Deputy Medical Director SAFD UT Health San Antonio San Antonio, Texas
The AHA establishes BLS and ALS treatment guidelines based on the strongest evidence available. Because their guidelines need to be broadly applicable the guideline writing committees take a very conservative approach to changes in response to available literature. From where does the evidence and literature emerge? It comes from systems that do not necessarily follow the guidelines. Many systems violate the AHA guidelines. This is necessary for the evolution of resuscitation. This session will describe the approach to the establishment of a resuscitation program custom tailored to fit the needs of a large urban fire based EMS system. We will discuss the QA/QI requirements, regulatory hurdles, and education need to establish best practices for the local environment.
Discuss the implications of diverting from AHA Resuscitation Guidelines
Discus issues such as National Registry, and state regulator considerations
Discuss the elements of the "Orange Card" system of Resuscitation