Fire, law, dispatch, and emergency management are all critical to our nation's public safety. EMS, though, is unique among them. EMS serves as the lynchpin, connecting those in the field to critical care in the hospital. EMS, too, embraces technology to directly and positively impact their patients. That technology requires connectivity, and there is no better network for that than FirstNet. Let's dive into three stories about how EMS saves lives with the help of technology.
-What is FirstNet
-How can FirstNet help you save lives
-How can the response operations group ensure your connectivity
Upon completion, participants will be able to analyze the current disconnect that often exists between administration and operations in EMS, and the impact it has on our EMS systems.
Upon completion, participants will be able to evaluate the effect of bridging this gap through a specific and data-driven case study arising from PFD’s overdose response initiative and tracker development.
Upon completion, participants will be able to improve their own EMS system's collaboration between operations and administration from a goal-oriented mindset.
**This topic ties in with recruitment/retention and speaks to agency culture as well. This is good for incoming managers.**
Describe toxic behavior in the workplace.
Identify strategies to curtail negative interpersonal behavior.
Evaluate underlying causes for toxic behavior.
Upon completion, the participants will be able to describe why punishment for simple human error is counterproductive to quality improvement.
Upon completion, the participants will understand several ways in which system factors contribute to human errors.
Upon completion, the participants will be able to describe how system resilience in patient safety relies on expecting rather than preventing human error.
Examine the clinical, legal, ethical and operational issues associated with patient refusals.
Analyze the legal impact of provider-initiated refusals and alternative transport destinations.
Demonstrate the role of documentation in reducing legal liability for patient refusals and use the CURED mnemonic for more effective charting.
Recognize the difference between the civil and the criminal systems.
Gain an understanding of how the standard of care evolves and changes.
Learn how to talk more effectively with lawyers and their staff.
There is a wide variation of support systems being utilised across different EMS providers. Unfortunately some are antiquated and no longer follow the latest evidence whilst some providers negate their moral and legal responsibility to support their responders. The use of an evidenced based peer support system as opposed to a managerial led programme will encourage individuals to access support independently, provide a cost-effective solution and should be relatively easy to implement (Lawn et al, 2020. Smith et al, 2022).
Describe the psychological effects of type 1 and type 2 trauma as well as moral injury, recognise the early signs of mental health deterioration and react appropriately.
Define positive effects of having a robust peer support programme in place and understand how to implement such a tool, including supporting and equipping first-line managers/leaders.
Demonstrate how to approach support in a holistic manner and be able to identify the elements of support which should be prioritised.
Do you ever feel the standard EMS curriculum is inadequate for topics related to LGBTQ and Black, Indigenous, and People of Color patients? Do you ever insert discussions or topics into courses that you feel are pressing or relevant?
Could the practical scenarios and context we provide our students affect the bias of our learners?2-3 Does that bias transfer to their patients?4
Come explore how the topics we include and omit in our courses may be affecting our learners’ beliefs and what you can do to mitigate this phenomenon in your classroom.
• be able to define and describe bias in education.
• be able to identify areas of potential bias in their educational setting.
• establish multiple bias-centered action items for their teaching practice.
Identify and discuss areas of potential fatigue-related liability for EMS providers.
Describe characteristics of successful fatigue management programs.
Demonstrate practical strategies for integrating fatigue management into departmental training and operations to allow providers and administrators to recognize and mitigate fatigue-related risks.
The movement patterns that put physically active personnel at risk for preventable MSK injuries can be assessed in baseline physicals (Nessler et al Cur Rev Musculoskelet Med 2017) to enable institutions to develop better programming based on those individual variances. During this presentation, Dr. Nessler will present the latest research on musculoskeletal injuries in firefighters and how, by leveraging technology and mass data, we can develop much more comprehensive programs to truly impact musculoskeletal injuries.
Participants will have a good understanding of all the latest research related to musculoskeletal injuries in first responders
Participants will gain an appreciation for all the intrinsic factors that increase risk for musculoskeletal injuries
Participants will understand how mass data can be leveraged to create a more comprehensive program to address the complexity of musculoskeletal injuries
Upon completion, participant will be able to recognize the signs and symptoms of burn out within the EMS field.
Upon completion, the participant will be able to understand when it is time to act on these signs and symptoms to cope with burnout or make a change.
