RESPONDING TO EMERGENCIES: THERE'S AN APP FOR THAT - SOTEL
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20/02/2020
Brendan Wood
Senior Lecturer
Depart of Paramedicine
Responding to emergencies: There’s
an app for that.
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Apps used by paramedics in the
prehospital environment
Apps used community first
responders
Apps used in disaster
preparation and response
2
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Improving response and participation of First Aiders
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• Although it is difficult to generalise from the studies, it
Improving response nonetheless appears likely that traditional first aid training
improves objectively measured skill competences more
and participation of than it develops a positive attitude and a likely helping
reaction toward emergencies by the trainees.
First Aiders
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Improving response • Introducing the first care provider.
• The non‐medical provider is the difference between life and death.
and participation of
First Aiders
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Community Responders
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First Aid & Emergency
New Zealand Red
Cross
https://www.redcross.org.nz/first‐aid/first‐aid‐app/
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St John NZ CPR
https://www.stjohn.org.nz/first‐aid/cpr‐app/
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Display the AEDs nearest to your current location Click an AED icon to get locations details and
using your phone GPS contact information
AED Location Search for AEDs Easily report information updates and problems
Browse the AED locations by swiping the map Location information is always available
https://aedlocations.co.nz/
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GoodSAM
Responder https://www.stjohn.org.nz/first‐aid/goodsam/
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Disaster preparation and response.
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Tuesday ,
22 February 2011
Shane Tomlin (RIP)
The Face of the
Christchurch earthquake
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What is the role of First Aid trainers to promote helping behaviors ?
Do authorities disregard the potential of individual layperson responders?
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Disaster Myths
Myth 1: Myth 3:
Myth 2:
Citizens panic Looting Occurs
Citizens are
in a Disaster / Helpless and During and
we can expect Dependent / after a
fear not panic Expect citizens Disaster /
Expect
to take action
compliance
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HAZARDS
New Zealand Red
Cross
https://www.redcross.org.nz/what‐we‐do/in‐new‐
zealand/disaster‐management/hazard‐app/
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Canterbury
Quakes App
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GeoNet Quake
GNS Science
https://www.geonet.org.nz/
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https://www.citizenaid.org/home
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Apps used by
paramedics in the
prehospital
environment
• New Zealand Formulary Adult
• New Zealand Formulary Paediatric
• St John CPG’s
• Sound Beat Metronome
• NSW Trauma
• MDCalc
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1120/02/2020
High
Performance
CPR
• The latest roll out in New Zealand for High
Performance CPR.
• Collaboration between St John
Ambulance, Wellington Free Ambulance,
Fire and Emergency New Zealand (FENZ)
and Auckland University of Technology.
• https://www.youtube.com/watch?v=7L45
‐AsO4bA
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Farmer John
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ASSESSMENT TREATMENT DISPOSITION
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Irritable state; GSC as being 8 (E2/V2/M4).
Heart Rate: 130/min
Respiratory Rate:15/min
Blood pressure: 110/70
SPO2: 92% on air
Three lead ECG: Sinus tachycardia
R pupil is dilated / L pupil remains normal
Bilateral periorbital ecchymoses
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Assessment
TBI
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John GSC 8 (E2/V2/M4)
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John is taking 1mg Cilazapril Daily
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It is estimated that over 50% of P1 allocation is over‐triage.
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Physiological
Systolic blood pressure
Heart Rate
Shock Index (SI), HR / SBP
GCS appears to be the single
parameter which most strongly
predicts serious injury.
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Evidence & Performance
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Heart Rate: 130/min
Blood pressure: 110/70
Result 1.2
0.5‐0.7 is a normal shock index. Higher Numbers have
shown to be more sensitive than vital signs alone
MDCalc
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Apps used by paramedics in the
prehospital environment
Apps used community first
responders
Apps used in disaster
preparation and response
37
• Bachmann, D. J., Jamison, N. K., Martin, A.,
Delgado, J., & Kman, N. E. (2015). Emergency
Preparedness and Disaster Response: There's
An App for That. Prehospital And Disaster
Medicine, 30(5), 486‐490.
https://doi.org/10.1017/S1049023X15005099
• Helsloot, I., & Ruitenberg, A. (2004). Citizen
Response to Disasters: a Survey of Literature
and Some Practical Implications. Journal of
References Contingencies & Crisis Management, 12(3), 98‐
111. https://doi.org/10.1111/j.0966‐
0879.2004.00440.x
• Van de Velde, S., Heselmans, A., Roex, A.,
Vandekerckhove, P., Ramaekers, D., &
Aertgeerts, B. (2009). Effectiveness of
nonresuscitative first aid training in laypersons:
a systematic review. Annals Of Emergency
Medicine, 54(3), 447.
https://doi.org/10.1016/j.annemergmed.2008.
11.005
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