covid-19 clinical rounds: ems: patient care & operations - sedgewick county...2020/04/27  ·...

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John M Gallagher, MD, FAEMS EMS Director/Medical Director Wichita/Sedgwick County Kansas EMS: Patient Care & Operations COVID-19 Clinical Rounds: @JGallagherEMS My full contact info

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Page 1: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

John M Gallagher, MD, FAEMSEMS Director/Medical Director

Wichita/Sedgwick County Kansas

EMS: Patient Care &

Operations

COVID-19 Clinical Rounds:

@JGallagherEMS

My full

contact info

Page 2: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

• Conflicts:

– None

• Disclosure:

– NAEMSP BOD

– KS Board of EMS Physician

Advisory Council

Page 3: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

Perspective

Page 4: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 5: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 6: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 7: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 8: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 9: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 10: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 11: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

3,056 + 22,143 = 25,199 total test results

3,056 / 25,199 = 12.1% of tests are positive

Page 12: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

I’ve been asked several times…

“What the biggest challenge that your

EMS system is facing?”

Page 13: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

Pre-covid, my system call types looked like this:

Page 14: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

…and now:

Page 15: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 16: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 17: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 18: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 19: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 20: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 21: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

One final point…

Page 22: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 23: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

National EMS Scope of Practice:

Need a

copy of the

document?

Page 24: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated
Page 25: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

Take home points…

(aka – “Stuff I didn’t expect to learn in early 2020”)

Page 26: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

Stuff I didn’t expect to learn in early

2020…

• There doesn’t seem to be a clear answer about how

many COVID tests to perform in a community…Very

smart people feel extremely passionate about both sides

of the argument.

• Most of our focus has been on COVID issues, but only a

tiny fraction of our patients have it. Taking steps to

mitigate the pandemic is critical, but it must be done in a

way that doesn’t hurt the rest of our patients.

• Even though COVID occupies 100% of the spotlight right

now, my community doesn’t qualify for crisis standard of

care and I must continue to meet the normal standard.

Page 27: COVID-19 Clinical Rounds: EMS: Patient Care & Operations - Sedgewick County...2020/04/27  · States Reporting Cases of COVID-19 to CDC* Territories AS Reported Cases (last updated

Questions?

John M Gallagher, MD, FACEP, FAEMS

Emergency and EMS Physician

[email protected]

My full

contact info

@JGallagherEMS