Kick off the day by checking in, grabbing your conference materials, enjoying fresh coffee and breakfast, and connecting with fellow EMS professionals before the first session takes the stage.
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Take your seat as we kick off the inaugural ROSC and Roll Symposium. Hear from conference leadership, meet your hosts, preview the day's lineup, and get ready for a full day of high-energy education, hands-on learning, and prehospital critical care—without missing a beat.
When a seizure will not stop, every minute matters. This fast-paced session explores how ongoing seizure activity fuels hypoxia, acidosis, and further neurologic injury—and how PA EMS providers can break the cycle. Review rapid recognition, early benzodiazepine use, airway priorities, reversible causes, and common treatment delays.
SEIZURES ON SCENE - BREAKING THE FEEDBACK LOOP
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Pediatric patients can compensate—until they suddenly cannot. This rapid-fire session helps PA EMS providers recognize the subtle signs of impending collapse, prioritize airway, breathing, circulation, and glucose, and avoid common dosing and equipment pitfalls. Learn a calm, structured approach to managing the tiny patient with the very big problem.
THE CRASHING PEDIATRIC PATIENT - TINY HUMAN, BIG PROBLEM
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Tall T waves may be the first warning of a rapidly lethal problem. This session helps PA EMS providers recognize hyperkalemia on the ECG, connect the tracing to the patient, and act before the rhythm deteriorates. Review key risk factors, treatment priorities, and practical steps to stabilize the myocardium in the field.
HYPERKALEMIA - WHEN T WAVES GET TALL
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Not every facial droop is a stroke—and not every stroke is obvious. This session sharpens the PA EMS stroke exam, highlights high-risk posterior and large-vessel findings, and exposes common mimics such as hypoglycemia, seizures, and migraine. Improve recognition, destination decisions, and prearrival alerts.
STROKE EXAM & STROKE MIMICS - FACE, ARM, SPEECH... AND FAKES
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ATRIAL TACHYRDSRHYTHMIAS - FAST, IRREGULAR, AND FULL OF PROBLEMS
Fast does not always mean the rhythm is the problem. This focused session helps PA EMS providers distinguish atrial fibrillation, flutter, and other atrial tachydysrhythmias; assess stability; and decide when to treat the rate, support the patient, or address the underlying cause. Avoid common pitfalls before “irregular” becomes unstable.
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Take a few minutes to stretch your legs, grab a drink, visit the exhibit hall, and get ready for the next set of rapid-fire sessions. We'll be back on stage before you know it.
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When pulses fade, pressors can help—but only when used for the right problem. This rapid-fire session explores vasopressors in the peri-arrest patient, including patient selection, dosing, timing, and common pitfalls. Learn how to support circulation without delaying the interventions that actually reverse the crash.
IMPRESSOR? I HARDLY EVEN KNOW HER
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A flat line demands more than another round of epinephrine. This session challenges PA EMS providers to confirm true asystole, rule out technical errors, search aggressively for reversible causes, and recognize when resuscitation is—or is not—changing the outcome. Flatline is simple to identify, but never simple to manage.
ASYSTOLE - FLATLINE, NOT FINE
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The monitor shows a rhythm, but the patient has no pulse. This session helps PA EMS providers look beyond the tracing, recognize pseudo-PEA, identify reversible causes, and target treatment to the physiology driving the arrest. Organized electrical activity is only useful when it produces circulation.
PEA - ORGANIZED CHAOS, NO PULSE
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When the rhythm is shockable, speed and technique matter. This rapid-fire session helps PA EMS providers recognize VT and VF, deliver high-quality defibrillation, minimize pauses, and troubleshoot refractory arrest. Review practical ways to improve shock success and keep the resuscitation moving without missing a beat.
VT & VF - SHOCK AND ROLL
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ACLS DEVIATIONS - WHEN THE ALGORITHM ISN'T THE WHOLE SONG
Algorithms provide the rhythm, but real resuscitations rarely follow the sheet music. This focused session explores when PA EMS providers must look beyond standard ACLS, adapt to the patient’s physiology, target reversible causes, and avoid blindly repeating ineffective interventions when the arrest demands a different approach.
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Take a few minutes to stretch your legs, grab a drink, visit the exhibit hall, and get ready for the next set of rapid-fire sessions. We'll be back on stage before you know it.
HEADLINER KEYNOTE SAY IT SO IT LANDS: COMMUNICATING UNDER PRESSURE WITH PATIENTS, FAMILIES, AND TEAMS
In high-stakes moments, the right words can be as important as the right intervention. This keynote explores practical ways to communicate clearly with patients, support families through uncertainty, and keep teams aligned under pressure. Learn how tone, timing, empathy, and structure can reduce conflict, build trust, and improve care.
