Discussion topics: 



-Team paramedic and coordinates emergency care for on field. 



What are the classifications from paramedic to ECA, EMS, and Paramedic



-ECA - first responder. Couple weeks class



-EMT basic - everyone starts off at. Full college semester



-EMT advanced - Intubate and start IVs, and cardiac meds. Can’t RSI or DSI



-Paramedic - nationally and state certification; Two-year program and learn advanced cardiology and pharmacology



Difference: Licensed paramedics will have an AA in paramedics or a bachelor's in emergency medicine. 



ATs are under the direction of a physician, how does that work with emergency medicine?



-Work under a medical director. Medical directors must be licensed by the state. Emergency certified physician.



Roll of team physician on the sideline?



-EAP’s 



-Get together with all emergency response teams to see what everyone can do or should do. 



-Communication



-EMS arrives, they take over control of the athlete and their protocols go into effect. 



Equipment removal in in-service?



-Discuss how far to go with equipment removal. 



-CPR of football, don’t remove helmet/shoulder pads, just face mask. Open shoulder pads to do CPR and place AED pads.



Organizing the annual practice, how should the AT approach it?



-Week before training camp starts. 



-Coordination through their contact. EMS Chief or president of the company. 



How long does the training last?



-Depends on how much you want to cover. 



-At least CPR, backboarding, trauma injury. 30 minutes each



-Debrief before and after. 



How can we educate EMS on what ATs can do?



-Invite EMS groups to your in-service to participate in the training process. 



-Look at each other's protocols. 



-Get everyone's education 



How much are protocols changing year to year?



-Generally, they don’t. Just based on technology and medical changes. 



Differences between rigs?



-BLS is a basic truck with 2 EMTs. Basic first aid/childbirth



-ALS truck for higher emergencies. 



What does it look like after EMS has taken over care and on the way to the hospital?



-After a report from AT, they do their own patient assessment. 



-After assessment, determine the care plan. Get vitals and stabilize life events. 



What is the most important information coming out of the report from an AT?



-Short and sweet



-This is what happened, what I did, what I found. 



Spine board or not to spine board?



-Depends on the medical director's protocol. 



-Depends on the situation and if it will make the injury worse. 



-For the team, it might depend on the spine doctor/team physician. 



-Annual meeting to discuss spine boarding and log roll vs. 6-man lift.



Stories



-Professional baseball game. Baserunner ran into the catcher. The collision was bad. Amazing that there was only a broken nose. 



-Open femur fractures, concussions



Anything else to add?



-Communication is the number one key.



-Reach out to local EMS agency



-Athlete/patient comes first. 



-Find out each other's capabilities.







Contact Brad: bwilson@hcec.com