Jim Mobley, RN, BSN, CEN, CFRN, CHS, NREMT-P, FP-C, CMTE. Sheraton Austin Hotel at the Capitol. Sandra Correia, RN, MSN, ACNP-BC, CFRN, CCRN, CMTE

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1 Air Medical Physician Association 951 E. Montana Vista Lane Salt Lake City, UT Austin, Texas Sheraton Austin Hotel at the Capitol Conference Planning Committee: Michael W. Brunko, MD, FACEP Sandra Correia, RN, MSN, ACNP-BC, CFRN, CCRN, CMTE Christopher J. Fullagar, MD, EMT-P, FACEP Christopher D. Hall, BS, MICP, FP-C, CMTE Jim Mobley, RN, BSN, CEN, CFRN, CHS, NREMT-P, FP-C, CMTE Mike Shown, BS, LP, FP-C Conference Coordinator: Patricia Petersen Non-Profit Org U.S. Postage PAID Salt Lake City, Utah Permit No April 8-10, 2013 April 7 Critical Care Procedural Anatomy Program Austin, Texas Sheraton Austin Hotel at the Capitol Presented by Air Medical Physician Association (AMPA) Air & Surface Transport Nurses Association (ASTNA) International Association of Flight & Critical Care Paramedics (IAFCCP) Jointly sponsored by Air Medical Physician Association (AMPA) and St. Anthony Hospital April 8-10, 2013 April 7 Critical Care Procedural Anatomy Program

2 Accommodations: Room Rate: $ (Single or double occupancy, plus taxes) Individuals may make reservations at the Sheraton Austin at the Capitol by calling In order to obtain the conference room rate please refer to our group code 2013 Critical Care Transport Medicine Conference or Air Medical Physician Association group block. RESERVATIONS MUST BE MADE BY MONDAY, MARCH 4, 2013 IN ORDER TO RECEIVE THE CONFERENCE RATE CCTMC PROGRAM DESCRIPTION: The is designed to address topics pertinent to the prehospital and emergency care of the critically ill and injured patient. Physicians, nurses, paramedics, respiratory therapists and allied healthcare professionals will be provided information that offers them a deeper understanding of the essentials of care required for the complex patient needing critical care air and ground transport. Lectures will be presented that will help participants develop leadership skills. Educational Objectives: At the completion of this conference participants should be able to: enhance and influence their clinical practice in the critical care air and ground transport environment, increase their skills, and influence their awareness of the unique environment in which they deliver medical care. safety for EMS and critical care transport medicine, and recognize that a safety program needs to be more than crash prevention and PAIP. tion to the management of the combative/dangerous patient, diagnosing and treating ICP, prehospital hemorrhage control, and implications and management of the total artificial heart patient in transport. critical care transport, considerations for the injury family, and for the medical crew when eyes are wide open, but fast asleep. and transfer of the patient with high blood pressure, ventilator dependent patient, septic patient, patient in shock, and patient with a tough airway. transporting a patient in the prone position, knowing EKGs, and evolving indicates for acute cardio-pulmonary failure and the role and challenges of critical care transport. marks for high quality care, the anatomy of medical errors in the transport environment, and how to cope with death from coping on duty. CRITICAL CARE PROCEDURAL ANATOMY PROGRAM DESCRIPTION: This portion of the Critical Care Transport Medicine Conference is for transport crew members who wish to update and practice critical care techniques that will enhance their ability to provide the best possible care to patients who are most in need. The program offers state-of-the-art updates on clinical procedures. The didactic sessions include topics on emergent airway management, surgical airway management, chest tube insertion and management and pericardiocentesis, ventilation assessment and ventilator management, intraosseous vascular access, and tourniquets and control of bleeding. A Procedure Lab will be provided for participants to practice the techniques they have discussed during the lecture session. Educational Objectives: At the completion of the Critical Care Procedural Anatomy Program participants will be able to: hands-on skills practice for critical care procedures to include central line insertion, chest tube insertion, intraosseous