*subject to change
0945 – 1045h
301. Waveform Capnography for the Win
Cynthia Griffin, DO, NREMT-P, University of Wisconsin Hospital & Clinics
End tidal CO2 has vastly changed my practice and having waveform capnography has made the purple poo, yellow yay, color metric devices almost obsolete. ETCO2 has more uses than simply intubation and it should be used for all critical care patients, even those not on oxygen.
302. Got Drugs?
Stacey Ibanez, RRT, MedCenter Air
Neonatal Abstinence Syndrome (NAS) occurs to a newborn after prolonged exposure to an opioid analgesic while in utero. NAS is prevalent in the world today, so much so, that the NIH reports that every 28 minutes a baby is born and exhibits signs of NAS. The first sensations these babies feel are similar to what heroin addicts feel when they quit cold turkey , wracked with pain, clawed by cravings. If NAS is not treated, it can be fatal. NAS babies should be transported to a Neonatal Intensive Care Unit where they can be cared for. To explore the history of NAS and the increasing number of patient’s seen with NAS. We will discuss several treatment options and protocols used at different pediatric hospitals, discuss the average length of cost of hospital stay and to discuss the future treatment of NAS.
303. Traumatic Arrest: when ACLS just isn’t enough
Dustin Calhoun, MD, Air Care and Mobile Care, University of Cincinnati
While traumatic and medical cardiac arrests share a common result, the physiology and epidemiology are very different. HEMS providers must thoroughly understand the distinctions and be facile with the indicated interventions. Though the basic algorithm is performed by ground EMS, potential for arrest enroute and the handful of lifesaving interventions outside the standard EMS SOP, illustrate the importance of this knowledge to a HEMS audience.
304. Pre-Flight Your Social Media: Plan to Respond Effectively and Successfully
Amanda Ball, OCS, CFC, AEMT, MedFlight
Social media can provide rapid and real-time information about events that helps provide greater situational awareness leading to better decision making during both non-emergent and emergent times. This course will provide participants with knowledge and skills to use intermediate social media tools and techniques to communicate with internal and external customers before, during, and after emergencies. The course will also showcase techniques that provide transparent and effective communication on social media without excessive time or resources being utilized.
305. Putting Professionalism Back into Aviation Decision Making!
Rex Alexander, BS, AMM, HeliExperts International LLC
In 2011 the National Transportation Safety Board (NTSB) (US) added Pilot and Air Traffic Controller Professionalism to their top ten most wanted list. The NTSB cited a disturbing number of individual incidents of non-compliant behavior, intentional misconduct, or lack of commitment to essential tasks. In this session we will review ten undesirable attitudes that everyone must guard against, not only in them but in their organizations that can destroy professionalism and negatively impact pilot decision making.
306. Air Medical Photography – Visual Stories From Our Community
Mark Mennie, Photographer
A visual presentation of personal stories, experiences and insights from my years of professional Air-medical photography. Beginning with the day in 1994 it all changed to samples of current projects. This presentation will reflect upon Mark Mennie’s artistic efforts to portray the Air-medical community accurately and respecting the spirit of HIPAA, ride safely as third rider and his efforts in giving back to the community which supports his growing artistic endeavors.
307. Shades of Gray: Medical Ethics and Transport
Nathan Lepp, MD, MPH, PHI Air Medical
Medical transport can be a high stress and complex endeavor. Often it leaves us wondering if we have done the right thing for our patients and their families. Medical ethics principles give us a framework to have those discussions and explore ethical dilemmas that may arise during or as a result of transport. In this session we will first discuss the basic foundations of medical ethics that are used to guide medical practice. Then, building upon this foundation we will explore how medical ethics intertwines with medical transport. Interactive discussions using actual transport cases, audience participation and response systems will be used to engage the participants and stimulate learning. Attendees are encouraged to bring their own cases that they have found challenging to share and discuss with the group. At the end of the session, the participants should understand the basic principles of medical ethics and how they may be applied to medical transport.
308. Preventing Death in Custody Dealing with Agitated Delirium
Charles Sheppard, MD, FACEP, FAAEM, Mercy Life Line, Mercy Kids Transport
There is an increasing lack of mental health care in the United States and as a result we are seeing increasing interactions between police and EMS. These interactions often end badly. This session will discuss excited delirium and its history, relation to sympathomimetic use, treatment and causes of death. The attendee will be provided some information and ideas about how EMS and police can interact in a way to prevent a bad outcome.
