Speakers

Seconds for Survival is a dynamic, media intensive course designed to reduce the reactionary gap that can lead to deadly consequences in law enforcement interactions with suspects. Real life scenarios combined with tactical considerations are discussed throughout the training that will give the student the knowledge to survive attacks.

Surviving & Thriving Your Career as a First Responder

Gary Berryhill & John Akright Warriors Rest Program

This course is for all disciplines of First Responders (Firefighter / Law Enforcement / EMS / Communications / First Responder Support Staff / Emergency Management, etc.) The course identifies biological and emotional reactions to workplace stress, hypervigilance, and trauma to illustrate the impact of a First Responders work environment. The course discusses a person’s support foundation upon entering their career and how it has changed both positively and negatively over time. It also explores the effects of job-related trauma and stress, hypervigilance, and multiple methods on how to take control of your “off-duty” time.

First Responders may have different assignments and duties during any major events or possibly develop Cumulative Trauma from multiple smaller events. Any of those events can produce “Common Reactions to Stress and Trauma” which potentially impact the First Responder and can affect their family members. Various resources and techniques to assist the First Responder improve their mental and physical wellness are also provided.

Jill Nusbaum

Children’s Mercy Kansas City

Pediatric Tracheostomy Emergency Management

This is a didactic and interactive course which will cover tracheostomy emergency management. Participants will be provided with a Tracheostomy Emergency Algorithm and will practice managing emergency scenarios using this guide.

LEARNING OBJECTIVES • Participants will be able to identify the correct size and type of tracheostomy tube for quick and accurate tube replacement. • Participants will analyze tracheostomy emergency situations and verbalize appropriate interventions. • Participants will demonstrate the use of the Tracheostomy Emergency Algorithm to troubleshoot tracheostomy emergency situations.

Dr. Ahmad Abdin Interventional Cardiologist – Mercy Hospital Joplin

AMI and First Responders

“Emergent Management of Acute Myocardial Infarction: A Guide for First Responders”

Objectives:

1. Pathophysiology of Myocardial Infarction

2. Recognition of STEMI and NSTEMI in the Field

3. Critical Prehospital interventions

4. Decision-making in Transport

5. New Technologies and Medications

6. Collaboration with the Hospital Team

Janet Taylor CFRN, CCEMT-P, CEN

Them Bones

Them Bones: Handling Extremity Injuries

(1 hour) Janet Taylor

Intended Audience: BLS, ALS

Teaching Methods Used: Lecture, hands-on, demonstration, Video, Illustrations

NCCR: Trauma

Is it broken? What is the difference between a sprain and a strain? When are you allowed to walk on a broken leg? Which is better, a pillow splint or a flexible aluminum splint? What is compartment syndrome? When should we worry about this? This presentation will go over the bones, and joints of the human body, mechanism of injury, and splinting. We will also cover Compartment Syndrome and other post-surgical concerns of joint replacements/repair.

OBJECTIVES

1. Differentiate between a sprain and a strain

2. List the benefits of utilizing M.E.A.T. versus R.I.C.E

3. Identify the key points when assessing the effectiveness of a splint application.

4. List at least 2 S/S of Compartment Syndrome

5. Describe at least two assessment findings of a dislocated shoulder.

History mysteries 2.0

History’s Mysteries 2: Interesting Ways More Famous People Have Died

(1 hour). Janet Taylor

Intended Audience: BLS, ALS

Teaching Methods Used: Lecture, Video, Illustrations.

NCCR : Airway/Resp/Vent, Cardiac, Trauma, Operations, Medical

By popular demand, History’s Mysteries has a new sequel. We have more cases that bring light to different ways famous people have died. We will review cardiac, pulmonary, drug overdose and the complications that are commonly found in those who have had weight loss surgery.

OBJECTIVES

1. Differentiate between Epidural and subarachnoid intracranial bleed

2. List at least 2 risk factors for developing a pulmonary embolism

3. Define a “widow maker” MI and how it presents

4. List at least 2 complications from having bariatric surgery

"Don't know nothing 'bout birthin' no babies! Delivering a baby outside the hospital setting.

(1 hour or 1.5 hour versions available) Janet Taylor

Intended Audience: BLS, ALS

Teaching Methods Used: Lecture, Pictures/Videos, Demonstration and Q&A

NCCR : Medical

One of the most popular presentations of Janet’s and receiving compliments from obstetricians and midwives alike, this presentation has it all. We will review a normal pregnancy state and go right into basic delivery techniques as well as complications in childbirth including breech delivery, turtle sign with shoulder dystocia, and post-partum complications. *Disclaimer* Lots of pictures are involved in this presentation including frank pictures of the female perineum with crowning.

OBJECTIVES

1. Understand basic delivery techniques during a “normal” delivery.

2. Name the two presentations with crowning and which one is most common and ideal for baby and mom to enhance delivery.

3. List at least 3 complications that could occur with a delivery and know what interventions to perform to improve mother and baby outcomes.

4. Assess and treat both mother and baby in order to alleviate long-term complications that could be associated with delivery.

