Monday, May 20, 2019 The Ohio EMS Conference presented by ...€¦ · Now: Stacey Armstrong Next:...

Monday, May 20, 2019

The Ohio EMS Conference presented by OhioHealth

8:45 a.m. WELCOME: EMS CONFERENCE

OhioHealth System

Leadership

Welcome

Now: Stacey Armstrong Next: Holly Herron

Media Services Display Welcome Slide

4 minutes

Good morning, my name is Stacey Armstrong, President at OhioHealth

Grant Medical Center.

I am honored to welcome each of you to the Ohio EMS Conference,

presented by OhioHealth.

As a hospital president at a Level 1 Trauma Center, our relationships

with EMS professionals in the community is incredibly important, and

OhioHealth is committed to those long-standing partnerships with all of

you.

OhioHealth continues on a path to providing our communities with

simple, accessible and affordable care.

Over the last year, we at OhioHealth expanded our footprint in the

central Ohio area.

For example, we opened OhioHealth Grove City Methodist Hospital in

October 2018.

This gave us a chance to further strengthen our commitment to building

a healthier community in Grove City.

Since 2017, we’ve had six OhioHealth freestanding emergency care

locations open. They are located in Ontario, Hilliard, Reynoldsburg,

Obetz, Powell, and New Albany.

These locations are exceeding projected volumes by nearly 100% -

showing their value and highlighting unmet community needs.

A new Urgent Care, primary care and walk-in lab services opened in

Marion.

This new location is providing a lower-cost alternative to emergency

services for our patients.

Of course, I am biased about this next accomplishment because it hits

home for me.

In August, at Grant Medical Center, we opened our new 34-bed nursing

unit, 4 East.

This new unit added private critical care and intermediate flex beds for

our patients at Grant.

It also allows us to ensure our current services and units are set up in a

way that allows for future growth, while increasing patient satisfaction

and safety.

These are just a few examples of the growth we have made in the last

few years.

It excites me to see all the ways we are helping to make healthcare

simple, accessible and affordable.

I also want to thank you.

You are a part of our journey in providing high-quality care.

Each of you go above and beyond the call of duty.

You don’t just show up for work. You arrive knowing that those in your

community depend upon your knowledge, skills, training, and care. WE

depend on you.

The service you provide to some of the sickest and most injured patients

is profoundly important.

The hearts you touch, do not forget you.

Thank you for all you do.

You matter… To those around you, those dependent upon you, and to us.

I hope you enjoy your time here today!

Now, please join me in welcoming Holly Herron, system director of

EMS for OhioHealth.

[Hold for applause]

OhioHealth EMS

Welcome Now: Holly Herron Next: Holly Herron

4 minutes

Thank you, Stacey.

Welcome everyone! Happy National EMS Week!

On behalf of OhioHealth EMS, thank you for attending our conference.

The next two days will be full of information that I know you will find

useful and enjoyable.

We are excited to offer you presentations today by some excellent

keynote speakers, as well.

I am confident that you will be able to take what you learn today, share it

with your teams and apply it, to make a difference in your work.

This conference is our way of showing our appreciation for all that you

do. You serve so many in your communities, so this is the least we can

do to thank you.

We want to make you aware of a few special events that have been

added.

OhioHealth Cancer Services is offering FREE health and wellness

screenings throughout the day.

These include lung monitoring, skin screenings, mammography

scheduling, and the age progression software visualization.

If interested, we encourage you to connect with this team early.

A Stop-the-Bleed Train-the-Trainer course has been added for today

from 2-3PM in room C160A.

If interested in learning how to present Stop-the-Bleed in your

community, you should plan to attend.

Also, for this evening only, we hope you will stop by the Central Ohio

Fire Museum and Learning Center at 260 North Fourth Street. This

is about two blocks east of the convention center. They have opened the

museum just for you from 5 p.m. to 8 p.m. Show your conference badge

to receive a 10 percent discount on admission.

I’d also like to thank some of our sponsors that make this conference

possible:

Platinum Sponsors: MedFlight, Midwest Medical Transport, and

Zoll

Gold Sponsors: Mid-Ohio Emergency Services

Silver Sponsor: Air-Evac Lifeteam and Survival Flight

Please take the time to visit our exhibitors and show your support.

