Hale Borealis

Agenda at a Glance

8:00am – 8:15am| Housekeeping Introductions

Presenter(s): Heidi Hedberg, Emergency Program Manager – Response

 
8:15am – 8:30am| Welcome

Presenter(s): Dr. Jay C. Butler, MD, Chief Medical Officer, Division of Public Health Director

 
8:30am – 10:00am| Plenary: Lessons Learned from the San Bernardino Attack

Presenter: Joshua Bobko, MD, FAAEM, Adjunct Asst. Prof. of Emergency Medicine, Loma Linda University, Principal and Medical Director, Valiant Research

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On December 2, 2015 the Global War on Terrorism (GWOT) landed in Southern California. The devastating tactics learned on the battlefields of Iraq and Afghanistan became strategies employed against civilians and domestic law enforcement agencies. These aggressive and deadly tactics require first responder agencies to adapt rapidly to threats which are often discussed, but rarely encountered. The speaker’s association with the responding teams provides for a unique insight into the systemic lessons that should be applied by other medical directors of law enforcement, Fire and EMS agencies.
 
10:00am – 10:30am| Break
 
10:30am – 11:30am| Breakout Sessions

Applying the Joint Rescue Task Force Program Part 1

Presenter(s): Ofer Lichtman, NREMT-P, Terrorism Liaison Officer Coordinator, Rancho Cucamonga Fire District

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Your department has decided to finally implement a Rescue Task Force Program where EMS personnel are tasked with teaming up with law enforcement personnel and deploying in a “Warm Zone” to provide point of wound care to victims where there is an on-going ballistic or explosive potential. So what do you do now? What are the steps necessary to implement a successful, premier and dynamic program?  How do we actually deploy the Rescue Task Force on these high threat calls? Ofer Lichtman, from the Committee for Tactical Emergency Casualty Care and the Terrorism Liaison Officer Program Coordinator for Rancho Cucamonga Fire Department (California) was instrumental in developing his department’s Terrorism Awareness Program, which included implementation of an Active Shooter Program, will focus on the “how to” of this program that has been vetted from a 10-year successful Rescue Task Force program.
 

Becoming a Designated Ebola Assessment Hospital and Highly Infectious Disease Planning

Presenter(s): Pat Reynaga, Providence Alaska Medical Center Director of Communications/Emergency Preparedness and Rebecca Hamel, PAMC Infection Preventionist

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During this session presenters will discuss and share Providence Alaska Medical Center’s (PAMC) journey to becoming a Region X designated Ebola Assessment Hospital.  In 2014, PAMC recognized the need to assess its highly infectious disease readiness and preparedness, address identified gaps and train front line staff. As the rest of United States was learning, we learned that the threat of Ebola Virus Disease (EVD) had quickly become more than an isolated outbreak in another part of the world and for our staff and community we needed and wanted to be better prepared.

In partnership with the State of Alaska Department of Health and Social Services (DHSS), CDC, Washington State Department of Health and multiple local authorities and expert agencies, PAMC enlisted several strategies to address internal and external readiness gaps, determine the level of capabilities based on the CDC’s designation tiers and identify the available and/or needed operations for the identification, isolation, containment, care and transfer of a person with suspect and/or confirmed EVD to a designated Ebola Treatment Hospital. This session will provide an overview of the strategies enlisted and highlight the work of a dynamic multidisciplinary team’s journey through use of assessment and implementation tools, development of a training and exercise infrastructure and the ongoing collaboration required for successful designation. The annual designation is intentional and a reflection of PAMC’s commitment to ongoing highly infectious disease preparedness, and we hope to share our lessons learned, strategies for success and highlight the importance of readiness.

