EMS Report Kay Vonderschmidt, MPA, MS-EM, NREMT-P.
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Transcript of EMS Report Kay Vonderschmidt, MPA, MS-EM, NREMT-P.
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EMS Report
Kay Vonderschmidt, MPA, MS-EM, NREMT-P
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EMS Refresher EducationEMS Research & Surveys Train the Trainer Report
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EMS EducationRefresher Education - Keep medics engaged!
- 6 months after starting enrollment- Remember only about 20% of medics will actually enroll a patient
Options:– Powerpoint– Video– Skills– FAQ’s (video & online)
San Francisco Fire Dept
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• ppt on NETT site – Dr. Bledsoe
• Skills – Dr. Humphries
Cincinnati Fire Dept Blue Ash Fire DeptGreen Township Fire Dept
PPT & Skills
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Florence Fire-EMSIndependence Fire Protection District Forest Park Fire Dept
Video
• Auto-injector DVD – Streaming on NETT/UC site
• Refresher Video
• FAQ Video
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Refresher Video
Glendale Fire Dept
List of Video’s:
Adult Assessment/Enrollment
Pediatric Assessment/Enrollment
Pedi IO
FAQ’s
Too Small
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FAQ Video
Baltimore Fire Dept
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EMS Research
EMS Research Agenda- EMS Centers of Excellence
- NETT has built 17 centers- EMS Research Regulations
- EMS committee (regional)- EMS State Board- Public Health Board
Wauwatosa Fire Dept
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EMS Research
North Shore Fire Dept
Several cities also needed to review (legally) the research project before allowing their city employees (paramedics) to assist with this research study as part of a risk management review.
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EMS Research
York (Wellspan Hospital)
In 2009 the National Emergency Care Enterprise: Advancing Care Through Collaboration: Workshop Summary was released and it included a panel discussion on ways to enhance Emergency Care Research.
1. Engage multiple providers (non-medical and medical)2. Create data linkages and informatics 3. Identify regulatory barriers 4. Build a strong research system that is ongoing5. Focus on how research outcomes affect the patient
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• Survey #1 – 100 % compliance– Hub PI– EMS Coordinator– EMS Dept approval – open communications– Contact information
Richmond AmbulanceAuthority
EMS Survey #1
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Texas
EMS Survey #1
– EMS Dept demographics• Type of service• Type of ALS vehicles• # of ALS vehicles• # of Paramedics
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EMS Survey #2
• Voluntary survey by EMS administrators during the Train the Trainer education (IRB approved project)
• 45% compliance
Hennepin County
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EMS Survey #2
– Setting – 60% urban and 26.7% mixed– Population ranged between over 15,000 to above 2 mil
Clackamas County
Fire District #1
Total Population in Response Area
Under 15,000 0.0%
15,001 – 50,000 13.3%
50,001 – 100,000 6.7%
100,001 – 250,000 20.0%
250,001 – 500,000 26.7%
500,001 – 1 million 13.3%
1,000,001 – 2 million 13.3%
2,000,001 and above
6.7%
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EMS Survey #2
• Run Volume
Detroit Fire Dept
YearlyEMSvolume
Under 5,000 26.7%
5,001 – 10,000 6.7%
10,001 – 20,000 13.3%
20,001 – 30,000 13.3%
30,001 – 50,000 0.0%
50,001 – 75,000 13.3%
75,001 – 100,000 6.7%
100,001 and above
20.0%
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EMS Survey #2
– Type of EMS system – 66.7% are fire based, 13.3 % are a third service
– Prior Research participation – 73.3 % yes & 26.7% no – Number of years in research – 33.3% at 1 – 2 years
46.7% at over 5 years & 20% have never been involved in research
– Prior classes on research –33.3% yes & 66.7% no
New York Presbyterian EMS
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EMS Survey #2
Lexington-Fayette County Fire Dept
2 EMS departments required Human Subjects Protection training for EMS providers prior to the RAMPART study yet 66.7% of departments reported having collaborated with a local university to enroll EMS patients into research projects.
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EMS Survey #2
• The barriers listed for EMS providers included: interest in the subject, manpower, consistent training, continuity of understanding by personnel, cost of training, and logistics of implementation.
• Also funding for training and internal departmental research personnel were cited several times.
Grady Health System
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EMS Survey #2
West Allis Fire Dept Greenfield Fire Dept
Barriers for EMS administration included buy in from each level – chief to provider, funding for an internal research person, staffing, and education, increased workload with many studies.
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Train the Trainer
17 Hubs (several with 2 distant sites)
17 completed with 12 enrolling (Henry Ford & Wayne State combined for the TTT)
1 left to train
Narberth Ambulance Life Lion EMS
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Train the Trainer
Palo Alto Fire Dept 1st patient enrolled South San Francisco Fire Dept
Demographics of our EMS Depts:Total Yearly Run Volume – 1,465,208# of Paramedics Trained - 4,314 Total # of Departments - 35
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Train the Trainer
San Mateo Fire Dept
• Depts varied logistically:
• most use hospital pharmacies, several use station distribution
• most are ALS ambulances, several are ALS engine companies or tiered response vehicles
• most have placed the study box in the “first-in” bag but several have state requirements that specify a “locked” cabinet in the ambulance
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Train the Trainer• 15 flights
– No baggage lost– No missed flights– 28 bags of peanuts– 4 cookies
• 2 drive (Lexington and Henry Ford)– I-75 ended before my GPS did in Detroit
Redwood City Fire Dept
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Other good things our EMS departments participate in….
• CPR Training
• CERT
• FEMA/USAR teams
• Fill the boot
• Blood Drives
• Breast Cancer Awareness
• Firefighter Combat Challenge
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Final Thoughts
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Questions????
My Weekends!