1

Inaugural EMS Symposium2 Days of Education & Peace

Holthus Convention Center, York, NEOctober 21 & 22, 2016

MedstockMedstockMedstock

www.medstockems.com

1

Continuing Education CreditsA sticker sheet will be provided for each participant, and stickers will be handed out at the conclusion of each session. It is your responsibility to secure these stickers at the end of each class. Nebraska Department of Health and Human Services, EMS and Trauma Program has approved the hours of this conference for continuing education for the Emergency Medical Responder, EMT, EMT-Intermediate, AEMT, and Paramedic levels. Write your name on the sticker sheet immediately so if they are lost, they can be returned to you. Participants can earn up to 12 CEUs by attending MedStock. If you arrive more than 10 minutes after the start of the session or leave 10 minutes prior to the end of the session, NO CEU will be given.

NursingContinuing Education Contact Hours awarded by Iowa Western Community College, Iowa Board of Nursing Provider #6. To take advantage of the nursing hours, you must attend select sessions to obtain the necessary credits and complete the required paperwork. The sessions with approved Nursing hours will be listed separately in your conference packets.

ExhibitorsThe Exhibitors will be set up on Friday and Saturday. They sponsor many of our events, classes, and prizes for the convention. Please take time to stop by their booths. As you look at what they have to offer, thank them for their participation and support.

Considerations for DressTo ensure the comfort level of everyone, please dress in layers to obtain your personal preference. Room temperatures will fluctuate!

Cell Phones, Pagers, and RadiosPlease make sure to turn off your electronic devices during each conference session. No laptops are allowed in the classrooms. Please no texting while

class is in session. We thank you for being courteous to all the attendees and to the speakers.

Media Recording and DisclaimersRecording of any kind is not permitted during MedStock without written consent of the presenter and Midwest Medical Transport Company.

Midwest Medical Transport Company(MMTC) reserves the right to substitute qualified presenters in the event of flight delays or an emergency. MMTC has the exclusive right to photograph or video record conference attendees for the purpose of advertising, publicity, or use for future events without compensation to the conference attendees, and all rights and interest therein shall be property of MMTC. The conference attendee list, including name and service affiliation, may be shared with exhibitors. Credit card or other personal information is not shared with third parties.

Refreshment Breaks and MealsMorning and afternoon breaks and meals will be provided and available in Ballroom A.

No Smoking PolicyThere is a no smoking policy in the Holthus Convention Center. Smoking is permitted outside in designated areas only. Thank you for your consideration.

Friday Evening Banquet and DanceThe social half/hour will begin at 6:00 pm (cash bar available) and the banquet will commence at 6:30 pm. Flippin’ Whiskey will provide entertainment immediately following the banquet.

The purpose of this two day conference is to provide emergency medical services personnel and nursing care providers the opportunity to identify new practices and review current approaches in patient care.

General Information General Information

2

Schedule at a Glance: Friday, October 21

8:00-9:00 Opening Keynote: Dr. Keith Wesley-Become an EMS Professional

Track 1 Basics of Clinical

Practice

Track 2 Advanced

Clinical Practice

Track 3 Educator

Track 4 Management/Ops/

Leadership

9:30-10:30Kirk Mittelman

I Missed the Warning Signs. Will You?

Dr. Keith WesleyUnderstanding the

Autonomic Nervous System - Essentials of EMS Pharmacology

Mike MillerMaking the Right Call… In the Class-

room

David DennistonEMS Liability Issues

BREAK

11:00-12:00

Robbie DumondEMS

Collaboration with Trauma Services

Nan NathensonVentilator Management

and Troubleshooting

Dr. Keith WesleyThe EMS Mentor and

the Affective Domain

Dr. Baxter Larmon

A Culture of Patient Safety

LUNCH

1:00-2:00 Dr. Bill GossmanNew Drugs of Abuse

Nan NathensonHumidification and

Safe Transport of the Tracheostomy Patient

EMS & Trauma Pro-gram Staff

DHHS Update

Julie BaconI’m Okay, You’re….Tol-erable as Long as You Stay Out of My Way: Getting a Grip on the Concept of Teamwork

BREAK

2:30-3:30

Dr. Baxter LarmonCPR Feedback-

Does it Make a Dif-ference?

Julie BaconBasics of Pediatric

Shock

Kirk & Margaret Mit-telman

Case Based Learning for Tactile Learners

Dr. Keith WesleyEMS Medical Oversight - What Should You Ex-pect from Your Doc?

BREAK

4:00-5:00

Dr. Keith WesleyHere, Hold This! The Role of Tourniquets

in Civilian EMS

Dr. Bill GossmanAdvanced Cardiac Care

Dr. Baxter LarmonOld to New - A

Journey as an EMS Educator

Kirk MittelmanWe are Leaving our

Profession to Whom?

Medstock 2016Medstock 2016

3

Schedule at a Glance: Saturday, October 22

Track 1 Basics of Clinical

Practice

Track 2 Advanced

Clinical Practice

Track 3 Educator

Track 4 Management/Ops/

Leadership

8:00-9:00

Dr. Keith WesleyLasix Kills - Learn

Better Therapies for Congestive Heart

Failure

Jim DavisDiagnostic Use of

Waveform Capnography

Kirk & Margaret MittelmanTASKING-

Encouraging Students,

Employees, and Yourself

Julie BaconWe’re All in this To-

gether - CRM 101

BREAK

9:30-10:30Kirk Mittelman Sui-cide- Our Dirty Little

Secret

Dr. Baxter LarmonSepsis in EMS

Rob Wagoner2016 NREMT Update

Jim DavisLearning to Problem

Solve like Toyota

BREAK

11:00-12:00

Dr. Eric ErnestSpinal Immobiliza-tion - Some New

Thoughts on Back-boards and C-collars

Julie BaconI Shouldn’t Have Got-ten Out of Bed This

Morning- Neonatal and Pediatric Cases that will Make Your Toes

Curl

Dr. Keith WesleyTeaching EMS Doc-umentation from a Medical Director’s

Perspective

Dr. Baxter LarmonPyramid of Success - A Road Map to Being

Successful

LUNCH

1:00-2:00Kirk Mittelman

Adam Lost a Rib. Was it a Life Threat?

Dr. Eric ErnestPre-hospital Recogni-tion and Management

of Excited Delirium

Dr. Baxter LarmonThe EMS Educator - Building a Profession

Jim DavisEmerging Issues in

EMS Leadership

BREAK

2:30-3:30 Kevin BurgessVisual Diagnosis

Dr. Keith WesleySpeed Bumps and Roadblocks on the

Journey to Pre-hospital Analgesia

Rob WagonerWHAT? My Students

Don’t Cheat!