 

Botulism in the Village: A Coordinated Approach

Presenter(s): Karen Martinek, RN, MPH, Section of Epidemiology, Dept. of Health and Social Services

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Botulism is a life-threatening neuroparalytic illness caused by the ingestion of botulinum toxin. The incidence of foodborne botulism in Alaska is among the highest in the world, and all Alaska cases have been associated with eating Alaska Native traditional foods. This medical and public health emergency can strain local resources and cause panic within the community. Ms. Martinek will discuss a recent example involving contaminated seal oil that resulted in 23 people exposed, of whom 20 were actively monitored for ten days and 3 were treated with antitoxin. This investigation highlights the challenges of responding to a large public health outbreak in Alaska. Prompt reporting by health care providers triggered an immediate Public Health investigation. Collaboration with key stakeholders in the medical and affected communities likely prevented additional cases of botulism and may have prevented deaths.
 

Non-Pediatric Specialty Hospitals – Ready or Not?

Presenter(s):Pat Frost, RN, MS, PNP, Director, Contra Cost Health Services – EMS Division

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Every hospital with an emergency department needs to be pediatric ready and take the time to learn the best practices for pediatric readiness being adopted throughout the nation. In this session, you will be introduced to proven methods to improve organizational and regional preparedness by working within your capability.
 

Public Health Perspective on Mass Shooting Incidents

Presenter(s): Akiko Saito, MPA, MPH, Interim Director of Emergency Operations, Oregon Health Authority, Public Health Division, Health Security Preparedness and Response; Cpt. John Smart, MPH, REHS, Captain, U.S. Public Health Service,HSS

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As mass shootings are becoming more frequent in the United States, we need to prepare for the possibility and look to new strategic partners to plan for response and recovery. A mass shooting is a complex response with multiple players involved. Public Health plays a significant role, but needs to integrate with other partners. Initially, it is a law enforcement response, but quickly moves to a hospital, behavioral health, community and humanitarian response. In October of 2015, Douglas County survived the Umpqua Community College mass shooting event that included multiple response agencies: local, federal and state resources, education, law, first responders, faith community, and a tribe. This presentation outlines the role of public health, as well as some of the other perspectives (local emergency management, state and local public health, tribe, and hospital), and will focus on new strategic partnerships and lessons learned.

 

Reducing Dislocations in Austere Environments

Presenter(s): Lynne Young, M.Ed., ATC, ITAT & Colin Hickenlooper, PA-C

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Learn methods for recognizing, reducing and splinting fractures and dislocations in austere settings.

10:30am – 2:30pm| Breakout Session

Bleeding Control for the Injured

Presenter(s): Todd Lecours, Paramedic & Julie Rabeau, RN, EMSRN

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CME: 0 Contact Hours: 2.5*

Bleeding Control for the Injured (B-Con) teaches participants the basic life-saving medical interventions, including bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe. The course is designed for tactical law enforcement officers, firefighters, security personnel, teachers and other civilians requiring this basic training.

NOTE: Lunch on your own from 11:30am – 1:00pm. Participants must attend all 2.5 hours to receive contact hours.

 
11:30am – 1:00pm| Lunch on Your Own
 
1:00pm – 2:30pm| Breakout Sessions
 

Applying the Joint Rescue Task Force Program Part 2

Presenter(s): Ofer Lichtman, NREMT-P, Terrorism Liaison Officer Coordinator, Rancho Cucamonga Fire District

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In this fast paced, information-packed session, attendees will learn the roles and responsibilities of every key position on an incident involving the deployment of a Rescue Task Force. From the Task Force member providing TECC while utilizing different strategies and tactics to the Rescue Group Supervisor coordinating the rescue and communicating to the Medical group, every element will be covered.  Ofer Lichtman, from the Committee for Tactical Emergency Casualty Care and the Terrorism Liaison Officer Program Coordinator for Rancho Cucamonga Fire Department (California) was instrumental in developing his department’s Terrorism Awareness Program, which included implementation of an Active Shooter Program, will focus on the “how to” of this program that has been vetted from a 10-year successful Rescue Task Force program.
 

Healthcare Coalition Meeting

Presenter(s): Heidi Hedberg, Emergency Program Manager-Response, Dept. of Health & Social Services, Sondra LeClair, Emergency Program Manager, Preparedness, Dept. Health & Social Services

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The Statewide Healthcare Coalition meeting is designed for healthcare coalition members.  The healthcare coalition agenda will be developed in September and emailed to healthcare coalition members prior to the conference.  *Hospital Preparedness Program sub-grantees are required to attend this session if they received SFY17 Hospital Preparedness Program grant funds.
 

