Non-Profit Organization U.S. Postage PAID Portland, Oregon … · 2013-08-13 · Neonatal Nurse...

Non-ProfitOrganizationU.S. Postage

PAIDPortland, OregonPermit No. 2303

2 w w w. o r e g o n e m s c o n f e r e n c e . c o m

Embark on New Opportunites

www.RuralMetroOregon.com1790 Front Street NE

Salem, OR 973011-800-989-9993

Rural/Metro® is a national leader in private ambulance and fire protection services in 21 states and nearly 700 communities nationwide, with an operating history that began in 1948. Our EMS professionals provide more than 1.3 million 911 emergency and non-emergency interfacility ambulance transports annually. In September 2012, Rural/Metro launched a first-of its kind pilot of national pre-hospital clinical standards for ST-Elevated Myocardial Infarction (STEMI), stroke, and sudden cardiac arrest (SCA). These programs have placed RMA at the top of its field for innovation and patient care..

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CONFERENCE LOCATION Riverhouse Hotel & Conventon Center3075 N Business 97Bend, OR 97701http://www.riverhouse.com/

866-453-4480 (State you are with the Oregon EMS Conference)

Room rates are available until Monday, September 3, 2013.

Room Rates:$124 - two queen beds or king(plus 10% tax)

Greetings from the Oregon EMS Conference Committee

Welcome to the Oregon EMS Conference in sunny Bend, Oregon. We hope that everyone has had a wonderful year! We are excited about the dynamic speakers that are com-ing and we are honored that you have chosen to attend the Oregon EMS Conference. The committee would like to thank all of you for all the hard work that is done on a daily basis to make EMS great in Oregon. Thank you also for all of the support in making this conference great!

We hope to see you there!

Oregon EMS Conference Committee ChairAnne Slaughter

2013 Brochure Cover Design by

Shawn BrauchSmartfacemedia

Management

Submit your artwork for the design of the front cover of the Or-egon EMS Conference 2014 brochure! The winning artist will receive free registration for the two-day conference.

All artwork is considered a donation to the Oregon EMS Confer-ence for the sole purpose of the cover design of the 2014 confer-ence brochure.

As we may be unable to return submitted materials, please do not include any original artwork, images or documentation.

Email your submission to [email protected] in a JPEG and PDF format before January 2014. The brochure cover page is 8.5 x 11.5 so create your artwork accordingly. Artwork containing reference to any specific angencies will not be con-sidered for selection.

The Oregon EMS Conference committee will review all sub-missions and the winning artist will be notified by email before March 1st, 2014.

Want to show your creativity to the Oregon EMS community?

Calling ALL Artists!

A newcomer to central Oregon, Shawn Brauch joined Jefferson County Emergency Medical Services as an Volunteer EMT Basic in July 2011 after graduating from MHCC. In addition to serving at JCEMS, he is the Creative Director at Smartfacemedia Management in Redmond, Oregon. Smartface’s accounts include: Intel Medical Devices, Nike, OHSU, Warn industries, Precision Cast Parts to name a few. Mr. Brauch’s major design contributions stem from thirteen years in Houston, Texas, where he was Vice-President/Creative Director of Pen and Pixel Graphics, the fourth largest promotions company in the United States. Mr. Brauch holds two degrees. An associates in Interior Architecture from the Art Institute of Chicago and a BFA from Parsons School of Design. Shawn also is a PADI Scuba Instructor and Rescue/recovery diver. [email protected]


Thursday, October 3Pre-Conference

P r e - C o n f e r e n c e s a t a G l a n c e0800 - 1200 Stabilization of the Newborn with Hands-on Scenario Workshop

with Bette Johnson & Randa Bates

0800 - 1200 Cadaver Lab with Dr. Brion Benninger (repeats at 1300)

1300 - 1700 12 Lead ECG with Dana Yost

1300 - 1700 SIM Skils with Life Flight Network and EMS-C

1300 - 1700 Cadaver Lab with Dr. Brion Benninger (repeat of 0800 session)

1830 - 2130 MVA Scenario Review with Dr. Jim Bryan and Life Flight Network

FREE ADMISSION - Open to Public

Stabilization of the Newborn with Hands-on Scenario WorkshopPresenter(s): Bette Johnson & Randa Bates0800 - 1200In this workshop, we will cover the most important elements to ensure safe stabilization and quality transport of the sick newborn; including airway and blood pressure management, thermoregulation, glucose assessment and maintenance, prematurity vs. full-term infants and how to approach each, review of maternal history and discussion of maternal conditions that adversely affect their newborns. We will then put these principles into action by breaking into groups and working through scenarios together as a team using all the information you gained from the workshop. Emphasis during this portion will focus on teamwork, communication and debriefing.Bette T. Johnson, MSN, NNP-BC - Bette is a Neonatal Nurse Practitioner receiving her BSN from Georgetown University and her MSN from the University of Pennsylvania. Her professional career spans over 20 years as a Neonatal Nurse Practitioner having worked in a variety of hospital settings and academic centers primarily in Level III Intensive Care Nurseries. She has held adjunct faculty positions at the Philadelphia College of Osteopathic Medicine and the Medical College of Pennsylvania and is currently practicing as a Neonatal Nurse Practitioner at St. Charles Hospital, in Bend, Oregon in their Level III NICU. Bette is a STABLE core program instructor, as well as, a STABLE Cardiac Module instructor. Her passions outside of work include biking, hiking, cycling, cooking and

traveling.

Randa Bates, RN, BSN, CNPT - Randa has 10 years of experience as a Neonatal and Pediatric Nurse. Currently, she is a Neonatal Flight Nurse at St Charles Health System in affiliation with AirLink CCT in Bend, Oregon. Randa is a STABLE, PALS, and NRP instructor; as well she enjoys small group or one on one educational opportunities. Away from work, Randa can be found enjoying Central Oregon with her two vivacious daughters, amazing husband and crazy dog.

