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Update From NAEMSP Meeting

Update From NAEMSP Meeting. Keynote Speaker Sec. Tom Ridge ~A Survivor~. “IN OUT-OF-HOSPITAL CARDIAC ARREST, LONGER ON SCENE TIMES ARE ASSOCIATED WITH HIGHER SURVIVAL RATES: “ SCOOP AND RUN MAY BE DEADLY”. Conclusion:

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Update From NAEMSP Meeting

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  1. Update From NAEMSP Meeting

  2. Keynote Speaker Sec. Tom Ridge~A Survivor~

  3. “IN OUT-OF-HOSPITAL CARDIAC ARREST, LONGER ON SCENE TIMES ARE ASSOCIATED WITH HIGHER SURVIVAL RATES: “SCOOP AND RUN MAY BE DEADLY” • Conclusion: • High on scene times have more favorable patient outcomes compared to low on scene times • Spending more time on-scene performing resuscitation is associated with higher rates of ROSC, survival, and survival with good neurologic function.

  4. UTILITY OF A PREHOSPITAL "CRASHING PATIENT CARE BUNDLE IN REDUCING THE INCIDENCE OF POST EMS CONTACT CARDIAC ARREST OF CRITICALLY ILL MEDICAL PATIENTS • Mark Pinchalk, Adam Palmer, James Dlutowski, JohnMooney, Adam Studebaker, Simon Taxel, Jeff Reim, Jr., Phillips Frank • Purpose: Evaluate the utility of a prehospital "Crashing Patient" Critical Care Bundle in reducing the incidence of post EMS contact cardiac arrest

  5. Crashing Patient Bundle • No move of the patient until care objectives have been completed; • Apply physiological monitoring; • Aggressive management of the airway via basic and advanced methods; • Aggressive management of respiratory distress/failure via CPAP/positive pressure ventilation via BVM; • Early IV/IO access, aggressive management of hypotension via fluids and vasopressors; • Maximal medication therapy based on the patient’s underlying pathology.

  6. Conclusion • "Crashing Patient" Care Bundle significantly reduced the incidence of post EMS contact cardiac arrest in the field. • The there was a trend for reduced incidence of EMS witnessed cardiac arrest5 minutes after contact that was not quite significant. • The "Crashing Patient" Care Bundle appears to have utility to improve care for critically ill patients in the prehospital setting.

  7. DISPARITIES IN RECEIPT AND UTILIZATION OF TELECOMMUNICATOR CPR INSTRUCTION • Amanda Amen, Patrick Karabon, Cherie Bartram, Kevin Irwin, Robert Dunne, Margaret Wolff, MohamudDaya, Kim Vellano, Bryan McNally, Robert Swor • Conclusion: Although this study is limited by incomplete demographic and dispatch data, we identified income and racial disparities in provision of T-CPR instructions and subsequent CPR performance in OHCA

  8. DESCRIBING PREHOSPITAL DELIVERIESIN MICHIGANDavid Eisenbrey, Robert Dunne, Kris Torossian, William Fales, Robert Swor • Describe utilization, complications, and short term outcomes of EMS attended prehospital deliveries in Michigan in 2015 and to describe the relationship between prehospital delivery and socioeconomic status • Results: Michigan Vital Statistics reported 1,577 out of hospital (excluding birthing center) births in 2015, and identified 228 EMS attended deliveries • Complications included non-viable fetus (13, 5.7%), fetal demise (12, 4.8%), post-partum hemorrhage (8, 3.5%), non-transient apnea (7, 3.0%), and extreme prematurity (7, 3.0%)

  9. Conclusion • EMS deliveries were rare and most were normal vaginal deliveries, but • Almost a third had complications. • Although an imperfect measure of patient SES, frequency of delivery was inversely related to patient income. • These data suggest that those EMS service providers that cover lower income zip codes, would benefit from targeted obstetrical education, training, and equipment.

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