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Join us for a dynamic, collaborative training session designed specifically for EMS and Fire personnel. In partnership with Port Orange Fire Rescue, this course will explore the unique challenges of managing geriatric emergencies, introduce the Our Legacy program and its role in supporting patients and families during serious illness, and provide practical guidance for navigating hospice care in the field.

This training equips providers with enhanced assessment strategies, stronger clinical decision-making skills, and the confidence to deliver compassionate, patient-centered care to older adults and those at end of life.

Empower your crews with the knowledge and tools they need to make a meaningful impact on the lives of our aging community members. Together, we can elevate the quality of care for some of our most vulnerable patients.

Objectives:

Geriatric Emergencies – Dr. Beshoy Adley

• Recognize key differences between normal aging and acute neurological emergencies.
• Identify and assess common causes of altered mental status, including delirium, infection, metabolic disorders, and medication effects.
• Recognize signs of serious neurologic conditions, including neuromuscular emergencies and CNS infections.
• Apply geriatric-focused assessment strategies to support accurate and efficient field decision-making.
• Integrate medication history and polypharmacy considerations into patient evaluation.
• Identify neurological red flags requiring immediate intervention and transport.
• Apply clinical knowledge to real-world scenarios to improve patient outcomes and communication.

Organ and Tissue Donation – Curtis Barresi

• Describe the role of OurLegacy as an Organ Procurement Organization (OPO) and its impact on organ donation.
• Recognize the need for organ donation using current statistics and key donation facts.
• Identify potential organ donors and common clinical conditions associated with donation (e.g., trauma, anoxia, stroke).
• Apply clinical triggers for timely organ donor referral and understand the importance of early notification.
• Differentiate between donation pathways, including brain death and donation after circulatory death (DCD).
• Explain first-person authorization and the legal framework guiding organ donation decisions.
• Address common myths and misconceptions related to organ donation.
• Describe the role of EMS in supporting organ donation through early recognition, stabilization, and accurate documentation.
• Recognize the importance of compassionate care for patients and families throughout the donation process.

Hospice and Palliative Care – Carey Rowe

• Describe the goals and philosophy of hospice care and how it differs from palliative and curative treatment.
• Identify common hospice diagnoses and eligibility criteria relevant to EMS encounters.
• Recognize the EMS provider’s role in supporting hospice patients through comfort-focused care.
• Interpret and apply advance directives, including DNR and POLST, in the prehospital setting.
• Perform focused assessments that prioritize symptom management and patient goals of care.
• Demonstrate effective, compassionate communication with patients, families, and hospice teams.
• Apply appropriate decision-making for transport based on patient wishes and clinical presentation.
• Identify and manage common operational challenges and ethical dilemmas in hospice calls.
• Utilize case-based reasoning to guide interventions in end-of-life scenarios.

Session 2 Agenda: