People at the conference sitting at tables listening to speakers.

2027 Schedule & Agenda

Conference Information

We are excited to share the fabulous lineup of sessions planned for the 2027 AEMSA Conference! The AEMSA Conference Planning Committee has worked diligently to bring together an engaging program featuring industry experts from across the nation.

We invite you to explore the 2027 conference schedule and discover the outstanding speakers, presentations, and sessions we have planned for our attendees. We look forward to welcoming you to an exciting and informative conference!

Attendees of the Arrowhead EMS Conference & Expo.

Mark Your Calendars!

The 46th Annual Arrowhead EMS Conference and Expo is coming soon on January 20th through the 24th 2027. Get ready for insightful discussions, networking opportunities with industry leaders, and exciting presentations from top experts.

You won’t want to miss it!

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2027 Full Schedule

Wednesday, January 20, 2027
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EMT Refresher (2 Days)

  • Gooseberry Falls
  • Lucas Goodin
This course is designed to meet the National Continued Competency Requirements (NCCR) that meets the current MN and NREMT requirements to maintain your EMT license... Read More During this refresher you will be provided with interactive discussions as well as hands on applications of your skills in live scenarios including moulage victims. You will still be required to get your additional 20 hours of you State/Local and Individual hours. This course does not cover any of these additional hours.

Human Anatomy Lab - Wednesday

  • College of St. Scholastica
  • Melissa Kohn
  • Pete Tanghe
Take your EMS knowledge from the textbook to the human body in this immersive, hands-on Human Anatomy Lab... Read More Designed for EMS professionals and students, this session provides a unique opportunity to explore human anatomy through direct examination of anatomical structures and their clinical relevance.Participants will gain a deeper understanding of the anatomy underlying common medical and traumatic emergencies, including airway management, thoracic and abdominal injuries, vascular access, neurological assessment, and musculoskeletal trauma. Through guided instruction and practical observation, attendees will connect anatomical structures to assessment findings, treatment decisions, and procedures encountered in the field.

Self-Defense for EMS Personnel - Wednesday

  • Lake Superior L
  • Mike Gau
  • Sean Gilman
  • Marlyn Halvorson
  • Scott Peterson
  • Tony Yeley
This course is designed specifically for emergency medical personnel to address situations they may encounter with their patients or clients... Read More The course will include situational awareness, de-escalation, basic blocking and avoidance techniques. Self-defense techniques will be covered in the event an EMS worker is grabbed or attacked in various ways. Questions from those attending will be encouraged to maximize the usefulness of the course for those in attendance.

Lunch

Thursday, January 21, 2027
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Self-Defense for EMS Personnel - Thursday

  • Lake Superior L
  • Mike Gau
  • Sean Gilman
  • Marlyn Halvorson
  • Scott Peterson
  • Tony Yeley
This course is designed specifically for emergency medical personnel to address situations they may encounter with their patients or clients... Read More The course will include situational awareness, de-escalation, basic blocking and avoidance techniques. Self-defense techniques will be covered in the event an EMS worker is grabbed or attacked in various ways. Questions from those attending will be encouraged to maximize the usefulness of the course for those in attendance.

Lunch 2

Human Anatomy Lab - Thursday

  • College of St. Scholastica
  • Melissa Kohn
  • Pete Tanghe
Take your EMS knowledge from the textbook to the human body in this immersive, hands-on Human Anatomy Lab... Read More Designed for EMS professionals and students, this session provides a unique opportunity to explore human anatomy through direct examination of anatomical structures and their clinical relevance.Participants will gain a deeper understanding of the anatomy underlying common medical and traumatic emergencies, including airway management, thoracic and abdominal injuries, vascular access, neurological assessment, and musculoskeletal trauma. Through guided instruction and practical observation, attendees will connect anatomical structures to assessment findings, treatment decisions, and procedures encountered in the field.

Minnesota Traffic Incident Management (MnTIM) Training

  • Lake Superior M,N
  • George Burger
Traffic incidents are among the most dangerous environments responders encounter... Read More The Minnesota Traffic Incident Management (MnTIM) training brings together law enforcement, fire/rescue, EMS, towing and recovery, and transportation professionals to improve how roadway incidents are managed.  This four-hour, instructor-led course focuses on practical strategies to protect responders, reduce secondary crashes, and restore traffic flow as quickly and safely as possible. Participants will learn how coordinated, multidisciplinary response improves scene safety and patient care while reducing risks to responders and the traveling public.  The course covers responder safety, safe vehicle positioning, traffic control strategies, communication and command coordination, and the importance of quick clearance policies. Real-world examples and interactive discussion help participants understand how their role fits into the broader Traffic Incident Management system.  This training supports Minnesota’s Toward Zero Deaths initiative and provides tools responders can immediately apply when operating on roadways.Upon completion of this session, participants will be able to:  Explain the principles of Traffic Incident Management (TIM) and how coordinated multidisciplinary response improves responder safety and incident clearance.  Identify the major risks associated with roadway incidents, including secondary crashes and responder exposure.  Apply safe vehicle positioning and scene management strategies to create effective traffic control and responder protection.  Describe the roles and responsibilities of EMS and partner disciplines during roadway incident response.  Recognize the importance of quick clearance and coordinated communication in reducing traffic delay and improving overall incident outcomes.
Friday, January 22, 2027
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REGISTRATION

CONFERENCE WELCOME - Adam Shadiow, Executive Director, Arrowhead EMS Association

KEYNOTE: Still Standing

  • Lake Superior Ballroom
  • John Kriesel
Challenges... Read More ..Everybody faces adversity--it doesn't matter the size or scope of your challenge, it is the attitude that you bring to the table that will help you overcome that adversity and it will make you a stronger person. Acceptance...You can't begin to resolve your challenge until you accept it. John lost his legs and two buddies in Iraq explosion. Rather than wallow in self-pity, he resolved to live his life to the fullest and to make the best out of his second chance at life. Plan...Develop a plan to overcome your challenge, make it into an opportunity. When told he might not walk again and would be hospitalized two years, John doubled his physical therapy regimen, working himself to exhaustion. He walked out of Walter Reed Medical Center nine months later. Humor...In his darkest moments, John found time to laugh. Always a lighthearted guy, he discovered laughter and not taking yourself too seriously are powerful medicine in any endeavor. Support...Nobody does it alone. Friends, family and people you don't know will help but you need to accept their help. Success is a team sport. John’s army buddies in the field, medical staff in four hospitals, family, and scores of people, many he never met, got John up on his new feet. Share...Use your success to help others and you help yourself. The greater your success, the more you will enjoy sharing it by helping others beat their challenges, no matter how big or small those challenges may be.

