Oregon EMS: 24/7 Common Challenges Uncommon Solutions

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Oregon EMS: NCE 2005September 16 & 17Pre-Conferences September 14 & 15Red Lion on the RiverPortland Oregon

Life FlightNetworkLife Flight Network is one of the oldest and most successful airambulance systems in the country and was the first on the West Coastwhen it began in 1978.Life Flight Network now employs more than 30 nurses and paramedicsand transports more than 1,000 patients a year—trauma victims fromaccidents or hospital-to-hospital transfers.Life Flight Network is operated by a consortium of Legacy Health System,Oregon Health & Science University and Providence Health System.

P R E - C O N F E R E N C E AT- A - G L A N C EOREGON EMS CONFERENCE0700REGISTRATIONWEDNESDAY SEPTEMBER 140800 - 1700Advanced Burn Life Support, with Theresa Meeks0800 - 1700Advanced Medical Life Support Day 1 of 2, with Dawn Poetter & Victor Hoffer0800 - 1700Moulage Mayhem Madness, with Sandra Clark0800 - 1200Child Abuse & Maltreatment: What Pre-Hospital Personnel Should Know and Pre-Hospital Care of theChild with Special Healthcare Needs What Can You Expect?, with Sharon Stapleton1300 - 1700Emanuel Children’s Transport-Pediatric/Neonatal Skills, with Gina Craven0700REGISTRATION0800 - 1700Wilderness EMS, with Don Levine0800 - 1700Advanced Medical Life Support Day 2 of 2, with Dawn Poetter & Victor Hoffer0800 - 1200Instructor Development, with Lisa Davidson1300 - 1700Introduction to the National Incident Management System (NIMS) and the Incident CommandSystem (ICS), with Dr. Jeff Rubin0800 - 1200Life Flight Advanced Skills, with Adam Glaser1300 - 1700Life Flight Advanced Skills, with Adam Glaser (repeat of AM session)THURSDAY SEPTEMBER 15THURSDAY EVENINGEMS Providers are welcome and admitted free of charge to the following presentation:1900 - 2100True Darwin Awards, with Dr. Matt EschelbachOregon Emergency Medical Services (EMS) Conference Mission StatementTo provide the highest quality educational conferences for EMTs of Oregon,respecting the diversity of the settings in which they work and drawing fromall walks of service to develop curricula that are well balanced and relevant.www.oregonemsconference.com

