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ClinCon
2002 Presentations
Immediate Countershock for Ventricular Fibrillation: Elemental or
Detrimental?
Paul Pepe, MD, MPH, FACEP, FCCM
Despite the near universal use of paramedics and advanced life support,
survival rates for out-of-hospital sudden death remains extremely low.
To date, only 2 interventions have been proven, scientifically, to
improve outcomes in persons collapsing from sudden out-of-hospital
ventricular fibrillation, namely immediate bystander CPR and rapid
defibrillation. As a result, EMS policy makers have begun to focus more
on rapid provision of countershock and less on advanced cardiac life
support techniques. In this presentation Dr. Pepe will not only
reestablish the appropriateness of ACLS but also delineate the many
situations in which immediate countershock may be harmful and in which
other interventions, including new CPR techniques will be advantageous.
Intranasal Medication Administration in the Prehospital Setting
Erik D. Barton, MD, MS, FACEP
Ever try to start an IV on a drug abuser to administer Narcan? Maybe you
have had the experience of trying to establish an IV in an actively
seizing patient? Rectal drug administration, yeah right! Is there a safe
and sanitary method to administer medication in these situations? What
about intranasal administration. Is it a safe, rapid and effective way
to administer medications in the prehospital setting? What medications
can be administered intranasally? Join Dr. Barton as he answers theses
questions and more, by sharing his first hand experience with the
prehospital use of intranasal medications.
20 Commandments of Better Patient Assessment
Pual Werfel, NREMTP
Most assessment presentations today are all day affairs with endless
lists of things to remember. It is not surprising that the stuff is hard
if not impossible to remember. If only someone had decided on several
rules or commandments that would make the job easier. That has come.
Please join JEMS case of the month author Paul Werfel in this new
insightful look into patient assessment. You will leabe with 20 (easy to
remember) “commandments” that will help you better assess the
troublesome of patients.
Gizmos and Gadgets: The Cool and Useful
Shawn Treloar, REMT-P+
Confused? Every professional journal you pick up is full of ads for what
the manufacturer says is the wonder gizmo that will revolutionize
prehospital medicine. Thousands of gadgets all touting to be the product
that will help you save patient lives. Join Shawn Treloar the “king of
Gizmos and Gadgets” as he uses street sense to wade through the ocean of
gizmos and gadgets to bring to the surface what’s both “cool” and
“useful”.
Emergency Incident Rehab
Edward Dikerson, MD, EMT-P
In the past few decades, Emergency Service has become increasingly
dangerous and it is apparent that many duty deaths/injuries were the
result of highly stressed, poorly conditioned emergency service
personnel over exertion. This reality has led to the concept of
emergency services on scene rehabilitation known as Emergency Incident
Rehabilitation (EIR). Join national EIC expert Dr. Edward Dikerson as he
explores this relatively new concept designed to allow emergency
personnel to rest, receive rehydration, nutritional support, and be
medically monitored/treated for heat and stress related illness, before
these conditions result in significant morbidity or morality.
Metabolism Magic: High Energy Eating for Optimum Performance and Health
Carol Smith
Join Nationally known fitness and nutrition expert Carol Smith as she
discusses the best ways for emergency services personnel to balance
their exercise and nutrition program to achieve higher levels of
performance, quicker recoveries and optimum health.
Change of Venue: Old Drugs come to EMS
Laurie Romig, MD, FACEP
Historically, most EMS interventions have been first utilized in the
hospital environment before they have been translated to the field.
Sometime this is a very slow process. This lecture will look at what
makes drugs good candidates for use in the field as well as introduce
you to some of the drugs that have made the leap from hospital to
prehospital in the last few years. Pain management, sedation,
paralytics, and cardiac drugs will be among the drugs classes covered.
Prehospital Care of the Spine Injured Athlete
Douglas Kleiner, PhD, ATC, EMT, FACSM
We have all been there on the high school football field, we hear a slam
and that sickening crunch. We jump from our ambulance run onto the field
only to find that our protocols and that of the Athletic trainer are in
conflict. Now what? Join Doug Kleiner has he discusses the
Inter-Association Task Force for Appropriate Care of the Spine Injured
Athlete’s guidelines for “Prehospital Care of the Spine injured
Athlete”. These guidelines have bridged the gap between EMS and the
Athletic Trainers and provide a means to optimize care for the
spine-injured athlete.
Too Many Cooks: Scene Choreography
Paul Werfel, NREMT-P
Do you find dealing with patients and families the easy part of the job?
Have you ever wished your providers could all do what is best for the
patient at the scene, without killing each other? Then this program is
for you! Join JEMS Case of the Month author Paul Werfel as he explores
proven methods of getting providers to work together instead of against
one another.
Never Let Them See You Sweat: Taking Control of the Pediatric EMS Call
Lou Romig, MD, FACEP, FAAP
It’s hardly ever a good thing when an EMS providers heart and repertory
rates are higher than those of their pediatric patient. In these cases,
the child is very sick, the providers are very scared, or both. A
focused approach to the pediatric call can help calm nerves, assure that
resources are in place and ready, and guide EMS providers to accurately
determine the patients physiologic status and react appropriately in a
controlled fashion. In this session participants will learn Dr. Romigs
PREP approach to the pediatric EMS call and discover how being PREPared
for kids will enhance their patient care and minimize that all too
familiar “Pucker Factor.”
Florida Emergency Medicine Foundation
Emergency Medicine Learning and Resource Center
3717
South Conway Road • Orlando, FL 32812
407-281-7396 • 800-766-6335 • Fax 407-281-4407
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