The FBI National Academy Associates (FBINAA) Comprehensive Officer Resilience Program® is a 3-day course designed to equip first responders with the skills and curriculum needed to change behavioral health cultures within themselves and their agencies. The program teaches first responders empirically validated resilience skills across four specific domains: mental, physical, social, and spiritual.

Core Program Domains & Skills

The curriculum measures and trains resilience across four pillars:

• Mental: Developing critical thinking, managing mental stressors, practicing mindfulness, and interpersonal problem-solving.
• Physical: Adopting healthy behaviors, nutrition, and understanding the mind-body connection.
• Social: Engaging in healthy social networks and active listening.
• Spiritual: Strengthening a set of core principles, values, or beliefs to sustain a sense of well-being and purpose.

This is a 3 day course, November 10, 11, 12, 2026.

*Registration fee covers cost for breaks during class*

NYS CME: All Levels - Mandatory Non-Core - Mental Health of the EMT

The NAEMSE EMS Instructor Course has been designed and developed as a result of the DOT/NHTSA National Guidelines for Educating EMS Instructors and the National Education Standards for EMS.  NYS has adopted the NAEMSE Instructor course as the initial certification for CIC Credentialing. 

This class is a 3-day class.  November 10th, 11th and 12th.

NYS CME: Educator

Please note- there is pre-course work for this class. You will receive an email from an email from NAEMSE directly.

This two-day workshop will offer a modern spin on the traditional EMT refresher program. Rather than click through tired textbook slides, these sessions will focus on student engagement and embrace the most important and relevant topics of modern prehospital medicine and operations. Students will discuss up-to-date clinical developments; review evidence-based best practices; and engage the critical thinking skills necessary to excel as a practitioner in the modern world of dynamic EMS. These sessions will shift from the mindset of a simple refresher and push toward the essential concepts of continuing education. EMTs and CFRs will earn 16 hours of BLS core content that may be applied towards NYS CME-Based Recertification. Attending this course for two consecutive years will satisfy all your core content requirements for recertification. These 16 hours may also be applied towards the Mandatory Core Content required by the NREMT by meeting the objectives of the EMS National Education Standards.

The National EMS Management Association’s Emergency Medical Services Field Training and Evaluation Program (EMS-FTEP™) is the gold standard for onboarding new employees. EMS-FTEP™ has been used nationally for over 15 years. Your agency invests significant resources into recruiting and retaining EMTs and paramedics. Preparing them to be successful through a structured field training and evaluation program is critical to ensuring their success and reducing turnover.

The EMS-FTEP™ Basic Field Training Officer (FTO) course is designed to provide the employee and the agency with the greatest possible chance of success by providing a framework that assures employees understand, develop, and demonstrate essential skills and behaviors.

The three-day Basic FTO course will introduce the prospective FTO to the structure, tools, techniques, and concepts of EMS-FTEP™. It will provide instruction in adult learning principles, coaching, evaluation, giving feedback, and documenting trainee performance using EMS-FTEP™ tools. This includes Standardized Evaluation Guidelines, Recruit Training Manual, and Daily Observation Reports.

This class is three days: November 10, 11, 12, 2026.

NYS CME: All Levels - Non-Core - Additional

This two-day workshop will offer a fast paced and creative approach to advanced provider continuing education. Through a combination of lecture, interactive discussion, and student-centered active learning, participants will earn 16 hours of ALS core content that may be applied toward their NYS CME-Based Recertification. This series of sessions will explore cutting edge clinical topics, describe evidence-based best practices, and hone the critical thinking skills necessary to achieve excellence as a modern practitioner. Attending this workshop for two consecutive years will satisfy all of your core content requirements for recertification. These 16 hours may also be applied towards the Mandatory Core Content required by the NREMT by meeting the objectives of the EMS National Education Standards.

Times have changed significantly, and EMS organizations of all kinds are finding that the leadership of the past is ineffective in today’s climate. We must be adaptable to the changing landscape and mindsets associated with EMS and leadership. Instead of installing leaders based on popularity or blind authority, EMS needs leaders who are willing to continue to grow personally and professionally and are committed to creating a thriving, sustainable, and magnetic organization to best serve both providers and patients. This two-day curriculum was developed to share the latest evidence-based theories and strategies for current and developing leaders to achieve that goal.

 Over the course of two days, you will discover the barriers to being an effective leader and how to transform yourself so that you will persevere when challenges and discord arise.

 Day 1: Developing Yourself into the Leader People Want to Follow

 · Foundations of Leadership

· Recreating Yourself as a Leader to Cause Positive Impact

Day 2: Developing Others: Causing Sustainable Change

 · A Pathway for Sustainable Change

· Building a Psychologically Safe Culture

· Applications and Strategies for EMS Operations

This class is a 2-day class. November 10th and 11th.

NYS CME: All Levels – Non-Core – Additional

This two-day workshop will offer a fast paced and creative approach to advanced provider continuing education. Through a combination of lecture, interactive discussion, and student-centered active learning, participants will earn 16 hours of ALS core content that may be applied toward their NYS CME-Based Recertification. This series of sessions will explore cutting edge clinical topics, describe evidence-based best practices, and hone the critical thinking skills necessary to achieve excellence as a modern practitioner. Attending this workshop for two consecutive years will satisfy all of your core content requirements for recertification. These 16 hours may also be applied towards the Mandatory Core Content required by the NREMT by meeting the objectives of the EMS National Education Standards.

The National EMS Management Association’s Emergency Medical Services Field Training and Evaluation Program (EMS-FTEP™) is the gold standard for onboarding new employees. EMS-FTEP™ has been used nationally for over 15 years. Your agency invests significant resources into recruiting and retaining EMTs and paramedics. Preparing them to be successful through a structured field training and evaluation program is critical to ensuring their success and reducing turnover.

The EMS-FTEP™ Basic Field Training Officer (FTO) course is designed to provide the employee and the agency with the greatest possible chance of success by providing a framework that assures employees understand, develop, and demonstrate essential skills and behaviors.

The three-day Basic FTO course will introduce the prospective FTO to the structure, tools, techniques, and concepts of EMS-FTEP™. It will provide instruction in adult learning principles, coaching, evaluation, giving feedback, and documenting trainee performance using EMS-FTEP™ tools. This includes Standardized Evaluation Guidelines, Recruit Training Manual, and Daily Observation Reports.

