Course Descriptions

Exertional Syndromes in Training & Conditioning: Perilous & Preventable

Scott Anderson

Three common exertional syndromes resulting in fatality in athletes engaged in training and conditioning are cardiac, exertional heat stroke, and exertional sickling in an athlete with sickle cell trait. These syndromes are also seen in military, law enforcement, and fire fighter recruits given the shared, common components of our training. Exertional rhabdomyolysis is yet another risk that is typically nonfatal but becomes a grave risk in the athlete with sickle cell trait. Exertional heat stroke, exertional sickling, and exertional rhabdomyolysis are preventable as we can identify who is at risk, why they are at risk, and what precautions are effective in preventing the onset of these syndromes.

Azeemuddin Ahmed, MD, MBA

Kyle Arnall

Stop the Bleed

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.

Life or Limb: Field Amputation to Rescue Trapped Patient

Lecture objectives:

Recognize the clinical scenario where a limb amputation is required.

Describe the clinical, logistical, and administrative challenges associated with a field limb amputation.

Prepare for the call for a limb amputation in your response area.

Anna Bailey

Emergency Medical Services (EMS) generate vast amounts of data every day but turning that information into meaningful improvements requires more than just collection, it demands analysis, interpretation, and action. This session explores how EMS data can be leveraged to drive research that informs better patient outcomes and system efficiency.

Gary Berryhill

Peer Support & Training Manager

SURVIVING AND THRIVING YOUR CAREER AS A FIRST RESPONDER

This course discusses the common reactions to workplace stress and trauma to illustrate the pitfalls of any First Responder (current or retired) work environment. We will review the effects of job-related trauma and the cumulative toll those stressors can have as well as how to take control of your “off duty” time. The course concludes with a discussion of resources including PEER support and other services available.

Dr. Authur Grimes

Inpatient care for trauma patients – what happens after the emergency department

Upon completion of this session, first responders will improve their understanding of inpatient trauma care by learning about:

1. Life threatening injuries that require prompt Trauma Surgery evaluation

2. Initial Trauma evaluation in the Emergency Department

3. Injuries that require immediate operative intervention

4. Indications and outcomes of resuscitative thoracotomies

Dr. Patrick Cody

Community implementation of mobile integrated health: and introduction and case studies in success

This presentation will provide learners with a framework for understanding the benefits of mobile integrated healthcare.

By the end of the presentation, participants will:

Be able to describe the history and structure of MIH
Be able to discuss ways MIH can offload the 911 system
Understand mobile Medication Assisted Therapy Induction
Be able to describe mobile crisis response
Be able to describe a mobile medical screening and clearance protocol

Dr. Coffey

First Responder Wellness

Moral Injury

Angie Cunningham

MCI Boot Camp

Join NCTTRAC for a hands-on Pulsara MCI Boot Camp, designed to prepare healthcare teams for effective multi-casualty incident (MCI) response using the Pulsara platform. This interactive training will cover real-world scenarios, streamline communication between hospitals, EMS, and regional coordination centers, and enhance situational awareness during high-pressure events. Participants will gain practical experience in patient tracking, triage coordination, and inter-facility communication to improve outcomes during mass casualty incidents.

Who Should Attend: Hospital staff, EMS personnel, and regional healthcare partners involved in emergency response and disaster preparedness.

Learning Objectives:

Master Pulsara workflows for MCI scenarios
Enhance coordination between EMS, hospitals, and RACs
Improve patient tracking and triage efficiency
Apply practical strategies in simulated multi-casualty exercises

MED OPS Presentation:

Networked communication through a HIPAA-compliant platform used to deliver patient reports from EMS to hospitals daily, and scaling effortlessly to patient triage, real-time load balancing, patient tracking, and reunification in MCI or other high-stress events is transforming healthcare today. This presentation will provide real-world examples and detail how a robust communication infrastructure across disparate organizations allows all healthcare providers to connect the right team for the right patient, whether being treated on scene, transported to an alternative destination, or to a receiving hospital.

Dr. Lindsay DaVault

Surgical Extraction Team Foundation

Dr. Curtis Knoles

EMS-C Update

This presentation will share updated information for pediatric emergency medicine.

Johnnie Gilpen Jr.

Dying to Serve: A Crisis Hidden in Plain Sight

Suicide among first responders and veterans now rivals—and in some sectors exceeds—line‑of‑duty deaths, yet it is often approached primarily as a series of individual tragedies. This session reframes suicide risk as an occupational challenge shaped by chronic trauma exposure, organizational culture, and the way systems prepare, support, and sustain their personnel.

Drawing on operational experience, current epidemiology, and leadership principles, the presentation explores common structural and cultural factors that influence risk, including limitations of traditional training models, stigma tied to professional identity, concerns about liability, and gaps in transition planning. Attendees will be invited to reconsider how psychological readiness fits alongside physical and tactical readiness.

The session concludes with a practical, leadership‑centered framework that integrates mental health awareness into supervision, training, and operational practice without lowering standards or mandating therapy. The goal is to strengthen force preservation by treating survival and long‑term well‑being as integral components of service.

Dr. Jeffrey Goodloe

Airplane! When It's Not the Movie, It's a Real-Life Situation:

Emergency Care at 30,000 Feet

Although you likely traveled some roads by motor vehicle to Guardians of the Heartland, you'll hopefully be on a flight to somewhere even more fun soon. What if there was a "medical emergency" (real or perceived) on your flight? Would you know what to do? What are the regulations surrounding in-flight care? What equipment is, and more importantly, isn’t available? This interactive discussion will equip you with the mindset to succeed at 30,000 feet using the insights and experiences of a veteran traveler and 38-year EMS veteran from street EMT and medic to flight physician to EMS medical director. We'll cover all you need to know to expertly navigate what comes after, "Ladies and Gentleman, is there a medical professional on this flight?"

David Gooseshaw NRP

Documentation: Pre- to Post-Hospital and the details in between

Upon completion of this session, participants will improve their competence and performance by being able to:

1. Understand the Role of Documentation in Liability.

2. Recognize the Importance of Documentation in the Continuum of Care.

3. Identify Best Practices in EMS Documentation.

4. Understand the Impact of Documentation on Billing and Reimbursement.

5. Evaluate the Real-World Applications of Documentation in Patient Care.

6. Implement Strategies for Improving ePCR Completion and Timeliness.

Time is Brain: Advancing Pre-Hospital Stroke Care

- Understand the concept of "Time is Brain"
- Recognize the importance of early stroke recognition
- Explore the role of pre-hospital providers in stroke care
- Master rapid stroke assessment techniques
- Review key treatment priorities
- Examine the impact of time on stroke outcomes
- Discuss advanced pre-hospital stroke protocols

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

Dr. Authur Grimes

Inpatient care for trauma patients – what happens after the emergency department

Upon completion of this session, first responders will improve their understanding of inpatient trauma care by learning about:

1. Life threatening injuries that require prompt Trauma Surgery evaluation

2. Initial Trauma evaluation in the Emergency Department

3. Injuries that require immediate operative intervention

4. Indications and outcomes of resuscitative thoracotomies

Sarah Hales RN

Pediatric Medical-Trauma Jeopardy

Pediatric Jeopardy for EMS! Test your pediatric skills in a fast-paced, game-show style challenge! Buzz in, compete with your crew, and tackle kid-focused knowledge in a fun, high-energy showdown. Learn, laugh, and level up your confidence with the littlest patients — bragging rights included!

Pediatric Altered Status

David Howerton NRP

What should you do or not do when dispatched to a tactical team operation. The group will cover what you should do to prepare, and things you shouldn’t do while staging at a tactical or special teams operation.

Bill Justice NRP, TEMS-I

This presentation will be focused on new updates from the (C-TECC) Committee on Tactical Emergency Casualty Care. Topics will include changes to bleeding control techniques, TQ application, conversion, and time as it relates to TQ application, hemostatic product use.

Discussion will also include civil unrest response, SALT Triage, Casualty collection point management, and (AEP) Ambulance exchange points.

Scott Lail

Normal Vs. Special Needs: Let's Redefine Normal

"Special Needs" is an umbrella term with a vast array of diagnoses. Children and adults with special needs may have mild learning disabilities or profound mental challenges, 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 difficult 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.

The Party Bus of Public Safety!

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.

