Session Descriptions
April 7-9, 2022
April 7, 2022 Preconferences
All pre-conference sessions will be held at the Ramkota Hotel.
NCCR Education Session
8:00am-5:00pm
Presenters: Sanford Health EMS Education
Post-Resuscitation Care – 0.5 hour Field Triage – 0.5 hour
CNS Injury – 0.5 hour Culture of Safety – 0.5 hour
OB Emergencies – 0.5 hour Provider Hygiene, Safety, Vaccinations – 0.5 hour
Stroke – 1.0 hour Endocrine – 1.0 hour
Toxicological Emergencies – 0.5 hour Immunological – 0.5 hour
Infectious Diseases – 0.5 hour Neurological Emergencies – 0.5 hour
Psychiatric Emergencies – 0.5 hour Added Bonus Credit – 0.5 NCCR hour
The presenters will cover stated objectives so the participant will earn full National Continued Competency Requirements (NCCR) credits for each topic. These topics are all required hours for EMR re-certification with the exception of 2.5 hours that can be applied from CPR re-certification. Sessions are also applicable for the EMT, AEMT, and Paramedic.
Registration is available for the morning session, afternoon session, or both sessions.
Education Sessions
8:00am-5:00pm
Emergency Vehicle Driver Training (0.5 NCCR Ambulance Safety, Remaining LCCR) (Limit 25)
Presenter: Sanford Health EMS Education
Driving an emergency vehicle is a privilege and a position of responsibility. Participants in this course will have the opportunity to gain and/or verify a broad range of competencies associated with emergency vehicle driving. These competencies include basic understanding of emergency vehicle operations as well as the skills necessary for practical application. This course consists of classroom, along with hands-on driving on a controlled course. Classroom will be 0800-1400 and the driving portion will be 1400-1800. Topics covered will include: identifying the problems in emergency vehicle operations, motivating the emergency vehicle operator to perform professionally, legal aspects of emergency vehicle operations, physical forces acting upon the vehicle, performing vehicle inspection and maintenance, and legal and regulatory requirements of Standard Operating Guidelines (SOG). This course has been approved as an Insurance Premium Reduction Course by the North Dakota Highway Patrol.
8:00am-10:00am
Sold Out Adult Hypoglycemia “How low can it go? and Adult Opioid Overdose “Too high” (0.5 NCCR, 0.5 NCCR Toxicological, 1 LCCR) (limit 20)
Presenter: Simulation in Motion ND
Adult Hypoglycemia – Participants will practice assessing and providing first aid to a patient with an altered mental status during a soccer game. This scenario will cover the initial and ongoing assessment of the patient, recognizing signs and symptoms of hypoglycemia, and initiating appropriate interventions.
Opioid Overdose – Participants will receive hands-on training on managing a patient who has overdosed on opioids. This scenario will cover: initial and ongoing assessment of the patient, recognizing the signs and symptoms of opioid overdose, and initiating early interventions.
8:00am-12:00am
Simulated Cadaver Anatomy Lab (4.0 LCCR) (limit 25)
Presenter: Stephen Murphy
Bridging the gap between the textbooks and real life has never been so much fun!! When it comes to simulating the human anatomy there is nothing better than a pig! In this Hands-On workshop we will dissect and explore a variety of structures that are commonly associated with the killing zones ~ Brain – Heart – Lungs – Livers – Spleens - Kidneys ….. and Eyes just for fun
10:00am-12:00pm
Human Trafficking (1.0 NCCR At Risk Population, 1.00 LCCR)
Presenter: Amy Boyd and Mike Blome
Human Trafficking 101 is an introductory training on what Human Trafficking is and what responses are being developed to address it, both nationally and in our state. By the end of the training, you will be able to identify risk factors, indicators, and what services are appropriate and available in North Dakota for victims. You will also have an understanding of current state law regarding Human Trafficking.
*This training was developed in collaboration with Human Trafficking Survivors.
