EMS

Overdose Outcomes Improve with Telemedicine

JEMS - News - Tue, 10/02/2018 - 01:00
CHALLENGE AND EXECUTIVE SUMMARY
The opioid crisis is a population health issue impacting lives in nearly every community across the country. Emergency Medical Services (EMS) and public safety first responders are on the front line of treating these overdose patients. The initial lifesaving acute care they provide is but one step in the continuum of time-sensitive care that includes hospitals, recovery specialists and ongoing treatment programs necessary to prevent the vicious reoccurrence cycle.

Through the use of a specialized digital mobile telemedicine app, EMS is uniquely positioned to save lives through timely intervention with opioid antagonist drugs while engaging the hospital, registries and recovery specialists to initiate broader acute care workflow improvements. Multi-faceted alerts including data collected and shared real-time with providers, speeds treatment and engagement to improve outcomes and long-term patient recovery. Collected data is also aggregated and available to organizational and governmental entities for reporting, benchmarking improvements and trend-analysis.   THE SOLUTION
The following Opioid Overdose case workflow process is based on the e-Bridge Workflow Mobile Telemedicine app provided by GD (General Devices). The solution provides an easy to use, state or region-wide mechanism to alert, notify and track all opiate/opioid overdose patients in real time from prehospital first medical contact through hospital emergency department, to recovery specialist, caseworker and recovery program.   Overdose Workflow: (refer to flowchart)
Note: This is an example workflow. All e-Bridge Workflow templates are highly configurable, allowing flexibility to operate protocols your way, ensuring maximum effectiveness and compliance.
  • 911 communications center receives a call for a possible overdose and dispatches EMS.
  • EMS receives the CAD location information and responds. Dispatch and arrival times documented in CAD. Upon arrival, EMS’ patient assessment identifies possible opioid overdose.
  • EMS clicks the “Overdose” button of the e-Bridge app on their mobile device and treats the patient. The location is tagged and the running time clock begins 1.
  • The highly configurable workflow template prompts for initial patient demographic 2, driver’s license, ID scan/pic, and medical incident and treatment information.
  • The base station or destination hospital is selected for medical direction and notification is sent – alerting the hospital team.
  • Notifications for events such as Naloxone administered, are time stamped, logged and shared in real-time with preselected team members via e-Bridge app (ED computer, mobile devices, etc).
  • Existing or newly assigned recovery specialists or agencies can be notified and added to the team either preconfigured or at any point by ED staff after arrival.
  • Patient/Case/Event can be added to the Overdose Registry either at this point or by ED staff after arrival.
  • Live (synchronous) or asynchronous video consult with physician, recovery coach, etc is available. Secure multi-media such as pictures, video, audio, text, team chat, and vital sign and ECG sharing is available.
  • If transporting, live ETA sent to receiving hospital, registry and recovery specialist once en route.
  • If AMA refusal, video consult with physician or recovery specialist may avert refusal, otherwise video documentation of refusal is recorded to mitigate risk.
  • Hospital ED physician/nurse notify/add hospital patient registration to the case, allowing them to pre-register the patient before arrival.
  • ED team member assigns bed and EMS is notified pre-arrival via the app.
  • Hospital ED can see tracking map with priority and live ETA. Once the ambulance is within “geofence” of the hospital an “Arrival” alert is announced and displayed and team members are alerted on the e-Bridge app.
  • EMS arrives and moves the patient to the pre-assigned bed and hands off the patient to the ED staff that is already prepared and ready with a pre-registered ID wristband.
  • ED staff take over patient care and the pre-hospital phase of the case is ended.
Notes (for optional solution add-ons): EMS clears up from the call and goes back in service but is available for questions, team chat, notifications and outcome results via the e-Bridge app.
  • Downstream outcome feedback/status is entered by hospital staff, EMS is notified via e-Bridge.
  • The Recovery phase of the case begins 3
  • The patient is set up with the e-Bridge app and provided a secure login and instruction before discharge from the hospital.
  • Recovery coach/specialists communicate securely with the patient via e-Bridge app. Family, peers, physicians are invited to participate in group communications aimed at long-term support and recovery.
  • Reports and data are provided to the appropriate agencies.
  • Education, checklists and information can be provided to the patient and their support network via e-Bridge 3.
  • Automatically pull dispatch info from CAD database.
  • Automatically pull pre-existing patient info from the database, alert providers of prior events, coaching contacts, etc.
  • Recovery phase/case to be developed/partner and configure to meet state/local operational requirements.
  EXPECTED RESULTS
  • 1-click EMS & ED initiated real-time tracking of care for overdose patients
  • Early alerting of parallel and downstream resources (recovery & registry)
  • Early engagement and follow-up for patients that refuse AMA
  • Data and reporting for local, state and national
  • Outcome feedback data for EMS and all care teams
  • Force multiplier with other acute-care workflows (Stroke, STEMI, Trauma, Sepsis)
  • Improved outcomes and sustained recovery
  • Real-time view of care workflow
  • Early warning system
Categories: EMS

