Summary: <br> <br> <br> <br> <br> Discussion topics: <br> <br> <br> <br> -Team paramedic and coordinates emergency care for on field. <br> <br> <br> <br> What are the classifications from paramedic to ECA, EMS, and Paramedic<br> <br> <br> <br> -ECA - first responder. Couple weeks class<br> <br> <br> <br> -EMT basic - everyone starts off at. Full college semester<br> <br> <br> <br> -EMT advanced - Intubate and start IVs, and cardiac meds. Can’t RSI or DSI<br> <br> <br> <br> -Paramedic - nationally and state certification; Two-year program and learn advanced cardiology and pharmacology<br> <br> <br> <br> Difference: Licensed paramedics will have an AA in paramedics or a bachelor's in emergency medicine. <br> <br> <br> <br> ATs are under the direction of a physician, how does that work with emergency medicine?<br> <br> <br> <br> -Work under a medical director. Medical directors must be licensed by the state. Emergency certified physician.<br> <br> <br> <br> Roll of team physician on the sideline?<br> <br> <br> <br> -EAP’s <br> <br> <br> <br> -Get together with all emergency response teams to see what everyone can do or should do. <br> <br> <br> <br> -Communication<br> <br> <br> <br> -EMS arrives, they take over control of the athlete and their protocols go into effect. <br> <br> <br> <br> Equipment removal in in-service?<br> <br> <br> <br> -Discuss how far to go with equipment removal. <br> <br> <br> <br> -CPR of football, don’t remove helmet/shoulder pads, just face mask. Open shoulder pads to do CPR and place AED pads.<br> <br> <br> <br> Organizing the annual practice, how should the AT approach it?<br> <br> <br> <br> -Week before training camp starts. <br> <br> <br> <br> -Coordination through their contact. EMS Chief or president of the company. <br> <br> <br> <br> How long does the training last?<br> <br> <br> <br> -Depends on how much you want to cover. <br> <br> <br> <br> -At least CPR, backboarding, trauma injury. 30 minutes each<br> <br> <br> <br> -Debrief before and after. <br> <br> <br> <br> How can we educate EMS on what ATs can do?<br> <br> <br> <br> -Invite EMS groups to your in-service to participate in the training process. <br> <br> <br> <br> -Look at each other's protocols. <br> <br> <br> <br> -Get everyone's education <br> <br> <br> <br> How much are protocols changing year to year?<br> <br> <br> <br> -Generally, they don’t. Just based on technology and medical changes. <br> <br> <br> <br> Differences between rigs?<br> <br> <br> <br> -BLS is a basic truck with 2 EMTs. Basic first aid/childbirth<br> <br> <br> <br> -ALS truck for higher emergencies. <br> <br> <br> <br> What does it look like after EMS has taken over care and on the way to the hospital?<br> <br> <br> <br> -After a report from AT, they do their own patient assessment. <br> <br> <br> <br> -After assessment, determine the care plan. Get vitals and stabilize life events. <br> <br> <br> <br> What is the most important information coming out of the report from an AT?<br> <br> <br> <br> -Short and sweet<br> <br> <br> <br> -This is what happened, what I did, what I found. <br> <br> <br> <br> Spine board or not to spine board?<br> <br> <br> <br> -Depends on the medical director's protocol. <br> <br> <br> <br> -Depends on the situation and if it will make the injury worse. <br> <br> <br> <br> -For the team, it might depend on the spine doctor/team physician. <br> <br> <br> <br> -Annual meeting to discuss spine boarding and log roll vs. 6-man lift.<br> <br> <br> <br> Stories<br> <br> <br> <br> -Professional baseball game.
