Agenda-Speakers-Disclosures

Disclosures

Planner/Speaker Disclosure Information:
There are no relevant financial relationships with ineligible companies for those with the ability to control the content of this activity.

Upon completion of this activity: 
80% of participants will provide evidence of increased knowledge by stating at least on intended practice change related to care of STEMI and/or cardiac arrest patients.

For more information regarding Contact Hour Approvals and Issuing Certificates:
Please visit the Continuing Education page of the website.

Agenda

2022 Montana Emergency Cardiovascular Care Symposium May 20-21. 
For Speaker Bios & Session Descriptions, please scroll down.

PRINTABLE AGENDA - PDF

Day 1 - Friday, May 20

5:00 - 5:05pm

Welcome & Introductions - Janet Trethewey, EdD, EMT - MT DPHHS, Emergency Cardiovascular Care Program

5:05 - 6:05pm

CPR, Citizenship and Survivorship: Psychosocial Implications of Sudden Cardiac Arrest - Katie Dainty, Ph.D., MSc - University of Toronto

Presentation Slides - PDF

6:05 -7:15pm

Cardiac Survival Stories Panel Discussion - Moderator: Janet Trethewey & Panelists: Gordon Lehman, Jo Reynolds, & Dan, Lora, and Seth McDaid 
*Note - the panel discussion is not a contact hours session.

Day 2 - Saturday, May 21

8:00 - 8:15am

Welcome & Introductions - Janet Trethewey, EdD, EMT - MT DPHHS, Emergency Cardiovascular Care Program

8:15 - 8:45am

2022 State of the State: Emergency Cardiovascular Care System Report – Bret M Birrer, MD FAAEM FACEP - Bozeman Deaconess Hospital

Presentation Slides - PDF

8:45 - 10:00am

Community Resuscitation: 10 Steps to Improve Survival - Thomas Rea, MD - University of Washington

10:00 - 10:20am

Break - Exhibitor Hall

10:20 - 11:05am

Using PI/QI to Improve CV Emergency Outcomes - Todd Mohr, PA-C - St. James Healthcare

Presentation Slides - PDF

11:05am - 12:00pm

Improving Cardiovascular Emergency Care: Taking Stock and Looking Forward - Thomas Rea, MD - University of Washington

12:00 - 1:00pm

Lunch - Exhibitor Hall (Food Trucks available outside)

1:00 - 2:00pm  Concurrent
Sessions

Acute Cardiogenic Shock: When medication is not enough. Using advanced support in critical patients. - Kristin Scott-Tillery, MD, FACC - Billings Clinic

Presentation Slides - PDF

Community Integrated Health: Partners in Patient-Centered Care for Cardiovascular Health - Nicole Steeneken, M.Ed., EMT-B - MT DPHHS, Chronic Disease Prevention and Health Promotion Bureau

Presentation Slides - PDF

2:00 - 2:20pm

Break - Exhibitor Hall

2:20 - 3:15pm
Concurrent
Sessions

State Guidelines & Using Lytics Appropriately - Michael Eisenhauer, MD, MBA - Benefis Heart and Vascular Institute

Presentation Slides - PDF

New EMS Recognition Programs from DPHHS - Janet Trethewey, EdD, EMT - MT DPHHS, ECVCP

Presentation Slides - PDF

3:15 - 4:00pm
Concurrent
Sessions

Atypical MI Presentations - Todd Mohr, PA-C - St. James Healthcare

Presentation Slides - PDF

Skills for Emergency ECG Interpretation - Collin Fischer, MD - Billings Clinic

Presentation Slides - PDF

4:00 - 4:15pm

Break - Group Comes Together

4:15 - 5:00pm

Cardiac Rehabilitation: An Integral Tool in the Secondary Prevention of Cardiovascular Disease - John Porcari, Ph.D., RCEP, FACSM, MAACVPR - University of Wisconsin

Presentation Slides - PDF

5:00 - 5:15pm 

Wrap up / Q & A / Evaluation Instructions - Janet Trethewey, EdD, EMT - MT DPHHS, ECVCP

Speaker Bios & Session Descriptions

FRIDAY - MAY 20

5:00 - 5:05pm - Brief Welcome & Speaker Introduction

Janet Trethewey

Janet Trethewey, EdD, EMT - MT DPHHS, Emergency Cardiovascular Care Program

Janet Trethewey, EdD, EMT is the Emergency Cardiovascular Care Program manager at the Department of Health & Human Services for the state. She began this position in April 2015. She is responsible for assisting in the development, implementation and assessment of a cardiac system of care across Montana. She works with communities, 911 dispatch centers, Law Enforcement agencies, EMS agencies, and hospitals developing systems of care for cardiovascular emergencies. She provides training in High-Performance CPR, STEMI recognition, and improved patient care to EMS agencies and hospitals. She helps communities improve their Cardiac Chain of Survival through assessment and education programs. Her position allows her the privilege of traveling to every community in the state, working with amazing first responders and front-line health care workers. Janet also volunteers for a local ambulance service a few times a month.