Expo only registration

EXHIBITS

  • South Pioneer Hall

Friday (01/22/27) Hands on Approach to Trauma Care (All Day Class)

This class is designed to give you an opportunity to apply all the assessments and skills needed to manage your trauma and medical patients... Read More This is an all day class and attendance for the whole day is required. Throughout the day you will be rotating between different stations that are designed to challenge you while working in the controlled environment. (Limit 45) (ALL DAY CLASS)

Hands on Approach to Patient Care

  • Gooseberry Falls Room
  • Jason Dush
  • Lucas Goodin
  • John Hansen
This class is designed to give you an opportunity to apply all the assessments and skills needed to manage your trauma and medical patients... Read More This is an all day class and attendance for the whole day is required. Throughout the day you will be rotating between different stations that are designed to challenge you while working in the controlled environment. (Limit 45)

The Person Behind the Uniform Tools for the Shift and the Life Beyond It (ALL DAY CLASS)

  • Board Room
  • Bill Brandt
  • Kenzie Wilcox
This interactive session explores wellness as a continuum and gives first responders practical tools to navigate acute stress, chronic stress, moral injury, and the demands of life beyond the job... Read More Through relatable EMS scenarios, participants will examine how the stories we tell ourselves can increase or reduce stress. They’ll practice personal reframing, identify early signs of overwhelm, and create a pocket-sized stress “go bag” with tools for grounding, regulation, and seeking support.Participants will explore realistic expectations, boundaries, and communication at work and home, including how to ask for what they need. They’ll also develop a personal manifesto focused on values, identity, and what matters beyond the job.The session addresses hypervigilance, sleep disruption, and the challenge of transitioning from work to home. Participants will create a realistic post-shift transition ritual and flexible routines that work with rotating shifts, family responsibilities, and limited energy. (Limit 20) (ALL DAY CLASS)

'Just Drive the Truck': Breaking the BLS vs. ALS Culture War

  • Lake Superior Ballroom O
  • Micheal Miers
In EMS, the divide between BLS and ALS providers can create tension, hinder teamwork, and impact patient care... Read More This session explores the origins and effects of the BLS vs. ALS culture divide and provides practical strategies to foster collaboration, respect, and shared purpose. Participants will learn how to move beyond turf battles, focus on patient-centered outcomes, and build stronger, more cohesive EMS teams. Through real-world examples and interactive discussion, this presentation equips providers and leaders with tools to break down barriers, improve communication, and create a culture where everyone—regardless of certification—works together effectively in the field.Objectives:1. Describe cultural challenges between BLS and ALS providers. 2. Discuss strategies to foster mutual respect and collaboration. 3. Apply teamwork principles to improve morale and patient care.

Being on the Other Side: Through the Eyes of the Patient

  • Lake Superior Ballroom M,N
  • Michelle Marine
Healthcare professionals are trained to respond to crisis, remain composed under pressure, and care for others during their most vulnerable moments... Read More But what happens when the clinician suddenly becomes the family member standing in an empty hallway, powerless, and unseen?  In this deeply personal and emotionally impactful presentation, Michelle Marine, flight paramedic, nurse, educator, and founder of Beyond The Protocol, shares her journey navigating healthcare from the opposite side of the stretcher after her husband’s battle with combat-related PTSD, suicide attempts, and eventual death by suicide.  What began as the devastating loss of a loved one became a journey Michelle never expected, one that forced her to confront not only profound grief, but also the cumulative emotional trauma she had carried silently throughout more than 30 years in EMS and healthcare. Like many clinicians, she spent decades responding to tragedy, suppressing emotion, and believing strength meant surviving in silence.  Through raw storytelling, reflection, and lived experience, this session explores the human side of healthcare and the lasting impact providers have on patients, families, and one another. Participants will examine how trauma, burnout, compassion fatigue, stigma, and unresolved grief influence both patient care and clinician wellness, while highlighting the critical importance of empathy, communication, trauma-informed care, and mental health awareness within healthcare professions.  This presentation is not about blame; it is about perspective, humanity, resilience, and healing. It challenges healthcare professionals to reconnect with the people behind the protocols and recognize that even the smallest words, actions, and moments of compassion can leave a lifelong impact.  By sharing her story from both sides of healthcare, Michelle encourages providers to reflect, heal, and reconnect with the humanity behind medicine. Her message serves as a powerful reminder that the smallest moments of compassion, empathy, and presence can leave a lifelong impact on patients, families, and healthcare teams alike..Objectives:•  Upon completion, participants will be able to describe how healthcare interactions impact patients’ and families’ emotional and psychological experiences during vulnerable, high-stress situations, and critical events. •  Upon completion, participants will be able to recognize how clinician communication, implicit bias, and environmental stressors influence patient perception, trust, and psychological safety.  •  Upon completion, participants will be able to reflect on personal clinical practice to identify opportunities to improve empathy, presence, and patient-centered communication.

PSYCHE! – Psychological Emergencies in the Community Setting

  • Lake Superior Ballroom L
  • Matt Grimes
This session will review psychological emergencies that first responders may encounter and provide actionable strategies, therapies, and pharmacological interventions useful in these situations... Read More This course will cover manic episodes, psychosis, suicidal ideation, and toxicological emergencies, including substance-induced crises and life-threatening adverse drug reactions.Objectives:1.Identify common psychological emergencies including toxicological emergencies and adverse drug events commonly encountered in people with mental health diagnoses. 2.Differentiate between primary psychiatric crises (such as acute mania or psychosis) and secondary behavioral changes caused by toxicological emergencies. 3.Employ evidence-based verbal de-escalation therapies and behavioral strategies to safely manage agitated or acutely psychotic patients in out-of-hospital environments. 4.Determine the appropriate pharmacological interventions for stabilizing severe substance-induced crises and life-threatening adverse drug reactions. 5.Identify the warning signs of toxidromes and adverse pharmaceutical reactions that require immediate, high-priority emergency transport.

STEMI Challenges… Better EMS Preparedness = Saving Lives and Better Outcomes

  • French River
  • Richard Mullvain
Heart disease remains the #1 cause of death in America and the world... Read More STEMI heart attacks remain to be one of the most time critical challenges that EMS is faced with. There are still plenty of opportunities for improvement. Whether you are new to EMS, or a seasoned veteran, there is always something more to learn about optimizing STEMI care. Description: This entertaining presentation will look at several STEMI case studies from our region, with many lessons to learn and pearls to take back to improve your practice.It will also cover key concepts from the national ACS guidelines and local STEMI protocols, with a fun review of basic STEMI recognition on 12-Lead ECG.This will be both an entertaining and enlightening presentation that will hopefully motivate you to provide better heart attack care with confidence!   Objectives:Strengthen EMS STEMI response capabilities and 12-Lead ECG skillsImprove STEMI System performance goals and patient outcomesUse tips and tools from the national ACS guidelines and local STEMI protocols to elevate careGlean valuable pearls and actionable clinical insights from STEMI case studies

Break

Advancements in Prehospital Stroke Care: What EMS Providers Need to Know

  • Lake Superior Ballroom O
  • Micheal Miers
This session provides an update on the evolving landscape of prehospital stroke care, including large vessel occlusion recognition, stroke scales, and destination protocols... Read More EMS providers will leave with a clearer understanding of their role in the stroke chain of survival.Objectives:1. Differentiate between ischemic stroke types and the signs of large vessel occlusion. 2. Apply appropriate stroke screening tools in the prehospital setting. 3. Understand the importance of stroke alert activation and hospital selection.