If you have any needs today, just connect with any associate from

OhioHealth EMS or visit the registration booths.

Everyone should have checked-in this morning when you arrived. If

you still need to do so, please visit one of our booths before you leave

outside of these ballroom doors.

Thank you once again for joining us!

9 a.m. OPENING CEREMONY

Media Services Display Opening Ceremony Slide

Opening

Ceremony Now: Holly Herron, Pipes & Drums Next: Paul Gabriel

Now, would everyone please stand for our opening ceremony presented by

members of the:

o Columbus Police and Fire Pipes and Drums and the Delaware

County EMS Honor Guard.

[Pipes will fade in to start the presentation]

[After the posting of the colors on the stage]

Let’s pause now for a moment of silence in honor of emergency medical

services professionals who have been injured or lost their lives this past

year.

[Honor guard exits while pipes play then fade out]

[Wait until music stops before proceeding]

9:05 a.m. MOORE AWARD PRESENTATION

Media Services

Display Moore Award Introduction Slide

CAREFUL: Do not change slide until indicated below

Moore Award

Introduction Now: Paul Gabriel Next: Moore Family

4 minutes

Thank you!

I am Dr. Paul Gabriel, chairperson of the department of emergency

medicine at Grant Medical Center.

At this time, we would like to celebrate the life and legacy of one EMS

professional whose commitment to patients and his fellow EMS

community members made a lasting impact.

For 25 years, John Moore served as a part-time flight paramedic and

instructor at Grant Medical Center. He was also a firefighter, paramedic

and instructor with the Columbus Division of Fire.

He dedicated his professional life to the continued success of Grant’s

Trauma and EMS programs.

I am sad to say that we lost John when he passed away in 2010.

However, we celebrate his legacy as a gifted educator and paramedic

each year with the John P. Moore Memorial EMS Award for Excellence.

This award is given annually to an EMS professional whose work over

the course of their career has improved the lives of others by creating a

positive and long-lasting impact in the Emergency Medical Services

profession.

Nominees must have a demonstrated impact that’s representative of his

or her actions as an EMS advocate, educator, mentor, provider, teacher

or leader.

This award presentation is an opportunity to honor two outstanding

members of the EMS community: John Moore, and the recipient who

demonstrates the values John stood for.

I would like to invite Sue Moore, John’s wife, to the stage to assist in

our award presentation.

[Give flower bouquets to Sue]

[Few words by Sue]

Please join me in thanking Sue and family for being here today.

[Hold for applause]

Moore Award

Presentation Now: Paul Gabriel/ Holly Herron Next: Award Recipient

3 minutes

The nomination entry for this year’s award recipient was sent in by his

son and at this time I would like to share it with you:

“If anyone embodies the commitment, dedication, and professionalism to

the betterment of EMS in Ohio that the John Moore Award represents, it

would be my father.

He became interested in EMS in the early 1970’s with the establishment

of Southeast Ohio EMS in his hometown, Gallipolis.

Although he was just a teenager, the TV show “Emergency!” captured

his aspiration to be a paramedic.

When he was 16 years old, he began dispatching for the Gallia County

Volunteer Emergency Squad. Riding along on calls, he further fell into

the spell of helping people in their time of need…it was his calling.

In 1978 after high school, he attended Hocking College and received his

EMT and paramedic certifications.

The knowledge he gained in college served him for a career that now

has spanned over 40 years.

Recently he has gone full circle in EMS and returned to Hocking as the

EMS Program Manager.

While in college, he began working for Southeast Ohio EMS (SEOEMS)

where he served in several capacities including EMT, paramedic,

dispatcher and logistics officer.

His experiences and grooming with SEOEMS put him in a position to

work for Grant Medical Center’s LifeFlight program where he was a

part of the establishment of the first non-hospital based helicopter

operation in Wellston.

LifeFlight later became MedFlight, and his career as a Flight

Paramedic continued for a total of 29 years.

