Sunday, May 27, 2018 • 15:00 - 16:30
Track 2 - EMS
Track Chair: Dr. Gerald Lazarenko
Room: TELUS Glen 203-204

EMS Trauma Update, Issues and Evidence - Dr. John Tallon

Presentation slides

Description: I will review and summarize current challenges facing Canadian EMS services in treating and transporting major trauma patients and associated evidence.

Learning Objectives:

  1. Trauma and EMS overview: Epidemiology and Mandate
  2. Chest decompression depth issues and intervention options
  3. Advanced airway options for EMS

Pearls:

  1. Chest decompression depth is greater than most catheters
  2. Surgical airway options include bougie-cric as preferred method
  3. Evidence for RSI in EMS trauma resuscitation remains low quality

Biography: VP Clinical and Medical Programs BCEHS Clinical Professor UBC Adjunct Professor Dalhousie University

AHS EMS Medical Control Protocols - A Review and Lessons Learned - Mr. Steen Pederson

Presentation slides

Description: History of MCP development in a large organization.  The perils and pitfalls, the value of collaboration and the use of technology will all be discussed.

Learning Objectives:

  1. History of the Process
  2. Perils, Pitfalls and Electronic Apps
  3. Lessons Learned

Pearls:

  1. Use a multi-disciplinary team
  2. Understanding the interconnection of MCP and the complexity of the final product
  3. Be friends and partners with your Government regulators

Biography: I am the Provincial Director for EMS Quality and Patient Safety.  I have 30 years of experience in EMS.  Most of my clinical time was spent with the City of Calgary before moving in to Leadership positions within Calgary EMS and then, ultimately in to Alberta Health Services.

EMS Park / Hallway Care - Mr. Randy Bryksa, Dr. Judson Barkhurst

Presentation slides

Description: EMS crews continue to provide patient care in the hospital hallways.  This location is often referred to as “EMS Park” and is a significant patient safety risk.  Offload delays, a lack of flow and Emergency In-Patients (EIP) continue to be the largest threat to the EMS system.  This talk highlights the risks and offers a solution that benefits patients and the system.

Learning Objectives:

  1. Identify the risks associated with EMS Park.
  2. Compare EMS wait times nationally.
  3. Identify a sustainable solution for EMS and the Emergency Departments.

Pearls:

  1. EMS Park is a signigficant patient safety risk.
  2. Several solutions have been attempted without successful sustained change.
  3. The proposed solution can offer additional EMS capacity without the addition of any new EMS resources.

Biography: Randy Bryksa is the Associate Executive Director (AED) for Emergency Medical Services (EMS) Operations in the Calgary Zone.  Randy has over 35 years of experience as a Registered Nurse (RN), Advanced Care Paramedic (ACP), Paramedic Instructor and EMS Administrator.  Randy’s educational background includes diplomas in Nursing and Para-medicine, a degree in business and a Master of Business Administration (MBA).

Prehospital Advanced Airway and the Alberta Experience - Dr. Cory Brulotte

Description: The speaker will provide a review of evidence and controversies in prehospital advanced airway management with a focus on Alberta Health Services data and the resulting Medical Control Protocols for Advanced Airway.

Learning Objectives:

  1. Review evidence for pre-hospital intubation and associated controversies
  2. Review training and skills maintenance for intubation in the pre-hospital setting
  3. Discuss Alberta pre-hospital intubation data and resulting changes to the paramedic Advanced Airway Medical Control Protocol in Alberta

Pearls:

  1. Evidence for/against pre-hospital intubation is generally low quality
  2. Practitioner intubation training and experience have a role in patient outcome
  3. Rapid sequence intubation in the pre-hospital setting has changed in Alberta with an increased focus on supraglottic airways and medical oversight

Biography:

  • MD FRCPC, University of Ottawa
  • Emergency Physician, Department of Emergency Medicine Foothills Medical Centre, Rockyview Hospital, Peter Lougheed Centre, South Health Campus, Calgary
  • Associate Medical Director, EMS Calgary Zone
  • Clinical Lecturer, University of Calgary