Born in Chaos: Managing Obstetric Emergencies in the Field

  • French River Room
  • Tim Fresonke
Obstetric emergencies are among the most high-risk, low-frequency events EMS provider’s encounter... Read More These calls demand rapid assessment, calm leadership, and mastery of time sensitive interventions for both mother and child. This session reviews critical obstetric emergencies including precipitous delivery, postpartum hemorrhage, hypertensive crises, breech birth, and neonatal resuscitation principles. Attendees will strengthen confidence and competency in managing unpredictable OB emergencies when additional resources are not immediately available.Objectives:• Recognize and manage common high-risk obstetric emergencies in the prehospital  setting  • Improve preparedness for field delivery complications  • Strengthen maternal and neonatal stabilization strategies  • Apply structured approaches to low-frequency, high-acuity OB events

Crowning Moments: Emergency Childbirth for the EMS Provider

  • Lake Superior Ballroom M,N
  • Terence Sheehy
Field childbirth is an infrequent but high-risk event for EMS providers... Read More This session reviews recognition of imminent delivery, practical management strategies for uncomplicated births, and warning signs that indicate the need for rapid intervention.  Participants will gain confidence managing both expected and unexpected delivery scenarios and will review preparation strategies that improve readiness for rare obstetric emergencies in the prehospital environment.Objectives:-Recognize assessment findings associated with imminent field delivery -Apply structured management strategies during uncomplicated childbirth events -Identify warning signs requiring rapid escalation of care -Strengthen preparation strategies for low-frequency, high-risk obstetric responses

Take My Breathe Away – The Myths, Lies, and Realities of Managing Respiratory Emergencies

  • Lake Superior Ballroom L
  • Matt Grimes
If you are a high-speed clinician looking for advanced ventilator management strategies, then this session is not for you... Read More   But if you are a clinician looking to brush up on the concepts of Gas Exchange, Ventilation, and Respiration, then this session was created with you in mind.  This session begins with a review of basic anatomy and physiology of the respiratory system and gas exchange, then examines some of the common problems that impair the gas exchange process.  It will also examine some of the most common misconceptions and misunderstandings associated with gas exchange, including the absolute lack of respect for CO2 in the Gas Exchange process and the mythology surrounding supplemental oxygen and COPD patients. Basic tips and techniques to improve patient outcomes in respiratory distress/arrest emergencies will be discussed.Objectives:At the conclusion of this session, the learner will be able to: 1.Describe the physiology behind ventilation and respiration. 2.Identify the basic structures of the human respiratory system. 3.Discuss the function of oxygen and carbon dioxide in physiological processes. 4.Identify common problems that lead to ineffective gas exchange. 5.Manage impaired gas exchange to improve patient outcomes.

Lunch/Exhibits

"Oh, that little thing? It’s just my ventricular assist device!"

  • Lake Superior Ballroom O
  • Michael Smith
In an era where medical technology is advancing at an unprecedented pace, this dynamic lecture will critically examine the implications of high-tech medical devices on patient care and quality of life... Read More    This lecture will engage participants in a lively discussion about the benefits and challenges posed by high-tech medical devices. We will address how these innovations are enabling patients to reclaim a sense of normalcy in their daily lives, while also considering the ethical implications and the importance of balancing innovation with patient-centered care.  As insulin pumps, feeding tubes (G tubes), home ventilators, and intravenous (IV) pumps become increasingly commonplace in-home care settings, the landscape of patient management is evolving. We will explore the journey of end-stage heart failure patients who have benefitted from the use of ventricular assist devices (VADs), emphasizing the advancements that have led to smaller devices with fewer side effects. As technology continues to progress, questions arise about the future of cardiac care specifically, the potential for total artificial hearts to become a standard option for patients.  Attendees will gain insights into the latest advancements in medical technology, the evolving role of EMS in managing patients with complex medical devices.Objectives:The student will understand the need for each medical device.  The student will understand who to use a resource to trouble shoot issues with the medical device.  The student will learn how to assess patients with these devices.

Clinical Pearls and Myths of Toxicology for EMS providers

  • Lake Superior Ballroom L
  • Kirk Hughes
This presentation will discuss clinical pearls of managing the poisoned patient... Read More   Did you know that giving a toddler who ingested clonidine that experiences respiratory depression/arrest 50% of the time will improve with administration of 10mg of naloxone?  This is one of the few “pearls” you will learn in the session.Objectives:1.Identify the poison center as the best resource for management of the poisoned patient 2.Dispel myth that some of the newer opioids are Narcan resistant 3.List which diabetic medications actually lower blood glucose levels

EMS in Transition: Advances, System Challenges, and the Future of Prehospital Medicine

  • French River Room
  • Tim Fresonke
Emergency Medical Services is undergoing rapid transformation as new clinical interventions, evolving trauma frameworks, and operational pressures reshape prehospital care... Read More This session explores major advancements including blood products in the field, TXA  administration, prehospital antibiotics, and the shift toward military-informed trauma strategies. Attendees will also examine the growing challenges facing EMS, including  workforce shortages, increasing call complexity, provider burnout, and expanding system expectations. Participants will leave with practical insights into how EMS agencies and providers can adapt to remain effective in an increasingly demanding environment.Objectives:•Identify emerging clinical trends and evidence-based advancements in modern EMS   • Understand evolving trauma care priorities and frameworks  • Recognize workforce, operational, and systemic challenges threatening EMS  sustainability   • Explore how AI and innovation may influence the future of prehospital medicine

It’s Just a Lift Assist: The Hidden Risks of Complacency in EMS

  • Lake Superior Ballroom M,N
  • Terence Sheehy
Lift assists are often considered routine calls, but they frequently contain hidden medical risks, documentation challenges, and provider safety concerns... Read More This session explores how complacency develops during low-acuity responses and how structured assessment habits can prevent missed patient conditions, injuries, and liability exposure.  Participants will review real-world examples of seemingly simple calls that evolved into complex clinical situations and will leave with practical strategies for improving assessment discipline, documentation quality, and decision-making during routine responses.Objectives:-Identify clinical and operational risks associated with lift-assist and low-acuity responses -Apply structured assessment strategies that improve patient evaluation during routine calls -Recognize documentation practices that reduce liability exposure during non-transport encounters -Strengthen situational awareness habits that improve provider and patient safety

EXHIBITS

  • South Pioneer Hall

Abstract: EMS Documentation to Prevent Litigation

  • Lake Superior Ballroom O
  • Michael Smith
Accurate and thorough documentation is a cornerstone of effective Emergency Medical Services (EMS) practice and a critical safeguard against legal liability... Read More In an increasingly complex healthcare and legal environment, EMS professionals must ensure that patient care reports not only reflect clinical competence but also withstand legal scrutiny. This presentation explores the essential role of high-quality documentation in reducing litigation risk, protecting providers, and improving patient outcomes.  Key elements of defensible documentation will be examined, including completeness, clarity, timeliness, and objectivity. Common documentation pitfalls—such as omissions, subjective language, inconsistencies, and delayed reporting—will be highlighted through real-world case examples. The session will also address how documentation influences legal proceedings, including malpractice claims, and how attorneys, judges, and juries interpret EMS records.  Additionally, this presentation will introduce practical strategies for improving documentation practices in the field, including standardized narratives, checklists, and the effective use of electronic patient care reporting (ePCR) systems. Emphasis will be placed on documenting clinical decision-making, patient refusals, informed consent, and communication with other healthcare providers. By reinforcing best practices and fostering a culture of accountability, EMS agencies can significantly reduce legal exposure while enhancing continuity of care. Attendees will leave with actionable tools and a deeper understanding of how strong documentation serves as both a clinical and legal asset in prehospital medicine.Objectives:The student will understand the elements of malpractice.  The student will understand the components of a well written PCR.  The student will understand how to write a defensive PCR for difficult runs

