a r

U

f

F

o

CO U R S E D I R E C T O R

Paul E. Pepe, MD, MPH, FACEP, MACP, MCCM, FAEMSMedical Director, Dallas County Emergency

Medical Services / Public Safety; Professor of Emergency Medicine, Internal Medicine,

Pediatrics, Public Health and Riggs Family Chair in Emergency Medicine;

Regional Director, Out-of-Hospital Mobile Care Systems andEvent/Disaster Preparedness, Office of Health System Affairs,

The University of Texas Southwestern Medical Center, Dallas, TX

FRIDAY-SATURDAYMARCH 2-3, 2018

Sheraton Dallas Hotel • Dallas, Texas

P R O G R A M A G E N D A

EMS STATE OF THE SCIENCE: A Gathering of Eagles XX*

FACULTY and KEY PARTICIPANTS:The Consortium of Metropolitan Municipalities EMS Medical Directors and Key Medical Officers for Federal Security-Related Service Agencies -- List of the Core Group, Associate Members and also Special Faculty for the February 28 – March 3, 2017 Eagles Coalition Meetings, Dallas, Texas, USA U.S. Metropolitan Municipalities EMS Medical DirectorsNew York City:Glenn H. Asaeda, MD – Chief Medical Director, Fire Department of New York, New York City, NYCity of Los Angeles:Marc K. Eckstein, MD, MPH – Medical Director and EMS Bureau Commander, Los Angeles Fire Department; Professor, Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CACity of Chicago:Joseph M. Weber, MD – Medical Director, EMS System for the City of Chicago (West) andJohn H. Stroger Jr. Hospital of Cook County; Associate Professor of Emergency Medicine, Rush Medical College, Chicago, IL Eddie J. Markul, MD – Medical Director, EMS System for the City of Chicago (North), and Attending Emergency Physician, Advocate Illinois Masonic Medical Center. Assistant Clinical Professor of Emergency Medicine, University of Illinois at Chicago, Chicago, ILKatie L. Tataris, MD, MPH – Medical Director, EMS System for the City of Chicago (South); Assistant Professor of Emergency Medicine, University of Chicago and University of Chicago Hospital,Chicago, ILChristopher T. Richards, MD, MS – Medical Director, EMS System for the City of Chicago (East); Assistant Professor of Emergency Medicine, Northwestern Feinberg School of Medicine, Chicago, ILCity of Houston:David E. Persse, MD – Physician Director, City of Houston EMS, and also Public Health Authority, City of Houston Department of Health and Human Services; Past-Chair, Board of Directors, NREMT; Professor, Departments of Emergency Medicine and Surgery, Baylor College of Medicine, Houston, TX Chris M. Souders, MD – Associate Medical Director, Houston Fire Department; Clinical Assistant Professor, Surgery, Baylor College of Medicine, Houston, TXCity of Philadelphia:C. Crawford Mechem, MD – EMS Medical Director, Philadelphia Fire Department; Professor, Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania,Philadelphia, PA City of Phoenix:John V. Gallagher, MD – EMS Medical Director, Phoenix Fire Department and Arizona Task Force One, Phoenix, AZCity of San Antonio:David A. Miramontes, MD, NREMT – Medical Director, San Antonio Fire Department; Assistant Clinical Professor, University of Texas Health Science Center, San Antonio, TXCity of San Diego:Christopher A. Kahn, MD, MPH – EMS Medical Director, Fire-Rescue Department, City of San Diego; Associate Professor of Clinical Emergency Medicine, University of California San Diego Health System, San Diego, CAJ. Joelle Donofrio, DO – Associate EMS Medical Director, Fire-Rescue Department, City of San Diego; Assistant Professor in Pediatrics and Emergency Medicine, University of California, San Diego Health System; Attending Physician and Medical Director for EMS, Rady Children's Hospital, San Diego, CACity of Dallas:S. Marshal Isaacs, MD – Medical Director, City of Dallas Fire-Rescue Department; BioTel Operations Medical Director and Professor of Emergency Medicine, the University of Texas Southwestern Medical Center and the Parkland Health and Hospital System, Dallas, TXCity of San Francisco: Clement C. Yeh, MD – Medical Director, San Francisco Fire Department EMS and San Francisco Department of Emergency Management; Associate Professor, Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA

Christopher B. Colwell, MD – Chief of EMS, City of San Francisco; Professor and Vice Chair, Department of Emergency Medicine, University of California, San Francisco (UCSF) School of Medicine and Chief of Emergency Medicine, Zuckerberg San Francisco General Hospital and Trauma Center; San Francisco, CACity of Indianapolis: Daniel P. O’Donnell, MD – Medical Director, Indianapolis EMS/Indianapolis Fire Department: Assistant Professor of Clinical Emergency Medicine, Indianapolis University School of Medicine, Indianapolis, INCity of Columbus:David P. Keseg, MD – Medical Director, City of Columbus Division of Fire; Adjunct Professor of Emergency Medicine, Department of Emergency Medicine, the Ohio State University Wexner Medical Center, Columbus, OHCity of Fort Worth:Neal J. Richmond, MD – Medical Director, MedStar Mobile Healthcare (City of Fort Worth and TarrantCounty EMS), Ft Worth, TX City of Detroit:Robert B. Dunne, MD – EMS Medical Director, Detroit East Medical Control Authority; Associate Professor & EMS Fellowship Program Director, Wayne State University, Detroit MICity of Seattle:Michael R. Sayre, MD – Medical Director, Seattle Fire Department Medic One Program, Professor ofMedicine/Emergency Medicine and EMS Fellowship Director, University of Washington and HarborviewMedical Center, Seattle, WAMichael K. Copass, MD – Eagles Icon in Perpetuum; Medical Director Emeritus, Seattle Medic One Program (City of Seattle EMS), Seattle Fire Department; Professor Emeritus of Medicine and Neurology,University of Washington, Harborview Medical Center Seattle, WA City of Denver:Kevin E. McVaney, MD – Medical Director, Denver Paramedics, Denver Fire and Denver 9-1-1 Communications Center; Associate Professor, Department of Emergency Medicine, University of ColoradoSchool of Medicine, Denver, COCity of Memphis:Joe E. Holley, MD – Medical Director, Memphis Fire Department EMS, City of Memphis and surroundingShelby County; Memphis, TNCity of Boston:K. Sophia Dyer, MD – Medical Director, City of Boston Public Safety (EMS, Fire & Police); Associate Professor of Emergency Medicine, Boston University School of Medicine (BUSM) and BostonMedical Center, Boston, MACity of Nashville:Corey M. Slovis, MD – Medical Director, Nashville EMS, Nashville Fire Department; Medical Director,Nashville International Airport; Professor & Chair of Emergency Medicine, Vanderbilt University, Nashville, TNCity of Portland:Jonathan Jui, MD, MPH – EMS Medical Director, Multnomah County, Oregon (includes Cities of Portlandand Gresham and the Portland International Airport); Professor, Department of Emergency Medicine, OregonHealth and Science University, Portland, OR

Cities of Oklahoma City and Tulsa:Jeffrey M. Goodloe, MD, NRP – Medical Director, Medical Control Board, EMS System for Metropolitan Okla-homa City and Tulsa; Professor and EMS Section Chief, Department of Emergency Medicine, The University ofOklahoma School of Community Medicine; Director, Oklahoma Center for Pre-hospital & Disaster Medicine, andNational Chair, EMS Committee, American College of Emergency Physicians (ACEP); Oklahoma City and Tulsa, OKCity of Las Vegas:David E. Slattery, MD – Deputy Chief and EMS Medical Director, Las Vegas Fire and Rescue, Associate Professor and Director of Research for the Department of Emergency Medicine at the University of Nevada School of Medicine, Las Vegas, NV

City of Milwaukee:M. Riccardo Colella, DO, MPH – Medical Director, Milwaukee County Emergency Medical Services and Flight for Life Air Medical Service; Chief, Section of EMS and Disaster Medicine, Departments of Emergency Medicine and Pediatrics, The Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI

City of Albuquerque:Andrew J. (Drew) Harrell, MD – EMS Medical Director, Albuquerque Fire Department, Medical Director and TEMS Physician, Bernalillo County Sheriff’s Department; Medical Director, Grand Canyon National Park; Assistant Professor, Emergency Medicine, University of New Mexico, Albuquerque, NM

City of Tucson:Terence D. Valenzuela, MD, MPH – Medical Director, Tucson Fire Department; Professor of Emergency Medicine, University of Arizona, Tucson, AZ

City of Buffalo:Brian M. Clemency, DO, MBA – Medical Director, City of Buffalo / AMR; Associate Professor of Emergency Medicine, University at Buffalo and Emergency Medicine Staff at Erie County Medical Center, Buffalo, NY

City of Kansas City:Jay H. Reich, MD– Medical Director, Office of the EMS Medical Director for the City of Kansas City, MO; EMS Section Chief, Department of Emergency Medicine, University of Missouri-Kansas City, Kansas City, MO

City of Atlanta:Arthur H. Yancey, II, MD, MPH – Medical Director, Grady Health Systems (City of Atlanta) EMS; Associate Professor, Department of Emergency Medicine, Section of Pre-hospital and Disaster Medicine, Emory University School of Medicine; Atlanta, GA

City of Raleigh:Jose G. Cabanas MD, MPH – Director/Medical Director, Wake County (Raleigh) Department of Emergency Medical Services, Raleigh, NC; Clinical Associate Professor, University of North Carolina Department of Emergency Medicine, Chapel Hill, NC

City of Washington, DC: Robert P. Holman, MD – Interim Medical Director, District of Columbia Fire and EMS Department, Washington, DC

City of Austin:Mark E. Escott, MD, MPH, NRP – EMS System Medical Director, City of Austin and Travis County and Clinical Assistant Professor, Division of Emergency Medicine, University of Texas, Austin, Dell Medical School, Austin, TX

City of Miami:Paul J. Adams, DO – Medical Director, City of Miami and Key Biscayne Fire Rescue and SkyService Air Ambulance; Medical Director, Miami-Dade College EMS Training Program; Staff Physician in Emergency Med-icine, Jackson Memorial Hospital, Miami, FL

Armando Clift, MD – Associate Medical Director, City of Miami and Key Biscayne Fire Rescue, Staff Physician in Emergency Medicine, Jackson Memorial Hospital, Miami, FL

City of Colorado Springs:E. Stein Bronsky, MD – Medical Director, Colorado Springs Fire Department and American Medical Response (AMR) Ambulance Service, El Paso County, Colorado Springs, CO

City of Minneapolis:Marc R. Conterato, MD – Office of the Medical Director, Joint Minneapolis EMS System; Clinical AssociateProfessor, Department of Emergency Medicine, University of Minneapolis Medical School, Minneapolis, MN

City of New Orleans:Jeffrey M. Elder, MD – Director, Emergency Medical Services, City of New Orleans; Clinical Assistant Professor, Louisiana State University Health Science Center, Section of Emergency Medicine, New Orleans, LA

City of Honolulu:Elizabeth A. (Libby) Char, MD – Medical Director for Honolulu Fire Department; Assistant Clinical Professor of Surgery, University of Hawaii School of Medicine, Honolulu, HI

City of St. Louis:W. Scott Gilmore, MD, EMT-P – Medical Director, St. Louis Fire Department and Emergency Physician, SSMHealth St. Mary's Hospital, Richmond Heights, MO

