The 20th Annual

Spring Fling Conference

April 28 – April 30th, 2022
Edgewood Resort & Conference Center
Alexandria Bay, New York

SPONSORED BY:

NORTH COUNTRY REGIONAL EMS COUNCIL

NORTH COUNTRY REMAC

FDRHPO NORTH COUNTRY EMS PROGRAM AGENCY

(Masks May Be Required)
 GENERAL INFORMATION
NEW this year- TACO Thursday- Taco bar available to grab a bite to eat before the presentation

Friday Night Get-together sponsored by Air Methods LifeNet of NY! Attendees will have an Italian
Buffet and two (2) drink coupons. DJ included! May purchase tickets for guests who are not attending the
conference. Regional recognition awards and the Rich Beebe Education award will be given.

VENDORS will be set up both FRIDAY & SATURDAY!!

VENDOR BINGO! Visit all the vendors during breaks or lunch, get your bingo card stamped and enter a
drawing for a chance for a FREE registration to the 2023 Spring Fling!

Certified Instructor Update, ALS Core Content, and BLS Core Content schedules will be available at the start
of the session

The Edgewood Resort will have a breakfast buffet available on Friday and Saturday morning (not included
in the conference fee). The dining room will open late on Thursday evening for those arriving later on
Thursday.

Rooms reservations at Edgewood Resort and Conference Center can be made by calling
1-888-Edgewood or 315-482-9923 mention you are attending the conference to
receive the conference rate of $119.00 a night.
(Gratuities and maid service not included)

Directions to the Edgewood Resort and Conference Center:

o Starting I-81 North in Watertown head to Exit 50N (24.1 miles)
o Take Exit 50N to merge onto NY-12N toward Alexandria Bay (4.0 miles)
o Turn left at Edgewood Road
o Take a slight right onto Otter Street
o Take the first right on Edgewood Road
o Destination: Edgewood Resort and Conference Center; 22467 Edgewood Road, Alexandria Bay, NY 13607
The Sponsors reserve the right to substitute a lecture or presenter due to unforeseen circumstances.

EMS Agencies paying for multiple participants may submit one check; however, you must complete and
include a separate registration form online for each individual attending.

Everyone must register online. The registration form can be found at

https://www.emsscanning.com/reg/registration.php?E_ID=364 or on our website
www.fdrhpo.org/ems

Please make checks or money orders payable to NCEMS REMSCO if not paying by credit card ($30.00
returned check fee)

Payments can be mailed to the following address:

FDRHPO North Country EMS Program Agency
120 Washington Street, Suite 230
Watertown, NY 13601

Early bird registrations must be postmarked by the close of business on 4/1/22 to receive the reduced rate.

Requests for refunds must be sent in writing no later than May 4th, 2022, to:
FDRHPO North Country EMS,
c/o Spring Fling Refund
120 Washington Street, Suite 230, Watertown, NY 13601
 Thursday, April 28th, 2022

TACO BAR Starting at 6 pm

Come and enjoy dinner while completing your non-core
mandatory Emergency Vehicle Operations certificate renewal hours.
6:30-8:30
Emergency Vehicle Operations – This program will meet the requirements of the New York
State continuing medical education program for the non-core mandatory topics.

Friday, April 29th, 2022

8:30 AM- 5:30 PM (Lunch included)

ALS Core Content presented by Mark Tuttle, EMT-P, CIC, John Morrissey, EMT-P, CIC,
and Life Net of NY
• Pharm/med admin/Emergency Meds 1.5
• Shock and Resuscitation 2
• Trauma 1.5
• OB/neonates/Pediatric 2

8:30 AM- 5:30 PM (Lunch included)

BLS Core Content presented by Mark Tuttle, EMT-P, CIC, John Morrissey, EMT-P, CIC
and Life Net of NY
• Abd/Geni-Renal/GI/Hematology 1
• Respiratory 1
• Psychiatric 1
• Cardiology 2
• Shock & Resuscitation 2