1:00pm-3:00pm
Sold Out Pediatric Drowning Cold Weather “I just fell in” and Pediatric Trauma Bike Accident “I was only going to the pool” (0.5 NCCR ROSC, 0.5 NCCR CNS Injury, 1 LCCR) (limit 20)
Presenter: Simulation in Motion ND
Pediatric Drowning Cold Water – Participants will practice assessing and providing first aid to a child who is unresponsive after falling through the ice. This scenario will cover scene safety, teamwork, BLS concepts for a cold-water drowning victim, signs and symptoms of hypothermia, and resuscitation interventions.
Pediatric Trauma Bike Accident – Participants will practice assessing and providing first aid to a child who has been hit by a car. Topics will include scene safety, spinal stabilization, signs and symptoms of a traumatic brain injury, and teamwork and communication in an emergency environment.
Educator Session
1:00pm-5:00pm
ND EMS Instructor Update – Recertification (No CEUs)
Presenters: North Dakota EMS Educators
This 4 hour session meets the biannual requirement of continuing education for licensed Instructor Coordinators. Topics that will be covered include an update from the ND EMS Division, EMT Portfolio/Scenario Testing Project Roll-out, and moulage techniques. This course is NOT for initial Instructor/Coordinator certification.
1:00pm-5:00pm
Grain Bin Entrapment (4.0 LCCR)
Presenter: Kelli Just
1:00pm-5:00pm
Aircraft Accidents for First Responders (3.0 LCCR) (limit 25)
Presenter: Jay Flowers
This course was designed to inform first responders of the duties, limitations, and dangers of dealing with aircraft accidents. We will discuss the necessity of scene safety and protection before extrication and hazards on the site such as the size and scope of the accident site, limitations on patient removal and required information the National Transportation Safety Board and the Federal Aviation Administration will need to further investigate the accident scene. We will discuss the various parts of an aircraft and instruct the attendees on how to identify hazardous items such as Ballistic parachutes, pilot air bags, and proper entrance and exit points of an aircraft.
Bismarck Event Center Thursday Evening Bonus Session
5:45pm-6:15pm
Head Trauma (0.5 NCCR)
Presenter: Stephen Murphy
Friday - April 8, 2022
7:15-7:45am Bonus Session
LVAD- 1 NCCR- LVAD
Presenter: Marcy Dawson- Room 103
This session will provide proper recognition and treatment for patients resuscitated from cardiac arrest. In this session we will discuss the function and
care of patients who have ventricular assist devices
8:00am-9:00am Concurrent Sessions
Crew Resource Management- 1 NCCR Crew Resource Management
Presenter: Stephen Murphy- Hall A
Often times, critical situations require a team approach to effectively manage the event. This program will review the “Who ~ What ~ When ~ Where and How to organize your team for optimal performance.
Ask Dr. Google – Addressing the Self-Diagnosing Patient- 1 LCCR
Presenter: Christopher Faulknor- Room 101
Students participating in this class will learn techniques for assessing and treating patients as they engage in self-diagnosis, self-treatment, and self-medication. Tact when challenging a self-diagnosis will be discussed. Additionally, students will learn about various common home treatments, herbal supplements, and off-label medication uses.
Capnography for EMT’s- 1 NCCR ALS Capnography
Presenter: Marcy Dawson- Room 102
What is capnography and indication for use. Review types of waveforms and what it can tell you.
Trauma Triage
Presenter: Ron Lawler- Room 103
Short Circuit Seizures- 1 NCCR Neurological
Presenter: Janet Taylor- Room 105
Seizure Disorders are more common than you think. At least 10% of the world population has had a seizure at least once in their lifetime. Many times, you can be in the presence of someone having an active seizure and not even realize it. In Hollywood, seizures are depicted as being someone foaming at the mouth and thrashing around for what seems like hours, but that really isn’t an accurate portrayal of what is going on. In this presentation, we will look at the new guidelines for categorizing a seizure, define Pseudo seizure versus “pseudo-seizure” (yes, there IS a difference) and determine which one seizure state is considered a true emergency and why.
