SESSION COLOR KEY
SUNDAY, OCTOBER 31
Modern Day Stroke Management: Bringing the Scanner Directly to Your Door
Katie Koshak, EMT-B, RN, BSN, CCRN
With strokes being a leading cause of long-term disability and death, critical care providers have had to think “outside of the hospital” when it comes to delivery of care. In this presentation we will discuss how at Strong Memorial Hospital we have utilized our Mobile Stroke Unit to benefit our community. Topics of discussion will include what a Mobile Stroke Unit is, it’s overall purpose, assessments and interventions provided by the Mobile Stroke Unit, and how we utilize our multi-disciplinary team to revolutionize the traditional EMS formulary to benefit stroke victims.
The Power of a Story: Enhancing Performance Through Purposeful Self-Talk
John vonRosenberg, MA, FP-C
This talk will focus on the influence of words on the perception of the self. Using examples from popular culture, the audience will develop an understanding and appreciation for the power of language on performance. Rather than thinking “I can’t stand working pediatric patients” or “I have trouble with managing the airway of obese patients”, members of the group will create strategies for establishing positive narratives, actively engage in the mental preparation of critical care medicine, and reflect on calls with the hope of becoming the best possible practitioner for future patients.
Pursuing Diversity and Inclusion through Transformational Leadership
Jacob Creel, MSHA, FP-C
Diversity, in the context of inclusivity, is a powerful organizational asset. Understanding the components of Diversity & Inclusion is just the tip of the iceberg. Creating inclusivity is not a laissez-faire initiative! Let’s evaluate how we can calibrate our Organizational Behaviors to support Diversity & Inclusion through the pillars of Transformational Leadership. We will discuss how Transformational Leadership promotes the trust, commitment, and accountability needed to create a Diverse & Inclusive team.
The Measure of Your Metrics: Why Your Metrics Are Not Any Good
Jacob Schultz, RN, CFRN, FP-C, NRP, CMTE
We've all heard of "Moneyball", how to apply economics to baseball, but what does that have to do with helicopters? Do your business metrics make sense? In transport medicine, we tend to think our industry is unique ... but is it? This session is an exploration of measurements and KPI thought processes from other industries and their application to the world of transport medicine. You will walk away with a new perspective on how to create effective measures tied to quality, transport, and clinical outcomes.
Myasthenia Gravis and Myasthenic Crisis
Amy Vahrenwald, MSN, FNP-BC, CFRN, CEN
Myasthenia Gravis (MG) is a neuromuscular disease that affects the communication at the neuromuscular junction, causing fluctuating weakness of the voluntary muscles. When uncontrolled, undiagnosed, or complicated, myasthenic crisis can occur. Myasthenic crisis is a life threatening complication of MG characterized by severe muscle weakness leading to respiratory failure. This type of crisis often results in the need for airway intervention. This session will discuss MG, complications, and current tx guidelines. Case studies will be presented.
You may have 20/20 vision…but what do you really see? We will examine the human brain (hardware) and human mind (software) as they relate to our visual system. Too often we “look” but do not “see.” This can be a function of our “software” and/or “hardware.” In all cases, this blindness must be understood so that we may incorporate techniques to improve our visual performance.
Mechanical Ventilation: Stop Making It Hard For Yourself
Michael Frakes, APRN, CCNS, CFRN, EMTP, FCCM
In the intensive care units, pulmonologists and respiratory therapists manage ventilators, so for many critical care transport providers, mechanical ventilation seems intimidating and overwhelming. It shouldn’t be – we’re just making air go in and letting it come out. This presentation will review the nuts-and-bolts of lung mechanics, oxygenation, ventilator modes, and ventilator settings. From that foundation, we’ll discuss a straightforward approach to safe and effective ventilation for all of your patients.
