1 EMS WEEK 2015 MAY 17 23
2 ACEP MEDICAL EDITOR Michael Gerardi, M.D., FACEP STAFF Rick Murray, EMT-P Pat Elmes, EMT-P (ret.) Peggy Brock Lori Foley Susan Spradlin Debra Fly REDFLASH GROUP PROJECT MANAGER Greg Gayman EDITOR Carole Anderson Lucia ART DIRECTOR Dan DiPinto PRODUCTION COORDINATOR Gigi DeWeese EDITORIAL ASSISTANT Joanne Magday STAKEHOLDER OUTREACH Jeff Berend CONTENTS 2 Welcome From ACEP and NAEMT 6 What Is EMS Strong? What matters more: the stuff on the outside of a uniform, or the stuff on the inside? 12 The Evolution of EMS As we celebrate EMS Week, we look back at the ways EMS has changed over the past four decades and even the past four years. 22 How Do You Celebrate EMS Week? National EMS Week is the perfect time to honor your local EMS professionals and promote awareness of their everyday service to the public. Here are eight inspiring ways EMS organizations from across the country are celebrating EMS Week this year. 28 EMS On The Hill Day A guide to the largest advocacy event for EMS. 36 Save the Date Take advantage of these special events and programs to gain recognition for your EMS program and for the professionals who are integral to its success. 43 Product Guide Useful tools and products to support your celebration. ON THE COVER: American Medical Response and the Rancho Santa Fe Fire Protection District keep their community EMS Strong. PHOTO BY JEFF LUCIA. emsstrong.org EMS WEEK
3 Welcome to the 2015 EMS Week Commemorative Guide ON BEHALF OF the American College of Emergency Physicians (ACEP) and the National Association of Emergency Medical Technicians (NAEMT), we are pleased to present you with the 2015 EMS Week Commemorative Guide. Our hope is that the guide will serve as a valuable resource for you when planning your activities to celebrate EMS Week 2015, which is May The theme for this year s guide is part of a larger campaign that you may have already heard about, aptly named EMS Strong. Those words together convey an incredibly powerful message about the EMS profession and the honorable men and women who serve within it. This year s guide is full of information and resources on how to make the most of EMS Week in your community. We ve included updates on what EMS systems from across the country are doing to celebrate, an inspiring message on what it means to be EMS Strong, an in-depth article on how EMS has evolved over the past several decades and much, much more. Over the years, we ve devoted one day during EMS Week to focus on the needs of children will be no different. On Wednesday, May 20, we encourage you to direct your activities and efforts specifically toward child safety and injury prevention. Both ACEP and NAEMT would like to thank our strategic partners, as well as our federal, association and media partners, for their support of the EMS Strong campaign, and in turn this EMS Week Commemorative Guide. It is with their support that we can continue to make this guide free of charge to you. But most important, we d like to thank you, the first responder, for the outstanding service and care you continue to provide to our communities and loved ones. YOU are what makes EMS STRONG. Michael Gerardi, MD, FACEP President, ACEP Conrad T. Chuck Kearns, MBA, EMT-P, EMD President, NAEMT FEDERAL PARTNERS Supporting Organizations Advocates for EMS American Academy of Pediatrics American College of Osteopathic Emergency Physicians Commission on Accreditation of Ambulance Services Committee on Accreditation of Educational Programs for the EMS Professions Congressional Fire Services Institute Emergency Nurses Association EMS for Children National Resource Center International Academies of Emergency Dispatch International Association of EMS Chiefs International Association of Fire Fighters International Association of Flight and Critical Care Paramedics James O. Page Charitable Foundation National Fire Protection Association National Volunteer Fire Council Safe State Alliance Be sure to visit emsstrong.org for more resources and content, including a digital version of this guide. For a list of our 2015 EMS WEEK STRATEGIC PARTNERS, see the back cover of this publication. 2 EMS WEEK 2015 emsstrong.org emsweek.org EMS WEEK
5 What Is EMS STRONG? BY JEFF LUCIA WHAT MATTERS MORE: the stuff on the outside of a uniform, or the stuff on the inside? Next time you re getting dressed for work, take an extra moment for a good look in the mirror. What and whom do you see looking back at you? Look that person in the eye, take a deep breath, and ask some tough questions: What if today s shift brings me face-to-face with a mother whose teenage son has hanged himself in the basement? This is a moment she s going to remember forever. The way I break the news, the look on my face, my body language those all matter as much as my words. Am I ready for that? What if today I find myself with a partner who cuts corners, who drives irresponsibly, whose personal triage system involves treating people differently based on the color of their skin, the shade of their religion, the hue of their sexual orientation? Am I prepared to do what I know is right? What if today s shift brings nothing but the most mundane, routine calls that don t use my skills or challenge me? Will I be professional and courteous, but nothing more? Or will I find or make opportunities to be the best part of someone s day? What if today is the worst shift of my career? What if I find myself utterly exhausted, sore, annoyed, uncertain, discouraged or afraid? Where will I look for strength when mine is all used up? continued > 6 EMS WEEK 2015 emsstrong.org emsstrong.org EMS WEEK
