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Miltenberger Seminar

Miltenberger Emergency Services Seminar

March, 2020

Rocky Gap Casino Resort, Flintstone

About the event

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We are returning once again to Rocky Gap Casino Resort in Flintstone, Maryland, on March 12th - 14th for the 18th Miltenberger Emergency Services Seminar.

Please join us and participate in the excellent educational opportunities this program offers, along with the chance to enjoy the relaxing atmosphere in the mountains of Western Maryland.

6:45 a.m.
Registration and Continental Breakfast
Welcome / State of the State
8:30 a.m.
Keynote Address – Care on the Bleeding Edge: Decompression of Trauma Related Myths Presenter: Benjamin J. Lawner, DO, MS, EMT-P, FACEP, Assistant Professor, Department of Emergency Medicine
University of Maryland School of Medicine, Medical Director, Maryland ExpressCare Critical Care Transport The care of prehospital traumatic injury has largely been focused on a "scoop and run" strategy. While time is of the essence in penetrating trauma, not all traumatic injury patterns are the same. Technological advances have brought hospital based interventions into the field, and EMS clinicians have more to offer than a fast ride to the trauma center. Discuss advances related to hemorrhage control, traumatic arrest, and debunk some long standing myths that have informed current treatment protocols. Discuss topics such as: blood administration, needle decompression, and police initiated transport of penetrating traumatic injuries. (1 Hr BLS: T, ALS: NCCP State/Local)
Break and Visit Vendors
9:30 a.m.
9:45 a.m.
Breakout Session 1
Strokes Come in All Sizes: Pediatric Strokes Presenter: Lisa Sun, MD, JHCC, Pediatric Neurologist, Pediatric Stroke Program
Stroke can happen to anyone at any time - including teenagers, children, newborns, and unborn babies. A third of pediatric strokes occur in neonates and infants. Early recognition of strokes in children requires proper assessment and stabilization along with appropriate triage and transport decisions to minimize neurologic disability. Dr. Lisa Sun from the Johns Hopkins Pediatric Stroke Program will provide an update on the occurrence, symptoms, and sequela of strokes that occur in children. Case studies will highlight the difference between infants, children, and teens. (1.5 Hrs BLS: M, ALS: NCCP 0.5 Hrs National & 1 Hr State/Local)
B) When’s the Last Time We Gave That? – Infrequently Used Drugs and Drug Concentrations Presenter: Rick Koch, Sr., Battalion Chief, Ocean City Fire Department
When you get the orders for the drugs you haven’t seen since pharmacology class what do you do?  During this session we will review infrequently used drugs, cover the different ways these drugs are packaged, and how to get the proper dosage for your patient.  Attendees will brush up on their drug calculations, concentrations, and the mixing of these elusive medications. (1.5 Hrs BLS: M, ALS: NCCP 0.5 Hrs National & 1 Hr Individual)
(C) The ABC’s of TBI Presenter: Or Cohen-Inbar, MD, PhD, Neurological Surgery, West Maryland Health System, Assistant Professor, Department of Neurosurgery, University of Pittsburgh Medical Center (UPMC), Visiting Assistant Professor, Department of Neurosurgery, University of Virginia Medical Center (UVA), Charlottesville Virginia
Key concepts and best practices in diagnosis, initial and definitive management of acute traumatic brain injury (TBI). This class features assessment guidelines as well as treatment recommendations from Dr. Cohen-Inbar drawn from his extensive academic and clinical experience. The information is beneficial to both pre-hospital and hospital clinicians. (1.5 Hrs BLS: T, ALS: NCCP State/Local)
(D) EMS Care 2020 and Beyond Presenter: Ted Delbridge, MD, MPH, MIEMSS Executive Director
2020 brings new challenges to the EMS clinician. Population health outcomes, new technology, and substance abuse require proper knowledge, assessment, and well-planned interventions.  Dr. Delbridge will explore how to better care for our patients as we move into a new decade of health care delivery. (1.5 Hrs BLS: L, ALS: NCCP Individual)
(E) How to Save a Life, Yours! Presented by The Public Safety Group, Wake Forest, NC
In this day and age heart disease, stroke and diabetes are not discriminatory, however those that do not take care of themselves can find themselves in the front of the pack when it comes to SCA or CVA. Dispatchers for the most part live very unhealthy lives; we add unnecessary stress on ourselves and create our own negative environments. We eat unhealthy foods, drink unhealthy drinks, sit too long, and put ourselves at risk for metabolic syndrome. The communications center is a breeding ground for many personality types and low morale. This class will share some life/health changing education and techniques to assist in the reduction of unnecessary medical issues, improve working relationships, and improve morale. (6 Hrs BLS: L, ALS: NCCP Individual)
F) Fire Class – Held at MFRI - Western Maryland Regional Training Center
Block 1 - Fire Scene Preservation and Arson Awareness / ATF Accelerant Canine Detection Program Overview  
Instructor: S/DSFM Oliver Alkire, ATF Certified K9 Handler, Department of State Police, Office of the State Fire Marshal-Northeast Regional Office
This block will cover fire department responsibilities and partnership with the fire investigator to make early identification of possible arson fire cause indicators. Additionally, the student will learn how to properly preserve the scene and possible evidence used to determine the origin and cause of fires during overhaul stages. Information will be provided on when and how to request a fire investigator to a scene and students will have an opportunity to ask questions. There will also be a demonstration of an accelerant detection canine team and an overview on how the canine assists the investigator. 

