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PACES Course Description

GENERAL SESSION

Feature Presentation: The Princess Bride featuring Dueling Trauma Surgeons

Dr. Kolli & Dr. Narayana will face-off in a duel of experiences as Trauma Surgeons. Each surgeon will try to outdo the other in a battle “to the pain” of cases they have handled in their career. Some crazy circumstances, some lessons learned… All entertaining.


Breakout Session 1:

Mission Possible: Management of Aortic Aneurysms (Tanner Purnhagen)
ALS, Critical Care, RN

Thoracic Aortic Aneurysm (TAA) is a clinically silent disease process... until it’s not! This lecture will review the epidemiology, etiology, diagnosis and management of TAA. An in-depth review of current literature will accompany best practice guidelines and recommendations for treatment. Emphasis will be placed on the hemodynamically unstable patient and emergent care of the TAA patient in extremis. A brief review of open vs endovascular repair as well as ongoing management will also be provided.

Weekend at Burnie’s: Burn Resuscitation & Airway Management (Hugh Cline)
BLS, ALS, Critical Care, RN

This course will provide a practical approach to burn resuscitation and airway management in the burn patient. You will learn how to apply and manage current fluid resuscitation guidelines in the pre-hospital settings. Burn patient present some challenging airway management as well, so we will discuss some options for best practices in managing these difficult situations. We will finish off with information on carbon monoxide and cyanide poisoning to discuss how these situations affect your burn patient and how you can initiate treatment in the field.

Flatliners: Sudden Cardiac Arrest and Post Resuscitation Care (Molly Karabinus)
BLS, ALS, Critical Care, RN

Sudden cardiac arrest and post-resuscitation care: When seconds count, are you ready to respond? Sudden cardiac death (SCD) has an incidence rate of 1-2 cases per 100,000 in those under the age of 35. In this course we will review common etiologies of SCD for younger individuals including cardiomyopathies, Burgada syndrome, and Wolf-Parkinson-White syndrome. Additionally, treatment, transport considerations, post resuscitation care and the continued care of these patients once they reach the ER doors and beyond will be discussed.

Wayne’s World: Virtual Cadaver Lab (Wayne Perry)
BLS, ALS, Critical Care, RN

Have you always wanted to attend a Cadaver Lab, but were worried about the smell of Formaldehyde? Or that you may be grossed out? Welcome to the Virtual Cadaver Lab at REMS Council where Wayne Perry will take you on a in-depth tour of the human body. This Lab will give you insight on many of the conditions referenced in other lectures at this year’s PACES conference – such as the large vessels of an LVO Stroke, airway anatomy and lung tissue, the heart and aorta. This is guaranteed to be an eye-opening experience!

Turner & Hooch: K9 Care for First Responders (Dean Thompson) (Breakout 1 & 2)
BLS, ALS, Critical Care, RN

**PART 1 OF 2

How first responders can assist law enforcement with recognizing and treating police K9 injuries and medical emergencies as well as TRIAGE/transport options. You will learn the similarities and differences in medical treatment of the police K9 from BLS to ALS. There will be live K9 hands-on for demonstrations, vitals, ECG and landmark recognition.

Ferris Bueller’s Day Off in the Trauma Lab (Dr. Corey Wright)
BLS, ALS, Critical Care, RN

This hands-on lab will be led by the Mary Washington Hospital Chief of Trauma Services, Dr. Corey Wright.

The Great Escape: Escape Room (Bob Page)
BLS, ALS, Critical Care, RN

Internationally acclaimed edutainer Bob Page is returning to PACES this year to host an Escape Room! Groups of all levels and experiences will work together to assess patients to find clues that unlock equipment and treatments to save your patient. But work fast, the clock is ticking! Can you save your patient in time to escape certain death?!?


Breakout Session 2

Clue: Chest Pain Differentials (Amy Dahart)
ALS, Critical Care, RN

Clinical assessment is critical for patients presenting with chest pain. It is key to determining which tests and interventions are necessary to successfully treat your patient. Not every patient with chest pain is having a heart attack. Not every patient having a heart attack is having chest pain. This lecture will review multiple chest pain differentials and the associated workup for each as well as review current AHA recommendations. Case studies are based on actual patients and will address multiple differentials and treatment protocols.

Tremors: Seizures (Molly Karabinus) ALS, Critical Care, RN

All that shakes is not created equal! In this course we will be discussing various types and causes of seizures, including the acute management of status epilepticus in the field, post-seizure care, diagnostics for seizure patients, and treatments on the horizon those suffering from epilepsy.

