ems case study presentation march 27, 2013. period of review for study: january 15, 2008 thru may...
TRANSCRIPT
UNION TOWNSHIP FIRE DEPARTMENT
EMS Case StudyPresentation March 27, 2013
EMS Case Study
Period of Review for Study: January 15, 2008 thru May 22, 2011
Total number of calls reviewed - 54
EMS CASE STUDYNature Code of Calls:
Falls – 42Trouble Breathing – 1Sick Person – 2Medical Alarm – 2Bleeding – 1Unknown Medical Problem – 4Check The Welfare – 1Traffic Accident - 1
EMS CASE STUDY
Incident Disposition:
Patient non-transports – 50Patient transports to hospital - 4
EMS CASE STUDY
Patient Background: 70 Year Old Male (2008) Highly Educated Professional Is A Paraplegic As A Result Of A
Fall Uses A Condom Catheter Spouse Based Out-Of-State
EMS CASE STUDY
Patient Issues: Patient Alone Most Of The Time
Alcohol May Be A Contributing Factor
Failing/Declining Mobility
Driver License Revoked Due To DUI
Increasing Health Issues
Nasty And Mean Towards Responders
EMS CASE STUDY
Situation Found On “Fall” Runs:
Not all of the runs coded as a “Fall” were actually attributed to a “Fall.”
Many of these runs included moving the patient from his van to bed, or moving him from his chair to the toilet and back.
On numerous occasions, the medics cleaned up the aftermath of explosive diarrhea on the patient and in his residence.
Medics also assisted the patient with his condom catheter and other medical and comfort needs.
EMS CASE STUDY
Agency Referral:
On June 23, 2010 the Clermont CountyAdult Protective Services agency was notified and a caseworker was assigned to the case.
Following the referral, a care provider visited and assisted the patient on a limited basis.
EMS CASE STUDY
EMS Case Study Review:
There has been no contact with the patient since May 22, 2011. It’s unknown if the patient still resides at the same address or if he passed away.
EMS CASE STUDYQuestions Raised:
Are legal issues involved regarding care?
Are there psychological issues that may impact the patient’s ability to care for himself?
Are there underlying alcohol issues?
Should the patient be in a care facility and who makes that decision?
Can the hospital provide assistance if they are aware of the problem?
EMS CASE STUDY
Potential Referral Agencies: Adult Protective Services?
Mobile Crisis Team?
Prosecutors Office?
Clermont Senior Services?
Clermont Counseling-Mental Health