The Division of EMS at Wildcat EM works to bring the latest evidence based medicine and best patient care practices into the pre-hospital setting. The Department of Emergency Medicine at UK is home to multiple physicians with a great interest in Emergency Medical Services. Notable examples include Julia Martin, MD, who serves on the state Kentucky Board of Emergency Medical Services. Walt Lubbers, MD, recently rejoined the UK family after an EMS Fellowship in Cincinnati, OH. In addition to serving as clinical faculty, he serves as Medical Director for multiple central Kentucky agencies, including the city of Frankfort, the state’s capital. In addition to these multiple 911 EMS services, he also serves as Medical Director for a local ALS Search and Rescue team that serves the Red River Gorge recreational region near Lexington.
The EMS Division hosts multiple monthly education events for both physicians and EMS providers. A monthly EMS Paper Review is led by Dr. Lubbers and focuses on delving into new primary care literature that affect pre-hospital patient care. It is attended by both physicians and EMS providers; it is also simulcast online.
Additionally, a monthly EMS Grand Rounds is a new addition to UK’s efforts to educate. This monthly in-person and simulcast event provides several hours of education on topics focused to our EMT and Paramedic colleagues. The program also provides continuing education credits for EMS personnel that can be used toward requirements in renewal of licensure. For more information: http://www.emsgrandrounds.org/home
As part of ongoing Medical Direction education, Dr. Lubbers and residents regularly travel to Local agencies and do in person education through lectures and simulation. Through the use of simulation mannequins and wirelessly controlled training heart monitors, scenario based education can be (and routinely is) brought out of the classroom and literally into the field.
Each resident gets exposure to Emergency Medical Services during their intern year during a 2 week experience involving multiple agencies. Residents work shifts on ambulances with Lexington Fire & Emergency Services as well as one or more of our rural partner services. This affords the resident a variety of patient experiences, from fast paced urban runs to rural emergencies with longer transport and patient contact times. While not required, residents also have the option to fly on air medical calls. Each resident also gives a lecture for the local paramedic training course, giving them the opportunity to help educate the next generation of superb pre-hospital providers. Additionally, each resident will attend at least one Mass Gathering event during their training and serve as a physician medical provider. Opportunities to fulfill this requirement include: working UK Football games, UK Basketball games, and local equestrian sporting events. The opportunity to also watch the games when not rendering care make these popular among the residents!
A new position within the residency and UK EMS Division is the EMS Chief Resident. This position gives a resident in their PGY3 year the opportunity to work closely with our EMS faculty and our pre-hospital colleagues. In addition to normal residency clinical duties, this position allows the resident to focus on EMS education, learning EMS administration, and provides additional opportunity to work in the field.
UK has a Special Operations Response Team. Among other responsibilities, this team is specially trained and outfitted to perform decontamination of received patients prior to their entry to the Emergency Department. The team trains/meets monthly, and resident involvement is encouraged.
A recent development at UK is the implementation of Regional Medical Control. The senior resident on shift carries a portable telephone to provide online medical control to EMS providers throughout the region. These providers can call UK’s dispatch and ask to speak to a physician; they are then directly connected. EMS providers can request orders for medications, treatment, or just to ask for advice. This service is available 24/7/365.