9th Annual FDNY Medical Special Operations Conference

May 12 - 15, 2022

Registration Open

The FDNY, in partnership with the FDNY Foundation, is proud to invite all first responders to the 9th Annual Medical Special Operations Conference (MSOC). For the past ten years, MSOC continues to be the conference that military, federal, state and local medical responders attend to share their experiences, best practices and ideas. Each year, MSOC continues to evolve to include current hot topics, the latest medical technological updates and recent case studies from around the world. MSOC takes place across four days and consists of workshops, lectures, panel discussions, hands-on skills scenarios and a vendor showcase with the latest equipment and products. Continuing Education Units (CEU) are available.

New York City requires all employees and guests at city facilities to be COVID vaccinated. During the Conference we will be following current CDC recommendations.

2022 FDNY MSOC EMS Competition

Registration Open! Space is limited!
Competition: May 10 - 13 | Check-in: May 10 | Award: May 13

The FDNY and FDNY Foundation are proud to present the annual Medical Special Operations Conference (MSOC) EMS Competition! This year’s high intensity, adrenaline rushing competition consists of multiple scenarios over two days with prizes awarded to the top three teams. The Competition will be located at the FDNY Fire Academy on Randall’s Island with an award ceremony at the NYC Fire Museum.

- New Scenario Format
- Great Prizes
- 15 Teams
Register for the Competition

For general information, please call 718-999-2507
or email [email protected]

Want to exhibit at MSOC?
Please call (718) 999-0779

MSOC Schedule (click tabs to view)


Advanced K-9 Veterinary Care
May 12 - May 13

Learn to provide medical care for our four-legged Task Force members! The course includes both basic and advanced assessment, management, and procedures. Features live tissue and simulated hands-on experience.

NAEMT TECC: Hands-On Active Threat Scenario
May 12 - May 13

NAEMT certification course on Tactical Emergency Casualty Care (TECC) taught by members of FDNY and NYPD. Best practice treatment guidelines for trauma care in the high-threat prehospital environment


Bioskills: Field Limb Amputation and other critical procedural skills (Workshop Full)
May 12

Learn the critical decision process and hands-on skills for performing field limb amputations and other procedures by NYC’s leading trauma surgeons

FDNY Survivor: Wilderness Medicine and Rescue
May 12

- Engage in all aspects of mission planning and throughput in a wilderness setting
- Review wilderness navigation, shelter design and implementation, fire starting and medical care
- Engage in rough terrain extrication and principles of medical evacuation

Use of Drones for Medical Special Operations
May 12

- Learn the key concepts of integrating medical operational needs with robotic technology
- Discuss how to secure and prepare a suitable landing zone/drop-off point
- Review retrieval methods and communication strategies with the robotic team

Point-of-Care Ultrasound in Medical Special Operations (Workshop Full)
May 13

Use the latest portable devices and learn the fundamentals of point-of-care ultrasound and its application in the austere environment. The development and implementation of an out-of-hospital ultrasound program will also be discussed.

Advanced Field Burn Care (Workshop Full)
May 13

Learn the priorities of evaluating and managing a severely burned patient with limited resources for the first 24-hours:
- Understand triaging and the priorities in management of burned patients
- Review airway and support ventilation
- Discuss fluid resuscitation strategies
- Discuss strategies for effective pain management
- Review best wound care practices

Prehospital Transfusion Using Whole Blood: Collaboration of Resources and Agencies to Improve Patient Outcomes (Workshop Full)
May 13

- Discussion of the history, literature, and science behind blood-based resuscitation
- Examination of patient criteria necessitating prehospital whole blood transfusions
- Understand the science and logistics of prehospital whole blood transfusions in contrast to component therapy
- Analysis of the challenges in the design and implementation of a ground-based prehospital whole blood program, including the administrative, financial, and operational aspects
- Identification of the components of a quality assurance program regarding prehospital whole blood transfusions
- Discussion of present research as well as difficulties in obtaining prehospital whole blood data and future research hurdles
- Strategies, suggestions, and resources for whole blood use in a mass casualty scenario