PURVIS Systems Uniquely Positioned for Continued Growth

JEMS - News - Tue, 10/02/2018 - 01:00
Middletown, RI – PURVIS Systems, a leading IT systems and services provider for the Public Safety, Federal and Department of Defense industries, is strategically positioned for growth as qualified Joseph Drago steps into the Chief Executive Officer role on October 1, 2018.

Drago, an experienced executive, has a successful, 20-year track record working closely with PURVIS. As founder, sole-owner, and President of Integrated Management SOLUTIONS, Inc. (IMS), Drago has led the IMS team in providing project management, test and evaluation, and logistics support to real-time system implementation and maintenance projects across Public Safety, Gaming and Defense industries. Since 1998, IMS and PURVIS have been close partners, with IMS responsible for project management, training and testing services for every PURVIS Fire Station Alerting System™ implementation and overall program management for PURVIS’s New York City Fire Department (FDNY) contracts. Further, Drago joined PURVIS’ Board of Directors in 2001 and was subsequently elected Chairman in 2017. \r\n \r\n

“I’m grateful and excited to get started in this new role at PURVIS,” says Drago. “PURVIS has seen significant growth while under Steve Massed’s leadership: we expanded our presence throughout the US, grew our client base, increased strategic partnerships, achieved greater financial stability, and retained top talent. We are uniquely positioned to maintain momentum and continue on this growth trajectory, and we have an incredible team who understands our vision for the future and is committed to advancing our systems and services.” \r\n \r\n

In his new role, Drago will be responsible for driving the strategic direction and development of the organization. “Joe understands PURVIS extremely well and has the industry experience to thrive in this dynamic environment. His commitment to the organization’s values and strategy is perfectly aligned with PURVIS’ goals as we enter our next chapter,” says current President Steve Massed, who is retiring in October. “It’s been an honor to serve as President of PURVIS Systems for the past two years, and I look forward to working as a Board member with Joe to continue to grow our position as one of the most reliable and responsive systems and services providers in the market.” 
Categories: EMS

Indonesia Rescue Efforts

EMS-1 Major Incidents - Mon, 10/01/2018 - 14:09

Categories: EMS

Over 800 Dead in Indonesia Quake and Tsunami; Toll May Rise

EMS-1 Major Incidents - Mon, 10/01/2018 - 13:57

PALU, Indonesia (AP) — Rescuers struggled Sunday to reach victims in several large coastal towns in Indonesia that were hit by an earthquake and tsunami, and authorities feared that the toll of more than 800 confirmed dead would rise.

With the area largely cut off by damaged roads and downed communications lines, military and commercial aircraft were delivering some aid and supplies to the hard-hit city of Palu on the island of Sulawesi, and others in the region.

But there was a desperate need for heavy equipment to reach possible survivors buried in collapsed buildings, including an eight-story hotel in Palu where voices were heard in the rubble. A 25-year-old woman was found alive during the evening in the ruins of the Roa-Roa Hotel, according to the National Search and Rescue Agency, which released photos of the her lying on a stretcher covered in a blanket.

At least 832 people were confirmed killed by the quake and tsunami that struck Friday evening, Indonesia's disaster agency said, with nearly all of those from Palu. The regencies of Donggala, Sigi and Parigi Moutong — with a combined population of 1.2 million — had yet to be fully assessed.

"The death toll is believed to be still increasing, since many bodies were still under the wreckage, while many have not been reached," said disaster agency spokesman Sutopo Purwo Nugroho.