6 Now, are you ready for a shock? The answers to those questions really don t matter. What does matter is that you re willing to ask them honestly and reflect on what they mean. What matters is acknowledging that sometimes you re going to come up short, sometimes you re going to be unsure of yourself, and sometimes even your best isn t going to be enough, and you re going to fail. In fact, if you answered those questions easily and with confidence, you re probably fooling yourself. What matters is acknowledging that the stuff on the inside of the uniform will never live up to the stuff on the outside. The stuff on the outside is a legend, a myth, a façade. The stuff on the inside is human. What matters is how you face that realization, and how you find the balance between the human you are with the superhuman the rest of the world expects you to be. And where the two intersect, at the crossroads of human and superhuman, you ll find EMS Strong. EMS Strong is what draws a special few together to do incredibly important work, often under difficult circumstances, and many times with little thanks. EMS Strong is the bond you share with fellow first responders. Sometimes that bond is expressed in a silent nod of recognition, and other times it takes the form of war stories shared for the umpteenth time. But it s always there. EMS Strong is the knowledge that you re part of something very special. It s the belief in something bigger than yourself bigger than your level of certification, bigger than the color of the patch on your shoulder, bigger than the logo on the union card in your wallet. EMS Strong is the well from which you draw the fortitude to maintain your composure when the going gets tougher than most people can imagine. EMS Strong is the willingness to keep learning and growing, as an individual and as part of a profession that s evolving into a true partner in the healthcare continuum. EMS Strong is what allows people to trust you with their secrets, with their nakedness, with their safety, with their very lives or the lives of the people they love. And it s what makes you able to accept the burden of that trust. EMS Strong is what draws you to help, what empowers you to face danger when others are running away. It s there in all those moments, big and small, when you find out what you re made of. It s what makes you proud. It s what keeps you humble. EMS Strong is precious, but it doesn t belong to you. It s on loan to you, and you need to pay it back with interest for future generations. EMS Strong is us. EMS Strong is you. Now, stop talking to yourself in the mirror. It s time to get to work. JEFF LUCIA, NREMT-P (ret.), is a partner at the RedFlash Group. 8 EMS WEEK 2015 emsstrong.org
8 THE EVOLUTION OF EMS As we celebrate EMS Week, we look back at the ways EMS has changed over the past four decades and even the past four years. BY MICHAEL GERBER MORE THAN 40 YEARS have passed since the first episode of Emergency! aired on television, and in some ways, things haven t changed all that much. In the January 1972 pilot episode, which offers a dramatized account of the early days of Los Angeles County paramedics, emergency physicians are skeptical that paramedics can safely provide medical care in the field. Frustrated firefighters wonder why they try so hard to save lives when they don t have the necessary tools and training for the situation. And legislators grapple with how to regulate these new healthcare providers. Sounds a lot like the current discussions surrounding the future of prehospital medicine and the role of EMS providers in mobile integrated healthcare programs, right? But while the themes remain the same, much has changed. Paramedics and EMTs providing lifesaving interventions in people s homes, on highways and in ambulances has become an accepted and expected component of American healthcare. Throughout the past four decades, prehospital care has evolved in ways that were never imagined when the first paramedics hit the streets. Some of those changes are more visible than others: Without knowing anything about EMS, it s still easy to recognize the difference between the hearse-style ambulances of the 1960s and 70s and the ambulances of today. The basic premise a vehicle with a stretcher that can transport the sick and injured to the hospital has not changed. Other differences, while more subtle, probably represent bigger shifts in EMS culture and practice. At one time, providers who wore gloves were the minority the