Compassion Without Compromise: Leading People, Not Problems

  • Lake Superior Ballroom M,N
  • Terence Sheehy
EMS leaders are often told they must choose between being supportive and being accountable... Read More In reality, effective leadership requires both. This session introduces a practical framework for addressing performance concerns early while maintaining trust and strengthening team culture.  Participants will learn how to recognize early performance drift, conduct productive coaching conversations, and establish consistent expectations across shifts without relying solely on discipline.Objectives:-Apply a structured framework for addressing performance concerns early -Differentiate supportive coaching from avoidance-based supervision -Identify behaviors that unintentionally weaken accountability across teams -Strengthen expectation alignment across supervisors and shifts

MN EMS Education Update

  • French River Room
  • Brad Wright
This session is held conjunction with OEMS staff and will cover updates to EMS education in the state of MN... Read More   Topics will include EMT psychomotor exam updates, Paramedic program potential changes.  Regulatory and OEMS expectations.Objectives:Provide updates to EMS education in the State of MN  Discuss EMT psychomotor exam  Discuss Civilian to Paramedic pilot

You Inhaled WHAT??

  • Lake Superior Ballroom L
  • Kirk Hughes
This presentation will cover various inhaled toxins including associated clinical effects and treatments... Read More   Nitrous Oxide abuse will be highlighted.Objectives:1.Attendees will list at least three substances that can cause toxicity in an inhalation exposure 2.Identify SDS as a good resource for determining active ingredients and chemical properties of inhaled substances 3.Discuss treatment modalities associated with inhalation exposure specific to the substance
Saturday, January 23, 2027
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REGISTRATION 2

CONFERENCE WELCOME - Adam Shadiow, Executive Director, Arrowhead EMS Association - 2

KEYNOTE: Seconds That Matter: The Decisions That Change Everything

  • Lake Superior Ballroom
  • Tim Fresonke
In emergency medicine and EMS, critical outcomes are often determined not by hours of care—but by the decisions made in mere seconds... Read More This keynote explores how frontline  providers, leaders, and healthcare teams can sharpen decision-making under pressure, improve patient outcomes, and strengthen operational performance when every moment counts. Drawing from real-world EMS, emergency department, and trauma experiences,  Tim delivers a powerful message on cognitive readiness, leadership under stress, and the small decisions that define careers, systems, and lives.Objectives:• Identify the key factors that influence high-stakes decision-making in emergencies   • Recognize common cognitive errors that impact patient care and team performance  • Develop strategies to improve clarity, confidence, and leadership under pressure  • Apply practical frameworks for better frontline and organizational decision-making

Exhibits 2

The Person Behind the Uniform Tools for the Shift and the Life Beyond It (All Day Class)

  • Board Room
  • Bill Brandt
  • Kenzie Wilcox
This interactive session explores wellness as a continuum and gives first responders practical tools to navigate acute stress, chronic stress, moral injury, and the demands of life beyond the job... Read More Through relatable EMS scenarios, participants will examine how the stories we tell ourselves can increase or reduce stress. They’ll practice personal reframing, identify early signs of overwhelm, and create a pocket-sized stress “go bag” with tools for grounding, regulation, and seeking support.Participants will explore realistic expectations, boundaries, and communication at work and home, including how to ask for what they need. They’ll also develop a personal manifesto focused on values, identity, and what matters beyond the job.The session addresses hypervigilance, sleep disruption, and the challenge of transitioning from work to home. Participants will create a realistic post-shift transition ritual and flexible routines that work with rotating shifts, family responsibilities, and limited energy. (Limit 20) (ALL DAY CLASS)

Being on the Other Side: Through the Eyes of the Patient

  • Lake Superior Ballroom L
  • Michelle Marine
Healthcare professionals are trained to respond to crisis, remain composed under pressure, and care for others during their most vulnerable moments... Read More But what happens when the clinician suddenly becomes the family member standing in an empty hallway, powerless, and unseen?  In this deeply personal and emotionally impactful presentation, Michelle Marine, flight paramedic, nurse, educator, and founder of Beyond The Protocol, shares her journey navigating healthcare from the opposite side of the stretcher after her husband’s battle with combat-related PTSD, suicide attempts, and eventual death by suicide.  What began as the devastating loss of a loved one became a journey Michelle never expected, one that forced her to confront not only profound grief, but also the cumulative emotional trauma she had carried silently throughout more than 30 years in EMS and healthcare. Like many clinicians, she spent decades responding to tragedy, suppressing emotion, and believing strength meant surviving in silence.  Through raw storytelling, reflection, and lived experience, this session explores the human side of healthcare and the lasting impact providers have on patients, families, and one another. Participants will examine how trauma, burnout, compassion fatigue, stigma, and unresolved grief influence both patient care and clinician wellness, while highlighting the critical importance of empathy, communication, trauma-informed care, and mental health awareness within healthcare professions.  This presentation is not about blame; it is about perspective, humanity, resilience, and healing. It challenges healthcare professionals to reconnect with the people behind the protocols and recognize that even the smallest words, actions, and moments of compassion can leave a lifelong impact.  By sharing her story from both sides of healthcare, Michelle encourages providers to reflect, heal, and reconnect with the humanity behind medicine. Her message serves as a powerful reminder that the smallest moments of compassion, empathy, and presence can leave a lifelong impact on patients, families, and healthcare teams alike..Objectives:•  Upon completion, participants will be able to describe how healthcare interactions impact patients’ and families’ emotional and psychological experiences during vulnerable, high-stress situations, and critical events. •  Upon completion, participants will be able to recognize how clinician communication, implicit bias, and environmental stressors influence patient perception, trust, and psychological safety.  •  Upon completion, participants will be able to reflect on personal clinical practice to identify opportunities to improve empathy, presence, and patient-centered communication.

Bridging the Gap Between Field Providers & Hospital Staff

  • Lake Superior Ballroom M,N
  • Micheal Miers
This course examines the communication and cultural disconnect between EMS providers and ED staff... Read More Attendees will explore tools for better collaboration, smoother handoffs, and mutual respect, ultimately improving patient care across the continuum.Objectives:1. Identify common breakdowns in communication between EMS and hospital staff. 2. Apply strategies for effective, concise patient handoffs. 3. Foster interprofessional relationships that prioritize patient outcomes.

