Endocrine emergencies are often potentially life-threatening and can be challenging to address. This course explains the function of the endocrine system and the pathophysiology of endocrine disorders. We will also cover the main endocrine disorders encountered in the field, including thyroid and adrenal conditions. Type I, type II, and gestational diabetes will be addressed, including pathophysiology, common emergencies associated with diabetes, and prehospital treatment options. Objectives: The student will understand the function of the endocrine system and its role in homeostasis The student will understand the general pathophysiology of endocrine emergencies The student will be aware of hypothyroid emergencies and hyperthyroid emergencies and the symptomology observed The student will be aware of adrenal emergencies and the symptomology observed The student will understand the etiology and physiology of type I, type II, and gestational diabetes and the differences in emergencies observed The student will be familiar with the symptoms observed and appropriate prehospital care for common diabetic emergencies

While the development of crisis standards of care (CSC) has been discussed at the national and state levels over the last several decades, the dissemination of that information has not totally reached EMS providers at the local level. At the end of this class participants will be able to: • Define crisis standards of care • Describe the ethical debate around CSC • Become familiar with the State of New Hampshire CSC guidelines

A review of trauma cases in the Capital area.

Responding to a Domestic Abuse Call: An in-depth look at what happened before you arrived and what to look out for once you get there. Domestic abuse is one of the most complicated and even dangerous calls for first responders. To help you prepare for these calls we are going to pull back the curtain on this form of private violence to better understand the agenda and tactics of the abuser and the reactions and decision making of the victim. Along the way we will answer questions such as: "Why do some victims with no visible injuries die a month later?"; "Why is it that sometimes the only person with injuries is the perpetrator?" and "Why is the victim more likely to die if the perpetrator threatens suicide rather than homicide?"

Six hours of continuing education covering NCCP sub topics under ARV and Cardiology.

After participating in this session, attendees should be able to summarize the short and long term effects on the brain due to Substance use disorders. They will be able to identify signs and symptoms of use/misuse of prescription drugs, illicit drugs and alcohol. Participants will be able to describe treatments available in the pre hospital setting.

Four hours of continuing education covering NCCP Cardiology sub topics.

Blood, literally the life of living organisms, is fascinating. In this presentation we will look at 3 topics. First, we will examine the Physiology of blood and its main components. Second, we will review common Pathology and diseases that involve blood. Last, we will consider an emerging trend, Bloodless Medicine. We will consider case studies of this emerging trend and some of the outcomes. Learning Objectives: 1. Identify the 4 main components of blood 2. Understand the functions of the 4 main components 3. Identify common pathology of blood disorders and diseases 4. Understand alternatives of bloodless treatment 5. Understand resources that are available for the treatment of certain patients

This class is a three part PowerPoint presentation covering ways to identify someone with autism through common characteristics. We talk about the early years and diagnosis and where these individuals can end up as adults. We’ll discuss mandates reporting and some things that we might see on scene. And we end it with a more specific Fire/EMS portion. Objectives that will be met: Identify the person with autism in the field Learn ways to deescalate the situation Learn ways to make for a better experience for both the individual and the first responder

Four hours of continuing education covering NCCP Trauma sub topics.

Six hours of continuing education covering NCCP sub topics under trauma and operations.

Four hours of continuing education covering NCCP sub topic Medical.