1/26/12

CE Article: How to Manage the Pediatric Airway




CONTINUING EDUCATION FROM EMS WORLD MAGAZINE
Pediatric patients make up a small percentage of most EMS systems’ responses, and critical pediatric responses are even rarer. In this article, review important airway management skills, review relevant anatomy and physiology, and discuss airway management tools for the pediatric patient. Read the full article at EMSWorld.com.

Article Objectives
  • Discuss patient positioning, airway opening and suctioning
  • Review pediatric anatomy and physiology
  • Discuss prehospital airway management tools

This CE activity is approved by EMS World Magazine, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 1.5 CEUs. To earn your credits, go to www.rapidce.com.

1/25/12

EMS Today 2012 Conference Presentations



Every year the EMS Today conference is one of our favorites for meeting with current customers and sharing with fire departments and EMS agencies how they can use the CentreLearn learning management system to train better and spend less.

This year I am honored to be selected as a presenter, and will be speaking on two topics that I am passionate about - continuing education and cheating.

EMS Professionals are Fed up with CE (and what to do about it)
EMS professionals are fed up with the continuing education they endure to meet certification and licensure
requirements. The current "one size fits all" model of continuing education delivers a broad reach of content with little depth. Continuing education rarely accounts for previous experience or individual performance data. It does not challenge or incentivize EMS professionals to learn more than what they have already been taught. After briefly reviewing the current state of continuing education the presentation will describe a conceptual model of an independent learning plan for EMS professionals. The presentation will include specific strategies to implement the pillars of the learning plan to meet regulatory requirements while also delivering continuing education that honors an EMS professional’s experience, knowledge, and time.

Is it Cheating or Group Problem Solving?
Well publicized cheating scandals have led to suspension without pay, termination of employment, and shuttering of EMS education programs. More importantly, cheating causes an erosion of the public trust in EMS organizations. Greg will explore the scope of cheating in EMS education, describe common barriers educators and administrators implement, and discuss the limited impact of those barriers to stop cheating. Participants will discuss a continuum of solutions for EMS educators and program administrators to reduce
cheating and grow a culture of group problem solving.

1/24/12

New Course: Understanding and Restraining Patients with Excited Delirium



Excited delirium is a severe medical problem. Patient restraint, especially sudden death while restrained, is a “hot topic” in healthcare and EMS. Learn to recognize excited delirium and principles for verbal, physical and chemical restraint for agitated excited patients.

Course Objectives
  • Describe the signs and symptoms of excited delirium 
  • Identify the factors that make excited delirium a severe medical problem 
  • Describe general principles for caring for patients with excited delirium, including restraint 
  • Describe controversies related to restraining, treating, and monitoring a patient with excited delirium
View the complete CentreLearn course catalog.

1/18/12

In the Field: Fire Rescue East 2012



CentreLearn is looking forward to attending the Fire Rescue East 2012 Friday, January 20th to Saturday, January 21st. CentreLearn Customer Support Coordinator Katie O'Brien will be set up in booth number 1430 in the exhibit hall. Katie writes, "I work with our customers providing training and support on a daily basis virtually, so I’m really looking forward to meeting with some of our current customers face-to-face."

CentreLearn is looking forward to showing our fire department customers new ways they can use the learning management system. We also want to show our future customers the ins and outs of the CentreLearn learning management system and how it can make their jobs easier with online learning, hybrid refresher courses and compliance tracking of certifications and skills. 

Katie also shares, "I’m excited to bring to everyone’s attention our great course offerings in the CentreLearn course library of ALS, BLS, OSHA and Fire courses. We also have many options from third party content providers that make our course library one of the most diverse in the industry."

To find out full details on Fire Rescue East 2012 visit their website.

1/12/12

Video: Safeguards Against Exam Cheating



I recorded this video with Chris Montera at the 2011 Pinnacle EMS conference. We discuss the pervasiveness of cheating in the broader culture and some of the specific impacts of cheating on EMS education.

I will be presenting, Is it Cheating or Group Problem Solving, at the EMS Today conference in March, 2012.

 

ParamedicTV is powered by EMS1.com


I also found and appreciated the message in this video from George Hatch about cheating that was recorded at the 2011 National Association of EMS Educators symposium.