9:30am-10:30am Concurrent Sessions
But We Have Always Done it This Way- 1 NCCR Role of Research
Presenter: Deb Von Seggern- Johnson- Room Hall A
The creation of evidence-based guidelines (EBGs) for prehospital care has been described as “a process whose time has come. “Evidence-based medicine (EBM) is an approach to medical practice intended to optimize decision-making by emphasizing the use of evidence from well-designed and conducted research. Why should we in EMS care about all of this? We have protocols! We are changing how we do things and let us find out why.
Outside the Lines…Teaching Those Who Teach Others (Educator Track)- 1 LCCR
Presenter: Stephen Murphy- Room 101
This interactive workshop will present a fundamental review of basic teaching concepts. It will also provide a variety of nontraditional methods that anyone involved with education can use to spice up their classes.
Acute Coronary Syndrome- 1 NCCR Acute Coronary Syndrome
Presenter: Sanford -Room 102
Injury of Head and Spine- 1 NCCR CNS Injury
Presenter: Marcy Dawson- Room 103
Discuss the current research and practices for the use of selective spinal immobilization
Discuss case studies with my presentation Multi system trauma with Head injuries and spinal injuries
I Object! What to Expect During a Deposition or Court Case Involving Your Call-1 LCCR
Presenter: Janet Taylor- Room 105
This will be what happens from a lawyer and expert witnesses side of the story. Discoverable information, how to answer a question, what to expect when they question your intelligence and the fact that you even exist.
10:45am-12:00pm -General Session
Often Wrong, Never in Doubt: Mistakes in Thinking- 1.25 LCCR
Presenter: Timothy Redding- Hall A
Ever have a call go completely sideways? Ever missed an obvious diagnosis or injury? Why do these things continue to happen to us in EMS? Maybe it is our own mind causing the issues. This session will look at common errors in thinking which prevent us from providing the best care we can.
12:15pm – 12:45pm- Friday Noon Bonus
“Getting to the Heart of the Matter” – 0.5 NCCR ROSC
Presenter: Deb Von Seggern Johnson- Room 103
The human heart beats at least 35 million times a year, in its lifetime it will pump about one million barrels of blood. When it stops you have precious minutes to revive it. Resuscitation & Post-Resuscitation treatments have changed through the years. In this session we will take a look at what we do now and why.
1:00pm - 2:00pm Concurrent Sessions
OB/GYN- 1 NCCR OB Emergencies
Presenter: Stephen Murphy- Hall A
Delivering a baby is something that really excites you, or it scares you to death. This 60 to 90 minute presentation will cover the anatomy and physiology of the female reproductive system, early and late complications of obstetrics, and vaginal deliveries with a variety of complications
The Kid at the End of Camelot-Marriage Counseling for Work Partners- 1 LCCR
Presenter: Christopher Faulknor- Room 101
This session will keep attendees laughing at themselves, each other, and the previous misadventures of the presenter as they learn how to keep a positive work relationship while being “cooped up” for 48 hours each week with the same person. While they laugh, however, they will learn the balances that come with that partnership such as the ethical balance of watching out for each other and maintaining their duty to the truth, the logistical balance of maintaining scene safety, and tips from the medical side of how to be the EMT or Paramedic your partner needs while maintaining your paradigm. This presentation is geared towards providers of any level.
Crap Happens: Does it Control Your or Do You Control It?- 1 LCCR
Presenter: John Becknell- Room 102
These are challenging times for First Responders. Lots of crap - short staffing, the pandemic, uncertainty, political bickering, and a bunch of other crap to worry about. And things may not get better. But this does not mean we need to let the crap run our lives. Drawing on ancient wisdom and the latest neuropsychology, this presentation explores crapology. Crapology is a way of talking about the life skills we need to get really good at rocking with adversity. It is often the difficult stuff that helps us become the best version of ourselves and make meaning of whatever life throws our way.
The Old and the Beautiful: Geriatrics 102- 1 NCCR At Risk Populations
Presenter: Timothy Redding- Room 103
Patients older than 65 make up the majority of EMS calls. How good are you at treating your geriatric patient? This session will discuss common geriatric issues seen by EMS providers and the myths and misconceptions surrounding the care of a geriatric patient.
