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Continuing Education Webcasts

Nor-Cal EMS presents webcasts for training, education, and disaster preparedness. Sign in and view a growing list of our webasts and prices HERE.

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Nor-Cal EMS MAC Run Reviews

Nor-Cal EMS Medical Advisory Committee (MAC) Run Reviews are presented by Dr. Eric Rudnick, MD, FACEP, FAAEM, Medical Director for Nor-Cal EMS and recorded live in front of an audience during the patient care record run review at the monthly Medical Advisory Committee meetings. The purpose of these webcasts are to perform personal care record run reviews for continuous quality improvement as well as to aid and train emergency medical personnel.

A printout of each presentation is available on the respective webcast page for reference while you view the webcast.

MAC Run Review September 2016
           Watch For 1 CE       Just Watch FREE

Four case studies:

  • Call Type: Fall in a 91 year old female. Arrived to find an a/o x 3, GCS 14, 91 year old female sitting upright in a chair at home c/o right hip pain and right arm pain.
  • Call type: Abdominal pain in a 6 year old male. Responded code 2 for report of a male complaining of abdominal pain. First on scene and performed an assessment and obtained vital signs. Patient complains of chest discomfort and a "funny feeling" in his hands and fingers. Patient's family states that the patient has been yawning and that the patient states he can not yawn and "get the air out".
  • Call type: unknown 20 year old female. Dispatched to a vehicle and found 20 year old female, in the third row of the vehicle she was in, on freeway, with Fire assessing her, who was involved in a motor vehicle accident. The patient is the restrained passenger, in the third row on the right side, of SUV, with air bag deployment, with 1 foot intrusion into the passenger compartment from the rear of the SUV, that was stopped on the freeway, and rear ended by a vehicle going 50 to 70 mph.
  • Call Type: Seizure/Convulsions 2 year old male. Arrived on scene private residence, to find 2 year old male sitting in foster mother’s lap, in no apparent distress, with Fire at side. Patient AxO to baseline. Per guardian, he was sitting on the couch, and was about to fall asleep, when he was witnessed to have a full body tonic-clonic seizure lasting approximately 1 minute, followed by focal bilateral arm activity x 1 minute. He had a straight stare the entire time and remained pink, warm and dry the entire time.

MAC Run Review May 2016
           Watch For 1 CE       Just Watch FREE

Two case studies:

  • HPI: Upon arrival, we found a 29 year-old male patient presenting with a chief complaint of code blue/hanging, which began: April 27,2016; First responder on scene was Fire FD and Law Enforcement; We were staged prior to being allowed at scene; History of event: Upon arrival found a 29 year-old male hanging from the inside his garage from a roof beam by a rope, unresponsive; Per law enforcement it was unknown down time, patient was asystole and no audible heart tones.
  • Dispatched to stage for male GSW to abdomen; Responded code 3 from station; Arrived at staging area at 0406; Law enforcement cleared scene and advised to continue code 2 at 0417 hours; Due to nature of injury and location, next available air ambulance requested; First air provider declined and second provider launched delayed due to weather. Then cancelled by EMS due to stable vital signs.

MAC Run Review March 2016
           Watch For 1 CE       Just Watch FREE

Three case studies:

  • Dispatched for a 64 year old male with chest pain. Responded code 3 for chest pain. Arrived to find patient sitting on his couch attend by spouse. Patient is pale, warm, clammy and experiencing nausea.
  • Dispatched for a 54 year old female with syncope. Responded code 3 to address for a report of a fall with head injury. General impression of patient upon visualization was 54 year old lying supine with small amounts of blood on the floor behind her head with abrasions to the right side of face, and incontinent on the floor, talking on her cell phone. Bystanders at scene said they witnessed her walking and collapse on the floor, hitting her head with a loss of consciousness from a period of time from thirty seconds to one minute, with the onset time being twenty minutes prior to EMS arrival.
  • Dispatched for unknown medical. Found a 70 year old male with Altered Level of Consciousness. Chief complaint: Altered Level of Consciousness. At 0829 made contact with a 70 year old male. Arrived to find a 70 Y/O male patient sitting on couch. Significant aphasia, garbled speech only. No obvious sign of trauma.

MAC Run Review January 2016
           Watch For 1 CE       Just Watch FREE

Two case studies:

  • Responded code-3 to a private residence for a 78 year old female having chest pain; Arrived to find the patient sitting in a chair on the porch with fire personnel; Patient stated she has had multiple MI's and stated she last had a myocardial infarction 3 months ago; She self administered baby aspirin and 3 nitroglycerin with no relief.
  • Dispatched code-3 to a private business for a patient experiencing possible s/s consistent with an unspecified illness/injury; Arrived to find an 8 year old female patient lying in bed with both parents and fire personnel in attendance; Parent's are speaking Spanish only and a translator is utilized during assessment.

MAC Run Review December 2015
           Watch For 1 CE       Just Watch FREE

Three case studies:

  • Dispatched code 3 to a private residence for a patient experiencing s/s consistent with an unspecified illness/injury. Arrived to find a 21 year old male patient (~79 kg) sitting upright on the floor with Fire in attendance. C/C: Possible syncopal episode.
  • Ambulance responded code 3 for a two vehicle collision. Arrived to find Fire assessing all occupants of vehicles involved and conducting traffic control. The two vehicles involved on the right shoulder of the highway.
  • Dispatched code 3 for an unresponsive female at a private residence. Upon arrival found pt sitting in the drivers seat of her vehicle parked in front of apartment (Mom's apartment) in care of Fire personnel and family.

MAC Run Review July 2015
           Watch For 1 CE       Just Watch FREE

Three case studies:

  • Dispatched code 3 for chest pain at an urgent care secondary to a motorcycle accident earlier in the day. Patient was riding ATV approximately 20 mph when he was ejected and then run over by the empty trailer that the ATV was towing.
  • Chief complaint: Cardiac Arrest. Arrived at scene to find patient sitting on the toilet with his wife holding him up.
  • Dispatched code 3 for possible stroke. Patient says he woke up partially in his bathtub which is next to the toilet.

MAC Run Review May 2015
           Watch For 1 CE       Just Watch FREE

Five case studies:

  • 84 year old female with Syncope/decreased heart rate;
  • Arrived at scene to find patient in a recliner C/O chest pain describing the pain as dull and achy and radiates through his left arm;
  • 86 year old female complaining of rapid heart rate;
  • 81 year male with a C/O CP with SOB and nausea;
  • Dispatched code 3 for a pedestrian was struck by a Honda CRV while traveling at approximately 35 mph;
  • Bonus case!

MAC Run Review March 2015
           Watch For 1 CE       Just Watch FREE

Five case studies:

  • Dispatched code 3 to a local veterinary clinic to find a 39 year old female in front of the clinic with co-workers and history of reoccurring SVT;
  • Responded code 2 for a female with a possible stroke;
  • Dispatched code 3 for a 55 year old female with abdominal pain; Chief complaint: N/V/Back pain;
  • Dispatched code 2 to a private residence for chest discomfort and elevated heart rate (280 / 140 mm Hg);
  • Dispatched code 3 to an MVA; patient was driving full sized Dodge truck and was unsure of how many times the truck rolled.

MAC Run Review February 2015
           Watch For 1 CE       Just Watch FREE

Four case studies:

  • Chest pain in a 75 year old male patient located in living room;
  • Chief complaint 55 year old female with CP and Difficulty breathing lying in bed attended to by husband;
  • Chief complaint fall in 78 year old male;
  • Chief complaint: Internal Defib Shocking.

MAC Run Review January 2015
           Watch For 1 CE       Just Watch FREE

Five case studies:

  • Pregnancy / Childbirth / Diabetic Problem;
  • Dispatched for an unconscious person;
  • Private code 3 for chest pain in a 52 year old female;
  • Dispatched for anxiety 79 year old female and found fire;
  • Dispatched code 3 to address noted for man down; Fire also dispatched.

MAC Run Review November 2014
           Watch For 1 CE       Just Watch FREE

Four case studies:

  • Fall in a 91 year old female;
  • Abdominal pain in a 6 year old male;
  • Unknown 20 year old female;
  • Seizure/Convulsions 2 year old male.

