1. Campbell County Health
Campbell County
Memorial Hospital
CAMPBELL COUNTY HEALTH
Campbell County
Medical Group
CAMPBELL COUNTY HEALTH
Excellence Every Day
APRIL 7-9, 2016
CAM-PLEX Energy Hall • Gillette,Wyoming
EMS U N I V ERS I T Y
2.
3. 2
Welcome to Campbell County Health’s EMS University. Thank you
for your dedication to Emergency Medical Services and for your
ongoing commitment to continuing education in this field. We are
honored to have each and every one of you with us.
Skills
Skill stations are provided with support from Joy Global and Cloud Peak Energy.
Skill stations will be offered each morning starting at 0730 and continuing until
0845. Stations available for CME credit will be traction splinting/stop the bleeding,
spinal motion restriction, CPR/AED, and basic airway. These stations require active
participation.
CCH and EMSU regularly engage in capturing video and/or still digital images of
students participating in training. It is each participant’s responsibility to notify
the person with the camera if they don’t want their image used for publicity,
marketing or educational purposes.
The Game of Tones
This year EMS University will be holding a competition!
Team members will test their skills by working through a variety of emergency scenarios.
Will you endure and come out victorious?
The competition will be held on April 7 and 8th.
Gather your team of first responders and give it your best. Each 3-member team
will have 15 minutes for patient assessment and treatment. EMS experts from
Wyoming State EMS office, Campbell County Health and local mines will evaluate
your performance. Saturday, April 9, the results will be revealed and awards will be
presented. Registration by the front desk, Thursday and Friday morning.
Continuing Education and Documentation
Step 1: BE SURE YOU HAVE A BAR CODE – You will receive this bar code during
registration. Your card will have a bar code printed on it. The bar code is unique to you
and your email address.
Step 2: HAVE YOUR BAR CODE SCANNED AS YOU ENTER CLASSES –
Before each session that you attend, be sure to have your bar code scanned at the door.
Step 3: COMPLETE THE EVALUATION – Please complete the evaluation in the back
of this brochure and turn it in at the registration desk.
Step 4: ENTER THE SESSION(S) IN THE ONLINE EMS LICENSURE – Once you
receive the certificate, enter the session in your Wyoming CME online licensure and
follow your normal process for signatures and submission.
Once again this year, EMS University will be utilizing the Eventbase app for your
smartphones (Apple & Android), listing all the times, classes, and speaker information.
And, if any changes occur during EMS University, they’ll be posted directly to Eventbase,
so you’ll always have the latest schedule on your smartphone! Simply go to your Apple
Store or Google Play and download the free “Eventbase” app. Once it’s loaded on your
smartphone, look for EMSU-2016 in Gillette, Wyoming.
Exhibits and
Vendors
AIR METHODS
GUARDIAN FLIGHT
NEVES UNIFORMS
Meals
Continental breakfast, lunch
and afternoon snacks will be
provided.
Session Tracks
The conference sessions are
slotted into tracks so you’ll
know which session topics
are appropriate for you.
Here’s how we’ve defined
each track:
BLS These sessions are
applicable for EMR and
EMT-B as well as advanced
providers. Some of the
material may be new,
although much may be a
refresher for the advanced
providers.
ALS These sessions are
intended for advanced
providers only; the material
presented will be at an
advanced level.
Recertification
Requirements
We have included what
recertification requirement
category each course
may meet in the course
description.
5. 4
Course Descriptions
12-Lead Acquisition -
Benefits of BLS Access
ERIC BAUER
During the past 20 years we’ve seen a huge change in
how we have treated and diagnosed acute coronary
syndromes in the pre-hospital environment.
The STEMI guideline initiative has progressed
throughout the years from an advanced provider
skill to now having BLS providers in the rural
environment providing this high quality diagnostic
care. Rural areas of the United States have many
different limitations to care, often with only BLS and
volunteer departments available for response to the
sick and injured patient. With the advent of current
technology, BLS providers can now conduct 12-Lead
ECG assessments, and then transmit those results
to a current cardiac center in their area for final
diagnosis. Come join us for a look into BLS 12-Lead
assessment techniques that will empower the BLS
provider to have the confidence in providing this life
saving technology in the rural environment.
Cardiac, Medical
Airway, Airway, Airway
MATT STROOT
EMS providers have to master airway skills to
maintain the patency in all patients. This mastery
is a skill practiced by all levels of EMS providers.
We will review basic life support interventions,
adjuncts, and maneuvers, progressing to advanced
interventions and procedures. Students will
have the opportunity to use all ALS adjuncts/
interventions including intubation, and needle and
surgical cricothyrotomy on real tracheas! Transport
ventilation will be discussed with a set of lungs for
demonstration.
Airway, Medical
All Aboard the Mentor…
Ship
JESS FULKERSON
No matter where you go, or who you ask, anyone in
EMS will tell you that mentorship is a good thing…
and we should be doing it. But what EXACTLY is
mentorship? Well….it depends on who you ask!
This presentation is designed to get you thinking
about mentorship outside the proverbial “box”. We’ll
explore the spectrum of definitions of mentorship
and where you fit along that spectrum. Discussion
will be guided by the group with an interactive
format. Who have been your mentors? Why
do you think of them as mentors? How do YOU
mentor others? How do you pick mentors? Do
formalized mentorship programs work? Can friends
be mentors? Is that just asking for trouble? All of
it is intended to get your juices flowing and take a
refreshed perspective back to your agency.
Preparatory
A Long Way to go, and a
Short Time to Get There
JESS FULKERSON
In rural EMS, the “platinum ten” and “golden hour”
are concepts that can seem like fantasies. As a rural
EMS provider, you always know you’ve got a long
way to go, and a short time to get there. Most times
there’s plenty to do, but what exactly are you doing
during that time? What principles guide your care
on those long transports? Do you care differently for
a critical patient vs. a stable patient? What do you
do when “there’s nothing left to do”? This session
talks about the fulfilling nature of EMS systems
where long transports are the norm, and their unique
challenges in providing care. We’ll also talk about
how current EMT curriculum ignores this issue, and
how to train to be most effective in this environment.
