Showing posts with label leadership. Show all posts
Showing posts with label leadership. Show all posts
Sunday, February 02, 2025
Thursday, February 29, 2024
EMS Discussion - Use of Lights & Sirens
EMS Providers should be aware of the ongoing discussion surrounding the use of lights and sirens during emergency calls. There is a growing concern about the risks associated with their use, such as an increased likelihood of accidents and harm to patients.
EMS Providers should stay updated on local and national guidelines regarding when to use lights and sirens to ensure the safety of both themselves and the public.
Those operating emergency vehicles must consider alarming statistics showing that ambulance crashes significantly impact clinicians, patients, and the public, with the risk of a crash increasing by over 50% when lights and sirens are activated.
It is crucial for EMS Leaders to implement well-researched guidelines supporting the restricted use of lights and sirens to enhance the safety of all individuals involved in emergency responses.
In an outstanding demonstration of collaboration on provider, patient, and community safety, 13 national and international associations have partnered on the release of a Joint Statement on Lights and Siren Vehicle Operations in Emergency Medical Services (EMS) Responses (NAEMT, 2022).
The statement articulates principles guiding the use of lights and sirens during emergency vehicle responses to medical calls and initiatives to decrease their use safely. EMS vehicle operations using lights and sirens pose significant risks to both providers and the public. Therefore, their use should be limited to situations where time saved is expected to be clinically important to a patient’s outcome (Merill, 2022).
Communication centers should utilize structured call triage and categorization to identify subsets of calls based on the response resources needed and medical urgency. Physician oversight is crucial in developing response configurations and modes for these protocols.
Agency Leadership should monitor the rates of lights and sirens use, appropriateness, compliance, and outcomes related to their use. Municipal Leaders should be aware of the increased crash risks, and quality care metrics should drive contract agreements.
States and provinces should monitor and report on emergency vehicle crashes to better understand the risks associated with lights and sirens use.
Collaboration between EMS and Fire Agency Leaders is essential in understanding public perceptions and improving education about the risks associated with lights and sirens to create safer expectations.
According to a recent presentation by NEMSQA, 87% of EMS responses were made with the use of lights & sirens, while transports nationally used them 51% of the time. The time savings averaged 102-216 seconds during a response and between 42-228 seconds for transports (from multiple recent studies); yet life-saving interventions are being done in only 6.9% of responses (according to an ESO study of 7.5M records).
At the same time, our odds of being involved in an accident increase by 53% in responses and 184% during transports (not to mention accidents in our wake that do not involve an EMS unit). Furthermore, litigations that involve ambulance incidents are 86% when using L&S.
The data presented highlights concerning statistics surrounding the use of lights and sirens in EMS responses and transports. While time savings are evident, life-saving interventions are performed in only a small percentage of responses.
The increased risk of accidents during both responses and transports underscores the need for a shift towards safer practices. Litigations involving ambulance incidents predominantly occur when lights and sirens are used.
It is crucial to view the use of lights and sirens as a clinical treatment and to follow the guidance to "use only as needed" to ensure the safety of patients, the community, and EMS providers. Prioritizing safe ambulance operations is vital for everyone's well-being and to ensure a safe return home after each shift.