Heart Failure: 101

  • Lake Superior Ballroom O
  • Michael Smith
This presentation aims to provide a thorough exploration of heart failure, examining its complex nature, underlying causes, and various manifestations... Read More Heart failure can significantly impact the quality of life, making early recognition and appropriate management essential. We will begin by delving into the anatomy and physiology of the heart, highlighting how structural and functional changes contribute to the development of heart failure. Participants will gain insights into the myriad causes that can lead to this condition, including ischemic heart disease, hypertension, and valvular disorders. We will discuss the role of EMS providers in assessing and managing heart failure patients in the pre-hospital setting, including the identification of red flags and appropriate treatment protocols. In severe cases, heart transplantation may be necessary to restore quality of life and independence from life-prolonging devices. We will explore the criteria for transplantation, the process involved, and the impact on patients' lives post-transplant. Join us for this informative session that aims to equip EMS professionals with the knowledge and tools necessary to navigate the complexities of heart failure, ultimately enhancing patient care and outcomes in this vulnerable population.Objectives:The student will understand A & P of the heart and vascular system. The student will understand types and causes of heart failure. The student will understand how to recognize and treat heart failure.

Little Bodies, Big Emergencies: Pediatric Shock Recognition

  • Gooseberry Falls Room
  • Bill Young
The early recognition of shock in pediatric patients is not just important—it’s life-saving... Read More Unlike adults, children often compensate incredibly well until they suddenly don’t. This means the early warning signs can be subtle, easy to miss, and very different from what we’re used to seeing in adult shock. A child in shock may look deceptively stable—playing, talking, even walking—while their body is already at the edge of collapse. In this session, we’ll explore the unique physiology of pediatric patients and why their presentation can fool even experienced providers. You’ll learn how to spot the earliest clues, understand the compensatory mechanisms at work, and anticipate the rapid transition from compensated to decompensated shock. Together, we’ll break down real-world cases that highlight the “red flags” you must never overlookObjectives:1.Recognize the various types of shock, including hypovolemic, distributive, cardiogenic, and obstructive, specific to pediatric patients, and understand the underlying causes and risk factors associated with each type. 2.Be proficient in the assessment of pediatric patients in shock, including the recognition of vital signs, clinical signs, and laboratory findings. 3.Appreciate the importance of age-appropriate care when managing pediatric patients in shock and possess effective communication skills for interacting with both the child and their caregivers during a high-stress situation.

Pulling G's

  • French River Room
  • Caroline Homan
Learning how G forces apply in EMS... Read More Recognizing safety measures for G force injuries. Identifying how much MOI applies- specifically in high speed accidents. Case Studies- application of material.

Break 2

Capnography: Measuring the smoke of metabolism

  • Lake Superior Ballroom O
  • Michael Smith
Capnography, the monitoring of exhaled carbon dioxide (CO2) levels, is a vital tool in Emergency Medical Services (EMS) for assessing and managing patients with respiratory and cardiac conditions... Read More The primary measurement provided by capnography is the end-tidal CO2 (ETCO2), which reflects the efficiency of ventilation, circulation, and metabolism. This lecture will explore the principles of capnography, its clinical applications, and its significance in EMS settings.  Capnography provides real-time, continuous information that can assist in the early detection of respiratory distress, effectiveness of ventilation, and proper placement of advanced airway devices. Additionally, ETCO2 monitoring offers crucial insight into cardiac arrest resuscitation efforts and can guide therapeutic interventions, including ventilator adjustments during mechanical ventilation or advanced airway management.  This lecture will also cover the interpretation of capnography waveforms and the significance of various waveform patterns, such as normal, hypercarbia, hypoventilation, and sudden loss of waveform, indicating critical clinical changes. Emphasis will be placed on the utility of capnography in clinical decision-making, patient monitoring during transport, and its role in enhancing patient outcomes in pre-hospital care.  By understanding the practical applications and limitations of capnography, EMS providers can improve patient care, reduce mortality, and optimize resource utilization during transport and on-scene care.Objectives:The student will understand A & P of the heart and respiratory systems. The student will understand diagnostic wave forms and their meaning in the field. The student will understand how to integrate capnography into their everyday assessments.

High-Risk, No Harm: Simulation as a Cornerstone of EMS Credentialing

  • Lake Superior Ballroom L
  • Stevie Johnson
Simulation is an essential tool for preparing prehospital clinicians to safely manage high-risk, low-frequency events while maintaining clinical proficiency across the transport environment... Read More This session will demonstrate how simulation can be strategically integrated into orientation, continuing education, and competency validation to improve individual performance, clinical decision-making, and overall system reliability.  Using real-world examples implemented within a prehospital orientation program, participants will explore how operationally relevant scenarios can be designed to reflect the complexity, unpredictability, and resource limitations of the prehospital setting. Guideline-driven scenarios will be discussed that intentionally follow the clinician from initial orientation through full credentialing, ensuring progressive skill development and reinforcement of best practices.  Each simulation event is structured to build upon the learner’s critical thinking, procedural proficiency, and clinical judgment. Participants will also examine how structured debriefing supports reflection, allowing clinicians to identify strengths, recognize opportunities for improvement, and track their progression over time. Through deliberate practice and feedback, simulation becomes a measurable method for validating competency, increasing confidence, and promoting safe, high-quality patient care within prehospital teams.Objectives:1. Describe how simulation can be integrated into prehospital orientation, continuing education, and competency validation to improve clinician readiness and safety. 2. Develop operationally relevant scenarios that incorporate clinical variables unique to the prehospital or transport setting. 3. Apply structured debriefing approach to evaluate clinical decision-making, technical performance and communication during simulation.

Rural Realities: Managing High Acuity Patients with Limited Resources

  • Lake Superior Ballroom M,N
  • Micheal Miers
Rural EMS providers face unique challenges when managing critical patients—long transport times, limited backup, and sparse resources... Read More This session offers practical tips and clinical strategies for staying calm, thinking critically, and maximizing what's available.Objectives:1. Identify the unique challenges of high-acuity care in rural EMS environments. 2. Discuss improvisation techniques and resourceful problem-solving. 3. Prioritize and sequence critical interventions during prolonged transport.

Trauma Triad

  • French River Room
  • Caroline Homan
What is the Trauma TriadPathophysiology of the triadHow to identify and treatCase study and application... Read More

Why Are You Such A Pain In The #%$

  • Gooseberry Falls Room
  • Bill Young
Dialysis patients…the bane of our existence... Read More   The reality is that these patients are always sick. During emergencies, the normal treatment of these patients may be ineffective.  During this session, Dr. Young, a two-time renal transplant patient explores the pathophysiology of renal related emergencies.Objectives:Objectives 1.Participants should have a thorough understanding of the anatomy and normal functioning of the kidneys, including their role in maintaining fluid and electrolyte balance, filtration of waste products, and regulation of blood pressure. 2.Attendees should be able to recognize common renal emergencies such as acute kidney injury, kidney stones, and urinary tract infections. 3.Participants should be able to apply evidence-based pre-hospital management strategies for renal emergencies, including intravenous fluid administration, pain management for renal colic, and recognition of complications such as sepsis or electrolyte imbalances in patients with renal issues.