Wayne’s World: Virtual Cadaver Lab (Wayne Perry)
BLS, ALS, Critical Care, RN

Have you always wanted to attend a Cadaver Lab, but were worried about the smell of Formaldehyde? Or that you may be grossed out? Welcome to the Virtual Cadaver Lab at REMS Council where Wayne Perry will take you on a in-depth tour of the human body. This Lab will give you insight on many of the conditions referenced in other lectures at this year’s PACES conference – such as the large vessels of an LVO Stroke, airway anatomy and lung tissue, the heart and aorta. This is guaranteed to be an eye-opening experience!

Turner & Hooch: K9 Care for First Responders (Dean Thompson) (Breakout 1 & 2)
BLS, ALS, Critical Care, RN

**PART 2 OF 2

How first responders can assist law enforcement with recognizing and treating police K9 injuries and medical emergencies as well as TRIAGE/transport options. You will learn the similarities and differences in medical treatment of the police K9 from BLS to ALS. There will be live K9 hands-on for demonstrations, vitals, ECG and landmark recognition.

Edward Scissorhands: Airway Lab (Avi Naryana)
ALS, Critical Care, RN

Mary Washington Hospital’s Trauma Surgeon, Dr. Avi Naryana will lead this hands-on Airway lab, focusing on performing Cricothyroidotomy. This procedure is thankfully not utilized often, but you certainly want to prepared and ready if you should ever need to!

The Great Escape: Escape Room (Bob Page)

BLS, ALS, Critical Care, RN

Internationally acclaimed edutainer Bob Page is returning to PACES this year to host an Escape Room! Groups of all levels and experiences will work together to assess patients to find clues that unlock equipment and treatments to save your patient. But work fast, the clock is ticking! Can you save your patient in time to escape certain death?!?

Boss Baby: Using HandTevy to Manage Pediatric Patients (Mary Benson)
BLS, ALS, Critical Care, RN

HandTevy is becoming the nationwide standard for EMS agencies. This program utilizes your protocols and gives you the accurate dosage of any medication you need in an emergent setting. Let’s face it, pediatrics are inherently stressful and doing math for these little ones in a stressful situation can do more harm than good. Learn about how this program takes away the math and gives you a quick guide to all things pediatric, including medication dosages, vital sign parameters and equipment size and selection.


Breakout Session 3

Million Dollar Baby: Peds Cardiac (Cameron Johnson and Sam Stuart)
BLS, ALS, Critical Care, RN

As emergency and critical care providers we rarely get to choose which patients we encounter. Neonatal and Pediatric patients can be complex especially those with congenital heart defects. Parents are typically great historians and can guide us on treatment plans while other times what we do doesn’t work. This presentation will look at congenital heart defects and taming “Something The Lord Made” with PGE/INO, ECMO, or surgical interventions.

Lord of the Pelvic Ring: Abdominopelvic Trauma (Cody Winnaford)
BLS, ALS, Critical Care, RN

In the last few years, pelvic binders have become the standard of care for patients suspected of pelvic fractures. But should they be placed on every patient who complains of pelvic pain in a traumatic situation? In this course, you will learn the pros and cons of placing a pelvic binder, exactly what it’s purpose is, and which patients would benefit from this intervention. And, we will answer the age-old question: Is a sheet good enough?

Frankenstein: Hemorrhagic Stroke (Brittany Hill)
ALS, Critical Care, RN

This class will provide a review of intracranial hemorrhage assessment and management for EMS and hospital clinicians. Discussion will surround early identification and treatment of increased intracranial pressure. We will also cover management of invasive monitoring equipment to include external ventricular drains and intracranial bolts.

Wayne’s World: Virtual Cadaver Lab (Wayne Perry)
BLS, ALS, Critical Care, RN

Have you always wanted to attend a Cadaver Lab, but were worried about the smell of Formaldehyde? Or that you may be grossed out? Welcome to the Virtual Cadaver Lab at REMS Council where Wayne Perry will take you on a in-depth tour of the human body. This Lab will give you insight on many of the conditions referenced in other lectures at this year’s PACES conference – such as the large vessels of an LVO Stroke, airway anatomy and lung tissue, the heart and aorta. This is guaranteed to be an eye-opening experience!

The Sixth Sense: Stethoscopy Lecture & Lab (Breakout 3 and 4): (Bob Page)
BLS, ALS, Critical Care, RN

**PART 1 OF 2

How much did you pay for your stethoscope? How much training and lab time did you get in the proper use of the stethoscope? If you are like most providers, you will admit that it is usually inadequate. This is a hands on (ears on) session that includes a description of the stethoscope and how to use it properly. The highlight of the lab is when you will actually hear real breath sounds through your own stethoscope!