Further Reading:Merrill, L. (2022) 14 Groups Issue Joint Statement on EMS Use Of lights, Sirens https://www.ems1.com/ambulance-safety/articles/14-groups-issue-joint-statement-on-ems-use-of-lights-sirens-AAfswfKx2gaog3dy/ Accessed February 28, 2024
National Association of Emergency Medical Technicians (2022) Joint Statement on Lights & Siren Vehicle Operations on Emergency Medical Services (EMS) Responses https://naemt.org/docs/default-source/advocacy-documents/positions/joint-statement-on-red-light-and-siren-operations-with-logos---final.pdf?sfvrsn=e586e893_4 Accessed February 28, 2024
National EMS Quality Alliance (2024) Improving Safety in EMS: Reducing the Use of Lights and Siren https://nemsqa.memberclicks.net/assets/LSChangePackage/Improving%20Safety%20in%20EMS%20Reducing%20the%20Use%20of%20Lights%20and%20Siren.pdf Accessed February 28, 2024
Zavadsky, M. (2023) Culture Shift: Reducing Lights and Siren Vehicle Operation https://www.ems1.com/safe-transport-point-b/articles/culture-shift-reducing-lights-and-siren-vehicle-operation-XDonsygscixIghQT/ Accessed February 28, 2024
Wednesday, October 31, 2018
NOLS Wilderness First Responder
Wilderness first responder training courses focus on teaching the students to assess a situation, improvise solutions using available resources to stabilize the patient and identify the best way to get the patient to definitive medical treatment.
Wednesday, July 11, 2018
Leadership Development - Nurturing a Growth Mindset
Scholars are deeply gratified when their ideas catch on. And they are even more gratified when their ideas make a difference (Carol Dweck, 2016). The growth mindset concept is spreading and being embraced in a number of sectors as part of their curriculum.
But popularity has a price and people begin to distort ideas, and therefore fail to reap their benefits (Carol Dweck, 2016). For instance, some believe a growth mindset is just about praising and rewarding effort. This isn’t true for students in schools, and it’s not true for employees in organizations. In both settings, outcomes matter.
Furthermore, some organizations espouse an ambitious "adopt a growth mindset, and good things will happen" philosophy. Such mission statements are wonderful things, aren't they? You can’t argue with lofty values like growth, empowerment, or innovation. But what do they mean to employees if the company doesn’t implement policies that make them real and attainable?
Organizations that embody a growth mindset encourage appropriate risk-taking, knowing that some risks won’t work out (Carol Dweck, 2016). They reward employees for important and useful lessons learned, even if a project does not meet its original goals.
However, the following infographic serves a purpose in that it emphasizes a relational dynamic between the individual and the growth mindset concept (Steve Wood, 2018). In that, no matter what stage of your career you are in, nurturing and preserving your own growth is absolutely essential, rather than devolve that responsibility to the organization you are part of. In that way, you are more likely to be an agent of change as a leader as well as be better invested as an active follower within your team.
Such are my thoughts on the matter, for now...
#Leadership #GrowthMindset #Development
Wednesday, June 27, 2018
FEMA Introduction To Incident Command System ICS-100
This independent study course introduces ICS and provides the foundation for higher-level ICS training. It describes the history, features and principles, and organizational structure of the system. This course also explains the relationship between ICS and NIMS.
#FEMA #IncidentCommandSystem #CrisisManagement
Tuesday, June 12, 2018
ACA River Rescue Technician
This course is aimed at Professional Rescuers: Firefighters, BLM Rangers, Search and Rescue Personnel, Whitewater Guides, Trip leaders, boaters paddling on more challenging whitewater, and anyone desiring opportunities to develop their rescue skills. Themes of this dynamic course revolve around the recognition of hazards, critical judgment, and rescue awareness.
Emphasis is placed heavily on self-rescue techniques and approaching rescue scenarios simply and safely. Apply new and refined skills in mock-rescue scenarios using a minimal amount of gear. These scenarios create an opportunity for participants to practice skills individually and with a team context.
Scope and content of the course will vary, based on participant needs, interests and experience. Topics covered include extricating pins, using rescue vests, managing strainers, dealing with entrapment, and proficient swimming skills.
Go to: www.wilderness-rescue.com
Tuesday, May 29, 2018
NOLS Professional Instructor Course
The primary purpose of this course is to train and evaluate potential NOLS instructors who already have extensive experience teaching in the outdoors.
Each participant’s skills and abilities are assessed and evaluated by the course instructors with the intent of determining their potential as an instructor.
On this course, participants will develop and refine the teaching and leadership skills needed for professional positions at NOLS.