Bodies covered in blue and yellow tarps lined the streets of Palu, and officials said they were digging a mass grave for at least 300 of the dead.

It was not immediately known when the burial would take place, but "this must be done as soon as possible for health and religious reasons," said Willem Rampangilei, head of the National Disaster Mitigation Agency. Most of Palu's residents are Muslim.

Categories: EMS

Over 800 Dead in Indonesia Quake and Tsunami; Toll May Rise

JEMS - News - Mon, 10/01/2018 - 13:57

PALU, Indonesia (AP) — Rescuers struggled Sunday to reach victims in several large coastal towns in Indonesia that were hit by an earthquake and tsunami, and authorities feared that the toll of more than 800 confirmed dead would rise.

With the area largely cut off by damaged roads and downed communications lines, military and commercial aircraft were delivering some aid and supplies to the hard-hit city of Palu on the island of Sulawesi, and others in the region.

But there was a desperate need for heavy equipment to reach possible survivors buried in collapsed buildings, including an eight-story hotel in Palu where voices were heard in the rubble. A 25-year-old woman was found alive during the evening in the ruins of the Roa-Roa Hotel, according to the National Search and Rescue Agency, which released photos of the her lying on a stretcher covered in a blanket.

At least 832 people were confirmed killed by the quake and tsunami that struck Friday evening, Indonesia's disaster agency said, with nearly all of those from Palu. The regencies of Donggala, Sigi and Parigi Moutong — with a combined population of 1.2 million — had yet to be fully assessed.

"The death toll is believed to be still increasing, since many bodies were still under the wreckage, while many have not been reached," said disaster agency spokesman Sutopo Purwo Nugroho.

Bodies covered in blue and yellow tarps lined the streets of Palu, and officials said they were digging a mass grave for at least 300 of the dead.

It was not immediately known when the burial would take place, but "this must be done as soon as possible for health and religious reasons," said Willem Rampangilei, head of the National Disaster Mitigation Agency. Most of Palu's residents are Muslim.

The cries from beneath the Roa-Roa Hotel, which appeared to have toppled over with its walls splintered like pickup sticks, went silent by Sunday afternoon. Officials had estimated about 50 people could be inside.

Categories: EMS

Paramedics Among 3 Charged in Death of Man at Detroit-area Jail

JEMS - News - Mon, 10/01/2018 - 13:38

DETROIT (AP) — A police officer and two paramedics failed to help a man who was convulsing for more than an hour and eventually died from cocaine toxicity at a Detroit-area jail, a prosecutor said Monday as she filed involuntary manslaughter charges against the trio.

William Marshall, who was in custody for drug possession, died in the Westland police lock-up in December, Wayne County prosecutor Kym Worthy said.

A state police investigation showed an "inexcusable and criminal disregard for human life from those who have a duty to serve him, protect him and render aid," Worthy said.

She said video of the incident is a "critical part of the evidence."

Involuntary manslaughter charges were filed against Sgt. Ronald Buckley and paramedics Matt Dicosola and Leah Maynard. They didn't immediately appear in court, and it wasn't clear yet if they have lawyers who can respond to the allegations.

A message seeking comment was left for Westland police Chief Jeff Jedrusik. He has acknowledged that Marshall, 35, should have been taken to a hospital earlier that day. The city in May agreed to a $3.75 million settlement with Marshall's family, with much of the money coming from insurance coverage.

The paramedics told Buckley they could take Marshall to a hospital, but the sergeant waved them off, Worthy said.

Nonetheless, she added, that doesn't clear them.

"The paramedics still have a duty to render aid and assistance," the prosecutor said. "They abandoned him, according to the facts of our investigation. ... They are criminally responsible."

Separately, Worthy said no charges would be filed in the fentanyl-related death of a man at an Ecorse police lock-up in June 2017.

Although Ecorse officers should have noticed that Frank Porter wasn't moving in his cell, she said, the delay did not contribute to his death.

Categories: EMS

Purse, Cellphone Stolen from EMT Trying to Save Woman's Life

JEMS - News - Mon, 10/01/2018 - 10:58

 

DETROIT (WJBK) - An EMS worker was robbed while responding to a person in need. 

