fire chiefs` association of broward county

The Fire Chiefs’ Association of Broward County
And the
Broward Regional EMS Council
Proudly Present the
FIRS T THERE FIRS T CARE
CONFERENCE
18th Annual
FIRE CHIEFS' ASSOCIATION
OF BROWARD COUNTY
May 2nd, 2014
On behalf of the Fire Chiefs’ Association of Broward County; welcome to the Eighteenth
Annual "First There, First Care" EMS Conference and Chief Michael Haygood Advanced
Life Support Competition. I commend every one of you for attending and taking the
opportunity to advance your training and education. Each year, our emergency medical
services face new and more challenging situations which remind us that your skills must
remain sharp, focused and innovative.
As we are all aware the first and for many, the only contact your department may ever
have with a citizen or family member is you. It is imperative you continue to deliver the
highest level of competent and compassionate customer service. Your presence here today is
indicative of your commitment to that goal.
I want to thank the EMS conference committee for their many hours of work organizing this
conference. The committee has done another outstanding job putting together an innovative
program for all to enjoy.
Please accept my thanks on behalf of all the Fire Chiefs in Broward County. Remember
the lives you impact everyday make all of us safer!
Sincerely,
Donald DiPetrillo, Fire Chief
President, Fire Chiefs’ Association of Broward County
Seminole Tribe of Florida Fire Rescue
3105 North State Road 7
Hollywood, FL 33024
954-986-2080 (office)
863- 983-3784 (fax)
[email protected]
Office of Medical Examiner and Trauma Services
5301 S.W. 31 Avenue • Fort Lauderdale, Florida 33312-6619
954-357-5200 • Administration FAX 954-327-6580 • TTY 954-357-6100
May 22, 2014 Dear EMS Participants, On behalf of the entire Broward Regional Emergency Medical (EMS) Council and community, I would like to extend an earnest welcome to all of you who are attending the Eighteenth Annual "ʺFirst There -­‐‑ First Care"ʺ Emergency Medical Services Conference in Broward County. Every day in Broward County, you are often "ʺFirst There"ʺ to provide "ʺFirst Care"ʺ to citizens and visitors who are sick or injured. For that, you deserve the sincere praises of the Broward County Community. My complements go to each of you for increasing your knowledge and training at conferences such as this. The program for this year’s conference is again outstanding from the caliber of renowned speakers. The theme of the conference this year is "ʺBridging the Gap: From the Streets to the ED."ʺ Four leading (physician and paramedic) professionals will address how the care provided to our patients has transcended from both the ED and the Field, providing a valuable learning experience. The Achievement Awards presented during the conference, is a wonderful way to recognize those who have provided exemplary service in delivering pre-­‐‑
hospital emergency medical care. This year'ʹs conference planning committee has done an outstanding job in developing the program for the conference. I would encourage all of to join me in thanking them for their great efforts. Best wishes to all of you for a successful and fun Conference! Best regards, Ralph A. Marrinson, Chair Broward County Board of County Commissioners
Sue Gunzburger • Dale V.C. Holness • Kristin Jacobs • Martin David Kiar • Chip LaMarca • Stacy Ritter • Tim Ryan • Barbara Sharief • Lois Wexler
www.broward.org
Today’s Program
May 22, 2014
7:30 — 8:30
Registration
Visit Event Sponsors
8:30 –08:40
Presentation of Colors
Opening Remarks
Proclamation Presentation
Seminole Indian Tribe;
Commissioner Chip Lamarca
I'm Gonna Need A Bigger Band Aid…
Steve Berry, BA, NREMT-P
09:00 – 10:00
Sepsis. The new emergency we can’t
even see!
Dr. Edward Racht, MD
10:00 -10:20
Break - American Medical Response
and MEDICS Ambulance
Visit Event Sponsors
Inside and Out!
10:20 - 11:20
Prehospital Endotracheal
Intubation for Trauma:
Elemental or Detrimental ?
Dr. Paul Pepe, MD
FMC Presentation: Modern
Treatments of Aortic Aneurysms
Dr. Ali Shahriari
Aortic Disease Institute
At FMC
Pediatric Stroke:
Can EMS Bring it Out of its Infancy?
Dr. Peter Antevy, MD
Lunch and Annual EMS Awards
Broward EMS Council /Fire
Chiefs’ Assoc. of Broward
Sex, Drugs and R&R
(Resuscitation & Recovery):
The Evolving Role of
Hormones in Emergency Care
Dr. Paul Pepe, MD
2:45 - 2:50
Platinum sponsor
Florida Medical Center
Dr. Lou Isaacson, Director
Emergency Department
2:50 - 3:05
Break– American Medical Response
and MEDICS Ambulance
DON’T FORGET TO
Visit Event Sponsors
Inside and Out!
THE DIRTY LITTLE SECRETS IN EMS !
Dr. Edward Racht, MD
Finding Humor in the Crazy World
of EMS: Welcome to the Dark Side
Steve Berry, BA, NREMT-P
Closing Remarks
Dave Donzella
Conference Committee
08:40 - 0900
11:20 – 11:30
11:30 -12:15
12:15- 1:30
1:30 - 2:45
3:05-4:05
4:05- 5:05
5:05- 5:15
VENDOR TABLE LIST
Vendor
Akrimax Pharmaceuticals
Allied Healthcare Products
American Ambulance Service
American Medical Response/ AMR
Boca Raton Regional Hospital
Boundtree Medical
Broward Health
Cardiac Science
City County Credit Union
Cleveland Clinic Hospital
CME's Training
Covidien
DOSE Program
EMS Management and Consulting
ESO Solutions
ETR Vehicles, LLC
Florida Medical Center/ FMC
Florida TEMS Inc.
FORTS Inc.
GBEMDA
Hall- Mark Fire Apparatus
HCA Healthcare
Henry Schein
Holy Cross Hospital
Intermedix
Jones and Bartlett
Kaplan Fire and EMS Training
Laerdal Medical
Medics Ambulance Service
MedPro
Memorial Healthcare System
Mercury Medical
MMS Medical, A Medical Supply Company
Motorola Solutions Inc.
Outside Vendor Sign
Pediatric Emergency Standards
Philips Healthcare
Physio Control
PRIDE Enterprises
Quality Emergency Vehicles
Seminole Tribe Fire Rescue
South Florida Fire Rescue Medical Directors Group
Sovereign Medical
Stryker EMS
Take 5 To Stay Alive
Ten 8 Fire Equipment
University of Miami/ Jackson Memorial Burn Center
Vital Products Co.
Wheeled Coach Ambulances
Whelen Lighthing
World Point
Zoll Data
Zoll Pre Hosp. Equipment
Table Number
12
10
31
17
42
38
33
6
16
39
25
41
27
7
34
35
21,22
43
Outside Vendor
45
Outside Vendor
46,47
23
13
2
36
14
24
18
26
20
48
15
1
3
44
28
40
Outside Vendor
Outside Vendor
32
19
30
Outside Vendor
49
Outside Vendor
37
11
Outside Vendor
Outside Vendor
8
3
4
STEVE BERRY, BA, NREMT-P; a former teacher and interpreter
for the hearing impaired, Steve has published 11 EMS related
cartoon books since his escapades as a paramedic/EMS
instructor began over 29 years ago. Steve has written over 120
monthly humor columns for Jems magazine along with cartoon
illustrations for Jems magazine. A paramedic for Southwest
Teller County EMS in Colorado, Steve seeks world peace along
with frequent flyer mileage.
EDWARD M. RACHT, M.D. is the Chief Medical Officer of
American Medical Response, the largest EMS provider in the
nation. He has been involved in Emergency Medical Services
and healthcare systems for over 25 years. Most recently, he
served as the Chief Medical Officer and Vice President of Medical
Affairs for Piedmont Newnan Hospital in Metro Atlanta. Prior to
this, Racht was the first full-time Medical Director for the Austin/
Travis County Emergency Medical Services System, where he
spent 13 years. The System was nationally recognized in the
Institute of Medicine’s Report on the state of emergency care for
its collaborative approach to challenging healthcare integration
issues. Racht helped develop a community-based approach
to dramatically decreasing time intervals to STEMI and Stroke
treatment, integrate a separate pediatric trauma facility into the community (the first such
effort to delineate care in Texas), eliminate Emergency Department diversion in collaboration
with the leadership of all hospitals in the region.
PAUL E. PEPE, M.D., M.P.H. (FACEP, MACP, FCCM, FCCP) Professor
of Medicine, Surgery, Pediatrics, Public Health and Riggs Family Chair in
Emergency Medicine, University of Texas Southwestern Medical Center
and the Parkland Health & Hospital System; Director, City of Dallas Medical
Emergency Services for Public Safety, Public Health & Homeland Security
and Medical Director, Dallas Metropolitan Medical Response System (MMRS)
for Counter-Terrorism and Disaster Mitigation and the Dallas Metropolitan
Area BioTel (EMS) System, Dallas, Texas, USA Emergency Medicine and
Trauma Consultant, White House Medical Unit, Washington, DC
DR. PETER ANTEVY is a Pediatric Emergency Medicine Physician at Joe
DiMaggio Children’s Hospital in South Florida and the founder of Pediatric
Emergency Standards Inc. He serves as the Medical Director for Davie FireRescue, Southwest Ranches Fire Rescue and American Ambulance, and is
the Associate Medical Director for 7 other agencies. He is also the Medical
Director for one of the largest paramedic training programs in the country. Dr.
Antevy is highly trained, holding degrees from the University of Miami School
of Medicine, Los Angeles Children’s Hospital and The Children’s Hospital of
Pittsburgh. While his expertise is in pediatric emergencies, Dr. Antevy is well
versed in adult emergency medicine and now spends a significant amount of
time in the pre-hospital arena.
DR. WEISMAN is Associate Dean for Admissions and Professor of Pediatrics
at the University of Miami Miller School of Medicine. He is the Director of
the Florida Poison Information Center – Miami at UM/Jackson Memorial
Hospital. Dr. Weisman received his undergraduate training in Pharmacy at
Temple University and his Doctorate in Clinical Pharmacy from Duquesne
University. Dr. Weisman is Board Certified in Toxicology and a Fellow of the
American Academy of Clinical Toxicology.
Dr. Weisman has over 18 years experience with medical school admissions
and served as Chairman of the Miller School of Medicine Admissions
Committee for 4 years before his appointment as Dean. Dr. Weisman
has been an editor and author of Goldfrank’s Toxicologic Emergencies and
has over 75 publications in the field of poison control and toxicology. Dr.
Weisman is a Past President of the American Association of Poison Control
Centers (AAPCC).
AMY M. MAY, RN [Associate of Science in Nursing, Florida Community
College at Jacksonville, Associate of Arts, Florida Community College at
Jacksonville, University of North Florida, Belmont Abbey College, North
Carolina] Amy represents the Thoratec Corporation as a Clinical Consultant
and Clinical Specialist (Florida)supporting Clinical and technical support of
Thoratec’s Ventricular Assist Device Systems. Providing training, in-service
support and clinical assistance to VAD centers maintaining data of ongoing
patients in territory. Assists TM (sales) and MDM (marketing) to promote
new center development/education plan. Amy has also been the Ventricular
Assist Device Coordinator and Heart Transplant/ Ventricular Assist Device
Coordinator at the Mayo Clinic in Jacksonville and the Team Leader for
Heart Lung Transplant Unit at St. Luke’s Hospital.
