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event program

EMS CE FALL FORUM

December 5, 2024

Resource

8:15 am Zoom Room Open

8:45 am Opening Remarks

9:00 - 10:00 am

Legal Lessons from the Firehouse: Perils, Pitfalls, and Solutions Mark Robens, JD, EMCT-P

10:00 - 10:10 am Break

10:10 - 11:10 am

Traumatic Brain Injuries

Paul Dabrowski, MD

11:10 - 11:20 am Break

11:20 am - 12:20 pm

Non-Treatment/Non-Transport Casey Solem, MD

12:20 am - 1:00 pm Lunch

1:00 - 2:00 pm

Respiratory Emergencies Julie Augenstein, MD

2:00 - 2:15 pm Break

2:15 - 3:15 pm

Patient Assessment........What? Sandy Nygaard, EMCT-P

3:15 - 3:20 pm Break

3:20 - 4:20 pm

4:20 - 4:30 pm

Don't miss this! New Knowledge from the Cardiology Corner Beth Ranney, MD, FACEP

Closing Remarks & Evaluations

• Legal Lessons from the Firehouse: Perils, Pitfalls, and Solutions

Mark Robens, JD, EMCT-P pilot315@gmail.com

This presentation will address the common causes of liability that Fire Department/Districts and EMS Agencies are facing across the nation and in Arizona. This presentation will explore how to mitigate and, hopefully, prevent the onslaught of litigation and liability related to providing medical treatment and related services to the public, including Hot Tips to address these pressing issues.

Participants will learn: the Big Picture-Public Safety and Purpose; why we get sued; the problems with refusals; best practices: medical-legal documentation; HOT Tips; and THE FACT SYSTEM

Mark Robens has been an Attorney since 1981 practicing primarily in the areas of Public Safety, Emergency Services, and Constitutional Law representing Fire Departments/Districts, and Law Enforcement Agencies. He also had a contemporaneous Fire Service career primarily with the Phoenix Fire Department (Captain/Paramedic) and finishing his career with the Daisy Mountain Fire & Medical as Assistant Chief and General Counsel in 2022. He is licensed to practice in the State of Arizona, Federal District Court, Ninth Circuit Court of Appeals, and the United States Supreme Court. In June, 2024, he was appointed Superior Court Judge Pro -tem by the Arizona Supreme Court and serves in the Maricopa County Superior Court on a part-time basis.

Mr. Robens also is a Commercially rated Airline Transport Pilot and is an Instructor Pilot for an International Flight Training Company and has flown as an airline, med- evac, and corporate pilot. He also provides public safety legal advice and training nationally in the areas of public safety liability, medical-legal documentation, risk management, personnel challenges (including Supervisory, Leadership, and Disciplinary issues, and Ethical Decision-making in Public Safety). Finally, he is rated “AV PREEMINENT” by his peers and Judges which is the highest possible rating in both legal ability and ethics.

• Traumatic Brain Injuries

Paul Dabrowski, MD

Paul.Dabrowski@bannerhealth.com

This presentation will review best practices for the prehospital care of traumatic brain injuries. It will explore the common mechanisms of injury and prehospital presentations of patients with brain injuries. This presentation will Identify the primary goal of treatment for patients with suspected brain injury. It will also address how hypotension and hypoxia affect outcomes after brain injuries.

Dr. Paul Dabrowski is Clinical Associate Professor of Surgery in the Department of Surgery at University of Arizona College of Medicine-Phoenix and the past Trauma Medical Director for the Banner-University Medical Center Phoenix Level 1 Trauma Center.

Dr. Dabrowski received his medical degree from Saint Louis University and completed his General Surgery residency and Trauma and Critical Care fellowships at Tulane University and Charity Hospital in New Orleans, Louisiana. He is board certified in both General Surgery and Critical Care.

He retired as a Commander in the US Navy in 2011 after numerous US Marine Corps deployments including Fallujah, Iraq in 2007-08 where he served as the Chief of Professional Services. He presently serves as a medical director for PHI Air Evac, as a medical team manager for Arizona Task Force 1 FEMA Urban Search & Rescue, and as medical support for the Phoenix FBI SWAT Team. In his spare time, he works as a trauma surgeon.