Demonstrating the Anatomical Architecture of Emergency Procedures (Cadaver Lab)Presenter: Dr. Brion Benninger0800 - 1200 (repeats at 1300)Using a human cadaver, common emergency procedures will be demonstrated. Attendees will have the opportunity for hands-on participation. Following each specific demonstration, further dissection will be conducted to support the theory of the subject technique. Controversies regarding these techniques will be discussed. The following emergency procedures will be included, but other procedures may be incorporated: Emergency airway (Cricothyrotomy and Intubation); Carotid massage; Cardiac massage/resuscitation;

Scalene block for upper limb trauma; Supraclavicular tamponade to control upper limb bleeding; Thoracentesis; Pericardiocentesis; Emergency relief of tension pneumothorax; Paracentesis; Acute organ trauma; Peripheral venous access (neck, upper limb, lower limb); Arterial pulses. Space is limited so register early!Brion Benninger, MD MSc, trained in England in surgery and trauma. Also received Masters in Sports Medicine and was Chief Medical Officer for motorcar and motorbike racing, and physician to National teams. Worked at Queen’s Medical Center, Nottingham, England, busiest emergency room in Europe. During residency training was mentored by Sir Harold Ellis (Surgeon and Clinical Anatomist). Research interests include clinical anatomy, soft tissue rehabilitation, and anatomy education for health care professionals. Teaches clinical anatomy to surgical residents, medical, dental, and allied health students at OHSU. Has edited and authored several texts which include Netters Atlas 5th Edition, Parrot vs. the Architect, Visual Human Dissector, and a new dissection manual and a head and neck clinical anatomy text released in 2011. Has mentored several students and taken 70 clinical anatomy research projects during the last four years to national conferences and sits on multiple national committees.

Register Online - Easy, quick & convenient!Visit: www.oregonemsconference.com


12 Lead ECGPresenter: Dana Yost1300 - 1700Staying on the cutting edge of 12 Lead ECG Interpretation is a constant challenge for all Prehospital providers. We will look at the newest recommended Non-STEMI patterns that deserve your attention. You’ll get first hand thought processes looking at multiple 12 leads from the same patient in several real-life scenarios. This exercise helps you build experience from experts. SVT with Aberrancy vs. Ventricular Tachycardia and Axis Deviation and Hemiblocks will be simplified for the purposes that are useful to Paramedics. We will break down this complicated topic and make it useful in everyday practice. You’ll leave this training session with easy quantitative measures that will help you tell the difference between SVT with aberrancy and ventricular tachycardia. Dana A. Yost, Senior Paramedic- Redmond Fire Department – Medic One Division, King County, WA.Dana Yost is a Firefighter & Senior Paramedic for the City of Redmond, Washington. He graduated from the University of Washington School of Medicine – Harborview Paramedic Program in Seattle Washington, in 1996 and has been part of severalresearch efforts in King County, Washington, both as Investigator, Co-Investigator and as a contributing participant. His primary professional interests center on Cardiology, Trauma and Paramedicine. Dana is also consulting for Resurgent Biomedical LLC, a consulting firm specializing inbiomedical work related to resuscitation and emergency medicine. Dana lives in the beautiful Pacific Northwest with his wife Shawna. They enjoy their two adult children, traveling, hiking and gardening. PALS-AHA Instructor & Regional Faculty for Seattle’s Children’s Hospital The Washington

Thursday, October 3Pre-Conference

continued

State National Faculty for ACLS, A BLS Instructor, Surgical Airway Instructor, 12 Lead ECG Instructor for the King County

Real-Life Patient Assessment, Management & Safety-SIM LabPresenters: Life Flight Network Flight Crew, and James Bryan, M.D., and his team of medical professionals. Sponsored by Life Flight Network, and Oregon EMS for Children Program1300 - 1700Come and experience cutting edge hands-on training that is as close as you can get to managing a real medical emergency by utilizing the very latest technology in high-fidelity pediatric and adult mannequins. This track has something to offer everyone. EMRs, EMTs, AEMTs, Intermediates, Paramedics, and Nurses will have the opportunity to practice skills working side by side just as you do in the field in a real time, from first response, to transport, to arrival at the hospital. This is the training that will help you with patient care in your future. Space is limited, so don’t miss this opportunity to participate in a challenging, fun, dynamic and real life hands-on training experience.The Life Flight Network Flight Crew and James Bryan, M.D., and his team of medical professionals will provide a set of scenarios that demand quick thinking, timely assessments and recognition of injury or illness, patient packaging, airway management, and medication dosing. You will have instant feedback as the mannequins respond to interventions you initiate – as well as helpful notes from the physicians and clinical support team.

Demonstrating the Anatomical Architecture of Emergency Procedures (Cadaver Lab)Presenter: Dr. Brion Benninger1300 - 1700 (repeat of 0800 session)See bio and descriptions on page 5.

MVA Scenario Review 1830 - 2130 FREE ADMISSIONPresenter: Dr. Jim Bryan and Life Flight Network CrewJoin us for an exciting and educational evening of case reviews and active audience participation with Dr. Jim Bryan. A MVC was recreated and video recorded with a combination of live patients and Sim-Manikins used to produce true to life outcomes. Come and see firsthand how your fellow responders treated and transported these “injured” patients.You will have the ability to examine the call step by step as Dr. Bryan and his staff review the call from beginning to end. The audience will have the opportunity to participate in the review of the scenario through an audience response system. Other cases combining both medical and trauma will be reviewed in an informal atmosphere with active audience participation. This educational experience is free and open to all. Popcorn and a NO HOST bar will be available.Jim Bryan, MD, PhD, is the medical director for Life Flight Network and a staff emergency physician at the VA Medical Center and Oregon Health & Science University in Portland. He previously served as medical director for the OHSU/OIT Paramedic Education Program for 14 years. Dr. Bryan has presented at multiple EMS conferences in Oregon, Washington, and Idaho on the topics of cardiac resuscitation and EMS pharmacology.

www.oregonemsc.org


Conference at a Glance - Friday, October 4, Day 10700 - 0745 FRIDAY REGISTRATION -- BREAK IN THE EXHIBITOR HALL

0800 - 0920 General Session - I Miss the Circus, Not the Clowns-My 35 years in EMS with Paul Werfel

0930 - 1700 Resuscitation Academy (Annual meeting of agency physicians, the Oregon Health Authority and EMS Managers)

0925 - 1025 Simple Rules of Trauma Assessment with Paul Werfel

0925 - 1025 Beyond Autopilot - Dealing with the Death of a Child with Sarah House

0925 - 1025 Sand Fever and Other Diseases of the Oregon Coast with Eric Swanson (repeats at 1100)

1025 - 1055 BREAK IN THE EXHIBITOR HALL

1100 - 1200 Tot Talk-Tricks of the Trade to Effectively Communicate with Pediatric Patients with Sarah House