City of Wichita:John M. Gallagher, MD – EMS System Medical Director, Wichita/Sedgwick County EMS System; AdjunctClinical Professor, Kansas University School of Medicine; Member of the Board, National Association of EMSPhysicians, Wichita, KS

City of Pittsburgh:Ronald N. Roth, MD – Medical Director, City of Pittsburgh, Department of Public Safety; Team Physician,Pittsburgh Steelers; Emergency Medical Consultant. Pittsburgh Penguins and the University of Pittsburgh Pan-thers Football Team; Professor of Emergency MedicineUniversity of Pittsburgh, School of Medicine, Pittsburgh, PA

City of Anchorage:Michael K. Levy, MD – Medical Director, Municipality of Anchorage Fire Department and Anchorage Area-wide EMS Medical Director: Member-at-Large, National Association of EMS Physicians(NAEMSP) Board of Directors and Course Director, NAEMSP-ACEP EMS Subspecialty Board ReviewCourse; Affiliate Clinical Faculty, Health Sciences, University of Alaska, Anchorage, AK

City of Cleveland:Thomas E. Collins, MD – Medical Director, Emergency Medical Services/Public Safety, City of Cleveland; As-sociate Professor, Emergency Medicine, Case Western Reserve University, School of Medicine; Associate ChiefMedical Officer, MetroHealth System, Cleveland, OH

City of Cincinnati:Donald A. Locasto, MD – EMS Medical Director, City of Cincinnati Fire Department; Associate Professor of Emergency Medicine, University of Cincinnati, Cincinnati, OH

Jason T. McMullan, MD – Assistant Medical Director, City of Cincinnati Fire Department EMS; Associate Professor and EMS Fellowship Director, Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH

City of St. Paul:Ralph J. (RJ) Frascone, MD – Medical Director, St. Paul Fire Department EMS/Regions Hospital Emergency Medical Services; Professor, Department of Emergency Medicine, University of Minnesota Medical School, Minneapolis, MN

City of Orlando:Christopher L. Hunter, MD, PhD – Associate Medical Director, Orange County EMS System; EMS Faculty,Orlando Regional Medical Center Department of Emergency Medicine; Clinical Assistant Professor, University of Central Florida College of Medicine, Orlando, FL

City of West Palm Beach:Kenneth A. Scheppke, MD – Medical Director, City of West Palm Beach and Palm Beach County Fire Rescue;Chair, Palm Beach County EMS Medical Directors Association, West Palm Beach, FL; Medical Director Palm Beach StateCollege EMS Training Academy; and Associate Medical Director, Broward Sheriff’s Office, Ft Lauderdale, FL

City of Salt Lake City:Scott T. Youngquist, MD, MSc – Medical Director, Salt Lake City Fire Department, Associate Professor of Surgery, Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT

Global Metropolitan Municipalities EMS Medical DirectorsCity of London, United KingdomDr. Fenella Wrigley – Medical Director London Ambulance Service and Consultant in Emergency Medicine for Barts Health, NHS Trust, London, England

Fionna P. Moore, MBE, FRCS, FCEM, FIMC, RCS ed. – Immediate Past Chief Executive Officerand Former Chief Medical Director, London Ambulance Service, London, England, United Kingdom

City of Auckland, New Zealand:B. Craig Ellis, MD – National Medical Advisor, St John’s Ambulance Service (New Zealand National EMS System), Auckland, New Zealand

City of Paris, France:Pierre A. Carli, MD – Medical Director, SAMU du Paris (Service d'Aide Médicale Urgente), the EMS system of Paris. Professor, University of Paris Descartes and University Hospital Necker, Paris, France

Lionel Lamhaut, MD, PhD – Medical Director, SAMU du Paris (Service d'Aide Médicale Urgente), the EMS system of Paris. Associate Professor of Medicine, University of Paris Descartesand Chief, Adult Anesthesia and Intensive Care Units, University Hospital Necker, Paris, France

City of Berlin, Germany:Stefan Poloczek, MD, MPH – Medical Director, Berlin Fire Brigade, Berlin Germany

Federal Agency Medical Directors / Medical OfficersU.S. Department of Health and Human Services (DHHS) Richard C. Hunt, MD – Senior Advisor for National Healthcare Preparedness Programs in the U.S. DHHS Office of the Assistant Secretary for Preparedness and Response (ASPR); Former Director of Medical Preparedness and Response Policy, National Security Council Staff (WhiteHouse); Former Director, Division of Injury Response at the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention, and Past-President,National Association of EMS Physicians, Washington, DC

Andrew L. Garrett, MD, MPH – Senior Advisor, U.S. DHHS Office of the Assistant Secretary forPreparedness and Response (ASPR); Former Director and Deputy Chief Medical Officer, NationalDisaster Medical Service; Former Director for Medical and Biodefense Preparedness Policy, National Security Council Staff (White House);Assistant Professor of Preventive Medicine and Biometrics at the Uniformed Services University of the Health Sciences, Washington, DC

U.S. Department of Transportation:Jon R. Krohmer, MD – Director, Office of Emergency Medical Services (OEMS), National Highway Traffic Safety Administration (NHTSA); Former Deputy Assistant Secretary for Health Affairs and Deputy Chief Medical Officer for the Department of Homeland Security (DHS); Former Director, Health Services Corps for Immigration and Customs Enforcement at DHS; Past-President, National Association of EMS Physicians, Washington, DC

Federal Bureau of Investigation:William P. Fabbri, MD – Medical Officer and Director, Emergency Medical Support Program,Federal Bureau of Investigation (FBI), Washington DC

United States Secret Service / U.S. Marshals:Nelson Tang, MD – Medical Director, United States Secret Service, U.S. Marshals Service, Bureau of Alcohol, Tobacco, Firearms & Explosives and Senior Medical Advisor, Homeland Security Investigations (HSI); Associate Professor of Emergency Medicine and Chief Medical Officer, Center for Law Enforcement Medicine, The Johns Hopkins University, Baltimore, MD

Asa M. Margolis DO, MPH, MS – Deputy Medical Director, United States Secret Service (USSS); Assistant Professor in the Division of Special Operations at the Johns Hopkins University Department of Emergency Medicine, Baltimore, MD

The White House Medical UnitRonny L. Jackson, MD – Captain, U.S. Navy; Physician to the President, White House Medical Unit,Washington, DC

ACEP-NAEMSP-NASEMSO-NAEMT: Dean Wilkerson, JD, MBA, CAE – Executive Director, American College of Emergency Physicians(ACEP), Dallas (Irving) TX

Sandra M. Schneider, MD – Associate Executive Director, American College of Emergency Physicians(ACEP); Past National President for ACEP, the Society for Academic Emergency Medicine and the Association of Academic Chairs of Emergency Medicine, Dallas (Irving) TX

Craig A. Manifold, DO – Medical Director, National Association of Emergency Medical Technicians(NAEMT); Member of the Board, National Registry of EMTs (NREMT). Former Medical Director, City of San Antonio EMS, and Immediate Past Chair, National EMS Committee, American College of Emergency Physicians (ACEP), San Antonio, TX

Peter P. Taillac, MD – Medical Directors Council, National Association of State EMS Officials; StateEMS Medical Director, Bureau of EMS and Preparedness, Utah Department of Health; Clinical Professor, Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT

J. Brent Myers, MD, MPH – President, National Association of EMS Physicians; Chief Medical Officer, ESO Solutions; Associate Medical Director, Wake County EMS, Raleigh, NC

Paul R. Hinchey, MD, MBA – Course Director, the National Association of EMS Physicians (NAEMSP) Advanced Topics in Medical Direction Workshop

SPECIAL GUEST FACULTY:L. Scott Nichols, CSO – President, Sequel Tour Solutions, Franklin, MI

Joseph W. Schmider – Texas State EMS Director, Office of EMS/Trauma System Coordination, Texas Department of State Health Services, Austin, TX

W. Nim Kidd, CEM, TEM – Chief, Texas Division of Emergency Management; Assistant Director,Texas Department of Public Safety, Austin, TX

Charles P. Burnell, MD – Vice President and Lead Medical Director, Acadian Ambulance Service, Lafayette, LA

Emily G. Kidd, MD – Texas Medical Director, Acadian Companies, Lafayette, LA

Jeffrey J. Clawson, MD – Chair, Standards Council Rules Committee & Board of Trustees, International Academies of Emergency Dispatch; Medical Director – Research & Standards, Priority Dispatch Corp., Salt Lake City, UT

Lori Moore-Merrell, DrPH, MPH, EMT-P – Assistant to the General President, International Association of Fire Fighters, Washington DC

James J. Augustine, MD – Eagles Librarian; Associate Medical Director, Atlanta Fire Rescue Department; Medical Director, Hartsfield-Jackson Atlanta International Airport Fire Rescue; Member, Board of Directors, American College of Emergency Physicians (ACEP); Clinical Professor,Department of Emergency Medicine, Wright State University, Dayton, OH

Edward M. Racht, MD – Chief Medical Officer, American Medical Response, Greenwood Village, COand Former Medical Director, Austin-Travis County EMS, Austin, TX

Raymond L. Fowler, MD – The First Eagle; Past-President and Co-Founder, National Association ofEMS Physicians; Inaugural National Program Director, International Trauma Life Support©; Professor ofEmergency Medicine, Chief, Division of Emergency Medical Services and First Holder of the James M.Atkins Professorship in Emergency Medical Services, University of Texas Southwestern Medical Centerand the Parkland Health and Hospital System; Dallas TX

Ahamed H. Idris, MD – Professor and Director, Emergency Medicine Research, Department of EmergencyMedicine, University of Texas Southwestern Medical Center, Dallas & Director, The Dallas Forth Worth Center for Resuscitation Research; Principal Investigator, National Institutes of Health Resuscitation Outcomes Consortium (ROC) Dallas-Fort Worth Site

John B. Holcomb, MD – Retired Colonel, U.S. Army and Former Commander of the U.S. Army Institute of Surgical Research and Trauma Consultant for the Army Surgeon General; Immediate Past Vice Chairand Professor, Department of Surgery and Director of the Center for Translational Injury Research Center at theUniversity of Texas Health Sciences Center in Houston; Chief Medical Officer, Prytime Medical, Houston, TX

Greater Broward EMS Medical Directors Association (GBEMDA):Peter M. Antevy, M.D – President, Greater Broward EMS Medical Directors Association (GBEMDA); EMS Medical Director for Davie Fire Rescue, Coral Springs/Parkland Fire Department, Southwest Ranches Fire Rescue and American Ambulance Service (Broward County, Florida); AssociateMedical Director for Palm Beach County and Seminole Tribe Fire-Rescue Departments; Medical Director, Broward College EMS Division; Associate Professor of Pediatrics at Florida Atlantic University, Boca Raton; and Attending Physician, Joe DiMaggio Children’s Hospital, Hollywood, FL

Eagles Host and Program CoordinatorPaul E. Pepe, MD, MPH – Medical Director, Dallas County Emergency Medical Services / PublicSafety; Professor of Emergency Medicine, Internal Medicine, Pediatrics, Public Health and Riggs Family Chair in Emergency Medicine; Regional Director, Out-of-Hospital Mobile Care Systems and Event/Disaster Preparedness, Office of Health System Affairs, The University of Texas SouthwesternMedical Center, Dallas, TX

* Dedicated to the Women and Men of EMS Who Advocate, Day and Night, for the Sick, theInjured, Their Families and Friends -- and So Many Others in Need. We Salute You, The Every

Day Heroes Who Are First There to Provide First Care for Those We Serve and the Many,Many Others Who Help to Facilitate and Optimize That Labor of Love and Service.

a r

U

f

F

o

Friday Morning, March 2, 20187:00-7:30 am Registration, Continental Repast and VIP Reception

7:30 am THE 2018 CONFERENCE BEGINS – Welcome and General Announcements

7:40 am Course Overview and Philosophy, Including a Luke Fildes Moment – Raymond L. Fowler, MD (The First Eagle) – Paul E. Pepe, MD, MPH (Course Coordinator)

7:50 am We Have an App for That – Polling Software for the Gathering – Drs. Jay Reich, Sophia Dyer and Stein BronskyThe Quintessential Experience!A Fem Score Over Four, a Panj Melange, Five-to-One, Baby, One-to Five; It’s Cinque Terr-ific!! Another Fab-5 Day Quinella’s in!With a Pentamerous Pentathlon of Nickel-back High Fives (using Pent-Up Pentacles and a Whole Lotta Fun), at 5 of the Hour, thePenultimate Educator Leaves his Quinary La Quinta Penthouse, and, Without Taking the Fifth, Gets Us in Cinco with “Five to Life”Pentad Sentences for a Pentatonic Quintet of Five-Finger Discourses Regarding a Quintuplet of Scientific Pentagrams!