Dr. Baxter LarmonBest Evidence, Best Practice, Best Guess

4:00 - 5:00 Closing Keynote: Kirk Mittelman---- Love What You Do, Do What You Love

Medstock 2016Medstock 2016

4

0800 – 0900 OPENING KEYNOTE:Become an EMS Professional - Dr. Keith Wesley

1. Discuss the reasons for unprofessionalbehavior in EMS.

2. Compare and contrast Values vs. Ethics.

3. Explore our own Ethics and discuss how theyimpact the care we provide.

0930 – 1030 Session 1I Missed the Warning Signs, Will You? – Kirk Mittelman

1. Discuss three hazards of dealing with adangerous patient.

2. Discuss at least three warning signs of adangerous patient and scene.

3. Discuss at least two methods of egressand defense when placed in a hazardous/dangerous scene.

4. Identify 3 methods to evaluate a scene forpotential dangers.

Understanding the Autonomic Nervous System – Essentials of EMS Pharmacology – Dr. KeithWesley

1. Review human physiology and the autonomicnervous system.

2. Evaluate EMS pharmacology and themechanism of action of these life-savingagents.

Making the Right Call… In the Classroom – Mike Miller

1. Define ethics and discuss how ethical conductdiffers from lawful and moral conduct.

2. Analyze self for character strengths and

weaknesses as an ethical EMS instructor.

3. Examine and discuss several EMS educationrelated ethical cases.

4. Defend the need to model ethical behavior asinstructors.

EMS Liability Issues – Keeping yourself alive, your butt out of jail, and your organization out of the local headlines – David Denniston

1. Define ways to mitigate liability for EMSagencies.

2. Review the root cause for lawsuits resultingfrom EMS operations.

1100 – 1200 Session 2EMS Collaboration with Trauma Services – Robbie Dumond, BSN

1. Demonstrate an understanding of the effectsof EMS and Trauma Program Collaboration onoutcomes and the patient experience.

2. Demonstrate understanding of the positiveeffects of leveraging technology to improveEMS and Trauma Program Relationships.

Ventilator Management and Troubleshooting – Nan Nathenson, RRT, RYT

1. Describe the basic modes of ventilation.

2. Explain the key differences in Volume vsPressure modes of ventilation.

3. Identify ventilator alarms and correctiveaction.

The EMS Mentor and the Affective Domain – Dr. Keith Wesley

1. Discuss the use of mentors in EMS education.

2. Review how to choose the right mentor foreach student.

At the end of each presentation, the participant will be able to:

FRIDAY, OCTOBER 21, 2016

CONFERENCE SESSION OBJECTIVES

MedstockMedstock

5

3. Examine unique mentoring opportunities that exist in every EMS system.

A Culture of Patient Safety – Dr. Baxter Larmon

1. Discuss medical errors in hospitals and EMS.

2. Explore patient safety as a new area of concern in EMS.

1300 – 1400 Session 3New Drugs of Abuse – Dr. Bill Gossman

1. Describe Flakka and its effects.

2. Describe the new synthetic cannabinoids.

3. Discuss the drug, Krokodil, and its complications.

4. Describe N-Bomb and its effects.

5. Discuss the latest issues regarding fentanyl and Heroin.

Humidification and Safe Transport of the Tracheostomy Patient – Nancy Nathenson, RRT, RYT

1. Define Relative Humidity (RH), Absolute Humidity (AH) and Dew Point.

2. Describe the consequences of inadequate humidification of the lungs.

3. Identify humidification strategies and supplies necessary for safe transport of the tracheostomy patient.

4. Summarize the key questions and criteria in identifying humidity needs of a tracheostomy patient.

DHHS Update – EMS and Trauma Program Staff

1. Discuss various Nebraska Administrative Codes as they pertain to EMS education & training.

2. Identify recent and upcoming changes in EMS throughout the state.

I’m Okay, You’re...Tolerable as Long as You Stay out of My Way: Getting a Grip on the Concept of Teamwork – Julie Bacon

1. Define the basic concept of a “team”.

2. Recognize how the team is affected by generation, personality and leadership style.

3. Define the members of the team.

4. Identify how myths and truths of teamwork affect staff satisfaction and burnout.

1430 – 1530 Session 4CPR Feedback: Does it make a Difference in Outcomes? – Dr. Baxter Larmon

1. Discuss current AHA guidelines.

2. Explore what the research tells us about quality chest compressions and what expected outcomes may be.

Basics of Pediatric Shock – Julie Bacon

1. Describe normal presentations in children, to include physical assessment and assessment of dehydration percentages.

2. Identify initial fluids for treatment, and pediatric specific sites of IV access

3. List options for emergency IV access in children.

Case Based Learning for Tactile Learners – Kirk & Margaret Mittelman

1. Discuss how the tactile learner is different.

2. Discuss the motivators for the tactile learner.

3. Explain the benefits of case based teaching.

EMS Medical Oversight – What Should You Expect from Your Doc? – Dr. Keith Wesley

1. Review the fundamental roles of the EMS medical director.

2. Explore the common barriers to having the optimal relationship with your medical director.

3. Discuss the expectations medical directors should have of their service as well as the service’s expectation of their medical director.

1600 – 1700 Session 5Here, hold this! The Role for Tourniquets in Civilian EMS – Dr. Keith Wesley

1. Review the current literature from both military and civilian sources in an attempt to answer the question about its effectiveness on the streets.

2. Examine the potential role for hemostatic agents.

3. Review changes in the national curriculum and testing processes that have changed our approach to bleeding control.

Advanced Cardiac Care – Dr. Bill Gossman

1. Discuss the latest in cardiac care.

2. Describe pacemakers and how to disarm them.

3. Discuss the complications with LVADs.

4. Discuss what medications work and don’t work in a cardiac arrest.

Old to New: A Journey as an EMS Educator – Dr. Baxter Larmon

6

1. Explore the past and future of EMS education.

2. Explore the concept of evidence-based EMS education.

We are leaving our Profession to Whom? – Kirk Mittelman

1. Recognize “Generation Labeling” and its effects on the classroom.

2. Discuss three methods to motivate the new generation student.

3. Discuss the advantages and disadvantages of teaching, managing, working with, and for the new generation.

SATURDAY, OCTOBER 22, 2016

0800 – 0900 Session 1Lasix Kills: Learn Better Therapies for Congestive Heart Failure – Dr. Keith Wesley

