SESSION COLOR KEY
MONDAY, NOVEMBER 1
The Deadly H’s: Successful Pre-Intubation Management & Airway Care Reviews
John vonRosenberg, MA, FP-C & Jessica Rispoli, MSN, NP-C, RN, CFRN, CEN
This session will review the importance of preventing hypoxia and hypotension during RSI and best practices to manage acutely ill patients in the pre-intubation period. Participants will review induction medications, paralytics, push dose vasopressors and their effects on the sympathetic response through the lens of airway management case studies. Special attention will be placed on resuscitation before intubation, utilizing the shock index to assess for risk of deterioration, and practical application of current research.
Love Is In The Air: A Potential Minefield
Sarah Barber, EMT-P, FP-C
The EMS industry is notorious for its disproportionately high number of romantic liaisons between co-workers, including extra-marital relationships. The consequences are varied, unpredictable, and sometimes catastrophic. This session will include statistics that highlight the incidence of co-worker relationships and explain the reasons for the prominence of these relationships within this industry. The presentation will be delivered as a collaboration by the Director of Human Resources and the Quality Manager at Life Flight Network.
The Unconscious Sedation of the Heart and Mind
In face of so much tragedy we are ill-prepared and lack the tools to process the emotions and psychological trauma that comes with our profession…. In this session we will explore the devastating effects of mental health on our society as a whole, and its contributing factors through recent statistics and research. We will discuss the psychological stress injuries specific to healthcare providers and how to recognize and mitigate them through evidence based research and resilience building strategies. And will share my own life experiences and challenges.
HEMS Response to a Flood Disaster – the Recent German Experience
This session describes the different phases and mission tasks of the HEMS response to the recent flood disaster in Germany, where rescue / EMS response took place almost exclusively airborne over days.
Mike Jasumback, MD, FACEP, FAMPA
A large proportion of HEMS transport involves neurologic disease, from stroke to trauma to status epilepticus and meningitis. This lecture will discuss the management of each of the common, and uncommon neurologic processes that HEMS personnel will encounter. The goal is to develop an understanding of the principles of management of critical neurologic disease and specific variations for unique neurologic issues.
Dying to Have a Baby: Perimortem Cesarean
Teri Campbell, MSN, FNP-BC, CFRN, CEN
The unthinkable, the unbelievable, a perimortem cesarean delivery (PMCD), not once but twice within a 3-month period! In the event of maternal arrest, consideration for PMCD must be immediate, decisions within minutes, and action within 5. Come to this amazing lecture to discuss the indications, preparation, training, legal liability, and “kahunas” required to perform a PMCD.
Little People, Big Injuries: Resuscitation Techniques in Pediatric Trauma
Robert Grabowski, DNP, MBA, APRN-CNP, AGACNP-BC, CPNP-AC, EMT-P, CEN, CCRN, CFRN, CMTE
In this session we will discuss current practices and evidence based interventions for critically ill pediatric trauma patients. We will start with a quick review of the key anatomic differences for pediatric patients, as relative to traumatic injury, and then we will discuss critical resuscitation techniques and strategies for blunt and penetrating pediatric trauma through a case based approach. Key concepts discussed will include optimized RSI intubation, chest thoracostomy, blood product transfusion, resuscitation metrics, ultrasound, and more.
High Flow Nasal Cannula in Transport
Bryan Winchell, RN, FP-C, CFRN, CCRN, C-NPT
The use of High Flow Nasal Cannula (HFNC) therapy has exploded across neonatal, pediatric, and adult populations, and now you are receiving requests to transport these patients. What patients require HFNC to be continued in transport? How do you decide when it’s safe to transport versus intubate? Is it possible to transport heated, humidified HFNC in an aircraft? Where do you start? This talk will give you confidence to help your program find the right answers.
Taking Care of Our Own - What Does It Mean and How Do We Do It?
Connie Eastlee, BSN, MS, CMTE
MedEvac Foundation International (MFI) is providing educational presentations and webinars on mental health and wellness. Transport personnel care for the most critical patients and expect to save those patients and experience emotional fatigue and chronic trauma induced stress. Now with Covid-19 we are seeing an increase in burnout, fatigue, PTSD and less resilience. There are strategies to help our employees and employers to utilize for TCoOO. The Transport Industry needs to learn and adopt practices to address the mental health and wellness of our valuable employees.
What Diversity Looks Like Through the Helicopter Intercom
Diversity is one of the hottest topics in politics right now. But what does diversity look like in the helicopter when all communications happen via the intercom. The physical attributes that are usually associated with diversity aren’t there when your voice is all there is. Come find out what Mental diversity is and how that differs from what we usually think about diversity. Then discover how a truly diverse crew can give you an edge when it comes to safety and effectiveness in the Helicopter Air Ambulance (HAA) business. You may start seeing yourself and others differently.
