Friday Topics include half-day sessions in:• Legal Issues• Responder Rehabilitation• Air Methods Simulation Lab Trailer

Friday Night Speaker: Cindy Blank-Reid and more cases of body piercing and its impact on our medical care both pre-hospital and in-hospital – back by popular demand.

Saturday Topics Include:• Case Scenarios in the Toxicology Patient – First 5 minutes to long term care.• Contemporary Issues in Neck/Airway Trauma – NOW what do I do?• Crush Injuries and Crush Syndrome – Rescuer induced death?• Forensic Pathology – Cases, Who done it? How? Preserving the scene.• Hunting Injuries – Equipment, weapons, seasons and resulting injuries.• Hypothermia Management for a BLS Crew – Do I really need ALS?• Implanted Cardiac Devices – How do you handle this in the prehospital setting?• Induced Hypothermia – Does it work? When to start, case studies.• Little Patients, Big Problems – Traumatic injuries and patterns.• OB Emergencies – Two patients in one. Interactive voting case studies.• Rescue SCUBA Teams – When to call, what they do & what you can do to help.• Rib Fractures – Guidelines to reduce pain, atelectasis and pneumonia.• Seatbelt Injuries – Including abdominal and spinal trauma.

Keep checking our website – www.conceptsintrauma.org

September 18 & 19, 2009 • Owego Treadway Inn • Owego, NY

2009 Concepts in Trauma Conference

Don’t forget our annual Friday NightParty on the Patio sponsored by Guthrie Air Helicopter.This years theme is “Margaritaville on the Patio”.

12th Annual EMS & Nursing ConferenceFriday and Saturday • September 18-19, 2009

Friday September 1 8 Pre-Conference

Document Or Die: A Chilling Reminder Of What Sets EMS Professionals Apart From “Regular People” – David Givot, The Legal GuardianGood, high-quality EMS documenta-tion is just the backdrop for this moving and powerful session. We will spend ev-ery minute of this four-hour session dis-secting the EMS Provider as a person, as a partner, and as a member of society unlike any other. New providers will be more excited than ever to be a part of something so important and EMS vet-erans will remember why this job has become an indiscernible part of who they are... everyday.

EMS: The New Legal Reality – David Givot, The Legal GuardianIn four interesting, interactive, and fun hours participants will get a clear view of how, from a legal standpoint, the in-dustry has changed. Together, we will take a close look at everything from the duty to act to the acts that will end your career. Case review, discussion, and straight talk make this one session not to miss.

8:00 a.m. - Noon • Choose from any of the three morning sessions:

1:00 p.m. - 5:00 p.m. • Choose from any of the three afternoon sessions:

Rehabilitation For Responders In Emergency Environments– Chris Kiskeravage, EMT-P - City of Allentown Fire Department, Assistant ChiefThis course is designed for Emergency Medical and Fire personnel who are re-sponsible for establishing and operating a rehabilitation area for firefighters and emergency service responders at emer-gency environments. This course will deal with how to establish & operate a re-habilitation sector at an emergency scene. AM & PM SESSIONS ARE THE SAME

Simulation/Skills Lab– Don Knolles - RN, CEN, Base Medical Manager, Guthrie Air HelicopterChallenge your skills in this state-of-the-art simulation and skills lab. Practice hands-on scenarios in Meti-man Trailer as well as rotate through traditional skill stations. Skills will include BLS, ALS, and physician skills. New York State CLI and CIC’s as well as Pennsylvania instructors available.AM & PM SESSIONS ARE THE SAME

Rehabilitation For Responders In Emergency Environments– Chris Kiskeravage, EMT-P - City of Allentown Fire Department, Assistant ChiefThis course is designed for Emergency Medical and Fire personnel who are re-sponsible for establishing and operating a rehabilitation area for firefighters and emergency service responders at emer-gency environments. This course will deal with how to establish and operate a rehabilitation sector at an emergency scene.AM & PM SESSIONS ARE THE SAME

Simulation/Skills Lab– Don Knolles - RN, CEN, Base Medical Manager, Guthrie Air HelicopterChallenge your skills in this state-of-the-art simulation and skills lab. Practice hands-on scenarios in Metiman Trailer as well as rotate through traditional skill stations. Skills will include BLS, ALS, and physician skills. New York State CLI and CIC’s as well as Pennsylvania instructors available.AM & PM SESSIONS ARE THE SAME

Friday Night September 1 8 Pre-Conference

Body Piercing: The “Hole” Truth* – Cynthia Blank-Reid, RN, MSN, CEN - Clinical Nurse Specialist, Temple University HospitalBody piercing has been done for thousands of years and it has become more and more popular. Since almost any part of your body can be pierced, this presents unique challenges to health care providers. This lecture will discuss the different types of piercing jewelry, the different areas of the body that can be pierced and the complications associated with them. Jewelry removal as well as various diagnostic testing and therapeutic maneuvers that are affected by piercing will be discussed.*May contain graphic content.