Meaningful Use of Your Data- 1 NCCR EMS Research
Presenter: Dr. Remle Crowe and Dr. Brent Myers- Room 105
2:30pm - 3:30pm Concurrent Sessions
Caring for Special People: Unique Situations in EMS- 1 NCCR Special Healthcare Needs Devices
Presenter:Janet Taylor- Hall A
Fortunately for most patients with special needs, they and their caregivers are very knowledgeable on how to care for their special need(s). Unfortunately, it is when they have tried everything that they were taught and it still doesn’t work that they call 9-1-1. It can be daunting to walk in and find a patient with equipment you aren’t familiar with or have a condition that you may or may not have learned about in paramedic or nursing school. We will go over the most common situations that instill fear in those who respond to a patient with a special need. We will go over and handle actual tracheostomy equipment, feeding tubes, Cerebral/Ventral Shunts, and dialysis catheters and review the most common reasons for calling 9-1-1 in each of the special needs situation.
Water Under the Bridge Drowning and Diving Emergencies- 1 LCCR
Presenter: Christopher Faulknor- Room 101
While decompression sickness is a staple of EMS education programs and basic drowning care is taught at all levels, many diving-related illnesses are not taught or given serious consideration and drowning care touches very little on the underlying pathophysiology. Participants will learn the physiology of drowning and how to correct it. Additionally, varying symptomology of decompression sickness based on air embolism location will be discussed. Additionally, participants will learn the specifics of nitrogen narcosis, high pressure nervous syndrome, and oxygen toxicity.
Pour Some Sugar on it- 1 NCCR Endocrine
Presenter: Deb Von Seggern Johnson- Room 103
Diabetes is one of our most common medical emergencies we are called too. These patients present usually with an altered LOC and can exhibit many types of bizarre or uncharacteristic behaviors. The EMS practitioner must always consider any of these patients to be experiencing a diabetic emergency, missing this could end up with a poor patient outcome.
Save the Trauma for Your Mama- 1 LCCR
Presenter: Timothy Redding- Room 105
Let’s talk trauma, shall we? We will start by discussing the physiology of trauma. Then we will break things down into blunt and penetrating mechanisms. We will chat about mechanism, kinetics, injury patterns and management. And, of course, we will have pictures, pictures, pictures.
Objectives:
3:40pm-5:00pm Closing Friday Session
Go Ahead, Make My Day: The Movies of Clint Eastwood and Living Well as First Responders- 1 LCCR
Presenter: John Becknell-Hall A
The role of medic, cop, or firefighter is a powerful life experience. In helping others in crisis, we hope to add something positive to our lives. But many veteran medics, cops, and firefighters find themselves far from satisfied or happy. Why is this? The movies of Clint Eastwood can give us valuable clues. From the snarling young cop in Dirty Harry to the grouchy veteran in Gran Torino to the compassionate and emotionally present old man in Cry Macho, Eastwood’s movies are a life-long journey of figuring out how to save others and do good without becoming an asshole. Eastwood’s movies wrestle with heroism, being tough, sacrificing, doing it alone, failure, and carrying heavy burdens. These films provide an entertaining tool to help us learn about what to do and not to do on our way to creating a rewarding and satisfying First Responder experience.
Saturday - April 9, 2022
7:15am-7:45am Bonus Session
Stop the Bleed- 0.75 NCCR Hemorrhage Control
Presenter: Kelli Just- Room 103
While more than 1.5 million people have now been trained to STOP THE BLEED®, that’s just a start. Our goal is to train 200 million. Why? Because the purpose of
the STOP THE BLEED® campaign is to make our nation more resilient by better preparing the public to save lives if people nearby are severely bleeding. This preparation is being done by raising awareness and teaching people how to learn three quick actions to control serious bleeding. Take the course and become empowered
to make a life or death difference when a bleeding emergency occurs. STOP THE BLEED®. Save a Life!