Preparatory
6. 5
Course Descriptions
Are You the Widow
Jones?
JESS FULKERSON
Have you ever found yourself dealing with a family
member of a patient who died in the pre-hospital
setting? Did you feel like you had a good plan of
what to say and how to say it? As EMS professionals,
we are often under-trained in how best handle these
difficult situations. The participant will walk away
with an understanding of: why and how people
grieve, what to say and what NOT TO SAY to
grieving family members, and how to break the worst
news in the best possible way. Intended for EMTs,
Paramedics, and ER Staff, this one-hour session uses
frank discussion and a bit of humor to make a dark
topic a bit brighter.
Preparatory
As the Rotor Turns
CHRIS BELTZ
With helicopters becoming more available to rural
emergency responder’s, knowledge of how to safely
operate around them is a must for all personnel on
scene. This class will focus on helicopter operations
both inside and out. Attendees will gain the
knowledge and skills needed to request helicopters
to the scene, locate safe landing zones, and work
with the crew and aircraft to safely package and
transport patients when time is very critical. One
lucky participant will be packaged as the patient
“transported” from the “scene” for a life saving flight!
Preparatory
Basic Airway Techniques
Save Lives: Current
Evidence Based Practice
in the BLS Airway
DAVID OLVERA
A great intubation and advanced airway cannot be
complete without strong basic airway practices.
Proper technique in BLS airway management, pre-
oxygenation and preparation can help maximize
the opportunity to resuscitate our patients. Basic
airway techniques will help save lives. With so much
research being performed today how do we decipher
what works in the pre-hospital setting? This lecture
will discuss current evidence based literature on
proper airway management, as well as evaluate how
to put the evidence into practice.
Airway, Medical
Bomb/Blast Basics
ANNETTE MATHERLY
This class will discuss primary, secondary, tertiary,
quaternary and quinary blast injuries. Appropriate
scene management for the most common blast
injuries will be discussed.
Trauma
Burn Case Studies
ANNETTE MATHERLY
Multiple patient case studies with a review of initial
assessment and management will be discussed. Case
studies include pediatrics, electrical, thermal, and
inhalation burns.
Trauma, Case Studies
7. 6
Course Descriptions
Cardiac 12-Lead Case
Studies: Analyzing New
Research and Evidence
Based Diagnosis Criteria
ERIC BAUER
During the late 1990’s we saw a huge change in how
acute coronary syndrome was diagnosed and treated
in the pre-hospital environment. With the start of
the STEMI guideline initiative almost 20 years ago,
we saw rigid diagnostic guidelines for MI diagnosis
and STEMI protocols. Through the years and based
on current research and evidence-based practice,
our ability to identify acute coronary syndromes
has evolved and resulted in a huge reduction in
morbidity and mortality. Come join us for a look
inside the newest theory and diagnostic tools
available to us in the pre-hospital environment.
Cardiac, Medical
EtCO2 - An Indication
of Horsepower &
Resuscitation
ERIC BAUER
EtCO2 has been the standard monitoring tool in
the pre-hospital environment for endotracheal
intubation confirmation over the past 17 years.
Although EtCO2 is the gold standard for continuous
airway confirmation, the value of EtCO2 goes far
beyond our patients’ airway. This lecture will discuss
the pathophysiology behind CO2 production,
the importance and value of using quantitative
capnography for the evaluation of perfusion, and
continuous monitoring of respiratory status in non-
intubated patients. This lecture will add great value
to your clinical practice and challenge you to look at
EtCO2 from a broader perspective.
Airway
Emergency Care of the
Burn Patient – WY
Topics
ANNETTE MATHERLY
Important concepts of emergency burn care will
be discussed. Topics will include skin anatomy and
physiology, the Rule of Nines, and identifying depth
of injury and initial burn management. Burn Disaster
Crisis Standards of Care will be identified, as well
as which patients should be transferred to a burn
center.
Trauma
Extrication - So, You
Want to Tear Apart a Car?
MILO PETERSON, ANDREW RUTIGLIANO
& MATT STROOT
Welcome to the class that will teach you the
fundamentals and methodology of extrication. This
is the focus of removing the vehicle from around
your trapped patient, not removing the patient
from the vehicle. Everyone has heard of, “The Jaws
of Life”. Few get to handle these advanced tools,
and this will be the place. Instructors will review
safety measures and practices applied to the rescue
scene, present the tools, and show the science of
extrication on real cars. The best part of the class
is that this is not an emergency and you are not
fighting the clock in an attempt to save a car crash
victim. Personal protective equipment will be
required, so bring your safety boots, glasses, and
gloves if you have them. Class size is limited to 18.
Sign up at the registration desk.
Preparatory, Ambulance
8. 7
Course Descriptions
Farmacology?!
ROBERT QUINTANA
Information for the BLS EMT about the
pharmacology and pharmacodynamics of
medications that are used at that practice level.
Overview of the indications, applications, use,
dose, side effects and monitoring necessary for the
safe utilization of medications in the treatment of
patients.
Medications
Flying, Drumming,
Cooking and Paramedic…
ing - Multi-Tasking in
EMS
JESS FULKERSON
In EMS, we’re constantly told that we need to be
good multi-taskers. Are you a good multi-tasker?
You think so, huh? What if I told you, you were
actually a good SWITCHER?!? This lecture focuses
on how the brain works in a multi-input and multi-
output setting. We talk about how we can actually
maximize our brain’s naturally limited ability to
do two things at once. If we understand what our
limitations are, we can overcome them through
appropriate training, prioritization, delegation,
and revisiting. We highlight how multi-tasking (or
something like it) can be useful, but also a drawback
to effective patient care.
Preparatory
Gimme Some Sugar
JESS FULKERSON
It’s a common occurrence for EMS to respond
to diabetic emergencies. With the increasing
prevalence of diabetes in our society, it’s just going
to get more common! Whether it’s Type 1 or Type
2 diabetes, there can be more to these patients than
meets the eye! In this presentation, we take both
types of diabetes apart. We not only talk about what
we see as emergency responders, but also about
what’s going on physiologically and psychologically
from the perspective of the diabetic. We gain a
greater appreciation of the complexities of diabetes
care, as well as a simplified approach for treating all
types of diabetes-related emergencies. This class is
intended for First Responders, EMT’s, Paramedics,
and RN’s. Taught by a diabetic, with interactive
discussion and first-hand examples, this lecture will
have you walking away with all the mystery taken out
of Diabetes Management.
