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(current) My Profile ACCREDITED COURSES CREDITS EXPO 2023 PRODUCTS SUPPORT Log in Skip available courses Available courses Pharmacotherapy for the Resuscitationist. The Latest and Greatest Medications in EMS—On Demand Resuscitation of the critically ill patient involves a concerted effort with the utilization of potentially several medications. This lecture will discuss the hottest and most current topics in EMS including the role of push dose pressors, droperidol in decompensated agitated delirium, the multifaceted roles of ketamine, and much more. This lecture will also review controversial topics of pharmacotherapy in the pre-hospital setting and will review the evidence supporting life saving medications in critically ill crashing patients. Learning Objectives: Discuss the multifaceted role of ketamine in the pre-hospital setting Discuss the utility and nuances of droperidol for agitated delirium Describe the major indications for push-dose pressors and their role in preventing peri-intubation hypotension EMS World Expo 2023 On Demand Get access Bridging the Gap–Ops and Admin Working Together–On Demand Using case studies from the Philadelphia Fire Department, this presentation will explore the synergy achieved by a close working relationship between operations and administration in an EMS system. We will explore the process by which a disconnected relationship between these task groups presents a barrier to success and quality improvement in a large EMS system. Operation Allies Welcome can be characterized as a months-long MCI in which Philadelphia EMS assisted with medical care for 29,713 refugees on over 300 flights. This operation required "all hands on deck" and was only successful through strong inter- and intra-department collaboration. This strengthened relationship within PFD EMS led to an innovate overdose tracking system which utilizes administrative data and real-time feedback from operations officers to identify overdose spikes and offer immediate harm reduction services in small target areas within the city. We are together stronger than the sum of our parts. Learning Objectives: Upon completion, participants will be able to analyze the current disconnect that often exists between administration and operations in EMS, and the impact it has on our EMS systems. Upon completion, participants will be able to evaluate the effect of bridging this gap through a specific and data-driven case study arising from PFD’s overdose response initiative and tracker development. Upon completion, participants will be able to improve their own EMS system's collaboration between operations and administration from a goal-oriented mindset. EMS World Expo 2023 On Demand Get access Poisoned Apples—How to Manage Toxic Employees—On Demand Shiny on the outside, not so nice on the inside. Toxic personnel has the potential to devastate an agency. They hurt morale, sabotage attempts at change, and can be notoriously difficult to get rid of. This is especially true if they are high performers, popular, or deeply ingrained in the pre-existing culture. They are also highly contagiousthe longer they go unaddressed, the more personnel they can pull to them. This presentation will look at different types of problem employees, how to recognize them and why they happen in the first place. Is it just who they are, is it the result of stress or burnout, or is it a reflection of the leadership? When it comes to the health of your agency, it's crucial to recognize them early, discover the root cause, and address them in a fair and equitable manner. We will discuss tips on writing effective briefs that address behavior, using evaluations effectively, and how to structure improvement plans or to apply discipline appropriately. **This topic ties in with recruitment/retention and speaks to agency culture as well. This is good for incoming managers.** Learning Objectives: Describe toxic behavior in the workplace. Identify strategies to curtail negative interpersonal behavior. Evaluate underlying causes for toxic behavior. EMS World Expo 2023 On Demand Get access We Can't Punish Our Way to Better Quality—On Demand Historically, organizations have followed the "name, blame, and train" model of quality improvement, and yet, we continue to be plagued by substandard patient outcomes. Our investigations have focused on our people rather than the systems in which they operate, and our people became the broken part that needed to be fixed. Resilient systems are built to withstand inevitable human error, not to prevent it or punish for it. In this discussion, we will use real case examples to understand why a systems-based approach is better for the people we lead and the patients that we care for. Learning Objectives: Upon completion, the participants will be able to describe why punishment for simple human error is counterproductive to quality improvement. Upon completion, the participants will understand several ways in which system factors contribute to human errors. Upon completion, the participants will be able to describe how system resilience in patient safety relies on expecting rather than preventing human error. EMS World Expo 2023 On Demand Get access Sign Here: A Practitioner’s Guide to Patient Refusals—On Demand The most critical clinical decision a provider can make is not at the devastating car wreck or the witnessed cardiac arrest; it’s during a patient’s refusal of care and transport, the most common incident encountered by most responders. How are you managing refusals on scene? Does your service use provider-initiated refusals or alternative transport destinations? Can your refusal documentation stand up in a court of law? Nick, an EMS Division Chief with over two decades of emergency response and quality assurance experience, and Samantha, an attorney for one of the largest hospital-based EMS systems in the Southeast, examine the clinical, legal, ethical and operational implications of patient refusals. Providers, administrators, and educators will benefit from this practical and interactive street-level approach to managing and documenting patient refusals. Nick and Samantha discuss a consistent method that enhances clinical judgment and acts as a checklist for legally compliant documentation. Using actual incidents and reported legal cases, Nick and Samantha offer tips and tricks for responders to protect themselves and their services from legal liability. Learning Objectives: Examine the clinical, legal, ethical and operational issues associated with patient refusals. Analyze the legal impact of provider-initiated refusals and alternative transport destinations. Demonstrate the role of documentation in reducing legal liability for patient refusals and use the CURED mnemonic for more effective charting. EMS World Expo 2023 On Demand Get access The Law and You: What You Need to Know—On Demand In this entertaining and informative session, Mr. Nagorka will take you through the world of the law and will show how it applies to you in your everyday practice. Learning Objectives: Recognize the difference between the civil and the criminal systems. Gain an understanding of how the standard of care evolves and changes. Learn how to talk more effectively with lawyers and their staff. EMS World Expo 2023 On Demand Get access Managing Traumatic Stress to Build a Mentally Resilient Workforce—On Demand The nature of work Emergency Medical Services (EMS) responders face day to day is widely acknowledged to be stressful and has the potential to affect an individual’s mental health (Anwar et al, 2019). This persistent occupational stress can result in a variety of mental health conditions, such as depression, anxiety, Post Traumatic Stress Disorder (PTSD) and can be a factor in suicide (Kings College London, 2020). It is imperative that EMS organisational leaders not only understand the risks but are well equipped to support responders at the...