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Home My WebLink About11262012 City Council Laydowns NO V, 2'10 1 2-6 t 10/26/2012 epv..Azt‘ia -40Yti za,6,2J) CRITICAL ISSUES V MANPOWER ' SVAC V RESPONSE TIMES .,1 SEWARD VOLUNTEER ✓ SERVICES PROVIDED' AMBULANCE CORPS ✓ MORTALITY&MORBIDITY V CONTINUING EDUCATION SZ T�r PERSONNEL SHORTAGE! V v 2012 FALL Schedule Monday 0600-1800 Monday 1800-0600 Current Members Schmidt/London/WI Ildnn Swartz/Wolf Mike Moore EMT-III Sue Schmidt EMT-III Tuesday 0600-1800 Tuesday 1800-0600 Mike Turner EMT-III Linda Lynch EMT II S°"miiM °1/Bea Rydber sd°°` Wednesday 0600-1800 Wednesday 1800-0600 M.Swartz EMT-III Randy Rydberg-MICP 5eh„ddl/Turner Rydberg/Lynch Jeff Wolf EMT-III Tyler Goss EMT-I Thursday 0600-1800 Thursday 1800-0600 Moore/Boil London/Schwartz Isaac London ETT Lacey Keil ETT Friday 0600-1800 Friday 1800-0600 Maggie Wilkins ETT m... Moo`°Lynch Saturday 0600-1800 Saturday 1800-0600 *-Red indicates no Emergency Drivers Training Moore/ Wolf/Lyon -Minimal or no Patient Care Experience* Sunday 0600-1800 Sunday 1800-0600 Moore/Wolf Wolf/Swartz 1 10/26/2012 RESPONSE TIMES SERVICES PROVIDED BY Time Alerted=Arrive Station=Enroute to Call SVAC Average:7 min ! Basic Life Support Advanced Life Support • Oxygen • Advanced Airways • Bandages • Intravenous Solutions 1 .° • Splinting of Fractures • Medications(5 ACLS Drugs) , • AEDs(Automatic Defib) • 1 Lead ECG Monitor/Defib Time to Arrive on Scene After Leaving Station • CPR and First Aid • Basic Life Support skills City Limits:3 minutes Outside City Limits: 10-30 minutes ALS MEDICATIONS ADVANCED PROCEDURES • SVAC Medications • National Standard SVAC NATIONAL (1)Adm.2.1ne (2)nwnm.el (I)b2to ple)ne (2)ntrepmn (3)A.pvin (4)Atropin° (I)Nittonox Administration (1)Transcutaneous Cardiac Pacing (3)Wdocino (4)Dorm.50% (5)c.ltlum DWorido(a)0calm oSO% (2)Measurement of 02 saturation g Endofracheallot bafion m (s)sedmetc.rb (s)Mtn:glycerNTablas (r)Dipb°mnmm yee(s)epinopbrmo (3)Endotracheal Intubation () (6)Albvtorol fpAco•em (0)ftrosomldo (10)cicogon (3)Nasotracheal Intubation (11)Aoo.on5 (12)!Amain° (4)Administration of drugs via ETT (13)ta.gnedum (1i)MlauoWn um, (16)MerpNno ore a.m. (6)Nitronox Administration (17)N rogtycerb. (1e)Prop vacalne t5CL � (6)Intraosseous Infusion ofFluids/Drugs F7I ; ,✓ ore Sodium Blurb (22)sreudne Measurement of sake expiratory Dow .3:'3 L Cn P xP ry I (21)Amloduene (22)DJa°dld ,p, 2 (zJ)F3aMEY° (z4)twopertaolailli (8)Cricothyrotomy alp. (25)Atrean (2s)Mare 110 (9)PercutaneousTrue trachealVentilation (at)nmoyrycmmry(2)xiwnor (10)Measurement of end-tida1CO2 (za)zee.n (3o)zyprer.(30 sate�).... (22)v•oprcsgs I ' ` (T 1)RipAP acPAP (33)6r.mme (34)Orman ,... (12)12-Lead ECGs (13)Rapid Sequence Intubation(RSI) (14)Administration of Nitroglycerin by IV (15)Nasogastric Tube Insertion 2 10/26/2012 0 IF YOU ARE HAVING A t HEART ATTACK SVAC SVAC WOULD PROVIDE Anchorage Fire Dept. y 4 E • Oxygen • Oxygen . • Aspirin • Aspirin • Nitroglycerin Tablets • Nitroglycerin Spray 3 '�® • Intravenous Fluids • Intravenous Fluids j • ECG Monitoring(1 lead) • ECG Monitor(12 leads) .._....e ._,_„... . ^"e aZ ,, • Pain Medication(Morphine, ,ce` �+ � I ` „ ; e Dilaudid,etc.) WHAT DOES THIS MEAN? t • Transcutaneous Pacing ' ''' • Synchronized Cardioversion In the event of a Stroke,Heart Attack,Seizure,Asthma •12 Load ECG analysis along with blood work Anti-AIL37 hmia Medication Attack,Pulmonary Edema or Traumatic Injury,the poltermod pro-hospital by Paramedics can yf care you receive depends on the provider and their determine ayou aro having aaeart Attack (Adenosine,Amiodarone,etc) medical director and is not standardized in Alaska. and what part ot me Heart la bang eaeeteai • Draw blood for Analysis IF YOU ARE HAVING A IF YOU HAVE SUSTAINED SEIZURE SERIOUS TRAUMA SVAC WOULD PROVIDE Anchorage/Soldotna SVAC WILL PROVIDE Anchorage Fire Dept. • Oxygen • Oxygen • Oxygen • Oxygen/02 Saturation • Intravenous Fluids • Intravenous Fluids • Fracture Immobilization • Fracture Immobilization • Anti-Seizure Medication • Intravenous Fluids • Intravenous Fluids I/, (Valium,Ativan,Versed) • Measurement of 02 Sat • Pain Medications �*'" tifs • Cricothyrotomy -:. • Intraosseous IV *Anti-Seizure medications given in '" *Lack of oxygen from prolonged "�*. .. u3, • Rapid Sequence Intubation the ambulance save brain cells seeizure activity destroys brain and lives! • Needle Thoracostomy • Percutaneous Transtracheal , 0Ventilation 3 10/26/2012 IF YOU DEVELOP IF YOU ARE HAVING AN PULMONARY EDEMA ASTHMA ATTACK FROM CONGESTIVE HEART FAILURE SVAC WILL PROVIDE Anchorage/Soldotna SVAC WILL PROVIDE Anchorage/Soldotna • Oxygen with SPO2 • Oxygen with SPO2 • Oxygen with SPO2 • Oxygen with SPO2 • Albuterol/Atrovent Neb • Albuterol Atrovent Neb • Nitroglycerin Tablets PO • Nitroglycerin Spray SL • Intravenous Fluids • Brethine SQ •• Intravenous Fluids Intravenous Fluids • ECG Monitoring • Epinephrine SQ • Morphine IV • ECG Monitoring(1 Lead) Lasix IV rr , ..^",- ,e • Rapid Sequence Intubation • `` „ • Needle Thoracostomy • CPAP • ECG Monitoring(12 Leads) v F + • Intravenous Fluids °� Nasal Tracheal Intubation a, • Draw Blood for Analysis a+ II 1I y �,�� r • Nebulized Medications ,�� r 'u'- ,� = • ECG Monitoring *Pulmonary Edema can be ... • End Tidal CO2 Monitoring difficult to reverse if not *CPAP along with IV medications *7 percent or 20 Million Americans recognized early and lead to and coaching can reverse have Asthma and over 10,000 die respiratory arrest and death. pulmonary edema quickly. annually from respiratory arrest! ADDITIONAL CONCERNS SOLUTION 1. Training and Education of Volunteers • Purchase(2) SUVs as"Rapid Response"vehicles (to enhance the patient care,response times,and capabilities of SVAC) 2. Patient Assessment Skills • Hire(2)F1'Paramedics for 24/7 coverage 3. Venipuncture Skills (min.5 years experience,ACIS/PALS/NRP/BIS,certif.,willing to RELOCATE) 4. Endotracheal Intubation Skills • Purchase or lease necessary Medical Equipment (enhanced Life Pak 12 w/ETCO2,IV Pump,Mini-Vent w/CPAP,&Easy 10) 5. ECG Interpretation Skills • Develop a working relationship with PSMC 6. Vehicle Readinessi 71 (for drug exchange program,continuing education,and continuity of care) t11� E� *FT employees with take home vehicles guarantee quicker"on scene"arrival times for 116/=--r6)..", k EMS.This means better outcomes for Stroke,Traua and Cardiac patients through advanced procedures performed with"state of the art equipment"by experienced and proven providers which means lees celVmuscle death and less suffering. 