Endocrine, Medical
Got Them Back, Now
What? Post Resuscitation
Management
CHARLES SWEARINGEN
There is increasing recognition that systematic
post–cardiac arrest care after return of spontaneous
circulation (ROSC) can improve the likelihood of
patient survival with good quality of life. Post–
cardiac arrest care has significant potential to reduce
early mortality caused by hemodynamic instability
and later morbidity and mortality from multi-organ
failure and brain injury. This lecture will examine
the evolving understanding of the hemodynamic,
neurological, and metabolic abnormalities
encountered in patients who are initially resuscitated
from cardiac arrest.
Cardiac, Medical
How’d That Get There?
ROBERT QUINTANA
A discussion about the physiologic responses that
emergency personnel experience and how they
are chemically designed for use as medications.
Discussion will include the design of current
medications that mimic the human response to
stimuli including the hormonal response (and
treatment), fight or flight response (and treatment),
and just plain “chillin’ out.
Medications, Medical
9. 8
Course Descriptions
I Hate PEEPS
CHRIS BELTZ
There is no shortage of the nastiest treat on earth this
time of year! Consuming Peeps is very bad for your
health and should be avoided at all costs. PEEP when
used in airway management is very beneficial and has
life saving results. This class will focus on the use of
PEEP and other airway management techniques that
can be employed by providers of all levels to improve
clinical status and survivability.
Airway, Medical
I’m Freaking Out Man!
Illicit Street Drugs
KASPEN HALEY
Discussion of the old and new drugs we are seeing
today. Review the associated signs and symptoms of
overdose, scene safety, and challenges of treatment.
Pump, Plumbing, or the Wet Stuff? Vasoactive
Medications – Discussion on shock, hemodynamics,
the sympathetic nervous system, and the medications
that can make or break these fragile patients.
Medications, medical
Omaha! Pharmacology Blitz- Street Level Medications
– Case studies are used to help choose treatment
based on patient presentation. Discussion about
indications, contraindications and the risk/ benefit of
each medication choice.
Medications, Medical
In Your Mind’s Eye
JESS FULKERSON
This course focuses on how to mentally prepare for
calls through the use of imagery (visualization). During
a call, the effects of stress can decrease our effectiveness
and even paralyze us in our efforts to render assistance.
The presentation talks about how to pre-empt stress
by giving responders tools to inoculate themselves
ahead of time. They will see results in decreased anxiety
before calls, lower stress response during incidents,
increased success while on-scene, and positive attitude
formation. We talk about visualizing success in bad
situations, positive self-talk, and even using imagery
as a teaching tool for new or inexperience providers.
Preparatory
Is Too Much Oxygen Toxic
JAMES RICHARDSON
Discussion about whether too much oxygen can be
harmful to a patient short term.
Airway, Medical
I’ve Arrived at an MCI….
Now What?
JESS FULKERSON
This presentation takes you past how to do S.T.A.R.T.
Triage. It teaches the responder how to establish the
supervisory positions of Incident Command, Medical
Command, Triage, Treatment, Transport, and Safety
with the first two or three arriving units. The EMT
will walk away with knowledge in how to provide
a size-up, how to effectively staff staging areas, and
incorporate Air Medical into an effective Incident
Management Plan. We will talk about how to manage
the MCI when staffing is limited, as well as balancing
patient care vs. scene management when EMS is
overwhelmed. Interactive demonstrations and a “get-
out-of-your-seat-and-try-it” atmosphere are the way
we learn in this presentation.
Preparatory, Ambulance Operations
10. 9
Course Descriptions
Ketamine Use, Pre-Hospital
JAMES RICHARDSON
Vitamin K, and 3 years of usage data from a rural
EMS System.
Medications
Lucas Device Training
DENNY BOHNE
A guide to mechanical compressions, taking a hands-
off approach.
Medical, Preparatory
Magnifying the Genius in
Others
ERIC BAUER
How much do we invest in our own personal pursuit
to greatness? Often times in our life and career,
we have times of growth and times of stagnant,
unproductive growth. Why is that? Why do we start
out of the gate so well and then due to life events,
circumstances, surroundings, and culture we fail
to pursue our dreams? We fail to see the future as
empowering. How can we become leaders in our
craft? What sets people up for success? What allows
people to become the best in their field? We’ve seen
many people in our lifetime that are “Pioneers” in their
respective fields. What’s that secret ingredient they
possess? In an attempt to answer these questions we
will look at my top 10 core objectives for - “Carving
your Practice: Having A Pioneering Spirit”!
Preparatory
Medications A to Z
ROBERT QUINTANA
Information for the advanced provider about the
pharmacology, pharmacodynamics, and mechanisms
of selected medications. More detailed discussion
and review of the indications, applications, use, dose,
side effects, and monitoring of clinically stable and
unstable patients.
Medications
My Neck, My Back,
My Neck, My Back
BURTON HAYDEN
Describe mechanisms of injury associated with
spinal cord injury. We will discuss pathophysiologic
changes as a basis for assessment of the trauma
patient. Trauma, assessment and triage. An
interactive class involvement to triaging patients in a
MCI. A case study approach.
Preparatory, Trauma
Oh Baby!
TYLER DICKEY
A review of emergent concerns of childbirth,
including early pregnancy, problems around the time
of delivery, and postpartum care.
OB/GYN, Medical
Online Wyoming
Licensure System
(OWLS) Update
SCOTT LOGAN
The Wyoming Office of EMS continues its transition
to the new online EMT licensure registry, and away
from the continuing education booklets. Over 3,000
of our EMS personnel already have accounts in the
system, and all Wyoming EMTs will be required to
create accounts and renew through the new system
by the end of 2016. This session will update you on
the status of the transition, as well as give you some
tips and tricks and lessons learned.