Block 2 - Explosive, Clandestine Labs, & IED Awareness, Safety Precautions / Firework Display Safety Guidelines
Instructors: DSFM Mike Redding, Bomb Technician, Department of State Police, Office of the State Fire Marshal-Bomb Squad; M/DSFM Edward Ernst, Bomb Technician, Department of State Police, Office of the State Fire Marshal-Western Regional Office
Members of the State Fire Marshal Bomb Squad will provide an overview to first responders on explosives and improvised explosive devices (IED's), secondary explosions, and clandestine labs. This block will cover basic awareness and possible indicators of explosives or suspected IED, clan labs, and suspect packages that first responders could potentially come across. There will be a discussion on scene safety and staging until Bomb Squad personnel can arrive on the scene. The second half of the block will cover fireworks and their potential dangers. Additionally, students will learn about public firework displays and the role that the fire department has in ensuring a safe event. 

Block 3 - Fire and Life Safety Considerations for Festival & Fairs / Residential Sprinklers, Smoke Alarms and CO Detectors Facts and Fiction
Instructors: Mr. Joseph Goodrich, Fire Safety Inspector II, Department of State Police, Office of the State Fire Marshal-Western Regional Office; Mr. Larry Iseminger, Fire Protection Engineer,  Department of State Police, Office of the State Fire Marshal-Western Regional Office
This block will cover the fire and life safety code considerations for fire and EMS personnel at festivals, fairs, and other large public gatherings. Specifics about emergency access lanes through crowds, tents, and campers will be covered as well as challenges that firefighters and EMS clinicians could encounter. There will also be a discussion about the dangers of portable food vendors, food trucks, and CO poisoning as well. The second half of this block will discuss residential sprinklers, facts, and fiction. A Fire Protection Engineer will discuss basic design considerations of residential sprinkler installations. Information will also cover Maryland's smoke alarm and CO detector requirements. There may be a live burn demonstration of a sprinklered verse non-sprinkler room as well.  (6 Hrs BLS: L, ALS: NCCP Individual)
(G) All Bleeding Stops: How to Manage Hemorrhagic Shock  Presenter: Francis X. Guyette, MD, MPH, Medical Director, STAT MedEvac, Associate Professor of Emergency Medicine, University of Pittsburgh 
Current, evidence-based best practices for the assessment and emergent treatment of hemorrhagic shock. Dr. Guyette shares a wealth of "real world" clinical treatment experience as well as significant research knowledge. This class is appropriate for both pre-hospital and hospital based clinicians. (1.5 Hrs BLS: T, ALS: NCCP National)
(H) Airway Tips, Tricks, and Tools! Presenter: Corporal W. B. Jansen, NREMT-P, FP-C, Trooper/Flight Paramedic, Maryland State Police Aviation Command, Training Section Lead-Hoist Instructor, UAS Team Supervisor, Special Operations Division-Tactical Medic
Understanding today’s challenges with airway management in the EMS field helps clinicians be prepared to manage some of the most critical airways. Being prepared means having a plan and being intimately familiar with the airway tools you have at your disposal. (1.5 Hrs BLS: M, ALS: NCCP State/Local)
(I) BE FAST!  Cutting Edge Stroke Care Presenter: Timothy P. Chizmar, MD, FACEP, State EMS Medical Director, MIEMSS
We will discuss the latest evidence and highlight best practices in EMS stroke care assessment and treatment.  Through case studies and review of the latest literature, we will demonstrate how a timely EMS assessment, treatment and destination selection lead to improved outcomes for our acute stroke patients. (1.5 Hrs BLS: M, ALS: NCCP 0.5 Hrs National & 1 Hr State/Local)
(J) Transporting Children Safely in Ambulances – Tools, Techniques and Training Presented by EMSC Faculty
42,000 children are transported in ambulances across Maryland annually. EMS professionals are faced with all ages and sizes of patients and often their families. There are NHTSA and NASEMSO documents and a wide variety of both old and new devices on the market. Only some of which have been tested. This session will include a review of the principles, discussion of the current SAE standards for ambulances, and the future testing needed for evidence-based practice. Demonstration of the proper ways to secure a selection of available devices to a stretcher will be shared. (1.5 Hrs BLS: M, ALS: NCCP National)