1000 – 1200h
309. It’s So Real it Will Make You Squeal!! Hands on Anatomical Cardiopulmonary Lab
Sharon Purdom, BSN, CFRN, Med Trans and Stu McVicar, RRT, FP-C, CCEMT-P, American Family Children’s Hospital
During this ‘hands on’ lab, the participant will gain a better understanding of anatomy and physiology using discarded hog hearts and lungs. Numerous procedures (intubation, ETC, LMA, needle cric, surgical airway, retrograde intubation, intubation aids, needle decompression, coronary artery injection/caths, right vs left MIs and pericardialcentesis) will also be reviewed and performed. 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.
310. IAFCCP Simulation Lab
David Olvera, CMTE, Air Methods; Jordan Owen, REACH Air Medical Services; Aaron Byrd, WakeMed Health & Hospitals
During this two hour lab session participants will have the opportunity to work with the latest high fidelity patient simulation technology. This lab will provide variety of critical care scenarios and an opportunity to practice critical care procedures utilizing evidence based practice during high acuity patient transport.
310a. Research Update – The Wizard of Oddz: A Statistical Analysis of HEMS Accidents and Risk
Ira Blumen, MD, University of Chicago Air Medical
Since 1998, the HEMS community has averaged over 13 accidents and 4 fatal accidents every year. In one year alone, our accidents took the lives of 29 people. Despite the opportunity for lessons learned, new policies, practices, and recommendations from various sources, we continue to see HEMS accidents and fatalities every year and we continue to have more questions than answers. Is there accurate data on HEMS accidents, accident rates and fatal accident rates? What are you doing to avoid being the next accident? This presentation will provide a statistical analysis of HEMS programs, the number of helicopters, total flight hours and annual accidents. Most importantly, the presentation will provide the most accurate calculation of HEMS accident rates and fatal accident rates available.
1100 – 1200h
311. What’s That APP: Applications for Transport Clinicians
Catherine Robnett, RN, CFRN, CCRN, Sutter Health and Michelle Oddi, RN, MSN, CCRN, CFRN, C-NPT, University of California-Davis Children’s Hospital
Technology, specifically mobile applications can be a tremendous help in the transport environment due to the vast knowledge needed to provide care to all patient populations in multiple situations. This lecture will focus on utilization of technologically advanced tools for provision of safer patient care and development of clinical knowledge.
312. You Want Me To Transport WHAT? A Series Of Pediatric Transport Stories
Peter Brust, RN, MSN, CCRN, CMTE, Nemours/ A I DuPont Hospital for Children
This session will describe cases in pediatric and neonatal transport that are slightly different than the average transport. The complexities of unique situations will be explored along with specific disease processes and injuries that are not typically seen will be reviewed.
313. Video Laryngoscopy: Why Should I Care?
Frank Tift, MD, Life Force Air Medical Service
This lecture will be a review of the evidence behind the use of VL versus DL and its potential benefit with regard to safety and success rates. The overall focus will be to discuss pros and cons to help providers decide which modality is best, not to simply do away with DL.
314. Inside Out: The Anatomy of a Transport
Craig LaRusso, MA, BSN, RN, C-NPT, Anne and Robert H. Lurie Children’s Hospital of Chicago
In this lecture we will examine the often overlooked aspects of a transport that involve the human components that are revealed in ourselves, our teammates and the patients and families we interact with. While we pride ourselves on our clinical expertise, being masters of the most challenging clinical environment, and the most unstable patients, we are often not nearly as astute when it comes to handling the emotional, psycho-social and sometimes spiritual components that we are faced with every day. We will examine, through recounting stories from our transport world, how we encounter those components on even the most routine days. We will discuss how we can identify them in ourselves and our teammates, as well as those we care for, and discover the lasting impact they may have on us as transport personnel. We will explore how can we can be better equipped at focusing on those components while paying closer attention to the significant role they play in the lives of the patients we serve as well as our own. Ignoring or dismissing those components could affect you and your team negatively, while being better able to manage them honestly and deliberately can make you a more complete practitioner and build a stronger, healthier team.
315. Safety Culture: How We Lead
Tom Baldwin, MBA-HCA, NRP, CMTE, Air Evac Lifeteam
The term Safety Culture has become rather ubiquitous in recent years. This lecture examines the foundations of safety cultures and includes a multifaceted look at the basic fundamentals of developing, maintaining, and measuring a safety culture in your organization with an emphasis on the tenets of a Just Culture and Safety Management Systems.