This class is three days: November 10, 11, 12, 2025.

NYS CME: All Levels - Non-Core - Additional

This intensive 8 part pre-conference program is designed specifically for New York State EMS Chiefs, officers, administrators, executive leaders, compliance officers, and medical directors responsible for leading compliance within their EMS agency. Participants will gain a practical understanding of New York State's regulatory requirements governing ambulance services, including Article 30, Part 800, and Part 80, while exploring best practices for agency governance, licensure, clinical oversight, controlled substances, quality improvement, organizational sustainability and more.

Whether you are stepping into an executive leadership role for the first time or looking to strengthen an established EMS agency, this course provides practical guidance to help you navigate regulatory responsibilities and compliance with confidence. Participants will gain leadership strategies, operational resources, and implementation tools that support strong governance, regulatory readiness, and the delivery of high-quality EMS services to the communities they serve.

NYS CME: All Levels – Non-Core – Additional

The NAEMSE EMS Instructor Course has been designed and developed as a result of the DOT/NHTSA National Guidelines for Educating EMS Instructors and the National Education Standards for EMS.  NYS has adopted the NAEMSE Instructor course as the initial certification for CIC Credentialing.

This class is a 3-day class.  November 10th, 11th and 12th.

NYS CME: Educator

Please note- there is pre-course work for this class. You will receive an email from an email from NAEMSE directly.

The FBI National Academy Associates (FBINAA) Comprehensive Officer Resilience Program® is a 3-day course designed to equip first responders with the skills and curriculum needed to change behavioral health cultures within themselves and their agencies. The program teaches first responders empirically validated resilience skills across four specific domains: mental, physical, social, and spiritual.

Core Program Domains & Skills

The curriculum measures and trains resilience across four pillars:

• Mental: Developing critical thinking, managing mental stressors, practicing mindfulness, and interpersonal problem-solving.
• Physical: Adopting healthy behaviors, nutrition, and understanding the mind-body connection.
• Social: Engaging in healthy social networks and active listening.
• Spiritual: Strengthening a set of core principles, values, or beliefs to sustain a sense of well-being and purpose.

This is a 3 day course, November 10, 11, 12, 2026.

*Registration fee covers cost for breaks during class*

NYS CME: All Levels - Mandatory Non-Core - Mental Health of the EMT

This two-day workshop will offer a modern spin on the traditional EMT refresher program. Rather than click through tired textbook slides, these sessions will focus on student engagement and embrace the most important and relevant topics of modern prehospital medicine and operations. Students will discuss up-to-date clinical developments; review evidence-based best practices; and engage the critical thinking skills necessary to excel as a practitioner in the modern world of dynamic EMS. These sessions will shift from the mindset of a simple refresher and push toward the essential concepts of continuing education. EMTs and CFRs will earn 16 hours of BLS core content that may be applied towards NYS CME-Based Recertification. Attending this course for two consecutive years will satisfy all your core content requirements for recertification. These 16 hours may also be applied towards the Mandatory Core Content required by the NREMT by meeting the objectives of the EMS National Education Standards.

Just as every EMS clinician relies on a well-stocked jump bag and evidence-based protocols, every EMS agency needs a well-equipped Public Information Toolkit. This interactive workshop provides attendees with practical “tools” they can immediately bring back to their agencies—including social media strategies, press release templates, annual reports, open house guides, recruitment campaigns, government relations, media communication, crisis messaging, community outreach ideas, and much more.

NYS CME: All Levels – Non-Core – Additional

EMS providers face a daunting variety of conditions on emergency responses, a notable example is imminent childbirth and how to transport a patient and their infant immediately after childbirth. During this course providers will learn about the EMS for Children mission and associated programs related to the safe transport of neonatal or newly born patients in ambulances, discuss specific guidance related to appropriate restraint of pediatric patients during cotransport, and take away key actions they can use to provide safer transport for newborn and pediatric patients.

NYS CME: Mandatory Non-Core - Safe Transport of Pediatric Patients

This workshop isn't about deep breathing, mindfulness or pushing your toes into the sand. Yes, those are fantastic methods to practice self-care, but what does self-care actually mean to you, and how can you realize that for yourself? Discover your core values, how they determine your behaviour, and how to validate them internally so you can become self-actualized. Test if your values are validated externally and learn simple techniques to check in with yourself when stresses arise to determine where to go from there. After this workshop, you will have the tools to realize your values, integrate them into everyday living, become self-actualized, and simplify your decision process when challenges arise.

NYS CME: All Levels - Mandatory Non-Core - Mental Health of the EMT

There are roughly 10,000 ambulance crashes every year in the US.  Not only are crashes the single highest risk of civil liability and cost agencies more than 500 million dollars annually, but they account for the most frequent cause of occupational death among EMS providers.  To comprehensively reduce risk, our drivers must have a factual and scientific understanding of the contributing factors associated with crashes.  This class reviews the most recent literature associated with ambulance operation and distills core lessons vital to safe operation.  Key topics include the use of lights and siren, the effects of situational stress on driving capabilities, and the screening and approval of new drivers.

NYS CME: All Levels - Mandatory Non-Core - Emergency Vehichle Driver Training

This presentation examines patient movement as both a clinical and operational decision rather than simply a physical task. Participants will review current national injury statistics, common mechanisms of provider injury, ergonomic principles, crew resource management, and practical strategies to reduce risk during routine and complex patient movements. The session will also provide a review of commonly used lifting and moving devices including stretchers, stair chairs, scoop stretchers, Reeves sleeves, MegaMovers, slide boards, and bariatric equipment and discuss appropriate patient selection, operational considerations, and best practices for their safe use.

Through real-world case studies and practical application, attendees will explore how proper planning, communication, equipment selection, and movement techniques can improve both patient outcomes and provider safety. Participants will leave with practical strategies that can be immediately incorporated into daily operations, helping reduce preventable injuries while fostering a stronger culture of safety within their organizations.

NYS CME: All Levels - Mandatory - Non-Core - Lifting & Moving

The concept of resilience is often presented as a one-size-fits-all solution, but for many EMS providers and first responders, these expectations can be unrealistic and even counterproductive. This presentation explores common myths surrounding resilience, the potential harms of adhering to overly rigid wellness standards, and why many modern wellness goals fail to account for the realities of life in emergency services.