Live and Let Die

Let Die…with Dignity:

Handling Death and Honoring the DNR

1 hour Janet Taylor

Intended Audience: All Levels

Teaching Methods Used: Lecture, Graphics/Illustrations, Q&A

NCCR: Operations, Medical

How many have you responded to the residence of someone who is dying and when asked about DNR paperwork, the family responds, “Oh, we’ve been meaning to get that done “, or “it’s here somewhere”.

We will review the difference between dying and actively dying, and how to honor what your patient would have wanted, maybe even if the family isn’t willing.

OBJECTIVES

1. Differentiate between DNR, DPA and MOLST/POLST

2. Define “Comfort Care” and what it means to a patient/family.

3. Explain the best practice for handling a situation in which a patient is actively dying and doesn’t want resuscitation done, but doesn’t have paperwork.

4. Explain how to handle a situation where the family does not want to follow the patient’s wishes.

Fat Bottom Girls...No More! Side Effects of Weight Loss Surgery and Shots

"Fat Bottomed Girls… No More!: What EMS/Fire needs to know about weight loss drugs and surgeries

(1 hour) Janet Taylor

Intended Audience: BLS, ALS

Teaching Methods Used: Lecture, Q&A, Video

NCCR : Medical

Wegovy, Ozempic, and other “weight loss shots” are being prescribed for effective weight loss. Weight loss surgery has been around for years and the process has improved but there are still side effects, both long and short term. What happens when someone whose had weight loss surgery eats a Nachos Bell Grande with a Big Gulp and now has abdominal pain? What happens when someone has lost the weight with a weight loss shot and decides to discontinue ? Will they gain it back? Is this something they have to have for the rest of their lives ? What long term side effects would we expect to see after weight loss surgery?

OBJECTIVES

1. List at least two injectable medications that are now FDA approved for weight loss

2. Describe what a GLP 1 inhibitor is and how it works on the body

3. List at least three long term side effects of weight loss surgery

4. List at least 3 things that are considered No-Nos after weight loss surgery

Short Circut

Short Circuit: Seizures

1 hour. Janet Taylor

Intended Audience: All Levels

Teaching Methods Used: Lecture, Photos, Discussion, Video

NCCR : Medical

Seizure Disorders are more common than you think. At least 10% of the world population has had a seizure at least once in their lifetime. Many times, you can be in the presence of someone having an active seizure and not even realize it. In Hollywood, seizures are depicted as being someone foaming at the mouth and thrashing around for what seems like hours, but that really isn’t an accurate portrayal of what is going on. In this presentation, we will look at the new 2017 guidelines for categorizing a seizure, define Pseudo seizure versus “pseudo-seizure” (yes, there IS a difference) and determine which one seizure state is considered a true emergency and why.

OBJECTIVES

1. List at least three common triggers for seizures

2. Differentiate between Aura and Post-Ictal phases of seizure activity

1. Name the 3 classification guidelines of seizures according to the Epilepsy Foundation

2. List at least three common findings when assessing someone having a seizure

3. Differentiate between Tonic, Atonic and Clonic activity during a seizure

Industrial Revolution

Industrial Revolution: First Response in an Industrial Setting

(1 hour) Janet Taylor

Intended Audience: BLS

Teaching Methods Used: Lecture, Q&A, Illustrations, photographs.

NCCR: Trauma, Operations

Responding to a trauma in an industrial setting can be challenging just with the different settings possible in your service area. Welding shops, paint shops, farms/ranches, auto mechanics, and construction sites are just a few examples of what we can respond to. While general trauma care is still utilized, we need to understand specifics with industrial settings. In this presentation, we will address some of the specific injuries we would see in industrial settings. We will go over chemical exposures and decontamination, ocular injuries, high pressure injection injuries, degloving, impaled objects, and Harness/Suspension syndrome to name a few.

Objectives

1. Explain what section of the Safety Data Sheets you will find First-Aid Measures

2. Explain why removing clothing will fix many of your decontamination problems.

3. Differentiate between simple and complex eye injuries.

4. Explain why high-pressure injection injuries are always more destructive under the surface

5. List one instance in which an impaled object should be removed.

Steve Rahm NRP, FcEHS

Virtual Cadaver Lab

M.A.R.C.H. Out of the Darkness: The Anatomical Reality of Emergent Care Web-A-Daver

This Web-A-Daver based presentation takes a unique, human cadaver-based approach, to our most serious medical challenges. We will sequential define the lifesaving acronym M A R C H (Massive Hemorrhage, Airway, Respirations, Circulation and Hypothermia) while looking “below the skin” for a deeper understanding. This treatment centric session is designed to specifically uncover key problems, while illuminating current strategies for our patient’s most lethal challenges. While M A R C H likely originated in the United Kingdom, it has rapidly been adopted by our nation’s most specialized teams, and subsequently by emergency medicine providers, as a guide when the going gets bad. This simplistic approach for the gravely injured has a history in combat care but, as importantly, essential applications far behind the battlefield.

