If the intent of these questions is to ask why a protocol was On March 12, 2009, the City of Baton Rouge (BR), Louisiana initiated its state-of-the-art “BR Med-Connect” EMS Telemedicine program with an inauguration event attended by the Mayor, East Baton Rouge Parish EMS Personnel, and physicians and administrators from Our Lady of the Lake Hospital. EMS providers could now treat patients quickly without all of the “red tape.”. ... Get email updates for new Call Coordinator jobs in Baton Rouge, LA. Our goal should be to set the bar high and bring everyone up to the highest level possible. Critical thinking is necessary to know when to do or not to do something. Depending on the facility, EMT and paramedic training is available for individuals interested in beginning a career in EMS. The Louisiana Department of Health, Office of Public Health, Bureau of EMS has the responsibility of licensing EMS providers, practitioners, and vehicles functioning in the State of Louisiana that are subject to licensing statutes. It’s just that critical thinking must also be promoted. Dr. Burnell reviews on-scene medical procedures and protocols between medics and emergency room physicians. Instructor skills check-off for the online AHA ACLS Heartcode course. I have been working at East Baton Rouge Parish EMS full-time for more than 10 years Pros Great protocols and getting better, nice ambulances (although they aren't maintained the best), excellent equipment, nice stations, decent benefits and uniform allotment, supervisors are usually fair and easy to talk to, pay is decent though needs improvement They may suspect something does or does not need to be done, but they follow through with the incorrect decision anyway. GUIDELINES AND PROTOCOLS After a collaborative stakeholder workgroup and best practice research, LERN has established four hospital levels of care as part of Louisiana’s “hub and spoke” model which includes Comprehensive Stroke Center and Primary Stroke Center hubs, and spoke hospitals connected by telemedicine. Emergency Medical Services (EMS) New Orleans Medical Emergency Services is dedicated to providing the highest quality pre-hospita l emergency care to individuals living in and visiting New Orleans.. As public servants, EMS provides time-sensitive, medically-sound and respectful, compassionate delivery of this pre-hospital health care. Last year the center answered over 427,000 calls for an average of 1,200 911 calls per day. Or, was there just the creation of a didn’t you perform this procedure? Instead of having a restrictive protocol that limits our critical thinking abilities, we have clinical guidelines that allow the provider to utilize critical thinking and includes multiple treatment options to manage patients. The Louisiana Emergency Response Network (LERN) is an agency of state government created by the Louisiana Legislature in 2004 charged with the responsibility of developing and maintaining a statewide system of care coordination for patients suddenly stricken by serious traumatic injury or time-sensitive illness (such as heart attack and stroke). The list of available protocols is a work in progress. The entire notion of EMS training is a rather complex one, and it is mainly aimed at ambulance personnel who, at the end of the training session, will be able to sit for the written NREMTP exam ad then for the practical exam before getting their certification. certain situations. This change for us was not just an update but a complete overhaul of our entire clinical care approach. It is seen all the time. 190/110 with a pain scale of 9/10. Mondrick, who has developed similar protocols in East Baton Rouge Parish, said fire personnel are trained to stage near an active shooter scene. Not sure if the ambulance went to that scene. Protocols and guidelines should not be written in an effort to force providers to follow specific steps in every situation. ask ourselves: “Was this effective? Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. The application and enforcement of these protocols is the culprit. Our new clinical guidelines have completely redesigned our approach to taking care of our patients. Were eliminated due to evidence suggesting they may be missing the point, cooling and... Be harmful more thought than a “ see this, do that ”  for everything under the.! 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