Joint Criminal-Epidemiological Investigations: Case Studies, Challenges, and Strategies for Information Sharing between Public Health and Law Enforcement

Presenter(s): Paul Biedrzycki, MPH, MBA, CIH, Director of Disease Control and Environmental Health, City of Milwaukee Health Dept.; Kelly Shannon, MSPH, Secret Agent, FBI

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This session will provide an overview of Joint Crim-Epi Investigations, using real-world examples to highlight the strategic elements of the Crim-Epi model: building relationships, information sharing, joint threat assessments, joint investigation protocols, and training and exercises. Speakers from the Joint FBI-CDC Crim-Epi Workshop Program will address the roles of state and local Public Health and the FBI WMD Coordinators during biological threat incidents; best practices for conducting joint investigations; and the Crim-Epi Workshop series as a tool for fostering and sustaining relationships amongst public health, law enforcement, and first responders. At the conclusion of this session, attendees will understand the benefits of law enforcement and public health working together during potential biological threat incidents, as well as the historical challenges of these collaborations. In addition, attendees will be able to identify best practices and the strategic elements of the Joint Crim-Epi investigative model, which can be applied in their communities to improve preparedness at the local, state, tribal and national levels.

 

Leaving Against Medical Advice After Narcan

Presenter(s): Michael Sorrentino, EMT-P, Medic Up International

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This session will show the current trends in Opioid use and the alarming rate of popularity of this drug classification. The use, abuse and addiction of Opioids that was once “hidden”, has now become commonplace and is now viewed as an epidemic. This disease has no socio-economic boundaries and the cost; socially, economically, financially, medically and emotionally is rapidly escalating.

We will review the classification of this narcotic and the commonly encountered drug overdoses along with a practical section on the use and administration of Naloxone (narcan). Common packaging, paraphernalia and terminology will be discussed along with routes of administration.

The dangers of any EMS call and some tips for remaining as safe as possible during an encounter will also be covered. A dialogue format may be used to enable regional experiences to be shared among the attendees.

 

Neonatal/Pediatric Disaster Initiative: A Focused Approach to Capability

Presenter(s): Pat Frost, RN, MS, PNP, Director, Contra Cost Health Services – EMS Division

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The needs of children need to be included in every level of disaster planning. An integrated, whole community approach to neonatal and pediatric disaster preparedness will help ensure children remain a planning priority. Ms. Frost will discuss best practices in preparedness to create a focused approach to building neonatal and pediatric response capability.
 

Why Tourniquet Education is Not Enough!

Presenter(s): Joshua Bobko, MD, FAAEM, Adjunct Asst. Prof. of Emergency Medicine, Loma Linda University, Principal and Medical Director, Valiant Research

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Despite improved integration of first responders to active shooter incidents, there is no current ability to provide care to large numbers of victims within a “hot zone”. The Committee for Tactical Emergency Casualty Care and the Hartford Consensus have moved the concept of “civilian response” in atypical disasters to the forefront of pre-hospital care. Recently, several agencies have made recommendations to include bystander involvement into the planning framework for man-made disasters, including the DHS “Stop the Bleed” campaign. While this is a positive step towards acknowledging the civilian resource, it is a limited solution to a multi-faceted problem. We propose a system incorporating the STB approach into a more complete solution.
 
2:30am – 2:45pm| Break
 
2:45pm – 4:15pm| Plenary: Observations from the Flint, Michigan Water Crisis

Presenters: John Smart, MPH, REHS, John Voirin, CEM

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On January 16, 2016, President Barrack Obama signed an emergency declaration in the State of Michigan and ordered federal aid to supplement state and local response efforts due to the emergency conditions caused by contaminated drinking water in and around Flint, MI. The U.S. Department of Health and Human Services (HHS) was designated the lead federal agency responsible for coordinating federal government response and recovery efforts. HHS collaborated and coordinated with the Federal Emergency Management Agency (FEMA), the Environmental Protection Agency (EPA), the Small Business Administration (SBA), the Departments of Housing and Urban Development (HUD), Education (ED) and Agriculture (USDA); as well as, the State of Michigan departments of Health and Human Services, Environmental Quality, Michigan State Police; Genesee County departments of Health and Emergency Management; and the City of Flint. This session will discuss the coordination of the response and highlight major activities and accomplishments.
 