tough ones didn t need them. Forty years ago, no one had heard of HIV or AIDS and Ebola hadn t been discovered. Now, gloves have become ubiquitous and infection control is one of the most pressing issues facing the industry today. Don Lundy, EMS director for Charleston County (S.C.) EMS, recently experienced firsthand exactly how prehospital care has changed since he started as a dispatcher in Just before Thanksgiving in 2013, he suffered a heart attack after returning home from a trip. The EMS providers who cared for him weren t fazed by treating their boss, and they performed an EKG and transmitted it to the hospital. Forty minutes later, Lundy was lying on the cath lab table; two days later, he celebrated Thanksgiving with his family at home. That was quite different from EMS of the 1960s, when Lundy s mother suffered a heart attack. The way heart attacks worked in that day, you didn t wait for the ambulance, because that was the funeral home hearse; you put her in the back [of your car] and took her to the hospital, recalls Lundy, who recently completed his term as president of NAEMT. Some transformations in EMS practice happened incrementally, slowly evolving over decades; others seemed to happen overnight, spurred by new technologies or research. Seeing how EMS has changed over four decades provides not only a glimpse into the past, but also lessons for the future. Advances in technology When Lundy started, it was hard to imagine a prehospital provider performing advanced interventions or administering medications without talking to a physician first. Defibrillation, for example, was once a skill that only paramedics could perform, and only after receiving orders from a physician something that seems ridiculous to EMS providers today, when defibrillators are available to the public and EMS caregivers provide advanced care on standing orders. At the same time, changes in healthcare and technological advances have led to the return of telemedicine and conversations between field providers on the scene and physicians as more and more agencies look for ways to avoid transporting patients unnecessarily or to provide services where physician access is limited. We initially were very much relying on the radios and telemetry. Then we moved to standing orders. And now we re [talking about] telemedicine, says Mary Beth Michos, former fire chief in Prince William County, Va., and now a senior adviser to the International Association of Fire Chiefs. As a nurse, Michos helped start one of the first advanced life support programs in the country. Telemedicine is just one area where technology is changing how EMS providers perform care. Ambulances can now carry advanced diagnostic equipment that has become more portable and more affordable. EKG monitors perform and transmit 12-leads, record vital signs, and measure carbon dioxide levels in expired air and carbon monoxide levels in blood. Some paramedics have access to ultrasound, while in other cases they are acquiring lactate levels and performing other lab tests in the field. continued > 12 EMS WEEK 2015 emsstrong.org emsstrong.org EMS WEEK
9 What technological advances have not changed, Michos says, is the importance of assessing the patient with one s eyes and hands and ears. I still feel that you need to have a good understanding of the patient and physiology and not just keep your eyes on [the monitors], she says. Using evidence to make care decisions While prehospital providers have always thought they were doing the best for their patients, only in recent years has EMS started to rely on evidence to prove it or, in some cases, disprove it. In the early days of EMS, treatments and protocols were often based on assumptions and anecdotes, but not rigorous science. While studying emergency medicine especially in the field remains one of the most challenging areas in clinical research, a search of journal articles shows that prehospital research is now a vibrant and growing area of study. If you don t have the information, it s like you re [working] blind, says Bob Bass, M.D., who recently retired after two decades at the helm of the Maryland Institute for Emergency Medical Services Systems (MIEMSS). We blissfully thought in cardiac arrest we were doing well, we blissfully thought we were triaging the right people to the right place at the right time. Bass, who started in EMS as a volunteer at a North Carolina rescue squad more than 40 years ago, has long been involved in prehospital clinical research. He was one of several researchers who began challenging the efficacy and safety of pneumatic anti-shock garments (PASGs, also known as MAST) in the 1980s. We did that research, we published [in peerreviewed journals], he remembers. But it took years to integrate that. FUTURE SHOCK 10 Advances Johnny and Roy Never Would Have Imagined Pulse oximeter 2. EpiPen 3. CPAP 4. Video laryngoscope 5. Glucometer 6. Gloves 7. Safety sharps 8. Power stretcher 9. epcr 10. Pre-arrival instructions screen Now, the once-ubiquitous PASGs are more likely to be seen in a museum than on an ambulance. Meanwhile, the EMS community is more receptive of clinical evidence but is still often quick to adopt new technologies and toys based on limited research rather than comprehensive clinical trials. The recent effort to develop evidence-based guidelines, which are written using the entire body of evidence and the strength of the studies not just the results seeks to change that. continued > 14 EMS WEEK 2015 emsstrong.org