CEUs provided by Memorial
Healthcare System
Fire Chiefs’ Association of Broward County
2014 EMS Award Recipients
Dave Foster Paramedic of the Year
Firefighter/Paramedic David Bassion
Fort Lauderdale Fire Rescue
Elizabeth Jordan Educator of the Year
Captain Colleen McMahon
Broward Sheriff Office Fire Rescue
Ed Murray Public Educator of the Year
Lieutenant James Carroll
Fort Lauderdale Fire Rescue
Mike Murphy Innovator of the Year
Captain Tim Roche
Miramar Fire Rescue
Broward County Private EMT/Paramedic of the Year
Paramedic Kirk Escuage
Lifetime Achievement Awards
The Ralph A. Marrinson EMS Lifetime Achievement Award
Paul Schweinler
The Paramedic Lifetime Achievement Award
Virginia Haygood
Thomas Sheridan
James Terry
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17th Annual
Combating Trauma:
From the Battlefield
To the Streets
Thursday, April 25th, 2013
INTRODUCING
XPS
expandable patient surface
THE ALL IN ONE SOLUTION FOR A VARIETY OF PATIENTS AND ENVIRONMENTS.
XPS provides a stable, expandable patient surface area that can be easily retrofitted to work
with compatible cots.1 XPS is adjustable with 7 locking positions and a wider mattress, designed
with patient comfort in mind. For more info, call 800.874.4336 or visit www.getxps.com
Power-PRO XT, Power-PRO TL and Performance-PRO
1
Broward Health Emergency
Preparedness supports all
Broward County EMS Providers.
We wish everyone the best of
luck in this year’s competition.
Need a doctor? Visit BrowardHealth.org
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17th Annual
Combating Trauma:
From the Battlefield
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Brief overview of May 22nd sessions:
I'm gonna need a bigger Band Aid…
Steve Berry, BA, NREMT-P (08:40 – 09:00), Keynote Speaker
Sepsis. The new emergency we can’t even see!
Dr. Edward Racht, MD (09:00 - 10:00)
In this session and introduction to the problem and the challenges in recognition and
diagnosis of sepsis and associated syndromes will be discussed. Along with the pathophysiology of infection and sepsis and the spectrum of disease states caused by infectious agents. Helpful diagnostic tools for EMS providers in sepsis recognition including
the impact of EMS on morbidity and mortality will be identified and a suggested approach for implementing a sepsis identification and management program in EMS.
Prehospital Endotracheal Intubation for Trauma:
Elemental or Detrimental?
Dr. Paul Pepe (10:20 – 11:20)
While endotracheal intubation (ETI) remains the gold standard for airway management
in cardiac and trauma resuscitation, evolving evidence has demonstrated concerns
about the use of ETI in the prehospital setting. Studies, including clinical trials in children and case controlled studies in adult head injury situations, have shown the potential deleterious effects of prehospital ETI, including worsened outcomes. However, the
worsened outcomes may not be the result of the placement of an ETI, but rather subtle
and under-appreciated system factors, including the traditional training provided to
EMS personnel, EMS system configurations and deployment strategies, and also uncontrolled ventilatory techniques.
Pediatric Stroke: Can EMS Bring it Out of its Infancy?
Dr. Peter Antevy (11:30 – 12:15)
In this presentation, discussions on exciting new keys elements regarding the transport
of pediatric stroke patients, recognizing the key pitfalls to avoid with pediatric stroke as
they relate to transport. A discussion on critical cases that paramedics may be confronted with which relate to pediatric stroke and understanding the basic tenets of history and physical exam that may help in the decision making process.
Brief overview of May 22nd sessions:
Sex, Drugs and R&R (Resuscitation & Recovery):
The Evolving Role of Hormones in Emergency Care
Dr. Paul Pepe (1:30 – 2:45)
The concept of sex-related differences in resuscitation will be explored in
terms of pharmaco-biology, physiological responses to injury, and the very
interesting mechanisms of action of sex hormone interventions in critical illness and trauma. Also presented will be the results in his team's most recent experimental work as well as preliminary human data involving sex
hormone infusions. The implications for future research and resuscitation
protocols in EMS resuscitation and trauma care will also be addressed.
