EMS Particular Patient Presentations - Technology Dependent Patients

EMS Providers play a critical role in the care and transportation of technology-dependent patients, such as those on ventilators. Such patients may also be require additional interventions such as tracheostomies, gastrostomy tubes, or total parenteral nutrition

It's essential for EMS providers to be well-prepared and knowledgeable about the specific needs and challenges associated with these patients.

Here are some key considerations for those patients who are reliant on a ventilator:

Patient Assessment:

Ventilator Settings: Understand the patient's ventilator settings, including the mode of ventilation, respiratory rate, tidal volume, and oxygen concentration. This information is crucial for maintaining proper ventilation during transport.

Backup Ventilation: Be aware of the availability of backup ventilation equipment in case of ventilator failure or other technical issues.

Battery Life: Check the battery life of the ventilator and have a plan for power sources during transport.

Equipment Familiarity:

Ventilator Model: Different ventilator models have varying features and requirements. Familiarize yourself with the specific ventilator model the patient is using.

Alarms and Troubleshooting: Understand how to troubleshoot common issues and respond to alarms on the ventilator.

Communication:

Communication with the Patient: Determine the patient's ability to communicate and understand their needs and concerns. Some technology-dependent patients may have communication devices integrated into their systems.

Communication with Caregivers: If a caregiver or family member is present, communicate with them to gather additional information about the patient's medical history and any recent changes in their condition.

Transport Considerations:

Stabilization: Ensure proper stabilization of the ventilator and other medical equipment during transport to prevent disconnections or damage.

Power Sources: Have a plan for maintaining power to the ventilator during transport, including the use of portable power sources or adapters for ambulance power outlets.

Monitoring: Continuously monitor the patient's vital signs and the ventilator's performance during transport.

Training and Protocols:

Specialized Training: EMS providers should receive specialized training in the care of technology-dependent patients, including ventilator management and troubleshooting.

Protocols: Follow established protocols and guidelines for the care and transport of ventilator-dependent patients.

Documentation:

Detailed Records: Document all relevant information, including ventilator settings, alarms, and any interventions performed during transport. This information is essential for continuity of care upon arrival at the receiving medical facility.

Collaboration with Receiving Facility:

Communication with Hospital Staff: Provide a thorough report to the receiving facility, including changes in the patient's condition during transport. Ensure a smooth transition of care between EMS and hospital staff.

By being well-prepared and knowledgeable about the unique needs of technology-dependent patients, EMS providers can contribute to the safe and effective care of these individuals during prehospital transport. Regular training and updates on emerging technologies are essential to maintaining proficiency in this aspect of prehospital care.