9:00 AM to 12:00 PM (Free for all NYS CLI or CIC’s)

Certified Instructor Update
*If you would like to attend afternoon core content sessions after the update the cost
will be $40.00 (only for Certified Instructor Update participants)

NYS CIC’s now need 3 hours of state CIU, and 5 hours of “other” approved instructor education for
renewal of their CIC, this will fulfill the state 3-hour requirement for both CLI and CIC

Cocktail hour following presentations

Italian Buffet, Regional Awards, and Entertainment
 Saturday, April 30th,2022
ALS Track
0715-0815 Registration in Edgewood Conference Center
Ann Smith/Debbie Singleton
0815-0830 Welcome and Opening FDRHPO North Country EMS Program Agency
Remarks Director
North Country REMSCO Chair
When things go wrong… Rescue
0830-0930 Airways and Front of Neck Access Vince Santilli
(FONA) MBA, NRP, FP-C
(Airway, Additional)

Break and Exhibits

0930-0945
ACEs in Children and Lifelong Effects of Amy Eisenhauer
0945-1045 Trauma NYS DOH Bureau of EMS and Trauma
(Pediatric, Additional) Systems

1045-1100 Break and Exhibits

Shockingly Stubborn-Refractory
Shane O'Donnell
1100-1200 Ventricular Rhythms
Flight Paramedic, Education Coordinator
(Cardiology, Additional)
Lunch and Exhibits
1200-1245 Buffet luncheon
Patient’s Aren’t Ducks - A Case Study
Melissa A. Brook
1245-1345 Approach to Cognitive Bias in EMS.
NREMTP, FP-C, CIC
(Preparatory, Additional)

Break and Exhibits

1345-1400

SPH for EMS: Getting patients up and Robert Bowman

1400-1500
loaded without getting hurt EMT, ASC, CSPHA - Northeast Associates.
(Lifting and Moving, Additional)

1500-1515 Break and Exhibits

The Night I Almost Jumped: EMS and Matthew Giacopelli

1515-1615 the Stigma of Mental Health Paramedic
(Mental Health of EMT, Additional)

Closing Remark
1615-1630 Debbie Singleton/Ann Smith
 Saturday, April 30th, 2022
0715-0830 BLS Track
Registration in Edgewood Conference Center
Ann Smith/Debbie Singleton
0830-0845 Welcome and Opening FDRHPO North Country EMS Program Agency
Remarks Director
North Country REMSCO Chair
The Night I Almost Jumped: EMS and
0845-0945 Matthew Giacopelli
the Stigma of Mental Health
Paramedic
(Mental Health of EMT, Additional)

Break and Exhibits

0945-1000
SPH for EMS: Getting patients up and
Robert Bowman
1000-1100 loaded without getting hurt
EMT, ASC, CSPHA - Northeast Associates.
(Lifting and Moving, Additional)
1100-1115
Break and Exhibits
1115-1215 Acute Coronary Syndrome and Beyond
Paul Barter, FNP, EMT-P
(Cardiology/Additional)
Lunch and Exhibits
1215-1300 Buffet luncheon

An EMT's Guide to Managing the Stroke Dan Batsie,

1300-1400 Patient MPA, NRP
(Neurology, Additional)

Break and Exhibits

1400-1415
Substance Abuse Awareness for EMS
Raymond Hubert
1415-1515 Personal
AS, CASAC, AEMTP, CIC
(Toxicology, Additional)
1515-1530
Break and Exhibits

ACEs in Children and Lifelong Effects of

Amy Eisenhauer
1530-1630 Trauma
NYS DOH Bureau of EMS and Trauma Systems
(Pediatric, Additional)

Closing Remark
1630-1645 Debbie Singleton/Ann Smith
ACEs in Children and Lifelong Effects of Trauma
The COVID19 Pandemic has highlighted the need for concern about children’s mental wellbeing and the safety
net that schools provide for our children. Adverse Childhood Experiences and associated traumas can follow
children through their entire life and affect not only their mental health but their physical health as well. Join us
to learn what ACEs are and the role EMS fills in the protection of these patients.
Describe what ACEs are and give examples.
Understand physiological changes in the body secondary to mental trauma.
Recognize the role EMS fills related to pediatric mental health.