Preparatory
11. 10
Course Descriptions
Pediatric Transport
DIANA SHANNON & BARRY SHANNON
Nationally 70% of car seats are installed incorrectly
and many individuals are unaware of the free
assistance that Wyoming provides to help improve
this statistic. Parents, grandparents, extended
family and all transporting emergency personnel
are encouraged to attend this class on the ins and
outs of proper child safety restraint installations and
positioning. This class will also review ambulance
safety restraint systems, their proper use and
installation.
Ambulance Operations
Pediatric Case Study BLS
JAMES RICHARDSON
Case study involving pediatric patients.
Pediatric Emergencies
Pediatric Case Study ALS
JAMES RICHARDSON
Case study and 2015 AHA guideline updates as they
apply to ALS Providers.
Pediatric Emergencies
Pediatric CPR
JAMES RICHARDSON
Guidelines, updates, and hands-on topics, to improve
survival.
Pediatric Emergencies
Pediatric Trauma
BURTON HAYDEN
We are going to identify the unique characteristics
of the child, including common injury types and the
management of the critically injured child.
Trauma, Pediatric
Pre-hospital Airway
Evaluation, Putting
it into Practice, and
Current Evidence-Based
Research on Videoscopic
Intubation in the Pre-
hospital Environment
DAVID OLVERA
Without a proper evaluation of your airway prior
to intubation, failure to successfully intubate the
patient is almost imminent. When preparing for RSI
and intubating a patient what is more important,
preventing desaturation or first pass success? Is the
use of a videoscopic device, which is the current
practice, accurate in pre-hospital settings? This
lecture will help bring evidence based practice of
difficult airway prediction in line with the use of
videoscopic devices and pre-hospital advanced
airway management.
Airway, Medical
Pre-hospital Evaluation
of the Acute MI Patient:
The ECG is KING
NICHOLAS STAMATO
This course will describe the pathophysiology and
presentation of an acute MI. It will review the
evaluation of the acute MI patient and describe in
detail the ECG of various MI locations.
Cardiac, Medical
12. 11
Course Descriptions
Preparing for the
Unthinkable: Burn Disaster
Standards of Care
ANNETTE MATHERLY
Do you know what the potential risks for disaster are
in your community? This class will help you identify
those risks. You will develop an understanding of
BDCSC and learn how to assess and manage patients
in a Burn Mass Casualty Incident and identify crucial
considerations.
Trauma
Pull the Trigger –
Decision Making in
Airway Management
JESS FULKERSON
Airway management
is a skill that even the
newest EMT needs
to master. Even the
most seasoned EMS
professionals need to
know HOW to best
accomplish airway
management. This
can be difficult.This
class will discuss
the DECISION
MAKING needed
in order to evaluate a patient and decide to employ
aggressive techniques, vs. using more conservative
skills. It’s about patient evaluation, and applying
your skills to those patients that need you the most.
We could just intubate everybody…but is that really
necessary? This case-study presentation will provide
an interactive environment where together we can
explore when it’s best to “pull the trigger”.
Airway, Medical, Assessment
So…Don’t Touch…
Anything?!?
JESS FULKERSON
Ever found yourself standing in the middle of a crime
scene? Have you and your fellow EMS colleagues
ever been called “the Evidence Eradication Team” by
police? Well this lecture is for you! We’re going to
talk about how to function as an EMS worker in the
highly sensitive environment of a crime scene (even
when it’s not officially a crime scene yet). This will be
a case study program, with photos and case details
from actual crime scenes where EMS played a role
in the call. We’ll talk about pitfalls to avoid. We’ll
talk about who to pick to go in. We’ll talk about what
information “the cops” are going to need from you,
and what evidence they’ll need to collect. Armed with
this information, it should be easier for us as EMS
professionals to do our job, with a little less worry, and
whole lot more cooperation. Taught by a Firefighter/
Paramedic who’s also a cop, both sides of the issue will
be explored, in an open and interactive format.
Preparatory
So You Want to be a
SWAT Medic?
JESS FULKERSON
A lot of people think that being a SWAT (TEMS)
Medic is as easy as simply putting on a different
uniform and a gun. Nothing could be further from
the truth. This is especially true if you’re considering
starting a TEMS program where one doesn’t exist
right now. Where do you start? Who do you talk
to? What protocols do you use? This presentation
will start with discussing all the facets of a TEMS
program beyond just serving warrants. It will delve
into many things to consider when creating a TEMS
program from scratch. There will also be plenty of
discussion about the mission of a TEMS medic, and
the mindset needed in order to succeed. We’ll talk
about protocols; equipment; armed vs. unarmed
medics; ALS/BLS; and LE based vs. Fire/EMS based
programs.
Preparatory
13. 12
Course Descriptions
Staying Cool in a Heated
Situation: Burn Core
Concepts
ANNETTE MATHERLY
Core concepts of burn care will be discussed. Students
will be taught basic skin anatomy and physiology. They
will also learn how to perform a burn specific primary
and secondary assessment and identify treatment
priorities. Other topics will include initiating and
monitoring fluid resuscitation, identifying airway
challenges, and determining which patients will need
transferred to a burn center. Burn Disaster Crisis
Standards of Care will be identified.
Trauma
Tactical Strength and
Conditioning
ROY BUCHANAN
1st Responders, including EMS, Fire, Military and
Law Enforcement are to be considered tactical
athletes. As such, you are responsible to attain and
maintain appropriate levels of athleticism in order to
be fit for duty. This class will explore a single human
movement pattern and exercise that may benefit you
most.
Preparatory
Back Safety & Body
Mechanics
BRENDA ROBERTSON
Do you know what needs to be done in order to
maintain a fitness level with minimal effort? This
class will teach you how to get in and stay in shape
so you can perform your job without experiencing a
permanent injury.
Preparatory
The Most Bizarre and
Unusual Case Studies in
Emergency Medicine
ALLEN WOLFE
Trauma continues to occur in epidemic proportions
in our society today; however, this is not a new
phenomenon. Trauma injury has been recognized as
a part of human experience since early civilization.
