*subject to change
0945 – 1045h
102. A Complicated Delivery: High Risk Obstetrics in the Field
Cherish Brodbeck, BSN, RNC-OB, LP; Carol Wolf, BSN, RNC-OB, NREMT-P, Medical City Healthcare
Have you encountered an atypical obstetrical presentation in the field? Would you know what to do? We will discuss and demonstrate appropriate identification and management of spontaneous vaginal deliveries, breech presentations and shoulder dystocia presentations, as well as update and review cord prolapse response, and neonatal/newborn resuscitation.
103. Acid Basics: Why Does It Have To Be So Hard?
Jonna Cubin, MD, Wyoming Life Flight
This session will use a pediatric case-based format to discuss basic acid-base principles and then build upon these basic tenants to explore more complex concepts. Subsequent to this we will explore basic bedside assessment strategies that provide clues to underlying acid-base disturbances and how this impacts ultimate patient care.
104. Informed Refusal: How To Take No For An Answer
William Selde, MD, FAEMS, Wyoming Life Flight
Patient refusals are a significant source of risk for an EMS organization. The process of informed refusal is a strategy to mitigate this risk and provide optimal patient care. This session will present the concept of informed patient refusal. It will provide an evidenced based assessment of the nature of patient refusals, introduce the concept of informed refusal, and discuss how it can be performed by all ems providers.
105. Fatigue Risk Management in Air Medical Transport Operations
Daniel Mollicone, PhD, Pulsar Informatics ;Joe Gallagher, BaSc, PHI Air Medical
Fatigue risk impacts all personnel involved in air medical transport operations, including both air crew (pilots and clinical staff) as well as ground crew (mechanics and ramp personnel) whose mission-critical activities ensure safe and effective transports. It is well known that fatigue-related deficits impair performance. But how much fatigue is too much? This presentation will demonstrate tools and approaches to assess fatigue risk and crewmember fitness for duty. Benchmarks will be provided to assist organizations with setting up an objective quantitative framework to manage fatigue risk with clear thresholds to trigger fatigue mitigation workflows. Lessons learned will be presented from a fatigue risk management implementation in a large air medical transport operation.
106. Other Duties as Assigned: Taking Colleague Engagement and Leadership Development to the Next Level
Bryan Evans, BS, FP-C, CMTE, Lehigh Valley Health Network MedEvac
Other duties as assigned. What’s in it for me? What’s your 5 year plan? All of these phrases we regularly hear. In this session we’ll discuss the challenges of recruiting and retaining talent. We’ll discuss opportunities to engage talent and develop future leaders. See how this not only increases ownership and accountability, also helps with recruitment, retention and succession planning.
107. Building Resiliency into Your Leadership – Hazard Vulnerability Assessment
Gary White, MBA, MEP, EMT-P, High Definition Coaching
This session will help participants assess their day to day leadership skills. And it will provide you with an action plan for increasing their leadership resilience on a daily basis.
108. Negotiations: Achieving Principled Agreements With Both Reasonable People and Knuckleheads
Michael Frakes, MS, NEA-BC, CMTE, FACHE, Boston MedFlight
The ability to negotiate effectively is important to both personal and professional success, because each of us is involved in negotiations far more often than we appreciate. Successful negotiation is not the win-or-lose game it is typically perceived to be, and mastering principled negotiation skills leads to better outcomes and relationships. This presentation will explain the concept of principled negotiation and introduce the steps and strategies to help you succeed in forging good agreements on issues of any size. You will also leave with tools to improve your success when dealing with counterparties who cannot escape a win-or-lose mindset.
109. The Other Side of the Radio
George Theofanous, CMTE, IAMTCS ACS, EMT-P, TEMS, North Colorado MedEvac
You know what happens in your communications center during transports. You understand how to multitask and how to find the resources needed to accomplish the mission. You’ve also been taught when the most critical phases of flight are and how important patient weight can be. But do you truly grasp what is happening on the other side of the radio? This session will explore some of the traps we all fall into from time to time and remind us to be patient and understanding with each other. Our change in attitude can affect their change in altitude.
