This class is designed to update the healthcare provider on the current state of the Medical Marijuana debate as it stands in 2023. We will discuss how we got to this point and what is the current research status of utilizing marijuana for medical purposes. There will be a focus on the New England States with regard to State regulations and practice standards. Objectives: Explain the history of Marijuana in the United States Describe the legal implications as it relates to the federal vs. State Government Differentiate between legalization & decriminalization Summarize the current situation as it relates to Medical Marijuana and the Healthcare Profession will include a New England State review

Prehospital ultrasound is an emerging technology growing in popularity nationwide. Ultrasound is a useful tool that can aid in paramedic patient assessment and medical decision making. This program includes an introduction to ultrasound technology followed by didactic sessions, skills stations and scenarios led by emergency medicine physicians and advanced practice providers. You will practice performing goal directed, limited window lung, cardiac and eFAST ultrasound exams while learning how to interpret abnormal findings and apply these to patient care. This program does not certify you to begin practicing ultrasound in the field, but it does provide a free opportunity to learn about ultrasound technology and receive continuing education hours. Paramedic participation in this program will guide future ultrasound use statewide. Learning Objectives: 1) Knowledge of Indications for Prehospital Ultrasound 2) Provider comfort with use and manipulation of ultrasound transducer/interface 3) Ability to interpret normal versus abnormal findings on focused assessment 4) Ability to apply findings to patient care and prehospital decision-making This course is for paramedic level providers only. There is about three hours of pre course work you will be expected to complete prior to the skills day.

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.