Rom Duckworth
Presentation catalog

Clinical: Special Populations

7 programs  ·  Full abstracts and learning objectives below

In this category

It Takes All Kinds

Trauma Care in Special Populations.

Description: Caring for patients with severe traumatic injuries can be difficult enough but what do you do when your patient is very young, very old or very pregnant or very large? “Special populations” is the term we use to identify patients for whom we need new tools and different rules for trauma care. This program shows you how to ensure an informed size-up, systematic assessment and delivery of effective, prioritized trauma care for the most challenging patients that you’ll encounter.

Learning objectives

  • Current and emerging recommendations for prehospital trauma care for all patient populations.
  • The special considerations and dangers of traumatic injuries specific to pediatric, geriatric, bariatric and pregnant patient populations.
  • Rapid identification, assessment, prioritization and care for traumatic injuries to pediatric, geriatric and pregnant patients.

Stroke in the Very Young

*Big numbers for little people.*.

Description: Already the leading cause of disability in the US, shocking new information shows incidents of ischemic stroke increasing more than 50% in children from 5 to 14 years old since 1995. In younger patients (under 45 years old) there have been similar leaps among all types of stroke. Despite these increases many of victims go undiagnosed due the mindset that they are simply “too young for stroke”. This program improves our understanding, awareness, assessment, care and coordination to help EMS provide better outcomes for all victims of cerebrovascular accidents. In this session we explain the startling reasons behind these dramatic numbers, what EMS can do about them and the diagnostic approach that catches what others often miss in newborns, very young children and younger victims of stroke.

Learning objectives

  • The incidence rate of stroke in patients under 45, including pediatrics and neonates.
  • The differences and similarities in presentation, assessment, treatment and outcome of young victims of stroke versus their older counterparts.
  • Pathophysiology and differentiation of embolic, thrombotic, hemorrhagic strokes and stroke imitators.
  • Stroke specific assessment techniques including Pre-hospital and In-Hospital Stroke Scales.
  • The role of the EMS provider in the identification, assessment and care of pediatric cerebrovascular accidents.

Tots “Too Hot!” - The Cute, The Bad and The Ugly of Pediatric Fever

Description: Elevated temperatures in pediatric patients are some of the most common, and often frustrating types of calls in EMS. Are the parents over-reacting? Are we under-reacting? This presentation illuminates what causes fever, how it can help or harm a child, what problems it can cause or be caused by, how to differentiate critical vs benign fever and how to choose the best care for pediatric patients with elevated temperature.

Learning objectives

  • Define normal and abnormal thermoregulation in pediatric patients.
  • Obtain accurate thermometry through a variety of methods.
  • Differentiate of exogenous vs endogenous pyrogens.
  • Clinically compare / contrast “Febrile Seizure” vs “Seizure with Fever”
  • Identify special concerns for pediatric fever including patients with sickle cell disease, poor cardiac reserves, poor respiratory function and immune-compromised or immunosuppressed patients.

Super Sick Kids

The Surprising Truth about Pediatric Septic Shock.

Description: In the United States each year approximately 72,000 children develop severe sepsis, approximately 6,800 of whom will die. Many of these cases may include missed or delayed diagnoses. As an EMS provider, you play a decisive role in the identification and early treatment of these critically ill children. This program will show EMS providers how to identify, assess, and begin treatment for pediatric patients with sepsis as well as how to coordinate care with emergency department and critical care staff. This program is intended for both advanced and basic providers whether working or not your EMS system currently has formal sepsis alert protocols. Learn the latest updates and take home the knowledge of how you can make the biggest difference for our littlest patients.

Learning objectives

  • Identify infection-related triggers for sepsis and septic shock.
  • Identify the key physiological indicators of pediatric sepsis.
  • Recognize and assess pediatric victims of sepsis.
  • Provide appropriate pre-hospital treatment and coordination with in-hospital staff for pediatric victims of sepsis.

Pediatric Cardiac Arrest

What we get wrong. How we can do better.

Description: There are few emergency calls that evoke the emotion of a child in cardiac arrest. As caregivers, we know we have a responsibility to give this patient the best possible chance for resuscitation. Do we rush to the hospital or resuscitate early on scene? Do we prioritize airway or epinephrine administration? Do we focus on ventilation, or does too much ventilation decrease circulation? New, practical, EMS-focused research is helping us make better decisions on-scene to help our littlest, most critical patients. This program evaluates the latest information and focuses on helping ALS and BLS providers leave bad habits behind and focus on what we now know we can do better to make a real difference in pediatric cardiac arrest.

Learning objectives

  • Cognitive: Describe the key emergency care priorities for the management of pediatric cardiac arrest.
  • Cognitive: Identify priority medications in pediatric cardiac arrest.
  • Psychomotor: Demonstrate how to calculate pediatric medication doses for cardiac arrest.
  • Affective: Explain the advantage of resuscitation on scene in terms of rapid establishment of airway, breathing, circulation, and priority medication administration.

The ABC’s of Geriatrics

A Focus on Fundamentals to Prevent Cardiac Arrest.

Description: How can we best care for our oldest and most fragile patients? We put a lot of work into education and practice in the management of cardiac arrest, but what if we focused more on identification and correction of the factors that may lead to cardiac arrest? When we do this for geriatric patients it can lead to significantly improved outcomes. This program focuses on pre-hospital management of geriatric peri-arrest factors with the goal of avoiding cardiac arrest and, if the worst happens, optimizing BLS and ALS resuscitation care.

Learning objectives

  • Cognitive: Describe the effects of senescence on the cardio-respiratory systems of the body.
  • Cognitive: Differentiate and prioritize circulation, oxygenation, and respiration.
  • Psychomotor: Demonstrate how to “elevate and oxygenate” a patient prior to / in conjunction with ventilation.
  • Affective: Defend the decision-making process for selection of airway management tools and techniques in a variety of clinical scenarios.
  • Affective: Explain the rationale for coordinated CPR efforts

The Silent Majority

Geriatrics in the New Millennium.

Description: The proportion of the elderly in America is greater today than ever before and is growing even larger. What’s more, the elderly tend to be our sickest and most challenging patients. What signs and symptoms may indicate common disease processes, the normal signs of aging or special needs of the geriatric patient? How do you deal with the special needs of the geriatric patient? With a focus on every aspect of caring for your patient, this presentation answers your questions so that you’ll love what you learn.

Learning objectives

  • The importance of an especially thorough assessment on geriatric patients.
  • Differentiation between normal signs of aging and disease processes.
  • The impact of psychosocial issues on medical conditions.
  • Why geriatric patients present common medical conditions in unusual ways.
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