• Non-Treatment/Non-Transport

Casey Solem, MD

Casey.Solem@gmail.com

This presentation is a comprehensive guide for EMTs, paramedics, and nurses, addressing the vital aspects of providing effective care to patients with disabilities. We will navigate through inclusive practices, communication strategies, and specialized techniques necessary for understanding and treating diverse patient needs. From adapting protocols to fostering empathy and awareness, this session aims to equip prehospital providers with the knowledge and tools essential for delivering compassionate, tailored care to individuals with disabilities, and special health care needs, in emergency situations. Join us to enhance your skills and contribute to a more inclusive healthcare environment.

Dr. Casey Solem is a Board-Certified Emergency Physician who practices Emergency Medicine in Scottsdale at HonorHealth Osborn, Shea, and Thompson Peak Medical Centers. He also practices Emergency Medicine at the Carl T. Hayden VA Medical Center. Since 2019, he has served as the Medical Director of a variety of regional fire departments. He currently serves as the Medical Director of the Scottsdale Fire Department, Superstition Fire & Medical District, and the Tempe Fire Medical Rescue Department. He has built close relationships with the Paramedics and EMTs with whom he works and is committed to doing his part to support them as they work toward the mission of providing high quality EMS care to their patients.

• Pediatric Respiratory Emergencies

Julie Augenstein, MD jaugenstein@phoenixchildrens.com

Respiratory emergencies are commonly seen in the field and can be one of the most stressful prehospital calls to run This session provides a comprehensive review of the clinical assessment and management priorities for pediatric respiratory emergencies, focusing on conditions such as bronchiolitis and respiratory failure. Participants will gain insights into the unique anatomic and physiologic considerations of the pediatric airway, review differential diagnosis, and explore evidence-based treatment priorities for effectively managing respiratory crises in pediatric patients.

Dr. Julie Augenstein is a board- certified Pediatric Emergency Medicine Physician and the EMS Base Hospital Medical Director at Phoenix Children’s Hospital. She completed her pediatric residency at New York Presbyterian Hospital/Weill Cornell Medical College, followed by a fellowship in Pediatric Emergency Medicine at Seattle Children’s Hospital and The University of Washington. Her clinical focus includes expertise in pre-hospital care and simulation. Appointed by the Governor of Arizona, Dr. Augenstein holds the role of Physician Specializing in Pediatric Medicine on the Medical Direction Commission at the Arizona Department of Health Services and serves on the Trauma and EMS Performance Improvement (TEPI) Committee. Dr. Augenstein is an Assistant Professor of Child Health and Emergency Medicine at the Mayo Clinic School of Medicine and the University of Arizona.

• Patient Assessment........What

PRESENTATION DESCRIPTIONS

One of the basic fundamentals of emergency medicine is the ability to quickly and accurately assess the patient. This presentation will cover the aspects of patient assessment, not only adult, but pediatric and maternal patients. it will also include a section on communication and insight on the workings of the Emergency Department as it relates to EMS.

This session focuses on developing practical skills for quick initial assessments and maintaining highquality care. Topics include effective documentation, clear communication strategies, and fostering collaboration through teamwork. Learn how to "find your groove" in providing efficient and cohesive patient care.

Sandra “Sandy” Nygaard has been actively involved with EMS for many years, the majority in the fire service. I also managed the EMS program at Scottsdale Community College for 18 years until they transitioned to Mesa Community College. For the past 11 years Sandy has been the Prehospital Coordinator for Banner ironwood and Banner Goldfield Medical Centers.

Sandy is an active member of Arizona Emergency Medical Systems, Inc. (AEMS), serving as a Board member and Chair of the Planning and Outreach Functional Group, which includes the Education Committee. She also represents AEMS on both the State EMS Education Committee and the Trauma Advisory Board.

• Don't Miss This! New Knowledge from the Cardiology Corner

Beth Ranney, MD ranney.beth@gmail.com

This presentation will cover essential "Don't Miss!" EKGs and highlight current topics in the cardiology corner of emergency medicine. It will focus on reviewing clinically significant EKGs and exploring recent developments in cardiac care within the emergency medicine setting.

Dr. Beth Ranney graduated Arizona State University in 2004 with degrees in molecular biosciences and biotechnology, and anthropology. She worked at the Arizona Burn Center until 2006 and graduated from the University of Arizona College of Medicine in 2010. She completed her residency in emergency medicine at Maricopa Medical Center (now Valleywise Health) in 2013.