1. Appreciate and contrast the new and old theories of congestive heart failure.

2. Recognize the role of nitrates and CPAP in the treatment of congestive heart failure.

3. Review the potential adverse effects of old therapies for CHF such as Lasix and morphine.

Diagnostic Use of Waveform Capnography – Jim Davis

1. Review the differences between oxygenation and ventilation.

2. Review of the clinical advantages in the use of capnography in the non-intubated patient.

3. Review of the clinical advantages in the use of capnography in the intubated patient.

TASKING – Encouraging Students, Employees and Yourself – Kirk & Margaret Mittelman

1. Discuss the signs of Burnout.

2. Discuss the theory of TASKING.

3. Demonstrate one method to improve productivity.

4. Indicate one strategy for helping a student deal with burnout.

We’re All in This Together - CRM 101 – Julie Bacon

1. Describe the barriers to effective crew/team communication.

2. List fatigue factors that can negatively impact crew function.

3. Define the concept of crew resource management.

0930 – 1030 Session 2Suicide: Our Dirty Little Secret – Kirk Mittelman

1. Evaluate the warning signs of suicide.

2. Discuss ways to deal with those thinking of suicide.

3. Determine if EMS could make a difference on a suicide call.

4. Evaluate who is the real victim of suicides and how to help them.

Sepsis in EMS – Dr. Baxter Larmon

1. Review the pathophysiology of sepsis.

2. Discuss the assessment and treatment of sepsis.

2016 NREMT Update – Rob Wagoner

1. Review the role of the National Registry of EMTs in the certification process of EMS providers.

2. Discuss the changes to the paramedic psychomotor examination.

3. Discuss current initiatives of the NREMT in EMS research.

Learning to Problem Solve like Toyota – Jim Davis

1. Review of how Toyota problem solving is relevant to EMS.

2. Review of defining the problem properly.

3. Review of how to measure and analyze the problem.

4. Review of how to promote change through development of countermeasures.

1100 – 1200 – Session 3Spinal Immobilization: Some New Thoughts on Backboards and C-collars – Dr. Eric Ernest

1. Recognize the indications for spinal immobilization.

2. Recognize the instances where spinal immobilization should not be applied.

3. Become aware of recommendations from American College of Surgeons and National Association of EMS Physicians.

I Shouldn’t Have Gotten Out of Bed This Morning – Neonatal and Pediatric Cases that will Make Your Toes Curl – Julie Bacon

1. List the classic three physical findings in intussusception.

2. Describe the two primary congenital

7

Emerging Issues in EMS Leadership – Jim Davis

1. Review of issues of importance to EMS managers.

2. Review of issues important to EMS providers.

3. Review of issues related to critical care transport providers.

1430 – 1530 Session 5Visual DX – Kevin Burgess, NRP, CCFP

1. Correctly identify multiple types of patients that may be encountered by EMS.

2. Discuss appropriate treatments based upon signs/symptoms and patient presentation.

Speed Bumps and Roadblocks on the Journey to Pre-hospital Analgesia – Dr. Keith Wesley

1. Discuss the role of pre-hospital analgesia past, present, and future.

2. Review the indications and contra-indications for pre-hospital analgesia.

3. Address common myths related to pre-hospital analgesia.

4. Develop a strategy to provide analgesia.

WHAT? My Student’s don’t Cheat – Rob Wagoner

1. Discuss how dishonest behaviors in EMS education can migrate to the workplace.

2. Examine ways students cheat and how you can deter this unacceptable practice on exams.

3. Discuss policies that should be in place to protect the integrity of the program and the profession.

Best Evidence, Best Practice, Best Guess – Dr. Baxter Larmon

1. Explore what evidence-based practice is.

2. Explore what evidence there is that supports what we do.

1600 – 1700 CLOSING KEYNOTE:Love What You Do, Do What You Love – Kirk Mittelman

1. Discuss the personal advantages of having a positive attitude.

2. Discuss how improving your love for your work can translate to better learner and customer outcomes.

3. Discuss how your passion can build a learning atmosphere that will help your career and those you teach and/or mentor.

abdominal wall defects in the neonatal population.

3. Identify the radiographic findings in epiglottitis and croup.

4. List the AAP recommendations for initiation of resuscitation in the newborn.

Teaching EMS Documentation from a Medical Director’s Perspective – Dr. Keith Wesley

1. Discusses the current shortcomings of EMS documentation and communication.

2. Explores ways to enhance this often boring portion of the EMS curriculum.

3. Review what components are important to EMS medical directors, quality improvement officers, and risk managers.

Pyramid of Success: A Road Map to Being Successful – Dr. Baxter Larmon

1. Discuss John Wooden and his tool to assist his students and players to be successful individuals.

2. Understand how to be more successful in both your professional and personal lives.

1300 – 1400 Session 4Adam Lost a Rib. Was it a Life Threat? – Kirk Mittelman

1. Discuss the importance of Mechanism of Injury in thoracic trauma.

2. Discuss the types of injuries possible in thoracic trauma.

3. Discuss the need for critical thinking in thoracic trauma.

4. Discuss the need for rapid recognition and transport of thoracic injuries.

5. Recognize and diagnose hidden thoracic injuries.

Prehospital Recognition and Management of Excited Delirium – Dr. Eric Ernest

1. Recognize excited delirium.

2. Recognize the causes of excited delirium.

3. Properly manage excited delirium including the use of chemical and physical restraint.

The EMS Educator: Building a Profession – Dr. Baxter Larmon

1. Compare good versus spectacular educators.

2. Explore what makes EMS education a profession rather than a calling.

8

OCTOBER 21 & 22, 2016

Who should attend? • Emergency Medical Responders

• EMTs• EMT-Intermediates

• AEMTs• Paramedics• LPNs/RNs• Educators

• Management/Leaders

Why should you attend? • Something for everyone – 4 different tracks to

choose from• Hear about clinical hot topic issues from national and

regional presenters• Network with fellow EMS providers

• For your patients! Enhance your EMS and nursing knowledge

• Exhibit area that is full with new products

MedstockMedstock

9

www.unicogroup.com402.434.7200

LINCOLN | OMAHA | KEARNEY | COLUMBUS

A Team of AdvisorsAT YOUR SERVICE

LEARN MORE AT OUR WEBSITE!

Trust UNICO to connect you to a full suite of insurance solutions designed to protect and grow your business.

• Property Casualty• Worker’s Compensation• Employee Benefits

• HR Solutions• Professional Liability• Risk Control & Safety Services

10

Friday 1:00 – 2:00pmI’m Okay, You’re…Tolerable as Long as You Stay out of My Way: Getting a Grip on the Concept of Teamwork

This session will look at the basic concept of a “team” and discuss how the team is affected by generation, personality and leadership style. Julie will define the members of the team, and identify how myths and truths of teamwork affect staff satisfaction and burnout.