7:55-8:10 am The Pentagon Papers: The Five Most Important Publications of the Past Year – Corey M. Slovis, MD (Nashville)

It Ain’t Over Till It’s Over: The Unfortunate Changing Face of Active Shooter and Terrorism Incidents

8:15-8:20 am A Sadder Matter: New Concerns for Our Communities, Our Patients and Ourselves – Paul E. Pepe, MD, MPH (Course Director)

8:20-8:25 am Tag – You’re Not It: Realistically Re-Thinking How We Carry Out MCI Triage – K. Sophia Dyer, MD (Boston)

8:30 - 8:35 am Terminal Conditions: The 2017 Fort Lauderdale Airport Active Shooter Experience – Kenneth A. Scheppke, MD (West Palm Beach)

8:35 – 8:40 am An SAS RTF for an LAS RTC? The 2017 London Bridge Attack and Aftermath – Fionna P. Moore (London, UK)

8:45-8:55 am Swiss Cheese Preparations for French Table-Tops: Planning for Multiple Sites and Multiple Phases – Lionel Lamhaut, MD, PhD (Paris, France)

9:00-9:10 am Be Positive, Be Passionate, Be Proud: An Eagles’ Uncanny Linkage to the Marjory Stoneman Douglas Tragedy – Paul E. Pepe, MD (Coral Springs-Parkland, FL) The Taint of Restraint: When the Shooter Has Yet to Be Contained – Peter M. Antevy, MD (Coral Springs-Parkland, FL)

9:15-9:25 am What Happens in Vegas Won’t Stay in Vegas: What We Need to Learn from the Route 91 Harvest Festival Incident – Edward M. Racht, MD (AMR)

9:30-9:35 am What Will Keep Me Up at Night: Evolving Terrorist Threats and Implications for Prehospital Providers – Pierre A. Carli, MD (Paris, France)

9:35-9:40 am Public Access De-Hemorrhagation: The Pros and Cons of Local Ordinances for Bleeding Control Kits – Peter M. Antevy, MD (GBEMDA)

9:40-9:45 am A New Twist on Tourniquets, Bleeding Kits and Policy Blitz: Where Do We Go Next with National Stop-the-Bleed Campaigns – Richard C. Hunt, MD (U.S. DHHS ASPR)

9:50-10:00 am Transcending Tragic Trajectories: A Post-Disaster Resilience Check List – Stefan Poloczek, MD, MPH (Berlin, Germany)

10:00-10:15 am PLEASE, GIVE US A BREAK!! (Quarter Hour)

10:15-10:45 am The Eagles Wing It: Intros and Lightning Rounds #1 – Metropolitan EMS Medical Directors & Friends

2018 Perspectives on MCI Preparation: Current Thoughts, Strategic Considerations and New Initiatives

10:45-10:55 am Patient Flows for Pinocchio Shows During Disaster Woes: Ensuring Truth-Saying in MCIs with a New Triage Approach – Glenn H. Asaeda, MD (New York City)

When the EMS Response Interval is 00:00:00: How the Dynamics Change When You’re Witnessing the MCI

– Jeffrey M. Elder, MD (New Orleans)

Who Rides…the Magic Bus? MCI Transport in City by the Bay – Clement C. Yeh, MD (San Francisco)

11:00-11:10 am Protective, Selective and Corrective Tactics: Medical Preparations for Designated National Security Events

– Asa M. Margolis, DO (U.S. Secret Service)

11:15-11:20 am Reliance on a Catastrophic Alliance: Integrating EMS, OEM & Healthcare Systems Before Disaster Strikes

– Richard C. Hunt, MD (U.S. DHHS ASPR)

11:25-11:35 am Combative Behaviors: Translocating Military Medicine Research into Civilian Lifesaving – John B. Holcomb, MD (U.S. Army, Retired)

11:40am–Noon The Eagles’ Special Salutes: The Anderson & Pepe National Awards – Eagles Coalition with Colleagues & Friends

Noon to 1:10 pm Lunch with the Bunch: Participants Break Bread with Eagles

Friday Afternoon, March 2, 2018The Discipline, The Vision and the Healthcare System:

How EMS is Evolving Professionally and Finding Its Way in the 21st Century

1:10-1:20 pm A Very Presidential Address – 34 Years to the Day After Hilton Head: A Report from the National Association of EMS Physicians – J. Brent Myers, MD (NAEMSP) and Friends

1:20-1:25 pm Soothsayers for 9-1-1 Players: A Report from the EMS Agenda 2050 Team – Jon R. Krohmer, MD (NHTSA)

Friday Afternoon, March 2, 2018 (continued)1:20-1:30 pm When the Lights Go Out in Georgia (and Elsewhere): The “Empower” Tool to Find the

Electrically-Dependent in a Disaster – Andrew M. Garrett, MD (U.S. DHHS ASPR)Traumatic Experiences:

Some Evolving Concepts and Tactics in Severe Injury Management1:35-1:45 pm The PSA RE: TXA: Is There Value-Added Benefit of Tranexamic Acid for EMS?

– Andrew J. (Drew) Harrell, MD (Albuquerque) A “Cooler” Way to Stop the Hemorrhage: Damage Control Resuscitation with EMS Use of FFP

– Kevin E. McVaney, MD (Denver) Getting There Faster with an EMS Bypasser: Police and Civilian and Transport of Blunt and Penetrating Trauma – C. Crawford Mechem, MD (Philadelphia)

1:50-1:55 pm DRT or DCR for PTCA? Re-Thinking Post-Traumatic Circulatory Arrest in Austin! – Mark E. Escott, MD, MPH (Austin) Medication Predication and Mary Jane Mayhem:

Evolving Tactics in Pain Control and Dealing with Drugs of Abuse2:00-2:10 pm How to Avoid the Opioid: Promoting Non-Narcotic Treatment of Pain

– Kenneth A. Scheppke, MD (West Palm Beach) Oh - What a Relief It Is! Using Ketamine for Pain Control

– E. Stein Bronsky, MD (Colorado Springs) 2:15-2:25 pm Benzos for Frenzos or On-Scene Ketamine? Comparing Midazolam and Ketamine for

Severe Agitation – Daniel P. O’Donnell, MD (Indianapolis)

There’s That Other Piece Beside the Police: Severe Agitation is Also a Medical Issue! – Kevin E. McVaney, MD (Denver)

Tracking the Track-Marks: Integrating Police and EMS Efforts for Opioid Epidemic Surveillance – Daniel P. O’Donnell, MD (Indianapolis)

2:30-2:40 pm Better Mind Your P’s and Q’s: Subtle Cardiac Effects of the Drugs of Abuse – Christopher B. Colwell, MD (San Francisco)

2:45-2:55 pm California Going to Pot: Implications of the New Marijuana Legislation in the Golden State – Clement C. Yeh, MD (San Francisco)

Rocky Mountain HighJinx: How Marijuana Became a Serious Public Health Issue in Colorado – E. Stein Bronsky, MD (Colorado Springs)

How Canaries Still Fly in the Big Easy: The Continued Evolving Role of EMS in Public Crisis Detection – Jeffrey M. Elder, MD (New Orleans)

Toxic Concerns: A Reality Check on Responses to the Carfentanil Crisis – K. Sophia Dyer (Boston)

3:00-3:15 pm TAKE A 15 MINUTE BREAK!

New Ways to Float Your Boat in 2018: Navigating the Rough Waters of Addiction and Behavioral Challenges

3:15-3:25 pm Breaking Bad (Outcomes): Decision Rules and Risk-Stratification of Naloxone Resuscitation – Brian M. Clemency, DO (Buffalo)

Mostly Fixing the Fix with a Breath of Fresh Air: Avoiding EMS (Over) Use of Naloxone in Opioid Overdoses – Michael K. Levy, MD (Anchorage)

3:30-3:40 pm How RU with an ARU? 1-Year Update on the Philadelphia Mayor’s Opioid Crisis Task Force –C. Crawford Mechem, MD (Philadelphia)

Columbus Discovers a New World (for the Opioid Crisis): An ASC (Addiction Stabilization Center) as an SOP – David P. Keseg, MD (Columbus)

An ASC with a Palm Tree: A Sunshine State Approach to Addiction Stabilization Centers – Kenneth A. Scheppke, MD (West Palm Beach)

3:45-3:55 pm Sobering Results from the Tenderloin: The Northern California Experience with Sobering Centers – Clement C. Yeh, MD (San Francisco)

SoCal Solutions for the Inebriate: Wheeling Up a Sobering Unit in Los Angeles – Marc K. Eckstein, MD, MPH (Los Angeles)

Getting the Blues May Be a Good Thing in the Alamo City: A Police-Based Transport Program for Behavioral Health Patients – David A. Miramontes, MD, NREMT (San Antonio, TX)

4:00-4:10 pm A Jaundiced Disease Gone Viral: Managing the New Hepatitis-A Epidemics – David E. Persse, MD (Dallas); Robert B. Dunne, MD (Detroit)

New “ACLS” Modes and Future Data Up-Loads: “Alternative Clinical Life Styles” and Informational Exchanges for EMS

4:15-4:25 pm New Kinds of Scripts for the Movie-Land: Advanced Practice Providers for Alternate, Cost-Effective Dispositions – Marc K. Eckstein, MD, MPH (Los Angeles) 4:30-4:35 pm Getting on the R.A.D.A.R. Screen: A “Rapid Assessment and Re-Direction” Program in the Bluff City

– Joe E. Holley, MD (Memphis)

4:35-4:40 pm A Social Medium for the Needy: Providing Intensive Case Management in the City by the Bay – Clement C. Yeh, MD (San Francisco)

4:40-4:45 pm It Takes a Digital Village: Why EMS, Criminal Justice, HUD & Hospitals Need to Co-Mingle Data – Jose G. Cabanas, MD, MPH (Raleigh)

4:45-4:50 pm Driving Ms. Data: How Information is Shaping U.S. Healthcare System – and EMS – James J. Augustine, MD (Eagles Librarian)Brain-Trusts, Clot Busts and Interventional Musts:

Some Evolving Experiences with Stroke Centers and Stoke Care4:55-5:00 pm ELVO is in the House: Moving to a Statewide Stroke System in Louisiana

– Jeffrey M. Elder, MD (New Orleans)

5:00-5:05 pm Numbering Our Blessings: Data-Driven Improvements in Stroke Care (Florida Registry) – Peter M. Antevy, MD (GBEMDA)

5:05-5:10 pm From Scrimmage to Image: Should EMS Triage Patients Directly to the CT Scanner? – Andrew J. (Drew) Harrell, MD (Albuquerque)

5:10-5:15 pm Calling It from the Call Center: Dispatchers Taking-On Stroke Triage – David A. Miramontes, MD, NREMT (San Antonio, TX)

5:15-5:20 pm Staying on Time: Evaluating the Components of Time Delays to Definite Stroke Care – Paul E. Pepe, MD, MPH (Course Director)

5:20-5:30 pm Last Call: Closing Mini-Q&A Session with the Eagles

5:30 pm OVERNITE RECESS

a r

U

f

F

o

Dallas, Texas

E

FRIDAY, MARCH 2, 2018EMS STATE OF THE SCIENCE: A Gathering of Eagles XX*

* Dedicated to the Women and Men of EMS Who Advocate, Day and Night, for the Sick, the Injured, Their Families andFriends -- and So Many Others in Need. We Salute You, the Every Day Heroes Who Are First There to Provide First Carefor Those We Serve and the Many, Many Others Who Help to Facilitate and Optimize That Labor of Love and Service.

a r

U

f

F

o

/ Dallas, Texas

E

a r

U

f

F

o

/ Dallas, Texas

E

SATURDAY, MARCH 3, 2018EMS STATE OF THE SCIENCE: A Gathering of Eagles XX*

Saturday Morning, March 3, 20187:00-7:45 am Registration and Continental Repast

7:45 am Day 2 Begins !!!

7:45-7:50 am MEETING Announcements, Special Welcomes and Housekeeping Items

Annual Reports from the Eagles Nest:

7:55-8:10 am Communications from the (Cutting) Edge: The August One Never Fails, Pales, Flails or Comes Off the Rails, As He Hails and Nails the Best Details from the Whales of Un-Stale Tales Streaming through Bales of Eagle E-Mail Trails About What Ails, What Sails and What Wails! – James J. Augustine, MD (Eagles Librarian)

8:10-8:15 am The Ranges of Ch-Ch-Ch-Changes! How Often Do Eagle Medical Directors Modify Protocols – Jeffrey M. Goodloe, MD (Oklahoma City & Tulsa)

Resuscitating Resuscitation: 2018 Ways to Manage Cardiac Arrest and Related Interventions

8:20-8:25 am Pillars of Sustainability: Why Do Patients with Non-Shockable Presentations Survive? – Jonathan Jui, MD, MPH (Portland)

8:30-8:40 am Shelter from the (Electrical) Storm: Treatment Strategies for Persistent Ventricular Fibrillation – Marc R. Conterato, MD (Minneapolis)

Non-Trickle Me ECMO! ECLS Strategies for Persistent Ventricular Fibrillation – David P. Keseg, MD (Columbus) – Mark E. Escott, MD (Austin)

8:45-8:50 am Earning Extracorporeal Credit: Development of an ECLS Pathway in the Beehive State – Scott T. Youngquist, MD (Salt Lake City)

8:50-8:55 am The Lab Results Have Come Back! Survival after ECMO is Used to Transition to PCI? – R.J. Frascone, MD (Saint Paul)

9:00-9:10 am Taking to the Streets! ECLS Tours to the Louvre and Other Parisian Sites – Lionel Lamhaut, MD (Paris, France)

9:15-9:20 am WhirlyBird CPR: Should Helicopters Be Used for Cardiac Arrest? – R.J. Frascone, MD (Saint Paul)

9:20-9:25 am Determining Terminating Determinants: What’s a Reasonable Duration for Cardiac Arrest Efforts? – Scott T. Youngquist, MD (Salt Lake City)

End-Tidal Caveats: Confounding Effects of Drug Administration on ETCO2 – Raymond L. Fowler, MD (Dallas)

9:30-9:35 am STEMI (or Not) – Here I Come! Mandating ROSC to Cath in the Bayou City – David E. Persse, MD (Houston)

9:35-9:40 am Advanced Financial Life Support Training: The Economics of Out-of-Hospital Cardiac Arrest – Michael K. Levy, MD (Anchorage)

9:45-9:50 am Registry-ing the Buckeyes: Instituting a Statewide C.A.R.E.S. Program – David P. Keseg, MD (Columbus)

9:50-9:55 am Who C.A.R.E.S? 8,000 Patients in the Windy City Do! – Joseph M. Weber, MD (Chicago)

9:55-10:00 am Door-to-Door CPR: A FEMA-Driven Community Safety Grant – Robert B. Dunne, MD (Detroit)

10:00-10:15 am PLEASE, GIVE US A BREAK!! (Quarter Hour)

10:15-10:25 am DeMSing EMS: Why I’d Get Rid of Morphine Sulfate – Christopher B. Colwell, MD (San Francisco)

MONA Goes LISA: Changing the Fine Art of STEMI Management – Jeffrey M. Goodloe, MD (Oklahoma City & Tulsa)

10:30-10:40 am Ratting on De-Satting: Deoxygenating During Intubation - More Common Than Thought – Michael K. Levy, MD (Anchorage)

Yes MAAM, No MAAM: Clinical Decision-Making for Rapid Sequence Induction Intubation – Marc R. Conterato, MD (Minneapolis)

10:45-10:55 am Airing-Out Errant Airway Errors: Quality Improvement Strategies for High Performance Airway Care

– Michael R. Sayre, MD (Seattle)

11:00-11:05 am Asthma in Extremis: Managing Near-Arrest Asthma – B. Craig Ellis, MD (Auckland)

11:05-11:20 am Doubling Down on Nitro is Not a Bad Bet: The Safety of High-Dose Nitroglycerin – W. Scott Gilmore, MD (St. Louis)

Turbo-Charged Treatment: Push Doses of IV Nitroglycerin – Marc R. Conterato, MD (Minneapolis)

Adrenaline Surge: Push Doses of Epinephrine – When Do They Work? – Jonathan Jui, MD (Portland)

Confounding the Confounders: Does Epinephrine Ever Work? – John M. Gallagher, MD (Wichita)

11:25-11:35 am Stay and Play -- the Pediatric Way: Strategies to Ensure Neurologically-Intact Survival for Children – Paul E. Pepe, MD, MPH (Course Director)

A Handy-Way to Play Today: Implementation of a System-1 Thinking for Pediatric Dosing – David A. Miramontes, MD, NREMT (San Antonio, TX); Kevin E. McVaney, MD (Denver)

Deftly Defending the Definitive: Taking Another Good Look at Pedi Intubation – R.J. Frascone, MD (St. Paul)

11:40-11:45 am Visualizing Better Ways to Secure Airways: I-Gel Placement and Video-Laryngoscopy – Jonathan Jui, MD, MPH (Portland)

11:45am–Noon The Eagles’ Special Salutes: The Copass & Slovis National Awards – Eagles Coalition with Colleagues & Friends

Noon to 1:00 pm Lunch with the Bunch: Participants Break Bread with Eagles

Saturday Afternoon, March 3, 20181:10-1:20 pm Special Salutes from the Nest:

– Raymond L. Fowler, MD (the First Eagle) and Friends

Administrating Some Administrative Duties:Some Recommendations for the Future, Employee Wellness and Special Situations

1:20-1:25 pm The Astuter Recruiter: Pivotal Role of the EMS Leaders in Fostering Med Student Rotations – Arthur H. Yancey II, MD (Atlanta)

1:30-1:40 pm Re-Processing the Process: A More Efficient Credentialing Process – Jose G. Cabanas, MD, MPH (Raleigh)

What’s Behind the Screens? Functional Movement Assessment for Provider Injury Prevention – Daniel P. O’Donnell, MD (Indianapolis)

1:45-1:55 pm Taking the Enjoyment Out of Deployment: Employee Health Issues During Major Disasters – Emily G. Kidd, MD (Acadian)

Search and Rescuing User-Friendly USAR Utilities: What You Need to Know Before You Go! – Joe E. Holley, MD (Memphis)

2:00-2:10 pm Super STARS in the Gateway City: Providing Special Needs for Special Needs – W. Scott Gilmore MD (St. Louis)

2:15-2:25 pm Honing Hand-Overs to Hospitable Hospice Homes: A Community Paramedic Program to Facilitate Appropriate Care – Paul E. Pepe, MD, MPH (Course Director)

2:30-2:40 pm Transitioning to Transitional Care: A CHF Pilot Flies Well and an EMS Pilot Lands a Suboxone Success – Jose G. Cabanas, MD, MPH (Raleigh); – Kenneth A. Scheppke, MD (West Palm Beach)

2:45-2:50 pm Two-Parter: Hexed Texts - and Discarding the Carding: - Alerting 9-1-1 Through Your I-Phone - Computerized Dispatch vs. Cardex Systems – Glenn H. Asaeda, MD, MPH (New York City)

2:50-2:55 pm Adjusting the Target with Great Dispatch: A Revised Ambulance Response Program for England – Fionna P. Moore, MD (London, UK)

3:00-3:10 pm When Small Ones Are Under Arrest: Re-Visiting Pre-Arrival Instructions for Pediatric CPR – Peter M. Antevy, MD (GBEMDA)

Nixing the Nickel and Dime (“5 to 10”) Paradigm: A Reality Check on Scene and Transport Time Intervals

– Jeffrey M. Goodloe, MD (Oklahoma City & Tulsa)

3:15-3:30 pm TAKE A BREAK !! (In Fact, Take 900 Billion Nanoseconds)

3:30-3:40 pm EMS Response without an Ark: The Nuances of Widespread Hurricane Flooding Dramas – David E. Persse, MD (Houston)

Going In-Seine with the Bane of Frozen Rain: Dealing with Major Flooding and a Snowstorm Scenario in the French Capital – Pierre A. Carli, MD (Paris)

3:45-3:55 pm Birth By BearCat: A New Kind of Tactical Response!– Peter M. Antevy, MD (GBEMDA)

A Flight of Ideas: Some Nuances of Air Transport During Disasters – Kenneth A. Scheppke, MD (West Palm Beach)

The Big Blows of 2017: Coordinating Hurricane Care Across South Florida and Texas – James J. Augustine, MD (Eagles Librarian)

4:00-4:20 pm The 2018 Great Debate in EMS– John M. Gallagher, MD - Moderator

When Transport for Possible Life-Threatening Care is Being Refused: Should EMS Providers Respect Patient Autonomy?(or Do What They Think is Right?)

– Raymond L. (“Sugar Ray”) Fowler, MD -- the CON (& ex-Pro)

Follow What the Patient Wants vs.

– Neal (the “Spiel”) Richmond, MD, MPH -- the PRO (& ex-Con)

Follow Your Thinking

4:30-4:55 pm The Eagles Wing It: Saturday Lightning Rounds #2 – U.S. Metropolitan EMS Medical Directors,Their Colleagues & Friends Wrap It Up for 2018

5:00 pm ADJOURNMENT for 2018

SEE YOU AT

EAGLES XXIWINTER 2019!

a r

U

f

F

o

Friday Morning, March 2, 20187:00-7:30 am Registration, Continental Repast and VIP Reception

7:30 am THE 2018 CONFERENCE BEGINS – Welcome and General Announcements

7:40 am Course Overview and Philosophy, Including a Luke Fildes Moment – Raymond L. Fowler, MD (The First Eagle) – Paul E. Pepe, MD, MPH (Course Coordinator)

7:50 am We Have an App for That – Polling Software for the Gathering – Drs. Jay Reich, Sophia Dyer and Stein BronskyThe Quintessential Experience!A Fem Score Over Four, a Panj Melange, Five-to-One, Baby, One-to Five; It’s Cinque Terr-ific!! Another Fab-5 Day Quinella’s in!With a Pentamerous Pentathlon of Nickel-back High Fives (using Pent-Up Pentacles and a Whole Lotta Fun), at 5 of the Hour, thePenultimate Educator Leaves his Quinary La Quinta Penthouse, and, Without Taking the Fifth, Gets Us in Cinco with “Five to Life”Pentad Sentences for a Pentatonic Quintet of Five-Finger Discourses Regarding a Quintuplet of Scientific Pentagrams!

7:55-8:10 am The Pentagon Papers: The Five Most Important Publications of the Past Year – Corey M. Slovis, MD (Nashville)

It Ain’t Over Till It’s Over: The Unfortunate Changing Face of Active Shooter and Terrorism Incidents

8:15-8:20 am A Sadder Matter: New Concerns for Our Communities, Our Patients and Ourselves – Paul E. Pepe, MD, MPH (Course Director)

8:20-8:25 am Tag – You’re Not It: Realistically Re-Thinking How We Carry Out MCI Triage – K. Sophia Dyer, MD (Boston)

8:30 - 8:35 am Terminal Conditions: The 2017 Fort Lauderdale Airport Active Shooter Experience – Kenneth A. Scheppke, MD (West Palm Beach)

8:35 – 8:40 am An SAS RTF for an LAS RTC? The 2017 London Bridge Attack and Aftermath – Fionna P. Moore (London, UK)

8:45-8:55 am Swiss Cheese Preparations for French Table-Tops: Planning for Multiple Sites and Multiple Phases – Lionel Lamhaut, MD, PhD (Paris, France)

9:00-9:10 am Be Positive, Be Passionate, Be Proud: An Eagles’ Uncanny Linkage to the Marjory Stoneman Douglas Tragedy – Paul E. Pepe, MD (Coral Springs-Parkland, FL) The Taint of Restraint: When the Shooter Has Yet to Be Contained – Peter M. Antevy, MD (Coral Springs-Parkland, FL)

9:15-9:25 am What Happens in Vegas Won’t Stay in Vegas: What We Need to Learn from the Route 91 Harvest Festival Incident – Edward M. Racht, MD (AMR)

9:30-9:35 am What Will Keep Me Up at Night: Evolving Terrorist Threats and Implications for Prehospital Providers – Pierre A. Carli, MD (Paris, France)

9:35-9:40 am Public Access De-Hemorrhagation: The Pros and Cons of Local Ordinances for Bleeding Control Kits – Peter M. Antevy, MD (GBEMDA)

9:40-9:45 am A New Twist on Tourniquets, Bleeding Kits and Policy Blitz: Where Do We Go Next with National Stop-the-Bleed Campaigns – Richard C. Hunt, MD (U.S. DHHS ASPR)

9:50-10:00 am Transcending Tragic Trajectories: A Post-Disaster Resilience Check List – Stefan Poloczek, MD, MPH (Berlin, Germany)

10:00-10:15 am PLEASE, GIVE US A BREAK!! (Quarter Hour)

10:15-10:45 am The Eagles Wing It: Intros and Lightning Rounds #1 – Metropolitan EMS Medical Directors & Friends

2018 Perspectives on MCI Preparation: Current Thoughts, Strategic Considerations and New Initiatives

10:45-10:55 am Patient Flows for Pinocchio Shows During Disaster Woes: Ensuring Truth-Saying in MCIs with a New Triage Approach – Glenn H. Asaeda, MD (New York City)

When the EMS Response Interval is 00:00:00: How the Dynamics Change When You’re Witnessing the MCI

– Jeffrey M. Elder, MD (New Orleans)

Who Rides…the Magic Bus? MCI Transport in City by the Bay – Clement C. Yeh, MD (San Francisco)

11:00-11:10 am Protective, Selective and Corrective Tactics: Medical Preparations for Designated National Security Events

– Asa M. Margolis, DO (U.S. Secret Service)

11:15-11:20 am Reliance on a Catastrophic Alliance: Integrating EMS, OEM & Healthcare Systems Before Disaster Strikes

– Richard C. Hunt, MD (U.S. DHHS ASPR)

11:25-11:35 am Combative Behaviors: Translocating Military Medicine Research into Civilian Lifesaving – John B. Holcomb, MD (U.S. Army, Retired)

11:40am–Noon The Eagles’ Special Salutes: The Anderson & Pepe National Awards – Eagles Coalition with Colleagues & Friends

Noon to 1:10 pm Lunch with the Bunch: Participants Break Bread with Eagles

Friday Afternoon, March 2, 2018The Discipline, The Vision and the Healthcare System:

How EMS is Evolving Professionally and Finding Its Way in the 21st Century

1:10-1:20 pm A Very Presidential Address – 34 Years to the Day After Hilton Head: A Report from the National Association of EMS Physicians – J. Brent Myers, MD (NAEMSP) and Friends

1:20-1:25 pm Soothsayers for 9-1-1 Players: A Report from the EMS Agenda 2050 Team – Jon R. Krohmer, MD (NHTSA)

Friday Afternoon, March 2, 2018 (continued)1:20-1:30 pm When the Lights Go Out in Georgia (and Elsewhere): The “Empower” Tool to Find the

Electrically-Dependent in a Disaster – Andrew M. Garrett, MD (U.S. DHHS ASPR)Traumatic Experiences:

Some Evolving Concepts and Tactics in Severe Injury Management1:35-1:45 pm The PSA RE: TXA: Is There Value-Added Benefit of Tranexamic Acid for EMS?

– Andrew J. (Drew) Harrell, MD (Albuquerque) A “Cooler” Way to Stop the Hemorrhage: Damage Control Resuscitation with EMS Use of FFP

– Kevin E. McVaney, MD (Denver) Getting There Faster with an EMS Bypasser: Police and Civilian and Transport of Blunt and Penetrating Trauma – C. Crawford Mechem, MD (Philadelphia)

1:50-1:55 pm DRT or DCR for PTCA? Re-Thinking Post-Traumatic Circulatory Arrest in Austin! – Mark E. Escott, MD, MPH (Austin) Medication Predication and Mary Jane Mayhem:

Evolving Tactics in Pain Control and Dealing with Drugs of Abuse2:00-2:10 pm How to Avoid the Opioid: Promoting Non-Narcotic Treatment of Pain

– Kenneth A. Scheppke, MD (West Palm Beach) Oh - What a Relief It Is! Using Ketamine for Pain Control

– E. Stein Bronsky, MD (Colorado Springs) 2:15-2:25 pm Benzos for Frenzos or On-Scene Ketamine? Comparing Midazolam and Ketamine for

Severe Agitation – Daniel P. O’Donnell, MD (Indianapolis)

There’s That Other Piece Beside the Police: Severe Agitation is Also a Medical Issue! – Kevin E. McVaney, MD (Denver)

Tracking the Track-Marks: Integrating Police and EMS Efforts for Opioid Epidemic Surveillance – Daniel P. O’Donnell, MD (Indianapolis)

2:30-2:40 pm Better Mind Your P’s and Q’s: Subtle Cardiac Effects of the Drugs of Abuse – Christopher B. Colwell, MD (San Francisco)

2:45-2:55 pm California Going to Pot: Implications of the New Marijuana Legislation in the Golden State – Clement C. Yeh, MD (San Francisco)

Rocky Mountain HighJinx: How Marijuana Became a Serious Public Health Issue in Colorado – E. Stein Bronsky, MD (Colorado Springs)

How Canaries Still Fly in the Big Easy: The Continued Evolving Role of EMS in Public Crisis Detection – Jeffrey M. Elder, MD (New Orleans)

Toxic Concerns: A Reality Check on Responses to the Carfentanil Crisis – K. Sophia Dyer (Boston)

3:00-3:15 pm TAKE A 15 MINUTE BREAK!

New Ways to Float Your Boat in 2018: Navigating the Rough Waters of Addiction and Behavioral Challenges

3:15-3:25 pm Breaking Bad (Outcomes): Decision Rules and Risk-Stratification of Naloxone Resuscitation – Brian M. Clemency, DO (Buffalo)

Mostly Fixing the Fix with a Breath of Fresh Air: Avoiding EMS (Over) Use of Naloxone in Opioid Overdoses – Michael K. Levy, MD (Anchorage)

3:30-3:40 pm How RU with an ARU? 1-Year Update on the Philadelphia Mayor’s Opioid Crisis Task Force –C. Crawford Mechem, MD (Philadelphia)

Columbus Discovers a New World (for the Opioid Crisis): An ASC (Addiction Stabilization Center) as an SOP – David P. Keseg, MD (Columbus)

An ASC with a Palm Tree: A Sunshine State Approach to Addiction Stabilization Centers – Kenneth A. Scheppke, MD (West Palm Beach)

3:45-3:55 pm Sobering Results from the Tenderloin: The Northern California Experience with Sobering Centers – Clement C. Yeh, MD (San Francisco)

SoCal Solutions for the Inebriate: Wheeling Up a Sobering Unit in Los Angeles – Marc K. Eckstein, MD, MPH (Los Angeles)

Getting the Blues May Be a Good Thing in the Alamo City: A Police-Based Transport Program for Behavioral Health Patients – David A. Miramontes, MD, NREMT (San Antonio, TX)

4:00-4:10 pm A Jaundiced Disease Gone Viral: Managing the New Hepatitis-A Epidemics – David E. Persse, MD (Dallas); Robert B. Dunne, MD (Detroit)

New “ACLS” Modes and Future Data Up-Loads: “Alternative Clinical Life Styles” and Informational Exchanges for EMS

4:15-4:25 pm New Kinds of Scripts for the Movie-Land: Advanced Practice Providers for Alternate, Cost-Effective Dispositions – Marc K. Eckstein, MD, MPH (Los Angeles) 4:30-4:35 pm Getting on the R.A.D.A.R. Screen: A “Rapid Assessment and Re-Direction” Program in the Bluff City

– Joe E. Holley, MD (Memphis)

4:35-4:40 pm A Social Medium for the Needy: Providing Intensive Case Management in the City by the Bay – Clement C. Yeh, MD (San Francisco)

4:40-4:45 pm It Takes a Digital Village: Why EMS, Criminal Justice, HUD & Hospitals Need to Co-Mingle Data – Jose G. Cabanas, MD, MPH (Raleigh)

4:45-4:50 pm Driving Ms. Data: How Information is Shaping U.S. Healthcare System – and EMS – James J. Augustine, MD (Eagles Librarian)Brain-Trusts, Clot Busts and Interventional Musts:

Some Evolving Experiences with Stroke Centers and Stoke Care4:55-5:00 pm ELVO is in the House: Moving to a Statewide Stroke System in Louisiana

– Jeffrey M. Elder, MD (New Orleans)

5:00-5:05 pm Numbering Our Blessings: Data-Driven Improvements in Stroke Care (Florida Registry) – Peter M. Antevy, MD (GBEMDA)

5:05-5:10 pm From Scrimmage to Image: Should EMS Triage Patients Directly to the CT Scanner? – Andrew J. (Drew) Harrell, MD (Albuquerque)

5:10-5:15 pm Calling It from the Call Center: Dispatchers Taking-On Stroke Triage – David A. Miramontes, MD, NREMT (San Antonio, TX)

5:15-5:20 pm Staying on Time: Evaluating the Components of Time Delays to Definite Stroke Care – Paul E. Pepe, MD, MPH (Course Director)

5:20-5:30 pm Last Call: Closing Mini-Q&A Session with the Eagles

5:30 pm OVERNITE RECESS

a r

U

f

F

o

Dallas, Texas

E

FRIDAY, MARCH 2, 2018EMS STATE OF THE SCIENCE: A Gathering of Eagles XX*

* Dedicated to the Women and Men of EMS Who Advocate, Day and Night, for the Sick, the Injured, Their Families andFriends -- and So Many Others in Need. We Salute You, the Every Day Heroes Who Are First There to Provide First Carefor Those We Serve and the Many, Many Others Who Help to Facilitate and Optimize That Labor of Love and Service.

a r

U

f

F

o

/ Dallas, Texas

E

a r

U

f

F

o

/ Dallas, Texas

E

SATURDAY, MARCH 3, 2018EMS STATE OF THE SCIENCE: A Gathering of Eagles XX*

Saturday Morning, March 3, 20187:00-7:45 am Registration and Continental Repast

7:45 am Day 2 Begins !!!

7:45-7:50 am MEETING Announcements, Special Welcomes and Housekeeping Items

Annual Reports from the Eagles Nest:

7:55-8:10 am Communications from the (Cutting) Edge: The August One Never Fails, Pales, Flails or Comes Off the Rails, As He Hails and Nails the Best Details from the Whales of Un-Stale Tales Streaming through Bales of Eagle E-Mail Trails About What Ails, What Sails and What Wails! – James J. Augustine, MD (Eagles Librarian)

8:10-8:15 am The Ranges of Ch-Ch-Ch-Changes! How Often Do Eagle Medical Directors Modify Protocols – Jeffrey M. Goodloe, MD (Oklahoma City & Tulsa)

Resuscitating Resuscitation: 2018 Ways to Manage Cardiac Arrest and Related Interventions

8:20-8:25 am Pillars of Sustainability: Why Do Patients with Non-Shockable Presentations Survive? – Jonathan Jui, MD, MPH (Portland)

8:30-8:40 am Shelter from the (Electrical) Storm: Treatment Strategies for Persistent Ventricular Fibrillation – Marc R. Conterato, MD (Minneapolis)

Non-Trickle Me ECMO! ECLS Strategies for Persistent Ventricular Fibrillation – David P. Keseg, MD (Columbus) – Mark E. Escott, MD (Austin)

8:45-8:50 am Earning Extracorporeal Credit: Development of an ECLS Pathway in the Beehive State – Scott T. Youngquist, MD (Salt Lake City)

8:50-8:55 am The Lab Results Have Come Back! Survival after ECMO is Used to Transition to PCI? – R.J. Frascone, MD (Saint Paul)

9:00-9:10 am Taking to the Streets! ECLS Tours to the Louvre and Other Parisian Sites – Lionel Lamhaut, MD (Paris, France)

9:15-9:20 am WhirlyBird CPR: Should Helicopters Be Used for Cardiac Arrest? – R.J. Frascone, MD (Saint Paul)

9:20-9:25 am Determining Terminating Determinants: What’s a Reasonable Duration for Cardiac Arrest Efforts? – Scott T. Youngquist, MD (Salt Lake City)

End-Tidal Caveats: Confounding Effects of Drug Administration on ETCO2 – Raymond L. Fowler, MD (Dallas)

9:30-9:35 am STEMI (or Not) – Here I Come! Mandating ROSC to Cath in the Bayou City – David E. Persse, MD (Houston)

9:35-9:40 am Advanced Financial Life Support Training: The Economics of Out-of-Hospital Cardiac Arrest – Michael K. Levy, MD (Anchorage)

9:45-9:50 am Registry-ing the Buckeyes: Instituting a Statewide C.A.R.E.S. Program – David P. Keseg, MD (Columbus)

9:50-9:55 am Who C.A.R.E.S? 8,000 Patients in the Windy City Do! – Joseph M. Weber, MD (Chicago)

9:55-10:00 am Door-to-Door CPR: A FEMA-Driven Community Safety Grant – Robert B. Dunne, MD (Detroit)

10:00-10:15 am PLEASE, GIVE US A BREAK!! (Quarter Hour)

10:15-10:25 am DeMSing EMS: Why I’d Get Rid of Morphine Sulfate – Christopher B. Colwell, MD (San Francisco)

MONA Goes LISA: Changing the Fine Art of STEMI Management – Jeffrey M. Goodloe, MD (Oklahoma City & Tulsa)

10:30-10:40 am Ratting on De-Satting: Deoxygenating During Intubation - More Common Than Thought – Michael K. Levy, MD (Anchorage)

Yes MAAM, No MAAM: Clinical Decision-Making for Rapid Sequence Induction Intubation – Marc R. Conterato, MD (Minneapolis)

10:45-10:55 am Airing-Out Errant Airway Errors: Quality Improvement Strategies for High Performance Airway Care

– Michael R. Sayre, MD (Seattle)

11:00-11:05 am Asthma in Extremis: Managing Near-Arrest Asthma – B. Craig Ellis, MD (Auckland)

11:05-11:20 am Doubling Down on Nitro is Not a Bad Bet: The Safety of High-Dose Nitroglycerin – W. Scott Gilmore, MD (St. Louis)

Turbo-Charged Treatment: Push Doses of IV Nitroglycerin – Marc R. Conterato, MD (Minneapolis)

Adrenaline Surge: Push Doses of Epinephrine – When Do They Work? – Jonathan Jui, MD (Portland)

Confounding the Confounders: Does Epinephrine Ever Work? – John M. Gallagher, MD (Wichita)

11:25-11:35 am Stay and Play -- the Pediatric Way: Strategies to Ensure Neurologically-Intact Survival for Children – Paul E. Pepe, MD, MPH (Course Director)

A Handy-Way to Play Today: Implementation of a System-1 Thinking for Pediatric Dosing – David A. Miramontes, MD, NREMT (San Antonio, TX); Kevin E. McVaney, MD (Denver)

Deftly Defending the Definitive: Taking Another Good Look at Pedi Intubation – R.J. Frascone, MD (St. Paul)

11:40-11:45 am Visualizing Better Ways to Secure Airways: I-Gel Placement and Video-Laryngoscopy – Jonathan Jui, MD, MPH (Portland)

11:45am–Noon The Eagles’ Special Salutes: The Copass & Slovis National Awards – Eagles Coalition with Colleagues & Friends

Noon to 1:00 pm Lunch with the Bunch: Participants Break Bread with Eagles

Saturday Afternoon, March 3, 20181:10-1:20 pm Special Salutes from the Nest:

– Raymond L. Fowler, MD (the First Eagle) and Friends

Administrating Some Administrative Duties:Some Recommendations for the Future, Employee Wellness and Special Situations

1:20-1:25 pm The Astuter Recruiter: Pivotal Role of the EMS Leaders in Fostering Med Student Rotations – Arthur H. Yancey II, MD (Atlanta)

1:30-1:40 pm Re-Processing the Process: A More Efficient Credentialing Process – Jose G. Cabanas, MD, MPH (Raleigh)

What’s Behind the Screens? Functional Movement Assessment for Provider Injury Prevention – Daniel P. O’Donnell, MD (Indianapolis)

1:45-1:55 pm Taking the Enjoyment Out of Deployment: Employee Health Issues During Major Disasters – Emily G. Kidd, MD (Acadian)

Search and Rescuing User-Friendly USAR Utilities: What You Need to Know Before You Go! – Joe E. Holley, MD (Memphis)

2:00-2:10 pm Super STARS in the Gateway City: Providing Special Needs for Special Needs – W. Scott Gilmore MD (St. Louis)

2:15-2:25 pm Honing Hand-Overs to Hospitable Hospice Homes: A Community Paramedic Program to Facilitate Appropriate Care – Paul E. Pepe, MD, MPH (Course Director)

2:30-2:40 pm Transitioning to Transitional Care: A CHF Pilot Flies Well and an EMS Pilot Lands a Suboxone Success – Jose G. Cabanas, MD, MPH (Raleigh); – Kenneth A. Scheppke, MD (West Palm Beach)

2:45-2:50 pm Two-Parter: Hexed Texts - and Discarding the Carding: - Alerting 9-1-1 Through Your I-Phone - Computerized Dispatch vs. Cardex Systems – Glenn H. Asaeda, MD, MPH (New York City)

2:50-2:55 pm Adjusting the Target with Great Dispatch: A Revised Ambulance Response Program for England – Fionna P. Moore, MD (London, UK)

3:00-3:10 pm When Small Ones Are Under Arrest: Re-Visiting Pre-Arrival Instructions for Pediatric CPR – Peter M. Antevy, MD (GBEMDA)

Nixing the Nickel and Dime (“5 to 10”) Paradigm: A Reality Check on Scene and Transport Time Intervals

– Jeffrey M. Goodloe, MD (Oklahoma City & Tulsa)

3:15-3:30 pm TAKE A BREAK !! (In Fact, Take 900 Billion Nanoseconds)

3:30-3:40 pm EMS Response without an Ark: The Nuances of Widespread Hurricane Flooding Dramas – David E. Persse, MD (Houston)

Going In-Seine with the Bane of Frozen Rain: Dealing with Major Flooding and a Snowstorm Scenario in the French Capital – Pierre A. Carli, MD (Paris)

3:45-3:55 pm Birth By BearCat: A New Kind of Tactical Response!– Peter M. Antevy, MD (GBEMDA)

A Flight of Ideas: Some Nuances of Air Transport During Disasters – Kenneth A. Scheppke, MD (West Palm Beach)

The Big Blows of 2017: Coordinating Hurricane Care Across South Florida and Texas – James J. Augustine, MD (Eagles Librarian)

4:00-4:20 pm The 2018 Great Debate in EMS– John M. Gallagher, MD - Moderator

When Transport for Possible Life-Threatening Care is Being Refused: Should EMS Providers Respect Patient Autonomy?(or Do What They Think is Right?)

– Raymond L. (“Sugar Ray”) Fowler, MD -- the CON (& ex-Pro)

Follow What the Patient Wants vs.

– Neal (the “Spiel”) Richmond, MD, MPH -- the PRO (& ex-Con)

Follow Your Thinking

4:30-4:55 pm The Eagles Wing It: Saturday Lightning Rounds #2 – U.S. Metropolitan EMS Medical Directors,Their Colleagues & Friends Wrap It Up for 2018

5:00 pm ADJOURNMENT for 2018

SEE YOU AT

EAGLES XXIWINTER 2019!

a r

U

f

F

o

CO U R S E D I R E C T O R

Paul E. Pepe, MD, MPH, FACEP, MACP, MCCM, FAEMSMedical Director, Dallas County Emergency

Medical Services / Public Safety; Professor of Emergency Medicine, Internal Medicine,

Pediatrics, Public Health and Riggs Family Chair in Emergency Medicine;

Regional Director, Out-of-Hospital Mobile Care Systems andEvent/Disaster Preparedness, Office of Health System Affairs,

The University of Texas Southwestern Medical Center, Dallas, TX

FRIDAY-SATURDAYMARCH 2-3, 2018

Sheraton Dallas Hotel • Dallas, Texas

P R O G R A M A G E N D A

EMS STATE OF THE SCIENCE: A Gathering of Eagles XX*

FACULTY and KEY PARTICIPANTS:The Consortium of Metropolitan Municipalities EMS Medical Directors and Key Medical Officers for Federal Security-Related Service Agencies -- List of the Core Group, Associate Members and also Special Faculty for the February 28 – March 3, 2017 Eagles Coalition Meetings, Dallas, Texas, USA U.S. Metropolitan Municipalities EMS Medical DirectorsNew York City:Glenn H. Asaeda, MD – Chief Medical Director, Fire Department of New York, New York City, NYCity of Los Angeles:Marc K. Eckstein, MD, MPH – Medical Director and EMS Bureau Commander, Los Angeles Fire Department; Professor, Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CACity of Chicago:Joseph M. Weber, MD – Medical Director, EMS System for the City of Chicago (West) andJohn H. Stroger Jr. Hospital of Cook County; Associate Professor of Emergency Medicine, Rush Medical College, Chicago, IL Eddie J. Markul, MD – Medical Director, EMS System for the City of Chicago (North), and Attending Emergency Physician, Advocate Illinois Masonic Medical Center. Assistant Clinical Professor of Emergency Medicine, University of Illinois at Chicago, Chicago, ILKatie L. Tataris, MD, MPH – Medical Director, EMS System for the City of Chicago (South); Assistant Professor of Emergency Medicine, University of Chicago and University of Chicago Hospital,Chicago, ILChristopher T. Richards, MD, MS – Medical Director, EMS System for the City of Chicago (East); Assistant Professor of Emergency Medicine, Northwestern Feinberg School of Medicine, Chicago, ILCity of Houston:David E. Persse, MD – Physician Director, City of Houston EMS, and also Public Health Authority, City of Houston Department of Health and Human Services; Past-Chair, Board of Directors, NREMT; Professor, Departments of Emergency Medicine and Surgery, Baylor College of Medicine, Houston, TX Chris M. Souders, MD – Associate Medical Director, Houston Fire Department; Clinical Assistant Professor, Surgery, Baylor College of Medicine, Houston, TXCity of Philadelphia:C. Crawford Mechem, MD – EMS Medical Director, Philadelphia Fire Department; Professor, Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania,Philadelphia, PA City of Phoenix:John V. Gallagher, MD – EMS Medical Director, Phoenix Fire Department and Arizona Task Force One, Phoenix, AZCity of San Antonio:David A. Miramontes, MD, NREMT – Medical Director, San Antonio Fire Department; Assistant Clinical Professor, University of Texas Health Science Center, San Antonio, TXCity of San Diego:Christopher A. Kahn, MD, MPH – EMS Medical Director, Fire-Rescue Department, City of San Diego; Associate Professor of Clinical Emergency Medicine, University of California San Diego Health System, San Diego, CAJ. Joelle Donofrio, DO – Associate EMS Medical Director, Fire-Rescue Department, City of San Diego; Assistant Professor in Pediatrics and Emergency Medicine, University of California, San Diego Health System; Attending Physician and Medical Director for EMS, Rady Children's Hospital, San Diego, CACity of Dallas:S. Marshal Isaacs, MD – Medical Director, City of Dallas Fire-Rescue Department; BioTel Operations Medical Director and Professor of Emergency Medicine, the University of Texas Southwestern Medical Center and the Parkland Health and Hospital System, Dallas, TXCity of San Francisco: Clement C. Yeh, MD – Medical Director, San Francisco Fire Department EMS and San Francisco Department of Emergency Management; Associate Professor, Department of Emergency Medicine, University of California, San Francisco, San Francisco, CA

Christopher B. Colwell, MD – Chief of EMS, City of San Francisco; Professor and Vice Chair, Department of Emergency Medicine, University of California, San Francisco (UCSF) School of Medicine and Chief of Emergency Medicine, Zuckerberg San Francisco General Hospital and Trauma Center; San Francisco, CACity of Indianapolis: Daniel P. O’Donnell, MD – Medical Director, Indianapolis EMS/Indianapolis Fire Department: Assistant Professor of Clinical Emergency Medicine, Indianapolis University School of Medicine, Indianapolis, INCity of Columbus:David P. Keseg, MD – Medical Director, City of Columbus Division of Fire; Adjunct Professor of Emergency Medicine, Department of Emergency Medicine, the Ohio State University Wexner Medical Center, Columbus, OHCity of Fort Worth:Neal J. Richmond, MD – Medical Director, MedStar Mobile Healthcare (City of Fort Worth and TarrantCounty EMS), Ft Worth, TX City of Detroit:Robert B. Dunne, MD – EMS Medical Director, Detroit East Medical Control Authority; Associate Professor & EMS Fellowship Program Director, Wayne State University, Detroit MICity of Seattle:Michael R. Sayre, MD – Medical Director, Seattle Fire Department Medic One Program, Professor ofMedicine/Emergency Medicine and EMS Fellowship Director, University of Washington and HarborviewMedical Center, Seattle, WAMichael K. Copass, MD – Eagles Icon in Perpetuum; Medical Director Emeritus, Seattle Medic One Program (City of Seattle EMS), Seattle Fire Department; Professor Emeritus of Medicine and Neurology,University of Washington, Harborview Medical Center Seattle, WA City of Denver:Kevin E. McVaney, MD – Medical Director, Denver Paramedics, Denver Fire and Denver 9-1-1 Communications Center; Associate Professor, Department of Emergency Medicine, University of ColoradoSchool of Medicine, Denver, COCity of Memphis:Joe E. Holley, MD – Medical Director, Memphis Fire Department EMS, City of Memphis and surroundingShelby County; Memphis, TNCity of Boston:K. Sophia Dyer, MD – Medical Director, City of Boston Public Safety (EMS, Fire & Police); Associate Professor of Emergency Medicine, Boston University School of Medicine (BUSM) and BostonMedical Center, Boston, MACity of Nashville:Corey M. Slovis, MD – Medical Director, Nashville EMS, Nashville Fire Department; Medical Director,Nashville International Airport; Professor & Chair of Emergency Medicine, Vanderbilt University, Nashville, TNCity of Portland:Jonathan Jui, MD, MPH – EMS Medical Director, Multnomah County, Oregon (includes Cities of Portlandand Gresham and the Portland International Airport); Professor, Department of Emergency Medicine, OregonHealth and Science University, Portland, OR

Cities of Oklahoma City and Tulsa:Jeffrey M. Goodloe, MD, NRP – Medical Director, Medical Control Board, EMS System for Metropolitan Okla-homa City and Tulsa; Professor and EMS Section Chief, Department of Emergency Medicine, The University ofOklahoma School of Community Medicine; Director, Oklahoma Center for Pre-hospital & Disaster Medicine, andNational Chair, EMS Committee, American College of Emergency Physicians (ACEP); Oklahoma City and Tulsa, OKCity of Las Vegas:David E. Slattery, MD – Deputy Chief and EMS Medical Director, Las Vegas Fire and Rescue, Associate Professor and Director of Research for the Department of Emergency Medicine at the University of Nevada School of Medicine, Las Vegas, NV

City of Milwaukee:M. Riccardo Colella, DO, MPH – Medical Director, Milwaukee County Emergency Medical Services and Flight for Life Air Medical Service; Chief, Section of EMS and Disaster Medicine, Departments of Emergency Medicine and Pediatrics, The Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI

City of Albuquerque:Andrew J. (Drew) Harrell, MD – EMS Medical Director, Albuquerque Fire Department, Medical Director and TEMS Physician, Bernalillo County Sheriff’s Department; Medical Director, Grand Canyon National Park; Assistant Professor, Emergency Medicine, University of New Mexico, Albuquerque, NM

City of Tucson:Terence D. Valenzuela, MD, MPH – Medical Director, Tucson Fire Department; Professor of Emergency Medicine, University of Arizona, Tucson, AZ

City of Buffalo:Brian M. Clemency, DO, MBA – Medical Director, City of Buffalo / AMR; Associate Professor of Emergency Medicine, University at Buffalo and Emergency Medicine Staff at Erie County Medical Center, Buffalo, NY

City of Kansas City:Jay H. Reich, MD– Medical Director, Office of the EMS Medical Director for the City of Kansas City, MO; EMS Section Chief, Department of Emergency Medicine, University of Missouri-Kansas City, Kansas City, MO

City of Atlanta:Arthur H. Yancey, II, MD, MPH – Medical Director, Grady Health Systems (City of Atlanta) EMS; Associate Professor, Department of Emergency Medicine, Section of Pre-hospital and Disaster Medicine, Emory University School of Medicine; Atlanta, GA

City of Raleigh:Jose G. Cabanas MD, MPH – Director/Medical Director, Wake County (Raleigh) Department of Emergency Medical Services, Raleigh, NC; Clinical Associate Professor, University of North Carolina Department of Emergency Medicine, Chapel Hill, NC

City of Washington, DC: Robert P. Holman, MD – Interim Medical Director, District of Columbia Fire and EMS Department, Washington, DC

City of Austin:Mark E. Escott, MD, MPH, NRP – EMS System Medical Director, City of Austin and Travis County and Clinical Assistant Professor, Division of Emergency Medicine, University of Texas, Austin, Dell Medical School, Austin, TX

City of Miami:Paul J. Adams, DO – Medical Director, City of Miami and Key Biscayne Fire Rescue and SkyService Air Ambulance; Medical Director, Miami-Dade College EMS Training Program; Staff Physician in Emergency Med-icine, Jackson Memorial Hospital, Miami, FL

Armando Clift, MD – Associate Medical Director, City of Miami and Key Biscayne Fire Rescue, Staff Physician in Emergency Medicine, Jackson Memorial Hospital, Miami, FL

City of Colorado Springs:E. Stein Bronsky, MD – Medical Director, Colorado Springs Fire Department and American Medical Response (AMR) Ambulance Service, El Paso County, Colorado Springs, CO

City of Minneapolis:Marc R. Conterato, MD – Office of the Medical Director, Joint Minneapolis EMS System; Clinical AssociateProfessor, Department of Emergency Medicine, University of Minneapolis Medical School, Minneapolis, MN

City of New Orleans:Jeffrey M. Elder, MD – Director, Emergency Medical Services, City of New Orleans; Clinical Assistant Professor, Louisiana State University Health Science Center, Section of Emergency Medicine, New Orleans, LA

City of Honolulu:Elizabeth A. (Libby) Char, MD – Medical Director for Honolulu Fire Department; Assistant Clinical Professor of Surgery, University of Hawaii School of Medicine, Honolulu, HI

City of St. Louis:W. Scott Gilmore, MD, EMT-P – Medical Director, St. Louis Fire Department and Emergency Physician, SSMHealth St. Mary's Hospital, Richmond Heights, MO

City of Wichita:John M. Gallagher, MD – EMS System Medical Director, Wichita/Sedgwick County EMS System; AdjunctClinical Professor, Kansas University School of Medicine; Member of the Board, National Association of EMSPhysicians, Wichita, KS