 
ParamedicTV is powered by EMS1.com

1/10/12

Physio-Control Product Training Videos Available to CentreLearn Organizations



CentreLearn learning management system administrators can assign Physio-Control product training videos to their users. Contact us for instructions on how to task any of the training videos.


12 Leads Made Easy and Capnography Made Easy, two highly interactive Flash, continuing education programs are also available for organizations and individual users in Physio-Control University.

1/9/12

Announcement: CentreLearn has an Immediate Opening for a Customer Support Representative





CentreLearn Solutions, the leading provider of online education for Fire departments and EMS agencies, has an immediate opening for a part-time Customer Support Representative. Visit CentreLearn.com/careers to view the job description and application instructions. We are looking for team members who share our passion for technology, customer service and training.

Share the Good News with Your Peers 
Do you know someone with software training and customer support experience that is job searching? If yes, please share this unique opportunity to join an innovative company that rewards effort, creativity, and passion. Broadcast this announcement on Facebook and Twitter using the "Like" and "Tweet" buttons at the top of the post. Thanks!

Be the first to hear CentreLearn news and announcements by connecting with us on Facebook.

1/5/12

Register Now: Train Better 2012 CentreLearn Administrator Workshop



You can now register for the Train Better 2012 CentreLearn Administrator Workshop on the EMS Today website. The workshop will start at 8:30 a.m. on Wednesday, February 29, 2012 at the Baltimore Convention Center.

Session Topics for Train Better 2012:
  • How should I be using CentreLearn? How are other administrators using CentreLearn? 
  • Compliance Guard - What can it do for me? How can it make my life easier? 
  • How to use CentreLearn outside of the online environment and inside the classroom. 
  • Rx for Training Plans - Best Practices 
The workshop fee is $150 per organization and includes registration for two attendees, a full day of training and networking, as well as lunch, coffee and soda, and snacks. Fee for additional attendees is $75 per person. Please be sure to use the same company name for each person you register.

1/4/12

Video: Video Conferencing Technology for EMS Education



In this video, recorded at the 2011 Pinnacle EMS conference, I discuss video conferencing technology for EMS education with Chris Montera. Many CentreLearn Complete customers are using GoToMeeting, included in their learning management system, to provide live training events while allowing firefighters and paramedics to stay in their service area.

To schedule a GoToMeeting web conference for your organization contact your Customer Support Coordinator. If you want to learn more about all of the features of CentreLearn complete contact us to schedule a demo.



ParamedicTV is powered by EMS1.com

1/3/12

In the Field: Wisconsin EMS Association Working Together 2012



CentreLearn is kicking off the 2012 conference and tradeshow schedule with the Wisconsin EMS Association Working Together conference and exposition in Milwaukee, Wisconsin.

Account manager Sonia Misajlovski will be at WEMSA. "I look forward to sharing new features and products with our valued Wisconsin customers as well as our future customers."

Personally, I have been fortunate to work for outstanding EMS agencies in northern Wisconsin, Milwaukee, and the Fox Cities. I look forward to WEMSA because it is a chance for me to connect with my EMS friends and colleagues from throughout Wisconsin. Will you be at WEMSA? Send us an email so we connect to share some of the fine food and beverages available in Milwaukee.

Meet us in the exhibit hall booth #???? to learn more about our extensive course catalogs. Sonia adds, "We have lots of content that can add value to CentreLearn Standard or Complete. Options include HIPAA TV Online from Page Wolfberg and Wirth, Emergency Film Group HazMat and technical rescue training, 12 Leads Made Easy and Capnography Made Easy from Physio-Control University, HeartCode ACLS and BLS, and the JEMS Learning Pack.

View our full course catalog.

12/28/11

Announcement: Firefighter Safety - Injury and Fatalities Course Updated



Photo by Ed Mund
The CentreLearn course, Firefighter Safety: Firefighter Injury and Fatalities, has been updated to include the 2010 statistics on line of duty death and injury. This is the most up-to-date information available.

