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PACES Course Description

All breakout session course choices are in person. Classes are limited to 40 attendees unless otherwise labeled.

The courses marked ** are the only choice/option for virtual attendees.

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1ST INNING: WELCOME

WELCOME MWHC Trauma Services and PHI Air Medical


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2ND INNING: GENERAL SESSION - ALL ATTEND

Dr. Aparna Kolli - MWHC Trauma Services

Opening Session: Crush Injury, Compartment Syndrome in Trauma: MWH Level 2 Trauma Center’s own Dr. Aparna Kolli will throw out the first pitch to kick off our 14th annual PACES conference! This class will cover crush injury, crush syndrome, and suspension trauma, addressing how to identify these patients and the latest guidance for field management. Understanding the importance of a team approach will help clinicians integrate these patients into the trauma system of care for the best possible outcomes.


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3RD INNING (Breakout Session 1):

**Lethal Diamond (BLS, ALS, CC, RN): Amy Gulick - MWHC Trauma Services

The concepts surrounding trauma management and damage control resuscitation are continually changing as new research emerges. The "trauma triad of death," hypothermia, coagulopathy and acidosis had been traditionally associated with poor outcomes. Studies have suggested that hypocalcemia may have an integral part in this interaction and thereby a greater risk of mortality in this population. Researchers now suggest adding hypocalcemia into the "triad of death" and creating the theory of the "lethal diamond."

LVADS for Clinicians (BLS, ALS, CC, RN)

“What is that awful alarm?? And why is it coming from my patient!?!” This presentation will prepare the EMS provider of ANY level or ER nurse to feel comfortable to quickly and thoroughly assess patients with Left Ventricular Assist Devices (LVAD) in the field, including troubleshooting common alarms and problems these patients may encounter with their device.

Resuscitation of Septic Shock (ALS, CC, RN): Tanner Purnhagen, CFRN - PHI AirCare 2

This lecture will provide an in-depth look at all aspects of septic shock. A comprehensive review of the history, definitions, and characteristics will be undertaken to provide clinicians with a well-rounded understanding of the disease process. After reviewing fundamental principles, a thorough review of literature backed care and goals will guide clinicians through the labyrinth of sepsis resuscitation.

Pig Lung Lab (BLS, ALS, CC, RN): Gregory Enzler, FP-C - PHI AirCare 4

The Pig Lung Lab provides an opportunity to visualize mechanical ventilation. This class will demonstrate how different modes of ventilation, from simple bag mask ventilation to more complex ventilator modes and settings directly impact the lungs. We will explore differences in volume and pressure ventilation, the impact of PEEP, and the difference in the behavior of healthy vs. diseased lungs. [CLASS SIZE LIMITED TO 20]

Sim Lab (BLS, ALS, CC, RN): PHI AirCare Flight Crew

Put yourself and your team to the test in our Simulation Lab! Challenge yourself and bring your “A” game as you work through real-life scenarios. Each Sim Lab will provide 2 case studies for you to work through as a team to treat patients from field to hospital. Test yourself in your current role or try a scenario from a different perspective. Either way - learning will occur in this fun simulated environment! (The same scenarios will be offered throughout the day, so only sign up for one Sim Lab.) [CLASS SIZE LIMITED TO 15]


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4TH INNING (Breakout Session 2):

**Stroke Update (BLS, ALS, CC, RN): Dr. Arun Chhabra - MWHC Neurology

This presentation will provide a look at the latest advances in stroke patient management and how every part of the healthcare team (That’s YOU!) can have a positive impact on successful patient outcomes. Whether you are an EMT, Paramedic, or Nurse your timely management of these patients can truly save lives.

Emergency Burn Care (BLS, ALS, CC, RN): Dr. Samuel Jones - Burn & Reconstructive Centers of America CJW Medical Center Chippenham Hospital

This lecture covers the initial assessment and stabilization of burn injuries. This comprehensive lecture helps prepare the clinical team to provide initial stabilization for burn patients. Some of the topics covered are degrees of burn injuries, airway injuries and inhalation injuries, initial fluid resuscitation, electrical injuries, chemical injuries, and initial burn wound care.

Advanced 12-Lead ECGs (ALS, CC, RN): Kayla Mace, CFRN - PHI AirCare 6

Learn about the nuances of your interpretation after STEMI vs. Non-STEMI is determined. This class will explore differential diagnosis for the abnormal 12-lead ECG and how to treat your patient. Could that SVT actually be WPW? Does it matter if it is? We will also review Sgarbossa Criteria to interpret ST-segment changes in the presence of a left bundle branch block or ventricular paced rhythms. Other topics will include assessment of a prolonged QT, T-wave abnormalities, signs of a PE, and more.

Field Administration of Blood Products (ALS, CC, RN): Leslie MacQuilliam, CFRN - PHI AirCare 2

With several local agencies considering carrying blood products, this course will provide an overview of the ins and outs of blood administration. It will discuss how to choose which patients require blood, how to administer it properly, and answer all of your questions. [CLASS SIZE LIMITED TO 20]

Sim Lab (BLS, ALS, CC, RN): PHI AirCare Flight Crew

Put yourself and your team to the test in our Simulation Lab! Challenge yourself and bring your “A” game as you work through real-life scenarios. Each Sim Lab will provide 2 case studies for you to work through as a team to treat patients from field to hospital. Test yourself in your current role or try a scenario from a different perspective. Either way - learning will occur in this fun simulated environment! (The same scenarios will be offered throughout the day, so only sign up for one Sim Lab.) [CLASS SIZE LIMITED TO 15]


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5TH INNING: LUNCH


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6TH INNING (Breakout Session 3):

**Pediatric Drowning (BLS, ALS, CC, RN]: Dr. Erin Platter University of Virginia Medical Center

Pediatric drowning can be one of the most stressful situations we see as clinicians. This course will help educate the provider on many aspects involved in these cases to help providers gain knowledge and confidence in treating these patients. We will discuss definitions and epidemiology, as well as pathophysiologic considerations in drowning. Finally, there will be an in-depth discussion on trends in drowning resuscitation and how our evaluation and stabilization strategies can provide the best outcomes for these patients.