1100 - 1200 Heart Attack & Women: Is There a Gender Bias? with Paul Werfel

1100 - 1200 Sand Fever and Other Diseases of the Oregon Coast with Eric Swanson (repeat of 0925)

1200 - 1340 LUNCH BREAK IN THE EXHIBITOR HALL

1345 - 1445 Outside the Spotlight - Providing Care Beyond the Acute Head Injury with Sarah House

1345 - 1445 When is Enough Enough? The Quest for Resuscitation Endpoint with Mike Smith

1345 - 1445 Forgotten Infectious Diseases We Should Remember with Dr. John Chunn

1450 - 1530 BREAK IN THE EXHIBITOR HALL

1535 - 1635 The Responder Personality-Our Greatest Strengths Can be Our Greatest Weaknesses with Tim Dietz

1535 - 1635 Becoming Superman, Conquering the Fear of Pediatric Patients with Sarah House

1535 - 1635 The Wrong Stuff: Inhalant Abuse with Mike Smith

1640 - 1730 General Session -- Streetsense! with Mike Smith

Friday Evening

1830 - 1845 NO HOST COCKTAILS

1845 - 1900 Seating

1900 - 2130 Oregon EMS Trauma Systems Awards Attire: Business or Dress Uniform


Friday, October 4Conference Day 1

General SessionI Miss the Circus, Not the Clowns-My 35 years in EMSPresenter: Paul Werfel, MS, NREMT-P0800 - 0920

Paid or volunteer, what is it about this Wild West show called Emergency Medical Services that attracts us? The money? The camaraderie? What are the changes that have been seen in EMS in the last 35 years? Led by long time educator and author, Paul Werfel, participants will systematically examine the milestones, good and bad, in EMS and examine old things that were considered ground breaking, at least for a while.Paul brings three decades of EMS experience to the paramedic program. In addition to fourteen years as a NYC Paramedic, Professor Werfel has served as: The Program Coordinator for Advanced Cardiac, Trauma and Pediatric life support at the Emergency Care Institute at Bellevue Hospital-NYU Medical Center in New York City. He is an expert writer for the National Standard EMT-Intermediate/Paramedic Curriculum revision project, and, a founding Board of Directors Member of the National EMS Educator’s Association. He is a frequent standard of care expert for litigation involving EMS practitioners and systems. Frequently featured on videos and radio programs, Professor Werfel is a member of the editorial board for EMS World Magazine and for many years held the same position with JEMS magazine, authoring the “Ask the Educator” column on the JEMS web site as well as primary author for the “Case of the Month” column In JEMS magazine for seven years. He lives in Port Jefferson New York with his wife and three children.

Simple Rules of Trauma AssessmentPresenter: Paul Werfel, MS, NREMT-P0925 - 1025

Most assessment presentations today are all day affairs with endless lists of things to remember. It is not surprising that the stuff is hard if not impossible to remember. If only someone had decided on several rules or commandments that would make the job easier. That day has come, please join JEMS Case of the Month author Paul Werfel in this new and insightful look into patient assessment. We will present you with 20 (easy to remember)“commandments” to better assess your most troublesome patients.See bio on this page.

Beyond Autopilot - Dealing with the Death of a ChildPresenter: Sarah House, MICT0925 - 1025

How would you want to be told that your child has died? Do you want to sit down? Do you want to hear about the events leading up to? Or would you just prefer they blurt it out? As a healthcare provider, these are all thoughts we have pondered when we consider how we are going to handle a death notification. Fortunately, these circumstances rarely involve children. When they do, it adds an extra level of difficulty. Healthcare providers are educated on how to recognize signs of death, how to resuscitate, and when not to. Educating providers on what to do after that determination has been made has been grossly overlooked. This presentation will guide providers down the path of dealing with one of the most difficult situations they will encounter in their career.Ms. House has served several roles in EMS over the past 15 years. Currently, she is educating healthcare professionals across the nation on a variety of pediatric

topics. She draws from her experience working as the Program Manager for the Emergency Medical Services for Children Program, and her previous field experience for hospital, county and private based EMS Services, to provide a unique and fresh perspective to pediatric emergency Medicine.

Sand Fever and Other Diseases of the Oregon Coast Presenter: Eric Swanson, BBA, NREMT-P0925 - 1025 (repeats at 1100)

Focuses on the pre-hospital clinical presentation, causes, diagnosis, and treatment of the multi-system trauma patient. This case-based, interactive, fast-paced lecture is designed to assist the pre-hospital provider in the management and treatment of the trauma patient. Every participant will learn three must-haves to improve the overall care and treatment of the critically injured trauma patient.Eric Swanson is a Nationally Registered, and Oregon Licensed Paramedic. He serves as the Director for EMS, Clinical Laboratory, Diagnostic Imaging, and Emergency Preparedness for Adventist Health - Tillamook Hospital, a Critical Access Hospital. In addition to 29 years of experience in EMS, he has served in Law Enforcement for 24 years and is the Commander of the Reserve Unit for the Tillamook County Sheriff’s Office. Eric holds an MBA with an emphasis in Health Care Administration and is a member of the American College of Healthcare Executives.



Over 600 EMRs, EMTs, Paramedics, Nurses and Physicians are members of OEMSA…

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OREGON EMS ASSOCIATION

Advocating for Oregon’s Lifesavers since 1974.

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Free OEMSA membership offered to Oregon EMS Conference attendees with purchase of NAEMT membership for only $30!

That’s a $20 savings just for attending the conference!

All NREMT-Paramedics must complete a state approved EMT-P to Paramedic Transition course to be registered for National EMS Certification as a Paramedic (NRP) within their next two recertification cycles. By completing this course, you will satisfy this mandated CME requirement for Oregon and Washington. You will also complete the 32 continuing education topical hours from the required

Paramedic Transitional Refresher Course Winter Term 2014

Call 971-722-6674 or visit http://www.pcc.edu/climb/health/ Email: [email protected]

four divisions of Mandatory Core Content and five divisions of Flexible Core Content that are equivalent to a Paramedic Refresher Course. When united with completion of an 8 hour ACLS Renewal Course and an 8 hour PALS renewal Course (qualifying for 16 hours of additional Mandatory Core Content), the program meets the intent of the NREMT and USDOT 48 Hour Paramedic Refresher Course, as required in Section 1 of the NREMT-P Requirements. NOTE: you may elect to enroll for the entire course or for individual modules to meet your recertification needs.


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Continued

Tot Talk-Tricks of the Trade to Effectively Communicate with Pediatric PatientPresenter: Sarah House, MICT1100 - 1200

Everyone remembers a time when they could have approached a call differently for a better outcome. Building a rapport is essential in caring for children, but often a trial-by-fire experience. Participants will learn from the insight and experiences of others to prevent the most common mistakes in communicating with children.See bio on page 8.

Heart Attack & Women: Is There a Gender Bias?Presenter: Paul Werfel, MS, NREMT-P1100 - 1200

We all know that women are different from men. But when women suffer heart attacks are the symptoms different? Are demographics like mortality and morbidity the same? Do women get adequate treatment? Join JEMS Case of The Month Author Paul Werfel for an in depth look at the gender-gap in heart disease and its treatment.See bio on page 8.

Sand Fever and Other Diseases of the Oregon Coast Presenter: Eric Swanson, BBA, NREMT-P1100 - 1200 (repeat of 0925)

Focuses on the pre-hospital clinical presentation, causes, diagnosis, and treatment of the multi-system trauma patient. This case-based, interactive, fast-paced lecture is designed to assist the pre-hospital provider in the management and treatment of the trauma patient. Every participant will learn three must-haves to improve

the overall care and treatment of the critically injured trauma patient.Eric Swanson is a Nationally Registered, and Oregon Licensed Paramedic. He serves as the Director for EMS, Clinical Laboratory, Diagnostic Imaging, and Emergency Preparedness for Adventist Health - Tillamook Hospital, a Critical Access Hospital. In addition to 29 years of experience in EMS, he has served in Law Enforcement for 24 years and is the Commander of the Reserve Unit for the Tillamook County Sheriff’s Office. Eric holds an MBA with an emphasis in Health Care Administration and is a member of the American College of Healthcare Executives.

Outside the Spotlight - Providing Care Beyond the Acute Head InjuryPresenter: Sarah House, MICT1345 - 1445

Headlines across the nation are shining a light on head injuries. Overwhelming national concerns regarding concussions have spurred a frenzy of education for healthcare providers, coaches, and parents on assessment, treatment of the acute injury, and return to play guidelines. This education is having a profound impact on patient outcomes. However, the acute injury is just the tip of the iceberg. This presentation will step away from the traditional clinical approach to concussions and open your mind to a bigger picture by looking at the continuum of care, the missing links, and what your role is throughout the process. See bio on page 8.

When is Enough Enough? The Quest for Resuscitation EndpointPresenter: Mike Smith, BS, MICP1345 - 1445

This clinical presentation is geared for ALS providers and Nurses. Based on over 20 years of research publications, a variety of resuscitation issues are touched on, as you get to track the efforts to pin down just exactly at what point have we successfully resuscitated our patients. Put on your thinking caps for this one!Mike Smith has over 40 years in EMS, 20 of those working as a street medic. He has worked for all facets of services; fire based, hospital based and private as well. He has over 300 publications, including co-authoring seven textbooks. He is one of the lead authors and co-editors of the Emergency Care in the Streets Paramedic textbook a mainstay of Pre-Hospital Education. He is the sole author of ACLS for EMT-Bs and has written the monthly column “Beyond the Books:” for EMS World Magazine.

Forgotten Infectious Diseases We Should RememberPresenter: Dr. John Chunn1345 - 1445

When was the last time you saw measles, mumps, whooping cough or meningitis? Have you ever seen them? In this course we will review some of the infectious diseases which are now uncommon, but are beginning to reappear due to changing immunization adherence and global travel.John Chunn, MD, FAAP: Pediatrician and Infectious Disease consultant in Central Oregon since 1976 with particular interest in immunizations. Remains active in rugby and all outdoor endeavors.




Continued

The Responder Personality-Our Greatest Strengths Can be Our Greatest WeaknessesPresenter: Capt. Tim W. Dietz, MA, EMT-P (retired)1535 - 1635

The personality that draws us to the EMS Field, can set us up for a “bad day.” Learn simple tools to help us re-look at how we do our jobs.Tim retired in 2008 after 28 years in the fire service where he dedicated his career to not only understanding and helping victims of traumatic events, but building resistance and resilience to stress, and aiding in the stress recovery of the responding rescuers as well. He is author of the book “Scenes of Compassion; a Responders Guide for Dealing with Emergency Scene Emotional Crisis” and his crisis response/death notification programs have gained attention across the United States and Canada. Currently he is the CEO/owner of Behavioral Wellness Resources, a consulting/counseling firm catering to the behavioral

wellness needs of emergency response organizations and individuals, and works with first response agencies in developing the “Culture” so responders feel comfortable seeking help. He has a small private practice and lives in Oregon’s beautiful wine country.

Becoming Superman - Conquering the Fear of Pediatric PatientsPresenter: Sarah House, MICT1535 - 1635

Children are supposed to be healthy, happy and active little critters. Realistically this is not the case when we are called to respond. Caring for children who are sick and injured can be intimidating for the most veteran healthcare providers. Most people have heard the phrase, “Pediatrics are not small adults” countless times. This phrase has cast a negative impact on providers that have not been given the tools and resources necessary to overcome the anxiety of caring for children. This lecture will venture through upbeat and positive approaches for healthcare providers to constructively conquer their fears and improve pediatric patient outcomes.See bio on page 8.

The Wrong Stuff: Inhalant AbusePresenter: Mike Smith, BS, MICP1535 - 1635

This unique talk focuses on the growing problem of inhalant abuse in every community in our country. Using a case-based model, some of the most commonly abused inhaled substances are reviewed including the clinical presentation, field management and safety concerns for the EMS provider. Mike Smith has over 40 years in EMS, 20 of those working as a street medic. He has worked for all facets

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of services; fire based, hospital based and private as well. He has over 300 publications, including co-authoring seven textbooks. He is one of the lead authors and co-editors of the Emergency Care in the Streets Paramedic textbook a mainstay of Pre-Hospital Education. He is the sole author of ACLS for EMT-Bs and has written the monthly column “Beyond the Books:” for EMS World Magazine.

General SessionStreetsense!Presenter: Mike Smith, BS, MICP1640 - 1730

Streetsense is a fun and extremely practical presentation that has a 3-part focus, looking at communications skills, safety concerns and control issues and methods. Mike will utilize what he has seen and learned in over 20 years as a street provider to keep you safe and enjoying your chosen field.See bio on this page.

