the als/bls interface: there’s nothing “basic” about me!the als/bls interface: there’s...
TRANSCRIPT
![Page 1: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/1.jpg)
The ALS/BLS Interface:
There’s Nothing “BASIC”
About Me!
Timothy J. Perkins, BS, EMT-P
![Page 2: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/2.jpg)
The Objectives…
� Overview of the relationships between ALS and BLS Providers in EMS, both real and perceived.
� Discuss the importance of provision of good BLS assessment and treatment in the prehospital setting.
� Present methods in which BLS providers may assist ALS providers on scene
� Case examples
� Have FUN!!
![Page 3: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/3.jpg)
**DISCLAIMER**
Views or material stated in this
presentation may not reflect the views
of the Virginia Office of Emergency
Medical Services or the Virginia
Department of Health.
![Page 4: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/4.jpg)
**DISCLAIMER**
Views or material stated in this presentation are the opinions of the presenter, and all attendees should always refer to their own agency, regional, and state protocols and SOP’s at all times.
Patient care is #1!
![Page 5: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/5.jpg)
The relationship between
ALS and BLS…
![Page 6: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/6.jpg)
The relationship between
ALS and BLS…
The relationship between ALS and BLS
has been around for…well as long as there
have been both ALS and BLS…
Is it good, or is it bad?
What types of issues exist between ALS and
BLS providers?
![Page 7: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/7.jpg)
What if there was (or wasn’t)???
What if there were no tubes, no
needles, no meds?
What if there's no battery on a
Defib...
![Page 8: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/8.jpg)
The relationship between
ALS and BLS…
“The Great Unknown”
The things that one doesn’t know about the
other usually lead to breakdowns in those
relationships, such as:
• Lack of familiarity with providers themselves.
• Lack of familiarity with skills that the other can
perform.
• Lack of respectrespect between the two.
![Page 9: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/9.jpg)
The relationship between
ALS and BLS…
Lack of familiarity between providers…
This is especially prevalent in systems
with agencies with high turnover…
What’s the functional lifespan of an BLS
Provider? An ALS Provider?
Unfortunately, familiarity issues are more
common from ALS to BLS than BLS to ALS.
![Page 10: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/10.jpg)
The relationship between
ALS and BLS…
Lack of respect between providers…
Also especially prevalent in systems with
agencies with high turnover…
Unfortunately, this is also more common
from ALS to BLS than BLS to ALS.
![Page 11: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/11.jpg)
The relationship between
ALS and BLS…
Lack of familiarity with skills that the other
can perform…
This occurs from both sides, and mostly
varies based on policies and protocols.
Do you know what skills ALS and BLS
providers in your area can perform?
![Page 12: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/12.jpg)
Changing the dynamic…
Changing the dynamic, and improving
relationships between ALS providers and BLS
providers is the hardest part of all of this. It
involves changing thoughts, ideas and
opinions that may have been in place for
years…
“Tradition unimpeded by progress”
![Page 13: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/13.jpg)
Changing the dynamic…
How can the lack of familiarity that exists
between agencies and providers be changed?
Can it help?
![Page 14: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/14.jpg)
Changing the dynamic…
How can the lack of familiarity with skills
that the other can perform be changed?
Can it help?
![Page 15: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/15.jpg)
Changing the dynamic…
Respect…
Respect is the biggest, as well as the
hardest dynamic to change…
![Page 16: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/16.jpg)
One of those “Golden Rules”
“You can’t have ALS without BLS!”
Why is that true?
What are ways that it is more important in
some systems compared to others?
![Page 17: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/17.jpg)
Also remember…
“It all starts with you”…
Most of the time…
![Page 18: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/18.jpg)
It all starts with you…
ABCs…
Vital Signs…
Good Assessments…
Initial interventions…
How are those beneficial to ALS?
![Page 19: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/19.jpg)
ALS “Assist”
Aside from the BLS skills you have, and
are ready to utilize at a moments notice, you
also have the ability to assist ALS providers in
performing some of their tasks as well…
Who has formal ALS Assist programs in
place?
![Page 20: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/20.jpg)
ALS “Assist”
Some of the ALS assist skills that are
most commonly taught to BLS providers:
-IV Drip Setup
-Glucometry
-12 Lead placement
![Page 21: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/21.jpg)
Things to remember…
Make sure the ALS provider knows that
you know how to do whatever ALS assist skill
is needed.
Allow them to make the decisions.
Remember that they are allowing you to
“trade on their card”…
![Page 22: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/22.jpg)
IV Drip Setup
The tools that you
need…
What are they
used for?
What are the
things the BLS
provider can and
cannot do?
![Page 23: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/23.jpg)
Glucometers…
Why could this be dangerous?
What might the BLS provider do to treat
patients with diabetes…
![Page 24: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/24.jpg)
12 Lead Placement…
•Know your landmarks…
•Be careful of delays...
![Page 25: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/25.jpg)
Other ALS Assist Skills…
![Page 26: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/26.jpg)
Other ALS Assist Skills…
![Page 27: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/27.jpg)
Other ALS Assist Skills…
![Page 28: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/28.jpg)
Other ALS Assist Skills…
![Page 29: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/29.jpg)
Cases…
Let’s discuss the following scenarios:
-Trauma
-Cardiac
-Diabetic
-Seizures
![Page 30: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/30.jpg)
Remember…
It all starts with you…
ABCs…
Vital Signs…
Good Assessments…
Initial interventions…
Respect…
![Page 31: The ALS/BLS Interface: There’s Nothing “BASIC” About Me!The ALS/BLS Interface: There’s Nothing “BASIC” About Me! Timothy J. Perkins, BS, EMT-P tjperkins5@yahoo.com. The](https://reader030.vdocuments.us/reader030/viewer/2022040507/5e46842df3b8554180543ad0/html5/thumbnails/31.jpg)
Questions??
**End of Presentation**