Objectives:

Define structural anatomy that can hinder or assist management of life-threatening problems identified sequential in MARCH.
List identify and demonstrate key management components for each letter in the MARCH acronym.

12-Lead

Introduction to the 12-Lead ECG

Stephen J. Rahm, NRP

In emergency medicine, whether in the field or in the emergency department, major decisions often cannot be made without a 12-Lead ECG. Proper acquisition and timely and accurate interpretation of this key assessment tool sets the tempo of how the continuum of patient care proceeds.

This presentation is designed to engage the initial learner, as well as provide a detailed review for the experienced provider, in the skill (and art) of navigating and interpreting the 12-Lead ECG. Frequent review and practice are vital in avoiding knowledge decay, especially if you do not interpret ECGs on a regular basis.

Accurate interpretation of the 12-Lead ECG requires a systematic, methodical approach, and that’s exactly what we will do during this presentation. Following a review of key principles, including fundamental electrocardiography; proper lead placement (crucial in obtaining a diagnostic quality ECG); waveforms, intervals, and segments; and cardiac axis determination, we will proceed down the path of navigating a 12-Lead ECG tracing, using multiple example ECGs, to see what problems we can unearth.

When you complete this session, you will be confident in your newfound skill, and perhaps more comfortable if you’ve had previous 12-Lead ECG education. The end goal is that you will increase your diagnostic abilities in identifying patients with time-sensitive cardiac problems.

Well Nut's

Well Nuts! Procedural Errors and Why They Occur

Stephen Rahm, NRP, FcEHS

So, you made a procedural error; things didn't go quite the way you intended them to. Now what? First, you MUST forgive yourself, otherwise you will forever dwell in the graveyard of that experience. Harsh self-judgement can negatively affect your mental health and potentially end your career prematurely. Next, you must determine why the error occurred and what can be done to prevent it from happening again. Was the error caused by a lack of general procedural knowledge (and the training required to achieve procedural competence) or was it caused by a lack of anatomic awareness (yes, that too can be fixed with training and education).

Based on years of experience working with EMTs, paramedics, nurses, and physicians in a human anatomy lab, this presentation explores common procedural errors, why they occur, and how they can be prevented. Included in the discussion are hemorrhage control, chest decompression, vascular access, bag-mask ventilation, intubation, and cricothyrotomy.

Objectives:

1. Explain the concept of a Just Culture.

2. Discuss common procedural errors and why they occur.

3. Explore the anatomy as it relates to the procedure being discussed.

Precious Cargo

Precious Cargo: Maternal Cardiac Arrest

Stephen J. Rahm, NRP, FcEHS

The incidence of out-of-hospital maternal cardiac arrest (OOH-MCA) is 0.0018%, or 1.8 per 100,000 pregnant women, according to published literature. OOH-MCA may be an extremely low-frequency event, but it is of extremely high value and requires modification to resuscitation principles and practices. Are you and your agency psychologically and logistically prepared if such an event happened today?

While the maternal mortality rate (MMR) has decreased and plateaued worldwide, it continues to steadily increase in the U.S. We now have insight as to why this is occurring. While cardiac arrest during pregnancy can be caused by some of the same etiology that affect non-pregnant patients, most are the result of etiology that were previously unknown—until now.

This presentation begins with a review of the anatomic and physiologic adaptations to pregnancy, and the relevance of those adaptations to your assessment and management of MCA. Because we now have a better understanding of what causes OOH-MCA, we are better postured to prevent this catastrophic event from ever occurring. Procedural modifications for OOH-MCA will then be discussed, as well as the latest evidence-based resuscitation guidelines and appropriate transport destinations.

Objective:

1. Discuss the prevalence of maternal cardiac arrest in the United States.

2. Understand the anatomic and physiologic changes that occur during pregnancy.

3. Utilize your knowledge of the common causes of maternal cardiac arrest to prevent the

event from happening.

4. Discuss key procedural and logistical modifications to resuscitation that are critical to the

patient’s outcome.

Airway Management

Airway Management: The Anatomy, Physiology, and Procedure

Stephen J. Rahm, NRP

This presentation has been updated to include the 2024 Prehospital Airway Management Evidence-Based Guidelines. Do you measure your success at airway management on whether you “get the tube,” or do you measure it by how well you keep the patient oxygenated and ventilated? The techniques to achieve effective oxygenation and ventilation vary—but the end game does not (and cannot).

This presentation begins with a review of key airway anatomy utilizing high-resolution cadaveric images. You will see exactly where your simple airway adjuncts and supraglottic airways—when properly placed—sit in the airway, perhaps giving you a better understanding of how they work and how effective they can be. Sure, we’ll discuss good intubation technique, but not before resetting the concepts of foundational airway management in our minds.

We will then review the physiology of ventilation to appreciate that breathing does more than just move air into and out of our lungs. You will then understand and appreciate why it’s healthier for patients to let them breathe on their own. Have you ever been ventilating a patient and totally trashed their blood pressure? After this discussion, you’ll understand why this happened, as well as how it could have been prevented.

