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The College of Paramedics is pleased to announce our one-day workshop sponsored by Zoll Medical this February. 

The Virtual Emergency Care Conference  - affectionately known as VECC -  brings you the best in up to date teaching and expertise from around the world of pre-hospital care and will be taking place virtually on Wednesday 16th February 2022

Confirmed programme
10:00 - 10:10 Welcome
10:10 - 10:40 Basic & Advanced Airway Management in Pre-Hospital Care Presented by Dr Jonathan Whelan 
10:40 - 11:10 Improving Ventilation Quality During OHCA With Real Time Feedback Presented by Karl Charlton, Research Paramedic for North East Ambulance Service
11:10 - 11:30 How to get the Best Results from a Pulse Oximeter Presented by  Desiree Kern Jaune, Clinical Specialist, Masimo.
11:30 - 11:45 Break
11.45 - 12:15 Paramedic Airway Management in Out-of-Hospital Cardiac Arrest Presented by Timothy Edwards, Consultant Paramedic for London Ambulance
12:15 - 12:45 Cardiac Arrest Rhythms Presented by Charlie Till, Head of Clinical Improvement and Development, East Midlands Ambulance Service
12:45 - 13:00 Break
13:00 - 13:30 Vascular Access in Out-of-Hospital Cardiac Arrest Presented by Keith Couper, Assistant Professor in Emergency and Critical Care Critical Care Outreach Practitioner
13:30 - 14:00 Cardiac Arrest in (very) Challenging Environments Presented by RAF Wing Commander Tom James
14:00 - 14:30 Cardiac Arrest in Humanitarian Emergencies – If and When to Treat Presented by Professor Tony Redmond, University of Manchester and Founder of Humanitarian Conflict Response Institute
14:30 - 15:00 Promoting psychological safety in adverse situations Presented by Jo Mildenhall, Mental Health Project Lead at the College of Paramedics

Each year in the UK there are over 30,000 out-of-hospital cardiac arrests (OHCA) where pre-hospital staff attempt to resuscitate the patient. However, survival is as low as just 1 in 10 people according to the British Heart Foundation. The Resuscitation Council state it takes approximately 6.9 minutes before the first ambulance resource is on scene and through prompt swift interventions, we can do our best to save the patient’s life. For every minute a patient is in cardiac arrest their chances diminish significantly, at ten-minute, chances of a return of spontaneous circulation are low therefore it is imperative we as pre-hospital staff do everything we can efficiently and to our best efforts. 

During this virtual workshop we will explore the stages involved within the adult cardiac arrest from airway management to working under pressure, hearing from specialists in different fields of medicine including urban rescue through to the battlefield recovery, we talk to professors who discuss the ethical dilemmas facing decision making in extreme environments and how to look after ourselves. Being exposed to such a traumatic job has proven to cause post-traumatic stress disorder therefore we must acknowledge we may need help. 

Cost:
• Members: FREE
• Non-members: £20

CPD certificates provided
This event will be delivered by Zoom and you will be emailed the link to join the session 24 hours before the event.

Programme and Speaker Bios
Basic & Advanced Airway Management in Pre-Hospital Care  
Presented by Dr Jonathan Whelan, Assistant Medical Director at Welsh Ambulance service. @whelanjp
This session will focus on a review of the range of airway management options available to the pre-hospital provider, with consideration of which options may be best in a range of circumstances.

Dr Jonathan Whelan is the Assistant Medical Director at Welsh Ambulance service.
He considers himself very fortunate to have developed something of a portfolio career in critical care & pre-hospital emergency medicine, entirely by chance, over the last decade.
He was appointed as a Consultant in Anaesthetist & Intensive Care Medicine at Aneurin Bevan University Health Board in 2010.  In 2014 he joined the Welsh Ambulance Service NHS Trust as their Assistant Medical Director. He was also involved in the planning of the Emergency Medical Retrieval and Transfer Service (EMRTS Cymru) from its early stages and was appointed as one of the founding consultants of the service when it went live in 2015.

He is passionate about the development of pre-hospital emergency medicine as a specialty.  He has been directly involved in training for paramedics for over ten years, and junior doctors in pre-hospital medicine for the past four years.  He has been an examiner for several years, for both the Diploma and Fellowship examinations in Immediate Care, for the Royal College of Surgeons of Edinburgh.
Outside of his varied work roles, he lives in South Wales with his wife and two children.  His hobbies include motor racing and martial arts.

