October After-Action Report Mandalay Bay Shooting, Las Vegas This case highlights a multi-agency response to a mass casualty incident. It prompts EMS providers to consider their own services level of preparedness for an MCI and sparks conversation around the difficulties of navigating scene safety, lifesaving interventions, communications, resource allocation, and patient tracking. Further, it challenges EMS providers to consider how they might partner with citizens in the first hours of a disaster. At the conclusion of this discussion, providers should be able to identify areas of improvement in their own practice and/or service to be better prepared for an MCI. Providers should also be able to identify strategies that would help them manage a disaster in its early phase.
This presentation will provide the audience with an overview of child abuse and neglect definitions, per NH 169-C, the Child Abuse and Neglect statute and will provide information about how to contact DCYF, what information is needed at the time of the call, as well as conversation about how you can be mindful of child safety when EMS professionals are in their homes.
This class will be an overview of joint EMS and law enforcement operations. Topics covered will include: crime scene awareness, scene safety, warm zone operations, and responding to use of force incidents. This class will provide a general awareness of law enforcement field operations and enhance efficiency and cooperation between EMS and police personnel.
This class will be an overview of joint EMS and law enforcement operations. Topics covered will include: crime scene awareness, scene safety, warm zone operations, and responding to use of force incidents. This class will provide a general awareness of law enforcement field operations and enhance efficiency and cooperation between EMS and police personnel. This class will be held contingent upon a minimum level of registrations.
This presentation will provide the audience with an overview of child abuse and neglect definitions, per NH 169-C, the Child Abuse and Neglect statute and will provide information about how to contact DCYF, what information is needed at the time of the call, as well as conversation about how you can be mindful of child safety when EMS professionals are in their homes. REMOTE ONLY
This course will cover emergent and non-emergent care of the obstetrical and neonatal population.
The Emergency Medical Responder (EMR) course prepares the student to provide prehospital assessment and care for patients of all ages with a variety of medical conditions and traumatic injuries. The satisfactory completion of this course prepares the candidate to test for certification at the EMR level with the National Registry of Emergency Medical Technicians (NREMT). The EMR certification is required in order to apply for licensure as a State of New Hampshire Emergency Medical Responder. Cost To Student: There is no cost for this program as it is 100% grant-funded. This includes all textbook, audiobook, quizzes, online lectures, skills sessions, and study materials as well as the State BLS Psychomotor Exam. Prerequisites: Current BLS CPR for Health Care Providers must remain current through testing. All students must complete ICS 100, NIMS 700, AWR 160 and Hazardous Materials Awareness before the completion of this course. Previous certifications (version A or later) will be accepted.
The Emergency Medical Responder (EMR) course prepares the student to provide prehospital assessment and care for patients of all ages with a variety of medical conditions and traumatic injuries. The satisfactory completion of this course prepares the candidate to test for certification at the EMR level with the National Registry of Emergency Medical Technicians (NREMT). The EMR certification is required in order to apply for licensure as a State of New Hampshire Emergency Medical Responder. Cost To Student: There is no cost for this program as it is 100% grant-funded. This includes all textbook, audiobook, quizzes, online lectures, skills sessions, and study materials as well as the State BLS Psychomotor Exam. Prerequisites: Current BLS CPR for Health Care Providers must remain current through testing. All students must complete ICS 100, NIMS 700, AWR 160 and Hazardous Materials Awareness before the completion of this course. Previous certifications (version A or later) will be accepted.
The Emergency Medical Responder (EMR) course prepares the student to provide prehospital assessment and care for patients of all ages with a variety of medical conditions and traumatic injuries. The satisfactory completion of this course prepares the candidate to test for certification at the EMR level with the National Registry of Emergency Medical Technicians (NREMT). The EMR certification is required in order to apply for licensure as a State of New Hampshire Emergency Medical Responder. Cost To Student: There is no cost for this program as it is 100% grant-funded. This includes all textbook, audiobook, quizzes, online lectures, skills sessions, and study materials as well as the State BLS Psychomotor Exam. Prerequisites: Current BLS CPR for Health Care Providers must remain current through testing. All students must complete ICS 100, NIMS 700, AWR 160 and Hazardous Materials Awareness before the completion of this course. Previous certifications (version A or later) will be accepted.