8:00am - 9:00am General Sessions
One Pill One Kill Deadly Pediatric Poisonings- 1 LCCR
Presenter: Timothy Redding- Hall A
“But, she only got into 1-2 pills. Is that bad?” This Course will discuss common household products and prescription drugs that can be fatal to a small child even with a single dose. We will also discuss pediatric physiology and what makes them more susceptible to poisonings.
Stroke Evaluation-1 NCCR Stroke
Presenter: Dr. Remle Crowe and Dr. Brent Myers- Room 101
The Dangers of Fluid Resuscitation- 1 NCCR Fluid Resuscitation
Presenter: Corey Johnson- Room 102
A review of the recognition of the poorly perfusing patient with an emphasis on using Mean Arterial Pressure (MAP) to identify target blood pressures along with a review of the risks association with excessive fluid administration. Participants will learn to tailor fluid resuscitation efforts to the patient by determining the underlying cause of selecting the right fluids for the job.
Field Triage- 1 NCCR Field Triage
Presenter: Howard Walth- Room 103
o SALT
o START
o JumpSTART
An Extraordinary Mind: The Basics of Mental Illness- 1 NCCR Psychiatric Emergencies
Presenter: Janet Taylor- Room 105
Mental Health Awareness is a hot topic due to the lack of access to counseling and inpatient beds available for those afflicted with a mental illness. This presentation is a basic overview of the most common types of mental illness we may see in an EMS / Fire setting. Depression, Suicidal Ideation, Schizophrenia, Bi-Polar and the reactions we may see with medications such as Catatonia and Dystonic Reaction. The overall intention of this presentation is to help providers understand what someone with a mental illness has to deal with on a daily basis and gain a different perspective on the challenges they face.
9:30am - 10:30am Concurrent Sessions
Toxicology Terrors: WINNING at Treating Tox Patients- 1 NCCR Toxicological
Presenter: Timothy Redding- Hall A
This course will discuss ways to identify poisonings and overdoses. Using particular signs and symptoms, the student will learn how to diagnose and treat common and uncommon toxicology emergencies.
Pump Up the Volume Ventricular Assist Devices- 1 NCCR LVAD
Presenter: Janet Taylor Room 101
Ventricular Assist Devices are becoming more common with the increase in Heart Failure patients and not as many available heart transplants as are demanded. Ventricular Assist Devices (VADs) are giving heart failure patients a few options. We discuss Bridge to Transplant, Bridge to Destination, etc. as well as how to manage a patient with a VAD. Brands of VADs, which ones you are most likely to be working with, what the alarms and buttons on the controllers mean, how your assessment changes, etc. will be addressed as well as having a hands-on opportunity to see VAD controllers and batteries and access the commonly used VAD reference book created by Thoratec.
Please Forgive Me if I Act a Little Strange- Altered Mental Status-1 LCCR
Presenter: Christopher Faulknor Room 102
In addition to being one of the more common complaints handled by EMS providers, altered mental status represents a wide and diverse differential as to cause and treatment. Students will learn the finer points of differentiating between the common (and some uncommon) causes of altered mentation and gain a better understanding of treatments appropriate to their respective levels of licensure.
What the Heck is EMB?- 1 NCCR Evidence Based Guidelines
Presenter: Deb Von Seggern Johnson Room 103
The creation of evidence-based guidelines (EBGs) for prehospital care has been described as “a process whose time has come. “Evidence-based medicine (EBM) is an approach to medical practice intended to optimize decision-making by emphasizing the use of evidence from well-designed and conducted research. Why should we in EMS care about all of this? We have protocols! We are changing how we do things and lets find out why.
Pain Management- 1 NCCR Pain Management
Presenter: Stephen Murphy Room 105
An investigation of the most current pain control methods used in emergency departments and by field providers across the country. We have the technology, so why let our patients suffer with pain that we can easily control.
11:00am – 12:00pm General Session
“Rural EMS Performance Measures”- 0.5 NCCR Research, 0.5 LCCR
Presenter: Dr. Remle Crowe and Dr. Brent Myers- Hall A
12:15pm - 12:45pm Bonus Session
Pediatric Transport- 0.5 NCCR Pediatric Transport
Presenter: PJ Ringdahl- Room 105
12:15pm - 12:45pm Bonus Session
“Congestive Heart Failure” - 0.5 ALS NCCR Congestive Heart Failure
Presenter: Sanford
Recognize the patient who is experiencing congestive heart failure and the appropriate and inappropriate treatments.
