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Slide 1
EMS Dispatch and Education During a Pandemic Event Alicia Wiren
LP, FP-C (+ all those other EMS related letters)
Slide 2
EMS Pandemic Influenza Guidelines for Statewide Adoption
National Guidelines published in 2007 from the U.S. D.O.T. It is
178 pages of insight and guidelines outlined to states and
individual EMS agencies for responding to a Pandemic Flu
Disaster.
Slide 3
EMS Pandemic Influenza Guidelines for Statewide Adoption EMS
Planning Roll of EMS in Surveillance and Mitigation Maintaining EMS
Operation Legal Authority Clinical Treatment Protocols Workforce
Protection
Slide 4
Emphasis in the Plans Protection Identification Triage Treat
and maybe Transport Alternate Standard of Care Enroute Alternate
Care Sites Hospital
Slide 5
Preparing for Pandemic Influenza: Recommendations for Protocol
Development for 9-1-1 Personnel and Public Safety Answering Points
(PSAPs)
Slide 6
Recommendations for Protocol Development for 9-1-1 Personnel
and Public Safety Answering Points Guiding Principles Information
to the Public Facilitation of Call Screening Assistance with
Priority Dispatch with Limited Resources Other Considerations
Slide 7
Call Taking & Dispatching
Slide 8
Challenges EMS and Dispatch Center Regulations Vast differences
in care provided and access to pre-hospital care. Resources and
funding. Medical Director involvement. Perceived vs. actual
liability in disasters.
Slide 9
PSAP: Public Safety Answering Points.
Slide 10
Slide 11
Slide 12
EMS Dispatching Types of Dispatch Centers Ring Down Lines Other
Party Dispatch (PD, FD) EMS Dispatch EMS Dispatch with Pre-arrival
Instructions
Slide 13
National Dispatching Standards National Academy of EMD
PowerPhone, Association of Public Safety Officials International
NCI All of these systems gives detailed, lay person, questions and
instructions for pre- arrival care that can be provided by lay
persons to the patient
Slide 14
State of Texas EMD Instructor The adoption of Rule 157.49 in
November1999 by the Board of Health established standards for
implementing emergency medical dispatch systems in Texas. Based on
provisions in a law passed by the 76th Legislature, the new rule
sets the criteria for EMD course approval, creates a new EMS
certification category for EMD Instructor, and establishes the
requirements for the development of the Protocol Reference System
to be used by the dispatchers.
Slide 15
National Academy of EMD Medical Priority Dispatch Founded in
Salt Lake City, Utah Their Pandemic Protocol follows the Utah and
National Guidelines
Slide 16
MPD Pandemic Protocol
Slide 17
National Pandemic Dispatching Plan Classification 1
Confirmed/Suspected Cardiac Arrest (Not Breathing, Unresponsive per
911 call) Standard Response: Closest AED Unit; Closest 1st
Responder; Closest ALS Ambulance (HOT) Category I: Closest AED
Unit; Closest 1st BLS ) Responder; Closest Ambulance if available
(HOT Category II: Closest AED Unit (HOT); Closest 1st Responder if
available (HOT) Category II or III: Closest AED Unit if available
(HOT)
Slide 18
National Pandemic Dispatching Plan Classification 2 Life
Threatening Emergency/Potentially Life Threatening/Confirmed
Unstable Patient(s) Standard Response: Closest 1st Responder;
Closest ALS Ambulance (HOT) Category I: Closest 1st Responder;
Closest ALS Ambulance if available; BLS ambulance if ALS unit not
available (HOT) Category II: Closest 1st Responder; Closest
Ambulance available (ALS or BLS) (HOT) Category II or III: Closest
1st Responder if available; Closest Ambulance available (ALS or
BLS) (HOT)
Slide 19
National Pandemic Dispatching Plan Classification 3
Non-Critical/Currently Stable Patient(s) Requiring ALS Assessment
Standard Response: Closest ALS Ambulance (COLD) Category I: Closest
Ambulance available (ALS or BLS)(COLD) Category II: Closest
Ambulance Available (ALS or BLS) (COLD) Category II or III:
Referral to Alternate call center; or advise self-transport to
Alternate Treatment Site
Slide 20
National Pandemic Dispatching Plan Classification 4 BLS
Assessment for unknown/possibly dangerous scenes Standard Response:
Closest 1st Responder (HOT); Closest BLS Ambulance (COLD) Category
I: Closest 1st Responder (HOT); Closest BLS Ambulance if available
Category II: Closest 1st Responder (HOT) Category II or III:
Closest 1st Responder if available; or Closest stand-in responder
unit
Slide 21
National Pandemic Dispatching Plan Classification 5 BLS
Treatment Standard Response: BLS Ambulance (COLD) Category I: BLS
Ambulance (COLD) Category II: Alternate call center (such as Poison
Control Center, Nurse advice line, health care call center, etc.)
Category II or III: Alternate call center (such as Poison Control
Center, Nurse advice line, health care call center, etc.)
Slide 22
National Pandemic Dispatching Plan Classification 6 Non
Ambulance Care All Categories: Alternate call center (such as
Poison Control Center, Nurse advice line, health care call center,
etc.)
Slide 23
Points to Ponder Managing Entry Points
Slide 24
CONTAGION
Slide 25
Points to Ponder Integration with tracking systems in place
Follow up Roll to identify and triage and keep hospitals
overburdened. Integration with Public Health Staffing
Slide 26
Points to Ponder To evaluate and/or treat.. then leave at home
or send POV to an alternate site for treatment. Legal ramifications
for agencies and Medical Directors Regional Call Centers?
Slide 27
Points to Ponder Expanding tracking to healthcare workers
Alternate sites for living quarters off duty Downtime requirements
Equipment needs Out of Hospital Fatality Management Training
Options
Slide 28
Things to examine U.S. D.O.T. Guidelines State and City EMS
Plans Ohio Utah Arizona Alabama MPD Pandemic Dispatch Card Texas
EMD Instructor Options