Every year, firefighters are killed and injured at emergency incidents, during training, and while driving to and from incidents. The tragedy of this loss of life and health is not limited to the fact that it occurs, but also in that the majority of firefighter fatalities and injuries are preventable. This course provides insight into the scope of firefighter injury and death.

Course Objectives:
  • Discuss the historical scope of the firefighter injury and fatality problem
  • Describe the Federal agencies that monitor, track, investigate and/or report on firefighter injuries and deaths
  • Describe the agencies or organizations that produce guidelines, training or regulations related to firefighting and firefighter safety
  • Discuss the most common causes of firefighter fatalities
  • Discuss the nature of the most common firefighter injuries
Learn more about CentreLearn courses or contact us for a demonstration on how the CentreLearn learning management system can help your department Train Better and Spend Less. 

12/22/11

New Course: Advanced Shock Part 1 and Part 2




Image by KyleDavidBates.com
A new two part course on Advanced Shock and Shock Management has been added to the CentreLearn ALS and BLS continuing education library.

Advanced Shock Part 1
The course objectives are to:
  • Understand anatomy and physiology of normal circulation and oxygenation 
  • Recognize the complications created in shock states
EMS professionals are taught basic shock assessment and management early in training, but a more thorough understanding of what shock is, what happens to the body when shock occurs, and how to recognize shock will help you choose an appropriate treatment plan. Part 1 of this course explores anatomy and physiology of circulation and oxygenation and how to recognize the complications created in shock states.


Advanced Shock Part 2
The course objectives are to:
  • Understand shock signs and symptoms 
  • Use knowledge to manage shock patient
EMS professionals are taught basic shock assessment and management early in training, but a more thorough understanding of what shock is, what happens to the body when shock occurs, and how to recognize shock will help you choose an appropriate treatment plan. Part 2 reviews shock signs and symptoms and how to use your knowledge to manage the patient with shock.

View the complete CentreLearn course catalog.

12/21/11

Hyperglycemia in Acutely Ill Patients



Note: We asked Ada County Paramedic R. Steve Cole and EMS educator Buck Feris to respond to a user question about the relationship between sepsis and hyperglycemia. 

Obtaining a glucose reading should be a priority on every sick patient that is receiving an ALS assessment and treatment, regardless of circumstances. EMS professionals adhere to this practice to find out if diabetes or lack of intake is the cause of the current complaint or a complicating factor.

But did you know that there are several other causes of hyperglycemia? A curious student emailed CentreLearn with the following question: "Why does sepsis cause symptoms of hyperglycemia?" The question sparked some good old shop talk between educators, and we would like to share the information with you here.

Sepsis and many other acute illnesses will often cause hepatic glucose production to be increased. This is thought to be a byproduct of the catecholamines which are released in response to severe illness as well as the heightened levels of cytokines, glucagon, and cortosol. This will often raise blood glucose levels even in the absence of diabetes. This can become so profound that insulin therapy must be temporarily employed to stabilize blood glucose levels.

The new 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation discusses the importance of maintaining adequate blood glucose levels in post-cardiac arrest patients. High blood glucose levels have been shown to increase mortality in these patients and worsen neurological outcomes. You may read about it here in Part 9 of the new guidelines.

Beyond this, sepsis and other acute illnesses can lead to dehydration through volume depletion. Dehydration reduces the plasma content of the blood stream; reducing the amount of fluid in the blood vessels. However, dehydration by itself will not change the glucose level of the blood. This creates a higher concentration of glucose in the bloodstream. Since glucometers simply measure the amount of glucose dissolved in a small sample of blood (mg/dL or mmol/L), the instrument will show a higher blood glucose reading than normal. Lower plasma levels are the cause of the hyperglycemia, not diabetes.

Another possible cause of hyperglycemia is advanced shock. Under certain conditions, advanced shock states can lead to organ damage and decreased end organ perfusion. Sometimes this can cause damage to the pancreas and one possible result would be a decrease in insulin production. The result of decreased insulin production would again be increased serum levels of glucose.

Finally, hyperglycemia can also be seen in some end stage cancer patients. Many types of cancer can cause a decrease of albumin in the bloodstream. Albumin is a large protein that creates an osmotic pull that retains plasma in the vascular space. A reduction in albumin levels will often cause blood plasma to leak into the interstitial space. As with dehydration, this does not affect serum glucose levels. This reduction in blood plasma again causes high concentrations of blood glucose levels that will be seen in glucometer readings for these patients.

