1. Emergency Medical Module 1 Emergency Medical Services  Operations Division Chief Kevin McGee  EMS Battalion Chief Matt Smolsky

2. Emergency Medical Module 2 EMS Program  Career Emergency response budget $11,177,926 EMS and Fire Suppression  FY 99 - 17,686 EMS calls  73% of all incidents were EMS related

3. Emergency Medical Module 3 What is EMS?  Federal Impact EMS  State Impact on EMS  County Code relating to EMS

4. Emergency Medical Module 4 EMS Skills  BLS –CPR, early defibrillation –Basic airway management, oxygen –Bleeding control, bandaging –Splinting –Uncomplicated childbirth

5. Emergency Medical Module 5 EMS Skills  ALS –All BLS skills, plus –Cardiac monitoring and interpretation –IV and fluid administration

6. Emergency Medical Module 6 EMS Skills ALS, continued –Medication administration –Advanced airway management

7. Emergency Medical Module 7 Training Required of EMS Providers

8. Emergency Medical Module 8 Training Required of EMS Providers  CPR for healthcare providers-8 hours

9. Emergency Medical Module 9 Training Required of EMS Providers  EMT Basic- 120 hour minimum  Career department has 112 EMT-basics  Volunteer department has 250 EMT-basics

10. Emergency Medical Module 10 Training Required of EMS Providers  EMT Cardiac- 262 total hours  An intermediate level

11. Emergency Medical Module 11 Training Required of EMS Providers  EMT Paramedic- 700 total hours  Career department has 122 ALS certified  Volunteer departments have 54 ALS certified

12. Emergency Medical Module 12 Chain of Survival  Early Access  Early CPR  Early Defibrillation  Early Advanced Life Support

13. Emergency Medical Module 13 Chain of Survival  Early Access –Citizen recognition –Calling enhanced 9-1-1 –The E mergency M edical D ispatch system

14. Emergency Medical Module 14 Chain of Survival  Early CPR –CPR can be provided by trained bystander –CPR may be instructed by dispatcher

15. Emergency Medical Module 15 Chain of Survival  Early Defibrillation –Provided by trained non- medical personnel –Provided by BLS providers or first responders

16. Emergency Medical Module 16 Chain of Survival Early ACLS Provided by Advanced Life Support providers on medic units

17. Emergency Medical Module 17 Equipment Carried  BLS unit –AED lifepack 300 –Basic airway equipment

18. Emergency Medical Module 18 Equipment Carried BLS Unit –Splints –Dressings and bandages –Supplies –Equipment and supplies $20,000

19. Emergency Medical Module 19 Equipment Carried  Advanced Life Support Unit –Same as BLS, plus –Life pack 12 –Advanced airway management equipment

20. Emergency Medical Module 20 Equipment Carried ALS Unit (continued) –IV supplies, needles, and fluids –Medication kit –Equipment and supplies $50,000

21. Emergency Medical Module 21 Responding to Emergencies  9-1-1 call is received at Communications  Call is categorized by call type and ALS or BLS  Pre-arrival EMD instructions are given  Units are dispatched

22. Emergency Medical Module 22 Responding to BLS Emergencies  BLS emergencies include –lacerations –fractures –labor of childbirth

23. Emergency Medical Module 23 Responding to ALS Emergencies  ALS emergencies include –Heart attacks –Stroke –Severe trauma –Unconsciousness –Stopped or trouble breathing

24. Emergency Medical Module 24 Responding to Emergencies  Medic, Ambulance and support units may be dispatched as needed  Units may be staffed by career or volunteer providers  EMS incidents are labor intensive

25. Emergency Medical Module 25 Responding to Emergencies  Units arrive and assess scene for safety  Crews assess patient

26. Emergency Medical Module 26 Responding to Emergencies  EMS crews need assistance from support units for rapid treatment and transport

27. Emergency Medical Module 27 Responding to Emergencies  Transport may be by ambulance, medic or helicopter

28. Emergency Medical Module 28 EMS Program Any Questions ?