Advancing the EMS profession

WORLD TRAUMA SYMPOSIUM

Dr. Qasim

Let’s challenge the status quo on traumatic resuscitation. Vasopressors: harm or benefit? Closed chest compressions before or after airway management? Join Zaffer Qasim, MD, FRCEM, EDIC, as he identifies the importance of restructuring your approach to trauma resuscitation. Dr. Qasim is Associate Professor of Emergency Medicine, Critical Care, and Prehospital Medicine, Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania. Learn more

The 2024 World Trauma Symposium will be held on September 10 – both in Las Vegas, Nevada, in conjunction with EMS World Expo, and as a live-streamed event.

 

NAEMT RADIO

NAEMT Radio

Episode 34 | Artificial Intelligence and EMS. In this episode, Bruce Evans, MPA, CFO, NRP, Fire Chief at the Upper Pine River Fire Protection District, discusses the advent of Artificial intelligence (AI) in and around the EMS space. Examining the opportunities for AI usage in the Call Center, Ambulance, ED and beyond, this is a podcast you won't want to miss.

‘Jana Nguyen sits in the back of an ambulance watching live video of the stroke specialists treating the patient she brought to the neurology clinic just 15 minutes earlier. Before reaching the station, a voice interrupts as the dispatch system notifies Jana and her partner, Chip, that they are responding to a call for a sick child. The screen on the wall displays information about their new patient. Jana begins reading about Carla’s medical history—other than being born 6 weeks premature, she’s been healthy – and sees her current vital signs. Based on information collected on the scene, the AIM – artificial intelligence medic – states that there is an 82 percent probability the patient is experiencing anaphylaxis’ EMS Agenda for the Future – EMS Agenda 2050

Resources: 
EMS Agenda for the Futurehttps://www.ems.gov/assets/EMS-Agenda-2050.pdf
Safe Streets and Roads for All (SS4A) Grant Program:Safe Streets and Roads for All (SS4A) Grant Program | US Department of Transportation
Robs previous article on AIhttps://www.ems1.com/ems-trend-report/artificial-intelligence-in-ems-the-future-is-here

Episode 33 | Legislating for Critical Access Ambulance Designation. For this discussion of Critical Care Ambulance Designation and its associated reimbursement we tap the insights of Steve Kroll, NAEMT Advocacy Committee vice chair and NAEMT EMS PAC Steering Committee chair, provides key insight. Legislation, if sponsored and executed, would reduce the financial vulnerability of rural ambulance services and improve access to healthcare by keeping essential services in rural communities via cost-based Medicare Reimbursement.

Episode 32 | Lights and Sirens Reduction. Mecklenburg EMS Agency NC (MEDIC) achieves a 70% reduction in the use of lights and sirens during responses and a 78% decrease in Medic-involved traffic incidents. We are now aware of the academic research and trials underway to reduce the use of lights and sirens during emergency response and transport. In this edition, Steve Wirth, Esq, EMS lawyer, and John ‘JP’ Peterson, Executive Director of The Mecklenburg EMS Agency, discuss the reasons, risks, liability, benefits, and outcomes of L&S reduction.

Steve Wirth highlights the benefits for and risks against adopting a policy of appropriate L&S use and JP Peterson discusses MEDIC's award-winning and pioneering Response Configuration program. This initiative, launched in April 2023, strategically enhanced MEDIC's response protocols to emergency calls, leading to significant operational improvements. Notably, within six months, comprehensive data analysis highlighted that the new configuration had no negative effects on patient outcomes, optimized resource allocation, and led to a substantial 70% reduction in the use of lights and sirens during responses. Additionally, it achieved a 78% decrease in Medic-involved traffic incidents, significantly enhancing safety for both the community and emergency responders. These impressive outcomes not only demonstrate MEDIC's innovative approach to EMS but also underscore its unwavering commitment to improving patient care, safety, and efficiency within the greater Charlotte area.

