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Presented by Air Medical Physician Association (AMPA)Air & Surface Transport Nurses Association (ASTNA)International Association of Flight & Critical Care Paramedics (IAFCCP)

APRIL 10-12

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CRITICAL CARE PROCEDURAL ANATOMY PROGRAMThis portion of the Critical Care Transport Medicine Conference is for transport crew members who wish to update and practice critical care techniques that will enhance their ability to provide the best possible care to patients who are most in need. The program offers state-of-the-art updates on clinical procedures. The didactic sessions include topics on emergent airway man-agement, surgical airway management, chest tube insertion and management and pericardiocentesis, ventilation assessment and ventilator management, ventilator assist devices, intraosseous vascular access, and tourniquets and control of bleeding. A Procedure Lab will be provided for partici-pants to practice the techniques they have discussed during the lecture session.

Educational Objectives:At the completion of the Critical Care Procedural Anatomy Program participants should know or be able to:

• Demonstrate understanding and hands-on skills practice for critical care procedures to include central line insertion, chest tube insertion, intraosseous access, ventilator management and surgical airway (cricothyroidotomy).

• List the indications, contraindications, success rates and complications from the use of these devices and techniques used in the emergency treatment of the critically ill and/or injured patient.

ACCOMMODATIONS Individuals may make reservations at the Wyndham San Antonio River Walk Hotel by calling 1-866-764-8536. In order to obtain the conference room rate of $155.00 (single or double plus taxes); please refer to our group block Air Medical Physician Attendee. Or, use the following web link: https://aws.passkey.com/go/CCTMC2017

Reservations must be made by March 6, 2017.

The Critical Care Transport Medicine Conference is designed to address topics pertinent to the prehospital and emergency care of the critically ill and injured patient. Physicians, nurses, paramedics, respiratory therapists and allied healthcare professionals will be provided information that offers them a deeper understanding of the essentials of care required for the complex patient requiring critical care air and ground transport. Lectures will be presented that will help participants develop leadership skills.

Educational Objectives:At the completion of this conference participants should know or be able to:

• Use state-of-the-art information to enhance and influence their clinical practice in the critical care air and ground transport environment, increase their skills, and influence their awareness of the unique environment in which they deliver medical care.

• Describe awake intubation, REBOA, FAST-ED, ROSC, what the literature says about Sepsis.

• Discuss treatment of pediatric sudden cardiac arrest, blue babies gone bad, and pediatric DKA is not nice!

• Describe transporting the severe ARDS patient, data quality metrics in an ECMO programs, management of hypoxemia in transport, and circulatory assist devices – what have we learned so far?

• Describe push dose pressors, push dose nitroglycerine, demystifying the surgical airway, and logistics in HEMS…preparing for advanced procedures.

• ACLS in VAD management, clots in the lungs, vascular catastrophes, can we pre-vent errors and improve the transport expe-rience?, and the subtle signs of badness.

• Ketamine and marijuana – is there nothing these two can’t fix? Needle, finger or tube? Death by ventilator, effect of human factors in outcomes, point of care lab testing, and four steps to make ECMO transport “easy.”

• Cognitive off loading in critical care retrieval, the what, why and how of stress exposure training, the power of making a mistake, and why sometimes the best thing to do is nothing.

SCIENTIFIC FORUMThe 16th Annual Scientific Forum is sponsored by AMPA, ASTNA and IAFCCP. Posters will be presented and reviewed on April 10th and an Outstanding Research Award will be given prior to the opening General Session on April 11th. Our goal is to nurture and provide an appropriate forum for research in air and ground medical transport.

CCTMC PROGRAM DESCRIPTION

CRITICAL CARE TRANSPORT MEDICINE CONFERENCE ULTRASOUND WORKSHOPThis 4-hour ultrasound course focuses primarily on the use of point-of-care ultrasound in the critically ill patient. Using a step-by-step approach, learners will be taught a shock protocol that will allow them to quickly diagnose a wide variety of pathologic conditions. The lecture portion discusses essential physics and knobology and the use of ultrasound to evaluate the critically ill patient at the bedside, and is followed by a hands-on practice session.

Educational Objectives:At the completion of the Critical Care Transport Medicine Conference Ultrasound Workshop participants should know or be able to:

• Demonstrate proper machine settings/image acquisition.

• Describe sonographic findings of the hemopericardium, hemoperitoneum, hemothoraces, pneumothoraces, and right heart strain, pericardial tamponade and acute valvular insufficiency.

