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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.
When thinking about rural EMS systems compared to an urban setting. Does the rural setting have certain advantages? What about disadvantages? Issues like available resources, transport times, volunteers, skills frequency and others can play a role in overall patient care.
So what are your thoughts? Do these two systems differ? Are they similar enough not to matter in the long run?
Join us for this episode and give your experiences in the chat room or call in toll free.
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!
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!
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.
Diane Tomaz of the Massachusetts Adoption Resources Exchange (MARE) talks about adoption and the needs of the children waiting in foster care.
Many of these children have special needs. Addy is a good example.
Addy is a 4-year-old Caucasian girl who continues to make tremendous progress in her growth and development. Addy has some developmental delays and a genetic condition called Micro-duplication syndrome, which can present as having Autism like symptoms and behavioral challenges. She will need to be formally re-evaluated in the future to determine if she still falls on the Autism spectrum due to the tremendous progress she has made.
Addy attends pre-school with the support of an Individualized Educational Plan. She is no longer in a self-contained classroom due to the gains she has made and she is now in an integrated preschool program. Addy’s speech has also increased and she continues to receive speech therapy at school to assist with her speech delays.
Legally freed for adoption, Addison will need a family that is prepared for her needs and the unknowns that come with it. A family that has parenting experience would be preferred.
Addison will need a family that is able to keep her in contact with her younger sister and grandmother with four to six visits a year. She also has an open adoption agreement with her birth mother for post-adoption visits.