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Conference at a Glance - Saturday, October 5 Conference Day 2

0700 - 0745 SATURDAY REGISTRATION - COFFEE IN THE EXHIBITOR HALL

0800 - 0910 General Session - Ventricular Fibrillation: Why Does a Benign Rhythm Kill? with Mike Levy

0915 - 1015 EMS & Healthcare Transformation with Mark Stevens

0915 - 1015 Legal “Highs” & Designer Drugs: The Good, the Bad and the Ugly with Dr. Paul Rostykus

0915 - 1015 Why is BVM the Go-To BLS Airway Device When You Can Have BVM on a Stick? with Mike Levy

1020 - 1120 Community Paramedicine and Alternate Transport Destinations with Doug Kelly

1020 - 1120 Live From the Street: Interactive Case Studies-Geriatric with Mike Helbock

1020 - 1120 You Can’t Help Anybody If You Die On The Way To The Call with Gary Heigel

1130 - 1300 LUNCH BREAK IN THE EXHIBITOR HALL

1305 - 1405 OB/Gynecology Emergencies - A View From the South Side with Mike Helbock

1305 - 1405 EMS-E.D. Communications: Why Can’t We Just Get Along? with Gary Heigel

1305 - 1405 Hematology, Nothing but the Whole Bloody Truth with Liz Hatfield-Keller

1415 - 1515 Putting “Some English” into the EMS Use of Glucose for Hypoglycemia with Dr. Paul Rostykus

1415 - 1515 Pharmacology in Newborns: Maternal Drugs Affecting Infant Outcomes with Bette Johnson & Randa Bates

1415 - 1515 Sand Fever & Other Diseases of the Oregon Coast with Eric Swanson (repeat of Friday sessions)

1515 - 1530 BREAK

1530 - 1700 General Session - Holy VF Batman, do we have a Rhythm? with Mike Helbock

Conference at a Glance - Sunday, October 6 Post Conference

0700 - 0745 SUNDAY REGISTRATION - COFFEE/BEVERAGE PROVIDED

0800 - 1200 Puzzle Patients with Michael Farmer; Diabetic Emergencies & Chemical Suicide Awareness with Michael Heffner; Skills Proficieny with Scott Cooper

Mission Statement - Oregon EMS ConferenceTo provide the highest quality educational conferences for EMTs of Oregon, respecting the

diversity of the settings in which they work and drawing from all walks of service to develop curricula that are well balanced and relevant.


Saturday, October 5Conference Day 2

General SessionVentricular Fibrillation: Why Does a Benign Rhythm Kill? Simple Approaches to Saving LivesPresenter: Michael Levy M.D. FACEP, FACP 0800 - 0910

Dr. Levy has been making out-of-hospital cardiac resuscitation his priority for the past several years. The first response agencies around the Anchorage area have been implementing many of the newest trends in Pre-Hospital care. In this presentation Dr. Levy will review the “simple” lifesaving skills. Simple in this presentation does not mean that they are easy to attain across your organization. He will present insight into how you must adopt, adapt, plan and train and help define the true chain of survival: Do skills beyond BLS really change outcomes? Dr. Levy will discuss “Sexy” strategies versus those that are known to work and how to avoid those distractions and focus those skills that do work. This presentation will dispel many myths and bring facts to the discussion of how your community can truly save lives.Michael Levy M.D. FACEP, FACP is the first and current medical director for the Anchorage Fire Department. He was first appointed to the position in 1995. He has long had the privilege to be involved in EMS from rural, remote, urban, military, medevac to urban from Chicago to the Navajo Nation and for the last two decades in Alaska. His goal in EMS is to enable providers to improve the outcome of their patients through education, training and evidence. After completing undergraduate studies in Molecular, Cellular and Developmental Biology at the University of Colorado Boulder, he attended medical school at Northwestern University Medical School. He completed residencies in Emergency Medicine and Internal Medicine and is board certified

in both. He practices emergency medicine and EMS medicine in Anchorage, Alaska.

EMS & Healthcare TransformationPresenter: Mark Stevens0915 - 1015

The debate over healthcare reform is over and a massive paradigm shift has begun. CCOs, alternate destinations, community paramedics, outcome-based service and a whole new glossary of terms will modify the way we do business. How do we provide patient care in this new world? Chief Stevens will share insights on how to integrate and thrive in this changing environment.Mark serves the public as a Division Chief at Tualatin Valley Fire & Rescue (TVF&R), where he oversees the EMS provided to their citizens, and the Occupational Health & Wellness of TVF&R firefighters. He obtained his BA from George Fox University and has 30+ years’ experience as a paramedic and educator. He currently serves as President of the EMS Section of the Oregon Fire Chiefs Association. He and his wife have six children, (four adopted from birth) and a dog named Crash.

Legal “Highs” & Designer Drugs: The Good, the Bad and the UglyPresenter: Dr. Paul Rostykus0915 - 1015

Humans use a wide-variety of psychoactive (mind altering) substances, some legal and unregulated, some legal and regulated, and some illegal. Synthetics, including bath salts and synthetic cannabinoids, were developed from plant products and are used increasingly throughout the world. Learn about some of these synthetics, how their use may manifest and be treated by EMS, what is being done to control their use, and what new synthetic drugs may be developed through the “wonders of modern chemistry”.Paul Rostykus, MD, MPH is and

has been an EMS Supervising Physician in Southern Oregon for more than 20 years. Dr. Rostykus has been active regionally (director of the annual State of Jefferson EMS Conference), in Oregon EMS (initiating and coordinating the twice yearly Oregon EMS Forums, State EMS Committee, EMS Vision 2012 Workgroup, Oregon Medical Board EMS Advisory Committee) and with the National Association of EMS Physicians (NAEMSP). Dr. Rostykus enjoys the outdoors in the State of Jefferson (teleskiing, rafting, kayaking, hiking, running, morel hunting), so far has not hurt himself too badly and has been able to help some of his friends who have suffered a wrist fracture, a shoulder dislocation, head lacerations, and a cardiac arrest.

Why is BVM the Go-To BLS Airway Device When You Can Have BVM on a Stick?Presenter: Michael Levy M.D. FACEP, FACP 0915 - 1015

Dr. Levy will review the use of BVM in the field and discuss some pertinent questions. Why is this our “basic” EMS Skill? Whata are the associated challenges? What are the potential risks and benefits? An in-depth review of the available alternatiaves to the current crop of airway devices requires that we redefine our basic approach to the critical patient.

See bio on this page.