Spin, Tumble, and Yaw – Gunshot Wounds during ONE DAY in ‘The Most Dangerous Place on Earth'
Chris Hartman, MD
This desolate area was given that title by the United Nations. Fear, suffering, and death plague the poor here who desperately struggle to survive in this poorest of slums within the western hemisphere. We’ll look at some of the pathophysiology and havoc of 18 bullets as they found their mark on 11 victims during one twenty-four hour period and the general approach to their treatment.
Firepower Resilience: Plan, Prepare and Prevent
Tania Glenn, PsyD, LCSW, CCTP
This course will address the best practices for mitigating and preventing psychological trauma and post-traumatic stress in air medical crew members.
Are You Awake Up There? Dealing With Crew Fatigue – A Case Study
Charles Blathras, BS, FP-C, CMTE
Employee fatigue in the EMS industry is an issue as old as the industry itself. Most companies know it is a problem, but how do we know if our fatigue management policies are working? This presentation will examine an actual air medical fatigue event that could have ended catastrophically, but didn’t. The presenters will analyze the fatigue event, the causal factors and the actions taken by the operator. Common sense, and not-so-common sense fatigue mitigation strategies will be introduced. Finally, steps toward creating a Fatigue Risk Management Policy will be presented and discussed.
“Boss, I’m Tired”: Safety Culture in a Post-Pandemic World
Justin Koper, M.S., GSP, MTSP-C, FP-C
The recent pandemic presented unique challenges for organizations and put safety cultures to the test. Now that we are attempting to move on and adapt to our new normal how can we reengage, reinvest, rebuild, and reinforce our safety cultures to be more resilient? This session will discuss the impact that pandemic-related changes have had on safety cultures within the medical transport industry. It will also discuss the importance of crew member engagement, leadership commitment, and ownership by every team member and leader in order to build a better (and safer) tomorrow for the crews we have today.
To Care or Not To Care: The Challenges of Implementing Point of Care Testing in the Transport Environment
Thinking about implementing point of care testing into your critical care transport environment? "Our story" will relay the background on the barriers and benefits we navigated through to implement point of care testing into our critical care transport program. From the why we did it to the operationalizing and regulatory complexities, this session will help you identify a path to implementing point of care testing and understand the potential to improve clinical care delivery.
Oh Baby! What Do I Do Now?
Tera Carter, BSN, RNC-NIC, C-NPT & Anne Calkins, BS, CRTT-NPS, C-NPT
This neonatal/pediatric critical care team would like to give confidence to the predominantly adult flight teams, when it comes to babies. When neonates are not your primary transport, they can seem like an entirely new world. The goal of this session is to afford these providers a solid foundation in which to care for these patients. We will discuss initial exam with focal points of neonate specific topics. Explanations of basic oxygenation/ventilation strategies will be demonstrated. Scenarios with different etiologies that are common. Ending with a “pick the brain” of the baby experts.
Peer-to-Peer Support Teams
James Boomhower, BS, FP-C, NR-P, C- NPT, CCISM
In this presentation we will discuss the utility of formal and informal peer support teams. We will also discuss how to utilize programs and policies already in place within your institution to streamline effective peer support and professional resource allocation. Finally, we'll discuss the dangers of "over managing" your peer support team and the complications of leadership involvement within peer team.
I’ve Got a Heart, an Achy Breaky Heart: Congenital Heart Defects
Teri Campbell, MSN, FNP-BC, CFRN, CEN
Congenital heart defects (CHD) in babies and children can be terrifying. This presentation is designed for the NON neonate/pediatric specialty transport teams. Come to this informative lecture to learn how to quickly differentiate blue from pink, ductal dependent or not, and if there is a need for more flow to the lungs or to the body. Quick differentiation will direct optimizing therapies for stabilization. Big hearts, little hearts, and holey hearts are counting on your head in the game!
The Night That Almost Wasn't
Ryan Gauthier, FP-C, NREMTP
This session will go through the details of what appeared to be a routine flight back to base and the circumstances that almost led to a tragic loss of life. Aviation and crew member lessons that were learned and the importance of crew resource management will be discussed. A close look at the mistakes that were made and how those lessons can benefit others. from potentially encountering the same situation. Discussion as to the after action reviews of the situation and how external factors play a role in decision making.