11:15 a.m.
Breakout Session 2
12:30 p.m. - 1:30 p.m.
Lunch and Visit Vendors
1:45 p.m.
Breakout Session 3
(K) Advanced Trauma Assessment Presenter: Jason Layman, MSN, CRNP, ENP-C, FNP-C, Lead Advanced Practice Provider USACS, Western Maryland Health Systems ED
This course will provide you with the fundamental knowledge to systematically assess a critically injured trauma patient.  You will be able to understand and demonstrate key assessment principles specific to the trauma patient and recognize life threatening abnormal findings. (3 Hrs BLS: T, ALS: NCCP 1 Hr National & 2 Hrs State/Local)
(L) Thrill'em, Chill'em, and Bring Them Back Alive!: How to Prevent Secondary Injury and Improve Outcomes Following Cardiac Arrest Presenter: Francis X. Guyette, MD, MPH, Medical Director, STAT MedEvac, Associate Professor of Emergency Medicine, University of Pittsburgh 
Current best practices in the resuscitation of cardiac arrest, as well as prevention of secondary injury and improving patient outcome. Resuscitation science is rapidly evolving, and emergency providers must be familiar with the latest evidence and controversies surrounding resuscitative techniques. This class is appropriate for both pre-hospital and hospital based clinicians. (1.5 Hrs BLS: M, ALS: NCCP National)
(M) Taking a Hard Look at Pediatric Deaths Presenter: Richard Lichenstein, MD, FAAP, Region III Pediatric Medical Director
Trauma is the leading cause of death and disability in children across the nation, in Maryland, and in your community. Dr. Rich Lichenstein chairs the Maryland State Child Fatality Team working with local county and city teams to understand the causes and incidence of child deaths. EMS clinician participation is critical for local team reviews and to develop plans and implement changes to prevent child deaths. Come and learn what is behind the data and the programs that can educate families to prevent these deaths. (1.5 Hrs BLS: M, ALS: NCCP Individual)
(N) MIEMSS – Incident Review Committee Case Reviews Presenter: Ron Schaefer, MIEMSS Chief Compliance Officer
MIEMSS’ Compliance Office investigates complaints made against EMS Applicants and Clinicians that involve possible violations of COMAR Title 30 Prohibited conduct. Using actual incidents resulting in EMS Board Final Action and discussing serious issues in today’s EMS world, participants will: review and analyze several incidents; track information flow from ‘A - Z’ and beyond; discuss ‘Root Cause Analysis’ problem solving tools & techniques; and talk about COMAR Title 30 Due Process requirements for all EMS Clinicians. (1.5 Hrs BLS: L, ALS: NCCP Individual)
Break and Visit Vendors
3:00 p.m.
(O) EMS DRUGS! - We Don't Always Play Well Together! Presenter: Somi Rikhye, MD, Chair of Emergency Medicine, Ballad Health, Garrett County Jurisdictional EMS Medical Director
As the world of EMS changes, so do the drugs we use. It is imperative that we as clinicians not only understand them individually but collectively. The skill becomes critical thinking for whole patient care....what medications we choose or avoid may determine the quality of our treatment plan. (1.5 Hrs BLS: M, ALS: NCCP Individual)
(P) Child Abuse/ Child Victimization: Battered, Broken and Burned Presenter: Stephanie Sisler, MD, MIEMSS Region I Pediatric Medical Director
Children of all ages are at risk to be victims of abuse, and identification of early signs is key to linkages for protection. A difficult but important trauma topic for EMS clinicians is to understand their role, increase awareness, and provide critical documentation. As the first to respond when tragedy strikes, EMS professionals are critical witnesses to instances of child abuse and neglect. (1.5 Hrs BLS: T, ALS: NCCP 0.5 Hrs National & 1 Hr State/Local)
(Q) MSPAC Aerial Rescue Operations: What YOU Need to Know Presented by: MSPAC Training Staff
An MSPAC Aerial Rescue Operations overview course that will provide working knowledge needed for ground personnel to facilitate an aerial rescue mission. Topics covered within the class will include: aerial rescue operations, the decision making process, equipment familiarization, and safety concerns associated with helicopter operations. (1.5 Hrs BLS: L ALS: NCCP State/Local)
3:15: p.m.
Breakout Session 4
4:30 p.m.
Seminar Ends

March, 2020

Rocky Gap Casino Resort, Flintstone

Sign up now!
Limited seating available...

Call the Region 1 Office to register: 301-39534.

Built and hosted by Jeremy Spencer