6:30 p.m. - 8:00 p.m.

9:00 p.m. - MidnightParty On The PatioCome join us on the patio for our annual Margaritaville Party. Come dressed in your best Margaritaville clothes to this party on the patio. Sponsored by and includes a DJ, games, snacks, dancing and prizes.

$40 $40

BLS: $15 ALS: $25RN/LPN: $30

STUDENT NURSE: $15MD/DO: $50

BLS: $15 ALS: $25

RN/LPN: $30STUDENT NURSE: $15

MD/DO: $50$40$40

Saturday September 1 9 EMS & Nursing Conference

One And One Equals Two: Dealing With Obstetrical Trauma In The Field– Cynthia Blank-Reid, RN, MSN, CEN - Clinical Nurse Specialist, Temple University HospitalCaring for pregnant patients causes anxiety for the patient, their family and the health care providers involved. This lecture will discuss the unique charac-teristics of the pregnant trauma popula-tion and offer information on how best to care for them.

9:45 a.m. - 10:45 a.m. • Morning Breakout (A) Sessions - Choose from any of the following:

Implanted Cardiac Devices, A Patient With No EKG? No Pulse? How Can That Be?– Todd Vandebussch, NREMT-P, FP-CThe student will take a look at the latest and greatest implanted cardiac devices that a field provider may come across in their practice. This lecture will speak to implanted cardiac pacemakers and defi-brillators and what can go wrong with them. We will also take a look at why pa-tients receive these devices. And finally mechanical assist devices, what they are, how they work. There is now a time when patients do not have a pulse or blood pressure and soon a patient who may present without an EKG.

Little Patients, Big Problems– Chuck Margarites, RN, CEN, CFRNPediatric patients always offer up chal-lenges due to our limited exposure and their physiologic differences. Little patients, big problems provides a com-plete overview to providing care to the pediatric population in a systematic, organized approach. This course has a focus on traumatic injuries and patterns in the pediatric population. BLS/ALS/RN appropriate.

7:15 a.m. - 7:45 a.m. • Registration 7:45 a.m. - 8:00 a.m. • Welcome 8:00 a.m. - 9:30 a.m. • Opening Presentation:

Airway Management And Neck Trauma– David Watts, MD FACEPThis lecture covers some basic anatomical concepts of the neck, discusses management options and focuses on the treatment of Zone II penetrating neck injuries. This is followed by a discussion of definitive airway techniques that can be employed for the trauma patient. These points will be supported by reviewing current literature and research studies. This lecture is appropriate for all levels of hospital and pre-hospital care including EMT, Paramedic, PA, NP, RN, MD/DO, as well as students of these various degrees.Thanks to Robert Packer Hospital for sponsoring this speaker.

9:30 a.m. - 9:45 a.m. • Break

Hypothermia For BLS Providers– Chris Kiskeravage, EMT-P - City of Allentown Fire Department, Assistant ChiefThis course reviews the various emer-gency situations that an emergency responder may face in responding to a cold emergency. Topics include vari-ous cold emergencies, scene safety, frost nip and frostbite, immersion, active and passive rewarming, and BLS protocol review.

General Approach To Toxic Patients– David Watts, MD FACEPThis lecture covers the basic concepts of medical toxicology. It discusses identifi-cation of toxic patients through physical exam, toxidromes, laboratory tests, or imaging studies. It discusses treatments and how to manage toxic patients in the hospital or ambulance during the first 5 minutes. These concepts will be reviewed with discussion of true toxico-logic cases. This lecture is appropriate for all levels of hospital or pre-hospital professionals who may be required to manage a toxic patient.