PRE-CONFERENCE WORKSHOPSO R E G O N E M S C O N F E R E N C E 2 0 0 50700REGISTRATION -- WEDNESDAY, SEPTEMBER 140800 - 1700Advanced Burn Life Support, with Theresa MeeksThe quality of care during the first hours after a burn injury has a major impact on long-term outcome, yet most initial burncare is provided outside of the burn center environment. The Advanced Burn Life Support (ABLS) Provider Course is an eight-hourcourse designed to provide physicians, nurses, nurse practitioners, physician assistants, and paramedics with the ability to assessand stabilize patients with serious burns during the first critical hours following injury and to identify those patients requiring transfer toa burn center. The course is not designed to teach comprehensive burn care, but rather to focus on the first 24 post-injury hours.Visit http://www.ameriburn.org/ -- for detailed course description. DO NOT use registration form from the web site, a special form willbe made available to you after you have registered for the Oregon EMS pre-conference workshop. Call 503-731-6633 for more info.Dr. Nathan Kemalayan is the course medical director. In addition, 8 experienced burn nurses will be teaching this course. Allof the nurses are ABLS certified and have taken extra training to become ABLS instructors. The nurses teaching this course have doneextra work in either burn wound management, critical care burn nursing or in education of burn injuries.0800 - 1700Advanced Medical Life Support Day 1 of 2, with Dawn Poetter & Victor HofferAdvanced Medical Life Support (AMLS) is a new program developed and sponsored by the National Association of EMT(NAEMT). AMLS offers an advanced level and practical approach to addressing adult medical emergencies. The curriculum hasbeen reviewed by the National Association of EMS Physicians and NAEMT. Each segment of the course and textbook movesfrom assessment procedures to field diagnosis and management of treatable causes, by offering realistic methods practiced byexperienced pre-hospital emergency medical providers.Dawn C. Poetter is a Sr. Paramedic with Metro West Ambulance and has 24 years experience in the Oregon EMSsetting. She is currently working as the Coordinator for the AHA community-training center Education for Life and teachesand coordinates ACLS and BLS through the American Heart Association. She also teaches other courses such as PHTLS,AMLS, PEPP, FTEP, and other continuing education classes for Metro West and the general EMS population. She is a staffwriter and co-founder of Pre Hospital Perspectives, an Internet based EMS magazine and has an Internet based e-groupespecially for women. Mrs. Poetter is currently on the Oregon Emergency Medical Services for Children committee and keepsactive in all aspects of EMS. Dawn was also very active in bringing the first AMLS class to the state of Oregon.Victor Hoffer, MA, JD, EMT-P, is a senior paramedic and field training officer with Metro West Ambulance. Aparamedic since 1982, he has 24 years of EMS experience. He lives in Mt. Angel where he volunteered with the Mt. AngelAmbulance and Mt. Angel Fire Department. He was instrumental in bringing AMLS to Oregon in 2005.0800 - 1700Moulage Mayhem Madness, with Sandra ClarkThe moulage class will teach you realistic make-up techniques for Bruises, Burns, Fractures, Impaled objects,Eviscerations, Medical and Trauma Scenarios, and more! Resources for purchasing make-up, cheap alternatives for thosedepartments on a tight budget. All materials provided for the class. Be prepared for a hands on class, please wear oldclothes!Sandra’s background is in theatre, and she has worked through college as an EMT, then Paramedic. After seventeenyears on the street her two worlds collided and she now teaches EMT-Basic and Paramedic courses. Sandra has hermoulage business on the side and does anything from disaster drills, PHTLS classes to moulage courses. www.oregonemsconference.com

PRE-CONFERENCE WORKSHOPSO R E G O N E M S C O N F E R E N C E 2 0 0 50800 - 1200Child Abuse & Maltreatment: What Pre-Hospital Personnel Should Know,with Sharon Stapleton, RN, BSN, CCRNThis session will review the definitions of child abuse, neglect and maltreatment. We will discuss various statisticsand the research associated with child maltreatment. Emphasis will be placed on specific points of care pertaining to prehospital management practices, assessment/recognition, working with the families and information about what role all ofus can play in increasing awareness of this “epidemic” in the United States. Finally, we will discuss how to take care ofourselves after we have taken care of these patients.Pre-Hospital Care of the Child with Special Healthcare Needs What Can You Expect?Children with special healthcare needs and medically fragile children are increasing in our communities andtherefore are being encountered by prehospital personnel on a more regular basis. This session will focus on the widevariety of medically fragile children and situations you may encounter. We will practice with scenarios and real-lifeexamples. I will show lots of pictures, talk about various diagnoses, provide the finer points of care for these kids andprovide information for working with these families.Over the past 20 years, Sharon Stapleton has worked in adult critical care, pre-hospital, pediatric and neonatalcritical care arenas. She has been a transport nurse working on the PANDA pediatric and neonatal transport team at OHSUand Doernbecher Children’s Hospital for most of her career. She has been the EMS-C director in northern California, isactively involved in the Oregon EMS-C advisory group, is an active member of the Oregon Disaster Team and is the PALSCTC and Outreach Education Director at OHSU. Her real love though is education and she has traveled extensively acrossthe United States and the world teaching physicians, nurses and paramedics the care of pediatric patients and their families.Most recently, she traveled to Panama to set up their country’s first ever PALS program.1300 - 1700Emanuel Children’s Transport-Pediatric/Neonatal Skills, with Gina CravenHow comfortable are you when transporting the newborn and pediatric patient? Emanuel Children’s Transport Team will beoffering hands-on skill stations for: Airway management/ Endotracheal IntubationNon-Invasive Airway support/ Laryngeal Mask Airway placementVascular access/ Intraosseous placementDiagnosis and Treatment pneumothorax/ CricothyroidotomyPresented by Gina Craven, RN and Emanuel’s Pediatric Transport TeamOregon State Paramedic AssociationYour Voice in Oregon and National EMS IssuesONLY OSPA REPRESENTS ALL EMS PROVIDERS IN OREGONFirst Responders, EMTs, Intermediates and ParamedicsOSPA IS YOUR STATE CHAPTER OF THE NATIONAL ASSOCIATIONOF EMERGENCY MEDICAL TECHNICIANSAre you a member of NAEMT? Ask us how you can save onyour annual dues!MEMBERSHIP IS 35 A YEAR and you get a free OSPA Shirt!Visit us at our booth – Visit our websiteiwww.OregonEMS.orgIts easy to join OSPA!www.oregonemsconference.com