Wreath Laying Ceremony at the Word Trade Center Memorial
May 13

Welcome Reception at the NYC Fire Museum
May 13

Saturday Day 1:

Keynote: Current State of US&R Operations During the COVID-19 Pandemic

Confined Space Medicine: Initial approach from Assessment to Management

- Discuss the “Less is More” approach to patient care in a limited environment
- Discuss the critical importance of the rescuer-medic relationship
- Review the role of anticipating needs in these high-stress scenarios

Tunnel Vision: Responding to Sub-Terrain Emergencies
- Review unique operational and medical challenges when responding to a tunnel collapse
- Discuss the use of rebreathers during operations

Principles in Prolonged Field Care
- Understand the nature of mission planning for prolonged care
- Understand the fundamentals of work-rest cycles and workflow
- Understand the importance of nursing type care and performing telemedicine consultation

Prehospital Response to MCIs: Are We Actually Fighting as We Train?
- Review current MCI best practices
- Examine recent real world MCI events and how they were managed
- Open discussion on how MCI best practices are being applied, their potential limitations and possible changes to the current paradigm

Prehospital Whole Blood Transfusion Texas Program: Salt is for Margaritas, Blood is for Shock
- Discuss the science behind prehospital whole blood transfusions and the potential impact on patient presentations
- Overview of logistical challenges in the design and implementation of a ground based prehospital whole blood program
- Discuss available research and data including highlighted case studies

Special Delivery: The Use of Uncrewed Aircraft Systems (UAS) for Emergency Medical Response
- Discuss core elements of implementing a robotic medical delivery system
- Review the obstacles for using UAS, including technology, regulations and geographic terrain
- Discuss operations with safety cases for medical deliveries


USAF Pararescue Experience with Prolonged Care Missions; Hazardous Materials Response in the US&R World
- Know the most common missions requiring critical care support
- State the principles of burn care in the austere environment
- State the principles of prolonged care analgesia

Medical Best Practices at Mass Gathering Events; FDNY Counter-Terrorism Task Force: Rescue Task Force Best Practices
- Review of Hurricane Harvey (2017) Hazardous Materials Response
- Discuss the FEMA Hazardous Materials Response capabilities
- Discuss common potential hazards and mitigation strategies during a deployment


High fidelity and realistic hands-on simulated incidents with instructor lead training and multiple skills stations

Mass Transit Disaster: Mass Casualty Care in a Subway Simulator
- MCI triage, patient care and possible dangers when operating in a sub- level rail system

Collapse Structure Response: Simulated Building Collapse with an Active Rubble Pile
- Technical rescue involving confined space maneuvers, limited patient access and extrication

Sunday Day 2:

Space Medicine on the Moon, Mars, Beyond and Opportunities for Earth
- Discuss the challenges of the space flight environment
- Review how isolated and confined extreme (ICE) environments on Earth are utilized to prepare for space
- Review the lessons on psychological resilience in extreme environments in space and on Earth

The Power of the Debrief, Does it Prevent Long-Term PTSD?
- Dissect and understand the different types of debriefing
- Understand the utility of the debrief beyond patient safety and continual improvement
- Review the literature on PTSD mitigation and whether the debrief is empirically proven to offset PTSD

When Normalization of Deviance Becomes the Norm
- Recognize the similarities between Hollywood stunt work and public safety technical rescue operations regarding risk assessment and mission planning
- Understand the phenomenon of professional drift, aka normalization of deviance, and how it contributes to a higher probability for a sentinel event
- Understand the importance of pre-planning for the low probability catastrophic incident using a method of reverse engineering, aka hoping for the best while unequivocally preparing for the worst

Wound Care in the Austere Environment
- Learn the various factors involved in how and with what to clean wounds
- Learn the considerations and methods for whether a wound should be closed or not, and how to approach closing various wounds
- Learn how to provide immediate or prolonged medical care for various wounds

Becoming a Pain Management Ninja: Multimodal Approaches to Pain and Sedation
- Understand non-narcotic pain management adjuncts
- Learn options for regional anesthesia
- Develop pain management and sedation strategies for the austere environment and for prolonged field care

Little People Trapped in Little Places and Big Challenges
- Understand pediatric management strategies in the austere environment
- Highlight differences between pediatric and adult patients
- Discuss options for volume resuscitation and vascular access


Medical Best Practices at Mass Gathering Events
- Discuss certain characteristics and challenges when planning for different types of events
- Describe common medical conditions and complaints at mass gathering events
- Discuss when a mass gathering event transition to a mass causality incident

FDNY Counter-Terrorism Task Force: Rescue Task Force Best Practices
- Describe the new FDNY “warm-zone” triage approach
- Review overall Rescue Task Force patient care strategies
- Discuss inter-agency operations including challenges and solutions


High fidelity and realistic hands-on simulated incidents with instructor lead training and multiple skills stations

Mass Transit Disaster: Mass Casualty Care in a Subway Simulator
- MCI triage, patient care and possible dangers when operating in a sub- level rail system

Collapse Structure Response: Simulated Building Collapse with an Active Rubble Pile
- Technical rescue involving confined space maneuvers, limited patient access and extrication

MSOC Conference Information (click + to view)


Participants may register and reserve a seat for the various Pre-Conference and Conference activities by completing the registration form and pay by credit card or by registering by Purchase Order. If you need to register through a Purchase Order please email us at: [email protected]

Seats may only be reserved through completed registration. Seating is limited to the Pre-Conference Workshops and Courses. These are available on a first-come, first-served basis. We may not release the information on the number of seats available to these activities so please register early!

Pre-Conference Activities

Participants may only register and attend the Pre-Conference Workshops and Courses with registration for the Conference.

Participants will be required to sign in daily to the various Pre-Conference Workshops and Courses and will not be allowed admittance unless you have registered for these courses.

Participation in the Pre-Conference Workshops or Courses includes a reception at the NYC Fire Museum and Wreath Laying Ceremony at the Word Trade Center Memorial.


All registered attendees will be issued an attendee badge and badge holder at registration. Please wear your badge at all times when attending and participating in MSOC activities. Badges are a security measure to identify participants during the Conference. If you are not wearing your badge, you may be asked to show proof of your registration and a picture ID.

Breakfast and lunch will be provided on each day of the Conference.

Registration Cancellation Policy

Cancellations, for any reason, must be received in writing and sent to [email protected] by 12:00 pm on May 10, 2022. Full refunds less a $100 processing fee will be issued for cancellations received by the above date. Cancellation requests received after this date will be reviewed on a case by case basis.


Transportation will be provided to attendees to and from the Host Conference Hotel to the various Pre-Conference and Conference activities. If you wish to provide your own transportation, please note that parking will be limited at the various activity sites.

Hotel Cancellation Policy

Hotel cancellations will be subject to the Host Conference Hotel’s cancellation policy and should be contacted directly.

Arriving by Air

The closest airport to the Host Conference Hotel and Conference activities is LaGuardia Airport (LGA). Transportation from the airport will not be provided.

Participants who are leaving directly to the airport on the last day of the Conference are encouraged to arrange for their own transportation to the airport from Randall’s Island. We may be able to help arrange transportation from Randall’s Island on the last day of the Conference to the airport as needed. An announcement will be made at the Conference regarding transportation to the airport.

Transportation will be provided for those participants that are returning to the Host Conference Hotel at the end of the Conference.

Continuing Education Units (CEU)

CEU credits will be available. Participants must sign in daily on the attendance forms in order to receive CEU credit. Please make sure we have your correct contact information in order for you to receive your educational credit.