This course will benefit anyone interested in the “how” and “why” of Compliance and EMS Investigations. Compliance Coordinator, Elizabeth Goguet, will present an overview of the rules and laws that govern EMS Providers. To include the formal investigative process, information will be presented on historical and current investigations, along with how the citizens, visitors, and EMS Providers in the State of New Hampshire can utilize (or avoid) the Compliance Section at the Division of Fire Standards and Training & EMS. Time at the end will be left for questions and discussion. This class will be virtual only hosted through Littleton Regional Healthcare. A link will be sent to participants 12-24hrs prior to the start of class.

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