To enroll in the course, students must provide proof of current certification as an EMT or higher which shall remain valid through March 2023. Additionally, students must provide proof of American Heart Association BLS for the Healthcare Provider CPR certification through December 2022.
This class will cover subtopics as designated under the 2016 NREMT NCCP Medical section for recertifying providers.
Cost Affiliated: $135.00 Unaffiliated: $4,000.00
Discuss the common components of electricity, how they relate to potential risks, electrical behavior and the components of an electrical circuit. Understanding the two types of electrical hazards and their effects on the human body. Discuss the electrical hazards associated with various incident types (motor vehicle accident, structure fire, wildland fire, etc.) and how to mitigate the risks. Live-line Demonstration
For Prerequisites and more information visit: https://apps.usfa.fema.gov/nfacourses/catalog/details/10533
This course is for Chief Officers, Company Officers and those aspiring to be an officer in their department. Over the course of four hours you will have the opportunity to take command of a simulated incident as a first arriving Company Officer or an expanding incident as a Chief Officer. We will have single and multi-family residential building fires, commercial building fires as well as motor vehicle accidents, hazardous materials and mass casualty incidents. Students will be required to bring a department portable radio.
This course will cover emergent and non-emergent care of the obstetrical and neonatal population.
Approved for overtime and backfill.
Cost Affiliated: $150.00 Unaffiliated: $2,190.00
This program provides the aspiring fire and emergency services instructor with basic knowledge to prepare and deliver modern training programs. This course is a hybrid class; meaning the course is comprised of both in-class, and online assignments and lectures. Regular internet access is required to be able to complete the online component of this course. After completing the course the student will have met the sections for Fire Instructor I in the National Fire Protection Association (NFPA) 1041, 2012 edition, professional qualifications standard. Students who successfully complete the certification process will be ProBoard Certified as Instructor I.
Class Dates: Aug 2022 25 Sep 2022 12, 13, 14, 15, 16, 26, 27, 28, 29, 30 Oct 2022 20, 27 Nov 2022 03 Cost Affiliated: $545.00 Unaffiliated: $2260.00
These articles examine family presence during resuscitation from a practical and ethical standpoint. EMS providers have the unique privilege of treating patients in their home which often means we interact with family and close friends. With that being said, we receive little to no training in managing by standards, bereavement, and the practice of incorporating family into patient care. At the conclusion of this discussion, providers should have interrogated their own beliefs and practices regarding family presence during resuscitation, identify strategies for managing by standards on the next cardiac arrest, and consider the ethical impact of allowing or disallowing family presence.
Cost Affiliated: $150.00 Unaffiliated: $2,190.00
This course will define natural, semi synthetic, and synthetic descriptors as it relates to drugs. It will describe the pathophysiology between ecstasy and bath salt overdose as well as signs and symptoms of excited delirium. Treatment options for this patient population will be discussed.
What started out like many other cases of domestic violence ended up being a life changing look into what victims face at the hand of their abusers on a regular basis. After a report of a domestic dispute, police and emergency medical responders arrived at the home of a frantic female who reported multiple strangulations. She had no visible injuries, which left responders questioning- could this be true? After a brief investigation, this case diverged from the typical when detectives realized that the entire 24-hour nightmare was captured on video. This video changed the way police officers, medical staff, advocates, prosecutors and judges view reports of domestic violence. While we have all read and heard many statements about this type of conduct: seeing it unfold, raw and real, is chilling. And, it highlights just how easily someone can strangle their partner to the point of unconsciousness without leaving a mark. This presentation will not only give you a direct window into a domestic assault but also explore the impact the actions of first responders can have on a victim. Please be aware that participants will be viewing graphic imaging and language. Due to the nature of this case study this will be offered in person only.
This 4-hour training is designed to help you understand why firefighting tactics are changing based on modern construction, newer on-scene technology, and evolving fuel loads; understand how to assess and approach the scene of a fire based on the latest science-based fire dynamics research and testing, and be better prepared to evaluate a fire’s growth and spread and utilize up-to-date control methods as researched by Ul-FSRI.
