Paramedicine-

Is it possible to tailor the program to specific needs vs accepting as a whole – not spending time training on what is not needed, skills that are used are easier to maintain.

Ruth Uphold: Past protocols have proven outcomes it is hard to begin pilot programs, training and certification levels are all standardized on the state level.

It is hard to do D#3 studies (randomized and controlled) with a mostly volunteer service/personnel base and with the smaller # of patients fitting criteria.

Benefits of doing the care on scene vs waiting until at the hospital. Study is being done in Ontario- no data has been published yet.

Looking at potential problems with the new EMT-I curriculum (hours required, cost, skill maintenance) what does this say about the paramedic level?.

Some paid personnel who work EMS as career are looking for more training and expansion of skills- if we can’t have everyone as a paramedic should we go for the lowest denominator?

QA shows what we do now. This is the first place to start in improving patient care.

What about the data collection project on the state level – Unclear as to where that process is. Some efforts of state staff have been refocused with bioterrism and SARS.

Is there a way to look at the data of patient’s that we have a chance with. Most of the paramedicine class is assessment. Can the ED put more faith in our assessments? More feedback from our reports?

Please move ambulances as soon as patient is offloaded. This will create a safer place for transport patients leaving the hospital.

Keith proposed that a MCI trailer purchased with equipment ( list handed out) be applied for in a full-matching grant. Milton also applied for one under a grant. BFD has begun the process of putting together a trailer. They already have the funding. The trailer would be available for district MCI use. The transport to MCIs is still to be worked out. It is a 6x12 foot trailer with most of the supplies on Keith’s list. We should look into doing both trailers. Questions brought up about district trailer include: where would it be? who maintains? how many do we need? Is the district an approved entity for the grant? Decision made to write in the grant that it is for the district. St. Michael’s may write an additional grant for a trailer.

Policies and Procedures- Lee: none

Logistics-Lee: A new form to track out of service times was passed out-

UPDATED copy posted on D#3 webpage

Heavy rescue/Fire: none

Training:

First Responder course is testing 6/17- help appreciated contact Becca for details.

Modules 1&2 (Becca) proposed and accepted- to begin in August. Updated syllabus to be posted on webpage.

Greg/Pat EMT-I class pre-proposal there will be a formal proposal in the fall. Early November start date. There was an extensive discussion of the new course including criteria for entering the class- solid EMT-Bs to have opportunity to take- will this be a standard score on NREMT-B or an entrance exam? Other requirements? Objective vs. subjective decisions. Suggestions included: service time? Number of calls? Requirement for certain time after EMT-B that is needed before I class? Only one course to be offered this fall. Our curriculum in D#3 is the same as the rest of the state, but we are the first district doing it. Our resources may make our class look very different from other places in the state. After much discussion about how 25 spaces for the first class were to be assigned the instructors will work towards a decision from suggestions made (time, personnel currently certified, sharing wealth, transport times, service size).