Harrisonburg Rescue Squad, Inc.

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Presentation transcript:

Harrisonburg Rescue Squad, Inc. Falls in EMS Harrisonburg Rescue Squad, Inc. Lindsey Stein, MS, NRP, FP-C

About HRS 100% volunteer EMS agency All of Harrisonburg, parts of Rockingham County 9 ambulances, heavy rescue, rehab vehicle, SERVs ~25 calls/day, ~9,000/year One of the busiest stations in the state One of the last all-volunteer stations

Call Types Chest pain Difficulty breathing Stroke Seizure Traffic crash Traumatic injury OB events Pain Fever FALLS = one of most frequent

Falls in EMS: Demographics Most common: Elderly population Live alone Live with spouse who cannot help Lacking in assistance Preexisting health problems Other: weather- related

Falls in EMS: Causes Extrinsic Intrinsic Slippers, carpets, steps Intrinsic Dizziness, weakness, syncope MI, stroke, seizure, sepsis Injury/illness vs. lift assist

Injuries Ground level falls  debilitating with age Musculoskeletal, head injuries Risk factors: osteoporosis, blood thinners Hip injuries, femoral head, spinal fractures, head bleeds, skin tears Broken ribs  pneumonia Small fall  big impact on health, finances

Reducing Falls Education regarding extrinsic causes Fall alert pendants Bedside toilets Resources for home health Encouraging friends/neighbors/family to get involved Standing recliners Beds with railings Severe cases – APS

EMS’ Continuing Role Priority: provide necessary medical care Training on intrinsic cause recognition Consider what’s best for patient – transport vs. lift assist Eliminate extrinsic risks where possible Offer lifestyle suggestions when appropriate Inform ER of home situation if not well-suited for injury