As the world’s population increases so does the
incidence of those rare and bizarre cases which
present a unique challenge to the healthcare
team as life-threatening injuries must be rapidly
identified and treated. When seconds count mental
preparation and rehearsal can make the difference
but if they are rare in occurrence how can we
prepare? A review and analysis using a case study
approach will provide insight and learning points to
the critical care, emergency and transport nurse of
patient management of unusual trauma cases.
Medical, Trauma
The Power of One:
Engaging the Next
Generation
ANNETTE MATHERLY
Do you have a vision plan for the future? Do you
know who your successors are? At the end of
this class, you will learn how to initiate personal
reflection and accountability and how to motivate
and connect with those individuals who will take
your place.
Preparatory
14. 13
Course Descriptions
The Problem Child
JESS FULKERSON
This session addresses something that prevails in our
profession, but few delve beyond complaining about
it. Every EMS system has a person who is difficult to
work with. It could be that one Paramedic, maybe
an ER Nurse, perhaps an EMT we see everyday.
Sometimes…it’s you. There’s a chain of patient care
and every link needs to be a strong connection to
the next. We’ll look deeper into the issue of how
good people become weak links in that chain of care.
We’ll talk about strategies to avoid letting conflict
affect patient care. And we’ll place a mirror in front
of ourselves and ask the question: “Could I be doing
better?”
Preparatory
2015 Resuscitation
Science Updates
JAMES RICHARDSON
The 2015 AHA BLS Guideline changes will be
discussed.
Classification
Ventilator Management -
The Hypotensive
Approach
ERIC BAUER
Mechanical ventilation in the HEMS and Critical
Care environments are now a standard of care for
all intubated patients. Recent published studies
have shown that new resuscitation strategies for
mechanically ventilated trauma patients in low
perfusion states need to be looked at further; due to
the potential secondary adverse effects associated
with positive pressure ventilation and the increased
intrathoracic pressures seen with ventilation models.
It’s evident that this has potential effects on venous
return and cardiac output in already decompensating
hemodynamically unstable trauma patients. Based
on this physiology, patients have a huge potential for
further decompensation, including profound shock
and possible cardiac arrest. In this discussion we
will look at new ventilation strategies for low-flow
perfusion states using high tidal volumes and low
rates in the attempt to reduce dead space ventilation
and intrathoracic pressures.
Airway, Medical
What is this Pain?
BURTON HAYDEN
We will describe the pathophysiologic and behavior
indicators of pain in the trauma patient. We will
discuss consequences of inadequate management
and no pharmacologic interventions.
Trauma, Medical
What the Heck is
Rhabdo?
JESS FULKERSON
Rhabdomyolysis: the breakdown of muscles due to
trauma and the potential fatal consequences. This
session will talk about what “Rhabdo” is, where it
comes from, how to identify it, and how to treat it
in the pre-hospital setting. From fall patients who’ve
been on the floor for a while to suspension injuries
to inmates at prisons - it’s more common than one
might think, and you’ll see it as an EMS provider.
Will you know it when you see it? We discuss
some case studies to illustrate how benign it might
seem, but how lethal it can be. Designed for first
responders all the way to paramedics, we’ll shed light
on a condition which often lurks in the shadows.
Medical
15. 14
Faculty
Eric Bauer, BS, FP-C, CCP-C,
C-NPT
Eric is the founder, CEO
and lead educator for
FlightBridgeED, LLC. He
has worked in the EMS
field for 24 years with
the past 13 years spent
in the HEMS industry.
Eric is an internationally
recognized author, speaker
and educator and still works in the field as a Flight
Paramedic for the one of the largest air medical
services in the world. Eric holds an Associates of
Science – Emergency Medical Services Paramedic,
Bachelors of Science in Business – Health Care
Administration and is just finishing his Masters of
Science in Business – MBA. He has spoken on many
critical care topics as an educator, and has authored
three books in critical care and published 80 critical
care podcasts related to the pre-hospital critical care
emergency medicine industry, with over 700,000
downloads in the first three years of publication. His
last book publication, Ventilator Management – A
Pre-Hospital Perspective, has reached bestseller
status in transport medicine. His love for education,
critical care and leadership topics are the driving
force behind FlightBridgeED and the FOAMed
movement.
Chris Beltz, Flight Paramedic,
NREMT-P
Chris has been involved in
EMS since 1995 when he
obtained his First Responder
license in the state of
Washington. He continued
to advance in medicine and
obtain his EMT-B license in
2003 and paramedic license
in 2008. Chis has spent most
of his time in EMS with both fire-based and hospital-
based EMS services. Currently he is employed by
Campbell County Health EMS as a paramedic and
Wyoming Life Flight as a flight paramedic. Chris also
is a certified AHA instructor for CPR, ACLS, PALS
and is an NAEMT instructor for PHTLS. Chris loves
being a public servant and enjoys teaching fellow
EMS providers.
Denny Bohne, NREMT-P
Denny began his EMT
career in rural North
Dakota, earning his
Paramedic certification
at Med Center one in
Bismarck, ND. He moved
his family to Gillette in
1998 where he began his
employment with Campbell
County Health. Then he moved to Wright in
1999 and is the Southern Campbell County EMS
(SCCEMS) Coordinator. Denny enjoys teaching
and working with EMT’s from ambulance services
to industrial rescue teams, and the State Office of
Emergency Services. Denny enjoys spending time
with his family Victoria, Nora, Denny, Joseph and
Russell, traveling on his Motorcycle, skiing and
hunting.
Roy Buchanan, CCH Excel
Coordinator
Roy is a Certified Strength
& Conditioning Specialist
through the National
Strength & Conditioning
Association. His professional
interests lies in athletic
and sport performance—
especially strength.
Personal interests include
backpacking, cycling, hunting, snowboarding, and
weightlifting.
16. 15
Faculty
Tyler Dickey, MD
Tyler is a new Emergency
physician at Campbell
County Health. He attended
medical school at the
University of Nebraska
Medical Center in Omaha,
and just completed his
Emergency Medicine
residency at CMU Medical
Education Partners in Saginaw, Michigan. Dr. Dickey
wanted to be a fireman when he grew up, like his
uncle who lived in Denver. Dr. Tyler became an EMT
and worked as a volunteer firefighter and EMT in
Chadron, NE. Emergency Medical Technician work
sparked his interest in medicine and started him on
the path to emergency medicine.
Jess Fulkerson, BA, EMT-P, TEMS
Jess currently lives in
Olympia, WA, working
for the North Mason
Regional Fire Authority, as
a Firefighter/Paramedic/
Acting Lieutenant. He also
serves as a Reserve Deputy
on the Mason County
SWAT Team as a Tactical
Medic. He has a B.A. in Education (Minor in Biology)
from Concordia College in Moorhead, MN. Jess has
served as either a volunteer or paid EMT/Firefighter
since 1998.
Jess thinks of himself a teacher or educator, even
before that of a Firefighter or Paramedic. He uses his
experience of over 15 years in Emergency Services,
to bring topics to people in areas of interpersonal
communication, personal and instructor
development, conflict resolution, scene management/
ICS, and tactical EMS (TEMS). Jess has a dynamic
speaking style, incorporating candor, humor, energy
and enthusiasm, which highlight his passion for EMS
and firefighting. Jess enjoys public speaking and
presenting a wide range of topics to a wide range
of audiences. In addition to teaching EMS at his
home agency and at neighboring fire departments,
he’s been a speaker at local EMS conferences and at
internationally attended EMS Conferences.
Kaspen Haley, RN, CCRN, Flight
Nurse
Kaspen is currently a
Clinical Base Supervisor and
Flight Nurse with Wyoming
Life Flight in Casper, WY.
His background includes
combination ICU, ER, Flight,
and ground EMS experience.
Kaspen is currently
obtaining his Acute Care
Nurse Practitioner certification and hopes to
continue his career in the EMS/Critical Care arena
within Wyoming.
Burton Hayden, NRP, FP-C, CC-P,
Wyoming Life Flight Paramedic
Burton is a current resident
of Campbell County,
working as the Clinical
Base Supervisor with Air
Methods’ Wyoming Life
Flight, based in Sheridan,
WY. He has been involved
in EMS for over 13 years
working as a Paramedic
in systems that include Las Vegas, NV (American
Medical Responses), Austin, TX (Austin/Travis
County EMS), and Gillette, WY (Campbell County
Health EMS). Burton has also worked as a Field
Training Officer and Shift Supervisor. Burton is
certified as a Wyoming EMS Course Coordinator
whom is also certified in ACLS, PALS, PHTLS, PEPP,
NRP, TNCC and many others. Burton has been a
guest speaker with EMSU for the past six years.
17. 16
Faculty
Scott Logan, EMS Licensing
Coordinator, Wyoming Department
of Health, Public Health Division,
Office of Emergency Medical
Services and Trauma
Scott is the EMS Licensing
Coordinator for the
WyOEMS. He began is
emergency services career
in 1991 as a firefighter and
Deputy Sheriff in eastern
Tennessee. Prior to coming
to the state OEMS, Scott
worked in the pre-hospital
arena for 14 years and is currently a firefighter for
Wellington Fire Protection District in northern
Larimer County, CO. He has taught fire, hazardous
materials, and EMS courses in the Colorado and
Wyoming Community College systems, for the
Colorado Wildland Fire Academy, for EMS and fire
agencies, and for private industry.
Annette Matherly RN, CCRN
Annette is the Community
Outreach and Disaster
Coordinator for the
University of Utah Health
Care Burn Center and has
over twenty six years of burn
ICU experience. She started
her career as a bedside nurse
in 1990 and became the
Clinical Nurse Educator and Outreach Coordinator
in 2000. She now coordinates burn education in
a five state region, and works closely with EMS,
healthcare facilities, schools and community
groups. In addition to burn prevention and outreach
education, Annette is involved with State and
National burn disaster planning and is a member of
the State Pediatric Strike team and UT-1 Disaster
Medical Assistance Team (DMAT).
David J. Olvera FP-C, NREMT-P
David has been involved
in EMS for many years, he
obtained his NREMT-B
from Allen Hancock
Community College, (Santa
Maria, CA) in Dec. of 2001.
He furthered his education
by becoming a combat
medic, and later advancing
to a tactical medic basic/advanced in April of 2005.
David obtained his Paramedic Certification from
The University of Arizona, Tucson, and became an
NREMT-P in May of 2007. He is currently attending
The College Network/Excelsior (Nursing School).
David has been involved in many research projects
and boards regarding EMS, and he has numerous
plans to better the field for everyone.
Milo Peterson – Campbell County
Firefighter
Michael (Milo) Peterson,
Firefighter, Campbell
County Fire Dept. Milo
currently works full time as
a firefighter for Campbell
County Fire Dept. He has
been involved in the fire
service since 1990. Milo is
currently a firefighter III,
Hazmat Tech. and is dive and ice rescue certified. He
has been involved with teaching rope rescue classes
at the Cody Fire School for 21 years. He and enjoys
instructing class for the CCFD academy involving
live fire attack, rescue, vehicle extrication, and hose
and nozzle classes.
18. 17
Faculty
Robert Quintana, RPh
Robert is employed as the
Director of Pharmacy at
Campbell County Memorial
Hospital. He is a Wyoming
native and received his
undergraduate training
with a Bachelors of Science
in Pharmacy from the
University of Wyoming in
1996. Robert went into the USAF serving 4.5 years
in various pharmacy positions. During his Air Force
time he completed his Doctorial Studies through
the University of South Carolina at Columbia and a
certificate program in Pharmacy Ambulatory Care
through the University of Illinois at Chicago. Robert
also practiced as an EMT-I for Campbell County
Memorial Hospital for 12 years.
Jim Richardson, NREMT-P/CCP
Jim has been an EMS since
1982, Paramedic since 1985
and critical care paramedic
since 1999. He’s worked in
EMS his entire career from
field paramedic, to educator
to ambulance director to QA
and QI roles. Jim is involved
locally with numerous
trauma and medical subcommittees including
RETAC chair for 3 year; statewide on numerous
committees and boards to advance the profession,
nationally with sub committees of AAA, NAEMSP,
NAEMSE, and NAEMT. Jim has served as a board of
director for Ronald McDonald House Denver, Medic
One Foundation Seattle, and currently serves on the
boards for Hillsdale Fund (NC), Denver Kids (CO),
Sudden Cardiac Arrest Foundation (PA), and the
EMS Compass national work group.
