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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!

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EMS Physicians

  • 1. EMS Physicians “We still make house calls!” Jay MacNeal, DO, MPH, NREMT-P EMS Medical Director
  • 2. 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
  • 3. 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
  • 5. 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
  • 6.
  • 7. 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
  • 8. 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
  • 10.
  • 12.
  • 13.
  • 14.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24. 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
  • 25. 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”
  • 26. 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
  • 27. EMS Future • EMS Subspecialty • Community Paramedics • Managed Care Stay Safe and Thank You for all that you do for your community and patients!