10 Managing with data The data being collected is not only useful for researchers it is also being used on a daily basis by EMS executives and managers. The data revolution in EMS started with an emphasis on response times as ambulance services began scrutinizing the location and time of incidents in an effort to more efficiently meet the requirements of their contracts. In the past decade, the availability of electronic patient data has led to the creation of other performance measures besides response times. The proliferation of the electronic patient care report (PCR) has led to a significant push in recent years to track clinically relevant measures; now most major EMS systems can report their cardiac arrest save rates, percentage of chest pain patients who receive 12-lead EKGs, and time spent on scene with trauma patients. What has not changed [in 40 years] is that the basic premise of EMS is still transportation, he says. There are a variety of reasons, but the primary one is funding. We [get paid] for taking people from one place to the next [instead of providing medical care]. I think community paramedicine and mobile integrated healthcare is the Patient-centered care Leaving a patient at home was once considered the biggest risk in EMS patient refusals were all against medical advice, and EMTs were taught to tell patients that they needed to be taken to the hospital in an ambulance. While instances of patients having bad outcomes after not being transported still occasionally make headlines, EMS innovators have also discovered that some patients shouldn t go to the hospital, and avoiding those trips can benefit the patient and the healthcare system. In some places, such as Fort Worth, Texas; Reno, Nev.; and Louisville, Ky., new programs are using triage nurses and other trained providers to handle low-acuity 911 calls and avoid sending any EMS response at all. At the same time, mobile integrated healthcare and community paramedic programs are revolutionizing the role of EMS in the community. While many have only just started, Lundy thinks they will change how EMS is seen by the rest of the healthcare community. Ryan Ramsdell, a community health paramedic with Reno s Regional Emergency Medical Services Authority, cares for a patient in her home. bridge that s going to make that happen. Michos, who came to EMS after starting as a hospital-based nurse, sees a parallel between some of the changes happening now and the early days of ALS care. I think what s going on continued > 16 EMS WEEK 2015 emsstrong.org
11 now is probably as big a transition in EMS as when we introduced EMS, she says. It s just a whole new area. EMS grows up Although he s entering his fifth decade in the field, Lundy believes the industry is just now starting to come into its own. I think as a profession we are clearly coming out of our teenage years and into our young adulthood, he says. One aspect of EMS that has helped it evolve professionally lies in how prehospital providers are educated. Paramedic Walt Stoy, who heads the emergency medicine program at the University of Pittsburgh School of Health and Rehabilitation Sciences, took his first EMT class 40 years ago. I got taught a lot at the EMT level by physicians, he recalls. That first class, in Uniontown, Pa., was an 80-hour course. The [local] emergency department director came and taught. Other physicians volunteered their time to come in and teach us. Now, most initial EMS training does not have as much physician involvement, but not because the quality of the training has declined. Over the years, paramedics and nurses with years of field EMS experience have led to a large cadre of instructors from within the profession. At the same time, the education standards many of which Stoy helped write have strived to produce true medical professionals, not just responders with a set of technical skills. I was not ready to be on the streets, Stoy says of the days after he graduated paramedic training in His clinical training consisted of starting just a few IVs and administering some medication during a rotation in the ED. And upon completion of the course, he was sent to work as a paramedic no formal precepting program existed at the time. Basically you worked on an ambulance and just went out and took care of patients, he adds. Now, some of those very same EMS veterans who took unaccredited paramedic courses several decades ago are starting to suggest that associate s degrees or even bachelor s degrees should be required for people to practice as paramedics. I think that s the next question to be asked, Lundy says. Moving