Crossroads Emergency Conference 2025:

Preconference Offerings

November 20-21, 2025

Preconference offerings for November 19, 2025, are listed below.

  • Make the Right Call: Critical thinking for Improved Cath Lab Activation

    Price: $100.00, which includes lunch.

    Learning Objectives and Goals

    • Integrate the clinician’s own ECG interpretation, the patient presentation and the device’s interpretive statement

    • Use ECG findings to identify the probable clot composition and appropriate treatment

    • List two strategies to obtain a clear ECG in a moving environment

    • Correctly determine the magnitude of ST deviation

    • Recite updated criteria for ST elevation

    • Utilize ST monitoring/serial ECG to increase correct STEMI recognition

    • Recognize clues on the standard 12-Lead ECG suggesting the presence of an isolated posterior STEMI

    • Describe landmarks for posterior electrode placement (V7, V8, and V9)

    • Obtain posterior leads with both 6 and 9 chest ECG cable configurations

    • Utilize the correct ST threshold to suspect isolated posterior STEMI

    • Discuss the difference between NSTEMI/STEMI versus NOMI/OMI

    • List 3 STEMI equivalents

    • Recite the ECG findings suggestive of Wellens syndrome, De Winter T waves and Left Main-Multi Vessel disease pattern

    • Recognize reciprocal changes in aVL as a potential impending inferior STEMI, before ST elevation criteria are met

    • Describe the correct electrode placement for V3R, V4R, V5R and V6R

    • Obtain a 15-lead ECG with both 6 and 9 chest ECG cable configurations

    • Integrate information from right ventricular leads to better assess and manage hypotension, chest pain,n and AV block in STEMI

    • Apply a strategy to differentiate hyper acute T waves from hyperkalemic T waves

    • Identify the most common STEMI impostors encountered in the EMS/ED setting

    • Describe a process for ruling out the top STEMI impostors in 3 seconds.

    • Analyze the ST segment for convexity and concavity ignorer to suspect STEMI in the midst of a STEMi impostor

    • Identify ECG findings of BBB and differentiate RBBB form LBBB

    • Apply the original and modified Sgarbossa criteria to LBBB cases

    • Utilize a model of critical thinking that increases appropriate Cath lab activation and simultaneously reduces STEMI overall

    Faculty: Tim Phalen

    Additional Information

  • Clinical Judgement Workshop & Instructor Update 

    Price: $50.00, which includes lunch.

    Description: Clinical judgment is an essential ability that a competent and safe EMS clinician must use for effective practice. Without it, people get hurt. The clinical judgment domain is a recent addition to advanced-level NR examinations and is being assessed with three-phased scenarios and associated test questions. The workshop will cover the "why" of scenarios, define the construct, and immerse the learner into an applied exercise where innovative questions will be developed during the session through facilitated discussion and dynamic hands-on activities.         

    Presenters: Kenny Navarro, PhD (c), Matt Ozanich, and possibly Terre Godde.

    Total preconference hours: 7 hours

    • 4-hour preconference session

    • 3-hour NREMT Indiana State Office Instructor Update

  • Price: $100, which includes lunch

    3 Consecutive Sessions: Learn

    • 3 consecutive 20 minute sessions that will explore new technologies, how they are being used and what challenges they solve or create.

    Analyze, Review, Challenge: Boomer, Doomer, Zoomer

    • Spend 60 minutes with your peers and find yourself in one of the three "CAMPS".

    • Boomers will analyze why the traditional way of doing things is better, Doomers will analyze the worst-case scenarios of the sessions or suggestions, a contrarians dream. Zoomers, will discuss what jumping both feet in would look like.

    Mental Engagement: Brain food exercises

    • Engage in intentional curated exercises and experiences that are designed to help engage your brain. Neuro Aesthetics at its best.

  • Price: $150.00. Registration fee covers, all course materials, lunch, and certification testing fees.

    THIS CLASS IS DESIGNED FOR PROVIDERS, managers, quality assurance personnel, and billing company staff. This class will teach you best practices in documentation and insure that you are properly protecting yourself and your department.

  • Become a Certified Handtevy Instructor for FREE!

    The Handtevy Pre-Hospital Pediatric Instructor Course is an 8-hour live lecture and hands-on course that is intended to certify instructors to teach the Handtevy Pre-Hospital Pediatric Provider Course at their department and earn credits. The course uses the basic tenets of ACLS training as the foundation while still covering the basic pediatric ALS principles and nuances. The course focuses on the skills needed to rapidly and accurately treat the sick and injured pediatric patient.

    The EMS Division of Indiana Department of Homeland Security has graciously sponsored the Handtevy Pre-Hospital Pediatric Instructor Course - an opportunity you do not want to miss! 

    This CAPCE-certified, hands-on and lecture course is intended to certify instructors to teach the Handtevy Pre-Hospital Pediatric Provider Course at their department and earn credit.

    Join us for an interactive hands-on course that provides a fresh new spin on confidently and accurately treating children in the field.

    Sign-up for the course in the registration process.

    Eligibility: You must be a current Handtevy Mobile client or currently registered to receive Handtevy Mobile through State funding.

    Fee: This registration is sponsored by the EMS Division of Indiana Department of Homeland Security. With this sponsorship, the course including the buffet lunch is free.

    Class Size: Only one student per department. If you're not the lead trainer, confirm with your department before registering.

    Time: 0900 - 1700

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