110. Sweet Little Kids: Prehospital DKA and Diabetes Devices
Joseph Hill, RN, BSN, CFRN CMTE, Air Methods Corporation
The incidence of Type 1 diabetes continues to grow annually at an increase of 1.8% per year. While the cause is still unknown, many patients are diagnosed with the disease initially after a hospital diagnosis of DKA (diabetic ketoacidosis) which typically requires transport to a tertiary care facility and in-patient treatment. The critical care level required for transport of these patients either from their home or between care centers can be complex and requires specific knowledge of the disease and the current assessment and lab findings for the patient. This lecture will review the disease process, the prehospital approach to treatment of these patients, and a review of current diabetes devices to include CGM (continuous glucose monitors) and insulin pumps which may aid in the patient’s care.
111. Prevention of Peri-Intubation Cardiac Arrest
Steve Bott, MD, University of Utah, AirMed
Peri-intubation cardiac arrest is surprisingly common, with poor outcomes. Epidemiology data about this high-risk/low frequency procedure suggests it may often be preventable. We’ll review the existing data, and discuss possible etiologies and preventive strategies.
112. Adult Sepsis and Effects an Education Intervention Has on One Organization’s Quality Metrics
Greg Schano, DNP, MBA, RN, CCRN, CFRN, CNML, CMTE, EMTP, MedFlight of Ohio
The impact of sepsis is great and affects 31 million persons per year globally with mortality as high as 60%. In the US sepsis is the 2nd most common reason for hospitalization and the most costly hospital condition. Sepsis is complicated and under recognized by even the most experienced clinician. Pathogenesis of sepsis is not fully understood – not all infected patients become septic – and yet treatment is time sensitive. In 2016 a new sepsis consensus definition emerged. Education for critical care transport providers may affect compliance with organizational quality metrics.
113. Listen to Your People: Measuring Safety Culture in Air Medical Services
Jennifer Fletcher, MBA, BSN, RN, Air Evac EMS; Lee Varner, MSEMS, CPPS, EMT-P, Center for Patient Safety; Krista Haugen, RN, MN, CEN, CMTE, Med-Trans Corporation
This session will discuss the experience undertaking an agency-wide safety survey in collaboration with the Center for Patient Safety. Leadership from Air Evac and MedTrans as well as the Center for Patient Safety will share data and findings from the assessment. The session will also explore how the leaders responded to the results and feedback of the assessment. In addition, what organizational changes have made as a result of the survey’s findings.
114. Breaking the Mold: Separating Yourself from the Competition
Abby Walden-Peterson, MHA, CMTE, Atrium Health – Mobile Medicine; Rick Mosteller, Zoll
To better understand who your customers really are, what they are watching/seeing, how to break the mold of the transport industry in party mode while making your customers feel like they are top priority.
115. Who’s Awesome? You’re Awesome! The importance to Empowering Employees for Organizational Success
Marla Werner, FP-C, NRP, MedFlight of Ohio
We will review principals in Empowering employees, from learning to value them and let them know it, sharing the vision of leadership to include goals and direction. Trusting your employees to make the right decisions and making sure they know you trust them. Empowering them to make decisions by making sure they have the tools they need to do so. Delegating responsibilities that influence development and decision making. Provide feed back and and problem solving ideas assuming the problems are the system not the person. Listen and learn to ask questions giving positive feedback and learning opportunities and always rewarding frequently. Helping employees feel appreciated is one of the single most important aspects of Empowerment.
116. Air Documentation Compliance Essentials
Maggie Adams, BBA, EMS Financial Services
Air providers need to document the care they give their patients in an environment where compliance and fraud oversight continues to be a concern. Taking a down‐to‐earth approach, this lively session will grasp attention as we explain the ever‐changing regulatory requirements of documentation. We help you respond to the challenges of the field, facilities and your own operational management. Quality documentation will follow your patient to aid in their care AND be the key to successful claims submission, legitimate reimbursement and compliance.
117. Is Every Hospital Transfer an Emergency?
Charles Blankenship, CCEMTP, MBA, FACPE; Amanda Barnette, CCEMTP, HCA Mission Health
Ever had a routine transfer request that was delayed by you and then within 30 minutes becomes an emergency so they can get them moved? Join us as we discuss our journey to better triage inter-facility transfers from all of our regional hospitals. We will cover the process used and the outcome to create color triage guidelines. Our guidelines will be available to share and we will share our results of this work on our Medcom center calls and resource distribution in 18 Counties of Western NC.
