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EMS Update: April 2011. Our Current Staff 40 Members in Moscow Volunteer Emergency Ambulance Company; a Company of the Moscow Volunteer Fire Department.

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Presentation on theme: "EMS Update: April 2011. Our Current Staff 40 Members in Moscow Volunteer Emergency Ambulance Company; a Company of the Moscow Volunteer Fire Department."— Presentation transcript:

1 EMS Update: April 2011

2 Our Current Staff 40 Members in Moscow Volunteer Emergency Ambulance Company; a Company of the Moscow Volunteer Fire Department 40 Members in Moscow Volunteer Emergency Ambulance Company; a Company of the Moscow Volunteer Fire Department 19 of our members are students 19 of our members are students 14 are Advanced EMTs 14 are Advanced EMTs 4 Paramedic 4 Paramedic Rendezvous Program Rendezvous Program Latah County Mutual Aid Latah County Mutual Aid

3 Classes in Structural Firefighting, Rescue, Wildland Firefighting, HAZMAT, Incident Command, and EMS Classes in Structural Firefighting, Rescue, Wildland Firefighting, HAZMAT, Incident Command, and EMS Approximately 20,000 hours of training each year Approximately 20,000 hours of training each year 100+ Members 100+ Members 22 Student Resident Firefighters 22 Student Resident Firefighters Staff: Fire Chief, Fire Marshal, Training Officer, EMS Division Chief Staff: Fire Chief, Fire Marshal, Training Officer, EMS Division Chief

4 Moscow Volunteer Fire Department Moscow Volunteer Emergency Ambulance Company Individual members Crew Coordinators MVFD Command Staff Ambulance Company Officers 1 st Lieutenant 2 nd Lieutenant EMS Division Chief MVFD Fire Chief Secretary Treasurer Board Representative MVFD Board

5 MVEAC has 4 Ambulances 3 Stations

6 M-40

7 Moscow Call Statistics

8 Our volunteers respond from home, work, and school

9 MVEAC Operates under the direction of our Medical Control Physician Dr. McKinnon, according to the standards of Idaho EMS, a division of Idaho Health and Welfare.

10 Bravo, Charlie, Delta, Echo calls get an Engine Company Response in addition to an ambulance.

11 Whitcom Dispatch Latah Co S.O. Dispatch

12 Level of Service Basic Emergency Medical Technician 120 hour class; 40 hours CME Basic Emergency Medical Technician 120 hour class; 40 hours CME Intermediate EMT 70 hour class; 30 hours CME (soon 250 hour class) Intermediate EMT 70 hour class; 30 hours CME (soon 250 hour class) Paramedic 1500 hour class; 70 hours CME plus skills maintenance Paramedic 1500 hour class; 70 hours CME plus skills maintenance

13 Latah County Emergency Medical Services Council Overview of EMS personnel and calls in Latah County: PersonnelCalls (from ID EMS 6/09) Deary2279 Genesee 954 Juliaetta/ Kendrick1087 Moscow Potlatch18241 Troy1175 Total: Council Projects in Process: Safety LED $43 =$4988 Reflective $50=$5800 EMT Training/ Cont.Ed DVD package$5374 Protocols $200$3000 Testing $45$1350 Masimo CO Det.$4000 Current officers/ Members: Present: President Dave Reynolds - Moscow, Vice-President N. Cody Anderson - Moscow, Treasurer Bill Krick – Genesee, Secretary Sue Krick – Genesee, Teresa Quimby – Potlatch, Debi Swinney – Potlatch, Brent Carpenter – Potlatch, Donna Opresik – Deary/Troy, Tina Carlstrom – J/K, Marci Williams – LCSO, Keith Scott – Deary, Val Norris – J/K, Rose Norris – J/K, Debra McKinnon – Gritman, Dan Carscallen - Moscow.

14 EMT Scope of Practice CPR with semi-auto AED CPR with semi-auto AED Airway with simple adjuncts; BVM Airway with simple adjuncts; BVM Wound care and bandaging Wound care and bandaging Splinting and spinal immobilization Splinting and spinal immobilization Oxygen Oxygen Extrication and Incident Command Extrication and Incident Command

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16 Intermediate Scope Field intubation Field intubation Autovent Autovent Field Intravenous access and fluid administration Field Intravenous access and fluid administration Additional assessment training Additional assessment training

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18 Paramedic Scope Manual Defibrillation, Synchronized Cardioverson, External Pacing Manual Defibrillation, Synchronized Cardioverson, External Pacing Rhythm recognition; 12 lead optional Rhythm recognition; 12 lead optional Intubation; CPAP; Alternate airways; Peds Intubation; CPAP; Alternate airways; Peds Thoracotomy; Crycothyrotomy; IO Thoracotomy; Crycothyrotomy; IO Optional RSI and Pericardiocentesis Optional RSI and Pericardiocentesis Up to 30 medications pre-hospital, including pain mgmt and drips. Up to 30 medications pre-hospital, including pain mgmt and drips. ACLS and PALS ACLS and PALS Critical Care Transport Critical Care Transport

19 Medications: Dose Med Kit Inventory Ambulance Inventory Cache GritmanCache St1 PIXUS full/ minimum Adenocard Adenosin e6mg/12mg 6mg Albuterol Ventolin mg 5510 Aspirin 325mg 1 bottle Atropine Sulfate 0.5-1mg 1mg Calcium Chloride 10% 0.5-1g SL 1 g Dextrose 25% 0.5g/k 2.5g 2 Dextrose 50% 1g/kg 25g Diazepam Valium5-10mg SL 10mg 10/2 Diltiazem Cardizem.25mg/k SL 1g 11 Diphenhydramine Benadryl25-50mg 50mg Dopamine Intropin2-20ug/k/m 1 1 Epinephrine 1:10,000 1mg 5555 Epinephrine 1:1000 Adrenolin mg 1 multi 11 Furosemide Lasix0.5-1mg SL 100mg Glucagon 0.5-1mg 1111 Lidocaine 2% 1-1.5mg 33 Mag Sulfate 1g;2g;4g 5g 11 Meperidine Demerol50-100mg 100mg 10/2 Midazolam Versed2-4mg 5mg 5/2 Morphine Sulfate 2-5mg 10mg 10/2 Naloxone 10mg Nitroglycerin 0.4mg 1111 Sodium Bicarbonate, 8.4% 1mEq/k 0111

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21 Regional Air Transport from Spokane

22 Life Flight Lewiston Life Flight Lewiston

23 Latah County EMS

24 Latah County Population35,029 Population35,029 Land Area1,077 Sq Miles Land Area1,077 Sq Miles Over 65 years old 10% Over 65 years old 10% Housing units14,970 Housing units14,970 Mutual Aid Agreement hosted by local fire departments, expanded to EMS Mutual Aid Agreement hosted by local fire departments, expanded to EMS

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26 Current Latah County EMS All agencies and personnel are Volunteer* All agencies and personnel are Volunteer* Potlatch, Troy, Genesee, Deary/Bovil, Juliaetta, Kendrick, and Moscow. Potlatch, Troy, Genesee, Deary/Bovil, Juliaetta, Kendrick, and Moscow. *One paid Paramedic/EMS Administrator (60% time) in all of Latah County, from Moscow Ambulance. *One paid Paramedic/EMS Administrator (60% time) in all of Latah County, from Moscow Ambulance. Approximately 1800 EMS responses annually. Approximately 1800 EMS responses annually.

27 MVEAC Paramedic Program Concept began years ago Concept began years ago –Operational in 2006 with limited availability –Paramedic Rendezvous within one week 1 to 5 Paramedics as they join and leave 1 to 5 Paramedics as they join and leave M40 Jump Car w/ Zoll E from grant M40 Jump Car w/ Zoll E from grant –In service Feb. 2008

28 Recruitment and Retention Challenges Heavy load on long term resident local volunteers Heavy load on long term resident local volunteers Moscow EMS relies on students who graduate and move on. Moscow EMS relies on students who graduate and move on. Turnover forces continuous classes and training Turnover forces continuous classes and training Turnover and retention is a top issue for all Latah County EMS agencies Turnover and retention is a top issue for all Latah County EMS agencies Top issue nationwide for volunteers Top issue nationwide for volunteers

29 EMS Classes A Basic EMT class is needed every fall A Basic EMT class is needed every fall ALS class every spring (until new requirements take effect) ALS class every spring (until new requirements take effect) Paramedic Classes every two years Paramedic Classes every two years

30 Challenges (cont) How does a volunteer program survive? How does a volunteer program survive? Increasing costs across the budget Increasing costs across the budget Shrinking pool of volunteers Shrinking pool of volunteers Increasing Urban/Rural interface Increasing Urban/Rural interface –More families in rural areas –Longer transport times –More time on calls for EMS personnel

31 Our success…… Paramedic Rendezvous program Paramedic Rendezvous program Opperates as Mutual Aid Opperates as Mutual Aid 1 to 8 calls per month 1 to 8 calls per month Immediate life threat Immediate life threat –Multisystem trauma –Cardiac event Extremely successful Extremely successful

32 What are the goals of this community? Public Expectation: Fully staffed paramedic ambulances with rapid response times. Public Expectation: Fully staffed paramedic ambulances with rapid response times. Can we maintain Paramedic Level Service 24/7? Can we maintain Paramedic Level Service 24/7? Will a tiered response be effective? Will a tiered response be effective? Can the local infrastructure support Paramedic Level Response? Can the local infrastructure support Paramedic Level Response?

33 Out of Area Transports Completed March 2011 Completed March 2011 Need: critical care transport Need: critical care transport Changes in other agency availability and weather Changes in other agency availability and weather

34 EMS Legislation EMS Systems Authority EMS Systems Authority –Draft legislation regarding EMS system Re- organization 2009 Housekeeping/Temp. bill from Idaho EMS 2009 Housekeeping/Temp. bill from Idaho EMS -Education Rules in process Ski Patrol?


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