PRE-CONFERENCE WORKSHOPSO R E G O N E M S C O N F E R E N C E 2 0 0 50700REGISTRATION -- THURSDAY, SEPTEMBER 150800 - 1700Wilderness EMS, with Don LevinePRE-CONFERENCE WWilderness medicine requires a different approach than street medicine. Forget the “Golden Hour”; rescuers have a goalof “Same Day Service”, and often need to plan for an extended stay. This workshop will cover aspects of wilderness emergencies,including patient access and assessment, an overview of wilderness emergencies not covered in the EMT curriculum, wildernessprotocols for spine injury assessment, cold injury and preparation for medevac and CPR termination. Skill building will includeextremity and spine stabilization, packaging the patient for extended stays, lifting and moving, and other tricks using back countryequipment to serve medical purposes.Don Levine is an Oregon-grown instructor who has been working in EMS since 1979. He got his introduction towilderness medicine during 10 years as a back country trail crew member, providing emergency rescue and stabilization toinjured hikers and climbers. He spent 14 years in Southeast Alaska teaching emergency medicine and training providers inisolated communities, and coordinating the EMS program at the University of Alaska in Juneau. He is now back in Oregon,teaching EMS full time, and playing in the back country when he can.0800 - 1700Advanced Medical Life Support Day 2 of 2, with Dawn Poetter & Victor Hoffer2nd day of presentation. See previous page for details.0800 - 1200Instructor Development, with Lisa DavidsonA hands on approach, with tips and techniques to help with nervousness, designing interesting, engaging trainingsessions,and improving your presentation/delivery techniques.Ms. Davidson has been teaching beginning, intermediate and professional presentation skills for over 10 years.She managed the training staff and training design team for First Interstate Bank and First Interstate Bancorp. She holdsa Bachelor’s degree in Business/Marketing, and a Master’s degree is in Speech and Communications. She is currently atraining consultant and teaches at Marylhurst University in the Communications and Business Departments.1300 - 1700Introduction to the National Incident Management System (NIMS) and the Incident CommandSystem (ICS), with Jeff Rubin, PhDThe recently adopted National Incident Management System (NIMS) mandates use of the Incident CommandSystem (ICS) for emergency response. Many public-safety responders already use ICS for large and small incidents. Thisclass provides a brief orientation to NIMS and an introduction to one of the NIMS components, ICS. The class adheres tothe standards (to date) for the ICS-100 (introductory) level as specified by the NIMS Integration Center. NOTE: ICS adoptionis one component of NIMS compliance. This class provides guidelines on NIMS compliance but does not in itself provideNIMS compliance. Time: 4 hours. Prerequisites: none, although prior completion of IS-100 (independent study in ICS) ishighly recommended; (applicable to all, not just federal disaster workers – it was intended to be a quick introduction). Targetaudience: EMS and other public safety personnel tasked with planning for or responding to emergencies, hospital personnelseeking introduction in preparation for HEICS training. Components: Expanded ICS-100 class employing supplementalmaterial to add breadth, some depth, and practical applications. http://training.fema.gov/EMIWeb/IS/is100.asp Jeff Rubin has been Tualatin Valley Fire & Rescue’s emergency manager since 2001. He was a volunteer Fire/EMS/Rescue responder with Travis County (Texas) ESD#4 for 13 years. He was a Hazardous Materials Captain in the SpecialOperations Section of Austin EMS, where he served for five years, working in mass casualty planning, hazmat/WMD planningand response, and hospital preparedness. The Austin City Council appointed him to the Austin EMS Quality Assurance Teamfrom 1997 to 2001. Jeff has a BS in Geology & Geophysics from Yale University and an MA and PhD in Geological Sciencesfrom the University of Texas at Austin. He served as Asst. Dean for Environmental Health & Safety at UT, where he taught asemester-long Wilderness Medicine class. He was an EMS Instructor/Examiner in Texas for ten years and was a member ofthe Texas EMS Conference faculty 1994-2000 and 2002. Jeff teaches incident command to a wide variety of audiences; healso consults in health, safety, and emergency management and provides Hospital Emergency Incident Command Systemtraining across the US. www.oregonemsconference.com