Shockingly Stubborn-Refractory Ventricular Rhythms

You are the Paramedic on a 45-year-old male in cardiac arrest. You place your pads, charge the monitor and
look at the rhythm- ventricular fibrillation. Bam! Shock delivered. Shock after shock, the rhythm doesn't change.
Racking your brain, you run out of ideas to save this young father of two. This presentation will provide the
data, tips, and novel treatments for this frustrating disease process.
Review criteria for refractory ventricular rhythms.

Discuss the data behind current treatments including medications, defibrillation, dual sequential defibrillation, and ECMO.

SPH for EMS: Getting patients up and loaded….without getting hurt

Robert will provide an overview of why Safe Patient Handling to both patient and care provider safety. Mr.
Bowman will provide participative, hands-on experience to all participants as they get the opportunity to apply
and use the latest Patient Handling Equipment that's on the market today.
Understand why safely handling patients is vitally important to longevity of the EMS professional,

Describe why using SPH equipment is important to assuring the safety of the patient,

Demonstrate the ability to properly select and apply at least one of the many samples of equipment presented during the
workshop.

When things go wrong… Rescue Airways and Front of Neck Access (FONA)
When things go wrong while managing an airway, providers have a choice in how to move forward. This
presentation is designed to make the complicated airway simpler to manage. Comfort in the midst of the ultra-
uncomfortable is a skill that can be developed.
Learning what options, you can deploy and practicing a simple approach to their execution can make all the difference when
dealing with the difficult airway.

Patient’s Aren’t Ducks - A Case Study Approach to Cognitive Bias in EMS

If it looks like a duck, you may find it to be a duck based on your cognitive bias. Explore common diagnostic
pitfalls EMS providers experience and how they can impact patient outcomes. By learning to recognize these
pitfalls and how to avoid them, EMS providers can prevent themselves from falling victim to them and impact
better patient outcomes.
Describe what cognitive bias is and how it impacts EMS providers and patients
Recognize where cognitive bias appears in our daily practice
Learn to avoid common pitfalls to improve patient care

Acute Coronary Syndrome and beyond ………

This presentation covers the pathophysiology of acute coronary syndrome and will elevate your ability to
recognize and treat patients with acute coronary syndrome. As prehospital care expands the ability for basics
to use the cardiac monitor has expanded and this presentation will introduce you to 12-lead acquisition for the
BLS provider.
Objectives
Identify and understand the pathophysiology involved in acute coronary syndrome [ACS] to
include signs and symptoms, prehospital interventions, and tertiary treatment modalities
Identify how to apply cardiac monitor, correct lead placement, and strategies to troubleshoot artifact
The learner will be able to correlate our NYS and Regional protocols as they pertain to the patient with ACS.
An EMT's Guide to Managing the Stroke Patient
In the United States, someone has a stroke every 40 seconds and someone dies from a stroke every 4
minutes. While stroke continues to be a leading cause of long-term disability, recent advances in emergency
care offer miraculous outcomes when systems of care align properly. Every year, nearly 600,000 of these
suspected stroke patients enter the EMS system. Are you ready for your important role? This class will
discuss the identification of stroke and evidence-based, best practice prehospital care. The focus will be
offered to the identification of large vessel occlusion strokes using validated assessment tools like FAST-ED.
While all levels are welcome, this class is specifically designed for the EMT.
Define stroke
Describe the epidemiology of stroke in the US
Describe the pathophysiology of occlusive stroke
Differentiate occlusive from hemorrhagic stroke
Define large vessel occlusion stroke and describe why it is important to identify
Describe the application of FAST ED in the assessment of suspected stroke
Describe how a stroke scale could be used to manage transport destinations in a stroke system
Describe three key prehospital interventions associated with best practice stroke care.
List steps for resiliency.