Attendees will gain a practical understanding of what real-world resilience looks like and learn achievable strategies to improve their mental, physical, and emotional well-being without striving for perfection. Through realistic, sustainable approaches that fit within the demands of an "average" work-life balance, participants will leave with actionable steps to support their health and longevity in the profession. The session reinforces a simple but important message: resilience is not about perfection—it is about progress, and it is both necessary and attainable.

NYS CME: Mandatory Non-Core - Mental Health of the EMT

Kick off your Vital Signs experience with an evening of connection, creativity, and inspiration. Join us in the Exhibit Hall for a lively networking social where you can meet fellow EMS professionals, enjoy light refreshments, and explore the latest innovations from our exhibitors. Whether you’re here to network, discover new products, or kick off your conference experience, this event is the perfect way to start your conference journey.

Light refreshments and cash bar will be available.

NYS CME: Educator OR Additional Non-Core

This dynamic course equips EMT and Paramedic instructors with cutting-edge strategies to revolutionize lab training. Discover how to seamlessly integrate lab skills into lecture settings through flipped classroom techniques, create engaging, scenario-based immersive labs utilizing technology and moulage ideas to create the realest in classroom scenario possible, and effectively track student progress to ensure mastery of critical EMS competencies.

NYS CME: Educator

Sepsis is a time-sensitive medical emergency in which early recognition and intervention can significantly improve patient outcomes. This session provides EMTs and paramedics with a comprehensive overview of the pathophysiology of sepsis, helping learners understand how the body's response to infection can rapidly progress to organ dysfunction, shock, and death if left untreated.

Participants will review the early signs and symptoms of sepsis, identify high-risk patient populations, and explore evidence-based assessment and treatment strategies specific to the prehospital environment. Emphasis will be placed on timely identification, effective communication, and EMS interventions that support improved outcomes across the continuum of care. Attendees will leave with practical knowledge and tools to recognize sepsis early and deliver high-quality, lifesaving care when every minute counts.

NYS CME: All Levels - Core - Shock

EMS is frequently requested to respond to a report of a critically ill infant. Infants have unique physiology and pathology that is not frequently encountered in the prehospital setting. Developing a standard approach to the critically ill child, understanding the differential diagnosis, and how to find the needle in the haystack- the sick infant amongst the well, is critical to successful prehospital management.

NYS CME: All Levels - Core - Neo/OB/Pediatric

Obstetric and gynecologic hemorrhage are uncommon but high-risk emergencies in the prehospital setting that require early recognition and intervention. EMS clinicians may encounter hemorrhage related to postpartum bleeding or early pregnancy loss, or non–pregnancy-related gynecologic conditions, often with limited history and evolving physiology. This session reviews a structured, physiology-driven approach to prehospital management of obstetric and gynecologic hemorrhage, emphasizing early identification of life-threatening bleeding, hemorrhage control, hemodynamic support, and destination decision-making.

NYS CME: Core - Neo/OB/Pediatric

In a world that rewards constant stimulation and productivity, boredom has become something we rush to escape. But what if boredom isn't a problem to solve, but an opportunity to slow down, reflect, and reconnect? This session explores the surprising benefits of embracing boredom as a pathway to creativity, mindfulness, and emotional balance. Participants will learn how being fully present can improve focus, resilience, and overall well-being. Through discussion and practical strategies, you'll discover how to transform idle moments into powerful opportunities for growth and connection.

NYS CME: Mandatory Non-Core Mental Health of the EMT

As we move to evidence-based crisis management, After Action Reviews (AARs) can be used as a way to debrief a project or event and understand what took place, why it happened the way it did, and how to improve risk. This session will discuss the AAR process which includes, scheduling the review, inviting all team members to participate, and preparing for the review by gathering data and information. We also will discuss how to conduct the review by exploring what went well, what did not go well, and what can be improved. Lastly, we will talk about taking action based on data and process improvement to create a culture of continuous improvement that helps your team learn from their experiences and improve their processes over time.​

NYS CME: All Levels - Core- Preparatory

This course provides a look into rehab operations during training and emergency scenes. Reviewing parts of the NYS and PA EMS protocols for rehab and vital signs, the program discusses the importance of utilizing rehab on emergency scenes, when to use rehab, and necessary equipment and personnel for rehab operations.

The course concludes with a group activity of actual incident scenes and the students determining a need for rehab and the necessary environmental factors that create problems for the incident hampering emergency operations.

NYS CME: All Levels - Core - Operations

NYS CME: All Levels - Non-Core - Additional

NYS CME: All Levels - Non-Core - Additional

Your training helps to prepare you to know what to do when you encounter someone experiencing a medical emergency. You are prepared to feel confident and competent to render the necessary care to support civilians experiencing all manner of medical distress. Now imagine you encountered someone experiencing another type of emergency, some sort of emotional crisis or distress. Perhaps so severe they were even thinking about suicide. Are you equally prepared to know how to recognize when someone might be in that level of distress and know how to offer similar lifesaving assistance? Even if it was a coworker? During this workshop we will review some very basic information on suicide and then discuss a practical framework to support someone experiencing thoughts of suicide.

NYS CME: All Levels - Core - Psychiatric

Take a stroll through the cutting edge of EMS! The Research Poster Walk offers a guided tour of current studies, innovative pilot programs, and evidence-based insights shaping the future of prehospital care. You'll engage directly with authors—ranging from students to seasoned clinicians—as they present their findings and answer your questions in an informal, interactive format.

This session explores the benefits and strategies of embedding pediatric education throughout the EMS curriculum rather than isolating it into a standalone module. Participants will learn how to infuse pediatric principles into all aspects of EMS training to foster continuous exposure and competence without overhauling existing curricula.

NYS CME: Educator

The health and stability of the EMS workforce begin with strong educational foundations. Strong Foundations: How EMS Education Supports Workforce Wellness will explore the critical role that initial EMS education plays in shaping clinician resilience, workforce health, and long-term retention. This session will highlight how educational experiences influence professional identity and preparedness, ultimately impacting workforce well-being and system performance. Attendees will examine key drivers of educational success, including curriculum design, mentorship, and support structures, and how these factors correlate with workforce health and retention. Practical strategies for strengthening EMS educational programs and promoting clinician wellness will be discussed, providing actionable steps for educators, administrators, and leaders committed to building a sustainable and healthy EMS workforce.

