1. Controversies in Pre-Hospital Care Master Paramedic Panel Robin Barber Andrew Bernard Carol Coyle Randy Fathbruckner Les Fryman John Hultgren

2. Case 1 Traction or not? Fall from a roof 50 YOM Screaming in pain Angulated LE Exposed femur No pedal pulse

3. Case 2 How then the airway? 25 YOM Rollover MVC Entrapped GCS 8 RR 8 Laryngoscopy attempted No view Jaws tight

4. Case 3 By Land or by Air? MVC Adult female Short extrication Awake HR 120 SBP 90 Abdominal pain 30 minutes to level 1

5. Case 4 How much is enough? Shooting Male RUQ wound, only SBP 80 Palpable radial pulse 15 minute ETA to level 3

6. Case 5 What to say? School bus crash 50 elementary schoolers 15 to hospital Some severe Reporters have been on scene