During his time with MedFlight he also served in the capacity of Base

Director where he applied his leadership skills to those within

MedFlight and those they served.

My father’s love for EMS has always sparked his desire to give to others

his knowledge and passion for the job.

He has taught or delivered countless presentations to public safety

professionals as an EMS instructor, mentor and motivator.

He has taught in paramedic programs for over 30 years, the University

of Rio Grande and now Hocking College inspiring the next EMA

Professionals.

He is a self-professed EMS historian and avid collector of EMS artifacts,

which he often displays often at conferences.

His commitment to learning has never ceased. He recently completed his

Bachelor of Science in EMS Administration and has plans to obtain a

graduate degree.

True to his commitment as an EMS professional, my father has shown a

deep resolve for public service.

He served as a Reserve Police Officer in Gallipolis for 24 years, giving

his time to keeping his community safe.

He served 12 years as a member of the Gallipolis City School Board and

currently serves on the Buckeye Hills Vocational School Board.

Most important is his devotion to his family. He has been such a positive

influence on my brothers and me, one which led me to public service as

a police officer.

I am proud to be able to call him Dad.”

I am pleased to recognize the recipient of this year’s John P. Moore

Memorial EMS Award for Excellence: Mr. Robert Cornwell.

Bob, please join us on stage.

[Allow time for recipient to come on stage]

Media Services Display Award Recipient Slide

3 minutes

[Present the award to recipient]

[Offer recipient opportunity to say a few words]

[Hold for applause]

2 minutes

Thank you Bob. Again, congratulations!

[Hold for applause]

If you could take a few minutes for pictures in the outside lobby, we would

appreciate it.

[Hold for applause]

OhioHealth EMS

& Photographer

OhioHealth EMS representative to meet recipient in ballroom lobby for:

o Distribution of John Moore memorial pins

o Distribution of nominee done by OhioHealth EMS

o Group photo of everyone together (recipient)

o Individual photos recipient with his award and family.

9:15 a.m. KEYNOTE PRESENTATION

Media Services Display Presentation Slides

Keynote

Introduction Now: Paul Gabriel Next: Michael Hingson

60 minutes

Our opening speaker this morning is a #1 New York Times best-selling

author and international lecturer.

Blind since birth, he survived the 9/11 attacks with the help of his guide

dog Roselle.

He gives hundreds of presentations around the world each year

speaking to influential groups such as Exxon Mobile, AT&T, Federal

Express, Scripps College, Rutgers University, Children’s Hospital, and

the American Red Cross to name a few.

He is Ambassador for the National Braille Literacy Campaign for the

National Federation of the Blind and serves as Ambassador for the

American Humane Association’s 2012 Hero Dog Awards.

In countless TV and radio appearances, feature articles, and speaking

engagements, he does much more than simply tell his own 9-11 story;

he continuously explores the broader lessons of his life and

experiences.

The story of teamwork and his indomitable will to live and thrive is the

subject of his best-selling book “Thunder Dog”.

Please join me this morning in welcoming Mr. Michael Hingson.

[At end of presentation, thank speaker and ask audience members to

raise their hand if they have a question and wait until someone brings

a microphone to them]

10:15a.m. MORNING BREAK

Media Services Display Break Slide

Announcements Now: Paul Gabriel Next: Paul Gabriel

30 minutes

We will now take our morning break. I’d like to thank our morning-

break sponsor: K W I B, LLC

Light refreshments are being served down the escalators and to the

right.

General Sessions will continue here in the Short North Ballroom after

the break.

The EMS Health and Wellness Track and the EMS Operations

Track will each begin at 10:45 in the D-corridor classrooms on the

second floor.

Please return just a few minutes early so that we may start promptly at

10:45.

10:35 a.m. BREAK RETURN

Media Services,

Registration team,

and Dr. Gabriel

[At 10:35 Media Services announcement that we will be starting in 10

minutes]

[At 10:35 Registration team rings bell in main corridor signaling 10

minutes till start]

[At 10:40 Dr. Gabriel asks audience to take their seats]


minutes till start]

10:45 a.m. PRESENTATION


Speaker

Facilitation Now: Dr. Gabriel Next: Dr. David Miramontes

45 minutes

Welcome back everyone.

