ROTATION DETAILS PGY-2 

Emergency Medicine Emergency Medical Service PICU Community ED Rotation Trauma

 

Emergency Medical Service

 

 

OBJECTIVES

1.      To understand the environment, mechanisms, treatment options, radio protocol and problems associated with the EMS system, including helicopter transport (System-based practice, medical knowledge, communication skills).

2.      To ride ambulances as an on-line EMS provider to gain appreciation for the EMS providers job. To understand the administrative hierarchy and structure of the EMS system (System-based practice, Communication Skills).

3.      To be able to provide initial BLS and stabilization techniques in the field both for the ambulance and helicopter services (Practice-based learning). Specific issues/topics which the resident should become familiar with include:

1.      Categorization and designation of levels of services (Medical knowledge)

2.      System operations including:

1.      Communication system, radio configuration, dispatch, and communication protocols (Practice-based learning and improvement, system-based practice)

2.      Patient care protocols (System-based practice and medical knowledge)

3.      Medical control, system quality assurance, and skill maintenance (System-based practice and medical knowledge)

4.      Transport vehicles (type, availability) (Medical knowledge, system-based practice)

5.      EMS administration and Quality assurance methods (System-based practice and medical knowledge)

3.      Education (System-based practice)

1.      CPR, first aid

2.      EMT training and certification

3.      EMS research

4.      Disaster medicine (Medical knowledge, system-based practice)

1.      Definition of disaster

2.      Phases of disaster response

3.      Disaster medical care

4.      Information services

5.      Education/training

5.      To spend time with the EM Billing Office and the Vice-Chairman for Finance to understand the billing issues and financial issues of EM Practice (Practice-based learning, system-based practice).

6.      To gain experience with the rape examination (Medical knowledge, Practice-based learning) and the legal implications of this exam (System-based practice).

DESCRIPTION OF CLINICAL EXPERIENCE

·         Six EMS shifts/months in varying EMS settings. LifeFlight ride alongs (2 per month, optional, not required). Two Police ride-alongs. EMS and LifeFlight CQI (both case-oriented and conferences). The resident will function both as prehospital provider and in some cases will provide on-line direction.

DESCRIPTION OF DIDACTIC EXPERIENCE

·         The resident will attend meetings with the Nashville EMS Director, and be involved in a research or educational project (such as protocol review/development or Base Station development). Each resident will present a video-taped short lecture on an EMS topic with help from the EMS Director. These video-tapes will then be distributed to the EMS system as part of their CME.

EVALUATION PROCESS

·         Written evaluation by the Nashville EMS Director and State EMS Medical Director. An open-book examination must be passed.

FEEDBACK MECHANISM

·         CQI reviews and formatted written evaluations.

 

This rotation is under the auspices of the Chairman of the Department of Emergency Medicine and has been agreed to and approved by the Nashville Fire Department EMS Director and its Medical Director. Residents are given copies of all rotation summaries at the beginning of their PGY-1 year. Residents should use rotation summaries, formatted written rotation evaluations, and their performance on the In-service Examination to assess the rotation’s effectiveness.