 
4:15pm – 6:00pm| Welcome Reception at the Top of the World

8:30am – 10:00am| Plenary: Northern Lights Health Centre Evacuation from the Ft. McMurray Fire

Presenter(s): David Matear

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On May 3, 2016, the residents of Fort McMurray were forced to evacuate their homes when a wildfire tore through the city. Alberta Health Services staff at the Northern Lights Regional Health Centre stayed the course and, despite their own personal circumstances, courageously and selflessly saw to it that every patient at the hospital was cared for and safely evacuated. David Matear’s discussion will cover the day of the evacuation when staff and patients were relocated north to a nearby oil sand company’s base, the subsequent evacuation from that site, and the reestablishment and reactivation of all health services in the city as re-entry began almost a month later.
 
10:00am – 10:15am| Break
 
10:15am – 11:45am| Breakout Sessions
 

Border Patrol Search, Trauma and Rescue (BORSTAR) Tactical and Austere Medicine

Presenter(s): Mike Friedrich II, Paramedic

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U.S. Border Patrol agents operate in remote areas along the US/Mexico border and in many locations in the lower 48, far from definitive medical care. Mr. Friedrich will review and discuss the Border Patrol Search, Trauma and Rescue (BORSTAR) program which provides agents with advanced medical capability in remote settings.
 

Family Assistance Centers

Presenter(s): Sondra LeClair, Emergency Program Manager – Preparedness, Dept. of Health & Social Services; Kelley McGuirk, Regional Disaster Officer, American Red Cross of Alaska

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Family Assistance Centers are key factors in the response to a mass casualty event. The centers provide a designated single location for families to receive information about the evolving situation and be reunified with their families. Based on lessons learned from the 2016 Alaska Shield exercise and real events across the country, participants will learn key considerations and best practices when planning, opening, and staffing a family assistance center.
 

Papal Visit Planning: The Impact of Mass Gatherings on the Healthcare Coalition

Presenter(s): Mark Ross, Regional Manager, Hospital and Health System Assoc. of PA

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For four days in September, 2015, Philadelphia hosted The World Meeting of Families including a two day visit from Pope Francis. This visit was the largest National Special Security Event ever held in the United States with security measures, including access control and road closures, impacting the entire regional coalition. Several healthcare facilities had limited to no access for 4 days while the region prepared to support the large volume of visitors. Mr. Ross will describe the steps and lessons learned related to the planning leading up to the event, the regional response during the event, and the return to normal operations afterward.
 

Preparing Your Schools Against Active Shooter Scenarios

Presenter(s): John McDonald

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An active shooter is defined as an individual who is actively engaged in killing or attempting to kill people. In most cases active shooters use a firearm(s) and display no pattern or method for selection of their victims. In some cases active shooters use other weapons and/or improvised explosive devices to cause additional victims and act as an impediment to police and emergency responders.  Learn how to prepare your schools for active shooter scenarios.
 

Procedural Sedation and Field Pain Management

Presenter(s): Col. Ian Wedmore, MD, FACEP, FAWN, DiMM, U.S. Army Emergency Medicine Consultant to the Surgeon General, Austere and Wilderness Medicine Fellowship Madigan Army Medical Center

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Pain management in the field and austere settings can be accomplished through many modalities from simple to invasive. This session discusses austere pain control options and their application both for pure pain control as well as use in the field to facilitate fracture manipulation, chest tube placement, and other procedures.
 