NYS CME: Educator OR Mandatory Non-Core: Mental Health of the EMT

It’s a quiet day at the station, and you’re catching up on paperwork, enjoying a much-needed cup of coffee. The tones suddenly blare to life; the dispatch: a plane in the water, possibly with multiple victims. As the first-due unit, you’ll likely assume command. What’s your first move? What are your top priorities? This session provides a standardized approach to managing large-scale incidents, offering practical strategies for initial response, scene management, and coordination. Using real-world case studies and best practices from a high-volume EMS system, participants will gain actionable insights to confidently lead and prioritize during complex emergencies.

NYS CME: All Levels - Core - Operations

Continuity of Operations Planning (COOP) is essential for ensuring EMS agencies and hospitals can maintain critical services during emergencies, disasters, and other disruptions. This introductory session provides participants with a practical overview of COOP planning, including its purpose, key components, and the role it plays in organizational resilience and operational readiness.

Attendees will learn the fundamentals of developing a Continuity of Operations Plan, including identifying essential functions, delegations of authority, communication strategies, and recovery considerations. The course is designed to move beyond theory by providing participants with a COOP plan template and guidance on how to begin drafting a plan tailored to their own agency. By the end of the session, attendees will have the knowledge and resources needed to take the first steps toward creating or enhancing a COOP plan that supports mission continuity during times of disruption.

NYS CME: Core - Operations

Airway management failures in the prehospital setting are often driven not by anatomy, but by physiology. Patients with severe hypoxia, shock, metabolic acidosis, or neurologic compromise may deteriorate rapidly during intubation if these factors are not anticipated and managed appropriately. This case-based session focuses on delayed sequence intubation (DSI) and rapid sequence intubation (RSI) in physiologically unstable patients. Through real-world EMS scenarios, participants will explore patient selection, pre-intubation optimization, medication choice, and sequencing strategies designed to minimize peri-intubation hypoxia, hypotension, and cardiac arrest. Emphasis is placed on applying physiologic principles to guide airway decisions rather than relying solely on algorithms or checklists.

NYS CME: Core - Airway

Leaders are often put into a position of analyzing organizations, systems, and teams but rarely themselves. This session flips that lens inward. Using the familiar SWOT framework (Strengths, Weaknesses, Opportunities, Threats), participants will take a focused look at their own leadership landscape: where they add value, where they struggle, and what external pressures could impact their effectiveness. Drawing on more than 30 years of experience across EMS, public health, and state government, Ray Barishansky brings real-world perspective — from the back of the ambulance to the halls of Government. With a mix of candor, humor, and practicality, he guides participants through evaluating themselves as critically as they evaluate their organizations. Through interactive reflection and discussion, attendees will examine how their personal strengths and blind spots influence communication, crisis management, and team performance. We will explore how emotional intelligence, adaptability, and self-awareness translate into credibility and trust which are the foundation of effective leadership. This session will challenge leaders to apply the same strategic thinking to themselves that they expect from those they supervise and to lead from the inside out.

NYS CME: All Levels - Non-Core - Additional

Vasoactive medications are powerful tools, and they’re often used under pressure, with incomplete information, and a patient who clearly did not read the textbook. This session is designed to take the fear, mystery, and overshoot-undershoot chaos out of pressors and inotropes by grounding decisions in physiology rather than memorization. Presented by a veteran Paramedic and critical care transport clinician, this talk translates what we learn about vasoactive agents into what actually works in real patients. Using humor, visual frameworks, and practical clinical scenarios, we review core cardiovascular physiology, clarify common terminology pitfalls, and explore how to choose and titrate agents based on the why behind the shock state—not just the blood pressure you don’t like.

NYS CME: All Levels - Core - Pharmacology

Intimate partner violence patients face a variety of challenges that frequently involve EMS. From critical medical interventions to access to human services, EMS practitioners provide a vital service. With strangulation injuries however, the EMS response is even more important. Beyond the obvious threats to airway and breathing, identification of these injuries can provide hugely important insight into the ongoing safety of the patient. A victim of domestic violence who is strangled by their intimate partner is 800 times more likely to be killed. Are you prepared to recognize this warning sign? This interactive session will discuss the recognition features and the specific treatment strategies associated with strangulation injuries. We will further describe the vital role of EMS plays in both social service referral and in forensic documentation leading to successful prosecution. The intent is to provide practitioners tangible resources that will improve the overall care for these patients and enhance their contribution to the ongoing challenge of ending the vicious cycle of intimate partner violence. All levels are welcome.

NYS CME: All Levels - Core - Trauma

This session compares New York State civilian EMS protocols with selected military prehospital medical protocols to examine how different operational environments influence protocol design, provider decision-making, and medical oversight. Through side-by-side review of hemorrhage control, airway management, trauma, and medical emergencies, participants will explore similarities, key differences, and lessons that may inform protocol development, quality improvement, provider education, and system preparedness within New York State EMS.

NYS CME: All Levels - Core - Preparatory

Historically, there were debates in the regarding when (and whether) to transport patients with ongoing CPR to a hospital or terminate resuscitation on scene. In the past 20 years, the evidence swung away from intra-arrest transport towards the delivery of high-performance CPR on scene. Recently, however, some systems have developed extracorporeal cardiopulmonary (ECPR) systems of care, where early transport is needed within 10-20 minutes of on-scene resuscitation to deliver patients to ECPR therapies. This session will describe the evidence for on-scene resuscitation, recent trials delivering patients to ECPR centers, and outline the pro's and con's of ECPR for patients in cardiac arrest.

NYS CME: All Levels - Core - Cardiac

This class is intended for agency CME Coordinators and other relevant education and administrative stakeholders. The individual provider may benefit from this information as well, especially in light of new regulatory changes related to the four-year certification cycle and other CME recertification updates. This session will review education standards, the CME recertification process, and provide some troubleshooting knowledge nuggets. Participants will become aware of the regulation that informs this process and will familiarize themselves with the roles and responsibilities of a CME coordinator.

NYS CME: Educator CIU 

Rural EMS providers frequently operate in environments defined by extended transport times, limited backup resources, and significant geographic barriers to care. These conditions require a high level of adaptability, strong clinical judgment, and the ability to make critical decisions with limited support.

