EMS Goals and Process Overview
This content provides an overview of EMS goals, the EMS process from injury/illness to hospital transport, evaluating the quality of EMS service, known process parameters, time factors, and the role of various entities in the process. It also includes information on hospitals in Dutchess County, New York.
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Presentation Transcript
EMS Goals Chris Rohrbach Dan Nichols
The EMS Process Injury/Illness Call 911 EMD 911 Dispatch Units Responds 1st Unit on Scene Patient Treatment Right EMS Services on Scene Patient Transported Patient Treated Patient at Hospital Patient at Appropriate Facility Ambulance available
Is the EMS service good? Medical Necessity Priority 1- 1st Response ALS BLS Priority 2- ALS BLS Severity of Condition Priority 3- BLS Priority 4- BLS (Non-Emergency) Patient s Impression
Known process parameters: Golden Hour Used for multi-system or severe single system trauma 60 minutes from injury to treatment FAST Door-to-Needle Used for strokes Ranges from 60 minutes to 3 hours Literature supports recovery ability directly attributed to intervention time Sudden Cardiac Arrest Survival without CPR/AED after 3-5 minutes is less than 10%
The EMS Process: What is the Time Injury/Illness Call 911 EMD 911 Dispatch Units Responds 1st Unit on Scene Patient Treatment Right EMS Services on Scene Patient Transported Patient at Hospital Patient at Appropriate Facility Ambulance Available
The EMS Process: What is the Time Maker? Injury/Illness Patients / Bystanders Call 911 EMD Patients / Bystanders and Dispatch Centers 911 Dispatch Units Responds Responders 1st Unit on Scene Patient Treatment Right EMS Services on Scene EMS Protocols Patient Transported Patient at Hospital Patient at Appropriate Facility Ambulance Available Distance / Method of Transport
https://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Map_of_towns_in_Dutchess_County,_New_York.svg/430px-Map_of_towns_in_Dutchess_County,_New_York.svg.pngHospitalshttps://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Map_of_towns_in_Dutchess_County,_New_York.svg/430px-Map_of_towns_in_Dutchess_County,_New_York.svg.pngHospitals H H H H H H H H
https://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Map_of_towns_in_Dutchess_County,_New_York.svg/430px-Map_of_towns_in_Dutchess_County,_New_York.svg.pnghttps://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Map_of_towns_in_Dutchess_County,_New_York.svg/430px-Map_of_towns_in_Dutchess_County,_New_York.svg.png Trauma Hospitals H H H H H H H H
https://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Map_of_towns_in_Dutchess_County,_New_York.svg/430px-Map_of_towns_in_Dutchess_County,_New_York.svg.pnghttps://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Map_of_towns_in_Dutchess_County,_New_York.svg/430px-Map_of_towns_in_Dutchess_County,_New_York.svg.png Stroke Hospitals H H H H H H H H
Statistical: No EMS System https://upload.wikimedia.org/wikipedia/commons/thumb/c/ce/Map_of_towns_in_Dutchess_County,_New_York.svg/430px-Map_of_towns_in_Dutchess_County,_New_York.svg.png Drive to Hospital H H H H H H H H
Injury/Illness Calling 911 Is 911 accessible? Why do you call 911? When do you call 911? What are my other options? What is the capability of bystanders?
Next Questions Look at all the input times How important is time Medical needs Customer perception Determining reliability Compare current status to national standards
