HEMS ECC Bulletin Board

All;

As you saw in my message through the Command Center we awaiting Minneapolis to program Protocol 36 before moving to just-in-time training and implementation.

For your early benefit, I have attached to the email version of this message the “printed” version of the updated Protocol 36 card. Please begin to review it so that you may be familiar with the rules and other specifics. Things to note:
• Headache (P18) is NOT indicated for COVID-19 patients

• HIGH RISK: Medical direction added “Sp02 less than 92%”

• PDI b, c, d will not initially be used. Even under Level 1 triage, all calls will receive some type of EMS response, even if delayed

• If the initial information identifies the chief complaint as breathing problems (P6), chest pain/chest discomfort (P10), or sick person (P26), consider Pandemic (P36) as your MPDS protocol. IF the complaint is unconscious (P31) or transfer/inter-facility (P33) and includes flu symptoms, consider Pandemic (P36) as your MPDS protocol.

• If in the initial information flu symptoms are NOT identified, return to the original chief complaint and complete the call.

• Once P36 is launched, page 2 of the protocol (rules, axioms, etc) will be printed, laminated, and disseminated to all work stations.

Please take the time to re-familiarize yourself with the following definitions:
• Ineffective Breathing – Protocol 9

• Difficulty Speaking Between Breaths – Protocol 6

• Changing Color – Protocol 6

Feel free to reach out to me if you have additional questions. Much more information to come as this progresses.

Protocol 36 is now live on the Training CAD. Op8 (CAD in the office) is logged into Training CAD. When command staff are around, feel free to ask if you can create test calls and become familiar with P36. Please reference the rules in the document I emailed and those listed above.

Please let me know if you have questions. As we get closer to implementation Dan, Wade, and myself will make attempts to get all staff a few minutes on training CAD to preview the protocol.

Let me know if you have any questions.

For your viewing pleasure, a video from IAED with experts on Protocol 36 and the EIDS tool.

IAED: FAQs on Protocol 36 and EIDS tool.

Protocol 36 is LIVE.

I'll be finishing up the laminated cards that will be at each work station.

Let me know if you have questions.