Cost Affiliated: $200.00 Unaffiliated: $820.00 Dates September 21, 2022 October 5, 12, 19, 26, 2022 November 2, 9, 16, 2022
This course will define natural, semi synthetic, and synthetic descriptors as it relates to drugs. It will describe the pathophysiology between ecstasy and bath salt overdose as well as signs and symptoms of excited delirium. Treatment options for this patient population will be discussed. REMOTE ONLY
Emergency Medical Responder is the entry-level EMS certification program that gives the student the skills and knowledge to become a part of the EMS team. Previously known as “First Responder” the EMR provides the immediate emergency care to victims in need of medical care. Emergency Medical Responder (EMR) training includes patient assessment, vital signs, cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), medical illnesses, traumatic injuries and emergency childbirth. This is a traditional in-person educational experience. Course Cost $750.00 which includes: Course Materials, Online Resources, Textbooks, Student Insurance, Pocket Mask, and AHA BLS for the Healthcare Provider Certification, & All Course Materials. A $200 deposit is required to register.
This course consists of four 3-hour instructor led virtual classes (0900-1200) and one 8 hour in-person class (0800-1630). The in-person class will be in Concord on either November 3rd or November 4th. Virtual Days 29 Sep 6 Oct 13 Oct 20 Oct No Class 27 Oct In-Person Class to be either 3 Nov or 4 Nov
This program provides the aspiring fire and emergency services instructor with basic knowledge to prepare and deliver modern training programs. This course is a hybrid class; meaning the course is comprised of both in-class, and online assignments and lectures. Regular internet access is required to be able to complete the online component of this course. After completing the course the student will have met the sections for Fire Instructor I in the National Fire Protection Association (NFPA) 1041, 2012 edition, professional qualifications standard. Students who successfully complete the certification process will be ProBoard Certified as Instructor I. Course Dates: Oct 4, 2022 4 (1300-1700 only this day), 18, 25, 2022; Nov 1, 8, 15, 2022
The program will discuss two aspects of field operations, crew resources management and high reliability organization. At the end of this program participants will be able to: CRM: Explain the need for crew resource management. Describe the four principles of crew resource management used in military flight programs. Describe the interaction between the four principles and give examples of their use. HRO/Culture of Safety: Describe the operational conditions in which high-reliability organizing (HRO applies. Describe the principles of HRO. Describe how HRO manages risk to reduce or eliminate adverse effects.
Affiliated Cost: $215, Unaffiliated Cost: $885 Schedule: - October 5th, 1800-2200 @ Goffstown Station 18: Module 1-Understanding Emergency Vehicles - October 12th, 1800-2200 @ Goffstown Station 18: Module 1-Maintaining Emergency Vehicles - October 19th, 1800-2200 @ Goffstown Station 18: Module 3-Driving & Operating Emergency Vehicles - October 22nd, 0800-1630 @ Manchester Airport: Module 4-DOAV Skill Drills - October 23rd, 0800-1630 @ Manchester Airport: Module 4-DOAV Skill Drills - October 26th, 1700-2200 @ Goffstown Station 18: DOAV Certification Exam
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.
Wednesdays, Fridays, Saturdays Course Description: The Emergency Medical Responder (EMR) course prepares the student to provide prehospital assessment and care for patients of all ages with a variety of medical conditions and traumatic injuries. The satisfactory completion of this course prepares the candidate to test for certification at the EMR level with the National Registry of Emergency Medical Technicians (NREMT). The EMR certification is required in order to apply for licensure as a State of New Hampshire Emergency Medical Responder. Cost To Student: There is no cost for this program as it is 100% grant-funded. This includes all textbook, audiobook, quizzes, online lectures, skills sessions, and study materials as well as the State BLS Psychomotor Exam. Prerequisites: Current BLS CPR for Health Care Providers must remain current through testing. All students must complete ICS 100, NIMS 700, AWR 160 and Hazardous Materials Awareness before the completion of this course. Previous certifications (version A or later) will be accepted.