Dr. David Miramontes started his Medical and EMS experiences in

high school as a Volunteer Firefighter EMT in Northern California.

He attended Medical School at the University of Toledo Medical

School and completed his Emergency Medicine Residency at Mercy

St. Vincent's Medical Center.

After his residency program, he remained in northwest Ohio working

at Mercy St Vincent's as an Emergency Medicine Residency Core

Faculty member and served as the ED Medical Director for 3 years at

Mercy St Charles Hospital. He was the EMS Medical Director of

numerous Fire Departments in Northwest Ohio including the City of

Toledo Fire Department and Lifestar Ambulance.

Dr. Miramontes assumed a command position in August of 2011 as

the Assistant Chief of Fire and EMS and Medical Director for the

District of Columbia Fire and EMS Department (Washington DC) in

which he served over 3 years.

He is a Nationally Registered EMT, a Hazmat Tech, as well as

Firefighter II qualified and has been deployed many times over the last

20 years with the US Department of Health and Human Services-

National Disaster Medical System (NDMS).

Currently he practices EMS medicine full-time as the Medical Director

for the City of San Antonio Fire Department. The department has over

1700 Firefighter EMT’s and Paramedics serving to protect the 7th

largest city in the United States.

Please join me now in welcoming Dr. David Miramontes.




12:15 p.m. Thank-You Video

Video

Introduction Now: Holly Herron Next: Holly Herron

4 minutes

Thank you very much Dr. Miramontes.

At this time, we would like to take a moment and play a special

message for you from some of our associates at OhioHealth.

Media Services Play Thank-You Video

12:19 p.m. LUNCH

Media Services Display Lunch Break Slides

Lunch

Introduction Now: Holly Herron Next: Paul Gabriel

71 minutes

We hope you enjoyed that video.

We are now going to break for lunch.

Food and beverages will be served downstairs, to the right of the

escalators and stairs.

For our EMT and paramedic school alumni, a special luncheon will

take place in Room C160A.

Staff will point the way for you.

We hope you will also take a moment and visit with our exhibitors both

outside the ballroom here and downstairs in the D-pod hallway and

meeting rooms.

Please return a few minutes early so that we may start promptly at

1:30.

1:20 p.m. LUNCH RETURN

Media Services,

Registration team,

and Dr. Hill


minutes]

[At 1:20 Registration team ring bell in main corridor signaling 10

minutes till start]

[At 1:25 Dr. Gabriel asks audience to begin taking their seats]


minutes till start]

1:30 p.m. A FAMILY'S STORY

Media Services Display Family Story Slide

Speaker

Facilitation Now: Paul Gabriel Next: Randy Bates

4 minutes

Welcome back. [wait for audience to quiet down]

On March 5th, 2018, Randy Bates was at the Blarney Stone Tavern in

Worthington Ohio.

It was league night, and as with most Monday nights Randy joined his

team to compete against some of Central Ohio’s best pool players.

During one of the night’s matches, Randy approached the team captain,

who happened to be Randy’s son Adam Bates. They discuss strategy

and current team point totals.

After their brief conversation, Randy turned around, started back for the

pool table when he collapsed to the floor.

Quick to act were Jeff McCune and Benny King, both members of

another team, who immediately jumped to Randy’s aid. Jeff and Benny

had once been volunteer firefighters.

They assessed Randy, recognizing his heart was not beating, initiated

CPR and instructed Adam to call 911.

Worthington Fire was dispatched immediately to the scene.

At 8:30 pm the first EMS provider arrived, Battalion Chief Pat

Mulligan, just behind him the crew of Medic 101. Chief Mulligan

confirmed that Randy did not have a pulse, relieved Jeff and Benny,

continued CPR, and alerted the crew of Medic 101 that this was in fact a

cardiac arrest.

Paramedics Clayton Miller, Kevin McKelvey, & Michael Snyder

assisted Chief Mulligan. Defibrillation pads were placed, IV access

established, and respirations were delivered via a Bag Valve Mask.