118. Waiting to Exhale: Critical Care Management of the Severe Asthmatic
Jacob Miller, MS, FNP, ACNP, CNS, Cleveland Clinic
Severe asthmatics and status asthmaticus present unique challenges to the emergency and critical-care provider; oxygenation and ventilation strategies are significantly different than other respiratory pathologies. This lecture will review evidence-based recommendations for management of the severe asthmatic exacerbation, including pharmacotherapy and ventilatory strategies.
119. Rapid Reversal: A Novel Approach to Providing Anticoagulation Reversal in a Rural Setting
Abigail Polzin, MD, FACEP, CMTE, Sanford AirMed
The medication Prothrombin Complex Concentrate (4 factor) has been a new addition to reversing anticoagulation for patients with life-threatening bleeding. Serving a large, mostly rural service area presents many unique challenges. Representing our flight team, I was able to meet with representatives from Trauma, Neurology, Critical Care and Pharmacy to adopt and develop a program to bring PCC4 (KCENTRA) to outlying facilities through means of our flight team as well as developing a unique lending program for this expensive medication. We quickly adopted a flat-dosing model (now used system wide) to enable rapid administration of PCC4 for the rapid reversal of anticoagulation in the setting of life threatening hemorrhage. Since the program started in 2017 we have reached nearly 30 patients and shortened the amount of time from identification of bleeding to reversal by hours, in many cases limiting morbidity and even mortality.
120. Where There’s Fire, There’s Smoke: Care of Patients with Burn Inhalation Injury
Christopher Stevenson, AGACNP-BC, RN, MSN, EMT-B, VCU Health/Virginia State Police Med-Flight
Inhalation injury is a spectrum of injuries greatly increasing morbidity and mortality in burn patients that includes thermal, chemical and systemic poisons. We will discuss airway management with video review of a spectrum of video intubations of burn patients captured during laryngoscopy. In addition we will discuss initial management of sub-glottic injury and in-patient continuing therapy. We will also discussed the under-reported killer in burn patients, systemic poisoning and pre-hospital steps that can mitigate morbidity and mortality.
121. Acclimating to Safety
Robby Rhembrandt, FP-C, CCP-C, C-NPT, Air Link at Regional West Medical Center
This lecture is designed to give directors, managers, communication specialist and flight team members the ability to adjust to and develop new safety policies. Currently, I’m designing a State of Nebraska protocol for Air Medical Resources addressing Helicopter Shopping at the state level. The project consists of media involvement, program support, safety reporting, safety incentive and enacting legislation to support the industry. The lecture gives participants ideas to take to their programs along with lessons learned from the work completed by the committee.
122. Hashtag: Tweeting your Photos on Facebook – Social Media Marketing for Public Safety Professionals
Derrick Jacobus, MA, FP-C, MidAtlantic Medevac and Monroe Township Police Department
Social media technologies are continuously transforming the ways consumers interact with each other and firms. These changes constitute a fundamental shift in the marketplace–consumers have greater opportunities to voice their opinions and connect with other consumers as well as an increased influence over marketers and brands. As a result, the conventional approaches to marketing communications have become more and more challenged. This puts an added emphasis on leveraging social media to engage consumers and propagate ideas, messages, products, and behaviors. The ability to use social media to get people’s attention, build an engaged audience and express your personality is becoming an essential digital skillset in the 21st-century knowledge-based economy. Are you ready to build your presence in the digital world? What should you put out there for everyone to see? How much should you post? What platforms do you want to use? Determine your marketing strategy and learn what you can do for no cost to promoting your brand with paid advertisements. With the money you throw away for “giveaways” and “swag,” you can make a bigger bang for your buck in social media marketing!
123. Utilizing a Pharmacist in Your Total Quality Management Program
Kevin Collopy, BA, FP-C, CCEMT-P, NRP, CMTE, NHRMC AirLink/VitaLink Critical Care Transport
Adding a pharmacist to an critical care transport total quality management program improves patient safety by introducing a true pharmacology subject matter expert into the protocol development team. Come hear how one agency added an emergency medicine pharmacist to their TQM program and the impact it has had on ensuring patient safety while improving the transition of care between the field and emergency department..This innovative approach to total quality management has reduced variation between the prehospital and hospital settings and has led to an expanded prehospital scope of care.
