4th Annual emRIC Conference - Indian Country ECHO

‘Innovation and Adaptation’ was the central theme for the 4th annual Emergency Medicine for Rural and Indigenous Communities (emRIC) conference held September 16-17, 2022. The aim of the Emergency Medicine for Rural and Indigenous Communities conference is to empower healthcare professionals to not only provide excellence in emergency medical care, but to do so in a manner that honors and respects the historical and cultural context of the communities they serve. emRIC 2022 focused not only on excellence in clinical care, but also public health initiatives, education and outreach, provider wellness, and advocacy within our rural and Indigenous communities.

Check out all of the presentations and resources below!

Presentations

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Resources

Presentations

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Welcome to the 4th Annual emRIC Conference

Keynote – An Indigenous Rights-Based Approach to Emergency Medicine

Initial Management of the Critically Ill Infant

Syphilis Update

Infectious Disease Emergencies in Indian Country

Structural Inequalities in Health

The Alaska Community Health Aide Program

Sih Hasin Street Medicine

Inclusive Dermatology: A Case Review

Opening Remarks

Indian Health Service Priorities

Cultural Safety

Reshaping the Rural EMS IFT Paradigm

Practical Approach to Ophthalmic Presentations in the Emergency Room

Stroke & TIA in the Rural Setting

Critical Care Boarding in the (Rural) ED

Resilience Challenges Beyond the COVID Response

DevelopingEM

Panel Discussion: Longevity in EM Models for Sustainability in IHS/Tribal/Rural EM

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Claim CE

If you attended the 4th Annual emRIC conference, click here to complete a brief form to claim CE credit.

Resources

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emRIC ECHO

We invite you to join the Emergency Medicine for Rural and Indigenous Communities (emRIC) ECHO program held the 4^th Wednesday of every month at 8am PT. The program provides comprehensive information for clinical teams providing emergency care for rural and indigenous communities to integrate best practices in clinical emergency medicine.

Emergency Medical Services ECHO

We invite you to join the Indian Country Emergency Medical Services (EMS) ECHO program held the 1^st Tuesday and 3^rd Thursday of every month at 5pm PT. The program provides comprehensive information for EMS staff serving American Indian and Alaska Native people to integrate EMS fundamentals, and advanced EMS topics to effectively serve patients that need Paramedic or Critical-Care level care.

StrongHearts

StrongHearts offers free 24/7 support and resources to Native American and Alaska Natives affected by domestic and sexual violence.

PEARR Tool

The PEARR tool, created by CommonSpirit Health, HEAL Trafficking, and Pacific Survivor Center is an evidence-based framework for assessment for trafficking and other forms of interpersonal violence. It is based off the CUES model, or universal education approach, which is trauma-informed, patient-centered, and recognizes that creating an emotionally and physically safe context for disclosure is often more effective than a checklist screening tool.

Study Committee on Missing and Murdered Indigenous Women and Girls

There is a nationwide epidemic of missing and murdered Indigenous women and girls, and Arizona, with 22 federally recognized Tribes, is at the epicenter. In 2016, there were more than 5,700 federally reported cases of missing Indigenous women and girls. This Study Committee was created to explore and analyze those gaps in the data so that we can begin to address the horrific ongoing violence committed against Native women and girls in Arizona

	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

	Carrie Sampson-Samuels is an enrolled member of the Confederated Tribes of the Umatilla Indian Reservation located in Eastern Oregon. Carrie has an early background in nursing providing patient care in long term and clinical care settings. Carrie then furthered her education in community health and health studies at Portland State University, later advancing her education in healthcare management at Oregon Health and Sciences University while serving in leadership and executive management for a Tribal health organization as the Community Health Director. Carrie has served Tribes from Oregon to Montana and the Treaty 7 Blackfoot Confederacy in Southern Alberta. As the Community Health Aide Project Director for the Northwest Portland Area Indian Health Board, Carrie has provided leadership, advocacy and project management for expansion for the Behavioral Health Aide and Community Health Aide Program under the umbrella and direction of the Tribal Community Health Provider Project. This work has led to the expansion of Tribal Community Health Providers in Washington, Oregon, and Idaho. Carrie is responsible for leading partnerships with the education institutions, key Tribal partner sites, contract experts and advisory workgroups. This includes development of education infrastructure, education curriculum, recruitment strategies, tools for integration of providers into tribal health organizations, and working with state partners to develop policy and infrastructure for provider reimbursement. Carrie manages and writes multiple grants that support all aspects of this work and provides technical assistance support to the Portland Area CHAP Certification Board. Carrie is the proud mother of 4 daughters and resides on a small ranch on her Tribal homelands.

	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix