HOT TOPIC Highlight

What would you do if your pilot became incapacitated in flight? Focusing on emergency procedure training, as well as the principles of Air Medical Resource Management, and Critical Incident Stress Management, multiple sessions from different viewpoints will explore the lessons learned as a result of this unimaginable scenario.

  • Aviation/Safety Track: Managing the Unimaginable – A Flight Team’s experience during an incapacitated pilot event.
  • Case Studies Track: Mayday! Mayday! My Pilot Is Unresponsive!
  • Communications Track: Managing the Unimaginable – From Behind the Mic

MONDAY

CLINICAL
Bull in a China Shop: The Journey of Transitioning from Adult Pre-Hospital to Neonatal Specialty Transport
Ever try to put a large wet hand in a small latex glove? That’s exactly what it felt like to reach into an isolette for the first time after caring for adults for over 8 years in the transport environment. Even with pediatric critical care experience, the obstacles faced when transitioning back to small humans after a lengthy time away was a challenge. We will discuss hurdles, struggles, and lessons, in the journey through the transition between patient populations. We’ll discuss common challenges between programs and the biggest difference between knowing a little about a lot (the adult transport role) and knowing a lot about a little (the specialized transport role).

Shake, Rattle, and Roll: Pediatric Seizures
Shake, rattle and roll is great for Elvis but not for our pediatric patients. Pediatric seizures can be a chronic condition for some kids or a marker of a neurologic emergency for others. This up to date lecture will inform you how to assess, prioritize and manage the pediatric patients with seizures. Ensure that your “status” has nothing to do with seizures!

Dang-it Jim, I’m Not a Doctor! – Techniques to Improving Performance Under Crushing Expectations
We are not doctors, but we are often expected to perform like one. When we arrive, we are looked upon as an instantaneous solution, no matter what the problem is. In this evidence-based lecture, we will discuss how overwhelming stress can harm you as well as your performance and how you can be prepared for that moment when you become “Contents under Pressure.

SAFETY
What’s Wrong With My Pilot?!? Besides the Usual
What happens when a medical emergency occurs to the pilot in control of your helicopter? That’s exactly what happened to our crew. We’ll discuss the timeline of events that occurred when our pilot experienced a medical emergency during a patient mission with the patient on board. As the Chief Medical Officer and the Director of Operations/Executive Director, we’ll discuss the decisions made from our homes as we were immediately involved in the incident as it was on-going and how the crew mitigated further risk prior to our involvement. You will hear the actual radio calls from the pilot during the incident and we will discuss actions taken during the call and immediate post-incident actions. We will discuss what we felt we did right and what we felt we did wrong in an interactive discussion. We all have talked about what we would do if this was to happen to us, come hear our story about when it actually did.

BUSINESS/ MGMT
Stop the World, I Need to Get Off! Bringing Leadership into a New Day
The entire world is changing rapidly around us. This is particularly true when you start looking at medical transportation. How we provide those services and the care itself is changing every day. Couple these changes with generational differences in the workforce and we need to examine how we manage these people. This talk looks at what members of leadership need to know to adapt to these changes to lead our companies into the future.

TUESDAY

CLINICAL
Put a Hole in That Man’s Chest! Wait, Not Yet – Rethinking the Way We Treat Pneumothoraxes in the Field
Whether treating with needle decompression or chest tube, placing a hole in a patient’s chest has been our go-to treatment for decades. But is this still the best practice? In this evidence-based lecture and case review, we discuss growing data showing the need for a new approach to this life-threatening emergency.

Infection Prevention Jeopardy
An interactive game based on the Jeopardy© game show where the audience provides questions for infection prevention answers. The audience is divided into two competing teams. Using a power point presentation each side takes turns choosing a category. Once an answer is revealed, the team has 30 seconds to provide the correct question. If unable to provide the correct question the opposing side gets a chance to respond and earn the points. Both teams are considered winners in Infection Prevention Jeopardy as they will learn valuable infection prevention lessons to protect themselves and their patients while having fun.

Taming the Starfish of Death: Management of Intracranial Hemorrhage
Acute neurologic emergencies are a common reason for critical care transport. This presentation will review flight team management of common neurocritical care complaints, with a focus on acute intracranial hemorrhage.

The Miracle of Life, Gone Wrong: When Obstetric Patients Require Critical Care
Pregnancy and delivery usually go very well. When it doesn’t go well, however, it really doesn’t go well — up to one of every seven OB patients who require critical care dies and about one in seven of the deaths are probably preventable. This is definitely a high-risk and low-frequency population for the critical care transport teams who will be asked to manage these patients safely during transport to a tertiary care facility. This presentation will give an overview of normal physiology of pregnancy, the amazingly dangerous normal physiology of the peripartum period, and review detection and management of the array of critical illnesses that can complicate pregnancy.

Wasting Away in PICU-ville!: The Case Of Pediatric Neuro-Endocrine Sequelae Of Traumatic Brain Injury And BCVI
During this session we will discuss the case of a 13 year old boy who sustained a traumatic brain injury after a 10 foot fall. Not a mark on him, usual presentation and after an uneventful and short transport, revealed multiple unexpected injuries, followed by an extremely complicated hospital course. All too often the transport teams deliver a patient to the trauma center and are left with only survival information and are not able to appreciate the sequelae that complicate the hospital course. We will review both the structural and physiological derangements in the world of ICP, cerebral salt wasting, SIADH and central neurogenic diabetes insipidus. And just for fun let’s throw in blunt cerebrovascular injury treatment and anticoagulation!

Sex, Drugs, and Rock N’ Roll: Substance Abuse in Pregnancy
Substance abuse is epidemic in the United States and unfortunately, the pregnant patient is no exception. Because of fear, guilt, and shame, many pregnant patients with substance abuse often avoid prenatal care. The combination of the substance abuse coupled with little to no prenatal care leads to a very high risk for maternal and fetal complications. Come to this shocking lecture to get the dope on maternal substance abuse and to learn how factual and non-judgmental care of these patients can greatly improve maternal and fetal outcomes.

How to Make a Baby-sicle: It’s Easier Than You Think!
This session will discuss neonatal hypothermia and the current trends in use of hypothermia on transport. As a result of the dramatic outcomes after therapeutic hypothermia in newborns, many companies have developed products for active cooling on transport. As we examined the need to purchase extra equipment, we did a small study on the effectiveness of passive cooling on transport and found that we were very effective in reaching target temperatures without extra technology and equipment. We will present the findings of our sample and discuss some novel techniques to accomplish the same goal with less.

BUSINESS/ MGMT
There’s an App for That! Technologies to Enhance Organizational Communications, System Performance, and Safety
Expanding roles and responsibilities of today’s medical transportation leadership diverts precious time away from traditional core mission functions. Expansion of ground transport operations, assisting/coordinating in transfer center functions, greater numbers of personnel, and increased travel obligations can result in leadership disconnection with staff, other members of the leadership team, and the transportation system itself. In this lecture, we will discuss and demonstrate several low- or no-cost “battle tested” applications and devices which will help today’s busy program leaders to maintain situational awareness with their organization and effectively respond to dynamic changes in the system, whether they are in the office or on the road. The lecturer has no financial interest in any of these applications or devices; just first-hand experience as a customer/consumer.

So, We’re Awesome…Right?: A Quality Improvement and Risk Management Journey
Create a road map for proving your strengths by exposing your flaws. In a world where thinking you are “good enough” and proving you are “good enough” are two different things, join Ambulance New Brunswick (ANB) for a re-cap of their journey of self-assessment. Spawned by a published peer audit and a need for goal-oriented focus, the creation of ANB’s Air Ambulance Program Quality Management Guiding Document served to record achievements as well as increase risk awareness and targeted mitigation. Learn how you can apply these principles and strategies to your program before an external auditor does the job for you.

