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EMS Physicians “We still make house calls!”
Jay MacNeal, DO, MPH, NREMT-P EMS Medical Director
MD-1 Basics
• 2012 Chevy Tahoe
• Certified Emergency Vehicle
– Emergency lighting/Siren
– Rock and Walworth County Public Safety Radios
– Maps/GPS
– Personal Protective Equipment
– Extrication Equipment
– Rehab supplies
MD-1 Medical Equipment
• LUCAS 2 Mechanical CPR Device • Zoll X Series Monitor • Glidescope Video Intubation • Medications with secure storage • Chest tubes • Tourniquets • Field Amputation Equipment • Triage Kit • Field Trial Equipment
MD-1 Medical Equipment
MD-1 Integration into EMS System
• Approval from State EMS Office
• Emergency Vehicle Permit from RCSO
• Approval of radio use by 911 and local Chiefs
• Meeting with Fire, EMS, Law Enforcement
• MD-1 and equipment part of EMS training
• MD-1 at disaster drills and mass gatherings
MD-1 Activation
• Request from Incident Commander to 911
• Mercy Switchboard receives call from 911
• IRM page and cell text to MD-1 Physicians
• MD-1 responds to page and responds
• EMS physician talks to crews enroute to scene
MD-1 Responses
• 6 Tactical EMS – Difficult airways managed with MD-1 resources
• 20 MVAs – Patients triaged and treated with MD-1 resources
• 1 Pediatric PNB – Survived!
• 5 STEMI – MD-1 driving by at dispatch time
• 40 PNB – Persistent VFIB treated with MD-1 resources, Survived! – Blizzard conditions required MD-1 four wheel drive
• 15 Medical Calls
MD-1 First Official Request
MD-1 I43 Southbound
Prolonged Incidents
MD-1 Community Relations
• FM and AM radio interviews
• Gazette articles
• Local Vision TV interview
• Farm Rescue Training Article
• Numerous Community Events
• FD Open Houses
• NAEMSP Lecture on MD-1
• Describing the program at gas pumps
Comments from the Field
• “He’s more like a Paramedic than a real doctor”
• “It’s nice to have an extra set of hands”
• “I was nervous you’d come and try to take over, now I see that you’re just there to help”
• “That was my first field intubation, and I felt better having a doc there for me as backup”
System Changes
• LUCAS 2 Deployment
• Video Intubation Evaluation On Going
• RSA medication and protocol change
• Instant feedback/QA
• On call EMS Physician cell phone
• Increased respect for EMS field activities
EMS Future
• EMS Subspecialty
• Community Paramedics
• Managed Care
Stay Safe and Thank You for all that you do for your community and patients!