Brenda Robertson, CCH Functional
Health Supervisor
Brenda is a Certified
Personal Trainer through
the American College
of Sports Medicine. Her
professional interests
incldue personal training,
job analyses and workplace
screenings, as well as
ergonomic assessments. Personal interests include
Zumba, bicycling, motorcycling, and her newly born
grandson.
Andrew Rutigliano, Campbell
County Firefighter
Andrew is a firefighter with
the Campbell County Fire
Department. He began his
career in the fire service in
2007 and became full time
in 2009. Andrew holds
a variety of certifications
to include Firefighter II,
EMT-B, HAZMAT Tech and various others.
19. 18
Faculty
Barry Shannon, NREMT- P
Barry has been in pre-
hospital medicine since
2002 when he achieved
his first EMS certification.
In 2004, he enlisted in the
U.S. Army where he served
as a Healthcare Specialist/
Combat Medic, eventually
exiting the Army as a
Healthcare NCO in 2008. Shortly after his return
home, he was hired by CCMH functioning as an
EMT-B. Barry went on to complete his Paramedic
Certification, from HealthONE Paramedic Program,
in December 2011. Some of Barry’s additional
duties include being a BLS/CPR instructor, PHTLS
Instructor, assisting with new EMT training and is
a Safekids Technician. On his personal time Barry
enjoys camping, hunting, hobby blacksmithing, knife
making, leatherwork and martial arts.
Diana Shannon, NREMT-I
Diana started her EMS
career in 2000. In addition to
her duties with EMS, Diana
is also the SafeKids Chapter
Coordinator and a child
passenger safety instructor/
technician. With her free
time, Diana enjoys camping,
horseshoes, anything to do
with her grandchildren and traveling the world.
Nicholas Stamato, MD, FACC
Dr. Stamato is a cardiologist
in Gillette, Wyoming. He
received his medical degree
from State University of
New York Upstate Medical
University and has been in
practice for 35 years.
Matt Stroot, NREMT-P, CCEMT-P
Flight Paramedic
Matt currently works full
time as a Flight Paramedic
with Guardian Flight
Wyoming here in Gillette.
He has been involved in
EMS since 1992, starting as
an EMT based in a hospital
emergency room and
assisting in the operating
room. He moved to working in the field as an
EMT and firefighter in 2000 with the Laramie Fire
Department full time, while continuing to work part
time for Ivinson Memorial Hospital. Matt attended
HealthONE EMS Paramedic program in 2002 and
has worked in Laramie’s Fire based EMS system
through 2009. He was a member of and has taught
for the Snowy Range Ski Patrol. He has coordinated
EMT Basic classes for Laramie and Albany County
teaching at the Albany County campus of Laramie
County Community College since 2005. Matt is
an adjunct faculty for LCCC continuing to teach
in all levels of their EMS courses. He has been a
presenter at EMSU, Red Desert, and the State of
Wyoming Trauma Conferences for the past several
years and is an evaluator for the state EMS classes.
Matt continues to teach in EMT Basic, Intermediate,
and Paramedic programs throughout the state as
well as working as an EKG, ACLS, PALS, and BLS
instructor, and affiliate faculty for PMTLS.
20. 19
Faculty
Charles Swearingen, BS, NREMT-P,
FTC
Charles is a critical care
educator and clinician with
Air Methods corporation.
Before coming to Air
Methods corporation,
Charlie founded, and still
operates, his own critical
care and continuing
education company. After earning his BS in 1999
from Millsaps College in Jackson, Mississippi
and then his paramedic certificate 2002 from the
University of Mississippi Medical Center. In just
over 2two years of graduating paramedic school,
he earned a position as a flight paramedic at the
only level one trauma center in Mississippi on
their helicopter flight program, AirCare. Charlie
has 16 years EMS experience and 14 as a flight
paramedic. He has presented original research at
multiple national conferences, competed and placed
in international critical care skill and simulation
competitions, and has lectured at numerous
symposiums and conferences. Charlie will resume
work on a PhD in physiology this fall at the
University of Colorado. He has authored multiple
articles and textbook chapters, reviewed textbook
chapters, and has also published his own textbook in
critical care transport management.
Allen Wolfe MSN, RN, CNS, CFRN,
CTRN, CCRN, CMTE
Allen is currently a Critical
Care Clinical Specialist
and the Clinical Education
Director for Air Methods
Corporation in Denver,
Colorado. Allen received
his BS in Nursing from
George Mason University
in Fairfax, Virginia and his MSN in Critical Care
Nursing at Marymount University in Arlington,
Virginia. He has 29 years in Critical Care nursing
and helicopter medevac experience. In addition to
his role as Clinical Education Director, he co-chairs
Air Methods Quality Assurance Committee. He has
lectured nationally and internationally in variety of
topics. He has spoken at the University of Cambridge
in Oxford, England and the European Trauma
conference in Malmo, Sweden. He is one of the few
experts in the U.S. on management of ventricular
assist devices (VADS) in the pre-hospital and
medical transport. He has published several articles
and chapters on VADS and trauma.
22. 21
SCHEDULE
Thursday, April 7, 2016
7:30
7:30
9:00
10:05
11:10
12:15
1:00
2:05
3:00
3:15
4:20
Registration & Continental Breakfast
Skills Stations
CPR/AED
Basic Airway Techniques Saves
Lives: Current Evidence Based
Practice in the BLS Airway
David J. Olvera
Medications A to Z
Robert Quintana
Invasive Skills: The Do’s and
Don’ts
Allen Wolfe
Got Them Back, Now What?
Post Resuscitation Management
Charles Swearingen
Pre-hospital Airway
Evaluation, Putting it into
Practice, and Current Evidence
Based Research
David Olvera
Classroom 1
Traction Splinting
Splinting & Bleeding
Burn Case Studies
Annette Matherly
Lucas Device Training
Denny Bohne
Bomb/Blast Basics
Annette Matherly
Pediatric CPR
James Richardson
Is Too Much Oxygen
Toxic?