• Describe sonographic findings of catastrophic intra-abdominal conditions (pneumoperitoneum, pneumatosis, pneumobilia, emphysematous infection).

• Demonstrate an eFAST examination.

• Describe sonographic findings of abdominal aortic aneurysms, as well as proximal lower extremity DVT.

• Demonstrate catastrophic abdominal scanning protocol, and 2-point lower extremity compression examination.

7:30 a.m. On-Site Registration

8:00 – 8:15 a.m. Welcome, Lab Orientation and Program Overview 8:15 – 9:00 a.m. Adjuncts in Airway ManagementJack B. Davidoff, MD, EMT-P

9:00 – 9:30 a.m. Cricothyrotomy: Pearls and Pitfalls William Hinckley, MD, FACEP, CMTE

9:30 – 10:00 a.m. Chest Tubes, Pleural Pigtail Catheters, and Pericardiocentesis Christopher J. Fullagar, MD, EMT-P, FACEP

10:00 – 10:30 a.m. Ventilation Management Lauri Bolton, MD

10:30 – 10:45 a.m. BREAK

10:45 – 11:15 a.m. Mechanical Circulatory Support P.S. Martin, MD, FACEP

11:15 – 11:45 a.m. Intraosseous Vascular Access Lauri Bolton, MD

11:45 a.m. – 12:15 p.m. Hemorrhage Control Craig Bates, MD, MS, FACEP 12:15 – 12:45 p.m. Lab Procedures and Safety Jack B. Davidoff, MD, EMT-P

12:45 – 1:30 p.m. LUNCH ON OWN 1:30 – 5:30 p.m. Procedure Lab

CRITICAL CARE SKILLS DIDACTIC SESSIONS

BREAKOUT II Ketamine and MarijuanaIs There Nothing These Two Can’t Fix?Charles W. Sheppard, MD, FACEP, FAAEM

BREAKOUT II FAST-ED: A Field Triage Tool Predictive of Large Vessel Occlusion StrokesCarol Fleming, RN, BSN, CCRN, CFRN

BREAKOUT II ACLS in VAD Management Paul Mazurek, BSN, M.Ed.

BREAKOUT II Critical Care Ultrasound: Define the Standard Benjamin Nicholson, MD, MRP

Critical Care Transport Medicine ConferenceWyndham San Antonio River Walk Hotel

MONDAY, APRIL 10, 2017BREAKOUT II Toward Integration and Mastery:Creation of a Simulation Based Airway Management Curriculum for OrienteesFred Jeffries, FP-C, CNPT, MTSP-C

SCIENTIFIC FORUM–Poster Review9:00 a.m. – 12:00 p.m.Coordinator: Lauri Bolton, MD

ULTRASOUND WORKSHOP 8:00 – 8:55 a.m. Practical Scanning Lecture (Physics/Knobology)Robert Jones, DO, FACEP

9:00 – 10:00 a.m. eFAST Examination LectureRobert Jones, DO, FACEP

10:00 – 10:15 a.m. BREAK

10:15 a.m. – 12:00 p.m. Hands-on ScanningRobert Jones, DO, FACEPCraig Bates, MD, MS, FACEP

SUNDAY, APRIL 9, 2017Critical Care Procedural Anatomy Program Limited to 40 participants

Noon – 1:00 p.m. CCTMC Conference On-Site RegistrationBallroom Foyer

1:00 – 1:45 p.m. OPENING GENERAL SESSION:If I Ran the World…What is Wrong with American Prehospital Care and How Do We Fix It?Michael Abernethy, MD

Critical Care Transport Medicine Conference

BREAKOUT SESSIONS:1:55 – 2:25 p.m.BREAKOUT I TBA

2:30 – 3:00 p.m.BREAKOUT I 1, 2, 3, 4 - Get that ECMO Out the Door!Four Steps to Make ECMO Transports “Easy”Jaime Simpson, RN, BSN, CFRN, NRP, CCEMT-PJustin Gaultney, NRP, FPC

3:00 – 3:25 p.m. BREAK

3:25 – 3:55 p.m. BREAKOUT I Transport Management of the Severe ARDS Patient Jacob A. Miller, MS, FNP, ACNP, ACCNS, CCRN, CFRN, EMT-P, FP-C

4:00 – 4:30 p.m. BREAKOUT I Co-Pilot, RN: Training to Save Your Team From the Left SeatMichael C. Berrier, NRP, FP-C, C-NPT, AASCW4 Tony Lee Swann, US Army (Retired)

4:35 – 5:05 p.m.BREAKOUT I Modifying Patient Care with Point of Care Lab TestingKevin T. Collopy, BA, FP-C, CCEMT-P, NRP, CMTE

MONDAY, APRIL 10, 2017

BREAKOUT SESSIONS: 9:15 – 9:45 a.m. BREAKOUT I Impelled to Improve: Practical and Logistical Considerations in Critical Care Transport of Patients Supported by VAD Charles Kircher, MD

9:50 – 10:20 a.m. BREAKOUT IDeath by VentilatorCharles W. Sheppard, MD, FACEP, FAAEM

10:20 – 10:50 a.m. BREAK

10:55 – 11:25 a.m. BREAKOUT I Sepsis 2017: What Do I Do Now?Michael A. Jasumback, MD

11:30 – 12:00 p.m. BREAKOUT IManagement of Hypoxemia in TransportSusan R. Wilcox, MD

12:00 - 1:15 p.m. LUNCH ON OWN

1:20 – 1:50 p.m. BREAKOUT I Cognitive Offloading in Critical Care RetrievalStephen Hearns, Mb ChB, FRCEM, FRCS, FRCP

1:50 – 2:20 p.m. BREAKOUT I Vascular Catastrophes – Diagnosis, Treatment, and Transport ConsiderationsMichael Abernethy, MD

2:20 – 2:50 p.m. BREAKOUT I Demystifying the Surgical AirwayKevin T. Collopy, BA, FP-C, CCEMT-P, NRP, CMTE

2:50 – 3:20 p.m. BREAK 3:20 – 3:50 p.m. BREAKOUT I Awake Intubation: Clinical Indications and Techniques in the Transport SettingLouis Scrattish, MD, FACEP

3:50 – 4:20 p.m. BREAKOUT I Push Dose Pressors and Push Dose NitroglycerinFaizan H. Arshad, MD

4:20 – 4:50 p.m. BREAKOUT I Clots in the Lungs: Pulmonary Embolism in the Transport EnvironmentBenjamin Nicholson, MD, NRP

7:30 – 8:00 a.m. On-Site Registration/Continental Breakfast

8:00 – 8:20 a.m. Welcome & Award Presentations

8:20 – 9:10 a.m. GENERAL SESSION: ROSC! High Five! Now What?Transportation of the Post ROSC PatientFredrik Granholm, MD

BREAKOUT II REALLY Deeply Attached:Placenta Accreta in the Critical Care Transport Environment Barbara Vonarx, BSN, CFRN, NRP

BREAKOUT II Pregnant Ladies: Hopefully NO Itty-Bitty BabiesLisa Gilmore, DNP, APRN, ACCNS, EMT-P, CFRN, FP-C

BREAKOUT II “Heartbreaking”– Pediatric Sudden Cardiac Arrest and Pre-Hospital ResuscitationP.S. Martin, MD, FACEP

BREAKOUT II REBOA: Lessons from the frontline Zaffer Qasim, MBBS FCEM FRCPC(EM) EDIC

BREAKOUT II Data Quality Metrics in an ECMO ProgramCathleen W. Vandenbraak, BSN, MBA/MHA, CEN, CCRN, CFRN

BREAKOUT IICirculatory Assist Devices: What We Have Learned So Far!Stephanie L. Bailey, BSN, CFRN, EMT-P

BREAKOUT II Preparing for Advanced Procedures: Logistics in HEMSAndrew Cathers, MDMike Steuerwald, MD

BREAKOUT II Sugar and Spice…Pediatric DKA is NOT Nice! A Case StudyDebra Ann Milliner, APRN, FNP-C, MSN, MBA/HCM, CEN, CFRN, NREMT-P

BREAKOUT II Blue Babies Gone Bad: A Review of Congenital Heart Lesions Lisa Gilmore, DNP, APRN, ACCNS, EMT-P, CFRN, FP-C

BREAKOUT II ARDS for Vent NerdsMatthew A. Roginski, MD, MPH

TUESDAY-APRIL 11, 2017

WEDNESDAY, APRIL 12, 2017

2018 CCTMCApril 9-11, 2018Wyndham San Antonio River Walk HotelSan Antonio, Texas

BREAKOUT II Patient Safety: Can We Prevent Errors and Improve the Patient ExperienceTina Frey Johnson, BSN, CFRN, CMTE, CPEN, CEN

BREAKOUT II Code Sepsis: Sepsis Alerts and Pre-hospital Antibiotics Save LivesMichael Perlmutter, BA, Paramedic

BREAKOUT II The Effect of Human Factors in Outcomes in Advanced Airway ManagementDavid J. Olvera, NREMT-P, FP-C, CMTE

BREAKOUT II The Power of Making a MistakeJohn R. Clark, JD, MBA, NRP, FP-C, CCP-C, CMTE

IAFCCP-SPONSORED REVIEW COURSEFLIGHT & CRITICAL CARE PARAMEDIC REVIEWFriday, April 7 and Saturday, April 8, 2017

This IAFCCP-sponsored review course, developed by the late Corey Pittman, is designed to prepare students for the FP-C® and CCP-C® examinations and as a review for FP-C®/CCP-C® certifica-tion holders. Our engaging, dynamic instructors have extensive transport experience and currently hold one or more IBSC certifications.

Register Online at www.IAFCCP.org.(Member discounts apply)

FP-C® / CCP-C® / CP-C EXAMS: Sunday, April 9, 2017 8:00 to 10:30 a.m.

Specialty certification exams will be administered in a paper/pencil format. Must pre-register to test on or before March 21, 2017.

Register online at www.IBSCertifications.org(Member discounts apply)

8:00 – 8:30 a.m. Registration/Continental Breakfast

BREAKOUT SESSIONS:8:30 – 9:00 a.m. BREAKOUT I Feasibility of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Enroute CareTheodore T. Redman, MD

9:35 – 10:05 a.m. BREAKOUT I Ketamine: Myth vs. TruthAn Evidence Based Approach to Its Use in the Transport SettingLouis Scrattish, MD, FACEP

10:10 – 10:40 a.m.BREAKOUT I Subtle Signs of BadnessMichael A. Jasumback, MD

10:40 – 11:00 a.m. BREAK

11:00 – 11:30 a.m. BREAKOUT I Why Sometimes the Best Thing to Do is NothingCharles W. Sheppard, MD, FACEP, FAAEM

11:35 a.m. – 12:25 p.m. CLOSING GENERAL SESSIONThe What, Why and How of Stress Exposure TrainingAshley Liebig, NRMichael Perlmutter, BA, Paramedic

CCTMC Adjourned!

NEW! CCTMC TOURNAMENT OF CHAMPIONSIn its inaugural year, five teams will compete in two rounds of simulated patient encoun-ters and other challenges to exhibit their criti-cal care knowledge and skills. Round one will commence after Monday’s opening session and continue for the remainder of the after-noon, and round two will commence after Tuesday’s general session and continue until midafternoon. Winners will be announced prior to Wednesday’s closing session.

Teams will consist of two providers and a substitute who can take the place of one of the providers as needed. All team members must be actively practicing critical care transport providers and must be registered attendees of CCTMC. Team members will have plenty of time to enjoy other conference offerings while they are not competing.

E-mail cctmcchampions@gmail.com if your team feels up to the challenge.

TIM HYNES FOUNDATION FOURTH ANNUAL SILENT AUCTIONPlan now to donate silent auction items to help raise awareness and funds to support the scholarships and activities of the THF.

Email info@timhynesfoundation.org for details.

THE FIFTH ANNUAL RUNNING WITH AN ANGEL 5KMonday, April 10, 2017Registration at 8:30 a.m.; Run at 9:00 a.m. A run/walk to honor our fallen colleagues and support their Loved Ones! For information, please contact Air & Surface Transport Nurses Association

www.ASTNA.org • 303-344-0457astna@astna.org

Sign up at the ASTNA Community Calendar www.ASTNA.orgProceeds will go to the ASTNA Bereavement Fund to assist the families of fallen members

ADDITIONAL ACTIVITIES

Name: ____________________________________________________

o RN o Paramedic o MD o RT o Other _________________

Transport Program: __________________________________________

Title/position: _______________________________________________

Home address: ______________________________________________

City, State, Zip ______________________________________________

Home Phone:___________________Work Phone: __________________

E-Mail: ____________________________________________________

Member: o AMPA o ASTNA o IAFCCP

Critical Care Transport Medicine Conference Pre-registration: Payment Received Prior to March 6, 2017