Her purse and cell phone stolen right out of the ambulance.

"It's very disheartening, it's ugly - and it's hurtful," said Charlene Kinnard, a Detroit EMT.

Just how low can you go? Two thieves were caught on camera after stealing from a Detroit EMT while she had been trying to save an elderly woman's life.

Read more at WTXF-FOX 29.

Categories: EMS

One Year After Vegas: Medics with a New Perspective

JEMS - News - Mon, 10/01/2018 - 10:18
Jeff Scheid-The Nevada Independent Mike Whitehead, critical care paramedic at Medicwest, assisted victims in the Oct.1 shooting. Read more at The Nevada Independent How Community Ambulance Has Altered its Approach to Mass Casualty Incidents Las Vegas Sun Glen Simpson, special event manager, responds to a question during an interview at Community Ambulance in Henderson Friday, March 16, 2018. Community Ambulance paramedics were working at the Route 91 music festival during the Oct. 1 mass shooting. Glen Simpson didn't realize how anxious he would feel. Simpson, the director of special events at Community Ambulance, was working a music festival last weekend when he started to experience anxiety from being at an outdoor music venue. The nervousness comes with good reason.

Read more at the Las Vegas Sun

Categories: EMS

Medic-CE's Resiliency Training Helps Combat Increasing Mental Health Risks Among EMS Providers

JEMS - News - Mon, 10/01/2018 - 07:55

First responders face challenging and often traumatic experiences on a near daily basis as they serve our communities. Over time, these experiences often lead to an increased risk of mental and behavioral health issues. To help, Medic-CE, a leading provider of accredited online continuing education for emergency medical services (EMS) and fire professionals, is pleased to announce the launch of Resiliency training that teaches first responders how to work through the trauma they experience in the field.

“Our new Resiliency training will give first responders tangible skills and techniques they can use to really process and recover from the trauma they are seeing every day,” said Judson Smith, Medic-CE vice president. “With more and more research showing the risks our first responders face, we are excited to offer this new training as a way to help.”

According to the Substance Abuse and Mental Health Services Administration (SAMSHA), 30 percent of first responders develop behavioral health conditions including depression and posttraumatic stress disorder (PTSD) compared to just 20 percent among the general population. Several studies have also found that suicide rates for first responders are significantly higher than average.

Medic-CE’s new Resiliency training is the result of a collaborative effort by Medic-CE, the Journal of Emergency Medical Services (JEMS), and Dr. Phil Callahan. The course curriculum is focused on five key coping skills that first responders can use in their personal and professional lives to deal with the stressors they experience on a regular basis. The Resiliency training will be offered as part of Medic-CE’s self-paced (F3) continuing education training.

Categories: EMS

Teen Attacked by Shark at Southern California Beach

JEMS - News - Sat, 09/29/2018 - 13:31

ENCINITAS, Calif. (AP) — A teenage boy has been bitten by a shark at a Southern California beach.

Just after a shark attack victim was pulled ashore at Beacon’s Beach in Leucadia. #sharkattack #beaconsbeach #leucadia #encinitas pic.twitter.com/Hr93IVxwQd

— John Robbins (@JohnRobbins) September 29, 2018

Fox 5 San Diego reports the attack occurred around 7 a.m. Saturday at Beacon's Beach in Encinitas, north of San Diego.

Witness Chad Hammel tells the TV station the victim was lobster diving.

Hammel says he heard screaming and then realized the boy was yelling, "I got bit!" Hammel was also lobster diving with a group, and they pulled the boy onto a kayak and headed to shore as the shark followed.

The group applied pressure to the wounds while beachgoers called paramedics, who put the victim in a helicopter.

A message seeking official information was left at a phone number for an Encinitas public information officer.

California's spiny lobster season opened at 6 a.m. Saturday.

 

Categories: EMS

Hall Ambulance Receives Accolades from the California Ambulance Association

JEMS - News - Fri, 09/28/2018 - 14:51

Hall Ambulance’s founder and two Company programs received statewide recognition by the California Ambulance Association (CAA) during its 70th Annual Convention this week at Harvey’s Lake Tahoe Resort.

