dangit' jim, i'm a doctor, not a computer whiz!

Dangit’ Jim!I’m a doctor,

Not a computer whiz!

By Luke Winkelman, NRP, EMS-I

Disclosure$

• None

Considerations

• My thoughts are my own• Medical Director involvement• Train, train, train….then train some

more• Current practices are not always best

practices

Moore’s Law

This means more toys!

Crunch the numbers

• What is the benefit?• How many will benefit?• What is the cost?

How will it change what we do?

Is it worth it??????

So what's new for us?

Gadgets for Notification

eDispatches

• Dispatcher hands-free• App auto-plays message• Smart phone & flip phone capable

eDispatches

IamResponding

• Sends message/location as text• Allows navigation to address via app• Requires dispatcher to type & send

message• Allows responders to reply

IamResponding

PulsePoint

• Bystander notification• Alerts CPR trained of nearby arrest• Shows nearby AED’s• Walks bystander through CPR

PulsePoint

PulsePoint

• Drew Basse – FF• Scott Brawner - Victim

What does this mean?

• Potential for reduced missed pages• WiFi or cellular data required• Care rendered to critical pt’s faster

Gizmos for AssessmentEMREMT

AEMTPM

12-Lead EKG

• ReadyLink BLS

EMTAEMT

PM

CPR MetricsEMT

AEMTPM

CPR Metrics

http://circ.ahajournals.org/content/120/13/1241.figures-only http://www.cnn.com/2013/07/10/health/cpr-lifesaving-stats/

Rainbow SETEMT

AEMTPM

SPCO

• Saturation % of CO• Same device SPO2 &

HR is measured with• Excellent for FF rehab

& dif Dx of flu symptoms

http://www.masimo.com/spco/

EMTAEMT

PM

PVI

• Pleth Variability index

http://www.masimo.com/pvi/

EMTAEMT

PM

SpHb

• Continuous total hemoglobin monitoring

http://www.masimo.com/hemoglobin/

EMTAEMT

PM

STO2

• Near Infrared Spectroscopy• Measures actual deep tissue

perfusion vs just O2 in arterioles

EMTAEMT

PM

InfraScan

• Near Infrared Spectroscopy

• Extravascular blood absorbs more light

Medical Direction/ED

i-STAT

• Cardiac biomarkers• INR for stroke pt’s

Medical Direction/ED

Google GlassEMREMT

AEMTPM

What does this mean?

• More information• Objective findings• Targeted treatment

Dohickeys for treatmentEMREMT

AEMTPM

Electronic Protocols

• Current EMS protocols on mobile devices

EMREMT

AEMTPM

ResQPod

• Impedance Threshold Device

• Boasts up to 50% greater circulation during CPR

EMTAEMT

PM

ResQPump

• ACD CPR• Not yet approved by

the FDA• When used with ITD

referred to as enhanced CPR (eCPR)

EMTAEMT

PM

Lucas 2EMT

AEMTPM

AutoPulseEMT

AEMTPM

KingVisionPM

Training is important!

What does this mean?

• Patient’s receive higher quality care• Less runs QA’d!• Better CPR means better circulation• Greater ABC management

Questions?