Peak Performance and the Physiological Aspects of Stress
Michael Lauria, MD, NRP, FP-C
Performing effectively during the resuscitation of a critically ill or injured patient requires more than simply remembering pieces of information and completing individual skills. These situations can be very complicated and require exceptional teamwork, effective communication, and a host of other non-technical skills that fall under the guise of human factors. Many other groups, such as professional athletes, business executives, and elite military special operations teams, have developed comprehensive psychological skills and techniques that allow them to remain calm, think clearly, and stay focused in very challenging situations. This lecture draws from the fields of psychology, cognitive science, and human factors to present novel ideas on how to optimize performance in the stressful and dynamic environment of critical care transport.
The Night I Stopped Flying: How Trauma Nearly Ended My Career and Alcohol Rehab Gave It Back
Amanda Ventura, MD
Our profession exposes us to intense trauma. This session unpacks the presenter’s experience with trauma, PTSD, alcoholism, and recovery. Starting with a traumatic clinical experience the presenter will share how this led down a path of self-destruction before ultimately reinvigorating her career. We will look at the data on interventions for PTSD in the prehospital environment, delve into why there little data on addiction in medical professionals, and highlight the challenges of professional rehabilitation. Finally, the presenter will share how this experience changed the way she flies.
Starting Small: What Our Tiniest Patients Teach Us
Shelley Lucas, RN, BSN, CFRN
You receive a dispatch page with a 6 kg patient weight - who's got chills now? In pediatrics, you've always been told kids aren't just tiny adults. But, what if adults are just big kids? Join Shelly Lucas, CFRN and Kari Zabala, FP-C and Respiratory Therapist in discussing key neonatal and pediatric treatments that apply to any patient, no matter their size. Shelly and Kari have spent the majority of their careers caring for neonatal and pediatric patients, and are excited to share thoughts and principles to spark discussion among the most seasoned clinicians.
Max Impact - Resilience
Lessons learned from an experienced flight RN returning to the bedside amid the pandemic. How we survive and thrive is not luck. Resilience takes preparation and asking for help along the way.
GENERAL SESSION & AAMS MEMBERSHIP MEETING: Government Affairs Update, CEO & President’s Remarks
Join AAMS leadership and special guest, Brian Stimson, former HHS Acting General Counsel and Principal Deputy General Counsel, as we take a closer look at the implementation of the No Surprises Act and what it means for our membership. Association business will also be conducted, including a summary of the strategic plan, governance and membership structure changes, and additional legislative and regulatory public affairs agenda items.
GENERAL SESSION: The Top 10 List: Articles from 2020-2021 That May Influence Your Practice
Russell MacDonald, MD, MPH, FCFP, FRCPC
This presentation provides a summary and critical appraisal of ten articles taken relevant to the prehospital and transport medicine literature in 2020-21 that may influence your air or land critical care transport practice.
Cardiopulmonary Airway Lab
Description coming soon...
A Deeper Dive: No Surprises Act Implementation, Arbitration, Data Collection, and the Impending Deadline
Christopher Eastlee, AAMS VP of Public Affairs & Brian Stimson, Partner, McDermott, Will, and Emory
In this session, Chris Eastlee and Brian Stimson (former HHS Acting General Counsel and Principal Deputy General Counsel), will build upon the public affairs update during the AAMS Membership Meeting with much greater detail about the No Surprises Act. Join them to learn the new proposed requirements on data collection for all air medical providers, as well as an interactive discussion on how these requirements may affect the future of air ambulance providers, insurers, and overall healthcare in the United States.
Advanced Ventilator Management
Steven Bott, MD
The lecture will start with a review of restrictive and obstructive lung disease, and etiologies of hypoxia, and the application of those concepts to ventilator strategies. We'll also discuss the etiology of ventilator associated lung injury, and review lung and also perfusion protective ventilation tactics. Finally, we'll apply these concepts using case studies of the very difficult to oxygenate patient, and to the patient with severe status asthmaticus.
Yes, I'm Native. No, My Liver Isn't Hurting.
Amanda Page, FP-C, B.S.
This session will be insight into the healthcare system through the eyes of a Native American. I will discuss the overt and subtle racism I have seen and experienced working as a flight paramedic, clinical manager, and educator. I will give a brief history of Native American history poqt-colonialization and how it impacts the way Native Americans experience our healthcare system. There will be a discussion of common misconceptions as well as a discussion on how the industry can do better in treating the Indigenous People of the United States.