4 10/26/2012 HEALTH CARE WHAT WOULD THIS COST? SALARY COMPARISON INITIALLY ANNUALLY PSMC RN,A.S.DEGREE AFD MICR A.S.DEGREE • (2)Fbrd Expeditions=$80K • (2)FP Salaries,DOE=$134-154K • Starting • (2)LifePak l2s,•a.a:a•a=525K • (2)FP Benefts(20 )=927-31K base salary.556K • Starting base salary=$76.5K • Vehicle Maint./Fhel=$16K (401mweek @$26.83/1.) (56 hr.week@$23.01/1.) • (2)ImpactAlariIV 7Pumps =512KK • Insurances =$2.5K • Shift differentials • Stipend for MICP =$9.2K • (2) 754Vent =$12K • Uniforms = 0.6 Night shift 10% =85.6K • (2)setslights/sirens=$2K g • Mandatory O.T. =$14.3K Total=8179-203K Weekends =$14K a • (2)Easy IO Guns =$ IK (call-back for 2^ alarms) Total=$138K Total =$105K Total=$75.6K •Maaic,I equpm. . do.0Inchdapmablaidms nxessuylora•ld° da mei= **By using GSA account you can save on vehicle and •06 Mcoma multi be of.am by billing Medicaid/Medicare 8 equipment purchases.Refurbished medical 6 lemmas.companies for disposable Dam used eequipwcuement offer big savings for ambulance daring patient cand for Critical w'I CbghTuse, a rvl a. separate fmmSVAC. �• • EMT versus MICP POTENTIAL BENEFITS -Mobile Intensive Care Paramedics- 1. Better quality of life through lower Mortality and Morbidity rates 2. Establish and maintain a continuing education program for SVAC • Complete 100 hr EMT training course • Graduate ofrecognized MlCP program • Pass the National Registry Exam • Obtain A.S.degree in Paramedic Science 3. Develop community education programs in First Aid and CPR • Apply for and maintain AK certification • Pass National Registry Paramedic exam 4. Critical Care ground transport to Anchorage when aircraft restricted • Maintain Basic Life Support(BIS)Certif. • Apply for/obtain AlaskaState Licensure 5. Promote enhanced Cardiac,Stroke,&Trauma protocols • Complete 24 hrs.Cont.Education/2yrs • Acquire a sponsoring Physician 6. Combined medical training for SVAC,SVFD,BCFD,SPD,AST,&USPS • Maintain Advanced Cardiac Life Support • MaintainPediatricAdvancedl,ife Support 7. Provide Blood Pressure and Blood Glucose checks for senior citizens • MaintainBasic Life Support Certification 8. Better care,cleaning and resupply of SVAC ambulances and building O_Ai • Complete 120 hrs.Cont.Education/2 yrs 9. Safety/Health Care are the two greatest concerns for families relocating w v A • Complete annualsklla verification w/MD $g.A 10.Rapid response by experienced and highly trained EMS professionals r • A Ott 5 10/26/2012 • , • r. For questions, comments or ` additional information: CONTACT AUTOMATIC DEFIBRILLATOR Randy Rydberg (AED) AK Mobile Intensive Care Paramedic#604 Buy one foryour home and officewith your 2012 Pm (651)746-9228 Over 95%of Cardiac Arrests outside of the hospital do not have successful outcomes!(47%in-hospital) 6