25 Fun Insane Facts about Alaska. And what EMS can, could and should do!

Transcription

1 25 Fun Insane Facts about Alaska And what EMS can, could and should do!

2 An incredible Save Rate

3 What are our Save Rates for Cardiac Arrest? Specifically measuring VF rates means there is a chance for survival. Asystole mostly means dead -.

4 Why it (Save rate)should be high Long Transport Times Mixed success with AED and Public Placement Not all citizens are trained in CPR Dispatch centers are not consistent across the state in terms of time of transfer (extra minute?)

5 Juneau has a 60% rate Capital City Fire Rescue

6 Rate is 46% currently Anchorage Fire

7 The Alaska Emergency Medical Work Force A force to be reckoned with EMR 11 Estimated ETT 1,600 EMT-1 2,336 EMT EMT AEMT 18 AK MICP CHAP Provider (ETT or EMT) EMT-1 Instructors Multi-Level Instructors Natl. Reg. Paramedic (NRP) 489 National Registry Training Officers Medical Directors Certifed EMS Agencies Aeromedical Agencies EMS Office Staff Estimated Total EMS Providers = 6083 * *ETT Registration begins January 2016 * MICP s are licensed under Dept of Commerce # of Providers

8 Gender of Active EMS Personnel in Alaska Unknown 1.2% 66 Female 47.2% Male 51.6%

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10 3rd Most Dangerous state 3. Alaska Violent crimes per 100,000: Poverty rate: 10.1% Pct. of population with bachelor s degree or higher: 28.0% Property crimes per 100,000: 2,739.4 (24th lowest) It may seem incongruous that Alaska, which has a low poverty rate and high levels of high school and college graduates, would be among the states with the worst crime rates. It has among the worst violent crime rates in part because of its forcible rape rate: 79.7 per 100,000 residents, the nation s highest rate. (Next is South Dakota, with a rate of 70.2 per 100,000.) Also disturbing, a 2010 study suggests that 37% of women who live in Alaska say they ve suffered some form of sexual assault in their lives, the Anchorage Daily News reported. Alaska is also second in aggravated assaults. While rape and assault rates are high, other crime levels are average. Read more: The Most Dangerous States in America - 24/7 Wall St. #ixzz3s6svna4b

11 Facing Our Demons

12 1. Alaska has for years had one of the highest per capita suicide rates in the nation. According to the state s Bureau of Vital Statistics, Alaska Native males between the ages of 15 to 24 have a suicide rate nearly seven times that of other Americans.

13 2. Alaska Natives have the highest male indigenous incarceration rate in the world. In 2013, 4.1 percent of all Alaska Native males 18 and older were in Alaska state prisons.

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15 3. In October of 2011, the Violence Policy Center in Washington, D.C., reported that Alaska leads the nation in per capita gun deaths. As of June 8, 2013, Alaska ranked third in the nation in per capita gun deaths.

16 4. In 2013, according to FBI statistics, Alaska was the most violent state with over 600 violent crimes per 100,000 population. An ongoing epidemic of sexual violence leads the crime statistics. And the list goes on, from alcoholism to sexual assault to diabetes rates. The clusters of negative symptoms threaten to overwhelm communities and whole regions of rural Alaska.

17 Senator Urges CDC to Conduct Research on Gun Violence Senator Tom Carper (DE), the top Democrat on the Homeland Security and Governmental Affairs Committee (HSGAC), sent a letter to CDC Director Dr. Tom Frieden urging the agency to continue conducting research on gun violence. In the letter, Senator Carper outlines the importance of gun violence research to reduce the 117,000 deaths that occur annually due to firearms and the benefits of research to making communities safer. Since 1996, when former Congressman Jay Dickey (AR) proposed an amendment that prohibited the use of CDC funds for advocacy for gun control, gun research has

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19 Real Mortality issues Heart diseases kill almost five times as many people in Alaska each year as guns. Heart diseases are the secondleading cause of death in this state behind various cancers.

20 Questions!

21 What state has the most cases of hypothermia and frostbite?

22 Alaska

23 HYPOTHERMIA

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25 Who can sign a death certificate?

26 EMT s can sign a death certificate When everyone else refuses then EMS Providers can sign.

27 Medical Directors can tell you to do a field cesarean section?

28 Not Exactly A Medical Director is covered for liability for all but gross negligence but can t give orders that are not indicated. An EMT is required to make sure the order is

29 All levels of EMT s are eligible for National Certification? National Certification = Testing by NREMT

30 True with Caveats EMT-2 and EMT-3 are only eligible for NREMT-Basic. EMT-1 s are equivalent and eligible to sit for NREMT- Basic. We need to fix this!

31 How many Emergency calls happen in Alaska? Medical Emergencies, Trauma, Significant Surgical Needs

32 45,000 calls annually Up from 42k in 2014

33 How many new EMT s are certified in Alaska annually?

34 601 Annual Initial Alaskan EMT s (Sept 14-Sept 15) EMT-1 EMT-2 EMT-3

35 Largest concentration of brown bears is located where?

36 Admiralty Island

37 Sexually Transmitted Diseases Alaska is #1 in what sexually transmitted disease?

38 Chlamydia What is chlamydia? Chlamydia is a common STD that can infect both men and women. It can cause serious, permanent damage to a woman's reproductive system, making it difficult or impossible for her to get pregnant later on. Chlamydia can also cause a potentially fatal ectopic pregnancy (pregnancy that occurs outside the womb).

39 Why does EMS care about your bedroom fun times?

40 Chlamydia across the country

41 Pregnant Women Pediatrics Rape/Sexual Assault Domestic Assaults Family Stability Abdominal pain diagnoses Differential diagnoses in heart attacks?

42 Positive Stuff

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44 In 2015 Alaska was ranked #1 for a sense of well-being The local culture and how people feel about their communities play bigger roles in well-being than the physical beauty of a state. Alaska depends on its local community