MAC Run Review September 2014
           Watch For 1 CE       Just Watch FREE

Four case studies:

  • Fall in a 91 year old female;
  • Abdominal pain in a 6 year old male;
  • Unknown 20 year old female;
  • Seizure/Convulsions 2 year old male.

North State Pre-hospital Conference Webcasts (NSPC)

Nor-Cal EMS presents the North State Pre-hospital Conferences as Webcasts to provide current topics in the field of EMS by recording the live presentations of the various speakers in front of an audience in order to present the information to a wider audience in order to broaden the EMS thought process.

A link to a printout of each presentation is (usually) available on each webcast page for reference while you view the webcast and take the test.

2016 NSPC Webcasts

Airway Management for the Pre-Hospital Professional
           Watch For 1 CE       Just Watch FREE

During this webcast, Dr. King covers the following objectives:

  • Review airway anatomy;
  • Define goals of airway management;
  • Tools of the trade;
  • Systematic approach to airway management;
  • Discuss special considerations with management of airways in burn patients.

The audio in the first 21 minutes exhibits excessive room acoustics but is still understandable. It is clear for the rest of the presentation. Please preview part of the the video before watching for CEs to be sure it is okay for you. There is a test review at the end of the webcast.

Visual Odyssey in Emergency Medicine Services
           Watch For 1 CE       Just Watch FREE

As the title suggests, Dr. Rudnick presents a very wide variety of the types of injuries, illnesses, and oddities that one might encounter working in the field of emergency medicine. Being a visual presentation of this nature, it may not be suitable for all ages. If you are considering becoming an emergency medical responder, technician, paramedic, or nurse, this should provide a little idea of what you might encounter. There is an excellent test review at the end of this presentation.

2015 NSPC Webcasts

Choreography: The Ballet of Cardiopulmonary Resuscitation (CPR)
           Watch For 1 CE       Just Watch FREE

In this webcast, Dr. Rudnick discusses the high importance for high quality CPR in the field to increase the survival of patients who suffer cardiac arrest. This is a moral imperative. Dr. Rudnick demonstrates that doing high quality (performance) CPR is not complex but rather very hard work. This is a very important BLS skill for everyone. He questions why statistics show that in 2012, there was a 11.4% survival rate overall of out of the hospital cardiac arrest (OOHCA) with 383,800 incidents, and 9.5% rate in 2013 with 359,400 incidents, even though some communities achieve rates of over 50%. What makes the difference. Watch and find out. This webcast aims to aid and train emergency medical personnel. There is an excellent test review at the end to help you with testing after the webcast!

Domestic Violence
           Watch For 1 CE       Just Watch FREE

The mission of One SAFE Place is to provide intervention and safety to a community affected by domestic and sexual abuse. Our vision is a community free of domestic and sexual abuse. We are committed to serving with Integrity, Excellence, Compassion, Teamwork, and Respect. This webcast provides insight and awareness of domestic and sexual abuse. Watch and to learn about solutions to these problems. This webcast aims to aid and train emergency medical personnel. There is an excellent test review at the end to help you with testing after the webcast!

2014 Fall NSPC Webcasts

Nor-Cal EMS presents the 2014 Fall North State Prehospital Confeence to provider current topics in the field of EMS and records the live sessions by various speakers in front of an audience in order to provide the information to a wider audience to broaden the EMS thought process.

A printout of each presentation is usually available on the respective webcast page for reference while you view the webcast.

Ebola 101 - Update for EMS System Stakeholders
           Just Watch FREE

Dr. Eric Rudnick covers timely information on the current situation of this infectious disease. He includes many topics such as basic Ebola facts regarding the disease, symptoms, the transmission of Ebola, worldwide outbreak and case counts, demographics, and risk assessment. He also reviews how we are preparing and the new PPE guidelines.

The epidemiological data and recommendations are current for 10/25/2014. It can change rapidly in regards to the EPI data and recommendations.