Wednesday, Friday, Saturday Course Description: The Emergency Medical Responder (EMR) course prepares the student to provide prehospital assessment and care for patients of all ages with a variety of medical conditions and traumatic injuries. The satisfactory completion of this course prepares the candidate to test for certification at the EMR level with the National Registry of Emergency Medical Technicians (NREMT). The EMR certification is required in order to apply for licensure as a State of New Hampshire Emergency Medical Responder. Cost To Student: There is no cost for this program as it is 100% grant-funded. This includes all textbook, audiobook, quizzes, online lectures, skills sessions, and study materials as well as the State BLS Psychomotor Exam. Prerequisites: Current BLS CPR for Health Care Providers must remain current through testing. All students must complete ICS 100, NIMS 700, AWR 160 and Hazardous Materials Awareness before the completion of this course. Previous certifications (version A or later) will be accepted.
Wednesday, Friday, Saturday Course Description: The Emergency Medical Responder (EMR) course prepares the student to provide prehospital assessment and care for patients of all ages with a variety of medical conditions and traumatic injuries. The satisfactory completion of this course prepares the candidate to test for certification at the EMR level with the National Registry of Emergency Medical Technicians (NREMT). The EMR certification is required in order to apply for licensure as a State of New Hampshire Emergency Medical Responder. Cost To Student: There is no cost for this program as it is 100% grant-funded. This includes all textbook, audiobook, quizzes, online lectures, skills sessions, and study materials as well as the State BLS Psychomotor Exam. Prerequisites: Current BLS CPR for Health Care Providers must remain current through testing. All students must complete ICS 100, NIMS 700, AWR 160 and Hazardous Materials Awareness before the completion of this course. Previous certifications (version A or later) will be accepted.
Affiliated Cost: $265, Unaffiliated Cost: $1,090 Course Schedule: - Tuesday, October 18, 2022, 1800-2200: Module 1-Understanding Aerial Apparatus - Tuesday, October 25, 2022, 1800-2200: Module 2-Operating Aerial Apparatus, Block 1 - Saturday, October 29, 2022, 0800-1630: Module 2-Operating Aerial Apparatus, Block 2A - Sunday, October 30, 2022, 0800-1630: Module 2-Operating Aerial Apparatus, Block 2B - Tuesday, November 1, 2022, 1800-2200: Module 3-Maintaining Aerial Apparatus - Tuesday, November 8, 2022, 1800-2200: Module 4-Aerial Apparatus on the Fire Ground, Block 1 - Saturday, November 12, 2022, 0800-1630: Module 4-Aerial Apparatus on the Fire Ground, Block 2A - Sunday, November 13, 2022, 0800-1630: Module 4-Aerial Apparatus on the Fire Ground, Block 2B - Tuesday, November 15, 2022, 1700-2200: Certification Exam
The program will discuss two aspects of field operations, crew resources management and high reliability organization. At the end of this program participants will be able to: CRM: Explain the need for crew resource management. Describe the four principles of crew resource management used in military flight programs. Describe the interaction between the four principles and give examples of their use. HRO/Culture of Safety: Describe the operational conditions in which high-reliability organizing (HRO applies. Describe the principles of HRO. Describe how HRO manages risk to reduce or eliminate adverse effects.
Affiliated cost: $215, Unaffiliated cost: $885 Schedule: - 10-20-22, 1800-2200 @ Lyme Fire: Module 1-Understanding Emergency Vehicles - 10-27-22, 1800-2200 @ Lyme Fire: Module 2-Maintaining Emergency Vehicles - 11-3-22, 1800-2200 @ Lyme Fire: Module 3-Driving & Operating Emergency Vehicles - 11-5-22, 0800-1630 @ NH Motor Speedway: Module 4-Skill Drills - 11-6-22, 0800-1630 @ NH Motor Speedway: Module 4-Skill Drills - 11-10-22, 1700-2200 @ Lyme Fire: Certification Exam
This session provided an overview of the homeless services system including the federal definitions of homelessness, myths and facts, and the context that the local Continuum of Care provides services within. Objectives: • Understand definitions and risk factors of homelessness • Be familiar with national level initiatives to end homelessness • Understand how homelessness is measured using HMIS • Know how to learn more
EMS has an important role to play in the effort to end human trafficking. As responders who are often the first to arrive at a scene, EMS practitioners are in a position to look for key indicators to identify potential victims, provide the appropriate care and access to resources, and potentially save a life." - Noah Smith, NHTSA Office of EMS. This presentation will cover an overview of human trafficking in NH with a focus on information specifically tailored for EMS providers. Learning objectives include: understand the definition and underlying dynamics of human trafficking learn the nature and scope of human trafficking in NH identify indicators and red flags in an EMS/healthcare context review best practices for responding and reporting
In recent years, the number of behavioral and mental health emergencies in our communities has risen. Now, with the pandemic in full swing, children and adults alike are experiencing more stress, anxiety, and in some cases, more substance misuse. This class talks about the “Myths and Facts” about people with mental illness. This presentation will also discuss the different types of personality disorders and mental health conditions to better understand and respond to families in crisis, treat our patients with compassion and dignity and keep our responders safe.