Bottom line: if you deliver a well oxygenated and ventilated patient to the emergency department, regardless of how you achieved it, your patient wins every time. On the other hand, if you deliver a hypoxemic, hypotensive patient…well, you can see where that train will go.

Objectives

1. Review key structures of the upper and lower airway.

2. Discuss the differences between oxygenation, ventilation, and perfusion.

3. Understand the difference between negative- and positive-pressure ventilation.

4. Appreciate the effects of positive-pressure ventilation on cardiac output.

5. Discuss the role of basic and advanced adjuncts in airway management

Illumination Without Solution

Illumination without Solution: A Direct Pathway to Repeated Failure

Stephen J. Rahm, NRP, FcEHS

Procedural errors are relatively common in emergency medicine. Fortunately, most of them do not cause harm to the patient—for example, missing an IV on the initial attempt, but being successful on the second. However, procedures such as intubation and thoracic decompression carry a higher risk potential, leaving a very narrow margin for error. The question is: when a significant procedural error occurs that harms a patient, how is it addressed? Is it “shrugged off,” or are deliberate (productive, not punitive) actions taken to minimize the risk of repeating the error? Here’s another question: do you have training and education processes in place to prevent the error from happening in the first place? Here’s a third question: have you ever read a research paper that identifies a problem, but offers no solution? Chances are, you have because there are tons of them! Illuminating a problem, but offering no solution, puts you on a collision course to repeated failure! While the focus of this presentation is on airway management and intubation, the same principles apply to any emergent procedure. Imagine one of your providers making a serious procedural error, but never understanding why it happened. Not only would that set them up for repeated failure, but it would create a bad memory that could have a significant psychological impact on future performance, as well as their general mental well-being.

OMI-Stemi

Heart Alert! ECG Patterns of Acute Cardiac Ischemia

Stephen J. Rahm, NRP

Intended for providers who possess both basic and advanced multi-lead ECG interpretation skills, this presentation takes the audience from rapid recognition of the “in your face” STEMI to the less obvious ECG indicators of acute coronary occlusion that rely upon a keen eye for reciprocal changes and a knowledge of ECG patterns that are considered to be STEMI equivalents.

Based on the leads in which ST/T wave changes are noted, the provider should be able to anticipate where the culprit artery is, thus allowing him or her to anticipate prehospital treatment needs. This presentation features numerous multi-lead ECG tracings—from not so difficult to rather challenging—along with associated patient presentations and pre- and postcardiac catheterization images.

Session Objectives:

1. Correlate various ECG lead configurations with coronary anatomy.

2. Understand indicative and reciprocal ECG changes and apply them to your diagnosis of a

patient with acute coronary occlusion.

3. Recognize the ECG signs of acute occlusion of the right coronary artery, left anterior

descending coronary artery, and circumflex artery.

4. Identify ECG patterns that warrant additional ECG views in order to maximize your

diagnostic yield.

5. Identify ECG patterns that are consistent with acute coronary occlusion, but do not

present with ST elevation.

Scott Lail

"Shepherd Leadership…How Strong Are You?"

Chief Scott Lail, EMT-P, FP-C, CFE

Abstract:

There are tens of thousands of books and theories about Leadership; how to lead, how to be effective, how to build teams, etc. Yet, even with all that information, it still comes down to your interactions with people! Based on the bestselling book "The Way of the Shepherd," this lecture explores a leadership philosophy that puts your people and their well-being first. It also focuses on making the team as strong as possible. While the 7 principals seem simple and full of common sense, Shepherd Leadership requires a significant commitment from the leader! So, are you strong enough to lead by putting your people first?

Objectives:

Upon completion of this lecture, the participant will:

1. Understand the numerous leadership paths.

2. Describe the progression of the principles.

3. Discuss ways to implement the principles.

4. Express the thoughts pertaining to the strength required to lead.

Outline:

I. Introduction

II. Background

A. Is there a better way

B. "The Way of the Shepherd"

III. The Seven Principals/Secrets

A. How they work

B. How they apply

IV. Are you strong enough

V. Conclusions and Discussion

Teaching Methods:

Lecture and Visual Aids, Case Study

References:

Attendees will be inspired to embrace a leadership perspective that transcends traditional hierarchies. Individuals at all levels of an organization, including those who may not currently hold leadership positions, will be empowered to cultivate essential leadership skills and envision themselves as future leaders.

A leadership philosophy rooted in prioritizing the welfare of team members and nurturing a cohesive, robust team culture will be explored. Drawing insights from the acclaimed book "The Way of the Shepherd," the session will highlight the transformative potential of incorporating the 7 foundational principles of Shepherd Leadership into one's everyday interactions. And, by instilling a sense of purpose and a passion for service-oriented leadership, attendees will be inspired to recognize their innate leadership abilities and lead with compassion and integrity. Are you prepared to embark on a journey of personal and professional growth, paving the way for a new generation of inclusive and empathetic leaders? Are you strong enough to lift others to their potential?