Post-Traumatic Growth: An HAA Crash Survivor Shares Lessons Learned
Krista Haugen, MN, RN, CMTE
Part of the Taking Care of Our Own (TCooO) series, this session will focus on lessons learned from an HAA crash survivor’s experience with an emphasis on building and maintaining resilience, as well as personal & professional recovery after traumatic events. The practical aspects of crash preparedness & survival will also be discussed. The presentation will conclude with a review of a systematic method for reviewing adverse events to maximize learning and predictively manage future risk, all while supporting individuals involved.
Instituting Incapacitated Pilot Procedures… Crawl, Walk, Run
Sid Bingley, RN, CEN, CFRN, NRP, FP-C
This presentation will present an overview of the hurdles, process and implementation of our program to teach Med Crew how to safely gain control of the aircraft in an effort to buy time to resuscitate an incapacitated pilot in the event of an emergency. We will discuss the initial phases of identifying, getting buy in from stakeholders, the FAA and ultimately the procedures that have been approved for use in our A135 air frames. This is a repeat presentation with updated material. Last year our virtual QA session was cut short due to technical difficulties.
Challenges of Emergency Medical Care During Helicopter Hoist Operations – How to Train?
Analysis of factors influencing emergency medical care in hostile environments and in combination with technical rescue interventions, e.g. helicopter hoist operation (HHO). Developing examples of adapted strategies for the management of these complex missions, partially based on case reports. Discussion of training strategies for these specific competences with focus on the combined evolution of technical and non-technical skills. Presentation of training examples and the experienced limitations. Discussion of requirements for trainers and training tools in this setting.
Developing Safety Citizens for Safety Management Engagement
Much research has been done on leadership's influence on citizenship behaviors - both safety and organizational. In the last decade, servant leadership has become a focus of research in relation to developing these behaviors. Servant leadership - which, in the past, has been viewed as an oxymoron - is actually an inspiring form of leadership that has been linked to many desirable organization performance outcomes aside from citizenship behaviors.
In this presentation, we will explore what safety citizenship behaviors are and how they relate to safety performance in the organization. We will also explore servant leadership and its influence on safety citizenship behaviors. Finally, we will frame engagement using Vroom's model of motivation that will allow for practical takeaways from the session.
Night Vision Goggle Safety
This course will cover an overview of Night Vision Goggle use in EMS. Our topics will cover aeromedical factors, terrain interpretations, rules and regulations, and review accidents with NVGs in use or on board. The presenter will then conduct an accident review of accidents while operating at night and include techniques and practices to prevent future incidents. Learning Objectives: To conduct a review of safety practices and procedures to educate attendees about the use of Night Vision Goggles in EMS.
An Underlying Killer: COVID on Top of Necrotizing Pneumonia in 27-yr Old Patient
Laurel Whittemore, RN, CFRN
When a young woman comes to the ER with difficulty breathing, all eyes are directed to what appears to be the obvious problem. Red flags soon appear such as coding in the ER just hours after admission and wild fluctuations in oxygen levels that have not been typical of other patients. Why is this young, healthy girl dying? Two weeks after admission, the first sign of the killer shows up on x-ray. This lecture/discussion includes CT images, labs, X-rays, and disease process timelines that demonstrate the attack of two potentially deadly foes that together, become merciless.
Allen Wolfe - Moderator
Description coming soon...
Blast and Ballistic Trauma, An Unfortunate Training Need
Robert Laskey, EMT, RN, MSN, CFRN
Presented by two combat veterans, the session will go over different mechanisms of injury as related to both blast and firearm trauma. Blast wave mechanics, barotrauma, shrapnel and projectile trauma and current trends in immediate treatment.
Safety Culture - Reactive, Proactive or Predictive?
Kevin Schitoskey, EMT, RN, MSN, CFRN
They were a polished, reputable high performance team with an excellent safety track record; yet it happened to them. Using case study format we will follow a relatively benign event - which led to a safety report, which led to substantive change that affected dozens of bases and hundreds of employees. The importance of reporting in a high reliability organization cannot be overstated. The reality of your reality - or in other words, your organizational situational awareness - depends on good information. Let's talk about this vital conduit and its role in your organization.
When the Unexpected Hits: Lessons Learned from Crisis Communications in Air Ambulance Operations
Rick Kenin, ATP, MS, MPA & Charles Blathras, BS, FP-C, CMTE
Throughout the Air Ambulance industry, we all assume the likely “crisis” leading to the need for urgent communications will be a catastrophic accident. But what if the event is non-reportable, and doesn’t even cause a scratch? Are you prepared? Do you have a plan in place? This presentation will examine the process and need for Crisis Communications following an actual non-crash event that was first reported in Aug 2019 by a local TV station and quickly blossomed into an international news story. We will explore the fundamentals of crisis comms and how to apply these during a media circus.