Harvard EMS: Interface Between Out-of-Hospital & Hospital-Based Providers 2024

Harvard EMS: Interface Between Out-of-Hospital & Hospital-Based Providers 2024

2024 Course Overview

This course is a 2-day, 17-hour course that provides participants with the knowledge and skills to expand their knowledge of out-of hospital medicine. Through a dynamic and interactive format, the course focuses on lecture, panel, and QA-based formats to optimize provider knowledge around the pre-hospital system and the hospital’s integration with EMS. This course is designed for physicians, PAs, NPs, and RNs who interact with the prehospital health care system frequently, likely emergency, critical care, or internal medicine providers. This course is also designed for EMTs, paramedics, and other pre-hospital care providers who would like to gain knowledge in EMS-hospital systems integration.

Harvard EMS: Interface Between Out-of-Hospital & Hospital-Based Providers 2024

The goal of this course is to teach providers to improve their EMS knowledge on:

• EMS certification, scope of practice, and limitations of different provider levels.
  EMS system design and systems of care.
  Protocols and online medical control with basic federal/regional rules and regulations.
  Provider awareness of their responsibilities and liability for medical control, as well as interfacility transportation.
  Awareness of upcoming controversies and expansions in EMS.

Who Should Attend

• Emergency Physicians
• Critical Care Physicians
• Hospitalists
• Specialty Physicians
• Physician Assistants, Nurse Practitioners, Nurses
• EMTs, paramedics, and other pre-hospital care providers

Learning Objectives

Upon completion of this activity, participants will be able to:

• Identify EMS provider-level scope of practice and limitations.
  Explain basic EMS system organization.
  Recognize provider and hospital legal responsibilities and risks related to EMS.
  Understand helicopter vs ground EMS capabilities and limitations.
  Apply knowledge to choose the optimal transport modality for patients.
  Learn about mass casualty and disaster incidents and how hospital based providers participate and integrate into systems.
  Identify and appraise upcoming EMS controversies and potential for expansion.

All agenda sessions are in Eastern Time.

Monday, November 18, 2024
Day One
7:45 – 8:00 AM

Welcome
Stephen Thomas, MD; Christie Fritz, MD, MS

8:00 – 9:00 AM

Keynote: Pre-hospital Preservation of Circulating Volume and Minimizing Blood Loss
Tim Harris, MD

9:00 – 9:40 AM

History of EMS
Matt Bivens, MD

9:40 – 9:50 AM

Break

9:50 – 10:10 AM

Prehospital Provider Types
William Porcaro, MD

10:10 – 10:30 AM

EMS System Types/Design
Daniel Willner, MD, MPH

10:30 – 11:10 AM

Systems of Care (Trauma, STEMI & Stroke)
Nichole Bosson, MD, MPH, FAEMS

11:10 AM – 12:00 PM

Medicolegal Pitfalls & EMTALA
Jonathan Burstein, MD

12:00 – 12:55 PM

Lunch

12:55 – 1:20 PM

IFT vs Scene Response
Colby Redfield, MD

1:20 – 2:00 PM

Online Medical Control Pearls
Christie Fritz, MD, MS

2:00 – 2:25 PM

Prehospital Cardiac Arrest
Jason Cohen, DO

2:25 – 3:00 PM

ECMO, Advanced Cardiac Topics
Paul Rees, MD

3:00 -3:25 PM

HEMS Safety/Selection
Ira Blumen, MD

3:25 – 4:00 PM

Pearls and Pitfalls of IFT
Andrew Reimer, RN

4:00 – 4:55 PM

Panel – Challenges/Choosing the Optimal Transport Mode
Moderators: Lincoln Zernicke, MD; Christie Fritz, MD, MS; Stephen Thomas, MD
Panelists: David Schoenfeld, MD; Edward Ullman, MD; Jonathan Burstein, MD; Andrew Reimer, PhD, RN, CFRN; Jason Cohen, DO; Matt Bivens, MD

4:55 – 5:00 PM

Learning Points of Day 1
Christie Fritz, MD, MS; Stephen Thomas, MD

Tuesday, November 19, 2024
Day Two
7:45 – 7:50 AM

Welcome
Christie Fritz, MD, MS; Stephen Thomas, MD

7:50 – 8:45 AM

Translating Prehospital Research to Clinical Practice: Airway and Transfusion
Henry Wang, MD, MS, MPH

8:45 – 9:25 AM

Pediatrics in EMS
Caitlin Farrell, MD

9:25 – 9:40 AM

Patient Safety in the Out-of-Hospital Setting
Russell D. MacDonald, MD, MPH, FCFP, FRCPC, DRCPSC

9:40 – 10:15 AM

Cutting-Edge Care and Controversies in Pre-Hospital Medicine
Russell D. MacDonald, MD, MPH, FCFP, FRCPC, DRCPSC

10:15 – 10:20 AM

Break

10:20 – 10:50 AM

Out of Hospital Cessation of Resuscitation
Daniel Davis, MD

10:50 – 11:30 AM

EMS Procedures: Intubation & the Ultrasound Debate
Sam Galvagno, MD; Jonathan Shecter, DO

11:30 AM – 12:10 PM

Mass Casualty Incidents
Paul D. Biddinger, MD, FACEP

12:10 – 12:45 PM

Lunch

12:45 – 1:15 PM

Politics in EMS and the ED
Jeff Goodloe, MD

1:15 – 1:45 PM

Mobile Integrated Health & Future Topics
David Schoenfeld, MD

1:45 – 3:00 PM

Military/Tactical Medicine (three 15-min presentations + panel)
Bill Justice, NRP, TEMS-I; Michael McCartin, MD; Lt. Commander Paul Roszko, MD

3:00 – 3:55 PM

Disaster Medicine
Greg Ciottone, MD, FACEP, FFSEM

3:55 – 4:55 PM

Panel Discussion: Advanced Cases in EMS
Moderators: Jordan Rudman, MD; Christie Fritz, MD, MS; Stephen Thomas, MD
Panelists: David Schoenfeld, MD; Edward Ullman, MD; Russell D. MacDonald, MD, MPH, FCFP, FRCPC, DRCPSC; Jeffrey M. Goodloe, MD, FACEP, FAEMS; Adam Kaye, MD

4:55 – 5:00 PM

Learning Points of Day 2
Stephen Thomas, MD; Christie Fritz, MD, MS