Lunch/Exhibits 2

Car Seats 102 for First Repsonders

  • French River Room
  • Monte Fronk
  • Dex Tuttle
Building on last year's session... Read More participants will review very basic car seat features and functions to recognize when responding to a crash, discuss extraction, and ponder transportation decisions in this lengthened hands-on session.Objectives:- Understand basic parts of car seats as it relates to age of kid, expected injuries, and extraction - Demonstrate extraction techniques and practice on real car seats - Discuss transportation options suitable for individual services

Cardio 101----for the EMT!

  • Lake Superior Ballroom M,N
  • John Hansen
Gain knowledge of blood flow and electrical activity in and through the heart... Read More Understand why we do SAMPLE and what medications put us on high alertTaking 12 leads, do we sent junk in or are we getting a good 12 lead to transmit?Case study of why we repeat things!

Hyperbaric Oxygen - An Alternative To Treat Blood Loss Anemia

  • Gooseberry Falls Room
  • Andrea Jensen
  • Ryan Mueller
The growing number of ALS ambulance services offering whole blood raises several important questions... Read More What if shortages occur, or storage issues arise? Furthermore, how do we address patients who refuse whole blood transfusions yet are in dire need of intervention? Is there an effective, patient-centered alternative? The answer is, yes!  As presenters, our roles in healthcare span from the pre-hospital frontlines in the ambulance to in-hospital care in the hyperbaric department. However, in this presentation we offer much more of a unique perspective, as emergency hyperbaric providers who also forgo the use of donor whole blood ourselves.   Our presentation will focus on a case study demonstrating the distinct benefits of hyperbaric oxygen therapy in managing blood loss anemia.  The information is eye-opening and will help you be even better equipped to meet the needs of all your patients!Objectives:We strive to provide education to ensure EMS personnel  is aware of all options available to the patient to treat blood loss anemia.    We desire to make all aware that we are available to receive patients 24-hours a day and are uniquely qualified to handle such emergencies in our department.

Jason Dush Presentation

  • Lake Superior Ballroom O
  • Jason Dush

Weighting for Trouble: Bariatric EMS Realities

  • Lake Superior Ballroom L
  • John MacMillan
Bariatric patients encounter some of the most complex clinical and operational challenges in EMS... Read More From airway management and respiratory compromise to extrication logistics and provider safety, these calls require more than just strength—they demand strategy. This engaging, experience-driven session explores best practices for managing bariatric patients in the prehospital setting, emphasizing safe, efficient, and patient-centered care. Participants will examine real-world scenarios, decision-making frameworks, and practical techniques to improve outcomes while reducing provider injury risk. Through interactive discussion and case-based learning, this session will challenge providers to rethink how they prepare for and manage these high-risk, low-frequency events.Objectives:-Identify key physiological and anatomical considerations in bariatric patients that impact EMS care -Recognize common operational and extrication challenges encountered in bariatric patient scenarios -Apply safe and effective movement and extrication strategies using appropriate equipment and teamwork

Break (Refreshment)

Hidden Dangers: Lithium-Ion Battery Hazards and EMS Response Strategies in Minnesota

  • Lake Superior Ballroom M,N
  • Bradley Winger
Lithium-ion batteries power everything from smartphones and e-bikes to electric vehicles and medical devices... Read More While widely used, these energy-dense power sources pose significant and evolving risks to emergency responders.   This session will provide EMS professionals in Minnesota with critical knowledge and practical strategies for identifying, managing, and mitigating lithium-ion battery incidents in both urban and rural settings. The hazards associated with these devices are unique, and every member of EMS should understand the risks to themselves and their patients.Objectives:1.Recognize common sources and configurations of lithium-ion batteries encountered in the field. 2.Identify signs of thermal runaway and impending battery failure. 3.Understand the toxic, fire, and explosion hazards associated with lithium-ion battery incidents. 4.Apply scene safety and patient care strategies specific to lithium-ion battery exposures. 5.Integrate interagency coordination practices with fire departments and hazmat teams

If I only had a Heart - 12 lead EKG for EMTs

  • Lake Superior Ballroom L
  • John MacMillan
12-lead ECG tracings and transmission by BLS providers is changing the game for patients of acute myocardial infarction... Read More   In this session, we will explore the electrical physiology of the heart, discuss the proper placement of precordial leads in the 12-lead, and delve into the pathophysiology of a heart attack.  Let’s learn how BLS providers can improve outcomes by recognizing the signs and symptoms of AMI and alerting the hospital with an early ECG tracing.Objectives:- Discuss the importance of early 12-lead acquisition. - Discuss the EKG tracing and how it correlates with the mechanical action of the heart.  - Discuss the proper placement of limb and precordial leads to obtain an accurate tracing.

It’s Time to Talk to Prehospital Providers: Improving Patient Follow-Up and Feedback to EMS

  • French River Room
  • Sarayna McGuire
Patient outcome follow-up and performance feedback are fundamental to medical education and yet there is consistently a lack of both provided to EMS... Read More This practice gap negatively impacts job satisfaction and clinical performance of prehospital personnel. The speaker will present published literature on the importance of follow-up and feedback in the clinical environment, after which she will introduce a novel quality improvement process she developed to provide both to prehospital personnel. The program has been in place since June 2020 with rolling expansion to now include 53 participating EMS agency and emergency communication center sites throughout Minnesota, Wisconsin and Iowa with 3,000 requests received and answered since its infancy. The presentation will include published research findings on types of requests received, incorporation of emergency medicine (EM) resident involvement to simultaneously address ACGME-required EMS education objectives and collaboration between medical trainees and EMS, as well as intervention impact on EMS clinical performance. The presentation will also include new data on emergency medical dispatcher desire for this information and involvement in the process. She will conclude with steps for implementation of similar programs within other healthcare institutions and EMS agencies.Objectives:1.Recognize the importance of patient outcome follow-up and performance feedback in prehospital care 2.Introduce novel feedback/follow-up system model and discuss its impact 3.Discuss implementation steps for replication within other healthcare systems and EMS agencies

Jason Dush Presentation

  • Lake Superior Ballroom O
  • Jason Dush

The Mystique of Midwifery (from an EMS perspective)

  • Gooseberry Falls Room
  • Charles Sloan III
This presentation is designed to inform EMS personnel on how to interact and manage relationships with local midwifery groups... Read More How to effectively manage a scene where midwives are involved. There will also be a case presentation. Also discuss pre-hospital blood transfusions in the home birth setting, along with ultrasound.Objectives:Describe the midwifery profession.  Discuss capabilities of midwives.  Describe certification levels of midwives.  Give ideas/tips on how to interact with this group of prefessionals.  Review a critical home birth case.  Talk about emerging technology in EMS, with emphasis on ultrasound and pre-hospital blood transfusions.