Rescue Task Force Concepts in the Limited Resource Environment

Presenter(s): Ofer Lichtman, NREMT-P, Terrorism Liaison Officer Coordinator, Rancho Cucamonga Fire District

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First responder systems are not all created equal! The resources you get in a large metropolitan EMS system differ greatly from what you would get in rural America. Unfortunately the cowards that commit these mass shootings do not discriminate against any EMS system or city. This is our new reality, we must be prepared and stop making excuses that we have limited resources and think we can’t respond to an active shooter like any other large robust EMS system in America. The building blocks of the Rescue Task Force program as well as TECC can be applied to any system, large or small. In this presentation we will focus on using the principles of the RTF and TECC in the resource deficient environment. We will cover small RTF tactics that will have the most impact on the survival of victims in a mass violence incident. We will then learn how to leverage the resources you do have, such as the community you serve, in order to both save more lives and empower your community to become more resilient.
 

Supporting the Grieving Child and Family

Presenter(s): David Schonfeld, MD, FAAP, Professor of the Practice in the School of Social Work and Pediatrics at the University of Southern California and Children’s Hospital Los Angeles Director, National Center for School Crisis and Bereavement

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Most children experience the death of a friend of family member at some point in their childhood.  Even though grief is a normal experience, a significant loss can strongly impact children’s psychological adjustment, academic achievement, and personal development.  This presentation will provide insight into how children come to understand and adjust to a loss, and offer practical suggestions on how adults can talk with children and provide needed support.
 

Skills Lab: Wound Repair – Basic

Presenter(s): Dan Safranek, MD

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This session will offer a great review of basic suturing techniques and excellent hands-on instruction with real life scenarios. Attendees will be taught which suture to use on various common injuries. Primary focus will be on ankle and shoulder injuries. Evaluation and quick tips will be offered on how to keep SWAT and military operations functional. Format is a lecture on basic anatomy and injuries followed by a hands-on lab.
11:45am – 1:00pm| Lunch on Your Own
 
1:15pm – 2:45pm| Breakout Sessions
 

Border Patrol Search, Trauma and Rescue (BORSTAR) Tactical and Austere Medicine (Repeat)

Presenter(s): Mike Friedrich II, Paramedic

Show/Hide Description

U.S. Border Patrol agents operate in remote areas along the US/Mexico border and in many locations in the lower 48, far from definitive medical care. Mr. Friedrich will review and discuss the Border Patrol Search, Trauma and Rescue (BORSTAR) program which provides agents with advanced medical capability in remote settings.
 

Field Termination of Resuscitation in Children: The COPE Project

Presenter(s): Dr. Peter Taillac, MD, Utah Dept. of Health, Utah Bureau of EMS and Preparedness

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Dealing with the unexpected death of a child in the field is one of the nightmare scenarios for EMS. The COPE (Compassionate Options for Prehospital Education) project is a federally funded project to provide specific pediatric end-of-life training for prehospital care providers to better equip them to deal with these rare and stressful situations. This lecture will provide an overview of pediatric termination of resuscitation concepts, a brief overview of the legalities involved, and introduce the COPE training modules, which will be provided to EMS agencies for training.
 

Creating a Multi-Year Training and Exercise Plan

Presenter(s): Charles Pelton, Emergency Program Manager-Outreach, Exercise and Training

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This session will review the process for developing a multi-year training and exercise plan based on the Homeland Security Exercise and Evaluation Program (HSEEP) created by FEMA. This plan ensures coordinated training and exercises that accomplish long term goals and progress the capabilities of staff and facilities.
 

Supporting Children at Times of Crisis

Presenter(s): David Schonfeld, MD, FAAP, Professor of the Practice in the School of Social Work and Pediatrics at the University of Southern California and Children’s Hospital Los Angeles Director, National Center for School Crisis and Bereavement

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Crises have the potential to cause short- and long-term effects on the psychological functioning, emotional adjustment, health, and developmental trajectory of children. This session will provide practical suggestions on how to identify common adjustment difficulties in children in the aftermath of a disaster and to promote effective coping strategies to mitigate the impact of the crisis as well as any associated bereavement and secondary stressors. The presenter, David J Schonfeld, MD, established and directs the National Center for School Crisis and Bereavement at the University of Southern California School of Social Work. He will draw on over 25 years’ experience in pediatric bereavement and crisis response to provide examples and answer questions from participants.
 

