The 19 th Annual Spring Fling Conference April 26 April 29 th, 2018 Edgewood Resort & Conference Center Alexandria Bay, New York

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1 The 19 th Annual Spring Fling Conference April 26 April 29 th, 2018 Edgewood Resort & Conference Center Alexandria Bay, New York SPONSORED BY: NORTH COUNTRY REGIONAL EMS COUNCIL NORTH COUNTRY REMAC FDRHPO NORTH COUNTRY EMS PROGRAM AGENCY

2 Keynote Speaker RANDOLPH MANTOOTH Johnny Gage from TVs EMERGENCY! Actor/Writer/Speaker Randolph Mantooth has been a motivational speaker at Fire Service and EMS Conferences and Special Events since First responders all over North America have been touched by Randy's uplifting and heartfelt message; one that draws upon his experiences on the show, and more than 40 years of close relationships with firefighters, paramedics and EMTs across the country. Meet Randy in person when he hosts a fundraising autograph session on Saturday, April 28 in the Registration area from 11:00 am to 3:00 pm. Emergency! 8x10 color photographs and a collectible challenge coin will be available for purchase and personalization. *Celebrity appearance subject to change SPRING FLING 2018 GENERAL INFORMATION Again, this year! Sunday morning session while you enjoy breakfast! The Edgewood Resort will have a complimentary continental breakfast for those staying at the resort on Friday, Saturday and Sunday mornings. Friday Night Get-together sponsored by Air Methods LifeNet of NY! Attendees will have pizza, wings and two (2) drink coupons. DJ and EMS activities included! May purchase tickets for guests who are not attending the conference. Saturday night banquet The Rich Beebe Education Award will be given. Randolph Mantooth will be our special guest. Awards and gifts!

3 VENDORS will be set up both FRIDAY & SATURDAY!! Randolph Mantooth will host a fundraising autograph session on Saturday. See Keynote description for details! VENDOR BINGO! Visit all the vendors during breaks or lunch, get your bingo card stamped and enter a drawing for a chance for a FREE registration to the 2019 Spring Fling! Rooms reservations at Edgewood Resort and Conference Center can be made by calling Edgewood or mention you are attending the conference to receive the conference rate of $ a night. (Includes Continental Breakfast) (Gratuities and maid service not included) Directions to the Edgewood Resort and Conference Center: o Starting I-81 North in Watertown head to Exit 50N (24.1 miles) o Take Exit 50N merge onto NY-12N toward Alexandria Bay (4.0 miles) o Turn left at Edgewood Road o Take slight right onto Otter Street o Take the first right on Edgewood Road o Destination: Edgewood Resort and Conference Center; Edgewood Road, Alexandria Bay, NY The sponsors reserve the right to substitute a lecture or presenter due to unforeseen circumstances. EMS Agencies paying for multiple participants may submit one check; however, you must complete and include a separate registration form online for each individual attending. Everyone must register online. Registration form can be found at or from our website Please make checks or money orders payable to NCEMS REMSCO if not paying by credit card $30.00 returned check fee. Payments can be mailed to the following address: FDRHPO North Country EMS Program Agency 120 Washington Street, Suite 200 Watertown, NY Early bird registrations must be postmarked by close of business 4/1/18 to receive reduced rate. Requests for refunds must be sent in writing no later than May 4 th, 2018 to: FDRHPO North Country EMS, c/o Spring Fling Refund 120 Washington Street, Suite 200, Watertown, NY 13601

