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Trust EMS!

Join the debate with Dr. Jason McMullan on the need for a mobile app in prehospital tele-neurology. Explore the advantages, challenges, and cost-effectiveness of implementing EMS technology. Trust EMS for accurate and timely stroke triage!

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Trust EMS!

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  1. Trust EMS! Jason McMullan, MD MS FAEMS NECC Debate October 26, 2018

  2. Disclosures • I’m a retired EMT • Cincinnati Stroke Triage Assessment Tool team • R-01 on prehospital stroke triage under review • I may not 100% disagree with my opponent • But I’ll fight to win! • Focus on Mobile Apps and Prehospital Tele-Neurology • Buy me a beer and ask me about Mobile Stroke Units!

  3. WHY DO WE NEED AN APP FOR THAT? https://imgflip.com/i/1igc7m

  4. WHO DO YOU WANT CARING FOR YOUR STROKE? https://www.theverge.com/2017/9/27/16374734/terminator-sequel-release-date-2019-james-cameron-tim-miller-moviehttp://www.wbur.org/artery/2016/05/16/rodin-thinker-peabody-essex

  5. MACHINES ARE NOT PERFECT http://www.ems12lead.com/2011/02/24/atrial-flutter-can-cause-false-positive-acute-mi-suspected-interpretive-statements/

  6. MACHINES ARE NOT PERFECT http://www.ems12lead.com/2009/02/22/computerized-interpretive-statements-false-positives-1/

  7. WHO IS AWAKE AND ALERT AT 0300? https://www.facebook.com/NewportRIFireDepartment/photos/ms.c.eJwzNTU2NDE0NDGxMLOwMDTWMwXzzcwtjAyMDCyNAWRyBkU~-.bps.a.553141141535480/553141144868813/?type=3&theaterhttps://www.quora.com/How-do-doctors-stay-awake-on-their-long-shifts

  8. PREHOSPITAL TELEMEDICINE TAKES TIME AND MONEY • Ninety-one percent (59/65) of mobile scenarios were completed. • Median completion time was 9 min (range 4-17 min). • Average NIHSS assessment time was 7.6 minutes (range 3-9.8 minutes) • Base-case scenario: implementation cost of US $159,425 • Cost-effective strategy starting from a time gain of 6 minutes. • Mean decrease of costs by US -$30 per patient • Average 0.00456 QALYs gained per patient.

  9. WHO DO YOU TRUST FOR DIRECTIONS? https://www.designbrooklyn.com/resources/blog/view/Apples-mapping-app-falls-short-of-being-useful.-2012-09-26/http://www.rifirepipes.org/members.php

  10. http://www.health.ri.gov/find/strokecenters/

  11. HOW MUCH TIME DOES YOUR BRAIN HAVE? https://depositphotos.com/183025568/stock-photo-human-brain-with-stopwatch-3d.html

  12. http://health.ri.gov/publications/protocols/StatewideEmergencyMedicalServices.pdfhttp://health.ri.gov/publications/protocols/StatewideEmergencyMedicalServices.pdf

  13. http://health.ri.gov/publications/protocols/StatewideEmergencyMedicalServices.pdfhttp://health.ri.gov/publications/protocols/StatewideEmergencyMedicalServices.pdf

  14. HOW UP TO DATE IS YOUR PHONE?

  15. WE’RE THE GOVERNMENT, AND WE’RE HERE TO HELP!

  16. WE’RE THE GOVERNMENT, AND WE’RE HERE TO HELP!

  17. WE’RE THE GOVERNMENT, AND WE’RE HERE TO HELP!

  18. WE’RE THE GOVERNMENT, AND WE’RE HERE TO HELP!

  19. KEY QUESTIONS FOR ANY EMS TECHNOLOGY • Who will pay for it? • How much training is needed? • Does it save time? • Does it save money? • Does it always work? • Does it make a difference? https://steemit.com/cannabis/@themightyvolcano/the-future-of-dabbing-the-first-ever-smart-rig

  20. Trust EMS! Jason McMullan, MD MS FAEMS Jason.McMullan@uc.edu @NMRS244

  21. Tempus story • Ask WHY? • KISS principal

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  24. https://www.facebook.com/pg/NewportRIFireDepartment/photos/?ref=page_internalhttps://www.facebook.com/pg/NewportRIFireDepartment/photos/?ref=page_internal • http://www.cityofnewport.com/departments/fire/fire-department-photos • http://www.cityofnewport.com/departments/fire/faqs/fire-rescue • http://www.cityofnewport.com/departments/fire/newport-fire-department-apparatus-photo-page • http://www.cityofnewport.com/departments/fire • https://www.google.com/search?q=newport+rhode+island+fire+department&source=lnms&tbm=isch&sa=X&ved=0ahUKEwiqkfvk2I3eAhUHyVMKHZELCVUQ_AUIDygC&biw=1200&bih=1849 • https://www.emsworld.com/article/10374641/rhode-island • http://www.providenceri.gov/fire-department/ • https://docs.google.com/presentation/d/1EBMJC35sI42Vm09g56Oe5VkboMxTjn1HLxVtm2BOBX4/edit#slide=id.p36 • http://health.ri.gov/publications/protocols/StatewideEmergencyMedicalServices.pdf • http://health.ri.gov/programs/detail.php?pgm_id=128/ • http://www.health.ri.gov/find/ambulanceservices/ • http://www.health.ri.gov/find/strokecenters/ • http://sos.ri.gov/documents/publicinfo/omdocs/minutes/5792/2018/66617.pdf • http://www.health.ri.gov/licenses/detail.php?id=284/ • https://en.wikipedia.org/wiki/Providence_Fire_Department

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