EMS Report

Kay Vonderschmidt, MPA, MS-EM, NREMT-P

EMS Refresher EducationEMS Research & Surveys Train the Trainer Report

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

• ppt on NETT site – Dr. Bledsoe

• Skills – Dr. Humphries

Cincinnati Fire Dept Blue Ash Fire DeptGreen Township Fire Dept

PPT & Skills

Florence Fire-EMSIndependence Fire Protection District Forest Park Fire Dept

Video

• Auto-injector DVD – Streaming on NETT/UC site

• Refresher Video

• FAQ Video

Refresher Video

Glendale Fire Dept

List of Video’s:

Adult Assessment/Enrollment

Pediatric Assessment/Enrollment

Pedi IO

FAQ’s

Too Small

FAQ Video

Baltimore Fire Dept

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

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.

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

• Survey #1 – 100 % compliance– Hub PI– EMS Coordinator– EMS Dept approval – open communications– Contact information

Richmond AmbulanceAuthority

EMS Survey #1

Texas

EMS Survey #1

– EMS Dept demographics• Type of service• Type of ALS vehicles• # of ALS vehicles• # of Paramedics

EMS Survey #2

• Voluntary survey by EMS administrators during the Train the Trainer education (IRB approved project)

• 45% compliance

Hennepin County

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%

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%

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

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.

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

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.

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

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

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

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

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

Final Thoughts

Questions????

My Weekends!