Can You Hear Me Now?: Communicating Across Multiple Forums and Generational Gaps
This presentation focuses on the importance of communication in today’s digital age. Participants will be provided with real examples of one program’s journey on increasing company-wide communication across multiple platforms between different generational gaps. Additionally, participants will learn which approaches worked well and which ones failed. More importantly, participants will leave with real world examples on how to increase communication in their own organizations.

Yes, You Can Write a Journal Article
This course is meant for the novice writer and outlines the steps necessary to prepare a manuscript for publication in a peer-reviewed journal.

Case Study
Get This Truck Off Me!: A Conversation About Traumatic Hemicorporectomy and the Psychological Aftermath
As my partner and I are enroute to another flight we get redirected to an isolated community for a person pinned under a vehicle. Having no other information we are asked to land in town (one block from the hospital). We arrived to find our patient had suffered a traumatic hemicorporectomy which took the skills of an entire rural fire department, four doctors, eight nurses, six units of blood, two critical care flight crews, and two helicopters, all before getting the patient to the trauma center. Sharing this experience will allow us to have discussion on acute stress reactions as well as post-traumatic stress

WEDNESDAY

CLINICAL
Avalanche!
A flight request comes in to an avalanche rescue scene. What are the risks? What can we expect when we arrive? Will I be an asset or a liability? In this interactive PowerPoint presentation we will review case studies from actual air medical responses to 2017-2018 avalanche scenes. We will discuss general avalanche awareness and responder safety issues including: preparation, decision making on the scene, what the scenes were like, what the air medical crews did, patient outcomes, and lessons learned.

Tick Tock Goes the Clock: Neonatal Surgical Emergencies
The transitional time period following birth can be complicated by the presence of congenital anomalies requiring emergent surgical intervention. Such anomalies require specific key interventions and are associated with specific transport issues. In this lecture we will discuss malrotation/midgut volvulus, TE fistula, gastroschisis, necrotizing enterocolitis, diaphragmatic hernia, and bowel obstruction. Key information related to the stabilization and treatment during transport will be covered. Multiple case scenarios will also be presented.

Out of the Woods: Applying Wilderness Medicine to the Transport Setting
Transport medical crews provide patient care in a unique setting, where they are expected to care for complex patients with limited resources. This requires that they be adaptable, self-reliant, and possess a familiarity with a wide range of medical specialty areas. Air medical crews are also often called to transport patients from remote locations, and those who have suffered from environmental exposure. Wilderness medicine is an evolving medical specialty that involves the management of ill or injured patients with limited resources, or under austere conditions when the time to definitive care is prolonged. Both the wilderness setting and transport medical environment require resourcefulness and creativity to be able to manage complex problems with only the items and personnel at hand. This presentation will explore the value of wilderness medicine training, protocols, and practice to transport nurses, paramedics, and other healthcare professionals.

SAFETY
Wings to Wheels: Applying Aviation Safety Concepts to Ground Transport Operations
Safety has been a keystone of the aviation industry for several years, and this has carried over to air medical operations, but what about ground based medical transport? Some concepts have trickled over, but application of these advanced safety concepts is still sporadic and even resisted in some cases. We will look at several safety concepts and practices of air medical safety and how they can be applied to your ground operations.

LAB
It’s So Real, It will Make You Squeal! Hands on Cardiopulmonary Lab
During this hands-on lab, the participant will gain a better understanding of cardiopulmonary anatomy and physiology utilizing discarded hog hearts and lungs. Numerous procedures (Intubation, SGAs, needle cric, surgical airway, retrograde intubation, intubation aids, needle decompression, coronary artery injection, baths and right v left MI review, IABP review) will also be reviewed and preformed. It will be limited to the first 30 wanting to participate (pre-registration NOT required) and unlimited to observers. EVERYTHING will be provided for the participants.