EMS Dispatch and Education During a Pandemic Event
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EMS Dispatch and Education During a Pandemic Event Alicia Wiren LP, FP-C (+ all those other EMS related letters)
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EMS Dispatch and Education During a Pandemic Event. Alicia Wiren LP, FP-C (+ all those other EMS related letters). EMS Pandemic Influenza Guidelines for Statewide Adoption. National Guidelines published in 2007 from the U.S. D.O.T. - PowerPoint PPT Presentation
Transcript of EMS Dispatch and Education During a Pandemic Event
EMS Dispatch and Altered protocols for standards of care
EMS Dispatch and Education During a Pandemic EventAlicia Wiren LP, FP-C (+ all those other EMS related letters)EMS Pandemic Influenza Guidelines for Statewide AdoptionNational Guidelines published in 2007 from the U.S. D.O.T.It is 178 pages of insight and guidelines outlined to states and individual EMS agencies for responding to a Pandemic Flu Disaster.EMS Pandemic Influenza Guidelines for Statewide AdoptionEMS PlanningRoll of EMS in Surveillance and MitigationMaintaining EMS OperationLegal AuthorityClinical Treatment ProtocolsWorkforce ProtectionEmphasis in the PlansProtectionIdentificationTriageTreat and maybeTransportAlternate Standard of Care EnrouteAlternate Care SitesHospital
Preparing for Pandemic Influenza: Recommendations for ProtocolDevelopment for 9-1-1 Personnel and Public Safety Answering Points (PSAPs)
Recommendations for ProtocolDevelopment for 9-1-1 Personnel and Public Safety Answering PointsGuiding PrinciplesInformation to the PublicFacilitation of Call ScreeningAssistance with Priority Dispatch with Limited ResourcesOther ConsiderationsCall Taking & Dispatching
ChallengesEMS and Dispatch Center RegulationsVast differences in care provided and access to pre-hospital care.Resources and funding.Medical Director involvement.Perceived vs. actual liability in disasters.PSAP: Public Safety Answering Points.
EMS DispatchingTypes of Dispatch CentersRing Down LinesOther Party Dispatch (PD, FD)EMS DispatchEMS Dispatch with Pre-arrival Instructions
National Dispatching StandardsNational Academy of EMD PowerPhone,Association of Public Safety Officials InternationalNCI
All of these systems gives detailed, lay person, questions and instructions for pre-arrival care that can be provided by lay persons to the patientState of Texas EMD InstructorThe adoption of Rule 157.49 in November1999 by the Board of Health established standards for implementing emergency medical dispatch systems in Texas. Based on provisions in a law passed by the 76th Legislature, the new rule sets the criteria for EMD course approval, creates a new EMS certification category for EMD Instructor, and establishes the requirements for the development of the Protocol Reference System to be used by the dispatchers.
National Academy of EMD Medical Priority DispatchFounded in Salt Lake City, UtahTheir Pandemic Protocol follows the Utah and National GuidelinesMPD Pandemic Protocol
National Pandemic Dispatching PlanClassification 1 Confirmed/Suspected Cardiac Arrest (Not Breathing, Unresponsive per 911 call)Standard Response: Closest AED Unit; Closest 1st Responder; Closest ALS Ambulance (HOT)Category I: Closest AED Unit; Closest 1st BLS ) Responder; Closest Ambulance if available (HOTCategory II: Closest AED Unit (HOT); Closest 1st Responder if available (HOT)Category II or III: Closest AED Unit if available (HOT)National Pandemic Dispatching PlanClassification 2 Life Threatening Emergency/Potentially Life Threatening/Confirmed Unstable Patient(s)Standard Response: Closest 1st Responder; Closest ALS Ambulance (HOT)Category I: Closest 1st Responder; Closest ALS Ambulance if available; BLS ambulance if ALS unit not available (HOT)Category II: Closest 1st Responder; Closest Ambulance available (ALS or BLS) (HOT)Category II or III: Closest 1st Responder if available; Closest Ambulance available (ALS or BLS) (HOT)National Pandemic Dispatching PlanClassification 3 Non-Critical/Currently Stable Patient(s) Requiring ALS AssessmentStandard Response: Closest ALS Ambulance (COLD)Category I: Closest Ambulance available (ALS or BLS)(COLD)Category II: Closest Ambulance Available (ALS or BLS) (COLD)Category II or III: Referral to Alternate call center; or advise self-transport to Alternate Treatment Site
National Pandemic Dispatching PlanClassification 4 BLS Assessment for unknown/possibly dangerous scenesStandard Response: Closest 1st Responder (HOT); Closest BLS Ambulance (COLD)Category I: Closest 1st Responder (HOT); Closest BLS Ambulance if availableCategory II: Closest 1st Responder (HOT)Category II or III: Closest 1st Responder if available; or Closest stand-in responder unitNational Pandemic Dispatching PlanClassification 5 BLS TreatmentStandard Response: BLS Ambulance (COLD)Category I: BLS Ambulance (COLD)Category II: Alternate call center (such as Poison Control Center, Nurse advice line, health care call center, etc.)Category II or III: Alternate call center (such as Poison Control Center, Nurse advice line, health care call center, etc.)
National Pandemic Dispatching PlanClassification 6 Non Ambulance CareAll Categories: Alternate call center (such as Poison Control Center, Nurse advice line, health care call center, etc.)Points to PonderManaging Entry PointsContagion
Points to PonderIntegration with tracking systems in placeFollow upRoll to identify and triage and keep hospitals overburdened. Integration with Public HealthStaffingPoints to PonderTo evaluate and/or treat.. then leave at home or send POV to an alternate site for treatment.Legal ramifications for agencies and Medical DirectorsRegional Call Centers?Points to PonderExpanding tracking to healthcare workersAlternate sites for living quarters off dutyDowntime requirementsEquipment needsOut of Hospital Fatality ManagementTraining Options
Things to examineU.S. D.O.T. GuidelinesState and City EMS PlansOhioUtahArizonaAlabamaMPD Pandemic Dispatch CardTexas EMD Instructor OptionsOut of Hospital ProviderEducationThank You!Questions?What is your local community doing?
Contact InformationAlicia Wiren LP, [email protected]