forward Looking back on the past four decades of EMS gives insight into the past, but it also provides examples and analogies that current EMS leaders can learn from. The parallels between the early days of ALS and the evolution of community paramedicine and mobile integrated healthcare, for example, are quite clear whether it s the training conducted by physicians and volunteers or the skepticism from other members of the healthcare community that first responders are qualified to fill that role. The differences between then and now are what make EMS leaders and visionaries hopeful that it will not take another four decades for EMS to grow from young adulthood to maturity. It took decades for protocols to adapt to the clinical research on PASGs and spinal immobilization. Many new EMS innovations still start with a theory, but the community has recognized the need to evaluate and adapt more quickly. It s true that when we started [community paramedic programs], I m not sure we had any data to support it, but we had a gut feeling it would work, says Lundy. Now we re getting data back that says it does work. While many EMS veterans, including those quoted here, are nostalgic for aspects of the early days of EMS, the consensus is that prehospital medicine today is more sophisticated, more organized and more patient-centered than ever before. And they have little doubt that despite many challenges, EMS in the future will be stronger. MICHAEL GERBER, NREMT-P, MPH, is an associate consultant with the RedFlash Group. He has been active in EMS in the Washington, D.C., area since 2001 and currently volunteers as a paramedic with the Bethesda-Chevy Chase Rescue Squad. Each copy now includes an access code to unlock online resources! Are You Ready to Become an NAEMT Instructor? It s Never Been Easier! Simply: 1. Complete the NAEMT Instructor Course Online 2. Successfully complete the Provider Course for the NAEMT program that you wish to teach 3. Complete a monitored teach-back for the NAEMT program that you wish to teach 18 EMS WEEK 2015 emsstrong.org SourceCode: ASAd_AW Jones & Bartlett Learning 5 Wall Street Burlington, MA phone: fax:
13 How Do You CELEBRATE EMS WEEK? National EMS Week is the perfect time to honor your local EMS professionals and promote awareness of their everyday service to the public. Here are eight inspiring ways EMS organizations from across the country are celebrating EMS Week this year. AMERICAN MEDICAL RESPONSE Worldwide CPR Challenge: Across the United States and overseas, people participate in the CPR Worldwide Challenge in locations ranging from schools to beaches to public parks and more. amr.net BRAUN AMBULANCES The Truly Dedicated Contest: Braun Ambulances holds an annual Truly Dedicated Contest to recognize women and veterans serving in EMS. Grand-prize winners for each category receive a Kindle Fire HDX 7 16GB tablet with a custom Braun Industries Origami Case. braunambulances.com FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER EMS Luncheon: Florida Hospital Memorial Medical Center in Daytona, Fla., invites emergency professionals in the area to a special BBQ celebration in their honor. GLACIER COUNTY EMS Mc-EMS Night & Albertson s Grocery Bagging: Glacier County EMS in Cut Bank, Mont., hosts EMS Night at McDonald s, where EMS personnel serve food and take orders. They also do full-service bagging and carry-out at the nearby Albertson s grocery store. All proceeds go to a special cause; last year, the proceeds bought bike helmets for children in pre-kindergarten through sixth grade. facebook.com/glaciercountyems NAPA COUNTY EMS SOCIETY Survivors Reunion: For the fourth year in a row, the Napa County (Calif.) EMS Society reunites and honors survivors of near-fatal cardiac events with the men and women who saved their lives. How are you celebrating EMS Week in your community? We d love to hear about it! Submit your events at emsstrong.org and they could be featured on the website. continued > 22 EMS WEEK 2015 emsstrong.org
14 New York City Fire Department Lighting of the Empire State Building: For the seventh year in a row, the Empire State Building partners with FDNY to celebrate EMS Week by lighting the top of the building in yellow, white and blue and a siren halo. nyc.gov/fdny Siouxland Paramedics EMS Preschool Visit: Every year, Siouxland Paramedics in Sioux City, Iowa, meet with young students to teach them about the EMS profession. Their community outreach helps kids develop trust in the local EMS professionals to take care of them and their loved ones. siouxlandparamedics.net Travis County Star Flight Star Flight Public Open House: Travis County Star Flight in Austin, Texas, invites the public to check out (and get into!) all the helicopters on display, along with rescue and firefighting equipment. Visitors have the opportunity to talk with the flight crew and watch helicopter demos, including patient rescues and water drops. facebook.com/starflightrescue Compiled by JOANNE MAGDAY For more ideas on how you can celebrate EMS Week, visit emsstrong.org.
