Harvard EMS Interface Between Out-of-Hospital & Hospital-Based Providers 2025

Explore advanced, evidence-based approaches to EMS and hospital integration in this dynamic 2-day course led by emergency medicine experts from Beth Israel Deaconess Medical Center and Harvard Medical School.

This course is a 2-day, 17-hour course that provides participants with the knowledge and skills to expand their knowledge of out-of-hospital medicine. Through a dynamic and interactive format, the course focuses on lecture, panel, and QA-based formats to optimize provider knowledge around the pre-hospital system and the hospital’s integration with EMS. This course is designed for physicians, PAs, NPs, and RNs who interact with the prehospital health care system frequently, likely emergency, critical care, or internal medicine providers. This course is also designed for EMTs, paramedics, and other pre-hospital care providers who would like to gain knowledge in EMS-hospital systems integration.
The goal of this course is to teach providers to improve their EMS knowledge on:

EMS certification, scope of practice, and limitations of different provider levels.
EMS system design and systems of care.
Protocols and online medical control with basic federal/regional rules and regulations.
Provider awareness of their responsibilities and liability for medical control, as well as interfacility transportation.
Awareness of upcoming controversies and expansions in EMS.

Learning Objectives

 Identify EMS provider-level scope of practice and limitations.
 Explain basic EMS system organization.
 Recognize provider and hospital legal responsibilities and risks related to EMS.
 Understand helicopter vs ground EMS capabilities and limitations.
 Apply knowledge to choose the optimal transport modality for patients.
 Learn about mass casualty and disaster incidents, and how hospital based providers participate and integrate into systems.
 Identify and appraise upcoming EMS controversies, and potential for expansion.
 Understand best practices for pediatric pre-hospital transport.

Who Should Participate

Emergency Physicians, Critical Care Physicians, Hospitalists, EMTs, paramedics, and other pre-hospital care providers, Specialty Physicians, Physician Assistants, Nurse Practitioners, and Nurses, Residents, Medical Students, and Trainees
 

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Monday, November 17, 2025

7:45-8:00 am Welcome Stephen Thomas; Christie Fritz
8:00-8:45 am Keynote: Applying the Best of EMS for Hospital Success: How EMS Operations Can Drive Improving Inpatient Outcomes, Costs of Care, AND Patient Experience Satisfaction Jeffrey Goodloe
8:45-9:00 am Interactive Question and Answer Session Jeffrey Goodloe
9:00-9:30 am International EMS Tim Harris
9:30-9:40 am Interactive Question and Answer Session Tim Harris
9:40-9:50 am Break
9:50-10:10 am Prehospital Provider Types (NREMT/Initial Training/Con Ed) William Porcaro
10:10-10:30 am EMS System Types/Design Daniel Willner
10:30-10:50 am Systems of Care Nichole Bosson
10:50-11:10 am Interactive Question and Answer Session Nichole Bosson; Daniel Willner; William Porcaro
11:10-11:50 am Medicolegal Pitfalls & EMTALA Jonathan Burstein
11:50 am-12:00 pm Interactive Question and Answer Session Jonathan Burstein
12:00-12:55 pm Lunch
12:55-1:20 pm Online Medical Control Pearls Colby Redfield
1:20-1:50 pm History of EMS Matt Bivens
1:50-2:00 pm Interactive Question and Answer Session Colby Redfield; Matt Bivens
2:00-2:25 pm Prehospital Cardiac Arrest Jason Cohen
2:25-2:50 pm Rural Medicine Daniel Davis
2:50-3:00 pm Interactive Question and Answer Session Jason Cohen; Daniel Davis
3:00-3:25 pm HEMS Utilization: Right Patient, Care, Time, Mode, & Place: The Conundrum of Matching Triage to Outcomes & the Urban / Rural Paradox of Need and Demand Jacqueline Stocking
3:25-3:50 pm Delivering Critical Care to the Roadside David Lockey
3:50-4:00 pm Interactive Question and Answer Session David Lockey; Jacqueline Stocking
4:00-4:55 pm Panel – Challenges/Choosing the Optimal Transport Mode Edward Ullman; Stephen Thomas; Christie Fritz
4:55-5:00 pm Learning Points of Day 1 Christie Fritz

Tuesday, November 18, 2025

7:45-7:50 am Welcome Christie Fritz; Stephen Thomas
7:50-8:35 am Keynote: Transporting the Agitated Patient: Controversies and Caveats Russell D. MacDonald
8:35-8:45 am Interactive Question and Answer Session Russell D. MacDonald
8:45-9:05 am Pediatrics and EMS: Trauma and Pediatric Readiness Caitlin Farrell; Benjamin Palmere
9:05-9:35 am Respiratory Emergencies and Pediatric Airway Management Joshua Nagler
9:35-9:45 am Interactive Question and Answer Session Caitlin Farrell; Joshua Nagler; Benjamin Palmere
9:45-10:15 am Pediatric Critical Care and Interfacility Transfer Jordan Rettig
10:15-10:45 am Pediatric Status Epilepticus: Dispatch to Disposition Michael Goldman; Sonny Ruskin
10:45-10:55 am Interactive Question and Answer Session Jordan Rettig; Michael Goldman; Sonny Ruskin
10:55-11:05 am Break
11:05-11:35 am Geriatric Transports Shan Liu
11:35-11:45 am Interactive Question and Answer Session Shan Liu
11:45 am-12:15 pm Mass Casualty Incidents Paul Biddinger
12:15-12:20 pm Interactive Question and Answer Session Paul Biddinger
12:20-12:45 pm Lunch
12:45-1:15 pm EMS Procedures: Intubation & the Ultrasound Debate Sam Galvagno
1:15-1:30 pm Mobile Integrated Health & Future Topics David Schoenfeld
1:30-1:45 pm Interactive Question and Answer Session David Schoenfeld; Sam Galvagno
1:45-2:30 pm Military/Tactical Medicine (three 15-min presentations + panel) Bill Justice; Michael McCartin; Lt. Commander Paul Roszko
2:30-3:00 pm Interactive Question and Answer Session Bill Justice; Michael McCartin; Lt. Commander Paul Roszko
3:00-3:40 pm Disaster Medicine Gregory Ciottone
3:40-3:55 pm Interactive Question and Answer Session Gregory Ciottone
3:55-4:55 pm Panel Discussion: Advanced Cases Edward Ullman; Stephen Thomas; Christie Fritz; Lincoln Zernicke
4:55-5:00 pm Learning Points of Day 2 Stephen Thomas; Christie Fritz