00:01:58 Louis Gonzales: Welcome to the Prehospital Breakout Session! 00:04:10 Charlene C: Meredith is this for nurses? 00:04:29 Meredith Rodriguez - EIIC: Go here https://dellmed-utexas.zoom.us/j/2202555306 00:04:39 Meredith Rodriguez - EIIC: ^Nurse breakout 00:13:40 Louis Gonzales EIIC: A good example of identifying a need for improvement even though the original concept had merit. Having a mindset of continuously looking for ways to improve is essential to QI. 00:22:09 Les Fryman: This is great and we did this years ago as well to better serve pediatric patients. Great Idea. 00:22:13 TJ: This is almost exactly what we use. We've incorporated the Handtevy system into it, as well. I ensure we train with a training bag with expireds in every PEARS, PALS, and peds CE session. 00:23:19 Rachael Alter: https://www.michigan.gov/documents/mdch/MI_MEDIC_1_21_15_481431_7.pdf 00:23:31 Kelly Burnett: Also regarding the medication module, do you carry alternative concentrations of any meds or are they all identical to the adult formulary? Just curious because this is a rotation opportunity to reduce costs when those meds are less likely to be used on pediatrics. 00:23:52 Juliana Soriano: Chesapeake uses Handtevy 00:24:20 Stephanie Ashford: We built a very successful ped training program based on the Hoyle MIMEDIC/MIPEERS study 00:25:05 Jeremy Kelly: DeVos Children's: great system just very expensive and we found we are just as accurate with the MI-Medic cards 00:28:40 Stephanie Ashford: All those systems (broslow, handtevy, mi-medic) are all dependent on familiarization and practice before the encounter. 00:37:22 Gary Arbuckle (Olympic Ambulance): Can you provide a manufacturer for that piece of equipment? 00:37:32 Stephanie Ashford: sure, standby 00:40:34 Stephanie Ashford: I cant find the actual order form we used, but here is a site that offers them 00:40:35 Stephanie Ashford: https://www.graylinemedical.com/products/smiths-medical-bivona-tracheostomy-tube-accessories-tracheostomy-tube-disconnect-wedge-nonsterile-15-mm-dwg300?variant=31857581031481&gclid=CjwKCAiAm7OMBhAQEiwArvGi3E3U3Vhilzyl5XrSoR4uXEfDZ9w3GSBPUEBjd8QzlFwJJlQ1t8HZPhoCBAsQAvD_BwE 00:41:04 Gary Arbuckle (Olympic Ambulance): thank you! 00:42:51 Stephanie Ashford: https://www.lexipol.com/solutions/grant-services/ 00:42:53 Ryan McCarrick: I am taking down the good ideas here because my agency has nothing other than the bare minimum to satisfy the state's equipment requirement :( lots of red tape in my fire district 00:43:13 Sean P Vajgrt: I had no clue about this. Thanks for mentioning it. https://www.lexipol.com/solutions/grant-services/ 00:43:15 Stephanie Ashford: they have grant writing specialist that can help with any number of initiatives 00:43:28 TJ: Try https://saveinjuredkids.org I received a grant for Handtevy from them. 00:43:30 Rachael Alter: Many State EMS agencies have equipment grants. Check with your state EMSC Program manager to see what may be available. 00:44:31 Rachael Alter: EMSC State Partnership Program Manager contact information can be found here: https://emscimprovement.center/programs/grants/ 00:45:28 Zach Smith: community presentations 00:45:29 TJ: Interoperability 00:45:51 Les Fryman: Personnel Imput 00:45:59 TJ: With varied agencies and ERs 00:46:31 Gary Arbuckle (Olympic Ambulance): buy-in 00:47:06 Karl moore: collective training 00:47:27 Karl moore: inter and intra agency 00:47:38 Ryan McCarrick: I am from Long Island where we have like 100 fire districts that all do their own thing; working with a neighboring department to make a universal bag would be nice for mutual aid responses 00:47:40 Karl moore: and hospital partners 00:48:41 Stephanie Ashford: St. Louis County has the same issue that Long Island has 00:49:37 Ryan McCarrick: You also have to sway all those "why change when we did it this way for 20 years" people 00:51:49 Les Fryman: Could we use Regional QA/QI sessions 00:54:37 Morgan Scaggs, KY EMSC (she/her): When someone objects to a change, I also like to find out why they object. What are they afraid will happen if the change takes place? 00:54:44 Ryan McCarrick: I like the idea of the Ped vs Adult bags because it would likely mean both are lighter/smaller 00:55:51 Rachael Alter: Was working through this key driver diagram helpful in understanding the process? 00:56:26 Christopher Hitechew: Yes, this is helpful to think through the process. 00:56:35 Les Fryman: Absolutely 00:57:28 Les Fryman: Do to constraints in space, Air Medical Agencies have been using Peds and Adult bags for years as well. That way they are smaller each for the smaller spaces they have. 00:57:46 Steve Maselli (Walton Fire Protection District): Yes and it will be easier to use in future processes 00:57:52 Karl moore: working for a for-profit ems company... cost is a huge issue. answering the question of buying a piece if equipment/bag that is used on 10% or less of calls is a difficult question to answer. Specifically, looking at wastage from a cost point of view. There are few grants for for-profit companies... the only work around that has been helpful is push from contract and governmental requirements. 00:58:04 Anna Sessa (NH EMS for Children): Thanks all! 00:58:13 Ryan McCarrick: Thank you all, I got some ideas to take to the chiefs now :) 00:58:14 Taylor Lueking: thank you 00:58:25 Caitlin Overholt: Thank you 00:58:26 Sean P Vajgrt: Thanks! 00:58:27 Les Fryman: Thanks Everyone 00:58:56 Billy Bratcher: thank you everyone, thanks Steve 00:58:56 Michelle Murphy: Thank you! 00:59:03 Karl moore: thnaks 00:59:06 kathyshear: Thank for starting to explain the flow diagram on this matter. 00:59:10 Gary Arbuckle (Olympic Ambulance): thanks 00:59:14 Karl moore: thanks 00:59:15 Kelly Burnett: Thank you! 01:04:23 Kate Remick: Should we stop recording?