access, ventilator management and surgical airway (cricothyroidotomy). success rates and complications from the use of these devices and techniques used in the emergency treatment of the critically ill and/or injured patient. SCIENTIFIC FORUM CCTMC CONTINUING EDUCATION CREDITS FOR BOTH PROGRAMS: NURSES/EMT-P CCTMC: 12.0 Contact Hours have been provided by the Air & Surface Transport Nurses Association Certificate # PROCEDURAL ANATOMY PROGRAM: 7.75 Contact Hours have been provided by the Air & Surface Transport Nurses Association, Certificate # ASTNA is an approved provider for the California Board of Registered Nursing CEP ACCREDITATION: PHYSICIANS This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Colorado Medical Society through the joint sponsorship of St. Anthony Hospital and the Air Medical Physician Association. St. Anthony Hospital is accredited by the Colorado Medical Society to provide continuing medical education for physicians. St. Anthony Hospital designates this Live CCTMC Activity for a maximum of 12 AMA PRA Category 1 Credit(s) and this Live Procedural Anatomy program for a maximum of 8 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Twelfth Annual Scientific Forum is sponsored by AMPA, ASTNA and IAFCCP. Posters will be presented and reviewed on April 8th and an Outstanding Research Award will be given prior to the opening General Session on April 9. Our goal is to nurture and provide an appropriate forum for research in air and ground medical transport. See association websites for details, or contact Reed Brozen, MD (Reed.brozen@dartmouth.edu)

3 Sunday APRIL 7, 2013 Critical Care Procedural Anatomy Program Limited to 40 Monday April 8, :30 a.m. On-Site Registration/ Continental fast 8:00 8:15 a.m. Welcome, Lab Orientation and Program Overview 8:15 9:00 a.m. Airway Adjuncts Jack B. Davidoff, MD, EMT-P 9:00 9:30 a.m. Surgical Airway Management 9:30 10:00 a.m. Insertion and Maintenance of Chest Tubes, Pleural Pigtail Catheters, and Pericardiocentesis Michael T. Bigham, MD, FAAP 10:00 10:30 a.m. Ventilation Assessment & Ventilator Management Lauri Bolton, MD 10:30 10:45 a.m. 10:45 11:15 a.m. VADs P.S. Martin, MD, FACEP 11:15 11:45 a.m. Intraosseous Vascular Access 11:45 a.m. 12:15 p.m. Tourniquets and Control of Bleeding Harinder S. Dhindsa, MD, MPH, MBA 12:15 12:45 p.m. Procedure Lab Orientation 12:45-1:45 p.m. LUNCH ON OWN 2:15 6:00 p.m. Procedure Lab 2013 Tim Hynes Golf Tournament The IAFCCP is calling out to golfers to join the team for a golf outing at Crenshaw Cliffside Golf Club etched in the rolling hills of Austin, Texas. The day will begin with a shotgun start at 2:30 PM. Along the way, golfers will compete in several challenges, including longest drive and closest to pin. The Crenshaw Cliffside golf course, rated 38th in the top 50 Best Courses in Texas, is both forgiving for the novice and challenging for the seasoned golfer. Proceeds will go toward supporting the ideals Tim Hynes was passionate about, Safety and Education. Transportation from the Sheraton Hotel to Crenshaw Cliffside will be provided. For information, registration and sponsor opportunities visit the IAFCCP ( or call the IAFCCP office at Registration deadline is April 5, Noon - 1:00 p.m. CCTMC Conference Registration SCIENTIFIC FORUM Poster Preview Opening General Session: 1:00-1:50 p.m. Walk in My Shoes; Patient Perspective Janie Ford, RN, MS, CFRN out Sessions: 2:00-2:50 p.m. Acute Management of the Combative/Dangerous Patient Transport Considerations 2:50 3:30 p.m. Scientific Forum Informal Poster Presentations Coordinator: Reed Brozen, MD, FACEP, FAAEM 3:30 4:20 p.m. Upside Down? Prone Positioning for Transport A case study Cheryl Lynn Riwitis, RN, MSN, FNP-BC, CEN, CFRN 4:30 5:20 p.m. Squiggly Wiggly EKGs to Know and Fear Charles W. Sheppard, MD Brain Code: Diagnosing and Treating ICP in the Critical Care Transport Environment Natalie Kreitzer, MD End-Tidal Capnography Beyond the Tube: Using Evidence to Create Understanding of the Most Important but Least Understood Innovation for Patient Safety in Past 15 Years Anthony Baca, MBA, MSN(c), RN, LP, CCRN, CFRN, FP-C Septic Shock Not Sexy, Still Important Michael A. Frakes, APRN, MS, CCNS, CFRN, EMT-P

