HomeMy WebLinkAboutAgenda Item - 2023-04-18 - Number 9.1 - Presentation - Emergency Medical Services Update 9.1
Fire Department
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EMS STUDY SESSION
APRIL 18 , 2023
EMS in Oregon
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Ambulance Service Areas
• Paramedic
• EMT
• Ambulance Licensing
Respect. Excellence. Trust. Service.
Paramedic
• Training — 14-20 months el• Recert — 48 hours hands-on annually
• Higher Risk Skills
> 1Pg
• Advanced Airway
• Intubation
• Tracheotomy t• Intravenous Medications
• Jugular IVs
• 10 Needles
• Advanced Cardiac Care
Respect. Excellence. Trust. Service.
Oregon EMT
• 4-6 months training
• Recert 24 hours every 2 years
• Skills : m I
• Vital Signs 0 ' �v
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• Simple Limited Assessments TE
• Personal Heart Medication ( Nitro)
Respect. Excellence. Trust. Service.
Dispatch Accreditation
• Provides gold standard in patient care
• Sends the correct resource
• Sets the stage for the best patient outcome
Respect. Excellence. Trust. Service.
BLS
• Falls/Lift Assist
• Complaint of Pain/Sickness
• Pulse/Respirations/Blood Pressure
• No use of Cardiac Monitor
Respect. Excellence. Trust. Service.
ALS
• Paramedic-level Skills
• Use of Cardiac Monitor to Diagnose
• Any Intrusion into Body
• Complex Splinting
• Stroke
• Cardiac Arrest
• Administration of Drugs/Controlled Substances
Respect. Excellence. Trust. Service.
Medical Director
• Dr. Ritu Sahni — BLS and ALS IA1101w
• Quality Improvement
• Dispatch
• ALS Calls for Service
• Protocol Development
• Annual Skills Evaluation
• LOCOM, Police and Fire Resource
• Fire operates under Medical Director's License
Respect. Excellence. Trust. Service.
EMS Strategic Plan
• Ambulance Service Area Criteria
• AMR — Clackamas, Washington, Multnomah Counties
• Moving away from time standards and toward key performance indicators of
patient outcomes
• Medical Priority Dispatch System Integration ( MPDS)
• Single Resource Response
• Equipment and Technology Standardization
• AMR as a Partner
Respect. Excellence. Trust. Service.
Cambridge Consulting Study
• Board of Commissions February 2023
• Recommendations most affecting Lake Oswego :
• Virtual consolidation of dispatch centers LOCOM,
CCOM, AMR
• Pilot Transport Study for City of Lake Oswego
• Tiered Emergency Response
• KPI Metrics that Affect Patient Outcome
• Lights and Sirens
Respect. Excellence. Trust. Service.