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EMS Report

EMS Report. Kay Vonderschmidt, MPA, MS-EM, NREMT-P. EMS Refresher Education EMS Research & Surveys Train the Trainer Report. EMS Education. Refresher Education - Keep medics engaged! - 6 months after starting enrollment - Remember only about 20% of medics will actually enroll a patient

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EMS Report

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  1. EMS Report Kay Vonderschmidt, MPA, MS-EM, NREMT-P

  2. EMS Refresher EducationEMS Research & Surveys Train the Trainer Report

  3. EMS Education Refresher 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

  4. PPT & Skills • ppt on NETT site – Dr. Bledsoe • Skills – Dr. Humphries Cincinnati Fire Dept Green Township Fire Dept Blue Ash Fire Dept

  5. Video • Auto-injector DVD • Streaming on NETT/UC site • Refresher Video • FAQ Video Independence Fire Protection District Florence Fire-EMS Forest Park Fire Dept

  6. Refresher Video List of Video’s: Adult Assessment/Enrollment Pediatric Assessment/Enrollment Pedi IO FAQ’s Too Small Glendale Fire Dept

  7. FAQ Video Baltimore Fire Dept

  8. 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

  9. EMS Research 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. North Shore Fire Dept

  10. EMS Research 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 ongoing 5. Focus on how research outcomes affect the patient York (Wellspan Hospital)

  11. EMS Survey #1 • Survey #1 – 100 % compliance • Hub PI • EMS Coordinator • EMS Dept approval – open communications • Contact information Richmond Ambulance Authority

  12. EMS Survey #1 • EMS Dept demographics • Type of service • Type of ALS vehicles • # of ALS vehicles • # of Paramedics Texas

  13. EMS Survey #2 • Voluntary survey by EMS administrators during the Train the Trainer education (IRB approved project) • 45% compliance Hennepin County

  14. 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

  15. EMS Survey #2 • Run Volume Detroit Fire Dept

  16. 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

  17. EMS Survey #2 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. Lexington-Fayette County Fire Dept

  18. 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

  19. EMS Survey #2 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. West Allis Fire Dept Greenfield Fire Dept

  20. 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

  21. Train the Trainer Demographics of our EMS Depts: Total Yearly Run Volume – 1,465,208 # of Paramedics Trained - 4,314 Total # of Departments - 35 Palo Alto Fire Dept 1st patient enrolled South San Francisco Fire Dept

  22. Train the Trainer • 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 San Mateo Fire Dept

  23. 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

  24. 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

  25. Final Thoughts

  26. Questions???? My Weekends!

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