Randy’s heart rhythm was identified as ventricular fibrillation. A shock

of 200 joules was delivered immediately, compressions were resumed

and one milligram of Epinephrine was pushed.

The crew’s reassessment revealed they had Return of Spontaneous

Circulation (ROSC). Randy’s pulse was strong but quickly his heart rate

increased and soon he was back in V-Fib.

A second shock was delivered and CPR was initiated. Randy was

successfully intubated and ROSC was achieved for a second time.

Randy began to breathe on his own. Fighting against them, the crew

decided to sedate Randy with five milligrams of Versed.

The crews Auto Pulse was initiated and Randy was moved to Medic

101 for transport.

Paramedics Ted Heineman and Chris Dawson from Engine 101 joined

Medic 101’s crew to assist.

In route to Riverside Methodist Hospital, Randy’s condition again

deteriorated and soon he was back in V-fib. CPR resumed, Epinephrine

administered, and a third shock delivered. A Tibial IO was established

and fluids initiated. A third Epinephrine and Sodium Bicarbonate

administered, and D10 started through the IO.

As they pulled up to Riverside’s Emergency Department, the next

rhythm check revealed a strong, fast carotid pulse. It was 8:50 pm;

twenty minutes after Chief Mulligan had first arrived on scene.

Randy was evaluated by the Emergency Department staff and taken

immediately to the cardiac lab.

His heart catheterization revealed a 50% ejection fraction with evidence

of fluid overload and cardiogenic shock. An Impella ventricular assist

device was implanted into his left ventricle to allow his heart to rest and

heal.

On March 14th, Randy underwent surgery for a quadruple bypass.

We are very pleased to have Randy Bates here with us today.

Randy, could you please join us up on stage.

[Allow time for recipient to come on stage]

7 minutes

Thank you for coming today. We are honored to have you here today.

Would those here from Worthington Fire Department please join us on

stage at this time?

Randy, please tell us what you remember from that day and how these

EMS providers cared for you?

[Time for response]

Unfortunately, Dr. Arshi, the interventional cardiologist who performed

your cardiac catheterization was not able to be here today; however, his

colleague, Dr. Michael Jolly, has graciously offered to speak to us about

your procedure and clinical findings.

Dr. Jolly, could you please join us on stage?

What can you tell us about Randy’s critical state and the care he

received at Riverside?

[Time for response]

Randy, we are very happy you are doing so well today.

We appreciate all of you being here today.

Please join us in the lobby outside the ballroom for photos at this time.

For our attendees: if you wish to return to either the Health &

Wellness track or the EMS Operations Track, please feel free to do

so now. Thank you.

5 minutes [Time for family to greet everyone on-stage]

OhioHealth EMS

& Photographer

OhioHealth EMS representative to meet patient/family/supporters, emergency

responders, and OhioHealth care givers in ballroom lobby for:

o Photo of patient alone

o Photo of patient and if present, family and supporters

o Group photo of emergency responders alone

o Group photo of emergency responders with patient

o Group photo of OhioHealth care givers alone

o Group photo of OhioHealth care givers with patient

Please match everyone’s names and photos so that we know who is whom.

2:00 p.m. KEYNOTE PRESENTATION


Speaker

Facilitation Now: Paul Gabriel Next: Dr. Paul Pepe

60 minutes

It is my pleasure to introduce our next speaker, Dr. Paul Pepe.

Dr. Pepe is a Professor of Emergency Medicine, Internal Medicine,

Surgery, Pediatrics, Public Health and the Riggs Family Chair in

Emergency Medicine (EM) at the University of Texas Southwestern

Medical Center in Dallas, TX.

He simultaneously serves as the EMS/Public Safety Medical Director

for Dallas County Government and the National Coordinator of the

Metropolitan EMS Medical Directors Coalition.

As the national coordinator of the Metropolitan EMS Medical Directors

Coalition, he leads a de facto physician alliance among these medical

final decision-makers for medical preparedness, training and protocol

within a large city 9-1-1 system of medical responders in the U.S. and

their European metropolitan counterparts.

With this alliance, he has helped not only to establish local contacts and

medical advance plans for major events and other special operations, but

also more rapid changes in best practices for stroke, cardiac and trauma

care worldwide.

He has written over 400 full-length published scientific papers,

including many landmark publications and is renowned for a grass-

roots, street-wise style in planning, implementing and overseeing a

systems approach to saving lives, both operationally and through well

over two dozen successful clinical trials.

When receiving an award for lifetime achievements from the American

College of Emergency Physicians, presented in Washington, D.C. by the

U.S. Surgeon General, Dr. Pepe was cited as the most accomplished

emergency medical services physician of our generation.

Please join me in welcoming Dr. Paul Pepe.




3:00 p.m. BREAK

Media Services Display Break Slides

Speaker

Facilitation Now: Paul Gabriel Next: Paul Gabriel

30 minutes

We will now take a 30 minute break. Please take a moment and visit

with our exhibitors located both outside the ballroom here and

downstairs in the D-pod hallway and meeting rooms.

Snacks will be served downstairs, just to the right of the escalators

and stairs.

Our next presentation will begin promptly at 3:30.

3:20 p.m. BREAK RETURN

Media Services,

Registration team,

and Dr. Gabriel


minutes]


minutes till start]

[At 3:25 Dr. Gabriel asks audience to begin taking their seats]


minutes till start]

3:30 p.m. PRESENTATION


Speaker

Facilitation Now: Paul Gabriel Next: Dr. Michael Jolly

45 minutes

Welcome back.

Our next speaker is an interventional cardiologist and peripheral

vascular physician at Riverside Methodist Hospital.

He completed medical school and internal medicine residency at The

University of Texas Southwestern Medical School and a fellowship in

cardiology at The Cleveland Clinic.

Please join me in welcoming Dr. Michael Jolly.




4:15 p.m. KEYNOTE PRESENTATION


Speaker

Facilitation Now: Paul Gabriel Next: Eric Nurnberg

60 minutes

Our closing keynote speaker for today serves as a Deputy Chief with the

Iowa City Fire Department as well as a leadership development and

human performance advisor for Leadership Under Fire

Eric Nurnberg is also a veteran of the United States Marine Corps and

earned a Bachelor’s Degree from the University of Iowa.

Eric is a graduate of the National Fire Academy’s Executive Fire

Officer Program where his research focused on rapid tactical decision-

making under stress and the psychological and physiological effects of

stress on tactical performance.

Eric is a contributor to the New York Fire Department’s Mental

Performance Initiative and is the co-author of “FirePsyche: Mental

Toughness and the VALOR Mindset for the Fireground”.

Please welcome Mr. Eric Nurnberg.




5:15 p.m. CONFERENCE CLOSING

Media Services Display Conference Closing Slide

Closing Now: Holly Herron

2 minutes

I would like to thank everyone for joining us today.

We appreciate your participation in all of today’s activities and hope

you enjoyed your time with us.

I have several important announcements before we go.

Everyone should have checked-in this morning when you arrived. If

you still need to do so, please visit one of the registration booths before

you leave.

Each day's conference evaluation is online. Instructions for

completing the evaluation and receiving your CE certificate are in the

conference program and in your welcome bag.

Once you complete the online evaluation for each day of the conference

you attend, we will email your CE certificate to the address you

provide within two weeks.

Please make sure to stop by any of the central Ohio OhioHealth

Emergency Departments Wednesday, Thursday or Friday from 11

a.m. to 2 p.m. for the EMS Week festivities.

Also, for this evening only, we hope you will stop by the Central Ohio

Fire Museum and Learning Center at 260 North Fourth Street.

This is about two blocks east of the convention center. They have

opened the museum just for you from 5 p.m. to 8 p.m. Show your

conference badge to receive a 10 percent discount on admission.

We hope to see many of you tomorrow for the second day of the

conference. Make sure to mark May 18 and 19, 2020 on your calendars

for next year’s Ohio EMS Conference.

Have a happy and safe EMS Week. A big thank you for all that you do

every day in the lives of others. Be safe on your way home!

Monday, May 20, 2019 The Ohio EMS Conference presented by ...€¦ · Now: Stacey Armstrong Next:...

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