About CEMS
What is CEMS and what do we do?
1. Service line of HUHS
2. Provide stand-by EMS at sporting, social, and special events such as the Harvard-Yale football game, Yardfest and Commencement
Pre-shift: How early should you arrive, and what is the code to the key box to get into the Space?
Always arrive 30-45 minutes early.
Password: 1799
What is Phase 1 of the 3R Elevation Process and what is its purpose?
What: EMS Bootcamp. You're in it right now! LIT!
Why: Learn and practice skills, gain understanding of CEMS protocols and policies, become acquainted with equipment and operational spaces
What medication should you give if a patient has two compromised body systems? What is the dose? What are the contraindications?
Patient is going into anaphylaxis. Give epi. 0.3 mg for adults, 0.15 for peds. Over 65 years old or under 6 months.
Take my lung sounds.
Magnificent!
What are the branches of CEMS and the main things they focus on?
1. Admin: logistics and communications
2. Development: education initiatives
3. Operations: shifts and equipment
List all the types of shifts
Athletics, parties, special events, blanket coverage
What is Phase 2 of the 3R Elevation Process and what is its purpose?
What: 1R supervised service (at least three shifts)
Why: Get started on your Challenge Cards!
What medication should you give for a patient with chest pain and cardiac history? What is the dose? What are the contraindications?
Aspirin. 4 tablets x 81 mg (324 mg).
Contraindications: Allergies, recent surgery, GI bleed, ulcers
Take my pulse.
Name at least three different education initiatives that the Development Branch has
How do you request transport? In your answer, act it out
You: Crimson EMS [RADIO #] to Control
HUPD: Control’s answering
You: Crimson EMS [RADIO #] requesting transport for __ year old [male/female] complaining of [CC] at [Location]
What is Phase 3 of the 3R Elevation Process and what is its purpose?
What: Crew chief-supervised service
Why: Work on challenge cards, exposure to more medical emergencies, get ready to ELEVATE!
You have determined that a diabetic patient is hypoglycemic with BGL <70 and symptomatic. What medication should you give? What dose? What are the contraindications?
Contraindications: compromised or unstable airway, unable to follow commands, unconscious
Take my blood pressure.
Exquisite!
Who are our three advisors? I will be impressed if you also name their roles...
Sue Fitzgerald: Clinical liaison, HUHS
Dr. Stylianos Maheras: Medical Director of Urgent Care, HUHS
Gibson McCullagh: Chief Operating Officer (Boss), ProEMS
During Shift: There are two things you need to do to call on. Who should you call and what information are you including? Act it out in your answer.
1. Call HUPD: Identify yourself, event location & standby hours, radio IDs, contact Name, callback number
2. Call OSS: Let them know you've arrived on shift
After one semester of service. The earlier the better. Be proactive!
You find a patient unconscious with a suspected overdose and severe respiratory depression. What medication should you give them? What dose? What are the contraindications?
Narcan aka naloxone. 0.4 - 8 mg.
Contraindications: None!
Splint me.
CSMs, manual stabilization, splint, re-check CSMs
Explain the difference between 3Rs, 2Rs, and 1Rs
3Rs: NREMT and MA-licensed EMT-Bs with AHA BLS CPR certification. 3Rs may not function as unsupervised field providers, and will serve shifts under the supervision of a first rider
2Rs: EMTs who may function as unsupervised field providers
1Rs: EMTs who are designated to lead a crew, develop and hold trainings, and serve as On-Shift Supervisors
How do you call off of a shift? Where should you put everything after you're done? Act it out.
You: Crimson EMS [RADIO #] to Control
HUPD: [mumbling]
You: Crimson EMS [RADIO #s] clear of [LOCATION] and going out of service. Have a good [TIME OF DAY]
What is the Challenge Card and how much of it do you need to complete in order to be eligible for elevation? Give exact numbers
Lists specific procedures and interventions to be completed during patient interactions. Must complete 20 out of 31 skills
You suspect a patient is having a stroke. What test should you do and what does it entail?
FAST-ED
Facial palsy, Arms, Speech changes, Time of Last Known Well, Eye deviation, Denial or neglect
Perform a bag check right now.
Nice!