University of Delaware

Abstracts of Lecture Topics

General
Behavioral Emergencies
Ralph Neil, NREMT-P
(Delaware Bay Room)

Behavioral Emergencies are becoming routine calls for EMS professionals especially on the college campus. This lecture will not only teach the EMS responder what to recognize and be careful of when responding to such an emergency, but how to treat the patient as well, in a manner that is safe for both the patient and the rescuer.

Clinical
Responding to the Victim of Sexual Assult
Gary Hecker RN, EMT, Clinical Educator, Long Island Hospital
(New Amstel Room)

Sexual assault is a traumatic experience for the victim. The interaction between first responders and the victim is a crucial step in the healing process. A negative first experience with health care providers can cause the patient to feel victimized a second time. The purpose of this lecture is to help the provider understand the trauma experienced by sexual assault victims, and how to respond in a supportive manner.

Manager
President's / Chief's Workshop
George Keonig, NREMT-B, President NCEMSF
(Christina Room)

With recent issues and topics flooding the email server, this workshop will give the President's and Cheif's of campus based EMS groups to network in an informal setting. This round table discussion will give administrators and leaders the opportunity to share ideas and problems commonly found in the campus EMS setting.

General
EMS Response to College Research Laboratories
Kevin Eichinger, NREMT-B, Environmental Health Specialist, U of DE Occupational Health & Safety
Krista Murray, MS, RBP, University of Delaware Biosafety Officer
(Christina Room)

EMS response to injuries in college research laboratories present a unique challenge to EMS providers. Not only do EMS personnel need to treat the injury, they are also confronted with the hazardous condition created by the nature of a college research setting and any hazardous material involved. This class will concentrate on the hazards associated with research laboratories and laboratory work and cover response procedures for medical emergencies involving chemical / biological / radiological exposures.

Clinical
Common Street Drugs on the College Campus
Carol Faedkte, RN, BSN
(Delaware Bay Room)

Ecstasy, shrooms, liquid acid, K, CK-1, liquid E, candy flips. Would you associate these names with other common drugs as an EMS provider? Class participants will be given a brief overview of the most common illicit substances that are now being found on college campuses across the country. Discussion within the class will include current trends, terminology, packaging, paraphernalia and precautions that emergency personnel should exercise when dealing with those common street drugs they may come in contact with.

Manager
Interacting with the By-Stander Physician
Edward Dickinson, MD, NREMT-P, FACEP
(New Amstel Room)

There are few situations in out of hospital care as dreaded by EMS providers as encountering an unexpected on-scene physician. Indeed, these situations are rarely a picnic for the by-stander physician either who is attempting to provide patient care in an unfamiliar environment. Clearly, there is a potential benefit to having a physician on the scene of a critically ill or injured patient. However, this benefit may never be realized if on-scene conflicts emerge and over-shadow the common goal of optimal patient care.

General
Crime Scene Preservation
Sgt. Jeff Evans, NREMT-P, DE State Police Aviation Unit
Det. Cpl/2 John R. Evans, BS, Delaware State Police Homicide Unit
(Delaware Bay Room)

What are my responsibilities as an EMT at the scene of a crime? What should I expect to encounter when entering a crime scene? What can and can’t I do while in this special environment? We hope to answer these and many other questions regarding crime scenes and crime scene preservation. Listen as a paramedic and a homicide detective share with you lessons learned on how to handle your dual roles as a health care provider and a crime scene preserver. Several actual cases will be reviewed. Please be advised that some of the slides may be graphic.

Clinical
S.T.A.R.T. Triage
Marianne Bitner, NREMT-P
(Christina Room)

Your EMS pager goes off for a fire in one of the campus fraternity houses. It is 02:15 AM and campus police are on scene reporting 12 people trapped inside with heavy fire showing. They also report 3 people have escaped from the fire but are injured. You and your partner are arriving on scene: What do I do first? Where do I start? How do I triage the victims? Where are the Triage Tags? Who do I treat first? Who goes to the hospital first? How do I make sense out of chaos? Join me in learning the technique of Simple Triage and Rapid Treatment “START”.

Manager
Legal Issues and EMS
Doug Poore, NREMT-P
(New Amstel Room)

How many of you fear the words; "Here is your subpoena". Have you ever wondered; "Can I allow this patient to refuse care?". We all face these dilemmas everyday in EMS. Come hear the latest opinions and actual legal cases that shape the care we provided our patients and what our legal, moral, and ethical obligations are.

General
Injury Prevention & EMS
Karen Neil, NREMT-P, Commander New Castle County EMS
(Delaware Bay Room)

As EMS professionals, we respond to various injuries everyday as a part of jobs. However, not much consideration is put into the prevention of these injuries to our patients and ourselves. This lecture will contain concepts and tricks the provider can learn to prevent injury.

Clinical
Rapid Approach to Lethal Medial Complaints
Edward Dickinson, MD, NREMT-P, FACEP
(New Amstel Room)

Medical patients die acutely for many reasons. All too frequently those who are at the greatest risk for death are those who present with a chief complaint of chest pain, abdominal pain, shortness of breath or syncope/seizure. When confronted with one of these "Four Lethal Chief Complaints" the EMS provider must act quickly and take a vectored approach of history taking and physical examination while always obeying certain "Golden Rules" of patient care. With the assistance of case studies, the student will learn how to quickly assess and initiate treatment of these difficult patients.

Manager
EMS-Fire Service Interface
Effective Use of the Unified Command Concept for Major Incident Management
Lawrence E. Tan, NREMT-P, Deputy Cheif New Castle County EMS
Al Hulsenbeck, NREMT-B, Batallion Chief, City of Wilmington Fire Department
(Christina Room)

Can non-fire department emergency medical services effectively integrate with the fire service? This presentation will outline the Unified Command Concept, and use case studies to illustrate the “lessons learned” from operations with the New Castle County Emergency Medical Service and Wilmington Fire Department. Effective communications, provider safety, and the foundations for mutual respect will be covered during this incident management session.

Delaware Office of EMS Presents:
What’s Hot and What’s Not in the EMS Literature
Edward Dickinson, MD, NREMT-P, FACEP

The medical literature is the “gold standard” of what interventions are “proven” to be of benefit to patients. So much of what we do in EMS has emerged as a result of trial and error and unscientific implementation. This lecture will orient the attendee to the nuts and bolts of how to access and assess the medical literature as it relates to EMS. It will also highlight current articles in the medical literature that show “what’s hot and what’s not”.

This incident is the type of incident that we all train for, but hope we never have to deal with. This presentation will discuss the Texas Aggie Bonfire in its entirety, which will include, but is not limited to: How the Bonfire is built, pre-planning prior to the incident, the initial response, rescue/recovery operations, and post-incident operations.