This continuing education will provide a systemic review of asthma in both the adult and pediatric populations. Specific topic areas covered include prevalence/trends incidence of asthma in NH, airway anatomy, pathophysiology of asthma, identification of asthma in both the EMS and formal settings, EMS management of asthma and long-term management of asthma. Objectives • Describe the current and projected burden of asthma in New Hampshire. • Describe the general anatomy of the respiratory system. • Describe the pathophysiology of asthma. • Describe the diagnosis and management of chronic asthma. • Describe the identification and management of asthma in the pre-hospital environment.

The Society of Critical Care Medicine's (SCCM) hosted Pediatric Fundamental Critical Care Support (PFCCS) course combines expert-developed lectures with interactive skill stations to train non-intensivists and other healthcare professionals to recognize critical illness and initiate care for the critically ill pediatric patient. The course addresses fundamental management principles for the first 24 hours of post-resuscitation management of the critically ill pediatric patient until transfer or appropriate critical care consultation can be arranged and is recommended for any healthcare professional who may encounter a critically ill or injured pediatric patient. Lectures: • Acute Respiratory Failure and Mechanical Ventilation • Cardiovascular Evaluation and Pediatric Shock • Fluids, Electrolytes, and Metabolic Disorders • Pediatric Neurologic Emergencies • Postoperative Management • Sedation, Analgesia, and Neuromuscular Blockade Skills Stations: • Cardiopulmonary Dysfunction • Mechanical Ventilation • Pediatric Transport • Sedation • Radiology/Invasive Devices • Advanced Integration Scenarios

WAIT LIST ONLY The Society of Critical Care Medicine's (SCCM) hosted Fundamental Critical Care Support: Obstetrics (FCCS: OB) course combines expert-developed presentations with interactive skill stations to build healthcare professionals' confidence in providing maternal/fetal critical care to improve patient outcomes. Lectures: • Physiologic Changes During Pregnancy • Airway Management in the Pregnant Patient • Hemodynamic Monitoring • Preeclampsia/Eclampsia • Sepsis in Pregnancy • Thromboembolic Disease and Pregnancy • Obstetric Hemorrhage • Maternal Mortality and Cardiac Arrest in Pregnancy • Fetal Assessment • Nonobstetric Surgical Emergencies • Pregnancy-Related Acute Kidney Injury • Management of Delivery and Newborn • Transport of the Critically Ill Pregnant Patient • Mechanical Ventilation in Pregnancy • Trauma in Pregnancy • Cardiac Conditions in Pregnancy • Neurocritical Care in Pregnancy Skills Stations: • Postpartum Hemorrhage • Mechanical Ventilation in Pregnancy • Delivery and Neonatal Resuscitation • Trauma in Pregnancy • Cardiopulmonary Arrest in Pregnancy • Management of Preeclampsia/Eclampsia

This review course will encompass two days of test taking strategy, and periodic knowledge assessment sessions. This course has been reviewed and approved as an IBSC review course for initial FP-C & CCP-C certification, and continuing education via in person, and online delivery methodology. This course has been designed to meet or exceed the recommendations for material review by the certifying bodies that confer the FP-C, CCP-C, and CFRN® advanced certifications. Course attendance prepares you to understand your knowledge strengths and weaknesses to guide final preparations for certification exam success and/or satisfy advanced recertification and continuing education requirements. This activity was approved by the Emergency Nurses Association. The Emergency Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). All Paramedic CE hours are awarded through the Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE).

Accepting Waitlist Applications Only. This review course will encompass two days of test taking strategy, and periodic knowledge assessment sessions. This course has been reviewed and approved as an IBSC review course for initial FP-C & CCP-C certification, and continuing education via in person, and online delivery methodology. This course has been designed to meet or exceed the recommendations for material review by the certifying bodies that confer the FP-C, CCP-C, and CFRN® advanced certifications. Course attendance prepares you to understand your knowledge strengths and weaknesses to guide final preparations for certification exam success and/or satisfy advanced recertification and continuing education requirements. This activity was approved by the Emergency Nurses Association. The Emergency Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). All Paramedic CE hours are awarded through the Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE).

