*subject to change

0830- 0930h

201. The Miracle of Life, Gone Wrong: When Obstetric Patients Require Critical Care
Michael Frakes, MSN, APRN, CFRN, CNPT, FACHE, EMT-P, Boston MedFlight

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.

202. Charlie Fox Cric: Complications in the Surgical Airway with Front of Neck Access (FONA)
Cynthia Griffin, DO, NREMT-P, University of Wisconsin Med Flight and St. Agnes

This presentation will get you from cric-disaster-cursed to cric-educationally-versed. It will discuss a real complex inter-facility HEMS transport case of a Can’t Intubate Can’t Oxygenate (CICO) patient requiring another surgical airway after an unrecognized false passage. In this case there were several complications yet these were overcome with various techniques by a group effort of the emergency department team, EMS, respiratory therapists, RN, flight & the critical care crew (flight physician & RN). I will review the pertinent anatomy regarding the surgical airway with front of neck access (FONA), common/uncommon pitfalls, and techniques to overcome these by reviewing up to date literature on this topic. Finally I will discuss what the future holds for this advanced procedure and the implementation of the use of point of care ultrasound to aid in FONA.

204. Cameras in the Cockpit
Paul Spring, R/W & F/W Pilot, AMT, Phoenix Heli-Flight Inc.

Phoenix Heli-Flight has become an industry leader in the utilization of HFDM and CVVR recording devices since the company experienced a fatal helicopter crash in 2007. The presenter will explain how his organization overcame the fear and resistance of the company’s pilots to the installation of CVVR (Cockpit Voice Video Recorders) in their helicopters. The presenter will share examples of how his company uses cockpit video recordings to increase safety, enhance training and save money on maintenance.

205. What Got You Here, Won’t Get You There
Cody Winniford, EMT-P, CCP-C, FP-C, PHI Air Medical – Cedar Creek

There is a problem in leadership selection and development, not just within the EMS profession, but in healthcare in general. Leaders are generally selected based upon their tenure in their organization and/or their functional expertise in their primary job (e.g. EMT, paramedic, nurse, etc.). The problem that this creates is that we select leaders for their drive, intelligence, and self-discipline, but then they are removed from that position because they lack basic social skills. This presentation will demonstrate a pathway to self-development for new and experienced leaders to enhance their effectiveness as leaders and that of their organizations.

206. Personal Preparations for Survival Situations
Kevin Collopy, BA, FP-C, CCEMT-P, NR-P, CMTE, AirLink/VitaLink Critical Care Transport

Preparedness isn’t a catch phrase and it isn’t just about surviving a disaster; it is about being ready to get caught in an unexpected moment. Have you ever been caught in the rain? Stuck without shelter when cool became cold? This presentation makes survival personal. Come learn the truth behind common survival myths and hear how you can better plan and anticipate your needs should you be caught in the environment. After destroying a dozen survival myths, you’ll hear about how to evaluate the environment to assess your local risks and hazards. Finally, we will discuss how to pack a personal survival kit designed to keep you safe for at least 24 hours.

207. Transitioning from 24 Hour Shifts to 12 Hour Shifts
Lisa Schlemmer, BSN, RN, CFRN, NR-P, Indiana University Health LifeLine

Decisions made in the name of safety can be unpopular. No safety decision in the 38-year history of LifeLine was as unpopular as the transition of 24 hour shifts to 12 hour shifts. Discussion will include LifeLine’s journey through this transition by sharing the background and lessons learned. Many of our team members traveled up to 2 hours one-way to work and had more than one job. As transport volume and average time on transport increased, it was evident the teams were fatigued. This presentation will include the process a 5-base, statewide program implemented to transition teams to 12 hour shifts. Highlights of the presentation will include the steps and timeline of discussing the change with the team and implementing the strategy, importance of messaging and delivery, planning and anticipating turnover, the emotional and financial impact of the transition and mistakes made to learn from.

208. Stroke Care: A Rapid Approach
Jason Bazelow, FP-C, CCEMT-P, Vidant EastCare

In the US, someone is diagnosed with a stroke every 40 seconds. North Carolina has the 6th highest number of stroke related deaths nation-wide and a vast majority of them reside in eastern part of the state. In 2015, Vidant Health decided to deal with this problem in a multifaceted way. It grew its internal neurological services, advocated for other regional hospitals to achieve their stroke credentialing and provided outreach and education to emergency services throughout the region. Now stroke patients that were once delivered to local hospitals and waited for transport to stroke centers hours away are being flown to Vidant Health from the scene. They are being identified faster, treated more appropriately and receiving swifter transport. This lecture will discuss the past, present and future of stroke care throughout our region, how we are striving to improve that care as a critical care transport service that is part of a larger health system, what our quality improvement processes are, as well as discuss the different types of strokes, stroke identification and rapid treatment and transport of those patients.

