EMS Physicians “We still make house calls!”

Jay MacNeal, DO, MPH, NREMT-P EMS Medical Director

MD-1 Basics

• 2012 Chevy Tahoe

• Certified Emergency Vehicle

– Emergency lighting/Siren

– Rock and Walworth County Public Safety Radios

– Maps/GPS

– Personal Protective Equipment

– Extrication Equipment

– Rehab supplies

MD-1 Medical Equipment

• LUCAS 2 Mechanical CPR Device • Zoll X Series Monitor • Glidescope Video Intubation • Medications with secure storage • Chest tubes • Tourniquets • Field Amputation Equipment • Triage Kit • Field Trial Equipment

MD-1 Medical Equipment

MD-1 Integration into EMS System

• Approval from State EMS Office

• Emergency Vehicle Permit from RCSO

• Approval of radio use by 911 and local Chiefs

• Meeting with Fire, EMS, Law Enforcement

• MD-1 and equipment part of EMS training

• MD-1 at disaster drills and mass gatherings

MD-1 Activation

• Request from Incident Commander to 911

• Mercy Switchboard receives call from 911

• IRM page and cell text to MD-1 Physicians

• MD-1 responds to page and responds

• EMS physician talks to crews enroute to scene

MD-1 Responses

• 6 Tactical EMS – Difficult airways managed with MD-1 resources

• 20 MVAs – Patients triaged and treated with MD-1 resources

• 1 Pediatric PNB – Survived!

• 5 STEMI – MD-1 driving by at dispatch time

• 40 PNB – Persistent VFIB treated with MD-1 resources, Survived! – Blizzard conditions required MD-1 four wheel drive

• 15 Medical Calls

MD-1 First Official Request

MD-1 I43 Southbound

Prolonged Incidents

MD-1 Community Relations

• FM and AM radio interviews

• Gazette articles

• Local Vision TV interview

• Farm Rescue Training Article

• Numerous Community Events

• FD Open Houses

• NAEMSP Lecture on MD-1

• Describing the program at gas pumps

Comments from the Field

• “He’s more like a Paramedic than a real doctor”

• “It’s nice to have an extra set of hands”

• “I was nervous you’d come and try to take over, now I see that you’re just there to help”

• “That was my first field intubation, and I felt better having a doc there for me as backup”

System Changes

• LUCAS 2 Deployment

• Video Intubation Evaluation On Going

• RSA medication and protocol change

• Instant feedback/QA

• On call EMS Physician cell phone

• Increased respect for EMS field activities

EMS Future

• EMS Subspecialty

• Community Paramedics

• Managed Care

Stay Safe and Thank You for all that you do for your community and patients!