This course is conducted in Wyoming’s Wind River Range. Because the environment and terrain are representative of many NOLS programming areas, the Winds are ideal for introducing NOLS' field practices.
The course includes three components: a three-day leadership module taught in town, an eight-day backpacking expedition, and a three-day section of top rope rock climbing training.
Go to: www.nols.edu
Go to: www.nols.edu
Wednesday, October 04, 2017
NREMT Emergency Medical Responder
Emergency Medical Responders provide immediate lifesaving care to critical patients who access the emergency medical services system. EMRs have the knowledge and skills necessary to provide immediate lifesaving interventions while awaiting additional EMS resources to arrive.
EMRs also provide assistance to higher-level personnel at the scene of emergencies and during transport. Emergency Medical Responders are a vital part of the comprehensive EMS response. Under medical oversight, Emergency Medical Responders perform basic interventions with minimal equipment.
Go to: www.nremt.org
Wednesday, February 22, 2017
Who’s Teaching You? Sean Morley.
The rather astounding Sean Morley will be instructing these classes during Storm Gathering USA 2017 this March.
Session 1: Long Boat Surfing – Full
Session 2: Fundamentals of Rock Gardening (with Paul Kuthe) – Full
Session 3: Rough Water Boat Handling
Session 4: Ocean Journey – Full
Session 2: Fundamentals of Rock Gardening (with Paul Kuthe) – Full
Session 3: Rough Water Boat Handling
Session 4: Ocean Journey – Full
Sign up today while there are still spaces - SGS USA 2017 How To Register
Friday, February 17, 2017
Who’s Teaching You? Ben Lawry.
The rather bodacious Ben Lawry will be instructing these classes during Storm Gathering USA 2017 this March.
Session 3: Moderate Water Boat Handling (with Jeff Laxier)
Saturday Evening: Master of Ceremony
Session 4: Developing Boat Control
Sign up today while there are still spaces - SGS USA 2017 How To Register
Wednesday, February 15, 2017
NOLS Wilderness First Aid
Wilderness first aid training courses focus on preparing students for the unexpected, taking a hands-on approach to learning about applying first aid skills in the backcountry.
Participants are taught how to provide effective treatments for common injuries and illnesses in the outdoors, and how to make appropriate evacuation decisions.
If you like to take short trips relatively close to medical resources, work at wilderness camps, enjoy weekend family outdoor activities, or recreate outdoors, this course is for you.
Monday, February 13, 2017
Who’s Teaching You? Bill Vonnegut.
The rather bodacious Bill Vonnegut will be instructing these classes during Storm Gathering USA 2017 this March.
Session 1: Developing Boat Control
Session 2: Situational Rolling and Bracing (with Kelly Marie Henry)
Session 3: Intermediate Rock Gardening (with Paul Kuthe)
Session 4: Situational Rolling and Bracing
Session 2: Situational Rolling and Bracing (with Kelly Marie Henry)
Session 3: Intermediate Rock Gardening (with Paul Kuthe)
Session 4: Situational Rolling and Bracing
Sign up today while there are still spaces - SGS USA 2017 How To Register
Friday, February 10, 2017
Who’s Teaching You? Cate Hawthorne
The rather courageous Cate Hawthorne will be instructing these classes during Storm Gathering USA 2017
Session 1: Intermediate Rock Gardening
Session 2: White Water of the Sea (full-day class)
Session 3: White Water of the Sea (full-day class)
Session 4: Fundamentals of Rock Gardening
Sign up today while there are still spaces - SGS USA 2017 How To Register
Wednesday, February 08, 2017
Who’s Teaching You? Jeff Laxier
The rather joyous Jeff Laxier will be instructing these classes during Storm Gathering USA 2017.
Session 1: Rough Water Boat Handling.
Session 2: Tricky Launch, Tricky Landing.
Session 3: Moderate Water Boat Handling (with Ben Lawry).