16 EMS ON THE HILL DAY A first-timer s guide to the largest advocacy event for EMS BY JENIFER GOODWIN EVERY YEAR SINCE 2010, EMS practitioners from around the country have gathered in our nation s capitol to educate members of Congress on the issues that matter to the profession and its patients. Participants represent a crosssection of agency types; hail from rural, suburban and urban departments; and include EMTs, paramedics, supervisors, educators, medical directors, chiefs and CEOs. By participating in EMS On The Hill Day, EMS practitioners gain: An insider s view of the legislative process The opportunity to join forces with colleagues who care deeply about EMS and its future The chance to have their voices heard EMS On The Hill Day was by far one of the most rewarding experiences of my career, says Jason Stroud, Virginia Beach Department of EMS division chief, who attended in As cool as the experience can be, many EMS professionals are far more comfortable navigating the roads of their local communities than the hallways of Capitol Hill. To better acquaint you with what to expect during EMS On The Hill Day, here s a guide for first-timers. We hope to see you there! Q When and where is it? A briefing for participants will be held the evening of April 28 at the Hilton Crystal City at Washington Reagan National Airport in Arlington, Va. The visit to Capitol Hill is the next day (April 29). You ll head to Capitol Hill either by cab or Metro with other participants from your state. Q Will I have to find my way around on my own? No you ll be paired with others from your state. If you re a first-timer and you re the only one from your state who goes, you ll be paired with someone from a nearby state who has attended before. Q What happens at the briefing? First, you ll get a chance to meet and get to know the other participants. You ll receive a packet of information containing a map of Capitol Hill, your meeting schedule and information about legislation that is important to EMS. You ll listen to speakers who will discuss hot continued > 28 EMS WEEK 2015 emsstrong.org
17 topics in Congress, such as how the balance of political power and overall mood on Capitol Hill might impact your Hill Day visit. Q Who will I meet with during the Hill Day visits? NAEMT works with a congressional scheduling firm to book appointments with your House representatives and senators. Most likely, you ll meet with some members of Congress and some legislative assistants who specialize in healthcare issues. Legislative assistants inform and advise members of Congress about the issues and pending legislation, so these meetings are important. Q What should I wear? Your dress EMS uniform is a good option. Otherwise, dress on Capitol Hill is business professional: suits and ties. Above all, wear comfortable shoes! Expect to walk a lot. Q Will we actually be inside the building with the dome? No. The white domed Capitol building houses the chambers where votes are held, but the Capitol Complex is made up of a dozen buildings that house federal departments and congressional offices, which is where you ll be. If you wish to tour the Capitol building, you ll need to reserve a tour at visitthecapitol.gov/plan-visit/book-tour-capitol. Q How will I figure out where to go once I m at Capitol Hill? Check your map to find the building where your meeting is. Once inside, room numbers are well marked. But when in doubt, ask! All those young people scurrying around are staffers and interns who will be happy to direct you. Also, congressional offices are connected via tunnels, so you don t need to walk outside to get from building to building. Just head down the continued >
18 elevators to the bottom floor. You may even get to hitch a ride on the Capitol s private subway, which connects House and Senate buildings. Q How do I address my senator or representative? You may address members of Congress by any of the following: Senator [name], Representative [name], or Congressman/Congresswoman [name]. Q What do I talk about during my meetings? Each year, NAEMT, in consultation with other national EMS organizations, determines which specific legislative requests will be included as part of EMS On The Hill Day briefings. One of the goals is to present a consistent message to congressional leaders, so participants are asked to only discuss For more information about EMS On The Hill Day, visit naemt.org or contact the bills selected for EMS On The Hill Day. Another powerful way to connect with members of Congress is to share a personal story about your experiences on the job. A few ideas: A CPR save or a meaningful interaction with a patient. A situation in which your EMS agency struggled for resources necessary for patient care. If your organization is developing a mobile integrated healthcare or community paramedicine program, share what you re doing. But most of all, speak from the heart. EMS On The Hill Day participants are not professional lobbyists and are not expected to be. The greatest knowledge you bring is your expertise as an EMS professional. JENIFER GOODWIN is a communications project manager at NAEMT.
20 SAVE THE DATE Take advantage of these special events and programs to gain recognition for your EMS program and for the professionals who are integral to its success. FEBRUARY American Heart Month heart.org FEB. 24 NG9-1-1 Gala ng911institute.org APRIL National 911 Education Month nena.org APRIL 3 9 National Public Safety Telecommunicators Week npstw.org APRIL Stars of Life Celebration the-aaa.org APRIL Congressional Fire Services Institute Dinner and Seminars cfsi.org APRIL 29 EMS On The Hill Day naemt.org MAY National Trauma Awareness Month amtrauma.org MAY EMS Week acep.org/emsweek JUNE International Fire/EMS Safety & Health Week safetyandhealthweek.org JUNE 27 National EMS Memorial Service nemsms.org SEPTEMBER National Preparedness Month readiness.gov OCTOBER National Sudden Cardiac Arrest Awareness Month sca-aware.org OCT Fire Prevention Week nfpa.org NOV Collegiate EMS Week ncemsf.org continued > Recognize Those Who Bring Excellence to the EMS Profession The 2015 National EMS Awards of Excellence highlight outstanding achievements in EMS. Consider your colleagues and take this opportunity to recognize their outstanding work by nominating them for an award. Award categories include EMT, paramedic, educator, military medic, paid service and volunteer service. Award recipients receive a monetary award and three core program registrations plus $1,100 for travel and lodging to the 2015 EMS World Expo/NAEMT Annual Meeting in Las Vegas, Nev. Visit National Awards at naemt.org for more information. 36 EMS WEEK 2015 emsstrong.org