4 Tuesday April 9, :30 8:00 a.m. Registration/Continental fast 8:00 8:15 a.m. Welcome & Award Presentations General Session: 8:15 9:05 a.m. Developing a Culture of Safety for EMS and Critical Care Transport Medicine P.S. Martin, MD, FACEP; Alyssa Tomsey, DO; N. Zack Weagraff, MD out Sessions: 9:10-10:00 a.m. Extra-corporeal Membrane Oxygenation: Evolving Indications for Acute Cardio-Pulmonary Failure and the Role and Challenges of Critical Care Transport Michael S. Firstenberg, MD; Howard A. Werman, MD; Thomas Allenstein, RN, BSN, MBA 10:00 10:30 a.m. 10:30-11:20 a.m. Why are Tough Airways Tough? Difficult anatomy or Difficult Physiology? How Did This Happen? The anatomy of medical errors in the transport environment Ryan Gerecht, MD What s in your Diagnostic Toolbox? Michael D. Gooch, MSN, RN, ACNP, FNP, CFRN, CEN, EMT-P 12:20-1:40 p.m. LUNCH ON OWN out Sessions: 1:40 2:30 p.m. Implications and Management of the Total ArtificialHeart Patient in Transport Allen C. Wolfe, Jr., RN, MSN, CCRN, CCRN, CMTE; Harinder S. Dhindsa, MD, MPH, MBA 2:40 3:30 p.m. The Death of Mac and Miller Video Laryngoscopy Michael Olson, BS, LP, FP-C 3:30 4:00 p.m. 4:00 4:50 p.m. Saving Michael: Improving Patient Safety During Sedation, Analgesia and Induction Anthony Baca, MBA, MSN(c), RN, LP, CCRN, CFRN, FP-C Silent Tragedy or Dirty Little Secret? Death from doping on duty Winnie Romeril, BA, MA; Jessica Falk, BSN The Injured Family Barbara E. Coffel, RN, MSN, CNS, CCRN Oh No, Not Again! More Head-Scratching Cases From Critical Care Transport Rick Erickson, NRP, EMS-I, CCP-C, FP-C 11:30 a.m. - 12:20 p.m. Quality Metrics in Pediatric and Neonatal Transport: Setting the Benchmarks for High Quality Care Michael T. Bigham, MD Your Safety Program Shouldn t Be Just Crash Prevention and a PAIP Michael A. Frakes, APRN, MS, CCNS, CFRN, EMT-P

5 wednesday April 10, :00 8:30 a.m. Registration/Continental fast out Sessions: 8:30 9:20 a.m. All Bleeding Stops The Science/Art of Prehospital Hemorrhage Control 9:25-10:15 a.m. How High is High? Prehospital management of high blood pressure Charles W. Sheppard, MD 10:15-10:30 a.m. 10:30-11:20 a.m. You Know When It s Bad Lessons From Amish Country Winnie Romeril, BA, MA; Jessica Falk, BSN Closing General Session Where Do We Go From Here? 11:25 a.m. - 12:15 p.m. Rick Erickson, NRP, EMS-I, CCP-C, FP-C CCTMC Adjourned! Eyes Wide Open, Fast Asleep Michael A. Frakes, APRN, MS, CCNS, CFRN, EMT-P Does it Get Rocky When They are Shocky? Michael D. Gooch, MSN, RN, ASCNP, RNP, CFRN, CEN, EMT-P Ventilator Management of the Critically Ill L. Wade Manaker, MD, FACEP Additional Activities: TraCER - Transport Certification Exam Review Course Friday, April 5 and Saturday, April 6, 2013 Guiding you to success on your transport certification exam. This fast-paced course is a two-day review following outlines for the CFRN, CTRN, FP-C, and CCP-C exams and is designed to prepare the student to take their exam. The course will provide participants with a thorough review of topics including Transport Physiology, Single and Multiple-System Emergencies (cardiopulmonary, GI/GU, and OB, Maxillofacial and Orthopedic, Neurological, Shock, Trauma, Substance Abuse, and Transport Considerations), Safety Issues including Disaster Management and Survival, and Patient Management. This course has been developed by the Air & Surface Transport Nurses Association, the International Association of Flight and Critical Care Paramedics, and the University of Texas Southwestern Medical Center Emergency Medicine Education Program. The instructors are nurses and paramedics with transport experience and current certification in at least one of the specialty areas targeted by the exam. Register Online at or (Member discounts apply) RUNNING WITH AN ANGEL 5K A run/walk to honor our fallen Colleagues! Monday, April 8, 2013 FP-C / CCP-C Exams: Sunday, April 7, :00-10:30 a.m. Register online at CEN, CFRN, and CTRN Exams: Sunday, April 7, :00 a.m. To register please contact the BCEN Office, or bcen@bcencertifications.org CAMTS Workshops: April 7, :00 a.m. - 12:00 p.m. SMS: An Integrated Approach for Medical Transport 1:00 a.m. - 5:00 p.m. Nuts and Bolts of Simulation. For more information or to register call the CAMTS office at For information, please contact Air & Surface Transport Nurses Association ( or Sharon Purdom at spurdom@mrmcffl.org