Prior to this position, Janet was a professor for 25 years at MSU-Northern in Havre, MT. At MSU-Northern, she developed the Health Promotion program and taught courses in health, exercise science and education. Initially, she was the first certified athletic trainer to be hired by then Northern Montana College. Janet is an EMT and retired athletic trainer. She is the chair of the MT Board of Athletic Training. She is married to a firefighter/EMT and their son is also a firefighter/EMT. Their grandson has just become a teenager!

5:05 - 6:05pm - CPR, Citizenship and Survivorship: Psychosocial Implications of Sudden Cardiac Arrest

Katie DaintyKatie Dainty, Ph.D. - MSc University of Toronto

We spend a lot of time talking about how to improve bystander CPR and survival from sudden cardiac arrest but we need to spend just as much time thinking about the after-effects of SCA on those that respond and those that survive.  Dr. Katie Dainty will speak to the psycho-social impacts of SCA and the importance of the new 6th link – Recovery – in the Cardiac Arrest Chain of Survival.

Dr. Katie Dainty is a qualitative social scientist and Research Chair in Patient-Centered Outcomes at North York General Hospital. In addition to her appointment at NYGH, she is an Associate Professor in the Institute of Health Policy, Management and Evaluation (IHPME) at the University of Toronto. Her research involves studying issues related to patient and family experience, implementation science, patient-centered outcome measures, and quality improvement in community health care environments. Some of her most recent research focuses on using qualitative methods to unpack long-held assumptions about bystander experience and survivorship following sudden cardiac arrest.

6:05 - 7:15pm - Cardiac Survival Stories - Panel Discussion

MTECCS Logo with Cardiac Line and HeartModerator: Janet Trethewey
Panelists: Gordon Lehman, Jo Reynolds, & 
Dan, Lora, and Seth McDaid

Listen to several people impacted by a cardiovascular emergency, how their lives have changed, what went well, and what could have been better in their treatment and recovery. Discussion and Q & A with the panel will allow the audience to learn from the true “experts”.  *Note - the panel discussion is not a contact hours session.

SATURDAY, MAY 20

8:00 - 8:15am - Welcome & Introductions

Janet Trethewey

Janet Trethewey, EdD, EMT - MT DPHHS, Emergency Cardiovascular Care Program

The 2022 symposium (day 2) begins with a welcome from Janet Trethewey and includes an overview of conference expectations and logistics.  Janet’s bio is listed above.

8:15 - 8:45am - 2022 State of the State: Emergency Cardiovascular Care System Report

Bret M BirrerBret M Birrer, MD FAAEM FACEP - Bozeman Deaconess Hospital

The Emergency Cardiovascular Care System in Montana is in its infancy. There is considerable data available to inform stakeholders about what is going well, what needs improvement, and where we need to move towards a more cohesive and functioning system to improve patient outcomes.

Bret M Birrer, MD FAAEM FACEP is a board-certified emergency physician practicing at Bozeman Deaconess Hospital. Dr. Birrer completed medical school through the University of Washington School of Medicine and residency through the University of Arizona College of Medicine. He currently serves as the EMS medical director for Gallatin County.

8:45 - 10:00am - Community Resuscitation: 10 Steps to Improve Survival

Thomas ReaThomas Rea, MD - University of Washington

This presentation will highlight programs from prehospital and hospital that have been implemented in the real world to improve outcomes following cardiac arrest.  We will discuss best practices, novel strategies, and current debates involving cardiac arrest resuscitation. 

Dr. Thomas Rea has a career interest in improving critical care and outcomes for emergency conditions.  He is trained in clinical medicine and epidemiology and conducts both observational and interventional research involving critical conditions including cardiac arrest, serious trauma, sepsis, and other cardiovascular emergencies.  Dr. Rea has a strong interest in bridging clinical medicine, epidemiology, and health services to identify new strategies to improve treatment for critical illness.  As a consequence, he has had the distinct privilege to work with the EMS providers in King County, WA where he serves as the Medical Program Director for King County EMS.  Dr. Rea participates in efforts to refine and improve international cardiac arrest guidelines through the American Heart Association Emergency Cardiovascular Care group.  He balances research efforts with clinical care and working in both ambulatory and inpatient settings at Harborview Medical Center, the public hospital operated by the University of Washington. 