Synthetic Cannabinoids and Heroin Overview and Scope of the Problem

Presenter: Lt. Jack Carson

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Learn the history of ‘Spice’ and how it became a local epidemic in Alaska.  Review how the chemical make-up continues to evolve and change requiring law enforcement and testing facilities to modify their response and tactics on a continual basis.  Discuss the effects, local impact and what to be aware of while responding to the scene with a person high on a synthetic cannabinoid.
 

Tactical Combat Casualty Care: Transitioning Battlefield Lessons Learned to Other Austere Environments

Presenter(s): Col. Ian Wedmore, MD, FACEP, FAWN, DiMM, U.S. Army Emergency Medicine Consultant to the Surgeon General, Austere and Wilderness Medicine Fellowship Madigan Army Medical Center

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Tactical Combat Casualty Care guidelines and training have resulted in a near complete reduction in unavoidable death in combat operations. This session reviews present TCCC guidelines and the science behind them as well as how to implement the principles in austere and urban environments outside of combat.
 

Skills Lab: Wound Repair – Basic (Repeat)

Presenter(s): Patti Paris, MD

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This session will offer a great review of basic suturing techniques and excellent hands-on instruction with real life scenarios. Attendees will be taught which suture to use on various common injuries. Primary focus will be on ankle and shoulder injuries. Evaluation and quick tips will be offered on how to keep SWAT and military operations functional. Format is a lecture on basic anatomy and injuries followed by a hands-on lab.
 

Skills Lab: HT70 Ventilators

Presenter(s): Karen Faber, RRT, BA, Respiratory Solution Specialist, Medtronic

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This skills lab will review basic respiratory disease as it pertains to the need for a ventilator and review the ease of operation and utilization of the HT70 ventilator readily available through the DHSS Health Emergency Response Operations warehouse.
2:45pm – 3:15pm| Break
 
3:15pm – 4:15pm| Plenary: Six Week Manhunt for a Cop Killer – Lessons Learned

Presenter(s): Michael Sorrentino, EMT-P, Medic Up International

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On September 12, 2014, two Pennsylvania State Troopers were ambushed by a man with a rifle, killing one and critically injuring the other. The shooter was pursued by police in a massive 48-day operation through remote wooded areas, ending with his capture. Mike Sorrentino details the unique aspects of this extended operation in a rural setting.
 

 

8:30am – 11:15am| Breakout Session

Skills Lab: Splinting & Casting

Presenter(s): Jim “Buzz” Land, CS, OT; Robbie Fenton, OT

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This is a hands-on skills lab to understand the pathophysiology and concepts of splinting and casting both upper and lower extremities.  This session will be taught by a certified surgical assistant and an orthopedic technician, each with over 20 years of experience. *Bring shorts and a short sleeve shirt for skills lab.
8:30am – 10:00am| Breakout Sessions

Cutting Edge Concepts in Resiliency, Lessons Learned from U.S. Special Operations

Presenter(s): Col. Chetan Kharod, Program Director, Military EMS and Disaster Medicine Fellowship JBSA – Ft. Sam, Houston, TX

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Humans are more important than hardware” but what can we do to diminish and overcome the cumulative physical and emotional strain of frontline public service?  The US Special Operations Command empowered an interdisciplinary team to build and implement innovative solutions to improve the well-being of the force and their families.  In this presentation, hear from one of the key leaders in the Air Force Special Operations’ resiliency programs and learn how those mind-body-spirit solutions can be applied to your organization. This workshop will describe the human stress response and how to recognize its effects; define 4 common domains of resiliency development; and demonstrate techniques for real-time threat stress control.

Emergency Operations Plans – Options and Best Practices

Presenter(s): Mariel Fonteyn, Health & Social Services Planner, Dept. of Health & Social Services, Sondra LeClair, Emergency Program Manager – Preparedness, Dept. of Health & Social Services

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This session will review the principles and best practices of developing a healthcare emergency operations plan, with a focus on operationalizing the plan through the use of playbooks.  These principles and ideas will be applied to the creation of an active shooter annex.  Recent national guidance regarding healthcare active shooter planning will be reviewed, as well as incorporating key elements of that guidance into a healthcare emergency operations plan annex.