The Night I Almost Jumped: EMS and the Stigma of Mental Health
Mental health - the elephant in every Emergency Services station and dispatch center. Mental health - the
taboo subject no one talks about. Well, not anymore. We're going to have a talk about why Matt had a bout of
depression that nearly ended his life. We are going to talk about some of our brothers and sisters who are no
longer with us because they lost their battle with their demons. What is the extent of the problem? What's
being done about it? We're going to talk about the stigma, and how to break it. We're going to learn how to
cope, how to be resilient. Above all, we are going to learn it's ok to not be ok, and it's ok to talk about all of this.
Because this time, the life we save may be our own.
List some reasons why someone may contemplate suicide.
Discuss the stigma surrounding mental health in EMS.
List coping mechanisms for the stress many EMS providers experience.
List steps for resiliency.

Substance Abuse Awareness for EMS Personal

Using lecture, PowerPoint, and actual materials, participants will be presented with the similarities and
differences medical conditions may have with signs/symptoms of substance use or withdrawal. There will be
explanations of various substances, the methods of use, and the appearance of intoxication. A strong
emphasis is also placed on various contraband and the importance of and fluidness of scene safety. Various
materials are presented to the participants as a "show & tell". Examples of these materials include items such
as "crack stems", meth pipes, stash cans, and samples of other contraband.
Differentiate the similarities and differences between medical conditions and substance-related issues.
Discuss a variety of different drugs and the effects on the body.
Recognize contraband and drug related materials that may be present on a scene.
 About our Saturday Speakers

Vince Santilli, MBA, NRP, FP-C

Critical Care Flight Paramedic
LifeNet of New York / Air Methods
Not your conventional presenter. Vince speaks fluent sarcasm and loves to mix things up! You will never lose
interest when he is presenting. He brings more than 3 decades of prehospital experience, in both ground and
flight, to the podium. Vince is known for his engaging multimedia presentations that bring his audience right to
the flight line. He has a unique way of simplifying the most advanced topics allowing for a high degree of
learning transition. He has held a wide range of leadership positions in both smaller rural EMS agencies as
well as large corporate environments. Vince currently works as a Flight Paramedic for the largest aeromedical
operator in the United States and is a credentialed instructor in a number of AHA and NAEMT disciplines. If
you want to have a little fun while learning, then this is the session to attend

Amy Eisenhauer, EMS for Children Program Manager

NYS DOH Bureau of EMS and Trauma Systems
Amy is the EMS for Children program manager for the New York State Department of Health at the Bureau of
EMS and Trauma Systems. She also serves as the EMS Liaison to the Coverdell Stroke Program. Prior to her
current role, Amy filled challenging roles as an EMS educator, course content developer, author, conference
coordinator, and training officer, as well as serving as an EMS provider for over 25 years.

Shane O'Donnell, Flight Paramedic, Education Coordinator

Mercy Flight Central
Shane O'Donnell serves as the Education Coordinator and an active Flight Paramedic with Mercy Flight
Central in Upstate, NY. He works to coordinate novel education, simulation, and skill-specific content for highly
motivated air medical providers. Additionally, he maintains certification as a Flight Paramedic, National
Registry Paramedic, and in Neonatal Pediatric Transport. He holds his AAS in Paramedicine. He has
experience in urban, suburban, and rural 911 and critical care ground transport. While not taking care of
patients he can often be found spending time with his son, wife, and dog at their home in NY.