Friday 2:30 – 3:30pmBasics of Pediatric Shock

Normal presentations of shock in children, to include physical assessment and assessment of dehydration percentage, identification of initial fluids for treatment, pediatric specific sites of IV access, and options for emergency IV access in children.

CONFERENCE SESSIONS

Julie BaconMSN-HCSM, RNC-LRN, NE-BC, CPN, CPEN, C-NPT

Julie has over 25 years’ experience in emergency transport medicine, both flight and ground. Her expertise is in the area of pediatric and neonatal transport and critical care. As Chief Flight Nurse at All Children’s Hospital in St. Petersburg, FL, she manages the Critical Care Transport Team, with over 1,500 national and international missions

annually. She is also Manager of the Patient Transfer Center.

Ms. Bacon holds instructor status in multiple courses such as PALS, NRP and STABLE. She is an active participant in state disaster planning and management, and as a former hospital Emergency Management Director, is involved as an instructor in WMD training, triage and hospital emergency preparation for disaster and terrorism. She currently serves as the appointed Chairperson for the Florida EMS for Children State Advisory Committee, Vice Chair of the Florida State EMS Strategic Planning Committee, and is an invited participant representing neonatal/maternal and pediatric issues on multiple state committees.

In addition to clinical topics in pediatric/neonatal critical care and transport medicine, she also lectures nationally and internationally on all areas of teamwork and staff resource management, prioritizing life in a high-stress environment and motivational issues.

MedstockMedstock

11

Saturday 8:00 – 9:00amWe’re all in this Together – CRM 101

In this session, Julie will describe the barriers to effective crew/team communication. She will discuss the fatigue factors that can negatively impact crew function, and lastly, define the concept of crew resource management.

Saturday 11:00am – 12:00pmI shouldn’t have gotten out of Bed this Morning – Neonatal and Pediatric Cases that will Make Your Toes Curl

Classic three physical findings in intussusceptions, two primary congenital abdominal wall defects in the neonates, radiographic findings in epiglottitis and croup, and the AAP recommendations for non-initiation of resuscitation in the newborn.

Saturday 2:30 – 3:30pmVisual DX

Visual Diagnosis is an interactive lecture of medical and trauma patients. In this session, we will spend time reviewing signs / symptoms with basic and advanced treatment plans.

R.N. MS, MBOE, EMT-PJim Davis is Deputy Fire Chief of Emergency Medical Services with the Columbus Fire Department and has served as an EMS supervisor for over twenty years. Jim was a Rotor-Wing Flight Nurse with Med-flight of Ohio/Grant Life-flight and is an Adjunct Faculty member of the Columbus State Community College Paramedic Program.

Jim received his Paramedic Certification in 1984. Mr. Davis is a lifelong learner and has a Graduate degree in Education and Operational Excellence and currently is a Doctoral student at the University of Pennsylvania studying organizational learning.

He is a member of the Ohio Association of Professional Fire Fighters and serves as a board member for the State of Ohio board of fire, EMS, and medical transportation as well as the Central Ohio Trauma Systems.

James E. Davis

Kevin BurgessNRP, CCFPKevin is a New Orleans born native, working in EMS since 1983. He is a clinical educator for ZOLL Medical and also works as a critical care flight medic for Northern Colorado Med Evac.

12

Saturday 8:00 – 9:00amDiagnostic Use of Waveform Capnography

This lecture will review the difference between oxygenation and ventilation, and discuss the advantages to the use of waveform capnography in the intubated and non-intubated patients.

Saturday 9:30 – 10:30amLearning to Problem Solve like Toyota

The Toyota Production System (TPS) is a proven method of problem solving in industry. Recently the principles of lean and TPS have found their way into the healthcare discussion. We will discuss strategies to problem solve for long term sustainability versus immediate results. We will use some case based EMS scenarios to describe how to enact these principles and ask the right questions.

Saturday 1:00 – 2:00pmEmerging Issues in EMS Leadership

There is no question that EMS fits into the category of a complex adaptive system. As the EMS industry continues to see changes that impact care delivery, we need leaders instead of managers who are capable of navigating these changes to bring the organization along with it.

Friday 9:30 – 10:30amEMS Liability Issues – Keeping yourself alive, your butt out of jail and your organization out of the local headlines

Each year EMS providers find themselves involved in lawsuits for a number of reasons. This class reviews a recent in depth national study into EMS liability and the root cause for lawsuits resulting from EMS operations. The results may be quite surprising and are fully analyzed with suggestions of how to reduce exposures to liability. This knowledge is vital to anyone involved with providing emergency medical services.

The target audience for this presentation is providers of emergency medical services as well as management of such organizations. The learning objective is so that the student understands the various issues in order of relevance presented to the EMS provider and providing agency as well as suggestions to solve the problems which could lead to legal efforts against them. This multi- media training includes video and photos of actual incidents to better demonstrate how good intentions can turn ominous very quickly.

David DennistonDavid Denniston is the Director of Risk Management for McNeil & Co, Ambulance Services Insurance Program. Dave has been in Emergency Services for 25 plus years with the Cortlandville Fire/EMS Department in Upstate NY. He has served as Chief of the Department, Vice President and Chairman of the Board of Directors.

Dave serves Cortland County as Deputy Fire/EMS Coordinator and also serves the Town of Virgil as Fire Commissioner. He sits on numbers boards for both businesses and non-profit organizations.

Chief Denniston has presented emergency preparedness and leadership classes at several state, regional and national shows and conventions,

including Firehouse Expo in Baltimore, San Diego and Orlando, the IAFC conferences in Dallas, Denver, Chicago and Atlanta and numerous EMS conventions across the US. He has been the keynote speaker at several State Conventions. Dave sits on two NFPA tech committees and has articles printed in several fire and EMS magazines.

13

Friday 11:00am – 12:00pmEMS Collaboration with Trauma Services

In this session, Robbie will discuss the effects of the EMS and Trauma Program Collaboration on outcomes and the patient experience. He will also review the positive effects of leveraging technology to improve EMS and Trauma Program Relationships.

Friday 1:00 – 2:00pmDHHS Rules & Regulations Update

This session will help instructors review rules, regulations, and requirements pertaining to EMS education. Furthermore, the course will introduce instructors to current issues in EMS education and to review changes within State government in areas that pertain to EMS. The class will also address topics such as strengths and areas for improvement for EMS training agencies and educators.