124. Oh Baby, Baby! Killing Two Birds with One Stone
Sharon Walsh-Hart, MSN, M.Ed., RN, CEN, NREMT-B, Air Care & Mobile Care at UC Health, University of Cincinnati Medical Center
University of Cincinnati Medical Center’s, Air Care & Mobile Care (ACMC) opened a new Air Care base adjacent to a local fire department in June 2018. Through “neighborly” discussion, it was discovered both had similar training needs with limited resources and training experts. The fire department needed help with advanced medical and trauma training. Air Care needed assistance with scene safety and extrication training. Through collaboration, ACMC and Walton Fire Department (WFD) combined resources and subject matter experts to deliver stellar education that included multiple live, staged MVC’s with multiple patients. High and low fidelity human patient simulators were placed in crashed, unstable vehicles. ACMC and WFD worked with and trained each other on total scene management from LZ review and safety around auto extrication to emergent caesarean section with neonatal resuscitation and airway management, blood administration and environmental concerns. The scenarios were carried out over several days/shifts and were a surprise to the responders. This collaborative approach to education and resource utilization proved to be extremely valuable for the flight crews and fire/EMS department.
125. Closed-Loop Communication: How the Death of Silence Might Prevent a Silent Death
Sarah Barber, EMT-P, FP-C; Susan Gidding, MSH, RN, RTT, Life Flight Network
Effective communication involves timeliness, certainty, and specificity. In the setting of pre-hospital air medical transport, these elements comprise closed-loop communication which ultimately preserves lives of both patients and healthcare providers. By avoiding risks like unnecessary delays in definitive treatment and medication errors, closed-loop communication ensures quality patient care. Additionally, aviation as an industry is inherently high-risk; many communication strategies translate to other fields, particularly healthcare. Finally, loop closure in quality reporting is the key to providing education, improving systems, and avoiding repetition of dangerous errors.
125a. Making Consent Complicated: How Lawmakers are Adding Layers to the Patient Consent Process
Gregory Cassis, JD, FP-C, University of Virginia Pegasus
Although stymied by federal regulations, many states are passing legislation to curb what they consider unnecessary HAA flights. Laws and regulations are turning consent from a simple signature to a more complex process. Learn how the trend got started, example laws from various states and what to look out for in the future. In addition to discussing legislation, the presentation will also discuss best practices in obtaining consent including how to discuss risks of transport and billing practices
125b. Flying Through The Storm: Leadership Lessons On Improving Organizational Culture Amidst An Environment Of Uncertainty
Anna Vanden Bosch, RN, MSN, CFRN; Brandon Bell, ATP, MEI, Avera McKennan Hospital & University Health System
This session will enhance leaders with tools to overcome toxic environments that impact overall employee engagement. Learning from the diversity a flight program that changed a culture while rebuilding expectations for both clinical and operational staff. This was done while many factors that could have negatively impacted the program but it was a turning point with concerted effort made by a unified leadership team.
126. Acute Management of Ventricular Assist Devices in the Field
Allen Wolfe Jr., MSN, APRN, CFRN, CMTE, Air Methods Corporation
Over 5 million Americans suffer from heart failure with many of them awaiting transplants from a declining donor pool. Ventricular assist devices (VADs) are now able to prolong their lives until a heart transplant is available or indefinitely. These pumps vary in design and function with some patients presenting with a pulse while others presenting without. The standard medical assessment techniques are questionable at best, typically falling short of useful. Through a case study analysis approach, invaluable solutions, emerging policies, and evidence based practice will be provided to caring for ventricular assist devices in the emergency and critical care setting.
127. The XABCs of ultrasound in HEMS
Cynthia Griffin, DO NREMT-P, University of Wisconsin Med Flight
This session will review the uses of ultrasound in the HEMS and critical care environment.
128. Acute Burn Management: Moving Beyond Parkland Resuscitation for Critical Care Providers
Stephanie Steiner, MSN, ACNP-C, CPNP-AC, CFRN, APRN, Akron Childrens Hospital
Caring for the acutely burned adult or pediatric patient can prove to be a challenging resuscitation for any critical care transport provider. While devastating injury clearly visible to the eye can be very distracting, the enormous inflammatory response that lies beneath the visible injury is where attention needs to be focused. Depending on what phase of injury a transport provider interfaces with a burn patient, there are management priorities that can truly influence outcomes. We will explore both the initial an ongoing resuscitation of the acutely burned patient, beyond airway management and initial wound care. We will discuss monitoring resuscitation end points, how to mitigate common pitfalls, and exposure to differing resuscitation models that are crucial for all transport providers. Finally, case scenarios will be presented to exemplify some of the most critically ill burn patients who require additional modalities such as ECMO to survive inhalation injury, sepsis and persistent acidosis.