Raymond Hubert AS, CASAC, AEMTP, CIC

Niagara County Community College - CIC
Tri-Community Ambulance - 2nd Assistant Chief
Ray became an EMT in 1979 and a Paramedic in 1982. In 2000 he obtained his Credentialed Alcohol and
Substance Abuse Counselor certification. He spent 20 years working as a front-line counselor. During the
same period, he provided Substances Abuse education for various industries in the Western New York area. In
addition to his duties as an Educator and a Chief, he is employed by Eastern Niagara Hospital in Lockport NY
as the Clinical Operations Manager of Western New York Occupational Medicine and their Express Care
urgent care center.

Paul Barter, FNP, EMT-P

Jefferson County EMS Director, NYS Regional Faculty, and CIC
Paul has over 40 years as a healthcare provider with diverse clinical experiences having worked as RN in
Intensive/Coronary care, interventional procedures, and flight nurse paramedic. Paul spent 16 years as a
Nurse Practitioner in Cardiology and 11 years in Family Medicine.

Robert Bowman EMT, ASC, CSPHA - Northeast

Senior Consultant - Safe Patient Handling & Loss Control
Mr. Bowman is a Risk Management Professional with over 20 years of experience assisting Healthcare clients
in solving their Patient Handling and Mobility challenges. A long-time EMS care provider in NY State, he has
partnered with Craigmile Health Solutions to bring the latest in Safe Patient Handling equipment and
technology to Emergency Medical Services throughout the country. He is currently serving as Lieutenant of the
Beaver Falls Ambulance, an Associate Member of Lewis County Search and Rescue, and currently serves on
the North Country REMAC.
Melissa Brook
NREMTP, FP-C, CIC
Melissa Brook is an EMS educator and paramedic in North Country, NY. She works primarily at Gouverneur
Rescue as the Deputy Director and Clinical Educator and teaches at multiple programs in the area. She has
experience in urban, rural, and critical care ground and flight EMS. She is a New York State, Nationally
Registered, and Certified Flight Paramedic.

Matthew Giacopelli, Paramedic

York Regional EMS
Matt has been involved in EMS since 1991, starting as a volunteer at SUNY Maritime College, where he
earned a degree in Meteorology and Oceanography. He earned EMT certification in 1992 and paramedic
in 2000. Matt has worked in urban, suburban, and rural settings doing 911 and critical care transports,
gaining experience in ground and air transport. And while he’s been around a few different blocks, from
New York City to Long Island, to York, PA, a few times, he’ll never say he’s seen everything. Currently,
he is a Paramedic with York Regional EMS in York, PA.

Dan Batsie, MPA, NRP

Dan Batsie is the Director of Emergency Preparedness, Response, and Injury Prevention for the Vermont
Department of Health. In his role, he leads emergency medical services for the state. He has been a
paramedic in New York, Maine, and now Vermont for more than 30 years. Over his career, Dan has worked
hard to elevate the profession of prehospital medicine and demonstrated a particular passion for high-quality
EMS education. Dan has directed two accredited paramedic programs, authored two EMS textbooks, and
lectured both nationally and internationally on current EMS topics. In addition to his work at the state level,
Dan is active in numerous national EMS projects and committees.

Early Bird Registration by close Regular Registration after 4/1/22

Conference Choices of business 4/1/22 Ends 4/15/22
Thursday Night Taco Bar and
Emergency Vehicle Operations $30.00 $30.00
Thursday Night Taco Bar Guest $25.00 $25.00
Friday CIU with afternoon core content $40.00 $40.00
Friday ALS Core Content Preconference $90.00 $100.00
Friday BLS Core Content Preconference $90.00 $100.00
Friday Additional Lunch Guest $20.00 $25.00
Friday Night Italian Buffet Free for attendees Free for Attendees
Friday Night Italian Buffet Guest $30.00 $30.00
Saturday ALS Track $90.00 $100.00
Saturday BLS Track $90.00 $100.00
Saturday Additional Lunch Guest $20.00 $25.00
A Special Thank You to our sponsors
Gold Level Sponsor

Silver Level Sponsors

Hospital Sponsors
Bronze Level Sponsors