Resources

Presentation to the County Board of Commissioners on L&S Reduction  https://mecklenburg.ravnur.com/media/PAx21k

Medic pleased with how reduced 'light and sirens' response configuration is working:  https://www.wcnc.com/article/news/local/medic-response-changes/275-72af3aad-acb9-4ce4-ad07-6032076d250d

Episode 31 | Special EMS On The Hill Day Coverage and NAEMT Legislative Issues. Recorded at the 2024 NAEMT EMS On The Hill Day event, April 17-18, Host Rob Lawrence chats with NAEMT President Susan Bailey and President-elect Chris Way on our Requests to Congress this year:

  • Support EMS Reimbursement for Treatment in Place (TIP). NAEMT has long advocated for providing EMS agencies the flexibility to navigate patients to the right care in the right setting through federal and state reimbursement of TIP. Reimbursing EMS agencies for TIP will save Medicare billions of dollars on unnecessary emergency department visits and provide needed benefits For EMS agencies.
  • House Support for the Community Paramedicine Act of 2024 (H.R. 8042) would create a grant program under the Secretary of Health and Human Services (HHS) that would authorize $25 million per year for five years to support community paramedicine services and other provisions.
  • Support for SIREN ACT reauthorization for an additional five years and encourage Congress to include $32M in FY2025 for SIREN Grants.
  • Protect Access to Ground Ambulance Medical Services to extend the current temporary increases under the Medicare ambulance fee schedule of 2% urban, 3% rural and 22.6% super rural for another three years, through December 31, 2027. 

Learn more: Online Legislative Service

Episode 30 | EMS Apprenticeship Programs. A discussion with Henry Lewis, executive director of the South Carolina EMS Association, and Lieutenant Joseph Coley of Tazewell EMS, Virginia, includes funding, start up, candidate selection and results. Topics also include scholarships, apprenticeship, rural health tuition assistance programs, and an earn-while-you-learn program to increase staffing numbers.  

NAEMT Radio is hosted by NAEMT Member and Lighthouse Leadership Program Mentor – Rob Lawrence. View other NAEMT Radio episodes 

 

FREE EMS RECRUITMENT GUIDE

NAEMT EMS Recruitment Guide

Download Guide | In response to the ongoing, critical personnel shortages that our agencies are facing, NAEMT’s EMS Workforce Committee has collected some best practices and successful case studies of EMS agency recruitment strategies. Their work has been compiled into a new guide on Innovative Recruitment Strategies for EMS Agencies. This guide includes:

• Tips for starting a recruiting program.
• Case studies on what’s worked for EMS agencies.
• Practical advice on getting out the word about job openings and marketing your EMS agency using social media.

 

 

TRAUMA-INFORMED CARE

Trauma-Informed Care

View Article | In EMS, “trauma care” conjures up bleeding or broken bones. But there’s another type of trauma care that has little to do with blood and guts. It’s called “trauma-informed care,” and it’s provoking changes to the way that healthcare providers treat and communicate with patients.

Trauma-informed care acknowledges that most people have had one or more traumatic experiences. The goal of trauma-informed care is to speak to, interact with and care for patients in a way that avoids re-traumatizing them.

“Trauma-informed care is a strategic framework for how to support people who have survived various forms of trauma. It could be physical, sexual, psychological or even historical and structural trauma, like the kind of trauma that gets passed down in gender and racial minorities,” explained Dr. Sadie Elisseou, a clinical instructor of medicine at Harvard Medical School and a physician with the VA Boston Healthcare System.  View Article

EMPLOYEE ENGAGEMENT

Employee Engagement

View Article | When Clayton Catoe became director of Lancaster County EMS a decade ago, morale at the South Carolina agency was suffering. Under his leadership, Lancaster County EMS has built a strong culture of employee engagement, and the department is thriving. Today, the agency operates nine ALS trucks, has 116 full and part-time employees, and answers nearly 20,000 calls annually. Read the Full Story.

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