Babe: Pig Lung Lab (Greg Enzler)
BLS, ALS, Critical Care, RN

This hands-on lab will use actual pig lungs to demonstrate the physical effects of BVM ventilation and PEEP on the lungs. You will get to see how your ventilation strategies and recruitment maneuvers impact lung tissue to provide optimal ventilation to your patients. You will also get to compare the behavior of healthy lungs to diseased lungs. This is an impressive lab to be able to see how your care of a patient makes a significant impact.

Risky Business: Vent Lab Basics (Tanner Purnhagen)
ALS, Critical Care, RN

Intro to Mechanical Ventilation will review the basic principles and pearls of invasive ventilation. A review of the equipment needed, basic setup, and an introduction to settings will be provided. Case studies will be presented along with how to troubleshoot the most common alarms. A review of relevant literature will provide the basis for recommended best practice.


Breakout Session 4

Scarface: Traumatic Airway (Cody Winnaford)
ALS, Critical Care, RN

In this course, we will review recent studies on Airway management that will have you questioning everything you thought you knew about quickly dropping an ET tube. You will learn techniques for improving pre-oxygenation to set yourself (and your patient) up for a successful 1st pass tube placement. Several case studies will demonstrate this material and highlight the need to update your airway routine.

Planes, Trains and Automobiles: Preparing Your Patient for Flight (Mary Benson)
BLS, ALS, Critical Care, RN

From the dreaded square backboards to preparing for RSI, get all of the details on what to and what not to do to prepare for flight crew arrival. This course isn’t just for ground EMS, it’s also for nurses and techs in the hospital setting. Learn the tips and tricks to help expedite transport and work with and not against our aircraft.

Speed: Stroke Management (Amy Cantwell & Christina Rauch)
BLS, ALS, Critical Care, RN

There are few patients as time-sensitive as a large vessel occlusion stroke patient. This class will help you understand how to quickly assess and determine an LVO stroke in the field and streamline your processes to get these patients to lifesaving surgery as quickly as possible. Whether you are a nurse in the ER or an EMT of any level in the field, you will learn how Speed is your most valuable skill for helping these patients not only survive, but live productive and healthy lives.

Wayne’s World: Virtual Cadaver Lab (Wayne Perry)
BLS, ALS, Critical Care, RN

Have you always wanted to attend a Cadaver Lab, but were worried about the smell of Formaldehyde? Or that you may be grossed out? Welcome to the Virtual Cadaver Lab at REMS Council where Wayne Perry will take you on a in-depth tour of the human body. This Lab will give you insight on many of the conditions referenced in other lectures at this year’s PACES conference – such as the large vessels of an LVO Stroke, airway anatomy and lung tissue, the heart and aorta. This is guaranteed to be an eye-opening experience!

The Sixth Sense: Stethoscopy Lecture & Lab (Breakout 3 and 4): (Bob Page)
BLS, ALS, Critical Care, RN

**PART 2 of 2

How much did you pay for your stethoscope? How much training and lab time did you get in the proper use of the stethoscope? If you are like most providers, you will admit that it is usually inadequate. This is a hands on (ears on) session that includes a description of the stethoscope and how to use it properly. The highlight of the lab is when you will actually hear real breath sounds through your own stethoscope!

Babe: Pig Lung Lab (Greg Enzler)
BLS, ALS, Critical Care, RN

This hands-on lab will use actual pig lungs to demonstrate the physical effects of BVM ventilation and PEEP on the lungs. You will get to see how your ventilation strategies and recruitment maneuvers impact lung tissue to provide optimal ventilation to your patients. You will also get to compare the behavior of healthy lungs to diseased lungs. This is an impressive lab to be able to see how your care of a patient makes a significant impact.

The Mask: Vent Lab for BiPAP and CPAP (Tanner Purnhagen)
Critical Care, RN

Intro to Non-Invasive Ventilation will provide an overview of non-invasive respiratory support. The indications, contraindications, pathophysiology, initial settings and ongoing adjustments will all be reviewed. All information provided will be based on the best practice guidelines put forth in the recent literature. By the end of the activity providers will be able to differentiate CPAP vs BiPAP, understand the principles behind their use as well as how to adjust settings to maximize successful therapy. A brief review of high-flow nasal cannula will also be provided.


GENERAL SESSION - ALL ATTEND

An Afternoon on the Red Carpet

We will close out the conference this year with an Afternoon on the Red Carpet, recognizing many clinicians who have put forth an Oscar-worthy performance in the practice of caring for patients. No formal gowns required!

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