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bkelley last won the day on April 14 2017

bkelley had the most liked content!

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  • Gender
  • Location
    Cheyenne, Wyoming
  • Interests
    Pediatrics, Fishing, gardening, Hockey

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  • Occupation
    State Office of EMS, Paramedic

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  1. Every new person thinking and talking, is one more than there was yesterday.
  2. Lets solve a problem. What does a pediatric patient need, to be safe in our ambulances? For arguments sake... lets call a pediatric patient a child between 5 and 99 pounds. Parts to discuss: 1. Ambulance environment (e.g. the equipment we carry, how we carry and secure it, our own bodies not restrained while we transport) 2. What do we do, or not do to make sure that a kid is as safe as possible in our ambulances (what if we wreck while transporting them?) 3. What does the kid expect from us? Do they consider their own safety or is that our job? 4. How can we m
  3. You can read about the make up of the group here: https://www.nasemso.org/Committees/STC/index.asp I hear what you are saying. Until I moved out of the field, I lacked perspective on how big the EMS picture really is. For example: Your own field impression of the situation: "Without the proper tools and when we are forced to improvise, when something goes wrong, we are the ones who are hung out to dry because we are not given the tools to properly do our jobs" So lets break that into a simple (not perfect) problem statement: The EMS workforce lacks the proper training, pol
  4. That is the exact problem we are working to solve at the national level. There are tools available, they haven't been tested in the way we want, but that isn't the fault of the manufacturers who make them. There isn't a test, it simply doesn't exist. My group at NASEMSO is almost done with a guidance chart that will help EMS agencies make these decisions while a standard is developed. We want to prevent these injuries that occur in ambulances due to no equipment, poorly utilized equipment, and lack of policies and training.
  5. bkelley


    I appreciate it. This particular subject is one that isn't discussed nearly enough. Come see me at EMS World in October. I will be with a panel of folks for a general session on the 18th.
  6. So the integrated seats actually have testing behind them. You just have to be careful about weight ranges. There is a tag on the pull out portion that tells you the weight ranges for the patient. The downside is that if you really need to work a patient, that seat is less than ideal. As far as removed versus non removed, wrecked seat vs. non-wrecked.... Agree with Mike here, as the removal of a patient doesn't really make a difference. If you took them out you can put them back in, no problem. Is a seat that has been in an MVA safe, well it depends. If you have another option, that
  7. It could be because they actually didn't. The pedimate is only for kids 4.5kg to 18 kg. It also is only supposed to be used on the Ferno cots listed in the operators manual for the pedimate. It is possible that on a different cot, you weren't able to snug up the pedimate because the cot wasn't designed for it. I bet that car seat got pretty dirty, lol!
  8. How does your agency deal with the topic of safely transporting children (5-99lbs) in your ambulances? Do you have policies in place (share them)? Do you do training over equipment for this purpose? Do you even think about it?
  9. That is a two part answer. So yes, by putting a car seat on a stretcher you have indeed provided a car seat in the ambulance. There are some catches to that though: 1. There has been some testing done on this set up see: http://www.carseat.org/Resources/Bull_Ambulance.pdf. The problem is that this test was done using a modified stretcher. In testing, the model they were using would not maintain an upright back, so they welded a piece of steel to it to make it stay upright during testing. You do not have a piece of steel on your stretcher so the same results may not appear in your rea
  10. Hello folks I wanted to start a discussion about ambulance safety, specifically about transporting pediatric patients in ambulances. This should be a safe space for EMS workers to discuss this topic and be free to admit what you do not know. I have learned so much in the past 3 years on the topic, from US ambulance operations to similar issues in other countries. I have access to the top experts on the subject from NIOSH, NHTSA, Pediatrics researchers and professors, equipment manufacturers like Ferno, Quantum, and IMMI. Lets talk! I will start with something I didn't know, that I know now.
  11. bkelley


    Hello, I am Brandon with the Wyoming Office of Emergency Medical Services. I stumbled across a post about pediatric transport concerns and I thought I may be able to help answer some questions. I am active with NASEMSO, particularly regarding pediatric safety in ambulances, serve the AAP on the PEPP steering committee, and am very active in many aspects of national level EMS topics. See ya around!
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