The take home from all of this is that hyperglycemia may be a sign of acute illness that has nothing to do with diabetes. Prehospital providers should be watchful, and not get tunnel vision when encountering hyperglycemia in the field. You just might have a critically ill patient who needs a completely different approach.

12/20/11

CE Article: Processing the Patient Refusal




CONTINUING EDUCATION FROM EMS WORLD MAGAZINE
Patient refusals are high risk incidents for EMS professionals. In this article learn about the risks, importance of patient assessments, and patient refusal documentation. Read the full article at EMSWorld.com or in the December 2011 issue of EMS World magazine.

Article Objectives
  • Highlight the risks around completing a patient refusal
  • Explain the different assessments performed while processing a patient refusal
  • Discuss patient refusal documentation

This CE activity is approved by EMS World Magazine, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 1.5 CEUs. To earn your credits, go to www.rapidce.com.

12/15/11

Announcement: CentreLearn has an Immediate Opening for an Account Manager




CentreLearn Solutions, the leading provider of online education for Fire departments and EMS agencies, has an immediate opening for an Account Manager (SE Region). Visit CentreLearn.com/careers to view the job description and application instructions. We are looking for team members who share our passion for technology, customer service and training.

Share the Good News with Your Peers 
Do you know someone with sales experience that is job searching? If yes, please share this unique opportunity to join an innovative company that rewards effort, creativity, and passion. Broadcast this announcement on Facebook and Twitter using the "Like" and "Tweet" buttons at the top of the post. Thanks!

Be the first to hear CentreLearn news and announcements by joining us on Facebook.

Slideshare: Technology and EMS Education



3 Quick Things for Kansas EMS Educators Workshop

Brief presentation given to Kansas EMT and Paramedic educators about technology and EMS education. I discuss online learning, social learning, and mobile learning. Rob Theriault, co-host of the EMSEduCast - the podcast by and for EMS educators - also presented to the workshop participants. The participants were in a classroom in Kansas while Rob and I presented from our respective offices in Ontario and Wisconsin.


12/14/11

Reminder: Password Reset Instructions



As we near the end of the year, lots of CentreLearn Learning Management System users are rushing to finish their annual continuing education requirements. With the surge in usage we are receiving lots of requests for password reset instructions.

If you forgot your password, follow these instructions for an automated password reset.

12/13/11

Announcement: JEMS Learning Pack



Premium Education Content from JEMS

CentreLearn has a great new addition to our educational offerings, via a special partnership with JEMS. The JEMS Learning Pack, which can be added to your current CentreLearn subscription, gives each of your personnel:
  • Access to the JEMS CE catalog of more than 40 courses. All courses are CECBEMS-approved and offer real-time testing for CE certificates 
  • The JEMS Course of the Month, which features a timely topic of particular interest to EMS professionals
  • One-year digital subscription to JEMS magazine 
  • A $50 discount toward registration at the EMS Today Conference 
  • Monthly JEMS CE eNewsletter, including news and links to JEMS educational resources or government resources (e.g., NHTSA, DHS) 
The total value of this package is $139/user, but as a CentreLearn customer, you’re eligible to add the JEMS Learning Pack to your subscription for an additional $25 per user.

PLUS, you’ll also receive a single one year subscription to the EMS Insider, the monthly newsletter for EMS supervisors, administrators and executives. This newsletter filters all the current EMS stories and gives you the most important information on government regulations, EMS trends, legal issues and more. A newsletter subscription is $220 but it’s included for free when you add JEMS Learning Pack to your current CentreLearn Agreement.

Please contact us or call 1-877-435-9309 to add the JEMS Learning Pack to your current CentreLearn subscription. 

12/1/11

Training by Computer, Some Not All



Note: this article, re-posted with permission, is by Bill Booth. Training by Computer, Some Not All originally appeared in the Interact Business Group newsletter. 