We Don’t Polish Boots Anymore

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

Cleburne Fire Department, Cleburne, TX

In the rookie year of his Fire Service career, Chief Scott Lail was taught two things: how to make sausage cream gravy and how to properly polish his boots. Decades later, these seemingly simple lessons have become powerful metaphors for the fire service, as well as all public safety, representing crew care and professional pride.

We Don’t Polish Boots Anymore is a compelling and reflective session designed to re-ignite the pride, discipline, and brotherhood at the heart of all public safety. Using storytelling, humor, and personal experience, this lecture explores how operational speed and modernization have unintentionally eroded vital traditions that once defined the culture. From the loss of shared meals and rituals to the rise of physical and emotional isolation, attendees are challenged to examine what we’ve left behind—and what must be reclaimed.

This session blends cultural commentary with practical takeaways on building cohesive teams, fostering emotional resilience, and creating legacy through everyday leadership. With the metaphors of gravy and boots at its center, the message is clear: you don’t have to shine your boots to shine your standards.

Participants will leave energized, grounded, and equipped to preserve the values that make this calling sacred.

I. Introduction

A. Early lessons: gravy and boots

B. Metaphors for culture and pride

C. Purpose: reconnect with tradition

II. The Changing Landscape of Public Safety

A. Advances in tools and tech

B. Fewer rituals and mentorship

C. Cultural shifts and cohesion loss

III. The Gravy Metaphor: Ingredients of Team Culture

A. Heat

B. Stirring

C. Seasoning

D. Mental health

IV. P.R.I.D.E. as a Daily Framework

A. P. R. I. D. E. – Does it Really matter

B. Pride spreads culture

V. Tradition: The Anchor in Change

A. Identity and stability

B. T.R.A.D.I.T.I.O.N. values

C. Tradition adapted to today

D. Football for the ages

VI. Mental Wellness as Readiness

A. Mental health = safety

B. Normalize conversations

C. Make wellness routine

VII. Firehouse Design and Team Dynamics

A. Impact of private rooms

B. Value of communal space

C. Design for connection

VIII. Building a Lasting Legacy

A. Quiet leadership matters

B. Culture through actions

C. Lead by example

IX. H.O.N.O.R. – The Core of Service

A. H. O. N. O. R. – What does it really mean

B. Live the mission

X. Final Challenge

A. Reignite pride

B. Be a culture-keeper

C. “Here I am. Send me.”

XI. Conclusion

A. Recap: tradition, pride, wellness

B. Take action, build legacy

C. “Polish your standards.”

Learning Objectives

Identify key cultural traditions in the fire service that historically contributed to team cohesion, mentorship, and professional pride.

Describe the impact of modernization—including station design, shift tempo, and operational changes—on firehouse culture and connection.

Recognize the role of emotional awareness and mental wellness in sustaining crew readiness and long-term resilience.

Apply practical strategies to strengthen team culture, preserve legacy, and lead by example through daily actions and shared values.

It's Not Business; It's Personal

This lecture will attempt to draw responders and providers back to a more "patient need/customer service-based" attitude about their jobs! The change starts with the impression we make and "why are you in this business," through training, education, mentoring, and beyond. From First Responders to EMTs, to Flight & Critical Care Paramedics, and Hospital personnel, they should all take great pride in the service they render and hold themselves to the highest possible standards. However, 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!

Ben Leavens

Canine Emergency Care for Pre-Hospital Responders

Drawing from the DHS Working Dog Handler Medical Care Manual (2017), this interactive course equips pre-hospital responders such as EMS personnel, tactical medics, and first responders with essential skills to provide immediate, life-saving care to working dogs. Designed for limited session time, the focus will be on high-priority interventions most likely encountered in the field, emphasizing rapid assessment, stabilization, and coordination with and transportation to veterinary teams.

