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Patient assessment in EMS is pointed to as the key ingredient with our patient contacts. Yet how much time is really spent on this in class? Things like the importance of reassessment, differential diagnosis and treatments. We seem to have this pride of ABCDE, DCAP, BTLS and knowing it, sticking to primary and secondary surveys. But what about really knowing what we are looking for and identifying true emergencies instead of fitting patients into protocols? Join us for this episode, share your patient assessment tips and tell us your indoctrination into "patient assessment".
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We focus a lot on response in EMS. Our response allong with our training can effect patient outcomes. But what about when response is the focus without equal attention to training. Getting there is only part of what we do, yet is often the one marker that is looked at when it comes to a patients outcome.
This week we talk about EMS response, call types, training and how they reflect on patient outcomes.
Does the 8-10 minute response have a positive impact or is it better training and equipment?
Join us for this discussion.
This live webcast of EMS Live in Wisconsin was recorded on Tuesday, January 26, 2016.
Our guests included two individuals with Lifestar EMS in West Bend, WI - Assistant Training Coordinator Tyler Christifulli and Field Training Educator Sam Ireland. They discussed how they have successfully been using field educators at their base locations, and also sending out to staff pre-training podcasts to encourage education and discussion. They call their program, "Flipping the classroom".
Lifestar's approach to EMS education included the following:
Identifying the epidemic of bad teaching practices that surround EMS.
Using old power points
What has Lifestar done to reinvent the way we approach education?
Flipping the classroom
Simplified power points and flip chart
The techniques of running a good simulation.
You don't need expensive equipment to run a good sim
Video recording and critique playback
Always succeed in simulations
Takes a lot of preparation to run an efficient and dynamic simulation.
To view and listen to the February 2016 pre-training podcast, "Patterns, Pathways, and Pain", as an example, completed by Lifestar EMS, click here.
Join co-hosts Chris Anderson, Joe Covelli, Patrick Ryan, Dan Williams and call-in guests and live listeners for 40-minutes of conversation about emergency medical services and the ambulance industry in Wisconsin the second and fourth Tuesday every month.
Don't miss a beat of Wisconsin EMS action - listen to EMS Live!
Early in EMS education we are presented with the idea that "time" is a factor in much of what we do. Golden Hours, Platinum Ten Minutes, Time is Muscle etc.
While some of these can help us with our treatment and transport decisions, have you ever wondered or questioned if they are getting in the way of patient care?
As EMS providers we bring much of the Emergency Department to the patient. Even more so we are expected to provide certain levels of care to our patients prior to delivery to these ED's.
I am sure that you have been questioned or made to feel like less of a provider when you don't provide certain aspects of care. Even when it was due to trying to follow dictated "time" constraints that are expected and may have been in the patients better interest to transport rather than perform a skill prior to arrival at the ED.
So what do you think? Are these time markers valuable to us as providers or helpful?
Do we end up focusing too much on them and not on what is best for the patient?
Join us for this episode as we discuss this and other popular EMS topics. Call in Toll Free or come into the chat room to share your opinion.
Visit Jim at EMSSEO.com
Check out Josh over at WANTYNU.com and be sure to look up his newest EMS Tool - The PALM.
Robin and Joyce speak with Lesley Bennett, state coordinator for the National Organization for Rare Disorders (NORD) in Connecticut, about the importance of the voice of the "consumer" in healthcare as in retail or other "marketing" relationships.
Joyce and Lesley recently attended the annual meeting of the New England Regional Genetics Group (NERGG) in Portsmouth, New Hampshire. What role should consumers play in a professional organization? NERGG has included consumers in its governance for the past 38 years, and yet they are still struggling to define a clear role for consumers in the workings of the organization.
What do consumers want? How can organizations work with them to include them in constructive ways?
Who is Listening to the Patient Voice?
Patients and the regulatory process - appraisal, approval, access issues
Patient involvement in clinical trials - design, recruitment and retention
Patient involvement in the design of hospital cancer services
The patient voice in kidney cancer guidelines/pathways
Time to police our own in our field. Are we advancing and progressing as a field like we should or are we stagnant. Are we going to accept the lower standards and non progressive stagnant providers and leaders we have or will we take control of our trade? Time to eat the weak! Wage War!
This webcast of EMS Live in Wisconsin was recorded on Tuesday, February 9, 2016.
Our first guest at 5:00 minutes into the program was EMS Office Licensing Coordinator Helen Pullen with the State of Wisconsin. We discussed what is required to renew your EMT, paramedic, or emergency medicala responder liccense as all state licenses expire as of June 30, 2016. The license renewal website is https://www.dhs.wisconsin.gov/ems/licensing/renewal.htm.
At 20 minutes into the program State of Wisconsin EMS and Trauma Medical Director Dr. Suzanne Martens joined us to explain House of Representatives bill 4365, Protecting Patient Access to Emergency Medication Act. It has been recognized that EMS technically operates outside of the current DEA rules for controlled substances for pain and seizures. The DEA has allowed this to continue, but has stated it cannot do so without a change in the actual regulations. A draft bill to change these regulations has been written and proposed. The House of Representatives is processing it, and will vote in the near future. Without this bill change, all administration of controlled substances will require radio/phone contact for an order with medical control; and the ordering and stocking of these medications will be complex and costly, with potentially every ambulance being considered an "office". Since the majority of requests for paramedic intercepts involves controlled substances, this impacts all levels of care. >> Click for HR4365 Toolkit and how to contact your local elected federal representative.
Co-hosts included Joe Covelli and Patrick Ryan, and the program lasted 30 minutes.
Don't miss a beat of Wisconsin EMS action - listen to EMS Live!
As more and more hospitals, clinics, and doctors merge and integrate into large health systems. It can become confusing for patients to know where and how to receive care. Coordinating efforts to improve patient access and intake takes serious strategy and planning across the entire enterprise. Singola is here to help.
There are many challenges common to all rare diseases:
1. How to get a correct diagnosis?
2. How to find doctors who understand the condition and can provide therapeutic help.
3. How to manage day to day, making choices and getting medical help to moderate the symptoms and maximize one's quality of life.
The VHL Alliance assembled its first collection of guidelines for patients and their general doctors in 1993, and has been evolving it regularly since then as new information has emerged. This is now one of the best established Handbooks for a rare disease -- now in its 5th edition, and translated into 15 languages.
Joyce and Robin speak with Suzanne Nylander, O.D., editor of the 5th edition, about what's new in the Handbook, how the Handbook helps both patients and doctors, and what they have learned about the power of sharing information -- among patients and among physicians and healthcare systems worldwide.
Hard copies are available for purchase from the Alliance or from Amazon.com. You can download the text for free at http://vhl.org/handbook.
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