EMS Continuing Education

The Eureka Fire Protection District conducts monthly continuing medical education classes in house. Classes are taught by our own personnel, guest instructors, and members of our medical control facility, St. Clare Hospital, Fenton, MO.

Anyone interested in attending a class should contact Medical Officer at 636-938-5505.

 

Ambulance 2417

DSCF8439.JPG2417 is a 2009 Chevrolet / Osage Ambulance. Responds from Station # 1 on Highway 109.  This ambulance runs as an advance life support unit. 2417 runs more calls each year than any other unit in the district. 2417 covers about half of the highways in our district, our largest nursing home, and a large boy scout reservation. It carries a full complement of airway control, cardiac monitoring, and trauma equipment.

 

NIMS typing resource: ESF #8 Health & Medical                 
Ground Ambulance Type II
 
NIMS Reference Manual

Ambulance 2427

DSCF8432_1.JPG2427 is a 2009 Chevrolet / Osage Ambulance. Responds from Station # 2 on West 5th Street. This ambulance runs as an advance life support unit. Since this ambulance is based so close to Six Flags, a majority of its summertime runs are to transport patients from the park. In the winter, this unit responds numerous times to Hidden Valley Ski Resort, a unique Midwestern ski area. The new paint scheme was chosen to match all of our front line fire apparatus.

 

NIMS typing resource: ESF #8 Health & Medical                 
Ground Ambulance Type II
 
NIMS Reference Manual

History of EMS

 

The “Star of Life”
 
Star_of_life_gold.jpgJust as physicians have the caduceus, and pharmacists have the mortar and pestle, Emergency Medical Technicians have the Star of Life, a symbol whose use is encouraged by both the American Medical Association and the Advisory Council within the Department of Health and Human Services. On road maps and highway signs the Star of Life indicates the location or access to qualified emergency care services. The symbol’s six barred cross represents the six-system function of the EMS i.e., Detection, Reporting, Response, On Scene Care, Care in Transit and Transfer to Definitive Care. The staff in the center of the symbol represents medicine and healing. According to Greek mythology, the staff belonged to Asclepius, the son of Apollo (god of light, truth, and prophesy). Asclepius supposedly learned the art of healing from the Centaur Cheiron. But he elicited the wrath of the god Zeus when he started resurrecting people from the dead. Fearful that Asclepius’ knowledge might render mankind immortal, Zeus slew Asclepius with a thunderbolt. Eventually, Zeus restored Asclepius to life, making him a god. Asclepius is usually shown in a standing position, dressed in a long cloak and holding a staff with a curative serpent coiled around it, an image that Zeus later set among the stars. Worshippers used to sleep in Asclepius’ temples in the belief that Asclepius cured the sick during their dreams.
 

What is EMS?

EMS is a vital public service, as important to your community as the police or fire department. But surprisingly, few Americans understand how EMS works or what role it plays. A public opinion survey conducted for the American College of Emergency Physicians (ACEP) in 1992 found that nearly half of adult Americans could not identify 911 as the emergency number, or confused it with 411, the directory assistance number. Fewer still—just one if five—had talked to their doctor about what to do in a medical emergency.
 
Emergency medical services is a system of care for victims of sudden and serious illness or injury. This system depends on the availability and coordination of many different elements, ranging from an informed public capable of recognizing medical emergencies to a network of trauma centers capable of providing highly specialized care to the most seriously ill or injured. The 911 emergency number, Fire Departments, search and rescue teams, prehospital and emergency department personnel are some of the critical elements necessary for the EMS system to work.
 
Three decades of development
In 1966, a National Academy of Sciences report, Accidental Death and Disability: The Neglected Disease of Modern Society, documented widespread deficiencies in emergency care. At the time, it was common for emergency patients to be transported to the hospital in vehicles operated by mortuary services, and few hospitals had emergency wards staffed by doctors.
 
The NAS report, which revealed that the average American had a greater chance of survival in the combat zones of Korea or Vietnam than on the nations’ highways, catalyzed public support for the creation of the EMS system as we know it today. Also in 1966, Congress passed legislation enabling the creation of the National Highway Traffic Safety Administration (NHTSA), setting the stage for the first federal standards in EMS.
 