Affiliated Cost: $215, Unaffiliated Cost: $885 Schedule: - 11-2-22, 1800-2200 @ Northwood Narrows Station: Module 1-Understanding Emergency Vehicles - 11-9-22, 1800-2200 @ Northwood Narrows Station: Module 2-Maintaining Emergency Vehicles - 11-16-22, 1800-2200 @ Northwood Narrows Station: Module 3-Driving & Operating Emergency Vehicles - 11-19-22, 0800-1630 @ Rockingham County Courthouse: Module 4A-DOAV Skill Drills - 11-20-22, 0800-1630 @ Rockingham County Courthouse: Module 4B-DOAV Skill Drills - 11-22-22, 1700-2200 @ Northwood Narrows Station: DOAV Certification Exam
This seminar will include presentations by responders and military personnel with lived-experience of trauma. Each presenter will tell their story of experiencing critical incident stress, post-traumatic stress and/or complex post-traumatic stress and, in some cases, substance or alcohol misuse. They will describe how they are now working toward healing, living a full life, and thriving. Speakers include: Tracy Eldridge Jennifer Fanning, Ph.D. Keith Hanks Stephen Holmes Brian Keyes Christy Lister Jules Scott
This is will be a 6 hour program. There will be a thirty minute lunch break. Please plan accordingly.
In recent years, the number of behavioral and mental health emergencies in our communities has risen. Now, with the pandemic in full swing, children and adults alike are experiencing more stress, anxiety, and in some cases, more substance misuse. This class talks about the “Myths and Facts” about people with mental illness. This presentation will also discuss the different types of personality disorders and mental health conditions to better understand and respond to families in crisis, treat our patients with compassion and dignity and keep our responders safe.
An interactive info session on how fire and EMS leaders can prevent harassment and discrimination in the workplace. As more women join the fire and EMS workforce, leaders need to be aware of any accommodations (properly fitted gear, firehouse living arrangements and maternity leave) required of them to provide. Leaders are encouraged to bring with them any questions they want answers to and to be ready to discuss how the fire service has changed.
Our speaker will be Tom Zuppa of John Guilfoil Public Relations.
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
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
Four continuing education hours covering ventilation, capnography, oxygenation.
There is limited space available for this course. This course is free but there is no overtime and backfill.
Our speaker will be Tom Zuppa of John Guilfoil Public Relations.
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?"
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
Get information on how to use the Length of Service Award Program (LOSAP) as a retention tool for your fire department. Presented by Tom Green from Green Insurance Associates.
Michelle Bersaw-Robblee, MS, Assistant Field Specialist at the UNH Extension discusses evidence-based strategies for teaching and learning in emergency services classrooms. Part of the ongoing Instructor Professional Development Program.
This module will focus on our management of patients in varying states of hypothermia, specifically managing the hypothermic patient and identifying what tools we have access to for assessment and treatment. As water rescues also may involve hypothermia management, this course will also cover water safety and how to manage the near drowning patient. Learning Objectives: - How to assess and handle hypothermia in the prehospital setting. - How does hypothermia affect us? - What assessment tools should be implemented on the ambulance for the hypothermic individual? - What steps should be taken to stabilize the hypothermic pt? - Identify the safety risks associated with the near-drowning pt? - What are the different phases of drowning? - What changes between a cold water immersion vs cold water submersion?