The Dirty Little Secrets of EMS
Dr. Edward Racht (3:05 – 4:05)
In this session, a discussion of the very unique and unpredictable medical
environment of EMS. What motivates behavior? How to navigate the art &
science of scene care and an overview of “lessons learned” and nontraditional approaches to improve care.
Finding Humor in the Crazy World of EMS: Welcome to the Dark Side
Steve Berry, BA, NREMT-P (4:05 – 5:05)
Those working in the field of emergency medicine often times have to respond to scenes involving horrific trauma and death, and yet they must not
only keep working the remainder of their shift, but they must do it again the
next day and the next. How do they do this? For many, gallows humor offers
a momentary respite from their sense of loss and pain. Most people outside
our profession view this as going beyond the bounds of good taste. However, we know in spite of such tragedies, amusing incidents happen anyway,
and that sometimes humor is the only weapon we have. Sometimes it is just
an inner chuckle that tells us “we’ll get through this.” We all need to sharpen
our senses on calls. Join Steve as he encourages us to enhance our sense
of healthy humor while touching your heart with hope and understanding.
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17th Annual
Combating Trauma:
Cleveland Clinic Florida
is proud to support the Annual
First There First Care EMS Conference.
Weston • West Palm Beach
Coming soon to Palm Beach Gardens and Parkland
For more information, visit
clevelandclinicflorida.org
THINK
FAST.
Think Holy Cross’ 30-minute ER.
Accidents happen and so do long waits in emergency rooms. But not in ours.
At Holy Cross Hospital, it is our goal to have you seen
by a healthcare professional in 30 minutes or less.
Recipient of the AHA Get with the Guidelines Stroke Gold Plus Award, we are
home to one of the nation’s best Comprehensive Stroke Centers.
4725 N. Federal Hwy., Ft. Lauderdale
954-771-8000 holy-cross.com
17th Annual
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Our mission is you.
Combating Trauma:
From
theEMS
Battlefield
Happy
Week!
To the Streets
Thursday, April 25th, 2013
A very special thanks to
the 2014
First There First Care
Conference Committee
Members:
David Donzella
Joel Gordon
Charlie Wohlitka Kelly Keys
Allison Antevy Jason Massa
Maggie House Cay Rule
Vanessa Quiles John Penick
Theresa Curbelo Jaime Greene
Anthony Gandia Michael Hohl
Donald DiPetrillo Bruce Caruso
Rodney Turpel Richard Sluman
Andrea Jannarone
Cheryl Rashkin Donda Evans
Robin Farrington
Kristin Schmalz
Anthony Stravino
Richard Paley Vickie Donahue
Chief Mike Haygood
2014 Broward Invitational ALS Competition
May 23, 2014
Team Name
Competition Time Schedule
ALS Teams Registration and Sequestering 07:30 to 08:30
Palm Beach State College
09:00
Florida Medical Training Inst.