Session 4: Long Boat Surfing (with Paul Kuthe).
Sign up today while there are still spaces - SGS USA 2017 How To Register
Monday, February 06, 2017
Who’s Teaching You? Roger Schumann.
Session 1: Unscrambling the Scramble
Sessions 2-3: Incident Management
Session 4: Unscrambling the Scramble
Sign up today while there are still spaces - SGS USA 2017 How To Register
Thursday, February 02, 2017
Who's Teaching You? Don Cheyette.
The rather dynamic Donald Cheyette will be instructing these classes during Storm Gathering USA 2017 this March.
Session 1: Moderate Water Boat Handling
Session 2 & 3: Fundamentals of Sea Kayak Leadership (full-day class)
Session 4: Coastal Journey (with Mark Tozer)
Session 2 & 3: Fundamentals of Sea Kayak Leadership (full-day class)
Session 4: Coastal Journey (with Mark Tozer)
Sign up today while there are still spaces.
To register, go to this page on the symposium website.
For more information, e-mail, info@greenlandorbust.org.
Friday, January 27, 2017
SGS USA Announcement - Class Timetable and Availability
Friday Session Choices 1 p.m. - 4.30 p.m.
All Levels - Developing Boat Control DBC1
All Levels - Greenland Strokes GS1
..................................
Level 1 and 2 - Storm Paddling Essentials SPE
Level 1 and 2 - Surf Zone Fundamentals SZF
..................................
Level 2 and 3 - Intermediate Rock Gardening IRG1
Level 2 and 3 - Unscrambling the Scramble UTS 1
Level 2 and 3 - Long Boat Surfing LBS1: FULL
Level 2 and 3 - Moderate Water Boat Handling MWBH 1
..................................
Level 3 - Rough Water Boat Handling RWBH 1
Level 3 - Tricky Launch, Tricky Landing TLTL1
Saturday Session Choices 9.30 a.m. - 12.30 p.m.
All Levels - Simplifying The Roll STR: FULL
..................................
Level 1 & 2 - Fundamentals of Rock Gardening FRG 1: FULL
..................................
Level 2 and 3 - Situational Rolling & Bracing SRB1
..................................
Level 3 - Tricky Launch, Tricky Landing TLTL1
..................................
Saturday Session Choices 1.30 p.m. - 4.30 p.m.
All Levels - Wild Harvesting WH: FULL
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Level 1 and 2 - Coastal Journey CJ1
..................................
Level 2 and 3 - Intermediate Rock Gardening IRG2
Level 2 and 3 - Moderate Water Boat Handling MWBH 2
..................................
Level 3 - Rough Water Boat Handling RWBH 2
..................................
Saturday Session Choices All Day
Level 1 & 2 - Fundamentals of Sea Kayak Leadership FSKL
Level 2 & 3 - Incident Management IM
Level 2 & 3 - White Water of The Sea WWOTS
Sunday Session Choices 9.30 a.m. - 1.30 p.m.
All Levels - Developing Boat Control DBC1
All levels - Greenland Strokes GS2
..................................
Level 1 & 2 - Fundamentals of Rock Gardening FRG 2
Level 1 & 2 - Coastal Journey CJ2
..................................
Level 2 & 3 - Ocean Journey OCJ1: FULL
Level 2 & 3 - Unscrambling the Scramble UTS 2
Level 2 & 3 - Situational Rolling and Bracing SRB2: FULL
Level 2 & 3 - Long Boat Surfing LBS2
..................................
Wednesday, October 26, 2016
SGS USA - Class Timetable
Following are the class choices for each day at Storm Gathering USA 2017.
Friday Session Choices 1 p.m. - 4.30 p.m.
All Levels - Developing Boat Control DBC1
All levels - Surfski Paddling SSP
..................................
Level 1 and 2 - Storm Paddling Essentials SPE
Level 1 and 2 - Surf Zone Fundamentals SZF
..................................