This session provides practical, experience-based strategies for managing critically ill or injured patients in rural settings. Emphasis will be placed on maintaining composure under pressure, sharpening clinical reasoning skills, and effectively utilizing available resources to optimize patient care. Attendees will leave with actionable tools and techniques designed to enhance confidence, improve outcomes, and strengthen performance in rural EMS environments.

NYS CME: All Levels - Core - Preparatory

This course provides an in-depth exploration of neurogenic shock, focusing on its anatomical and physiological underpinnings. Participants will examine the interconnected roles of the nervous and vascular systems in the development of neurogenic shock, including its etiology, progression, and clinical manifestations. Mike will share evidence-based assessment techniques and treatment strategies, equipping learners with the knowledge and skills to effectively manage this rare critical condition in emergency settings.

NYS CME: All Levels - Core - Shock

Effective communication is a cornerstone of emergency response and crisis management. During emergencies, the ability of EMS and public safety organizations to clearly communicate strategies, share accurate information, and maintain public trust can significantly influence outcomes. Equally important is the role of the media as a partner in educating communities, promoting preparedness, reducing risk, and supporting informed decision-making.

This session explores the principles of crisis and emergency risk communication, highlighting best practices for engaging with the public and working collaboratively with media partners before, during, and after incidents. Participants will examine strategies for delivering timely, transparent, and credible messaging while protecting the reputation and integrity of their organizations. Attendees will leave with practical tools to strengthen public communication efforts, enhance community resilience, and foster productive relationships with the media in both routine operations and times of crisis.

NYS CME: All Levels - Non-Core Additional

Critical pediatric emergencies represent some of the most demanding and high-pressure situations faced by healthcare providers. Although these cases comprise a small percentage of overall call volume, they require a unique combination of clinical expertise, emotional resilience, and rapid decision-making. The infrequency of these encounters often results in limited hands-on experience, making effective preparation all the more essential. This presentation will explore the complexities of managing critically ill or injured pediatric patients through a blend of current data, evidence-based practices, and powerful real-life case studies—both successful and unsuccessful. Attendees will gain practical insights and actionable strategies to enhance readiness and performance when it matters most.

NYS CME: Core - Neo/OB/Peds

Agentic AI, large language models and algorithms, drones and driverless vehicles are transforming the world. As we navigate this uncertain time, there is huge potential to enhance the care that EMS canprovide, yet real risk to blur the boundaries of safe and effective care. Naviagting this tension will determine the future of EMS in New York State. Will we harness this technology to improve patient and clinician care and expereince? Or will we lose our way - too wary to change or too trusting of technologic advance?

NYS CME: All Levels - Non Core - Additional

This engaging session explores how modern EMS storytelling through TikTok, YouTube, and podcasts can transform recruitment and retention efforts within your agency. Led by nationally recognized EMS content creator Jack Raia, the session highlights how organizations can showcase the full scope of EMS work in their communities to build meaningful connections with future volunteers and career providers. Attendees will learn how authentic digital content can improve public understanding and strengthen community engagement. Through real-world examples and demonstrations, participants will see how effective storytelling supports organizational growth and workforce retention. Leaders will leave with practical tools, ideas, and strategies to position their agency for long-term success.

NYS CME: All Levels - Non-Core Additional

Pharmacology Under Pressure: Case-Based Critical Care is easy when patients are stable. It becomes an entirely different discipline at altitude, in shock, during airway collapse, or when physiology breaks the rules. Pharmacology Under Pressure is a case-based masterclass designed for flight, transport, and high-acuity clinicians who want to actually understand why they give the drugs they give — and when they should do something different.

If you’ve ever asked, “Why are we giving this?” or “Is this really the best drug here?” — this course is for you. Expect fewer slides, more thinking, and uncomfortable but necessary conversations about the drugs we use every day.

NYS CME: All Levels - Core - Pharmacology

When Hurricanes Irma and Maria struck the U.S. Virgin Islands with the devastation of a Category 5 storm, critical infrastructure was damaged. Through an Emergency Management Assistance Compact (E.M.A.C.) request from the U.S. Virgin Islands, the New Jersey EMS Task Force was able to deploy a contingent of highly-trained EMTs and paramedics as well as a fleet of all-terrain ambulances to assist in the recovery efforts. You will learn how you can utilize your education, training, skills, and expertise to function in an austere environment with minimal resources and a challenging environment. We will discuss how lessons learned in this E.M.A.C. deployment can be applied to other planned or unplanned incidents and disaster management as it pertains to EMS. You will learn how applying principles of tactical paramedicine can be applied to routine responses in any EMS system.

NYS CME: All Levels - Non-Core Additional

Moral injury is a lesser-known but significant and often overlooked challenge for first responders. Unlike Post-Traumatic Stress Disorder (PTSD), which stems from exposure to life-threatening or overwhelming events, moral injury arises when individuals are placed in situations where their actions, or inactions, conflict with their deeply held values or sense of what is “right.” This lecture explores the distinct nature of moral injury, how it differs from PTSD, and why understanding this difference matters for both personal and professional well-being. Through real-world examples and practical insights, participants will learn to recognize the presence of moral injury and gain strategies to respond to and mitigate its impact within first responder communities.

NYS CME: Mandatory Non-Core - Mental Health of the EMT

Around the country people struggle with hopelessness, addiction, and violence. Our society and our health system has often fallen short in helping our communities find the right resouces for their needs at the right time.

In 2025, the New York State Office of Mental Health released Daniel's Law Report, which outlines a whole of society approach to get people what they need. EMS stands ready to support, but what does that mean on the ground? How can New York State EMS agencies and clinicians prepare or enhance the contribution to this developing system? Examples from around the state will highlight effective strategies and tools attendees can take home to their communities.

