Showing posts with label Public Education. Show all posts
Showing posts with label Public Education. Show all posts

Sunday, June 24, 2018

EMS public education reboot: Call it MIH

Public education reboot: call it MIH

By Alan Perry
June, 24, 2018


The best illness or accident that ever happened is the one that was prevented right? Sure we are there to cover the ones that come to fruition; we manage them with skill and care, making the best of a bad situation. Can we make a larger impact by increasing our prevention efforts for illness and injuries? There are plenty of free (or nearly free) resources out there, from the Federal Government to private insurance companies, covering everything from substance abuse to firearm and pool safety. As an example of how fruitful this can be, let’s look at the progress the fire service has wrought on the incidence and severity of fire events over the past 100 years; Fire events were once one of the largest single threats to any population, causing extensive damage and major loss of life. The fire service developed and committed resources to the idea of fire prevention. Fire marshals, inspectors, fire codes, and life safety programs all have a dramatic effect on the effects of fire events, reducing both incidence and severity. 
Why can’t we do the same thing on the EMS side of the house? Some departments do, but have we committed a reasonable level of resources to truly have an impact on the incidence and severity of illness and injury? Do you have EMS public educators? Do you have a MIH program that performs home visits? Do you offer home and business inspections that address common injury and illness patterns that are performed by your fire and EMS personnel? Do you have EMS open houses and do EMS school demos? Do you have a public message in print, media, and an internet presence that coveys and reinforces illness and injury prevention? The potential savings in lives, improved quality of life, and the expense of treating chronic illness and traumatic injuries is enormous! The cost savings to agency operations and the tax burden to the community are an added benefit. Commit to marketing illness and injury prevention to your community, it will enhance the resilience of your community and your public image.

Be Safe,

Alan Perry

Wednesday, June 19, 2013

EMS Pub Ed program outline

EMS Public Education Program


Program length: 1 Hour
Program format:            Informal lecture, handouts, power point, question and answer
Target Group:               Teens-Adults
Preferred venue:           Public/private group meetings of 12 or more
Target Groups: Civic organizations, Houses of worship, Clubs


Program development timeline:
·        Review and approve course syllabus and curriculum.
·        Solicit interest among target groups & schedule presentations.
·        Collect feedback, analyze and refine program.
·        Develop interest list for additional/related programs.

Resources needed:
·        Room with chairs
·        Computer with projector and screen for ppt
·        Related program handouts

Course description:

            This is a one hour presentation provided by the  Fire department for the purpose of encouraging greater public understanding and support for the mission of their emergency medical services(EMS) system. The activities of the Fire Department in prevention, emergency and non-emergency responses, will affect nearly every citizen at some point in their lives. Most do not require direct services with any frequency however, all benefit from and observe our actions in their daily lives. This presentation seeks to inform the participant of the department’s goals, practices and activities, and solicit discussion and active participation in improving the quality of EMS within the city.

Course Outline:
·        Introduction
·        Audience experiences
·        Overview of current EMS response
o   Reaction to event
o   Call taking/Dispatch/Response
o   Treatment/Transport
·        The role of citizen participation
o   Preparation, recognition and reaction to EMS event
o   Pre-arrival treatment and preparation
o   Treatment/Transport
·        Potential gains with citizen involvement
o   Improved outcomes
o   Quicker/Appropriate response
o   Less friction between responders & family
o   Less time on-scene/More accurate information=Better treatment
·        Other available programs
o   Hands-only CPR
o   Basic first aid
o   SCAN
o   File of Life
o   CARE
o   Project Lifesaver


Presentation:    

Introduction
·        Introduce presenter (name, rank, position)
·        Introduce and thank host/host organization
·        Thank participants for their time and interest

Opening
·        Good morning/afternoon/evening,
·        My goal here today is to convey information to you about your EMS system.
·        I also hope provide you with some tools and ideas you can use in a medical emergency.
·        I hope to address any questions you have about the Fire Department's activities, as well as our practices and goals in our delivery of service.
·        I will inevitably use a term or expression you may not recognize. I apologize in advance, please stop me and I will gladly explain.

Exercise 1- show of hands……questions will be answered later
·        How many of you have been exposed to a emergency medical services call in the past 5 years?
·        How many of you had questions about the process?
·        How many are comfortable with their ability to react properly to a medical emergency.
·        How may are willing to participate in the preparation for and response to a medical emergency?

Here is the way our system currently operates
·        Keep in mind that this is a continually evolving process that is driven by the city budget, State and Federal regulation, ongoing research and the input of the public.
·        A medical emergency occurs
·        Someone calls 911
·        Dispatcher collects information, dispatches appropriate resources
o   Ambulance, ALS or BLS
o   Closest Engine company for ALS calls, accidents
o   EMS supervisor, as closest ALS or for complicated calls
o   ALS unit, co-responds with BLS ambulance for ALS calls
o   Squad truck, Battalion chief, helicopter, sky is the limit if needed
·        Personnel collect ringdown, find address on map
·        Apparatus rolls out the bay (goal is under 2 min. longer at night)
·        Apparatus arrives on scene (goal is 6min.)
·        Personnel and equipment arrive at patients side (8-10 min)
·        Patient is assessed,  treatment begins, patient is packaged for transport, personal health information, history and list of medications are obtained if possible (20 min. elapsed)
·        Patient is transported, treatment continues, hospital is contacted en route
·        Patient arrives at ER, turnover to RN (30 min.)
·        Ambulance is restocked, patient care report completed and left with hospital (1 hr.)
·        Ambulance returns to service
·        Did any part of that process surprise you?

Community preparation and reaction can have dramatic effect on the system’s performance
·        Preparation
o   Well marked address
o   Keeping list with Med Hx and medications in accessible location
o   Taking first aid and/or CPR class
o   Knowing what to expect (todays class)
·        Recognition of medical emergency
o   Check if unsure
o   Call sooner rather than later (stroke/chest pain)
o   Be sure of situation and location
o   Do not approach violent people
·        Reaction to a medical emergency
o   Call 911
o   Render aid and/or follow dispatcher instructions
o   Collect relevant medical information for EMS (Hx, Meds, ID etc)
o   Assist by clearing path to patient and removing obstacles

These critical actions will save lives and improve patient outcomes
·        Patient outcomes are directly linked to the time it takes to receive initial care and definitive care
·        Patient care can begin with the lay-rescuer, by following dispatcher instructions and/or attending CPR and first aid training.
·        Stroke/Heart attack/Cardiac arrest….all very time critical
·        Witnessed cardiac arrest……Brain death in 4 min. without bystander CPR most will die. Some communities have achieved survival rates of better than 40%
·        A quick and appropriate response by the public reduces miscommunication and enhances the efficiency and effectiveness of the EMS response.
·        Better understanding of the system leads to better communication during emergency
·        Better communication means more accurate information and better patient care

Resources available
·        Hands-only CPR classes
·        Basic first aid
·        SCAN program
·        File of Life program
·        CARE program
·        Project Lifesaver

Questions?