Break 3

KEYNOTE: In Their Darkest Hour: Guiding Families Through Loss with Empathy and Clarity

  • Lake Superior Ballroom
  • Terence Sheehy
Delivering a death notification is one of the most difficult responsibilities in emergency medical services, yet many providers receive little preparation for how to do it well... Read More This session provides a structured approach for communicating tragic news with clarity, professionalism, and compassion while maintaining scene leadership and supporting crew wellbeing.  Participants will examine practical communication strategies, common pitfalls, and techniques that improve confidence during emotionally intense encounters. The session also explores how these conversations influence public trust, family coping, and provider resilience long after the call is over.Objectives:Apply a structured approach to delivering death notifications in prehospital environments Recognize communication behaviors that improve clarity during emotionally intense encounters Identify common pitfalls that increase confusion or distress during family interactions Strengthen provider confidence when managing emotionally complex scenes involving death notification
Sunday, January 24, 2027
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Catching the Fall: Prevention, Response & the Role of Community Paramedicine.

  • French River Room
  • David Smith
Falls are one of the most common, and costly, reasons patients enter the EMS and healthcare system... Read More But behind many falls is a deeper story involving isolation, chronic illness, mobility decline, medication burden, caregiver fatigue, environmental hazards, and gaps in follow up care. EMS providers are often the first to see those realities unfold inside a patient's home.  Catching the Fall: Prevention, Response & the Role of Community Paramedicine explores how EMS systems can move beyond simply responding to falls and begin reducing repeat incidents through practical assessment strategies, interdisciplinary collaboration, patient education, and community based interventions. Drawing from real world experience in community paramedicine, this session examines the intersection between emergency response, prevention, and long-term patient outcomes.  Attendees will leave with actionable ideas they can implement within their own agencies; whether launching formal fall prevention initiatives or simply improving how crews recognize and address high-risk situations during routine calls.By the end of this session, participants will be able to: 1. Identify common medical, environmental, and social contributors that increase fall risk in community dwelling patients.  2. Recognize patterns of repeat EMS utilization related to falls and functional decline. 3. Apply practical fall-risk assessment strategies during EMS and community paramedicine encounters.  4. Describe how EMS agencies can collaborate with healthcare systems, caregivers, and community resources to reduce recurrent falls and improve patient outcomes. 5. Develop actionable interventions and follow-up approaches that can be implemented within their own service or system.

Empowering EMS Responders: Creating Engaging 'Choose Your Own Adventure' Stories

  • Gooseberry Falls Room
  • Bill Young
In this presentation, we will embark on a journey into the world of interactive storytelling and its pivotal role in improving interactive EMS education... Read More We’ll explore the creative process of crafting dynamic and immersive narratives that empower EMS students and practitioners alike. Discover how "choose your own adventure" stories can enhance decision-making skills, critical thinking, and situational awareness, all while making learning an exciting and engaging experience. Gain practical insights into the development, implementation, and benefits of these interactive narratives, ensuring that responders are better equipped to navigate real-life emergencies with confidence and precision.Objectives:Learning Objective 1 Recognize how "choose your own adventure" narratives can engage learners, improve decision-making, and foster critical thinking skills. Learning Objective 2 Gain insights into the creative process of crafting dynamic and immersive narratives tailored to EMS training. Learning Objective 3  Discover practical techniques and tools for designing and implementing "choose your own adventure" stories that align with EMS educational objectives.

Epi, Airway, Action! Allergy Attacks in the Field

  • Lake Superior Ballroom L
  • John MacMillan
Allergies and anaphylaxis are terms that concern even the most experienced provider... Read More The unpredictable nature of allergic reactions and where they can head with our patients is something that should constantly keep us on our guard. This class will delve into the details of what causes allergic reactions to give you a better understanding of the body's responses and how they affect our patients. We will review the medications administered to counter these issues, as well as hands-on skills for medication administrationObjectives:-Define how the immune system works -Describe the functions of the immune system -Describe how medications work on the immune system

Pediatric Cardiac Abnormalities and Cardiac Arrest: Recognition, Response, and Resuscitation

  • Lake Superior Ballroom M,N
  • Lucas Goodin
This session will review common pediatric cardiac abnormalities, key clinical warning signs, and the unique approach to pediatric cardiac arrest in the prehospital setting... Read More Emphasis will be placed on recognizing high-risk presentations, understanding congenital heart disease considerations, and applying EMS-focused resuscitation priorities.Learning ObjectivesAt the conclusion of this session, participants will be able to:Identify      common pediatric cardiac abnormalities encountered in clinical practice.Recognize      warning signs of cardiac decompensation in children.Describe      major causes of pediatric cardiac arrest.Outline      EMS priorities in the assessment and management of pediatric cardiac      arrest.Discuss      special considerations for children with congenital heart disease.

What Is That Herbal Supplement Doing & How is It Affecting the Patient & their Other Medications?

  • Lake Superior Ballroom O
  • Joan Somes
Self-prescribed use of herbals to treat self-diagnosed medical conditions is becoming very common... Read More Patients often don't understand effects, side effects, and interactions with prescription medications, yet they often don't mention that they are taking these "drugs" to their care-providers. Learn about commonly used herbals, what they do, side-effects they can produce, and how they can interact with prescription medications.Objectives:1. Identify the current common herbal remedies patients are using 2. List conditions/reasons patients are buying/using these remedies 3. Describe effects, side effects, and interactions that can occur when using herbal remedies

Break (Refreshment) 2

Crisis K9s: The Future of Mental Health in Emergency Services

  • Lake Superior Ballroom M,N
  • Lucas Goodin
Emergency responders across EMS, fire, law enforcement, emergency management, and homeland security are routinely exposed to high-stress incidents, traumatic events, and prolonged operational demands... Read More These experiences can contribute to burnout, compassion fatigue, cumulative stress, and long-term mental health challenges across public safety disciplines.This presentation will introduce emergency service professionals and agency leaders to animal-assisted interventions and the role of Crisis K9 teams in supporting responder wellness. Participants will explore how in-house and regional K9 teams can be used to reduce stress, strengthen peer connection, support post-incident recovery, and contribute to workforce resilience and retention.Attendees will meet the Arrowhead EMS Association Crisis K9 Team and learn how this program is being developed and applied in the region to support first responders and emergency service personnel across disciplines.By the end of this presentation, participants will be able to:• Describe the role of Crisis K9 teams in supporting mental health and wellness among emergency services personnel.• Identify common stressors, cumulative trauma, and burnout risks experienced by EMS, fire, law enforcement, emergency management, and homeland security professionals.• Explain how animal-assisted interventions may help reduce stress, promote peer connection, and support post-incident recovery.• Discuss practical considerations for developing or integrating a Crisis K9 program within a public safety or emergency response agency.• Recognize how Crisis K9 teams can contribute to responder resilience, retention, and long-term workforce wellness.