Dr. Ranney currently practices at several Banner emergency departments around the valley, mostly at Banner Ironwood & Goldfield as the EMS and Trauma director. She adores her husband Joe, who is a Phoenix firefighter, and her two sons Angus (9) and Ewan (7).

2024 EMS CE Fall Forum Volunteers

Sandy Nygaard, EMCT-P - Host

Marcia Barry, RN

Nicola Crim

Kyle Henson

Kristin Niehoff, RN

Barb Schaffer, RN

Billy Warren

Special Thanks for the Support Of

Arizona Department of Health Services, Bureau of Emergency Medical Services and Trauma System

AEMS Education Committee

AEMS Board of Governors

AEMS Dues Paying Members

Grant Preston, Webmaster

Peggy Baker, AEMS, Executive Director

Thank You Central Arizona

EMS and Trauma Care Provider Agencies and Hospitals

Arizona Emergency Medical Systems, Inc. (AEMS) expresses our appreciation for the care, dedication, and commitment of all the staff and volunteers affiliated with Central EMS and Trauma provider agencies and hospitals. Thank YOU for supporting and enhancing emergency medical and trauma care for all of Central Arizona.

Abrazo Arizona Heart Hospital

Abrazo Arrowhead Campus

Abrazo Buckeye Emergency Center

Abrazo Cave Creek Hospital

Abrazo Central Campus

Abrazo Peoria Emergency Center

Abrazo Scottsdale Campus

Abrazo Surprise Hospital

Abrazo West Campus

Aguila Fire Department

Air Evac Services / Phi

Ak-Chin Fire Department

American Medical Response (AMR)

Angel Medflight

Arizona Ambulance Association

Arizona American College of Emergency Physicians

Arizona City Fire District

Arizona Emergency Medicine Research Center

Arizona Emergency Nurses Association

Arizona Fire & Medical Authority - Buckeye Valley

Arizona Fire & Medical Authority - Sun City West

Arizona Fire & Medical Authority - Sun Lakes

Arizona General Hospital - Laveen

Arizona General Hospital - Mesa

Arizona Hospital & Healthcare Association

Avondale Fire-Rescue

Banner Air

Banner Baywood Medical Center

Banner Boswell Medical Center

Banner Casa Grande Medical Center

Banner Del E. Webb Medical Center

Banner Desert Medical Center

Banner Estrella Medical Center

Banner Gateway Medical Center

Banner Goldfield Medical Center

Banner Ironwood Medical Center

Banner Ocotillo Medical Center

Banner Payson Medical Center

Banner Thunderbird Medical Center

Banner University Medical Center - Phoenix

Buckeye Fire Medical-Rescue

Canyon Fire District

Carl T. Hayden VA Medical Center

Casa Grande Fire Department

Cave Creek Fire Department

Central Arizona Mountain Rescue

Chandler Fire Department

Christopher Kohls Fire Department

Circle City - Morristown Fire District

Cobre Valley - Kearney EMS

Cobre Valley Regional Medical Center

Coolidge Fire Department

Daisy Mountain Fire and Medical

Dignity Health - Arizona General - Ahwatukee ER

Dignity Health - Arizona General - Chandler Germann ER

Dignity Health - Arizona General - Chandler McQueen ER

Dignity Health - Arizona General - Gilbert ER

Dignity Health - Arizona General - Glendale Olive ER

Dignity Health - Arizona General - Glendale Camelback ER

Dignity Health - Arizona General - Goodyear ER

Dignity Health - Arizona General - Mesa Baseline ER

Dignity Health - Arizona General - Mesa Power Road ER

Dignity Health - Arizona General - San Tan Valley ER

Dignity Health - Arizona General - Surprise ER

Dignity Health - Arizona General - Tempe Rural ER

Dignity Health - Arizona General Hospital – Laveen

Dignity Health - Arizona General Hospital - Mesa

Dignity Health - Chandler Regional Medical Center

Dignity Health - Mercy Gilbert Medical Center

Dignity Health - St. Joseph’s Hospital and Medical Center

Dignity Health - St. Joseph’s Westgate Medical Center

East Valley ER and Hospital

El Mirage Fire Department

El Mirage Emergency Room and Medical Center

Eloy Fire District

Exceptional Community Hospital Maricopa

Florence Fire Department

Fort McDowell Yavapai Nation Fire Department

Fountain Hills 24/7 ER and Medical Center

Fountain Hills Fire Department

Gila Bend Fire Department

Gila River EMS

Gila River Fire Department

Gilbert Fire and Rescue

Gisela Valley Fire District

Glendale Fire Department

Thank You Central Arizona

EMS and Trauma Care Provider Agencies and Hospitals

Arizona Emergency Medical Systems, Inc. (AEMS) expresses our appreciation for the care, dedication, and commitment of all the staff and volunteers affiliated with Central EMS and Trauma provider agencies and hospitals. Thank YOU for supporting and enhancing emergency medical and trauma care for all of Central Arizona.