How First Responders Can Help End Human Trafficking

Presenter(s): Gwen Adams, Priceless Program, Jolene Goeden, Special Agent, FBI

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This session will explore what first responders can do to help identify human trafficking and review available resources for victims of human trafficking. This will include defining human trafficking, identify what signs to look for, who to call and review cases from first responders encountering human trafficking victims.

Integrating Health Aides and Communities during a Disaster Respons

Presenter(s): Ted Smith, Emergency Management Consultant Alaska Native Tribal Health Consortium, Tonya James, Emergency Preparedness Coordinator, Alaska Native Tribal Health Consortium

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We all know that the Community Health Aide is a pivotal and very important part of village life. This becomes especially true during a disaster event. Come get a basic understanding of the Alaska disaster response process and learn how the Community Health Aide continues to communicate both to the village and the next highest level of care, while operating within this process to save lives.

Mountain Medicine and Wilderness Cases

Presenter(s): Col. Ian Wedmore, MD, FACEP, FAWN, DiMM, U.S. Army Emergency Medicine Consultant to the Surgeon General, Austere and Wilderness Medicine Fellowship Madigan Army Medical Center

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Mountain and Wilderness Medicine are new specialties covering all the myriad medical problems that can be encountered in austere and high altitude environments. This session will cover many basic principles using real world examples.

Overview of Federal Public Health and Medical Response Capabilities

Presenter(s): Cpt. Cheryl Dilgard, Lt. Heather Redding, Cpt. John Smart, MPH, REHS, Captain, U.S. Public Health Service, HHS

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In federal declarations of emergency or major disasters under the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Stafford Act), the U.S. Department of Health and Human Services (HHS) is designated the emergency support function (ESF 8) coordinator and primary agency for the public health and medical services response core capabilities and functions. This session will include a description of the public health and medical capabilities across the primary HHS and support agencies (DoD and NGB) and how these capabilities are coordinated during a catastrophic event, based on the recent Cascadia Rising 2016 exercise.

Examining Pediatric Active Shooter Data

Presenter(s): Joshua Bobko, MD, FAAEM, Adjunct Asst. Prof. of Emergency Medicine, Loma Linda University

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Despite active shooter violence and domestic terrorism increasingly targeting the civilian public, and occasionally specifically targeting children, the science of pediatric survivability in these incidents continues to be neglected. Since the initial Tactical Emergency Casualty Care (TECC) pediatric guidelines were first introduced in 2014, there have been few advancements in pediatric-focused casualty care in civilian EMS.  This seminar will compare current literature with after action reports from the largest pediatric mass casualty incidents to identify any potential areas for improving pediatric casualty care.  Our data suggest that there is a gap in our current understanding of ASE events in the context of pediatric victims, and that further research is required to re-evaluate how we prioritize pediatric injuries.
10:00am – 10:15am| Break

 

10:15am – 11:15am| Breakout Sessions

Building a Toolkit for Cultural Sensitivity in a Disaster

Presenter(s): Kassie Runsabove, Child Ready MT Program Coordinator/Cultural Liaison, St. Vincent Healthcare

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This session will review how the system of care is influenced by the cultural needs of your community, provide an overview of tribal cultures and what tools you need in your toolkit to respond more effectivity during a disaster.  Examine your emergency response system and determine if you have built cultural sensitivity into your plans.

Civilian and Military Relationships:  The Power of Partnerships

Presenter(s): Col. Chetan Kharod, Program Director, Military EMS and Disaster Medicine Fellowship JBSA – Ft. Sam, Houston, TX

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Military City, USA is one of the more popular names for the city of San Antonio, Texas.  Once a sprawling city of about 500,000 citizens, San Antonio today has over 1.3 million residents and is home to the 5 military installations known as Joint Base San Antonio.  Learn how the Southwest Texas Regional Advisory Council, the San Antonio Fire Department, the San Antonio Police Department, the DoD Military EMS and Disaster Medicine Fellowship, the USAF En-Route Care Research Center, and the DoD’s Joint Trauma System are partnering to create a one-of-a-kind network to enhance civilian and military prehospital education, performance improvement, tactical medical support, first responder resiliency, and game-changing research. This workshop will assist communities in understanding how the military can support civilians, how to identify potential partnerships, and give ideas on how to communicate and share resources moving forward.