Key topics include:

Primary Survey Using the M³ARCH² Acronym: Prioritizing care through a structured approach to move to safety, muzzle for handler protection, control massive bleeding, secure airways, address respiratory distress, treat circulatory shock, prevent hypothermia, and manage head injuries.
Bleeding Wounds: Techniques for hemorrhage control using direct pressure, tourniquets, and hemostatic agents.
Basic Cardiac Life Support: CPR protocols adapted for canines, including chest compressions and rescue breathing.
Upper Airway Obstruction: Methods to clear blockages and restore breathing.
Open Chest Wounds: Sealing penetrating injuries to help prevent tension pneumothorax.
Open Abdominal Wounds: Evacuation dressings and evisceration management.
Circulation/Shock Therapy: Fluid resuscitation and monitoring for hypovolemic shock.
Hyperthermia/Heat Injury: Cooling strategies and prevention in operational settings.
Opioid/Fentanyl Occupational Exposure: Recognition and reversal of narcotic intoxication in working dogs.
For disaster response contexts, additional coverage may include:
- - Pad or Paw Injuries: Bandaging and protection for mobility in debris-filled environments.

DR. Lewis

“All Jacked UP: Taming the Monster of energy drink benefits and risks”

This education will be presented to address the growing trend of energy drink consumption in Emergency Services. Evidence based medicine and research will be provided on the use and misuse of energy drinks. Advice will provided on how to use caffeine and energy drinks to maximize the benefits and minimize the side effects and adverse events.

Outline

1. Introduction

• Purpose and scope of discussion

2. Energy Drink Trends

• Consumption patterns and marketing claims

3. Ingredients & Mechanisms

• Caffeine, taurine, guarana, ginseng

4. Health Effects

• Cardiovascular and neurological impacts

• Special populations at risk

5. Performance Enhancement

• Cognitive and physical benefits

6. Risks & Recommendations

• Arrhythmias, sudden cardiac arrest risk

• Safe consumption guidelines

7. Summary & Takeaways

Objectives

• Educate on physiological effects of energy drinks

• Identify cardiovascular and neurological risks

• Compare caffeine content across popular brands

• Discuss evidence-based recommendations for safe use

• Highlight vulnerable populations and risk factors

Stop the Whining: Limiting Lights and Sirens in EMS”

Practical and evidence-based talk on reducing unnecessary lights and siren use in EMS. The education presentation will include the history of lights and sirens, evidence of risk with L&S and steps we can take to keep our EMS professionals safe and protect the public.

Learning Objectives

By the end of this session, participants will be able to:

Describe the historical origins and evolution of emergency vehicle lights and sirens (L&S) and why they became standard in EMS.
Explain the current evidence regarding crash risk, provider injury, and patient harm associated with L&S response and transport.
Evaluate current dispatch determinants and understand why protocol modification is essential to reduce unnecessary L&S use.
Apply best-practice recommendations for safe EMS operations, including reduced L&S utilization, risk-benefit thinking, and culture change within agencies.

Outline

I. Introduction:

“Stop the Whining” theme—addressing cultural resistance in EMS.
Overview of preventable crashes, injuries, and legal exposure.
The mission: Reduce harm, not response times that don’t change outcomes.

II. History of Lights and Sirens

EMS inherits fire service tradition—“faster is better.”
Lack of early evidence and the role of culture/tradition over science.
Growth of high-visibility lighting technology and unintended consequences (distraction, glare, sensory overload).

III. Crash Risk While Responding

Increased odds of intersection collisions.
Reduced reaction times at higher speeds.
Cognitive overload for drivers under stress.

IV. Crash Risk While Transporting

Transport is significantly more dangerous than response.
(Consistently shown in EMS safety research.)
Patient vulnerability due to:
- Lack of restraints
- Equipment not secured
- Standing crew members (procedures, monitoring, IV access)
The “speed + unstable environment” multiplier effect.

V. Clinical Benefit: What the Evidence Shows

True time savings usually only 1–4 minutes.
Most medical conditions do not show improved outcomes from faster transport.
Only a few exceptions where minutes matter:
- Airway compromise
- Major trauma with uncontrolled hemorrhage
L&S use often emotionally driven rather than clinically justified.

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.

Eric McAffrey

R.T.S. 1 – Pistol (Raise the Standard 1 – Pistol)
This foundational pistol course focuses on building a strong technical framework grounded in the core fundamentals of shooting. Students gain a clear understanding of the “why” behind each technique, developing the ability to self-diagnose errors and improve performance with greater precision and efficiency.

R.T.S. 1 – Carbine (Raise the Standard 1 – Carbine)
Designed to establish a solid carbine shooting foundation, this course emphasizes the fundamental principles that drive consistent performance. Through understanding the purpose behind each technique, students build awareness and self-diagnostic skills that accelerate learning and enhance overall efficiency with the platform.

AR-15 Armorer’s Course (Only the seminar 2hr block will be utilized)
This intensive two-day course provides a comprehensive, hands-on understanding of the AR-15 platform, covering disassembly, inspection, assembly, and troubleshooting. Students learn critical function, maintenance, and diagnostic principles—including live-fire malfunction correction—ensuring the ability to maintain and optimize rifle performance in training or operational environments.

Emily McPherson

First Responder Wellness

Moral Injury

Jeff Morefield

Next Phase Leadership - Leading with Purpose into the Next Chapter

Change is certain, but preparation often isn't. This course equips first responders with practical tools to navigate life's transitions, both personally and professionally. Participants will uncover strengths they already possess and learn how to apply them with intention. By focusing on self-leadership and strategic planning, first responders will leave ready to lead themselves and others through whatever comes next.

Charles Mueller

The Blood KISS

BLOOD OPERATIONS Keep it stupidly simple

Leadership; A different Approach

Leadership from the trenches is a hands-on, interactive approach to management style.

This class is solely based around my style of leadership for my shift and how I approach personnel

Dr. Juan Nalagan

(HEMS) Air medical Update

Jill Nausbaum RN

Tiny Tubes-Big Challenges

Scott Patton

Drone Awareness and Command

Sergeant First Class Ron Poland – Medical NCO, 63rd Civil Support Team

HAZMAT MCI: A TCCC approach – 2.5 hrs – This course will look at the MCI through the lens of standardized military clinical practice guidelines during a large-scale hazmat/WMD Terrorist event. The class will review standard MCI triage tools, review common toxidromes, and apply the Defense Health Agency TCCC algorithm and philosophy to assessing contaminated patients at MCIs. The course will use functional demonstrations and practical exercises applying life-saving interventions while in PPE. Time will be spent on understanding operational decon corridors, the medical provider's role within a hazmat MCI event, and identifying potential ways to protect responders who are expected to receive or transport contaminated patients. (Disclaimer: This course is not sponsored by the Department of Defense, Defense Health Agency, or any of their subordinates. The guidelines provided are considered best practice but should not supersede departmental protocols, policies, or clinical judgment. The material covered in this class is for educational purposes and is supported by current doctrine and literature.)

Steve Rahm NRP, FcEHS

Introduction to the 12-Lead ECG

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.

Final Option for a Bad Situation: Surgical Airway Access Realities

The pathway to mitigation of a true “can’t intubate, can’t oxygenate” situation is very short and very direct—a cricothyrotomy. Emergent surgical airway access via the cricothyroid membrane is a procedure that many paramedics will never perform in their career; are YOU the next one who will be faced with this task? The low-frequency, high-risk nature of this skill mandates absolute knowledge of the anatomy of the anterior neck, frequent practice, and procedural confidence. When cricothyrotomy fails, it is often the result of an inability to properly locate the anatomic structures of the larynx.

This presentation explores the realities of cricothyrotomy in a manner that you have likely never seen before. Utilizing high-resolution cadaveric images, the anterior neck will be procedurally dissected and critical anatomic structures will be identified. A step-by-step approach—based on the latest evidence and best practices—will be followed in order to maximize your success in performing this time-sensitive, final option procedure. No patient should go to the morgue (for lack of an airway) without a hole in their neck!

Session Objectives:

1. Recognize a true “can’t intubate, can’t ventilate” situation.

2. Identify key anatomic landmarks of the anterior neck and larynx.

3. Describe the various barriers to gaining emergent surgical airway access.

4. Describe the current best practices in gaining emergent surgical airway access.

Drowning on Dry Land: Heart Failure

Conges2ve heart failure (CHF) is a common disease process encountered in the field. Treatment for these pa2ents can be complex and they have a high poten2al to rapidly deteriorate. However, by understanding the pathophysiology of CHF, you can direct your treatment more specifically and effect clinical improvement before the pa2ent is delivered to the hospital. This presenta2on begins with a review of the physiological processes of stroke volume, Starling’s law of the heart, cardiac output, and ventricular ejec2on frac2on. We will then discuss the pathophysiology and clinical presenta2ons of leK and right heart failure. Specific treatment modali2es discussed include CPAP/BiPAP and nitroglycerin—the hallmarks of CHF treatment—as well as other BLS and ALS treatment strategies.