NYS CME: All Levels - Core - Psychiatric

In this presentation, the evidence base for transcutaneous pacing (TCP) will be described, interactive ECG interpretation polls will be used to teach the audience how to recognize true electrical capture, and clear steps to improve TCP care in different prehospital systems will be offered. Transcutaneous pacing is a procedure reserved for some of the sickest EMS patients, so learning how to provide higher quality TCP could make a serious impact on the quality of care in prehospital systems. The presentation will begin by describing the existing literature on TCP, from the first set of cases published by Paul Zoll to the most recent data from observational prehospital literature and the electrophysiology lab. Next, results will be shared from the largest multicenter observational study of transcutaneous pacing electrocardiogram files to date that demonstrate the rarity of true electrical capture. Next, an engaging session quizzing audience members on interpretation of TCP cases that can be particularly challenging, using real cases from our prehospital transcutaneous pacing monitor file database, will improve participants’ ability to distinguish pacer artifact from electrical capture. Finally, solutions for leaders in EMS organizations to improve TCP in their system will be described, including new protocols with a focus on identifying the correct patients, training paramedics on this difficult skill, using high currents, and deploying multiple confirmation methods.

NYS CME: All Levels - Core - Cardiac

The COVID-19 pandemic was a defining moment for EMS agencies of every size, exposing long-standing gaps in preparedness, coordination, and system integration. Shortages of personal protective equipment, inconsistent clinical guidance, overwhelmed hospitals, and fragile workforce capacity placed EMS at the center of the crisis—often without a clear seat at the public health planning table. The next public health emergency is not a question of if, but when. Drawing on lessons from COVID-19 and earlier infectious disease events such as SARS, H1N1, Ebola, mpox, and Zika, as well as system-stress emergencies including Hurricane Katrina and the 2021 Texas winter storm, this session examines how crises disrupt EMS operations in distinct but predictable ways. From workforce shortages and hospital diversions to infrastructure failures, resource scarcity, and breakdowns in mutual aid, these events reveal how quickly EMS systems can be strained when preparedness and coordination fall short. Attendees will leave with a clearer understanding of EMS’s indispensable role as frontline healthcare and public health infrastructure, along with practical strategies to strengthen collaboration, resilience, and operational readiness ahead of the next inevitable public health emergency.

NYS CME: All Levels - Core - Operations

This meeting is for the NYS EMS Coordinators and is not a CME course.

We tend to talk about the big one, that giant massive disaster, the kind that rarely happens. How do you keep your organization ready to respond to the big one, while building useful everyday skills? Easy, have them plan out responses for the events they see all the time, country fairs, carnivals and car shows.

This class will cover planning for small-scale events to build readiness for the big one. We’ll talk about planning, staffing, managing and all other details required to successfully staff local events. We’ll share strategies for responding, building morale, keeping people engaged by making them part of the plan, and executing an MCI strategy for local events. Attendees will understand how to put a plan together and build community trust that they’ll be ready when something terrible happens.

NYS CME - All Levels - Core - Operations

This session provides a practical, evidence-informed approach to trauma assessment and stabilization in remote or resource-limited environments. Participants will learn to rapidly identify life-threatening injuries, manage common traumatic presentations with limited equipment, and adapt standard trauma principles to wilderness and austere settings. The session emphasizes improvisation, environmental considerations, and decision-making when definitive care may be hours away. Realistic field scenarios and case-based discussion will help learners build confidence in managing fractures, dislocations, soft-tissue injuries, and multi-system trauma when “you are the only help for miles.”

NYS CME - All Levels - Core- Trauma

Research literacy is not optional—it’s a core requirement in the National EMS Education Standards for all four provider levels. Yet teaching research can be challenging when many EMS educators and providers have never conducted research themselves. This session equips educators with practical strategies to teach research concepts effectively in EMS classrooms.

We’ll explore foundational principles, active learning techniques, and real-world applications that make research engaging and relevant. Participants will learn how to integrate research into curriculum, overcome barriers, and design activities that foster critical thinking and evidence-based decision-making. Empower your students to question, analyze, and innovate.

NYS CME - 1 Hour - Educator

“Toxic alcohols” … Why would someone ever consume them? Typically, these substances are used for two reasons: suicide/homicide or inebriation. They are more readily available than ethanol and are usually cheaper, thus, are sometimes a viable option for the patient looking for a quick fix. The results of ingestion, however, can be catastrophic. This presentation will break down the effects of these substances in the body and what we as EMS providers can do for these patients.

NYS CME: All Levels - Core - Toxicology

Patient assessments are a factor in almost every single lawsuit against EMS providers. Although providers learn how to conduct patient assessments from a clinical standpoint, the legal aspects are often overlooked. Improper assessments can lead to severe patient injuries, inappropriate refusals, and even patients waking up from the dead!

In this presentation, Nick, an EMS chief and paramedic with over two decades of experience, and Samantha, an attorney for one of the largest hospital-based EMS systems in the Southeast, illustrate the legal issues in patient assessment through review of actual incidents and reported legal cases, and offer tips and tricks for responders to protect themselves and their services from legal liability.

NYS CME - All Levels - Non-Core Additional

Child abuse and neglect is more common than we think. Sometime its obvious, often time subtle. EMS clinicians have a responsibility to recognize, manage, and report cases of child abuse and neglect. With that responsibility comes the emotional challenges that many EMS clinicians experience dealing with such challenging cases.

Empowering EMS clinicians with the knowledge to recognize signs of child abuse and neglect keep children safe. Offering opportunities to first responders to respond emotionally to these events support EMS clinician resiliency.

NYS CME - All Levels - Core - Pediatric/ OB/ NEO

Ketamine is widely used in prehospital care for pain management, but its unique dissociative effects can be mentally and emotionally distressing when the patient’s psychological safety is overlooked. This lecture examines how limited awareness of ketamine’s experiential effects can unintentionally contribute to patient distress and highlights practical, trauma-informed strategies to reduce risk. Participants will explore the psychological effects of ketamine and how provider behavior, informed consent, and setting influence whether the patient experience is perceived as a welcomed relief or a “bad trip.”

NYS CME - ALS - Core - Pharmacology

As emergency medical services continues to expand its role in behavioral health emergencies, few situations challenge providers more than caring for an agitated child or adolescent in crisis. Developed by the New York State EMS for Children Advisory Committee and Pediatric Agitation Subcommittee, this engaging session explores the evidence, principles, and practical strategies that underpin New York State's approach to pediatric agitation.

Led by experienced New York State paramedics and educators Meghan Williams and Joseph Pataky, attendees will examine best practices that complement the New York State Collaborative ALS Protocols and Statewide BLS Protocols, emphasizing early recognition, effective communication, de-escalation techniques, and patient-centered interventions. Through real-world insights and practical application, participants will gain the confidence to improve patient outcomes, enhance provider safety, and deliver compassionate, developmentally appropriate care to children and adolescents experiencing behavioral health crises.