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Recharge with a complimentary lunch while exploring the exhibit hall. Connect with vendors, discover the latest EMS equipment and technology, meet industry partners, and network with colleagues from across the region before the afternoon sessions begin.
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LUNGS, LINES AND LAST RIGHTS
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Anaphylaxis is a race against time, and hesitation can be deadly. This high-energy session helps PA EMS providers rapidly recognize severe allergic reactions, give epinephrine early and confidently, manage the failing airway, and avoid common treatment delays. Learn how to stop the spiral before the patient crashes.
ALLERGIC TO THE BEAT - WHEN ANAPHYLAXIS HITS HARD
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When the airway is failing, preparation matters as much as the procedure. This focused session reviews sedation assisted intubation (SAI) for PA EMS providers, including patient selection, preoxygenation, medication choices, troubleshooting the difficult airway, and avoiding the pitfalls that turn a controlled procedure into a crisis.
LIGHTS, SEDATION, AIRWAY - THE SAI SESSION
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Positive pressure ventilation can be lifesaving—or harmful—depending on how you use it. This high-yield session helps PA EMS providers optimize CPAP, BiPAP, and mechanical ventilation, understand the physiology behind positive pressure, and avoid common pitfalls that worsen shock, air trapping, or oxygenation. Make every breath count.
PRESSURE DROP - MAKING POSITIVE PRESSURE SING
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Grab a fresh cup of coffee, recharge with light refreshments, visit exhibitors, and catch up with colleagues before the next set of high-energy sessions takes the stage.
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Not every overdose looks the same—but most leave clues. This rapid-fire session helps PA EMS providers recognize common toxidromes, identify life-threatening poisonings, and prioritize field management. Learn practical approaches to opioids, sympathomimetics, cholinergics, and other toxic exposures before the diagnosis reaches the hospital.
TOX TUNES FROM THE STREET - THE POISONED PATIENT
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Not every coronary occlusion meets STEMI criteria. This case-based session challenges PA EMS providers to recognize subtle ECG findings of occlusion MI (OMI), distinguish them from non-occlusive ischemia (NOMI), and integrate the tracing with the clinical picture. Learn to spot the patient who needs reperfusion before the machine says "STEMI."
RHYTHM AND CLUES - AN INTERESTING EKG
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A great medical command call can change patient care in under a minute. This practical session teaches PA EMS providers how to organize information, communicate clinical reasoning, and make concise, high-yield radio reports. Learn what physicians need to hear, common communication pitfalls, and how to get the most from every command call.
HOTLINE TO MED COMMAND - CALLING MEDICAL COMMAND
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One medication. Countless applications. This fast-paced session explores ketamine's many roles in prehospital care—from analgesia and severe agitation to sedation assisted intubation. PA EMS providers will review dosing strategies, patient selection, physiologic effects, and practical tips to safely use one of EMS's most versatile medications.
KETAMINE - THE MULTI-TOOL REMIX
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NARCAN'T - WHEN NOT TO NARCAN
Naloxone saves lives—but it is not the answer to every unconscious patient. This engaging session helps PA EMS providers recognize when naloxone is appropriate, when it is unlikely to help, and how overuse can complicate patient care. Learn to treat the patient, not just the possibility of an opioid overdose.
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Pain is one of the most common—and most undertreated—EMS complaints. This practical session helps PA EMS providers deliver effective, patient-centered analgesia using the right medication at the right time. Review opioid and non-opioid options, multimodal pain management, dosing pearls, and strategies to relieve suffering without missing the underlying diagnosis.
PAIN GAME - PREHOSPITAL PAIN CONTROL THAT HITS THE RIGHT NOTE
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BLOOD ON BOARD - PREHOSPITAL BLOOD ADMINISTRATION
For the bleeding patient, blood is more than a fluid—it is a lifesaving intervention. This high-yield session prepares PA EMS providers to recognize candidates for prehospital blood, administer it safely, identify transfusion reactions, and integrate blood into modern hemorrhagic shock resuscitation. Every minute before the trauma bay matters.
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BREAKING BAD HABITS - C-COLLARS BACKBOARDS. FLUIDS. AND OTHER THINGS TO STOP DOING
Some of EMS's oldest habits have become today's biggest pitfalls. This evidence-based session challenges PA EMS providers to rethink routine C-collar use, long backboards, excessive fluids, and other outdated practices. Learn what the latest evidence supports, what it does not, and how small changes can lead to better patient outcomes.
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Join us as we wrap up an unforgettable day of learning. We'll highlight key takeaways, recognize our speakers, sponsors, and attendees, announce any awards and raffle winners, and send you home inspired to elevate prehospital critical care—without missing a beat.