Tuesday, May 28, 2019 • 10:15 - 11:45
Track 4 - Emergency Medical Services/Prehospital and Transport Medicine (1)
Track Chairs: Dr. Alix Carter & Dr. David Sibley
Room: 109

Mobile Stroke Units - Dr. Sunil Sookram

Description: Bringing stroke diagnosis/treatment to the field; the Alberta experience with mobile stroke units.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Review emerging trends in Stroke Care within EMS environment.
  2. Orient the audience to the Stroke Ambulance used with Alberta Health Services.
  3. Identify similarities in creating systems of care between Acute Coronary Syndromes and Stroke Care within the prehospital environment.


  1. Time is brain, and paramedics may be able to initiate care sooner and impact outcome.
  2. There are some common pathways to successfully implementing Integrated systems of care.

Community Paramedicine/Mobile Integrated Care - Drs. Scott Cameron, Alix Carter, Andrew Travers

Description: This panel will present examples, and pearls and pitfalls, of implementing novel community paramedicine/MIH programs. They will discuss future potential, and challenges, to this developing scope of practice.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. The participant will be able to briefly describe several Canadian examples of Community Paramedic (CP) and Mobile Integrated Heatlh (MIH) programs.
  2. The participant will be familiar with common definitions of these programs including the CSA standard; the evidence supporting CP as a novel scope of practice, and also its limitations.
  3. The participant will be provided with resources to support them in the leadership of MIH/CP programs.


  1. Community paramedicine provides immediate or scheduled primary, urgent, and/or specialized healthcare to vulnerable patient populations by focusing on improving equity in healthcare access across the continuum of care.
  2. By strategically integrating the scope and role of paramedics can be a contributing addition and asset as an enhancement to existing healthcare teams. They are not a replacement for existing healthcare teams.
  3. Canada is a leader in community paramedicine and there are many resources at your fingertips if you are entering this area of practice.

Dr. Scott Cameron

Dr Scott Cameron, is Medical Director, Emergency Health Services, Department of Health and Wellness, Province of Prince Edward Island. He has practiced Emergency medicine for 30 years, including 20 years as Department Head of Emergency Medicine at Prince County Hospital in Summerside PEI.

Dr. Alix Carter

Medical Director of Research for EHS Nova Scotia, and the Director of the Division of EMS, Department of Emergency Medicine, Dalhousie University, with a cross-appointment to the Department of Industrial Engineering.

Dr. Andrew Travers

Andrew Travers BSc MD MSc FRCPC CCPE is professor and attending medical staff in the Dalhousie Department of Emergency Medicine, with cross-appointments in Community Health & Epidemiology, and is the Provincial Medical Director for Emergency Health Services Nova Scotia.

Quality as a Medical Director - Dr. Alison Kabaroff

Description: Discussion of the role of the medical director in quality assurance programs for EMS services.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Discuss quality improvement initiatives with respect to pre-hospital programs.
  2. Describe some of the benefits and challenges of paramedic licensure with respect to quality assurance.
  3. Discuss adverse events and reporting in the EMS realm.


  1. Quality assurance needs to be an ongoing process.
  2. Just culture means that paramedics need to feel safe and supported when self reporting adverse events.
  3. Quality assurance should not be a punitive or negative process.

Alison Kabaroff is an Emergency Physician at the University of Alberta Hospital, Transport Physician for STARS and EMS Medical Director for Edmonton Zone.

LO41- Evaluating paramedic comfort, confidence, and cultural competency in providing care to trans populations in a provincial ambulance system - Mr. Lyon Kengis

Opioid Crisis - Dr. Steve Wheeler

Description: At the peak of the opioid overdose crisis, paramedics in BC responded to 135 overdose calls in one 24 hour period. This presentation provides an overview of how BC Emergency Health Services is innovating and developing resilience to deal with the ongoing public health emergency that is killing four people every day in BC.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Understand the paramedic and emergency service response to the opioid overdose crisis.
  2. Consider innovative ways for paramedics to help prevent opioid overdose deaths in the community.
  3. Appreciate the resilience needed for a system to be able to respond to a major public health emergency lasting for more than 4 years.


  1. Multi-agency, multi-professional partnerships are essential.
  2. Paramedics are adaptable, flexible, and resilient providers of community health care.
  3. The opioid overdose crisis is far from over and we all need to prepare.

Practicing ER physician for 29 years. Former Vancouver Island Health director for Trauma and ER for 8 years. Medical expert for plaintiff and defendant in over 100 cases.