Upon completion, the participant will be able to utilize mental techniques and strategies to not only handle burnout, but day to day difficulties that arise in their life.
Discuss the implications of diverting from AHA Resuscitation Guidelines
Discuss issues such as National Registry and state regulator considerations
Discuss the inclusion of research into the clinical practice of EMS
3:05-3:20 Speaker-Kristopher Thompson | The Continuum of Ketamine from Analgesia to Dissociation
3:20-3:35 Speaker-Michael Bernhardt |History of Ketamine (12 min) and German Indications and Use of the Medication (3 min)
3:35-3:50 Speaker-Eric Jaeger |Reducing the Risks Associated with Physical and Chemical Restraint
3:50-4:05 Speaker-JayTee Barbour | Ketamine for Rapid Sedation of Agitated Delirious Patients – Is there a downside?
4:05-4:20 Speaker-Brooke Burton |Quality improvement and data perspective of managing cases with Ketamine
4:20-4:35 Speaker-Brooke Burton |A Team Approach to Catecholamine Surge: Are traditional ketamine administration methods killing people?
4:35-4:50 Speaker-Doug Wolfberg |When do Clinical Errors and Protocol Deviations go from Negligence to Crime?
4:50-5:15 Panel |Q&A/Discussion
Discover methods to incorporate documentation instruction into their existing training program.
Participants will encounter instructional methods that help students translate field experiences into effective, clinically appropriate writing.
Participants will examine effective Q/A practices including self assessment and external Q/A Explore common free tools for effective writing
Although Mobile Integrated Health-Community Paramedicine has been practiced for many years, few communities have a robust portfolio of programs like Crawfordsville, IN. In their endeavor to address healthcare issues and gaps in their communities, Crawfordsville, IN implemented numerous MIH-CP programs including chronic disease management, maternal and infant health program, an overdose response program, aimed at protecting all citizens cradle to grave. These programs have marked their success through collaboration between multi-faceted partnerships, but most recently through the integration of non-traditional roles within their paramedicine programs.
In this presentation, you will hear from experts in nursing, social work, public health, and how they expanded their roles alongside community paramedics using a comprehensive approach to patient care. Featured with stories of how the addition of these personnel helped bridge gaps within care through education, access to services, and program evaluation to reach holistic care.
Identify ways to implement social work and nursing into non-traditional settings.
Define and summarize several challenges and strengths of multisystem MIH-CP programs.
Consider the community needs and match program components to those needs.
Community Paramedicine: An Approach to People's Social Determinants of Health vs. the Traditional Clinical Approach—On Demand
Healthcare disparities exist in all genders, ages, races, ethnicities, and sexual orientations. Treating patients like checklists has created a systemic loss of respect for healthcare professionals. Community paramedicine programs create a unique opportunity to approach community medicine by focusing on social determinants of health, that impact a patient's overall well-being and ability to self-navigate their personal goal, as well as healthcare goals, that are important to them. Giving a patient the ability to feel in control of their lives in critical moments, is a new gift we can deliver to our communities.
Upon completion, participants will be able to define social determinants of health and give examples.
Upon completion, participants will be able to discuss existing health disparities in the United States, and further discuss ways to help patients and communities overcome them.
Upon completion, the participant will be able to evaluate the pros and cons of traditional clinical healthcare approaches and those of social determinants of health.
Explain how and why bias is considered an inherent human trait.
Discuss how managing bias through reflection and action can lead to improved learning outcomes.
Identify at least two learning activities that can be used in the classroom to surface bias.
But implementing a wellness program is not a simple task. Often, individuals are tasked with implementing a program with little to no background in complex issues that would be addressed through a comprehensive wellness program. Passion for the subject can only take an individual so far, and sustained efforts require an evidence- based framework in which to implement, intervene, and demonstrate effectiveness of the wellness program for the public safety organization.
This presentation will review the steps in implementing an evidence-based wellness program that will be tailored towards the needs of the emergency medical professional population, provide solutions that apply across all public safety professions, and address the opportunities and challenges inherent in implementing wellness programs.
Upon completion of this session, participants will be able to describe an evidenced based framework for implementation of first responder wellness programs
Upon completion of this session, participants will be able to discuss lessons learned and best practices from national wellness program efforts
Upon completion of this program, participants will be able to utilize tools to develop targeted interventions for their specific populations.