Join us in exploring the profound impact of prioritizing people-centric leadership principles in shaping a brighter future for individuals and agencies.

The Party Bus

Abstract:

Public Safety is one of the most rewarding, most demanding careers you can choose. It is filled with unbelievable experiences and some of the highest highs and lowest lows. One of the constants, though, is that Public Safety is home to some great characters! This humorous and insightful lecture examines the three basic types of people on your Party Bus and explores how they impact all aspects of your mission. If you are a team leader or a team member, you must be able to recognize those basic characters, understand their place in your organization, and realize what motivates them. This lecture also discusses ways to work with and around these people and different techniques to help make them the best contributors they can be.

Objectives:

Upon completion of this lecture, the participant will:

1. Understand the effects of "buy-in" from employees.

2. Describe the different types of people you work with.

3. Discuss ways to build teamwork.

4. Express pathways for professional improvement.

Outline:

I. Introduction

II. Background

A. Why Me

B. What is the Party Bus

C. Standing in the bottle

III. The Team

A. Drivers

B. Passengers

C. Hitchhikers

D. Hijackers

IV. Changing & Building

V. Conclusions and Discussion

Teaching Methods:

Lecture and Visual Aids

References:

"It's Not Just Business; It's Personal"

Chief Scott Lail, EMT-P, FP-C, CFE, AAS

Abstract:

This lecture will attempt to draw responders and providers back to a more "patient need/customer service based" attitude about their jobs! Starting with the impression we make and 'why are you in this business’ through training, education, mentoring, and beyond. From First Responders to EMTs, to Fight & Critical Care Paramedics, and Hospital personnel, they should take great pride in the service they render and hold themselves to the highest possible standards. If we want our field to evolve from just a ‘cool job’ to a ‘profession and career,’ providers need to realize that EMS is not just a business and begin to take their patient-care performance personally!

Objectives:

Upon completion of this lecture, the participant will:

1. Identify the importance of First Impressions.

2. Determine how patients view responders.

3. Contrast how responders view patients.

4. Evaluate and apply “The Butterfly Effect.”

Outline:

I. First Impressions

II. Our Image

a. Appearance

b. Tone

III. Customer Service

a. External

i. Patients

ii. Outside personnel

b. Internal

i. Management

ii. Partners

iii. Mentoring

IV. The Butterfly Effect

V. Conclusions

"There is no “I” in Airway"

Scott Lail, EMT-P, FP-C, CFE, AAS

Abstract:

As EMS Responders, we are given a huge responsibility…we are often tasked with managing an airway that our patients cannot manage themselves. To make things even more difficult, we are expected to intervene flawlessly in less-than-ideal conditions. The sad fact is that we are not always flawless or successful. And, when we fail, the outcome for the patient can be catastrophic.

This lecture will call our airway management skills, procedures, and past education into question. The end result is we, as Responders, are better equipped to manage those airways that depend on us and greatly improve our success.

Objectives:

Upon completion of this lecture, the participant will:

1. Identify the importance of Airway Management.

2. Understand how Paramedic Airway training is lacking.

3. Evaluate a systematic approach to Airway Management.

4. Apply the new decision path.

Outline:

I. What is our job

II. Training

a. Anesthesiologists

b. ED Doctors

c. Paramedics

III. Change in Thinking

IV. Decision Tree

a. Non-invasive

b. Invasive

V. Conclusions

“Motorcycle Mania and the Iron Horse Culture”

Scott Lail EMT-P, FP-C

ABSTRACT

Love ‘em or hate ‘em, the motorcycle is as popular as ever! With advances in technology, some motorcycles are capable of speeds up to, and past, 200 mph. When accidents occur at such velocities, EMS providers are faced with injuries that they may have never imagined. This exciting and entertaining lecture presents a brief history of motorcycles, moves through different types of bikes and their capabilities, and discusses different types of protective gear. It also goes where other EMS classes haven’t and looks at some different types of Motorcycle Clubs including the ‘outlaw’ lifestyle. The class will also describe the proper ways to handle a downed riders ‘cut & colors’ to help the EMS provider avoid a potentially volatile situation.

OBJECTIVES

1. Understand the history, different types, and capabilities of motorcycles.

2. Compare and contrast the various types of protective equipment and discuss their safety value.

3. Improve patient care for the downed rider by gaining insight into the forces involved in a motorcycle accident.

4. Gain a better understanding of Motorcycle Clubs, how they operate, how to interact with them, and how to appropriately handle the patient and their vest.