PRE-CONFERENCE WORKSHOPSO R E G O N E M S C O N F E R E N C E 2 0 0 50800 - 1200Life Flight Advanced Skills, with Adam GlaserThis session will cover several low frequency, high acuity procedures, such as rapid sequence intubation, alternative airwayoptions, needle cricothyrotomy, needle thoracostomy and trauma assessment.  Many of these procedures will be integrated intoW O R K SscenarioH O P Sbased applications with the opportunity to perform with a team in mock patient settings.  Individuals will have the ability touse their agency protocols in order to refine their skills in these patient care settings.  Types of patient scenarios will include; adult andpediatric trauma as well as some unique medical challenges.Adam is a Paramedic with Life Flight Network and has been involved in EMS for 14 years. He has worked in EMS inNew York, Illinois, California and Japan. Adam spent five years in the Navy as a Hospital Corpsman and prior to working forLife Flight. He taught EMS courses at Chemeketa Community College for over 4 years. Adam is currently involved with theOregon State EMS office in the development of the new EMT-Intermediate curriculum.1300 - 1700Life Flight Advanced Skills, with Adam Glaser (repeat of AM session, see above description)EMS Providers are welcome & admitted free of charge to the following presentation:1900 - 2100True Darwin Awards, with Dr. Matt EschelbachDarwin believed that Natural Selection was the way to advance the species and improve our gene pool.  Herewe learn that sometimes our patients do that for us.  Please join us for a humorous look at some of the more difficultpatient presentations we have come across.  By examining some of the interesting ways that injuries and illnesses presentthemselves, we are better prepared to treat them.Dr. Matthew Eschelbach is the Director or Emergency Medicine for St Charles Medical Center, Redmond, OR.He returns this year as Medical Director for the EMS Oregon Conference. In addition to his duties as an ER physician, healso serves as EMS Physician Adviser for Redmond, Lapine, Sunriver, Crescent and Chemult EMS agencies. He was therecipient of the “2003 EMS Medical Director of the Year”, awarded by the Oregon Health Division awarded at this conferencelast year. His work includes establishing region wide EMS protocols and EMS education.OHSU OITParamedic Degree ProgramTraining Oregon’s Leaders in EMS Since 1977Come see us at theConference&Visit us on the web at:www.oit.edu/paramedicWe offer: Transcript Review Application Help Individualized Plans Financial AidWe are located at Tualatin Valley Fire & Rescue’s TrainingCenter in Sherwood, Oregon. Call us to schedule a visit. Phone(503) 625-4720.www.oregonemsconference.com