 

     Dr Jonathan Whelan

Improving Ventilation Quality During OHCA with Real Time Feedback 
Presented by Karl Charlton, Research Paramedic for North East Ambulance Service
Simulation studies suggest clinicians frequently ventilate patients suffering out of hospital cardiac arrest (OHCA) outside of international recommendations.  This is deleterious to survival.  There is limited evidence regarding the accuracy of UK ambulance clinicians and compliancy with recommendations.  The VANZ study looked to evaluate a real time ventilation feedback device on simulated patients.  

When used on simulated cardiac arrest patients, ambulance clinicians in the study rarely ventilated within recommendations, but were significantly better when a real time feedback device was used.   

Karl has been in the ambulance service for 20 years and have worked as a research paramedic for the last 7 years.  I am interested in research relating to out of hospital cardiac arrest and ageing and frailty.
I am currently undertaking a Resuscitation Council funded PhD into paramedic decision making during OHCA.  

     Karl Charlton

Paramedic Airway Management in Out-of-Hospital Cardiac Arrest 
Presented by Timothy Edwards, Consultant Paramedic for London Ambulance @timedwards76 
Participants will develop an appreciation of the historical context and controversies relating to paramedic airway management and the evidence base underpinning a range of basic and advanced interventions.

Tim is a consultant paramedic with the London Ambulance Service and has previously worked in a variety of clinical and educational roles.  He remains clinically active and has completed a PhD investigating outcomes in patients managed via tracheal intubation versus supraglottic airway device transferred to heart attack centres following out of hospital cardiac arrest.  He holds masters degrees in cardiology and emergency medicine and is a visiting lecturer at the University of Hertfordshire and examiner for the diploma and fellowship in immediate medical care at the Royal College of Surgeons Edinburgh.

     Timothy Edwards

Cardiac Arrest Rhythms and the Post ROSC ECG 
Presented by Charlie Till, Head of Clinical Improvement and Development for East Midlands Ambulance Service @paracharlie
The session will include several bite-size snapshots, focusing on the cardiac arrest rhythms and the importance of the ECG in ROSC. 

Charlie is the Head of Clinical Improvement and Development within the Medical Directorate at East Midlands Ambulance Service NHS Trust. 
His previous professional experience includes the education of student paramedics as a Senior Lecturer and as a Paramedic Education Specialist within Higher Education Institutions and the NHS. He also has experience as a Paramedic Practitioner and Practice Educator. He continues to work clinically within the medical directorate and has gained experience in several NHS ambulance services across the UK, including London Ambulance Service NHS Trust, the Scottish Ambulance Service, and South Central Ambulance Service NHS Foundation Trust.  He also works closely with Class Professional Publishing on several projects, including authoring the ECG textbook ‘Clinical ECGs in Paramedic Practice’ which will publish later this year. Charlie entered the profession as a graduate paramedic with a FdSc in Paramedic Science from the University of Northampton. He holds a BSc in Healthcare Practice and a PgC in Learning and Teaching in Higher Education. He is currently reading for an MSc in Internal Medicine with Edinburgh University (2019–2022).

 

     Charlie Till
   
Vascular Access in Out-of-Hospital Cardiac Arrest  
Presented by Keith Couper, Assistant Professor in Emergency and Critical Care Critical Care Outreach Practitioner, University of Warwick, University Hospitals Birmingham NHS Foundation Trust @keithcouper
The session will review current evidence linked to vascular in out-of-hospital cardiac arrest and the need for the PARAMEDIC-3 trial.

Keith is a clinical academic, working between the University of Warwick and University Hospitals Birmingham NHS Foundation Trust. His research focuses on critical care and cardiac arrest. 
Keith holds volunteer roles with the International Liaison Committee on Resuscitation (ALS task force member), Resuscitation Council UK (ALS sub-committee member), and European Resuscitation Council (ALS Science and Education committee). He has contributed to the development of cardiac arrest clinical guidelines at an international and UK level. He is a member of the editorial board of Resuscitation journal, and is an associate editor of Resuscitation Plus.
Keith is a co-applicant on the PARAMEDIC-3 trial. 