316. Altitude Effects on HEMS Personnel & Patients: Lessons Learned on Denali
Dave Weber, BS, FP-C, Denali National Park, Intermountain Life Flight
This presentation will highlight the detrimental effects of altitude on both HEMS personnel and their patients. The high altitude rescue program at Denali National Park in Alaska has been a proving ground for many of the current best practices in this medical arena. Lessons learned by this rescue team will be presented in a manner that facilitates their utilization at other HEMS operations. Dave Weber, a mountaineering ranger at Denali and paramedic at Intermountain Life Flight, will discuss the critical components of altitude physiology, best practices for the prevention, assessment and treatment of high altitude illnesses and relevant HEMS case studies.
317. Transport Hemodynamics: Do You Know Your Numbers and Lines?
Cindy Goodrich, RN, MS, CCRN, Airlift Northwest
Critical care transport requires specialized knowledge and skills related to hemodynamic monitoring. Use of these technologies allows for assessment of cardiopulmonary status and responses to therapy. Clinicians must be familiar with hemodynamic monitoring technologies and have the knowledge and skill to provide safe and effective care during transport. The focus of the presentation is to provide the clinician with a brief overview of pressure monitoring and some of the most commonly used hemodynamic technologies in the transport setting. This will include a discussion of arterial lines, central venous catheters and pulmonary artery catheters. Key safety factors and the unique consideration related to transport of patients with hemodynamic monitoring will be emphasized during this presentation
318. Flight Data Monitoring: Creating, Managing and Utilizing
Jeff Currin and Matt Hilton, Truth Data Insights
As the 2018 deadline to equip air medical aircraft with flight data recorders looms, this course seeks to provide an opportunity to look at many of the elements that make up a flight data program. The session will touch on a number or topics from, program startup components, data management tasks and the many considerations needed when doing analysis of flight data. Most importantly, the discussion will provide successful examples on how organizations can learn from using flight data in a Safety Management System.
1330 – 1430h
319. Too Sick for Transfer: Our Failure, Our Fallacy
Vahe Ender, NRP, FP-C, C-NPT, Boston MedFlight
No one should be left to die at a community hospital because of instability. We will explore the fallacy of instability as an exclusion for transport and explore the duty we have towards our most critically ill and injured patients.
320. It’s All the Rave: Adolescent Street Drugs
Teri Campbell, RN, CFRN, University of Chicago Aeromedical
Not my kid. How many times have we heard this from parent of teens that have over-dosed or experienced some deleterious outcome related to using street drugs? What are they taking? Why are they taking it? Where are they getting it? And most importantly for health care professionals, how do we care and manage them? Come to this fast paced, informative and somewhat terrifying lecture to learn how to recognize, treat and mitigate “badness” related to street drug exposures
321. What’s New in Emergency Airway Management
Steven Bott, MD, University of Utah
We’ll review new ideas, concepts, and data in emergency airway management. Using that information, we’ll discuss the pros and cons of applying it to your pre-hospital and in-hospital emergency airway management. Topics will include intubation strategies, RSI drug choices, pre-intubation hypoxia, pre-oxygenation/apneic oxygenation, and cricothyrotomy techniques.
322. Let’s Agree to Disagree to Make Good Crew Decisions
Kenneth Cerney, ME-PD Leader-Team Dynamics LLC
We do a lot of training to improve communications in a crew but can we agree that disagreements can be beneficial to good crew communications? Personality conflicts are common place especially when we have a different crew makeup almost daily. While personality conflicts can be destructive, using our differences can also lead to improved team decision making. Come explore how our personality differences can lead to excessive conflict or better decisions depending on how the crew uses inherent personality conflicts. Lastly, we will explore how trying to hide or abolish conflict at your base actually could lead to dangerous decisions despite everyone getting along.
323. Error Medical Adventures
K.C. Jones, CMTE, MTSP-C, Med-Trans Corporation
Error Medical Adventures (EMA) will focus on the risky behaviors and distractions flight crews encounter each day. Case studies, and industry surveys will be highlighted to help crew members better recognize and combat at risk attitudes, and behaviors in themselves and others. Examples of common work place situations will be presented to emphasize how easily we can be distracted from tasks at hand.
324. The Less Common Aircraft Brings the Rarest Syndromes!
David Claypool, MD, Mayo Clinic Medical Transport
Discussion of the unique issues of fixed wing transports. Tertiary referral bias brings patients with rare conditions. Flight planning can be complicated by longer flight times and higher cabin pressures. Rare syndromes transported by Mayo teams will be presented as examples of these issues.
325. You Only Get Three: Selecting Lab Values With Meaning For Five Critical Patients
Amy Rynes, MSN, FNP-BC, CFRN and Laurie Smith, FPC, LifeLink III
When faced with complex patients for transport it can become overwhelming when the sending facility staff is rattling off lab values as you are packaging you patient. You may ask yourself which numbers should I care about at this point with this patient? This lecture is designed for you to gain a greater understanding for just three lab values per patient class to better focus your attention. Lab definitions, normal and abnormal will be discussed. In addition, the advantages and disadvantages to retesting will also be touched upon. All with the hope that you can walk away from the lecture knowing three more lab values then when you started.
326. Fearless Analgesia, Sedation and Induction: Customizing Your Approach in Tough Situations
Bryan Winchell RN, EMT-P, CNP-T, CCRN, CFRN, FP-C, CCP-C, Flight For Life
We know that applying a standard RSI to patients in shock can be dangerous: both compensated and frank shock require special handling. Managing pain, providing anxiolysis, or sedating patients is no exception. Clinicians will learn important insights to help them wield critical meds skillfully in hemodynamic compromise, obesity, and organ failure. This lecture provides clear, evidenced-based insights to keep your patients safe AND comfortable.
326a. Do Your PEST: The Evidence Leading to Airway Management (Not Intubation) Success
Michael Frakes, Director of Clinical Care, Boston Medflight
There are many sources for guidance on the medications and procedures for tracheal intubation. True airway management success is not only technical success, but physiological protection of the patient, which is primarily decided before the first medication is pushed. This presentation will review the evidence-based optimal preparation of the patient; provider; and team to optimize procedure success and patient outcomes.
1445 – 1545h
327. It Takes a Village…Adult CPS transports
Judi Carpenter, RN, MSN, DNP, Intermountain Health Care
The cardiopulmonary support system (CPS) is used to assist patients whose cardiac and pulmonary function if failing. CPS is used to help in emergency situations, to treat adult respiratory distress syndrome, pulmonary edema and as a bridge for cardiogenic shock or as a therapeutic procedure to install other support systems such as a ventricular assist devices. Stabilizing and transporting these complicated patients requires a specialized team that has the knowledge and skills and equipment to manage all types of scenarios. Life Flight in SLC has been transporting CPS patients for over 15 years and we have had no deaths during transport.
328. It’s all in the Numbers: Implementing a Sepsis Scoring Tool and Treatment Pathway for your Pediatric Patients
Trona Milano, MSN, RN, CCRN, LP, CNPT, CMTE and Kristal Mantyh, BSN, RN, EMT, Cook Children’s Teddy Bear Transport
Early recognition and treatment of sepsis is critical in decreasing morbidity and mortality of pediatric patients. Learn how our Pediatric / Neonatal Critical Care Transport team implemented our medical center’s Sepsis Scoring Tool and treatment pathway to save time in initiating appropriate care.
329. Something Wicked This Way Comes…Mind the Gap! Emerging Trends in Toxicology
Sean Smith, BSN, NREMT-P, C-NPT, FP-C, TP-C, CCRN-CMC, CCRN-K, CEN, CFRN, CPEN, Critical-Care Professionals International/Vector Aeromedical and Benjamin Abo, DO, NREMT-P, CCEMT-P, University of Florida Department of Emergency Medicine
Are you a technician or a CLINICIAN? Do you truly understand what is happening at the cellular level with both toxins and their antidotes and its clinical relevance? Do you know what a high Anion Gap metabolic Acidosis is and how it relates to toxicology? After this lecture, you will. What do lidocaine and tricyclc antidepressants have in common? What do toxins that prolong QT interval have in common with congenital sudden cardiac death? Why does adenosine cause your patient to take a systolic holiday? Join and get updated on the latest emerging trends in clinical toxicology and fully explore the vital relevance of molecular pharmacology and toxicology to your clinical practice as a cutting edge aeromedical health care provider.
330. Unintended Outcomes – Navigating the Space Between Impulse and Aversion
Jamey Myers, EMT-P, Shock Trauma Air Rescue Service (STARS)
This interactive discussion will focus on how managers and policy makers react to the variable world of critical care transport. Attendees will be asked to reflect on how these changes affect their own programs and how we can better navigate the space between knee-jerk reactions and opposition to change.
331. Helicopter Air Ambulance And Weather Related Accidents
Bryan Butler, PHI Air Medical
2000 / 5 A Simple Solutions to Weather Related Helicopter Air Ambulance Fatal Accidents
Weather is a contributing factor in over 70% of fatal Helicopter Air Ambulance accidents. We will look at the prominent weather factor, and how it correlates to the airspace we fly in. We will also look at how changing FAR Part 135.609 in route weather requirements could lessen the likelihood of future fatal accidents.
332. The Bloody and Viscous Trauma Triad of Death
Daniel Mills, NR-P, FPC, Haynes Life Flight
We all love a good pre-hospital trauma. Too often we see the trauma care part performed poorly. We will take an in depth evidence based look into the trauma triad of death and how we are affecting our patients in a negative way with our treatment.
