be accepted only if space permits.) Fax the form and credit card payment to 503-926-9297, or mail form and check (payable to OREF) to: Oregon EMS Conference

Teresa Sielsch - PO Box 30148 Portland, OR 97294

NEW this year! Register Electronically Online. Quick, easy, convenient! More Payment Options!

Visit www.oregonemsconference.com

Refunds and Cancellations: Refunds will be given, less a $25 processing fee, if OREF is notified at the above phone number, mailing address, or FAX at least 10 working days prior to the start of the conference. Thereafter, NO refunds will be issued. If you cannot attend, you may send a substitute in your place provided that we are notified 5 working days prior to the conference. Thereafter, NO substitutions will be made.

Please indicate your area(s) of interest:

EMPLOYER/AGENCY AFFILIATION As you would like to have it written on your name badge. (Please limit to 30 characters, printed clearly)

LAST NAME FIRST NAME M

STREET ADDRESS CITY STATE ZIP

EMAIL ADDRESS (Please print clearly) DAY PHONE EVE. PHONE

I WISH TO PAY BY: CHECK (PAYABLE TO OREF) VISA MASTER CARD

CREDIT CARD # EXPIRATION DATE

CARDHOLDER NAME CARDHOLDER SIGNATURE

Check here if you do NOT want your name, address, and phone number supplied to the conference exhibitors.

STUDENT REGISTRATIONS MUST BE SUBMITTED BY MAIL or FAX! Registration Student Rate: Student must be enrolled in an EMT Basic, Intermediate, or Paramedic program (Summer or Fall 2011). You MUST supply a copy of your official registration/schedule for verification along with the conference registration form. For questions about eligibility, please contact Mark Hornshuh at 503-978-5570. There are no discounted rates for pre-conference workshops. The student rate does not include T-shirt or Friday awards banquet. Please purchase a dinner ($38) if you would like to attend the banquet, noting your meal preference. Mail your registration and your student documentation to Oregon EMS Conference, T Sielsch, PO BOX 30148, Portland, OR 97294 or fax to 503-926-9297.

Scholarships: A limited number of scholarships are available. Please visit www.oregonemsconference.com for more information.

ILS BLS Educator/Mgr

$

$$$$$$

$

$

$

$

$

$Chicken Beef

Qty

Today's Date:

M L XL XXL

$

$109Cadaver Lab (8a-12p)

ALS Skills (8a-12p)

$149

Trauma Jeopardy (6:30p-9:30p) FREE$

S XXXL

Vege

Vegetarian

BLS Skills Building (8a-12p) $$49

Post-Conference Workshops-Sunday Sept 25

Register online electronically for more payment options! ONLY VISA/MC or check with mail-in or fax registration.

Print FormReset Form


Oregon EMS ConferenceTeresa Sielsch, RegistrarPO Box 30148Portland, OR 97294

Oregon EMS ConferenceTeresa Sielsch, Conference RegistrarPO Box 30148Portland, OR 97294

PLACE STAMP HERE

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PLATINUM - DONATION $2,500 and aboveAmerican Medical Response/ NW

Portland, ORLife Flight Network

Aurora, ORMetro West Ambulance

Hillsboro, ORODOT Transportaton Safety Division

Salem, ORREACH Air Medical Services

Corvallis, ORRural Metro Ambulance

Salem, OR

SILVER - DONATION $500-$999EMS Section of OFCA

Portland, OROregon EMS Association

Sandy, OROregon State Ambulance Assoc.

Portland, ORSilverton Hospital Network,

Silverton, ORState EMS for Children Program

Portland, OR

2011 ConferenceContributors

On behalf of the Oregon EMS Conference and the EMTs of Oregon, we would like to thank the following people and organizations for their generous contribu-tions of time and effort.

Matthew Eschelbach, DO - St Charles Medical Center

Jan Acebo, EMT-P - REACH Air Medical Services

Mark Hornshuh, BS, EMT-P - Portland Community College

Dave Lapof, EMT-B - Siletz FD

David Long - Oregon Research & Education Foundation

Aaron Monnig, EMT-P - Rural Metro Ambulance

Bob Renggli, Liaison & PIO - Rural Metro Ambulance

Teresa Sielsch, Sielsch & Associates

Anne Slaughter, BS, NREMT-P - Bend Fire and Rescue

Jennifer Stoner, BS, EMT-B - American Medical Response

Pete Tracy - Life Assist, Inc.

Bernie Zollner, BS, EMT-P - Life Flight Network

Conference Scholarships

Available!

The ODOT, Transportation Safety Division is providing a grant offering a limited number of scholarships to cover registration for the 2011 EMS Conference! The scholarship amounts will be the $249 tuition for the two day conference. Scholar-ships will be given to support those who may otherwise not be able to attend.

Scholarships will be awarded to 10 Oregon residents responsible for EMS in rural/non-urban Oregon who respond to motor vehicle crashes and/or provide prehospital and/or hospital care to motor vehicle crash victims, especially pediatric patients.

As the Transportation Safety funds are targeted for motor vehicle and highway safety, we recommend that scholars primarily attend ses-sions that relate to motor vehicle crashes, such as Liitle Interventions Big Differences, Fundamentals of EMS Documentation, Safe Transfer of Large Patients and ABCs for the BLS Providers, and classes to meet CEU requirements. Apply now on line at the conference website www.oregonemsconference.com.

Applications must be received by end of day Monday, AUGUST 15, in order for the selection process to be completed and applicants to be contacted so they may plan their attendance arrangements. Early application is encouraged.

Apply now on-line at the conference website www.oregonemsconference.com

Oregon EMS ConferenceOregon Research & Education Foundationfor Trauma, Emergency & Critical Care (OREF)PO Box 90455Portland, OR 97227

PLATINUM - DONATION $2,500 and above

American Medical Response/NWPortland, OR

Life Flight NetworkAurora, OR

Metro West AmbulanceHillsboro, OR

ODOT Transportaton Safety DivisionSalem, OR

REACH Air Medical ServiceCorvallis, OR

Rural Metro AmbulanceSalem, OR

SILVER - DONATION $500-$999EMS Section of OFCA

Portland, OROregon EMS Association

Sandy, OROregon State Ambulance Assoc.

Portland, ORSilverton Hospital Network

Silverton, ORState EMS for Children Program

Portland, OR

Non-ProfitOrganizationU.S. Postage

PAIDPortland, OregonPermit No. 2303

2011 Conference Contributors

ConferenCe LoCationSalem Conference Center200 Commercial Street SeSalem, or 97301www.salemconferencecenter.orgSee page 3 for hotel info.

Win FREE registration! Details on website!REGISTER ELECTRONICALLY ONLINE --

Easy, quick, convenient!Visit www.oregonemsconference.com

Scholarships available,

details online!www.oregonemsconference.com

Oregon EMS Conference 2011 · Netters Atlas 5th Edition, Parrot vs. the Architect, Visual Human Dissector, and a new dissection manual and a head and neck clinical anatomy text due

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