Danger in Disguise: Mastering Toxidrome Recognition

  • Lake Superior Ballroom L
  • John MacMillan
Overdose and poisoning are common causes of requests for EMS service, whether the exposure is intentional or unintentional... Read More There are several toxic syndromes(toxidromes) that can help the EMS provider to better determine the class of agent causing symptoms and help to facilitate treatment. This session will be a review of the common toxidromes we could see in the field and the antidotes and treatments we can provide.Objectives:- Identify the common signs and symptoms of poisonings and toxic exposures.  - Describe the assessment and treatment of patients with a potential toxic exposure or poisoning.  - Describe how poisons and toxins can enter the bottom.  - Describe a toxidrome and symptom recognition for poison

From STEMI to OMI: Recognizing Occlusion Beyond Traditional STEMI Criteria

  • Lake Superior Ballroom O
  • Brian Imdieke
This lecture explores the shift from the traditional STEMI paradigm to the more clinically meaningful occlusion myocardial infarction (OMI) framework... Read More The session reviews the limitations of STEMI criteria, why many acute coronary occlusions do not meet classic ST-elevation thresholds, and how this can delay recognition and reperfusion. Learners will review high-risk ECG findings including hyperacute T waves, de Winter pattern, posterior infarction, and the modified Smith-Sgarbossa criteria, along with current literature and key papers that have helped shape the OMI paradigm. Personal case examples with patient outcomes will be used to connect ECG recognition to real-world prehospital decision-making and successful reperfusion. The presentation is also informed by collaborative educational efforts involving EMS medical directors and interventional cardiology to improve OMI recognition among ALS and critical care clinicians. Emphasis is placed on practical ECG interpretation, prehospital relevance, and effective communication when concern for acute coronary occlusion exists despite the absence of STEMI criteria.Objectives:1. Describe key limitations of traditional STEMI criteria in identifying acute coronary occlusion.  2. Recognize ECG findings suggestive of OMI, including hyperacute T waves, de Winter pattern, posterior infarction, and modified Smith-Sgarbossa findings.  3. Explain how current literature has contributed to the shift from a STEMI-centered model to an OMI-focused approach.  4. Apply a practical framework for recognizing and communicating concern for acute coronary occlusion when STEMI criteria are not met.

Trauma for Two…No Waiting!!!

  • Gooseberry Falls Room
  • Bill Young
One of the most stressful and high-stakes calls EMS providers face is the late-term pregnant trauma patient, where physiologic changes of pregnancy can mask serious injury and place both mother and fetus at risk... Read More This presentation reviews the unique pathophysiology of pregnancy and how it alters assessment, injury patterns, and shock recognition, emphasizing that fetal distress may be the earliest sign of maternal compromise. Through practical, field-focused discussion, attendees will learn evidence-informed strategies for positioning, airway and ventilation management, fluid and blood resuscitation, rapid transport, and effective communication with trauma and obstetric teams—replacing uncertainty with confident, purposeful care on one of EMS’s most intimidating callsObjectives:Objectives  1.  Understand the pathophysiology associated with the late term traumatic patient.  2.  Understand methods of mitigating said trauma.  3.  Understand the modalities of treatment and care to be rendered towards the mother and fetus involved in trauma

Why They Keep Calling: Heart Failure, Diabetes, and the Reality of Home

  • French River Room
  • David Smith
Heart failure and diabetes frequently collide in the same patients, creating a cycle of medical instability, falls, medication complications, anxiety, repeat 911 utilization, and preventable hospital admissions... Read More EMS clinicians are often the first, and sometimes only, healthcare professionals to witness the realities these patients face inside the home.  This session examines the operational and clinical challenges surrounding high-utilizer patients living with congestive heart failure and diabetes, particularly in rural and community settings. Through real-world examples and field based observations, attendees will explore how chronic disease, functional decline, medication complexity, social barriers, and healthcare system gaps combine to drive repeated EMS activation.  Rather than focusing solely on disease pathology, this presentation emphasizes practical recognition strategies, communication approaches, and field level interventions EMS clinicians can apply immediately to improve patient care, reduce repeat utilization, and better understand the realities driving recurrent emergencies.  Attendees will leave with actionable tools for identifying early decompensation, recognizing non-medical contributors to repeated 911 use, improving patient interactions, and strengthening the role of EMS within chronic disease management and community based care.Objectives:By the end of this session, participants will be able to: 1. Identify common patterns that lead to repeated 911 utilization among patients living with heart failure and diabetes.  2. Recognize environmental, social, and functional factors that contribute to chronic disease destabilization in the home setting. 3. Describe practical field based strategies EMS clinicians can use to identify early signs of decompensation and reduce avoidable emergency utilization. 4. Apply communication and assessment techniques that improve interactions with high-utilizer patients while reducing provider frustrations and bias.  5. Discuss how EMS and community paramedicine programs can support chronic disease management through observation, referral pathways, patient education, and continuity focused care.

Break 4

Highway Safety for Emergency Responders

  • Lake Superior Ballroom M,N
  • John McClellan
Motor vehicle crashes continue to be a leading cause of traumatic death and injury to police, fire and EMS workers every year... Read More View examples of common crash causes recorded from MNDOT’s traffic cameras and learn methods to protect yourself and where EMS fits in setting up a safer scene at highway and freeway incidents.Objectives:Awareness of the issue. Proper parking at scenes to utilize emergency vehicles as blocks for incoming traffic. Incorporating and encouraging tactics by other response groups (PD & FD) such as early warning, tapers, and reducing emergency light distraction.

I'm Fine. (the lie we often tell about mental health)

  • French River Room
  • Tony Yeley
Relating my story of near trauma and near suicide to statistics in the industry... Read More Then transitioning to seeking help where available, and the encouragement to seek help.Objectives:To adress new EMRs/EMTs.  Help make new EMS pros realize there are pitfalls in the industry, but it is rewarding,  and to pace themselves, and not be embarrassed to seek help.  Help EMS professionals realize "it is okay not ot be okay, but not okay to stay that way."  My goal is to encourage others, to normalize talking about trauma.  To change the way we address mental health. To offer direction to 988, local EAPs, CISM teams, etc.

When CO₂ Is Not the Whole Story: Ventilator and VBG Management in COPD

  • Lake Superior Ballroom O
  • Brian Imdieke
COPD respiratory failure in EMS is often managed by chasing the CO₂ number, but CO₂ alone does not tell the whole story... Read More This session reviews practical ventilator management for obstructive patients, including waveform interpretation, air trapping, permissive hypercapnia, and how to avoid dynamic hyperinflation. It also shows how VBGs can help EMS and critical care transport clinicians tell the difference between acute, chronic, and acute-on-chronic respiratory acidosis so ventilation targets can be based on pH, physiology, and the clinical picture rather than CO₂ alone. Case-based examples connect these concepts to real transport decision-making.Objectives:1. Recognize key physiologic problems in COPD respiratory failure that affect EMS ventilator management.  2. Identify ventilator and waveform findings associated with air trapping, dynamic hyperinflation, and obstructive physiology.  3. Apply permissive hypercapnia and VBG interpretation to distinguish acute, chronic, and acute-on-chronic respiratory acidosis.  4. Use these concepts to guide practical prehospital and critical care transport decision-making.

Why Failure Should Always Be An Option

  • Gooseberry Falls Room
  • Bill Young
None of us like to fail, but failure is where learning takes place... Read More What if we as educators were able to change the mindset of failing as being the first attempt in learning? Creating a culture of failure is not only ok…but recommended for education. We’ll learn about encouraging productive failure that leads towards the end goal of successful, competent paramedics.Objectives:At the end of this presentation, the student will: 1.  understand the benefits of failure. 2.  grasp the methods of stimulating education from the failure experience. 3.  be able to create an environment as to foster safe failure.
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