______$285.00 Member ______$335.00 Non-Member Payment Received After March 6, 2017

______$315.00 Member ______$365.00 Non-Member ______$365.00 On-Site Registration

Critical Care Procedural Anatomy Program (Limited to 40 participants)

Additional Registration Fee MUST Pre-Register

______$300.00 Member ______$350.00 Non-Member

Ultrasound Workshop (Limited to 40 participants)

Additional Registration Fee MUST Pre-Register

______$240.00 Member ______$300.00 Non-Member

_______________Total Enclosed

Make check payable in US Funds to the Air Medical Physician Association* and mail to CCTMC, 951 East Montana Vista Lane, Salt Lake City, UT 84124. Or charge to VISA or MasterCard only

o VISA o MasterCard

Card Number: _______________________________________________

Expiration Date: _____________________________________________

Signature: _________________________________________________

*AMPA Federal Tax ID #87-0510123

To register by phone with a credit card, call Patricia Petersenat 801-263-2672, or fax registration form to 801-534-0434On-line registration available at www.ampa.org

Partial registration refund to March 6, 2017; NO refunds after March 6, 2017.

Michael Abernethy MDChief Flight Physician, UW Med FlightAssociate Professor of Emergency Medicine, University of Wisconsin School of Medicine and Public Health

Faizan H. Arshad, MDEMS Medical Director – Healthquest Systems Hudson Valley, New York

Stephanie L. Bailey, BSN, CFRN, EMT-PFlight Nurse, Allegheny General Hospital Life Flight

Craig Bates, MD, MS, FACEPMedical Director and Flight PhysicianMetro Life Flight; Attending PhysicianMetroHealth Medical Center Department of Emergency MedicineAMPA Board of Trustees

Michael C. Berrier, NR-P, FP-C, C-NPT, AASParamedic, Vidant EastCare

Brendan Berry, MD, FACEPMedical Director, WakeMed Mobile Critical Care ServicesAMPA President Elect

Lauri Bolton, MDMedical Director, LIFE STARHartford Hospital, ConnecticutPresident, AMPA

Andrew Cathers, MDMed Flight Faculty, University of Wisconsin-Madison

John R. Clark, JD, MBA, NRP, FP-C, CCP-C, CMTEChief Operating Officer, International Board of Specialty Certification

Kevin T. Collopy, BA, FP-C, CCEMT-P, NRP, CMTEClinical Education CoordinatorAirLink/VitaLink Critical Care TransportPresident, IAFCCP

Jack B. Davidoff, MD, EMT-PMedical Control PhysicianMercy Flight Central

Carol Fleming, RN, BSN, CCRN, CFRNFlight Nurse, Air Methods; Marcus Stroke & Neuroscience Center Outreach Manager

Christopher J. Fullagar, MD, EMT-P, FACEPSUNY Upstate Medical UniversityDepartment of Emergency MedicineMedical Director, Onondaga County Sheriff’s Air-1Immediate Past President, AMPA

Justin Gaultney, NRP, FPCFlight Paramedic, STAT MedEvac

Lisa Gilmore, DNP, APRN, ACCNS, EMT-P, CFRN, FP-CAPRN Pediatric Surgery/Emergency Department; Flight Nurse, Mercy Life Line and Mercy Kids Transport

Fredrik Granholm, MDMedical Director of County EMS, Residency Director EM; Consultant in Anesthesia, Intensive Care, Emergency MedicineSundsvall County Hospital, Sweden

Stephen Hearns, MB ChB FRCEM FRCS FRCP Dip IMC DRTMLead Consultant Emergency Medicine Retrieval Service Scotland

William Hinckley, MD, FACEP, CMTEMedical Director/Flight PhysicianAir Care & Mobile Care, UC Health- University Hospital, University of CincinnatiDepartment of Emergency Medicine

Michael A. Jasumback, MD Emergency Physician and Medical Director; Mercy Flight, Benefis Medical Center

Fred Jeffries, FP-C, CNPT, MTSP-CClinical Team Educator/Critical Care Transport Specialist, Boston MedFlight

Tina Frey Johnson, BSN, CFRN, CMTE, CPEN, CENAssistant Manager Critical Care TransportChildren’s Healthcare of AtlantaASTNA President-Elect

Robert Jones, DO, RDMS, FACEPDirector, Ultrasound and Emergency Ultrasound FellowshipMetroHealth Medical Center