129. One of These Things Is Not like the Other: High Reliability Organizations and Healthcare
Justin Koper, MS, GSP, MTSP-C, FP-C, HealthNet Aeromedical Services
Healthcare, especially in a developed nation such as the United States, is viewed as an industry which should be safe for both patients and providers. However, 20 years have passed since the release of To Err is Human: Building a Safer Health System and there is still a focus on individual human error rather than systemic improvements. Other industries such as commercial aviation and nuclear power generation operate in equally high risk environments but they have acknowledged to err is human and have designed systems which embrace this fact. This session will discuss high reliability organization principles and what we, as clinicians and leaders, can do to apply these principles to healthcare for the benefit of our peers, clinicians, and patients.
131. The Biology of Leadership
Cody Winniford, BA, LP, CCP-C, FP-C, PHI Air Medical
How can leaders get the best results possible out of their teams? By building the environment where those results are even possible. Leaders who do not understand their power, often accidentally create toxic environments. How? By not understanding how their behavior is impacting their team. Leaders must understand how they are impacting the environment in which their teams operate and how that impact affects team performance. This presentation will describe the neuro-hormonal and biological aspects of leadership and encourage leaders to modulate their behaviors to ensure their team members can perform to their best potential.
132. The Top Ten List: Articles from 2018-19 That May Influence Your Practice
Russell MacDonald, MD, MPH, FCFP, FRCPC, Ornge Transport Medicine/University of Toronto
This presentation provides a summary and critical appraisal of ten articles taken relevant to the prehospital and transport medicine literature in 2018-2019 that may influence your air or land critical care transport practice.
133. Be Prepared, Be Aware, Be Ready to Go: MedComm Evacuation Plan
Samuel Keller, CFC; Brandon Eckard, CFC, MedFlight MedComm
What would you do if you received a Mayday call for an event that you had never prepared to properly manage? This session will explore the lessons learned and focus on task management within the Communications Center during critical events as well as discuss the resulting changes implemented in our Operational Control Center.
133a. REBOA: Where We Were And Where We’re Going
Zaffer Qasim, MB BS, FRCEM, FRCPC, EDIC, University of Pennsylvania
REBOA is a relatively new and innovative tool for managing noncompressible torso hemorrhage. While in the US it has been developed mainly in the hospitals, it is relevant to the prehospital clinician since a significant portion of preventable mortality occurs in the prehospital setting. However, implementation is not without its own challenges. This talk will discuss the current understanding of REBOA and the opportunities and challenges to develop it in the prehospital setting.
133b. Why Don’t They Know This?!: What To Do When Training Fails
Sue Parrigin, MSN, CFRN, CHSE, Air Evac Lifeteam
This presentation will utilize the Performance Four as a tool to assist educators, preceptors, medical directors, or training officers in meeting the student where they are at. A time saving method of conducting a needs assessment and gap analysis to target individuals who are struggling to meet training goals. Useful strategies for anyone responsible for teaching anything!
134. Ground Transfer of a Critically Ill 600 lb. Patient: Lessons Learned and Best Practice for Bariatric Transports
Scott James, MBA, RN, CFRN, NEA-BC, NRP; Michelle Patrylak-Quint, BSN, RN, CEN, FRN, CTRN, NRP, The George Washington University Hospital, Center for Trauma and Critical Care
This session will begin with the case study presentation of a 600 lb. critically ill patient that required emergent ground transfer to a quaternary care facility. The team will present their findings, actions, and lessons learned. Additional discussion will focus on clinical considerations and best practices in caring for this special population.