333. Grounded, Medically That Is, Until Further Notice
Sheryl Williams, RN, BSN, CCRN, CFRN, CMTE and Maria Costella, MBA, CCP, PHR, PHI Air Medical
Employee fitness and ability to perform job duties are vital to the health and safety of our company’s employees and operations. With that, our company has further developed a fitness program that specifies fitness/return to work requirements and employees obligations for reporting to work fit for duty.
334. Flip it…Classroom Style
Lindsey Castle, MSN, RN-BC; Chris Gutman, MedFlight
How one program flipped their orientation class to provide their new hires video lectures and allow the time together in person to be more hands on simulation.
1600 – 1700h
335. It’s just a ventilator: Fielding a new ventilator in a multi-disciplinary CCT program
Christopher Oberg, RRT-NPS, Indiana University Health LifeLine
IU Health Lifeline chose to replace the LTV 1200, a commonly used transport ventilator, with the Hamilton T- 1.This presentation will discuss the challenges we faced from the initial purchase to initial and ongoing training. Lessons learned will be discussed from the point of view of leadership and staff.
336. Pre-E: Not a Course at you Local University
Matti Smith, RN, BSN, C-EFM, Life Flight – Intermountain Health Care
It may sound like something your sign up for during your freshman year of college. Like a math course, such as pre-algebra or pre-calculus. They are examples of structured classes with predictable outcomes to the problems. However,Pre-e is far more complicated and unpredictable than any course you’ll find in your college catalog. Pre-e is an OB lingo term often used to refer to the pregnancy complication of preeclampsia. Unlike your college classes, preeclampsia can be ever changing, hard to control and even deadly. Its not your typical college lecture. Preeclampsia is a complicated and potentially calamitous component of pregnancy that many women are diagnosed with. Although signs and symptoms can help diagnoses preeclampsia, oftentimes a patient can look completely healthy on the outside, yet can be headed to worsening conditions such as HELLP syndrome, stroke or even death as a result of their condition. Come learn how to identify Preeclampsia and treat the patients who have it. These are the patients who endure one of the hardest lessons that a pregnancy complication has to offer.
337. Mobilizing, Mechanically Ventilating and Medicating the Morbidly Obese Patient
Justin McLean, MD, Flight For Life CO
You just got the call for a 500 pound critically ill patient requiring inter-facility transport. Are you prepared to do the trip? Just as pediatric patients are not just small adults, morbidly obese patient are not just large adults. This lecture will discuss four factors in critical care transport of the morbidly obese patient: operational considerations when transporting this patient population, clinical considerations related to airway management, mechanical ventilation and medication adjustment for the morbidly obese patient.
338. Dammit Maverick, Engage! A Journey Focused on Increasing Employee Engagement.
Michael Perkins, BSBA, MBA-HCA, EMT-P, CMTE, MedFlight
Does increased employee engagement really make a difference? In this presentation, participants will hear the journey of two different programs that set out to answer that very question.
339. From Tragedy to Recovery, Anatomy of the Mercy Air Med Crash- 1/2/2013
Bryan Williams, RN, BSN, Mercy Air Med
Bryan Williams, Chief Flight Nurse, brings a detailed account of the Mercy Air Med Crash that occurred 1/2/2013 in a field in northern Iowa. He will give a first-hand account of the heartache that was experienced, and the process by which the department was pieced back together.
340. I’ve Been Exposed To…WHAT? Post-Exposure Management Of Infectious Diseases
David Wuertz, MS, RN, CFRN, LP, PHI Air Medical
Super bugs are in the news. Contact with infectious diseases by health care workers is a fact of life, however, the challenging world of air medical makes follow-up after exposure difficult. This presentation will explore the CDC isolation guidelines, strategies to protect flight crews from disease transmission, and post-exposure treatment of high-risk infectious diseases.
341. Taking TXA Beyond Trauma
Rick Erickson, NRP, FP-C, Creighton University / AirMethods
Tranexamic acid (TXA) has become common place in critical care transport in the management of. This presentation addresses current research in conditions beyond trauma including post-partum bleeding, head bleeds, DIC, and GI bleeds. We will look at current thoughts and future implementation into critical care practice through case based presentations.
342. Out Of The Sim Lab And Into the Ship- Live Helicopter Simulation
Jenny Humphries, RN, BSN, MBA, MICN, CFRN, Enloe Medical Center
Learn how to take your sim lab training experience to the next level and facilitate simulation in the aircraft. We will share our experience, what went well, challenges we encountered and how we have fine tuned the process and adopted into our program’s quarterly simulation training.