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Fall Prevention and EMS
Stuart McKinnon
Senior Operations Paramedic, Medavie EMS Ontario
Public Relations Coordinator, Medavie EMS Ontario
stuart.mckinnon@memsomuskoka.com
Muskoka EMS
80 Paramedics out of bases in Bracebridge, Huntsville, Gravenhurst, Port Carling, and MacTier 8 ambulances during the day, 6 after 10pm
Respond to roughly 15,000 calls per year resulting in roughly 10,000 patients 716 falls in 2012 7% of all patients 338 falls as of July 31 2013
Similar Numbers Elsewhere Simcoe Paramedic Services also report
similar numbers ***stats to be determined
Why EMS Matters?
First point of contact
Quickly assess living conditions and mobility
Education
Referral programs
Why to people call
paramedics?
InjuredUsually
transported by paramedics
Acutely SickUsually
transported by paramedics
No other means
Transported by EMS or
family/caregivers
CREMS
Community Referrals by EMS
Being trialed in several services , especially those with a mix of urban and rural areas.
Goal is to refer low acuity patients to other suitable agency Reduced repeat visits by paramedics Reduced offload pressures at hospitals Prevent injuries before they happen
PERIL Study - Sunnybrook
Paramedics assessing elders at risk for independence loss
Paramedics are uniquely positioned to observe patients in their homes
Study will look at patients age 65 and up who are not already critically ill Outcomes measured may include no change,
return visits by paramedics, hospitalization, or death.
SASOT
Seniors Assessment and Support Outreach Team Muskoka’s paramedics can play a role in the
referral process
VISIT Vital signs, Interview, Safety Inspection,
Treatment
Home visits allow paramedics to identify and treat conditions before the need for a hospital visit arises.
Community Paramedicine
Goal is not to duplicate services already in place
Allow patients to remain home longer Reduce non essential ambulance transports Reduce wait times in emergency rooms
Example: Flu Shots
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