On behalf of the CAA’s Board of Directors, Ross Elliott, executive director, posthumously conferred Emeritus Recognition upon Harvey L. Hall for his distinctive service to the science & art of ambulance services. Considered a pioneer of modern EMS in California, Hall dedicated 58 of his 77 years of life to professionalizing the ambulance industry, in part, through his involvement in the CAA, which represents providers of emergency and non-emergency medically necessary transportation services throughout the State of California.

Accepting the honor was his widow, Lavonne C. Hall who serves as President & CEO of Hall Ambulance Service, Inc. During her remarks, she expressed her appreciation to the numerous CAA member companies who drove hundreds of miles to be a part of the honorary procession that was held as part of the Community Celebration to Honor the Life of Harvey L. Hall on June 2 in Bakersfield, and to those ambulance services who provided mutual aid coverage so that Hall Paramedics and EMTs could attend the service.

Hall Ambulance was also the beneficiary of two awards for the CAA’s inaugural California Ambulance Association Service Excellence (CAASE) Awards. The program recognizes excellence, resourcefulness, and ground-breaking ideas being implemented by California ambulance operators and showcase the best practices of the ambulance business in the state.

A panel of independent judges reviewed all of the submissions and scored the programs.

Hall Ambulance was honored in the Community Impact category for its Siren the Rescue Dog program. Patterned after the Hall family’s pet St. Bernard’s, “Siren” and “Rescue” the mascot has become a local celebrity of sorts at community events such as the CSUB Basketball Mascot Dance-Off. The program was expanded with the creation of a smaller plush version of Siren which the paramedics, EMTs, and RNs give to the children they transport as a means of bringing comfort during a difficult time.

Categories: EMS

Sunstar Paramedics Employee Recognized for Streamlining Billing Processes

JEMS - News - Fri, 09/28/2018 - 14:30

LARGO, Fla. (Sept. 27, 2018) – Sunstar Paramedics employee Ed Wilson has been honored with the 2018 ZOLL Pulse Award for his work. The award recognizes EMS professionals who use data solutions to save money, time and resources, which helps EMS organizations to save more lives in their community.

Wilson is a paramedic and Clinical Technonlogy Coordinator with Sunstar Paramedics. He’s responsible for managing the Electronic Patient Care Reporting (ePCR) system for Sunstar Paramedics, which processes over 400,000 electronic medical records every year, both for Sunstar Paramedics and 18 fire departments in Pinellas County.

Wilson identified common issues that originate in the ePCR and impact the billing department. He developed an application to streamline the process of pre-billing by comparing field data in ePCR against computer-aided dispatch (CAD) data. It automatically recognizes and alerts the billers to common issues that could result in accidentally overbilling for care or triggering payers like insurance or Medicaid to decline covering the cost of care.

With Wilson’s process improvements, the billing department is able to provide support for the ever-increasing volume of emergency calls in Pinellas County without having to add staff members to the billing department.

“Ed’s time- and resource-saving initiatives have streamlined our processes and made our team more efficient,” said John Peterson, chief operating officer of Sunstar Paramedics. “His innovative ideas have made him a vital resource to our team, and we’re proud that he’s been recognized for his important work."

ZOLL manufactures and develops medical devices and software solutions, and the company recognizes EMS professionals who use data solutions to improve patient, financial and operational outcomes. Wilson was among 11 emergency service personnel honored with ZOLL Pulse Awards during the ZOLL SUMMIT, its annual user conference in Denver, Colorado.

Categories: EMS

Pennsylvania Paramedics and Firefighters Visit Man Whose Life They Saved Following Horrific Crash

JEMS - News - Fri, 09/28/2018 - 10:55

 

Firefighters with Penndel Fire Company and first responders with the Penndel-Middletown Emergency Squad, who responded to a horrific crash on I-95 are reunited with Alberto Sordo at St. Mary Rehabilitation Hospital in Middletown Township. Sordo, 32, of Philadelphia wanted to show his gratitude to the men and women who gave him another chance at life.

Read more at Bucks County Courier Times.

Categories: EMS

More Than 100 Elementary School Students Stung by Wasps in British Columbia

JEMS - News - Fri, 09/28/2018 - 10:13

The school called in some medical personnel to help out. Thankfully, she says none of the students appeared to suffer a life-threatening reaction.

