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Pre Hospital Care and Transport Medicine

 

Goals:

To prepare the fellow for a career of leadership in emergency medical services at local, regional, provincial, national and international levels.

Objectives:

Knowledge and understanding of:

  • The historical and legislative framework surrounding modern EMS systems in Canada and the US.
  • The key components and design options for an EMS system, including volunteer and first responder systems.
  • Medical control and various models
  • Medical dispatch and call screening
  • EMS Equipment/Vehicles, extrication and rescue
  • Medico-legal considerations of EMS
  • Approach to high-risk patients
  • Understand legislation and guidelines for training and certification for all levels of providers
  • Understand the different patient care capabilities and responsibilities for all levels of paramedics.
  • Knowledge of the principles of crisis intervention and stress management
  • Guidelines for triage and transport to specialty centers
  • Advantages/limitations of aeromedical vs. land based transport.
  • The physiology of aeromedical transport
  • Aircraft safety and special medical problems
  • Mass gatherings/Disaster Management
  • Funding arrangements for EMS systems
  • Community Involvement and public education
  • Paramedic Education
  • EMS Research. EMS residents should understand principles and special problems inherent in conducting research in the pre-hospital environment, and would be expected to take part in at least one research project during their fellowship.

Supervisor:

The Fellow will be supervised by the Director of Air or Land EMS programs.

Responsibilities/Expectations:

The Fellow would develop a curriculum and schedule in conjunction with their supervisor. His or her duties would include:

1.       Regular online medical control via the “patch” phone

2.       Participation in paramedic training, testing and evaluation

3.       Quality control of EMS care

4.       The development of pre-hospital protocols

5.       Liaison between paramedic and physicians

6.       attendance at meetings with government, hospital and EMS personnel

7.       Develop an understanding of EMS information systems

8.       Development of a research project in conjunction with the supervisor

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