City of Pittsburgh:Ronald N. Roth, MD – Medical Director, City of Pittsburgh, Department of Public Safety; Team Physician,Pittsburgh Steelers; Emergency Medical Consultant. Pittsburgh Penguins and the University of Pittsburgh Pan-thers Football Team; Professor of Emergency MedicineUniversity of Pittsburgh, School of Medicine, Pittsburgh, PA

City of Anchorage:Michael K. Levy, MD – Medical Director, Municipality of Anchorage Fire Department and Anchorage Area-wide EMS Medical Director: Member-at-Large, National Association of EMS Physicians(NAEMSP) Board of Directors and Course Director, NAEMSP-ACEP EMS Subspecialty Board ReviewCourse; Affiliate Clinical Faculty, Health Sciences, University of Alaska, Anchorage, AK

City of Cleveland:Thomas E. Collins, MD – Medical Director, Emergency Medical Services/Public Safety, City of Cleveland; As-sociate Professor, Emergency Medicine, Case Western Reserve University, School of Medicine; Associate ChiefMedical Officer, MetroHealth System, Cleveland, OH

City of Cincinnati:Donald A. Locasto, MD – EMS Medical Director, City of Cincinnati Fire Department; Associate Professor of Emergency Medicine, University of Cincinnati, Cincinnati, OH

Jason T. McMullan, MD – Assistant Medical Director, City of Cincinnati Fire Department EMS; Associate Professor and EMS Fellowship Director, Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH

City of St. Paul:Ralph J. (RJ) Frascone, MD – Medical Director, St. Paul Fire Department EMS/Regions Hospital Emergency Medical Services; Professor, Department of Emergency Medicine, University of Minnesota Medical School, Minneapolis, MN

City of Orlando:Christopher L. Hunter, MD, PhD – Associate Medical Director, Orange County EMS System; EMS Faculty,Orlando Regional Medical Center Department of Emergency Medicine; Clinical Assistant Professor, University of Central Florida College of Medicine, Orlando, FL

City of West Palm Beach:Kenneth A. Scheppke, MD – Medical Director, City of West Palm Beach and Palm Beach County Fire Rescue;Chair, Palm Beach County EMS Medical Directors Association, West Palm Beach, FL; Medical Director Palm Beach StateCollege EMS Training Academy; and Associate Medical Director, Broward Sheriff’s Office, Ft Lauderdale, FL

City of Salt Lake City:Scott T. Youngquist, MD, MSc – Medical Director, Salt Lake City Fire Department, Associate Professor of Surgery, Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT

Global Metropolitan Municipalities EMS Medical DirectorsCity of London, United KingdomDr. Fenella Wrigley – Medical Director London Ambulance Service and Consultant in Emergency Medicine for Barts Health, NHS Trust, London, England

Fionna P. Moore, MBE, FRCS, FCEM, FIMC, RCS ed. – Immediate Past Chief Executive Officerand Former Chief Medical Director, London Ambulance Service, London, England, United Kingdom

City of Auckland, New Zealand:B. Craig Ellis, MD – National Medical Advisor, St John’s Ambulance Service (New Zealand National EMS System), Auckland, New Zealand

City of Paris, France:Pierre A. Carli, MD – Medical Director, SAMU du Paris (Service d'Aide Médicale Urgente), the EMS system of Paris. Professor, University of Paris Descartes and University Hospital Necker, Paris, France

Lionel Lamhaut, MD, PhD – Medical Director, SAMU du Paris (Service d'Aide Médicale Urgente), the EMS system of Paris. Associate Professor of Medicine, University of Paris Descartesand Chief, Adult Anesthesia and Intensive Care Units, University Hospital Necker, Paris, France

City of Berlin, Germany:Stefan Poloczek, MD, MPH – Medical Director, Berlin Fire Brigade, Berlin Germany

Federal Agency Medical Directors / Medical OfficersU.S. Department of Health and Human Services (DHHS) Richard C. Hunt, MD – Senior Advisor for National Healthcare Preparedness Programs in the U.S. DHHS Office of the Assistant Secretary for Preparedness and Response (ASPR); Former Director of Medical Preparedness and Response Policy, National Security Council Staff (WhiteHouse); Former Director, Division of Injury Response at the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention, and Past-President,National Association of EMS Physicians, Washington, DC

Andrew L. Garrett, MD, MPH – Senior Advisor, U.S. DHHS Office of the Assistant Secretary forPreparedness and Response (ASPR); Former Director and Deputy Chief Medical Officer, NationalDisaster Medical Service; Former Director for Medical and Biodefense Preparedness Policy, National Security Council Staff (White House);Assistant Professor of Preventive Medicine and Biometrics at the Uniformed Services University of the Health Sciences, Washington, DC

U.S. Department of Transportation:Jon R. Krohmer, MD – Director, Office of Emergency Medical Services (OEMS), National Highway Traffic Safety Administration (NHTSA); Former Deputy Assistant Secretary for Health Affairs and Deputy Chief Medical Officer for the Department of Homeland Security (DHS); Former Director, Health Services Corps for Immigration and Customs Enforcement at DHS; Past-President, National Association of EMS Physicians, Washington, DC

Federal Bureau of Investigation:William P. Fabbri, MD – Medical Officer and Director, Emergency Medical Support Program,Federal Bureau of Investigation (FBI), Washington DC

United States Secret Service / U.S. Marshals:Nelson Tang, MD – Medical Director, United States Secret Service, U.S. Marshals Service, Bureau of Alcohol, Tobacco, Firearms & Explosives and Senior Medical Advisor, Homeland Security Investigations (HSI); Associate Professor of Emergency Medicine and Chief Medical Officer, Center for Law Enforcement Medicine, The Johns Hopkins University, Baltimore, MD

Asa M. Margolis DO, MPH, MS – Deputy Medical Director, United States Secret Service (USSS); Assistant Professor in the Division of Special Operations at the Johns Hopkins University Department of Emergency Medicine, Baltimore, MD

The White House Medical UnitRonny L. Jackson, MD – Captain, U.S. Navy; Physician to the President, White House Medical Unit,Washington, DC

ACEP-NAEMSP-NASEMSO-NAEMT: Dean Wilkerson, JD, MBA, CAE – Executive Director, American College of Emergency Physicians(ACEP), Dallas (Irving) TX

Sandra M. Schneider, MD – Associate Executive Director, American College of Emergency Physicians(ACEP); Past National President for ACEP, the Society for Academic Emergency Medicine and the Association of Academic Chairs of Emergency Medicine, Dallas (Irving) TX

Craig A. Manifold, DO – Medical Director, National Association of Emergency Medical Technicians(NAEMT); Member of the Board, National Registry of EMTs (NREMT). Former Medical Director, City of San Antonio EMS, and Immediate Past Chair, National EMS Committee, American College of Emergency Physicians (ACEP), San Antonio, TX

Peter P. Taillac, MD – Medical Directors Council, National Association of State EMS Officials; StateEMS Medical Director, Bureau of EMS and Preparedness, Utah Department of Health; Clinical Professor, Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT

J. Brent Myers, MD, MPH – President, National Association of EMS Physicians; Chief Medical Officer, ESO Solutions; Associate Medical Director, Wake County EMS, Raleigh, NC

Paul R. Hinchey, MD, MBA – Course Director, the National Association of EMS Physicians (NAEMSP) Advanced Topics in Medical Direction Workshop

SPECIAL GUEST FACULTY:L. Scott Nichols, CSO – President, Sequel Tour Solutions, Franklin, MI

Joseph W. Schmider – Texas State EMS Director, Office of EMS/Trauma System Coordination, Texas Department of State Health Services, Austin, TX

W. Nim Kidd, CEM, TEM – Chief, Texas Division of Emergency Management; Assistant Director,Texas Department of Public Safety, Austin, TX

Charles P. Burnell, MD – Vice President and Lead Medical Director, Acadian Ambulance Service, Lafayette, LA

Emily G. Kidd, MD – Texas Medical Director, Acadian Companies, Lafayette, LA

Jeffrey J. Clawson, MD – Chair, Standards Council Rules Committee & Board of Trustees, International Academies of Emergency Dispatch; Medical Director – Research & Standards, Priority Dispatch Corp., Salt Lake City, UT

Lori Moore-Merrell, DrPH, MPH, EMT-P – Assistant to the General President, International Association of Fire Fighters, Washington DC

James J. Augustine, MD – Eagles Librarian; Associate Medical Director, Atlanta Fire Rescue Department; Medical Director, Hartsfield-Jackson Atlanta International Airport Fire Rescue; Member, Board of Directors, American College of Emergency Physicians (ACEP); Clinical Professor,Department of Emergency Medicine, Wright State University, Dayton, OH

Edward M. Racht, MD – Chief Medical Officer, American Medical Response, Greenwood Village, COand Former Medical Director, Austin-Travis County EMS, Austin, TX

Raymond L. Fowler, MD – The First Eagle; Past-President and Co-Founder, National Association ofEMS Physicians; Inaugural National Program Director, International Trauma Life Support©; Professor ofEmergency Medicine, Chief, Division of Emergency Medical Services and First Holder of the James M.Atkins Professorship in Emergency Medical Services, University of Texas Southwestern Medical Centerand the Parkland Health and Hospital System; Dallas TX

Ahamed H. Idris, MD – Professor and Director, Emergency Medicine Research, Department of EmergencyMedicine, University of Texas Southwestern Medical Center, Dallas & Director, The Dallas Forth Worth Center for Resuscitation Research; Principal Investigator, National Institutes of Health Resuscitation Outcomes Consortium (ROC) Dallas-Fort Worth Site

John B. Holcomb, MD – Retired Colonel, U.S. Army and Former Commander of the U.S. Army Institute of Surgical Research and Trauma Consultant for the Army Surgeon General; Immediate Past Vice Chairand Professor, Department of Surgery and Director of the Center for Translational Injury Research Center at theUniversity of Texas Health Sciences Center in Houston; Chief Medical Officer, Prytime Medical, Houston, TX

Greater Broward EMS Medical Directors Association (GBEMDA):Peter M. Antevy, M.D – President, Greater Broward EMS Medical Directors Association (GBEMDA); EMS Medical Director for Davie Fire Rescue, Coral Springs/Parkland Fire Department, Southwest Ranches Fire Rescue and American Ambulance Service (Broward County, Florida); AssociateMedical Director for Palm Beach County and Seminole Tribe Fire-Rescue Departments; Medical Director, Broward College EMS Division; Associate Professor of Pediatrics at Florida Atlantic University, Boca Raton; and Attending Physician, Joe DiMaggio Children’s Hospital, Hollywood, FL

Eagles Host and Program CoordinatorPaul E. Pepe, MD, MPH – Medical Director, Dallas County Emergency Medical Services / PublicSafety; Professor of Emergency Medicine, Internal Medicine, Pediatrics, Public Health and Riggs Family Chair in Emergency Medicine; Regional Director, Out-of-Hospital Mobile Care Systems and Event/Disaster Preparedness, Office of Health System Affairs, The University of Texas SouthwesternMedical Center, Dallas, TX

* Dedicated to the Women and Men of EMS Who Advocate, Day and Night, for the Sick, theInjured, Their Families and Friends -- and So Many Others in Need. We Salute You, The Every

Day Heroes Who Are First There to Provide First Care for Those We Serve and the Many,Many Others Who Help to Facilitate and Optimize That Labor of Love and Service.