4 Spring Fling Schedule of Events Thursday April 26 th, :00 PM 9:00 PM Mock Trial Ever wonder what would happen if you had to go to court and testify about an ambulance call you responded to or your organization (or you) were being sued? Wonder no more! In this pre-conference lecture, we will discuss what happens and actually conduct a mock trial. The participants will be the jury and decide the outcome of the trial based upon the information presented! North Country Regional ALS Skills Sessions Are you interested in getting your regional skills done before the end of the semester? Join us for this interactive skills session. All levels welcome. Friday April 27 th,2018 8:30 AM- 5:30 PM (Lunch will be served at 11:30) ALS Core Content presented by Paul Barter FNP, EMT-P; Douglas Wildermuth, BS, NREMTP, CIC, RF, PC; Justin Astafan, EMT-P, CIC; Mark Deavers, EMT-P, CIC GYN 1 Hour Obstetrics 2 Hour Neonatology -1 Hours Gastroenterology/Abdominal 1Hour Abuse and Assault/Behavioral -1 Hour Neurological/Endocrine 1 Hour Environmental- 1 Hour 8:30 AM- 5:30 PM (Lunch will be served at 12:00) BLS Core Content presented by Mark A. Tuttle, EMT-P/CIC/FP-C; Glenn Steven, EMT- P/CIC/FP-C; Jennifer Nichols, RN/CFRN/EMT-P, Jennifer Noce, CCEMTP/FP-C/CCP-C Respiratory 1 Hour Psychiatric 1 Hour Cardiology -1 Hour Shock and Resuscitation 1 Hour OB/Neonates/Pediatrics 1 Hour Abd/Geni-Renal/GI/Hematology - 3 Hours Educator Breakouts 10:00 AM and 2:00 PM only need to attend 1 session Technology 101- Christopher Singleton, NYS EMT-CC, CIC Ever wonder how to import a video into a Power Point Presentation? Interested in engaging your students with individual and team exercises? If so this 1.5-hour class will review some of the latest technology available to help you. Please bring a laptop computer to class with you as this will be an interactive learning session. NYS CIC s now need 3 hours of state CIU, and 5 hours of other approved instructor education for renewal of their CIC, this will provide CIC s with 1.5 hours of other and has been approved by NYS DOH.

5 Saturday April 28 th, 2018 ALS Track Registration in Edgewood Conference Center Welcome and Opening Remarks Special K (Endocrinology/Additional) Ann Smith/Debbie Singleton FDRHPO North Country EMS Program Agency Director North Country REMSCO Chair Christopher Ebright, B.Ed., NRP Advancing Care in New York State - How our protocols have advanced for our patients (Preparatory/Additional) Dr. Dailey Treat the Monitor AND the Patient: Advanced Scenarios Using Diagnostic ECG Interpretation (Cardiac/Additional) Dan Batsie, BA, NREMTP Lunch and Exhibits Buffet luncheon In an Instant (Respiratory/Additional) Christopher Ebright, B.Ed., NRP Time AND Brain - Shifting Paradigms in Acute Stroke (Neurological/Additional) Dr. Hesham Masoud Primary Assessment and the Deadly Triad of Trauma (Trauma/Additional) Dan Batsie, BA, NREMTP Break Remember Why (Preparatory/Additional) Randolph Mantooth 1730 Closing Remark Debbie Singleton/Ann Smith Cocktails Buffet Dinner Awards! Gifts! Special Guest Randolph Mantooth Cash Bar

6 Saturday April 28 th, 2018 BLS Track Registration in Edgewood Conference Center Welcome and Opening Remarks Managing Respiratory Distress Before ALS Arrives: Assessing and Treating the Dyspnea Patient at the EMT Level (Respiratory/Additional) Ann Smith/Debbie Singleton FDRHPO North Country EMS Program Agency Director North Country REMSCO Chair Dan Batsie, BA, NREMTP Hormones gone wild! (Endocrine/Neurologic) Christopher Ebright, B.Ed., NRP Lunch and Exhibits Buffet luncheon EMS 2018: A Positive Outlook on Our Challenges and Opportunities (Operational/Additional) The Naloxone is In Now What? (Toxicology/Additional) Steven Kroll Dan Batsie, BA, NREMTP Until All the Pieces Fit (Special Needs/Additional) Christopher Ebright, B.Ed., NRP Break Remember Why (Preparatory/Additional) Randolph Mantooth 1730 Closing Remark Debbie Singleton/Ann Smith Cocktails Buffet Dinner Awards! Gifts! Special Guest Randolph Mantooth Cash Bar

