Special Projects and Education and Scholarly Efforts
Prehospital educational efforts
CPDM’s educational efforts are manifest in a number of endeavors. In addition to the ongoing education for medical students, EM residents, and prehospital providers, we sponsor at least one major conference per year. Visiting professors invited to the Oklahoma CPDM have included:
- Dr. Brent Myers (Carolinas Medical Center): post-resuscitation hypothermia
- Dr. Corey Slovis (Vanderbilt): state-of-the-art EMS protocol updates
- Dr. Sophia Dyer (Boston University): Boston EMS preparation/response to the Marathon bombing
Dr. Ira Blumen, Professor of Emergency Medicine at the University of Chicago and national authority on Helicopter EMS safety, lectures to OUDEM faculty, residents, and invited air medical providers from around Oklahoma.
Some educational efforts, such as those covering the Boston EMS and the Boston Marathon bombing, include discussion of the overlap between EMS, disaster planning, and hospital ED preparation and response. Other educational activities sponsored by CPDM focus more completely on disaster and mass casualty issues.
Examples of these conferences include recent years’ CPDM visiting lecture list that includes the developer of the Enhanced Fujita Scale (for tornado severity) and a former Air Force Surgeon General who’s an international expert in building temporary health systems after large-scale disasters. All of these conferences are open to the public service community.
CPDM also works to provide ongoing distance learning efforts including dissemination of information relative to Oklahoma statewide protocols and medical director courses. Other distance learning endeavors of CPDM faculty include monthly nationwide webinars for air medical services crews.
Medical students at OU may rotate with CPDM (and ride on ground EMS ambulances), and all of our EMS residents spend time with CPDM during their EMS rotation. Residents may also opt to take a CPDM elective in mass gathering medical planning and care, which includes spending time in the medical care areas of the Texas Motor Speedway.
Resident and medical student education
EM residents benefit from a comprehensive and innovative exposure to disaster-related medicine and public health, throughout their training program. Graduated responsibilities commence with a detailed orientation to the principles of Disaster Medicine, continuing through field response and decision-making during disasters in Oklahoma. Topics include details about specific types of disasters, as well as general issues surrounding triage, logistics, transportation, evacuation, and alternative standards of medical care.
Elective experiences for the EM residents (and for medical students) provide unique opportunities to respond to real-time disasters. Given Oklahoma's weather patterns, tornado disasters occur on a yearly basis. Participants in the OUDEM Disaster Medicine elective complete ICS courses (100, 200, 700 and 800). Didactics include a program of intensive reading and discussion covering similarities and differences between Disaster Medicine and Emergency Medicine. The Disaster Medicine elective includes performance of a site hazards analysis, as well as generation of plans for site hazards mitigation and response.
Resident education for Disaster Medicine is not limited to the disaster and mass casualty events most likely to be encountered in Oklahoma (floods, wildfires, tornadoes, ice storms). ODI's curricular offerings and expertise also include subjects, such as earthquakes, hurricanes, pandemic events, and human-originated disasters.
Members of the Oklahoma CPDM faculty regularly participate in major prehospital conferences, including EMS Today and EMS State of the Science – A Gathering of Eagles. Faculty have also recently served as expert panelists on national (CDC and NHTSA) panels addressing prehospital analgesia, pediatric trauma and nontrauma triage, and utilization review for helicopter transport.
CPDM faculty are working on the major panels within EM and EMS, as they develop curricula and board review material for the newly minted board certification in EMS. Other CPDM faculty have lectured on disaster medicine and related prehospital issues in Europe, India, China, and Canada.
CPDM faculty have recently co-authored (with others from Baltimore’s Cowley Shock-Trauma Center and Johns Hopkins University) a Cochrane Review addressing helicopter EMS use for scene trauma response.
One special project, funded by the Oklahoma State Department of Health, entailed an in-depth study of helicopter EMS (HEMS) services in our state. This report, completed in 2012 after a year of preparation, is available on an “open-access” basis:
CPDM faculty are involved with efforts to move forward, the state of the art for prehospital care. Ongoing studies are assessing prehospital administration of tranexamic acid, ground EMS use of recombinant hyaluronidase (to facilitate access to the intravascular compartment when IV access is not attainable), and development of an educational program aimed at streamlining patient stabilization for interfacility air transport.