Prehospital Alternative Low Risk Triage (Pre-ALRT)
The stubbornly escalating phenomenon of ambulance off-load delays (AOD) is not new to EMS and not exclusive to the US. What may be rare within risk-averse EMS systems are solutions that put paramedics in the driver’s seat with respect to transport decisions. Ambulance New Brunswick is a Canadian Provincial Service performing 133,000 calls per year with 1000 paramedics, approximately 150 ambulances and serving a bilingual population of nearly 815,000 people.
Learning and adapting from other services, and applying our own innovation, we have created a safe and effective triage system that empowers paramedics to apply certain tools at point-of-care, and with peer support, to direct low-acuity patients to other, more appropriate entries into the healthcare system. This has had the positive effect of dramatically reducing the patients we bring to the ED, thereby reducing AOD and promoting overall system efficiency.
Learning Objectives:
have an understanding of the Canadian EMS system, our goals of care and our challenges with respect to ambulance offload delay.
appreciate how the development and growth of this program has contributed to a positive patient experience and has been a significant factor in reducing offload delays.
create a system similar or equal to this one and to gain insight into how this program may be (should be) linked with others to achieve the desired outcome.
Learning and adapting from other services, and applying our own innovation, we have created a safe and effective triage system that empowers paramedics to apply certain tools at point-of-care, and with peer support, to direct low-acuity patients to other, more appropriate entries into the healthcare system. This has had the positive effect of dramatically reducing the patients we bring to the ED, thereby reducing AOD and promoting overall system efficiency.
Learning Objectives:
have an understanding of the Canadian EMS system, our goals of care and our challenges with respect to ambulance offload delay.
appreciate how the development and growth of this program has contributed to a positive patient experience and has been a significant factor in reducing offload delays.
create a system similar or equal to this one and to gain insight into how this program may be (should be) linked with others to achieve the desired outcome.
Hugs, Thugs, Maybe Drugs: Real cases of crises, and how we respond.
Whatever you want to call it, we all know that uncomfortable gray place in dual diagnosis management. Poly substance abuse, mental illness, compounded with unpredictable, wild and bizarre behaviors is this a policing problem, community mental health or EMS. How you handle these calls is largely the interchange between location, resources, and community standards. But, experience and knowledge can influence how successful you are.
Learning Objectives:
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.
Learning Objectives:
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.
Rescue Real Estate- Today’s Best Practices for EMS Providers in the MVC environment
Have we left someone behind today in our efforts at MVCs?
Vehicle Extrication today needs to be strategic, weakening the vehicle structure and release crash energy absorbed by the vehicle structure. The importance is large space first time out so to think outside of the box maximize your space making efforts. Patient centered care needs to return to the level of it once was importance wise. Hands on care in the environment from the EMS providers should be the norm not the exception. New devices to assist in disentanglement need to be brought forward and used. Coordinated Vehicle Rescue should be Best Practices across the country if not the globe. Intertwined EMS & Rescue Services functions that occur simultaneously is the Best Practice. This is the basis we should ALL should strive for today and work from once we are there.
I will discuss what should be Best Practices Operationally for EMS providers in the environment of Today’s MVC. Patient management, mitigation, PPE, safety of both the patient and provider are all part of this and have changed in the recent past decade.
Learning Objectives:
Upon completion the participants will be able to describe and identify the steps for power isolation in a vehicle at Today’s MVC.
Upon completion the participants will be able to describe Rescue Real Estate, SAMURAILASER and Coordination of the stages of Vehicle Rescue
Upon completion the participants will be able to describe the PPE needed to be worn to work safely in the MVC environment.
Vehicle Extrication today needs to be strategic, weakening the vehicle structure and release crash energy absorbed by the vehicle structure. The importance is large space first time out so to think outside of the box maximize your space making efforts. Patient centered care needs to return to the level of it once was importance wise. Hands on care in the environment from the EMS providers should be the norm not the exception. New devices to assist in disentanglement need to be brought forward and used. Coordinated Vehicle Rescue should be Best Practices across the country if not the globe. Intertwined EMS & Rescue Services functions that occur simultaneously is the Best Practice. This is the basis we should ALL should strive for today and work from once we are there.
I will discuss what should be Best Practices Operationally for EMS providers in the environment of Today’s MVC. Patient management, mitigation, PPE, safety of both the patient and provider are all part of this and have changed in the recent past decade.
Learning Objectives:
Upon completion the participants will be able to describe and identify the steps for power isolation in a vehicle at Today’s MVC.
Upon completion the participants will be able to describe Rescue Real Estate, SAMURAILASER and Coordination of the stages of Vehicle Rescue
Upon completion the participants will be able to describe the PPE needed to be worn to work safely in the MVC environment.
Hands-On Workshop: Pediatric High-Performance CPR
Your department uses high-performance CPR principles in adults, but how about in pediatrics. Join this interactive didactic and hands-on session to learn how choreograph pediatric high-performance CPR at your agency, led by the team from Palm Beach County Fire Rescue. Each participant will actively practice each of the specified roles and will take home the skills and knowledge to drastically improve outcomes in pediatric cardiac arrest at their agency.
Learning Objectives:
Describe the key principles in achieving success with Pediatric Resuscitation.
Understand the pit crew model and characterize each role in the choreographed event.
Demonstrate the ability to perform each role required in pediatric HP-CPR.
Learning Objectives:
Describe the key principles in achieving success with Pediatric Resuscitation.
Understand the pit crew model and characterize each role in the choreographed event.
Demonstrate the ability to perform each role required in pediatric HP-CPR.