Rib Fracture Practice Management Guideline– Wayne Mashas, MDRib fractures cause pain, which can range from minor to severe. Patients with pain from rib fractures tend to less utilize chest wall muscles for breathing, leading to a decrease in vital capacity which can cause atelectasis and pneu-monia. This Rib Fracture Practice Man-agement Guideline developed by the Regional Trauma Center at Guthrie’s Robert Packer Hospital has successfully demonstrated a decrease in complica-tions related to rib fracture pain.

10:45 a.m. - 11:00 a.m. • Break ~ Visit Vendors 11:00 a.m. - Noon • Morning Breakout (B) Sessions - Choose from any of the following:

Noon - 1:00 p.m. • Lunch

For More Information call Brad Wilson at 570-888-9552 ext. 2

Saturday September 1 9 EMS & Nursing Conference

Injuries Related To Hunting– Wayne Mashas, MDA variety of injuries occur during hunt-ing season from a variety of mechanisms. In this session, you will learn the differ-ent types of hunting seasons, equip-ment and weapons used for hunting and resulting injuries related to hunting.

1:00 p.m. - 2:00 p.m. • Afternoon Breakout (A) Sessions - Choose from any of the following:

Under The Weight Of The World: Crush Injuries AndCrush Syndrome, “Rescuer Induced Death”– Chuck Margarites, RN, CEN, CFRNThis lecture covers “Rescuers induced death” and other deleterious outcomes associated with crush syndrome and crush injuries. Electrolyte disturbances, acidosis, and coagulopathies will be covered in detail. All phases of rescue will be covered including assessment, planning, treatment and safe extrication of the crushed patient. Strong - ALS/RN focus.

Hypothermia, Yes We Want Them Cold– Todd Vandebussch, NREMT-P, FP-C We will take a look at a case study that happened just less than one year ago. We will take a look at what happened prior to Emergency Medical Services arriving, transfer to the local commu-nity Emergency Department, and trans-fer to the tertiary care center Virginia Commonwealth University Hospital for the cutting edge Hypothermia treat-ment. The student will then take a look into the Hypothermia protocol and see why we are getting the patient outcomes from this treatment. In the end this lec-ture will have a surprise ending that will truly have you guessing...

Going Under, Public Safety Dive Teams– Brad Wilson, EMT-PWhat are public safety dive teams? Do you know when to call them or what they do? What should you expect when they arrive and how you can assist in un-derwater operations. Learn some basics about search patterns, rope handling, shore based searches and platform based operations.

Pharmacology, The Trauma Patient, And You!– Evan Basse, EMT-P Explore the uses of various medication categories in a trauma setting. How much fluid is enough? Is there a use for volume expanders and vasoconstrictors in the treatment of trauma? How about clotting agents? Other topics to be dis-cussed include RSI, crush syndromes, steroids, and pain management.

Below The Belt Injuries: Understanding The Damage Seat Belts Can Do– Cynthia Blank-Reid, RN, MSN, CEN - Clinical Nurse Specialist, Temple University HospitalSeat belts are a lifesaving device and should always be worn. They can, though, produce a unique set of inju-ries when they are worn both properly and improperly. This lecture will dis-cuss the unique injury pattern that can result from seat belts use and misuse. The discussion will focus on signs and symptoms, index of suspicion, diagnos-tic testing and interventions.

2:00 p.m. - 2:15 p.m. • Break ~ Visit Vendors 2:15 p.m. - 3:15 p.m. • Afternoon Breakout (B) Sessions - Choose from any of the following:

3:15 p.m. - 3:30 p.m. • Break (Desserts Served) ~ Visit Vendors 3:30 p.m. - 5:00 p.m. • Closing Presentation:

Interesting Cases In Forensic Pathology– Dr. Isadore Mihalikis, M.D. - Warren County Medical ExaminerExplore the world of forensic pathology, trying to figure out “Who done it and how”. This discussion will be filled with surprises and intrigue! Case reviews will include penetrating and blunt trauma. You won’t want to miss this.Thanks to SREMS for sponsoring this speaker.