OUTLINE

I. Introduction and Motorcycle Statistics

II. Motorcycle History

III. Types of Motorcycles

A. Cruisers

B. Sport Bikes

C. ATVs & Others

IV. Protective Equipment

A. Helmets

1. Styles

2. Helmet Statistics

B. Leathers

C. Full Protective Gear

V. Types of Injuries and Forces

VI. Motorcycle Clubs & Groups

A. History and Evolution

B. Cuts & Colors

1. Vests

2. Patches

3. Back Patches and Rockers

C. Transport Considerations

VII. Conclusions

Normal vs. Special Needs Patients: Let’s Redefine “Normal”

Chief Scott Lail, EMT-P, FP-C, CFE

Abstract:

“Special Needs” is an umbrella term with a huge array of diagnoses. Children and adults with special needs may have mild learning disabilities or profound mental & physical difficulties; simple developmental delays that show up early or remain entrenched; occasional panic attacks; or serious, life-changing psychiatric problems. When these conditions are combined with a critical illness or injury and involve movement to more specialized treatment, air and ground transport programs are faced with a challenging mission. This lecture will take an emotional, introspective look at how we view and interact with these patients. It will also review some important concepts and “pearls” for transport personnel.

Objectives:

Upon completion of his lecture, the participant will:

1. Discuss the Definition of “Special Needs”

2. Compare a Special Needs patient’s physical & emotional assessment to a “normal” patient’s assessment.

3. Describe the importance of recognizing the issues related to caring for the Special Needs population.

4. List the transport considerations needed for the safe and effective transport of the Special Needs patient.

Outline

I. Define Special Needs

II. Down Syndrome

A. Statistics

B. Characteristics

III. Defining Normal

IV. Assessment & Interactions

A. General

B. Verbal

C. Physical

V. Treatment & Transport Considerations

VI. Call for Change & Conclusion

References:

Frank T. McGehee, MD (personal communication, January 30, 2009)

Heather Lincoln, CLS, CPST (personal communication, December 10, 2008)

Down Syndrome. (n.d.). Retrieved January 2, 2009 from National Down Syndrome Society, Web site: http://www.NDSS.org

Holleran, R.(2010) Air and Surface Patient Transport: Principles and Practice.

Mosby, New York, NY, 4th Edition

McCance, K and Huether, S. (2002) The Biologic Basis for Disease in Adults and Children. 4th. ED, Mosby

"Be Where Your Feet Are…Building Your Own Resiliency"

Chief Scott Lail, EMT-P, FP-C, CFE

Abstract:

We see things we should not see and hear things we were not meant to hear. So what happens when the experiences are too much, and your plate is full or begins to overflow? What if there was something we could do to proactively prepare ourselves for these traumatic events and help mitigate their effects on us? Luckily, there IS something we can do; we can build full-scale resilience! This session will offer a brief introduction to the challenges associated with reactive responses to trauma. More importantly, it will explore several techniques to help Responders build their own resiliency. This lecture is appropriate for everyone from the newest rookie to senior leadership and management, and the discussion may range from emotional and dark to smiles and laughter. Ultimately, it is designed to help Responders live their best life!

Objectives:

Upon completion of this lecture, the participant will:

1. Understand the effects of traumatic events on the brain.

2. Describe the structures of the brain that guide memory.

3. Discuss ways to build your resiliency.

4. Express pathways for professional assistance.

Outline:

I. Introduction

II. Background

A. West Explosion

B. Readiness Group

C. FBI National Academy Master Resiliency Class

III. The Science of Trauma

A. Prefrontal Cortex

B. Limbic System

IV. What is Resilience

V. Building Resilience

A. The Standards

B. Find Your Why

C. Your Person

D. Gratitude

E. Be Where Your Feet Are

VI. Conclusions and Discussion

Teaching Methods:

Lecture and Visual Aids, Case Study

Autism Interactions for First Responders

Ryan Woodard

Autism Interactions for First Responders is valuable training for all first responders. This has been

developed with input from EMS and FD educators, LEO educators and Mental health professionals,

along with counselors, therapists, and most importantly those living with someone with ASD. This is in partnership with the Autism Foundation of Oklahoma.

Handtevy

The Handtevy Pediatric System is a catalyst for enhancing emergency care outcomes for critically ill and injured individuals across all age groups. Our comprehensive strategy, encompassing app customization, in-depth Handtevy Mobile training, and hands-on courses equips medical professionals with vital resources.

Addressing Healthcare Gaps-The Role of Mobile Integrated Healthcare

Justin Lemery

Director of EMS

Tulsa Fire Department

The traditional pre-hospital response model is not proving to meet system demands or needs of our most vulnerable populations. The model is also playing a role in burnout of first responders and costing tax payers big money. By implementing a Mobile Integrated Healthcare program, you can begin to address root cause issues and improve the mental health of first responders and 9-1-1 system delivery. Attendees of this session will be able to define a Mobile Integrated Healthcare program, describe how to implement community paramedicine, identify gaps in pre-hospital healthcare delivery, and how to measure success of the MIH program.

De-Escalation Through Technology

Justin Lemery

Director of EMS

Tulsa Fire Department

Crisis incidents require situational awareness, informed decision making, and the ability to slow the scene down. By utilizing drones, the Tulsa Fire Department has been able to improve the response to individuals in crisis through co-response teams and help to effectively de-escalate dynamic mental and behavioral health crisis incidents. Attendees of this session will gain knowledge around basic policy and regulations, how to implement co-response teams, and identify how robotics can be used during crisis.

