Resource Library - Indian Country ECHO

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Past Presentation

Prehospital Sedation | June 15 2023

Type: Past Presentation

Program: Emergency Medical Services ECHO Program

Keywords: #agitation #delirium #disruptive behavior #intervention #sedation

In this presentation, Dr. Whitney Barrett, MD discusses prehospital behavioral sedation following the framework of identify, treat, know your options, and manage. Dr. Barrett reviews the categories of agitated, but cooperative, disruptive without danger, and delirium with severe agitation and ...

Date added: 06/15/23

Past Presentation

Psychiatric Emergencies | June 6th 2023

Type: Past Presentation

Audience: Clinical

Program: Emergency Medical Services ECHO Program

Keywords: #988 #anxiety #bipolar #depression #ems #psych

Psychiatric emergencies can include suicidal and homicidal behavior, psychosis, agitation, anxiety, substance use disorders, depression, mania, and a host of related and overlapping medical problems, such as delirium and dementia. In this presentation Dr. Petter Overton-Harris discusses these psych emergencies ...

Date added: 06/6/23

Past Presentation

Pain Management | May 18th 2023

Type: Past Presentation

Audience: Clinical

Program: Emergency Medical Services ECHO Program

Keywords: #pain #pain managment

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. In this presentation, Dr. Christian Garcia discusses how to define and assess pain, how to recognize key features ...

Date added: 05/18/23

Past Presentation

Death Notification/Delivering Hard News | May 2nd 2023

Type: Past Presentation

Audience: Clinical Community

Program: Emergency Medical Services ECHO Program

Death touches all providers and in impactful ways. In this presentation Dr. Neal Nettesheim discusses the process in which we notify friends/family of someones death. This burden often falls to the prehospital provider. Having framework for delivering this news (such ...

Date added: 05/2/23

Past Presentation

Patient Refusal and Capacity Assessment | April 20th 2023

Type: Past Presentation

Program: Emergency Medical Services ECHO Program

Keywords: #AMA #capacity #competency #ethics #refusal

In this presentation, Dr. Michael Lauria shares key factors on patient refusal and capacity assessment in th realm of emergency medicine and care. These factors include: ethics and legality, allowing refusal or forcing transport, capacity assessment, mental health and refusal, ...

Date added: 04/20/23

Past Presentation

Documentation | April 4th 2023

Type: Past Presentation

Audience: Clinical Community

Program: Emergency Medical Services ECHO Program

Keywords: #documentation #ems

In this presentation Paul Craven, MD, discusses the importance of documentation in the emergency department setting. He covers the need of proper documentation, the different formats, best practices and how to improve documentation.

Date added: 04/4/23

Past Presentation

Bottom of the Drug Box | March 16th 2023

Type: Past Presentation

Audience: Clinical Community

Program: Emergency Medical Services ECHO Program

Keywords: #ems #medication #medication administration #Pharmacology

In this presentation Clinton Kalan, MMSc, PA-C discusses how to recognize indications for use and contraindications for several EMS Medications, understand need for job aids and cognitive offloading in infrequently performed tasks, apply dosing and administration strategies in the rural ...

Date added: 03/16/23

Past Presentation

Tox Emergencies | March 7th, 2023

Type: Past Presentation

Audience: Clinical

Program: Emergency Medical Services ECHO Program

Keywords: #accidental overdose #ems #poison #tox

Toxic insults can make up to 10 % of EMS calls, range from intentional SI to accidents to environmental exposures. In this presentation, Elizabeth J Melton, MSN, AGACNP, NRP, discusses varied toxicology emergencies and how they present as well as ...

Date added: 03/7/23

Past Presentation

Managing Acute Dyspnea | February 16, 2023

Type: Past Presentation

Program: Emergency Medical Services ECHO Program

Keywords: #asthma #breathing #dyspnea #ems #SOB

In this didactic training Dr. Chelsea White shares the varied presentations of dyspnea in the field and how recognize and treat each scenario following best practices.

Date added: 02/16/23

Past Presentation

Sepsis in EMS | February 7th 2023

Type: Past Presentation

Audience: Clinical

Program: Emergency Medical Services ECHO Program

Keywords: #antibiotics #ems #infection #sepsis

Sepsis is the body's life-threatening reaction to an infection. In the United States, sepsis affects 1.7 million people and takes 270,000 lives. As many as 87% of sepsis cases originate in the patient's community. EMS and prehospital practitioners are often ...

Date added: 02/7/23

	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