27th Annual Scientific Assembly

USAAEM: Disaster Medicine: Working ‘The Field’ - High Risk, Low Frequency Pearls and Skills

Jointly provided by USAAEM

Thursday, June 24, 2021
7:30am-4:30pm CT

Grand C

Note: This course is only offered to in-person attendees.

Course Description

This disaster medicine familiarization course is designed to expose attendees (physicians, physician assistants, nurses and paramedics) to the challenges encountered in the requirements of providing care in the austere environments after disasters; and provide in introduction to the knowledge, skills and abilities necessary to perform medical functions in support of search and rescue teams during a disaster. In addition, participants will have the opportunity to practice the skills and techniques expected of FEMA and state search & rescue medical personnel in a realistic, field environment located at an offsite disaster training facility.

Because logistical requirements and participant/instructor ratio required to deliver a quality course with field stations, the course is limited to 32 participants.  

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Participant Information: The course will be held outdoors and includes active participation including physical activity and potential for clothing to be stained or damaged. Activities will include exposure to confined spaces, loud noises, smoke and the elements. In our efforts to ensure your safety and the safety of others, course participants are asked to wear “old” clothing they will not mind getting soiled or damaged: long pants, hiking boots, work gloves, long-sleeve shirts or shirts with light jackets. 

Recommended, but not required, equipment: knee pads and elbow pads. 

Required equipment that will be provided: helmets, ear protection and safety goggles.



Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Academy of Emergency Medicine (AAEM) and the Uniformed Services Chapter Division of the American Academy of Emergency Medicine (USAAEM). The American Academy of Emergency Medicine (AAEM) is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement
The American Academy of Emergency Medicine designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Learning Objectives

  1. Understand the practices and principles of disaster and confined-space medicine.
  2. Understand the medical science behind the practices and principles of disaster and confined-space medicine when local infrastructure may not be intact.
  3. Understand the roles and responsibilities for medical providers in supporting search and rescue teams during disasters.
  4. Provide familiarization to medical conditions and unique challenges encountered in providing medical care in disaster situations.
  5. Demonstrate proficiency with the following skills in a realistic disaster, structural collapse, and confined space simulation scenario:
  1. Clinical assessment of entrapped victim with limited patient access
  2. Management of crush injury, reperfusion syndrome, and trauma in the field
  3. Care of victims in confined space and structural collapse
  4. Evaluation and care of blast injuries, trauma, and medical victims in the field
  5. Prolonged field care in austere environment
  6. Field amputation, vascular access, and hemorrhage control


Course Fee 

  • $25 Students, Residents, Allied Health Professionals**
  • $100 Physicians**

  **The registration fee is refunded within 30 days after Scientific Assembly for USAAEM members who attend the course

Course Registration Limit: 32 participants


Tentative Course Schedule  

Thursday, June 24, 2021


Introduction to Disaster Medicine and Confined-Space Medicine
Alexandre F. Migala, DO FAAEM


Confined Space and Environmental Medical Considerations
Allen Yee, MD FAAEM and Andrew Zabel, DO




Blast Injury, Crush Injury, and Field Amputation   
Marc M. Grossman, MD FAAEM and Jacob Loesche, MD


Limited Patient Access Evaluation
Zachary M. Sletten, MD FAAEM and Jerry S. Hu, DO. PharmD 


Range Familiarization, Safety Brief, and Instructor Introductions
Stan Hempstead, EMT-P    


Lunch (provided)


Disaster Medicine Skills Stations in the Field   

  • Patient Immobilization, Packaging, and Monitoring
    Alexandre F. Migala, DO FAAEM; Stan Hempstead, EMT-P; Alexander Gwynne, DO; and Steven Radloff, MD
  • Vascular Access, Field Amputation, and Hemorrhage Control
    Jacob Hempstead, NREMT-P; Zachary Sletten, MD FAAEM; Stephanie Angel, MD; and Krishna Constantino, MD
  • Confined Space Victim Assessment and Care
    Allen Yee, MD FAAEM; Tanner Greiving, MD; and Anthony Netzel, DO
  • Prolonged Field Care
    Marc M. Grossman, MD FAAEM; Sean E. Scott, MD; and Adam Spanier, MD


Hot Wash and Debrief    

*Schedule subject to change.

All times are noted for Central Time Zone


Course Director  

Alexandre F. Migala, DO FAAEM UHM
COL MC U.S. Army
Commander, Medical Support Unit – Europe, Kaiserslautern, Germany
Medical Team Manager, Texas A&M Task Force-1
Medical Officer, Incident Support Team, FEMA


Associate Course Director

Zachary Sletten, MD FAAEM
CPT, MC, U.S. Army
Simulation Director, Department of Emergency Medicine, BAMC
Assistant Professor of Emergency Medicine, USUHS


Course Faculty

Chelsea Ausman, MD
Carl R. Darnall Army Medical Center

Krishna Constantino, MD
Resident, Brooke Army Medical Center

Tanner Greiving, MD
Resident, San Antonio Uniformed Services Health Education Consortium

Marc M. Grossman, MD FAAEM
New Hampshire Bureau of EMS, Medical Control Board

Alexander Gwynne, DO 
Resident, Brooke Army Medical Center

Jacob Hempstead, EMT-P 
Firefighter/Paramedic, Irving Fire Department, Irving, TX
Medical Specialist / Texas Task Force-2
Medic, U.S. Air Force

Stan Hempstead, EMT-P 
CPT, Denton Fire Department, Denton, TX
Medical Specialist / Texas Task Force-1

Jerry S. Hu, DO PharmD
Resident, Madigan Army Medical Center

Jacob Loesche, MD
San Antonio Uniformed Services Health Education Consortium, Houston, TX

Anthony Netzel, DO
Resident, Carl R. Darnall Army Medical Center

Steven Radloff, MD
Resident, Madigan Army Medical Center

Sean E. Scott, MD
Resident, Madigan Army Medical Center

Adam Spanier, MD
Resident, Carl R. Darnall Army Medical Center

Allen Yee, MD FAAEM
Medical Team Manager / Virginia Task Force 2