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| July 23, 2009 | | 8:30 AM |  Session 101: Smoke Inhalation and Cyanide Poisoning
Richard Alcorta, MD, FACEP
BLS Track
Smoke inhalation is an important but often overlooked cause of cyanide poisoning. A substantial body of evidence shows that cyanide can be at least as important as carbon monoxide as a toxic threat in fire smoke. Evidence also points to a lethal synergy between carbon monoxide and cyanide poisoning, even at independently sublethal doses. In this session, Dr. Alcorta discusses Maryland?s optional supplemental EMS protocol for management of patients who manifest significant signs and symptoms of acute cyanide poisoning.
| | 8:30 AM | Session 102: The Difficult Airway
Jim Radcliffe, BS, NREMT-P
ALS Track
Ninety-five per cent of airway management is terribly simple and the other 5% is simply terrible, says Jim. In this session, he explains how to recognize the potentially difficult airway, what steps to take to minimize risk, and the importance of using sound judgment in executing the airway decision algorithm.
| | 12:00 PM | Session 301: Stroke Protocols and Specialty Center Designation
Richard Alcorta, MD, FACEP
BLS Track
Over the last decade, the EMS and emergency department paradigm for management of strokes has gone from a supportive palliative care approach to one of rapid identification, potential emergency intervention and an aggressive rehabilitative approach. Maryland has had an EMS ?neurological emergencies? stroke protocol for more than 3 years, but only recently have primary stroke centers been designated to receive EMS patients who are being transported past local EDs. In this timely session, Dr. Alcorta looks at these significant changes in stroke care.
| | 12:00 PM | Session 302: EMS Response to the Pregnant Patient
Gary Wiemokly, MPH, EMT-P, RN
ALS Track
This lively session will review the physiological and anatomical changes that occur during pregnancy and how they might affect patient assessment and treatment. Using case presentations that punctuate key points, Gary moves from BLS to ALS care, offering patient assessment tips that have practical application in the out-of-hospital setting. He promises this is not your usual ?birthing baby? class.
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