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

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.

In this presentation and subsequent discussion, we'll help the prehospital provider understand ketamine and its use as a prehospital medication. We will discuss basic pharmacology including why and how it works and why sometimes more is actually less. We will discuss which patients it is best suited for and which patients it should be avoided in. Finally, we will dig into why it is undoubtedly the most versatile medication available for use in prehospital and emergency medicine

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.

Now that the HazMat team has done their job and transferred care of the exposed patient to you, what are the signs and symptoms you should be assessing for and how should you treat a patient exposed to a CBRNE incident? In this class we will discuss caring for a patient exposed to a chemical or biological agent as well as briefly discuss radiation injuries. The focus of this class will be on the prehospital care for a single patient and not a mass casualty event. Finally, we will review some local incidents in which patients were exposed to various agents.

Now that the HazMat team has done their job and transferred care of the exposed patient to you, what are the signs and symptoms you should be assessing for and how should you treat a patient exposed to a CBRNE incident? In this class we will discuss caring for a patient exposed to a chemical or biological agent as well as briefly discuss radiation injuries. The focus of this class will be on the prehospital care for a single patient and not a mass casualty event. Finally, we will review some local incidents in which patients were exposed to various agents.

Taught by Ben Thibault. Class at North Woodstock Fire Department. River time in Lincoln.

Taught by Ben Thibault