Discuss the issues surrounding sleep deprivation.
Discuss the negative outcomes of sleep deprivation.
Explain the alternative choices to reduce sleep fatigue.
Then in 2010, the first ever Mobile Stroke Unit (MSU) was launched in Saarland, Germany. Introducing an EMS vehicle that brought stroke diagnosis and treatment to the pre-hospital setting. Since then, more than 20 units in the US and 40 units worldwide have begun delivering direct, advanced neurological care in their communities. Recent studies have demonstrated that not only do MSUs deliver treatment to more eligible patients; they deliver life altering treatment faster than traditional EMS to Hospital models. Our Columbus, OH based Mobile Stroke Treatment Unit has not only replicated these results but improved and expanded becoming one of the busiest mobile units in the U.S.
Upon completion, participant will be able to understand how mobile stroke units operate and how they can augment EMS response to stroke.
Upon completion, participant will be able to explain the benefits that mobile stroke units have regarding patient care and outcome.
Upon completion, participant will be able to discuss potential improvements to EMS screening of stroke and appropriate triage of patients.
Identify eight phrases that provide no substantive value to describing the patient condition in EMS documentation
use more descriptive words in creating a clinical narrative that describes the patient's condition
better organize the PCR to ensure that all words are effective and help paint the picture of the patient's condition and improve the efficiency of report writing
Patient Satisfaction Surveys: A Large EMS System Experience in Engaging with Patients About Their Care—On Demand
Upon completion the participants will use actionable information, design, methodology and valid data in their EMS agency.
Upon completion the EMS clinicians and leaders will identify the best practices and solutions for relevance to the EMS community.
Upon completing the participants will provide feedback on the value of real-time EMA Patient Survey results.
Houston Fire has successfully triaged 31,328 patients by telehealth Emergency Medical Physicians (EMP) and 28,123 (90%) patients were transported via non-ambulance methods from December 2014 through November 2022. Medics complete a patient assessment and transfers the ePCR and contacts the physician, who accesses the patient via real-time video/voice conferencing and determines the appropriate disposition. Once triaged, patient transportation is determined by the physician (taxi, ambulance, self-transport) and destination is decided by patient/physician (clinic, emergency department, home care).
After EMS leaves the scene, ETHAN patients can contact the Nurse Health Line for assistance regarding care, transportation, and destination. Recently, our regional Health Information Exchange began providing blinded managed care indicators to the ETHAN Physicians portal for payor/health plan patient navigation, both supports the CDC Population Health utilization algorithm within the EMP telehealth model.
1. To become familiar with the how ETHAN patients are triaged by emergency physicians for prehospital alternative transportation / destination in a major metropolitan fire-base EMS system.
2. Observe how ETHAN will successfully increase efficiency and reduced cost of emergency care by reducing the utilization of EMS and emergency departments.
3. How the ETHAN program utilizes its partners to increase patient satisfaction and outcomes.
Appraise personal experience with patients in crisis, and the group’s collective scope of experience in mental health encounters (and/or possible mental health) in EMS
Discuss decision making when dealing with patients in crises: What is crises and who experiences them with reflection on case studies and experiences.
State intervention goals, and potential outcomes for dealing with crises. Apply objective signs of substance impairment.
And yet, whether in a living room, a street corner, or the back of an ambulance, we find that is not the case.
Women in cardiac arrest are less likely to receive the critical lifesaving interventions.
Hispanic patients are less likely to have their stroke symptoms recognized.
African Americans patients are less likely to have their pain treated.
Why is this? How do we know this? And what can we do about it? How can I take my paramedics and EMTs—and you take yours—from a state of “I treat everyone the same” to a state of “equity matters to my patients, to my community, and to me.”
This talk will focus on EMS clinicians and leaders roles in promoting equity in care with an emphasis on solution-based best practices.
We will discuss a stepwise, implementable approach—understanding inequity, defining equity, ensuring accurate and comprehensive data collection to recognize disparities, and of course, using that data to educate, inform, and ultimately improve the care for your population.
Upon completion, participant will be able to demonstrate a common understanding of equity and how it applies to prehospital care.
Upon completion, participant will be able to understand the inequities in patient care found in EMS systems across the country.
Upon completion, participant will be able to develop a step-wise approach to understanding, targeting and improving equity in their EMS system.