Community Paramedicine and Alternate Transport DestinationsPresenter: Doug Kelly1020 - 1120

A discussion of community paramedicine projects and how they affect EMS and the health care industry.Doug Kelly is a Division Chief for Redmond Fire & Rescue. Doug works for Redmond Fire & Rescue managing all aspects of Emergency Medical Services. He has presented at conferences around the state


including the American College of Cardiology Conference, Oregon Stroke Network Conferences, OHA EMS/Trauma Webinar, and the Governor’s Pandemic Flu Conference. He actively sits on the Oregon Medical Board EMS Advisory Committee, the POLST Registry Advisory Committee, East Cascades Emergency Medical Services Council, St. Charles Bend HEART1 and STROKE1 Committees among many others.

Live From the Street: Interactive Case Studies-GeriatricPresenter: Mike Helbock M.I.C.P., NREMT-P, SEI1020 - 1120This session will deal with multiple “live “interactive video case studies. Videos and cameras were actually put on the rigs and “live” scenes were shot! Together, we will offer the initial assessment, scene development, develop a Sick/Not Sick decision

and treat the patient by offering both BLS and ALS interventions. Cases will include medical, trauma, adults and geriatics…Mike Helbock is currently a Washington State Certified/Nationally Registered Senior Paramedic and the Director of EMS Training and Education - EMS Associates and a Clinical Educator in Prehospital Medicine at Seattle/King County EMS, Division of Emergency Medicine. Mike has worked for 28 years as a firefighter/paramedic for the City of Bellevue Fire Department (Washington), until his service retirement. His highly acclaimed training style and diverse training experience has allowed for a wide variety of educational opportunities. Mike authors and produces his entire curriculum. He continually evaluates his performance as an educator and develops new and innovative ways to educate students in emergency medicine and evaluates how the students apply this knowledge to field performance.

You Can’t Help Anybody If You Die On The Way To The CallPresenter: Gary Heigel1020 - 1120

Motor vehicle crashes involving ambulances are responsible for numerous injuries and death, and immeasurable amounts of suffering every year. Most are completely preventable. This presentation identifies the patterns, predictable causes and contributing factors involved in emergency vehicle crashes and challenges all participants to take steps personally to reverse this trend.See bio on page 18.


Saturday, October 5Conference Day 2

Continued

OB/Gynecology Emergencies - A View From the South SidePresenter: Mike Helbock M.I.C.P., NREMT-P, SEI1305 - 1405Through a series of “live” interactive videos, this emergency field delivery course is designed to help EMS personnel develop rapid patient assessment skills and better understand which patients can deliver in the field (or not). After attending this class, you will have a strong understanding of the initial assessment of the pregnant patient and determine whether this patient is a candidate for a field delivery! Discuss scene survey, identify the chief complaint of the pregnant patient, describe the clinical picture, and discuss proper patient positioning and the proper field delivery categories (Yes or No).See bio on page 17.

EMS-E.D. Communications: Why Can’t We Just Get Along?Presenter: Gary Heigel1305- 1405EMS providers and Emergency Department personnel are all working towards the same goals, but we often have different priorities, pressures, and expectations. This presentation outlines the differences, emphasizes our similarities, and includes recommendations for how we can all be more effective in our communication. By improving communication and coordination between our disciplines, we are all able to provide better patient care. This lecture was first presented at the State of Jefferson EMS Conference in Medford, OR in March, 2012.Gary Heigel is the Department Chair of Emergency Services at Rogue Community College (RCC) in Southern Oregon. Gary has been a paramedic since 1984 and has extensive experience in both urban and rural EMS systems. During his career, he has been a Paramedic, a Field Training Officer, a Field Supervisor, a Flight Medic, and an Operations Director. Since 2004, he has been the Paramedic Program Director at RCC.

Hematology, Nothing but the Whole Bloody TruthPresenter: Liz Hatfield-Keller1305 - 1405A review of illnesses and conditions related to too little blood, too much blood, and when it doesn’t do what is supposed to. The emergencies associated with these conditions, and the treatment needed. Will cover such items as anemia, thrombocytopenia, neutropenia, coagulopathies and blood replacement products. Should be a bloody good time.Liz Hatfield-Keller,MD, FACEP, is working at the Veterans Administration Emergency Department, and is a staff physician in the Emergency Department at OHSU, where her duties include providing On-Line Medical Control to paramedics in Multnomah, Clackamas, and Washington counties. She is also an Associate Medical Director for Multnomah County EMS. In the past, Liz served as a field paramedic for ten years and as an Emergency Dept RN at Providence Portland. Liz has also been a field training officer, coaching and critiquing performance. Her history with the EMS System provides her with intimate knowledge of the entire scope of prehospital care, continuing care in the ED from the perspective of nursing care and physician treatment, through discharge of the patient.

Putting “Some English” into the EMS Use of Glucose for Hypoglycemia Presenter: Dr. Paul Rostykus1415 - 1515

“1 amp of D50” is a very standard EMS response for the treatment of hypoglycemia. Now that D50 is very limited or unavailable what are our alternate treatments? Understand the basics of human glucose metabolism, the rationale for the use of D50 and what other treatment options exist. Is it time for us to change how we emergently treat hypoglycemia?See bio page 17.

Pharmacology in Newborns: Maternal Drugs Affecting In-fant OutcomesPresenter: Bette Johnson & Randa Bates1415 - 1515

In this 60 minute session, we will focus on phamacodynamics in the newborn period; discuss common drugs used in the NICU and also drugs used during labor and delivery that can have both a positive and/or negative impact on the newborn.See bios on page 5.

Sand Fever & Other Diseases of the Oregon CoastPresenter: Eric Swanson1415 - 1515 (repeat of Friday sessions)Focuses on the pre-hospital clinical presentation, causes, diagnosis, and treatment of the multi-system trauma patient. This case-based, interactive, fast-paced lecture is designed to assist the pre-hospital provider in the management and treatment of the trauma patient. Every participant will learn three must-have’s to improve the overall care and treatment of the critically injured trauma patient.See bio on page 8.