10:20 - 11:05am - Using PI/QI to Improve CV Emergency Outcomes

Todd Mohr

Todd Mohr, PA-C - St. James Healthcare

We will discuss strategies in reviewing data, deep-diving root causes, and motivating the end-user in cardiovascular care to improve patient care and outcomes.

Todd Mohr is a Physician Assistant working at St. James Healthcare in Butte. He has worked in the Emergency Department at St. James for 15 years. Todd grew up in Deadwood, South Dakota and became interested in helping others as a teenager when he joined the Volunteer Fire Department at age 14 as a Junior Volunteer. He became an Emergency Medical Technician and worked on the Ambulance at age 16. He joined the US Air Force at age 17 as a Fire Protection Specialist and quickly rose through the ranks. Todd served primarily as a Rescue Crew Chief and was responsible for motor vehicle accident patient extrication, aircraft crash rescue pilot, and was assigned to the Space Shuttle Rescue Team while stationed in Germany. He completed the Air Force Physician Assistant Program 25 years ago and was assigned to Malmstrom AFB in Great Falls, Montana. He thoroughly enjoys the opportunities that Montana provides his family to spend time together in their passion for golfing, skiing, and hunting. His other noted patient care experiences include serving as a SWAT Medic and on Helicopter EMS. Todd is the Medical Director for several Volunteer EMS Services in Southwest Montana and believes it is his way to “give back to his roots” which has allowed him to have the “most blessed career experiences in the world!”

11:05 - 12:00pm - Improving Cardiovascular Emergency Care: Taking Stock and Looking Forward

Thomas Rea

Thomas Rea, MD - University of Washington

This presentation will focus on current standards for coordinated prehospital emergency care of cardiovascular conditions to include out-of-hospital cardiac arrest, ST elevation MI, and stroke as we consider future opportunities for treatment progress. See Dr. Rea’s bio above.

1:00 - 2:00pm - Concurrent Sessions

Acute Cardiogenic Shock: When medication is not enough. Using advanced support in critical patients.

Kristin Scott-Tillery, MD, FACC, and Juan P. Rodriguez-Escudero, MD - Billings Clinic

Kristin Scott-TilleryThe discussion will center around patients in acute cardiogenic shock either from coronary disease and myocardial infarction, or advanced heart failure.  The goal of this talk is to know when you need to refer a patient for urgent circulatory support and to understand what kind of support we have and which patients are appropriate for it.

Kristin Scott-Tillery, MD specializes in cardiovascular disease and advanced heart failure at Billings Clinic in Billings, Montana. She is board certified in Advanced Heart Failure and Transplant Cardiology, Cardiovascular Disease, and Internal Medicine. Dr. Scott-Tillery attended medical school at the University of Texas Medical School-San Antonio and joined Billings Clinic in 2011.  Her areas of interest are Preventive & Women’s Health.


Community Integrated Health: Partners in Patient-Centered Care for Cardiovascular Health

Nicole Steeneken, M.Ed., EMT-B - MT DPHHS, Chronic Disease Prevention and Health Promotion Bureau

Nicole SteenekenThis session will discuss Community Integrate Health, also known as Community Paramedicine. They are partnering with primary care and hospital providers to provide patient-centered care for cardiovascular health patients with demonstrated benefits through improved blood pressures, reduced admissions/readmissions, and increased patient health literacy.

Nicole Steeneken, M.Ed., EMT-B,
has over 18 years of professional and volunteer experience in emergency medical services (EMS).  Nicole is the Community Integrated Health Program Specialist with Montana Department of Public Health & Human Services, EMS & Trauma Systems Section, and a volunteer firefighter/EMT with Tri-Lakes Volunteer Fire Department.  Previously, Nicole served as the Quality Improvement (QI) Director and EMS Data Systems Manager with Los Angeles County Fire Department. Nicole possesses a Master of Education degree and is a member of the National Association of EMS Educators.  She has participated in several national, state, and local committees for EMS, education, and QI, including the National Association of EMS Physicians’ QI Committee and the Orange County Quality Assurance Board as an appointed member. 

2:20 - 3:15pm - Concurrent Sessions

State Guidelines & Using Lytics Appropriately

Michael Eisenhauer, MD, MBA - Benefis Heart and Vascular Institute

Michael EisenhauerThis presentation will include information on the Management of STEMI in the Acute Care Setting, a Review of current guidelines both National and State and Indications, and considerations for Thrombolysis vs Primary PCI

Dr. Michael D. Eisenhauer is a cardiologist who specializes in interventional cardiology, vascular medicine, general cardiology, and internal medicine. Dr. Eisenhauer takes a highly collaborative approach to care, working closely with referring health care providers to ensure that his patients’ needs and desires are compassionately prioritized.

