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EMS Physicians

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EMS Physicians

  1. 1. EMS Physicians “We still make house calls!” Jay MacNeal, DO, MPH, NREMT-P EMS Medical Director
  2. 2. MD-1 Basics • 2012 Chevy Tahoe • Certified Emergency Vehicle – Emergency lighting/Siren – Rock and Walworth County Public Safety Radios – Maps/GPS – Personal Protective Equipment – Extrication Equipment – Rehab supplies
  3. 3. MD-1 Medical Equipment • • • • • • • • • LUCAS 2 Mechanical CPR Device Zoll X Series Monitor Glidescope Video Intubation Medications with secure storage Chest tubes Tourniquets Field Amputation Equipment Triage Kit Field Trial Equipment
  4. 4. MD-1 Medical Equipment
  5. 5. MD-1 Integration into EMS System • • • • • • Approval from State EMS Office Emergency Vehicle Permit from RCSO Approval of radio use by 911 and local Chiefs Meeting with Fire, EMS, Law Enforcement MD-1 and equipment part of EMS training MD-1 at disaster drills and mass gatherings
  6. 6. MD-1 Activation • • • • • Request from Incident Commander to 911 Mercy Switchboard receives call from 911 IRM page and cell text to MD-1 Physicians MD-1 responds to page and responds EMS physician talks to crews enroute to scene
  7. 7. MD-1 Responses • 6 Tactical EMS – Difficult airways managed with MD-1 resources • 20 MVAs – Patients triaged and treated with MD-1 resources • 1 Pediatric PNB – Survived! • 5 STEMI – MD-1 driving by at dispatch time • 40 PNB – Persistent VFIB treated with MD-1 resources, Survived! – Blizzard conditions required MD-1 four wheel drive • 15 Medical Calls
  8. 8. MD-1 First Official Request
  9. 9. MD-1 I43 Southbound
  10. 10. Prolonged Incidents
  11. 11. MD-1 Community Relations • • • • • • • • FM and AM radio interviews Gazette articles Local Vision TV interview Farm Rescue Training Article Numerous Community Events FD Open Houses NAEMSP Lecture on MD-1 Describing the program at gas pumps
  12. 12. Comments from the Field • “He’s more like a Paramedic than a real doctor” • “It’s nice to have an extra set of hands” • “I was nervous you’d come and try to take over, now I see that you’re just there to help” • “That was my first field intubation, and I felt better having a doc there for me as backup”
  13. 13. System Changes • • • • • • LUCAS 2 Deployment Video Intubation Evaluation On Going RSA medication and protocol change Instant feedback/QA On call EMS Physician cell phone Increased respect for EMS field activities
  14. 14. EMS Future • EMS Subspecialty • Community Paramedics • Managed Care Stay Safe and Thank You for all that you do for your community and patients!

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