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2010 Rural and Frontier EMS and Trauma Summit at the Divide. Pat Songer, NREMT-P, ASM Director of Emergency Medical Services – Humboldt General Hospital. Rural Pre Hospital Ultrasound. Improving the System. Welcome to Winnemucca, Nevada. 10,000+ Square Mile Service Area . Very Remote Trauma.

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2010 rural and frontier ems and trauma summit at the divide l.jpg
2010 Rural and Frontier EMS and Trauma Summit at the Divide

Pat Songer, NREMT-P, ASM

Director of Emergency Medical Services – Humboldt General Hospital


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Rural Pre Hospital Ultrasound

Improving the System


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Welcome to Winnemucca, Nevada

Humboldt General Hospital EMS Rescue


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10,000+ Square Mile Service Area

Humboldt General Hospital EMS Rescue



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Very Remote Trauma

Humboldt General Hospital EMS Rescue


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It’s 12:15 a.m. . .

Humboldt General Hospital EMS Rescue


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Pre Hospital Ultrasound

Humboldt General Hospital


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“At least two hospitals are training staff to use the Siemens Acuson P10 and plan to publish papers on the results. Pamela Wickkiser, radiology director at Humboldt General Hospital in Winnemucca, Nev., has paramedics using the devices in ambulances . . . "They are actually picking the skills up pretty well," she says. "For us, being so rural out here, it would be a big plus to get this kind of information pre-hospital.”—February 2010

The Wall Street Journal?

Humboldt General Hospital EMS Rescue


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Better patient outcomes? YES! Siemens Acuson P10 and plan to publish papers on the results. Pamela Wickkiser, radiology director at Humboldt General Hospital in Winnemucca, Nev., has paramedics using the devices in ambulances . . . "They are actually picking the skills up pretty well," she says. "For us, being so rural out here, it would be a big plus to get this kind of information pre-hospital.”—February 2010

Humboldt General Hospital EMS Rescue


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Proactive vs. reactive medicine Siemens Acuson P10 and plan to publish papers on the results. Pamela Wickkiser, radiology director at Humboldt General Hospital in Winnemucca, Nev., has paramedics using the devices in ambulances . . . "They are actually picking the skills up pretty well," she says. "For us, being so rural out here, it would be a big plus to get this kind of information pre-hospital.”—February 2010

Humboldt General Hospital EMS Rescue


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  • Portable (about 1.6 lbs; fits in a lab coat pocket) Siemens Acuson P10 and plan to publish papers on the results. Pamela Wickkiser, radiology director at Humboldt General Hospital in Winnemucca, Nev., has paramedics using the devices in ambulances . . . "They are actually picking the skills up pretty well," she says. "For us, being so rural out here, it would be a big plus to get this kind of information pre-hospital.”—February 2010

  • Designed for ease of use with an intuitive PDA-style user interface

  • Ready anywhere, anytime with instant power-up (~ 5-second)

  • High-quality images (fundamental and harmonic 2D-mode)

  • Industry-standard USB port for information sharing, upgrades

Ultrasound’s Capabilities

Humboldt General Hospital EMS Rescue


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  • FAST Siemens Acuson P10 and plan to publish papers on the results. Pamela Wickkiser, radiology director at Humboldt General Hospital in Winnemucca, Nev., has paramedics using the devices in ambulances . . . "They are actually picking the skills up pretty well," she says. "For us, being so rural out here, it would be a big plus to get this kind of information pre-hospital.”—February 2010

  • Instantly gain insight into critically injured patients

  • Instantly visualize cardiac activity during resuscitation or “crash” events

  • Reduce or eliminate unnecessary procedures or treatments

  • Improves bedside monitoring

  • Improves outcomes

Benefits: Trauma

Humboldt General Hospital EMS Rescue


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Benefits: Trauma Siemens Acuson P10 and plan to publish papers on the results. Pamela Wickkiser, radiology director at Humboldt General Hospital in Winnemucca, Nev., has paramedics using the devices in ambulances . . . "They are actually picking the skills up pretty well," she says. "For us, being so rural out here, it would be a big plus to get this kind of information pre-hospital.”—February 2010

Humboldt General Hospital


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Benefits: Cardiology

Humboldt General Hospital EMS Rescue


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  • Evaluate fetal presentation, heartbeat, and general well-being, fluid levels, and placenta location

  • Obtain more information to assess unexplained bleeding, pelvic pain, or other symptoms

  • Enable patients to view exam results at the point of care

  • Improve bedside monitoring

  • Helps with patient fears

Benefits: Obstetrics

Humboldt General Hospital EMS Rescue


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  • Efficacy of patient outcomes well-being, fluid levels, and placenta location

  • Portable, multi-departmental use

  • Ability to forego “worst-case” medicine

  • Ability to decrease door to surgery times

  • Hospital Staff

Buy-in

Humboldt General Hospital EMS Rescue


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  • Basic 20-hour course well-being, fluid levels, and placenta location

  • FAST Exam Course

  • 2 day use course with On-sight and UC Davis

  • Pre-Hospital personnel efficacy exams

Education

Humboldt General Hospital EMS Rescue


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Continuing Education

Humboldt General Hospital


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  • Central and Venous Line placement well-being, fluid levels, and placenta location

  • ET Tube Placement

  • Confirmation of death

  • Pneumothorax/Hemopneumothorax

  • Pericardiocentesis guide

  • Differential diagnosis-CHF/COPD

  • Obstetrics

  • FAST

  • AAA

Exams we can provide

Humboldt General Hospital EMS Rescue


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Improving the efficacy of our pre-hospital EMS system

Humboldt General Hospital EMS Rescue


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What needs to change

Humboldt General Hospital EMS Rescue


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  • Standard of care immediate interventions.

  • Transmission of the Ultrasound

  • MCI use

  • Paramedicine use

  • Increasing diagnostic uses

Future

Humboldt General Hospital EMS Rescue


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Thank you…Questions immediate interventions.


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