EMS Summit 2026

Added: 2026-05-07

[00:00:00]to do and then we'll take a moment to debrief kind of stuff. Right. Sound good? Uh the first quick introductions Shiva I'm a ED physician.

[00:00:08]>> I'm Aaron. I'm a paramedic here in the ED for years.

[00:00:12]>> I was a firefighter paramedic and SWAT medic for 30 years before I came here.

[00:00:16]>> Where Maine?

[00:00:18]>> Okay.

[00:00:19]Different protocols.

[00:00:22]>> Logan's been paramedic at St. Cloud Fire Rescue. I've been there for six years.

[00:00:27]>> Michael paramedic at St. Cloud.

[00:00:32]Stacy Mark with uh Ocelola County Fire Rescue. I'm a EMS training lieutenant.

[00:00:37]Um I've been with the department for 23 years.

[00:00:40]>> Cool. Thank you.

[00:00:43]>> Finer. I'm a nurse full-time simulation center.

[00:00:46]>> Uh Josh Shabino, paramedic for Orange County. I've been there for almost nine years now.

[00:00:51]>> Cool.

[00:00:52]>> Let's see. So that you're you're not just >> videographer first day [laughter] >> education specialist. Awesome.

[00:01:00]So, um like I said, we'll uh let you know what to expect here and then we'll set uh the EMS dispatch. Anna, help us what can be expected.

[00:01:09]>> So, what you can expect from your mannequin, um while this mannequin is high fidelity, it can't do everything and we're not here to trick you. There are no tricks in this. Um so, as you're doing your assessment, just verbalize what you're seeing, hearing, feeling, and we can help guide you in the right way. Um but he does have radial pulses.

[00:01:25]He does have karate pulses, chest rise, and lung sounds. So, if you're assessing, just make sure that you're feeling and listening. Um, if you use any sharps on our mannequin, which hint hint, you will, please make sure they get disposed in the sharps container here. Any supplies that you might need are going to be found on the counter back here. If you are looking for something that you don't see, hi, welcome.

[00:01:44]>> Welcome.

[00:01:45]>> We have magical fairies. [laughter] >> There's no tricks. So, just because you don't see it doesn't mean that it's not something that you might use for this scenario. Um, please just assume that this mannequin, you can do anything with this mannequin that you could to a real patient. I will stop you before you do anything that might hurt the mannequin, but other than that, I give you permission to go ahead and do any intervention you feel necessary for the child.

[00:02:08]>> Any questions about the mannequin?

[00:02:11]The voice of this child is going to sound a lot like Dr. Dr. Kaladendi. So, if you're asking him questions, it might sound like Dr. Kaladi. It's not though.

[00:02:19]>> Yeah. With an Indian accent, obviously.

[00:02:22][laughter] I'm wrong.

[00:02:25]>> Yeah. Yeah.

[00:02:27]Quick introduction, right?

[00:02:28]>> Yeah.

[00:02:29]>> Okay. All right. Wonderful. So, you'll be uh working at the scene. So, what would happen right now is Aaron will provide the dispatch call. And what I want you to do after the dispatch call is take uh 30 seconds to a minute to think of what you would get prepared as you arrive to the scene. And then when you are ready and when you arrive to the scene, the case would begin. Yeah. Okay.

[00:02:52]All right. All right. You are dispatched to a very busy city street uh for a roughly 10-year-old boy on a scooter struck by a car. Caller reports there's blood everywhere. That's all you get.

[00:03:05]>> All right. What team is going there?

[00:03:07]It's uh how many people would be going there >> to the call?

[00:03:11]>> Yeah.

[00:03:11]>> Five.

[00:03:12]>> At least five.

[00:03:13]>> All right. You got the five of you. So, what what are you guys getting ready for as you're going through the >> I'm always going to quote my just kind of know my my base signs.

[00:03:28]>> How far?

[00:03:30]>> Um about 15 minutes >> maybe stand by at the very least >> protocol. Okay.

[00:03:39]>> They say Orlando's an hour away from Orlando.

[00:03:42][laughter] >> Absolutely. All right. Uh, so you're ready to get to the scene.

[00:03:49]>> All right. Now you're here. See?

[00:03:51]>> Copious blood. It's everywhere.

[00:03:53]>> You're standing in blood.

[00:03:55]>> First thing we're going to do is assaulting.

[00:04:15]What do you mean?

[00:04:19]>> Yep. Go ahead.

[00:04:23]>> Two person job.

[00:04:26]>> Um, we need to expose them to see look for >> the bleeding light.

[00:04:32]>> Yeah. Yeah. There's >> the copious blood.

[00:04:38]All right. We'll get you a >> Yes. Aquate.

[00:04:42]Sorry buddy, this is going to hurt.

[00:04:53]>> His breathing is fine. Is he responding to any questions at all?

[00:04:56]>> Uh he is uh he's in a lot of pain.

[00:04:59]The breathing nobody you can listen to his breath sounds.

[00:05:02]>> Okay.

[00:05:05]>> You'll see it.

[00:05:05]>> Yeah. trying to respond right now.

[00:05:13]>> I I restarted.

[00:05:15]>> Okay. [laughter] >> Yeah.

[00:05:17]>> I'm not seeing any.

[00:05:18]>> Do you have chest tries on the right side?

[00:05:20]>> But no chest tries on the left.

[00:05:22]>> Not on the left.

[00:05:24]>> Decompress.

[00:05:25]>> What do you need?

[00:05:26]>> Can we get a OPA and a BBM?

[00:05:30]>> Yeah.

[00:05:33]>> All right. What do you need to decompress?

[00:05:36]He's breathing though. He's breathing.

