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Vehicle Rescue Training

Vehicle Rescue Training. PEHSC Opinion Poll Results August 2008. I. Purpose

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Vehicle Rescue Training

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  1. Vehicle RescueTraining PEHSC Opinion Poll Results August 2008 DRAFT - NOT FOR DISTRIBUTION

  2. I. Purpose To provide Pennsylvania’s rescue technicians and similarly trained responders involved with PEHSC an opportunity to share their opinion on the future direction of rescue training, specifically as it relates to EMS practitioners who may arrive at the scene of a motor vehicle crash prior to rescue personnel. II. Background This informal process is being used to gain a simple, non-scientific view of this issue and is being used in an effort to enhance PEHSC operations. The opinion polls assist in the identification of areas for additional recommendations via our task force structure. The opinion polls are distributed to the members of our Council, Task Forces and Committees. The staff collects the report at the close of the poll and forwards it to the Department of Health for review. Staff then prepares the poll summary to post on our website and delivers the results to the appropriate task force for review and consideration to develop additional study, etc, if warranted. Opinion polls give each member of the PEHSC an opportunity to comment on the system components and provide the Department of Health with the ability to obtain a “straw vote” from the field on issues that are discussed at the state level. Currently in Pennsylvania educational programs related to vehicle rescue are administered through a joint program with the Pennsylvania Department of Health, Bureau of EMS and the Office of State Fire Commissioner – PA State Fire Academy. These programs are primarily designed to provide instruction for individuals functioning as part of a rescue organization in order to safely perform such rescue activities as hazard identification and mitigation, patient access, medical treatment and disentanglement. Although many EMS practitioners have completed formal rescue training, there are likely just as many, if not more that have not received hands on instruction on how to function safely and effectively at the scene of a motor vehicle crash. The question has been raised regarding the need for a program that provides EMS practitioners with the basic knowledge and skills to safely gain access to a patient and effectively interact with rescue personnel. The purpose of this opinion poll is to gauge perception on to the need for such a program and what elements should be contained in the core curriculum. III. Length of Posting The poll was launched on July 11, 2008 and closed on August 16, 2008. IV. Respondents • A total of 649 polls were completed. • Allegheny County (n=134) represented the largest respondent group. • 267 of respondents (41%) are trained to the EMT-Basic level and 330 (51%) are ALS practitioners. DRAFT - NOT FOR DISTRIBUTION

  3. V. Objectives • Determine the type of agency who is primarily responsible for vehicle rescue service. • Gauge perceptions regarding the extent to which EMS practitioners are consulted in rescue decisions. • Determine the level of medical training (EMT or above) of fire/rescue personnel operating at an accident scene. • Determine if rescue resources normally arrive at an accident scene within 10 minutes of initial dispatch. • Gauge perceptions regarding accident scenes when rescue resources were delayed and if properly trained, EMS practitioners could have safely gained patient access. • Establish the perceived need for a locally delivered program for EMS practitioners to enable them to operate safely at the accident scene. • Establish the number of instructional hours and core curriculum for such a program. VI. Assumptions • Rescue is patient-centered and therefore should be a medically-directed operation. • In Pennsylvania, depending on region, rescue services are provided by emergency medical services and/or fire based organizations. • In a rescue situation all elements of emergency services, irrespective of their affiliation, must work under a unified command structure to ensure the rescue is conducted in a safe and efficient manner. • EMS practitioners are usually involved to some extent in extrication decisions • A portion of non-EMS based rescuers have completed medical training to the level of EMT or higher. • EMT and paramedic programs provide some level of instruction on rescue scene operations. • EMS practitioners who have not completed rescue [technician] training should be educated to a level that enables them to safely and effectively function at the scene of a vehicle rescue. • A training program to provide basic-level rescue scene education should include both lecture and a practical skills component, and be delivered in approximately 16-24 hours. DRAFT - NOT FOR DISTRIBUTION

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  8. VI. Conclusions BASED ON DATA: 65% of respondents list the fire department as their primary rescue agency. The vast majority of respondents (78%) believe that EMS is involved in extrication decisions. 81% believe rescues services arrive on the scene within 10 minutes of dispatch. Almost one-half (47%) believe rescuers in their area are not trained to at least the EMT level. More than one-half (58%) of respondents recall a situation where rescue was delayed, and if properly trained, EMS practitioners could have gained access to the patient(s). 90% of respondents stated that some level of instruction on rescue scene operations was provided in their EMT and/or paramedic program. There is overwhelming support (92%) for the development of a standardized, locally delivered program to educate EMS practitioners on how to safely operate at a vehicle rescue scene, including gaining access prior to rescue arrival. Respondents believe safety, stabilization, access, treatment considerations and EMS-Rescue interface should be included as essential program elements. 62% of respondents recommended the program, including classroom and practical experience, be delivered in 16-24 hours. DRAFT - NOT FOR DISTRIBUTION

  9. BASED ON COMMENTS SECTION (n=109): Rescue operations should be medically-directed (n=8). Effective EMS/Rescue interface in important (n=8). EMS and Rescue personnel should be cross-trained (n=18). Proper PPE should be provided for EMS personnel operating at a rescue scene (n=3). Explore existing EMS-oriented rescue programs before creating a course for Pennsylvania, e.g. BVR-A or ITLS Access (n=14). Standardized rescue scene operations education should be a mandatory part of Pennsylvania’s EMT-Basic program (n=26). VII. Next Steps Provide the results of this opinion poll to the Director of the Bureau of Emergency Medical Services and the PEHSC Rescue Task Force for further consideration. Post results on the PEHSC website. DRAFT - NOT FOR DISTRIBUTION

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