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C O N F E R E N C E AT- A - G L A N C EO R E G O N E M S C O N F E R E N C E 2 0 0 50700FRIDAY REGISTRATION - BREAKFAST IN THE EXHIBITOR HALL0800 - 1000General Session -- EMS Litigation 2005 - What’s Out There, with Ann Maggiore1000 - 1030BREAK IN THE EXHIBITOR HALL1030 - 1200Acute MI and Effects on Females-Atypical MI’s, with Dr. Jon Jui1030 - 1200Capnography in EMS, with Pat Pangburn1030 - 1200EMS EVERYTHING and EVERYTHING EMS, with Scott Copper1030 - 1200Musculoskeletal Trauma and Compartment Syndrome, with Marc Huston1200 - 1330LUNCH BREAK IN THE EXHIBITOR HALL1330 - 1500The Road to Greatness, with Larry Boxman and Jason Rogers1330 - 1500Mandatory Reporting of Child Abuse and Elder Abuse for EMTs, with Victor Hoffer1330 - 1500Geriatric Pharmacology, with Dr. Jim Bryan1330 - 1500Strokes, with Dr. Matt Eschelbach1500 - 1530BREAK IN THE EXHIBITOR HALL1530 - 1700Closing Session -- Stress in EMS, with Tim Dietz1800 - 1830FRIDAY NO HOST COCKTAILS1830 -Oregon EMS and Trauma Systems Awards BanquetAttire: Business or Dress Uniform0700SATURDAY REGISTRATION - BREAKFAST IN THE EXHIBITOR HALL0800 - 1000General Session -- Sick / Not Sick, Adult Patients, with Mile Helbock1000 - 1030BREAK IN THE EXHIBITOR HALL1030 - 1200If It Isn’t Written Down , with Ann Maggiore1030 - 1200Craftsmanship: A Lost Art?, with Paul LeSage1030 - 1200“Motor Vehicle Crash Injury Mechanisms – How to Assess Injury Patterns and Severity” – CIREN (CrashInjury Research and Engineering Network), with Robert Kaufman1030 - 1200Trauma Care of the Morbidly Obese Patient, with Dr. Marinus (Dick) Koning1200 - 1330LUNCH BREAK IN THE EXHIBITOR HALL1330 - 1500“When there are two patients”- Management of the Obstetrical Patient, with Sue Schidner1330 - 1500Sick / Not Sick, Pediatric Patients, with Mike Helbock1330 - 1500Field STEMI Identification and the Regionalization of Emergent Cardiac Care -- EMS Driven Paradigm Shift,with Dr. Brian Gross1330 - 1500The Art of Pre-Hospital Consultation – Getting What You Really Need from OLMC!, with Dr. Jeff Disney1500 - 1530BREAK1530 - 1700General Session-Close of Conference -- Critical Decisions and Teamwork: Using CRM, with Paul LeSagewww.oregonemsconference.com

Metro West AmbulanceDiscover yourFuture atMetro West offers a variety ofEMS career options.Call to learn how you can further your EMS career today.Career opportunities available at otherMetro West Ambulance companies:Medix Ambulance - Clatsop CountyPacific West Ambulance - Lincoln CountyServing Oregon Since 1953

