Lights and sirens usage has been integral to Emergency Services, serving as the status quo in most Fire and EMS responses. Supported for decades by anecdotal and unsubstantiated beliefs that quicker on-scene and transport times equal better results. Yet, recent data have shown the minimal time saved by utilizing lights and sirens improves outcomes in a very small percentage of cases. Apparatus incidents account for a high percentage of first responder injuries and fatalities across all disciplines. In most cases, L&S use puts crews, patients, and civilians at undue risk. In this session, learn how your service can best utilize lights and sirens to improve patient outcomes and minimize risk. It will draw on the latest peer-reviewed literature and highlight McGregor EMS's experience as part of the National EMS Quality Alliance's (NEMSQA) nationwide Lights and Sirens Collaborative. Learning Objectives: 1. Participants will examine apparatus incident case studies and contributing factors to collisions. 2. Describe the impact of lights and siren usage on traffic collision incidence. 3. Determine how NH E911 utilizes the Medical Priority Dispatch System (MPDS) to triage EMS responses accurately and appropriately. 4. Discuss the NEMSQA Lights & Sirens Collaborative, McGregor EMS’s participation, their lessons learned, and national best practices.

This two-hour continuing education will focus on trauma-induced cardiac arrest's unique circumstances and requirements. We will look at how it happens, what's going on inside the body, and what we can do to give our patients the best chance at survival. This session will be appropriate for all levels of EMS providers. • Describe the epidemiology of trauma-induced cardiac arrest • Recall the fundamental anatomy and physiology of the cardiovascular system • Discuss the pathophysiology of trauma arrest • A quick note about commotio cordis • Apply acute care interventions to stabilize patients in traumatic cardiac arrest • Review modern standards of treatment and compare them with NH protocols • Evaluate future treatment modalities available to EMS

This two-hour continuing education will focus on trauma-induced cardiac arrest's unique circumstances and requirements. We will look at how it happens, what's going on inside the body, and what we can do to give our patients the best chance at survival. This session will be appropriate for all levels of EMS providers. • Describe the epidemiology of trauma-induced cardiac arrest • Recall the fundamental anatomy and physiology of the cardiovascular system • Discuss the pathophysiology of trauma arrest • A quick note about commotio cordis • Apply acute care interventions to stabilize patients in traumatic cardiac arrest • Review modern standards of treatment and compare them with NH protocols • Evaluate future treatment modalities available to EMS

After attending this continuing education course attendees will be able to describe the common documentation best practices associated with Transitions of Care, EMS Rule / Legal Compliance and Billing Practice. Additionally, attendees will be presented with underlying concepts and requirements that drive several common documentation requirements. Objectives: Describe the EMS Providers legal requirement to document EMS Activities as well as the manner and timeframe in which it must be completed Describe the general concept of EMS data validation and validation requirements Describe the best practices regarding the individual completion of an electronic EMSIR specific to: o Fields and Field Options o Narrative Structure & Detail o Report Completion Flow & Timing o Additional Tools Describe the best practices regarding agency EMSIR completion Describe the origin, custody and requirements of common additional forms utilized by EMS

The Other End of the Line: An Inside Look at New Hampshire 911, provides New Hampshire first responders and emergency personnel with an in-depth look into the policies and workflows of New Hampshire 911 telecommunicators. Learn about how NH 911’s training programs and certifications, state-of-the-art computer systems, in-house mapping unit, and emergency medical dispatch protocols provide tangible benefits for both local public safety agencies and the people of New Hampshire.

This class is a brief overview of arrhythmias in general. The topics discussed in this class includes the basic definition of what an arrhythmia/dysrhythmia is, causes, and the populations in which they are believed to occur. Other topics include the heart’s structures and their respective functions, a primer on cardiac electrophysiology, discussion of both normal and abnormal cardiac rhythms, and essential basic pharmacology surrounding intervention and management of different conditions related to abnormal cardiac function. Objectives include: 1. Promote a basic understanding of how the heart functions, both electrically and mechanically. 2. Review cardiac rhythms with discussion about why certain conditions cause rhythm disturbances. 3. Discuss pharmacology surrounding cardiac medications to understand the circumstances of use.

As our geriatric population continues to grow and be a significant proportion of our transports, it is important to examine the challenges, medical, psychological, and social needs, of this special population. While adult protocols covers adults of all ages, there are considerations in treatment and transport when managing older patients. Objectives The student will: recognize the characteristics of the geriatric population and their unique healthcare challenges understand the social and psychological impacts of aging understand how to recognize signs of abuse, neglect, and need for social services in the geriatric population recognize the need for engaging adult children and caregivers in care and transport understand how aging impacts movement and transport of the fragile, elderly population

  At the end of the class participants will be able to: Define hoarding disorder Understand legal and ethical considerations Define the term ‘mandated reporter’ Understand how hoarding impacts first responders Be aware of community resources and how to activate them Understand the importance of calm and compassion