Read more at cfjctoday.com

 

Editor's Take: Although this occured in Canada, something like this could easily happen in any of our communities. And with parents having trouble getting (or affording) Epi-pens, EMS and other first responders may need to carry extra.   Related Articles  

Categories: EMS

Retired Wisconsin EMT Survives Life-Threatening Infection

JEMS - News - Fri, 09/28/2018 - 09:45

 

Dancing with the devil —that’s how one Wales man described his work as an EMT and volunteer firefighter, but over the summer, he got sick and he found himself on the other side of that work. 

What started as back spasms and a dry cough in August for 58-year-old Tom Laumann quickly turned into something more serious when he could no longer breathe. 

“I couldn’t inspire air and take a breath, and that’s what scared me,” Laumann said.

Read more at Today's TMJ 4 Milwaukee.

Categories: EMS

Inside EMS: What goes in to organizing an EMS conference?

FR1 and EMS Podcasts - Thu, 09/27/2018 - 22:02
Inside EMS: What goes in to organizing an EMS conference? by FR1 and EMS1 Podcasts
Categories: EMS, Podcasts

EMTs and Paramedics Still Processing Vegas Shooting Response as 1-Year Anniversary Approaches

EMS-1 Major Incidents - Thu, 09/27/2018 - 12:37

 

LAS VEGAS - On Monday, the Las Vegas valley will remember the people lost on 1 October.  As survivors of the deadliest mass shooting in modern U.S. history continue to heal, first responders specifically deal with memories of running into the line of fire.

Glen Simpson, the director of special operations for Community Ambulance says he's still processing everything to this day. He and 20 other community ambulance employees dropped everything on that fateful night to help those in need.

“A lot of my memories from that night are watching people die,” Simpson said.  “Never in my wildest dreams did I think someone would be shooting from above.”

While dealing with sorrow...from one devastating night, Simpson sifts through flashbacks of fear.

Read more at 8 News NOW Las Vegas.

Exclusive JEMS Article:

Categories: EMS

EMTs and Paramedics Still Processing Vegas Shooting Response as 1-Year Anniversary Approaches

JEMS - News - Thu, 09/27/2018 - 12:37

 

LAS VEGAS - On Monday, the Las Vegas valley will remember the people lost on 1 October.  As survivors of the deadliest mass shooting in modern U.S. history continue to heal, first responders specifically deal with memories of running into the line of fire.

Glen Simpson, the director of special operations for Community Ambulance says he's still processing everything to this day. He and 20 other community ambulance employees dropped everything on that fateful night to help those in need.

“A lot of my memories from that night are watching people die,” Simpson said.  “Never in my wildest dreams did I think someone would be shooting from above.”

While dealing with sorrow...from one devastating night, Simpson sifts through flashbacks of fear.

Read more at 8 News NOW Las Vegas.

Exclusive JEMS Article:

Categories: EMS

Florida EMT fired and Paramedics Suspended for Failing to Follow Protocol Resulting in Death of a Patient

JEMS - News - Thu, 09/27/2018 - 11:59

Editor's note: Abbreviated and complete video statements are below the news story.

HILLSBOROUGH COUNTY, Fla. (WFTS) -- Hillsborough County Officials have issued disciplinary actions against four Fire Rescue personnel involved in an incident that resulted in the death of a new mother.

An internal investigation of the July 4 incident revealed that "the four Fire Rescue personnel failed to perform their duties as Hillsborough County Fire Rescue Standard Operating Procedures were violated. The four employees were provided a number of opportunities to respond including written statements, questioning and pre-disciplinary hearing process," county officials said in a press release Wednesday.

The following disciplinary actions were taken against the four Fire Rescue personnel involved:

1. Lt. John “Mike” Morris was terminated from employment with Hillsborough County.

2. Acting Lt. Cortney Barton was suspended for 30 days without pay, removed from the ability to serve in an Acting Lt. capacity for one calendar year after which supervisory retraining will be required.

3. Fire Medic Justin Sweeney was demoted to Firefighter/EMT and suspended for 30 days without pay.

4. Fire Medic Andrew J. Martin was suspended for 30 days without pay.

Read more at WFTS.

Categories: EMS

Pages

Subscribe to Volunteer Mobile Emergency Response Unit -- rehabsector.org aggregator - EMS