EMS Goals Chris Rohrbach Dan Nichols The EMS

EMS Goals Chris Rohrbach Dan Nichols

The EMS Process Injury/Illness Call 911 EMD 911 Dispatch Units Responds 1 st Unit on Scene Patient Treatment Right EMS Services on Scene Patient Treated Patient Transported Patient at Hospital Patient at Appropriate Facility Ambulance available

Is the EMS service good? Priority 11 st Response ALS BLS Priority 2 ALS BLS Priority 3 BLS Priority 4 BLS (Non-Emergency) Severity of Condition Medical Necessity 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 1 st Unit on Scene 1 st Re sp on Ca ll m ak de rs Right EMS Services Am on Scene bu lan Patient Transported Patient Treatment Patient at Hospital ce s Patient at Appropriate Facility Ambulance Available Pa tie er nt

The EMS Process: What is the Time Maker? Injury/Illness Patients / Bystanders Call 911 EMD Patients / Bystanders and Dispatch Centers 911 Dispatch Units Responders 1 st 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

Hospitals H H H H

Trauma Hospitals H H H H

Stroke Hospitals H H H H

Statistical: No EMS System “Drive to Hospital” 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