80 Paramedics out of bases in Bracebridge, Huntsville, Gravenhurst, Port Carling, and MacTier 8 ambulances during the day, 6 after 10pm Respond to roughly 15,000 calls per year resulting in roughly 10,000 patients 716 falls in % of all patients 338 falls as of July
Simcoe Paramedic Services also report similar numbers ***stats to be determined
First point of contact Quickly assess living conditions and mobility Education Referral programs
Why to people call paramedics? Injured Usually transported by paramedics Acutely Sick Usually transported by paramedics No other means Transported by EMS or family/caregivers
Community Referrals by EMS Being trialed in several services, especially those with a mix of urban and rural areas. Goal is to refer low acuity patients to other suitable agency Reduced repeat visits by paramedics Reduced offload pressures at hospitals Prevent injuries before they happen
Paramedics assessing elders at risk for independence loss Paramedics are uniquely positioned to observe patients in their homes Study will look at patients age 65 and up who are not already critically ill Outcomes measured may include no change, return visits by paramedics, hospitalization, or death.
Seniors Assessment and Support Outreach Team Muskoka’s paramedics can play a role in the referral process
Vital signs, Interview, Safety Inspection, Treatment Home visits allow paramedics to identify and treat conditions before the need for a hospital visit arises.
Goal is not to duplicate services already in place Allow patients to remain home longer Reduce non essential ambulance transports Reduce wait times in emergency rooms Example: Flu Shots
Community paramedicine Referral programs Public education