EMS & Trauma Program StaffDepartment of Health & Human ServicesThe mission of the Emergency Medical Services (EMS) program is to strengthen emergency care through cooperative partnerships and to promote the well-being of the citizens of Nebraska and those who live and work in the State.

The EMS Program staff carries this mission forward through the EMS program administrator, EMS specialists, an EMS education & training coordinator, a statewide trauma program manager, and two staff assistants.

The EMS Program staff provides support for out-of-hospital providers and emergency services to include technical assistance and continuing education & training.

Robbie DumondRN, AEMTRobbie Dumond is the Trauma and Emergency Preparedness Manager at Bryan Medical Center in Lincoln, NE. His background includes experience as a firefighter, EMS provider, Emergency Department Nurse, Critical Care Transport Nurse, and Trauma Program Manager. He is currently the Trauma Nurse Representative on the State of Nebraska DHHS Trauma Advisory Board, Co-Chair of the Lincoln Emergency Medical Services Oversight Authority Advisory Committee, an active TNCC and ATCN instructor, and ATLS course coordinator.

Robbie resides in Lincoln with his wife Cara and their two children Jordan and Brooklynn.

14

Saturday 11:00am – 12:00pmSpinal Immobilization – Some New Thoughts on Backboards and C-collars

In this lecture, Dr. Ernest will examine the indications for spinal immobilization as well as instances where spinal immobilization should not be applied. He will review the recommendations from the American College of Surgeons and the National Association of EMS Physicians.

Saturday 1:00 – 2:00pmPre-hospital Recognition and Management of Excited Delirium

Dr. Ernest will define excited delirium, and discuss the causes of excited delirium. In this session, we will also review how to properly manage excited delirium including the use of chemical and physical restraint.

William GossmanM.D. F.A.A.E.M.Bill is currently the Director of the Department of Emergency Medicine at Creighton University Medical School in Omaha, NE. In 1980, he received Navy Paramedic Training from the Naval Regional Medical Center in San Diego, California, then went on to earn his medical degree from Southern Illinois University Medical School in 1992, and completed his residency training at the University of Illinois in Peoria in 1995. He served as the EMS director at Mount Sinai Hospital in Chicago Illinois from 1995-2002. Bill has authored 13 books, three of which are in the area of EMT/Paramedic board review.

Eric V. ErnestM.D., EMT-P, FAAEMDr. Ernest is an Assistant Professor of Emergency Medicine at the University of Nebraska Medical Center in Omaha, Nebraska. Dr. Ernest graduated with a B.S. in Emergency Medical Services and a Doctor of Medicine from Creighton University. He completed his residency in Emergency Medicine at the University of Nebraska Medical Center in Omaha, Nebraska. He subsequently completed his Prehospital Medicine/Emergency Medical Services fellowship at Regions Hospital in St. Paul, Minnesota. Dr. Ernest is dual board certified in Emergency Medicine and

Emergency Medical Services. He is an active member of the National Association of Emergency Medical Services Physicians as well as the American College of Emergency Physicians. Dr. Ernest also serves as the EMS Physician Medical Director for the State of Nebraska as well as the Medical Director of Bellevue Fire Department, Cass County Emergency Management Agency, and Sarpy County Dispatch as well as the Assistant Medical Director of the Omaha Fire Department and Creighton University EMS Education. His current areas of research interest include cardiac arrest and resuscitation as well as prehospital advanced airway. He has received several honors and awards and has been published in several peer-reviewed journals.

15

Friday 1:00 – 2:00pmNew Drugs of Abuse

This presentation will discuss the newest drugs of abuse, their physical and psychological effects, their mechanisms of action and the harmful effects they have on the users. Drugs discussed will include Flakka, synthetic cannabinoids, Krokodil, N-Bomb, and the latest issues with fentanyl and Heroin.

Friday 4:00 – 5:00pmAdvanced Cardiac Care

In this session, Dr. Gossman will discuss the latest in cardiac care. He will describe pacemakers and how to disarm them. He will review the complications with LVADs, and evaluate what medications work and don’t work in cardiac arrest.

Baxter LarmonPhD, MICPDr. Larmon is currently a professor of emergency medicine at the David Geffen School of Medicine at University of California at Los Angeles (UCLA) and the founding Director of the UCLA Center for Prehospital Care. He has been actively involved in Emergency Medical Services (EMS) for more than 40 years.

Dr. Larmon has a vast amount of experience in EMS. He has worked as an ambulance attendant, NREMT-B, Lifeguard-

Paramedic, Firefighter, Firefighter- Paramedic, EMS Educator, Researcher, Author, and Professor.

Dr. Larmon is an innovator and a pioneer in the area of EMS Research. His goal has been to develop EMS as a recognized and respected medical profession. Dr. Larmon founded the Prehospital Care Research Forum (PCRF) more than 11 years ago. This organization’s goal is to promote, educate and disseminate EMS research. During the last 12 years, under the direction of Dr. Larmon, PCRF has published more than 600 abstracts, in two major EMS Journals, and has educated more than 500 EMS professionals in EMS Research Workshops.

Dr. Larmon is also a prolific researcher; he has more than 100 journal publications, four textbooks, and more than 35 video productions to his name. He was recognized as leader in EMS research and was asked to write the forward to the only EMS text dedicated to research, An Introduction to EMS Research, Prentice Hall Publishing. Dr. Larmon was appointed to the National EMS Advisory Committee to represent the interests of EMS Researchers.

In 2000, the Journal of Emergency Medical Services named Dr. Larmon as one of the most influential persons in EMS. The recognition was primarily due to his contributions in the area of EMS Research and Education.

Dr. Larmon was one of the Founding Board of Directors of the National Association of EMS Educators and help in establishing the organization.

Dr. Larmon is so recognized as a leader in academic prehospital care, he has presented at more than 500 conference in his career in all aspects of EMS. Dr. Larmon has won both of the premier Faculty Awards at the David Geffen School of Medicine; The Golden Apple Award and the Award for Excellence in Education. In 2009 Dr. Larmon received the Lifetime Achievement Award from the National Association of EMS Educators. In 2012, Dr. Larmon received the Distinguished Service Medal from the State of California EMS Authority.

Dr. Larmon has dedicated his life to the professionalism of EMS. Research has been his instrument to reach this goal. Dr. Larmon’s current interest is in the areas of Best Practice, Evidence Based Medicine, Community Health and Patient Safety.