Field Ultrasound and Case Studies: (ALS, CC, RN): Dr. Laura Diegelman - Inova Fairfax Hospital & PHI Air Medical OMD

Doing an eFAST field ultrasound on some patients can make the difference between life and death. This presentation will focus on which patients would benefit from having a field ultrasound performed. Several case studies will be used to demonstrate how much of an impact this new assessment tool can provide.

Vasopressors (ALS, CC, RN): Molly Karabinus, CFRN - PHI AirCare 5

You are caring for a patient who is hypotensive, febrile, altered and is showing signs of shock. Your partner states, “I think we need to start a pressor.” But which one!? And why?? This presentation will delve into the pharmacology of multiple vasopressors and their clinical indications based on their pharmacological profile. This will be a quick, informative review on some of the most complex medications we can administer to patients and assist providers in selecting the proper medication(s) for the patients they treat. There’s more to it than just Dopamine!

Airway Lab (BLS, ALS, CC, RN): PHI Air Medical Flight Crew

Whether you are experienced in airway management or just learning, there is something for everyone in this hands-on skills lab. For all providers we will have BVM techniques, airway adjuncts, supraglottic airway insertion. For those who are new to intubation or just want more experience, we will have intubation tips and tricks utilizing direct laryngoscopy and video laryngoscopy. For Critical Care practitioners, we will focus on RSI timing and techniques. There is something for everyone in this session! [CLASS SIZE LIMITED TO 20]

Sim Lab (BLS, ALS, CC, RN): PHI Air Medical Flight Crew

Put yourself and your team to the test in our Simulation Lab! Challenge yourself and bring your “A” game as you work through real-life scenarios. Each Sim Lab will provide 2 case studies for you to work through as a team to treat patients from field to hospital. Test yourself in your current role or try a scenario from a different perspective. Either way - learning will occur in this fun simulated environment! (The same scenarios will be offered throughout the day, so only sign up for one Sim Lab.) [ CLASS SIZE LIMITED TO 15]


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7TH INNING (Breakout Session 4):

**Trauma Arrest (BLS, ALS, CC, RN): Tanner Purnhagen, CFRN - PHI AirCare 2
This lecture will cover the identification and implementation of meaningful interventions in traumatic arrest. Appropriate for all levels of providers, resuscitation strategies from basic to advanced will be reviewed and analyzed. A thorough review of relevant literature will be provided and will lead to intriguing questions regarding classic traumatic arrest care.

MCI – Fredericksburg Nats Stadium (BLS, ALS, CC, RN): Eric Haas, NRP - Federal Bureau of Investigation

The ability to recognize immediate life threats and categorize casualties in a chaotic environment can mean the difference between life and death. We have seen success in these types of environments in highly publicized events like the Boston Marathon bombing and the Las Vegas shooting. But what happens when one of these events happens locally? Are you ready to respond? Do the concepts change when the threat comes from forces of nature or catastrophic failures? The goal of this class is to place students into a large scenario with randomized roles. Follow-on discussion will also include changing perspectives and approaches on handling mass casualty incidents.

Sudden Cardiac Death in Pediatrics (ALS, CC, RN): Dr. George McDaniel - University of Virginia Medical Center - Associate Professor of Pediatrics and Internal Medicine

This presentation will identify several pediatric arrhythmias that cause sudden cardiac death in pediatrics. Long QT Syndrome, Brugada, and Catecholeminic Polymorphic VT are a few of the arrhythmias that will be identified and discussed.

Chest Injuries Lab (BLS, ALS, CC, RN): Dr. Laura Diegelman - PHI Air Medical OMD & PHI AirCare Flight Crew

This hands-on skills lab will focus on reinforcing all techniques that may be useful in helping a patient with chest injuries. We will cover flail chest stabilization, sucking chest wounds, needle chest decompression / SPEAR techniques, and chest tubes. [CLASS SIZE LIMITED TO 20]

Sim Lab (BLS, ALS, CC, RN): PHI Air Medical Flight Crew

Put yourself and your team to the test in our Simulation Lab! Challenge yourself and bring your “A” game as you work through real-life scenarios. Each Sim Lab will provide 2 case studies for you to work through as a team to treat patients from field to hospital. Test yourself in your current role or try a scenario from a different perspective. Either way - learning will occur in this fun simulated environment! (The same scenarios will be offered throughout the day, so only sign up for one Sim Lab.) [CLASS SIZE LIMITED TO 15]


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8TH INNING: GENERAL SESSION - ALL ATTEND

Grand Slam Case Studies (BLS, ALS, CC, RN): MWHC Trauma Services & PHI Air Medical

This closing session will bring everyone back together to recognize several of our local providers (both prehospital and in-house) for knocking it out of the park with their patient care and teamwork. We will present several case studies of recent incidents that demonstrate how we can achieve a positive outcome for patients when we work together as a team.


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9TH INNING: WRAP-UP

MWHC Trauma Services & PHI Air Medical

Closing remarks, course evaluations, door prizes, certificates awarded

Register here

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