7 Saturday Break Out Session (you may attend this instead of the ALS or BLS lecture scheduled for the time frame if you register for it. Class limited to 20 participants, register soon as spots will fill up quickly) Stop the Bleed Instructor Course presented by SUNY Upstate and Canton Potsdam Hospital Launched in October of 2015 by the White House, Stop the Bleed is a national awareness campaign and a call to action. Stop the Bleed is intended to cultivate grassroots efforts that encourage bystanders to become trained, equipped, and empowered to help in a bleeding emergency before professional help arrives. Who can be an instructor: PHTLS instructors PHTLS providers who have successfully completed the BCon Provider Course TCCC/TECCC instructors or providers ATCN/TNCC instructors or providers who have successfully completed the BCon Provider Course Any EMR, EMT, paramedic, RN, PA, or MD who has successfully completed a BCon Provider Course Any ATLS instructor or provider who has successfully completed a BCon Provider Course Any NAEMT instructor for any other NAEMT continuing education course who has successfully completed a BCon Provider Course (Trauma/Additional) Sunday April 29 th Taking the Reins presented by Ann Smith, NYS CIC, FDRHPO NCEMS Program Agency Director Are you interested in EMS leadership or did you just happen to miss the meeting where you were voted in as a leader? This presentation will provide the basics to get you started as a new or aspiring leader. Resources and best practices will be addressed that will help your agency and you be successful. (Operational/Additional) Special K presented by Christopher Ebright, B.Ed., NRP What is the difference between hypokalemia and hyperkalemia? Should pre-hospital providers even care? Absolutely! Ever run a code or treat a dialysis patient, and despite everything you re doing correctly his/her presentation doesn t improve? Remember the H s and T s? Come participate and we ll discuss signs, symptoms, physical presentation, ECG changes and other things to consider.

8 Advancing Care in New York State - How our protocols have advanced for our patients presented by Dr. Dailey Medical care is in constant evolution - an EMT in 1983 could get two little rockers that went under the EMT patch - "EMT-D" and "MAST"...one is now ubiquitous and one is no longer a part of EMS care. Teams of doctors, educators, and EMS providers have been advancing the protocols in upstate New York as the collaborative protocols have developed. Some protocols have been added, some have been removed, and others have changed: cardiac arrest care in place is encouraged and termination of futile resuscitation rather than transporting patients with CPR ongoing is expected, nitro paste has been taken out of the care for acute pulmonary edema, and the removal of etomidate facilitated intubation. Bring your questions, Dr. Dailey will discuss the process of protocol development and how it impacts patients and providers. Treat the Monitor AND the Patient: Advanced Scenarios Using Diagnostic ECG Interpretation presented by Dan Batsie, BA, NREMTP ECG interpretation is an important step in advanced patient assessment and an essential element in forming a treatment plan for a wide range of critically ill patients. Although, no care should ever be based solely on an ECG, being ready to make accurate interpretations and recognize lethal dysrhythmias is a skill that requires practice. This class is designed to hone that skill. Students will be presented with real world scenarios that require rapid ECG interpretation and will work through a process of problem based learning to develop real time treatment strategies. Debriefing will focus on electrophysiology, pathophysiology and current treatment best practices. Although all providers are welcome, this class is geared toward advanced providers with ECG interpretation training. In an Instant presented by Christopher Ebright, B.Ed., NRP One time or another, we take the call for a patient that we know all too well. Sometimes it's a family member, a friend, and in one terrible instance - a co-worker. Based on an actual EMS call, this presentation correlates real timeline history, events, and preventative treatments for a fellow colleague with the underlying pathophysiology of a pulmonary embolism. Various signs, predisposing risk factors and origins of emboli formation are all tied together to give a global perspective of the acute and, in this case, fatal event that shocked and stunned an entire EMS service. Time AND Brain - Shifting Paradigms in Acute Stroke presented by Dr. Hashem Masoud Stroke therapies continue to evolve, and more patients are eligible for life-saving therapy than ever before. The recent publication of two pivotal trials expanding the treatment window will be discussed, providing a focus on revisiting the time paradigm in patient selection. Dr. Masoud will also review the neuroanatomy behind large vessel occlusion, and compare scales used to assist in the early recognition of patients that can benefit from thrombectomy. Primary Assessment and the Deadly Triad of Trauma presented by Dan Batsie, BA, NREMTP Almost every medical provider at some point learned that the primary assessment was set of linear steps focused on airway breathing and circulation. Although the ABC s still form the foundation for quality care, recent advances in trauma care have shown us that the primary assessment should be neither linear nor limited to these three elements. This class will focus on the deadly triad of trauma and discuss the role of acidosis, hypothermia and coagulopathy in the mortality of trauma patients. We will further discuss how practitioners can evolve their primary assessments so as to account for these dangerous situations earlier in the care of a trauma patient. All levels are welcome, but this class will discuss some advanced topics.