Globe Fire Department

Goodyear Fire Department

Guadalupe Fire Department

Harquahala Valley Fire District

Hellsgate Fire Department

HonorHealth Complete Care - Paradise Valley

HonorHealth Complete Care - Surprise

HonorHealth Deer Valley Medical Center

HonorHealth Florence Medical Center

HonorHealth John C. Lincoln Medical Center

HonorHealth Mesa Emergency Center

HonorHealth Mountain Vista Medical Center

HonorHealth Scottsdale Osborn Medical Center

HonorHealth Scottsdale Shea Medical Center

HonorHealth Scottsdale Thompson Peak Medical Center

HonorHealth Sonoran Crossing Medical Center

HonorHealth Tempe Medical Center

Houston Mesa Fire District

Hu Hu Kam Memorial Hospital

Maricopa Ambulance

Maricopa Fire/Medical Department

Mayo Clinic Hospital

Maricopa County Sheriff’s Office Medical Rescue Posse

Mesa Fire and Medical Department

Native Air Ambulance / LifeNet / Air Methods

Payson Fire Department

Pinal County Sheriff’s Office Search and Rescue Posse

Peoria Fire-Medical Department

Phoenix Children’s Emergency Department - Avondale

Phoenix Children’s Hospital - Arrowhead Campus

Phoenix Children's Hospital – Phoenix

Phoenix Fire Department

Pinal Rural Fire and Medical District

Pleasant Valley Fire District

PMT Ambulance

Queen Creek Fire & Medical

Queen Valley Fire District

Regional Fire and Rescue Department

Rio Verde Fire District

Salt River Fire Department

San Carlos Apache EMS and Fire Department

San Carlos Apache Healthcare Corporation

Scottsdale Fire Department

Stanfield Fire District

Sun City Fire & Medical Department

Superior Fire Department

Superstition Fire & Medical District

Surprise Fire-Medical Department

Tempe Fire Medical Rescue Department

Thunderbird Fire District

Tolleson Fire Department

Tonto Basin Fire District

Tri-City Fire District

Valleywise Emergency - Maryvale

Valleywise Health Medical Center

Waterwheel Fire & Medical District

Wickenburg Community Hospital

Wickenburg Fire Department

Wilderness Medics

This list is intended to be inclusive of all Central Region EMS and Trauma Care Agencies and Hospitals. If an agency/hospital was omitted from this list, we sincerely regret the oversight. Please notify us so that we may update. Thank you Updated November

We are excited to announce the recent launch of our updated AEMS website. While the overall design remains familiar, we have given it a slight yet meaningful revamp. Moreover, we have added some new features of functionality to enrich the user experience.

Here’s What’s New:

Website App: An AEMS Website App is available to provide quick and easy access to our resources directly from your mobile device. Prepare for a more convenient way to stay connected with AEMS - all it takes is a simple touch on your screen! Click here to download the AEMS App: https://aems.org/about/download-web-app

Other Events Page (Home Page Slider and Under Education) This newly added valuable resource page provides a streamlined approach to sharing events from other organizations. It is composed of a simple overview of the event including title, date, location, and a link for more information or registration.

Upcoming Events Calendar (Home Page): The Calendar has been enhanced for your convenience, presenting a more intuitive interface to better track upcoming events.

Graphic Slider (Home Page) The slider has been upgraded to provide a visually engaging display for an array of events and announcements.

Featured Reads (Home Page) This prime space has been designed to spotlight select events and announcements.

EMS Newsflash (Home Page) A space on the homepage has been reserved to share regular posts linking you to various current news items pertinent to EMS, healthcare, and related issues impacting our community and field.

Archive (Under About AEMS) This page has been created for dual function. It acts as a central repository for past Board Agendas/Minutes, Functional Group Agendas/Minutes, Year in Reviews, and other important documents. This archive collection also serves as a record of the AEMS’ history.

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