1. EMS Report Kay Vonderschmidt, MPA, MS-EM, NREMT-P

2. EMS Refresher Education EMS Research & Surveys Train the Trainer Report

3. EMS Education Refresher Education - Keep medics engaged! - 6 months after starting enrollment - Remember only about 20% of medics will actually enroll a patient Options: –Powerpoint –Video –Skills –FAQ’s (video & online) San Francisco Fire Dept

4. ppt on NETT site – Dr. Bledsoe Skills – Dr. Humphries Cincinnati Fire DeptBlue Ash Fire DeptGreen Township Fire Dept PPT & Skills

5. Florence Fire-EMS Independence Fire Protection District Forest Park Fire Dept Video Auto-injector DVD –Streaming on NETT/UC site Refresher Video FAQ Video

6. Refresher Video Glendale Fire Dept List of Video’s: Adult Assessment/Enrollment Pediatric Assessment/Enrollment Pedi IO FAQ’s Too Small

7. FAQ Video Baltimore Fire Dept

8. EMS Research EMS Research Agenda - EMS Centers of Excellence - NETT has built 17 centers - EMS Research Regulations - EMS committee (regional) - EMS State Board - Public Health Board Wauwatosa Fire Dept

9. EMS Research North Shore Fire Dept Several cities also needed to review (legally) the research project before allowing their city employees (paramedics) to assist with this research study as part of a risk management review.

10. EMS Research York (Wellspan Hospital) In 2009 the National Emergency Care Enterprise: Advancing Care Through Collaboration: Workshop Summary was released and it included a panel discussion on ways to enhance Emergency Care Research. 1. Engage multiple providers (non-medical and medical) 2. Create data linkages and informatics 3. Identify regulatory barriers 4. Build a strong research system that is ongoing 5. Focus on how research outcomes affect the patient

11. Survey #1 – 100 % compliance –Hub PI –EMS Coordinator –EMS Dept approval – open communications –Contact information Richmond Ambulance Authority EMS Survey #1

12. Texas EMS Survey #1 –EMS Dept demographics Type of service Type of ALS vehicles # of ALS vehicles # of Paramedics

13. EMS Survey #2 Voluntary survey by EMS administrators during the Train the Trainer education (IRB approved project) 45% compliance Hennepin County

14. EMS Survey #2 –Setting – 60% urban and 26.7% mixed –Population ranged between over 15,000 to above 2 mil Clackamas County Fire District #1 Total Population in Response Area Under 15,000 0.0% 15,001 – 50,000 13.3% 50,001 – 100,000 6.7% 100,001 – 250,000 20.0% 250,001 – 500,000 26.7% 500,001 – 1 million 13.3% 1,000,001 – 2 million 13.3% 2,000,001 and above 6.7%

15. EMS Survey #2 Run Volume Detroit Fire Dept Yearly EMS volume Under 5,00026.7% 5,001 – 10,000 6.7% 10,001 – 20,000 13.3% 20,001 – 30,000 13.3% 30,001 – 50,000 0.0% 50,001 – 75,000 13.3% 75,001 – 100,000 6.7% 100,001 and above 20.0%

16. EMS Survey #2 –Type of EMS system – 66.7% are fire based, 13.3 % are a third service –Prior Research participation – 73.3 % yes & 26.7% no –Number of years in research – 33.3% at 1 – 2 years 46.7% at over 5 years & 20% have never been involved in research –Prior classes on research –33.3% yes & 66.7% no New York Presbyterian EMS

17. EMS Survey #2 Lexington-Fayette County Fire Dept 2 EMS departments required Human Subjects Protection training for EMS providers prior to the RAMPART study yet 66.7% of departments reported having collaborated with a local university to enroll EMS patients into research projects.

18. EMS Survey #2 The barriers listed for EMS providers included: interest in the subject, manpower, consistent training, continuity of understanding by personnel, cost of training, and logistics of implementation. Also funding for training and internal departmental research personnel were cited several times. Grady Health System

19. EMS Survey #2 West Allis Fire DeptGreenfield Fire Dept Barriers for EMS administration included buy in from each level – chief to provider, funding for an internal research person, staffing, and education, increased workload with many studies.

20. Train the Trainer 17 Hubs (several with 2 distant sites) 17 completed with 12 enrolling (Henry Ford & Wayne State combined for the TTT) 1 left to train Narberth Ambulance Life Lion EMS

21. Train the Trainer Palo Alto Fire Dept 1 st patient enrolled South San Francisco Fire Dept Demographics of our EMS Depts: Total Yearly Run Volume – 1,465,208 # of Paramedics Trained - 4,314 Total # of Departments - 35

22. Train the Trainer San Mateo Fire Dept Depts varied logistically: most use hospital pharmacies, several use station distribution most are ALS ambulances, several are ALS engine companies or tiered response vehicles most have placed the study box in the “first-in” bag but several have state requirements that specify a “locked” cabinet in the ambulance

23. Train the Trainer 15 flights –No baggage lost –No missed flights –28 bags of peanuts –4 cookies 2 drive (Lexington and Henry Ford) –I-75 ended before my GPS did in Detroit Redwood City Fire Dept

24. Other good things our EMS departments participate in…. CPR Training CERT FEMA/USAR teams Fill the boot Blood Drives Breast Cancer Awareness Firefighter Combat Challenge

25. Final Thoughts

26. Questions???? My Weekends!