A refresher on New England and New Hampshire biting and stinging insects, insect-borne illnesses, reptiles, and rabid animal bites. We will discuss snakes, snake bites, animal bites, and rabies as well as bed bugs and venomous spiders. Data will be presented with a discussion around Lyme disease and Triple E and well as biting animals and reptiles. We will review signs and symptoms of venomous bites and poisonings. We will cringe at cockroaches and learn more about ladybugs. Finally, we will talk about common bee stings and allergies with a review of the State of New Hampshire Patient Care Protocols in treating these potentially life-threatening incidents.

Locations: All in-person sessions will be held at the Richard M. Flynn Fire Academy, 98 Smokey Bear Blvd, Concord, NH 03301. Links to the online sessions will be sent out the week prior to the start date. Portions of sessions may be recorded and made available online at a later date. Workshops require participants to bring an element of their practice to work on. Course Contact:  For more information about these sessions, contact Max Dodge, FSTEMS Curriculum Administrator at, Peter.M.Dodge@dos.nh.gov or (603) 369-7980

NAEMT's Prehospital Trauma Life Support (PHTLS) is recognized around the world as the leading continuing education program for prehospital emergency trauma care. The mission of PHTLS is to promote excellence in trauma patient management by all providers involved in the delivery of prehospital care. PHTLS is developed by NAEMT in cooperation with the American College of Surgeons' Committee on Trauma. The Committee provides the medical direction and content oversight for the PHTLS program. PHTLS courses improve the quality of trauma care and decrease mortality. The program is based on a philosophy stressing the treatment of the multi-system trauma patient as a unique entity with specific needs. PHTLS promotes critical thinking as the foundation for providing quality care. It is based on the belief that, given a good fund of knowledge and key principles, EMS practitioners are capable of making reasoned decisions regarding patient care. The course utilizes the internationally recognized PHTLS textbook and covers the following topics: Physiology of life and death Scene assessment Patient assessment Hemorrhage control Airway Breathing, ventilation, and oxygenation Circulation and shock Special populations The course emphasizes application of trauma education through case studies, skills practice, and patient simulations. PHTLS is the global gold standard in prehospital trauma education and is taught in over 80 countries. PHTLS is appropriate for EMTs, paramedics, nurses, physician assistants, physicians, and other prehospital practitioners. PHTLS is accredited by CAPCE and recognized by NREMT.

Locations: All in-person sessions will be held at the Richard M. Flynn Fire Academy, 98 Smokey Bear Blvd, Concord, NH 03301. Links to the online sessions will be sent out the week prior to the start date. Portions of sessions may be recorded and made available online at a later date. Workshops require participants to bring an element of their practice to work on. Course Contact:  For more information about these sessions, contact Max Dodge, FSTEMS Curriculum Administrator at, Peter.M.Dodge@dos.nh.gov or (603) 369-7980

Locations: All in-person sessions will be held at the Richard M. Flynn Fire Academy, 98 Smokey Bear Blvd, Concord, NH 03301. Links to the online sessions will be sent out the week prior to the start date. Portions of sessions may be recorded and made available online at a later date. Workshops require participants to bring an element of their practice to work on. Course Contact:  For more information about these sessions, contact Max Dodge, FSTEMS Curriculum Administrator at, Peter.M.Dodge@dos.nh.gov or (603) 369-7980

Locations: All in-person sessions will be held at the Richard M. Flynn Fire Academy, 98 Smokey Bear Blvd, Concord, NH 03301. Links to the online sessions will be sent out the week prior to the start date. Portions of sessions may be recorded and made available online at a later date. Workshops require participants to bring an element of their practice to work on. Course Contact:  For more information about these sessions, contact Max Dodge, FSTEMS Curriculum Administrator at, Peter.M.Dodge@dos.nh.gov or (603) 369-7980