Objectives:

Improve knowledge around uses of robotics and develop strategies for deploying this technology in crisis.
Understand basic policy and regulations around the use of drones.
How to implement co-response teams in crisis.

SET Team

Field Amputation Surgical Teams: The Evolution of Rural Trauma Response in the 21st Century

Dr. Lindsay DaVault

This presentation will provide a brief overview of the evolution of the Surgical Extraction Teams from the inception through today. It will review activation processes, outreach efforts and campaigns, as well as provide attendees with a firsthand account of the Millcreek Marietta Quarry Activation.

Dr. Flynt: Pediatric Psych and Transport

David Seastrom BSN, RN

Extreme Cases in Pediatric Trauma 1

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

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.

Holly Ilg BSN, Portland Fire & Rescue, Community Health Nurse

Sepsis

Sepsis Recognition and Management

Sepsis is a life-threatening condition that demands rapid identification and intervention. In this course designed specifically for EMS providers, participants will gain the knowledge and skills to recognize the early signs of sepsis, understand its pathophysiology, and implement effective pre-hospital management strategies to improve patient outcomes. We will also cover common medications you might encounter when doing hospital transfers and how to manage them effectively.

Diabetic Emergencies

Diabetic Emergencies and Wearable Technology for EMS Providers

Diabetic emergencies, such as hypoglycemia, hyperglycemia, and diabetic ketoacidosis, are common and potentially life-threatening conditions encountered by EMS providers. In this 1-hour course, participants will learn how to quickly recognize and manage diabetic emergencies in the pre-hospital environment, with a particular focus on leveraging wearable technology to improve assessment and patient care.

Medication For Opioid Disorders: Administering Buprenorphine

Medication for Opioid Use Disorder (MOUD) for EMS Providers: A Portland Fire and Rescue pilot study

This course will discuss the implementation of the innovative program designed to empower EMS providers to deliver lifesaving care to patients with opioid use disorder (OUD). This pilot program bridges the gap between emergency response and long-term recovery by equipping EMS teams with the tools and training to administer Medication for Opioid Use Disorder (MOUD) in the field.

Participants will learn how MOUD integrates evidence-based practices into prehospital care, including the use of buprenorphine to alleviate withdrawal symptoms and stabilize patients. The session will also highlight early outcomes from the pilot, success stories, and lessons learned, offering attendees a roadmap for implementing similar initiatives in their own communities.

Differential Diagnosis In Chest Pain

Differential Diagnosis of chest pain:

Chest pain is one of the most common and potentially life-threatening symptoms encountered by Emergency Medical Services (EMS) providers. This course aims to equip EMS personnel with the knowledge and skills necessary to accurately assess and differentiate the various causes of chest pain, ensuring timely and appropriate treatment. Through an in-depth exploration of common and emergent conditions, participants will gain a deeper understanding of how to recognize critical signs, prioritize interventions, and determine when advanced care or transport is necessary.

Trauma Triad

The Trauma Triad: Key Factors in Trauma Management for EMS Providers

The Trauma Triad—hypothermia, coagulopathy, and acidosis—is a lethal combination that can rapidly worsen the condition of trauma patients and lead to death if not addressed quickly and effectively. This 1-hour course will teach EMS providers how to recognize and manage the Trauma Triad in the field, focusing on early intervention and prevention strategies to break the deadly cycle and improve patient survival.

Needle Decompression in the Field:

Discuss the indications, technique, pitfalls, and outcomes of pre-hospital needle decompression for tension pneumothorax in trauma patients

Dr. Powell

Lecture Synopsis:

The airway-breathing-circulation (ABC) model was previously the standard for trauma resuscitation. However, studies have shown that CAB can lead to better outcomes for patients with severe bleeding injuries. This lecture outlines the challenges of trauma resuscitation, as well as the physiology, data, and decision-making algorithm for this new(er) approach to trauma resuscitation as well as with traumatic cardiac arrest.

Resilience

Danny Long

Oklahoma Department of Public Safety

Introduction to the First Responder Wellness Division. Who we serve, how we serve along with our treatment options.

Effects of cumulative trauma on the first responder along with ways to combat them.

Rescue Task Force

Bill Justice

COURSE GOALS: The goals of this course are as follows:

Ensure students have an excellent understanding of rescue task force tactics and strategy.

To provide students with an inventory of appropriate equipment to be used when performing a mission.

Understand and embrace the concept of tactical emergency treatment

Recognize and identify tactical zones of operations (Direct, Indirect and Cold Zone)

Understand interior and exterior casualty collection points (CCP) and patient movement protocols

To provide students with an understanding of rescue task force responsibilities, techniques, and strategies.

Stop the Bleed

Marc Crawford

Trauma-related deaths account for approximately 40% of fatalities worldwide, with severe bleeding being a leading cause. Time is critical, as someone experiencing severe bleeding can succumb in as little as 5 minutes. Our training emphasizes the urgent need for bleeding control to preserve life by containing blood loss and keeping it within the body.

This course follows OSHA guidelines and covers bleeding control techniques like identifying types, applying pressure, wound packaging, and using a tourniquet.