16

Friday 11:00am – 12:00pmA Culture of Patient Safety

One hundred thousand patients die each year as a result of medical errors in the hospital. There are 5,500 medical errors each day that occur in the hospital. It is unknown how many medical errors we make in EMS, but it should equal or be greater than hospitals. Come explore the new area of concern in EMS; Patient Safety.

Friday 2:30 – 3:30pmCPR Feedback: Does it make a Difference in Outcomes?

The American Heart Association (AHA) has made quality chest compressions one of the most important aspects in cardiac resuscitation today. Come explore what the research tells us about quality chest compressions and what the expected outcomes may be.

Friday 4:00 – 5:00pmOld to New: A Journey as an EMS Educator

This lecture will explore the past of EMS education from a presenter that has been educating EMS providers for more than 40 years. It will then take us to the future of EMS education and explore the concept of evidence-based EMS education.

Saturday 9:30 – 10:30amSepsis in EMS

Sepsis can be deadly. It kills more than 258,000 Americans each year and leaves thousands of survivors with life-changing after effects. According to the CDC, there are over 1 million cases of sepsis each year, and it is the ninth leading cause of disease-related deaths. Let’s explore the pathophysiology, assessment and treatment of sepsis.

Saturday 11:00am – 12:00pmPyramid of Success: A Road Map to being Successful

John Wooden was one of the most winning coaches of all time. He developed a tool to assist his students and players to be a successful individual. This lecture will help you understand how to be more successful in both your professional and personal lives.

Saturday 1:00 – 2:00pmThe EMS Educator: Building a Profession

EMS Education is a passion; most EMS educators started as providers and became educators. Some educators are good, some are spectacular. Let’s explore what makes EMS education a profession rather than a calling.

Saturday 2:30 – 3:30pmBest Evidence, Best Practice, Best Guess

Evidence-based practice is the new catch phrase in medicine. How much evidence supports the practice of EMS? Come explore what evidence-based practice is and what evidence there is that supports what we do.

17

Friday 9:30 – 10:30amMaking the Right Call… In the Classroom

Emergency medical services personnel frequently confront ethical dilemmas involving patient care. EMS instructors are generally well equipped to address patient care related ethics, but what about ethics for the EMS educator? The ethical challenges in the classroom may be even more daunting because we rarely discuss them. How much should you help students? Is there a line where “helping” may actually become an unfair advantage, or dare I say, cheating? Should you be friends with your students? Is it okay to “fudge” a grade, just a little, so a student passes? What are your ethical responsibilities to the EMS profession and the broader community? Ethics and ethical behavior belongs to everyone, including EMS instructors, and the many roles he or she has in and out of the classroom.

Michael MillerEdD, MS, BSEMS, RN, NRP Director, EMS Education and Assistant ProfessorWith over thirty years experience in EMS, Mike joined Creighton University EMS Education in 2002. Dr. Miller is currently the EMS Education Program Director and holds the rank of Assistant Professor in the School of Pharmacy and Health Professions. Prior to his role as a fulltime educator, he practiced as a paramedic and registered nurse, working as a field paramedic, paramedic shift supervisor, EMS field training officer, quality improvement coordinator,

EMS system program director, emergency department RN, and Level II trauma center program coordinator.

Mike earned his Doctor of Education in Interdisciplinary Leadership from Creighton University in 2014. He also earned a Master of Science degree in Negotiation and Dispute Resolution, and a Bachelor of Science degree in Emergency Medical Services, also from Creighton University.

Actively involved in EMS, Dr. Miller currently serves on the board of the Committee on Accreditation for EMS Programs (CoAEMSP), and the State of Nebraska Board of EMS. Previous board appointments have included serving as a member of the National Association of EMS Educators board of directors and Nebraska Region 1 Trauma Board. Mike serves as a CoAEMSP accreditation site visitor and has been involved with several projects with the National Registry of EMTs. Mike has been a contributing author and reviewer for numerous EMS publications, and presenter at conferences and workshops on clinically related and EMS education topics.

18

Friday 9:30 – 10:30amI Missed the Warning Signs. Will You?

The call comes out, “Shots fired!” from your partner. You are the one that has been shot, what now? During your career, facing death will be a part of everyday life. But we commonly think of it in terms of someone else dying. What if you are facing an armed patient? How will you react? Will you see the warning signs of a violent patient? If you miss them, it could mean your life. Join Kirk as he uses his unique brand of humor and candor to share his personal experience with being shot and what to do if things go wrong.

Friday 2:30 – 3:30pmCase Based Learning for Tactile Learners

You arrived in EMS education most likely because you wanted to make a difference in how things are done in the classroom. Maybe it was a temporary stop while you were on light duty or need a changed from working on a busy rig. Now you are part of the educational establishment and want a new way to teach your students. In the Public Safety field, the learners are different than you might find in corporate world. Public Safety is filled with tactile learners. The problem is most canned EMS programs are designed for didactic learners. Might it be that we need to utilize more case and scenario based learning techniques? Join Kirk and Margaret for an interactive and tactile class that will help you reach your students in a new way.

Margaret A. MittelmanMEd, NRPMargaret is a Professor, Associate Department Chair and the EMT Program Coordinator for Utah Valley University. Margaret serves as Utah practical test team proctor. Margaret also acts as the research advisor for the Mt Nebo Training/University of Utah Paramedic Program. Margaret has received accolades at every level and received

the coveted Dr. Keith Hooker Lifetime Achievement and Dr. Robert Hogan EMS Awards. A 34-year EMS veteran and leader in EMS, Margaret is a favorite presenter at State and National Conventions; gaining notoriety for her portrayal of Ann Robinson of “The Weakest Link.” In her spare time Margaret enjoys spending time on Lake Powell skiing and relaxing.

Kirk E. MittelmanM.Ed., NREMT-PKirk retired in 2001 from Provo City Police after 22 years. Kirk teaches all levels of EMT’s and wilderness medicine and is the Paramedic Program Director for the Mt Nebo Paramedic Program, which is affiliated with the University of Utah. Kirk is a 31-year veteran of EMS and Public Safety, Kirk recently retired (again) after serving as a Paramedic Captain and EMS Coordinator for Eagle

Mountain Fire Department. In his spare time Kirk travels to 3rd World countries as a volunteer teaching EMS to physicians, nurses and EMS personnel. When things get too hectic Kirk can be found waterskiing and enjoying the sun at Lake Powell.

19

Friday 4:00 – 5:00pmWe are leaving our Profession to Whom?