 

     Keith Couper

How to get the Best Results from a Pulse Oximeter 
Presented by Desiree Kern Jaune, Clinical Specialist, Masimo.
Desiree will look at understanding: Clinical problems and Technology, SpO2 sensor position, Perfusion Index and Sensitivity, Alternative site monitoring, Challenges and Troubleshooting  and Racial bias

Desiree holds a Nursing Degree (Brazil),  and has 10 years of experience in ICU, working for Masimo since 2017

     Desiree Kern Jaune

Cardiac Arrest in (very) Challenging Environments 
Presented by RAF Wing Commander Tom James, Consultant Advisor in Emergency Medicine and Pre-Hospital Emergency Medicine, Royal Air Force
The talk will discuss the challenges of managing cardiac arrest when operating in small teams with limited equipment in remote, austere and non-permissive environments.

Wg Cdr James is a consultant in Emergency Medicine with the RAF. He works in a Major Trauma Centre in the West Midlands and with the Great Western Air Ambulance Charity in Bristol. He has deployed operationally to Afghanistan, South Sudan and Western Africa. He is currently the RAF consultant advisor in Emergency Medicine and Pre-Hospital Emergency Medicine.

Cardiac Arrest in Humanitarian Emergencies – If and when to Treat  
Presented by Professor Tony Redmond, University of Manchester and Founder of Humanitarian Conflict Response Institute @anthonydredmond 
Professor Redmond will discuss the ethical issues the response to cardiac arrest can throw up when resources are severely limited. For example -Do you carry a defibrillator into a remote environment (over other equipment)? Can you/should you ventilate post arrest? What if transfer out is not possible because of fighting? Who do you ventilate if it’s your only ventilator? If you do ventilate then for how long? Is the response different for a member of staff ?

Tony Redmond qualified in Medicine from the University of Manchester and specialised in Emergency Medicine. He was a founder member of the Resuscitation Council, established the first “HeartStart” programme with the BHF, and introduced defibrillators into the NW Ambulance Service in 1984. He is Emeritus Professor of Emergency Medicine at Keele University, Visiting Professor of Disaster Medicine at the University of Sichuan, and Professor Emeritus of International Emergency Medicine at the Humanitarian and Conflict Response Institute at the University of Manchester.  He is Immediate Past President of the World Association for Disaster and Emergency Medicine and an Executive Committee member of the Faculty of Remote Rural and Humanitarian Healthcare at the Royal College of Surgeons of Edinburgh.
He has responded to conflicts and disasters for over 30 years and founded UK-Med, an International NGO that provides international emergency medical humanitarian assistance, and recruits and trains clinicians for the national UK Emergency Medical Team.
He is the author of “Frontline: Saving lives in War Disaster and Disease”. 

 
      Professor Tony Redmond

Promoting Psychological Safety in Adverse Situations
Presented by Jo Mildenhall, Mental Health Project Lead at the College of Paramedics @Jojo_research
Supporting and looking after our own mental health following an incident such as a cardiac arrest

Jo Mildenhall holds the role of Mental Health Project Lead at the College of Paramedics (UK). Prior to this, she was Senior Lecturer of Paramedicine at the University of West of England. Jo is a registered paramedic with more than two decades of experience in operational and leadership roles including that of Team Leader and Clinical Lead for Mental Health. 
Jo is also a registered psychotherapeutic counsellor and is in the final year of completing her doctoral research. Taking a social psychological approach, her study explores the individual and collective impacts of frontline ambulance working during a pandemic disaster. By understanding how individual and collective thoughts, feelings and behaviours influence our emotional/ trauma responses, Jo hopes that this will lead towards a greater understanding of the psychological health and wellbeing of the ambulance workforce & contribute to proactive developments and enhanced supports within this sector. 

Jo has authored and co-authored of a number of mental wellbeing-related articles published in peer-reviewed journals and is an international conference speaker. Jo sits on a number of emergency responder mental health specialist interest groups including that of the College of Paramedics (UK) and Faculty of Pre-Hospital Care, Royal College of Surgeons of Edinburgh. 

In 2019, Jo was awarded the prestigious Churchill Fellowship which saw her travel to Australia and New Zealand to study innovative ambulance staff psychological wellbeing initiatives and strategy. Jo lives near the Cotswolds, England and loves adventure travel, sea-kayaking, hiking and the outdoors. 
   
     Jo Mildenhall

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