Objectives:

1. Understand the physiological processes of stroke volume, Starling’s law of the heart, cardiac output, and ventricular ejec2on frac2on

2. Define conges2ve heart failure

3. Compare and contrast left and right heart failure

4. Describe current prehospital treatment strategies for congestive heart failure

Heart Alert! ECG Patterns of Acute Cardiac Ischemia

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.

Sgarbossa Got His Bundle Branch Blocked in Barcelona

Historically, the common thought has been that you cannot diagnose electrocardiographic occlusive myocardial infarction (OMI) in those with a left bundle branch block (LBBB). Whether an obvious MI, or an MI buried within a LBBB, the patient still needs timely reperfusion for maximal myocardial salvage. The Sgarbossa criteria, originally published in 1996 and modified in 2012, have demonstrated high specificity in identifying OMI in the presence of a LBBB or paced ventricular rhythm. The new kid on the block—the Barcelona criteria—were published in 2020 and have also demonstrated high specificity. Both criteria can increase your diagnostic yield, but which one is better? This presentation begins with a review of bundle branch block identification, both left and right, and what a “normal” bundle branch block looks like. Then, by utilizing both criteria, we will identify what is NOT normal. Whether your regional cardiac system of care utilizes these criteria or not, advanced practitioners will—at a minimum—be able to recognize patients with bundle branch blocks or paced rhythms that are highly suspect for OMI, which could get the patient on the cardiology team’s radar sooner.

Objectives:

1. Identify left and right bundle branch block and ventricular paced rhythms

2. Identify the features of a “normal” bundle branch block

3. Define the modified Sgarbossa criteria

4. Define the Barcelona criteria

5. Apply the Sgarbossa and Barcelona criteria to your assessment of a patient with a left bundle branch block or paced ventricular rhythm who has cardiac symptomatology

Heather Scruton

Pediatric Medical-Trauma Jeopardy

OB 2026

David Seastrom

Child Abuse: The Dark Side of Pediatrics

Describe injury patterns consistent with non-accidental trauma
Describe risk factors that are common in children who are victims of non-accidental trauma
List injuries that are highly suggestive of non-accidental trauma

Child abuse kills nearly 1600 children every year regardless of race, sex, and geographic location. This lecture will heighten the awareness of providers at every level and guide them thru the understanding of how children are abused, common injury patterns to look for, and risk factors that predispose children. A tough topic for most, but a valuable amount of information via slides, videos, and pictures is sure to keep their interest.

Pediatric Jeopardy

Kansas City Parade Shooting

Ryan Shields

BRO Firearms

Kevin Smith

Homeland Security

Janet Taylor CFRN, CCEMT-P, CEN

Bang Your Head: Traumatic Head Injuries (1 hour)

What would you see that is different in a frontal head injury versus a basilar skull fracture? What other part of the skull would you expect to have a fracture if the patient has a basilar skull fracture? What type of head injury causes personality changes? And what is Axial loading anyway? We go into detail with the different types of head injuries and specific findings that you would expect to see. This isn’t your “normal” neuro assessment (that’s a whole other lecture)

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

Stayin’ Alive: Understanding Resuscitation before Intubation

Post-intubation Cardiac Arrest (PICA) and “Resuscitation before Intubation” are concepts that have been around for a while but not every agency/department utilizes them to increase survivability and decrease complications associated with a sick person who is about to be intubated. Preparation is key and a large part of it is BLS in nature. We will review PICA and Resuscitation before Intubation and what interventions we can do in the field to decrease mortality of our patients. (Medical, Cardiovascular, Airway/Resp/Ventilation)

A Change of Heart: CHF

Congestive Heart Failure is a complicated condition that is a cardiac AND a respiratory condition. Depending on the severity, patients who have this condition can be so severely disabled from a weak heart that they can no longer walk across a room without extreme shortness of breath and fatigue.These patients require a LOT of care and intervention. But what happens when a normally well “controlled” CHF patient goes into exacerbation? What are some things that are proven to work and work quickly? How aggressive do we need to be with our patient’s? Can we turn them around them using BLS level interventions? (answer: YES) In this presentation we look into the day-to-day lifestyle of someone who has moderate to severe CHF. There is a LOT more to this condition than what most EMS/ER healthcare providers realize.

Getting Under My Skin: Non-burn Injuries that go to the Burn

Unit

Why is it that serious road rash and frost bite gets admitted to a Burn Unit? They aren't burns and isn't that what the Burn Unit is for? Rather than looking at a Burn Unit as strictly for burns, it would be more accurate to think of it as a "skin unit", where anything cutaneous can be treated. We will review the anatomy of skin and some special cases, including specific burns that are treated in a Burn Unit. (Trauma, Medical)

Pump Up the Volume: Ventricular Assist Devices in EMS

Ventricular Assist Devices (VAD) are becoming more common with improvement in technology and affordability. Knowing what type of VAD a patient has as well as the assessing heart tones, blood pressure and how to read the controls on the device will help you give the best care possible to your patient. We will review all the major brands and go over why a patient needs a VAD in the first place as well as common complications and what to do when they have a VAD related problem. (Cardiovascular, Operations) This course is better suited to smaller classes of less than 30 people due to the hands-on but can work with larger groups.

Ak Williams

Incident Command

Zakia Yazdanipour

From Preparedness to Response: How Oklahoma Coordinates Health and Medical Operations

This session provides a practical overview of how health and medical preparedness and disaster response are organized and executed across the state of Oklahoma. Participants will be introduced to the structure and function of the Regional Medical Response System (RMRS), its statutory authority, and its integration within ESF-8 alongside public health, healthcare coalitions, and emergency management partners. Using a real-world response timeline from an Oklahoma disaster event, the presentation walks through how information sharing, coordination, and resource management occur in real time—from initial threat monitoring and Medical Emergency Response Center (MERC) activation through patient movement, facility evacuation, and demobilization. Emphasis is placed on collaboration across regions, disciplines, and levels of government, highlighting how pre-established relationships and capabilities translate into effective operational outcomes. Attendees will leave with a clearer understanding of how regional medical response systems support healthcare system resilience, enable coordinated decision-making during complex incidents, and serve as a force multiplier during large-scale emergencies and disasters.

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.

FOCUS: Seconds for Survival

Pre-Incident Threat Recognition Certification

FOCUS™: Seconds for Survival trains officers to recognize imminent violence faster by identifying behavioral cues that emerge in the critical moments before an attack. As the first validated system explicitly designed for pre-incident threat recognition, this certification replaces intuition and hindsight with a structured, defensible methodology for detecting escalating threat indicators in unknown and rapidly evolving encounters. Participants learn how subtle behaviors, verbal cues, and movement patterns compress decision-making into the seconds that matter most, often before a suspect attacks. Grounded in theory, real-world encounters, and practical application, this course fundamentally changes how officers see, process, and respond to danger under time-compressed conditions.

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.

Thriving Responder:

Financial Strength & Holistic Well-Being

This training will focus on forging resilient futures for our first responder community. It is geared towards those who desire to understand their retirement/pension system, improve their physical endurance and reinforce their mental strength. Instructors will inclde OCP Training Cadre/Mentor Circle, Ken Stafford and Associates, TRIAD Nutrition, Viribus Mental Health.

Oklahoma MJ Enforcement, Manifests, Compliance, & Tracking

Restricted to active law enforcement personnel only

This course provides patrol officers with a basic overview of Marijuana transport enforcement under Oklahoma law. Officers will review legal medical marijuana requirementsm unlawful possession and distribution offences, manifest issues, and key search and seizure considerations. The course prepares officers to handle marijuana related encounters effectively and within state and constitutional guidelines.

Push-dose pressors and resuscitation in the peri-intubation phase

We will discuss the risks of induction and intubation focusing on hypotension and hypoxemia and their association with peri-intubation cardiac arrest, and how to mitigate these risks to improve outcomes. We will discuss push-dose pressor indications and dosing options to help manage hypotension in the peri-intubation phase. Additionally, an overview of a Doctor of Nursing Practice project that focused on education and policy implementation of push-dose pressors will be provided.

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