Tuesday, May 22nd
C. Advanced Disaster Life Support (continued)
08:00 - 17:00
16-hour workshop, continued from Monday
For a full description, please see Monday's description.
F. Certified Healthcare Emergency Professional (continued)
08:00 - 17:00
For a full description, please see Monday's description.
X. Mass Casualty Incident Management (continued)
08:00 - 17:00
16-hour workshop, continued from Monday
For a full description, please see Monday's description.
Q. Emergency Management Programs for Healthcare Systems: Program Development
08:00 - 12:00
Summary
The purpose of this workshop is to improve the ability of attendees to develop and maintain comprehensive emergency management programs at their hospitals. The content used in the delivery of this session integrates the various standards and regulations into a simple process that can be applied at any hospital. Presenters will provide practical tips for implementation of this process.
Objectives
- Identify the various standards and regulations that relate to emergency management programs for hospitals and health systems
- Cite the steps in a generic program development process
- Describe some of the major outcomes from this development process
Intended Audience
- Emergency Physicians
- Health Education Specialists
- Healthcare Executives
- Nurses
- Pharmacists
- Physicians
- Respiratory Therapists
Presenters
- Pete Brewster
- Arnie Bierenbaum
- Mike Boucher
R. Emergency Management Programs for Healthcare Systems: Program Evaluation
13:00 - 17:00
Summary
The purpose of this workshop is to enhance attendee understanding of program and performance evaluation for emergency management programs in health care settings. The content is based on past and current research and programs, including the Veterans Health Administration's Capability Assessment Program, which has created a comprehensive set of target capabilities, measures, methods and scoring profile for use in hospitals.
Objectives
- Describe some of the findings from past and current approaches to emergency management for health systems program evaluation
- Explain one framework for hospital emergency management capabilities
- Describe some of the approaches that can be used for evaluation measures, methods, and scoring to reach the overall goal of quality improvement
Intended Audience
- Emergency Physicians
- Health Education Specialists
- Healthcare Executives
- Nurses
- Pharmacists
- Physicians
- Respiratory Therapists
Presenters
- Pete Brewster
- Arnie Bierenbaum
- Mike Boucher
S. Advanced Airway Management in Austere Conditions
08:00 - 12:00
Summary
Most patients presenting to an emergency department or a DMAT medical station do not require advanced or even simple airway management techniques. However, a significant number of patients could require airway intervention and for about 5 percent of these patients, based on emergency department experience, advanced airway techniques will be needed to secure an airway.
Unfortunately, while most emergency physicians have experience in advanced airway intervention, most family practioners, internists, and others, do not have this experience. Should a presenting patient require advanced airway intervention and this cannot be provided; the patient will most likely die. This end point can potentially be prevented by training DMAT physicians in more advanced airway techniques and have them practice these techniques in a safe environment.
The objectives of this workshop are to provide advanced methods to establish an airway in the difficult patient. The course will cover most advanced airway options, even if DMATs do not provide the equipment. This approach will further develop the provider's skills and improve their ability to establish an airway when they have limited resources.
In addition, the participants will develop a better knowledge base on airway anatomy, medications used for intubation, the variety of approaches that can be used and simple steps to determine if the patient will have a difficult airway. With the patho-physiology presented and the clinical skills taught, the participant should improve their ability to establish an airway in a difficult patient with equipment at hand.
Finally, the participants will be encouraged to think outside the box to develop other techniques to establish an airway as well as to maintain adequate oxygenation and ventilation in patients under austere conditions.
Objectives
- Improve their skill set for emergency airway management
- Develop a better understanding of difficult airways and will be better able to anticipate a difficult airway
- Develop a better understanding of airway anatomy and current equipment available to establish an airway
Intended Audience
- Emergency Physicians
- EMT/Paramedics
- Health Education Specialists
- Nurses
- Physicians
- Respiratory Therapists
Presenters
- Marc S Rosenthal, PhD, DO, FACEP
- Howard Klausner, MD, FACEP
- Dennis Wagner, MD
- Leon Dent
T. Using HSEEP Tools to Develop Effective Hospital Exercises
13:00 - 17:00
For a full description, please see Monday's description.
U. Psychological First Aide (PFA)
08:00 - 12:00
Summary
This course will present the American Red Cross "Psychological First Aid: Helping Others In Times of Stress course". This course consists of five separate segments and a practical series of tabletop exercises and practical tips for providing basic psychological first aid by non-mental-health providers to patients and team members.
The course provides a framework for practical understanding of the factors that affect stress responses in disaster relief workers and the disaster patients they serve. In addition, it provides practical suggestions about what you can say and do as you practice the principles of Psychological First Aid in real world disaster settings with culturally diverse populations.
The purpose of this course is to prepare all non mental health responders and American Red Cross workers in a common, interoperable model of psychological first aid to provide basic care, comfort and support to people who are experiencing disaster-related stress.
Objectives
- Describe how to recognize the signs of stress in clients, co-workers and themselves.
- Apply psychological first aid principles in providing immediate support to people who may be experiencing stress.
- Describe how to obtain additional mental health support for themselves, co-workers and victims/clients.
Intended Audience
- Dentists
- Emergency Physicians
- EMT/Paramedics
- Environmental Health
- Health Education Specialists
- Healthcare Executives
- Industrial Hygienists
- Morticians
- Nurses
- Pharmacists
- Physicians
- Respiratory Therapists
- Veterinarians
Presenters
- Sandra Stark Sheilds
- Merrit Schreiber, PhD
V. Practical Medication Management in Disasters
13:00 - 17:00
Summary
This session will offer a practical, hands-on medication preparation and administration course. All too often, pharmacists, nurses and paramedics must acquire these unique skills “in the heat of the battle” while deployed. Participants in this session will be encouraged to practice medication preparation and administration skills that may be required in a disaster setting.