1:00pm – 2:15pm Conference Closing Session
“History’s Mysteries: Interesting Ways Famous People Have Died”- 1.25 LCCR
Presenter: Janet Taylor- Hall A
Did you know that George Washington died of a sore throat? Or that John Ritter died of an Aortic Dissection? What about Christopher Reeve? Didn’t he die in a horseback related accident? No? In this presentation we will re-visit some famous and historical figures and evaluate their cause of death and some possible solutions that may (or may not) have helped save their lives. This is all about assessment and resources available and recognizing potential life threats.
2:30pm – 3:30pm Concurrent Sessions
Anaphylaxis Update: What’s Changed? 1 NCCR Immunological
Presenter: Timothy Redding- Hall A
This class will review the pathophysiology of allergic reactions and anaphylaxis. We will then describe best-practice guidelines on the assessment and management of patients with anaphylaxis. NCCR
Breathe; Just Breathe Airway Management for All Levels- 1 LCCR
Presenter: Christopher Faulknor- Room 101
This session will examine the current culture in the EMS industry. Various topics in this discussion-based and interactive lesson will include new employee education and the tendency for EMS providers to “eat their young,” the varying relationships between partners in the field, culture of caring as it relates to patient care with coworker accountability, and a look at how to help fellow providers through emotional situations that are commonly found in work environments.
Scenario-Based Teaching-1 LCCR
Presenter: Stephen Murphy- Room 102
This program is designed for teachers who want to expand the classroom experience for their students. It will provide several ideas for creating realistic scenarios for role-playing and focused discussion. A must-see class for anyone who teaches emergency medicine.
Do You Actually Play the “Safety Card” on a Scene?- 1 NCCR 0.5 Culture of Safety 0.5 Ambulance Safety
Presenter: Deb Von Seggern Johnson-Room 103
The creation of evidence-based guidelines (EBGs) for prehospital care has been described as “a process whose time has come. “Evidence-based medicine (EBM) is an approach to medical practice intended to optimize decision-making by emphasizing the use of evidence from well-designed and conducted research. Why should we in EMS care about all of this? We have protocols! We are changing how we do things and let us find out why.
Controlling the Difficult Hemorrhage - 1 NCCR Hemorrhage Control
Presenter: Corey Johnson- Room 105
Participants will learn to recognize life threatening hemorrhages, including internal, and apply new techniques and technologies such as TXA, hemostatic agents, tourniquets, and junctional tourniquets.
We’re All in This Together-Taking Care of Our Own- 1 LCCR
Presenter: Christopher Faulknor- Room 101
This session will examine the current culture in the EMS industry. Various topics in this discussion-based and interactive lesson will include new employee education and the tendency for EMS providers to “eat their young,” the varying relationships between partners in the field, culture of caring as it relates to patient care with coworker accountability, and a look at how to help fellow providers through emotional situations that are commonly found in work environments.
Acute Care Pharmacology-Aspirin to Zoloft- 1 LCCR
Presenter: Stephen Murphy- Room 102
A fast paced review of the drugs used in the prehospital care of the sick and injured. There have been a lot of changes over the years and this program will explore everything from cardiac care to pain control
Trick or Treat - How Dirty are You? - 1 NCCR Infectious Diseases/Hygiene
Presenter: Deb Von Seggern Johnson- Room 103
Did you know over 250,000 Americans die from sepsis every year? 1 in 3 patients that die in a hospital have sepsis! How many of you use anti-bacterial items? Do you think you are prepared for everything contagious and infectious? Infectious diseases kill more people worldwide than any other single cause!
Think about everything we touch? What is wrong with our patient? Do they have visible signs of body fluids present? If it is wet and sticky and not yours, are you touching it?
Pediatric Cardiac Arrest- 1 NCCR Pediatric Cardiac Arrest
Presenter: Sanford- Room 105