EMS Headlines

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EMS Chief Victoria Gallaher and the Illinois delegation present

the the SIREN Act to Sen. Durbin in his Washington DC office.

What does EMS look like in the future?

EMS Agenda 2050 is the result of a collaborative and inclusive two-year effort to create a bold plan for the next several decades. The new Agenda for the Future envisions people-centered innovative possibilities to advance EMS systems

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U.S. President Trump signs the Farm Bill and the SIREN Act becomes law. 

Illinois Senator Dick Durbin at

Nauvoo Fire Protection District Base 

Countless ways to build or re-build an EMS career... 

A career in EMS is really narrowed down to the decisions you make. The good news is that at any time during your EMS career, you can change the focus of your studies without having to take steps backward. For example, if you start out being a career paramedic and want to get into EMS management, a few classes can help you achieve that goal. The reverse is also true. The following five tips may help you pick or switch the current career path you are on.

 

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NAEMT Education is available in Illinois.. 1-800-34-NAEMT or education@naemt.org

Advances in Military / Civilian Trauma Care

9 Recommendations Specific to EMS

The report calls for:  Amending the Social Security Act to identify EMS as a provider type.

 

Modifying CMS’s ambulance fee schedule to better link the quality of prehospital care to reimbursement and healthcare delivery reforms.  Establishing responsibility, authority, and resources within HHS to ensure that prehospital care is an integral component of healthcare delivery, not merely a provider of patient transport.  Supporting and appropriately resourcing an EMS needs assessment to determine the necessary EMS workforce size, location, competencies, training, and equipment needed for optimal prehospital medical care.

 

NAEMT is at the forefront of efforts to improve trauma care readiness, education, and collaboration in both the civilian and military sectors. Tactical Combat Casualty Care (TCCC), a course provided by NAEMT through a partnership with the DoD and the American College of Surgeons’ Committee on Trauma, provides combat medics, corpsmen, and pararescuemen with the tools they need to save lives on the battlefield. The partnership allows the civilian and the military sectors to work together seamlessly to share advances in prehospital trauma care. NAEMT is a partner in the White House / Department of Homeland Security’s “Stop the Bleed” Campaign. NAEMT partners with the American College of Surgeons on Bleeding Control for the Injured (B-Con), a 2.5-hour course that teaches members of the public to take action to stop severe bleeding. NAEMT submitted a comment to the Senate committee considering the 2017 National Defense Authorization Act, requesting that all military medical personnel receive standardized medical training consistent with TCCC.

EMS Provider Perceptions on Termination of Resuscitation in a Large, Urban EMS System.

Despite the value of out-of-hospital Termination of Resuscitation (TOR) and the scientific evidence in favor of this practice, TOR has not been uniformly adopted or consistently practiced in EMS systems.

 

Previous focus group studies have identified multiple barriers to implementation of out of hospital TOR but existing literature on EMS provider perceptions is limited. We sought to identify EMS providers' perceived barriers to performing out-of-hospital TOR in a large urban EMS system.

 

METHODS:

The Chicago EMS System is a regional collaborative of EMS physicians, nurses, and provider agencies, including the Chicago Fire Department (CFD), which provides exclusive emergency response for 9-1-1 calls in Chicago. CFD is an urban, fire-based EMS agency with a tiered response, with fire-fighter EMTs and paramedics providing initial care, and single role paramedics providing supplemental care and transport. A 2-page written survey was distributed to understand providers' experiences with managing OHCA and perceived barriers to TOR to inform subsequent improvements in protocol development and education.

RESULTS:

Of 3500 EMS providers that received the survey, 2309 were completed (66%). Survey respondent demographics were fire-fighter/EMTB (69%), fire-fighter/paramedic (14%), and single role paramedic (17%). The most frequent barrier to field TOR was scene safety (86%). The most common safety issue identified was a family reaction to TOR (68%) and many providers felt threatened by family when trying to perform TOR (38%). Providers with higher career numbers of OHCA were more likely to have felt threatened by the family (OR 6.70, 95% CI 2.99-15.00) and single role paramedics were more likely than FF/EMTs to have felt threatened (OR 3.34, 95% CI 2.65-4.22). Barriers to delivering a death notification after TOR, include being uncomfortable or threatened with possible family reaction (52%) and family asking to continue the resuscitation (45%). There was a lack of formal prior death notification training, the majority learned from colleagues through on the job training.

CONCLUSIONS:

Our study identifies scene safety, death notification delivery, and lack of formal training in death notification as barriers that EMS providers face while performing TOR in a large urban EMS system. These findings informed educational and operational initiatives to overcome the identified provider level issues and improve compliance with TOR policies.

Tataris KLRichards CTStein-Spencer LRyan SLazzara PWeber JM.

 

Contact P.E.R.S. of Illinois at  member.services@illinoisems.com   -  PO Box 516 Nauvoo, Il 62354   Copyright 2016            Like us on Facebook