Beyond providing cardiology care, Dr. Eisenhauer enjoys working closely with patients and families at a personal level. “Guiding patients and families through what is, by definition, a very stressful piece of their lives when a loved one is dealing with a serious or potentially life-threatening injury or illness” is what Dr. Eisenhauer says he enjoys most about his work. Dr. Eisenhauer is a retired colonel in the US Army, after a 24-year career. While in the Army, he served as the deputy force surgeon and chief of Clinical/Medical Operations for the Iraqi theater of war, as well as coordinated health care and policy for 134,000 combatants from four countries and seven allied embassies.

Dr. Eisenhauer first became excited about the health care field when he was learning first aid, safety, and emergency preparedness in Boy Scouts. The Scouts were a major influence in his life for many years. He earned the rank of Eagle Scout as a teenager and served at the local and regional levels of the organization as an adult.

New EMS Recognition Programs from DPHHS

Janet Trethewey, EdD, EMT - MT DPHHS, Emergency Cardiovascular Care Program

Janet TretheweyThe EMSTS office is launching a series of recognition initiatives to help EMS agencies improve care in the field to ultimately improve outcomes in the hospital. Learn about these new programs and how pre-hospital and hospital providers can collaborate on QI projects to improve outcomes from several time-sensitive medical emergencies.

Janet’s bio is listed at top of Friday’s speakers.

3:15 - 4:00pm - Concurrent Sessions

Atypical MI Presentations

Todd Mohr, PA-C - St. James Healthcare

Todd MohrMost acute myocardial infarcts present w/ “textbook” signs, symptoms, and EKG changes, but some patient populations are notorious for atypical presentation. We will review these types, some clues to discern ACS and MI when they present and look at EKGs with corresponding coronary angiograms of those with atypical myocardial infarctions.

Todd Mohr is a Physician Assistant working at St. James Healthcare in Butte. He has worked in the Emergency Department at St. James for 15 years. Todd grew up in Deadwood, South Dakota and became interested in helping others as a teenager when he joined the Volunteer Fire Department at age 14 as a Junior Volunteer. He became an Emergency Medical Technician and worked on the Ambulance at age 16. He joined the US Air Force at age 17 as a Fire Protection Specialist and quickly rose through the ranks. Todd served primarily as a Rescue Crew Chief and was responsible for motor vehicle accident patient extrication, aircraft crash rescue pilot, and was assigned to the Space Shuttle Rescue Team while stationed in Germany. He completed the Air Force Physician Assistant Program 25 years ago and was assigned to Malmstrom AFB in Great Falls, Montana. He thoroughly enjoys the opportunities that Montana provides his family to spend time together in their passion for golfing, skiing, and hunting. His other noted patient care experiences include serving as a SWAT Medic and on Helicopter EMS. Todd is the Medical Director for several Volunteer EMS Services in Southwest Montana and believes it is his way to “give back to his roots” which has allowed him to have the “most blessed career experiences in the world!”

Skills for Emergency ECG Interpretation

Collin Fischer, MD - Billings Clinic

Collin FischerThis talk aims at developing ECG reading skills specifically for critical care and emergency cardiac scenarios.  We will cover STEMI, cardiac ischemia, heart block, high-risk atrial and ventricular arrhythmias, as well as important ECGs to know with syncope.

Collin Fischer, MD is a general cardiologist with Billings Clinic, the director of the Chest Pain Center for Billings Clinic, and the medical director of the cardiovascular inpatient unit there.  He is board-certified in cardiovascular disease, echocardiography, nuclear cardiology, and cardiovascular CT.

4:15 - 5:00pm - Cardiac Rehabilitation: An Integral Tool in the Secondary Prevention of Cardiovascular Disease

John PorcariJohn Porcari, Ph.D., RCEP, FACSM, MAACVPR - University of Wisconsin

Cardiac rehabilitation is an underutilized tool in the secondary prevention of cardiovascular disease.  This talk will delineate the core components of a comprehensive cardiac rehabilitation program and the impact they have on patient outcomes following a cardiac event.

John Porcari, Ph.D. is a Professor Emeritus in the Department of Exercise and Sport Science at the University of Wisconsin-La Crosse.  He taught courses in exercise testing and prescription, cardiovascular physiology, electrocardiography, and statistics.  Additionally, he was Program Director of the Clinical Exercise Physiology graduate program and Executive Director of the La Crosse Exercise and Health Program, the University’s on-campus cardiac rehabilitation program.  John is a Fellow of the American College of Sports Medicine (ACSM) and a Master’s Fellow of the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).  John was on the AACVPR Board of Directors for 9 years, serving as President of the organization in 2003. He won the AACVPR Award of Excellence in 2010.  John has presented published over 300 manuscripts dealing with exercise testing and training techniques in patients with cardiovascular disease.