EMS FYI July 12, 2019
July 12, 2019
All information falls under the latest revision for the EMS Protocols: 11-15-2018
Chief Orlando Dominguez was contacted by a representative with JACHO (Joint Commission on Accreditation of Healthcare Organizations) to assist Israel’s Ministry of Health with improving their EMS System. On Wednesday July 10th, the Office of EMS with Dispatch, met via conference call with the JACHO Rep. and the Israel Ministry of Health to answer a series of questions they had regarding how our EMS Operations, Administration, & 911 System functions. We were more than happy to provide guidance to our neighbors and look forward to working with them in the future.
On Wednesday, July 10th with the help of Dispatch & the Rescue 48 C shift crew (FM Casey Baker & FM Patrick Fenimore), the Office of EMS assisted the Viera VA Outpatient Clinic with a Surgical/Procedural Complications Drill.

Drill Scenario
  • Patient is in the Operating Room
  • 75-year-old male is having a TRUS Biopsy for elevated PSA.
  • PMH: TIA, elevated PSA and chronic low back pain.
  • Meds: Aspirin therapy one a day for stroke prophylaxis. Stopped one week before procedure.
  • Ibuprofen 800mg prn for chronic low back pain. Stopped one week before procedure.
  • Patient was taken to the OR and had a routine TRUS biopsy without issue. Was taken to the PACU, and 20 minutes after arrival RN found “lots” of blood in the bed and Patient said he was feeling nauseous. Systolic BP was 70mmhg. When the nurse told the patient there was much blood in the bed he stated, “could it have been all the Goodies powder I have been using lately for my low back pain.”
  • Next BP reading was 60mmhg.
  • Urologist was concerned about large amount unseen blood in the rectum.
  • EMS was called.
Thank you Dispatch and R48 Crew for your participation!
This morning July 12th, Ocean Rescue Chief Eisen Witcher took Public Safety Director Matt Wallace, Chief Schollmeyer, Agnes Bradt, Kaye Richey, Caitlin Butler & BCFR’s Chaplain David Rosenbaum on a beach tour. They stopped by Lori Wilson Park at our Cocoa Beach-Zone 2 lifeguard station to meet some of the amazing Ocean Rescue lifeguards!
The Governor’s Sterling Council has released the feedback from their Explorer Management Assessment of the EMS Division. 

The assessment included six categories for review:
1.    Leadership
2.    Strategy
3.    Customers
4.    Measurement, Analysis, and Knowledge Management
5.    Workforce
6.    Operations
 
Here are some of the highlights:
Key Theme Strengths
*Customer-Focused Excellence
*Management by Fact
*Societal Contributions
Key Theme Opportunities for Improvement
*Organizational Learning and Agility
*Visionary Leadership
Sterling Highlights
When an advanced airway device is used, please be sure to document the ETI Verification in the flow chart.  This will be a separate entry from the documentation of the airway device itself.
Treating a Shark Bite
 
Shark Week is approaching and it instills fear in those who watch the week-long television event unfold on the Discovery Channel, but maybe it shouldn't: according to the International Shark Attack File, there have been a total of 66 unprovoked shark attacks worldwide in 2018, and of those, only 4 resulted in death. These aren't exactly grim statistics, but when you see a shadow lurking below you in the ocean, knowing how to react just might save your life! Follow the link below to read more.

More on Treating a Shark Bite
If you are interested in working either of these upcoming OT special events please contact staffing to reserve your spot.
Event: WWE NXT Wrestling
Date: Friday, August 2, 2019
Event Location:
Melbourne Auditorium 625 E Hibiscus Blvd, Melbourne, FL 32901
Hours: 1730-2300 (Crew to pick up unit at 1730 and be in place at event by 1830)
Crew: 1 Paramedic/1 EMT (or PM) (Dedicated

Event: Round 13 Live Boxing Palm Bay
Event Location:
Tony Rosa Bay Community Center,
1502 Port Malabar Road, Port Malabar NE, Palm Bay, FL 32901
Date:  August 10, 2019
Time: 1600 – 0030 (Crew to pick up unit at 1600 and be in place at event by 1700)
Approximate Number of Patrons: 250
Crew: 1 Rescue, 1 PM/1EMT (or PM) (Dedicated)
BCFR is going to start drawing blood samples prehospital for Stroke Alert & STEMI Alert Patients effective August 5, 2019.
Hospitals that ARE currently participating:
PMC – Stroke & STEMI
RRMC – Stroke & STEMI
MRMC – Stroke & STEMI
HRMC – Stroke only
Hospitals that are NOT currently participating:
CCH
VH
PBCH
SRMC
Please welcome, the newest piece of the EMS FYI! Each week, Community Health Resource
Program Coordinator Mark Weiss will be sharing helpful information about Infection Control.
If you have any questions or have something you would like shared,
please contact Mark by phone at 321-633-2056, 321-266-5334 or by email at Mark.Weiss@brevardfl.gov
EMS Statistics
From 7/5/2019–7/11/2019, BCFREMS responded to:
Trauma Calls-213
Medical Calls-757
Motor Vehicle Crashes-147
Transports-871
ALS Transports-520
BLS Transports-351
Total Responses-1,422
911 Calls to Dispatch- 2,342
PulsePoint CPR Alerts- 2
Mobile Integrated Health Activities-5
We Want to Hear from You

Please let us know if you:
        Have a question that can benefit the department
        Have an interesting case to share
        Want to recognize someone for providing excellent customer service
        Just want to share some information that’s coming to your area

If you have any questions about the above topics, please refer them to the EMS Office (FR_EMSQandA@brevardcounty.us) and we will provide an answer for you.
Email your questions/comments to FR_EMSQandA
For more updates on what’s happening in EMS, visit BCFR EMS Twitter Site @BCFREMS, FaceBook Page, or YouTube Videos
Promoting a Culture of EMS:
Ensure mutual respect and kindness when engaging with stakeholders
Meet and exceed stakeholder expectations
Support a “Culture of Quality”
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