All types and levels of practitioners who might be required to prepare and administer medications on deployment are encouraged to attend. In addition to the practical skills of dilution, aseptic technique and compounding, participants will learn about weight based dosing and pharmaceutical preparation relevant to the safe provision of medications in pediatric populations from neonates to adolescents. Appropriate oral dosage forms, intravenous preparations, IV administration and IM injection techniques will be reviewed.
A case based learning approach will be utilized to encourage participants to devise unique formulation and administration strategies given simulated environments and resources.
Objectives
- Compound basic oral rehydration solutions, reconstitutions (enteral and injectable), and dilutions (enteral and injectable)
- Perform weight based dosing calculations
- Develop strategies to provide appropriate medication formulations for case scenarios
Intended Audience
- Emergency Physicians
- EMT/Paramedics
- Nurses
- Pharmacists
- Physicians
Presenters
- Shannon Manzi, PharmD
- Angela Schuman, PharmD
W. Medical Skills in a Disaster Setting
08:00 - 17:00
Summary
Disaster planning and emergency preparedness has never been more critical to the providers who serve as our front-line response. Today's pandemic threats of global terrorism, disease, and natural disasters make the development of best practices a necessity and therefore meeting the need for the first responding workforce that is adequately prepared to respond to any disaster or public health emergency.
Many of the lessons learned in response to previous natural and man made disasters has magnified the deficiencies in training of the medical community. Generally, providers practice under controlled situations with a plethora of resources at their disposal. This situation is not possible in a disaster setting, where providers must be able to perform under stressful and often suboptimal conditions. However, the first responders possess unique skill sets that allow them to be highly effective in disaster response, including a diverse knowledge base, assessment skills, and a strong commitment to public welfare.
The first responder may be involved in multiple roles during a disaster. For example, a responder may function as a triage practitioner. This challenging role requires that multiple victims be assessed and prioritized quickly to ensure that resources are used appropriately. In more remote areas, treatment of patients may be as brief as stabilization and evacuation to more definitive medical care.
For providers not currently working in the patient care setting the following items will be included in the training as well:
- Vital signs (manual)
- General assessment
- Immunization/injections
- IV Access (different types of catheters)
- Blood glucose monitoring
- Airway management
- Nasal trumpet
- Non re-breathers
- O2 concentrators and tanks
- Nebulizers
While this training may not be incorporated into the day to day practice setting by most providers, it is of paramount importance in enabling them to work safely, efficiently and provide quality medical care in an austere environment.
Objectives
- Demonstrate patient history and physical exam and proper assessment skills in taking vital signs
- Demonstrate the proper technique for basic airway management
- Demonstrate assessment skills used in the disaster setting; proper administration of oxygen and the use of different basic delivery devices
- Demonstrate proper splinting and stabilization techniques
- Demonstrate the proper steps using a glucose monitor in a disaster setting; establishing IV access and assessment of the patency of a preexisting IV site
Intended Audience
- Emergency Physicians
- EMT/Paramedics
- Nurses
- Physicians
- Respiratory Therapists
Presenters
- Mark Kane
- Melody Buchanan
- Ann Potter
- Tony Dunford
- Mike Lambert
- Mike Fayer
AA. Disaster Medical Information Suite (DMIS) Review and Updates for Instructors
17:00 - 18:30
Summary
Invitation Only: EMR and JPATS Instructors who have previously attended an EMR or JPATS Instructor course.
This update is designed for ESF#8 personnel who have previous training and experience as an instructor with the Electronic Medical Records (EMR) system and/or the Joint Patient Assessment and Tracking System (JPATS). In this session, participants receive a quarterly update on EMR and JPATS. Updates will include:
- EMR and JPATS software applications
- Introduction of new or upgraded hardware
- Instructor development opportunities
- Exercise and training participation opportunities
- Evaluation opportunities
- Responder E-Learn community updates
- Responder E-Learn module development status
- Task force projects
- New instructor resources
This session will also include lessons learned from the 2011 training calendar and deployment season as well as a discussion about the future of DMIS applications and programs. Participants will be given the opportunity to ask questions and sign up for new opportunities.
Objectives
- Discuss lessons learned from previous deployments and training venues.
- Explain the DMIS application enhancements with course participants for an understanding of how these applications will function for any 2012 disaster situation.
- Discuss future enhancements and directions for DMIS applications.
- Facilitate a question-and-answer session with DMIS instructors.
Intended Audience
- Emergency physicians
- EMT/paramedics
- Nurses
- Pharmacists
- Physicians
- Respiratory therapists
Presenters
- Jeremy Barnes, MLA, MS
- Martha Barts, RN, MSN, CCRN
- Christian Boone, BA
- Shamera Boone, EMT-P
- Tori Chesebrough-Buckles, Esq.
- Chris Crabtree, MPA, BA
- Kendra Frampton, BBA, MA, MP
- Jonathan Gaddy, NREMT
- John Howe Jr.
- Alicia Jones, DO
- Chuck Knell, BS, BA
- Jeannie Krick
- Kevin Kupitz, PhD, MS
- Joseph Lamana, MPA, RN
- Cindy Larson
- Charles Minor
- Jeff Orphal
- John Probst
- Dan Stoudt, MS
- Gregg Taggard
- Laura Walker, AA
- Michael Yamamoto, NREMT, BS
- Peter Yang, BS
- Beth Zealley, MBA, BS