Level 2 and 3 - Intermediate Rock Gardening IRG1
Level 2 and 3 - Unscrambling the Scramble UTS 1
Level 2 and 3 - Long Boat Surfing LBS1
Level 2 and 3 - Short Boat Surfing SBS1
Level 2 and 3 - Moderate Water Boat Handling MWBH 1
..................................
Level 3 - Rough Water Boat Handling RWBH 1
Level 3 - Tricky Launch, Tricky Landing TLTL1
..................................
Saturday Session Choices 9.30 a.m. - 12.30 p.m.
All Levels - Simplifying The Roll STR
All levels - Surfski Paddling SSP
..................................
Level 1 and 2 - Fundamentals of Rock Gardening FRG 1
..................................
Level 2 and 3 - Situational Rolling & Bracing SRB1
..................................
Level 3 - Tricky Launch, Tricky Landing TLTL1
..................................
Saturday Session Choices 1.30 p.m. - 4.30 p.m.
All Levels - Wild Harvesting WH
All Levels - SurkSki Paddling SSP
..................................
Level 1 and 2 - Coastal Journey CJ1
..................................
Level 2 and 3 - Intermediate Rock Gardening IRG2
Level 2 and 3 - Moderate Water Boat Handling MWBH 2
..................................
Level 3 - Rough Water Boat Handling RWBH 2
..................................
Saturday Session Choices All Day
Level 1 and 2 - Fundamentals of Sea Kayak Leadership FSKL
Level 2 and 3 - Practical Leadership and Group Dynamics PLGD
Level 2 and 3 - Incident Management IM
Level 2 and 3 - White Water of The Sea WWOTS
Level 3 - Rock Garden Safety and Rescue RGSR
..................................
Sunday Session Choices 9.30 a.m. - 1.30 p.m.
All Levels - Developing Boat Control DBC1
All levels - Surfski Paddling SSP
..................................
Level 1 and 2 - Fundamentals of Rock Gardening FRG 2
Level 1 and 2 - Coastal Journey CJ2
..................................
Level 2 and 3 - Ocean Journey OCJ1
Level 2 and 3 - Short Boat Surfing SBS
Level 2 and 3 - Unscrambling the Scramble UTS 2
Level 2 and 3 - Situational Rolling and Bracing SRB2
Level 2 and 3 - Long Boat Surfing LBS2
..................................
Level 3 - Rough Water Boat Handling RWBH 3
Level 3 - Tricky Launch, Tricky Landing TLTL2
To register, click HERE.
For more information, e-mail, info@greenlandorbust.org.
To register, click HERE.
For more information, e-mail, info@greenlandorbust.org.
Wednesday, October 19, 2016
SGS USA - Instructor Speciality Class With Roger Schumann
Storm Gathering USA 2017
Here are details of a specialist class that may interest anyone attending the Storm Gathering USA 2027 event in Trinidad, California on March 3 to 5.
We have scheduled two half-day sessions for participants to choose from. Sessions will run when minimum numbers are reached.
Unscrambling the Scramble: Self Rescue and Beyond.
More than a mode of self-rescue, the Cowboy(Girl) Scramble technique is great for expanding your launching and landing repertoire, and for developing core skills to help you become a better paddler overall. Before working on rescues, we'll break down the scramble technique as used for basic launching /landing, offering tips and tricks for getting off/on beaches quickly and easily (compared to awkward knuckle walking).
We'll also cover more-advanced versions like "lunge launches" and speed launches" useful for accessing "tricky" beaches. In the process of practicing Scramble Launches/Landings, you'll automatically be refining your deep-water rescue skills, as well as improving the core bracing and balancing skills that help keep you from capsizing and needing to do a rescue in the first place. Participants should have been introduced previously to both the Scramble Rescue and the sculling brace.
To register, click HERE.
For more information e-mail: info@greenlandorbust.org.
Wednesday, October 12, 2016
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