09:30
North Lauderdale Fire Rescue
10:00
Sunrise Fire Rescue
10:30
Ocala Fire Rescue
11:00
Broward Sheriff Fire Rescue
11:30
Davie Fire Rescue
12:00
Lunch Break 12:30 to 13:00
Miramar Fire Rescue A
13:00
Miami Dade Fire Rescue A
13:30
Boca Raton Fire Rescue A
14:00
Miramar Fire Rescue B
14:30
Miami Dade Fire Rescue B
15:00
Boca Raton Fire Rescue B
15:30
Pembroke Pines Fire Rescue
16:00
Hollywood Fire Rescue
16:30
Margate Fire Rescue
17:00
Award Presentation 17:30
Mini Sessions
May 23, 2014
8: 00 - 9:00 Registration Open for 1st Session
9:00 – 10:30
2014 Ways to Practice
Evidence-Based
and
Experience-based
Medicine
Dr. Paul Pepe, MD
10:30 - 10:55
Break
On you own
go and watch an
Als competition
Team
10:30 - 10:55 Registration Open for 2nd Session
11:00 — 12:30
12:30- 1:25
LVAD,
a Complete Review
Amy M. May, RN
Lunch on your own
go and watch an
Als competition
Team
in action
1:10 - 1:25 Registration Open for 3rd Session
1:30 - 3:00
Toxicology Now:
The top twenty Pediatric
Poisonings and Drugs of
Abuse and Treatment
Dr. Richard Weisman, Phar m D
Brief overview of May 23rd sessions:
2014 Ways to Practice Evidence-Based and Experience-based
Medicine - Dr. Paul Pepe (9:00 – 10:30)
Over the past several decades, many of the early standard practices in trauma
resuscitation that seemed empirically logical have come under scrutiny. Standards of care for preoperative trauma resuscitative practices such as prehospital
endotracheal intubation, use of pneumatic anti-shock garments (PASG / MAST),
intravascular fluid infusions, and even cervical collar application, have been
questioned or even entirely discounted altogether. For example, using evidence
based approaches, both experimental data and formal clinical trials have indicated that early, rapid fluid resuscitation in patients with uncontrolled hemorrhage
may be harmful and not therapeutic.
LVAD, a Complete Review
Amy M. May, RN (11:00 - 12:30)
In this session, an overview of VAD (Ventricular Assist Device) devices in which
a description of the path of blood follows in a patient with LVAD. Also identifying
components and function of the LVAS including the functions of buttons and symbols of the system controller. The exciting training collaboration efforts in Florida
for this unique patient population will be discussed. Potential complications and
appropriate interventions in the event of an emergency will be reviewed.
Toxicology Now: The top twenty Pediatric Poisonings and Drugs of
Abuse and Treatment; Dr. Richard Weisman (1:30 – 3:00)
In this two topic session, “What’s Toxic and What’s not in common Pediatric Exposures” and “Drugs of Abuse” will be discussed. The pediatric discussion will include poisons and non-toxic plants, caustic exposures, alkalis, oxidizers, cleaning
products, common household medications, alcohol containing products and miscellaneous products. Drugs of Abuse will include the history of drugs in the United
States, mechanisms of toxicity, multiple drug overviews including designer amphetamines.
A special THANK YOU to all of our Wonderful Vendors!
Platinum
Florida Medical Center/ FMC • Seminole Tribe Fire Rescue
Gold
HCA/ Healthcare Corporation of America
Silver
American Ambulance Service • Boca Raton Regional Hospital
Broward Health • Cleveland Clinic Hospital • Covidien
Memorial Healthcare System • Physio Control
South Florida Fire Rescue Medical Directors Group
Bronze
Akrimax Pharmaceuticals • Allied Healthcare Products • Boundtree Medical
Cardiac Science • Holy Cross Hospital • City County Credit Union • CME's Training
American Medical Response/ AMR • Medics Ambulance Service • EMS Management and Consulting
ESO Solutions • ETR Vehicles, LLC • Florida TEMS Inc. • FORTS Inc. • GBEMDA
Hall-Mark Fire Apparatus • Henry Schein • Intermedix • Jones and Bartlett
Kaplan Fire and EMS Training • Laerdal Medical • MedPro • Mercury Medical
MMS Medical, A Medical Supply Company • Motorola Solutions Inc. • Pediatric Emergency Standards
Philips Healthcare • PRIDE Enterprises • Quality Emergency Vehicles • Sovereign Medical
Stryker EMS • Ten 8 Fire Equipment • UM/Jackson Memorial Burn Center • Vital Products Co.
Wheeled Coach Ambulances • Whelen Lighting • World Point
Zoll Data & Zoll Pre Hospital Equipment