Generation X is old news. Be prepared because here comes Generation Y and Z. It might not be pretty, but we must face it. How are you going to deal with the generation that grew up on video games, computers and high tech toys? How can you, the instructor, entertain this new generation who reads books on tablets? During this class, we will discuss what makes the new generation tick. Understanding how this generation is motivated and works in the world of Public Safety is integral to teaching them our profession. Join Kirk as we discuss what you must do to motivate, teach and work with the electronic generation. During this session, we will discuss what perceptions and misperceptions you have about this new generation. Join Kirk for a humorous and entertaining look at whom we are preparing to take over our profession.

Saturday 8:00 – 9:00amTASKING – Encouraging Students, Employees and Yourself

You have a student in your office, and they seem burned out with school, the program, and life. What on earth are you going to do? Have you noticed your staff and cohorts are not interacting with the students and each other like they once did? Have you ever looked in the mirror and thought, “Do I really have to face those students today?” Encouraging others to do better is an art form, and being an example 24/7 is a constant challenge. The answer lies in “TASKING” ourselves and those around us. This simple pneumonic will help you deal with the problems you may have or are bound to have in your future as an EMS Professional. Through TASKING, we will stay on task and keep our students enthused and engaged in learning. This session will show you methods to deal with burnout and productivity by you, your staff, and the students we serve. Join Kirk and Margaret for an interactive and informative session on “Burnout,” Productivity and Improving your teaching and leadership by making simple changes.

Saturday 9:30 – 10:30amSuicide; Our Dirty Little Secret

Have you ever wondered what drives people to suicide? Have you ever thought maybe you could have done more to help? In this session, we will look at suicide and the effect it has on family members and providers. We will discuss the warning signs of suicide and how to deal with someone who is threatening suicide. Kirk asks that you come with an open mind to this session and be prepared to face your deepest fears to help us all solve a growing problem.

Saturday 1:00 – 2:00pmAdam Lost a Rib. Was it a Life Threat?

The call comes out; “Engine 251, Ambulance 251, Rescue 252, respond to Lou’s bar, 35 East Union, on a 45 year old male experiencing difficulty breathing and chest pain.” As you respond to the scene, you begin to go through the chest pain protocol in your head. As you arrive, you find that indeed, the patient is S.O.B. and experiencing chest pain, but it’s from a pool cue to the chest, and the cue is lodged in the patient’s chest. The actions you take next will determine the patient outcome. Are you ready for thoracic trauma and all it brings? In this session, Kirk will bring to light the dynamics of thoracic trauma and how to manage the needs of the patient who has experienced chest trauma. Come listen and help Kirk breathe some new life into this important topic.

Saturday 4:00 – 5:00pm CLOSING KEYNOTELove What You Do, Do What You Love.

Kirk has built a career and a business doing what he loves. Attitude will not produce results alone, but over the long term, you can improve your teaching ability and student outcomes. Your customers and learners will notice your attitude and passion. Students and co-workers feed off this and the effects on your ability to deliver EMS teaching will amaze you. Whether you are a provider or trainer, you will want to take this funny look at why you need to be doing your job for love first, and the money will come.

20

Friday 11:00am – 12:00pmVentilator Management and Troubleshooting

This presentation is intended to assist the participant in recognizing the following: the varying levels of patient support from mechanical ventilators, patient asynchrony and the causes and corrective action to alarm situations.

Friday 1:00 – 2:00pmHumidification and Safe Transport of the Tracheostomy Patient

This presentation is designed to give the participant a better understanding of the types and features of tracheostomy tubes the impact and important safety considerations in the use of speaking valves and tracheostomy caps in additions to the importance of adequate humidification for the tracheostomy patient during transport.

Rob WagonerBSAS, NRP, Chief Operating Officer NREMTRob Wagoner is responsible for quality and standards of NREMT programs with an emphasis on test item development. Mr. Wagoner has nearly three decades with the NREMT involving cognitive and psychomotor examination development and implementation. Mr. Wagoner is a recipient of numerous awards of excellence during his tenure at the NREMT. Mr. Wagoner holds a Bachelor’s of Science in Applied Sciences from Youngstown State University.

Nancy A. NathensonRRT, RYTNancy Nathenson is currently the Respiratory Therapy Education Coordinator and Chair of Emergency Care at Madonna Rehabilitation Hospital in Lincoln, NE. She has 30+ years of experience in the medical field from Critical Care to Rehabilitation. In addition to holding leadership roles she has provided direct patient care, interdisciplinary education, trainings and consultation to hospitals, clinics, state and non-profit agencies locally, regionally and nationally. Her passion is coordinating and delivering evidenced-based and best practice strategies in

population health management across the continuum of care to key stakeholders, lay persons and health professionals.

When Nancy isn’t working her day job, she and her husband Prem, a naturopath and nurse practitioner, run a wellness practice called Simple Path Health and Wellness.

21

Saturday 9:30 – 10:30am2016 NREMT Update

The National Registry of EMTs (NREMT) delivers more than just a test. We are an active member in the EMS community. Our certification examinations are the foundation to our organization. They allow us to support and develop National EMS initiatives with our community partners. Current initiatives: changes to the paramedic psychomotor examination, moving recertification to a dynamic National Continued Competency Program (NCCP) and EMS research. Join us in our mission to protect the public and our nation.

Saturday 2:30 – 3:30pmWHAT? My Students Don’t Cheat!

THINK AGAIN! If the soon-to-be-healthcare-practitioners cheat in school, you can bet those behaviors will continue into the workplace. Hear about the prevalence of academic dishonesty in general, as well as in the health professions. In this session, you will learn about ways students cheat and how you can deter this unacceptable practice on exams, along with a discussion of policies that should be in place to protect the integrity of the program and the profession.

Friday 9:30 – 10:30amI Missed the Warning Signs. Will You?

Friday 8:00 – 9:00am OPENING KEYNOTEBecome an EMS Professional

Professionalism has nothing to do with whether or not you are paid. It is, instead, dependent on your mental perspective of the role you play in your patient’s life. In this lecture, Dr. Wesley explores the definition of professionalism and examines the root causes for its, too often, absence in EMS and Healthcare in general. Through an honest self-appraisal, Dr. Wesley will guide you to a better understanding of what it means to truly be professional.

Friday 9:30 – 10:30amUnderstanding the Autonomic Nervous System – Essentials of EMS Pharmacology

Too many EMS providers view the autonomic nervous system as a blur of contrasting actions and reactions with too many feedback loops to memorize. However, almost every medication used in EMS works through its effect on the autonomic nervous system. Dr. Wesley will take away the mystery and confusion of this vital component of human physiology and provide you the key points to remember. Emphasis will be placed on an evaluation of pre-hospital pharmacology and the mechanism of action of these life-saving agents.