209. A Tale of Two Balloons
Jamie Feick, RN, CEN, CFRN, BSN, Mike Fadale, RN, CEN, CFRN, BSN, and Amanda Rosito, EMT-P, FP-C, Penn State Hershey Life Lion Critical Care Transport

This session will present a case study of two balloon pump transfers done on the same day in the same program. Both presented challenges like less experienced cath labs, IFR conditions, as well as an air and ground component to completing both missions. One transfer went perfect and one didn’t. The session will also include a review of care and transport of a balloon pump patient as well as review of Impella devices. New technology should eventually phase out balloon pumps, however smaller hospitals with less invasive cath labs are still out there and will be slower to implement newer technology. Critical care transport crews must still be aware of the challenges these patients present in a transport setting.

0945- 1045h

211. Getting the Answers You Want From the Data You Have: How We Can Be Fooled By ‘Evidence’
Charles Sheppard, MD, FACEP, FAAEM, Mercy Health System

With today’s emphasis on ‘evidence based medicine’ it is more important than ever that you understand how evidence can be misleading. As more and more of the literature are paid for by people with an agenda, misleading information filters through. This lecture is not a statistics course but rather a look at the “red flags” in articles that should promote a second or third look at the results. This will not make you a statistician, but the goal is to make you a better skeptic of what you read and better able to utilize evidence to help your patients.

213. Tactical Trauma Response to the Active Shooter: Is Your Company Ready?
Zach Lyman, FP-C, TP-C, NR-P, MBA, Classic Air Medical

With the increase in active shooters and acts of terrorism, there is a profound need for emergency responders to be ready and able to treat patients in these scenarios. These situations are overwhelming and require special equipment and training. The current literature shows the importance of upfront care and quick medical treatment when these catastrophic events occur. This session will help EMS and HEMS crews evaluate their ability to respond to these situations. It will discuss equipment and techniques needed to be successful in these high stress high paced situations. Time to get our crews out of the cold zone and prepared to enter the frontlines.

214. There’s an App for That! Technologies to Enhance Organizational Communications, System Performance and Safety
Robert Higgins, RN, NRP, MBA, PennSTAR Flight Team – University of Pennsylvania Health System

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.

215. The Top Ten List: Articles from 2017-2018 That May Influence Your Practice
Russell MacDonald, MD, MPH, FCFP, FRCPC, Ornge Transport Medicine

This presentation provides a summary and critical appraisal of ten articles taken relevant to the pre-hospital and transport medicine literature in 2017-2018 that may influence your air or land critical care transport practice.

216. Assessing Fitness for Duty in the Operational Setting
Daniel Mollicone, PhD, Pulsar Informatics Inc.

Working long hours, high paced operations, and night work can all lead to fatigue risk that puts the success of the mission in jeopardy. There are several technologies available today that allow us to understand the fatigue risk profiles we encounter during our work shifts so that pre-planned mitigation steps can be implemented as much as possible. But sometimes the best plans aren’t always implemented, and we need a way to quickly assess our fitness to perform the task during our operational tasks. Through use of the Psychomotor Vigilance Test (PVT), a 3-minute behavioral alertness and vigilance test that has become the gold standard in sleep science, operators can now assess the relative risk level of a person at specific points in time. Having an objective measure of a person’s alertness level affords the operator an unbiased safety mechanism to institute various “day of” safety protocols to operate as safely as possible.

218. Trading Places: Lessons Learned from the Haiti Air Ambulance Exchange Program
Stacy Wolf, NRP, CCP-C, FP-C, MTSP-C, Haiti Air Ambulance, and Susan Smith, EMT, BSN, CFRN, MBA, CMTE, Carilion Clinic Life-Guard

First and third world countries certainly have their differences, but as far as HEMS programs go, you may be surprised to learn how many similarities there actually are! Join us for a presentation on how a typical USA HEMS program compares to the new (and ONLY) HEMS program in Haiti. We will also share information about the USA-Haiti volunteer Flight RN / Flight NRP program, the exchange program established between one USA program and the Haiti EMT’s, how the Flight EMTs are trained and what their roles are as well as a look at the country of Haiti itself: the land, the challenges, and the people.

1330- 1430h

220. Sex, Drugs, and Rock N’ Roll: Substance Abuse in Pregnancy
Teri Campbell, RN, BSN, CEN, CFRN, University of Chicago

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.

