EMS providers hone skills

LAKEVILLE — The EMS Institute’s Emergency Medical Service Symposium was held at The Hotchkiss School this past Saturday, March 12. The symposium was attended by EMS providers from around Connecticut and nearby New York regions. Nationally known EMS experts lectured on various skill sets considered an integral part of EMS training and performance. In addition to the lectures, attendees had the opportunity to peruse EMS equipment such as fire retardant clothing, boots, roadside flares and automated CPR equipment, all exhibited by participating vendors. A large contingent of EMTs from the Salisbury Volunteer Ambulance Service (SVAS) attended and spread out to insure that they covered as many lectures as possible. Material and insights gained from the workshops will be communicated to the entire SVAS membership and integrated into SVAS protocols as appropriate. The symposium also gave the SVAS members the opportunity to network with and meet their counterparts from the other EMS squads. In addition to opening remarks by Jon Politis on “Teamwork in Emergency Service” and Ann Leary’s closing remarks recounting her own journey to the EMS world, the symposium offered 12 different workshops. Topics such as “It Depends... ” and “Spirituality at 60 mph” delved into the decision making and the yin and yang of the EMS provider. Topics such as “Dead Men Do Tell Tales — Unless You Screw Up The Crime Scene” and “Responders Can be Preventers” offered insight into the ancillary roles of the EMS provider when dealing with law enforcement and social agencies within the community. Other topics covered specific situations such as equine rescue, sports-related head injuries, seizures and severe trauma cases. The topics ranged from so-called “soft skills” of fostering team work and scene management techniques to specific situational lectures, providing an opportunity for the attendees to gain insight into the complete profile of the EMS provider.From the management/interpersonal skill perspective, it was emphasized that the EMS provider is first a member of an EMS team providing the care required based on specific facts and circumstances. This requires teamwork, respect, caring and camaraderie, no different than any fundamental building blocks to any organization. The proliferation of sports head injuries was discussed. Concussions are mild traumatic brain injuries and should be treated as such. EMS providers should attempt to gather as much objective information regarding the patient and the incident as possible from observers such as a sports trainer or the coach. EMS protocol focusing on the determination of the patient’s mental well-being was emphasized. With respect to seizures it was noted that a seizure can also be a sign or symptom of another medical condition such as a cardiac issue or a diabetic emergency. Therefore the EMS provider must consider conditions separate and apart from seizures themselves in addition to the specific seizure protocols.Scene management techniques to minimize time at the scene in severe trauma cases such as automobile accidents were reviewed. The “less is more” approach to scene time was reviewed. This approach primarily focuses on the quick transport of a patient with significant blood loss who would be in danger of going into shock. Steps to minimize the pre-hospital care time in this situation include everything from positioning of equipment to rapid extrication techniques to splinting fractures while on route to the hospital as opposed to while on scene.SVAS members would be happy to discuss any questions from the community with respect to the topics covered at the symposium. You can meet and greet SVAS members at a reception being held at the Academy Building, 24 Main St., Salisbury, on Saturday, March 26, from 4 to 6 p.m. as part of the celebration of SVAS’s 40th anniversary this year. Bob Rinninsland is assistant chief of service for the Salisbury Volunteer Ambulance Service.

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