The Boston MedFlight Wing Team, A Comprehensive Peer Support Program, a Manager’s Perspective
Tammi Wallace Wood, BSN, CFRN, CEN, CCRN, CNPT
Learn how to establish a foundation for a peer support program that is multidimensional, personalized, and meets the needs of the organization and crewmembers.
When an Elective Nose Job Goes Horribly Wrong, Leading to Hypoxia, Hypotension, and Death
Danielle Goodrich, BA, NRP, VT-IC, FP-C, CCP-C
For the children of the 80’s and 90’s, this will be right up your alley! The focus of this session is to develop clinical decision making through the use of a Choose Your Own Adventure case review. The audience will lead the direction of patient care by answering pole questions prompting discussion about the transport modality (ground vs air), scene management, vasoactive agents, sedation strategies, ventilatory management, and Hail Mary treatments in the care of a previously healthy 27-year-old peri-arrest male post-septoplasty.
“What Parts Go Where?" Gender Identity and How to Be a More Compassionate Provider
Jessica Rispoli, MSN, NP-C, RN, CFRN, CEN
This session will expose the attendees to terminology, medical and surgical treatments, and potential complications in the care of transgender and gender nonbinary individuals to help combat unintentional bias and negative stereotypes. The session will review appropriate conversation tactics to increase knowledge and compassion in providers for this patient population. The presenter will discuss statistics involving healthcare experiences reported by transgender individuals, how to improve the care provided, and potential patient scenarios in critical care transport.
When We Talk Ourselves into an Accident
When everyone is focused on saving lives which member of your organization, especially on a high performing crew, wants to be the one who says “Stop” or “no”. A high performing crew that works well together can at times succumb to complacency, group think, or demonstrate a willingness for increased risk taking. As Professionals who live with risk, accepting higher risks can seem normal because you are both confident and competent enough to have evaded all unfortunate accidents. Find out how your high performing crews may be actually talking themselves into an accident.
How to Achieve 100% Reliability? – Experiences, Challenges and Chances from a European Perspective
With the aim of protecting patients as best as possible from the negative consequences of an acute illness or an accident, it is essential to achieve the highest reliability in the entire process chain of emergency medicine. Due to the versatility of helicopters, air rescue has a special key role, which, however, also comes with special responsibility.
But It Was MY Fault!
James Boomhower, BS, FP-C, NR-P, C- NPT, CCISM
A discussion on the unique challenges of peer support involving clinicians whose own patient care error is the root cause of their emotional distress. This discussion is valuable for both peer supporters and providers alike, as we break down the importance of separating operational from emotional defusings and what to do if the defusings cross. We will also discuss the need for out of agency peer supporters and the unique attention required by peer teams, their mental health professional colleagues, and administrative supports to recognize the additional challenges of a provider who may have to face agency discipline or remediation as an additional stressor to the event at hand.
Sharon Purdom, RN, BSN, CEN, CFRN, NREMT
Scientists used to think our brain stopped growing after a certain age – research shows our brain has the ability to change and grow over time in response to our mindset, our thoughts. Neuroplasticity is described as the brain's capability to restructure itself by developing new neural connections throughout one’s lifespan.
Resilience During Madness
Resilience has become a buzzword in the past decade. What does it mean? How do you build it? This workshop will help participants define, build and maintain both personal and professional resilience.
Jeff White, M.S., FP-C, MTSP-C, NREMTP & Justin Koper, M.S., GSP, MTSP-C, FP-C
This session will discuss important aspects of SMTA and how to successfully apply them. We will cover culture, program development, metrics and employee engagement. We will discuss building a safety program from the ground up and how to implement SMTA strategies into an already existing plan. Both instructors are graduates of SMTA and hold the MTSP-C.