In the 40 plus years since, the efforts of EMS providers at all levels have helped make our EMS system the most advanced in the world. But despite its remarkable progress, the EMS system still faces the challenge of declining support for state and federal EMS programs.

Trauma

 DSCF8439.JPG

"………………..When Every Second Counts……
 
Trauma is the US’s most important, expensive, and tragic health problem, costing more years of life than cancer, heart disease, or AIDS, and the country’s 4th leading cause of death. It is the # 1 killer of residents under 37, accounting for 100,000 deaths per year, temporarily disables 11 million others, and permanently disables 470,000. The effectiveness of trauma care depends upon early notification, prompt dispatch, skilled extrication and field resuscitation, clear communication, and orderly transport to the appropriate medical facility.
 
What is trauma?
An injury caused by physical force, most often the consequence of motor vehicle crashes, falls, drownings, gun shots, fires and burns, stabbings, or blunt assault.
 
Factors that can influence the outcome of a trauma injury
1.)  Severity of the injury
2.)  The age of the patient
3.)  Pre-existing medical conditions
4.)  Time
 
Did you know?
Many victims of trauma die from interrupted breathing or loss of blood, not from the severity of their injuries.
 
How to prepare yourself for an emergency
·         Learn how to recognize emergency warning signs-----these signs include difficulty of breathing, chest or upper abdominal pain or pressure, fainting, sudden dizziness, weakness or change in vision, confusion or change in mental status, sudden, severe pain, bleeding that won’t stop severe or persistent vomiting, suicidal or homicidal feelings
·         Know when you should call for emergency dispatch---ask yourself the following questions:
             * Is the victim’s condition life-threatening?
     * Could the condition get worse and become life-threatening on the way to the hospita
     * Does the victim need the skills or equipment of paramedics or emergency medical technicians?
       * Would distance or traffic conditions cause a delay in getting to the hospital?
                 
             If the answer to any one of these conditions is yes, or you are simply unsure, call your
             emergency number immediately, 911.
 
·         Know where to get help----many communities utilize the 9-1-1 emergency system. If your community doesn’t, make sure you know what your area’s emergency number is, keep it posted near the phone, and teach your children how to dial it.
 
·         Know what information to give EMS personnel---you will be asked to give the name, address, phone number, and location of the victim. Be prepared to tell what has happened and where.
 
·         Learn what to do until help arrives-----this includes CPR, choking rescue procedures, and basic first aid.
 
 
·         Know what not to do---some actions do more harm than good. Never move anyone who is unconscious or has been struck on the head or was injured in a car crash, unless she or he is in immediate danger of further injury. When treating burns, don’t use ice, butter, or petroleum jelly. Do not give the victim anything to eat or drink and protect the victim from the environment by keeping him or her covered.
 
Reducing the odds----tips for saving time and saving lives
·         Make sure your business or house numbers are at least four inches tall and are clear and visible from the street.
·         If you need emergency services at night, turn on your outside lights to help EMS responders find your location.
·         When the emergency dispatcher answers your call, answer questions as best you can, and stay on the line until you are instructed to hang up.
·         When help arrives, stand to the side of the road, well out of the way of ambulances and other emergency vehicles.
·         If you know the victim, provide EMS personnel with any pertinent medical information, e.g., diabetes, allergies, uses a pacemaker, etc.
 
Bystander Care of the Injured
The American Trauma Society recently initiated a new program outlining the five critical aspects of Bystander Care of the Injured:
1.)  Scene Safe
2.)  Awake or Responsive
3.)  Breathing
4.)  Bleeding
5.)  Get Help
      (Information provided by the American College of Emergency Physicians, The American Trauma Society, and Trauma Update for the EMT,   
         edited by Richard L. Judd.)
 
 
7_21_08_008.jpg“THE GOLDEN HOUR”---Time is of the essence when dealing with trauma injury. The first 60 minutes after trauma are crucial in improving chances of survival. Vital prehospital care followed by treatment at an appropriate medical center is often the difference between life and death or short-term hospital care and lifetime disability.