Pediatric psychiatric and behavioral health emergencies in transport

Jennifer Flint, MD

Internal Medicine | Pediatrics | Pediatric Critical Care

•Discuss the pediatric psychiatric and behavioral emergency needs in transport

•Introduce a behavioral health observation tool to score the severity of behavior in a pediatric patient

•Review recommendations for medications/doses/indications specific to pediatric patients.

•Discuss pre-transport risk assessment tool and high risk patients

•Provide strategies to maintain patient and crew safety

•Review institution-specific Clinical Practice Guideline for Interfacility Transport

EMS Instructor CEUs/NREMT updates

JW Snell

Stay ahead of the curve with your instructor CEU requirements! Join us for an engaging session where we’ll explore the latest trends and best practices for teaching EMS and fire students. Dive into updates from the National Registry of EMTs, get a sneak peek at upcoming instructor guidelines from the American Heart Association and American Red Cross, and learn about the newest changes from the Oklahoma State Department of Health EMS Division. This course is designed to keep you informed, inspired, and ready to excel in your role as an instructor.

American Heart Association Skills Testing Sessions

Skills testing stations for the following courses will be available. You will purchase and complete the online session sold separately either at the following links or from an AHA instructor near you before the conference. On the day of the event you will bring your completion certificate with you and we will complete your hands on session. You may purchase and complete as many as you need below.

The following sessions are for American Heart Association, to inquire about options for American Red Cross please contact Oklahoma State University Fire Service Training at 405-744-5727.

Basic Life Support

https://secure.touchnet.com/C20271_ustores/web/product_detail.jsp?PRODUCTID=4063

Advanced Cardiac Life Support

https://secure.touchnet.com/C20271_ustores/web/product_detail.jsp?PRODUCTID=4244

Pediatric Advanced Life Support

https://secure.touchnet.com/C20271_ustores/web/product_detail.jsp?PRODUCTID=4246

Advanced Stroke Life Support

https://secure.touchnet.com/C20271_ustores/web/product_detail.jsp?PRODUCTID=4289

Investigating Marijuana Grow Operations

Restricted to active law enforcement personnel only

This course covers the history of the marijuana industry in Oklahoma leading to the current status of Oklahoma as a medical marijuana State. The course features indicators of illegal activity as well as the evolving investigative techniques utilized by the Oklahoma Bureau of Narcotics. The course will include a case study of an OBN investigation.

GRACIE

Royce Gracie

G.R.A.C.I.E. (Gracie Retention and Control for Immediate Enforcement) is the defensive tactics and weapons retention course created by the legendary Royce Gracie, 3-time Ultimate Fighting Champion. Royce earned his title by defeating his opponents using Brazilian Jiu-Jitsu, proving the effectiveness of leverage and technique over strength and size. Royce has incorporated these defensive tactics techniques into a comprehensive training course specifically designed for law enforcement. Like many skills, defensive tactics are perishable; therefore the G.R.A.C.I.E. program is the “only” defensive tactics program that will help officers on how to effectively defend their weapons in all altercations. Topics that will be covered: • Distance management • Positional control • Defending common attacks • Takedowns • Weapon retention • Many more

Profiling Dangerous People

Phil Chalmers

This live training is classroom based, is fast-moving and edgy, and contains hundreds of crime scene photos and active shooting videos. Chalmers pulls no punches when he walks his attendees through the world of homicide and murder, which can be a very dark place. He educates his attendees about teen murder, school shooters, mass murder, serial murder, youth culture and crime prevention. During the training, attendees will get the rare opportunity to interview a serial killer or school shooter live on the phone, allowing them to ask questions they always wanted to ask of these violent offenders.

Introduction to ATV / UTV Operations for First Responders

Mark Byfield

This is an introductory course designed to instruct students on the proper maintenance, operation, and risks / benefits associated with implementing ATVs / UTVs for emergency service operations. The course is eight (8) hours in length, with four (4) hours of classroom training and an additional four (4) hours of vehicle operations training. The classroom portion of the training will cover preventive maintenance, proper safety equipment, terrain identification, mapping and current accident trends. The operations portion will consist of off-road driving, and trailer operations. (Attention Guardians 2025 ATV/UTV Course Participants! - If you're joining us for the ATV/UTV Course at the Guardians 2025 Conference, please remember to bring your own ATV or UTV and safety equipment (helmet, gloves, eye protection, etc.).We will have a limited number of loaner vehicles available, but they are first come, first served. If you're unable to bring your own, please plan accordingly.)

Officer Safety & Survival Training

Eric McAffrey

This training program seeks to provide actionable risk-reduction strategies for dealing with the increasing levels of violence being experienced by law enforcement officers across the country. The program will focus on sharpening the officer’s survival mindset, providing strategies and tactical problem-solving concepts for detecting danger, prevailing against ambushes and spontaneous attacks whether they are responding to calls for service or off-duty. Law enforcement is inherently dangerous but by mitigating the risks we can increase the chances we all go home to our families at the end of our shift.

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