O R E G O N E M S C O N F E R E N C E 2 0 0 507000800 - 1000Registration--Breakfast in the Exhibitor Hall - Friday September 16General Session -- EMS Litigation 2005 - What’s Out There, with Ann MaggioreThis fast paced presentation will overview EMS litigation. Participants will find out who is suing, and over what issues? EMSservices and personnel are being held accountable by the legal system at an alarming rate, with lawsuits over vehicle accidentstopping the charts in frequency as well as cost. You will get some important risk management tips from an attorney and paramedicwho knows what’s out there.W. Ann “Winnie” Maggiore is an attorney and paramedic from New Mexico. She has been a full time paramedic/firefighter,a state EMS administrator, an Assistant Fire Chief, and a criminal prosecutor. In her current life she practices law full time with Butt,Thornton & Baehr in Albuquerque, defending physicians, nurses, law enforcement officers and EMS personnel against lawsuits.She holds a Clinical Faculty appointment at the University of New Mexico School of Medicine, where she teaches medical law toparamedic students and resident physicians. She is a well known EMS speaker and author.1000 - 1030BREAK IN THE EXHIBITOR HALL1030 - 1200Acute MI & Effects on Females Atypical AMIs, with Dr. Jon JuiUpdate on the diagnosis and management of myocardial infarction with special emphasis on presentation in women.Jonathan Jui, MD, MPH, Professor of Emergency Medicine at Oregon Health and Science University. Dr. Jui is currently theMedical Director for the Oregon Health Division, Oregon State Police, Multnomah County Emergency Medical Services, Portland FireBureau, Gresham Fire Department and the United States Forest Service Northwest Region Incident Medical Specialist Program.1030 - 1200Capnography in EMS, with Pat PangburnThis presentation will explain the value and shortcomings of capnography as a ventilatory monitor in the field.Patrick Pangburn, RRT MS, has been a respiratory therapist for 37 years. He has served as a staff therapist, educator andresearcher. Pat is presently Division Director of Respiratory Care and Clinical Neurophysiology at Oregon Health & ScienceUniversity. He is on the faculty of the OHSU/OIT Paramedic Training Program. He has a long history of involvement within Californiaand Oregon.1030 - 1200EMS EVERYTHING and EVERYTHING EMS, with Scott CopperGeared toward EMT-Basics and Intermediates, here is an opportunity to attend a session that offers you the same varietyyou encounter in the field. Instead of focusing on one topic, Mr. Cooper will address many subjects of use to your assessment, careand interactions with other people in the field and behind the scenes. Learn up-to-date information on assessment and treatment ofvarious conditions. Take in real experiences from a multitude of EMS providers, seeing what they learned so you can be preparedfrom both their successes and mistakes (instead of learning the hard way on your own). Find out what is on the EMS horizon. Hearabout resources and activities in EMS that you may not know of that can help you, your EMS agency, and opportunities to apply yourinterests and abilities. Come join in on a real practical, real applicable, really fun presentation!Scott has a family with three daughters and resides in Salem, Oregon. His career has included working in private, hospitaland fire-based ambulance services; instructor for EMT classes of all levels at Chemeketa and Portland Community Colleges; privatetutor for EMT and nursing students; EMS educator and administrator; guest speaker at various EMS programs; member and officer fornumerous EMS related committees and groups; grant writing; and many other endeavors. He currently holds instructor certificationsfor Geriatrics for EMS; Prehospital Trauma Life Support; Pediatric Education for Prehospital Professionals; Advanced Medical LifeSupport; Traumatic Brain Injury; AHA ACLS, ACLS for Experienced Providers, BLS/First Aid Instructor; AHA Training Center Facultywith Education For Life; and Neonatal Resuscitation Provider.1030 - 1200Musculoskeletal Trauma and Compartment Syndrome, with Dr. Marc HoustonExtremity trauma happens! From fractures to dislocations, and sprains to strains, this lecture will expose you to many differentinjuries. Dr. Houston will discuss field treatment options for the minor to the gruesome. He will also discuss how to recognize, andoptimistically prevent, compartment syndrome!Dr. Marc Houston is heavily involved in EMS. He participates CQI and Operations meetings of several metropolitan agencies.Dr. Houston is involved with the Tri-county treatment protocol committee, and the State Trauma Advisory Board to name a few. Inaddition to Dr. Houston’s committee work, he teaches on a number of EMS topics to various agencies and EMT programs.www.oregonemsconference.com11