James Richardson
Classroom 2
Spinal Motion Restriction
I Hate PEEPS
Chris Beltz
Gimme Some Sugar
Jess Fulkerson
I’m Freaking Out Man!
Illicit Street Drugs
Kaspen Haley
OWLS
Scott Logan
So, You Want To Be A
Swat Medic?
Jess Fulkerson
Classroom 3
All Aboard the Mentor...Ship
Jess Fulkerson
Lunch And Door Prizes (lunch is provided)
Break
The Most Bizarre and Unusual Case Studies in Emergency Medicine
Allen Wolfe
ALS Track BLS Track
Airway
Farmacology?!
Robert Quintana
Pediatric Trauma
Burton Hayden
Triage
Burton Hayden
My Neck, My Back,
My Neck, My Back
Burton Hayden
As the Rotor Turns
Chris Beltz
Classroom 4
23. 22
SCHEDULE
Friday, April 8, 2016
7:30
7:30
9:00
10:05
11:10
12:15
1:00
2:05
3:00
3:15
4:20
Registration & Continental Breakfast
Skills Stations
CPR/AED
What is Pain?
Burton Hayden
Ventilator Management - The
Hypotensive Approach
Eric Bauer
Ketamine Use - Pre-Hospital
James Richardson
Pull the Trigger
Decision Making in Airway
Management
Jess Fulkerson
EtCO2 - An Indication of
Horsepower & Resuscitation
Eric Bauer
Classroom 1
Traction Splinting
Splinting & Bleeding
Farmacology?!
Robert Quintana
Pre-hospital Evaluation
of the Acute MI Patient
The EKG is KING
Nicholas Stamato
Preparing for the
Unthinkable:
Burn Disaster Crisis
Standards of Care
Annette Matherly
Emergency Care of Burn
Patients - Wy Topics
Annette Matherly
Update 2015
Resuscitation Science
James Richardson
Classroom 2
Spinal Motion Restriction
A Long Way to Go,
and a Short Time to
Get There
Jess Fulkerson
Flying, Drumming,
Cooking, and
Paramedic…ing.
Multi-Tasking in EMS
Jess Fulkerson
So...Don’t Touch
Anything?
Jess Fulkerson
Pediatric Case Study
(BLS)
James Richardson
I’ve Arrived at an
MCI… Now What?
Jess Fulkerson
Classroom 3
Magnifying the Genius in Others
Eric Bauer
Lunch And Door Prizes (lunch is provided)
Break
How’d that get there?
Robert Quintana
ALS Track BLS Track
Airway
Back Safety and the
Importance of Good
Body Mechanics
Brenda Robertson
Omaha! Pharmacology
Blitz - Street Level
Medications
Kaspen Haley
12 Lead Acquisition -
Benefits of BLS Access
Eric Bauer
Pediatric Transport
Diana Shannon &
Barry Shannon
Tactical Strength and
Conditioning
Roy Buchanon
Classroom 4
24. 23
SCHEDULE
Saturday, April 9, 2016
7:30
7:30
9:00
10:05
11:10
12:15
1:00
2:05
3:00
3:15
4:20
Registration & Continental Breakfast
Skills Stations
CPR/AED
Cardiac 12-Lead Case Studies:
Analyzing New Research and
Evidence Based Diagnosis
Criteria
Eric Bauer
Pump, Plumbing,
Or the Wet Stuff?
Vasoactive Medications
Kaspen Haley
Airway, Airway, Airway
Matt Stroot
It’s Only a Flesh Wound:
Or is it?
Annette Matherly
Pediatric Case Study
James Richardson
Classroom 1
Traction Splinting
Splinting & Bleeding
Pediatric Case Study
James Richardson
Is Too Much Oxygen
Toxic?
James Richardson
Bomb/Blast Basics
Annette Matherly
What the Heck is
Rhabdo?
Jess Fulkerson
The Power of One
Engaging the Next
Generation
Annette Matherly
Classroom 2
Spinal Motion Restriction
Oh Baby!
Tyler Dickey
The Problem Child
Jess Fulkerson
Extrication
So, You Want to Tear
Apart a Car?
Milo Peterson
Andrew Rutigliano
Matt Stroot
In Your Mind’s Eye
Jess Fulkerson
Classroom 3
Staying Cool in a Heated Situation: Burn Core Concepts
Annette Matherly
Lunch And Door Prizes (lunch is provided)
Break
Game of Tones
Competition Results
ALS Track BLS Track
Airway
Are You The Widow
Jones?
Jess Fulkerson
12-Lead Acquisition -
Benefits of BLS Access
Eric Bauer
EtCO2 - An Indication
of Horsepower &
Resuscitation
Eric Bauer
I’m Freaking Out Man!
Illicit Street Drugs
Kaspen Haley
As the Rotor Turns
Chris Beltz
Classroom 4
25.
EMSU
2016
Comments:________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________
This
instructor
was
knowledgeable,
organized
and
effective
in
their
presentation.
Poor
Excellent
Eric
Bauer
1
2
3
4
5
Chris
Beltz
1
2
3
4
5
Denny
Bohne
1
2
3
4
5
Roy
Buchanan
1
2
3
4
5
Tyler
Dickey,
MD
1
2
3
4
5
Jess
Fulkerson
1
2
3
4
5
Kaspen
Haley
1
2
3
4
5
Burton
Hayden
1
2
3
4
5
Scott
Logan
1
2
3
4
5
Annette
Matherly
1
2
3
4
5
David
Olvera
1
2
3
4
5
Milo
Peterson
1
2
3
4
5
Robert
Quintana
1
2
3
4
5
Jim
Richardson
1
2
3
4
5
Brenda
Robertson
1
2
3
4
5
Andrew
Rutigliano
1
2
3
4
5
Barry
Shannon
1
2
3
4
5
Diana
Shannon
1
2
3
4
5
Nicholas
Stamato,
MD
1
2
3
4
5
Matt
Stroot
1
2
3
4
5
Charles
Swearingen
1
2
3
4
5
Allen
Wolfe
1
2
3
4
5
EMS UNIVERSITY –APRIL 7-9, 2016
CAM-PLEX Energy Hall • Gillette,Wyoming
