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