O R E G O N E M S C O N F E R E N C E 2 0 0 51200 - 1330LUNCH BREAK IN THE EXHIBITOR HALL1330 - 1500The Road to Greatness, with Larry Boxman and Jason RogersWhat does it take for an EMS system to be truly great? Some may say the latest technology and the most advancedprotocols. Others may say quick response times and rapid transports, while still others may say effective quality improvementprograms and advanced clinical education courses. Although those are all important components of any EMS system, they are notthe most important. In today’s rapidly changing EMS world, it is the brains and motivation of the knowledgeable worker that is mostcritical. Systems that enjoy the most success are those that are filled with people who can quickly figure out what needs to be doneand make it happen effectively and efficiently.Larry Boxman has been involved with EMS for 22 years. He began his career in the U.S. Air Force and has been workingfor Metro West Ambulance in Washington County, Oregon for the past 12 years. He is the Chief of Operations for the organization,a position he has held for the past 7 years. Larry is a graduate of the Oregon Graduate Institute’s Six Sigma Black Belt Program andis the author of several articles that have been published in EMS Magazine and Fire/EMS Magazine including an article that he coauthored with Jason Rogers titled “The Road to Greatness”.Jason Rogers has been involved in EMS for 12 years and also began his career in the U.S. Air Force. Jason is a graduateof Oregon Health Science’s Paramedic Education Program. Together, Jason Rogers and Larry Boxman developed Metro WestAmbulance’s Leadership Development program titled “Building Greatness,” recognized by the Oregon Department of Human ServicesEMS section in 2004 for a “Commitment to Quality.” Jason has been with Metro West Ambulance for 7 years and currently serves asthe Director of Training1330 - 1500Mandatory Reporting of Child Abuse and Elder Abuse for EMTs , with Victor HofferThis presentation will provide an essential overview of child abuse and elder abuse mandatory reporting requirements. Whatyou need to know to protect both your patient and you!Victor Hoffer is a Senior Paramedic and Field Training Office with Metro West Ambulance in Hillsboro, Oregon. Victor hasserved on the Governor’s Elder Abuse Task Force and presently is a member of the Attorney General’s Elder Abuse task Force andthe Washington County Elder Abuse MDT. As an attorney, Victor focuses on elder law.1330 - 1500Geriatric Pharmacology, with Dr. Jim BryanThe elderly represent the fastest growing segment of the US population. Forty percent of patients over 65 years old takefive or more medications, and it is estimated that 10-20% of hospital admissions for these patients is due to adverse drug reactions.This session will focus on drug interactions, how the pharmacology of medications differs in the geriatric population, barriers tocompliance, and common issues the astute EMS needs to know. Audience participation will be encouraged.Jim Bryan, MD, PhD, holds doctorate degrees in medicine and pharmacology. He is an Assistant Professor of EmergencyMedicine at Oregon Health & Science University and Assistant Chief of Emergency Medicine at the Portland VA Medical Center.Dr. Bryan has served as the Medical Director for the OHSU/OIT Paramedic Education Program for the past eleven years, andhe chairs the Multnomah County EMS Quality Assurance Subcommittee.1330 - 1500Strokes, with Dr. Matt EschelbachWe have moved so fast and far with the treatment of acute coronary syndrome it seems that EMS is on the front line ofemergent acute MI care. But what about Strokes? Many EMS personnel are frustrated about the “Hurry up and wait” approach tothe treatment of strokes. Understand why a stroke is a “ Brain Attack” and learn to improve the approach to stroke treatment andintervention in your system. This lecture will review the physiology of stroke and the most efficient methods of stroke care. Carefulplanning and understanding of what a stroke truly is will guide all those in EMS.Dr. Matthew Eschelbach is the Director or Emergency Medicine for St Charles Medical Center, Redmond, OR. He returnsthis year as Medical Director for the EMS Oregon Conference. In addition to his duties as an ER physician he also serves as EMSPhysician Adviser for Redmond, Lapine, Sunriver, Crescent and Chemult EMS agencies. He was the recipient of the “2003 EMSMedical Director of the Year”, awarded by DHS-EMS awarded at this conference that year. His work includes establishing region wideEMS protocols and EMS education.1500 - 153012BREAK IN THE EXHIBITOR HALLwww.oregonemsconference.com

O R E G O N E M S C O N F E R E N C E 2 0 0 51530 - 1700Closing Session --Stress in EMS, with Tim DietzIf any profession has an insight to how precious life is, and how quickly things can change, it is us, the emergencyresponder. Unfortunately this may cause us to lose focus on our own mental well-being as we deal with human loss and othertragedies. To have an emergency responder not enjoy the work, or leave the profession because of work-related stress isunacceptable. This course will provide an understanding of emergency worker stress (the cost of caring) and provide simple tools tocontinue or achieve a love for the prof

www.oregonemsconference.com 0700 REGISTRATION WEDNESDAY SEPTEMBER 14 0800 - 1700 Advanced Burn Life Support, with Theresa Meeks 0800 - 1700 Advanced Medical Life Support Day 1 of 2, with Dawn Poetter & Victor Hoffer 0800 - 1700 Moulage Mayhem Madness, with Sandra Clark 0800 - 1200 Child Abuse & Maltreatment: What Pre-Hospital Personnel Should Know and Pre-Hospital Care of the