6 FACULTY and CCTMC Planning Committee: Conference Registration Flight Physician, University of Wisconsin Thomas Allenstein, RN, BSN, MBA Chief Clinical Officer, MedFlight of Ohio Columbus, Ohio Anthony Baca, MBA, MSN(c), RN, LP, CCRN, CFRN, FP-C Clinical Manager, PHI Air Medical Group North Richland Hills, Texas Michael T. Bigham, MD, FAAP Medical Director, Pediatric Transport Akron Children s Hospital, Ohio Lauri Bolton, MD LIFE STAR Hartford Hospital, Connecticut Reed Brozen, MD, FACEP, FAAEM Medical Director, Dartmouth-Hitchcock Advanced Response Team Lebanon, New Hampshire Michael W. Brunko, MD, FACEP Chief Medical Officer, Flight for Life Colorado, Denver Barbara E. Coffel, RN, MSN, CNS, CCRN Flight Nurse, Neonatal Pediatric Critical Care Transport Team LifeLine, Riley Hospital for Children Indianapolis, Indiana Sandra Correia, MSN, RN, ACNP-BC, CFRN, CCRN, CMTE Flight Nurse/Outreach Coordinator Stanford Life Flight, California Immediate Past President, ASTNA Jack B. Davidoff, MD, EMT-P Chief Medical Director, Mercy Flight Central, Inc. Canandaigua, New York Harinder S. Dhindsa, MD, MPH, MBA Medical Director, Life Evac of Virginia Mechanicsville, Virginia Rick Erickson, NRP, EMS-I, CCP-C, FP-C Flight Paramedic, LifeNet Air Medical Jessica Falk, BSN Flight Nurse, Mercy Flight Central Canandaigua, New York Michael S. Firstenberg, MD Assistant Professor of Surgery The Ohio State University, Columbus Janie Ford, RN, MS Flight Nurse, University of Utah AirMed Bountiful, Utah Michael A. Frakes, APRN, MS, CCNS, CFRN, EMT-P Director, Clinical Services, Education, and Performance Improvement Boston MedFlight, Massachusetts Christopher J. Fullagar, MD, EMT-P, FACEP Medical Director, Onondaga County President-Elect, AMPA Ryan Gerecht, MD Flight Physician, University Hospital Air Michael D. Gooch, MSN, RN, ACNP, FNP, CFRN, CEN, EMT-P Flight Nurse, Vanderbilt LifeFlight Nashville, Tennessee Christopher D. Hall, BS, MICP, FPC, CMTE Manager, Government Affairs & Services California, Redding President, IAFCCP William Hinckley, MD, FACEP, CMTE Medical Director and Flight Physician Air Care & Mobile Care University Hospital of Cincinnati, Ohio President, AMPA Natalie Kreitzer, MD Emergency Medicine Resident/Flight L. Wade Manaker, MD, FACEP Assistant Professor, Medical University of South Carolina Charleston, South Carolina P.S. Martin, MD, FACEP Medical Director, Life Flight Allegheny General Hospital Pittsburgh, Pennsylvania Immediate Past President, AMPA Jim Mobley, RN, BSN, CEN, CFRN, CHS, NREMT-P, FP-C, CMTE Program Director/Chief Flight Nurse Regional One Air Medical Spartanburg, South Carolina President, ASTNA Michael Olson, BS, LP, FP-C Clinical Education Coordinator, PHI Air Cheryl Lynn Riwitis, RN, MSN, FNP-BC, CEN, CFRN Critical Care Transport Nurse, IU Health Winnie Romeril, BA, MA Flight Paramedic, Mercy Flight Central Canandaigua, New York Charles W. Sheppard, MD, FACEP Medical Director, Mercy Life Line Springfield, Missouri Mike Shown, BS, LP, FP-C PI/Clinical Education Coordinator San Antonio AirLIFE, Texas Board Member, IAFCCP Alyssa Tomsey, DO PGY-2 Emergency Medicine Resident Allegheny General Hospital Pittsburgh, Pennsylvania N. Zack Weagraff, MD PGY-2 Emergency Medicine Resident Allegheny General Hospital Pittsburgh, Pennsylvania Howard A. Werman, MD Medical Director, MedFlight of Ohio Columbus, Ohio Allen C. Wolfe, Jr., RN, MSN, CFRN, CCRN, CMTE Clinical Education Director/Clinical San Diego, California Board Member, ASTNA Name: RN EMT-P MD RT Title: Transport Program: Member: AMPA ASTNA IAFCCP Is this your first time attending CCTMC? Yes No Home address: City, State, Zip Home Phone: Work Phone: Pre-registration Payment received Prior to March 4, 2013 $ Member $ Non-Member Payment received After March 4, 2013 $ Member $ On-Site Registration $ Non-Member Critical Care Procedural Anatomy Program Additional Registration Fee (Limited to 40 participants) MUST Pre-Register $ Member Total Enclosed $ Non-Member Make check payable in US Funds to the Air Medical Physician Association* and mail to CCTMC, 951 East Montana Vista Lane, Salt Lake City, Utah Or charge to VISA or MasterCard (NO AmericanExpress): Card Number: Expiration Date: Signature: *AMPA Federal Tax ID # To register by phone with a credit card, call Patricia Petersen at , or fax registration form to On-line registration available at Partial registration refund to March 4, 2013; NO refunds after March 4, 2013.