Keynote 1: View from the Other Side: A Nurse’s Journey Through the Care System

Speakers: Anne Montera, RN, and Chris Montera, NRP

On the evening of January 3, 2016, RN Anne Montera went to bed not feeling well. When her paramedic husband, Chris, checked on her, Anne wasn’t breathing. She had suffered a sudden cardiac arrest. Chris performed CPR, and Anne’s daughter called 911. When Anne woke up at the hospital, she was stunned to find that she was being treated for an opiate overdose. Join Anne as she tells the incredible tale of the events surrounding this incident and the lessons learned by all involved. From being belittled by her own medical community and learning how to recover emotionally from the trauma of the event to an incredible twist of fate that put her right back in a similar scenario a year later, you will be riveted by this unforgettable story.


Keynote 2: Where Relevant Meets Real-World: An Expert Panel Presents the EMS World Keynote

Moderator: Ed Racht, MD
Panelists: Dan Swayze, DrPH, MBA, MEMS, Rhonda Kelly, RN, EMT-P, Daniel Fabbri, Ph.D.  

Regardless of your role, your organizational affiliation, or your tenure in Emergency Medical Services, one thing is certain: Working in EMS comes with a unique (and sometimes unpredictable) host of risks and new realities that require us to always be prepared. For 2018, EMS World continues its longstanding tradition of covering the most current topics critical to your profession and your practice, and this October, we will bring the latest and most critically important issues to the forefront of the meeting. In this unique and interactive keynote session, Dr. Ed Racht will moderate a specially hand-picked panel of national experts who will discuss today’s hottest and toughest medical and operational topics, including key challenges, top trends, and best practices.

Topic 1: Tackling the Opioid Problem
Panelist: Dan Swayze, DrPH, MBA, MEMS

The September 11th attacks killed 3,000 people. Unfortunately, it took that kind of disaster to finally prompt the federal funding and disaster preparedness efforts that had been sorely lacking for decades. In 2017 alone, the opioid crisis killed 50,000 people, the equivalent of a 9/11 attack occurring every 22 days that year.

The crisis is far from over.

Unlike the terrorists who executed the 9/11 attacks, the healthcare system in the U.S. is partly to blame for creating the greatest public health threat of our lifetime. Beyond the inconceivable number of deaths, the crisis is also affecting the mental health of our EMS providers who are fed up and burnt out because of a system that just isn’t working.

During this interview, Dr. Swayze will describe some innovative and controversial approaches EMS agencies from across the country are taking to tackle the problem and why addressing this crisis is much more complicated and divisive than other recent public health threats like H1N1 and Ebola.

Topic 2: Changing the Culture Around First Responder Mental Health
Panelist 2: Rhonda Kelly, RN, EMT-P

Suicide has been recognized as the leading occupational killer of emergency responders. Studies show that law enforcement and fire personnel are 2-3 times more likely to die by their own hand than by any other line of duty cause combined.

Although statistics have not been tracked as thoroughly, we know the EMS community is not immune. One national study reports suicidal ideation among EMS personnel at a rate 10 times greater than the national average as reported by the CDC. Emergency response occupations are dangerous professions and we train to minimize the recognized risks. Yet these statistics prove that we have overlooked preparing and equipping our personnel to combat the greatest dangers – the mental and emotional impacts of the job. Compounding this, we are embedded in a “hero” culture that views admission of these impacts as weakness.

Join Rhonda Kelly, RN, EMT-P, and director of the ResponderStrong™ initiative, for a discussion of the contribution of this “hero mythology” and culture to the negative mental health impacts and subsequent silent suffering of responders. Conversations like these are leading to the creation and implementation of innovative solutions.

Topic 3: Automating Clinical Documentation with Machine Learning
Panelist 3: Daniel Fabbri, Ph.D.

EMS providers know that chaotic environments, time pressures, multiple hand-offs, and constrained workspaces all lead to less-than-optimal clinical documentation.   From the point-of-injury en route to treatment facilities, documentation can be a beast: it may end up incomplete, inaccurate, or irrelevant, whether written in permanent marker on the patient’s forehead or entered hastily into an ePCR. 

With the support of the U.S. Army’s Medical Research and Material Command, Dr. Fabbri’s team is developing a novel, hands-free clinical documentation system that leverages a combination of off-the-shelf sensors, accelerometers, and cameras to collect data during transport.  This system aggregates and analyzes the data to automatically identify key clinical tasks (e.g., intubation, CPR, etc.), which helps generate an abbreviated care record to share with receiving facilities.

During this interview, Dr. Fabbri will demonstrate this AI-based approach to automating clinical documentation and will share the initial results of the system.  He will discuss the broader impacts of machine learning and how it can improve other problems in the healthcare arena. 




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