Charles Kircher, MDResident Assistant Medical DirectorUniversity of Cincinnati Air Care/Mobile Care

Ashley Liebig, BA, BSN, NREMT-PChief Clinical Supervisor/Helicopter Rescue Specialists, Travis County STAR Flight

Jacob A. Miller, MS, FNP, ACNP, ACCNS, CCRN, CFRN, EMT-P, FP-CFlight Nurse Practitioner, Cleveland Clinic Critical Care Transport

P.S. Martin, MD FACEPAssociate Professor Emergency Medicine, West Virginia University School of Medicine

Paul Mazurek, BSN, MEdEducational Nurse Coordinator, University of Michigan Survival Flight

Debra Milliner MSN, MBA/HCM, APRN, FNP-C, CFRN, CEN, NREMT-PAPRN, Vidant Medical Group

Benjamin Nicholson, MD, NRPEmergency Medicine Resident Boston Medical Center

David J. Olvera, NREMT-P, FP-C, CMTEClinical Educational Manager, Air Methods Corporation

Michael Perlmutter, BA, ParamedicCritical Care/Flight Paramedic, North Memorial Ambulance and AirCare

Stacy Prater, EMT-P, CCEMT-PClinical Educator/Business Development Manager Flight Paramedic, LIFE FORCE Air Medical

Zaffer Qasim, MBBS, FCEM, FRCPC(EM), EDICEmergency Medicine, Christiana Care Health System

Theodore T. Redman, MDAssociate Medicine Director, Adjunct Assistant ProfessorUT Health Science Center, San Antonio

Matthew A. Roginski, MD, MPHCritical Care Fellow, Dartmouth-Hitchcock Medical Center

Louis Scrattish, MD, FACEPAssistant Professor of Emergency Medicine; Assistant Medical Director, UW MedFlight, University of Wisconsin School of Medicine and Public Health

Charles W. Sheppard, MD, FACEP, FAAEMMedical Director Mercy Life Line and Mercy Kids TransportAMPA Board of Trustees

Jaime Simpson, RN, BSN, CFRN, NRP, CCEMT-PFlight Nurse, STAT MedEvac

Brian Solada, RN, CFRN, CMTEAir Methods CorporationPresident, ASTNA

Mike Steuerwald, M.D.Flight Physician, UW Med Flight

CW4 Tony Lee SwannUS Army (RET)Lead Pilot, Vidant East Care 2

Cathleen W. Vandenbraak, BSN, MBA/MHA, CEN, CCRN, CFRNClinical Education Coordinator, JeffSTATThomas Jefferson University Hospital

Andrew J. Veitch, RN, BSN, CFRN, CTRN, Dip. Crit. Care, CCRN, CMTEFlight Nurse, Stanford University Life FlightImmediate Past President, ASTNA

Barbara Vonarx, BSN, CFRN, NRPCQI and Education Department Coordinator, CareFlight

Susan R. Wilcox, MDMedical Director, Meducare Ground Transport, Medical University of South Carolina

FACULTY AND CCTMC PLANNING COMMITTEE 2017 CCTMC CONFERENCE REGISTRATION CONTINUING EDUCATION CREDITS: ACCREDITATION: This activity has been planned and implemented in accordance with the Essential Areas and Pol-icies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and the Air Medical Physician Association. CEME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

PHYSICIANS AND NON-PHYSICIAN PROVIDERS CCTMC: CEME designates this Live activity for a maximum of 12.0 AMA PRA Category 1 Credit(s)™.*

PROCEDURAL ANATOMY PROGRAM: CEME designates this Live activity for a maximum of 8.5 AMA PRA Category 1 Credit(s)™.*

ULTRASOUND WORKSHOP: CEME designates this Live activ-ity for a maximum of 3.75 AMA PRA Category 1 Credit(s)™.*

*Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NURSES/EMT-P CCTMC: 13.5 Contact Hours have been provided by the Air & Surface Transport Nurses Associ-ation CECH Certificate 2017-17.**

PROCEDURAL ANATOMY PROGRAM: 8 Contact Hours have been provided by the Air & Surface Transport Nurses Associ-ation CECH Certificate 2017-15.**

ULTRASOUND WORKSHOP: 3.5 Contact Hours have been provided by the Air & Surface Transport Nurses Association CECH Certificate 2017-16.**

**ASTNA is an approved provider for the California Board of Registered Nursing CEP 13575.