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34th Annual APEMS MidCoast EMS Seminar
November 12-16, 2014
IS OPEN FOR REGISTRATIONS!!!! Please see the EMS Seminar Tab for information!!!
SPINE INJURY MANAGEMENT MEMO FROM REGIONAL MEDICAL CONTROL
TO: Maine EMS Providers
FROM: Tim Pieh, MD; Jonnathan Busko, MD; Whit Randolph, DO
RE: Spine injury management
DATE: August 25, 2014
There has been considerable discussion in the medical community recently about changes in the way suspected spine injury patients should be managed. The MDPB is in the process of reviewing the protocols, and spine injury management is part of that review. However, are hearing anecdotal reports that some EMS providers in Maine are altering their practice based on changes in other parts of the country.
It is important to note that Maine EMS protocols have not changed. Maine EMS providers are required to follow the current Maine EMS protocols (effective 12/1/2013), conduct an appropriate assessment when they have a patient with a complaint or mechanism of injury that indicates the possibility of a spinal injury, and immobilize as indicated.
There is a growing body of evidence-based literature on this topic and it is our intent to review this material thoroughly when developing the new guidelines. It is very important that if/when changes are made to the way patients with potential spine injuries are managed, an appropriate educational initiative for both prehospital and hospital personnel is also available to ensure that patients continue to receive an appropriate level of care and that everyone understands the evidence behind the changes.
Regardless of the direction that is chosen, two things remain in place as it relates to patients with potential spine injuries:
- An appropriate spine assessment will have to be conducted and documented on any patient with a potential spinal injury based on patient complaint or mechanism of injury.
- Patients with a suspected spine injury based on the assessment still need to be appropriately immobilized.
Maine EMS intends to be transparent in its discussions regarding the protocols. Persons interested in hearing the MDPB’s dialogue regarding spine management are welcome to attend any of the following events:
1) The Maine EMS Trauma Protocol Webinar (September 16, 2014, 3:00pm. Additional information available on the Maine EMS website),
2) The Trauma Protocol review session at the MDPB (on October 15th) or,
3) The upcoming Maine EMS Trauma Advisory Committee (October 28, 2014, 12:30pm).
If there are any questions, please feel free to contact your Regional Medical Director or Regional Coordinator.
Mission: Lifeline® EMS Recognition Informational Webinar, from the American Heart Association
As providers of outstanding pre-hospital STEMI care, we invite agencies to apply for Mission: Lifeline® EMS Recognition. Please join us for a free webinar on Tuesday, September 9thfrom 2:00 -3:00 PM to learn more. The webinar agenda:
|2:00-2:05 PM||Welcome and Introductions|
|2:05-2:20 PM||Mission: Lifeline EMS Recognition: Review the Mission: Lifeline® EMS Recognitionapplication requirements and processPresenter: Lori Hollowell, BSN, RN, Mission: Lifeline ConsultantAmerican Heart Association, Dallas, TX|
|2:20-2:30 PM||Benefits of Mission: Lifeline EMS Recognition: Hear from a currently recognized EMS agency* on the benefits of achieving recognitionPresenter: Brian Andrews, EMT-P, President, County Ambulance, Pittsfield, MA|
|2:30-2:55 PM||Strategies to Improve Pre-Hospital STEMI Care: Learn about best practices for pre-hospital STEMI carePresenter: Michael Redlener, MD, Medical Director for Pre-Hospital CareSt. Luke’s Roosevelt Hospital Center, New York, NY|
|2:55-3:00 PM||Wrap-Up, Questions, and Instructions for Claiming Credits|
Register Here! https://www150.livemeeting.com/lrs/8002012614/Registration.aspx?pageName=98lxbfn7m1w8k0sh
Please forward this invite to your colleagues that may be interested in attending. Feel free to contact my colleague Amanda Graver at [email protected] with any questions.
- Identify strategies to reduce on-scene time for STEMI patients picked up in the field.
- Discuss strategies to obtain pre-hospital EKGs within ten minutes of first medical contact.
- Explain two strategies to improve pre-activation of the cath lab at PCI centers to expedite treatment times.
- Describe three effective communication methods to improve feedback and share data with PCI hospitals.
- List the benefits of achieving Mission: Lifeline EMS recognition.
Continuing Education Accreditation – Emergency Medical Services
This continuing education activity is approved by the American Heart Association, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS), for 1.00 Advanced CEH, activity number 14-AMHA-F3-0233. More info at learn.heart.org.
All persons who develop and/or control educational content in CME/CE activities sponsored by the American Heart Association will disclose to the audience all financial relationships with any commercial supporters of this activity as well as with other commercial interests whose lines of business are related to the CME/CE-certified content of this activity. In addition, presenters will disclose unlabeled/unapproved uses of drugs or devices discussed in their presentations. Such disclosures will be made in writing in course presentation materials.
*Check out page 9 of the August 2014 edition of JEMS for a list of agencies earning Mission: Lifeline EMS Recognition in 2013.