9 Managing Respiratory Distress Before ALS Arrives: Assessing and Treating the Dyspnea Patient at the EMT Level presented by Dan Batsie, BA, NREMTP Respiratory distress is both a common and frequently life-threatening complaint. Many prehospital assessment techniques and interventions are focused on advanced providers, but far too often we lose sight of the importance of good basic skills. EMTs play a vital role in early diagnosis and treatment of the dyspnea patient and proper initial care can significantly impact the outcome of these patients. This class is designed to enhance the EMT s understanding of the pathophysiology of respiratory distress and will focus on rapid assessment skills for the BLS provider. We will further discuss key interventions that can be completed by the EMT to improve the outcome of the various causes of respiratory distress. Including lung sounds. Hormones gone wild! presented by Christopher Ebright, B.Ed., NRP This presentation deals with emergencies of the thyroid/adrenal glands and the pancreas. Signs and symptoms that manifest in these patients can mimic other ailments. Knowledge of these problems will enable the EMS provider to accurately differentially diagnose these patients and render the best possible care. EMS 2018: A Positive Outlook on Our Challenges and Opportunities presented by Steven Kroll EMS providers are dedicated to meeting the expectations and needs of communities. Changes in our society have added to the complexity of fulfilling our responsibilities. Steve will discuss strategies for managing some of the challenges and opportunities facing EMS agencies in upstate New York communities. Until All the Pieces Fit presented by Christopher Ebright, B.Ed., NRP As a pre-hospital care provider, on average, you are seven times more likely to come in contact with a person on the autism spectrum. It is not one condition, but rather a broad range of conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication. As a result, these patients can present EMS providers with unique assessment and management challenges. This presentation will explain the autism spectrum, the uniqueness of each part, as well as certain notable characteristics of these patients to consider when performing an assessment and rendering medical treatment. The Naloxone is In... Now What? - Care of the Overdose Patient after Resuscitation presented by Dan Batsie, BA, NREMTP The wave of overdoses associated with the opioid crisis has pushed naloxone into the hands of everyone from bus drivers to school teachers. This important countermeasure in the battle against opioid deaths is an important step, but far too often overshadows the real work that follows the initial administration of the drug. This class focuses on care of the overdose patient after the initial administration of naloxone. In particular, we will focus on the decision to administer additional doses, the side effects of naloxone and recognizing common co-morbidities associated with drug overdose. More importantly, we will describe best practice care for those patients who are successfully resuscitated and include information on social service advocacy and quality provider patient interaction and intervention for the addicted patient. All levels are welcome. REMEMBER WHY presented by Randolph Mantooth Modern technology has given emergency responders incredible tools that help save more lives more than ever before. The Internet and social media have allowed us to instantly share ideas and information with others from all over the world. Johnny and Roy would be envious. Or would they? Randy's presentation will remind us that it's not so much about the "business" as it is about people. Don't miss his inspiring presentation that will lead us back to the heart of why we do what we do.

10 A Special Thank you to the Fort Drum Regional Health Planning Organization, North Country Initiative and Life Net of New York for their support of this conference as Gold Level Sponsors Also, a Special thank you to our Bronze Level Sponsors for their Support!