Maria Varanka

This presentation will specifically address common over-the-counter medications that are readily available to the individual and often forgotten by the EMS Healthcare Provider when developing their differential diagnosis for altered mental status or sick person situations. We will specifically cover acetaminophen, ibuprofen, naproxen, aspirin, guanfacine, dextromethorphan, and melatonin as it relates to overdose thresholds, signs and symptoms, and treatment modalities. Objectives: • Review your approach and general assessment techniques of an ADULT OR PEDIATRIC AMS or Sick person call – it is more than just SAMPLE! • Address the threshold dosing and the signs and symptoms for the following OTC medications: acetaminophen, ibuprofen, naproxen, aspirin, guanfacine, dextromethorphan, and melatonin • Describe the pre-hospital treatment modalities for the above overdoses and any short-term and long-term impacts of toxic episodes

This presentation will specifically address common over-the-counter medications that are readily available to the individual and often forgotten by the EMS Healthcare Provider when developing their differential diagnosis for altered mental status or sick person situations. We will specifically cover acetaminophen, ibuprofen, naproxen, aspirin, guanfacine, dextromethorphan, and melatonin as it relates to overdose thresholds, signs and symptoms, and treatment modalities. Objectives: • Review your approach and general assessment techniques of an ADULT OR PEDIATRIC AMS or Sick person call – it is more than just SAMPLE! • Address the threshold dosing and the signs and symptoms for the following OTC medications: acetaminophen, ibuprofen, naproxen, aspirin, guanfacine, dextromethorphan, and melatonin • Describe the pre-hospital treatment modalities for the above overdoses and any short-term and long-term impacts of toxic episodes

The longer a patient has an infection from any source, the greater the likelihood of that infection taking hold and progressing to SEPSIS. This class will walk providers through the pathway of infection, systemic inflammatory response, SEPSIS, shock, and death. We will talk about how to recognize this progression and intervene before it's too late. Objectives: • Define key terms related to systemic infection, • Explain the pathological sequence from infection to death, • Recognize signs of systemic infection, • Treat the symptoms of systemic infection, • Communicate with other healthcare providers regarding a patient's condition

The longer a patient has an infection from any source, the greater the likelihood of that infection taking hold and progressing to SEPSIS. This class will walk providers through the pathway of infection, systemic inflammatory response, SEPSIS, shock, and death. We will talk about how to recognize this progression and intervene before it's too late. Objectives: • Define key terms related to systemic infection, • Explain the pathological sequence from infection to death, • Recognize signs of systemic infection, • Treat the symptoms of systemic infection, • Communicate with other healthcare providers regarding a patient's condition

This course will review current best practices for stroke care from a pre hospital and interfacility perspective. Focus of course will be on identification and triage care of acute neurological processes in the pre hospital via case studies and a review of basic neuro physiology. Special attention to the complexities of neurological deficits; particularity stroke, treatment options that require time sensitive care and specific destinations for that care. Lastly, the course will review special considerations for transporting the stroke patient between facilities. After this course learners will be able to : • List the common stroke risk factors • Recognize the signs of stroke; including uncommon presentations. • Verbalize the goals of care at scene strokes • Acknowledge understanding of the current NH state protocol for stroke care and destination decision directives • Identify assessment priorities and treatment options during neurological patient transport • Describe time sensitive treatment options for both ischemic and hemorrhagic acute stroke

This course will review current best practices for stroke care from a pre hospital and interfacility perspective. Focus of course will be on identification and triage care of acute neurological processes in the pre hospital via case studies and a review of basic neuro physiology. Special attention to the complexities of neurological deficits; particularity stroke, treatment options that require time sensitive care and specific destinations for that care. Lastly, the course will review special considerations for transporting the stroke patient between facilities. After this course learners will be able to : • List the common stroke risk factors • Recognize the signs of stroke; including uncommon presentations. • Verbalize the goals of care at scene strokes • Acknowledge understanding of the current NH state protocol for stroke care and destination decision directives • Identify assessment priorities and treatment options during neurological patient transport • Describe time sensitive treatment options for both ischemic and hemorrhagic acute stroke

This workshop will look at the role that cognitive bias can play in our interactions with our patients. We will examine potential pitfalls bias might lead to regarding the level of care we provide. Objectives: • To identify what cognitive bias is. • To consider the root cause of our respective biases. • How to be cognitive of a bias in the field and adjust our behavior. • To identify the impacts that bias has on our patient care.

This workshop will look at the role that cognitive bias can play in our interactions with our patients. We will examine potential pitfalls bias might lead to regarding the level of care we provide. Objectives: • To identify what cognitive bias is. • To consider the root cause of our respective biases. • How to be cognitive of a bias in the field and adjust our behavior. • To identify the impacts that bias has on our patient care.