[00:05:39]It's just that there's absent breath sounds on the left.

[00:05:42]>> Okay.

[00:05:43]>> All right.

[00:05:44]>> We're going to want to decompress. And the second intercostal space >> back is blinking around.

[00:06:02]>> Is there family around or anything?

[00:06:04]information.

[00:06:05]>> Let's say the needle is out.

[00:06:06]>> It's [snorts] 5-year-old decompressed. Do we have any changes reassessing in there?

[00:06:17]>> Any blood or air coming out after we decompress?

[00:06:20]>> Uh yes, there was a wish that came out.

[00:06:22]>> Okay. Did we uh lose distal um our pulses >> when we Yeah, >> we did. Okay. We put our time when this is put on as well.

[00:06:31]>> The time has been placed.

[00:06:34]So lung sounds improved.

[00:06:37]>> Lung sounds have improved. Okay.

[00:06:38]Responsiveness changed at all.

[00:06:40]>> He is uh he says he is breathing much better right now.

[00:06:44]>> He's bleeding quite a bit. I want to be his back.

[00:06:46]>> Does he have a radio?

[00:06:47]>> Does he have a radio?

[00:06:48]>> Your blood pressure.

[00:06:50]>> He's on the monitor. It's up on the wall behind you.

[00:06:52]>> Your blood pressure 72 over 40.

[00:06:55]>> Oh, he does.

[00:06:58]>> Are pupils equal?

[00:06:59]>> Pupils are equal. Pupils are equally reactive to light.

[00:07:02]>> An IV set up.

[00:07:03]>> Yep. I'll get you an IV set up.

[00:07:05]>> Start an IV in the right.

[00:07:06]>> You can go ahead with the IO.

[00:07:08]>> I can start it here.

[00:07:09]>> Or airway is still like clear. Airways everything.

[00:07:15]>> You can just verbalize.

[00:07:17]>> Your IO is in. Fastest IO ever.

[00:07:20]>> Respiratory 50.

[00:07:21]>> Respiratory rate is 50.

[00:07:23]>> Okay.

[00:07:27]>> Controlled. I'm gonna want to probably pull some fluids in.

[00:07:32]>> He is 1032 milligrams.

[00:07:35]>> I'd say a 200 for now. 200 >> 200 ml of normal cyine bowl.

[00:07:40]>> Yeah, just via syringe bolis to get that on board fairly quick and then um >> so I know for the blood captain came with the blood.

[00:07:52]>> Do you want to maybe think about transport now that we got stabilized back? Right.

[00:07:58]>> Check on his back on this side.

[00:08:03]>> Yeah.

[00:08:09]>> Does pelvis feel intact?

[00:08:11]>> Yes, his pelvis is intact.

[00:08:12]>> So, we haven't exposed him yet. Um, >> ideally we've already done that since we were doing other things and other interventions. When we did expose him, were there any other >> no other injury? No other bleeding that we besides this obvious open fe open fracture. We're not >> y >> dealing with anything that >> right on your count. One, two, three.

[00:08:32]We'll check this back and then we do >> y >> no step down really.

[00:08:37]>> No step down. That >> BP, two down.

[00:08:44]>> Two down and back up.

[00:08:48]>> Okay. You don't need to move. All right.

[00:08:51]>> All right. Uh as we are getting there, so far what has been done is the chest has been needled. Uh patient is breathing on his own.

[00:08:59]>> He is a trauma alert.

[00:09:00]>> He's a trauma alert. Um uh tourniquet is in place which has been timed >> and blood is being administered to him.

[00:09:07]Uh and you're ready to transport.

[00:09:09]>> At least where I'm at, I probably would have landed air for this patient. I'm not going to ground and pound all the way to Arnold former >> because we don't have blood and air can provide it.

[00:09:20]>> Okay.

[00:09:20]>> Even something just like that.

[00:09:21]>> Um [snorts] given that we did also do a we did intervene to an extent with his ventilations given decompression. Um he's probably going to need a chest suit really quick. I believe Eric Eric has capability something along those lines.

[00:09:34]>> Okay. All right. Uh so while that is being planned uh are you ready to give report to the hospital?

[00:09:42]All right. Um, all yes.

[00:09:46]>> Okay. How fast was the vehicle travel?

[00:09:49]Was there anyone on scene that put any information like that?

[00:09:52]>> Unknown. Okay. And there was no LLC reported at any point.

[00:09:58]>> Does he remember what happened?

[00:09:59]>> His people's actually respond.

[00:10:01]>> Oh, they do.

[00:10:03]>> Does he remember what happened at all?

[00:10:06]>> A lot of pain. He didn't respond to that.

[00:10:08]So 10year-old 32 in RMC with a trauma alert. How do you copy?

[00:10:16]>> 32 is inbound on your facility with a 10y old male.

[00:10:21]>> Complaint is going to be a >> long sounds again.

[00:10:26]>> Go ahead.

[00:10:28]>> That's a good point. You got to do that.

[00:10:31]>> Fishing was traveling on a scooter when he was struck by by a vehicle. Unknown speed of the vehicle. Um unknown if there is any LOC reported. Patient has an open fracture to the tibia. He has been decompressed and is caspine precautions have been taken. He's also received fluids and whole blood. Um initial vitals on scene were uh initial hypotension. Um some absent lung sounds on the left side prompting the decompression. Um all of the vitals are within normal limits and he's responding appropriately. His blood pressure has been assessed post blood and post fluids and it has improved sign significantly.

[00:11:09]Um, no other outward signs of injury upon trauma assessment. Um, you require anything?

[00:11:16]>> No. which team will see when you get here.