Title: Dublin Fire Brigade Paramedics- Insight into a Pre-hospital Emergency Care Service
1Dublin Fire Brigade Paramedics- Insight into a
Pre-hospital Emergency Care Service
- Brief history of DFB - Oldest uniform body in the
state Since 1862(Oldest Ambulance service
provider in Ireland) Since 1898 - Benefits of combined Fire/Emergency Medical
service (EMS) for patients - Our areas of operations
- Statistics/ type and numbers of calls
- Information on range of pre-hospital treatment
protocols using generic case details - Some footage with real on scene experiences with
DFB staff.
2Dublin Fire Brigade Paramedics- Insight into a
Pre-hospital Emergency Care Service
- D/O Martin OReilly
- S/O Paul Lambert
3Dublin Fire and Ambulance Service
- Oldest uniform body in the state Since 1862
- Oldest Ambulance service in Ireland - 1898
4DFB-RCSI Training Institute
- Educational Partnership with RCSI
- PHECC accredited
- Institution
- Programmes
- Tutors
- 2011 Education Training Standards
- Cardiac First Response to Paramedic
2011
5 Practitioner Level required for Emergency
Ambulance
- Paramedic
- 2 year diploma program
- Advanced Paramedic
- 2 year Graduate Diploma
-
6- Population served 1.2 million
- 464,749 Households
7- Provide a fully integrated Fire based Ambulance
and EMS service - In 2011 we responded to 90,000 Ambulance/EMS
calls - 72,000 Ambulance/EMS incidents
- 93,000 Ambulance/EMS mobilisations
- 12,000 Paramedic Fire Appliance responses
8Eastern Regional Control Centre
- Receipt of 999/112 calls for assistance
- Determine the location and nature of the
emergency - Determine the priority
- Pre-arrival instructions
- Provide an appropriate Response
- The Right response for the patient ?
- Nearest appropriate resource
9Benefits of combined Fire/Emergency Medical
service (EMS) for patients
- Strategically located- rapid response
- 24/7 Availability of ambulance resources
- Resources reduce time on scene
- Equipment available - early Extrication
- Enhances safety on scene
10- Highline Rescuesfrom tower cranes
- Immediate Medicalassessment and treatment
11Swift Water Rescue
- Hypothermia
- Submersion Incidents
12Road Traffic Collisions
- Spinal Immobilisation/Patient handling
- Rapid Extrication
- Safety/Fend off
- Fire Risk
13Medical
- Basic Life support
- Advanced Life support
- Acute coronary syndromes
- Glycaemic Emergencies
- Seizures
- Inadequate Respirations
- Stroke
14Medical
- Septic shock
- Poisons/ OD
- Hypothermia
- Altered Level of consciousness
15Trauma
- External Haemorrhage
- Shock-Blood loss
- Spinal
- Burns
- Limb Fractures
- Crush injury
- Head Injury
- Traumatic Cardiac Arrest
16Intubation
17Vascular Access
18DFB-RCSI Training Institute
- Morphine
- Epinephrine 110 000
- Amiodarone
- Benzopenecillin
- Lasix
- Atropine
Oxygen (INH) Nitrous Oxide (INH) Salbutamol
(INH) Aspirin (PO) GTN (SL) Glucose Gel (BU)
Glucagon (IM) Epinephrine 11000 (IM) Naloxone
(IM) Paracetamol (PO) Clopidogrel (PO)
19Obstetric Emergencies
- Neo natal resus
- Haemorrhage in pregnancy
- Breech birth
- Umbilical cord complications
20The Right Response
- Immediately Life threatening incidents
- The nature of these incidents require a rapid
response and more responders on scene - Paramedic Fire Appliance
- Paramedic Ambulance
- Advanced Paramedic
21- Fire Appliance Paramedics
- 60
- Ambulance Paramedics
- 36
- Arrive together
- 4
22- Mater Hospital
- Out of hospital cardiac Arrest study
- 2003-2008
23Mater Study
- Improvements in the pre hospital care management
of cardiac arrests over the period of the study
where - DFB fire appliance Paramedic equipped with
Defibrillators and life saving medications - ERCC began providing telephone assisted CPR
- Advanced Paramedics provide pre hospital Advanced
Life Support on Fire appliances and Ambulances
24Mater Study
- Conclusions
-
- The improved quality of Emergency Pre Hospital
Care has impacted on survival from Out Of
Hospital Cardiac Arrest, particularly from
Ventricular Fibrillation
25 26Thank you for your attention !