135. Transportation of the Neonate in a Neuroprotective Mode
Julie Lachowitzer, RRT, AS, NPS, Orlando Health; Rick Clow, PMD, BAS, PSA, EMDP, Air Methods Corporation
Each year over 1800 babies are admitted to the NICU at Winnie Palmer Hospital for Women and Babies, a regional perinatal center. Approximately 10% of admissions are transports via ambulances and helicopters from outlying facilities. The stresses to the baby during transport are extraordinary and cause challenges in providing optimal developmental care. Resources were available at no cost. Air Methods assisted with vibration measurements in both the ambulance and helicopter using a microvibe, an instrument used for rotor-wing vibration balancing. Professional engineering expertise on this project was provided by a neonatal volunteer retired from NASA Kennedy Space Center, who conducted failure analysis during the space shuttle era. Noise specific to transport on both the ambulance and the helicopter is currently being analyzed. Hearing protection to this most vulnerable patient population will hopefully be solved in the very near future. Noise measurements were taken in the ambulance and helicopter; noise ranged from 71dB to 92dB. A normal voice conversation is measured at 60dB. Vibration measurements were collected using various mattresses. Vibration was lowest in the helicopter using a ROHO custom air chambered mattress with measurement <7Hz. Exploring the stresses that occur during transport resulted in this process improvement study. Our primary goal was to improve neonatal transport processes and outcomes by minimizing stressors. Sound and vibration were identified as major stressors for both ground and air transports. Light and positioning were also identified as common stressors during neonatal transports. Vibration measurements were assessed in the ambulance and the helicopter using a microvibe device and various mattress combinations. Vibration data was collected in transport vehicles without patients and did not require IRB approval. Considerations for interventions: Determine acuity and optimal mode of transportation, ground vs air.
136. Vasoactive Drugs in Shock States: What Should You Use?
Cindy Goodrich, RN, MSN, CCRN, Airlift Northwest
Treatment of shock frequently requires the use of vasoactive medications to restore adequate tissue perfusion. These drugs may be classified as vasopressors, inotropes or inopressors based on their effects on the heart and vascular system. Most of these medications interact with adrenergic receptors found in the heart and blood vessels. Selection of the most appropriate vasoactive drug to optimize hemodynamics should be based on the underlying etiology of shock and the pharmacological effects of the drug. The focus of the session is to provide the clinician with a brief overview of the most frequently used vasoactive drugs and their clinical application. Adrenergic receptor physiology will be reviewed prior to the discussion of specific agents. Strategic use of push dose vasopressors will also be addressed during this presentation. Case studies will be used to highlight the appropriate use of selected vasoactive drugs.
137. The Wizard of Oddz: A Statistical Analysis of HEMS Accidents and Risk
Ira Blumen, MD, FACEP, UCAN, University of Chicago Medicine
Since 1998, the HEMS community has averaged over 11 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? Do you have the answer? Does your program? Your aviation operator? Our community? The FAA or the NTSB? Sadly, one thing is certain there will be more accidents. What are we doing about it and what are you doing not be the next chapter of this tale. 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 important, the presentation will provide the most accurate calculation of HEMS accident rates and fatal accident rates available. The presentation will conclude with an overview of numerous risk management strategies that could reduce the number of accidents and improve overall HEMS safety.
139. Climbing the Clinical Ladder: An Employee Engagement Strategy
Kolby Kolbet, MSN, RN, CFRN, CMTE, Life Link III
There are far too few opportunities for flight crew members to develop themselves professionally without leaving the front lines doing what they love most. In an effort to develop leaders from within our organization, Life Link III created a Clinical Ladder which allows our front like clinical staff to create a road map to develop themselves professionally and receive recognition for their efforts. Take a walk with us as we guide you through this employee engagement initiative. We will highlight the trials and tribulations as well as the overall success of the program over the course of the past three years.
141. Join our Block Party! Both Communicators and Crews: How to Enhance Communication Center Loyalties
Laura Combs, CFC; Beaverly Meade, DNP, RN, MHA, CCRN, CFRN, CTRN, TCRN, MedFlight of Ohio
Do your Communication Specialists and crews work hand and hand to plan a block party? Join us as we explore how to enhance customer relationships through outreach. We want to share how we improved communication, camaraderie and cohesiveness to strengthen and build relationships with neighbors near and far. We will be discussing the way Communication Specialists can be an integral partner and work together with planning, games and party favors for a successful block party. We will share how this has strengthened the bond between the communications center, crews and agencies neighborhood to neighborhood.
141a. Getting Rid Of Hard Cervical Collars
Mike Hudson, MD EM, Classic Air Medical
A review of the lack of evidence supporting hard c collars and the preponderance of evidence showing they cause harm. A case will be made for eliminating hard collars.
141b. Oh Baby! Now What?
Nathan Lepp, MD, MPH, PHI Air Medical
This session is intended for adult transport crews with limited neonatal transport experience. This brief focused session will cover the basic necessities of neonatal resuscitation and transport. Using case presentations and audience participation, attendees will leave the session with some fundamental pearls that can be applied when faced with the unexpected transport of a newborn infant.