221. On the Bleeding Edge: The Art and Science of Hemorrhage Control in the CCT Environment
Craig Bates, MD, FACEP, Metro Life Flight

Hemorrhage is a substantial source of morbidity and mortality in patients with trauma. The management options for hemorrhage in the critical care transport (CCT) environment are rapidly evolving, making it critical that CCT crew members have a strong background in the pathophysiology of hemorrhage and the therapeutic options. In this session there will be a discussion of a wide range of hemorrhage control options from basics like tourniquets and wound packing to more advanced interventions intended to impact a patient’s systemic clotting function.

222. Infection Prevention Jeopardy
Karen Swecker, RN, CIC, MedFlightAn 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.

223. A Call For Collaboration: A First Step Towards Airspace De-confliction Between Manned and Unmanned Aircraft
Tammy L. Chatman, B.S., CMTE, Flight for Life Transport System and Peter Menet, U.S. Army (Ret.) Black Hawk Pilot, Section 333/107 Pilot, UAS Advocacy Network, Menet Aero

The number of UAS (drone) sightings by manned aircraft rose to more than 250/month in 2017 from approximately 100/month in 2016. With 2017 drone sales projected to be nearly 3 million, this number and the issues that unmanned aircraft pose to manned aircraft will only continue to increase. The FAA has this covered right? Wrong! It is up to the entire aviation community to find a way to co-exist in the national airspace with drones for the safety of all aircraft, especially air medical helicopters, and their occupants. This presentation will delve into the work of two groups in Wisconsin-the State of Wisconsin Air Coordination Group and the UAS Advocacy Network-who are making a difference by bringing stakeholders to the table to enhance safety, facilitate education and de-confliction in the airspace between manned and unmanned aircraft through collaboration, coordination and cooperation.

224. Common Legal Issues in Air Medical Transportation
Adam Kuenning, JD, LLM candidate, Erickson & Sederstrom, PC, LLO

This session will focus on several of the most common legal issues in air medical transportation. The session will begin with a brief legislative update on some of the primary laws and regulations applicable to air medical transportation. Subsequent discussion will focus on aircraft ownership/leasing mechanisms, operational considerations, and air medical payment and reimbursement.

225. Experience is the Best Teacher: But Few Are To Be Found
Michael Harmon, MHPE, RRT, PHI Air Medical

This presentation is our simulation project developed to give our crews the experience they need to reduce errors. We know from the study of human performance that errors happen for a number of reasons. The most common error type is due to misinterpretation as a result of change in conditions, sensory overload, and account for about 60% of all errors. The average flight crew member does not get enough experience in the most difficult types of transports. Since experience is the best teacher and for a fool the only teacher, we owe it to our patients that our experience shouldn’t be gained at the expense of the innocent. We need to learn from others errors-Why waste a good disaster?

226. How Group Think Can Destroy an Organization & Conflict Leads to Better Outcomes
Jared Sherman, CMTE, and Ted Galbraith, CFRN, NREMT-P, CMTE, Guardian Flight Alaska

It’s great when everyone agrees. Everyone is moving in the same direction and there is no dissension, but what if that “Kumbaya” is preventing your organization from reaching its potential? This session will help you learn techniques and skills to utilize the diversity within your team. Identify and counter the group think mentality while building a team that understands conflict can be empowering.

227. Get This Truck Off Me!: A Conversation About Traumatic Hemicorporectomy and the Psychological Aftermath
Carol Anne Doll, RN, and Jamey Myers, EMT-P, Shock Trauma Air Rescue Service (STARS)

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.

228. Trust, Transparency, and the EDP: Learning from a Near Fatal Event
Ben Clayton, ATP, CFII, Life Flight Network

This session will discuss a near fatal event which was posted to the CONCERN Network in January 2018. The incident occurred at night, in VMC conditions, and utilizing night-vision goggles (NVGs). The pilot unknowingly entered a high rate of descent at very low airspeed and altitude. Recovery occurred at approximately 100’ Above Ground Level (AGL). During the session a video recreation using flight data monitoring will be shown. Discussion topics include the importance of good AMRM and the critical nature of the en route Decision Point Policy.

1400- 1600h

IAFCCP Cadaver Lab
Corbin King, Andrew Merrill, and Kevin Casey, IAFCCP

The cadaver lab will be approximately 90 minutes long, and will accommodate 60 participants. This lab will be conducted using qualified instructors and non-embalmed cadavers. In this lab, participants will have the opportunity to observe a variety of critical care skills utilized in high-acuity patient settings.
You must register for this course on the IAFCCP website.

1445- 1545h

229. Putting all the Pieces Together: Managing and Recognizing Child Maltreatment
Craig S. LaRusso, MA, BSN, RN, C-NPT, Ann and Robert H. Lurie Children’s Hospital of Chicago

The speaker will describe initial presentation of each child including triage information and interventions required to stabilize while on transport. Tools to identify signs of child maltreatment will be discussed as well as the implications of early intervention and recognition. Outcomes for each case will be presented and the goals to decrease child maltreatment nationally will be included. CT scans, photos, and MRI images will be utilized to aid in learning.

230. Traumatic Bradycardia: When a Slow Heart is a Fast Death
Bryan Boone, BSN, RN, CEN, CFRN, and Michael Boone, BSN, RN, CCRN, CFRN, IU Health Lifeline, Heavy Lies the Helmet

Multi-system trauma patients are often associated with tachycardia due to hypovolemia and the sympathetic nervous system’s compensatory response. However, these patients may present with paradoxical or relative bradycardia a potentially ominous sign of a more serious underlying injury and impending arrest. We will discuss the main differential diagnoses leading to traumatic bradycardia, the limitations of commonly used assessment tools in the pre-hospital environment, and the various treatment options the critical care transport provider should consider outside the realm of ACLS based on their patient’s clinical presentation.

231. Airway Management in the Era of Videolaryngoscopy
Christopher Galton, MD, NRP, FP-C, Mercy Flight Central

This session will discuss whether or not our primary airway management algorithms should change, given the recent addition of videolaryngoscopy technology to many air medical service providers. It will start with a review of current practices and go on to discuss how VL fits into many practices now, even without evidence to support broad utilization.

232. Safety Culture: Continuous Improvement Required
Christopher Young, Baldwin Aviation – Safety & Compliance

Culture is to organizations what personality is to individuals — every person has one and every organization has one. Whether that culture is supportive or stifling, transparent or guarded, inclusive or selective, it represents the way an organization behaves. In air medical transport, a safety culture is more specific than organizational culture because all aspects of culture (values, beliefs, behaviors, standard operating procedures) are examined through the lens of safety. Aviation expert, Dr. James Reason said, “If you are convinced that your organization has a good safety culture, you are almost certainly mistaken… A safety culture is something that is strived for but rarely attained – the process is more important than the product.” Just like in a chemistry lab a “culture” grows given the conditions of its environment. In this interactive session we will explore the environment required to continuously nurture a strong safety culture.

233. Patients First – Not Competition: Making Our Patient Outcomes Better by Working Together
Jenn Killeen, MHA, RN, NRP, CMTE, Classic Air Medical, and Karen Snider, RN, MSN, CFRN, CMTE, AirLife Denver

We are in this industry to help people – not to out-do our fellow flight services at the expense of our patients. Sometimes fierce loyalty clouds our vision and decision making abilities. Unfortunately, competition has gotten in the way all too often and we have failed to admit or recognize this. Sometimes there appears to be too much mud-slinging and not enough collaboration.

234. Recipe for Success: Preventing Preceptors from Becoming Well Done
Tara Beebout, BSN, RN, CCRN-K, CMTE, and Lindsey Castle, MSN, RN-BC, MedFlight

How do you know that all of the cooks in the kitchen are not becoming burned-out from continual preceptorship? Faced with staffing challenges and recurrent onboarding, preceptors can become over cooked with the demands of educating new staff members. In this lighthearted presentation, we will be addressing the serious issue of burnout. A complete recipe to prevent preceptor exhaustion will be discussed. Ingredients will include a dash of staff education, a pinch of prevention and a spoonful of resiliency. Following these simple steps is all that is needed to extinguish the flames of burnout.

235. Modernizing HEMS Survival Training
David Weber, FP-C, Denali National Park & Intermountain Life Flight

This presentation will highlight the need to update survival training modules within the HEMS industry. Many programs teach outdated skills and information to team members not aligned with either best practices or modern survival equipment. The presenter, a mountaineering ranger at Denali and paramedic at Intermountain Life Flight, will discuss the critical components of survival techniques, available equipment and practical training agendas.

236. In-attentional Blindness: Not Seeing is Believing
Jonathan Gryniuk, FP-C, CCP-C, NRP, RRT, CMTE, Air Methods Corporation, and Jeff Currin, Life Flight Network

This session will review a true and extraordinary account of distraction and inattentional blindness that occurred in an air medical transport setting. An EC135 aircraft received multiple walk-around inspections prior to flight yet none of the crew members involved noted a panel that was at first unsecured and then later departed the aircraft entirely. Despite a large piece of the aircraft being missing, crew members still failed to note the absence of the affected part during various points during the transport.

237. Mayday! Mayday! My Pilot Is Unresponsive!
Tom Baldwin, MBA, EMT-P, Air Evac Lifeteam

In early 2018 a Helicopter Air Ambulance flight team experienced an event that many have considered but may not have been prepared to face. The flight team was transporting a patient from a scene flight when the pilot suffered a medical emergency that impaired his ability to operate the aircraft. The pilot had engaged the stability augmentation system and autopilot systems (Helisas) after departure from the scene, and moments later stopped responding to the medical crew over the ICS. This session will examine the response to this event from the crew, communication/operations control center, and organizational perspectives.

1600- 1700h

239. The Young Arrest: A Clinical Review of Sudden Cardiac Arrest in the Young
Vahe Ender, NRP, FP-C, C-NPT, Boston MedFlight

In this session we explore the challenging clinical syndromes which can cause sudden cardiac arrest in the young patient. We review updated epidemiological data for pediatric cardiac arrest including upcoming trends. Beyond that, we delve into syndromes including cardiomyopathies and channelopathies which can lead to sudden arrest. We will review risk factors, physical exam findings and ECG abnormalities which are seen with such disorders with the goal of diagnosis and prevention. This talk aims to guide acute care and transport clinicians in the detection and management of such syndromes before the event, but also reviews acute care management of these challenging cases.

240. Taming the Starfish of Death: Management of Intracranial Hemorrhage
Jacob Miller, MSN, FNP, ACNP, CNS, EMT-P, Cleveland Clinic Critical Care Transport

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.

241. The Wizard of Oddz: A Statistical Analysis of HEMS Accidents and Risk
Ira Blumen, MD, FACEP, University of Chicaog Medicine

Since 1998, the HEMS community has averaged nearly 12 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, the NTSB? Sadly, one thing is certain there will be more accidents. What are we doing about it and how are you going to prevent being 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.

242. So, We’re Awesome..Right?: A Quality Improvement and Risk Management Journey
Cathy Cormier, BSN, RN, ENC(C), and James Orchard, EMT-P, Ambulance New Brunswick

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.

243. Our Air Medical Community: Photographic Views and Insights
Mark Mennie, Mark Mennie Photography

This session will describe professional Air Medical imagery by Mark Mennie, explaining reasons why particular insights, angles and photo decisions are made when photographing an air & ground medical program, their staff, operations and guiding the attendees to create their own better images and organized archives all within the spirit of HIPAA compliance.

244. Let Me Tell You My Stories: Educating, Mentoring, and Team Building Through Storytelling
Tracy Rojas, MSN, CCRN, C-CPT, and Elizabeth Espinoza, MSN, RN, CPN, C-NPT, Lurie Children’s Hospital of Chicago

It has been written that storytelling is the greatest technology that humans have ever created. Telling stories is an effective way of transferring knowledge, skills and values from one person to another. Storytelling has also been shown to be a strong source of influence. In this session, storytelling will be differentiated from lecture and case studies. The participant will be introduced to the art of storytelling as a powerful educational, mentoring and team building tool and shown how the telling of a story can tap into emotion and imagination in a way that traditional strategies do not.

245. Chest Compression in Flight: A Waste of Time?
Dean Hoffman, FP-C, NREMT-P, Guardian Air

If your helicopter didn’t start 50% of the time would you still fly in it? If your IV pump did not turn on 70% of the time would you still use it? If your cardiac monitor did not deliver electricity 80% of the time would you even bother hooking it up? If a new hire Flight Nurse, Paramedic, or EMT was unable to perform Basic Life Support any of the time would you still hire them? Chances are the answer is no. This session will review the research and data collected regarding the effectiveness of chest compression in the Bell 407 and discuss the challenges of compression in flight and explore alternatives and the pros and cons of each. This research was completed with the assistance of Guardian Air Transport in Flagstaff.

246. Near-Infrared Spectroscopy Use in Transport of Pediatric Patient with Multifactorial ShockTanya Walenta, RN, BSN, and Jeffrey Parker, RN, BSN, CCRN, Children’s Hospital of Wisconsin

It’s night, and you are on an inter-facility flight with a pre-coding patient. The darkness makes it difficult to assess perfusion and the vibrations make your standard monitors useless because of artifact. What do you do? Near-infrared spectroscopy (NIRS) is a tool used to measure regional oxyhemoglobin saturations. This session will be a case analysis of how NIRS was instrumental in escalating inotropic and vasopressor drips during transportation of a critically ill pediatric patient in multifactorial shock. The presenters will also discuss how it’s feasibility and real time results are especially usefulness in the transport environment.