Community Approach to the Sitka Landslides

Presenter(s): Dave Miller, Fire Chief, EMT, Sitka Fire Department

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The Sitka Fire Department was actively responding to two oil spills, a missing person and a small landslide when, on August 18, 2015, a major landslide resulted in the loss of three lives and damage to several homes. Learn how a small community with limited resources came together with state and federal partners to respond to multiple disasters. Sitka’s response demonstrated the time they spent developing relationships early so everyone can come together quickly and smoothly when needed.

Earthquakes & Fires & Floods..OH MY: Disaster Preparedness for Obstetric Patients

Presenter(s): Kay Daniels, MD, Clinical Professor, Co-Director of OBSim, Standford University School of Medicine

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Planning for disasters impacting OB units presents unique challenges. At any given time, OB units contain patients with a variety of needs and acuity from women in active labor to postoperative patients and healthy postpartum patients and newborns. Medical providers within these units must simultaneously plan for two patients at all times – mother and fetus or mother and newborn. Dr. Daniels will provide information and tools for planning and responding to disasters including: critical considerations, triage and rapid evacuation, shelter-in-place considerations for women in labor, hospital stratification when transferring an OB patient, and considerations for newborns.

Overview and Lessons Learned from Arctic Chinook

Presenter(s): Heidi Hedberg, Emergency Program Manager-Response, Dept. of Health & Social Services, Sondra LeClair, Emergency Program Manager, Preparedness, Dept. Health & Social

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In August 2016, eight arctic nations conducted a joint exercise involving an adventure class cruise ship in distress with subsequent evacuation from the ship to shore and then on to Kotzebue. This session will review lessons learned from the Incident Management Team, DHSS Emergency Operations Center, and unified command with the State Emergency Operations Center.

Vector Borne Infectious Diseases: Should Alaska Be Concerned?

Presenter(s): Louisa Castrodale, MV, Section of Epidemiology, Dept. of Health & Social Services

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This presentation will review basic vector-borne disease biology and routes of transmission. Ms. Castrodale will provide an overview of global vector-borne diseases of current concern, and an inventory of Alaska vectors to assess possible risk of these diseases being acquired locally.

Medical Radiological/Nuclear Sources and Radiological Nuclear Detection

Presenter(s): Amanda Becerra and Tom Seif

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The Department of Homeland Security’s Domestic Nuclear Detection Office (DNDO) is the primary entity in the U.S. government for implementing domestic nuclear detection efforts for a managed and coordinated response to radiological and nuclear threats. This session will focus on the evolution of the terrorist threat of radiological dispersal devices (RDDs) and radiological exposure devices (REDs) and the radiological/nuclear sources readily available in the Alaska medical community that can be used for dirty bombs. Topics covered will be security of medical sources, their detectability, and other aspects that are relevant to the Alaska medical and public safety community.
11:15am – 11:30pm| Pick Up Lunch for Plenary Luncheon

 

11:30am – 12:30pm| Plenary: Emergency Management and Healthcare Response to Amtrak 188 Train Derailment

Presenter(s): Mark Ross, Regional Manager, Emergency Preparedness, Hospital and Health System Assoc. of PA

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Mr. Mark Ross, the Regional Manager for Emergency Preparedness in southeastern Pennsylvania, will discuss the response to the Amtrak 188 train derailment resulting in over 200 casualties and 8 fatalities. He will begin prior to the event with a description of existing plans and relationships, then detail the response and recovery actions taken by the healthcare community. The day before this derailment, representatives from first responder organizations and the Southeastern PA Healthcare Coalition came together to review the mass gathering and mass casualty plans for the City of Philadelphia; this had a noticeable impact on the response. This event is used by the NTSB to demonstrate best practices related to patient tracking, accountability, and family reunification.
12:30am – 12:45pm| Closing Comments

Presenter(s): Andy Jones

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