Local First Responders Enhance Their Scope of Practice

Fire rescue services are often the first to arrive at the scene of an emergency. However, responding fire fighters must work within the scope of their Emergency Medical Assistants (EMA) License and within their of their level of training.

Iridia Medical currently assists fire departments interested in enhanced training opportunities.   With our medical team having decades of experience in pre-hospital care and as the provider of medical direction to over 140 fire departments in British Columbia, Iridia Medical is in a unique position of assisting fire rescue services in improving their pre-hospital emergency skills and training.

EMR License

Through collaboration between firefighters, paramedics and physicians, Iridia Medical has helped develop enhanced skills and training for rural and metro first responder programs, as well as assisted departments in transitioning from an EMA-FR to an Emergency Medical Responder license level. 

One notable fire department on the path to their EMR license is Delta Fire Rescue ServicesAs Delta Fire moves towards the EMR license level the following key training modules have been introduced to all its current first responders: 

Delta Fire is among a select few fire departments across the province have undertaken these advanced modules. As good fortune would have it, soon after completing their training, first responders from Delta Fire responded to an emergency where they put Iridia Medical’s advanced training modules into action.

Delta Fire Chief Dan Copeland on the incident:

“It was brought to my attention that on November 27, 2012 a shift crew was called to the Ladner Leisure Centre to attend a patient having a severe allergic reaction. The wife of the patient informed crew members that the patient was suffering a severe reaction to shellfish and did not have his epi-pen with him. Now that Delta Fire & Emergency Services carry epi-pens, the crew was able to provide one for the patient who was then able to self-administer. 

BC Ambulance Service dispatch was contacted and provided information from the fire crew who monitored the patient until they arrived approximately 6 minutes after the fire crew.

In an anaphylactic situation, time is critical to a positive outcome for the patient and in this instance our crews were instrumental in a successful outcome for the patient.

I would like to compliment the crew who attended this incident for their quick thinking and providing excellent patient care. Also, compliments to our F.R. Instructors and all personnel for the smooth and efficient implementation of the 3 additional F.R. protocols.

Training on 3 protocols (pulse oximetry, blood pressure & epi-pens) began earlier in the year, with the support of Mayor and Council. Delta Fire instructors received training and attained instructor status on the 3 protocols. This training is part of a process to enhance training in an effort to attain their  EMR license.

This incident provides encouraging testimony that enhanced training for fire fighters can improve pre-hospital patient care in the event that BCAS is unable to attend a scene immediately. Thank you for a job well done!”

Iridia Medical is thrilled with Delta Fire’s quick response to the anaphylactic emergency and their ability to aid in the positive outcome due to the enhanced training. Iridia looks forward to its continued relationship with Delta Fire and believe their enhanced role as first responders can be a model for other fire departments in the province.

A Look at the Sun Peaks EMR Pilot

Sun Peak Fire Rescue

Sun Peaks

Sun Peaks Fire Rescue is a rare department. Staffed by 3 full-time fire officers and 20 volunteer firefighters, they have made significant improvements in meeting the emergency response needs of Sun Peaks Mountain Resort Municipality.

These improvements were driven by the need for trained emergency response personnel to attend at the scene of an incident promptly where BC Ambulance paramedics were unable to do so.  To meet this need, Fire Chief Bill Stoner lobbied for his firefighters to improve their pre-hospital emergency skills and training.  As a result of his efforts, Sun Peaks was one of two B.C. fire departments chosen for a pilot project allowing firefighters to use the Emergency Medical Response (EMR) protocols.  SPFR then embarked on the process of upgrading their training of their firefighters to the EMR level. 

Having completed the EMR upgrade and with the assistance of Iridia, Sun Peaks Fire Rescue entered into a pre-hospital care consultation process. Included in this consultation process were the Emergency Health Services Commission, the BC Ambulance Service, BC Ambulance paramedics and emergency room physicians. Through this collaboration, a defined framework was established within which EMR skills could be utilized by the Sun Peaks firefighters. 

Emergency Medical Responder protocols outline the roles and responsibilities of firefighters and paramedics who respond to a medical emergency on-scene. The goal of the protocols is to quickly identify and respond to any potential life threatening medical emergency.

Using the EMR protocols provides firefighters with better tools to attend to a patient’s needs. It allows firefighters to use additional pain relief as well as immobilization tools when responding to emergency situations.

The EMR pilot is an ongoing effort. At this point, the pilot has improved documentation on patient care and interaction between Sun Peaks firefighters, paramedics and physicians. Further improvements in this pre-hospital care will be made throughout the duration of the project and the citizens of Sun Peaks will enjoy the benefits of collaboration and innovation that this pilot project brings.

Comments from Sun Peaks Fire Chief Bill Stoner:

“Sun Peaks Mountain Resort Municipality is a world class resort town which enjoys a number of outstanding facilities.  One facility that the town is lacking however is a British Colombia Ambulance Station.  As such, Sun Peaks depends on ambulance service from the neighbouring community of Kamloops.  Because of this lengthy wait for emergency transport, Sun Peaks Fire undertook a pilot project in 2011 which allows firefighters to operate at the level of Emergency Medical Responder (EMR).  It is believed that using EMR protocol will improve the level of pre-ambulance care that Sun Peaks Fire can offer its patients.
When Sun Peaks began utilizing EMR protocols its members recognized a number of significant benefits; firefighter’s patient assessment skills improved, so they were able to deliver better information to ambulance personnel; the ability to provide Nitro and ASA to patients showing the signs and symptoms of a heart attack was also unquestionably beneficial.   The benefit that provided the most profound impact however, was the ability to provide pain relief with Entonox.
 Although most patients who complain of severe pain are not suffering life threatening conditions, they are experiencing a situation that is distressing, not only to themselves but also to their families and friends, as well as to the first responders who attend the scene; it’s tough to watch someone suffer without being able to help.  Due to the 45 minute wait for an ambulance, Sun Peaks Fire’s patients have had to endure this pain.  With EMR protocol however, fire department members can use Entonox to assist with pain relief.  This relief makes the patient more comfortable and alleviates the stress suffered by friends, family and first responders. 
As Sun Peaks gathers its ongoing statistical data on the EMR Pilot and the potential effects and benefits in saving lives; one thing is for sure, delivering enhanced pre hospital care has allowed its members to provide much better service to the people in the community and great customer service is what Sun Peaks Fire strives to deliver.”

For more information on our service offerings for At Iridia we are thrilled to have the opportunity to have worked with Fire Chief Bill Stoner and Sun Peaks Fire Rescue in the development of the EMR program. We believe the EMR pilot is just the beginning. There is a bright future for BC fire departments and the delivery of pre-hospital care.

 

Sun Peaks – Emergency Medical Responder Protocol

Gallery

Currently, Iridia is working with Sun Peaks Fire Rescue in the development of an Emergency Medical Responder (EMR) protocol.   Emergency Medical Responder Protocol Sun Peaks was one of two B.C. fire departments chosen for a pilot project allowing firefighters to … Continue reading