Sticky Truth About Bakken Crude
           Watch For 1 CE       Just Watch FREE

Gerry Gray provides crucial information to EMS personnel regarding the potential dangers involved with the transportation of approximately 3 millions gallons of Crude Oil at a time through our cities by railroad and how they should be prepared and respond. Examples of past catastrophic events involving the transportation of crude oil by railway are presented.

Butane Honey Oil
           Watch For 1 CE       Just Watch FREE

Mike Fischer discusses what butane honey oil (BHO) is and its various forms - as honey oil, weed oil, budder, dabs, concentrate, wax, ear wax, amber glass, and shatter - and their THC levels. He discusses how it is made - both open and closed extraction methods. He then delves into the numerous dangers and the BHO labs that EMS personnel might run across in their line of service. He shows examples of BHO labs when something goes wrong.

EMS Response to Crime Scenes
           Watch For 1 CE       Just Watch FREE

Bob Bryant discusses what a crime scene is, priorities at a crime scene, and how to recognize and preserve evidence at crime scenes including proper handling of physical evidence, forensic evidence, circumstantial evidence, eyewitness evidence, and direct evidence.

2014 Spring NSPC Webcasts

Nor-Cal EMS presents the 2014 Spring North State Prehospital Confeence to provider current topics in the field of EMS and records the live sessions by various speakers in front of an audience in order to provide the information to a wider audience to broaden the EMS thought process.

A printout of each presentation is usually available on the respective webcast page for reference while you view the webcast.

Heat Illness
           Watch For 1 CE       Just Watch FREE

Note: This webcast is discounted due to its poor audio quality. Please follow along with the printout.

Dr. Jasumback covers the risk factors for heat illness and then delves into the major heat illness types heat exhaustion (from water depletion and salt depletion) and heat stroke (both classic and exertional) followed by the minor heat illness types heat cramps, heat syncope, miliaria rubra, and heat tetany.

Swift Water Rescue
           Watch For 1 CE       Just Watch FREE

Note: This webcast is discounted due to its poor audio quality. Please follow along with the printout.

Brent Dubois educates from the National Fire Protection Association (NFPA) document 1670 Standard on Operations and Training for Search and Rescue Incidents. The standard identifies and establishes levels of functional capability for efficiently and effectively conducting operations at technical search and rescue incidents while minimizing threats to rescuers. Provisions define levels of preparation and operational capability and provide an outline of a system that progresses from the simple basic awareness level to the operations level, and, finally, to the technician level. While it covers the majority of rescue disciplines, Brent will cover swift water rescue including the cold zone, warm zone, hydrology, helical flow, and various rescue techniques.

Drowning
           Watch For 1 CE       Just Watch FREE

Note: This webcast is discounted due to its poor audio quality. Please follow along with the printout.

Dr. Michael Fraters covers terminology and other "ologies", differential, prehospital, emergency room, pitfalls, and case studies.

This is an important topic as 150,000 to 500,000 deaths occur due to drowning and is the 3rd most common cause of accidental death overall in the U.S. Drowning incidents are 500-600 times higher.

Disaster Preparedness Webcasts Available for CEs (Developed with HPP Funding)

The Hospital Preparedness Program (HPP) Training Webcasts are provided in part by a grant from the HPP program. Nor-Cal EMS provides the ongoing support and maintenance of the webinars. The webinars in this series provide a range of training on systems like Hospital Available Beds for Emergencies (HAvBED) and Mass Casualty Incidents (MCI).

A printout of each presentation is usually available on the respective webcast page for reference while you view the webcast.

Mass Casualty Incident Operations & Communications
           Watch For 3 CEs FREE       Just Watch FREE

Mark Belden and Dr. Eric Rudnick present the following objectives:

  • Review the Region III MCI Plan Manuals 1 and 2;
  • Discuss challenges that the operational areas have regarding communications with the Control Facility; and,
  • Assist operational area providers in over-coming barriers and provide guidance for successful mitigation of an MCI event.

Infectious Disease and the Prehospital Provider
           Watch For 1 CE FREE       Just Watch FREE

This training is aimed at the individual prehospital provider. Dr Rudnick discusses the Drug resistant bacteria in the prehospital environment. He covers Infectious disease precautions and exposure management. The goal is to reduce the risk for infectious disease exposure for all prehospital providers which ultimately protects patients, providers, and the provider's family. He presents methods of exposure risk reduction, transmission methods, high risk diseases, and environmental disinfection.

HAvBED and MCI Event Training with EMResource
           Watch For 1 CE FREE       Just Watch FREE

Dr. Eric Rudnick presents the following objectives:

  • Demonstrate the importance of EMResource and being able to respond to events, queries, and polls.
  • Demonstrate how to respond to a HAvBED event in EMResource.
  • Demonstrate responding to a MCI (Multiple Casualty Incident) event in EMResource.

Transition from Mass Casualty Incident to Disaster Medical Response
           Watch For 1 CE FREE       Just Watch FREE

This webcast introduces a framework for mass casualty incident to disaster medical response and covers some of the rural challenges in the North State. Counties are large and most providers in these rural areas may only have one or two transport units to cover the entire county. Additional resources could be hours away. The purpose is to bring agencies together for planning, involve all operational authority agencies, and to dust off local, regional, and state plans.

Ebola Virus Disease Update 5/4/2016
           Watch For 1 CE FREE       Just Watch FREE

This Ebola Virus disease update covers current regional policy in the North State. Dr. Rudnick describes the Ebola Virus disease, provides a background of the disease and discusses infectivity, signs and symptoms, transmission of the disease, patient assessment criteria and precautions.

The epidemiological data and recommendations are current for 5/4/2016. It can change rapidly in regards to the EPI data and recommendations.

The CHEMPACK Project
           Watch For 2 CEs FREE       Just Watch FREE

Lou Lallo presents the following objectives:

  • Provide an overview of the CHEMPACK Project at the federal, state and local level;
  • Discuss the clinical need for the medications in the CHEMPACK containers.
  • Review the logistical roles and responsibilities for deploying CHEMPACK in the counties of Region III.

MCI Plan Manual 2 - Patient Distribution Overview
           Watch For 1 CE FREE       Just Watch FREE

Mark Beldon discusses the Patient Distribution Manual 2 which outlines a plan under the Standardized Emergency Management System (SEMS) and the National Incident Management System (NIMS) for the distribution of patients during a multi or mass casualty incident within an Operational Area or within multiple Operational Areas in the Mutual Aid Region and to destinations outside the Mutual Aid Region.

Mass Casualty Incident Field Operations
           Watch For 2 CEs FREE       Just Watch FREE

This Nor-Cal EMS Webcast is part of the Continuing Education Series. It is presented by Dr. Eric Rudnick, MD, FACEP, FAAEM, Medical Director and Mark Belden, Paramedic, Consultant/Instructor. It was produced and directed by Bill Bogenreif and recorded live in front of an audience.

Dr. Eric Rudnick and Mark Belden present this webcast in two parts:

  • The 1st part is the Overview of the Office of Emergency Services Region 3 Mass Casualty Incident Plan Manual 1.
  • The 2nd part is the Overview of the Office of Emergency Services Region 3 Mass Casualty Incident Plan Manual 2 - Patient Distribution.

Training Webcasts Available for CEs

The Training WebCast series are developed by Nor-Cal EMS to help aid and train our local EMS provider agencies and our local community.

A printout of each presentation is available on the respective webcast page for reference while you view the webcast.

EMS at a Quality Crossroads
           Watch For 1 CE       Just Watch FREE

This Nor-Cal EMS Webcast is part of our Continuing Education Series. It is presented by Dr. Eric Rudnick, MD, FACEP, FAAEM, Medical Director and Kara Davis, RN, MICN, EMS Systems Director. It was produced and directed by Bill Bogenreif and recorded live in front of an audience.

Dr. Rudnick introduces the subject of Continuous Quality Improvement (CQI). He then discusses the necessary steps that allow for the continuous improvement of quality emergency medical care provided in the field. Kara Davis takes you to where the rubber meets the road. The forms used in the Northern California region are presented and discussed.

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