General SessionHoly VF Batman! Do We Have a Rhythm?Presenter: Mike Helbock, M.I.C.P., NREMT-P1530 - 1700Even our caped crusaders can improve their outcomes. Experience firsthand Mike and his crack team of Central Oregon providers perform High Performance-CPR (HP-CPR) in a live demonstration. Following this demonstration Mike and his team will rewind the resuscitation and break it down into reviewable components. This is one General Session you don’t want to miss. See firsthand how you can effect a change of culture in your organization and save more lives with proven outcomes. You will leave this session with the confidence to go back to your organizations and communities and produce real outcomes without additional staff, equipment or medications.See bio on page 17.


passion for EMS has not diminished since his retirement. He currently still maintains his EMT (Basic) certification and is adjunct faculty in the emergency services training program at Chemeketa Community College where he has been involved in their EMT (Basic) program since 1984. He is now the lead instructor for their EMT program. When Mike isn’t busy teaching EMS, he spends what little time he has, walking, gardening, and listening to music. He is an avid student of holistic medicine and Roman military history.Michael Heffner, B.S., Paramedic is a Captain with the City of Salem Fire Department where he is assigned to one of Oregon’s 13 regional hazardous materials (HAZMAT) response teams. He is the father of a Type 1 Diabetic child which has given him new insight to the challenges of managing this disease. Michael also teaches EMS, HAZMAT response, and hospital first receiver classes throughout Oregon.Scott grew up in Portland and resides in Vancouver, Washington. During his career he has worked in all sectors of EMS; private, hospital and fire-based ambulance services; Scott has turned his passion into instruction and has taught at all levels for Chemeketa, Portland and Clackamas Community Colleges as well as OHSU/OIT paramedic program. Along with the numerous instructor certifications: PHTLS, Emergency Pediatric Care; Traumatic Brain Injury; Basic Disaster Life Support; ACLS, BLS, PALS; Neonatal Resuscitation and Advanced Burn Life Support Provider, NFPA Fire Instructor II he is instructing an online medical terminology classes. Scott is an active member many EMS Associations. He has received many awards for his performance in EMS. When he isn’t teaching or spending time with his daughter, you can find him playing drums with many of the local Pipes & Drum Corps, especially during St. Patrick’s Day.

Sunday, October 6Post Conference

BLS Post ConferencePresenters: Michael Farmer, Michael Heffner, and Scott Cooper0800-1200

Come and take part in a dynamic combination of three distinct training programs.In years past this program has exceeded the students expectations with more in-depth training geared for the BLS provider.This year along with Scott Cooper and Mike Farmer, Mike Heffner joins the team to bring a new approach to HAZMAT Awareness with a strong focus on chemical suicide awareness that includes a live demonstration (using safe chemicals, of course.) Mike Heffner will also incorporate his “Diabetic Emergencies....or are they?” to help BLS responders decipher the differences between caring for Type 1 and Type 2 Juvenile Diabetes.Scott and Mike will be bringing back their hands on “Puzzle Patients” and “Real Life Skills Proficiency” where the student will have to determine the underlying cause and appropriate treatment in a hand on format.Students will pick two (2) of the four offerings. Class 1-4. All classes are two hours in length and start at 8:00 AM.

1. Skills Proficiency-Real Life Training (2) hours Presenter: Scott CooperScott’s classes are always dynamic and hands-on. In this track you will boost your EMS confidence participating in live, practical training. By utilizing scenarios on real patients, involving hands-on training and engaging dialogue they all add up to the knowledge and skills you will use

when managing medical and trauma patients. This program will have a strong focus on pediatric patients. 2. “Diabetic Emergencies....or are they?” (2) hours Presenter: Michael HeffnerAs a father of a Type 1 diabetic child, Mike brings a candid view to his presentation “Diabetic Emergencies....or are they?” He will try to demystify Type 1 vs. Type 2 as well as explain the different types of insulin to help BLS personnel have a better understanding how to treat these patients. 3. Puzzle Patients (2) hours Presenter: Michael Farmer Mike takes small group scenarios and makes them interactive aimed at challenging the BLS provider to think “outside the box.”Be prepared to put your assessment and treatment skills to the test while dealing with trauma and medical patients that don’t necessarily present like you might expect. 4. Chemical Suicide Awareness (2) hours Presenter: Michael HeffnerThe chemical suicide phenomenon that’s happening at a rate of once per week across the country is a real challenge to the BLS provider. EMS personnel and healthcare professionals will hear the methods of chemical suicide, how to recognize it, and how to avoid becoming a victim. The class will cover all of the OSHA-mandated competencies to count the class a HAZMAT awareness refresher for EMS personnel. A safe re-creation of this tragedy using helium will be demonstrated.Michael Farmer, with over 35 years in EMS, retired from the Salem Fire Department in 2009 at the rank of Captain. During Mike’s tenure with SFD he was a Paramedic, EMS training officer, and a SWAT medic for the Salem Police Department. Mike’s

Oregon’s Educational Transition Guide for EMS Provider Relicensure will be distributed at the conference in conjunction with your Continuing Education tracking booklet.


Stabilization of the Newborn (8a-12p)

ALS

Unfortunately, purchase orders cannot be accepted.

CONFERENCE FEES & OFFERINGSPre-Conference Workshops-Thursday Oct. 3

$109

SIMS Skills (1p-5p) $ 69Cadaver Lab (Repeat of AM)(1p-5p) $109MVA Scenario Review (6:30p-9:30p) FREE

Two-day Conference, Friday & Saturday, Oct. 4 & 5Registration on or BEFORE 9/21/13

Registration (Includes T-shirt & Banquet) $249

Registration AFTER 9/21/13 and on-siteRegistration (Includes T-shirt & Banquet) $299

Select T-shirt size*

Select Banquet choice:Chicken BeefI will not be attending banquet

Student Rate before 9/21/13 $139

Student Rate after 9/21/13 $179

Extra Banquet Dinner Tickets (guests)- Friday night Awardsx $38 each

Qty of:

TOTAL AMOUNT ENCLOSED $

You may also mail-in or fax your conference registration. On-site registration will be accepted only if space permits. Fax the form and credit card payment to 503-926-9297, or mail form and check (payable to OREF) to: Oregon EMS Conference

Teresa Sielsch - PO Box 30148 Portland, OR 97294

Register Electronically Online. Quick, easy, convenient! More Payment Options!

Visit www.oregonemsconference.com

Refunds and Cancellations: Refunds will be given, less a $25 processing fee, if OREF is notified at the above phone number, mailing address, or FAX at least 10 working days prior to the start of the conference. Thereafter, NO refunds will be issued. If you cannot attend, you may send a substitute in your place provided that we are notified 5 working days prior to the conference. Thereafter, NO substitutions will be made.

Please indicate your area(s) of interest:

EMPLOYER/AGENCY AFFILIATION As you would like to have it written on your name badge. (Please limit to 30 characters, printed clearly)

LAST NAME FIRST NAME M

STREET ADDRESS CITY STATE ZIP

EMAIL ADDRESS (Please print clearly) DAY PHONE EVE. PHONE

I WISH TO PAY BY: CHECK (PAYABLE TO OREF) VISA MASTER CARD

CREDIT CARD # EXPIRATION DATE

CARDHOLDER NAME CARDHOLDER SIGNATURE

Check here if you do NOT want your name, address, and phone number supplied to the conference exhibitors.

STUDENT REGISTRATIONS MUST BE SUBMITTED BY MAIL or FAX! Registration Student Rate: Student must be enrolled in an EMT, AEMT, Intermediate, or Paramedic program (Summer or Fall 2013). You MUST supply a copy of your official registration/schedule for verification along with the conference registration form. For questions about eligibility, please contact Mark Hornshuh at 971-722-5570. There are no discounted rates for pre-conference workshops. The student rate does not include T-shirt or Friday awards banquet. Please purchase a dinner ($38) if you would like to attend the banquet, noting your meal preference. Mail your registration and your student documentation to Oregon EMS Conference, T Sielsch, PO BOX 30148, Portland, OR 97294 or fax to 503-926-9297 or email to [email protected]

Scholarships: A limited number of scholarships are available. Please visit www.oregonemsconference.com for more information.

ILS BLS Educator/Mgr

Chicken Beef

Qty

Today's Date:

M L XL XXL

$ 6912 Lead ECG (1p-5p)

Cadaver Lab (8a-12p)

$ 69

S XXXL

Vege

Vegetarian

See page 19 in brochure for schedule (8a-12p)$59

Post-Conference Workshops-Sunday Oct. 6

Register online electronically for more payment options! ONLY VISA/MC or check with mail-in or fax registration.

Email: [email protected] Telephone: 503-781-9405

Oregon EMS Conference 2013 Registration

Select T-shirt size* M L XL XXLS XXXL

Select Banquet choice:Chicken BeefI will not be attending banquet

Vegetarian(see below to purchase extra banquet tickets)

(see below to purchase extra banquet tickets)

$$

$

$

$

$

$

$

$

$

$

$

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Oregon EMS ConferenceTeresa Sielsch, RegistrarPO Box 30148Portland, OR 97294

Oregon EMS ConferenceTeresa Sielsch, Conference RegistrarPO Box 30148Portland, OR 97294

PLACE STAMP HERE

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -FOLD HERE- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

PLATINUM - DONATION $2,500 and above

AirLink Critical Care TransportBend, OR

American Medical Response/ NWPortland, OR

Life Flight NetworkAurora, OR

Metro West AmbulanceHillsboro, OR

ODOT Transportaton Safety DivisionSalem, OR

REACH Air Medical ServicesCorvallis, OR

Rural Metro AmbulanceSalem, OR

2013 Conference ContributorsGOLD - DONATION $1000-$2499

Oregon EMS AssociationSandy, OR

Oregon State Ambulance Assoc.Portland, OR

Salem Hospital Trauma Services Salem, OR

State EMS for Children Program Portland, OR

SILVER - DONATION $500-$999

Mercy FlightsMedford OR

Sky Lakes Medical CenterKlamath Falls, OR

BRONZE - DONATION $499 and below

Blue Mountain Hospital

John Day, OR

Dufur Volunteer Fire & AmbulanceDufur, OR


On behalf of the Oregon EMS Conference and the EMTs of Oregon, we would like to thank the following people and organizations for their generous contributions of time and effort.

Jan Acebo, Paramedic - REACH Air Medical Services Scott Alt, Paramedic - Salem Fire Department Stacey Durden, AirLink Critical Care Transport Philip Engle - EMS & Trauma Systems/EMS for ChildrenMichael Farmer, EMT - Chemeketa Community College Katie Hartley, Paramedic - Rural Metro Ambulance Don Heckathorn, Paramedic - Jefferson County EMSD Elizabeth Morgan, Paramedic - Oregon Health Authority Mark Hornshuh, BS, Paramedic - PCC, Banks Fire District Dave Lapof, EMT Mid-Columbia Fire & Rescue David Long - Oregon Research & Education Foundation Aaron Monnig, BA, Paramedic - Rural Metro Ambulance Bob Renggli - Rural Metro Ambulance Teresa Sielsch - Sielsch & Associates, Conference Registrar Anne Slaughter, BS, Paramedic - Life Flight Network Lindsay Steele - Life Flight Network Jennifer Stoner, EMT - American Medical Response Pete Tracy - Life Assist, Inc. Bernie Zollner, BS, Paramedic - Life Flight Network

Conference Scholarships Available!The ODOT, Transportation Safety Division is providing a grant offering a limited number of scholarships to cover registration for the 2013 EMS Conference! The scholarship amounts will be the $249 tuition for the two day conference. Scholarships will be given to support those who may otherwise not be able to attend.Scholarships will be awarded to 10 Oregon residents responsible for EMS in rural/non-urban Oregon who respond to motor vehicle crashes and/or provide prehospital and/or hospital care to motor vehicle crash victims, especially pediatric patients. As the Transportation Safety funds are targeted for motor vehicle and highway safety, we recommend that scholars primarily attend sessions that relate to motor vehicle crashes, such as Real Life Patient Assess-ment, MVC Scenario review, Providing Care Beyond the Acute Head Injury and other classes that meet CEU requirements. Apply now on line at the conference website www.oregonemsconference.com. Applications must be received by end of day Monday, AUGUST 19, in order for the selection process to be completed and applicants to be contacted so they may plan their attendance arrangements. Early applica-tion is encouraged. Apply now on-line at the conference website www.oregonemsconference.com

Scholarships Available visit

www.oregonemsconference.comThe Oregon State Ambulance

Association is a group of dedicated emergency ambu-lance service providers from around the state. Member-ship is comprised of both private and public members

with the mission to work collaboratively on legislative and operational issues. The association makes these scholar-ships available to encourage better trained EMTs of all

levels throughout the state.

T.R. Hilton Memorial ScholarshipThe Oregon EMS community lost a valuable member this year. In recognition of TR’s contribution to EMS in the State of Oregon, the Oregon EMS Conference Committee is establishing a new scholarship in his name. Please

visit www.oregonemsconference.com for more information on how to apply.

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