Keith WesleyMD FACEPDr. Keith Wesley is a board certified emergency medicine physician and subspecialty board certified in Emergency Medical Services Medicine. He is the EMS Medical Director for HealthEast Medical Transportation in St. Paul, MN. Dr. Wesley has served as the State EMS Medical Director for both Minnesota and Wisconsin and Chair of the National Council of State EMS Medical Directors. Dr. Wesley is the author of many articles and EMS textbooks and a frequent speaker at EMS conferences across the nation.

22

Friday 2:30 – 3:30pmEMS Medical Oversight – What should you Expect from your Doc?

Defining the proper role of your medical director and providing them the necessary tools to succeed are an absolute necessity to quality EMS medical oversight. However, the role of EMS medical oversight is sometimes difficult to define. This lecture will review the fundamental roles of the EMS medical director and explore the common barriers to having the optimal relationship with your medical director. Dr. Wesley will discuss the expectations medical directors should have of their service as well as the service’s expectation of their medical director.

Friday 4:00 – 5:00pmHere, Hold This! The Role for Tourniquets in Civilian EMS

Tourniquets have proven to save lives in military casualties. So, would they be as effective on the streets of America? Dr. Wesley will review the current literature from both military and civilian sources in an attempt to answer this question. Along the way, he will examine the potential role for hemostatic agents and review changes in the national curriculum and testing processes that have changed our approach to bleeding control.

Saturday 8:00 – 9:00amLasix Kills: Learn Better Therapies for Congestive Heart Failure

This lecture examines our better understanding of the pathophysiology of congestive heart failure and the history of its treatment. Old theories result in old therapies. Current research should guide us in providing better pre-hospital therapy for this deadly condition. We will explore the role of pharmacologic agents such as diuretics, nitrates as well as the value of continuous positive airway pressure (CPAP) support.

Saturday 11:00am – 12:00pmTeaching EMS Documentation from a Medical Director’s Perspective

How to write and communicate effectively is one of the most challenging aspects of EMS education. There are many ways in which to organize ones thoughts and to communicate them over the radio and at the bedside, and finally to put them into words in the patient’s record. While the NSC objectives are very succinct, they provide little guidance on how to accomplish them in the classroom. Join Dr. Wesley as he discusses the current shortcomings of EMS documentation and communication and explores ways to enhance this often boring portion of the EMS curriculum. Dr. Wesley will help you change the way you look at EMS documentation and communication by providing you the insight from a medical director’s perspective and enlighten you as to what components are important to EMS medical directors, quality improvement officers, and risk managers.

Saturday 2:30 – 3:30pmSpeed Bumps and Roadblocks on the Journey to Pre-hospital Analgesia

Pain is one of the most common reasons EMS is called to care for. But what is the goal? How much pain relief is sufficient? How do you measure a patient’s level of pain? What medications should you use and by what route? What if you suspect the patient is a “seeker”? Don’t vital signs change with pain? What if the patient refuses your medication offer? Under what conditions should you withhold analgesia? Can the medication do more harm than good? These and many other questions will be addressed in this presentation of Dr. Wesley’s implementation of pre-hospital analgesia in his St. Paul service.

23

All fields are required

Last Name First Name Middle Initial

Email

Mailing Address City State/Zip

Phone

If mailing your registration, please print the registration form and complete it. Make checks payable to Midwest Medical Transport Company and mail your registration and check to: Midwest Medical Transport Company, Attn: Tami Carlson, 2611 S. 117th Street, Omaha, NE 68144.

If mailed after October 6th, add $25 fee.

REFUND POLICY:

MMTC - All refunds must be requested in writing and sent to Tami Carlson at Tami@mwmtc.com, or Midwest Medical Transport Company, Attn: Tami Carlson, 2611 S. 117th Street, Omaha, NE 68144. If granted, a $35 administration fee will be retained.

No refunds on One-day registrations and/or requests received after October 6, 2016.

CONFERENCE REGISTRATION FORM

Service Affiliation (If Applicable)

FEE SCHEDULE

Please check all boxes that apply to your registration:

MedStock Full Conference $175

MedStock One-day Conference $100

$25 will be added to all registrations received after October 6th. $25

Yes, I am attending the Banquet Extra Banquet Tickets for guest - $35 (How many?)

Total

Medstock 2016Medstock 2016

24

Registration InformationRegistration Information

Deadline:To qualify for the early registration discount, you must POSTMARK your registration by October 6 or complete the on-line registration by 5:00 pm on October 6. If you register after October 6, you will not receive the $25.00 discount.

2 Easy Ways to Register!

On-Line:Go to www.medstockems.com. IMPORTANT: If you provided us a valid email address and do not receive an instant confirmation of your on-line registration, please contact MMTC via email at: tami@mwmtc.com. On-line registration will CLOSE at 5:00 pm on October 6. At that time, you will either need to submit a mail-in registration or register at the door.

Mail:Midwest Medical Transport Company

Attn: Tami Carlson

2611 South 117th Street

Omaha, NE 68144

Local motels with possible room availability:Best Western 402-362-6661

Holiday Inn Express & Suites 402-745-6272

New Victorian Inn & Suites 402-362-1686

Hampton Inn 402-362-0222

Refund Policy:All refunds must be requested in writing and sent to Tami Carlson at Tami@mwmtc.com, or mail to:

Midwest Medical Transport CompanyAttn: Tami Carlson

2611 South 117th Street

Omaha, NE 68144.

If a refund is granted, a $35 administration fee will be retained.

No refunds on One-day registrations and/or requests received after October 6, 2016.

Registration Hours:Thursday, October 20, 6:30 – 8:00 pm

Friday, October 21, 7:00 – 9:00 am

Saturday, October 22, 7:00 – 9:00 am

25

Opening and Closing Keynotes, Breaks and MealsBallroom A

TRACK 1 – Basics of Clinical PracticeBallroom B & C

TRACK 2 – Advanced Clinical PracticeBallroom D & E

TRACK 3 – EducatorMeeting Rooms F & G

TRACK 4 – Management, Operations and LeadershipMeeting Rooms J & K

Room LegendRoom Legend

26

Midwest Medical Transport Company would like to THANK these Sponsors!

DIAMOND SPONSOR – LIFE-ASSIST

GOLD SPONSOR – UNICO & ZOLL MEDICAL

SILVER SPONSOR – AIRSURE, KOLEY JESSEN, OSAGE

AMBULANCES & UMB BANKDHHS

Thank You SponsorsThank You Sponsors

27

28

Count on more.

umb.com402.779.4512

Member FDIC

29