NYS CME: All Levels - Core - Psychiatric

This session highlights the work of the inaugural New York State EMS Mental Health Fellowship and the collaborative efforts to strengthen wellness, resilience, and peer support across EMS agencies. Through a brief program overview and moderated panel discussion, fellows will share common challenges, lessons learned, practical strategies, and successes from implementing wellness initiatives within their organizations. The session will conclude with an audience Q&A focused on advancing EMS wellness efforts statewide.

In a world where saying the wrong thing at the wrong time can lead to legal trouble, is there a right way to deliver bad news? Are providers receiving the proper training on communication in difficult situations? Nick, the EMS Division Chief for one of the largest county-based ALS first response agencies in Georgia, and Samantha, an attorney for one of the largest hospital-based EMS systems in the Southeast, will describe best practices for delivering “bad news” on scene and mitigating conflict. We examine the legal protections that may be afforded to EMS providers under state “apology laws” and risk management strategies for adverse events.

NYS CME: All Levels - Core - Preparatory

Many of us want to lead, but only some get real leadership training before getting the jobs. Oftentimes, we stumble into the job by default or a popular vote. And too frequently, those who had the job before fail to pass on the key leadership lessons that guided them. Before taking the job, few realize today’s leaders are part camp counselor, part divorce counselor, and part psychologist, all while being an EMS tactician. Doing this in a volunteer setting makes it even more challenging. This class will explore what officers need to lead today’s EMS organization successfully.

NYS CME: All Levels - Non Core - Additional

Altitude illness is uncommon in most EMS systems, but when it occurs—often during travel, training, or outdoor recreation—it can be subtle, rapidly progressive, and easy to miss until patients deteriorate. This session focuses on the prehospital recognition and management of altitude-related illness, including acute mountain sickness, high-altitude pulmonary edema (HAPE), and high-altitude cerebral edema (HACE), with emphasis on early identification and decisive intervention.

The content is informed by real-world experience as a wilderness medicine instructor and through formal wilderness medicine training, including participation in high-altitude and cold-environment activities such as cross-country skiing, rappelling, snowshoeing, and prolonged field operations. These environments highlight how exertion, weather, terrain, and delayed access to care complicate assessment and decision-making. Using case-based discussion, attendees will learn to recognize early warning signs, differentiate altitude illness from more common medical complaints, and initiate appropriate field management when descent, oxygen, or evacuation may be the only definitive treatments. The session emphasizes practical decision-making in remote or delayed-access settings and equips EMS clinicians with tools to act confidently when thin air becomes a medical emergency.

NYS CME: All Levels - Core - Respiratory

Learn how the routine use of an intravenous infusion pump can enhance patient safety, improve accuracy of dosing, allow for provider cognitive offload, and meet goals for therapy in a way that is simple, affordable, compliant, and easy to adopt. Discuss best practices towards the platform selection, training, maintenance, storage, and safety parameters of the devices. We will share some clinical examples that are immediately actionable based on real-world circumstances.

NYS CME: ALS - Core - Preparatory

This course will focus on the utility and implementation of prehospital blood transfusion programs, a topic of growing importance and particular timeliness in New York State following recent legislative changes enabling broader access to blood products in the field. The session will review the history of prehospital blood in New York State, the science supporting early blood product resuscitation in hemorrhagic shock, and practical considerations for developing and implementing a prehospital blood program.

NYS CME: All Levels - Core - Trauma

What do you need to know to succeed at the Mount Everest of 911 calls? What if you can’t find the flow chart? Evidence shows that you already have everything you need to win in this darkest hour. Through an in-depth case study of the triumph at the Seattle Duck Boat crash, attendees will learn simple logistical steps, that, when taken within the first 90 seconds, pave the way to success. Next, learners will discover the wonders of and get in some reps practicing intuitive triage, which is less cumbersome and just as effective as algorithm- based MCI triage. The presentation will conclude with some tips and tricks for common pitfalls in MCI management as well as training for the big day.

NYS CME: All Levels - Core - Operations

Pediatric patients with sickle cell disease present unique challenges in the prehospital setting, particularly when infection, neurologic changes, and stroke risk intersect. Early recognition and timely decision-making by prehospital providers can significantly influence patient outcomes, yet these presentations may be subtle and easily overlooked in the field. This case study examines a pediatric patient with sickle cell disease who presented to prehospital providers with evolving neurologic symptoms. Through a structured review of dispatch information, on-scene assessment, clinical decision points, and transport considerations, participants will explore the complexities of identifying stroke risk in this high-risk population. Emphasis is placed on recognizing red flags, understanding the role of infection and systemic illness, and communicating critical findings to receiving facilities. This session aims to increase confidence in prehospital stroke recognition for pediatric sickle cell patients and reinforce the importance of early activation and interdisciplinary coordination.

NYS CME: All Levels - Core - Neurology

Do you struggle with medication math? You’re not alone. This hands-on workshop will simplify the most critical medication calculations for EMS providers, from dosing and drip rates to weight-based medications. Through real-world scenarios and easy-to-remember techniques, you'll gain the confidence and skills needed to ensure accuracy in the field. Whether you’re a seasoned provider or new to EMS, this session will sharpen your math game!

NYS CME: All Levels - Core - Preparatory

Active threat and targeted violence incidents demand a coordinated response that balances rapid patient care with responder safety. This one-hour session provides EMS professionals with a practical overview of Rescue Task Force (RTF) operations, using real-world case studies to examine lessons learned from aggressive deadly behavior incidents. Participants will review the principles of mass casualty response, explore the roles and responsibilities of EMS within an integrated law enforcement response, and learn how to establish effective warm zone operations. The course will cover care-under-threat priorities, casualty collection point selection and setup, and the organization of Rescue Task Forces to rapidly access, treat, and evacuate injured patients while operating in dynamic and potentially dangerous environments. Attendees will leave with practical strategies they can apply to improve preparedness and response in their own agencies.