While walking the exhibit floor at the IAFC conference in Atlanta I was struck by the large and growing numbers of private companies and educational institutions offering training and degree programs. Only a short few years ago we began to see private companies offering training programs as “slide presentations” (the paper kind). Then after a couple of years we saw the introduction of the Computer Based Training (CBT) which was software based. In reality most were slides in PowerPoint with a few pictures thrown in. Oh, how far we have come! At the FDIC last April there were 116 education vendors exhibiting almost 400 products! There is currently a “discussion” raging on in one of our LinkedIn Groups about the pros and cons of learning the intricacies of first response, tactics and emergency management and whether that can be accomplished on a computer. It will likely come down to a simple matter of money and common sense.

Our company, IBG, just completed a project for a department whose training budget had been (and continues to be) decimated by budget cuts. Their job is still as difficult and dangerous as it always has been. Yet they are expected to provide the same high level of service with a whole lot less money. Given that point alone, the more economical online-training solutions are bound to be leveraged more and more. And with more demand (and users making demands) the applications for e-learning, training and education will continue to get better – eventually becoming an everyday part of training programs.

In the very near future creating an atmosphere of blended training will become the norm. The lesson I learned in Atlanta is that some specific aspects of your job can be accomplished by computer. I said some, not all.

Can a recruit learn to climb and feel the risk of a ladder using a computer? Of course, not. Can the same recruit use a computer to learn hazardous materials placard signs? Absolutely. So the solution comes down to this. Some training must be handled on the drill ground – no argument there. But some training is fine for the classroom, and some training can even be handled… yes, on a computer.

After seeing how far technology has come in just a few short years, my belief in this is stronger than ever that People can learn new skills and hone existing ones using computer software or online applications. If you are not engaged-in or at least researching some form of computer/online instruction, then get started. If you need some help to get started, here are 9 steps that I use when helping departments develop their strategic plan.
  1. Establish a Project Team - select from different skill sets (for example: a veteran hands-on instructor and a tech savvy type). 
  2. Define the Vision and Goals - What do you hope to accomplish and why? 
  3. Define Learning Needs and Wants - Review all your curriculums. What absolutely must stay hands-on and what can be moved to a computer? 
  4. Benchmark Technologies and Courseware - Do a vendor search, what is existing and available? 
  5. Define Established Technology Infrastructure - What hardware, software, and infrastructure do you need? 
  6. Develop Implementation and Phasing Scenario - prioritize (how and when) 
  7. Develop Cost Budgets 
  8. Measure and Evaluate Cost Benefits - This one is important. How much will it cost and what are the long term benefits? 
  9. Management Buy-in and Funding

Bill Booth, President of the Interact Business Group, possesses 20 years of experience developing business plans and strategic models for public safety agencies. Throughout the nation, Mr. Booth has assisted and directed public agencies and educational institutions by applying the best traditional business practices in the field of training facility financing, operating, partnering, technology and funding. Under his leadership IBG is considered the leader and pioneer in the field of strategic and business planning for the public safety training industry. Mr. Booth is also the founder of the highly regarded “Seven-Step Business Plan Process,” which provides a step-by-step roadmap that enables planners and decision makers to approach the training facility planning and sustainability method from a strategic/business perspective. Bill may be contacted at bbooth@interactbusinessgroup.com


11/16/11

Guest Posts Welcome



CentreLearn welcomes guest posts from our organization administrators, firefighter and paramedic users, and fire and EMS educators. A guest post is a great opportunity for you to explain how your organization uses CentreLearn and online education to train better and spend less.

Consider using one of these blog post frameworks:

1. How-to Post. Write about how you use CentreLearn to accomplish a specific training task or requirement.

2. List Post. Write about the top three CentreLearn features for your organization, or write about three lessons you have learned about successfully implementing an online education program. Other lists could be the top five CentreLearn courses used by your users, three reports you view every week or month, or five ways to use the GoToMeeting feature built into CentreLearn to meet your organization's educational objectives.

3. Clinical Topic. The CentreLearn course library has more than 200 courses. We welcome guest posts that supplement or dig deeper into one of the clinical topics. Has one of your users asked you a question about a CentreLearn course? Write a blog post of your answer to their question.

Submit your guest post idea by contacting us. Also you can submit an idea that you would like us to write about. Thanks!