5:00 p.m. • Wrap Up/Thanks/Evaluations/Certificates

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12th AnnualEMS &Nursing

ConferencePO Box 973

Sayre, PA 18840

R E G I S T R A T I O N F O R MRequired for Concepts in Trauma 2009

Early Registration Deadline: September 11, 2009 Space is Limited

Name/Title

Organization

Home Address

City State Zip

Certification # PA NY

Date of Birth EMS Region

Daytime Phone Email

CERTIFICATION LEVEL (circle one) FR EMT EMT-I AEMT-CC EMT-P RN PHRN MD/DO

SHIRT SIZE (circle one) S M L XL XXL (Registrations after Sept. 11 do not receive a T-shirt)

Friday, September 18th Pre-Conference Morning Sessions (check one)

EMS: The New Legal Reality $40

Rehabilitation For Responders In Emergency Environments $40

Simulation/Skills Lab BLS $15 ALS $25 RN/LPN $30 STUDENT NURSE $15 MD/DO $50

Friday, September 18th Pre-Conference Afternoon Sessions (check one)Document Or Die: A Chilling Reminder Of What Sets EMS Professionals Apart From “Regular People” $40

Simulation/Skills Lab BLS $15 ALS $25 RN/LPN $30 STUDENT NURSE $15 MD/DO $50

Rehabilitation For Responders In Emergency Environments $40

Friday Night, September 18th Body Piercing: The Hole Truth Margaritaville Party on the Patio

Friday and Saturday • September 18-19, 200912th Annual EMS & Nursing Conference

Saturday, September 19th EMS & Nursing Conference Morning Breakout Sessions (check one from A & B)

One And One Equals Two:Dealing With ObstetricalTrauma In The Field

Implanted Cardiac Devices, A Patient With No EKG? No Pulse? How Can That Be?

Little Patients, Big Problems

Hypothermia For BLS Providers

General Approach To ToxicPatients

Rib Fracture PracticeManagement Guideline

MAIL THIS REGISTRATION FORM TO: PO BOX 973, SAYRE, PA 18840You Can Also Register Online at www.conceptsintrauma.org

Saturday, September 19th EMS & Nursing Conference Afternoon Breakout Sessions (check one from A & B)

Injuries Related To Hunting Crush Injuries And CrushSyndrome, “Rescuer InducedDeath”

Hypothermia, Yes We WantThem Cold

Going Under, Public SafetyDive Teams

Pharmacology, The Trauma Patient, And You!

Below The Belt Injuries:Understanding The DamageSeat Belts Can Do

Cost for Friday Evening & Saturday All Day Conference (check one) EMS $60 RN/LPN $80 STUDENT NURSE $40 MD/DO $100

A

A

B

B

Friday and Saturday • September 18-19, 200912th Annual EMS & Nursing Conference

CONTINUING EDUCATION CREDIT: Pre-hospital continuing education credits have been applied for. Contact hours have been applied for from the Pennsylvania Nurses Association, which is accredited as an approver of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation. Check www.bsems.com for credit hours. Certificate to be given at end of the last speaker. Certificates will not be mailed.

CONTACT HOURS: Contact hours has been approved by the Pennsylvania State Nurses Association, which is accredited as an approver of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation. Robert Packer Hospital is approved as a provider of continuing education in nursing by the Pennsylvania State Nurses Association, which is accredited as an approver of continuing education in nursing by the American Nurses Credentialing Center’s Commission on Accreditation. All faculty participating in continuing nursing education programs sponsored by Robert Packer Hospital are expected to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation(s).

Full Refunds with at least two weeks advance notice. Sorry, no refunds after September 4th.

Conference fee includes: FRIDAY EVENING AND ALL DAY SATURDAY CONFERENCE, CONTINENTAL BREAKFAST, LUNCh, BREAkS, T-ShIRT, MATERIALS/hANDOUTS, VENDORS.

Pre-Conference fees are separate but also include refreshments, materials and handouts.

MAKE CHECKS PAYABLE TO CONCEPTS IN TraUMA 2009. If no confirmation is received within two weeks, please call (570) 882-4050. Please do not call to register - use this form or register online at www.conceptsintrauma.org. REGISTER EARLY - SPACE IS LIMITED! Conferences are organized by: Bradford/Susquehanna EMS Council, Greater Valley EMS, Guthrie Air, Robert Packer Hospital Trauma Program

HOTEL INFORMATION: Owego Treadway Inn • 607-687-4500 hampton Inn • 607-687-4600 holiday Inn Express • 607-687-9000Mention “Concepts in Trauma” for special rates. Room reservation deadline: Friday August 28, 2009

Owego Treadway Inn Banquet & Conference Center, Owego, NY