Sunday, May 27, 2018 • 13:00 - 14:30
Track 2 - EMS & DISASTER EM
Track Chair: Dr. Gordon Neil
Room: TELUS Glen 203-204

Assess, Treat and Refer for Hypoglycemia, Supraventricular Tachycardia, and Low Risk Syncope - Mr. Ian Blanchard

Presentation slides

Description: This talk will review the three protocols that are used by Alberta paramedics to assess, treat and refer patients who present with hypoglycemia, supraventricular tachycardia, and low risk syncope and describe the Alberta experience with not transporting these patient populations.

Learning Objectives:

  1. Provide an introduction and overview of existing assess, treat, and refer protocols in Alberta
  2. Describe the Alberta experience with these protocols
  3. Describe completed and planned research

Pearls:

  1. Paramedics can safely follow an assess, treat and refer protocol
  2. Assess, treat and refer protocols provide support for paramedics to deliver patient oriented care
  3. Assess, treat, and refer protocols help divert patients from emergency to other more appropriate levels of care

Biography: Ian Blanchard is the Research Lead for the Alberta Health Services, Emergency Medical Services system and an Adjunct Assistant Professor in the Department of Community Health Sciences, at the Cumming School of Medicine, University of Calgary. He is working with a dedicated group of colleagues to build the research enterprise in EMS and paramedic care in Alberta and Canada.

The Role of EMS in Clot Care in Alberta - Dr. Sunil Sookram

Description: We will focus upon EMS role in optimizing STEMI and Endovascular Stroke Management within Alberta.

Learning Objectives:

  1. Review some of the processes involved in EMS care of STEMI
  2. Review some of the processes involved in EMS care of NSTEMI/UA
  3. Review some of the processes involved in EMS care of Acute Stroke

Pearls:

  1. Prehospital acquired ECG are of diagnostic capability
  2. Prehospital care providers can and should be brought into care of common thrombotic disease
  3. Stroke/STEMI bypass can be done within large geographical areas by integrating ground and air transport

Biography: Dr. Sookram is currently a Clinical Professor at the University of Alberta, Department of Emergency Medicine.  He has spent much of his career practicing clinical Emergency Medicine, EMS and Aeromedical Transport and Retrieval Medicine.

EMS Mobile Integrated Healthcare - The Role of Community Paramedicine in Alberta - Mr. Ryan Kozicky, Dr. Keith Spackman

Description: Community Paramedicine is an innovative concept that expands on the success and proven ability of Paramedics to provide safe, timely, mobile medical care in the community setting.  Community Paramedics provide hospital-level medical support previously unavailable, to complex and vulnerable patient populations.  Program goals include improving health outcomes and reducing EMS, emergency department and hospital admissions through increased access to needed medical care.

Learning Objectives:

  1. Provide an overview of the Community Paramedic model of care
  2. Provide a review of current program outcomes and data

Pearls:

  1. To reduce EMS and emergency department admissions for low acuity patients
  2. Apply the Paramedic scope of practice to hospital level treatment previously unavailable in the community setting

Biography (Ryan Kozicky): Current Director for EMS Mobile Integrated Healthcare, responsible for the planning and implementation of Community Paramedic and EMS community support programs. Previous education includes a B.Sc. Kinesiology, diploma in Paramedicine and a Masters of Public Health.

Biography (Keith Spackman): Fourth generation Albertan.  Calgary trained in Family with GP anaesthesia.  Fellowship , 2005, in Community Geriatrics from UBC

The Fort McMurray Wild Fire - 2016 - Dr. Ian Phelps

Presentation slides

Description: This is a brief overview of the experiences of a physician who works in Fort McMurray and participated in the Fort McMurray Wild Fire response. In addition to providing services as an Emergency Physician in Fort McMurray, Dr. Phelps also provided the medical leadership for the EMS response to the fire as the Senior Medical Director – Emergency Medical Services for Alberta Health Services. This is a personal account of some of the events surrounding the disaster response and lessons learned.

Learning Objectives:

  1. To understand the the timeline of evacuation and disaster resonse in Fort McMurray
  2. To identify the various agencies that respond to a natural disaster
  3. To raise awareness of planning that should be included in all disaster plans regarding evacuation and role definition

Pearls:

  1. Disasters are not managed in isolation – multiple agencies with variable agendas and priorities will respond
  2. Information is often incorrect, incomplete and delayed during disaster resonse
  3. There are certain steps that can be incorporated into disaster response plans to improve efficiency

Biography: Dr. Ian Phelps graduated from the University of Calgary, with his Doctor of Medicine Degree, in 2001.  Prior to enrolling in medical school, Dr. Phelps worked as an EMT, Paramedic, Educator and Director of Ambulance Services while obtaining his bachelor’s and masters’ degrees.  He obtained his certification in Family Medicine in 2003 and his specialty certification in Emergency Medicine in 2007.

Dr. Phelps has been an EMS Medical Director for Palliser Health Region and the AHS South Zone, before becoming the Senior Medical Director of EMS for Alberta Health Services in 2009.  Currently he leads a team of 17 Emergency Physicians who oversee the practice of 6000 paramedics in the Province of Alberta.  He also maintains his clinical work as an Emergency Physician in Fort McMurray and Brooks, Alberta.