NYS CME: All Levels - Core - Operations

EMS clinicians routinely show up for patients experiencing profound loss, yet many of our own silently carry their own grief related to miscarriage, pregnancy loss, and reproductive health challenges. Drawing from survey-informed trends and lived experiences of women in EMS, this session explores how workplace culture, operational demands, and unspoken expectations can leave colleagues feeling unsupported or unseen during these deeply personal experiences. Rather than focusing on medical causation or policy change, this lecture centers on awareness, supportive language, and peer support.

Attendees will examine how intentional compassion toward colleagues facing invisible loss strengthens team cohesion, reduces isolation, and if also utilized in the field could enhance patient care. This session is appropriate for EMS providers, educators, and leaders seeking to foster a culture where colleagues are seen and supported.

NYS CME: All Levels - Mandatory Non-Core - Mental Health of the EMT

Artificial Intelligence (AI) is transforming education by enabling personalized learning, efficiency, and accessibility. This session demystifies AI’s role in modern classrooms, showcasing practical applications like adaptive learning systems, automated grading, and predictive analytics.

We’ll explore benefits and challenges, including ethical concerns, data privacy, and the digital divide, while highlighting strategies for equitable implementation. Attendees will gain actionable insights on leveraging AI tools effectively, preparing educators and students for a future where AI is integral to teaching and learning.

NYS CME: All Levels - Educator

Delivering effective patient care becomes far more complex when familiar tools, medications, and system support are limited or unavailable. This session examines how clinicians adapt when improvisation is not a contingency, but a routine part of practice. The content is grounded in real-world experience across diverse austere settings, including mobile medical outreach for migrant farmworkers in rural South Georgia, wilderness medicine instruction and response in the remote Adirondack Mountains, and emergency medical care in a Critical Access Hospital in Northern New England, where staffing, specialty access, and resources are inherently constrained. Rather than focusing on ideal conditions, this talk centers on how care actually unfolds when infrastructure is fragile, transport times are prolonged, and the margin for error is slim. Participants will explore practical strategies for medication substitution, creative use of available equipment, airway and ventilation problem-solving, trauma management with minimal tools, and the care of environmental emergencies when standard protocols require adaptation. Through applied examples and operational decision-making, attendees will gain actionable approaches to think flexibly, stabilize patients effectively, and continue delivering safe, high-quality care when definitive resources are hours away.

NYS CME: All Levels - Core- Preparatory

Are you just starting out as an educator, or want to become one? This fast-paced crash course in EMS education will cover references, resources, podcasts, practical basics to set a firm foundation to kick off your career as an EMS educator. Participants will leave this lecture with a clear understanding of EMS Education as they start their CLI and CIC internships.

NYS CME: All Levels - Non-Core - Additional

FAST, BeFAST, RACE, LA, NIH, oh my! There is a plethora of stroke scales out there. What do they all mean? How do they work? How accurate are they at predicting strokes? In this interactive session, we will answer these and other questions about stroke scales and the impact they have on our EMS systems.

NYS CME: All Levels - Core - Neurology

During large-scale incidents and disasters, Emergency Medical Services plays a critical role beyond patient transport, yet many prehospital providers have limited visibility into how their profession functions within an Emergency Operations Center (EOC). This session provides an EMS-focused overview of roles and responsibilities within the ESF-8 framework, highlighting how prehospital operations are represented and coordinated during emergency response. Drawing from real-world experience serving as both an EMS Liaison and a Regional EMS Designated Regional Coordinator within an EOC, this presentation explores how field-level conditions are translated into regional coordination, resource allocation, and operational decision-making. Topics include situational awareness, patient movement considerations, interagency communication, and the role of EMS leadership in bridging local operations with regional response strategies. This session aims to demystify EMS participation in the EOC and clarify how regional coordination supports both frontline providers and patient outcomes.

NYS CME - All Levels - Core - Operations

A strong understanding of cardiovascular physiology is essential for making sound clinical decisions in both emergency and critical care settings. In Part 1 of this advanced two-part series, participants will explore the hemodynamic principles that drive circulation, tissue perfusion, and oxygen delivery. Through an in-depth review of normal cardiovascular function and common pathophysiologic changes, learners will build a foundation for interpreting patient presentations, understanding invasive and non-invasive monitoring, and applying cardiovascular medications and therapies.

Check the Vital Signs Academy schedule for part 2 of this course!

NYS CME: All Levels - Core- Cardiac

So your critically ill patient has a higher body mass than average - what procedures and assessments need to be adjusted to succeed here? It’s not actually the ones you’d expect.

Attendees will discover how many procedures are identical regardless of patient weight. Conversely, they will also learn, through case studies and a primary literature review, how to adapt and optimize life-saving procedures ranging from the intramuscular injection and antiarrhythmic dosing to cricothyrotomy. The presentation will conclude with the surprising science of resuscitating an obese patient.

NYS CME: All Levels - Non-Core - Additional

The assumption is that the majority of stressors we face as emergency workers are from the calls we attend, which may be true for some. But, for most of us, most stressors come from controllable factors. In this session, Dan defines the controllable and non-controllable stressors in our profession and ways to recognize, minimize, or even eliminate the stressors we can control.

NYS CME: All Levels - Mandatory Non-Core: Mental Health of the EMT

Just like adults, children are most likely to survive cardiac arrest when they receive high quality CPR, effective ventilations, recognition and reversal of treatable causes of cardiovascular collapse. Immediate transport to the hospital has long been the default playbook, but transport delays and impairs our ability to provide the best care in the most time-sensitive condition we treat. We'll discuss the increasing evidence for working pediatric cardiac arrest on scene, explore challenges and possible solutions to improve survival in your community.

NYS CME: All Levels - Core - Cardiology

When responding to an entrapment situation, EMS should be prepared to manage a patient with crush syndrome. Having your patient die moments after being freed is a tragic end to a well-executed rescue. EMS providers as part of these teams can reduce the chances of this through recognition and proper pre-treatment prior to extrication. Come listen to this presentation and find out how.

NYS CME: All Levels - Core - Trauma

Join the NYS Division of State EMS Operations Team for a focused operational update for EMS providers. Designed to keep field personnel and agency leaders informed, this session covers key changes in EMS protocols, response procedures, system coordination, and statewide initiatives that directly impact day-to-day operations. Participants will receive practical insights on current challenges, trends, and expectations in the EMS environment, including safety priorities and resource updates. The update concludes with an open Q&A session to address real-world questions from the field.

NYS CME: All Levels - Core - Operations